환자안전문화와 의료과오 보고에 대한 의사의 인식과 태도
Physician's perception of and attitudes towards patient safety culture and medical error reporting
- 강민아; 김정은; 안경애; 김윤; 김석화
- Issue Date
- 보건행정학회지 Vol.15 No.4, pp. 110-135
- The objectives of this study were (1) to describe doctors' perception and attitudes
toward patient safety culture and medical error reporting in their working unit and
hospitals, (2) to examine whether these perception and attitudes differ by doctors'
characteristics, such as sex, position, and specialties, and (3) to understand the relationship
between overall perception of patient safety in their working unit and each sub-domain of
patient safety culture.
A survey was conducted with 135 doctors working in a university hospital in Korea. After descriptive analyses and chi-square tests of subgroup differences, a multivariateregression
of overall perception of patient safety in their unit with sub-domains of patient
safety culture was conducted.
Overall, a significant proportion of doctors expressed negative perception of their
working units' patient safety culture, many reporting potentials for patient safety problems
to occur in their unit. They also negatively viewed their hospital leadership's commitment
on patient safety. Regarding the patient safety in their working unit, doctors were most
worried about staffing level and observance of safety procedures. Most doctors did not
know how and which medical error to report. They also perceived that medical errors
would work against them personally and penalize them. About 22 percent of respondents
believed that even seriously harmful medical errors were not reported.