Kim Myoungsoo
Department of Nursing, Pukyong National University, Busan, Korea.
J Korean Acad Nurs. 2010 Apr;40(2):172-81. doi: 10.4040/jkan.2010.40.2.172.
The purpose of this study was to examine the impact of strategies to promote reporting of errors on nurses' attitude to reporting errors, organizational culture related to patient safety, intention to report and reporting rate in hospital nurses.
A nonequivalent control group non-synchronized design was used for this study. The program was developed and then administered to the experimental group for 12 weeks. Data were analyzed using descriptive analysis, X(2)-test, t-test, and ANCOVA with the SPSS 12.0 program.
After the intervention, the experimental group showed significantly higher scores for nurses' attitude to reporting errors (experimental: 20.73 vs control: 20.52, F=5.483, p=.021) and reporting rate (experimental: 3.40 vs control: 1.33, F=1998.083, p<.001). There was no significant difference in some categories for organizational culture and intention to report.
The study findings indicate that strategies that promote reporting of errors play an important role in producing positive attitudes to reporting errors and improving behavior of reporting. Further advanced strategies for reporting errors that can lead to improved patient safety should be developed and applied in a broad range of hospitals.
本研究旨在探讨促进差错上报的策略对医院护士差错上报态度、患者安全相关组织文化、上报意愿及上报率的影响。
本研究采用非等组对照非同步设计。制定该方案并对实验组实施12周。使用SPSS 12.0软件进行描述性分析、卡方检验、t检验和协方差分析。
干预后，实验组护士差错上报态度得分（实验组：20.73，对照组：20.52，F = 5.483，p = 0.021）和上报率（实验组：3.40，对照组：1.33，F = 1998.083，p < 0.）显著更高。在组织文化和上报意愿的某些类别上无显著差异。
研究结果表明，促进差错上报的策略在产生积极的差错上报态度和改善上报行为方面发挥着重要作用。应制定并在广泛的医院中应用能进一步提高患者安全的差错上报高级策略。
