2023 Fiscal Year Final Research Report
Medical, legal, and medical safety analysis of forensic autopsy cases of medical practice-related deaths
| Project/Area Number |
19K19380
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| Research Category |
Grant-in-Aid for Early-Career Scientists
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| Allocation Type | Multi-year Fund |
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| Review Section |
Basic Section 58010:Medical management and medical sociology-related
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| Research Institution | Nihon University (2023)
The University of Tokyo (2019-2022) |
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Principal Investigator |
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| Project Period (FY) |
2019-04-01 – 2024-03-31
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| Keywords | 診療関連死 / 法医解剖 / 医療安全 / 医療事故調査制度 / 異状死データベース |
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| Outline of Final Research Achievements |
We compared 147 autopsy cases of medical practice-related deaths at our institution from 2011 to 2017, which were classified into four main categories, before and after the establishment of the autopsy system for cause of death and identity investigation and the launch of the medical accident investigation system, and examined the trends, characteristics, and impacts of these cases. These results were published in a peer-reviewed English-language journal. In addition, we published three papers in English peer-reviewed journals on valuable alarming cases.
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| Free Research Field |
法医学
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| Academic Significance and Societal Importance of the Research Achievements |
2010年代に制定された死因・身元調査法に基づく新法解剖の施行、また医療事故調査制度の発足という、診療関連死の死因究明における新しい制度の施行前・後の、法医解剖となった診療関連死事例の特徴と傾向、その変化についての調査研究はこれまでに行われていなかった。本研究結果は高齢化・多死社会へと向かう本邦にあって、ますます増加すると思われる診療関連死・病院・施設内死亡の調査において、解剖情報を統合し、医療機関へフィードバックする方法、事故再発予防、システム改善に資するための制度設計についての基礎資料となりうるものである。
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