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IMPACT OF PATIENT SAFETY CULTURE ON MEDICAL ERROR ATTITUDES: AN APPLICATION IN NURSES

Yıl 2020, Cilt: 8 Sayı: 3, 590 - 602, 30.11.2020

Gülcan Şantaş Özlem Özer Fatih Şantaş Mehmet Bircan Güleç

https://doi.org/10.33715/inonusaglik.749974

Öz

This study aims to examine the effects of patient safety culture perceptions on their attitudes of medical errors among nurses. The universe of the study is nurses working in a public hospital in Antalya (n = 350). The convenience sampling method was used in the study and the questionnaire was collected from 205 nurses. The data were obtained between October 2-November 3, 2018. The study results demonstrates that the dimensions of patient safety culture explained 28.2% of the total variance in the perception of medical error, 26.4% of the total variance in medical error approach, and 21.8% of the total variance in causes of medical errors. Patient safety culture also explains 32% of the total variance in all subdimensions of medical error. The results of this study highlight the importance of enhancing patient safety culture to protect patients from medical errors in health institutions. This study also revealed important factors that need to be considered for successful implementation of patient safety culture. It is recommended to have a common understanding and increase awareness in reducing medical errors and improving patient safety culture.

Anahtar Kelimeler

Nurse Patient Safety Culture Medical error

Kaynakça

  • Aboneh, E. A., Stone, J. A., Lester, C. A., Chui, M. A. (2020). Evaluation of patient safety culture in community pharmacies. Journal of Patient Safety. 16(1), e18-e24.
  • Aboshaiqah, A. E. (2010). Patients safety culture: a baseline assessment of nurses’ perceptions in a Saudi Arabia hospital. Unpublished doctoral dissertation, Wayne State University, Detroit.
  • AHRQ (2016). Hospital survey on patient safety culture. 05 May 2020, https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patientsafety/patientsafetyculture/ hospital/userguide/hospcult.pdf
  • Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., Al Kindi, S. N. (2014). Patient safety culture among nurses. International Nursing Review, 62(1), 102–110.
  • Cho, E., Chin, D. L., Kim, S., Hong, O. (2016). The relationships of nurse staffing level and work environment with patient adverse events. Journal of Nursing Scholarship, 48(1), 74–82.
  • Çırpı, F., Doğan Merih, Y., Yaşar Kocabey, M. (2009). Nursing practices that are aims to patient safe and determining the nurses point view of this topic. Maltepe Univ E-J Nurs Sci Art, 3(2), 26–34.
  • Dikmen, Y. D., Yorgun, S., Yeşilçam, N. (2014). Identification the level of tendency in malpractice among nurses. Journal of Hacettepe University Faculty of Nursing, 44-56.
  • Elsous, A., Sari, A. A., Rashidian, A., Aljeesh, Y., Radwan, M., AbuZaydeh, H. A. (2016). Cross-sectional study to assess the patient safety culture in the Palestinian hospitals: A baseline assessment for quality improvement. Journal of the Royal Society of Medicine Open, 7(12), 1–12.
  • Farquhar, M., Sharp, B. A., Clancy, C. M. (2007). Patient safety in nursing practice. AORN Journal, 86(3), 455-7.
  • Filiz, E. (2009). Determination of perception of patient safety culture in hospitals and of health staff and patient attitudes about patient safety. Unpublished Master Thesis, Selçuk University, Konya.
  • Güleç, D. (2012). Development of the medical errors attitude scale. Unpublished Master Thesis, Dokuz Eylül University, İzmir.
  • Handler, S. M., Castle, N. G., Studenski, S. A., Perera, S., Fridsma, D. B., Nace, D. A., Hanlon, J. T. (2006). Patient safety culture assessment in the nursing home. Quality & Safety in Health Care, 15(6), 400-404.
  • Hughes, R. G., Clancy, C. M. (2009). Nurses’s role in patient safety. Journal of Nursing Care Quality, 24(1), 1–4.
  • Hwang, J. I., Park, H. A. (2017). Nurses’ systems thinking competency, medical error reporting, and the occurrence of adverse events: a cross-sectional study. Contemporary Nurse, 53(6), 622-632.
