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Nurses' systems thinking competency, medical error reporting, and the occurrence of adverse events: a cross-sectional
Jee-In Hwang1, Hyeoun-Ae Park2
1a Department of Nursing , College of Nursing Science, Kyung Hee University , 26 Kyungheedae-ro, Dongdaemoon-gu, Seoul 02447 , South Korea.
Background:
Healthcare professionals' systems thinking is emphasized for patient safety.
Aims:
To report nurses' systems thinking competency, and its relationship with medical error reporting and the occurrence of adverse events.
Design:
A cross-sectional survey using a previously validated Systems Thinking Scale (STS), was conducted.
Methods:
Nurses from two teaching hospitals were invited to participate in the survey. There were 407 (60.3%) completed surveys.
Results:
The mean STS score was 54.5 (SD 7.3) out of 80. Nurses with higher STS scores were more likely to report medical errors (odds ratio (OR) = 1.05; 95% confidence interval (CI) = 1.02-1.08) and were less likely to be involved in the occurrence of adverse events (OR = 0.96; 95% CI = 0.93-0.98).
Conclusions:
Nurses showed moderate systems thinking competency. Systems thinking was a significant factor associated with patient safety. Impact Statement: The findings of this study highlight the importance of enhancing nurses' systems thinking capacity to promote patient safety.
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