Dataset Information

Differences in the perception of harm assessment among nurses in the patient safety classification system.

ABSTRACT: Background: Precise harm assessment by the medical staff is very important in a patient safety event reporting system but there are differences in perception due to insufficiencies in education.

Methods: We developed the survey tool consisting of nine patient safety incident scenarios to investigate the interrater agreement in the harm score assigning among nurses. The survey tool was distributed to 287 nurses working at two hospitals.

Results: The overall kappa value for interrater agreement was k = 0.21 for harm and k = 0.28 for harm duration. In nine patient safety event scenarios, such as "mislabeled specimen" or "chest tube drain", when the degree of harm was not clear, the assessments of harm and harm duration were somewhat dispersed.

Conclusion: For the quality of the patient safety incident reporting system, the accurate harm assessment of medical personnel is highly important; however, results in this study indicated that theassessment of the degree of harm by Korean nurses was not standardized. The reason for this variability could be due to the lack of education that takes harm assessment into account. Therefore, training in harm assessment and the development of programs to support this training are both necessary.

SUBMITTER: Lee K

PROVIDER: S-EPMC7721130 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Differences in the perception of harm assessment among nurses in the patient safety classification system.

Lee Kwangmi K Yoon Kyeongsuk K Yoon Byeongsook B Shin Eunhee E

PloS one 20201207 12

<h4>Background</h4>Precise harm assessment by the medical staff is very important in a patient safety event reporting system but there are differences in perception due to insufficiencies in education.<h4>Methods</h4>We developed the survey tool consisting of nine patient safety incident scenarios to investigate the interrater agreement in the harm score assigning among nurses. The survey tool was distributed to 287 nurses working at two hospitals.<h4>Results</h4>The overall kappa value for inte ...[more]

PMID: 33284853

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Project description:BackgroundPatient safety culture is an important factor in determining hospitals' ability to address and reduce the occurrence of adverse events (AEs). However, few studies have reported on the impact of nurses' perceptions of patient safety culture on the occurrence of AEs. Our study aimed to assess the association between nurses' perception of patient safety culture and their perceived proportion of adverse events.MethodsA cross-sectional survey was carried out among 2295 nurses employed in thirty-two teaching hospitals in Iran. Nurses completed the Persian version of the hospital survey of patients' safety culture between October 2018 and September 2019.ResultsPositive Response Rates of overall patient safety culture was 34.1% and dimensions of patient safety culture varied from 20.9 to 43.8%. Also, nurses estimated that the occurrence of six adverse events varied from 51.2-63.0% in the past year. The higher nurses' perceptions of "Staffing", "Hospital handoffs and transitions", "Frequency of event reporting", "Non-punitive response to error", "Supervisor expectation and actions promoting safety", "Communication openness", "Organizational learning continuous improvement", "Teamwork within units", and "Hospital management support patient safety" were significantly related to lower the perceived occurrence at least two out of six AEs (OR = 0.69 to 1.46).ConclusionsOur findings demonstrated that nurses' perception regarding patient safety culture was low and the perceived occurrence of adverse events was high. The research has also shown that the higher level of nurses' perception of patient safety culture was associated with lowered occurrence of AEs. Hence, managers could provide prerequisites to improve patient safety culture and reduce adverse events through different strategies, such as encouraging adverse events' reporting and holding training courses for nurses. However, further research is needed to assess how interventions addressing patient safety culture might reduce the occurrence of adverse events.

Dataset Information

Differences in the perception of harm assessment among nurses in the patient safety classification system.

Publications

Differences in the perception of harm assessment among nurses in the patient safety classification system.

Similar Datasets

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