Application of Medical Malpractice Case Analysis Focusing on Midwives to Medical Safety Education

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10850
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Kawasaki City College of Nursing (2022-2023); Kawasaki City College of Nursing. (2020-2021)
• Principal Investigator: Yumiko Yamazaki 川崎市立看護大学, 看護学部, 教授 (00341983)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 医療事故 / 裁判例 / 助産師 / 教育

Outline of Final Research Achievements

The purpose of this study was to analyze medical malpractice court cases from the perspective of preventing recurrence, with a particular focus on midwives, and to apply the findings to midwifery education and post-graduate training. The study was divided into three parts. In Study 1, cases involving midwives were selected from medical malpractice trials over the past 20 years, and preventive measures were analyzed. Key issues included the duty to report to doctors and to respond to abnormalities, highlighting the importance of midwives' testimonies and records. In Study 2, interviews were conducted with three victims of childbirth-related medical accidents who won their cases, incorporating their perspectives into educational materials. In Study 3, training sessions were held using medical accident case law, and the teaching materials were evaluated, confirming an improved understanding of medical accidents

Free Research Field

助産師教育

Academic Significance and Societal Importance of the Research Achievements

この研究では、専門職や医療事故被害者の協力を得て、教材の評価を行い、課題を抽出して修正を行った。また、助産師と大学院生を対象に研修を開催し、教材の評価や課題の抽出を行った。研修では、医療事故に関する理解度や類似した経験との比較、被害者のメッセージに対する感想などを収集した。その結果、医療事故の発生可能性や事故から回避への方向転換への理解が深まった。しかし、医療事故に対する向き合い方や実践への結びつけ方には改善の余地があった。医療施設や学会などを通じて本研究で構築した医療事故判例を公開し、教材の質を向上させた。