医療事故情報収集等事業 第39回報告書
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335. 24 12 No 7 2 8 English Med cal Safety Infor mation No 83 Failure to Reopen All Clamps on a Cerebrospinal Fluid Drainage Crcuit No 82 AccHental ingestion of PTP sheets 1st Follow up Report No 81 Body Part Trapped n Gaps in 5 Rails etc When Operating Beds No 80 Urethral Damage Caused by an Indwellng Bladder Catheter No 78 Medical Safety Infor mation released from 2006 to 2011 No 78 Wrong Quantity Prescribed When Switchng from Medicines Brought in at Hospitalization to Internal Prescriptions No 77 Vasculitis due to administration of eabexate mesilate 1st Follow up Report No 76 Medical Safety Infor mation released in 2012 No 75 Total Dose Wrongly Entered as Flow Rate n Infusion Pump etc No 74 Wrongl Assembled Manual Resuscitator No 73 Patient Mix up dar ng Radblogical Examnations 4 No 72 Misconnection of Drugs for Cont nuous hfusion nto the Epidural Space 13 Canadian Patient Safety Institute cpsi icsp rer w IMPROVING CARE 59245 jsi Icsp 9f healthear COMMUNITIES SEARCH CENTRE now 4 of PRACTICE Contact Francais BROWSE ALL CONTRIBUTING TOOLS amp NEWS gt ORGANIZATIONS RESOURCES search unius Printer Friendly Onli
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353. Project to Collect Medical Near Miss Adverse Event Information 2012 Annual Report 1 1 Full Text Search http www med safe jp reportsearch SearchReportInit 23 1 1 2 4 Table of Contents Information Project to Collect Medical Near miss 1 Project Overview and n Adverse Event Information 2012 Annual Report 19 Gne Mens 181 Colecton of Fe Intormaton on Medical Adverse Events 2 Individual Theme irrent Reporting Status Project to Colect Medical Noar miss Adverse Event information 7 Report on the Project to Collect Analyze and Provide Medical Adverse Event Information August 28 2013 Councilfor Quality Health Division of Adverse Event Prevention The current status of the project can be browsed at Website hitp Mwww med safo jp English page http lwww med sale jpicontentslengishndex html 4 1
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363. 1452 The Costs Associated with Implementing Electronic Health Records in Hospitals S P Slight C Quinn D Bates A Sheikh US UK 15 mins 1405 A Novel Electronic Nursing Information and Documentation System Impacts Nurse Workflows B Redley M Botti K Coleman J Considine AU 15 mins 2 0 1 6 2016 10 16 19H Gk 2015 10 4 7H 27 16 ISQua2016 1 SQOua ISQua s 33 International Conference TOKYO 2016 Tokyo International Forum Japan 16 19 October 2016 ISQua s 33rd International Conference will be held in Tokyo s International Forum Each year ISQua brings delegates together from across the world to hear from leaders in their field share their expertise and knowledge through a multidisciplinary forum including scientific sessions and networking social events Venue Tokyo International Forum Tokyo Japan I S Qua Webinars Japanese Webinars
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370. Confirms introduced themselves by name and role C The name of the procedure Confirm GU s name procedure ompletion of instrument sponge and needle and where the incision will be made Specimen labelling read specimen labels aloud IGRCBIODRVIS20S been given within including patient name Yes e here are any equipment problems to be NSUF OHxROIESDHDR OS Not applicable To Surgeon Anaesthetist and Nurse Anticipated Critical Events LJ What are the key concerns for recovery and To Surgeon management of this patient What are the critical or non routine steps How long will the case take What is the anticipated blood loss To Anaesthetist Are there any patient specific concerns Has sterility including indicator results been confir LJ Are there uw Issues or any concerns been confirmed Is essential imaging displayed gt Z A Yes Noah This checklist is not intended to be comprehensive Additions and modifications to fit local practice are encouraged 175 Revised 1 2009 WHO 2009 39 26 7 9 4
371. Reporting System Activities in Medicine Presenter Professor Shin Ushiro Executive Board Member Japan Council for Quality Health Care Professor of the division of patient safety management Kyushu University Hospital Kyushu University Graduate School of Medicine Fellowship Forum Forums Date 20 October 2014 29 2 5 I SQua CI A P International Accreditaion Programme Bd 2 0 Ver 4 0 Ver 5 0 2 6 3rdG ver 1 0 1 I AP TI S Qu
