2023 Fiscal Year Final Research Report

Approach to risk based monotoring tool for patient safety management

Research Project

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Project/Area Number	20K18889
Research Category	Grant-in-Aid for Early-Career Scientists
Allocation Type	Multi-year Fund
Review Section	Basic Section 58010:Medical management and medical sociology-related
Research Institution	Nagoya City University (2023) Gifu University Of Health Science (2021-2022) Iwate Medical University (2020)
Principal Investigator	Akiyama Naomi 名古屋市立大学, 大学院看護学研究科, 准教授 (20636534)
Project Period (FY)	2020-04-01 – 2024-03-31
Keywords	医療安全 / 患者安全 / 安全管理 / リスクマネマネジメント / モニタリング / リスクベースドモニタリング / 根本要因 / インシデントレポート
Outline of Final Research Achievements	Risk Based Management (RBM), one of the risk management methods in the clinical trial area, is applied to the medical safety area, which aims at quality assurance through risk identification, evaluation, and monitoring through the secondary use of incident report data collected for medical safety measures. We attempted to apply RBM to the area of medical safety, which aims at quality assurance through risk identification, evaluation, and monitoring through secondary use of incident report data collected for medical safety measures. From the results of this study, it can be inferred that the level of reporting and the department to which the reporter belongs can serve as certain criteria for RBM, but there are limitations when considering the meaning of reporting and the diversity of events.
Free Research Field	医療安全管理
Academic Significance and Societal Importance of the Research Achievements	医療安全分野では「予防」の観点からのモニタリング手法の開発が急がれるが、肺血栓塞栓症の発症率・術後のイベント発生率といった特定診療分野のモニタリング、或いは、インシデント報告等に基づく事後的なモニタリングが主流である。医療安全上の「高リスク」を適切に「選択」し、業務の「集中」に役立つ補助ツール、しかもある程度、自動化を目指せるモニタリング手法の開発が医療安全管理業務には必須と考える。本研究を通して、RBMの今後の方向性を確認することはでき、研究期間を通して関連研究に関しても広く、公表を行った。