JP2010027013A - Safety management system for medical institution - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To take measures and improved measures to incidents, surely execute re-evaluation on the contents of the measures thus taken and easily grasp effect and improvement obtained by the execution of safety management education to comprehensively support improvement in quality in safety management. <P>SOLUTION: A safety management system includes: an incident report reporting and browsing function; an incident report revising processing and re-evaluating function; and a safety management education learning function. To the respective divisions or sections of a medical institution in which incidents occur or to the whole medical institution, the system supports the thorough treatment of the incidents according to sure and continuous evaluations in which revision processing is set and a reminder function is provided, and links the information on the incidents to the safety management education learning function to heighten the effect of the education, improve the medical institution staff's knowledge about safety, and their awareness that medical incidents should not be caused again and further simultaneously evaluate educational conditions, education test results and the incident information to attain the true evaluation on the effect of the education and individual education about accidents or serious incident-frequently causing groups. As the result, quality in safety management in a medical institution is improved, and the occurrence of incidents and medical accidents is reduced. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

      The present invention relates to a medical safety management system for comprehensively supporting management of medical safety management in a medical facility.

      In 2002, a part of the enforcement regulations of the Medical Law was revised, and medical institutions were required to secure a medical safety management system. Furthermore, with the progress of information disclosure in the medical field, public interest in medical accidents and medical errors is increasing. Under such circumstances, a system that supports safety management at medical institutions has been developed, records of various incidents and accidents occurring in medical institutions are made into a database, the causes of incidents and accidents are analyzed in detail, and various countermeasures are formulated. A kind of risk management attempt is being made.

For example, as in Patent Document 1, with regard to various incidents that occur in medical institutions, the causes of the incidents are analyzed, countermeasures and improvement measures are formulated and executed, the root cause of incidents is resolved, and safety management training is conducted. There is a system in place that aims to raise awareness of safety management of staff members who are engaged in medical institutions.
JP2007-66155A

      In such a conventional system, incident countermeasures and improvement measures can only be implemented immediately after the incident occurs, and reliable and continuous improvement measures are required at medical institutions where many employees come and go at any time. In some cases, the occurrence of incidents in other nursing operations at the same medical facility is not much improved even if measures are taken against certain types of incidents in one medical nursing operation. It is done.

      The purpose of safety management education conducted at medical institutions is to improve the staff's knowledge of safety management and consequently reduce the number of incidents and accidents. However, in the conventional system, information on safety management education and information on incidents are completely separated, and the relationship between the effect of safety management education and the decrease in the number of incidents and the increase in the number of browsing is not materialized. There was a problem that appropriate safety management education was not implemented.

    The present invention has been made in view of the above circumstances, and its purpose is to carry out measures for incidents and improvement measures and to re-evaluate the implementation contents, and to grasp the effects and improvement points by implementing safety management education. It is to provide a system that comprehensively supports the improvement of the quality of safety management by being able to be easily performed.

      The means of claim 1 adopted by the present invention in order to solve the above-mentioned problems includes a report reporting and browsing function for incidents occurring in a medical facility, a corrective action and reevaluation function for the report, and safety management education. This is a safety management system that has a learning function and manages and operates information related to medical safety in medical institutions. Report reporting and browsing functions support the input of incidents that occur in medical institutions and register and manage them in a database. , The incident data is a function to refer to the staff engaged in the medical institution, corrective action and re-evaluation function is a database of countermeasures and improvement measures against the incident data, and it is ensured that the reminder function is provided by continuous evaluation Is a function that supports thorough coping with safety management education and learning function , Incidents of information (reporting status, viewing situation, serious accident occurrence) and By linking the online safety management education learning function, a safety management system which is characterized by increasing the education effect.

      The means of claim 2 adopted by the present invention is that the corrective action and re-evaluation function is provided with corrective action setting and a reminder function for each department in the medical institution or the whole medical institution where the incident and the accident occurred. In particular, the corrective management function, which is implemented throughout the medical institution, supports the input of specific countermeasures for important cases and their evaluation methods based on reported incident information. The re-evaluation date can be set to request corrective action, and the system automatically prompts the evaluation of corrective action on the re-evaluation date, so that the progress of corrective action can be reliably evaluated. 2. The safety management system according to claim 1, wherein information on corrective actions and evaluation is disclosed within the medical institution to share information throughout the medical institution. A.

