Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Reducing Medical Errors : Patients' Self Protect Behaviors and Involvement in Decision Making

의료과오 감소를 위한 환자의 자기보호행동 및 의사결정 참여

  • An Kyung-Eh (Kyunghee University, graduate School of East-West Medical Science) ;
  • Kim Jeong-Eun (Seoul National University, College of Nursing) ;
  • Kang Kim Min-Ah (Ewha Womans University, Department of Public Administration) ;
  • Jung Yoen-Yi (Samsung Medical Center, Department of Clinical Quality Management)
  • 안경애 (경희대학교 동서의학대학원) ;
  • 김정은 (서울대학교 간호대학) ;
  • 강민아 (이화여자대학교 행정학과) ;
  • 정연이 (삼성의료원 적정진료운영실)
  • Published : 2006.09.30
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Abstract

The purposes of this study were (1) to describe patients' behaviors to protect themselves from medical errors and their involvement in decision making on the diagnostic and treatment procedures (2) to examine whether patients' characteristics, such as age, sex, education, experience of hospitalization and/or surgery influence their self protect behaviors and involvement in decision making on the diagnostic and treatment procedures. A survey was conducted with 99 patients visited one university hospital in Seoul, Korea. A 20-item questionnaire, a 4-point Likert scale, was used to measure the degree of patients' active involvement in decision making; patients' self protect behaviors regarding medication, hospitalization, and surgery; and communication (Cronbach's alpha=0.801). SPSS 12.0 was used for the descriptive and correlation analysis. Only 6.1% of the participants were involved in the decision making process for the diagnostic tests and treatment. More patients did self-protect behaviors associated with the medication than other areas but widely varied from 18.2 to 94.3 % among various items. More people with age of 60 or older compared to people in younger age groups reported more protect behaviors particularly associated with medication. Patient education is needed to improve their active role in preventing medical errors and to promote patients' safety.

Keywords

References

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