J Korean Acad Nurs Adm.  2018 Sep;24(4):319-327. 10.11111/jkana.2018.24.4.319.

Effect of Nurses' Perception of Patient Safety Culture on Reporting of Patient Safety Events

• Kim SA
• Kim EM
• Lee JR
• Oh EG

• KMID: 2421700
• DOI: http://doi.org/10.11111/jkana.2018.24.4.319

Abstract

PURPOSE
This study was done to examine factors influencing nurses' perception of patient safety culture in reporting of patient safety events.
METHODS
Structured questionnaires were used to collect data from 305 nurses who were involved in direct patient care. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple linear regressions with SPSS/WIN version 24.0.
RESULTS
Patient safety events were reported as follows: 4.60±0.63 for harmful incidents, 4.02±0.82 for no harm incidents, and 3.59±0.97 for near misses. Patient safety event reporting was significantly positively correlated with patient safety culture. Regression analysis showed, factors influencing reports of harmful incidents were "˜feedback and communication about error', "˜supervisor/manager expectations' and "˜carrier of hospital'. Factors influencing reports of no harm incidents were "˜feedback and communication about error'. Factors influencing reports on near-misses were "˜teamwork across units', "˜overall perceptions of safety', and "˜feedback and communication about error'.
CONCLUSION
Findings show that reports of near misses are relatively low and need to be strengthened. These results provide evidence that reporting on patient safety events would be enhanced through improved patient safety culture. Hospital managers could identify factors that affect reporting of each patient safety event and use it to develop intervention programs for risk management.

Keyword

Patient safety; Risk management; Nurses

MeSH Terms

Humans
Linear Models
Patient Care
Patient Safety*
Risk Management

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