7. RESULTS OF PATIENT SAFETY MANAGEMENT AT NGUYEN TRI PHUONG HOSPITAL FROM 2018 - 2023
Main Article Content
Abstract
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.
Article Details
Keywords
Patient safety, incidents, management
References
[2] Jill M, Peter G, Clarissa P et al., Evaluating a major innovation in hospital design: Workforce implications and impact on patient and
staff experiences of all single room hospital accommodation. National Library of Medicine. 2015;doi:10.3310/hsdr03030
[3] Hartnell N, MacKinnon N, Sketris I et al.,Identifying, understanding and overcoming barriers to medication error reporting in hospitals: A focus group study”. BMJ Qual Saf, 21(5); 2012, pp.361-8.
[4] Wolf ZR, Serembus JF, Smetzer J et al., Responses and concerns of healthcare providers to medication error. Clin Nurse Spec, 14(6), 2000,
pp.278-87; pp. 288-90.
[5] Madsen MD1, Ostergaard D, Andersen HB et al., The attitude of doctors and nurses towards reporting and handling errors and adverse events. Ugeskr Laeger. 2006 Nov 27;168(48); pp.4195-200.
[6] Wolf ZR, Hughes RG, Patient Safety and Quality An Evidence-Based Handbook for Nurses: Chapter 35. Error Reporting and Disclosure. Agency for Healthcare Research and Quality (US), 2008.
[7] Hughes V, Is There a Relationship Between Night Shift and Errors? What Nurse Leaders Need to Know. Athens Journal of Health, 3(3), 2016.