医療事故情報収集等事業 第28 回報告書
Contents
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311. 69 II 3 23 QH 64 X 2 4 el mm 2011 2011 2011 2011 1 12 1 12 1 12 1 12 1 510 5 888 i 2 5 0 1 i 0 0 0 1 MD CO D 0 3 re 2011 2011 2011 2011 6 lm 1 6 201 67 2 79 1 I 1 _ ee Bl 1 _ ee 1 2 17_
312. 1 4 3 6 PTP F 23 8 PTP 1 9 1 PTP 2 3 3 6 3 No 5 7 6 PTP 1 3 4 6 7 9 10 1 2 1 6 1 7 1 8 1 9 2 0 2 1 2 2 2 3 O ID IO DI IOIOI OINIOIOIOIOIO On on OO OO 3 7 No 57 PTP 8 S No 57 2011 8
313. X 2011 2011 2011 2011 201 2011 2011 1 ha a 1 01 0 01 0 1 i 0 0 0 0 0 1 0 0 0 1 0 J 0 0 _0 ES 0 11 eh 0 1 0 0 0 1 1 6 0 7 0 2 0 0 ee 0 0 0 0 ol 0 0 0 1 2 Fs 0 0 0 0 0 1 0 0 0 0 0 om i 0 13 Oa 1 92 ee 4 35 11 11 01 0 de 2 6 SR 11 14 OS 2 0 0 i 1 A 0 0 1 ee 0 0 0 2 0 2 7 17 0 20 0 9 0 2 7 52 ee ey I22 103 he Wy oo i a 0 0 Wl 0 dA 0 0 0 Rh 0 0 2 lu 0 01 __1 0 0 0 eg 0 0 wv 0 0 2 WM 0 Wm 0 _ Ol 5 01 0 Wu 0 0 01 1 0 SS 0 0 Wo 0 Wa 0 0 Wm 0 _ 0 lu 3 8 01 0 0 4 01 0 _ 01 2 ea 01 1 _ 0 3 Wk Oo 0 0 LU 0O 0 1 NE 1 1 0 10 ss 0 2 m0 1 1 4 SR 0 0 Wi 0 0 0 0 0 0 lS 0 1 Wu 5 4 2 8 2 2 1 11 0 1 14 60 46 2
314. 2 2 21 I 3 4 D 2 W e b We b
315. 39 227 OO OiO O O AA 0 5 0 0 5 0 0 2 0 4 0 2 4 2 2 19 0 lm 0 1 2 1 13 2 13 01 001 2 2 11 1 Be 18 0 3 2 3 4 12 2 8 4 27 0 0 12 53 2 43 II EE 2011 201 201 2011 2011 201 201 2 ES Ua UN UN MA 1 6 Le 3 44 2
316. 4 2 3 1 0 1 1 2 3 1 ep S I 3 16 QH 28 357 11 7 258 47 387 27 154 25 80 135 21 60 40 PT 45 OT 16 ST 3 0 4 0 355 9 025 7 500 7 000 6 500 6 000 5 500 5 000 4 500 4 000 3 500 3 000 2 500 2 000 1 500 1 000 500 0 EEE SS ES 2
317. No 37 21 12 2 No 39 22 2 1 No 46 22 9 1 No 51 23 2 PTP 6 No 57 23 8 1 No 59 23 10 4 5 1 9 4 9 RR 4 11 4 11 Sg 13 2 13 5 13
318. P C 1 2 22 30 v CT 1 HU 2 PC 1
319. 3 497 93 9 13 854 94 0 3 724 100 0 14 734 100 0 68 3 IL 3 21 QH 36 2011 10 12 2011 1 12 2 11 284 57 6 43 458 58 1 i 1 1 1 I 1 1 1 1 RE EE 4 452 22 8 16 87 1 2 5 I 3 22 QH 61 X EA 2011 2011 2011 2011 2011 2011 2011 2011 a el a a a 4 58 209 48 192 1 404 5 487 1 510 5 888 4 14 1 11 18 86 23 111 7 27 3 43 146 581 156 651 Me 1 12 12 31 64 301 77 344 12 31 25 95 392 1 583 429 1 709 a 11 22 4 27 336 1 279 351 1 328 3 17 17 81 813 3 188 833 3 286 13 34 8 34 324 1 349 345 1 417 109 366 118 514 3 497 13 854 3 724 14 734
320. G I R 1 50 20mL 2 1 50mt 1 50mL 50 40mL R 9mL 900 4 20mg dL CT 148 2 3
