RELATIONSHIP AMONG NURSING SERVICES, HEALTHCARE MANPOWER, AND OCCURRENCE OF NEAR MISSES/ERRORS IN ACUTE-CARE UNITS

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  • KANEKO Sayuri
    Department of Health Administration and Policy, Tohoku University Graduate School of Medicine
  • KOINUMA Nobuo
    Department of Health Administration and Policy, Tohoku University Graduate School of Medicine
  • ITO Michiya
    Department of Health Administration and Policy, Tohoku University Graduate School of Medicine
  • OGATA Tomoaki
    Department of Health Administration and Policy, Tohoku University Graduate School of Medicine

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Other Title
  • 急性期病棟におけるヒヤリハット発生と看護業務量および投入マンパワー量との関係
  • キュウセイキ ビョウトウ ニ オケル ヒヤリハット ハッセイ ト カンゴ ギョウムリョウ オヨビ トウニュウ マンパワーリョウ ト ノ カンケイ

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Abstract

The purpose of this study was to clarify the relationship among nursing services, healthcare manpower, and occurrence rate of near misses/errors in acute-care units. Self-reported daily information concerning working conditions and near misses/errors was recorded prospectively for 7 days by 580 staff nurses from 25 acute-care units of 6 teaching hospitals. The relationship between near misses/errors, nursing services, and healthcare manpower was analyzed by logistic regression analysis. The number of nursing errors reported was 41.2 per 1,000 patient days, a number eight times higher than the number of reported incidents/accidents. Near misses/errors often occurred when the number of admissions, number of operations and examinations, the hours of handling admissions, and the hours of patient transfers was high. We suggest that the safety of patients can be secured by modification of the nurse staffing basis on the number of admissions and bed occupancy rates, rather than under the current system of nurse-patient ratio.

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