      The means of claim 3 adopted by the present invention links the information on incidents reported in medical institutions with the reporting status, browsing status, and serious accident occurrence status, and the safety management education learning function, thereby providing an educational effect. To improve the safety knowledge of employees, raise awareness of preventing the recurrence of medical accidents, and evaluate the educational status, educational test results and incident viewing / reporting status at the same time. The safety management system according to claim 1 or 2, wherein a trend analysis for the prevention of occurrence is performed, and a true evaluation of an educational effect and an accident or an individual education of a serious incident frequent occurrence group are aimed at.

      With regard to various incidents that occur at medical institutions, it is possible to reliably evaluate important cases and easily refer to reports. It can be provided. Furthermore, measures and problems are clarified based on the results of safety education, statistical information on the number of incidents and reports viewed in the past, and "hidden dangers" and "effective countermeasures" are shared among employees working at many medical institutions. As a result, the level of awareness of safety management in medical institutions can be improved, and the number of serious medical accidents can be reduced.

      FIG. 1 is a diagram showing the overall configuration of the present system. This system can be operated by being installed in the server machine 1S101. A medical worker uses this system by accessing the server machine 1 from each terminal S102 in the hospital via the network S103. In addition, when using this system, in order to prevent unauthorized use, a dedicated ID and password can be assigned to each medical worker and used after authentication. Information input from medical personnel is centrally managed by the server machine 1S101. In addition, the number of incident reports read by medical personnel is also stored in the server machine 1, and the usage status of each medical worker can be confirmed. It is possible to set four levels of authority for health care workers: general user, risk manager, general risk manager, and hospital administrator. Incident reports are reported mainly by general users and risk managers, and approval is performed by risk managers and general risk managers.

      FIG. 2 is a diagram showing a flow up to approval when a general user creates an incident report. When a general user creates an incident report S201, an approval request S202 is automatically made to the risk manager. The risk manager confirms the incident report information S203 and approves it. As a result, if there is no problem in the contents of the incident report, an approval request S204 is automatically made to the general risk manager, and if there is a problem, a resubmission request S205 is automatically made to the general user. The general user who has received the resubmission request reviews and corrects the content of the incident report. The general risk manager who has received the approval confirms the incident report information S207 and performs the approval. As a result, if there is no problem in the content of the incident report, the process ends in S208, and the information of the incident report is disclosed to each medical staff. If there is a problem, a resubmission request S209 is automatically made to the risk manager.

      FIG. 3 is a diagram showing a flow up to approval when the risk manager creates an incident report. When the risk manager performs the incident report creation S301, an approval request 302 is automatically made to the general risk manager. The general risk manager who has received the approval confirms the incident report information S303 and performs the approval. As a result, if there is no problem in the contents of the incident report, the process ends in step S304, and the information on the incident report is disclosed to each medical staff. If there is a problem, a resubmission request S305 is automatically made to the risk manager.

FIG. 4 is a diagram showing the flow of re-approval from incident report approval cancellation by the general risk manager.
When the general risk manager cancels the approval of the incident report S401, a request for resubmission of the incident report is automatically made to the risk manager. When the risk manager receives the resubmission request, the risk manager reviews and corrects the content of the incident report. Thereafter, a re-approval request S403 is automatically made to the general risk manager. The general risk manager confirms the contents of the incident report again S404, and can cancel the approval if there is a problem. If there is no problem, interviews were conducted at the site where the incident actually occurred, and as a result of performing fact confirmation S405, if there is no problem, the process ends in S406, and information on the incident report is disclosed to each health care worker .

