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A Study on Prevention of Medical Accidents from the View Point of Quality Management

Research Project

Project/Area Number 14580491
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 社会システム工学
Research InstitutionWaseda University

Principal Investigator

MUNECHIKA Masahiko  MUNECHIKA,Masahiko, 理工学部, 教授 (10200247)

Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 2003: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 2002: ¥2,500,000 (Direct Cost: ¥2,500,000)
KeywordsMedication error / Quality Management / Error-Proofing / Analysis Method / Reporting System / Accident Prevention
Research Abstract

There are various forms of medical accidents. In any hospitals, medication errors and fall rank high in the number of accidents. The medication errors are mistaking quantity or type of medicine, and omitting medication. The fall is falling off beds or a wheelchair, and falling in walking. These two types of accidents account for 70 percent of all medical accidents and large effects are estimated if the accidents are reduced. The purpose of the study is reducing the two types of accidents.
In 2002 fiscal year, the issue of medication errors is mainly analyzed. The reports of accidents are examined from the view point of relation between standardized process of medication and actual work, and the causes of accidents are defined. Countermeasures are listed. Methodology of error prevention such as error-proofing, error detection and management systems such as process control, change control and equipment control are discussed between medical people and investigator. According to the results, a method of analyzing incident reports and reporting system are proposed. Some countermeasures are applied to actual process and their effects of accident prevention are verified.
In 2003 fiscal year, the issue of fall is analyzed. The condition of a disease and physical characteristics of patients are assessed. The data of fall and no fall are collected. Quantification II is applied to the data and the distinction between two groups is clarified. Then nursing plan and a table of planning countermeasures based on the results are proposed and effects of reducing accidents are verified. The medication errors are investigated as well. The methodology of promoting standardization and planning countermeasures of error prevention are established.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (53 results)

All Other

All Publications (53 results)

