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Study on Human Errors in the Fields of Nursing and Social Welfare

Research Project

Project/Area Number 13490031
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field 広領域
Research InstitutionNiigata Seiryou University

Principal Investigator

KINOSHITA Masuko  Niigata Seiryou University, Faculty of Nursing, Social Welfare and Psychology, Professor.Emertius, 看護福祉心理学部, 名誉教授 (50073052)

Co-Investigator(Kenkyū-buntansha) TAKESHLTA Yukiko  Faculty of Nursing, Social Welfare and Psychology, Professor, 看護福祉心理学部, 教授 (00018152)
OKUMURA Yurie  Faculty of Nursing, Social Welfare and Psychology, Professor, 看護福祉心理学部, 教授 (00273037)
DOBASHL Toshitaka  Faculty of Nursing, Social Welfare and Psychology, Professor, 看護福祉心理学部, 教授 (80310481)
SATO Nobue  Faculty of Nursing, Social Welfare and Psychology, Professor, 看護福祉心理学部, 教授 (20289797)
CHATANI Ritsuko  Faculty of Nursing, Social Welfare and Psychology, Assistant Professor, 看護福祉心理学部, 助教授 (10290066)
柳澤 尚代 (柳沢 尚代)  新潟青陵大学, 看護福祉心理学部, 助教授 (10310369)
Project Period (FY) 2001 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥9,400,000 (Direct Cost: ¥9,400,000)
Fiscal Year 2004: ¥1,800,000 (Direct Cost: ¥1,800,000)
Fiscal Year 2003: ¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 2002: ¥2,300,000 (Direct Cost: ¥2,300,000)
Fiscal Year 2001: ¥3,400,000 (Direct Cost: ¥3,400,000)
KeywordsHuman errors; / Prevention of nursing accidents; / Prevention of accidents in patient care; / Training in nursing safety; / Prediction of accident risk avoidance; / Work environment / 看護事故の構造分析 / 介護事故 / 安全看護教育方法 / 看護技術の安全化
Research Abstract

【Project 1-1. A survey on the status of human errors encountered in die practice of health care and social welfare service】 The manner of handling nursing-related accidents in reports on such accidents and preventive measures taken in the process were analyzed and classified ; and the needs to establish a framework for the topic of studies on nursing accidents and uniformity of terminology were indicated. Next, a survey was conducted on the status of risk management by those engaged in programs that meet the requirements the nursing insurance law in Niigata Prefecture. Although initial steps have been taken to prevent accidents, external support is needed to establish effective measures to accomplish this. 【Project 1-2. A survey on the status of risk management at home visiting nursing stations】 A survey on home nursing stations and focus group interviews of nursing personnel at these stations were conducted. The study clarified the background factors that affect the occurrence of acci … More dents related to home nursing and the measures that are needed to prevent them. 【Project 2-1. Subjective judgments on the possibility for accident development on the nursing scene and risk avoiding behavior】 A survey was conducted on the premonitions experienced by nurses on impending accidents while performing their daily nursing duties, as well as their behavior choices, determination, and accident predictions. To explain behavioral choices, novice nurses characteristically accept the opinions of more experienced nurses, while those nurses with more experience make judgments on safety based on certain key elements. There are some individual differences in predicting accidents but the backgrounds for such differences could not be ascertained 【Project 2-2. Nursing errors and basic nursing education-fundamentals and practices, individual characteristics, and external factors】 Accidents related to medical actions and factors responsible for the development of incidents were examined with 881 nurses in 5 facilities with different affiliations acting as the as attitude, recognition, observation, judgment, and confirmation by nurses were related to the occurrence of accidents. 【Project 3. Safety education in basic nursing training】 A focus group interview was conducted with 8 nurses. Following an accident, the attitudes of nurses were transformed from "tension and anxiety" and "self defense" to a "heightened sense of autonomy" and "sharing of information", promoting interprofessional cooperation. A survey by using questionnaires was conducted on the status of training for accident prevention at 4-year universities where licensed nurses, physicians, social workers, and nursing welfare service personnel are being trained. The number of independent courses intended for accident prevention has increased, especially at medical schools. In nursing universities, accident prevention is taught in association with other diverse subjects. 【Project 4. A model structure for human errors and construction of a curriculum for safety education】 To establish nursing education based on the structural analysis of human errors and behavior to avoid the development of accidents and to apply such an educational approach to practice, suggestions were made for the publication of appropriate educational materials and preparation of curricula for safety education. Less

