Development of a system for fostering a new medical safety culture by resilience engineering

2017 Fiscal Year Final Research Report

• Project/Area Number: 26670353
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Medical and hospital managemen
• Research Institution: Aichi Prefectural University (2015-2017); Seirei Christopher University (2014)
• Principal Investigator: USHIRO Rei 愛知県立大学, 看護学部, 准教授 (40438619)
• Co-Investigator(Kenkyū-buntansha): 長谷川 剛 自治医科大学, 医学部, 研究員 (10291634) ; 淺田 義和 自治医科大学, 医学部, 講師 (10582588) ; 高山 詩穂 聖徳大学, 看護学部, 講師 (00625999) ; 市田 勝 自治医科大学, 医学部, 助手 (30306146) ; 鈴木 義彦 自治医科大学, 医学部, 講師 (70281334) ; 河野 龍太郎 自治医科大学, 医学部, 教授 (90468330)
• Project Period (FY): 2014-04-01 – 2018-03-31
• Keywords: レジリエンス・エンジニアリング / 医療安全 / リスクマネジメント / 患者安全 / 安全教育 / 医療 / 事例分析

Outline of Final Research Achievements

The purpose of this study was to develop a system for fostering a new medical safety culture by resilience engineering, in which resilience (flexibility and strength), a characteristic of organizations and humans, is introduced into an engineering system and attention is paid to the ability of organizations and individuals to cope with stressful situations, such as emergencies.
In the first fiscal year, the literature on resilience engineering was reviewed. Thereafter, reporters and other persons were interviewed in regard to reports of level 0 to 2 (mainly level 0 to 1) incidents. The results revealed the contents of the cases, the surrounding environment and human movements that enabled the cases, use of resources, potential risks in successful cases, and the presence/absence and content of events that did not fit in with actual situations.

Free Research Field

看護管理学