Research on standardization of explanation consent process in the field of emergency and intensive care for patient happiness
| Project/Area Number |
16K15395
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Multi-year Fund |
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| Research Field |
Medical and hospital managemen
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| Research Institution | Tokyo Medical University |
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Principal Investigator |
Jun Oda 東京医科大学, 医学部, 主任教授 (60459500)
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| Co-Investigator(Kenkyū-buntansha) |
織田 香里 (鈴木香里) 東京医科大学, 医学部, 客員研究員 (10366130)
東 一成 東京医科大学, 医学部, 助教 (20449169)
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| Project Period (FY) |
2016-04-01 – 2019-03-31
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| Project Status |
Completed (Fiscal Year 2018)
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| Budget Amount *help |
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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| Keywords | リスクマネジメント / インフォームド・コンセント / 救急集中治療 / 患者満足度 / 救急医学 / 集中治療 / 医学的判断 / 診療技術 / 可視化 / 救急・集中治療 |
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| Outline of Final Research Achievements |
Informed consent (IC) has been emphasized as patients-centered medical care. However, it cannot be said that it is a process to share consent truly between patients and medical staff because each medical facility can only contrive ways to improve the IC. In this study, based on our established clinical framework consist of Airway(A), Breathing(B), Circulation(C), Dysfunction of central and peripheral nervous system(D), additionally, Infection/Inflammation/DIC(I), Nutrition(N), rehabilitation(R), Family(F), and transfer/transport/discharge(T), we developed standardized IC tools, particularly difficult to obtain IC, by multiregional study.
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| Academic Significance and Societal Importance of the Research Achievements |
・救急集中治療領域における診療録データベースを確立した後、書面による説明と同意を得る手順やそのツールとして、単にわかりやすい語への置き換えのみでなく、臨床における使用頻度やかかりうけを解析して重要度を勘案して研究を進めた。
・造影剤のような薬剤使用リスクのあるものや、輸血実施に伴う同意と書類、DNAR(Do Not Attempt Resuscitation)、移植医療と意思決定に関わるものなど重大かつ特に社会的関心の高い対象についての同意形成を解析し、ツールを作成し妥当性を確認した。さらに教育にも活用した。
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Report
(4 results)
Research Products
(15 results)
