Research on the construction of clinical ethics consultation systems for promoting patient safety

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K10376
• 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: University of Miyazaki
• Principal Investigator: ITAI Koichiro 宮崎大学, 医学部, 教授 (70347053)
• Project Period (FY): 2021-04-01 – 2024-03-31
• Keywords: 臨床倫理コンサルテーション / 臨床倫理サポート / 臨床倫理コンサルタント / 患者安全 / 医療安全 / コンピテンシー

Outline of Final Research Achievements

In order to achieve "patient safety," it has become clear that a "blame culture" that attributes responsibility to "individuals" will not ensure the "safety and security" of medical professionals themselves, and that ultimately it will be impossible to provide safe, high-quality medical care for patients. Of course, "morality" and "virtue" are not unnecessary, but "ethics education" that says "ethics are ultimately a matter of individual qualities and characteristics" will end up exhausting medical professionals who want to be "upright and innocent saints." It has also become clear that in order to "prevent" such situations, both the function of "preventive ethics" in clinical ethics consultations and "safety management" that protects patient safety are essential.

Free Research Field

倫理学

Academic Significance and Societal Importance of the Research Achievements

本研究の学術的・社会的意義としては、特にインシデント・アクシデントに係わったスタッフが「犯人扱い」され責められる「非難の文化」から、患者の「安全・安心」、そして医療従事者自身の「安全・安心」も組織的に支える「支援の文化」へシフトすることの重要性は、国際的にも共通した課題であること、とりわけ日本においては、この点がまだまだ遅れていることを浮き彫りにすることができた点にあると言いうる。