Complex deployment of the KYT intervention practice research paradigm towards safe culture brewing of the ward

以医疗事故发生过程防御模型为基础，开展了KYT科学医疗安全教育实践，并对实践效果进行了检验。因此，KYT的执行影响了医疗安全、行动和差错报告的意识。在KYT引入过程模型的介绍阶段，知识获取不会产生显著的影响。实习期结束一个月后，难以安排执行时间成为一个障碍。三个月后，进行风险信息传递、做KYT笔记以及自我行为改变(再确认等)等新行为。在实习生中得到认可。这些结果表明了KYT教育在实践中的积极作用和重要性。我想从现在开始，把这些知识广泛地回馈给社会。

We performed educational practice of KYT as a scientific medical safety education program based on a defense model against medical accident generation processes, and the effect by the practice was examined. As a result, enforcement of KYT affected the consciousness of medical safety, action, and error reporting. Positive influence on institution evaluation and safety culture was suggested.In the introductory period in a KYT introduction progress model, obtaining knowledge does not have any appreciable effect. One month after the practice period, difficulty in scheduling enforcement time became an obstacle. After three month, new acts such as transfer of risk information and making KYT notes as well as self behavioral changes (reconfirmation etc.) were recognized in the trainees. These results suggest positive effects and the importance of KYT education in practice. I would like to return the knowledge of these to society widely from now on.