Objectives: Evaluate the management outcomes regarding patient safety at Nguyen Tri Phuong Hospital from 2018 to 2023. Analyze the causes and related factors of incidents concerning patient safety.
Method: The study describes a series of patient safety incidents recorded at Nguyen Tri Phuong Hospital from January 1, 2017, to December 31, 2023.
Results: The management results recorded 87 cases of patient safety incidents during the study period, accounting for 0.02% of hospital admissions. Classifications of patient safety incidents are as follows: Accidents, falls comprised 30%; professional incidents accounted for 23%; patient care issues were 27.6%; equipment and material usage constituted 12.4%; and procedural issues in diagnosis and treatment comprised 7%. Related factors: Incidents that occur at night are associated with higher patient emergencies than incidents that occur during the day time (p<0.05). Professionally related incidents have a higher rate of requiring emergency treatment than non-professionally related incidents (44.8% vs. 9.2%, p<0.05). Incidents related to medical care were associated with prolonged treatment time, 86.2% versus 58.6% (p<0.05). Analysis of root causes of 11 serious incidents showed systemic errors accounted for 54.7% and individual errors accounted for 45.3%.
Conclusion: The results of patient safety management help the Hospital identify common causes and incidents, thereby proposing improved solutions to minimize incidents in medical examination and treatment practice.