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Study on outcome assessment of interventions towards reduction of medical adverse events

Research Project

Project/Area Number 20249034
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionTohoku University

Principal Investigator

UEHARA Naruo  東北大学, 大学院・医学系研究科, 教授 (80144286)

Co-Investigator(Kenkyū-buntansha) HARADA Kenji  東京大学, 大学院・医学系研究科, 特任助教 (40378922)
HUJIMORI Keisei  東北大学, 病院, 准教授 (50238622)
SEO Norimasa  自治医科大学, 医学部, 教授 (40093257)
MIYATA Tsuyoshi  東北大学, 大学院・医学系研究科, 准教授 (60282076)
KAWANO Ryutaro  自治医科大学, 医学部, メディカルシュミレーションセンター長 (90468330)
坂口 美佐  滋賀医科大学, 病院, 講師 (20437172)
Research Collaborator BRIAN Jarman  Imperial College, U.K., 名誉教授
HONMA Takashi  社団法人日本臨床工学技士会, 副会長
SATO Keiji  静岡市立静岡病院, 臨床工学科, 科長
SUGIYAMA Yoshiko  武蔵野赤十字病院, GRM
YAMAMOTO Keiko  春日部市立病院, 副院長
SAKAGUCHI Misa  滋賀医科大学, 医学部・附属病院, 講師
CHIHARA Izumi  東北大学, 大学院・医学系研究科, 助手
KOBAYASHI Mima  千葉大学, 大学院, 准教授
MIYATA Hiroaki  東京大学, 大学院・医学系研究科
NAKAMURA Mashio  三重大学, 医学部, 教授
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥40,820,000 (Direct Cost: ¥31,400,000、Indirect Cost: ¥9,420,000)
Fiscal Year 2010: ¥11,180,000 (Direct Cost: ¥8,600,000、Indirect Cost: ¥2,580,000)
Fiscal Year 2009: ¥13,260,000 (Direct Cost: ¥10,200,000、Indirect Cost: ¥3,060,000)
Fiscal Year 2008: ¥16,380,000 (Direct Cost: ¥12,600,000、Indirect Cost: ¥3,780,000)
Keywordsリスクマネジメント / 品質管理システム / 医療安全 / 標準化病院死亡比 / アウトカム指標 / 医療安全全国共同行動 / 医学安全 / 評価 / 指標
Research Abstract

A national campaign"PARTNERS for Patient Safety"was implemented by collaborative efforts of hospitals and professional societies and its effects were assessed by Japanese model of Hospital Standardized Mortality Ratio (HSMR).
The HSMRs of participant hospitals showed decrease from 98. 5 to 90. 7 while those of non-participant hospitals increased from 106. 3 to 112. 4, which suggested the utility of HSMR as comprehensive outcome indicator for safety improvement.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (34 results)

All 2012 2010 2009 2008 Other

All Journal Article (14 results) (of which Peer Reviewed: 11 results) Presentation (18 results) Remarks (2 results)

  • [Journal Article] 医療安全の課題と対策-全国共同行動の8つの目標と対策2010

    • Author(s)
      上原鳴夫
    • Journal Title

      綜合臨牀

      Volume: 59巻 Pages: 435-439

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Training and simulation for patient safety.2010

    • Author(s)
      Aggarwal R, Mytton OT, Derbrew M, Hananel D, Heydenburg M, Issenberg B, MacAulay C, Mancini ME, Morimoto T, Soper N, Ziv A, Beznick R.
    • Journal Title

      Qual Saf Health Care (in press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Patient safety research : an overview of the global evidence.2010

    • Author(s)
      Jha AK, Prasopa-Plaizier N, Larizgoitia I, Bates DW ; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety(Allegranzi B, Angood P, Bhutta Z, Davis P, Grandt D, Hamid M, Insua J, Kaitiritimba R, Khamassi S, Madiba T, Morimoto T, Noble D, Norton P, Pang TE, Sidorchuk R, Supachutikul A, Thomas E)
    • Journal Title

      Qual Saf Health Care 19

      Pages: 42-47

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 大学病院における転倒アセスメントスコアの改訂と予測能の比較.2010

    • Author(s)
      田中武一, 森本剛, 足立由起, 雛田知子, 長尾能雅, 坪山直生, 市橋則明
    • Journal Title

      医療の質・安全学会雑誌 5巻

      Pages: 22-31

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 医療安全全国共同行動' いのちをまもるパートナーズ' が目指すもの2009

    • Author(s)
      上原鳴夫
    • Journal Title

      呼吸器ケア

      Volume: Vol.7 (No11) Pages: 1-1

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 行動目標と推奨する対策2009

    • Author(s)
      上原鳴夫
    • Journal Title

      医療の質・安全学会誌

      Volume: 4(1) Pages: 117-119

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 安全に中心静脈カテーテルを挿入するための活動-医療安全全国共同行動の概要と中心静脈穿刺専用室の有用性-2009

