Hasta ve Çalışan Güvenliği Kapsamında Gerçekleşen İstenmeyen Olay Bildirimlerinin Analizi: Bir Kamu Hastanesi Örneği

Year 2024, Volume: 21 Issue: 5, 316 - 328

Burçin Nur Özdemir , İrem Malatyalı

https://doi.org/10.26466/opusjsr.1508886

Abstract

Bu çalışmada, bir kamu hastanesinde bildirimi yapılan istenmeyen olayların hasta ve çalışan güvenliği kapsamında analiz edilerek hatalardan öğrenmeye yönelik çalışmaların geliştirilmesi ve sağlık çalışanlarının farkındalıklarının artırılarak sağlık hizmet sunum kalitesinin artırılması amaçlanmıştır. Araştırma nicel araştırma tasarımı olan tanımlayıcı, kesitsel ve retrospektif olarak tasarlanmıştır. Veriler araştırmacı tarafından oluşturulan veri toplama formu ile Hastane Bilgi Yönetim Sistemi ve yazılı kayıtlardan elde edilmiştir. Veriler 01.01.2022-30.12.2023 tarihleri arasında bilidirimi yapılan istenmeyen olaylardan elde edilmiştir. Araştırmadan elde edilen bulgulara göre; 2022 yılında toplam 3447 hasta güvenliği istenmeyen olay bildirimi gerçekleşmiş olup bunların 19’unun düşme, 8’inin ilaç güvenliği, 5’nin transfüzyon güvenliği, 3415’inin laboratuvar güvenliği olduğu tespit edilmiştir. 2023 yılında toplam 4788 hasta güvenliği istenmeyen olay bildirimi gerçekleşmiş olup bunların 37’sinin düşme, 20’sinin ilaç güvenliği, 2’sinin transfüzyon güvenliği, 4729’sinin laboratuvar güvenliği olduğu tespit edilmiştir. 2022 yılında toplam 111 çalışan güvenliği istenmeyen olay bildirimi gerçekleşmiş olup bunların 59’unun kesici-delici alet yaralanması, 9’unun kan ve vücut sıvısı sıçraması, 45’inin hukuka yansımış olay olduğu tespit edilmiştir. 2023 yılında toplam 120 çalışan güvenliği istenmeyen olay bildirimi gerçekleşmiş olup bunların 63’ünün kesici-delici alet yaralanması, 6’sının kan ve vücut sıvısı sıçraması, 51’inin hukuka yansımış olay olduğu tespit edilmiştir. İstenmeyen olay bildirimlerinin 2022-2023 yılları karşılaştırıldığında bildirim sayısının yıllara göre artış gösterdiği ve bununda kurumda bir raporlama kültürünün oluştuğunu göstermektedir. Araştırma sonucunda; bilidirimi en fazla yapılan istenmeyen olayların laboratuvar güvenliği ve kesici-delici alet yaralanmalarının olduğu tespit edilmiştir.

Keywords

Hasta güvenliği, çalışan güvenliği, istenmeyen olay bildirimi, raporlama kültürü

Analysis of Adverse Event Notifications Within the Scope of Patient and Employee Safety: An Example of a Public Hospital

Abstract

This study aimed to analyze the adverse events reported in a public hospital within the scope of patient and employee safety, to develop studies aimed at learning from errors and to increase the awareness of healthcare professionals and to increase the quality of healthcare service provision. The research was designed as a descriptive, cross-sectional, and retrospective quantitative research design. Data were obtained from the Hospital Information Management System and written records with the data collection form created by the researcher. Data were obtained from the adverse events reported between 01.01.2022 and 30.12.2023. According to the findings of the research; A total of 3447 patient safety adverse event reports were made in 2022, and it was determined that 19 of them were falls, 8 were medication safety, 5 were transfusion safety, and 3415 were laboratory safety. A total of 4788 patient safety adverse event reports were made in 2023, and it was determined that 37 of them were falls, 20 were medication safety, 2 were transfusion safety, and 4729 were laboratory safety. In 2022, a total of 111 employee safety undesirable incidents were reported, of which 59 were sharp-edged injuries, 9 were blood and body fluid splashes, and 45 were legal incidents. In 2023, a total of 120 employee safety undesirable incidents were reported, of which 63 were sharp-edged injuries, 6 were blood and body fluid splashes, and 51 were legal incidents. When the 2022-2023 undesirable incident reports are compared, it is seen that the number of reports has increased over the years, which indicates that a reporting culture has been formed in the institution. As a result of the research; It was determined that the most reported undesirable incidents were laboratory safety and sharp-edged injuries.

Keywords

Patient safety, employee safety, adverse event reporting

Ethical Statement

İstanbul Üniversitesi Cerrahpaşa sosyal ve beşeri bilimler etik kurulundan etik kurul izni alınmıştır.

Supporting Institution

Herhangi bir kurumdan destek alınmamıştır.

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