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A Study on Construction of the Japanese closed claim database

Research Project

Project/Area Number 18KT0099
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section特設分野
Research Field The Information Society and Trust
Research InstitutionTeikyo University

Principal Investigator

Yasuhiro Otaki  帝京大学, 公私立大学の部局等, 教授 (60464004)

Project Period (FY) 2018-07-18 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2021: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywordsクローズドクレーム / 医事紛争 / 医療事故 / 医療過誤 / 患者安全 / 医療クレーム / クライシスマネジメント
Outline of Final Research Achievements

For comprehensive and multilevel analysis of closed claims and practical use in the future, first of all, it is necessary to collect, classify and organize past closed claims and construct the database, and this study was carried out. In 2018, the information necessary for the construction of the database was extracted, and the items were arranged. In 2019, a prototype version of the database was constructed based on the extracted items. In 2020, one year's incidents (1200 cases) processed by Sompo-Japan Insurance Corporation (Tokyo Branch) were entered. In 2021 in the final year, searchability and coverage of the database were verified, and the element was examined, and the archetype of the closed claims database which proceeded to the development in future was constructed.

Academic Significance and Societal Importance of the Research Achievements

医療事故情報源の一つに、病院・医師賠償責任保険を取り扱う保険会社の保有するクローズドクレームが存在し、欧米ではそれが分析されて、医療管理に利用されている。我々もこれまで、損保ジャパン株式会社の協力を得て、同社の保有するクローズドクレームを分析し、その医療管理における有用性を報告してきた。しかし、将来の大規模な研究・分析、また、実践的利活用のためには、それを整理してデータベース化する必要があると考え、今回、試作版のデータベースを構築した。本研究成果は、今後開発に進むクローズドクレームデータベースの原型であり、将来の医療管理における多様な研究及び実用化への第一歩である。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (8 results)

All 2022 2021 2020 2019 2018

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (3 results) (of which Invited: 2 results) Book (4 results)

  • [Journal Article] The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan2022

    • Author(s)
      Yasuhiro Otaki , Naofumi Fujishiro , Yasuaki Oyama , Naoko Hata , Daisuke Kato , Shoji Kawachi
    • Journal Title

      PloS one

      Volume: 17 Issue: 1 January Pages: 0261636-0261636

    • DOI

      10.1371/journal.pone.0261636

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 帝京大学薬学部新入生の患者安全意識の検討2020

    • Author(s)
      長谷 主帆 , 朱 暁人 , 笹森 千愛 , 笠井 健司 , 大滝 恭弘
    • Organizer
      日本薬学教育学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 医療現場における法的責任と紛争予防に向けて2019

    • Author(s)
      大滝 恭弘
    • Organizer
      日本医療安全学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 医療行為に対する法的責任のあり方と医療安全の向上に向けて2019

    • Author(s)
      大滝恭弘
    • Organizer
      第6回 日本医療安全学会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Book] 【第二版】医療系学部のための「医療と社会」入門2021

    • Author(s)
      大滝恭弘 , 加藤大裕 , 齋藤智恵 , 秦奈峰子
    • Total Pages
      200
    • Publisher
      ムイスリ出版
    • ISBN
      9784896412994
    • Related Report
      2021 Annual Research Report
  • [Book] 【第三版】医療法学入門2021

    • Author(s)
      大磯, 義一郎 , 大滝, 恭弘 , 荒神, 裕之
    • Total Pages
      313
    • Publisher
      医学書院
    • ISBN
      9784260045889
    • Related Report
      2021 Annual Research Report
  • [Book] 医事法辞典2018

    • Author(s)
      甲斐克則
    • Total Pages
      592
    • Publisher
      信山社
    • ISBN
      9784797270150
    • Related Report
      2018 Research-status Report
  • [Book] 〔改訂版〕医療系学部のための「医療と社会」入門2018

    • Author(s)
      大滝恭弘
    • Total Pages
      183
    • Publisher
      ムイスリ出版
    • ISBN
      9784896412710
    • Related Report
      2018 Research-status Report

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Published: 2018-07-20   Modified: 2023-01-30  

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