321. 169 555 ee 9 8 1 12 es zz75 47 8 2zs1 28 1 1 a 460 7 30 s 208 25 81 ee ss Wl 27 ae 5 6 i 0 1 Wl 25 99 ses sieo 5 4 27 1 gt 123 i 47 jeel 2 2 20 3 9 a 448 isos i 28 jo 29 89 9 438 34 263 2 785 2 065 8 3 0 10 12 8 12 12 0 12 0 gt 12 0 12 11284 43458 445 1 804 411 1 559 542 1 961 345 1469 5217 20009 545 2246 29 136 Se 2372 88 417 1842 7314 17 71 22 99 15 66 30 127 230 879 6 19 83 5 31 110 248 861 128 578 106 376 155 617 137 533 1238 4764 164 642 23 106 436 1 775 79 281 986 3771 354 1 407 61 244 468 1 825 98 394 1523 5a60 62 20
322. 5 5
323. 0 33 273 609 7 II 2 2 3 1 0 1 1 2 3 1 IT 2 2 QA 02 2011 3 4 S 5 5 1 4 4 3 2 3 2 0 3 1 4 0 o ol ol ol ol o LG ol o ER 583 584 588 592 595 597 600 602 601 604 605 609 8 2 1 2 3 1 0 1 1 2 3 1 2
324. a Me pe 1 3 6mL 3 0mL i 1 a
325. 2 TF 148 214 371 4 2 4 81 97 184 5 lt 0 11 229 440 680 6 2 8 332 412 754 7 0 21 860 870 1 751 8 1 12 640 525 1 178 22 176 3 171 3 561 6 930 1 0 10 23 22 55 2 11 85 245 307 648 3 1 0 31 45 77 4 0 34 64 99 64 10 050 I 3 6 QNR 04 2 0 0 2 9 9 1 0 39 1 378 2 014 3 431 2 1 3 21 20 45 3 0 16 116 382 514 4 2 8 125 172 307 5 M 0 17 227 953 1 197 6 2 6 313 536 857 7 3 43 1 690 2 343 4 079 8 1 23 829 725 1 578 9 155 4 699 7 145 12 008
326. 5 2 3 10 1 12 3 1 1 2 5 1 A
327. 10 32 43 32 26 20 21 16 15 16 10 12 366 14 11 14 12 17 11 15 25 14 13 14 10 12 10 276 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 22 23 24 25 26 27 28 29 30 3 32 33 34 BSE 36 BW 38 39 40 te 34 2 41 63 48 40 34 39 30 33 41 25 26 19 16 14 19 Lx 13 11 14 11 688 ST 0T PT 35 gt I QA
328. 2 5 _ 4 116 2 2
329. 0 1 0 0 0 0 1 1 3 8 0 0 1 10 1 7 1 23 0 0 11 39 0 6 4 3 0 1 14 52 1 7 0 1 0 0 1 8 1 2 0 0 0 0 0 0 0 0 4 14 0 0 10 42 0 3 0 3 0 0 4 16 1 1 1 5 0 0 16 47 0 10 0 2 0 1 0 8 0 1 0 0 0 0 1 1 0 0 0 4 0 0 9 10 0 1 1 6 0 1 3 24 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 1 13 0 2 0 2 0 0 0 2 0 0 0 6 0 0 2 8 1 2 0 6 0 0 3 20 1 3 0 4 0 0 3 14 0 2 0 0 0 0 0 0 0 0 4 6 0 0 0 2 0 0 0 1 0 0 1 3 0 0 1 5 0 0 11 18 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 3 21 1 3 0 0 0 0 0 0 0 0 8 31 0 1 9 53 2 13 41 253 1 7 154 633 16 107 48 2 ol ns 0 0 10A 12 Mt lO gt 12 shO 2 Tt 1O gt 12 eo PO 12 ey 1 26 2 17 13 114 1 13 3
