Operation-related clinical indicators induced from the analysis of incident reports

DOI Web Site

Bibliographic Information

Other Title
  • インシデントレポート分析から導入した手術関連臨床指標
  • インシデントレポート ブンセキ カラ ドウニュウ シタ シュジュツ カンレン リンショウ シヒョウ

Search this article

Abstract

<p>The occurrence rate of the incident and/or accident reports related to operations was evaluated as a clinical indicator (CI) of operation-related issues. 6 major categories with 23 item classification model were designed to review the reports. During the period from April 2009 and March 2010, 62 incidents in 56 cases were reported and examined among 4,034 operations. 18 cases of unexpected reoperation, 15 cases of prolonged operation by 1.5 times of scheduled time, 4 cases of unmatched counts of gauze at the end of operation, 3 cases of higher amount of blood loss than expected, and 3 cases of broken surgical instruments were reported. The occurrence rates were 0.45%, 0.37%, 0.10%, 0.07%, 0.07%, respectively. Classification of incidents by operating departments were：surgery-12(cases) (occurrence rate calculated by the operation number performed by the individual department：12/696；1.72%), nursing division-11 (11/4,034；0.27%), orthopedics-10 (10/442；2.26%), thoracic surgery-10 (10/122；8.20%), anesthesiology-5 (5/1,801；0.28%), otolaryngology-5 (5/330；1.52%), urology-4 (4/420；0.95%), cardiology-2 (2/55；3.64%). We suggest that an annual review of CI is effective in evaluating the improvement of the medical environment. The official announcement of CI would also make it possible to compare hospital evaluation and promote transparency of medicine, resulting in achieving patients' consent. We concluded that the induction of occurrence rates of operation-related incidents and/or accidents to CI would improve safety management, quality of medical care, and foremost, contribute to the prevention of the medical accidents. </p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top