    • Author(s)
      宮田剛
    • Journal Title

      栄養-評価と治療 2(4)

      Pages: 1-4

    • Related Report
      2009 Annual Research Report
  • [Journal Article] 行動目標3b:大学病院における穿刺合併症低減を目的とした中心静脈穿刺専用室設置.2009

    • Author(s)
      宮田剛、佐藤成、藤盛啓成、衣袋静子、梁川功、里見進
    • Journal Title

      医療の質・安全学会誌 4(1)

      Pages: 128-134

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of BLS training on factors associated with attitude toward CPR in college students.2009

    • Author(s)
      Hamasu S, Morimoto T, Kuramoto N, Horiguchi M, Iwami T, Nishiyama C, Takada K, Kubota Y, Seki S, Maeda Y, Sakai Y, Hiraide A
    • Journal Title

      Resuscitation 80

      Pages: 359-364

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Global priorities for patient safety research.2009

    • Author(s)
      Bates, DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK ; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety(Allegranzi B, Angood P, Bhutta Z, Davis P, Grandt D, Hamid M, Insua J, Kaitiritimba R, Khamassi S, Madiba T, Morimoto T, Noble D, Norton P, Pang TE, Sidorchuk R, Supachutikul A, Thomas E)
    • Journal Title

      BMJ 338

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 「危険手技の安全な実施」のための取り組みと期待-(a) 経鼻栄養チューブ挿入時の位置確認の徹底2009

    • Author(s)
      坂口美佐・山元恵子
    • Journal Title

      EB NURSING Vol.9 No.1

      Pages: 98-102

    • Related Report
      2008 Annual Research Report
  • [Journal Article] 『危険手技の安全な実施』のための取り組みと期待(b) 中心静脈カテーテル穿刺挿入手技に関する安全指針の遵守2009

    • Author(s)
      宮田剛、衣袋静子
    • Journal Title

      EB NURSING 9(1)

      Pages: 102-108

    • Related Report
      2008 Annual Research Report
  • [Journal Article] Effects of BLS training on factors associated with attitude toward CPR in college students2009

    • Author(s)
      Hamasu S, Morimoto T*, Kuramoto N, Horiguchi M, Iwami T, Nishiyama C, Takada K, Kubota Y, Seki S, Maeda Y, Sakai Y Hirairin A
    • Journal Title

      Resuscitation 80

      Pages: 359-364

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 標準化病院死亡比(HSMR)とは2008

    • Author(s)
      千原泉、上原鳴夫
    • Journal Title

      医療の質・安全学会誌

      Volume: 第3巻3/4号 Pages: 251-253

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Presentation] 医療安全全国共同行動の輪を広げよう2012

    • Author(s)
      上原鳴夫
    • Organizer
      石川県医療安全フォーラム(石川県医師会主催)
    • Place of Presentation
      金沢市
    • Year and Date
      2012-01-29
    • Related Report
      2010 Annual Research Report
  • [Presentation] 医療安全全国共同行動議長報告2010

    • Author(s)
      高久史麿
    • Organizer
      医療安全全国フォーラム(医療安全全国共同行動主催)
    • Place of Presentation
      東京都
    • Year and Date
      2010-11-26
    • Related Report
      2010 Annual Research Report
  • [Presentation] 医療安全全国共同行動について2010

    • Author(s)
      上原鳴夫
    • Organizer
      山形県医療安全フォーラム(山形県医師会主催)
    • Place of Presentation
      山形市
    • Year and Date
      2010-11-11
    • Related Report
      2010 Annual Research Report
  • [Presentation] 医療安全全国共同行動について2010

    • Author(s)
      上原鳴夫
    • Organizer
      滋賀県医療安全フォーラム(滋賀県病院協会主催)
    • Place of Presentation
      大津市
    • Year and Date
      2010-11-02
    • Related Report
      2010 Annual Research Report
  • [Presentation] 患者安全と投薬治療のリスク管理2009

    • Author(s)
      上原鳴夫
    • Organizer
      第15回日本薬剤疫学会総会・学術集会シンポジウム1「医薬品のリスクコミュニケーション」
    • Place of Presentation
      東京大学医学部鉄門記念講堂
    • Year and Date
      2009-11-14
    • Related Report
      2010 Final Research Report
  • [Presentation] シンポジウム「東北大学病院におけるCVセンター導入について」2009

    • Author(s)
      宮田剛
    • Organizer
      日本麻酔科学会第56回学術集会
    • Place of Presentation
      神戸
    • Year and Date
      2009-08-17
    • Related Report
      2009 Annual Research Report
  • [Presentation] 医療安全全国共同行動 いのちをまもるパートナーズ がめざすもの2009

