Comparing the Development of Nursing Malpractice Prevention Programs in Japan and the United Stated of America

日本和美国护理事故预防项目的发展比较

基本信息

批准号：
13672439
负责人：
YOSHIMURA Sadako
金额：
$ 2.5万
依托单位：
Asahikawa Medical College
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2003
项目状态：
已结题

项目摘要

The purpose of this research was to clarify the points of similarity and difference in the nursing staff malpractice prevention programs in Japan and the USA.Both countries are taking similar measures against the problem of nursing malpractice. One of the differences points is the role of the risk manager. The Japanese risk manager's role is almost wholly concentrated on the prevention of medical malpractice while the American risk manager has a much broader role in the areas of risk identification and analysis, loss control, claims management and risk financing.Most medical institutions in Japan combine the roles of nursing manager and risk manager in one appointment. Indications are that this has reduced the incidents level of malpractice concerning drugs after the nursing risk manager training program guides the manager to identify areas of risk, to analyze near miss accidents and to regularly review the points of concern.Additionally it has proven effective to establish the prevention of medical malpractice as one of the goals of the nursing administration department. It has proven necessary for nursing staff to be notified daily of the various measures being undertaken for the realization of this goal.The number of technically complex medical devises used as aid in observation, monitoring, and the treatment of patients is increasing. Since it is necessary for nurses to provide high standards of patient care, nurses' duties now include the administration of these devices.The number of criminal malpractice suits against nurses is presently increasing indicating a greater need to re-clarify to both medical staff and patients the liabilities, duties, and standards of patient care for the future.

这项研究的目的是阐明日本和美国护理人员渎职预防计划的相似性和差异的点。两家国家都在采取类似的措施，以应对护理渎职的问题。区别之一是风险经理的角色。日本风险经理的角色几乎完全集中在预防医疗事故上，而美国风险经理在风险识别和分析，损失控制，索赔管理和风险融资领域中具有更广泛的作用。迹象表明，这已经降低了有关药物的渎职行为的事件，护理风险经理培训计划指导经理确定风险领域，分析接近事故的事故并定期审查关注点。事实证明，它有效地将医疗疾病的预防作为护士管理部门的目标之一，这是有效的。事实证明，必须每天通知护理人员以实现这一目标所采取的各种措施。技术复杂的医学设计数量用作有助于观察，监测和患者治疗的数量正在增加。由于护士有必要提供高标准的患者护理，因此护士的职责现在包括对这些设备的管理。针对护士的刑事渎职诉讼的数量目前正在增加，这表明更需要向医务人员和患者重新降低责任，职责，职责以及对未来的患者护理标准。