  • Institute of Medicine (2004). Patient Safety: Achieving A New Standard of Care. Washington, DC: The National Academies Press.
  • Iramaneerat, C., Noppakunsomboon, N. (2016). The patient safety attitudes among the operating room personnel. Siriraj Medical Journal, 68(4), 203-208.
  • Kagan, I., Barnoy, S. (2013). Organizational safety culture and medical error reporting by Israeli nurses. Journal of Nursing Scholarship, 45(3), 273-280.
  • Kahriman, İ., Öztürk, H. (2016). Evaluating medical errors made by nurses during their diagnosis, treatment and care practices. Journal of Clinical Nursing, 25(19-20), 2884-94.
  • Kalra, J., Adams, S. J. (2016). Medical error and patient safety: Fostering a patient safety culture. Austin Journal of Clinical Pathology, 3(1), 1041-1043.
  • Karataş, M., Yakıncı, C. (2010). Causes of medical errors and solutions. Journal of Inonu University Medical Faculty, 17(3), 233-236.
  • Kohn, L. T., Corrigan, J. M., Donaldson, M. S. (2000). Errors in healthcare: A leading cause of dealth and injury. In: Kohn, L. T., Corrigan, J. M., Donaldson, M. S. (Eds.). To err is human: Building a safer health system. Washington, DC: Institute of Medicine National Academy Press.
  • Mardon, R. E., Khanna, K., Sorra, J., Dyer, N., Famolaro, T. (2010). Exploring relationships between hospital patient safety culture and adverse events. Journal of Patient Safety, 6(4), 226-232.
  • Nieva, V. F., Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care, 12 (Suppl 2), 17-23.
  • Pronovost, P. J., Thompson, D. A., Holzmueller, C. G., Lubomski, L. H., Morlock, L. L. (2005). Defining and measuring patient safety. Critical Care Clinics, 21(2), 1-19.
  • Sammer, C. E., Lykens, K., Singh, K. P., Mains, D. A., Lackan, N. A. (2010). What is patient safety culture? A review of the literature. Journal of Nursing Scholarship, 42(2), 156-165.
  • Singer, S., Lin, S., Falwell, A., Gaba, D., Baker, L. (2009). Relationship of safety cimate and safety performance in hospitals. Health Services Research, 44(2), 399-421.
  • Singer, S. J., Vogus, T. J. (2013). Reducing hospital errors: interventions that build safety culture. Annual Review of Public Health. 34, 373-396.
  • Singla, A. K., Kitch, B. T., Weissman, J. S., Campbell, E. G. (2006). Assessing patient safety culture: A review and synthesis of the measurement tools. Journal of Patient Safety, 2(3), 105–115.
  • Slonim, A. D., LaFleur, B. J., Wendy, A., Joseph, J. G. (2003). Hospital-reported medical errors in children. Offical Journal of the American Academy of Pediatrics, 111(3), 617-621.
  • Somyürek, N., Uğur, E. (2016). Creation of a patient safety culture in intensive care units: nurses’ view to the medical errors. Journal of Health and Nursing Management, 3(1), 1-7.
  • Stavrianopoulos, T. (2012). The development of patient safety culture. Health Science Journal, 6(2), 201-211.
  • Top, M., Tekingündüz, S. (2015). Patient safety culture in a Turkish public hospital: A study of nurses’ perceptions about patient safety. Systemic Practice Action Research, 28(2), 87–110.
  • Tschudi Bondevik, G., Hofoss, D., Sandgathe, B., Husebø, B. S., Hofoss, D., Deilkås, E. C. T. (2017). Patient safety culture in Norwegian nursing homes. BMC Health Services Research, 17(1), 424-434.
  • Wagner, L. M., Brush, B. L., Castle, N. G., Engberg, J. B., Capezuti, E. A. (2017). Nursing home patient safety culture perceptions among US and immigrant nurses. Journal of Patient Safety, 1549-8417.
  • Weingart, S. N., Farbstein, K., Davis, R. B., Phillips, R. S. (2004). Using a multihospital survey to examine the safety culture.The Joint Commission Journal on Quality and Safety, 30(3), 125-32.
  • Wolf, Z. R., Hughes, R. G. (2008). Error reporting and disclosure. In: Patient safety and quality: An evidence-based handbook for nurses. Hughes RG (Ed.). Rockville (MD): Agency for Healthcare Research and Quality.
  • Zhan, C., Miller, M. R. (2003). Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. 290(14), 1868-74.

Hasta Güvenliği Kültürünün Tıbbi Hata Tutumları Üzerine Etkisi: Hemşirelerde Bir Uygulama

