Nurses' systems thinking competency, medical error reporting, and the occurrence of adverse events: a cross-sectional study

被引:15
作者
Hwang, Jee-In [1 ]
Park, Hyeoun-Ae [2 ]
机构
[1] Kyung Hee Univ, Dept Nursing, Coll Nursing Sci, 26 Kyungheedae Ro, Seoul 02447, South Korea
[2] Seoul Natl Univ, Sch Nursing, Dept Biostat & Hlth Informat, 103 Daehak Ro, Seoul 03080, South Korea
基金
新加坡国家研究基金会;
关键词
patient safety; systems thinking; clinical competence; medical errors; incident reporting; nurses; LEVEL; MODEL;
D O I
10.1080/10376178.2017.1409081
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Healthcare professionals' systems thinking is emphasized for patient safety. Aims: To report nurses' systems thinking competency, and its relationship with medical error reporting and the occurrence of adverse events. Design: A cross-sectional survey using a previously validated Systems Thinking Scale (STS), was conducted. Methods: Nurses from two teaching hospitals were invited to participate in the survey. There were 407 (60.3%) completed surveys. Results: The mean STS score was 54.5 (SD 7.3) out of 80. Nurses with higher STS scores were more likely to report medical errors (odds ratio (OR) = 1.05; 95% confidence interval (CI) = 1.02-1.08) and were less likely to be involved in the occurrence of adverse events (OR = 0.96; 95% CI = 0.93-0.98). Conclusions: Nurses showed moderate systems thinking competency. Systems thinking was a significant factor associated with patient safety.
引用
收藏
页码:622 / 632
页数:11
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