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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Lee, Hyeong-Il (National Evidence-based Healthcare Collaborating Agency) Choi, Ji-Eun (National Evidence-based Healthcare Collaborating Agency) Choi, Sol-Ji (National Evidence-based Healthcare Collaborating Agency) Ko, Eun-Bi (Yonsei University Graduate School)
저널정보
한국의료질향상학회 한국의료질향상학회지 한국의료질향상학회지 제25권 제1호
발행연도
2019.1
수록면
52 - 65 (14page)

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초록· 키워드

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Purpose: Outbreaks resulting from medication injections have recently been on the rise in Korea despite various established guidelines. The objective of this study was to assess the degree to which healthcare professionals are aware of safe injection practice guidelines and to account for the adherence to and the deviation from safe injection guidelines formulated by healthcare providers. Methods: In November 2016, a cross-sectional anonymous questionnaire covering general characteristics of injections, patient safety culture, awareness of safe injection practices, and adherence to and barriers to safe injection guidelines was issued to healthcare providers who administer medication injections or manage and supervise these injections (N=550). Multivariate logistic regression analysis via enter method was performed to define the influencing factors of adherence of safe injection practices. Results: On average, respondents adhere to 17 of the 24 guidelines. Multivariate logistic regression found that those who were more likely to adhere to safe injection guidelines either underwent a patient safety training experience within the last year, provided care in a setting characterized by a highly developed patient safety culture, or were employed as physicians or nurses, as opposed to some other type of care provider. Barriers to safe injection guidelines were attributable to; thoughts of waste to discard leftover medicine, provisions that made adherence cumbersome, a weak culture of compliance, and insufficient amounts of injectable medicine, products, and education. Conclusions: The results of this study indicate that controllable factors like training experience of healthcare providers and patient safety culture were positively associated with adherence to safe injection practices. It was suggested that the training of healthcare providers on safe injection practices be a continuous process to promote patient safety. Additionally, there should be an increased focus on developing and implementing policies to improve patient safety culture from a prevention rather than post-management perspective.
#Injections #Safety management #Guideline adherence

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참고문헌 (28)

참고문헌 신청
Arnold S / 2017 / Notes from the Field : Hepatitis C Transmission from Inappropriate Reuse of Saline Flush Syringes for Multiple Patients in an Acute Care General Hospital–Texas, 2015 / Mmwr-Morbidity and Mortality Weekly Report 66(9):258~260 google schola 김인희 / 2016 / 최근 국내 C형간염 바이러스 집단감염사태와 예방대책 / 대한의사협회지 59(12):912~915 dbpia Fabrizi F / 2015 / Transmission of hepatitis B virus in dialysis units : a systematic review of reports on outbreaks / International Journal of Artificial Organs 38(1):1~7 google schola Fabrizi F / 2015 / Transmission of hepatitis C virus in dialysis units : a systematic review of reports on outbreaks / International Journal of Artificial Organs 38(9):471~480 google schola Nguyen DB / 2016 / A large outbreak of hepatitis C virus infections in a hemodialysis clinic / Infection Control and Hospital Epidemiology 37(2):125~133 google schola

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