| Project/Area Number |
17590449
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Tokyo Medical and Dental University, Graduate School |
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Principal Investigator |
OKAWA Atsushi Tokyo Medical and Dental University, Graduate School, Associate Professor, 大学院医歯学総合研究科, 助教授 (30251507)
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| Co-Investigator(Kenkyū-buntansha) |
TERAMOTO Kenichi Tokyo Medical and Dental University, Graduate School, Associate Professor, 大学院医歯学総合研究科, 助教授 (80197813)
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| Project Period (FY) |
2005 – 2006
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| Project Status |
Completed (Fiscal Year 2006)
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| Budget Amount *help |
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2006: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 2005: ¥1,900,000 (Direct Cost: ¥1,900,000)
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| Keywords | safety management / medical education / risk management / risk analysis / HAZOP / FMEA / 事故分析 / ガイドワード / プロセスマネージメント |
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| Research Abstract |
Although a number of incident reports are collected in a hospital to improve patient safety management, it is difficult to eliminate all medical errors. An educational approach is essential to promote a strong consciousness of patient safety especially in a resident.
Hazard And Operability Studies (HAZOP) is one of risk analysis methods having developed in a process industry such as chemical plants in 1970's. HAZOP is constituted by three steps, analyzing an operation in a step-wise fashion (called Work Breakdown Structure), discussing error causes and consequences, and mapping them onto a risk matrix. A main character of HAZOP differed from FMEA (Failure Mode and Effect Analysis) is that a discussion is proceeded in accordance with guide words, which enables to cover all the possibilities.
To develop HAZOP as a new educational approach of medical safety management, we had a lot of group works with residents, orthopedic doctors, nurses, and co-medical staffs in a trial basis. The themes for residents were tracheal intubation, epidural tubing, and central venous catheterization ; the themes for medical doctors endoscopic lumbar disc surgery and total hip replacement ; the themes for co-medical staffs accidental fall of in-patients and management of prescriptions.
Most of participants evaluated HAZOP as an effective training method for medical safety management. An issue to be solved was taking too much time for a session, and we plan to develop computer software to help discussion.
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