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환자안전 향상을 위한 우선순위

Priorities for Patient Safety Improvement

약학회지 2020년 64권 3호 p.191 ~ 196
김수경 ( Kim Su-Kyeong ) - National Evidence-based Healthcare Collaborating Agency

Abstract


Priority means precedence in right or rank and is set for resource allocation in patient safety targeting efforts to obtain the maximum benefit for the patients and the public. This research aims to understand Korean patient safety priorities in researches and activities supporting better social efforts for patient safety improvement. When Korean priority of patient safety research has been done using WHO’s global patient safety research priorities with patient safety experts, the result shows the mixed priorities of developed country type and developing country type. ‘Lack of communication and coordination’, ‘poor patient safety culture’ etc were similar to developed countries high ranks. But ‘health care associated infections’ and ‘extent and nature of the problem of patient safety’ were get high ranks similar to developing countries. ‘Effect of work pressure on safety’ ranks the highest in Korea compare to any other country types. This priority results were similar to another priority research for patient safety standards and indicators development which showed high ranks for ‘manpower levels’ and ‘patient identification and communication supporting technologies’. ‘Adverse drug events’ related incidents showed commonly high in priorities, incident rates, and reporting rates through studies and Korean Patient Safety reporting and learning system. But there was discrepancy between the patient safety priorities and governmental support. Therefore, it will be needed for patient safety improvement not only investment from hospitals and government focusing on high priority areas including manpower shortage & workload, communication technologies, and adverse drug events but also priority information sharing and periodic priority re-setting.

키워드

patient safety; priority; patient safety indicators; patient safety research; patient safety incident
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