  • [Publications] 棟近雅彦: "医療へのTQM導入に向けて-日本でのNDPの取り組み"看護管理. 13. 32-34 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "医療ケアにおける質管理-改善のための重要な考え方"月刊薬事. 45. 91-98 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "医療ケアにおける質管理-インシデントレポートの分析"月刊薬事. 45. 97-103 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "品質マネジメントの視点から見た患者取り違え事故判決の意味"看護. 55. 69-76 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "医療ケアにおける質管理-標準化と改善"月刊薬事. 45. 93-98 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "医療ケアにおける質管理-人的ミスに対する組織的対処とエラープルーフ"月刊薬事. 45. 53-62 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "ISO9001:2000の有効活用-日立製作所水戸総合病院"標準化と品質管理. 56. 31-39 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "医療版ISOとその意義"看護展望. 28. 50-58 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 井上文江, 小宮山慎一, 棟近雅彦: "与薬安全ハンドブックの作成"月刊ナーシング. 23. 191-196 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "医療の質改善と病院機能評価,ISO"看護部長通信. 1. 12-18 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 上原鳴夫, 黒田幸清, 飯塚悦功, 棟近雅彦, 小柳津正彦: "医療の質マネジメントシステム-医療機関におけるISO9001の活用-"日本規格協会. 333 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "Introduction of TQM to Medical Health Care -NDP Activities in Japan-"Japanese Journal of Nursing Administration. 13-1. 32-34 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "Quality Management in Medical Health Core -Key Concepts for Improvement-"The Pharmaceuticals Monthly. 45-1. 91-98 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "Quality Management in Medical Health Core Analysis of Incident Reports-"The Pharmaceuticals Monthly. 45-2. 97-103 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "Significance of the Judgment of the Accident of Patient Misidentification from the View Point of Quality Management"Official Journal of the Japanese Nursing Association. 55-2. 97-103 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "Quality Management in Medical Health Core -Standardization and Improvement-"The Pharmaceuticals Monthly. 45. 93-98 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "Quality Management in Medical Health Core -Organizational Action on Human Errors and Error-Proofing-"The Pharmaceuticals Monthly. 45-5. 53-62 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "Effective Use of ISO9001 : 2000 -Hitachi Mito General Hospital-"Standardization and Quality Control. 56-8. 31-39 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "ISO Medical Health Care Version and its Significance"The Japanese Journal of Nursing Science. 28-11. 50-58 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] F.Inoue, S.Komiyama, M.Munechika: "Development of Safety Handbook in Medication"Nursing. 23-12. 191-196 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] M.Munechika: "Quality Improvement in Medical Health Care, and JCQHC Survey, ISO"Kangobusho Tsuushin. 1-6. 12-18 (2004)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] N.Uehara, Y.Kuroda, Y.Iizuka, M.Munechika, M.Oyaizu: "Japanese Standard Association"Quality Management System of Medical Health Care. 333 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 棟近雅彦: "医療へのTQM導入に向けて -日本でのNDPの取り組み"看護管理. 13, [1]. 32-34 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "医療ケアにおける質管理 -改善のための重要な考え方"月刊薬事. 45, [1]. 91-98 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 塚越太郎, 棟近雅彦: "集中治療室における新しい患者情報処理技術-安全性と質の向上"日本集中治療医学会雑誌. 10, Supplement. 207 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 塚越太郎, 棟近雅彦: "集中治療室における事故防止-標準化の推進と改善策立案の方法について"日本集中治療医学会雑誌. 10, Supplement. 205 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "医療ケアにおける質管理 -インシデントレポートの分析"月刊薬事. 45, [2]. 97-103 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "品賃マネジメントの視点から見た患者取り違え事故判決の意味"看護. 55, [2]. 69-76 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "医療ケアにおける質管理 -標準化と改善"月刊薬事. 45, [3]. 93-98 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "医療ケアにおける質管理 -人的ミスに対する組織的対処とエラープルーフ"月刊薬事. 45, [5]. 53-62 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 井上文江, 安藤廣美, 看護部業務改善委員, 棟近雅彦: "医療安全の取り組み"医療マネジメント学会雑誌. 4, [1]. 93 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 村瀬智也, 棟近雅彦, 井上文江, 高橋高美, 杉山良子: "看護業務のプロセスに着目した事故分析手法に関する研究"医療マネジメント学会雑誌. 4, [1]. 94 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 小宮山慎一, 井上文江, 棟近雅彦: "看護師教育のための誤薬防止ハンドブックの作成"医療マネジメント学会雑誌. 4, [1]. 93 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 鈴木雄大, 棟近雅彦, 三宅祥三: "療養具の安全性に関する研究"医療マネジメント学会雑誌. 4, [1]. 199 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 藁科えりか, 棟近雅彦, 高橋高美, 井上文江: "転倒・転落事故低減に関する研究"医療マネジメント学会雑誌. 4, [1]. 145 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 尾崎郁雄, 棟近雅彦, 高橋高美, 杉山良子: "エラープルーフを活用した与薬事故低減に関する研究"医療マネジメント学会雑誌. 4, [1]. 149 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "ICUにおけるクオリティマネジメントシステムの構築"第13回日本集中医学会九州地方会プログラム・抄録集. 21 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "ISO9001:2000の有効活用-日立製作所水戸総合病院"標準化と品質管理. 56, [8]. 31-39 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "医療版ISOとその意義"看護展望. 28, [11]. 50-58 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 井上文江, 小宮山慎一, 棟近雅彦: "与薬安全ハンドブックの作成"月刊ナーシング. 23, [12]. 191-196 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "医療の質改善と病院機能評価,ISO"看護部長通信. 1, [6]. 12-18 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "医療の質を向上するには"医療マネジメント学会長崎地方会講演要旨集. 13-24 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 小林秀, 棟近雅彦, 中村権一: "看護方法の標準化による尿路感染の低減"第19回日本環境感染学会総会. 164 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 小林秀, 棟近雅彦, 中村権一: "脳神経外科病棟における院内感染サーベイランス"第19回日本環境感染学会総会. 191 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 棟近雅彦: "医療の質保証用語について"日本品質管理学会第96回シンポジウム講演要旨集. 51-55 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 上原鳴夫, 黒田幸清, 飯塚悦功, 棟近雅彦, 小柳津正彦: "医療の質マネジメント"日本規格協会. 333 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 栗野友明, 棟近雅彦: "事故低減のための与薬プロセスの評価手法に関する研究"日本品質管理学会第32回年次大会研究発表要旨集. 5-8 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 棟近雅彦: "医療へのTQM導入に向けて-日本でのNDPの取り組み-"看護管理. 13,[1]. 32-34 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 棟近雅彦: "医療ケアにおける質管理-改善のための重要な考え方-"月刊薬事. 45,[1]. 91-98 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 棟近雅彦: "医療ケアにおける質管理-インシデントレポートの分析-"月刊薬事. 45,[2]. 97-103 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 塚越太郎, 棟近雅彦: "集中治療室における新しい患者情報処理技術-安全性と質の向上-"日本集中治療医学会雑誌. 10,supplement. 207 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 塚越太郎, 棟近雅彦: "集中治療室における事故防止-標準化の推進と改善策立案の方法について-"日本集中治療医学会雑誌. 10,supplement. 250 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 棟近雅彦: "医療ケアにおける質管理-標準化と改善-"月刊薬事. 45,[3]. 93-98 (2003)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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