Establishment of a risk management system and support for enhancing risk awareness in nurses with experiences of medical malpractice

建立风险管理体系并支持提高有医疗事故经历的护士的风险意识

• 批准号: 14572296
• 负责人: YOKOTE Yoshie
• 金额: $ 1.54万
• 依托单位: Okayama Prefectural University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14572296/
• 关键词: medical malpractice; risk management; metacognition; sensitivity of patient risks; support a party concerned; foresight of patient risks; safety management system; 予見の攪乱; 事故予見のリアリティー; 看護事故; リスク管理システム

Functions of risk managers that fulfill the establishment of a safety system at hospital A were determined as a result of a 4-year research activity. These features were "accident prevention measures", "pursuit of ethics", and "organizational activity". In addition, interview surveys of 22 nurses with experiences of medical malpractice at medical facilities in prefecture B revealed the following : 1) recounting the accident experience (during the interview) aroused risk awareness in nurses, and enabled them to learn through facing up to the experience ; 2) there exists a structure in clinical settings whereby nurses' foresight of patient risks can be disturbed.Such disturbances may result in human errors.

通过四年的研究活动，确定了在A医院建立安全系统所需的风险管理人员的职能。这些特征是“事故预防措施”、“道德追求”和“组织活动”。此外，对B州22名有医疗事故经历的护士的访谈调查显示：1)讲述事故经历(在访谈中)唤醒了护士的风险意识，使他们在正视经验中学习；2)临床环境中存在一种结构，护士对病人风险的预见可能会受到干扰，这种干扰可能会导致人为错误。