Pediatrik Birimlerde Elektronik Tıbbi Hata Raporlama Sistemi ve Hasta Güvenliği Uzaktan Eğitim Programını Kullanan Hekim ve Hemşirelerin Deneyimleri

Giriş: Güvenli sağlık hizmetlerinin sürdürülmesinde, hasta güvenliği eğitimi ve tıbbi hata raporlama beceri ve tutumları önemli faktörlerdir. Ancak sağlık profesyonellerinin hasta güvenliği ile ilgili tutum ve deneyimleri belirsiz olmakla birlikte hata raporlamaları da yetersizdir.Amaç: Araştırma elektronik hata raporlama sistemi ve hasta güvenliği uzaktan eğitim programını kullanan hekim ve hemşirelerin, sistemler hakkında deneyim ve düşüncelerini belirlemek amacıyla gerçekleştirilmiştir.Yöntem: Araştırma, tanımlayıcı nitel araştırma tasarımına uygun olarak, bir üniversite hastanesinin tüm pediatrik birimlerinde yürütülmüştür. Derinlemesine bireysel görüşmelerle araştırma yedi hemşire, altı hekim olmak üzere toplam 13 katılımcı ile tamamlanmıştır. Görüşmelerden elde edilen veriler içerik analizi ile değerlendirilmiştir.Bulgular: Katılımcıların ifadelerinden hata raporlama sistemine ilişkin teknik donanım ve kullanım ile farkındalık, uzaktan eğitim programına ilişkin kapsam ve yeterlilik ile yeni bilgi olmak üzere dört ana temaya ulaşılmıştır. Tasarımı gerçekleştirilen ve uygulanan olay raporlama sisteminin etkili olduğu ve farkındalık uyandırarak yaygınlaştırılması gerektiği belirlenmiştir. Ayrıca uzaktan eğitim programının kapsam olarak yeterli olduğu ve yeni bilgiye ulaşmada fırsat sağladığı saptanmıştır.Sonuç: Kullanılan iki sistemin de kurumsal düzeyde ve kurumlararası boyutta yaygınlaştırılabileceği ve daha etkili olay raporlamaların yapılabileceği sonucuna ulaşılmıştır.

Experiences of Physicians and Nurses Using Electronic Medical Error Reporting System and Patient Safety Distance

Introduction: Patient safety education, and medical error reporting skills and attitudes are important factors in the maintenance of safe health services. However, the attitudes and experiences of health professionals are uncertain, and error reporting is insufficient. Aim: This study aims to determine the experiences and opinions of doctors and nurses who use an electronic error reporting system and patient safety distance education programs. Method: This descriptive qualitative study was conducted in all pediatric units in a university hospital using in-depth interviews. It was completed with 13 participants; 7 nurses and 6 doctors. The data were analyzed using content analysis. Findings: Four main themes were obtained from the participants’ statements: technical equipment and use as well as awareness about error reporting system, scope and competence as well as new information about the distance education program. It was found that the error reporting system was effective and should be made widespread by raising awareness about it. In addition, the scope of the distance education program was found to be sufficient and to provide opportunities to access new information. Conclusion: It was concluded that both of these systems can be made widespread at the institutional and interinstitutional levels, and that more effective error reporting can be done

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  • American Association of Colleges of Nursing. (2006). Hallmarks of quality and patient safety: Recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care. Journal of professional nursing, 22,329–330.
  • Avery, J., Beyea, S.C., Campion, P. (2005). Active error management: use of a web-based reporting system to support patient safety initiative. Journal of nursing administration, 35(2), 81–85.
  • Ballangrud, R., Hall-Lord, M. L., Persenius, M., Hedelin, B. (2014). Intensive care nurses’ perceptions of simulation-based team training for building patient safety in intensive care: a descriptive qualitative study. Intensive critical care nursing, 30(4),179–87.
  • Barach, P., Small, S. D. (2000). Reporting and preventing medical mishaps: lessons from non- medical near miss reporting systems. British medical journal, 320, 759–63.
  • Braithwaite, J., Westbrook, M. T., Travaglia, J. F., Hughes, C. (2010). Cultural and associated enablers of, and barriers to adverse incident reporting. Quality safety health care, 19, 229-233.
