Perception of Healthcare Accreditation System on Patient Safety Management Activities and Nursing Performance of Regional Public Hospital Nurses / 간호행정학회지

PURPOSE: This study was done to identify the ways regional public hospital nurses perceive the healthcare accreditation system as related to their patient safety management activities and nursing performance. METHODS: The participants were 190 nurses chosen with convenient sampling from nurses who worked at regional public hospitals that had obtained healthcare accreditation as of May, 2016 and who had experienced the healthcare accreditation process at least once and whose clinical experience was one year or longer. Collected data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis. RESULTS: There were significant positive correlations between perception of the Healthcare Accreditation System, patient safety management activities and nursing performance. Factors affecting patient safety management activities were activities to improve medical service quality, patient dissatisfaction and difficulties, changes and values. These factors explained 55.4% of variance in patient safety management activities (F=22.25, p<.001). The factors affecting nursing performance were being charge nurses and activities to improve medical service quality. These factors explained 48.1% of the variance in nursing performance (F=16.57, p<.001). CONCLUSION: Finding indicate that positive perception of the healthcare accreditation system by nurses at local government institutions is a factor in heightening patient safety management activities and nursing performance.

A case of primary splenic lymphoma presenting as a splenic abscess / 대한내과학회지

Primary splenic lymphoma (PSL) is very rare, with a reported incidence of less than 1% of all malignant lymphomas. The differential diagnosis of a solitary splenic mass should include benign entities, such as hemangioma, hamartoma, simple cyst, and metastatic carcinoma, as well as abscess. We report a case of primary splenic lymphoma presenting as a splenic abscess. A 27-year-old man presented with left upper quadrant pain for 3 days. Abdominal computed tomography (CT) revealed a splenic mass, a well-defined hypodense lesion (4.5*4 cm) in the posterosuperomedial aspect of the spleen. The patient improved clinically with percutaneous drainage of the spleen cystic mass and antibiotic therapy. After 8 months, he presented again with left upper quadrant pain and fever. Abdominal CT revealed progression of the splenic mass (5*.5 cm) with some internal hemorrhage. The patient underwent splenectomy for a definitive diagnosis and treatment. At surgery, a splenic tumor was found with no evidence of it involving other sites, and it was confirmed pathologically as a diffuse large B cell lymphoma of the spleen.