An Evaluation of Corrective and Preventive Action Reports: A Private Hospital Example

Yasemin Aslan; Fatma Selen Polat

Makale detayları

An Evaluation of Corrective and Preventive Action Reports: A Private Hospital Example

Yazarlar:

Yasemin Aslan | Fatma Selen Polat

Yayıncı:

Ankara University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Ankara Sağlık Bilimleri Dergisi Vol.12 Issue 1, pp.1-11

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295308

pISSN:

2146-328X

Anahtar kelimeler:

Özet:

 Aim: The aim of the research is to assess the corrective and preventive actions reported in a private hospital. Materials and Methods: Corrective and preventive actions reported electronically between January 1, 2022, and July 31, 2022, in a private hospital located in the Southeastern Anatolia Region were included in the study. In this research, the data were acquired from 60 reports in total, including corrective n  34 and preventive n  26 actions. The quality management systems corrective and preventive action module was used as a data collection tool. Descriptive statistics and Microsoft Excel Pivot Table reports were used for the analysis. Results: According to the results, the number of notifications of corrective action 56.7, was higher than the number of notifications of preventive action 43.3. The majority of corrective and preventive actions were reported as a result of the building tour 38.3 and internal assessment 25. Many of the reports were related to non-compliance with procedures and instructions 41.7, emergency management 16.7, and patient safety practices 16.7. Almost all of the notifications 90 were successfully solved by completing the improvement process. Conclusion: In the study, it was found that the hospital has not yet taken a proactive approach in terms of quality and patient safety culture, and that corrective actions are taken rather than a preventive approach. In order to improve the corrective and preventive action notification culture, informing the employees, designing user-friendly reporting systems, making improvement studies on the reported notifications, and discussing the notifications at the committee meetings can contribute to creating a positive safety culture.

 Aim: The aim of the research is to assess the corrective and preventive actions reported in a private hospital. Materials and Methods: Corrective and preventive actions reported electronically between January 1, 2022, and July 31, 2022, in a private hospital located in the Southeastern Anatolia Region were included in the study. In this research, the data were acquired from 60 reports in total, including corrective n  34 and preventive n  26 actions. The quality management systems corrective and preventive action module was used as a data collection tool. Descriptive statistics and Microsoft Excel Pivot Table reports were used for the analysis. Results: According to the results, the number of notifications of corrective action 56.7, was higher than the number of notifications of preventive action 43.3. The majority of corrective and preventive actions were reported as a result of the building tour 38.3 and internal assessment 25. Many of the reports were related to non-compliance with procedures and instructions 41.7, emergency management 16.7, and patient safety practices 16.7. Almost all of the notifications 90 were successfully solved by completing the improvement process. Conclusion: In the study, it was found that the hospital has not yet taken a proactive approach in terms of quality and patient safety culture, and that corrective actions are taken rather than a preventive approach. In order to improve the corrective and preventive action notification culture, informing the employees, designing user-friendly reporting systems, making improvement studies on the reported notifications, and discussing the notifications at the committee meetings can contribute to creating a positive safety culture.

 Aim: The aim of the research is to assess the corrective and preventive actions reported in a private hospital. Materials and Methods: Corrective and preventive actions reported electronically between January 1, 2022, and July 31, 2022, in a private hospital located in the Southeastern Anatolia Region were included in the study. In this research, the data were acquired from 60 reports in total, including corrective n  34 and preventive n  26 actions. The quality management systems corrective and preventive action module was used as a data collection tool. Descriptive statistics and Microsoft Excel Pivot Table reports were used for the analysis. Results: According to the results, the number of notifications of corrective action 56.7, was higher than the number of notifications of preventive action 43.3. The majority of corrective and preventive actions were reported as a result of the building tour 38.3 and internal assessment 25. Many of the reports were related to non-compliance with procedures and instructions 41.7, emergency management 16.7, and patient safety practices 16.7. Almost all of the notifications 90 were successfully solved by completing the improvement process. Conclusion: In the study, it was found that the hospital has not yet taken a proactive approach in terms of quality and patient safety culture, and that corrective actions are taken rather than a preventive approach. In order to improve the corrective and preventive action notification culture, informing the employees, designing user-friendly reporting systems, making improvement studies on the reported notifications, and discussing the notifications at the committee meetings can contribute to creating a positive safety culture.

