2023 Fiscal Year Final Research Report

Survey of adverse events occurring in long-term care health facilities

Research Project

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Project/Area Number	20K21716
Research Category	Grant-in-Aid for Challenging Research (Exploratory)
Allocation Type	Multi-year Fund
Review Section	Medium-sized Section 58:Society medicine, nursing, and related fields
Research Institution	Nagasaki University
Principal Investigator	TSUJI Mayumi 長崎大学, 医歯薬学総合研究科(保健学科), 助教 (60771780)
Co-Investigator(Kenkyū-buntansha)	深堀浩樹慶應義塾大学, 看護医療学部(藤沢), 教授 (30381916) 松原孝明大東文化大学, 法学部, 教授 (10407645)
Project Period (FY)	2020-07-30 – 2024-03-31
Keywords	介護事故 / 有害事象（adverse events） / 高齢者施設 / 損害賠償責任
Outline of Final Research Achievements	In Japan, long-term care facilities are required by ministerial ordinance to promptly report to the local government any adverse event that occurred to a resident of a facility during the provision of long-term care insurance services. This study analyzed the data of adverse events reports from a city in Japan to identify the factors associated with liability for damage to adverse events occurred in long-term care facilities. Factors associated with liability for damages were related to organizational factors such as adverse events that occurred the time of day, during staff care, and treated the necessary responses. Future studies should focus on the responses of facilities and staff after adverse events occurred and investigate and examine the responses provided to residents and their families after adverse events occurred by facilities and staff based on cases in which liability for damages occurred in long-term care facilities.
Free Research Field	老年看護学
Academic Significance and Societal Importance of the Research Achievements	急速な高齢化に伴い，高齢者施設での介護事故・有害事象が増加し，それに伴う訴訟リスクが高まっている．本研究では，高齢者施設で報告された介護事故に焦点を当て，損害賠償責任につながる要因を明らかにした．この研究は，医療や福祉の専門的視点に留まらず，法学を含む他分野との学際的アプローチを取り入れ，新たな視点から問題を解明した点で学術的意義をもつといえる．また，高齢者施設で起こる介護事故・有害事象の損害賠償責任の関連要因において，とくに組織的要因が関係する結果が得られたことは，事故対応やリスクマネジメントの改善に向けた示唆を提供し，介護サービスの質向上に貢献するという社会的意義を有する．