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العنوان
Adverse Events Analysis; As Educational
Tool for Nurses to Improve Patient Safety
Culture in Primary Health Care Centers /
المؤلف
El-Sayed, Noura Sayed Ibrahim.
هيئة الاعداد
باحث / نورة سيد إبراھيم السيد
مشرف / ماجدة معوض محسن
مشرف / نهلة عاشور سعفان
الموضوع
Hospital care - Safety measures. Hospital care - Quality control. Patient Care.
تاريخ النشر
2017.
عدد الصفحات
ill. ;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
المجتمع والرعاية المنزلية
الناشر
تاريخ الإجازة
8/1/2017
مكان الإجازة
جامعة المنوفية - كلية التمريض - تمريض صحة المجتمع
الفهرس
Only 14 pages are availabe for public view

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Abstract

Adverse events (AE) are usually resulting from a safety
incident in primary care may be hard to detect since it may not be realized
immediately following the incident. The aim: of this study was to
examine the adverse events reporting as an education tool to improve
client safety culture for the nurses who work in the primary health care
centers. Design: A quasi experimental design was used (study and
control). Setting: This study was conducted in Menuofia Governorate that
including nine health care centers and units such as Shebien elkoom,
Quesna, El-Shohada, Menouf, Berkit El-Saba, Tala, Ashmoun, El-Bagour
and El-Sadat. Sample: a) two hundred nurses, b) 120 clients and c) 100
family practitioners and pediatricians. Tools: I: An interview
questionnaire this tool aimed at assessing the patient safety in primary
health care units. II: an observational checklist this tool aimed at
determine the baseline and adverse events rates by nurses, family
practitioners and pediatricians which investigates the adverse events in
primary health care centers. Results: The results demonstrated that, the
frequency of events’ reported was statistically significant higher after 6
months of intervention as compared with scores before the intervention,
for both study and control group (P-value <0.001). Also, there was a
significant relationship between the number of events reported before and
after education and working hours among the study group who work at
least 20 hours to less than 60 hours and there was a positive relationship
between frequency of adverse events reporting and staff position
especially among the study group. Conclusion: Nurses who received the
intervention were better in diminishing the number of adverse events after
intervention than before intervention. Also, nurses who received the
intervention were better in increasing the client safety grade after
intervention than before intervention. Recommendations: it was
recommended that, patient safety educational interventions could be used
by nursing staff to enhance subcultures of client safety such as “reporting”
and to decrease the rate of adverse events.