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A Survey of Nurses¡¯ Perception of Patient Safety Related to Hospital Culture and Reports of Medical Errors

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KMID : 1004620070130030169
±èÁ¤Àº ( Kim Jeong-Eun ) - ¼­¿ï´ëÇб³ °£È£´ëÇÐ

°­¹Î¾Æ ( Kang Min-Ah ) - ÀÌÈ­¿©ÀÚ´ëÇб³ »çȸ°úÇдëÇÐ ÇàÁ¤Çаú
¼º¿µÈñ ( Sung Young-Hee ) - »ï¼º¼­¿ïº´¿ø °£È£ºÎ
¾È°æ¾Ö ( An Kyung-Eh ) - USA University of Texas

Abstract

Purpose: Purposes of this study were (1) to describe nurses¡¯ perception of hospital organization culture regarding patient safety culture and reporting medical errors, and (2) to identify factors associated with perception of patient safety and nurses¡¯ safety management.

Method: A survey was conducted with 886 nurses using the Korean version of the AHRQ patient safety survey, a self-report 5-point Likert scale. SPSS 10.0 was used for descriptive and correlation analysis.

Results: The mean for working environment related to patient safety was 3.41(¡¾0.35), and associated factors were nurses¡¯ age, duration of working in present hospital, unit, and special area, direct contact with patients, and the work
unit or area. Among organizational culture factors related to patient safety, means were 3.81(¡¾0.54) for boss/managers¡¯
perception of patient safety and 3.37(¡¾0.49) for cooperation/collaboration between units. Mean number of errors reported
by nurses was 3.68(¡¾0.38) times over the past 12 months. For incidence reporting, the items that ¡®nurses perceived
communication among clinicians as fair¡¯ had a mean of 3.53(¡¾0.46) and ¡¯the frequency of reporting was good¡¯,
4.03(¡¾0.69).

Conclusion: Korean nurses¡¯ perception of hospital environment, organizational culture, and incidence
reporting was above average and mostly associated with their work experience and position.
KeyWords
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Patient Safety, Organizational culture, Medical error reporting
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