Effect of Nurses' Perception of Patient Safety Culture on Reporting of Patient Safety Events

Sun Aee Kim; Eun-Mi Kim; Ju-Ry Lee; Eui Geum Oh

doi:10.11111/jkana.2018.24.4.319

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Kim, Kim, Lee, and Oh: Effect of Nurses' Perception of Patient Safety Culture on Reporting of Patient Safety Events

Original Article

Journal of Korean Academy of Nursing Administration 2018; 24(4): 319-327.

Published online: 30 September 2018

DOI: https://doi.org/10.11111/jkana.2018.24.4.319

Effect of Nurses' Perception of Patient Safety Culture on Reporting of Patient Safety Events

Sun Aee Kim^1,²

, Eun-Mi Kim^1,³, Ju-Ry Lee^1,⁴, Eui Geum Oh⁵

¹College of Nursing, Graduate School, Yonsei University, Korea.

²CHA Bundang Medical Center, University of CHA, Korea.

³Department of Nursing, Sunlin University, Korea.

⁴Asan Medical Center, University of Ulsan, College of Medicine, Korea.

⁵College of Nursing · Mo-Im Kim Nursing Research Institute, Yonsei university, Korea.

Corresponding author: Oh, Eui Geum. College of Nursing, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea. Tel: +82-2-2228-3256, Fax: +82-2-393-2808, euigeum@yuhs.ac

Received 14 May 2018 Revised 20 June 2018 Accepted 1 July 2018

Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was done to examine factors influencing nurses' perception of patient safety culture in reporting of patient safety events.

Methods

Structured questionnaires were used to collect data from 305 nurses who were involved in direct patient care. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple linear regressions with SPSS/WIN version 24.0.

Results

Patient safety events were reported as follows: 4.60±0.63 for harmful incidents, 4.02±0.82 for no harm incidents, and 3.59±0.97 for near misses. Patient safety event reporting was significantly positively correlated with patient safety culture. Regression analysis showed, factors influencing reports of harmful incidents were ‘feedback and communication about error’, ‘supervisor/manager expectations’ and ‘carrier of hospital’. Factors influencing reports of no harm incidents were ‘feedback and communication about error’. Factors influencing reports on near-misses were ‘teamwork across units’, ‘overall perceptions of safety’, and ‘feedback and communication about error’.

Conclusion

Findings show that reports of near misses are relatively low and need to be strengthened. These results provide evidence that reporting on patient safety events would be enhanced through improved patient safety culture. Hospital managers could identify factors that affect reporting of each patient safety event and use it to develop intervention programs for risk management.

Keywords: Patient safety, Risk management, Nurses

Figures and Tables

Table 1

Differences of Patient Safety Events among Participants (N=305)

^*Scheffé test; ^†Included psychiatric, laboratory, and administrative departments; ICU=Intensive care units; ER=Emergency room;

OR=Operation room.

Table 2

Descriptive statistics of Perceived Patient Safety Culture and Reporting of Patient Safety Events (N=305)

Table 3

Correlation between Perceived Patient Safety Culture and Reporting of Patient Safety Events (N=305)

Table 4

Factors influencing Reporting of Patient Safety Events (N=305)

^*Dummy variables; Ref.=Reference.

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ORCID iDs

Sun Aee Kim
https://orcid.org/0000-0003-3119-9625

Eui Geum Oh
https://orcid.org/0000-0002-6941-0708

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