 Amaç: Bu araştırmanın amacı, özel bir hastanede raporlanan düzeltici ve önleyici faaliyetlerin değerlendirilmesidir. Gereç ve Yöntem: Araştırmaya, Güneydoğu Anadolu Bölesinde yer alan özel bir hastanede 01.01.2022-31.07.2022 tarihleri arasında elektronik ortamda raporlanan düzeltici ve önleyici faaliyetler dâhil edilmiştir. Araştırmada düzeltici n34 ve önleyici n26 olmak üzere raporlanan toplam 60 düzeltici ve önleyici faaliyet bildirimi değerlendirmeye alınmıştır. Veri toplama aracı olarak kalite yönetim sistemi düzeltici ve önleyici faaliyet modülü kullanılmıştır. Verilerin analizinde tanımlayıcı istatistiklerden ve Microsoft Excel Pivot_Table raporlarından faydalanılmıştır. Bulgular: Yapılan analizler sonucunda, düzeltici faaliyet bildirim sayısının 56.7, önleyici faaliyet bildirim sayısından 43.3 yüksek olduğu bulunmuştur. Düzeltici ve önleyici faaliyetlerin çoğunluğu bina turu 38.3 ve iç tetkik 25 sonucu raporlanmıştır. Bildirimlerin büyük bir kısmının prosedür ve talimatlara uyumsuzluk 41.7, acil durum yönetimi 16.7 ve hasta güvenliği uygulamalarıyla 16.7 ilişkili olduğu bulunmuştur. Bildirimlerin hemen hepsi 90 iyileştirme süreci tamamlanarak başarılı bir şekilde kapatılmıştır. Sonuç: Araştırmada, hastanenin kalite ve hasta güvenliği kültürü açısından henüz proaktif bir yaklaşıma geçemediği, önleme yaklaşımından ziyade hatalar yaşandıktan sonra düzeltici eylem içine girdiği sonucuna ulaşılmıştır. Düzeltici ve önleyici faaliyet bildirim kültürünün iyileştirilmesi amacıyla, çalışanlara bilgi verilmesi, kullanıcı dostu bildirim sistemlerinin tasarlanması, raporlanan bildirimlere yönelik iyileştirme çalışmaları yapılması ve bildirimlerin komite toplantılarında görüşülmesi olumlu bir güvenlik kültürü oluşturulmasına katkı sağlayabilir.

Makale detayları

An Evaluation of Corrective and Preventive Action Reports: A Private Hospital Example

Yazarlar:

Yasemin Aslan | Fatma Selen Polat

Yayıncı:

Ankara University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Ankara Sağlık Bilimleri Dergisi Vol.12 Issue 1, pp.1-11

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295308

pISSN:

2146-328X

Corrective action

preventive action

private hospital

quality in healthcare

continuous improvementDüzeltici faaliyet

önleyici faaliyet

özel hastane

sağlık hizmetlerinde kalite

sürekli iyileştirme

Sayı

Makale detayları

Yazarlar: Yasemin Aslan | Fatma Selen Polat

Yayıncı: Ankara University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Ankara Sağlık Bilimleri Dergisi Vol.12 Issue 1, pp.1-11

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001295308

pISSN: 2146-328X

Sayı

Yazarlar:

Yasemin Aslan | Fatma Selen Polat

Yayıncı:

Ankara University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Ankara Sağlık Bilimleri Dergisi Vol.12 Issue 1, pp.1-11

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295308

pISSN:

2146-328X