Experience of adverse events and investigation systems among hospitals in japan
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概要
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Targeting all member hospitals of the All Japan Hospital Association, a questionnaire survey regarding medical safety control systems and investigation systems of adverse events etc. was executed. The response rate was 24.0%(506/2108).<BR>The survey showed that serious accidents were experienced in larger-scale hospitals. 1/3 hospitals with 200 beds or more experienced adverse events where patients died or were left with heavy sequela (serious accident). Moreover, cases which include outside members in the investigation team regarding serous accidents were still few. However, about 1/3 of the hospitals had received the support of an outside specialist normally a law person. Another result of the survey showed that only in rare cases staff, involved in these serious accidents, was given temporary holiday or psychological counseling. It is presumed that support systems for staff, involvedin serious accidents, have mostly not been established. When trying to find the cause of adverse ev nts, about 1/3 of the hospitals answered that they were embarrassed that there was neither a specialist of safety management nor a specialist of investigation at their hospital. There were also many hospitals not only troubled by the care of their patients or patient' s families but also by the care of staff involved in serious accidents. Furthermore, it has been understood that the hospital's expectations for ADR (Alternative Dispute Resolution) is very high.<BR>For the future, there is a strong need to train and increase specialists of investigation and examine methods of introducing ADR.
- 特定非営利活動法人 日本医療マネジメント学会の論文
特定非営利活動法人 日本医療マネジメント学会 | 論文
- Experience of adverse events and investigation systems among hospitals in japan
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