scholarly journals Perceptions of Patient Safety Culture and Medication Error Reporting among Early- and Mid-Career Female Nurses in South Korea

2021 ◽  
Vol 18 (9) ◽  
pp. 4853
Author(s):  
Sun Joo Jang ◽  
Haeyoung Lee ◽  
Youn-Jung Son
Keyword(s):  
Patient Safety ◽  
Medication Error ◽  
Safety Culture ◽  
Multiple Logistic Regression Analysis ◽  
Patient Safety Culture ◽  
Early Career ◽  
Self Report ◽  
Error Reporting ◽  
Medication Error Reporting ◽  
Female Nurses

Reporting medication errors is crucial for improving quality of care and patient safety in acute care settings. To date, little is known about how reporting varies between early and mid-career nurses. Thus, this study used a cross-sectional, secondary data analysis design to investigate the differences between early (under the age of 35) and mid-career (ages 35–54) female nurses by examining their perceptions of patient safety culture using the Korean Hospital Survey on Patient Safety Culture (HSPSC) and single-item self-report measure of medication error reporting. A total of 311 hospital nurses (260 early-career and 51 mid-career nurses) completed questionnaires on perceived patient safety culture and medication error reporting. Early-career nurses had lower levels of perception regarding patient safety culture (p = 0.034) compared to mid-career nurses. A multiple logistic regression analysis showed that relatively short clinical experience (<3 years) and a higher level of perceived patient safety culture increased the rate of appropriate medication error reporting among early-career nurses. However, there was no significant association between perception of patient safety culture and medication error reporting among mid-career nurses. Future studies should investigate the role of positive perception of patient safety culture on reporting errors considering multidimensional aspects, and include hospital contextual factors among early-, mid-, and late-career nurses.

Gender difference in the perceptions of the patient safety culture: a case from a medical center in Taiwan

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chih-Hsuan Huang ◽  
Chun-Ting Lai ◽  
Cheng-Feng Wu ◽  
Yii-Ching Lee ◽  
Chia-Hui Yu ◽  
...  
Keyword(s):  
Patient Safety ◽  
Gender Difference ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Medical Center ◽  
Hospital Management ◽  
Patient Safety Culture ◽  
Male Nurses ◽  
Content Type ◽  
Female Nurses

PurposeGender difference exists in the perception of the patient safety culture in healthcare organizations. A case from a medical center in Taiwan is presented to examine how different genders perceive the patient safety culture in practice from 2014 to 2017.Design/methodology/approachA longitudinal study using the data from 2014 to 2017 is conducted quantitatively. Mann–Whitney U test and one-way analysis of variance are employed for analyses.FindingsThe results showed that female nurses had significantly higher emotional exhaustion than male nurses in 2015 and 2016 indicating male nurses had better fatigue recovery than their female counterparts. In addition, male nurses felt a higher degree of fatigue in 2016 and 2017 than those in 2015 statistically. In contrast, female nurses felt more stressful in 2016 and 2017 than those in 2014 statistically. Female nurses had higher emotional exhaustion in 2016 and 2017 than those in 2014 and 2015 statistically.Practical implicationsTo sum up, female nurses were more stressful than before, and their recovery was also relatively poor particularly in 2016 and 2017. There is a need to reduce the degree of fatigue for female nurses in this medical center through employee assistance programs, mindfulness-based stress reduction programs, building up female nurses' positive currency and setting up their appreciative inquiry. In contrast to female nurses, male nurses recovered better from fatigue. This might encourage hospital management to deploy male nurses more effectively in this medical center.Originality/valueThe results enable the hospital management to know there is a gender difference in this case hospital. More attention on female nurses is required.

Guidelines for Leading a Safe Medication Error Reporting Culture

2020 ◽  
pp. 001857872093175
Author(s):  
Charlotte Moureaud ◽  
John B. Hertig ◽  
Robert J. Weber
Keyword(s):  
Best Practices ◽  
Medication Error ◽  
Safety Culture ◽  
Psychological Safety ◽  
Error Reporting ◽  
Cultural Norms ◽  
Leadership Traits ◽  
Patient Centered ◽  
Safe Medication ◽  
Medication Error Reporting