330. 1 0 11 45 79 135 2 0 10 385 746 1 141 3 1 5 46 98 150 4 0 0 61 77 138 68 16 724 56 3 TI 3 7 QNR 05 3 00 399 1 17 78 1 822 4 582 6 499 2 3 3 41 45 92 3 2 24 212 714 952 4 6 27 214 361 608 5 o 0 17 428 2 390 2 835 6 2 18 558 1 139 1 717 7 6 39 1 229 4 004 5 278 8 11 46 947 1 297 2 301 47 252 5 451 14 532 20 282
331. 23 750 3 10 QNR 08 6 0 0 1 75 488 6 649 18 801 26 013 2 27 21 168 330 546 3 38 143 850 2 725 3 756 4 20 57 572 1 569 2 218 5 B 16 381 2 208 11 293 13 898 6 55 158 2 086 3 919 6 218 7 20 293 3 619 11 111 15 043 8 36 162 2 265 4 061 6 524 287 1 703 18 417 53 809 74 216 1 16 147 580 1 330 2 073 2 44 251 2 509 7 010 9 814 3 16 46 300 915 1 277 4 1 9 138 1 684 1 832 101 80 743 3 3 1
332. E E 1 8 IN 1 2 3 f 4 1 3 3 1 1
333. f E 5R 2 OO C 0 E 8
334. 09 00 09 15 Opening Speech Representative Manual wisa0o9 ae and Public Hospit om 11 40 11 55 2011 11 7 9 November 9 2011 Beijing 11 55 14 00 Dr Shin Ushiro Director Japar Council for Qual eee 5 Canadian Patient Safety Institute cpsi icsp Global Patient Safety Alerts 1 7 we 2 0 2 2 9 CO oR CR 8 No 4 7 15 Pi 2 1 Miss Adverse Event Information 2009 Annual Report
335. 1 P TP 1 1 4 PT P P TP 1 PTP 2 1 PTP 1 30 PTP
336. A _ i
337. B 12 A B R 250mL 11 52mg dL A B ih B t 3 A
338. 1 1 1 53 OO DD att jh m 2 2 2 2 1 6 1 0 2 2 1 2 3 1 8 3
339. 2 95 E i 3tab 2 0 1 i 1 MTX 2 3tab 2 i 0 1 2 3 2 5 m g MTX 2 3tab 2 0 1 2 5
340. 2 1 3 2 0 1 4 3 7 0 G CSE MRNA VT CPR 6 ICU 88 2 No
341. 8 CE al 2011 2011 2011 2011 1 12 1 12 1 12 1 12 D ol le 0 be CD w CI 7 3 II 2 CE et 2011 2011 2011 2011 1 12 1 12 1 12 1 12 a 156 651 025 0 1 7 0 18 42 172 43 197 EE MN WU Ol 0 0 va Ol 0 0 aA AL Opel RL 0 vm Ol 0 1 NN wa 1 0 Ol 0 Ol 0 Ol 0 0 Sel JR wa Ol 0 Wa 0 oa 2
342. a 7 26 22 56 209 I o o o 1 3 4 Ia 38 I 3 5 0 3 6 js 54 I 1 6 64 8 30 27 183 245 1057 i 0 2 2 7 3 4 Il 64 I gt 3 1 s ij 30 is6 i se 1 je 68 1 24 ioz 1 i 2 8 21 i 7 20 71 _ 22 3 9 94 ssi 8 51 izo sz I 7 1 5 9 47 20 25 0 252 1 158 el so 5lal alal zl alol az 2 1 5 1 1 2 9 25 75 I 9 Il ss 1 44 175 i 23 25 is 82 i9 77 73 3s96 60 658 59 260 655 2 658 175 599 1433 6 300 51 II 3 EYY 1 2 3 1 1 1 2 3 1 2 3 1
343. 5 12 7 12 0 0 12 21 63 117 4 8 8 19 43 79 10 19 0 0 7 18 0 2 SAR 27 46 1 1 0 0 0 1 12 20 1 29 43 182 348 23 49 2 10 18 35 28 41 i 573 1 051 52 2 TL 3 2 QH 02 2011 1 2 3 4 5 6 7 8 9 10 11 12 2 2 3 2 2 3 1 0 1 2 0 1 0 0 0 0 0 1 0 0 2 0 0 1 5
