医療事故から学ぶ : 徳島県立中央病院におけるインシデントレポートの取り組みとその活用

It reports on the approach of an incident report system in Tokushima Prefectural Central Hospital. The thing to submit the “hiyari-hatto” form as an incident report system caused the change in the consideration of the nurse. In addition, the thing to share the case is useful for big medical accident prevention. It came to be able to understand where the point of the accident prevention measures was such as the problem of the organization, the problem of the consideration of the individual, analyze the problem of the ward posture. It will be necessary to be likely to lead to the revolution of another section’s (doctor and comedical) consideration by the nursing part’s submitting “hiyari-hatto” and making the approach on the medical accident prevention active in the future.