KMID : 0614820180240040319
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Journal of Korean Academy of Nursing Administration 2018 Volume.24 No. 4 p.319 ~ p.327
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Effect of Nurses' Perception of Patient Safety Culture on Reporting of Patient Safety Events
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Kim Sun-Aee
Kim Eun-Mi Lee Ju-Ry Oh Eui-Geum
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Abstract
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Purpose: This study was done to examine factors influencing nurses' perception of patient safety culture in reportingof patient safety events.
Methods: Structured questionnaires were used to collect data from 305 nurses who wereinvolved in direct patient care. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlationcoefficients and multiple linear regressions with SPSS/WIN version 24.0.
Results: Patient safety events were reportedas follows: 4.60¡¾0.63 for harmful incidents, 4.02¡¾0.82 for no harm incidents, and 3.59¡¾0.97 for near misses. Patient safety event reporting was significantly positively correlated with patient safety culture. Regression analysisshowed, factors influencing reports of harmful incidents were¡®feedback and communication about error¡¯,¡®supervisor/manager expectations¡¯and¡®carrier of hospital¡¯. Factors influencing reports of no harm incidents were¡®feedbackand communication about error¡¯. Factors influencing reports on near-misses were ¡®teamwork across units¡¯, ¡®overallperceptions of safety¡¯, and ¡®feedback and communication about error¡¯.
Conclusion: Findings show that reports ofnear misses are relatively low and need to be strengthened. These results provide evidence that reporting on patientsafety events would be enhanced through improved patient safety culture. Hospital managers could identify factorsthat affect reporting of each patient safety event and use it to develop intervention programs for risk management.
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KEYWORD
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Patient safety, Risk management, Nurses
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