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NTIS 바로가기성인간호학회지 = Korean Journal of Adult Nursing, v.29 no.2, 2017년, pp.154 - 165
최효진 (선린대학교 간호학과) , 이은주 (경북대학교 간호대학.간호과학연구소)
Purpose: This study was designed to evaluate a patient safety application in the prevention of adverse event among surgical patients. Seventy three surgical patients with thirty six of them using the patient safety application and the rest (N=37) were provided educational booklet. Further, the instr...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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환자안전을 향상시키기 위해 긍정적인 효과를 주는 방법은 무엇인가? | 그리고 환자의 안전에 대한 지식과 태도는 환자안전 관련 활동으로 이행되도록 하며, 환자안전 사고를 줄이는데 중요한 역할을 하는 것으로 나타났다[10]. 즉 환자가 경험하게 될 치료나 처지 과정에서 환자가 직접 참여하도록 함으로서 환자의 알 권리에 대한 인식을 높이는 것은 환자안전을 향상시키는 데 긍정적인 효과를 기대할 수 있다[11]. 그러므로 환자의 알 권리에 대한 인식과 환자안전에 대한 지식을 향상시키고, 환자가 자신의 안전을 지키기 위한 적극적인 태도를 형성하도록 하기 위해서는 이에 대한 환자교육이 선행되어야 한다[7,11]. | |
의료사고 중 가장 많은 부분을 차지하는 것은? | 미국의 Institute of Medicine에서 발간된 보고서 “To Err Is Human”은 의료기관에서 발생하는 의료사고의 심각성을 알리는 계기가 되었다[1]. 의료사고 중 수술 관련 의료사고는 가장 많은 부분을 차지하고 있다[2,3]. 특히 우리나라의 경우 연간 수술 건수는 인구 10만 명당 약 3,300건을 넘고 있어 세계에서 가장 많은 수술이 이루어지는 나라 중 하나이며[3], 2012년에서 2014년까지 보고된 전체 의료분쟁 조정신청 건수 중 수술과 관련된 분쟁건수가 44. | |
의료인 중심의 교육과 훈련으로 의료사고를 예방하는 데 한계점을 느끼고. 그에 따른 대책은 무엇인가? | 따라서 환자안전을 향상시키기 위한 지금까지의 접근 방식인 의료인 중심의 교육과 훈련만으로는 위해사건 및 의료사고를 예방하는데 한계가 있음을 확인하였다[7,8]. 이에 따라 위해사건 예방을 위해 의료인 중심의 교육을 강화할 뿐만 아니라, 환자교육을 통해 치료 및 진료과정에 환자참여를 적극적으로 강화함으로써 환자안전을 향상시키고자 하는 노력이 미국 등 의료 선진국을 중심으로 다양하게 시도되고 있다[7-9]. |
Institute of Medicine. Patient safety: Achieving a new standard for care. Washington, DC: National Academy Press; 2004. p. 1-42.
Joint Commission Resources. Front line of defense: the role of nurses in preventing sentinel events. Kim JE, Park MH, Park SY, Lee SY. Translator. Seoul: E public; 2008.
Korea Statical Information Service. Surgical cases per 100,000 population [Internet]. Seoul: Author; 2013 [cited 2014 January 16]. Available from: http://kosis.kr/wnsearch/totalSearch.jsp
Korea Medical Dispute Mediation and Arbitration Agency. Medical dispute mediation and arbitration-statistical yearbook 2014 [Internet]. Seoul: Author; 2015 [cited 2015 June 20]. Available from: http://www.k-medi.or.kr
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Mehtsun WT, Ibrahim AM, Diener-West M, Pronovost PJ, Makary MA. Surgical never events in the United States. Surgery. 2013;153(4):465-72. https://doi.org/10.1016/j.surg.2012.10.005
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Ahn SH, Kim YS, Yoo MS, Bang KS. A patient's right to know and self-determination. The Korean Journal of Medical Ethics. 2009;12(2):153-64.
Ministry of Science. 2015 Internet use survey-summary report (December 31) [Internet]. Seoul: Author; 2015 [cited 2016 May 17]. Available from: http://www.msip.go.kr/cms/www/news/news/report/
Pyo MY, Kim JY, Sohn JO, Lee ES, Kim HS, Kim KO, et al. The effects of an advanced cardiac life support training via smartphone's simulation application on nurses' knowledge and learning satisfaction. Journal of Korean Clinical Nursing Research. 2012;18(2):228-38.
Miller AS, Cafazzo JA, Seto E. A game plan: gamification design principles in mHealth applications for chronic disease management. Health Informatics Journal. 2016;22(2):184-93. https://doi.org/10.1177/1460458214537511
Kirwan M, Vandelanotte C, Fenning A, Duncan MJ. Diabetes self-management smartphone application for adults with type 1 diabetes: randomized controlled trial. Journal of Medical Internet Research. 2013;15(11):e235. https://doi.org/10.2196/jmir.2588
Jeon JH. Development and evaluation of smartphone application for self-care performance of patients with chronic hepatitis B [dissertation]. Seoul: Chung-Ang University; 2015. p. 1-176.
Molenda M. In search of the elusive ADDIE model. Performance Improvement. 2003;42(5):34-6.
Agency for Healthcare Research and Quality. The 10 questions you should know [Internet]. Rockville: Agency for Healthcare Research and Quality; 2010 [cited 2014 March 20]. Available from: http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/10questions.html
Agency for Healthcare Research and Quality. 20 tips to help prevent medical errors [Internet]. Rockville: Agency for Healthcare Research and Quality; 2011 [cited 2014 March 20]. Available from http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/tips-and-tools/index.html
The Joint Commission. Speak up brochures [Internet]. Oakbrook Terrace: The Joint Commission; 2002 [cited 2015 September 20]. Available from: http://www.jointcommission.org/topics/speakup_brochures.aspx
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Kim M. Development and evaluation of health care smart phone application evaluation tool [master's thesis]. Seoul: Seoul National University; 2014. p. 1-65.
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Flin R, Patey R, Jackson J, Mearns K, Dissanayaka U. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Medical Education. 2009;43(12):1147-55. https://doi.org/10.1111/j.1365-2923.2009.03499.x
Patey R, Flin R, Cuthbertson BH, MacDonald L, Mearns K, Cleland J, et al. Patient safety: helping medical students understand error in healthcare. Quality and Safety in Health Care. 2007;16(4):256-9.
Park BK, Lee E. Effects of my child's safety web-based program for caregivers of children with cancer in South Korea. Healthcare Informatics Research. 2014;30(3):199-208. https://doi.org/10.4258/hir.2014.20.3.199
Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat A-HS, Dellinger E, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Quality & Safety. 2011;20(1):102-7. https://doi.org/10.1136/bmjqs.2009.040022
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