J Korean Acad Nurs.  2007 Mar;37(2):185-191.

The Effectiveness of the Error Reporting Promoting Program on the Nursing Error Incidence Rate in Korean Operating Rooms

• Kim MS
• Kim JS
• Jung IS
• Kim YH
• Kim HJ

Abstract

PURPOSE: The purpose of this study was to develop and evaluate an error reporting promoting program(ERPP) to systematically reduce the incidence rate of nursing errors in operating room.
METHODS
A non-equivalent control group non-synchronized design was used. Twenty-six operating room nurses who were in one university hospital in Busan participated in this study. They were stratified into four groups according to their operating room experience and were allocated to the experimental and control groups using a matching method. Mann-Whitney U Test was used to analyze the differences pre and post incidence rates of nursing errors between the two groups.
RESULTS
The incidence rate of nursing errors decreased significantly in the experimental group compared to the pre-test score from 28.4% to 15.7%. The incidence rate by domains, it decreased significantly in the 3 domains-"compliance of aseptic technique", "management of document", "environmental management" in the experimental group while it decreased in the control group which was applied ordinary error-reporting method.
CONCLUSION
Error-reporting system can make possible to hold the errors in common and to learn from them. ERPP was effective to reduce the errors of recognition-related nursing activities. For the wake of more effective error-prevention, we will be better to apply effort of risk management along the whole health care system with this program.

Keyword

error incidence reporting; incidence rate; medical error; operating room

MeSH Terms

Adult
Double-Blind Method
Female
Humans
*Internet
Korea
Medical Errors/*prevention & control/statistics & numerical data
*Operating Room Nursing
Risk Management/*methods
*Staff Development
Statistics, Nonparametric