J Korean Acad Nurs Adm.
2020 Mar;26(2):151-159. 10.11111/jkana.2020.26.2.151.
Analysis of Patient Safety Incident in Korea
- Affiliations
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- 1Assistant Professor, Department of Nursing, Daejeon Institute of Science and Technology, Korea.
- KMID: 2506314
- DOI: http://doi.org/10.11111/jkana.2020.26.2.151
Abstract
- Purpose
The purpose of this study was to analyze factors related to patient safety incidents by analyzing '2018 patient safety report data' for Korea, and to prepare a plan for preventing patient safety incidents.
Methods
Analysis was done for 2018 patient safety report data’published in 2019. In 2018, 9,250 patient safety incidents were reported, and for this study data (3,757) from hospitals with more than 500 beds were analyzed. SPSS 25.0 was used for the crosstabulation analysis and multinominal logistic regression.
Results
There were no factors affecting the sentinel event. The main factors of adverse events were age, patient room, treatment room, day duty of nurses, falls, transfusions, and medication.
Conclusion
In order to prevent patient safety incidents, elderly patients should receive verbal and nonverbal communication that will help them understand the complexity of the disease. Finding ways to reduce nurse overtime and reduce human error by computerizing patient monitoring systems, fall prevention activities, and patient safety regulations and procedures are necessary.
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