| Project/Area Number |
14370769
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Tokyo Medical and Dental University |
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Principal Investigator |
ABE Toshiko Tokyo Medical and Dental University, Faculty of Medicine, Part Time Lecturer, 医学部, 非常勤講師 (90292614)
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| Co-Investigator(Kenkyū-buntansha) |
ITO Kenji Tokyo Institute of Technology, Graduate School of Decision Science and Technology, Professor, 大学院・社会理工学研究科, 教授 (80159871)
HASEGAWA Tomonori The Toho University, Faculty of Medicine, Associate Professor, 医学部, 助教授 (10198723)
AOKI Hiroki Tokyo Institute of Technology, Graduate School of Decision Science and Technology, Assistant Professor, 大学院・社会理工学研究科, 助手 (00322090)
YAMADA Yukari Tokyo Medical and Dental University, Graduate School of Health Science, Associate Professor, 大学院・保健衛生学研究科, 助教授 (00306846)
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| Project Period (FY) |
2002 – 2005
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| Project Status |
Completed (Fiscal Year 2005)
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| Budget Amount *help |
¥13,600,000 (Direct Cost: ¥13,600,000)
Fiscal Year 2005: ¥2,300,000 (Direct Cost: ¥2,300,000)
Fiscal Year 2004: ¥3,700,000 (Direct Cost: ¥3,700,000)
Fiscal Year 2003: ¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 2002: ¥3,600,000 (Direct Cost: ¥3,600,000)
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| Keywords | Safety Culture / Benchmark / ATHMT / Patient team care / Hospital Management / EBM / Accident / 医療安全 / インシデント / システムアプローチ / ヒューマン・エラー / 諸外国 / 医療における「安全文化」 / インシデントレポート / モラール / モチベーション / 価値観 / 認識 / 医療事故発生率 / システムアプローチモデル / 組織における「安全文化」 / 医療行為 / 測定ツール |
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| Research Abstract |
The system approach model for a safety medical treatment is offered by clarification of the elements and quantitative analysis of "Safety Culture" in the medical treatment and intervention study toward its improvement. "Attitude Toward Hospital Management Tool" (ATHMT) that measures the safety culture of the nursing employment was composed of five sub elements of "Team work", "Recognition to the system and management", "Recognition to the authority", "Recognition of the coping under the stress", and "Sense of belonging". Using the sub elements of ATHMT clarifies the composition of the safety culture of an organization and the area should be improved. It will also be possible to improve the safety culture by using the ATHMT continuously.
Though has not been obtained any proof that the improvement of the safety culture in the organization improves the safety of the medical treatment yet, the incidence of the malpractice is not high and it is assumed that there are limitations in randomized controlled trail in traditional EBM (evidence based medicine). Therefore, development of an indicator of "Safety Culture", in addition to the scale to measure it, will be needed to construct an empirical evidence with the investigation in two or more medical institutions.
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