Research on risk management of the nursing accidents in the medical field - Description and analysis on the incident report -

我们试图建立“事件报告的描述性和分析性模型”，以便更早地找出组织中潜在的风险信息，以确定如何引导他们采取预防措施。我们最初针对护理部主任、护士长和风险经理等约30人进行了访谈，以掌握医疗领域发生的情况。再次揭示了他们为了寻求可行的改进而重复试错过程的情况，而不是花了很大力气在“鼓励员工暂时晋升”上，根据调查结果，对全国60多家医院的护理部主任进行了《风险管理的实际情况和存在的问题》问卷调查。问卷中明确表明，对事件报告的描述仍停留在个人层面，未能将其转化为目前以预防组织事故为目的的应对方式，也几乎可以看出这些描述中存在的问题，即：在风险管理技术的应用中，不仅基本思想在制作时间序列事件的前期报表和描述中没有起到生动的作用，而且这些优秀技术的优势也没有得到充分的发挥，因此，我们提出了基本原则和实用的描述方法，只是为了用于时间序列事件的描述方法，然后再以风险管理技术作为模型。

We tried to make "descriptive and analytical models of the incident report" in order to find out the potential risk information in an organization earlier for the purpose of establishing how to lead them to the preventive measures.We initially interviewed targeting at approx 30 peoples such as the directors of nursing department, chief nurses and risk managers in order to grasp what is happening in the medical field.It was resurtingly revealed the situation that they had repeated the process of trial and error for seeking out how to get the workable improvement, regardless a great deal of efforts made on "encouraging staff member to promote for the time being", "improvement of reporting form" and so forth.Based upon the results revealed, we, furthermore, carried out the questionnaire survey regarding "the actual situation and the problems where is going on in the risk management" targeting at more than sixty directors of nursing department in the hospitals across the country.It is explicitly shown in the questionnaire that the descriptions on the report of incident remains at individual level and that they fail to transform it to the present way of coping aiming at the prevention of the organizational accidents, and also it was nearly made possible to know where there lies a problem in those descriptions, that is, they were in the situation that not only the basic ideas had not worked vividly in making the reporting form and the descriptions on the time-series incident in preliminary stage to apply the risk management techniques, but moreover the advantages of those excellent techniques had not been made full use of by them.We, therefore, proposed the basic principle and the practical descriptive methods simply for the use in the descriptive method of time-series incident and then the risk management techniques to be employed as a model.