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NTIS 바로가기기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, v.21 no.4, 2014년, pp.380 - 391
윤정미 (부산대학교병원 응급실) , 박형숙 (부산대학교 간호대학)
Purpose: This was a descriptive research study to examine the patient safety risk factors and the level of safety management of nurses in emergency service, hospitals and to analyze the relationship between the two factors. Method: Data for analysis were collected from 232 nurses in emergency servic...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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사건감시시스템의 분류체계는 어떻게 이루어져있는가? | 환자안전과 관련된 위험요인의 분류는 호주의 사건감시시스템의 분류체계[3]가 있으며, 이는 환자 안전에 관련된 위험요인을 치료용 물질, 행동·수행·폭력·공격·보안 및 안전, 병원 감염, 상해 및 욕창, 임상과정과 절차, 물류·조직·기록 및 기반구조 기술, 치료기기·장비·서비스 및 기반구조, 전문가영역 및 기타 등의 9개 위험유형으로 나누고 있다. | |
응급실에서 환자안전이 위협받는 상황은 어떤것들이 있는가? | 응급실은 혈액을 다루는 일이 많고[4], 고위험약물이나 응급약물의 사용이 빈번하여 수혈사고와 투약오류의 발생 위험이 높다. 폭력적인 환경[5]과 보호자의 부재상황, 간호사의 업무가 제대로 이루어지지 않을 경우 환자는 위험상황에 놓이게 되며, 개방적인 공간에 많은 환자가 상주하므로 감염에 노출 되기 쉽고[6], 낙상과 억제대 사용 등으로 인한 상해 또한 환자안전을 위협하기도 한다. | |
국내에서 주로 제시되는 환자안전을 위한 간호활동에는 어떤것들이 있는가? | 국내에서 주로 제시되는 환자안전을 위한 간호활동으로는 대상자 교육, 대상자 식별, 낙상예방, 감염관리, 투약오류 예방, 수혈사고 예방, 의사소통, 시설점검 및 소방관리 등이 있다[10]. 이러한 안전 간호활동이 전개되고 있음에도 불구하고, 응급실은 여전히 안전사고 발생률이 높은 실정이고[11], 환자 안전이 매우 취약한 곳이므로 응급실 간호사들의 안전 위험요인에 대한 인식과 안전 간호활동을 권장하는 방안을 모색하는 것은 중요하며, 이를 위한 체계적이고 집중적인 연구가 매우 필요한 실정이다. |
Lee SI. Improve quality of care through the patient safety. Paper presented at: Hospital care policy in Spring 2012 Symposium; 2012 May 22; Seoul National University Hospital. Seoul.
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