Building the high-reliability surgical team by use of previous medical incidents reports

• Project/Area Number: 26460853
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical and hospital managemen
• Research Institution: Hokkaido University
• Principal Investigator: Abe Takashige 北海道大学, 医学研究科, 講師 (10399842)
• Co-Investigator(Kenkyū-buntansha): 南須原 康行 北海道大学, 大学病院, 准教授 (30322811) ; 篠原 信雄 北海道大学, 医学研究科, 教授 (90250422)
• Project Period (FY): 2014-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000); Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000); Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
• Keywords: 内視鏡手術 / 医療安全 / 手術 / 医療事故 / インシデント

Outline of Final Research Achievements

Using the relevant key words with minimum invasive surgeries, 540 records were identified in the database of the Japan Council for Quality Health Care. After data review and the classification of adverse events, 746 events associated with laparoscopic (laparo-group) and/or thoracoscopic (thoraco-group) surgery were identified. There were 582 events in the laparo-group, 159 in the thoraco-group, and 5 in those undergoing a combined surgery. Overall, injury of other organs, retention of a foreign body, breakage/failure of medical equipment or devices, massive bleeding, misperception of anatomy, and vascular injurywere frequently reported. There were marked differences in the frequency of injury of other organs, massive bleeding, and vascular injury.

Research Products

• [Journal Article] Five-point Likert scaling on MRI predicts clinically significant prostate carcinoma. (2015)
  • Author(s): Harada T, Abe T*, Kato F, Matsumoto R, Fujita H, Murai S, Miyajima N, Tsuchiya K, Maruyama S, Kudo K, Shinohara N
  • Journal Title: BMC Urol Volume: -
  • Peer Reviewed
• [Journal Article] Diagnostic outcome of ureteroscopy in urothelial carcinoma of the upper urinary tract (2015)
  • Author(s): Murahashi N, Abe T*, Shinohara N, Murai S, Harabayashi T, Sazawa A, Maruyama S, Tsuchiya K, Miyajima N, Hatanaka K, Nonomura K
  • Journal Title: BMC Urol Volume: -
  • Peer Reviewed
• [Journal Article] Concurrent occurrence of renal cell carcinoma with rhabdoid features in a married couple: a case report (2015)
  • Author(s): Matsumoto R, Shinohara N, C-Hatanaka K, Kuroda N, Tsuchiya K, Maruyama S, Abe T, Nonomura K
  • Journal Title: BMC Res Notes Volume: -
  • Peer Reviewed
• [Journal Article] Prospective mapping of lymph node metastasis in Japanese patients undergoing radical cystectomy for bladder cancer: characteristics of micrometastasis. (2015)
  • Author(s): Matsumoto R, Takada N, Abe T*, Minami K, Harabayashi T, Nagamori S, Hatanaka KC, Miyajima N, Tsuchiya K, Maruyama S, Murai S, Shinohara N
  • Journal Title: Jpn J Clin Oncol Volume: 45 Pages: 874-880
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Identification of a subgroup with worse prognosis among patients with poor-risk testicular germ cell tumor. (2015)
  • Author(s): Kojima T, Kawai K, Tsuchiya K, Abe T, Shinohara N, Tanaka T, Masumori N, Yamada S, Arai Y, Narita S, Tsuchiya N, Habuchi T, Nishiyama H
  • Journal Title: Int J Urol. Volume: 22 Pages: 923-927