344. 106 547 11 169 26 191 38 013 8 83 437 6 973 8 996 16 489 605 3 167 45 516 109 827 159 115 1 35 275 896 2 187 3 393 2 87 516 4 904 12 450 17 957 3 28 92 614 1 57 1 2 305 4 6 27 385 2 593 3 011 456 190 831 54 3 2 2 3 1 0 1 1 2 3 1 I 3 4 IT 3 1 0 T 3 4 QNR 02 0 9 9
345. 2 PTP PTP P 167 3 4 7 No 5 7
346. 5 3 2 1 8 2 2 1 2 2 2 2
347. 69 39 39 32 12 30 16 15 23 21 14 14 14 9 025 275 17 8 10 15 355 ST 0T 16 PT 13 10 45 40 20 11 60 21 67 II HL 3 19 QH 31 2011 10 12 2011 1 12 0 3 848 46 9 14 099 44 7 45 0 5 197 0 6 308 3 8 1 295 4 1 205 2 5 863 2 7 1 126 13 7 4 617 14 6 553 6 7 2 119 6 7 1 604 19 6 6 109 19 4 514 6 3 2 250 7 1 8 203 100 0 31 549 100 0 HL 3 20 QH 33 2011 10 12 2011 1 12 A 109 2 9 366 2 5 118 3 2 514 3 5
348. Wm Ae A Md ie lt 5 0 6 i 6 58 Wee 18 72 ES 1 _ Ws 2_ 1 2 _ e ml 10 ee 4 1 13_ ee ee ee gt 10 mn ga 14 MOA 267 RU 291 0 1 0 11 7 64 1 76 77 344 Co10O1O 71s II I 3 2 4 OH 65 X X 2011 2011 2011 2011 a 1 12 RE 1 12 1 12 1 12 1 510 5 888 MD ep MD ee oy oo D 2 3
349. www jcqhc or jp 171 No 6 0 No 60 2011 11 ma 4 4 No 60 2011 11 5 2O007 1 1 201 1 9 30 83 P106 HA 1 1 3 172 No 60 2011 11 4
350. 0 1 4 10 2 15 1 oy 74 3 i a et Dp 2011 2011 2011 2011 a 1 12 1 12 1 12 a 1 12 1 A at 429 1 709 aa 2 gt gt 3 10 2 3 3 10 29 140 35 153 3 0 6 1 6 20 80 21 92 Peel 351 1 328 i ww oy a Oo ww w II
351. 1 6 17 96 339 458 2 9 41 530 1 604 2 184 3 4 17 62 184 267 4 1 1 39 273 314 82 27 428 TI 3 8 QNR 06 4 00 499 1 17 142 2 634 5 201 7 994 2 3 10 38 67 118 3 7 35 212 714 968 4 6 24 235 457 722 5 2 24 697 3 112 3 835 6 4 17 545 1 154 1 720 7 6 66 2 546 4 658 7 276 8 8 95 1 548 1 396 3 047 53 413 8 455 16 759 25 680 1 2 20 47 152 221 2 9 44 700 1 429 2 182 3 4 14 110 206 334 4 1 1
352. 2 0 es 2 2 0 TO TT 124
353. 0 9 1 0 1 0 0 0 0 0O 2 1 9 0 4 1 0 0 0 0 0 0 0 0 0 01 1 0 5 0 0 0 0 01 0 01 0 11 7 0 4 0 0 0 1 0 0 3 0 4112 1 ol 0 3 0 0 0 2 ol 1 0 8 0 0 0 0 0 0 0 0 1 10 0 0 0 11 0 0 2 1 0 0 0 0 01 3 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0O 0 0 0 0 9 0 0 0 01 0 2 13 0 4 1 9 3 0 4 5 1 7 49 2 17 10 7 5 1 7 49 P TP 1 3 F 0 118 2 2 16
