Trend Analysis of Patient Safety Incidents and Their Associated Factors in Korea Using National Patient Safety Report Data (2017~2019)

Abstract

This study analyzed trends in patient safety incidents (PSIs) and the factors associated with the PSIs by analyzing 2017–2019 Patient Safety Report data in Korea. We extracted 2940 records in 2017, 5889 in 2018, and 7386 in 2019, from hospitals with more than 200 beds, and used all 16,215 cases for analysis. SPSS 25.0 was used for a multi-nominal logistic regression analysis. The PSI trend analysis, the standardized Jonckheere–Terpstra test was significant. On analyzing the probability of adverse events based on near misses, the significant variables were patient age, the season when PSIs occurred, incident reporter, hospital size, the location of PSIs, the type of PSIs, and medical department. Additionally, the factors that were likely to precipitate sentinel events based on near misses were patient sex, patient age, incident reporter, the type of PSIs, and medical department. To prevent sentinel events in PSIs, female and older patients are required to pay close attention. Moreover, it is necessary to establish a patient safety reporting system in which not only all medical personnel, but also patients, generally, can actively participate in patient safety activities and report voluntarily.

Factors influencing the level of performance of patient safety nursing activities among hospital nurses

“…In this study, it was found that a majority of the participants had experienced patient safety incidents, with falls being the most common type, consistent with the types of patient safety incidents reported by the Korean Institute for Healthcare Accreditation [15,16]. Therefore, guidelines and education for fall prevention considering the age and types of diseases of patients are necessary.…”

Exploring nurses' multitasking in clinical settings using a multimethod study

“…This study showed that the percentages of the duration of nursing activities were scheduled medication (23.7%), documenting nursing care (21.2%), monitoring and measurements in patient surveillance (12.5%), and handover (12.5%). In a previous study, nursing activities were reported as follows: 24.6% for record keeping, 24.0% for handover, 13.9% for medication administration, 8.9% for measurements (e.g., vital signs), and 5.3% for communication 28 . In this study, scheduled medication included the process of preparing and collecting medications from the pharmacy, reclassifying drugs, and recording the time on the administration card for each patient before administering medication.…”

“…The 2018 Patient Safety Statistical Yearbook reports that 28.1% of patient safety accidents are caused by dosing errors, doubling from 1,075 cases in 2017 to 2,602 cases in 2018. Scheduled medication has an important impact on symptom management and patient safety 28 , 29 . Therefore, nurses spend a lot of time administering medications and monitoring patients to reduce medication errors.…”

Application of Patient Safety Targets in Hospital: A Literature Review

“…Some researchers also say that elderly patients are three times more likely to fall. Patient Safety Incident Reports to improve strategy, monitoring, and prevention, and reduce unwanted events (Shin & Won, 2021).…”