Root cause analysis to identify major barriers to the promotion of patient safety in Japan
Root cause analysis to identify major barriers to the promotion of patient safety in Japan
复制标题
根本原因分析以确定促进日本患者安全的主要障碍
DOI：
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
S. Koizumi
中科院分区：
文献类型：
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作者：
Masaru Kurihara;T. Watari;Shintaro Kosaka;Kiichi Enomoto;Toru Kimura;Kaori Taniguchi;Satoshi Watanuki;Kiwamu Nagoshi;S. Koizumi
尽管现有的病人安全措施，医院内外，病人安全的障碍盛行。我们旨在确定日本患者安全性的当前促成因素。方法这项定性研究包括9名日本专家医疗保健提供者在医院内外工作。这些参与者包括六名医生，一名护士，一名药剂师和一名理疗师，他们在政府政策和公共卫生，学术界和安全管理方面广泛工作。使用在线Kawakita Jiro方法（KJ方法或亲和图）进行根本原因分析。我们在鱼骨图中标记并总结了分类，以阐明日本患者安全的障碍。结果我们确定了六个主要组的具体因素：医院系统，教育，法律和政策，文化和社会，以病人为中心，多学科合作。护理质量、患者参与度和患者安全专家短缺是多个群体的关键因素。结论本研究阐明了日本患者安全的组成部分，并为今后促进全面的患者安全提供了基础数据。定期对全面的患者安全问题进行根本原因分析，有助于制定战略，在医院和国家层面促进患者安全。
Objectives Despite existing patient safety measures, both outside and inside hospitals, barriers to patient safety prevail. We aimed to identify the current contributory factors to patient safety in Japan. Methods This qualitative study included nine expert Japanese health care providers working both inside and outside hospitals. These participants, who included six physicians, one nurse, one pharmacist, and one physical therapist, work across a broad spectrum in government policy and public health, academia, and safety management. Root cause analysis using the online Kawakita Jiro method (KJ method or affinity diagram) was conducted. We labeled and summarized the classification in a fishbone diagram to elucidate barriers to patient safety in Japan. Results We identified specific factors in six main groups: the hospital system, education, law and policy, culture and society, patient centricity, and multidisciplinary cooperation. Quality of care, patient engagement, and shortage of patient safety specialists were crucial factors for multiple groups. Conclusions This study clarifies components of patient safety in Japan and provides basic data for promoting comprehensive patient safety in the future. Periodic root cause analysis of comprehensive patient safety issues can help develop strategies to promote patient safety at both the hospital and national levels.