Project/Area Number |
16K15309
|
Research Category |
Grant-in-Aid for Challenging Exploratory Research
|
Allocation Type | Multi-year Fund |
Research Field |
Medical sociology
|
Research Institution | Nara Medical University |
Principal Investigator |
|
Project Period (FY) |
2016-04-01 – 2018-03-31
|
Project Status |
Completed (Fiscal Year 2017)
|
Budget Amount *help |
¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
|
Keywords | B型肝炎再活性化 / エラープルーフ法 / 階層分析 / B型肝炎 / 再活性化 / アンケート調査 / ガイドライン / エラープルーフ / 信頼性工学 |
Outline of Final Research Achievements |
Severe hepatitis associated with HBV reactivation has not been eradicated despite clinical sites commonly following screening procedures for HBV infection. We examined a countermeasure against HBV reactivation using a systematic error-proofing method. This approach was found to be useful for detecting potential errors in the process and generated 47 high-grade solutions. In addition, we examined whether the process was influenced by physician and/or patient background using questionnaire responses from 140 physicians in an analytic hierarchy process. The results revealed differences in awareness of the importance of the process by physicians according to field of specialty, years of experience and knowledge about HBV reactivation. Also, physicians active in the process tended to place importance on the administration of drugs that cause HBV reactivation, while physicians not active in the process were apt to ignore this issue, particularly if the patient showed poor prognosis.
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