Yıl 2020, Cilt: 8 Sayı: 3, 590 - 602, 30.11.2020

Gülcan Şantaş Özlem Özer Fatih Şantaş Mehmet Bircan Güleç

https://doi.org/10.33715/inonusaglik.749974

Öz

Bu çalışma, hemşirelerin hasta güvenliği kültürü algılarının tıbbi hatalara yönelik tutumlarına etkisini incelemeyi amaçlamaktadır. Çalışmanın evrenini Antalya’da bir devlet hastanesinde çalışan hemşireler oluşturmaktadır (n=350). Çalışmada kolayda örnekleme yöntemi kullanıldı ve 205 hemşireden anket toplandı. Veriler, 2 Ekim-3 Kasım 2018 tarihleri arasında elde edildi. Çalışma sonuçları, hasta güvenliği kültürü boyutlarının tıbbi hata algısı üzerindeki toplam varyansın %28.2’sini, tıbbi hata yaklaşımı üzerindeki toplam varyansın 26.4%’ünü, tıbbi hata nedenleri üzerindeki toplam varyansın %21.8’ini açıkladığını göstermektedir. Ayrıca hasta güvenliği kültürü, tıbbi hatanın tüm alt boyutları üzerindeki toplam varyansın %32’sini açıklamaktadır. Bu çalışmanın sonuçları, hastaları sağlık kurumlarındaki tıbbi hatalardan korumak için hasta güvenliği kültürünün geliştirilmesinin önemini vurgulamaktadır. Bu çalışma aynı zamanda hasta güvenliği kültürünün başarılı bir şekilde uygulanması için dikkate alınması gereken faktörleri de ortaya koymuştur. Tıbbi hataları azaltma ve hasta güvenliği kültürünü geliştirme konusunda ortak bir anlayışa sahip olunması ve farkındalığın artırılması önerilmektedir. 