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389. al Safety Checklist 3 5 4 5 174 3
390. e g metal products into the MRI mitigate patient safety incidents in room is necessary your organization and help others Magnetic materials e g metal products succeed taken into the MRI room which caused accidents Oxygen tank Enamel tray Enamel products are made of metal and glass and therefore magnetic attracted by magnetic substances 6 ISQua International Society for Quality in Health Care ISQOua 2015 2 0 ISOQua ISQua 2 0 1 6 ISQua The International Society for Quality in Health Care 1 9 8 5
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392. in the symposium You can find the images by clicking on the Flickr icon below Contact 4 Videos are also available Please click on the icon below Gaeilge Disclaimer Freedom of Information Acceptable Use Policy Tweets RE AS Date Friday 19th September 2014 Venue Chester Beatty Library Dublin Ireland 18 Nov Host Public Policy Programme University College Dublin UCDSocialWork amp Pol 1 zm GUCDSocWorkPol Seminar today at ipm 00 Registration Gucdgearyinst Prof Michael Hill will talk abt Delegated Policy Delivery lssues about routinisation and Welcome Address UCD President Professor Andrew J Deeks Japanese Ambassador H E Chihiro Atsumi 22 lreland Japan Social Science Symposia 2nd Symposium SESSION 2 1 Medical innovation regulation and social impacts in Ireland and Japan 14 00 15 00 Professor Shin Ushiro Director Japan Council for Quality Health Care Director of the division of Patient Safety Kyushu University Hospital Professor Jane Grimson Health Information and Quality Authority Ireland Chair of Health Informatics TCD 8 4 0
393. ne Store Sharing for Learning P Emailto a Friend Get Updates Global Patient Safety Alerts Search Download on the y AppStore b gt E SOLUTIONS TO PROBLEMS THAT HAVE ALREADY BEEN SOLVED HOSPITAL NEWS CUCK HERE Alerts Recommendations Find alerts advisories and recommendations from patient safety quality and healthcare organizations from around the world Sharing our collective knowledge evidence and analysis allows us to help ensure that every patient experience is safe Take action by learning from and sharing with the global patient safety community Together we can do big things 25 14 GlobalPatient Safety Alerts Canadian Patient Safety Institute PT PATIENT bin Japan Council for Quality Health Care SAFETY Gum Sharing for Learning No 10 September 2007 Q Type text to search Magnetic material e g metal products Recommendations L taken in the MRIroom Two accident Iing magneti detis og oeque icts taken in the MRI E room ation col n period from Octol ei 1 2004 to Global Patient Safety Alerts is an ius IE innovative information sharing Ensuring a thorough system to prevent patients resource to help you prevent and and healthcare providers from taking magnetic T n n 3 materials
394. nes Strategic Organizational Management Lest 4 24 2013 OU NET HIA FILE ndi Y 20 Cliniosi Outoome improvement and strategio Organizational Management Presanter E E E risi Ie Professor Yulchl Imsnaka Executive Board Member Japan Council for Qualty Health Professor af Healthcare Economics and Quality Kyoto University Graduate School of Medicine Hf 20147518 Date 1 July 2044 1 9 Webinar 2014 10 20 ISQua Fellowship Programme Click on a title to watch a previously recorded webinar Previously recorded webinars are available for Er Windows and Mac based computers and do not require any prior download of special software In 2014 addition you can click on any of the available Webinar Notes links to download our supplemental information ISQua ASQua TJCHA Joint Fellowship Patient experience is not patient satisfaction understanding the fundamental differences v Webinars Presenter Subashnie Devkaran PhD FACHE MScHM BSc Physio CPHQ Forthcoming Webinars Manager Accreditation Quality and Patient Safety Institute Cleveland Clinic Abu Dhabi UAE Vice President American College of Healthcare Executives MENA Recorded W Date 3 November 2014 Testimonials E The Status Quo of the Web based Nationwide Adverse Event
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