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KMID : 1040120170030010019
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Evidence and Values in Healthcare
2017 Volume.3 No. 1 p.19 ~ p.27
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The analysis of injection safety event through the available secondary databases
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Choi Sol-Ji
Ko Eun-Bi
Lee Hyeong-Il
Choi Ji-Eun
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Abstract
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Objectives: Recently, infection and death events caused by the reuse of disposable syringes or the inadequateness of injection management become social problems. It commonly occurs in advanced countries such as the United States and Canada as well as Korea. In particular, as the divided administration of injections and syringe reuse are mentioned as causes of mass infection events that have arisen recently in our country, it is required to figure out the current status relevant to the divided administration of injections and syringe reuse as well as the actual status of compliance with safety regulations for the administration of injections. So, the purpose of this study is providing information the status of adverse events caused by the use of injections through the use of available secondary databases.
Methods: To analyze the status of adverse event related injection safety. Data resource examination was conducted at first to figure out the usable secondary database. And then, the analysis was done based on the operational definition related in injection complication.
Results: As a result of analyzing, there was an overall increase in the number of patients by year, the number of days of hospital visit, the number of claim cases, and the total amount of medical care expenses. In case of the number of days of hospital visit per head and medical care expenses per head as a personal unit, there was a variation in the difference according to the codes. As a result of analyzing the number of cases that report the side effects of heparin, insulin, Botox, influenza vaccine, and TNF-α antagonist, which are injections given through divided administration and self-administration reported in the KAERS (The Korea Adverse Event Reporting System) Database, the number of cases that report side effects increased annually.
Conclusion: This study is significant in analyzing the current status of the safety problems of injections from available secondary database in healthcare sector. It was shown that the Medical Statistical Information of the Health Insurance Review and Assessment Service has a limit in figuring out causes on whether side effects are produced by the injections themselves or an error in administration. KAERS database also had a limitation in evaluating the incidence rate due to the under reports and a difficulty in figuring out errors that might result from the performance process or medication itself. Based on the results of this study, the status of injection complication was realized indirectly.
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KEYWORD
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Injections, Patient safety, Self-injection
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