Comprehensive Analysis and Accident Prevention Model to Improve the Safety of Home Medical Care Provided by Care Workers

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K02254
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 08020:Social welfare-related
• Research Institution: Teikyo University of Science & Technology
• Principal Investigator: Kusunaga Toshie 帝京科学大学, 医療科学部, 教授 (90363788)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 医療的ケア / 介護職 / 在宅 / 喀痰吸引 / 経管栄養 / ヒューマンエラー / リスクマネジメント / グレーゾーン

Outline of Final Research Achievements

Since April 2012, care workers who meet the requirements have been able to perform the medical procedures of mucus aspiration and tube feeding as “medical care”. This study aimed to document real-world incidents involving medical care provided by care workers at home and examine accident prevention measures appropriate for home care settings. Based on a survey of medical care providers and recipients, specific details of medical care accidents and near-misses at home were clarified. Information sharing and the use of welfare equipment were examined to prevent accidents.

Free Research Field

介護福祉学

Academic Significance and Societal Importance of the Research Achievements

本研究はこれまで十分に明らかになっていない医療的ケアの事故やヒヤリハットの具体的内容を整理し、改善点を示した。事故防止策については、オンラインシステムを用いた即時的な情報共有、福祉機器の適切な利用など、改善点の案を提示した。さらに、医療的ケアについては、介護職の行える範囲を超えて利用者などから要望がある「グレーゾーン」があることがわかり、安全な実施に向けた組織的な取り組みや制度改善の提言につなげられた。