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Epidemiology of adverse event in surgical patients

Research Project

Project/Area Number 15K21535
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Medical and hospital managemen
Anesthesiology
Research InstitutionHyogo Medical University

Principal Investigator

Ohta Yoshinori  兵庫医科大学, 医学部, 講師 (10516404)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2016: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords医療の質 / 臨床疫学研究 / 手術関連有害事象 / 医原性有害事象
Outline of Final Research Achievements

We evaluated the epidemiology of Adverse Event (AE) in the cardiology outpatients and the surgical inpatients. In the cardiology outpatients we identified 144 AEs in 124 patients (16.3%) and 17 fatal or life-threatening AEs. The causes of all AEs were determined, and multiple cases were permitted. Of the 144 AEs, 120 were adverse drug events (ADEs) and 51 were non-ADEs: 17 operation-related AEs, 5 procedure-related AEs, 22 decision-making-related AEs and 7 others. Of the 17 fatal or life-threatening AEs, 7 were ADEs and 13 were non-ADEs including 9 operation-related AEs. We showed non-ADEs were higher risk AEs (p=0.0003). In the surgical inpatients the incidents of AEs was 69 AEs per 1,000 patient-days and the incidence of preventable AEs was 17 per 1,000 patient-days. Operation related-AEs were common and high risk in surgical patients and were especially important.

Report

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

    (20 results)

All 2018 2017 2016 2015

All Journal Article (6 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 6 results,  Open Access: 4 results,  Acknowledgement Compliant: 2 results) Presentation (14 results) (of which Int'l Joint Research: 7 results)

  • [Journal Article] Effect of norepinephrine dosage on mortality in patients with septic shock.2018

    • Author(s)
      Yamamura Hitoshi, Kawazoe Yu, Miyamoto Kyohei, Yamamoto Tomonori, Ohta Yoshinori, Morimoto Takeshi.
    • Journal Title

      Journal of Intensive Care

      Volume: 6 Issue: 1 Pages: 12-12

    • DOI

      10.1186/s40560-018-0280-1

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of dexmedetomidine on mortality and ventilator-free days in patients requiring mechanical ventilation with sepsis: A randomized clinical trial.2017

    • Author(s)
      Kawazoe Yu, Miyamoto Kyohei, Morimoto Takeshi, Yamamoto Tomonori, Fuke Akihiro, Hashimoto Atsunori, Koami Hiroyuki, Beppu Satoru, Katayama Yoichi, Itoh Makoto, Ohta Yoshinori, Yamamura Hitoshi, for the Dexmedetomidine for Sepsis in Intensive Care Unit Randomized Evaluation (DESIRE) Trial Investigators.
    • Journal Title

      JAMA

      Volume: 317 Issue: 13 Pages: 1321-1328

    • DOI

      10.1001/jama.2017.2088

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of dexmedetomidine on lactate clearance in patients with septic shock: A sub-analysis of a multicenter randomized controlled trial.2017

    • Author(s)
      Miyamoto Kyohei, Nakashima Tsuyoshi, Shima Nozomu, Kato Seiya, Ueda Kentaro, Kawazoe Yu, Ohta Yoshinori, Morimoto Takeshi, Yamamura Hitoshi.
    • Journal Title

      SHOCK

      Volume: - Issue: 2 Pages: 162-166

    • DOI

      10.1097/shk.0000000000001055

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Differences in adverse drug events among pediatric patients with and without cancer: Sub-analysis of a retrospective cohort study.2017

    • Author(s)
      Koizumi Akira, Ohta Yoshinori, Sakuma Mio, Okamoto Rika, Matsumoto Chisa, Bates David W, Morimoto Takeshi.
    • Journal Title

      Drugs - Real World Outcomes

      Volume: 4 Issue: 3 Pages: 167-173

    • DOI

      10.1007/s40801-017-0115-8

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Prevention of medication errors in hospitalized patients: The Japan Adverse Drug Events study.2016

    • Author(s)
      Noguchi C, Sakuma M, Ohta Y, Bates DW, Morimoto T.
    • Journal Title

      Drug Saf

      Volume: 39 Issue: 11 Pages: 1129-1137

    • DOI

      10.1007/s40264-016-0458-1

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Epidemiology of adverse events and medical errors in the care of cardiology patients.2016

    • Author(s)
      Ohta Y, Miki I, Kimura T, Abe M, Sakuma M, Koike K, Morimoto T.
    • Journal Title

      J Patient Saf

      Volume: 印刷中 Issue: 3 Pages: 251-256

    • DOI

      10.1097/pts.0000000000000291

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] Effect of PMX-DHP longer than 2 hours on mortality in patients with septic shock: A sub-analysis of multicenter randomized controlled trial.2017