354. 1 0 22 14 0 50 2 4 0 1 0 2 0 23 2 0 34 0 13 0 0 0 1 4 24 0 0 30 1 3 0 0 0 2 4 25 1 1 44 2 6 0 0 0 2 2 26 1 0 27 0 1 0 1 0 1 5 27 1 0 30 2 1 0 1 0 4 2 28 1 0 23 1 3 0 0 0 2 4 29 0 0 25 1 0 0 0 0 4 2 30 1 0 42 2 11 0 2 0 2 1 31 0 0 25 1 7 0 1 0 2 0 32 0 0 20 0 4 0 0 0 1 1 33 1 0 18 0 1 0 0 0 0 0 34 0 0 13 0 1 0 0 0 0 2 35 1 0 23 0 5 0 0 0 0 0 36 1 0 12 0 0 0 0 0 0 2 37 0 0 7 0 0 0 0 0 1 0 38 0 0 2 2 0 1 0 0 0 0 39 0 0 1 0 0 0 0 0 0 0 40 2 0 0 2 0 0 0 0 0 0 357 11 7 258 47 387 27 154 25 80 135 64 3 2 044 1 055 778 698 641 498 37 1 365 263 220 256 157 148 129 133 131 104 92 74 92 116 49 73 55 41 62 36 42 35 33 65 37 28 20 19 29 16 10 9 025 266 11 355 5T 0T 16 PT 10 45 40 14 10 60
355. 1 7 QA 41 A 2011 10 12 2011 1 12 2 6857 OE 2987 47 5 164 114 785 125 3 10 0 116 13 0 9 50 08 155 10 8 684 10 9 279 19 5 1098 a 2 18 QA 42 A 2011 10 12 2011 1 12 a 4 i 0 0 1 0 11 2 2 52 2 1 1 0 2 8 0 3 8 1 6 30 1 2 0 0 0 0 0 0 0 0 0 0 1 0 481 96 0 2 388 96 2 501 100 0 2 483 100 0 40 2 HI 2 19 QA 64 A
356. 138 0 0 0 0 0 7 0 2 0 53 0 0 0 0 0 27 6 8 660 3 060 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 1 1 11 41 1 0 1 0 7 29 9 13 2 030 7 149 182 23 34 1 066 3 950 23 3 5 303 1 032 2 0 0 0 18 2 4 254 413 28 0 2 0 28 573 89 147 8 203 31 549 60 3 TI 3 13 QH 05 2011 2011 1 12 2011 1 12 12 31 10 12 10 12 0 19 43 1 2 5 20 49 18 0 0 50 99 38 5 100 149 42 6 150 199 66 7 200 249 40 6 250 299 33 5 300 349 65 8 350 399 29 5 400 449 53 9 450 499 25 4 50
357. 2 3 4 H 5
358. 4 1 7 9 2 2 5 ee 27 10 1 1 2 Bl es D 5 2 2 3 Bal g 2 9 2 9
359. 40 A 2011 10 12 2011 1 12 Rs NAO 36 6 0 261 8 7 16 2 7 79 2 6 29 4 8 162 5 4 19 3 2 78 2 6 41 6 9 156 5 2 51 8 5 189 6 3 6 1 0 44 1 5 8 1 3 23 0 8 1 0 2 2 0 1 4 0 7 11 0 4 23 3 8 173 5 7 30 5 0 209 6 9 77 12 9 369 12 3 7 1 2 35 1 2 0 0 0 0 38 6 4 157 5 2 12 2 0 45 1 5 21 3 5 97 3 2 0 0 24 0 8 0 1 0 2 3 0 1 6 1 0 37 1 2 8 1 3 68 2 3 0 0 0 0 0 0 0 0 11 1 8 32 1 1 0 0 7 0 2 6 1 0 32 1 1 9 1 5 48 1 6 9 1 5 54 1 8 0 0 2 0 1 46 182 6 0 1 0 2 16 0 5 19 3 2 57 1 9 4 0 7 6 0 2 0 0 1 0 0 0 1 0 5 0 8 37 1 2 0 0 3 0 1 54 9 0 312 10 4 598 100 0 3 012 100 0 39 II T 2
360. 7 1 3 1 2 1 0 117 2 15 3 1 EE EE CN 2 1 6 1 5 pi 2 EMIIE 0 0 0 01 1 0 0 0 0 0 1 2 0 1 0 0 0 0 O 0
361. safe jp 101 0061 1 4 17 03 521 7 055 FAX 03 521 7 0253 http www jcqhc or jp 173 No 6 1 No 61 2011 12 ma 4 4 4 No 61 2011 12 ee 2007 1 1 801 1 10 31 16 P133
