徳島県における医療安全管理の現状と展望

Medical safety has been focused drastically for the last 20 years due to some shocking reports issued simultaneously all over the world around 2000 （ex. “Bristol Inquiry” or “To err is human”）. This situation might show that all people in the world lose so-called “blind” trust and peace of mind for the resent medical care, and started to arouse suspicion for advanced medicine. In that meaning, it is considered that people’s feelings have reached “the saturation point”, thus we health professions have to adopt a more serious attitude for this situation. In Japan, symbolic medical accidents have been also occurred around 2000 （the misidentification of patients at an advanced treatment hospital, the erroneous injection of an antiseptic solution）, that was the driving force of dramatical changes in medical safety （ex. law revisions） and of the establishment some governmental systems, such as Japan Medical Safety Research Organization. Tokushima University Hospital, which is only advanced treatment hospital in Tokushima prefecture, may be expected to establish concrete systems for medical safety by using PDCA cycle and OODA loop, and to realize the advanced medical care. It might mean that Tokushima University Hospital will take the initiative in developing medical safety of other hospitals in Tokushima prefecture, therefore the role of Tokushima University Hospital is very important.