2023 Fiscal Year Final Research Report

Identification of medical/nursing care accidents that are likely to occur due to medical/nursing care collaboration among multicenter and development of preventive methods

Research Project

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Project/Area Number	20K10355
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58010:Medical management and medical sociology-related
Research Institution	Toho University
Principal Investigator	Fujita Shigeru 東邦大学, 医学部, 准教授 (50366499)
Co-Investigator(Kenkyū-buntansha)	松本邦愛東邦大学, 医学部, 准教授 (50288023) 瀬戸加奈子東邦大学, 医学部, 助教 (50537363) 畠山洋輔東邦大学, 医学部, 助教 (80830182) 大西遼東邦大学, 医学部, 助教 (00845571) 長谷川友紀東邦大学, 医学部, 教授 (10198723)
Project Period (FY)	2020-04-01 – 2024-03-31
Keywords	地域連携 / 医療安全 / 介護保険
Outline of Final Research Achievements	It is important to prevent accidents caused by inadequate information exchange and provision between long-term care insurance facilities and other facilities. The purpose of this study was to evaluate the frequency with which long-term care insurance facilities experience insufficient or inadequate information provision by referral-source facilities and its impact, and to identify high-priority issues for improvement. In 2022, we conducted a mail-based survey of 6,000 randomly selected long-term care insurance facilities. The response rate of the questionnaire survey was 11%. According to the results, it was found that information such as bedsores, current/past medical history, and abusive language/violence was not provided, which had a major impact on the elderlies. Promoting nursing care DX may be needed. A development of a platform that could share not only users' medical information but also information on cognitive and physical functions may be needed.
Free Research Field	医療安全
Academic Significance and Societal Importance of the Research Achievements	地域包括ケアシステムの構築を進めると、高齢者が医療機関や高齢者施設、自宅等を移動する機会が増え、それに伴い、情報の伝達や共有の機会が増加する。本研究では、その過程において、褥瘡や現病歴・既往歴、暴言・暴力があること、徘徊や一人で動こうとすること、夜間の吸引の必要や頻度に関する情報が正しく伝わらず、利用者に大きな影響を与えていることを明らかにした。介護DXにより、介護保険事業所においても、医療情報だけでなく、利用者の心身機能や身体機能に関する情報を共有できる基盤の整備が必要と考えられた。