Situational Analysis of Patient Safety Management, Male Surgical Ward, Buddhachinaraj Phitsanulok Hospital
Keywords:
Patient safety management, Situation analysis, Male surgery wardAbstract
Patient safety management is a crucial factor for diminishing errors on remedy and nursing care for patients in hospitals. The objective of the study was to analyze situations of patient safety management and the ways to improve patient safety management in Male Surgical Ward, Buddhachinaraj Phitsanulok Hospital. Participants included five nursing administrators and ten nursing personal. The study instruments were comprised of constructed interview guides that were tested for a clear and well-defined research interest by three experts in hospital administration. Data were collected by interviews and focus groups. Data were analyzed by using content analysis.
The findings revealed that this ward carried out patient safety management base on the model of risk and safety management system suggested by Healthcare Accreditation Institute (2015). However, many problems in the patient safety management were found as below: some nursing personnel indicated the suspicion that errors, even serious ones, were underreported; nursing personnel felt no positive changes from risk identification and prioritization; some nursing personnel did not comply with the clinical guidelines; near miss incidents were underreported; not all of the nursing personnel could participate in the RCA meeting; and the risk management team was so busy resulting in delayed feedback on what was being done to correct the problems.
According to the study findings, nursing administrators should develop strategies to stimulate incident identification and make incident reporting easier. It is important for hospital wards to get insight into their own pattern of root causes and prioritize improvement activities based on weak spots in their patient safety system. Moreover, direct and immediate feedback to nursing personnel is extremely important to keep them aware of patient safety.
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