The Effectiveness of the Error Reporting Promoting Program on the Nursing Error Incidence Rate in Korean Operating Rooms

Kim, Myoung Soo; Kim, Jung Soon; Jung, In Sook; Kim, Young Hae; Kim, Ho Jung

doi:10.4040/jkan.2007.37.2.185

Cited by 11 publications

(5 citation statements)

References 21 publications

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“…In Saudi Arabia, the National Pharmacovigilance Center (NPC) was established by the Saudi Food and Drug Authority (SFDA) to monitor for surveillance of the safety matters of medications and it plays a vital role in the identification of adverse drug reactions (ADRs), their evaluation and prevention [ 41 ]. Many countries such as Greece [ 42 ], Korea [ 43 ], Japan [ 44 ], and France [ 45 ] have adopted similar systems which have shown substantial positive benefits [ 46 , 47 , 48 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems

et al. 2021

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Background: Population-based studies from several countries have constantly shown excessively high rates of medication errors and avoidable deaths. An efficient medication error reporting system is the backbone of reliable practice and a measure of progress towards achieving safety. Improvement efforts and system changes of medication error reporting systems should be targeted towards reductions in the likelihood of injury to future patients. However, the aim of this review is to provide a summary of medication errors reporting culture, incidence reporting systems, creating effective reporting methods, analysis of medication error reports, and recommendations to improve medication errors reporting systems. Methods: Electronic databases (PubMed, Ovid, EBSCOhost, EMBASE, and ProQuest) were examined from 1 January 1998 to 30 June 2020. 180 articles were found and 60 papers were ultimately included in the review. Data were mined by two reviewers and verified by two other reviewers. The search yielded 684 articles, which were then reduced to 60 after the deletion of duplicates via vetting of titles, abstracts, and full-text papers. Results: Studies were principally from the United States of America and the United Kingdom. Limited studies were from Canada, Australia, New Zealand, Korea, Japan, Greece, France, Saudi Arabia, and Egypt. Detection, measurement, and analysis of medication errors require an active rather than a passive approach. Efforts are needed to encourage medication error reporting, including involving staff in opportunities for improvement and the determination of root cause(s). The National Coordinating Council for Medication Error Reporting and Prevention taxonomy is a classification system to describe and analyze the details around individual medication error events. Conclusion: A successful medication error reporting program should be safe for the reporter, result in constructive and useful recommendations and effective changes while being inclusive of everyone and supported with required resources. Health organizations need to adopt an effectual reporting environment for the medication use process in order to advance into a sounder practice.

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Section: Resultsmentioning

confidence: 99%

The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems

et al. 2021

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“…To elicit data regarding errors, we used a semi‐structured interview approach for several reasons. First, the semi‐structured interview encourages the interviewee to report all elements involved in the error to provide an insightful holistic exploration of the situation (Kim et al, ). Second, the use of incident reports in Egyptian ICUs is primarily linked to major patient harm, device failure or family complaints, and there is no consistent system to deal with errors among units.…”

Section: Discussionmentioning

confidence: 99%

Nature of nursing errors and their contributing factors in intensive care units

Eltaybani

Mohamed

Abdelwareth

2018

Nursing in Critical Care

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“…With patient safety becoming an international issue in recent years, medical institutions are making a greater effort to monitor even minor mistakes and errors related to medicine and to improve patient safety by focusing on a strategy of prevention. Of the various measures to manage and prevent medical mistakes, the one shown to be most effective is the use of an error reporting system that prevents recurrence by reporting errors that have already occurred [ 10 11 ]. Among the impeding factors that lower the rate of incident reporting are fear of punishment [ 12 13 14 15 ], lack of faith in improvement after reporting [ 14 15 ], lack of knowledge about the scope of incident reporting [ 16 17 18 ], and the increase of work load and effort resulting from reporting incidents [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Effects and Satisfaction of Medical Device Safety Information Reporting System Using Electronic Medical Record

2017

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ObjectivesThis paper describes an evaluation study on the effectiveness of developing an in-hospital medical device safety information reporting system for managing safety information, including adverse incident data related to medical devices, following the enactment of the Medical Device Act in Korea.MethodsMedical device safety information reports were analyzed for 190 cases that took place prior to the application of a medical device safety information reporting system and during a period when the reporting system was used. Also, questionnaires were used to measure the effectiveness of the medical device safety information reporting system. The analysis was based on the questionnaire responses of 15 reporters who submitted reports in both the pre- and post-reporting system periods.ResultsSixty-two reports were submitted in paper form, but after the system was set up, this number more than doubled to 128 reports in electronic form. In terms of itemized reporting, a total of 45 items were reported. Before the system was used, 23 items had been reported, but this increased to 32 items after the system was put to use. All survey variables of satisfaction received a mean of over 3 points, while positive attitude, potential benefits, and positive benefits all exceeded 4 points, each receiving 4.20, 4.20, and 4.13, respectively. Among the variables, time-consuming and decision-making had the lowest mean values, each receiving 3.53. Satisfaction was found to be high for system quality and user satisfaction, but relatively low for time-consuming and decision-making.ConclusionsWe were able to verify that effective reporting and monitoring of adverse incidents and the safety of medical devices can be implemented through the establishment of an in-hospital medical device safety information reporting system that can enhance patient safety and medical device risk management.

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The Effectiveness of the Error Reporting Promoting Program on the Nursing Error Incidence Rate in Korean Operating Rooms

Cited by 11 publications

References 21 publications

The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems

The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems

Nature of nursing errors and their contributing factors in intensive care units

Effects and Satisfaction of Medical Device Safety Information Reporting System Using Electronic Medical Record

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