      FIG. 5 is a diagram showing the flow of correction processing. When the general risk manager approves the incident report or sets the execution time of the corrective action and the deadline for submission in S501 after the approval, the request for the corrective action confirmation and description S503 is automatically made to the risk manager. When the risk manager performs the description S504 of the corrective action content, a confirmation request S505 is automatically made to the general risk manager. The general risk manager confirms the corrective action content S506, and if there is a problem, can resubmit the request to the risk manager S507. If there are no problems, set a re-evaluation date. FIG. 6 shows the flow of processing when the reevaluation date is reached. When reaching the re-evaluation date S602 set by the general risk manager S602, the re-evaluation request is automatically notified to the risk manager S603. Upon receiving the re-evaluation request, the risk manager confirms the effectiveness of the corrective action and performs evaluation S604, and when the evaluation content is described, the general risk manager is automatically notified of the evaluation request S605. The general risk manager performs the effectiveness check and evaluation S606. If it is determined that re-evaluation is necessary, the evaluation S607 can be performed continuously. In that case, a re-evaluation request is automatically notified to the risk manager on the re-evaluation date set again.

      7 and 8 show the flow of correction management. Corrective management means that the correction process is performed in the entire hospital, whereas the correction process is performed between the risk manager and the general risk manager. FIG. 7 is a diagram showing a flow of registration of an incident report to correction management. The general risk manager performs registration S701 for incidents that are determined to require correction management in the entire hospital. In FIG. 8, the general risk manager designates an incident report to be subject to correction management S801, sets correction management information, and sets a re-evaluation date S802. When the re-evaluation date is reached, an evaluation request for correction content is automatically sent to notification S803. After confirming the correction details, the general risk manager can perform evaluation S805 if it is determined that continuous evaluation is necessary in step S804. In that case, a re-evaluation request is automatically notified to the general risk manager on the re-evaluation date set again.

      FIG. 9 shows a flow in which the statistical information S906 is automatically output by performing the cross tabulation S905 based on the incident report browsing number S901, the submitted number S902, the attendance status S903 of the safety education conducted online, and the test result S904. It is a figure. Based on the output results, the effect and improvement points are grasped to improve the safety level.

It is the figure which showed schematic structure of this system. It is a figure which shows the flow of approval when a general user produces an incident report. It is a figure which shows the flow of approval when a risk manager produces an incident report. It is a figure which shows the flow of approval cancellation of an incident report. It is a figure which shows the flow of a corrective action. It is a figure which shows the flow of re-evaluation of corrective action. It is a figure which shows the flow of registration of the incident report to correction management. It is a figure which shows the flow of correction management. It is the figure which showed the flow which outputs statistical information automatically based on the number of inspection report submission / submissions and online safety education results.

Claims (3)

      A safety management system that manages and operates information related to medical safety at medical institutions, with reports and browsing functions for incidents that occur in medical facilities, corrective actions and reevaluation functions for these reports, and safety management education and learning functions Report management and reporting functions are functions that support the input of incidents that occurred in medical institutions, register and manage them in the database, and refer to the staff engaged in medical institutions for the incident data. The action and re-evaluation function is a function that supports the thorough response to incidents by ensuring that countermeasures and improvement measures for incident data are made into a database and that a reminder function is provided, and the safety management education and learning function Information (reporting status, browsing status, serious accidents) Theft occurrence) and By linking the online safety management education learning function, safety management system, characterized in that it enhances the educational effects.       The corrective action and re-evaluation function supports the thorough handling of cases through the establishment of corrective actions and a reliable continuous evaluation with a reminder function for individual departments or the entire medical institution where an incident or accident occurred. In particular, the correction management function performed by the entire medical institution supports the input of specific countermeasures and evaluation methods for important cases from the reported incident information, sets the re-evaluation date, and requests corrective actions. The system automatically promotes the evaluation of corrective actions on the re-evaluation date, so that the progress of corrective actions can be reliably evaluated, and the corrective action and evaluation information is stored within the medical institution. 2. The safety management system according to claim 1, wherein the information is shared throughout the medical institution by making it public.     Increasing the educational effect, improving safety knowledge of staff and medical accidents by linking incident information of incidents occurring at medical institutions, information on incidents of serious incident occurrence, and safety management education learning function Awareness of prevention of recurrence of accidents, as well as education status, education test results and incident browsing and reporting status at the same time, comprehensive trend analysis to prevent the occurrence of serious accidents, education 3. The safety management system according to claim 1 or 2, wherein a true evaluation of an effect and an accident or individual education for a group of frequent serious incidents are intended.

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