Background: A safe medication error reporting culture is one that promotes, fosters, and rewards the reporting of errors and events across the spectrum of harm (none to significant harm). For this culture to develop, leaders must key department cultural norms. These cultural norms include making employees feel psychologically safe to report errors, and to establish a culture of error review and follow-up that complies with best practices. Objective: This article reviews how pharmacy leaders can establish this environment by describing (1) setting an appropriate vision for safety as a priority; (2) establishing and actively supporting the concept of psychological safety; and (3) implementing medication error review that support an effective safety culture. Finally, the article discusses a case where the relationships between psychological safety, safety culture, and reporting culture are described. Methods: This article reviews the literature and authors’ experiences in designing a safety culture for a pharmacy department. Concluson: A safe reporting culture requires leaders to be humble, engage their staff in dialogue, objectively measure culture, consistently provide feedback, and empower its people. Employing these leadership traits with best practices can improve overall medication safety and the quality of patient-centered pharmacy services.

Nurses' Perception of Error Reporting and Patient Safety Culture in Korea

2007 ◽  
Vol 29 (7) ◽  
pp. 827-844 ◽  
Author(s):  
Jeongeun Kim ◽  
Kyungeh An ◽  
Minah Kang Kim ◽  
Sook Hee Yoon
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Error Reporting

scholarly journals Impact of Hospital Nurses’ Perception on Clinical Alarms and Patient Safety Culture on Alarm Management Practice

2021 ◽  
Vol 18 (8) ◽  
pp. 4018
Author(s):  
Soo-Joung Lee ◽  
Yun-Mi Lee ◽  
Eun Ji Seo ◽  
Youn-Jung Son
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Management Practice ◽  
Linear Regression Analysis ◽  
Patient Safety Culture ◽  
Self Report ◽  
Care Hospital ◽  
Alarm Management ◽  
Clinical Alarms ◽  
The Impact

This study aimed to identify the impact of nurses’ perception of clinical alarms and patient safety culture on alarm management. Additionally, we aimed to describe the importance of clinical alarm issues. The data were collected from 21 August to 10 September 2020. The study participants were 116 nurses working in a tertiary acute care hospital in Korea. The self-report questionnaire included general characteristics, clinical alarm issues, nurses’ alarm perception, patient safety culture, and alarm management practice. The mean age of nurses was 28.04 ± 4.06 years, with 5.71 ± 4.35 years of total clinical experience. For the importance of alarm issues, frequent false alarms leading to reduced attention or response was the most important issue. Hierarchical linear regression analysis revealed that a higher level of nurses’ perceived patient safety culture was the strongest predictor of better alarm management practice (p < 0.001), followed by their perception of clinical alarms (p = 0.034). In addition, female nurses (p = 0.004), charge nurses (p = 0.013), and nurses who work less than 40 h per week (p = 0.008) were more likely to work better in alarm management practice. Future studies are needed to develop standardized alarm management guidelines by improving nurses’ positive perceptions of clinical alarms and patient safety culture.

scholarly journals Pharmacist-Initiated Medication Error-Reporting and Monitoring Programme in a Developing Country Scenario

Pharmacy ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 133 ◽  
Author(s):  
Sri Chalasani ◽  
Madhan Ramesh ◽  
Parthasarathi Gurumurthy
Keyword(s):  
Patient Safety ◽  
Medication Error ◽  
Medication Errors ◽  
Reporting System ◽  
Improve Patient Safety ◽  
Monitoring Programme ◽  
Error Reporting ◽  
Medication Error Reporting ◽  
Hospitalised Patients ◽  
Improve Patient

Medication errors (MEs) often prelude guilt and fear in health care professionals (HCPs), thereby resulting in under-reporting and further compromising patient safety. To improve patient safety, we conducted a study on the implementation of a voluntary medication error-reporting and monitoring programme. The ME reporting system was established using the principles based on prospective, voluntary, open, anonymous, and stand-alone surveillance in a tertiary care teaching hospital located in South India. A prospective observational study was carried out for three years and a voluntary Medication Error-reporting Form was developed to report medication errors MEs that had occurred in patients of either sex were included in the study, and the reporters were given the choice to remain anonymous. The analysis was carried out and discussed with HCPs to minimise the recurrence. A total of 1310 medication errors were reported among 20,256 hospitalised patients and the incidence was 6.4%. Common aetiologies were administration errors [501 (38.2%)], followed by prescribing and transcribing errors [363 (28%)]. Root-cause of these MEs were distractions, workload, and communications. Analgesics/antipyretics (19.4%) and antibiotics (15.7%) were the most commonly implicated classes of medications. A clinical pharmacist initiated non-punitive anonymous ME reporting system could improve patient safety.

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