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Original Article

Patient Safety Program and Safety Culture

Journal of Korean Academy of Nursing Administration 2010;16(4):455-465.
Published online: December 31, 2010

1Director, Department of Nursing, Seoul National Hospital, Korea.

2Full-time Lecturer, College of Nursing, Eulji University, Korea.

3Researcher, Jeju regional Cancer Center, Korea.

4Head nurse, Department of Nursing, Seoul National Hospital, Korea.

5Former QA team nurse, Department of Nursing, Seoul National Hospital, Korea.

Correspondence: Kim, Se Young. College of Nursing, Eulji University, 143-5, Yongdu-Dong, Jung-Gu, Daejeon, Korea. Tel: 82-42-259-1718, Fax: 82-42-259-1709, sarakimk@eulji.ac.kr
• Received: October 11, 2010   • Revised: November 30, 2010   • Accepted: December 3, 2010

Copyright © 2010 Korean Academy of Nursing Administration

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  • Purpose
    To determine the impact of the Patient Safety Program on the safety culture of nursing department.
  • Methods
    Patient Safety Program focused on medication safety was launched by QI team and patient safety committee. Patient Safety Program was composed of the establishment of improved reporting system as s way to learn from error, 'Patient Safety Guard' movement, and continuous education for medication safety. With one group pretest-posttest design, nurses' perception of the safety culture were measured with self-administered questionnaire. Subjects were all nurses and managers in nursing department of a tertiary teaching hospital in Seoul. Collected data from survey was statistically analyzed using t-test.
  • Results
    Patient Safety Program had been continued for 20 months in participation of all nurses and managers. Safety culture was improved (pretest=2.84, posttest=2.90, p<.001; 4 point scale).
  • Conclusions
    This study indicates that there has been a statistically significant increase in the nurses' perception of safety culture. These findings suggest that Patient Safety Program had made great contribution toward system wide safety culture in the hospital. To improve safety culture, leadership supports and flexibility to apply tailored interventions to the hospital were required necessarily.
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Figure 1
The process of patient safety program development & evaluation
jkana-16-455-g001.jpg
Table 1
Patient safety program activities
jkana-16-455-i001.jpg
Table 2
Homogeneity test of general characteristics between before and after groups
jkana-16-455-i002.jpg
Table 3
Mean differences of safety culture in criteria
jkana-16-455-i003.jpg

*the reverse value

Table 4
Mean differences of safety culture between nurses' and nurse managers'
jkana-16-455-i004.jpg

*the reverse value

Table 5
Mean differences in the safety culture by career and unit
jkana-16-455-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    J Korean Acad Nurs Adm. 2010;16(4):455-465.   Published online December 31, 2010
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    J Korean Acad Nurs Adm. 2010;16(4):455-465.   Published online December 31, 2010
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    Patient Safety Program and Safety Culture
    Image
    Figure 1 The process of patient safety program development & evaluation
    Patient Safety Program and Safety Culture

    Patient safety program activities

    Homogeneity test of general characteristics between before and after groups

    Mean differences of safety culture in criteria

    *the reverse value

    Mean differences of safety culture between nurses' and nurse managers'

    *the reverse value

    Mean differences in the safety culture by career and unit

    Table 1 Patient safety program activities

    Table 2 Homogeneity test of general characteristics between before and after groups

    Table 3 Mean differences of safety culture in criteria

    *the reverse value

    Table 4 Mean differences of safety culture between nurses' and nurse managers'

    *the reverse value

    Table 5 Mean differences in the safety culture by career and unit

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