Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives

Myoung Soo Kim; Hyun Hee Kim

doi:10.7475/kjan.2015.27.1.1

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Original Article

Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives

Myoung Soo Kim, Hyun Hee Kim

Korean J Adult Nurs 2015;27(1):1-10.

DOI: https://doi.org/10.7475/kjan.2015.27.1.1

Published online: February 28, 2015

Author Affiliations

¹Department of Nursing, Pukyong National University, Busan, Korea.

²Pusan National University Hospital, Busan, Korea. heehee619@hanmail.net

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Abstract

PURPOSE
The objective of this study was to examine patient safety culture (PSC) and patient safety initiatives (PSI) according to IT-based medication errors prevention system which is constructed in this study, and to identify the relationships among system construction, perception to the usage, PSC and PSI.
METHODS
The subjects were 180 nurses who work at 12 different hospitals with over 300 beds. The questionnaire included the characteristics of participants, a system construction status, the perception to the usage using electric pharmacopoeia (EP), a drug dose calculation system (DDCS), a patient safety reporting system (PSRS) and a bar-code system (BS). The data were collected from July 2011 to August 2011. Descriptive statistics, ANOVA, Pearson correlation and MANOVA were used for data analysis.
RESULTS
Systems were constructed in participating hospitals; For EP and PSRS, 83.9%, DDCS, 50%, and BS, 18.3%. The perceptions on the usage of the system were marked highest in BS as 4.54 followed by EP as 3.85. There were significant positive correlations between PSI and EP construction (r=.17, p=.028); PSRS (r=.17, p=.028) and DDCS (r=.23, p=.002).
CONCLUSION
The developed system for improving the user experiences and reducing medication errors was found out well accepted. It is hoped that the system is helpful for PSC and PSI improvement in clinical settings.

Korean J Adult Nurs. 2015 Feb;27(1):1-10. Korean.
Published online Feb 28, 2015.
https://doi.org/10.7475/kjan.2015.27.1.1

Original Article

Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives

Myoung-Soo Kim,¹ and Hyun-Hee Kim²

Author information

Author notes

- ¹Department of Nursing, Pukyong National University, Busan, Korea.
- ²Pusan National University Hospital, Busan, Korea.
Corresponding author: Kim, Hyun-Hee. Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 602-739, Korea. Tel: +82-51-240-7564, Fax: +82-51-248-2669, Email: heehee619@hanmail.net

Received July 30, 2014; Revised January 14, 2015; Accepted February 03, 2015.

Abstract

Purpose

The objective of this study was to examine patient safety culture (PSC) and patient safety initiatives (PSI) according to IT-based medication errors prevention system which is constructed in this study, and to identify the relationships among system construction, perception to the usage, PSC and PSI.

Methods

The subjects were 180 nurses who work at 12 different hospitals with over 300 beds. The questionnaire included the characteristics of participants, a system construction status, the perception to the usage using electric pharmacopoeia (EP), a drug dose calculation system (DDCS), a patient safety reporting system (PSRS) and a bar-code system (BS). The data were collected from July 2011 to August 2011. Descriptive statistics, ANOVA, Pearson correlation and MANOVA were used for data analysis.

Results

Systems were constructed in participating hospitals; For EP and PSRS, 83.9%, DDCS, 50%, and BS, 18.3%. The perceptions on the usage of the system were marked highest in BS as 4.54 followed by EP as 3.85. There were significant positive correlations between PSI and EP construction (r=.17, p=.028); PSRS (r=.17, p=.028) and DDCS (r=.23, p=.002).

Conclusion

The developed system for improving the user experiences and reducing medication errors was found out well accepted. It is hoped that the system is helpful for PSC and PSI improvement in clinical settings.

Keywords

Medication errors; Safety management; Culture; Perception

Figures

Figure 1
Mean score of knowledge of MEPP establishment and perception on MEPP use.

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Tables

Table 1
Patient Safety Culture and Patient Safety Initiative according to Demographics (N=180)

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Table 2
Patient Safety Culture and Patient Safety Initiative according to Medication Error Prevention System related Characteristics of Participants (N=180)

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Table 3
Correlation among Research Variables (N=180)

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Table 4
The Difference of Patient Safety Culture and Patient Safety Initiative according to MEPP Establishment related Variables (N=106)

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Citations

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Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives

Korean J Adult Nurs. 2015;27(1):1-10. Published online February 28, 2015

DOI: https://doi.org/10.7475/kjan.2015.27.1.1

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Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives

Korean J Adult Nurs. 2015;27(1):1-10. Published online February 28, 2015

DOI: https://doi.org/10.7475/kjan.2015.27.1.1

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Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives

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Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives

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