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KMID : 0614820200260020151
Journal of Korean Academy of Nursing Administration
2020 Volume.26 No. 2 p.151 ~ p.158
Analysis of Patient Safety Incident in Korea
Kim Nam-Yi

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.
KEYWORD
Medical error, Patient safety, Public reporting of healthcare data, Safety management
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