J Korean Acad Nurs Adm.  2010 Dec;16(4):455-465.

Patient Safety Program and Safety Culture

  • 1Department of Nursing, Seoul National Hospital, Korea.
  • 2College of Nursing, Eulji University, Korea. sarakimk@eulji.ac.kr
  • 3Jeju regional Cancer Center, Korea.


To determine the impact of the Patient Safety Program on the safety culture of nursing department.
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.
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).
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.


Patient Safety; Medication; Safety Culture; Leadership

MeSH Terms

Hospitals, Teaching
Patient Safety
Surveys and Questionnaires


  • Figure 1 The process of patient safety program development & evaluation


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