• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Patient safety: Casting a spotlight on electronic medical record-related incidents

Research Project

Project/Area Number 19K15236
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 25010:Social systems engineering-related
Research InstitutionTokyo Institute of Technology

Principal Investigator

Gu Xiuzhu  東京工業大学, 工学院, 准教授 (20632615)

Project Period (FY) 2019-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2021: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2020: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
KeywordsPatient safety / Accident / Incident / EMR system / Taxonomy
Outline of Research at the Start

本研究では電子カルテシステムに起因する新たな患者安全問題に焦点をあて、これらの事象の報告・分析・対策・評価を含む「電子カルテシステム適応型インシデント管理システム」の構築を目指す。まず文献調査と専門家にインタビューを実施し、適応する「インシデント分類法」を開発する。これを利用し、インシデント・事故事例の分析の結果から、現状での問題点と特徴を解明する。これらの分析結果に加え、さらに電子カルテシステム先進国の安全管理経験をもとに、インシデント報告・分析・対策・評価を含む「電子カルテシステム適応型インシデント管理システム」を構築する。構築したシステムの有効性を病院でのケーススタディにより評価する。

Outline of Final Research Achievements

This study focused on new patient safety issues arising from electronic medical record (EMR) systems and aimed to develop an EMR-related incident management system that includes reporting, analysis, countermeasures, and evaluation of these events. A literature review and interviews with experts such as healthcare providers and management personnel were conducted to develop a taxonomy system for EMR-related incident analysis. Using this taxonomy system, the current problems and characteristics were clarified through the analysis of related incident and accident events. Based on these results, EMR-related incident management system was developed, consisting of incident reporting, analysis, countermeasures, and evaluation. The effectiveness of the system was evaluated through case studies, considering the trends in related incident reports, the appropriateness of countermeasures applied by the system, and the satisfaction levels of healthcare providers and management personnel.

Academic Significance and Societal Importance of the Research Achievements

本研究の3つの主要な成果:第一、電子カルテ(EMR)関連のインシデント分析のためのエラー分類法である。この分類法は、これまでの研究が技術的なエラーに焦点を当てていたのに対し、医療スタッフとEMRシステムとの間のインタラクションの失敗に注目。第二、日本の病院の現状におけるEMR関連のインシデントの重要な特徴である。この分野において日本での研究はまだ行われていないため、本研究で得られる結果は初めてのものとなる。第三、現在の患者安全管理システムは、新たなEMR関連の安全問題には適していないため、本研究で開発されたEMR関連のインシデント管理システムは、これらの問題を解決するための有用な支援となる。

Report

(6 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (18 results)

All 2024 2023 2022 2021 2020 2019 Other

All Int'l Joint Research (5 results) Journal Article (9 results) (of which Int'l Joint Research: 6 results,  Peer Reviewed: 9 results) Presentation (4 results) (of which Int'l Joint Research: 4 results)

  • [Int'l Joint Research] ノルウェー科学技術大学(ノルウェー)

    • Related Report
      2022 Research-status Report
  • [Int'l Joint Research] 同済大学/西安交通大学(中国)

    • Related Report
      2022 Research-status Report
  • [Int'l Joint Research] 西安交通大学/上海交通大学/太倉市中医医院(中国)

    • Related Report
      2021 Research-status Report
  • [Int'l Joint Research] 西安交通大学(中国)

    • Related Report
      2020 Research-status Report
  • [Int'l Joint Research] 西安交通大学(中国)

    • Related Report
      2019 Research-status Report
  • [Journal Article] Disclosing Harmful Patient Safety Incidents with Proactive Compensation Offer: How Patients Respond in Japan?2024

    • Author(s)
      Gu, X. and Deng, M.
    • Journal Title

      International Journal of Reliability and Safety

      Volume: -

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Occupational health and safety risk assessment: A systematic literature review of models, methods, and applications2023

    • Author(s)
      Liu Ran、Liu Hu-Chen、Shi Hua、Gu Xiuzhu
    • Journal Title

      Safety Science

      Volume: 160 Pages: 106050-106050

    • DOI

      10.1016/j.ssci.2022.106050

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Influencing Factors of Medical Adverse Events Reporting in Taicang, Jiangsu Province (in Chinese)2022

    • Author(s)
      Shao Zhen、Gu Xiuzhu、Shi Jianwei、Tian Kan、Yang Zhiqiang
    • Journal Title

      Chinese Journal of Social Medicine

      Volume: 39 Pages: 103-107

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] The Impacts of Disclosure and a Proactive Compensation Offer on Chinese Patients’ Actions After Medical Errors2021

    • Author(s)
      Gu Xiuzhu、Deng Mingming
    • Journal Title

      Journal of Patient Safety

      Volume: 17 Issue: 8 Pages: e745-e751

    • DOI

      10.1097/pts.0000000000000855

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Organizational climate for safe and effective inter‐unit handoffs in Japanese hospitals2021

    • Author(s)
      Gu Xiuzhu、Itoh Kenji
    • Journal Title

      The International Journal of Health Planning and Management

      Volume: Publish Ahead of Print Issue: 4 Pages: 1153-1165

    • DOI

      10.1002/hpm.3162

    • Related Report
      2021 Research-status Report 2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] The Impacts of Disclosure and a Proactive Compensation Offer on Chinese Patients’ Actions Following Medical Errors2021

    • Author(s)
      Gu Xiuzhu、Deng Mingming
    • Journal Title

      Journal of Patient Safety

      Volume: To appear

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Medical Error Disclosure: Developing Evidence-based Guidelines for Chinese Hospitals2020

    • Author(s)
      Gu Xiuzhu、Deng Mingming
    • Journal Title

      Journal of Patient Safety

      Volume: Publish Ahead of Print Issue: 8 Pages: e738-e744

    • DOI

      10.1097/pts.0000000000000760

    • Related Report
      2021 Research-status Report 2020 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Inter‐shift handoff: Changes over a 6‐year interval2020

    • Author(s)
      Gu Xiuzhu、Itoh Kenji
    • Journal Title

      Journal of Advanced Nursing

      Volume: 76 Issue: 12 Pages: 3418-3428

    • DOI

      10.1111/jan.14537

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] A comparative study on healthcare employee satisfaction between Japan and China2019

    • Author(s)
      Gu Xiuzhu、Itoh Kenji
    • Journal Title

      The International Journal of Health Planning and Management

      Volume: 35 Issue: 1 Pages: 171-184

    • DOI

      10.1002/hpm.2859

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Presentation] Resilience of Healthcare Systems in Natural Disaster - A Case Study in Henan Rainstorm2022

    • Author(s)
      Zhao, Y., Gu, X. and Liu, Y.
    • Organizer
      The 32nd European Safety and Reliability Conference (ESREL2022)
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Incident Experienced Patients and Families’ Expectations of Disclosure: A Cross-Cultural Study2022

    • Author(s)
      Gu, X., Deng, M. and Itoh, K.
    • Organizer
      The 6th World Conference on Production and Operations Management (P&OM)
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Incident experienced patients and families’ expectations of disclosure: A cross-cultural study2022

    • Author(s)
      Gu Xiuzhu、Deng Mingming、Itoh Kenji
    • Organizer
      The 6th World Conference on Production and Operations Management
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] How to make a medical error disclosure to patients?2019

    • Author(s)
      Gu Xiuzhu
    • Organizer
      IEEE International Conference on Industrial Engineering and Engineering Management (IEEM) 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research

URL: 

Published: 2019-04-18   Modified: 2025-01-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi