Journal List > Korean J Adult Nurs > v.27(1) > 1076306

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Korean J Adult Nurs. 2015 Feb;27(1):1-10. Korean.
Published online February 28, 2015.  https://doi.org/10.7475/kjan.2015.27.1.1
© 2015 Korean Society of Adult Nursing
Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives
Myoung-Soo Kim,1 and Hyun-Hee Kim2
1Department of Nursing, Pukyong National University, Busan, Korea.
2Pusan National University Hospital, Busan, Korea.

Corresponding author: Kim, Hyun-Hee. Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 602-739, Korea. Tel: +82-51-240-7564, Fax: +82-51-248-2669, Email: heehee619@hanmail.net
Received July 30, 2014; Revised January 14, 2015; Accepted February 03, 2015.

Abstract

Purpose

The objective of this study was to examine patient safety culture (PSC) and patient safety initiatives (PSI) according to IT-based medication errors prevention system which is constructed in this study, and to identify the relationships among system construction, perception to the usage, PSC and PSI.

Methods

The subjects were 180 nurses who work at 12 different hospitals with over 300 beds. The questionnaire included the characteristics of participants, a system construction status, the perception to the usage using electric pharmacopoeia (EP), a drug dose calculation system (DDCS), a patient safety reporting system (PSRS) and a bar-code system (BS). The data were collected from July 2011 to August 2011. Descriptive statistics, ANOVA, Pearson correlation and MANOVA were used for data analysis.

Results

Systems were constructed in participating hospitals; For EP and PSRS, 83.9%, DDCS, 50%, and BS, 18.3%. The perceptions on the usage of the system were marked highest in BS as 4.54 followed by EP as 3.85. There were significant positive correlations between PSI and EP construction (r=.17, p=.028); PSRS (r=.17, p=.028) and DDCS (r=.23, p=.002).

Conclusion

The developed system for improving the user experiences and reducing medication errors was found out well accepted. It is hoped that the system is helpful for PSC and PSI improvement in clinical settings.

Keywords: Medication errors; Safety management; Culture; Perception

Figures


 Figure 1
Mean score of knowledge of MEPP establishment and perception on MEPP use.
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Tables


 Table 1
Patient Safety Culture and Patient Safety Initiative according to Demographics (N=180)
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Table 2
Patient Safety Culture and Patient Safety Initiative according to Medication Error Prevention System related Characteristics of Participants (N=180)
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Table 3
Correlation among Research Variables (N=180)
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Table 4
The Difference of Patient Safety Culture and Patient Safety Initiative according to MEPP Establishment related Variables (N=106)
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