The disparity of incident and accident report among branch hospitals in Showa University

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  • 附属病院間でのインシデント・アクシデント報告の違い
  • フゾク ビョウイン カン デ ノ インシデント ・ アクシデント ホウコク ノ チガイ

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<p>Incidents and accidents prevention in the hospitals is of utmost importance. Showa University has 7 branch hospitals and 1 clinic in Tokyo and Yokohama area. The risk managers in each hospital collect and analyze incident and accident reports in their hospitals. They work out safeguards against medical errors. However, they have never made a comparative study with other hospitals in the past. In this study, we analyzed the differences of incident and accident reports among branch hospitals in Showa University.</p><p>During the period from January 2010 to December 2010, there were 11,171 cases of incident and accident reports made and we examined in 4 branch hospitals (A, B, C, and D hospital). Each hospital used different incident and accident report forms. The numbers of incident and accident reports were 4,304 cases for A hospital, 1,975 cases for B hospital, 4,331 cases for C hospital, and 562 cases for D hospital during this period. Most cases were not severe cases. According to the incident level of our hospital, more than 80 percent were under or equal to level 2, and more than 90 percent were under or equal to level 3. Miss-administration of medicine or injection, accidental falling, and route/tube trouble took up significant portion of incident and accident reports in all hospitals. More than 80 percent of incident and accident reports were made by nurses, and only 6 percent were made by physicians in all hospitals. </p><p>It is desirable that we use the same basic classification or unify the incident and accident report form in all hospital. We need to share the data and information among hospitals to further prevent medical errors.</p>

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