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Effect of integrated care system in Korea on patient safety
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Journal of Nursing & Care

ISSN: 2167-1168

Open Access

Effect of integrated care system in Korea on patient safety


50th World Congress on Advanced Nursing and Midwifery

February 26-27, 2019 Osaka, Japan

Eunhee Lee, Jinhyun Kim and Sungjae Kim

Hallym University, South Korea
Seoul National University, South Korea

Posters & Accepted Abstracts: J Nurs Care

Abstract :

Korean government implemented an integrated care system to decrease the caregiving burden and improve the quality of care. This system provides service with a nursing staff increased to about twice that in existing hospital nursing units, not counting caregivers. Standards for nurse staffing level in these units have been different for the various types and characteristics of hospitals; the standard for nurse staffing level is highest in tertiary hospitals. The nursing assistant handles personal care, such as assistance with activities of daily living, and the registered nurse handles all skilled nursing care, such as medication, assessment and intervention. This study aimed to investigate the effect of integrated care system in Korea, especially on the patient safety outcomes such as pressure ulcer and patient fall. 60,049 patients who were admitted to integrated care units were retrospectively enrolled. Data were obtained from the National Health Insurance (NHI) in Korea. Mixed-effects logistic regression and survival analysis was used to identify the factors affecting patient falls and pressure ulcer. Of individual factors, age, mobility problem were found to be significant influencing factors for patient fall and gender, age, nursing needs were significant influencing factors for pressure ulcer. In case of organizational factor, nurse staffing were influencing factors for both fall and pressure ulcer. To ensure patient safety, nurse leader should retain adequate level of nurses.

Biography :

Eunhee Lee has completed his PhD from Seoul National University, South Korea and is currently the Assistant Professor of Hallym University, South Korea.

E-mail: ehlee@hallym.ac.kr

 

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Citations: 4230

Journal of Nursing & Care received 4230 citations as per Google Scholar report

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