362. 0 549 27 6 550 599 14 2 5 3 11 600 649 18 4 6 1 210 4 037 650 699 14 5 7 333 1 558 700 749 10 1 3 5 30 750 799 3 2 2 18 108 800 849 4 6 1 515 5 628 850 899 0 0 0 0 900 999 11 4 9 301 1 273 1000 12 5 7 1 538 5 298 573 89 147 8 203 31 549 I 3 14 QH 06 2011 2011 1 12 2011 1 12 12 31 10 12 10 12 48 7 9 64 253 57 8 12 317 1 257 142 28 42 2 009 6 430 99 14 24 3 092 12 416 83 14 28 1 803 6 480 72 8 15 250 1 073 72 10 17 668 3 640 573 89 147 8 203 31 549 61 II 3 15 QH 07 2011 2011 10 12 1 12 0 484 426 1 17 32 2 8 15 3 5 13 4 5 5 5 4 8 6 0 1 7 1 4 8 1 2 9 1 2 10 2 0 11 20 8 7 21 30 4 31 40 3 1 41 50 3 3 51 100 7 11 101 150 2 6 151 200 3 5 200 15 25 573 573 62 3
363. 0 44 300 355 70 30 699 57 II 58 1 3 9 QNR 07 5 0 0 599 1 19 116 1 242 4 424 5 801 2 3 12 155 202 372 3 9 22 200 740 971 4 7 19 143 507 676 5 D0 46 68 651 2 364 3 129 6 6 22 334 1 165 1 527 7 71 77 1 022 3 039 4 209 8 26 93 642 941 1 702 187 429 4 389 13 382 18 387 1 11 70 97 257 435 2 14 75 479 1 275 1 843 3 2 9 55 108 174 4 3 4 44 194 245 44
364. 1 8 1 9 2 0 2 1 2 2 SS Oo Oo 2 3 OlOI IOIO IOIO OlOIOIOIO IOIO IOIOIOICOCIOIOICO 3 5 No 3 7 No 37 2009 12 PA No 37 2009 12 4 2006 1 1 2009 10 30 18 a
365. 3 1 2 3 1 I 2 1 QA 01 45 1 144 0 8 0 13 0 0 3 0 0 J 1 14 8 0 63 9 1 1 13 0 53 0 15 0 1 0 17 9 0 1 PA 0 38 0 2 0 1 0 1 0 9 0 0 51 12 0 258 1 37 0 1 1 0 25
366. 30 A T 2 1 3 10 10 86 84 52 48 29 20 13 10 366 66 36 39 24 20 18 12 15 276 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 22 23 24 25 26 27 28 29 30 3 32 33 34 BSP 36 8 38 39 40 te 36 2 162 131 97 75 53 45 26 24 17 17 688 ST 0T PT
367. 4 P99 110 http wwwmed safe jp 63 I TI 3 1 7 QH 29 Me 0 106 4 1 520 1 46 5 33 4 9 17 1 19 3 926 7 41 0 10 3 4 10 2 23 1 646 1 46 3 9 5 6 5 3 20 0 593 5 22 4 15 0 5 13 4 15 0 561 0 19 4 10 1 2 4 5 12 0 422 0 19 1 13 3 3 7 6 12 0 318 0 15 0 6 2 1 4 7 10 0 316 0 10 0 10 2 0 3 8 13 0 224 0 7 2 3 1 2 2 9 10 0 173 0 11 0 7 1 0 9 10 15 1 205 4 7 1 2 1 3 3 11 12 0 128 2 0 1 0 0 1 12 6 0 122 2 8 0 4 0 0 2 13 6 0 106 2 8 1 1 1 1 0 14 8 0 95 0 12 0 8 0 1 9 15 7 0 99 0 4 0 5 0 3 2 16 6 1 83 1 3 3 1 0 2 2 IGE 11 0 62 0 7 2 1 0 3 5 18 1 0 61 0 2 0 4 0 4 1 19 6 0 62 1 20 0 1 0 1 1 20 9 0 76 4 9 0 1 1 5 6 21 4 0 34 1 4 0 3 0