  • Boonyasai, R. T., Windish, D. M., Chakraborti, C. (2007). Effectiveness of teaching quality improvement to clinicians: a systematic review. Journal of the american medical association, 298(9), 1023–1037.
  • Cook, D. A., Beckman, T. J., Thomas, K. G., Thompson, W. G. (2008). Adapting web-based instruction to residents’ knowledge improves learning efficiency a randomized controlled trial. Journal of general internal medicine, 23 (7), 985– 990.
  • Coyle, Y. M., Mercer, S. Q., Murphy-Cullen, C. L., Schneider, G. W., Hynan, L. S. (2005). Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior. Quality safety health care, 14(5), 383–8.
  • Corser, W. (2000). The contemporary nurse-physician relationship: ınsights from scholars outside the two professions. Nursing outlook, 48, 263–268.
  • Dudas, R. A., Bundy, D. G., Miller, M. R., Barone, M. (2011). Can teaching medical students to investigate medication errors change their attitudes towards patient safety? BMJ quality safety, 20, 319–25.
  • Evans, A. M., Ellis, G., Norman, S., Luke, K. (2014). Patient safety education a description and evaluation of an international, interdisciplinary e-learning programme. Nurse education today, 34(2), 248–51.
  • Evans, S., Berry, J.G., Smith, B.J. (2006). Attitudes and barriers to incident reporting: a collaborative hospital study. Quality safety health care, 15, 39-43.
  • Emanuel, L. L., Taylor, L., Hain, A., Combes, J. R., Hatlie, M. J., Karsh, B. et al.(Eds.) (2008). The Patient Safety Education Program – Canada (PSEP – Canada) Curriculum. © PSEP – Canada, Canadian Patient Safety Institute1150 Cyrville Road, Suite 410 Ottawa, 30–39.
  • Escoto, K. H., Karsh, B. T., Beasley, J. W. (2006). Multiple user considerations and their implications in medical error reporting system design. Journal of the human factors and ergonomics society, 48, 48.
  • Gilula, M. F., Barach, P. R. (2009). Health Care Errors and Patient Safety Health. In Brian Hurwitz and Aziz Sheikh (Ed.), “Patient safety education and curriculum design” health care errors and patient safety. (pp. 238–254). USA: Blackwell Publishing Ltd.
  • Giles, S., Fletcher, M., Baker, M., Thomson, R. (Eds.) (2006). Patient Safety Research Into Practice. Copyright © Kieran Walshe & Ruth Boaden. Two Penn Plaza, New York, NY 10121–2289, USA.
  • Halbach, J. L., Sullivan, L. L. (2005). Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Academic medicine, 80(6), 600–606.
  • Jansma, J. D., Wagner, C., Ten Kate, R. W., Bijnen, A. B. (2011). Effects on incident reporting after educating residents in patient safety: a controlled study. BMC health services research, 12, 11(1):335.
  • Kaldjian, L. C., Jones, E.W., Wu, B. J., Forman-Hoffman, V. L., Levi, B. H., Rosenthal, G. E. (2008). Reporting medical errors to improve patient safety. Archives of internal medicine, 168, 40–46.
  • Karsh, B. T., Escoto, K. H., Beasley, J. W., Holden, R. J. (2006). Toward a theoretical approach to medical error reporting system research and design. Applied ergonomics, 37, 283–295.
  • Kiersma, M. E., Plake, K. S., Darbishire, P. L. (2011). Patient safety instruction in US health professions education. American journal of pharmaceutical education, 75(8), 162.
  • Kohn, L. T., Corrigan, J. M., Donaldson, M. S. (2000). To err is human: building a safer health system. (pp.32-5). Washington, DC: National Academy Press.
  • Lederman, R., Dreyfus, S., Matchan, J., Knott, J. C., Milton, S. K. (2013). Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurse outlook, 61(6), 417–426.
  • Levtzion K. O., Alcalai, H., Orav, E. J., Graydon-Baker, E., Keohane, C., Bates, D. W., et al. (2009). Evaluation of the contributions of an electronic web-based reporting system: Enabling action. Journal of patient safety, 5(1), 9–15.
