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错误产生的关系”进行了多元分析。发现了通过护士的压力反应间接触发医疗事件的因素。相反，断言能力，社会支持和自我效果的感觉与护士的压力反应的减少有关，并证明它们是间接减少入射的因素。因此，这个新的观点是“护理现场医疗事故的背景因素及其与医疗事件的关系”产生了有意义的结果。2。在此程序中，已经开发了“与医疗事故背景因素有关的误差发生的动态模型”。在分析中，护士本身的日常确认实践通常是有效的，这是错误的障碍。在上级支持的情况下，护士几乎没有比平时更高的趋势在压力下经历医疗事件。另一方面，能够从上级获得支持的护士没有在医疗事件频率中表现出一定程度的压力反应的影响。虽然建模的一些定量分析已经开发，但几乎没有研究对错误产生的预防因素引起了很多关注。这种基本分析对于预防医疗事故非常重要3。介绍了护理学生的小组演讲和讨论，以提高其预认识能力的危险能力，并进行了经验研究。开发了预防医疗事故的“风险体验游戏”，并在课堂上为学生护士和护理老师的短期课程播放。结果，观察到对安全性的识别发生了重大变化。

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

医療における安全対策の基本.新体系看護学全書11巻基礎看護学(2)基礎看護技術I

医疗安全措施基础知识新系统护理全书第11卷基础护理（2）基础护理技术Ⅰ。