Is patient safety sufficient in Japan? Differences in patient safety between Japan and the United States – Learning from the United States
Is patient safety sufficient in Japan? Differences in patient safety between Japan and the United States – Learning from the United States
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日本的患者安全是否足够？日本和美国患者安全的差异——向美国学习
DOI：
10.5430/jha.v5n6p1
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
M. Hirose
中科院分区：
文献类型：
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作者：
M. Hirose
在日本，自1999年横滨市立大学医院（YCUH）发生具有里程碑意义的医疗不良事件以来，各级都在促进患者安全。然而，患者并不认为医疗保健正在变得更安全。此外，两所被指定为“先进治疗医院”的大学医院（UHs）由于患者安全问题，自2015年6月1日起被卫生部吊销了资格。日本患者安全的历史大致可以分为1999-2009年和2010年以来两个时期。在第一阶段，建立了患者安全的基本制度，包括建立患者安全部门和从系统错误而不是个人责任的角度报告事件的制度。此外，许多公司与医疗保健提供者合作，促进了药物和医疗设备的改进和开发。最近在大学发生的两起严重医疗事故似乎部分是由于缺乏医德。与美国不同，日本没有医疗执照更新制度，管理医生的组织薄弱，终身教育的框架不足。因此，第二个术语涉及到以质量为导向的患者安全心态。它要求医疗保健提供者和政策制定者通过向美国学习来改变他们对医疗伦理和患者安全的观念，并要求一个强大的组织和框架来管理日本的医生。
In Japan, patient safety has been promoted at all levels since the 1999 landmark adverse medical event at Yokohama City University Hospital (YCUH). However, patients do not believe that health care is becoming safer. Furthermore, two university hospitals (UHs) that were designated as “advanced treatment hospitals” had their status revoked by the Health Ministry as of June 1, 2015 due to patient safety problems. The history of patient safety in Japan can be roughly divided into two terms: 1999-2009 and since 2010. In the first term, a basic patient safety system was established that included the creation of a patient safety division and an incident-reporting system from the perspective of systems error rather than individual responsibility. Additionally, many companies have promoted the improvement and development of drugs and medical devices in collaboration with health care providers. The two recent serious medical errors at UHs seemed to occur partially due to a lack of medical ethics. Unlike in the United States (US), in Japan, there is no medical license renewal system, the organizations that govern physicians are weak, and the framework of lifelong education is inadequate. Therefore, the second term involves a mindset of quality-driven patient safety. It requires health care providers and policy makers to change their mindset toward medical ethics and patient safety by learning from the US and demands a strong organization and framework to govern physicians in Japan.
DOI：
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发表时间：
2007
期刊：
Quality and Safety in Health Care. 16
影响因子：
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作者：
Hirose M;Regenbogen SE;Lipsitz S;Imanaka Y;Ishizaki T;Sekimoto M;Oh EH.
通讯作者：
Oh EH.