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Adaptor protein CRK induces epithelial-mesenchymal transition and metastasis of bladder cancer cells through HGF/c-Met feedback loop. (2015)
  • Author(s): Matsumoto R, Tsuda M, Wang L, Maishi N, Abe T, Kimura T, Tanino M, Nishihara H, Hida K, Ohba Y, Shinohara N, Nonomura K, Tanaka S
  • Journal Title: Cancer Sci Volume: 106 Pages: 709-717
  • NAID: 120005627239
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Prognosis of Japanese patients with previously untreated metastatic renal cell carcinoma in the era of molecular-targeted therapy. (2015)
  • Author(s): Shinohara N, Obara W, Tatsugami K, Naito S, Kamba T, Takahashi M, Murai S, Abe T, Oba K, Naito S
  • Journal Title: Cancer Sci Volume: 106 Pages: 618-626
  • NAID: 120005619614
  • Peer Reviewed
• [Journal Article] Outcome of regional lymphadenectomy in accordance with primary tumor location on laparoscopic nephroureterectomy for urothelial carcinoma of the upper urinary tract: a prospective study. (2015)
  • Author(s): Abe T*, Takada N, Matsumoto R, Osawa T, Sazawa A, Maruyama S, Tsuchiya K, Harabayashi T, Minami K, Nagamori S, Hatanaka KC, Tanaka Y, Shinohara N, Nonomura K
  • Journal Title: J Endourol Volume: 29 Pages: 304-309
  • Peer Reviewed
• [Journal Article] Outcome of regional lymphadenectomy in accordance with primary tumor location on laparoscopic nephroureterectomy for urothelial carcinoma of the upper urinary tract: A prospective study (2015)
  • Author(s): Abe T, Takada N, Matsumoto R, Osawa T, Sazawa A, Maruyama S, Tsuchiya K, Harabayashi T, Minami K, Nagamori S, Hatanaka KC, Tanaka Y, Shinohara N, Nonomura K
  • Journal Title: Journal of endourology Volume: 29 Issue: 3 Pages: 304-309
  • DOI: 10.1089/end.2014.0369
  • Peer Reviewed
• [Journal Article] Outcome of metastasectomy for urothelial carcinoma: a multi-institutional retrospective study in Japan (2014)
  • Author(s): Abe T, Kitamura H, Obara W, Matsumura N,Tsukamoto T, Fujioka T, Hara I, Murai S, Shinohara N, Nonomura K
  • Journal Title: The Journal of urology Volume: 191 Pages: 932-936
  • NAID: 120005438267
  • Peer Reviewed
• [Journal Article] Comparison of 90-day complications between ileal conduit and neobladder reconstruction after radical cystectomy： A retrospective multi-institutional study in Japan (2014)
  • Author(s): Abe T, Takada N, Shinohara N, Matsumoto R, Murai S, Sazawa A, Maruyama S, Tsuchiya K, Kanzaki S, Nonomura K
  • Journal Title: International journal of urology Volume: 21 Pages: 554-559
  • Peer Reviewed
• [Journal Article] RENAL nephrometry score is a predictive factor for the annual growth rate of renal mass (2014)
  • Author(s): Matsumoto R, Abe T, Shinohara N, Murai S, Maruyama S, Tsuchiya K, Nonomura K
  • Journal Title: International Journal of urology Volume: 21 Pages: 549-552
  • Peer Reviewed
• [Presentation] 当科における腹腔鏡下腎尿管全摘術の治療成績 (2016)
  • Author(s): 安部崇重、菊地央丸山覚、土屋邦彦、宮島直人、篠原信雄
  • Organizer: 第397回日本泌尿器科学会北海道地方会
  • Place of Presentation: 北海道大学（北海道札幌市）
  • Year and Date: 2016-01-30
• [Presentation] 腹腔鏡/胸腔鏡手術に関連するインシデントの特徴～医療事故情報収集等事業公開データを用いた解析 (2015)
  • Author(s): 安部崇重、篠原信雄、村井祥代
  • Organizer: 第28回日本内視鏡外科学会総会
  • Place of Presentation: 大阪国際会議場（大阪府大阪市）
