Department of Nursing, National Cancer Center, Goyang, Republic of Korea.
Division of Nursing, Yonsei University Wonju Severance Christian Hospital, Wonju, Republic of Korea.
PLoS One. 2020 Dec 7;15(12):e0243583. doi: 10.1371/journal.pone.0243583. eCollection 2020.
Precise harm assessment by the medical staff is very important in a patient safety event reporting system but there are differences in perception due to insufficiencies in education.
We developed the survey tool consisting of nine patient safety incident scenarios to investigate the interrater agreement in the harm score assigning among nurses. The survey tool was distributed to 287 nurses working at two hospitals.
The overall kappa value for interrater agreement was k = 0.21 for harm and k = 0.28 for harm duration. In nine patient safety event scenarios, such as "mislabeled specimen" or "chest tube drain", when the degree of harm was not clear, the assessments of harm and harm duration were somewhat dispersed.
For the quality of the patient safety incident reporting system, the accurate harm assessment of medical personnel is highly important; however, results in this study indicated that theassessment of the degree of harm by Korean nurses was not standardized. The reason for this variability could be due to the lack of education that takes harm assessment into account. Therefore, training in harm assessment and the development of programs to support this training are both necessary.
在患者安全事件报告系统中，医务人员进行准确的伤害评估非常重要，但由于教育不足，存在感知差异。
我们开发了包含九个患者安全事件场景的调查工具，以调查护士之间伤害评分分配的评分者间一致性。该调查工具分发给在两家医院工作的 287 名护士。
伤害和伤害持续时间的总体评分者间一致性kappa 值分别为 k = 0.21 和 k = 0.28。在九个患者安全事件场景中，例如“标本标签错误”或“胸腔引流管”，当伤害程度不明确时，伤害和伤害持续时间的评估有些分散。
为了提高患者安全事件报告系统的质量，医务人员准确评估伤害非常重要；然而，本研究的结果表明，韩国护士对伤害程度的评估没有标准化。这种变异性的原因可能是由于缺乏考虑伤害评估的教育。因此，伤害评估培训以及支持这种培训的计划的制定都是必要的。
