Medical Safety Systems in Washington State in the United States of America

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  • NANDATE Koichiro
    Department of Anesthesiology and Pain Medicine, Harborview Medical Center, University of Washington.

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  • 米国・ワシントン州における医療安全対策の現状と課題
  • ベイコク ・ ワシントンシュウ ニ オケル イリョウ アンゼン タイサク ノ ゲンジョウ ト カダイ

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Abstract

The safety system for medicine in Washington State in the United States of America (USA) consists of three systems, namely, hospital-based risk management, county-based death investigation, and state-based quality assurance for the license system. Risk managers in hospitals, medical examiners in counties and medical quality assurance commission in the state government represent those three systems. It has been revealed that each of the three organizational systems functions independently within their own jurisdiction without knowledge or information sharing other than via medical records or death certification for the same event. I also reviewed the re-education program for medical practitioners who committed serious misconducts. There are well organized re-education programs such as the physician assessment and clinical program in California, but the number of re-education programs are very limited all over the USA. It is very important to recognize that the safety system of medical practice is closely linked to the management of medical licenses by the state government to assure a high quality of medicine for patients.

Journal

  • Journal of UOEH

    Journal of UOEH 40 (4), 313-321, 2018-12-01

    The University of Occupational and Environmental Health, Japan

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