    • Author(s)
      Kawazoe Y, Sato T, Miyagawa N, Yokokawa Y, Kushimoto S, Miyamoto K, Ohta Y, Morimoto T, Yamamura H, DESIRE Trial Group.
    • Organizer
      European Society of Intensive Care Medicine 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Improved inflammation with dexmedetomidine in patients with sepsis required mechanical ventilation: A sub-analysis of the DESIRE Trial.2017

    • Author(s)
      Ohta Y, Kawazoe Y, Miyamoto K, Yamamura H, Morimoto T, DESIRE Trial Investigators.
    • Organizer
      European Society of Intensive Care Medicine 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Does dexmedetomidine increase lactate clearance in patients with septic shock? A sub-analysis of multicenter randomized controlled trial.2017

    • Author(s)
      Nakashima T, Miyamoto K, Shima N, Katou S, Kawazoe Y, Ohta Y, Morimoto T, Yamamura H.
    • Organizer
      European Society of Intensive Care Medicine 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 日本からRCTを発信するにはどうすればよいか~DESIREトライアルの経験から~.2017

    • Author(s)
      太田好紀,山村仁,川副友,宮本恭兵,山本朋納,福家顕宏,平井康富,小網博之,別府賢,片山洋一,伊藤誠,森本剛.
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 敗血症ショックにおけるノルアドレナリン投与量と予後の関係~DESIREサブ解析から~.2017

    • Author(s)
      山村仁,川副友,宮本恭兵,山本朋納,太田好紀,森本剛.
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] デクスメデトミジンは敗血症患者の炎症反応を改善させるか~DESIREサブ解析から~.2017

    • Author(s)
      太田好紀,川副友,宮本恭兵,山村仁,森本剛.
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 敗血症性AKIにおける腎代替療法の効果を再考する~DESIREサブ解析から~.2017

    • Author(s)
      小網博之,阪本雄一郎,櫻井良太,太田美穂,今長谷尚史,八幡真由子,梅香満,三池徹,永嶋太,岩村高志,山田クリス孝介,井上聡,山村仁,川副友,宮本恭兵,太田好紀,森本剛.
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 敗血症性ショックに対する長時間PMX-DHPは2時間施行よりも有効か~DESIREサブ解析から~.2017

    • Author(s)
      川副友,佐藤哲哉,宮川乃理子,横川裕大,久志本成樹,宮本恭兵,太田好紀,森本剛,山村仁.
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 敗血症性ショックにおいてデクスメデトミジンは乳酸クリアランスを改善するか~DESIREサブ解析から~.2017

    • Author(s)
      島望,宮本恭兵,中島強,加藤正哉,川副友,太田好紀,森本剛,山村仁.
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] In-hospital adverse events among surgical patients in Japan: the JET study.2016

    • Author(s)
      Ohta Y, Sakuma M, Bates DW, Morimoto T.
    • Organizer
      European Society of Intensive Care Medicine 2016
    • Place of Presentation
      Milan, Italy
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Dexmedetomidine for ventilated septic patients in ICU: a multicenter randomized controlled trial.2016

    • Author(s)
      Miyamoto K, Kawazoe Y, Morimoto T, Yamamoto T, Fuke A, Hashimoto A, Koami H, Beppu S, Katayama Y, Ito M, Ohta Y, Yamamura H.
    • Organizer
      European Society of Intensive Care Medicine 2016
    • Place of Presentation
      Milan, Italy
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Epidemiology of medical errors among inpatients in Japan: The JET Study.2015

    • Author(s)
      Morimoto T, Ohta Y, Sakuma M, Bates DW.
    • Organizer
      32nd International Conference of the International Society for Quality in Health Care
    • Place of Presentation
      Doha, Qatar
    • Year and Date
      2015-10-07
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] The Epidemiology of adverse events in ICU patients in Japan: The JET Study.2015

    • Author(s)
      Ohta Y, Sakuma M, Bates DW, Morimoto T.
    • Organizer
      32nd International Conference of the International Society for Quality in Health Care
    • Place of Presentation
      Doha, Qatar
    • Year and Date
      2015-10-05
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] ICUにおける薬剤性有害事象の疫学研究2015

    • Author(s)
      太田好紀,作間未織,David W Bates,森本剛.
    • Organizer
      日本麻酔科学会第62回学術集会
    • Place of Presentation
      神戸ポートピアホテル(兵庫県・神戸市)
    • Year and Date
      2015-05-28
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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