[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Registration::
Contact us::
Site Facilities::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
:: Volume 1, Issue 2 (En 2012) ::
مدیریت پرستاری 2012, 1(2): 37-45 Back to browse issues page
Assessing patient safety events and it’s correlation with nurse - physician interaction from nurses’ view
DaryadokhtNastaran Masror , Daryadokht Heydarikhayat * , Soodabeh Joolaee
Nursing, Faculty member, Nursing and Midwifery Iranshahr School, Zahedan University of Medical Sciences , daryadokht_masror@yahoo.com
Abstract:   (23675 Views)

 

Introduction: Patient safety defines as protection the patient from medical error and iatrogenic event. Many factors cause the patient safety events. One of them is nurse- physician interaction, because any obstacles of this can result in disorder of teamwork and there for put in danger patient safety and quality of care.

Aim: The aim was to assess the patient safety events and it’s correlation with nurse - physician interaction from nurses’ view point.

Method: This is a descriptive cross sectional study on 200 nurses on Tehran University of medical science hospitals. Stratified sampling was used. A three parts questionnaire (demographic data, patient safety events and nurse - physician interaction) was used. Internal consistency reliability (Cronbach’s alpha) was (α=0.8) for patient safety events indicators and it was (α=0.74) for professional interaction. Patient safety events frequencies were identified during last 3 months and then, their relationship with nurse-physician interaction was assessed. Data were analyzed using SPSS 14, and Spearman correlation coefficient, χ2 and multiple regressions were used.

Results: The nurses reported the most common patient safety events were medication errors (38.5%) skin and neuromuscular damage (36.7%) and post-operative (16%).And the less common patient safety events were patient’s death following errors(1%) and leaving objects in patient’s body(1%). Majority of nurses rated their interaction with physician good (65.5%). There were significant reverse correlations between patient safety events and nurse- physician interaction (p=0.001, r = -0.274).It means that if interaction between nurse- physician is good, patient safety events will be decrease.

Conclusion: Since patient safety events can be related to nurse -physician interaction, improving the nurse -physician interaction as a related factor in patient safety should be consider more seriously.

Keywords: nurse view, professional interaction, patient safety
Full-Text [PDF 507 kb]   (4708 Downloads)    
Type of Study: Research | Subject: Special
Received: 2012/01/15 | Accepted: 2013/10/6 | Published: 2013/10/6
References
1. Sedman A, Harris JM, Schulz K, Schwalenstocker E, Remus D, Scanlon M, et al. V Relevance of the Agency for
2. Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pediatrics. 2005;115(1):135-45.
3. World Alliance for Patient Safety. [Internet]. [Cited 2005]. Available from: www.who.int/patientsafety/en/brochure_final.
4. Managing Disruptive Behavior and Workplace Violence in Healthcare. [Internet]. [Cited July 2008]. Available from: www.asisonline.org/councils/documents/Council_Healthcar..
5. Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. Journal of the American College of Surgeon. 2006 ;203(1):96-105. [DOI:10.1016/j.jamcollsurg.2006.03.027]
6. Zwarenstein M, Reeves S. Working together but apart: barriers and routes to nurse--physician collaboration. The Joint Commission journal on quality improvement. 2002;28(5):242-7, 209.
7. Shortell SM, Rousseau DM, Gillies RR, Devers KJ, Simons TL. Organizational assessment in intensive care units (ICUs): construct development, reliability, and validity of the ICU nurse-physician questionnaire.Medical Care. 1991 Aug;29(8):709-26. [DOI:10.1097/00005650-199108000-00004]
8. AHRQ Patient Safety Tools and Resources - Agency for Healthcare Research and Quality (AHRQ). [Internet]. [Cited August 2012]. Available from: http://www.ahrq.gov/qual/pstools.htm
9. Nordgren L, Olsson H. Palliative care in a coronary care unit: a qualitative study of physicians' and nurses' perceptions. Journal of Clinical Nursing. 2004; 13(2):185-93. [DOI:10.1111/j.1365-2702.2004.00816.x]
10. Ferrand E, Lemaire F, Regnier B, Kuteifan K, Badet M, Asfar P. et al. Discrepancies between perceptions by physicians and nursing staff of intensive care unit end-of-life decisions. American Journal of Respiratory and Critical Care Medicine. 2003; 15;167(10):1310-5.
11. Awad SS, Fagan SP, Bellows C, Albo D, Green-Rashad B, De la Garza M. et al. Bridging the communication gap in the operating room with medical team training. American Journal of Surgery. 2005;190(5):770-4. [DOI:10.1016/j.amjsurg.2005.07.018]
12. Greengold NL, Shane R, Schneider P, Flynn E, Elashoff J, Hoying CL. etal. The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. Archives of Internal Medecin. 2003 27; 163(19):2359-67.
13. Agostini JV, Baker DI, Bogardus ST. Prevention of fall in Hospitalized and Institutionalized Older People. [Internet]. [Cited January 2012]. Available from: http://www.ahrq.gov/clinic/ptsafety/chap26a.htm
14. Risk Management, Quality Improvement, and Patient Safety .. [Internet]. [Cited January 2009]. Available from: www.ecri.org/Documents/Secure/Risk_Quality_Patient_Safe...
15. Jawaid M, Masood Z, Iqbal Syed A. Most common complications in a general surgical ward of a teaching hospital. Pakistan Journal of Medical Sciences. 2006; 22(2):171-175.
16. McDonald KM, Romano PS, Geppert J, Davies SM, Duncan B, Shojania KG, et al. Guide to Patient Safety Indicators[Internet]. [Cited December 2008]. Available from: www.qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2
17. Authority Patient Safety. [Internet]. [Cited April 2007]. Available from: www. patientsafetyauthority.org/PatientSafetyAuthority/Docum.
18. Cullen DJ, Bates DW, Small SD, Cooper JB, Nemeskal AR, Leape LL. The incident reporting system does not detect adverse drug events: a problem for quality improvement. The Joint Commission journal on quality improvement. 1995; 21(10):541-548. [DOI:10.1016/S1070-3241(16)30180-8]
19. Kirchner C, Noggoh E, Perstianni F, Elumia M . Health Care Quality Assessment. New Jersey Department of Health and Senior Services. Patient Safety Initiative. 2007 Summary Report. . [Internet]. [Cited December 2008]. Available from: www.state.nj.us/health/ps/documents/ps_initiative_repor...
20. Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients' outcomes. American Journal of Critical Care. 2007;16(6):536-543.
21. Wheelan SA, Burchill CN, Tilin F. The link between teamwork and patients' outcomes in intensive care units. American Journal of Critical Care. 2003;12(6):527-534.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Masror D, Heydarikhayat D, Joolaee S. Assessing patient safety events and it’s correlation with nurse - physician interaction from nurses’ view. مدیریت پرستاری 2012; 1 (2) :37-45
URL: http://ijnv.ir/article-1-58-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 1, Issue 2 (En 2012) Back to browse issues page
فصلنامه مدیریت پرستاری Quarterly Journal of Nursing Management
Persian site map - English site map - Created in 0.06 seconds with 37 queries by YEKTAWEB 4645