368. 4 47 198 9 274 44 177 on 2 7 26 7 se 2g ns wl 2e se io see os 28 869 ios sez zee 989 141 so 1659 sz 0 lnol al sl CC 4 ss wl so sg 2ee 4g 0 sl 2s4 0 is sa 2s el sl 0 5 27 18 93 9 37 9 170 265 897 5 sn gt 9 gt seel ss 2 se jm Ia Il sl wl es RE gt gt 9 ss mml ss 29 io 7 26 sl ie jl se _ 4 se 9 ss sml isee el 7w co js sl lt Il io zes sz 69 249 32 122 S99 422 52 207 730 2 649 I 0 0 0 OS 10 497 1 182 4 565 12 13 850 1 486 6 355 19 616 74 864 79 1 1
369. 50 TV 5 100 mg dL B 2 E gt FT C 7 Dm A ee 5
370. 6 261 2 10 0 0 0 3 1 6 16 79 1 1 12 8 46 5 18 29 162 0 0 0 17 61 0 19 78 0 1 8 31 99 3 41 156 5 16 4 23 72 5 20 51 189 0 4 0 2 4 20 1 5 6 44 1 5 0 0 0 1 4 8 23 0 0 0 0 1 0 0 1 2 0 0 0 0 3 0 0 4 11 1 48 0 4 12 73 5 13 23 173 1 35 2 7 14 85 1 14 30 209 0 10 0 2 51 244 7 40 77 369 1 1 1 1 12 2 7 7 35 0 0 0 0 0 0 0 0 0 5 28 1 6 14 49 4 15 38 157 2 7 1 2 0 9 4 7 12 45 1 16 1 3 0 11 2 5 21 97 0 10 0 0 0 1 0 1 0 24 0 0 0 0 0 0 2 3 1 2 0 2 2 13 0 5 6 37 0 10 1 4 1 12 2 7 8 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 1 1 6 9 11 32 0 0 0 1 0 1 0 1 0 7 0 3 0 1 1 8 2 4 6 32 0 0 0 0 3 14 2 5 9 48 1 5 1 1 4 22 0 6 9 54 0 0 0 0 0 2 0 0 0 2 0 1 0 0 6 149 5 24 46 182 0 0 0 1 0 7 0 4 1 16 0 2 4 16 1 8 2 7 19 57 0 0 0 0 2 3 1 1 4 6 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 2 1 7 5 37 0 0 0 0 0 2 0 1 0 3 3 39 3 25 2 116 7 34 54 312 26 302 24 135 266 1274 70 301 598 3012 49 II 1 2 22 QA 71 A X Ran I 2 i o i se 3 js hi o o Ee 1 0 1 o oo gt 3
371. 60 562 565 567 569 571 572 572 571 573 573 573 4 2 3 5 5 4 2 3 3 5 0 2 0 0 0 1 0 0 0 0 1 0 0 0 1 019 1 021 1 024 1 028 1 033 1 037 1 039 1 042 1 044 1 049 1 049 1 051 53 II 2 1 2 3 1 0 1 1 2 3 1 1 3 3 ONR 01 1 143 989 14 943 36 191 52 266 2 37 49 437 694 1 217 3 58 252 1 830 5 552 7 692 4 43 141 1 392 3177 4 753 5 Fp a 64 519 4 507 20 638 25 728 6 71 233 4 265 8 388 12 957 7
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373. HF 4 3 1 2 2 1 P99 111 http www med safejp 2
374. hina ASEAN Forum on Reform and Administration of Public Hospitals 1 1 1 1 2011 China ASEAN Forum on Reform and Administration of Public Hospitals f 12 Taiwan Joint Commission 2 3 1 6 1 7 2 2 2 4 2 6 2 ASEAN National Institute of Hospital Administration
375. row 2008 O O 3 vs Medico legal F The Character of Harms Operational Challenges in Control Malcolm E E
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