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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 82(2)

Intervention efficacy for eliminating patient misidentification using step-by-step problem-solving procedures to improve patient safety

https://doi.org/10.18999/nagjms.82.2.315
https://doi.org/10.18999/nagjms.82.2.315
2de9c5b0-e2fc-4162-b77a-289adc4fe526
名前 / ファイル ライセンス アクション
15_Fukami.pdf 15_Fukami.pdf (858.0 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2020-06-01
タイトル
タイトル Intervention efficacy for eliminating patient misidentification using step-by-step problem-solving procedures to improve patient safety
著者 Fukami, Tatsuya

× Fukami, Tatsuya

WEKO 99337

Fukami, Tatsuya

Search repository
Uemura, Masakazu

× Uemura, Masakazu

WEKO 99338

Uemura, Masakazu

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Terai, Mineko

× Terai, Mineko

WEKO 99339

Terai, Mineko

Search repository
Umemura, Tomomi

× Umemura, Tomomi

WEKO 99340

Umemura, Tomomi

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Maeda, Mika

× Maeda, Mika

WEKO 99341

Maeda, Mika

Search repository
Ichikawa, Mayumi

× Ichikawa, Mayumi

WEKO 99342

Ichikawa, Mayumi

Search repository
Sawai, Naoko

× Sawai, Naoko

WEKO 99343

Sawai, Naoko

Search repository
Kitano, Fumimasa

× Kitano, Fumimasa

WEKO 99344

Kitano, Fumimasa

Search repository
Nagao, Yoshimasa

× Nagao, Yoshimasa

WEKO 99345

Nagao, Yoshimasa

Search repository
キーワード
主題Scheme Other
主題 patient misidentification
キーワード
主題Scheme Other
主題 patient safety
キーワード
主題Scheme Other
主題 problem-solving process
抄録
内容記述 This study aimed to evaluate the efficacy of interventions to reduce patient misidentification incidents classified as level 2 and over (adverse events occurred for patients) with the step-by-step problem-solving method. All incidents related to patient misidentification were selected, and relevant information was collected from the original electronic incident reports. We then conducted an eight-step problem-solving process with the aim of reducing patient misclassification and improving patient safety. Step 1: the number of misidentification-related incident reports and the percentage of these reports in the total incident reports increased each year. Step 2: the most frequent misidentification type was sample collection tubes, followed by drug administration and hospital meals. Step 3: we set a target of an 20% decrease in patient misidentification cases classified as level 2 or over compared with the previous year, and established this as a hospital priority. Step 4: we found that discrepancies in patient identification procedures were the most important causes of misidentification. Step 5: we standardized the patient identification process to achieve an 10% reduction in misidentification. Step 6: we disseminated instructional videos to all staff members. Step 7: we confirmed there was an 18% reduction in level 2 and over patient misidentification compared with the previous year. Step 8: we intend to make additional effort to decrease misidentification of patients by a further 10%. Level 2 and over patient misidentification can be reduced by a patient identification policy using a step-by-step problem-solving procedure. This study aimed to evaluate the efficacy of interventions to reduce patient misidentification incidents with step-by-step problem-solving method. Continued seamless efforts to eliminate patient misidentification are mandatory for this activity.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.82.2.315
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/822.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 82, 号 2, p. 315-321, 発行日 2020-05
著者版フラグ
値 publisher
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