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Types and Characteristics of Patient Safety Accidents among Hospitalized Children

입원아동의 안전사고 유형과 특성

  • Kim, Eun Joo (Department of Nursing, Gangneung-Wonju National University) ;
  • Kim, Geun Myun (Department of Nursing, Gangneung-Wonju National University)
  • 김은주 (강릉원주대학교 간호학과) ;
  • 김근면 (강릉원주대학교 간호학과)
  • Received : 2018.11.10
  • Accepted : 2018.12.06
  • Published : 2018.12.31

Abstract

Purpose: This study was conducted to identify and analyze the types, characteristics, and frequency of patient safety accidents among hospitalized children. Methods: The data were collected from patient safety reports for 0-19-year-old patients from the National Health Insurance Corporation (NHIC) from January 1, 2016 through December 31, 2017. Using Excel software, a pivot table was used to classify and analyze the safety incidents, severity frequency, and characteristics of hospitalized child patients. Results: A total of 254 accident cases were reported involving child patients. The types of reports included medication accidents, falls, test errors, and others. Medication accidents accounted for 47.2% of the total reported cases. Regarding the severity of reported risk, there were no complications nor sequelae in 80.4% of the cases. Conclusion: This study is significant for systematically analyzing and reporting data reported about safety accidents among hospitalized children. These results will contribute further to preventing safety accidents in hospitalized children and to creating a desirable patient safety culture.

Keywords

Harmful Level by Type of Pediatric Safety Accidents in Hospitalized Children

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Characteristics of the Reporting Entity

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Incidence of Patient Safety Accidents in Hospitalized Children

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References

  1. World Health Organization. World alliance for patient safety. forward programme 2008-2009. Geneva: WHO, 2008 [cited 2016 Dec 28]. Available at: http://www.who.int/patientsafety/information_centre/reports/Alliance_For\-ward_Programme_2008.pdf.
  2. Lee JS. The first hospital in the accident drug errors such as prescription. Newsis1. 2017; November 11: Sect. Medical.
  3. Kohn LT, Corrigan JM, Donaldson MS. To error is human: building a safer health system. Washington DC: National Academy Press; 2000. p86-108.
  4. U.S. Department of Health &Human Services. Patient Safety and Quality Improvement Act of 2005 Statute and Rule. https://www.hhs.gov/hipaa/for-professionals/patient-safety/statute-and-rule/index.html
  5. Douglas HF, Wilson DP, Daniel MH, David RW, Deborah SM, John MW. Event reporting to a primary care patient safety reporting system: a report from the ASIPS collaborative. Annals of Family Medicine. 2004; 2(4):331-332.
  6. Korea Ministry of Government Legislation. The Patient Safety Act. 2016. http://www.law.go.kr/lsInfoP.do?lsiSeq=167782#0000.
  7. Gu HM. On the reporting and learning system for patient safety events. Health and Social Affairs. 2016;240:46-56.
  8. Ministry of Health and Welfare, Plan of patient safety. 2018 [cited 2018 October 25]. http://www.mohw.go.kr/react/modules/download.jsp?BOARD_ID=140&CONT
  9. Landrigan CP, Stockwell D, Toomey SL, Loren S, Tracy M, Jang J, et al. Performance of the global assessment of pediatric patient safety (GAPPS) tool. Pediatrics. 2016;137(6):1-12. https://doi.org/10.1542/peds.2015-4076
  10. Levene S, Bonfield G. Accidents on hospital wards. Archives of Disease in Childhood. 1991;66:1047-1049. http://dx.doi.org/10.1136/adc.66.9.1047
  11. Rees P, Edwards A, Powell C, Hibbert P, Williams H, Makeham M. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. PLoS medicine. 2017;14(1):1-23. https://doi.org/10.1371/journal.pmed.1002217
  12. Lee JH, Lee W, Lee YR, Lee YS, Jang SK. Patient safety accident report. Korean Institute for Healthcare Accreditation. Seoul. 2018; 1-120.
  13. Lee EK, Jung CH, Jeon HJ. Experiences of nurses in medication errors. Journal of Qualitative Research. 2010;11:94-105.
  14. Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. Nurses' perceptions of error communication and reporting in the intensive care unit. Journal of Patient Safety. 2008;4:162-168. https://dx.doi.org/10.1097/PTS.0b013e3181839b48
  15. Leep LL, Berwick DM, Bate DW. What practices will most improve safety?: evidence-based medicine meets patient safety. JAMA. 2002;288(4):501-507. http://doi.org/10.1001/jama.288.4.501
  16. Fontan JE, Maneglier V, Nguyen VX, Loirat C, Brion F. Medication errors in hospital: computerized unit dose drug dispensing system versus ward stock distribution system. Pharmacy World and Science. 2003;25:112-117. https://doi.org/10.1023/A:1024053514359
  17. Lee YM. Safety Accident Occurrence to Perceptions of Patient Safety Culture of Hospital Nurses. Journal of the Korean Academia-Industrial Cooperation Society. 2012;13(1):117-124. https://doi.org/10.5762/KAIS.2012.13.1.117
  18. Cooper CL, Nolt JD. Development of an evidence-based pediatric fall prevention program. Journal of Nursing Care Quality. 2007;22(2):107-112. https://doi.org/10.1097/01.NCQ.0000263098.83439.8c.
  19. Cho MS, Song MR, Cha SK. Risk factors for pediatric inpatient falls. Journal of Korean Academy Nursing. 2013;43(5):595-604. https://doi.org/10.4040/jkan.2013.43.5.595
  20. Shin HJ, Kim YN, Kim JH, Son IS, Bang K. Pediatric fall-risk assessment tool for hospitalized children. Child Health Nursing Research. 2014;20(3):215-224. https://doi.org/10.4094/chnr.2014.20.3.215
  21. Da Rin Della Mora R, Bagnasco A, Sasso L. Inhospital paediatric accidents: an integrative review of the literature. International Nursing Review. 2012;59(4):466-473. https://doi.org/10.1111/j.1466-7657.2012.01015.x
  22. Lee TK, Kim EY, Kim NH. A phenomenological study on nurses' experiences of accidents in patient safety. Journal of Korean Academy Nursing Administration. 2014;20(1):35-47. https://doi.org/10.11111/jkana.2014.20.1.35
  23. Pak KH. A study on reporting system of patient safety in patient safety Act. Kangwon Law Review. 2015;45:325-351. https://doi.org/10.18215/kwlr.2015.45..325
  24. Suh JH. Current State and Challenges of Patient Safety in Hospitals, Health and Welfare Forum. 2016;6-16.

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