{"created":"2023-06-19T10:43:11.942987+00:00","id":3375,"links":{},"metadata":{"_buckets":{"deposit":"ea05bbe6-28f8-48ec-9619-e4bc2204bbe5"},"_deposit":{"created_by":11,"id":"3375","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3375"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003375","sets":["6:7:222:223"]},"author_link":["5967","570","1163","321","2481","7507","5038","7506"],"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"トウイン ニ オケル インシデント レポート ノ カンジャ エイキョウ レベルベツ ホウコク"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"17","bibliographicPageStart":"15","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"滋賀医科大学雑誌"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"当院では2011年からコンピューターを用いたインシデント報告システムを導入し、職員が匿名でインシデントを報告できる体制となった。本体制開始後7年間でインシデントレポートは16613件報告されたが、患者影響レベルに従ってレベル0からレベル5に分類した。レベル0は557件(全報告数のうち3.4%)、レベル1は7491件(同45.1%)、レベル2は6795件(同40.9%)、レベル3aは1340件(同8.1%)、レベル3bは339件(同2%)、レベル4aは14件(同0.1%)、レベル4bは47件(同0.3%)、レベル5は30件(0.2%)であった。この傾向に経年的な変化は認めなかった。当院におけるレベル別報告件数の比率は統計学上、ハインリッヒの法則に沿っておらず、いわゆる“ヒヤリ・ハット事例”の報告が不十分であることが考えられた。ヒヤリ・ハット報告には重大インシデントを回避しえた実践的対策の秘訣が隠されていると考えられるため、今後研修会などを通じて報告を促すこと等、何らかの対策が急務であると考えられる。","subitem_description_type":"Abstract"}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Departmental Bulletin Paper","subitem_description_type":"Other"}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.14999/1521.00012503","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"滋賀医科大学雑誌編集委員会"}]},"item_3_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.14999/1521.00012503"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://doi.org/10.14999/1521.00012503","subitem_relation_type_select":"DOI"}}]},"item_3_version_type_15":{"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":"伊藤, 英樹"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"臼井, 陵子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"生野, 芳博"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中野, 育子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"萬代, 良一"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"田中, 佐智子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"穴尾, 百合"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田中, 俊宏"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-06-13"}],"displaytype":"detail","filename":"jsums3201p015.pdf","filesize":[{"value":"428.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsums3201p015","url":"https://shiga-med.repo.nii.ac.jp/record/3375/files/jsums3201p015.pdf"},"version_id":"79c5b9a2-d1a0-4ae7-ae7c-a0f35b47599d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"インシデント","subitem_subject_scheme":"Other"},{"subitem_subject":"医療安全","subitem_subject_scheme":"Other"},{"subitem_subject":"ハインリッヒの法則","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院におけるインシデントレポートの患者影響レベル別報告","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院におけるインシデントレポートの患者影響レベル別報告"},{"subitem_title":"Disproportion of incident reports corresponding to each adverse effect on patients","subitem_title_language":"en"}]},"item_type_id":"3","owner":"11","path":["223"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-05-30"},"publish_date":"2019-05-30","publish_status":"0","recid":"3375","relation_version_is_last":true,"title":["当院におけるインシデントレポートの患者影響レベル別報告"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:15:32.591324+00:00"}