Anahtar Kelimeler

Hasta güvenliği kültürü Tıbbi hata Hemşire

Kaynakça

  • Aboneh, E. A., Stone, J. A., Lester, C. A., Chui, M. A. (2020). Evaluation of patient safety culture in community pharmacies. Journal of Patient Safety. 16(1), e18-e24.
  • Aboshaiqah, A. E. (2010). Patients safety culture: a baseline assessment of nurses’ perceptions in a Saudi Arabia hospital. Unpublished doctoral dissertation, Wayne State University, Detroit.
  • AHRQ (2016). Hospital survey on patient safety culture. 05 May 2020, https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patientsafety/patientsafetyculture/ hospital/userguide/hospcult.pdf
  • Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., Al Kindi, S. N. (2014). Patient safety culture among nurses. International Nursing Review, 62(1), 102–110.
  • Cho, E., Chin, D. L., Kim, S., Hong, O. (2016). The relationships of nurse staffing level and work environment with patient adverse events. Journal of Nursing Scholarship, 48(1), 74–82.
  • Çırpı, F., Doğan Merih, Y., Yaşar Kocabey, M. (2009). Nursing practices that are aims to patient safe and determining the nurses point view of this topic. Maltepe Univ E-J Nurs Sci Art, 3(2), 26–34.
  • Dikmen, Y. D., Yorgun, S., Yeşilçam, N. (2014). Identification the level of tendency in malpractice among nurses. Journal of Hacettepe University Faculty of Nursing, 44-56.
  • Elsous, A., Sari, A. A., Rashidian, A., Aljeesh, Y., Radwan, M., AbuZaydeh, H. A. (2016). Cross-sectional study to assess the patient safety culture in the Palestinian hospitals: A baseline assessment for quality improvement. Journal of the Royal Society of Medicine Open, 7(12), 1–12.
  • Farquhar, M., Sharp, B. A., Clancy, C. M. (2007). Patient safety in nursing practice. AORN Journal, 86(3), 455-7.
  • Filiz, E. (2009). Determination of perception of patient safety culture in hospitals and of health staff and patient attitudes about patient safety. Unpublished Master Thesis, Selçuk University, Konya.
  • Güleç, D. (2012). Development of the medical errors attitude scale. Unpublished Master Thesis, Dokuz Eylül University, İzmir.
  • Handler, S. M., Castle, N. G., Studenski, S. A., Perera, S., Fridsma, D. B., Nace, D. A., Hanlon, J. T. (2006). Patient safety culture assessment in the nursing home. Quality & Safety in Health Care, 15(6), 400-404.
  • Hughes, R. G., Clancy, C. M. (2009). Nurses’s role in patient safety. Journal of Nursing Care Quality, 24(1), 1–4.
  • Hwang, J. I., Park, H. A. (2017). Nurses’ systems thinking competency, medical error reporting, and the occurrence of adverse events: a cross-sectional study. Contemporary Nurse, 53(6), 622-632.
  • Institute of Medicine (2004). Patient Safety: Achieving A New Standard of Care. Washington, DC: The National Academies Press.
  • Iramaneerat, C., Noppakunsomboon, N. (2016). The patient safety attitudes among the operating room personnel. Siriraj Medical Journal, 68(4), 203-208.
  • Kagan, I., Barnoy, S. (2013). Organizational safety culture and medical error reporting by Israeli nurses. Journal of Nursing Scholarship, 45(3), 273-280.
  • Kahriman, İ., Öztürk, H. (2016). Evaluating medical errors made by nurses during their diagnosis, treatment and care practices. Journal of Clinical Nursing, 25(19-20), 2884-94.
  • Kalra, J., Adams, S. J. (2016). Medical error and patient safety: Fostering a patient safety culture. Austin Journal of Clinical Pathology, 3(1), 1041-1043.
  • Karataş, M., Yakıncı, C. (2010). Causes of medical errors and solutions. Journal of Inonu University Medical Faculty, 17(3), 233-236.
  • Kohn, L. T., Corrigan, J. M., Donaldson, M. S. (2000). Errors in healthcare: A leading cause of dealth and injury. In: Kohn, L. T., Corrigan, J. M., Donaldson, M. S. (Eds.). To err is human: Building a safer health system. Washington, DC: Institute of Medicine National Academy Press.
  • Mardon, R. E., Khanna, K., Sorra, J., Dyer, N., Famolaro, T. (2010). Exploring relationships between hospital patient safety culture and adverse events. Journal of Patient Safety, 6(4), 226-232.
  • Nieva, V. F., Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care, 12 (Suppl 2), 17-23.
  • Pronovost, P. J., Thompson, D. A., Holzmueller, C. G., Lubomski, L. H., Morlock, L. L. (2005). Defining and measuring patient safety. Critical Care Clinics, 21(2), 1-19.
  • Sammer, C. E., Lykens, K., Singh, K. P., Mains, D. A., Lackan, N. A. (2010). What is patient safety culture? A review of the literature. Journal of Nursing Scholarship, 42(2), 156-165.
  • Singer, S., Lin, S., Falwell, A., Gaba, D., Baker, L. (2009). Relationship of safety cimate and safety performance in hospitals. Health Services Research, 44(2), 399-421.
  • Singer, S. J., Vogus, T. J. (2013). Reducing hospital errors: interventions that build safety culture. Annual Review of Public Health. 34, 373-396.
  • Singla, A. K., Kitch, B. T., Weissman, J. S., Campbell, E. G. (2006). Assessing patient safety culture: A review and synthesis of the measurement tools. Journal of Patient Safety, 2(3), 105–115.
  • Slonim, A. D., LaFleur, B. J., Wendy, A., Joseph, J. G. (2003). Hospital-reported medical errors in children. Offical Journal of the American Academy of Pediatrics, 111(3), 617-621.
  • Somyürek, N., Uğur, E. (2016). Creation of a patient safety culture in intensive care units: nurses’ view to the medical errors. Journal of Health and Nursing Management, 3(1), 1-7.
  • Stavrianopoulos, T. (2012). The development of patient safety culture. Health Science Journal, 6(2), 201-211.
  • Top, M., Tekingündüz, S. (2015). Patient safety culture in a Turkish public hospital: A study of nurses’ perceptions about patient safety. Systemic Practice Action Research, 28(2), 87–110.
  • Tschudi Bondevik, G., Hofoss, D., Sandgathe, B., Husebø, B. S., Hofoss, D., Deilkås, E. C. T. (2017). Patient safety culture in Norwegian nursing homes. BMC Health Services Research, 17(1), 424-434.
  • Wagner, L. M., Brush, B. L., Castle, N. G., Engberg, J. B., Capezuti, E. A. (2017). Nursing home patient safety culture perceptions among US and immigrant nurses. Journal of Patient Safety, 1549-8417.
  • Weingart, S. N., Farbstein, K., Davis, R. B., Phillips, R. S. (2004). Using a multihospital survey to examine the safety culture.The Joint Commission Journal on Quality and Safety, 30(3), 125-32.
  • Wolf, Z. R., Hughes, R. G. (2008). Error reporting and disclosure. In: Patient safety and quality: An evidence-based handbook for nurses. Hughes RG (Ed.). Rockville (MD): Agency for Healthcare Research and Quality.
  • Zhan, C., Miller, M. R. (2003). Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. 290(14), 1868-74.
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Gülcan Şantaş 0000-0002-0488-9375

Özlem Özer 0000-0002-7238-5371

Fatih Şantaş 0000-0002-0595-4183

Mehmet Bircan Güleç 0000-0001-8285-8198

Yayımlanma Tarihi 30 Kasım 2020
Gönderilme Tarihi 9 Haziran 2020
Kabul Tarihi 27 Ağustos 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 8 Sayı: 3

Kaynak Göster

APA Şantaş, G., Özer, Ö., Şantaş, F., Güleç, M. B. (2020). IMPACT OF PATIENT SAFETY CULTURE ON MEDICAL ERROR ATTITUDES: AN APPLICATION IN NURSES. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 8(3), 590-602. https://doi.org/10.33715/inonusaglik.749974
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