Empirical Research on Medical Error Reporting & Disclosure System, and it's Impact on Risk Management

为了检验医疗差错报告和披露制度的有效性及其对风险管理的影响，我们在乔尔·S·魏斯曼等人的基础上通过邮寄调查的方式进行了实证研究。2005年(JAMA，第293卷，第11期，第1359-1366页(2005))对日本各地约8,500家医院进行了调查(第一次调查约400家主要医院(2007年)，第二次调查约8,100家剩余医院(2009年))。在收集了两次邮件调查的数据后，我们计划比较Weisman等人之前的发现。2005年。根据2007年的调查(412家大医院的回复)，美国和日本似乎既有相似之处，也有不同之处。例如，制度错误观念的普遍存在和否认责任文化的相似之处。但在披露政策的文件化率、追究责任人的重要性和道歉意愿方面，存在显著差异。我们继续检查我们的发现。

In order to examine the effectiveness and its impact on risk management of medical error reporting and disclosure system, we have conducted empirical research by mail survey based on Joel S Weissman, et al. 2005 (JAMA, Vol.293, No.11, pp.1359-1366 (2005)) for about 8500 hospitals all over Japan (first survey is about 400 major hospitals (2007) and second survey is about 8100 remaining hospitals (2009)). After collecting data from two mail surveys, we plan to compare previous findings from Weisman et al. 2005. Bases upon the 2007 survey (412 responses from major hospitals), there seems to be both similarities and differences between U.S. and Japan. For example, the similarities are pervasiveness of system error notion and denial of blame culture. But there are significant differences in terms of rate of documentation of disclosure policy, to the extent of importance offinding out person responsible, and willingness of apology. We continue to examine our findings.