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1997 Fiscal Year Final Research Report Summary

Confidential Anesthesia Safety Report

Research Project

Project/Area Number 08671726
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionHamamatsu University School of Medicine

Principal Investigator

IKEDA Kazuyuki  MD Hamamatsu University School of Medicine, Department of Anesthesiology, Professor and Chairman, 医学部, 教授 (00010215)

Co-Investigator(Kenkyū-buntansha) KAZAMA Tomiei  MD Hamamatsu University School of Medicine, Department of Anesthesiology, Associ, 医学部, 助教授 (40158837)
Project Period (FY) 1996 – 1997
KeywordsSafety managent of anesthesia / Anesthesia incident report
Research Abstract

For safety of anesthesia management or for decrease anesthesia accidents, it is necessary to gather anesthesia incidents which, it is reported, developed from thirty to fifty times more than anesthesia accident. The purpose of this research was to make a anesthesia safety report system.
In Department of Anesthesiology of Hamamatsu University School of Medicine, we established Anesthesia Safety Report Center. In order to protect the anesthetists who report anesthesia incidents from the legal affairs, we used confidential anesthesia incident report system. By using this system, they can report anesthesia incidents confidentially to our center. In this stage, more than 20 hospitals in Shizuoka prefecture were in accordance with our purpose. Anesthesia cases were 36,000/year in total. We could 50 reports from these hospitals. Fortunately, there were no reports that could evoke serious anesthesia accident without making every anesthesia doctors informed this incidents. Almost incident reports have something with human error. Because of low numbers of reply reports, we could not analyze these reports in this stage. However, this system is still working and it can check the even small but possible to evoke serious accidents defect concerning with new apparatus.

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Published: 1999-03-16  

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