| Project/Area Number |
18390164
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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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 | Nihon University |
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Principal Investigator |
OHMICHI Hisashi (OHIMICHI Hisashi) Nihon University, 医学部, 教授 (60158805)
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| Co-Investigator(Kenkyū-buntansha) |
UMESATO Yosimasa 日本大学, 医学部, 准教授 (60213485)
TERASAKI Hitoshi 横浜市立大学, 附属市民総合医療センター, 准教授 (90227512)
HASHIGUCHI Toru 日本福祉大学, 福祉経営学部, 准教授 (20337439)
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| Project Period (FY) |
2006 – 2009
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| Project Status |
Completed (Fiscal Year 2009)
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| Budget Amount *help |
¥16,490,000 (Direct Cost: ¥13,700,000、Indirect Cost: ¥2,790,000)
Fiscal Year 2009: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2008: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2007: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2006: ¥4,400,000 (Direct Cost: ¥4,400,000)
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| Keywords | 有害事象 / 医療安全 / コスト分析 / 機会費用 / 病院予算 / 人件費 / 医療事故 / トレーサビリティ / バーコード / リスクマネジメント / 医療費 / 会計モデル / 医療安全コスト |
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| Research Abstract |
The objective of this study is to survey the changes of health care services cost or resource consumption accompanied with adverse events, and to estimate required cost to prevent adverse events. Prolonged length of hospital stay and/or additional procedures could be known, but the human resource crisis in the acute hospital care is too serious to carry out effective survey, the study was restricted within the model analyses. On the basis of detailed case analyses, it was found personnel cost including opportunity cost could indicate better reference on resource consumption to prevent adverse events. Then, 1514 hospitals were surveyed on how hospital staff allocates his/her time to safety services. Responses of 843 hospital had induced the result that the average cost for safety management could be estimated amounted to 74 million yen per hospital, i.e. 734 yen per bed per day, and the tendency was found that the smaller hospital, the more expensive per bed.
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