PURPOSE The purpose of this study was to investigate provide basic data for improving patient safety in nursing homes in Korea by measuring the patient safety culture of nursing homes and understanding its influencing factors. METHODS This study is a secondary analysis of a descriptive research study using data from development and validation of the Korean patient safety culture scale for nursing homes. A total of 982 cases were analyzed using the SPSS Statistics 20 program. RESULTS For the safety culture of the patient, there was a significant difference based on the size and location of the facility. For the degree of patient safety, age, education, occupation, marital status, and the size of the nursing home were significant factors. Patient safety culture and the degree of patient safety had a positive correlation. The regression model of the degree of patient safety was significant (F=20.73, p<.001) and the explanatory power of the model was 27.4%. CONCLUSION The study results indicate that patient safety culture is a factor influencing safety of elders in nursing homes. To improve patient safety for nursing homes in Korea, continuous evaluation and improvement projects need to be done at a national level.
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Undergraduate medical students’ perceptions and intentions regarding patient safety during clinical clerkship Hoo-Yeon Lee, Myung-Il Hahm, Sang Gyu Lee BMC Medical Education.2018;[Epub] CrossRef
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PURPOSE The purpose of this study was to investigate the patient safety culture in Korean nursing homes using the Nursing Home Survey Patient Safety Culture (NHS-PC), a valid tool, provided by the Agency for Healthcare Research and Quality (AHRQ) and to compare the results with AHRQ data. METHODS Administrators and staff (N=151) of six nursing homes in Seoul, Busan, Kyeonggi Province and Gyeongsangnam Province completed the survey in July, 2010. The data were analyzed using descriptive statistics, positive response rate, t-test, ANOVA, DUNCAN, Cronbach's alpha. RESULTS The total mean (SD) positive response rate for patient safety culture was not significantly different from the AHRQ data. For composite levels, the results of 'handoffs' were significantly higher, and the results of 'feedback and communication about incidents' and 'nonpunitive responses to mistakes' were significantly lower than the AHRQ data. CONCLUSION More effective strategies related to nonpunitive responses to mistakes and management activities for patient safety are needed to improve patient safety culture in nursing homes.
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Effects of Disaster Safety Awareness and Safety Culture on the Safety of Welfare Facilities for the Elderly Jihyun Jang, Youngji Song, Nahyun Kim, Wonik Lee Journal of the Korean Society of Hazard Mitigation.2018; 18(5): 203. CrossRef
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PURPOSE The purpose of this study was to identify experiences of incidents and to explore the perceptions of Patient Safety Culture between two groups using nursing homes in Korea; employees and patients and their families. METHODS In 2010 in-depth interviews were used to collect data from 56 participants (38 employees, and 18 patients and family members). The data were analyzed using inductive content analysis. RESULTS The analysis scheme resulting from employees' data consisted of 7 categories and 22 subcategories, after 216 significant statements were analyzed and categorized. The 7 categories were education and training (24.5%), working attitude (23.6%), organizational system (19.0%), job satisfaction (18.5%), institutional environment (6.5%), manager leadership (4.2%), and work climate (4.7%). The analysis scheme resulting from patient and family data consisted of 6 categories and 7 subcategories after 24 significant statements were analyzed and categorized. Education and training among categories of employees were excluded. CONCLUSION These findings indicate that an evaluation tool for patient safety culture should be developed for nursing homes in Korea.
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Patient Safety Awareness and Emergency Response Ability Perceived by Nursing Homes and Home Visiting Caregivers Su Youn Kim, Soon Ock Kim Journal of Korean Academic Society of Nursing Education.2018; 24(4): 347. CrossRef
Effects of Disaster Safety Awareness and Safety Culture on the Safety of Welfare Facilities for the Elderly Jihyun Jang, Youngji Song, Nahyun Kim, Wonik Lee Journal of the Korean Society of Hazard Mitigation.2018; 18(5): 203. CrossRef
Undergraduate medical students’ perceptions and intentions regarding patient safety during clinical clerkship Hoo-Yeon Lee, Myung-Il Hahm, Sang Gyu Lee BMC Medical Education.2018;[Epub] CrossRef
Medical Students’ Perceptions and Intentions Regarding Patient Safety Hoo-Yeon Lee, Sang-Gyu Lee Quality Improvement in Health Care.2018; 24(1): 23. CrossRef
Influence of Safety Culture Perception, Safety Control and Safety Management Activities as Perceived for Nurses in Nursing Home Young-Sook Seo, Eun-Su Do Journal of Digital Convergence.2015; 13(9): 303. CrossRef
Perception of Workers on Patient Safety Culture and Degree of Patient Safety in Nursing Homes in Korea Sook Hee Yoon, Se Young Kim, XiangLian Wu Journal of Korean Academy of Nursing Administration.2014; 20(3): 247. CrossRef
Measuring Patient Safety Culture in Korean Nursing Homes Sook-Hee Yoon, Byungsoo Kim, So Yonug Shin, XiangLian Wu Journal of Korean Academy of Nursing Administration.2013; 19(2): 315. CrossRef
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PURPOSE Nursing home quality indicators have been focused widely on result outcomes, not for the environment in that quality of service are delivered. This study aimed to examine structural factors influencing quality management activities in nursing homes. METHOD Sample was 170 nursing homes responded to the survey questionnaire which was distributed to the 543 nursing homes nation-wide. Data were collected on structural characteristics, types of services, and quality management activities. Data were analyzed with the descriptive statistics, Pearson correlations, and multiple regression. RESULT Most of the nursing homes were operated as free of charge by the social welfare ownership. Average number of residents was 52.1 with severe and mild dementia and bedridden status. In terms of quality management activities, 34% of the sample had CQI committee that focused their activities on services delivery process, performance appraisal, record keeping regularly. 30.6% of quality management activities were accounted for by the number of residents with dementia, the ratio of RN to residents, rehabilitation services, and social wefare services in nursing homes. CONCLUSION We recommend that more comprehensive quality management activities should be developed as process quality indicators in conjunction with the outcome indicators.
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