| Project/Area Number |
20390154
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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 | Tokyo Medical University |
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Principal Investigator |
ODA Jun Tokyo Medical University, 医学部, 准教授 (60459500)
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| Co-Investigator(Kenkyū-buntansha) |
MATSUOKA Yuji 東京医科大学, 医学部, 助教 (50408126)
KOIKE Daisuke 東京医科大学, 医学部, 助教 (60408094)
ODA Kaori 東京医科大学, 医学部, 助教 (10366130)
AZUMA Kazunari 東京医科大学, 医学部, 助教 (20449169)
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| Project Period (FY) |
2008 – 2010
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| Project Status |
Completed (Fiscal Year 2010)
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| Budget Amount *help |
¥7,020,000 (Direct Cost: ¥5,400,000、Indirect Cost: ¥1,620,000)
Fiscal Year 2010: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2009: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2008: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
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| Keywords | フレーム構造 / リスクマネジメント / 質保証 / 医療安全 / 救急医学 / 救急医療 / 多職種連携 / 診療フレーム構造 |
|---|
| Research Abstract |
Medical risk or quality management by the standardization of medical care has been insufficient in emergency and critical care medicine. In this study, we clarified the difference between emergency and critical care medicine, and other kinds of medical care, comparing the frameworks of medical care. The main results we obtained are as follows: 1) Most surgeons recognize the framework of "preoperation --> operation --> postoperation" as the main framework, and complications like bleeding and infection as branches. In internal medicine, because chronic diseases are rarely curable, doctors are familiar with the exacerbation and relief of symptoms. In emergency and critical care medicine, the stabilization of vital signs is the most important in the acute phase. 2) Therefore, approaches to patients with the same symptoms are various in each department. 3) Traditional diagnostics emphasize chief complaints as medical risks. 4) We introduced and analyzed a clinical pathway for nutrition in the intensive care unit (ICU) as quality control in the ICU. 5) We should share outcomes for team medicine. In conclusion, the framework of medical care, the doctor's thinking route, should be shared between medical staff.
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