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A study of efficient RRS implementation method based on Team STEPPS in Japan

Research Project

Project/Area Number 15K08865
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical and hospital managemen
Research InstitutionNational Hospital Organization, Ureshino Medical Center

Principal Investigator

Fujiwara Shinsuke  独立行政法人国立病院機構嬉野医療センター(臨床研究部), 医局, 救急センター長 (10416563)

Research Collaborator Fujitani Shigeki  
Atgagi Kazuaki  
Koike Tomotaka  
Moriyasu Megumi  
Naitou Takaki  
Taneda Kenichirou  
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2017: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
KeywordsRapid Response System / 院内救急 / 医療安全 / In-hospital emergency / Medical Emergency Team / 院内救急対応 / チームSTEPPS
Outline of Final Research Achievements

It is an urgent issue in Japan to introduce RRS as a system that functions to reduce in-hospital cardiac arrest. In this study, we held an RRS promotion course aimed at increasing the number of MET activations, which based on Team STEPPS. As a result, the RRS promotion course played an important role to increase the number of MET activations. In order to implement RRS successfully, creating an environment that is easy for RRS to practice could be considered as one factor in the success of RRS implementation. TS and Kotter’s 8 Step provided hints to consider the strategy of each facility and this RRS promotion course has the potential to facilitate the implementation and evaluation of RRS in Japan.

Academic Significance and Societal Importance of the Research Achievements

本邦では医療事故調査制度の整備による院内死亡症例把握の必要性や、さらには医師の働き方改革による医師のライフスタイルの変化の必要性が言われている。院内心停止を減少させ、チーム医療を促進することになるRRSをスムーズに導入することは、時代の変化に対応した病院体制を構築するためにも、必要に迫られている。今までにもRRS導入における様々な障害が報告されているように、病院ごとに様々な特徴をもち、一律のシステムを導入しても上手く機能しない。これらの障壁を克服するためにRRS推進講座を企画し、開催した。このRRS推進講座を普及させることで、時代の流れに対応したRRSを導入するための強力なツールに成りうる。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (20 results)

All 2019 2018 2017 2016 Other

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (16 results) (of which Int'l Joint Research: 4 results,  Invited: 1 results) Remarks (3 results)

  • [Journal Article] The efficacy of a periodic proactive round in rapid response system2018

    • Author(s)
      藤原 紳祐、小野原 貴之、河上 ひとみ
    • Journal Title

      Journal of Japanese Society for Emergency Medicine

      Volume: 21 Issue: 1 Pages: 6-11

    • DOI

      10.11240/jsem.21.6

    • NAID

      130006406371

    • ISSN
      1345-0581, 2187-9001
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Role of Rapid Response Systems (RRS) promotion course in RRS implementation2019

    • Author(s)
      Shinsuke Fujiwara
    • Organizer
      The 15th International Conference on Rapid Response Systems and Medical Emergency Teams, Singapore
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Analysis of patients with sepsis from the Japanese Rapid Response System on-line registry -Clinical feature difference of septic patients between university hospitals and community hospitals-2019

    • Author(s)
      Shinsuke Fujiwara
    • Organizer
      The 15th International Conference on Rapid Response Systems and Medical Emergency Teams, Singapore
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] RRSオンラインレジストリからみた敗血症の現状2018

    • Author(s)
      藤原紳祐
    • Organizer
      第45回日本集中治療医学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 院内心停止レジストリ症例における蘇生時間と各因子の関連2018

    • Author(s)
      藤原紳祐
    • Organizer
      第45回日本集中治療医学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 救急外来での入院時NEWSスコアは何を意味するか?2018

    • Author(s)
      藤原紳祐
    • Organizer
      第46回日本救急医学会総会・学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Current status and near future of RRS in Japan2017

    • Author(s)
      Shinsuke Fujiwara
    • Organizer
      The 17th Joint Scientific Congress of the KSCCM and JSICM
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] RRS導入をスムーズに行うためには何が必要か? -RRS推進講座開催で得られた教訓-2017

    • Author(s)
      藤原紳祐
    • Organizer
      第20回日本臨床救急医学会総会・学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 韓国におけるRRSの実情と合同レジストリへの展望2017

    • Author(s)
      藤原紳祐
    • Organizer
      第20回日本臨床救急医学会総会・学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] RRS/院内心停止レジストリのデータをいかに自施設の医療安全に反映させるか?2017

    • Author(s)
      藤原紳祐
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] RRS導入前後の院内死亡率の変化2017

    • Author(s)
      藤原紳祐
    • Organizer
      第5回RRS研究会
    • Related Report
      2017 Research-status Report
  • [Presentation] RRS導入における問題点 ー中間解析ー2017

    • Author(s)
      藤原紳祐
    • Organizer
      第1回関西 Rapid Response System 研究会
    • Place of Presentation
      大阪市立総合医療センター
    • Related Report
      2016 Research-status Report
  • [Presentation] RRS推進講座開催から見えてきたRRS導入における問題点2016

    • Author(s)
      藤原紳祐
    • Organizer
      第11回医療と質の安全学会
    • Place of Presentation
      幕張メッセ国際会議場
    • Year and Date
      2016-11-19
    • Related Report
      2016 Research-status Report
  • [Presentation] Two-tier systemによるRRSの試み2016

    • Author(s)
      藤原紳祐
    • Organizer
      第19回日本臨床救急医学会総会・学術集会
    • Place of Presentation
      福島
    • Year and Date
      2016-05-12
    • Related Report
      2016 Research-status Report
  • [Presentation] Two-tier system によるRRSの試み2016

    • Author(s)
      藤原紳祐
    • Organizer
      第19回日本臨床救急医学会総会・学術集会
    • Place of Presentation
      福島
    • Year and Date
      2016-05-12
    • Related Report
      2015 Research-status Report
  • [Presentation] Limited Rapid Response System (RRS) could reduce unexpected hospital mortality in Japan2016

    • Author(s)
      藤原紳祐
    • Organizer
      45th Critical Care Congress
    • Place of Presentation
      Orland, USA
    • Year and Date
      2016-02-22
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 本邦におけるチームSTEPPSを参考にした施設への最適なRRS導入方法の研究2016

    • Author(s)
      藤原紳祐
    • Organizer
      神奈川Rapid Response System/Intensive Care 研究会
    • Place of Presentation
      川崎市立多摩病院
    • Related Report
      2016 Research-status Report
  • [Remarks] 日本院内救急検討委員会(日本集中治療医学会、日本臨床救急医学会)HP

    • URL

      https://www.ihecj.jp/

    • Related Report
      2017 Research-status Report
  • [Remarks] RRS/院内心停止レジストリ(日本集中治療医学会・日本臨床救急医学会)

    • URL

      http://hospital-em.net/

    • Related Report
      2016 Research-status Report
  • [Remarks] RRS/院内心肺停止レジストリ(日本集中治療医学会・日本臨床救急医学会)

    • URL

      http://hospital-em.net/

    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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