PMID- 33009180
OWN - NLM
STAT- MEDLINE
DCOM- 20220217
LR  - 20230930
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Linking)
VI  - 17
IP  - 8
DP  - 2021 Dec 1
TI  - A Study on the Status and Contributory Factors of Adverse Events Due to 
      Negligence in Nursing Care.
PG  - e904-e910
LID - 10.1097/PTS.0000000000000791 [doi]
AB  - BACKGROUND: Patient safety issues in medical institutions have received worldwide 
      attention. Nurses play a pivotal role in providing health care at the bedside and 
      the interception of adverse events (AEs). A knowledge of contributory factors for 
      these AEs is vital to individuals, institutional procedures, and also national 
      policy. The goals of this study are to analyze medical litigation related to 
      nursing practice and to determine the most common contributory factors of AEs due 
      to negligence in nursing care. METHODS: A qualitative content analysis was 
      conducted for AEs related to nursing care to determine the general 
      characteristics and contributory factors. The contributory factors for each case 
      were examined using a modified version of the Yorkshire Contributory Factors 
      Framework. RESULTS: The most common types of AEs in nursing involved surgeries, 
      procedures/interventions, and medications. The analysis also revealed that 
      situational factors and communication and culture factors contributed most to 
      AEs. Individual staff factors and staff training and education were the most 
      frequent subfactors contributing to AEs. CONCLUSIONS: Adverse events were 
      associated with various contributory factors that varied according to AE type. 
      Thus, strategies need to be developed based on the understanding of these 
      contributory factors related to the different AE types so that comprehensive 
      approaches to improving patient safety and quality of nursing care can be 
      implemented.
CI  - Copyright (c) 2020 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Kim, Min Ji
AU  - Kim MJ
AD  - From the Department of Medical Law and Ethics, Graduate School, Yonsei 
      University; Korea Medical Dispute Mediation and Arbitration Agency.
FAU - Jang, Seung Gyeong
AU  - Jang SG
AD  - College of Nursing, The Catholic University of Korea.
FAU - Kim, In Sook
AU  - Kim IS
AD  - College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University.
FAU - Lee, Won
AU  - Lee W
AD  - Department of Nursing, Chung-Ang University, Seoul, Republic of Korea.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Communication
MH  - Humans
MH  - *Malpractice
MH  - Patient Safety
COIS- The authors disclose no conflict of interest.
EDAT- 2020/10/04 06:00
MHDA- 2022/02/19 06:00
CRDT- 2020/10/03 05:27
PHST- 2020/10/04 06:00 [pubmed]
PHST- 2022/02/19 06:00 [medline]
PHST- 2020/10/03 05:27 [entrez]
AID - 01209203-202112000-00038 [pii]
AID - 10.1097/PTS.0000000000000791 [doi]
PST - ppublish
SO  - J Patient Saf. 2021 Dec 1;17(8):e904-e910. doi: 10.1097/PTS.0000000000000791.