의료인 및 환자의 관점을 반영한 OECD의 환자가 보고하는 안전지표의 적용 가능성: 혼합 방법 연구

Abstract

Purpose: The development and collection of safety indicators directly reported by patients without interpretation by a third party is an essential element of realizing patient-centered care. We examined whether Patient-Reported Incidence Measures (PRIMs) could be applied in the Republic of Korea.

Methods: A draft set of 23 items was identified by reviewing 28 PRIMs developed by the Organization for Economic Cooperation and Development. A Delphi survey was conducted among 9 experts in the field of patient safety. The experts evaluated the content validity of the 28 items; thereafter, 18 items were selected and divided into three categories: incident prevention, patient-reported incidents, and incident management. A pilot survey was conducted on 169 patients to examine the applicability of PRIMs.

Results: The Delphi survey revealed that the item with the highest content validity was whether or not to confirm the patient's identity. The pilot survey revealed that, among the items regarding incident prevention, the experience of patient identification was high (96.4%), but that of medical staff washing hands before treatment was low (68.0%). Among the items regarding incident management, the highest response was that they had a satisfactory experience in handling treatment-related requirements (74.6%), but 33.1% answered that it was not easy to communicate with medical staff when treatment-related requests occurred.

Conclusion: Although there were some differences between the perspectives of providers and patients, PRIMs in the Republic of Korea were found to be applicable.