Report

(5 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • 2001 Annual Research Report
  • Research Products

    (14 results)

All 2006 2004 2003 2002 Other

All Journal Article (9 results) Book (1 results) Publications (4 results)

  • [Journal Article] 訪問看護ステーションにおける事故予防対策-実態調査の結果から考える組織的な取り組み2006

    • Author(s)
      二階堂一枝
    • Journal Title

      新潟青陵大学紀要 第6号

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 訪問介護におけるインシデント・アクシデントおよび予防・対応策の実態2004

    • Author(s)
      二階堂一枝
    • Journal Title

      新潟青陵大学紀要 第4号

      Pages: 237-261

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Incident/accident at Visiting Nurse Service and their Prevention/counter measures2004

    • Author(s)
      Kazue nikaidou
    • Journal Title

      Bulletin of Niigata Seiryo University vol4

      Pages: 237-261

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 看護職が関与する医療事故・インシデントの発生要因2003

    • Author(s)
      佐藤信枝
    • Journal Title

      新潟青陵大学紀要 第3号

      Pages: 213-222

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 看護職の医療事故への意識 -N県でのフォーカス・グループ・インタビューより-2003

    • Author(s)
      柳澤尚代
    • Journal Title

      新潟青陵大学紀要 第3号

      Pages: 233-244

    • NAID

      110000961467

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Factors of medical accidents and incident involving nurses found in a survey conducted on nurses affiliated with general hospitals2003

    • Author(s)
      Nobue SATO
    • Journal Title

      Bulletin of Niigata Seiryo University vol3

      Pages: 213-222

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Awareness of nursing staff regarding medical accidents 〜From Focused Group Interview in N prefecture〜2003

    • Author(s)
      Hisayo YANAGISAWA
    • Journal Title

      Bulletin of Niigata Seiryo University vol3

      Pages: 233-244

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 介護事故実態に関する調査研究と介護事故の捉え方2002

    • Author(s)
      茶谷利つ子
    • Journal Title

      新潟青陵大学紀要 第2号

      Pages: 107-120

    • NAID

      110000039385

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The research on the adverse events and its prevention in Care service and the study on the dignition of them2002

    • Author(s)
      Ritsuko CHATANI
    • Journal Title

      Bulletin of Niigata Seiryo University vol2

      Pages: 107-120

    • NAID

      110000039385

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] こうして事故は起こった2004

    • Author(s)
      木下安子監修, 岐北厚生病院編著
    • Total Pages
      146
    • Publisher
      日総研出版
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] 木下安子: "訪問看護におけるインシデント・アクシデント・および予防・対応策の実態-介護保険法施行後3年を経たN市訪問看護ステーションの調査から-"新潟青陵大学紀要. 第4号. (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 佐藤 信枝: "看護者が関与する医療事故・インシデントの発生要因-総合病院に勤務する看護者の調査結果から-第1報"新潟青陵大学紀要. 第3号. (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 柳澤 尚代: "看護職の医療事故への意識-N県でのフォーカス・グループ・インタビューより-"新潟青陵大学紀要. 第3号. 233-243 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 茶谷 利つ子: "介講事故実態に関する調査研究と介護事故の捉え方"新潟青陵大学紀要. 第2号. 107-120 (2002)

    • Related Report
      2001 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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