{"created":"2023-06-19T10:30:04.651241+00:00","id":2168,"links":{},"metadata":{"_buckets":{"deposit":"e89afb4b-01a1-4855-8a82-87fe4aeee469"},"_deposit":{"created_by":31,"id":"2168","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2168"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002168","sets":["1709617079800:35:686"]},"author_link":["109631","109632","109633","109634","109635","109636","109637","109638","109639","109640","109641","109642","109643","109644"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"41","bibliographicPageStart":"35","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_33":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"原著論文","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Regular Article","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"川崎医学会","subitem_publisher_language":"ja"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J201945035","subitem_relation_type_select":"DOI"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2019/KMJ-J201945035.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_relation_35":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2020200373","subitem_relation_type_select":"ICHUSHI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_10001_text_31":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合医療センター看護部"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合医療センター看護部"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合医療センター看護部"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合医療センター看護部"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合外科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合内科学4"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合医療センター"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Nursing, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of Nursing, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of Nursing, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of Nursing, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Kawasaki Medical School, Department of General Surgery"},{"subitem_text_language":"en","subitem_text_value":"Kawasaki Medical School, Department of General Internal Medicine 4, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Director of Kawasaki Medical School General Medical Center"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　In April of 2011, Kawasaki Medical School General Medical Center created a mixed ward consisted of twelve different departments. This mixed-department ward initially resulted in more complex nursing duties and a higher risk of medical incidents. We analyzed descriptions written by 22 nurses in incident notebooks shared among the mixed-department ward nurses between July and December of 2011, and an awareness survey performed six months after the mixed ward was created. The contents of the notebooks were classified into three core categories with nine sub-categories. In the core category [safe behavior through awareness], incident data from the sub-categories “incident descriptions” and “errors due to a lack of communication” was presented to the ward nurses and “rules to be sure to follow”were decided and implemented. The notebooks were helpful for finding problems in a clear and timely fashion and helped create a culture of safety by raising awareness and communication among the various teams in the ward. The second core category [awareness of hidden risks] was especially noticed by nurses with over ten years of experience, according to the awareness survey. Nurses with vast knowledge and experience along with nurses with an above average risk sensitivity were able to mutually support less experienced nurses with information in the sub-category classified as“ incidents occurring from inexperience or a lack of knowledge.” The final core category [information from doctors] were notes written in response to information from one or more of the 32 doctors working in the ward. Knowledge from the physicians was recorded and shared among the nursing staff through the notebooks. In the mixed ward, the environmental factors considered to be the highest risk factors were recorded in the notebooks and led directly to improved measures. In addition, the communication fostered by sharing information in the notebooks contributed towards a conscious culture of medical safety management."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　2011年４月より合計12科の混合病棟となったことで，看護業務が煩雑化し，医療事故・過誤の高リスクとなっていた．その改善の目的で，当該病棟の看護師22名が，コミュニケーションエラーの回避・減少を目的としたインシデントノート（【ノート】と表記）を2011年7月10日から2011年12月31日まで使用し，記入されたデータから意図の共通性を分類した．さらに【ノート】使用の前後で実施した意識調査の結果を合わせて内容分析を行った．【ノート】の内容は，３つのコアカテゴリー（『コア』と表記），その下層に計9つのカテゴリー（≪カテゴリー≫と表記）に分類された．『意識付けによる安全行動への期待』では，≪発生したインシデントの状況の記述≫および≪確認不足による間違い≫から，具体的な事実を確認でき，病棟にある潜在的リスクが情報として表在化された．そして≪厳守規則≫として，情報発信，ルールづくり，遵守徹底が図られた．【ノート】の使用によって，それらの情報をタイムリーに，アサーティブな方法でエラーを指摘することができ，意識付け，チーム間で話し合うという安全風土の形成に有効であった．『潜在リスクの表在化』では，意識調査において，経験年数９年以下では10年以上のスタッフに比べ危険を察知する割合が低いという結果が得られた．≪不慣れ・知識不足からのインシデント情報≫から，知識・経験の豊富なスタッフやリスク感性の高いスタッフが情報を提供することが，相互サポートとして活用できたことが判明した．『医師からの知識情報』では，12科32名の医師の指示に対応する必要性があり，この項目もノートに記述されエラーの低減に有効であった．当該病棟では，混合病棟による環境に影響を受けた個人要因を一番高いリスク因子と捉えており，【ノート】の使用はリスク因子を表在化し，改善策に結びつけることができた．また，【ノート】をツールとした情報共有によるコミュニケーションが，患者安全を意識した風土作りに有効と考えられた．今後は必要に応じ【ノート】を使用することにより，更なる看護業務の改善を図りたい．"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"竹内, 真知子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"島谷, 美穂子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平本, 美津恵","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"新, 美保恵","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山辻, 知樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"瀧川, 奈義夫","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"猶本, 良夫","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKEUCHI, Machiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIMATANI, Mihoko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HIRAMOTO, Mitsue","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ATARASHI, Mihoe","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMATSUJI, Tomoki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKIGAWA, Nagio","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NAOMOTO, Yoshio","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-04-01"}],"displaytype":"detail","filename":"KMJ-J201945035.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2168/files/KMJ-J201945035.pdf"},"version_id":"5468febb-5207-4fa3-a4c3-ac5d440572ed"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"インシデントノート","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"コミュニケーションエラー","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"混合病棟","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Incident notebook","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Communication error","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Mixed-department ward","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"混合病棟におけるインシデントノートを使用したコミュニケーションエラー減少の取り組み","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"混合病棟におけるインシデントノートを使用したコミュニケーションエラー減少の取り組み","subitem_title_language":"ja"},{"subitem_title":"Utilizing incident notebooks to decrease nursing staff communication errors in a mixed-department ward","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"31","path":["686"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-04-01"},"publish_date":"2020-04-01","publish_status":"0","recid":"2168","relation_version_is_last":true,"title":["混合病棟におけるインシデントノートを使用したコミュニケーションエラー減少の取り組み"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:10:56.499925+00:00"}