  • Martowirono, K., Jansma, J. D., Van Luijk, S. J., Wagner, C.A., Bijnen, A.B. (2012). Possible solutions for barriers in incident reporting by residents. Journal of evaluation in clinical practice, 18 (1), 76–8
  • McArdle, D., Burns, N., Ireland, A. (2003). Attitudes and beliefs of doctors towards medication error reporting. International journal of health care quality assurance, 16(7), 326–333.
  • McCarthy, S. E., O’Boyle, C. A., O’Shaughnessy, A., Walsh, G. (2016). Online patient safety education programme for junior doctors: is it worthwhile? Irish journal of medical science, 185(1), 51–8.
  • Mikkelsen, T. H., Sokolowskı, I., Olesen, F. (2006). General practitioners’ attitudes toward reporting and learning from adverse events: Results from a survey. Scandinavian journal of primary health care, 24(1), 27–32.
  • Miller, M. R., Elixhauser, A., Zhan, C., & Meyer, G. S. (2001). Patient Safety Indicators: using administrative data to identify potential patient safety concerns. Health Services Research, 36, 110-32.
  • Myung, S. J., Shin, J.S., Kim, J.H., Kim, S.W. (2012). The patient safety curriculum for undergraduate medical students as a first step toward improving patient safety. Journal of surgical education, 69(5), 659–664.
  • National Patient Safety Agency Seven Steps to Patient Safety www.npsa.nhs.uk/ health/ reporting/7steps 2004b; Erişim: 16.03.2016.
  • Pittet, D., Donaldson, L. (2006). Challenging the world: patient safety and health care-associated infection. International journal for quality in health care, 18, 4-8.
  • Page, A. (2004). Keeping Patients Safe: Transforming the Work Environment of Nurses. The National Academies Press 500 Fifth Street, N.W. Washington, DC 20001. Internet, http:// www.nap.edu.Erişim: 9/12/2016.
  • Petrova, E., Baldacchino, D., Camilleri, M. (2010). Nurses’ perceptions of medication errors in Malta nursing standard, 24(33), 41-48.
  • Poley, M. J., Van Der Starre, C., Van Den Bos, A., Van Dijk, M., Tibboel, D. (2011). Patient safety culture in a Dutch pediatric surgical intensive care unit: an evaluation using the Safety Attitudes Questionnaire. Pediatric critical care medicine, 12(6), 310–6.
  • Pronovost, P. J., Miller, M. R., Wachter, R. M. (2006). Tracking progress in patient safety: an elusive target. Journal of the american medical association,296, 696–699.
  • Sharma, A., Jain, P., Parmar, B., Muzaffar, J., Monson, J. R. T. (2008). Incident reporting in surgical trainees – revisited. Journal of patient safety, 4, 1–4.
  • VanGeest, J. B., Cummins, D.S. (2003). An educational needs assessment for improving patient safety. Results of a national study of physicians and nurses. National patient safety foundation, white paper report 3.
  • Varkey, P., Karlapudi, S., Rose, S., Swensen, S. (2009). A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. American journal of medical quality, 24, 214–221.
  • Wild, D., Bradley, E.H. (2005). The gap between nurses and residents in a community hospital’s error-reporting system. Joint commission journal on quality and patient safety, 31,13–20.
  • Walton, M., Woodward, H., Van Staalduinen, S., Lemer, C., Greaves, F., Noble, D. et al. (2010). The WHO patient safety curriculum guide for medical schools. Quality and safety in health care, (19), 542–546.
  • Wu, A.W., Holzmueller, C.G., Lubomski, L.H. (2005). Development of the ICU safety reporting system. Journal of patient safety, 1(1), 23–32.
  • World Health Organization. (2011). Patient safety curriculum guide: multi-professional edition. Part A: Teacher’s Guide (pp.22-24). ISBN 978 92 4 150195 8 © World Health Organization 2011.
  • World Health Organization. (2005). Draft Guidelines for Adverse Event Reporting and Learning Systems From information to action WHO/EIP/SPO/QPS/05.3 © World Health Organization. http://apps.who.int/iris/handle/10665/69797. Erişim Tarihi: 11.08.2017.
Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi-Cover
  • ISSN: 2149-0333
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2008
  • Yayıncı: Dokuz Eylül Üniversitesi Hemşirelik Fakültesi
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