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Medical accident generation process defense model seen from integrated aspect in basic nursing education

基础护理教育综合视角下的医疗事故发生过程防御模型

基本信息

批准号：
17592204
负责人：
HYODO Yoshimi
金额：
$ 2.46万
依托单位：
Okayama University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2007
项目状态：
已结题

项目摘要

1. The multivariate analysis of "Background factors of medical accidents in the nursing scene and its relation to error generation" was carried out. A factor which triggers medical incident indirectly through stress reactions of nurses was found. In contrast, assertion ability, social support, and self-effect feeling are related to decrease of stress reaction of nurses, and were shown that they were factors to reduce Incident indirectly. Thus, this new viewpoint of "Background factors of medical accidents in the nursing scene and its relation to medical incident" yielded meaningful results.2. In this program, "Dynamic model of the generation process to the error occurrence in relation to background factors of medical accidents" has been developed. In the analyses, daily practice of confirmation by nurses themselves was found to be often effective, and it is a stopper of errors. Nurses with little support from their superior had a higher tendency to experience medical incident under higher stress than usual scene. On the other hand, nurses who were able to obtain support from their superior, did not show influence of a degree of stress reaction in frequency of medical incident. Several quantitative analyses of error generation though modeling have been developing, but almost no study pays much attention to prevention factors in error generation. This type of basic analysis is a very important for the prevention of medical accidents.3. Group presentation and discussion by nursing students were introduced as a method of improving their precognition ability for danger, and empirical research was carried out. "Risk experience game" for prevention of medical accidents was developed, and it was played in a class for student nurses and in a short course for teachers of nursing. As a result, a significant change in recognition for safety was observed.

1. 对“护理现场医疗事故的背景因素及其与差错产生的关系”进行多变量分析。发现护士应激反应是间接引发医疗事故的因素。而主张能力、社会支持、自我效应感与护士应激反应的降低相关，是间接降低事故率的因素。因此，“护理现场医疗事故的背景因素及其与医疗事件的关系”这一新观点产生了有意义的结果。在本项目中，建立了“医疗事故背景因素对差错发生产生过程的动态模型”。在分析中，发现护士自己的日常确认实践往往是有效的，它是一个错误的阻止。在上级支持较少的情况下，护士在压力较大的情况下发生医疗事故的可能性高于正常情况。另一方面，能够获得上级支持的护士在医疗事故发生频率上没有表现出一定程度的应激反应的影响。目前已经有了一些通过建模对误差产生进行定量分析的研究，但几乎没有研究关注误差产生的预防因素。这种类型的基础分析对于医疗事故的预防是非常重要的。采用小组陈述和小组讨论的方式提高护生对危险的预知能力，并进行实证研究。开发了预防医疗事故的“风险体验游戏”，并在护理学生课堂和护理教师短期课程中进行了游戏。结果，人们对安全的认识发生了重大变化。

项目成果

期刊论文数量（0）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

看護学生のヒヤリハット傾向と危険予知トレーニングの実践

护生未遂事件趋势及风险预测训练实践

DOI：
发表时间：
2007
期刊：
クリニカルスタディ 28(12)
影响因子：
0
作者：
Miyako;Oike;Tomoko;Nagaie;Hiroe;Harada;Norie;Suetsugu;Etsuko;Harada;Chieko;Yamamoto;Kikuko;Taketomi;兵藤好美;兵藤好美
通讯作者：
兵藤好美

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