title: Nurse-perceived patient adverse events and nursing practice environment.
abstract: OBJECTIVE
  To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level.
  
  
  METHODS
  In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed.
  
  
  RESULTS
  At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, 'physician- nurse relationship' correlated with medication errors while 'education for improving quality of care' affected patient falls.
  
  
  CONCLUSIONS
  The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.
authors.affiliation: Department of Nursing Science, Gyeongju University, Gyeongju, Korea.
authors.forename: Jeong-Hee
authors.initials: JH
authors.lastname: Kang
authors.affiliation: Department of Preventive Medicine, Chungnam National University School of Medicine, Daejeon, Korea ; Research Institute for Medical Sciences, Chungnam National University School of Medicine, Daejeon, Korea.
authors.forename: Chul-Woung
authors.initials: CW
authors.lastname: Kim
authors.affiliation: Department of Health Policy and Management, Jeju National University School of Medicine, Jeju, Korea.
authors.forename: Sang-Yi
authors.initials: SY
authors.lastname: Lee
mesh_terms: D000058:Accidental Falls; D000062:Accidents, Occupational; D000328:Adult; D003428:Cross Infection / Q000209:etiology; D005260:Female; D006761:Hospitals; D006801:Humans; D016015:Logistic Models; D008297:Male; D008508:Medication Errors; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D016017:Odds Ratio; D003668:Pressure Ulcer / Q000209:etiology; D011787:Quality of Health Care; D011795:Surveys and Questionnaires
keywords: Medication error; Nosocomial infection; Nursing practice environment; Patient fall; Pressure sore