Covid-19患者におけるインシデント報告・死亡報告の検討

Abstract

The coronavirus disease 2019 (COVID-19) pandemic, including the fourth wave that severely affected Osaka from March 2021 onward, continues to affect human beings worldwide. Our institution accepts patients with COVID-19, mainly those with severe respiratory dysfunction. In this paper, we summarize our activities to ensure patient safety based on the reports of COVID-19-related medical incidences and deaths searched by our reporting system and discuss the important features. Until May 2021, 149 COVID-19-related incident reports were generated. The major classes of the reports were treatment and surgery (33%), tube trouble (14%), and injection and infusion (10%). The major factors identified in the reports were insufficient observation (32%), noncompliance of rules (21%), and insufficient confirmation (14%). The characteristics of COVID-19-related medical incidences were divided into two types: disease-related incidences and incidences with infectious disease control measures. During the study period, 78 cases were deaths caused by COVID-19, and the majority of deaths occurred in patients aged over 80 years.