Confidential Anesthesia Safety Report

保密麻醉安全报告

• 批准号: 08671726
• 负责人: IKEDA Kazuyuki
• 金额: $ 1.34万
• 依托单位: Hamamatsu University School of Medicine
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1996
• 资助国家: 日本
• 起止时间: 1996 至 1997
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08671726/
• 关键词: Safety managent of anesthesia; Anesthesia incident report

For safety of anesthesia management or for decrease anesthesia accidents, it is necessary to gather anesthesia incidents which, it is reported, developed from thirty to fifty times more than anesthesia accident. The purpose of this research was to make a anesthesia safety report system.In Department of Anesthesiology of Hamamatsu University School of Medicine, we established Anesthesia Safety Report Center. In order to protect the anesthetists who report anesthesia incidents from the legal affairs, we used confidential anesthesia incident report system. By using this system, they can report anesthesia incidents confidentially to our center. In this stage, more than 20 hospitals in Shizuoka prefecture were in accordance with our purpose. Anesthesia cases were 36,000/year in total. We could 50 reports from these hospitals. Fortunately, there were no reports that could evoke serious anesthesia accident without making every anesthesia doctors informed this incidents. Almost incident reports have something with human error. Because of low numbers of reply reports, we could not analyze these reports in this stage. However, this system is still working and it can check the even small but possible to evoke serious accidents defect concerning with new apparatus.

为了麻醉管理的安全或减少麻醉事故的发生，有必要对麻醉事故进行统计，据报道，麻醉事故是麻醉事故的30 ~ 50倍。本研究的目的是建立麻醉安全报告制度，在滨松大学医学部麻醉科成立了麻醉安全报告中心。为了保护麻醉事故报告者不受法律的影响，我们采用了保密麻醉事故报告制度。通过使用该系统，他们可以向我们中心秘密报告麻醉事件。在这一阶段，静冈县的20多家医院符合我们的目的。麻醉病例总数为3.6万例/年。我们可以从这些医院得到50份报告。幸运的是，没有任何报告可以引起严重的麻醉事故，而不使每一个麻醉医生告知这一事件。几乎所有的事故报告都与人为错误有关。由于回复报告数量较少，我们无法在本阶段分析这些报告。然而，这个系统仍然在工作，它可以检查即使是小的，但可能引发严重事故的缺陷与新设备。