  • Year and Date: 2015-12-10
• [Presentation] 当院の腹腔鏡下腎部分切除術の治療成績 (2015)
  • Author(s): 安部崇重、丸山覚、土屋邦彦、森田研、宮島直人、篠原信雄
  • Organizer: 第29回日本泌尿器内視鏡学会総会
  • Place of Presentation: 京王プラザホテル（東京都新宿区）
  • Year and Date: 2015-11-19
• [Presentation] 医療事故情報収集等事業公開情報を用いた鏡視下手術関連インシデントの特徴解析 (2015)
  • Author(s): 安部崇重、丸山覚、土屋邦彦、宮島直人、村井祥代、篠原信雄
  • Organizer: 第29回日本泌尿器内視鏡学会総会
  • Place of Presentation: 京王プラザホテル（東京都新宿区）
  • Year and Date: 2015-11-19
• [Presentation] Tips on laparoscopic surgery for paraganglioma (2015)
  • Author(s): Takashige Abe, Ataru Sazawa, Toru Harabayashi, Naoto Miyajima, Kunihiko Tsuchiya, Satoru Maruyama, Nobuo Shinohara
  • Organizer: 33rd World Congress of Endourology & SWL
  • Place of Presentation: The ICC at ExCel London(London, UK)
  • Year and Date: 2015-10-01
  • Int'l Joint Research
• [Presentation] 「高齢癌患者に対する標準的治療はどうあるべきか？」 (2015)
  • Author(s): 安部崇重、宮島直人、土屋邦彦、丸山覚、篠原信雄
  • Organizer: 第80回 日本泌尿器科学会東部総会
  • Place of Presentation: 京王プラザホテル（東京都新宿区）
  • Year and Date: 2015-09-25
• [Presentation] Laparoscopic resection of paraaortic or paracaval neurogenic tumors (2015)
  • Author(s): Takashige Abe, Ataru Sazawa, Toru Harabayashi, Naoto Miyajima, Kunihiko Tsuchiya, Satoru Maruyama, Nobuo Shinohara
  • Organizer: AUA2015
  • Place of Presentation: New Orleans Morial Convention Center(Ner Orleans, USA)
  • Year and Date: 2015-05-15
  • Int'l Joint Research
• [Presentation] 3-Tesla MRIの前立腺癌検出能に関する検討 (2015)
  • Author(s): 安部 崇重、原田 太以佑、 加藤 扶美、松本隆児、 藤田裕美 、丸山覚、土屋邦彦、宮島直人、篠原信雄
  • Organizer: 第103回日本泌尿器科学会総会
  • Place of Presentation: ANAクラウンプラザホテル金川（石川県金沢市）
  • Year and Date: 2015-04-18
• [Presentation] 後腹膜原発神経原性腫瘍に対する腹腔鏡下切除術 (2014)
  • Author(s): 安部崇重、原林透、佐澤陽、丸山覚、土屋邦彦、宮島直人、篠原信雄
  • Organizer: 第28回日本泌尿器内視鏡学会
  • Place of Presentation: ヒルトン福岡シーホーク（福岡市）
  • Year and Date: 2014-11-26 – 2014-11-28
• [Presentation] 進行性尿路上皮癌の治療戦略～GC eraにおける転移性尿路上皮癌に対する全身化学療法の工夫 (2014)
  • Author(s): 安部崇重、丸山覚、土屋邦彦、宮島直人、篠原信雄
  • Organizer: 第79回日本泌尿器科学会東部総会
  • Place of Presentation: パシフィコ横浜（横浜市）
  • Year and Date: 2014-10-12 – 2014-10-14
• [Presentation] Laparoscopic resection of ipsilateral adrenal metastasis after laparoscopic partial nephrectomy for renal cell carcinoma: A case report (2014)
  • Author(s): Takashige Abe, Naoto Miyajima, Kunihiko Tsuchiya, Satoru Maruyama, Nobuo Shinohara, Katsuya Nonomura
  • Organizer: 32nd World Congress of Endourology and SWL
  • Place of Presentation: Taipei International Convention Center(Taipei, Taiwan)
  • Year and Date: 2014-09-03 – 2014-09-07
• [Presentation] Injury and immediate repair of ureter or obturator nerve during laparoscopic radical prostatectomy (2014)
  • Author(s): Takashige Abe, Masafumi Kon, Kunihiko Tsuchiya, Satoru Maruyama, Nobuo Shinohara, Katsuya Nonomura
  • Organizer: 32nd World Congress of Endourology and SWL
  • Place of Presentation: Taipei International Convention Center(Taipei, Taiwan)
  • Year and Date: 2014-09-03 – 2014-09-07
• [Presentation] 腎盂尿管癌における至適リンパ節郭清範囲の確立を目指した前向き観察研究 (2014)
  • Author(s): 安部崇重、高田徳容、松本隆児、大澤崇宏、佐澤陽、丸山覚、土屋邦彦、宮島直人、原林透、三浪圭太、永森聡、篠原信雄、野々村克也
  • Organizer: 第102回日本泌尿器科学会総会
  • Place of Presentation: 神戸国際会議場（神戸市）
  • Year and Date: 2014-04-24 – 2014-04-27