Research on risk management of the nursing accidents in the medical field - Description and analysis on the incident report -

医疗领域护理事故风险管理研究-事故报告描述与分析-

• 批准号: 12672284
• 负责人: KIKUCHI Tokiko
• 金额: $ 1.79万
• 依托单位: Miyagi University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672284/
• 关键词: Medical treatment; Nursing; Nursing accikdent; Organizational accident; Risk management; Incident; 4M-4E form; Time-series description; Reporting form; ヒューマンエラー; ヒューマン・エラー; 注意; 記憶; イメージ; ヒヤリ・ハット

We tried to make "descriptive and analytical models of the incident report" in order to find out the potential risk information in an organization earlier for the purpose of establishing how to lead them to the preventive measures.We initially interviewed targeting at approx 30 peoples such as the directors of nursing department, chief nurses and risk managers in order to grasp what is happening in the medical field.It was resurtingly revealed the situation that they had repeated the process of trial and error for seeking out how to get the workable improvement, regardless a great deal of efforts made on "encouraging staff member to promote for the time being", "improvement of reporting form" and so forth.Based upon the results revealed, we, furthermore, carried out the questionnaire survey regarding "the actual situation and the problems where is going on in the risk management" targeting at more than sixty directors of nursing department in the hospitals across the country.It is explicitly shown in the questionnaire that the descriptions on the report of incident remains at individual level and that they fail to transform it to the present way of coping aiming at the prevention of the organizational accidents, and also it was nearly made possible to know where there lies a problem in those descriptions, that is, they were in the situation that not only the basic ideas had not worked vividly in making the reporting form and the descriptions on the time-series incident in preliminary stage to apply the risk management techniques, but moreover the advantages of those excellent techniques had not been made full use of by them.We, therefore, proposed the basic principle and the practical descriptive methods simply for the use in the descriptive method of time-series incident and then the risk management techniques to be employed as a model.

为了更早地发现组织中潜在的风险信息，以建立如何引导他们采取预防措施，我们尝试制作“事件报告的描述和分析模型”。我们最初以护理部主任，护士长和风险管理人员，以掌握在医疗领域发生了什么。它再次揭示了他们重复的试验和错误的过程，以寻求如何获得的情况。可行的改进，无论是在“鼓励员工暂时晋升”、“改进报告形式”等方面做了大量的努力。根据所揭示的结果，我们进一步，对“风险管理的现状和存在的问题”进行了问卷调查调查结果显示，护理部主任对事件报告的描述仍停留在个人层面，未能转变为目前的应对方式在组织事故的预防方面，也几乎可以看出这些描述中存在的问题，即在应用风险管理技术的初期，不仅在制作报告表和时间序列事件描述时的基本思想没有发挥作用，但这些优秀技术的优点并没有被充分利用，因此，我们提出了时间序列事件描述方法的基本原理和实用描述方法，并将其应用于风险管理技术中作为一个模型。