    • Author(s)
      上原鳴夫
    • Organizer
      第36回日本集中治療医学会学術集会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2009-02-26
    • Related Report
      2010 Final Research Report
  • [Presentation] Epidemiology of hemorrhagic and gastrointestinal adverse effects of low-dose aspirin for primary prevention of atherosclerotic events in type 2 diabetic patients : Insights from JPAD trial.2009

    • Author(s)
      Morimoto T, Ogawa H, Nakayama M, Uemura S, Kanauchi M, Doi N, Jinnouchi H, Soejima H, Sugiyama S, Waki M, Kawano T, Saito Y
    • Organizer
      American Heart Association Scientific Sessions
    • Place of Presentation
      アメリカ・オーランド
    • Related Report
      2009 Annual Research Report
  • [Presentation] Incidence of adverse drug events and medication errors in Japan : Japan Adverse Drug Events(JADE)Study.2009

    • Author(s)
      Morimoto T, Sakuma M, Kuramoto N, Toshiro J, Murakami J, Fukui T, Hiraide A, Bates DW, Matsui K
    • Organizer
      26th International Conference of the International Society for Quality in Health Care
    • Place of Presentation
      アイルランド・ダブリン
    • Related Report
      2009 Annual Research Report
  • [Presentation] The epidemiology of potential inappropriate prescribing for elderly inpatients : Japan Adverse Drug Events(JADE)Study.2009

    • Author(s)
      Sakuma M, Matsui K, Kuramoto N, Toshiro J, Murakami J, Fukui T, Hiraide A, Bates DW, Morimoto T
    • Organizer
      26th International Conference of the International Society for Quality in Health Care
    • Place of Presentation
      アイルランド・ダブリン
    • Related Report
      2009 Annual Research Report
  • [Presentation] Inter professional education in patient safety (I) : Potential of discussion-based learning for medical students2009

    • Author(s)
      Morimoto T, Sakuma M, Kubota Y, Seki S, Takada K, Hiraide A
    • Organizer
      Association for Medical Education in Europe
    • Place of Presentation
      スペイン・マラガ
    • Related Report
      2009 Annual Research Report
  • [Presentation] Inter professional education in patient safety(II) : Controlled trial between inter professional students groups and medical students groups.2009

    • Author(s)
      Sakuma M, Morimoto T, Kubota Y, Seki S, Takada K, Hiraide A
    • Organizer
      Association for Medical Education in Europe
    • Place of Presentation
      スペイン・マラガ
    • Related Report
      2009 Annual Research Report
  • [Presentation] 転倒・転落ハイリスク群における対策の層別化.2009

    • Author(s)
      遠藤正樹, 森本剛, 田中武一, 足立由起, 長尾能雅, 山田実, 坪山直生, 市橋則明
    • Organizer
      第4回医療の質・安全学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2009 Annual Research Report
  • [Presentation] 転倒・転落アセスメントスコアの評価者間信頼性.2009

    • Author(s)
      田中武一, 森本剛, 足立由起, 長尾能雅, 遠藤正樹, 山田実, 坪山直生, 市橋則明
    • Organizer
      第4回医療の質・安全学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2009 Annual Research Report
  • [Presentation] 医療安全教育の開発(I):医学生へのケースメソッド授業の導入.2009

    • Author(s)
      森本剛, 作間未織, 窪田愛恵, 関進, 高田香織, 平出敦
    • Organizer
      第41回日本医学教育学会大会
    • Place of Presentation
      大阪
    • Related Report
      2009 Annual Research Report
  • [Presentation] 医療安全教育の開発(II):医学生における多職種教育導入の効果.2009

    • Author(s)
      作間未織, 森本剛, 窪田愛恵, 関進, 高田香織, 平出敦
    • Organizer
      第41回日本医学教育学会大会
    • Place of Presentation
      大阪
    • Related Report
      2009 Annual Research Report
  • [Presentation] "PARTNERS for Patient Safety" Patient Safety Campaign in Japan2008

    • Author(s)
      Taneda K, Chihara I, UehAr N
    • Organizer
      International Attendee Meeting. 20^<th> AnnUai National Forum On Quality Improvement in Health Care
    • Place of Presentation
      Nashville, Tennessee
    • Year and Date
      2008-12-08
    • Related Report
      2008 Annual Research Report
  • [Presentation] 東北大学病院に塾ける中心静脈穿刺専用室の成果と課題2008

    • Author(s)
      宮田剛
    • Organizer
      医療の質・安全学会第3回学術集会
    • Place of Presentation
      東京ビッグサイト
    • Year and Date
      2008-11-22
    • Related Report
      2008 Annual Research Report
  • [Remarks] 医療安全全国共同行動ホームページ

    • URL

      http://kyodokodo.mech.

    • Related Report
      2010 Final Research Report
  • [Remarks] 医療安全全国共同行動のホームページ

    • URL

      http://kyodokodo.jp/

    • Related Report
      2010 Annual Research Report

URL: 

Published: 2008-04-01   Modified: 2016-04-21  

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