Evaluation and Outcomes of Multidisciplinary-Reported Incidents Regarding Patient Safety Management at Special Functioning Hospital in Japan

Abstract

Background: It is an important study to investigate incident reports submitted by multidisciplinaries in the Special Functioning Hospitals of Japan. We clarify the characteristics of the incidents and evaluate the outcomes obtained from a polygonal analysis. Material and Methods: We collected 1638 incident reports submitted by multidisciplinaries for one year from April, 2016 to March, 2017. The incidents were retrospectively analyzed by profile, levels, distribution, and ratios. Results: The majority of incidents (94.7%, 1551/1638) were distributed between the levels 0 to 3a, on the other hand, the incidents of a level higher than 3b occupied 5.3%. The reports from nurses were 75.3% (1234/1638) and those from doctors were 12.8% (209/1638). The level 3b totalled 30.6% (64/209) of the doctor-reported incidents. In contrast, the level 2 totalled 33.8% (417/1234) of the nurse-reported incidents. The levels of the doctor-incidents were comparatively higher than those of the nurse-incidents. The profiles of the incidents were categorized as drug administration (n = 439, 26.8%), nursing care (n = 399, 24.4%), drain and tube (n = 258, 15.8%), medical treatment and care (n = 199, 12.1%), medical examination (n = 141, 8.6%), medical equipment (n = 99, 6.0%), giving instructions (n = 66, 4.0%) and blood transfusion (n = 12, 0.7%). Conclusions: It is important for multidisciplinaries to report incidents because they can learn novel experiences from the incidents for preventing a recurrence. By proper utilizing of the incident-reporting system, it could be an effective tool that helps the medical staff build a strong patient safety culture,

Research on Job Stress and Nurse Performance

“…Researchers made a patient safety incident reporting application that hospitals can use to cultivate the importance of patient safety in the hospital. Every employee can access and directly report without having to fear getting sanctions from patient safety incident reporting; with this application, the hope of reporting can be maximized (Ayabe et al, 2018). The incidence rate has decreased and may not exist in the future so that patients can obtain complete service at the hospital.…”

Development of a System to Support Surgical Safety-I and Safety-II. Implementation of Resilient Surgical Healthcare for Bleeding Incidents in Thoracic Surgery

“…Medical care in university hospitals is a huge and complex system, and is characterized by uncertainty. We evaluated the outcomes of multidisciplinary-reported incidents regarding patient safety management at the Special Functioning Hospital [10]. We have introduced the WHO Surgical Safety Checklist to a multidisciplinary team at a university hospital and reported on the changes in safety attitudes [11].…”