Safety management for Post-graduate clinical training

使用问卷进行了一项调查性调查，以澄清安全管理的现状、患者安全教育计划、日本住院期间的工作条件。223所教学医院（占所有教学医院的23.8%）回应了调查，结果显示，1。教育制度，特别是教师的数量有待建立。2.教育工具和模块，包括课程的标准化内容、通用程序技能、模拟培训等，都不发达。医院的自动防故障系统和在发生事故/意外时的后备系统发展不足。即使在教学医院中，也没有完全认识到患者安全教育和额外课程的重要性5。超过8小时的连续工作时间所产生的工作量往往被低估。为了改善这些情况，特别是建立一个广告 ...更多信息 平等的教育制度，激励医务人员的策略显得不可或缺。为防止住院医师进行侵入性手术时发生事故并确保患者安全，对锁骨下静脉穿刺手术进行了预测风险分析（PRA），并将风险汇总到电子表格中。根据结果，识别出应避免的高风险，并根据程序、环境进行分类。开发了一种信息技术教材，使居民能够在PC上轻松了解明显和潜在的风险。本教材在教学医院试用，受到好评。在参观了美国的一些顶级模拟中心后，总结了模拟培训的优点和缺点，并体验了可以成为改善医院系统的有力武器的Mortality & Mortality会议，并从教育的角度，人们认识到，这些M&M会议等待在日本的教学医院中普遍举行。少

An investigational survey using questionnaires clarifying the current situation of the safety management, the educational program concerning the patient safety, the working conditions during the residency program in Japan was conducted. 223 teaching hospitals (23.8% of all the teaching hospitals) responded to the survey and it was revealed that 1. educational systems, especially the quantities of the certified teachers are to be established. 2. educational tools and modules including the standardized contents of the curriculum, skills for the common procedures, simulation training are underdeveloped 3. the hospital fail-safe and back-up system in case of incidents/accidents are underdeveloped 4. The importance of the education about Patient Safety and additional curriculum are not completely recognized even among those teaching hospitals 5. Work load derived from the consecutive working hours over 8hrs tend to be underestimated. To improve these situations especially to establish an ad … More equate educational system, strategies to motivate the medical stuffs seem to be indispensable. To prevent incidents and assure the patient safety when residents perform invasive procedures, predictive risk analysis (PRA) was conducted for sub-clavian veni-puncture procedure and risks are summarized into spreadsheet. Based on the results, high risks that should be avoided are recognized and are categorized in terms of procedure, environment. An IT teaching material that enables residents to understand the apparent and latent risks easily on PC was developed. This IT material was tried among some teaching hospitals and highly reputated.After visiting some top-level simulation centers in USA, the merits and demerits associated with the simulation training were summarized, and the Morbidity & Mortality conferences which could be a potent weapon to improve the hospital systems are experienced and from the educational standpoint, it was recognized that those M&M conferences wait to be commonly held in the teaching hospitals in Japan. Less