Nursing-related patient safety events in hospitals

Yilan Liu , Guanghong Zhao , Fen Li , Xingzhi Huang , Deying Hu , Juan Xu , Shanglong Yao , Liang Zhang

Current Medical Science ›› 2009, Vol. 29 ›› Issue (2) : 265 -268.

PDF
Current Medical Science ›› 2009, Vol. 29 ›› Issue (2) : 265 -268. DOI: 10.1007/s11596-009-0227-9
Article

Nursing-related patient safety events in hospitals

Author information +
History +
PDF

Abstract

To explore the method of identifying nursing-related patient safety events, types, contributing factors and evaluate consequences of these events in hospitals of China, incident report program was established and implemented in 15 patient units in two teaching hospitals of China to get the relevant information. Among 2935 hospitalized patients, 141 nursing-related patient safety events were reported by nurses. Theses events were categorized into 15 types. Various factors contributed to the events and the consequence varied from no harm to patient death. Most of the events were preventable. It is concluded that incident reporting can provide more information about patient safety, and establishment of a program of voluntary incident reporting in hospitals of China is not only urgent but also feasible.

Keywords

patient safety / nursing error / adverse events / incident report

Cite this article

Download citation ▾
Yilan Liu, Guanghong Zhao, Fen Li, Xingzhi Huang, Deying Hu, Juan Xu, Shanglong Yao, Liang Zhang. Nursing-related patient safety events in hospitals. Current Medical Science, 2009, 29(2): 265-268 DOI:10.1007/s11596-009-0227-9

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

TigheC.M., WoloshynowychM., BrownR., et al. . Incident reporting in one UK accident and emergency department. Accid Emerg Nurs, 2006, 14: 27-37

[2]

TaylorJ.A., BrownsteinD., ChristakisD.A., et al. . Use of incident reports by physicians and nurses to document medical errors in pediatric patients. Pediatrics, 2004, 114(3): 729-735

[3]

BuerhausP.I.. Lucian Leape on the cause and prevention of errors and adverse events in health care. Image J Nurs Sch, 1999, 31(3): 281-286

[4]

SharonS.. Patient safety: the changing face of error reporting. Rehabil Nurs, 2006, 31(2): 52-53

[5]

WuA.W., PronovostP., MorlockL.. ICU incident reporting systems. J Crit Care, 2002, 17(2): 86-94

[6]

EvansS.M., BerryJ.G., SmithB.J., et al. . Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care, 2006, 15: 39-43

[7]

LeapeL.. Reporting of adverse events. N Engl J Med, 2002, 347(20): 1633-8

[8]

YamagishiM., KandaK., TakemuraY.. Methods developed to elucidate nursing related adverse events in Japan. J Nurs Manag, 2003, 11: 168-176

[9]

Cao R. Chinese Hospital Association. Healthcare quality and patient safety of China. http://www.cha.org.cn/GD/GeneralDocument/GDContent.aspx?ContentId=41&ClassId=147&ChannelId=33,2008-01-19

[10]

Establishment of “Chinese Patient Safety Goal 2007” by Chinese Hospital Association. http://aixin.njmu.edu.cn/News/yyws/200610/7147.html. Published October, 2006. Accessed June 30,2008

[11]

LiuY.L., KalischB.J., ZhangL., XuJ.. Perception of safety culture by nurses in hospitals in China. J Nurs Care Qual, 2009, 24(1): 63-68

[12]

KinstonM., EvansS.M., SmithB.J., et al. . Attitudes of doctors and nurses toward incident reporting: a qualitative analysis. MJA, 2004, 181(1): 36-39

[13]

LiM.. Building medial errors and adverse events reporting system to improve patients’ safety. Zhong Guo Hu Li Guan Li (Chinese), 2007, 3: 43-45

[14]

LiuY., ZhangL., WangG., et al. . Thinking about management of nursing error. Zhong Hua Hu Li Za Zhi (Chinese), 2007, 9: 827-829

[15]

InoueK., KoizumiA.. Application of human reliability analysis to nursing errors in hospitals. Risk Analysis, 2004, 24(6): 1459-1473

[16]

ChenY.. The problem of patient education in hospital and its coping strategy. Zhong Hua Hu Li Guan Li Za Zhi (Chinese), 2003, 3(1): 37-38

[17]

KalischB.J.. Missed nursing care, a qualitative study. J Nurs Care Qual, 2006, 21(4): 306-313

[18]

Yang W. The relationship of nursing stuffing level and patients satisfaction. Zhong Hua Hu Li Za Zhi (Chinese), 2007

[19]

BeckmannU., BaldwinI., DurieM., et al. . Problems associated with nursing staff shortage: An analysis of the first 3600 reports submitted to the Australian incident monitoring study (AIMS-ICU). Anaesth Intensive Care, 1998, 26(4): 396-400

[20]

TzengH.M., YinC.Y.. Innovation in patient safety a new task design in reducing patient falls. J Nurs Care Qual, 2008, 23(1): 34-42

[21]

ShorrR.I., MionL.C., ChandlersA.M., et al. . Improving the capture of patient fall events in hospitals: combining a service for evaluating inpatient falls with an incident report system. JAGS, 2008, 56(4): 701-704

[22]

American Nurses Association.. Nursing Quality Indicators: Definitions and Implications, 1996, Washington DC, American Nurses Publishing: 1-79

[23]

Ministry of Health People’s Republic of China. 2005 Hospital Management Evaluation Manual (tentative). Retrieved January 20, 2008, from www.moh.gov.cn/open/uploadfile/200578101116682.doc

[24]

Chinese Hospital Association.. Patient Safety Goal Manual (2008), 2008, Beijing, Science and Technology Literature Publishing House: 23

AI Summary AI Mindmap
PDF

120

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/