Kim Jeongeun, An Kyungeh, Kim Minah Kang, Yoon Sook Hee
Seoul National University, Korea.
West J Nurs Res. 2007 Nov;29(7):827-44. doi: 10.1177/0193945906297370. Epub 2007 Jul 17.
An exploratory study was conducted with 886 nurses at eight Korean teaching hospitals to describe nurses' perception of frequency of error reporting and patient safety culture in their hospitals and to identify relationships between the nurses' perception and work-related factors. The authors found that the majority of nurses were not comfortable reporting errors or communicating concerns about safety issues. A significant portion reported concerns about patient safety issues in their working unit. Nurses on the front line evaluated various aspects related to patient safety culture as being more of a problem than nurses who are older (p < .01) and who work in management positions (p < .05). The authors conclude that error reporting and the safety culture in Korean teaching hospitals are not emphasized enough. The authors suggest that patient safety could be improved in a nonpunitive culture where individuals can openly discuss medical errors and potential hazards.
一项探索性研究在韩国八家教学医院的886名护士中展开，旨在描述护士对医院内错误报告频率和患者安全文化的认知，并确定护士的认知与工作相关因素之间的关系。作者发现，大多数护士对报告错误或就安全问题进行沟通感到不自在。相当一部分人报告了对其工作单位患者安全问题的担忧。一线护士认为与患者安全文化相关的各个方面存在的问题比年长护士（p <.01）和管理岗位护士（p <.05）更多。作者得出结论，韩国教学医院对错误报告和安全文化的强调不够。作者建议，在一种非惩罚性文化中，个人能够公开讨论医疗错误和潜在危害，患者安全可能会得到改善。
