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KMID : 1138720230490040013
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Korean Public Health Research
2023 Volume.49 No. 4 p.13 ~ p.25
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An analysis of the factors related to in-hospital injuries by injury type using 2018-2020 Korea National Hospital Discharge In-depth Injury Survey
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Baek Min-Ah
Kang Eun-Jeong
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Abstract
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Purpose : Recently, discussions and perceptions of medical quality and patient safety have been increasing. Among patient safety accidents, preventable hazards are the main topic. The need for a hospital damage reporting system is increasing because it is important for the quality of medical care and patient safety to prevent hospital damage, one of the preventable events in advance. Therefore, this study was conducted to identify specific factors that affect hospital damage by dividing it into ‘drug-related damage’, ‘surgical and treatment-related damage’, ‘disaster-related damage’, and ‘device-related damage’.
Methods : This study conducted an analysis of 292,855 damages at hospitals using the data from the 2018-2020 in-depth survey of damage at discharge provided by the Korea Centers for Disease Control and Prevention. To identify the damage factors affecting 292,855 patients with hospital damage, the categories of damage were divided into ‘drug-related damage’, ‘surgical and treatment-related damage’, ‘disaster-related damage’, and ‘device-related damage’ according to the major classification of the Korean Standard Disease and Death Classification(KCD-9). To confirm the difference between the independent variables for each damage type, chiropractic analysis and logistic regression analysis were performed.
Results : Among the types of damage, ‘surgical and treatment-related damage’ was the most common. Factors affecting ‘drug-related damage’ were sex, age, admission route, major operable, number of beds, payment method, hospital location, and co-morbidities, while factors affecting ‘surgery and treatment-related damage’ were sex, age, admission route, major operable, number of beds, payment methods, hospital location. Factors affecting ‘disaster-related damage’ were the major operable, number of beds, payment methods, hospital location, and co-morbidities, while factors affecting ‘device-related damage’ were age, admission route, major operable, number of beds, hospital location, and co-morbidities.
Conclusion : This study found that there are different related factors for each of the four types of damage. Therefore, it is necessary to find a solution for each type of damage, establish a safety reporting system for patients taken for patient safety, and resolve the imbalance in medical resources.
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KEYWORD
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Patient safety, quality of medical care, medical injury, hospital injury, co-morbidity
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