Analyzing Health Information Technology and Electronic Medical Record System-Related Patient Safety Incidents Using Data from the Korea Patient Safety Reporting and Learning System

Purpose: At present, there are a variety of serious patient safety incidents related to problems in health information technology (HIT), specifically involving electronic medical records (EMRs). This emphasizes the need for an enhanced electronic medical record system (EMRS). As such, this study analyzed both the nature of and potential to prevent incidents associated with HIT/EMRS based on data from the Korea Patient Safety Reporting and Learning System (KOPS).Methods: This study analyzed patient safety incidents submitted to KOPS between August 2016 and December 2019. HIT keywords were used to extract HIT/EMRS incidents. Each case was reviewed to confirm whether the contributing factors were related to HIT/EMRS (HIT/EMRS-related incidents) and if the incident could have been prevented (HIT/EMRS-preventable incidents). The selected reports were summarized for general clarity (e.g., incident type, and degree of harm).Results: Of the 25,515 obtained reports, 2,664 incidents (10.4%) were HIT-related, while 2,525 (9.9%) were EMRS-related. HIT/EMRS-related incidents were the third largest type of incident followed by 'fall' and 'medication incidents.' More than 80% of HIT/EMRS-related incidents were medication-related, accounting for approximately one-third of the total number of medication incidents. Approximately 10% of HIT/EMRS-related incidents resulted in patient harm, with more than 94% of these deemed as preventable; further, sentinel events were wholly preventable.Conclusion: This study provides basic data for improving EMR use/safety standards based on real-world patient safety incidents. Such improvements entail the establishment of long-term plans, research, and incident analysis, thus ensuring a safe healthcare environment for patients and healthcare providers.

Organizational Supports as Moderation in Increasing the Effect of Professionalism on Patient Safety Culture

Patient safety is a fundamental concept in providing health services and it is critical that health care facilities consider it. Negligence in the application of patient safety will lead to patient safety incidents. The individual factors of medical staff have a significant influence on the implementation of patient safety. The attitude of medical staff can affect the culture of patient safety because being unprofessional will cause problems in providing quality care, encourage bad events and medical errors, and ultimately reduce patient satisfaction. Organizational support also has a role in the attitude and behavior of medical staff. There are already policies in the form of regulations from the Minister of Health, standard operating procedures, and training for medical staff. However, there are still many patient safety incidents that occurred. There is also medical staff who are not aware of the importance of reporting so that patient safety incidents are not recorded. The study was conducted in 12 Primary Health Care (PHC) in Kuningan Regency. The research method used is quantitative analysis with a cross-sectional design using a questionnaire. The research data was taken using proportional stratified random sampling to 200 medical staff in 12 PHC in Kuningan Regency. The questionnaire consists of 3 parts regarding professionalism, patient safety culture, and organizational support. The results showed that professionalism had a positive and significant impact on patient safety culture (p-value <0.001), and Organizational support is a quasi-moderating variable on the effect of professionalism on patient safety culture (p-value <0.001).

Analisis Insiden Keselamatan Pasien di Rumah Sakit Berdasarkan Pendekatan Beban Kerja dan Komunikasi

Patient safety incidents at Ahmad Yani Islamic Hospital Surabaya increased by 0.3% in 2019. If not addressed immediately, these problems can give a negative image to hospitals and patients. An error that appears and has an impact on increasing patient safety incidents, stems from a high workload and poor communication. The purpose of this study was to analyze the role of workload and communication on the occurrence of patient safety incidents in hospitals. This study uses a unit of analysis as many as 18 work units that directly provide services to patients. Participants include the head of the work unit, the person in charge of the work unit and the person in charge of the quality of the work unit with a total of 90 people. The data was obtained primarily using the instrument contained in the google form. The communication measurement tool uses the Communication Openness Measurement (COM) and the workload uses the WISN calculation. Patient safety incident data was obtained from the PMKP RS team. The analysis was carried out by means of a simple cross tabulation with interpretation using the Pareto concept. The results showed that most work units (83.3%) had a low workload, most of the work unit communication (61.1%) was not good and 33.3% of work units had a high patient safety incident rate. In the Pareto concept, the results showed that workload had no effect on patient safety incidents, while communication influenced the number of patient safety incidents. Therefore, hospitals need to fix the pattern and flow of communication as well as the need for information disclosure so that the flow of information becomes more adequate, transfer of knowledge becomes better and employee understanding of the importance of patient safety in hospitals becomes better.

Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational Study

Patient safety incidents (PSIs) prevention is important in healthcare because PSIs affect patients negatively and increase medical costs and resource use. However, PSI knowledge in homecare is limited. To analyze patient safety issues and strategies, we aimed to identify the characteristics and contexts of PSI occurrences in homecare settings. A prospective observational study was conducted between July and November 2017 at 27 Japanese homecare nurse (HCN) agencies. HCNs at each agency voluntarily completed PSI reports indicating whether they contributed to PSIs or were informed of a PSI by the client/informal caregiver/other care provider during a period of three months. A total of 139 PSIs were analyzed, with the most common being falls (43.9%), followed by medication errors (25.2%). Among the PSIs reported to the HCN agencies, 44 were recorded on formal incident report forms, whereas 95 were reported as PSIs that required a response (e.g., injury care) but were not recorded on formal incident report forms. Most PSIs that occurred when no HCN was visiting were not recorded as incident reports (82.1%). Developing a framework/system that can accumulate, analyze, and share information on PSIs that occur in the absence of HCNs may provide insights into PSIs experienced by HCN clients.

HUBUNGAN TINGKAT PENGETAHUAN PERAWAT TENTANG KESELAMATAN PASIEN DENGAN INSIDEN KESELAMATAN PASIEN DI RS AMINAH TAHUN 2021

Knowledge is something related to the learning process. Patient safety is a system in which the hospital makes patient care safer. A Patient Safety Incident (IKP) is an event or situation that could potentially or result in injury to a patient that should not have occurred. This study aims to determine the relationship between the level of knowledge of nurses about patient safety with patient safety incidents at Aminah Hospital in 2021. This study is a descriptive quantitative correlation study with a cross sectional approach. The test carried out in this study is the chi square test. The population studied were nurses who were inpatient and outpatient at Aminah Hospital, samples taken were 55 people who were taken by means of probability sampling. The data were processed using univariate and bivariate analysis. From the chi square test results obtained p value = 0.000 (p <0.05). From the results of the research that has been done, it can be concluded that there is a relationship between nurses' knowledge of patient safety and patient safety incidents at Aminah Hospital. From the results of this study, it is expected that hospitals can improve the quality of nursing services, especially for health workers, especially nurses who act as nursing care providers. The quality of service is supported by the performance of nurses based on good knowledge. Abstrak Pengetahuan merupakan sesuatu yang berkaitan dengan proses pembelajaran. Keselamatan pasien merupakan suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman. Insiden Keselamatan Pasien (IKP) merupakan kejadian atau situasi yang dapat berpotensi atau mengakibatkan cedera pada pasien yang seharusnya tidak terjadi. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan perawat tentang keselamatan pasien dengan insiden keselamatan pasien di RS Aminah tahun 2021. Penelitian ini merupakan penelitian deskriptif korelasi metode kuantitatif dengan pendekatan penelitian cross sectional. Uji yang dilakukan pada penelitian ini adalah uji chi square. Populasi yang diteliti adalah perawat pelaksana di rawat inap dan rawat jalan RS Aminah, sampel yang diambil 55 orang yang diambil dengan cara probability sampling. Data diolah menggunakan analisa univariat dan bivariat. Dari hasil uji chi square di dapatkan p value = 0,000 (p < 0,05). Dari hasil penelitian yang telah dilakukan dapat disimpulkan bahwa adanya hubungan antara pengetahuan perawat tentang keselamatan pasien dengan insiden keselamatan pasien di RS Aminah. Diharapkan rumah sakit dapat meningkatkan kualitas pelayanan keperawatan terutama bagi tenaga kesehatan yang berperan sebagai pemberi asuhan keperawatan. Kualitas pelayanan didukung oleh kinerja perawat yang didasari oleh pengetahuan yang baik.