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Kim: The Effectiveness of Error Reporting Promoting Strategy on Nurse's Attitude, Patient Safety Culture, Intention to Report and Reporting Rate
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2010; 40(2): 172-181.

Published online: 30 April 2010

DOI: https://doi.org/10.4040/jkan.2010.40.2.172

The Effectiveness of Error Reporting Promoting Strategy on Nurse's Attitude, Patient Safety Culture, Intention to Report and Reporting Rate

Myoungsoo Kim

Full-time Lecturer, Department of Nursing, Pukyong National University, Busan, Korea.

Address reprint requests to: Kim, Myoungsoo. Department of Nursing, Pukyong National University, 599-1 Daeyeon 3-dong, Nam-gu, Busan 608-737, Korea. Tel: 82-51-629-5782, Fax: 82-51-629-5789, kanosa@hanmail.net

Received 26 May 2009       Revised 28 May 2009       Accepted 10 January 2010

Copyright © 2010 Korean Society of Nursing Science

Abstract

Purpose

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.

Methods

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, χ2-test, t-test, and ANCOVA with the SPSS 12.0 program.

Results

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.

Conclusion

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.

Keywords: Medical errors, Whistle blowing, Attitude, Organizational culture, Safety management

Figures and Tables

Figure 1
Program to promote error reporting.
jkan-40-172-g001
Table 1
Homogeneity Test for General Characteristics between Experimental and Control Group
jkan-40-172-i001

* Fisher exact test.

Con.=control group; Exp.=experimental group.

Table 2
Homogeneity Test of Study Variables at the Baseline
jkan-40-172-i002

Con.=control group; Exp.=experimental group.

Table 3
Group Comparisons of Dependent Variables at the posttest
jkan-40-172-i003

* F-value of ANCOVA with pre-test value as covariate.

Con.=control group; Exp.=experimental group.

Notes

This work was supported by National Research Foundation of Korea Grant funded by the Korean Government (KRF-2008-331-E00428).

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