{"id":1658,"date":"2024-03-05T00:54:18","date_gmt":"2024-03-04T15:54:18","guid":{"rendered":"https:\/\/www.jpscs.org\/?p=1658"},"modified":"2025-09-10T16:21:02","modified_gmt":"2025-09-10T07:21:02","slug":"%e5%8c%bb%e7%99%82%e5%ae%89%e5%85%a8%e6%96%87%e5%8c%96","status":"publish","type":"post","link":"https:\/\/www.jpscs.org\/?p=1658","title":{"rendered":"\u533b\u7642\u5b89\u5168\u6587\u5316"},"content":{"rendered":"\n<p class=\"glossary-furigana\">\u3044\u308a\u3087\u3046\u3042\u3093\u305c\u3093\u3076\u3093\u304b<\/p>\n\n\n\n<p class=\"glossary-english\">Patient safety culture<\/p>\n\n\n\n<p>\u5b9a\u7fa9<br>\u533b\u7642\u5c02\u9580\u8077\u304c\u5f37\u56fa\u306a\u5b89\u5168\u7ba1\u7406\u30b7\u30b9\u30c6\u30e0\u306e\u5b9f\u88c5\u3092\u901a\u3058\uff0c\u52aa\u529b\u3057\u3066\u904b\u7528\u3059\u308b\u6587\u5316\u3067\u3042\u308a\uff0c\u4ee5\u4e0b\u306e 5 \u3064\u306e\u9ad8\u3044\u30ec\u30d9\u30eb\u306e\u7279\u5fb4\u3092\u793a\u3059\uff0e(1)\u6700\u524d\u7dda\u306e\u533b\u7642\u5f93\u4e8b\u8005\uff0c\u533b\u5e2b\uff0c\u7ba1\u7406\u90e8\u9580\u3092\u542b\u3080\u5168\u3066\u306e\u533b\u7642\u8005\u304c\uff0c\u81ea\u5206\u81ea\u8eab\uff0c\u540c\u50da\uff0c\u60a3\u8005\uff0c\u8a2a\u554f\u8005\u306e\u5b89\u5168\u306b\u5bfe\u3059\u308b\u8cac\u4efb\u3092\u53d7\u3051\u5165\u308c\u308b\u6587\u5316\uff0c(2) \u8ca1\u52d9\u304a\u3088\u3073\u904b\u7528\u4e0a\u306e\u76ee\u6a19\u3088\u308a\u3082\u5b89\u5168\u3092\u512a\u5148\u3059\u308b\u6587\u5316\uff0c(3) \u5b89\u5168\u4e0a\u306e\u554f\u984c\u306e\u7279\u5b9a\uff0c\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\uff0c\u304a\u3088\u3073\u89e3\u6c7a\u3092\u5968\u52b1\u3057\uff0c\u5831\u916c\u3092\u4e0e\u3048\u308b\u6587\u5316\uff0c(4) \u7d44\u7e54\u304c\u4e8b\u6545\u304b\u3089\u5b66\u3076\u6587\u5316\uff0c(5) \u52b9\u679c\u7684\u306a\u5b89\u5168\u30b7\u30b9\u30c6\u30e0\u3092\u7dad\u6301\u3059\u308b\u305f\u3081\u306b\uff0c\u9069\u5207\u306a\u8cc7\u6e90\u3084\u69cb\u9020\u3084\u8aac\u660e\u8cac\u4efb\u3092\u63d0\u4f9b\u3059\u308b\u6587\u5316 (WHO, 2011)<br>\u89e3\u8aac<br>\u300c\u5b89\u5168\u6587\u5316\u300d\u306e\u6982\u5ff5\u304c\u6700\u521d\u306b\u5f62\u6210\u3055\u308c\u305f\u306e\u306f\u539f\u5b50\u529b\u3084\u822a\u7a7a\u696d\u754c\u3067\u3042\u308b <sup>1,2)<\/sup>\uff0e\u539f\u5b50\u529b\u3084\u822a\u7a7a\u696d\u754c\u306e\u3088\u3046\u306a\u5371\u967a\u3068\u96a3\u308a\u5408\u308f\u305b\u306e\u696d\u754c\u3067\u306f\uff0c\u7d44\u7e54\u306e\u3042\u3089\u3086\u308b\u30ec\u30d9\u30eb\u3067\u5b89\u5168\u3092\u4fa1\u5024\u3042\u308b\u3082\u306e\u3068\u8003\u3048\uff0c\u512a\u5148\u9806\u4f4d\u3092\u8003\u3048\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3068\u3055\u308c\u3066\u304a\u308a\uff0c\u3053\u308c\u3092\u533b\u7642\u306b\u3082\u9069\u7528\u3057\u3066 patient safety culture \u306e\u6982\u5ff5\u304c\u751f\u307e\u308c\u305f\uff0e\u65e5\u672c\u3067\u306f\uff0c2001 \u5e74\u306b\u539a\u751f\u7701\uff08\u5f53\u6642\uff09\u306b\u3088\u3063\u3066\uff0c\u533b\u7642\u306b\u5f93\u4e8b\u3059\u308b\u5168\u3066\u306e\u8077\u54e1\u304c\uff0c\u60a3\u8005\u306e\u5b89\u5168\u3092\u6700\u512a\u5148\u306b\u8003\u3048\uff0c\u305d\u306e\u5b9f\u73fe\u3092\u76ee\u6307\u3059\u614b\u5ea6\u3084\u8003\u3048\u65b9\u304a\u3088\u3073\u305d\u308c\u3092\u53ef\u80fd\u306b\u3059\u308b\u7d44\u7e54\u306e\u3042\u308a\u65b9\uff0c\u3068\u5b9a\u7fa9\u3055\u308c\uff0c\u4eba\u306f\u9593\u9055\u3048\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u524d\u63d0\u306b\u3057\u3066\u3044\u308b<sup> 3)<\/sup>\uff0e WHO \u306f\uff0c\u76f4\u63a5\u95a2\u308f\u3063\u305f\u533b\u7642\u5f93\u4e8b\u8005\u306f\uff0c\u975e\u96e3\u3084\u5831\u5fa9\u304b\u3089\u4fdd\u8b77\u3055\u308c\u308b\u3068\u660e\u793a\u3057\u3066(WHO, 2020)\uff0c\u7d44\u7e54\u7684\u306a\u4fdd\u8b77\u3092\u5f37\u8abf\u3057\u3066\u3044\u308b\uff0e\u5b89\u5168\u6587\u5316\u3068\u306f\uff0c\u5f53\u8a72\u533b\u7642\u5f93\u4e8b\u8005\u306e\uff08\u6cd5\u7684\u306a\uff09\u4fdd\u8b77\u306b\u3088\u308a\uff0c\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u5831\u544a\u304c\u5b89\u5fc3\u3057\u3066\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\uff0c\u691c\u8a3c\u30fb\u5206\u6790\u3084\u6539\u5584\u6d3b\u52d5\u306b\u53c2\u52a0\u3067\u304d\uff0c\u60a3\u8005\u5b89\u5168\u63a8\u9032\u306b\u5bc4\u4e0e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u6587\u5316\u3067\u3042\u308b\uff0e\u5831\u544a\u306b\u5bfe\u3057\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3088\u308a\u3082\uff0c\u305d\u3053\u304b\u3089\u5b66\u3076\u3053\u3068\u3092\u91cd\u8996\u3057\u3066\u3044\u308b (WHO, 2020)\uff0e<br>\u306a\u304a\uff0c\u60a3\u8005\u5b89\u5168\u6587\u5316\u306f\u533b\u7642\u5f93\u4e8b\u8005\u306e\u9593\u3067\u306e\u6587\u5316\u3067\u3042\u308a\uff0c\u56fd\u5185\u5916\u306e\u5b9a\u7fa9\u306b\u306f\u60a3\u8005\u30fb\u5bb6\u65cf\u304c\u542b\u307e\u308c\u3066\u3044\u306a\u3044\uff0e\u73fe\u5728\uff0c\u60a3\u8005\u5b89\u5168\u3078\u306e\u60a3\u8005\u53c2\u753b\u304c\u91cd\u8981\u3060\u3068\u3055\u308c\u3066\u304a\u308a<sup> 4)<\/sup>\uff0c\u4eca\u5f8c\uff0c\u60a3\u8005\u5b89\u5168\u6587\u5316\u304c\uff0c\u533b\u7642\u5f93\u4e8b\u8005\u3068\u60a3\u8005\u30fb\u5bb6\u65cf\u306b\u304a\u3044\u3066\u5171\u6709\u3055\u308c\u308b\u6587\u5316\u3068\u3057\u3066\u518d\u5b9a\u7fa9\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e\u307e\u305f\uff0c\u539f\u5b50\u529b\u5206\u91ce\u3067\u306f\uff0csafety\u3000culture \u3068\u3044\u3046\u6982\u5ff5\u304b\u3089 culture for safety \u3068\u3044\u3046\u6982\u5ff5\u306b\u79fb\u884c\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u8003\u3048\u308b\u3068 <sup>5)<\/sup>\uff0cpatient safety\u3000culture \u304b\u3089 culture for patient safety \u3068\u3044\u3046\u6982\u5ff5\u306b\u79fb\u884c\u3059\u308b\u53ef\u80fd\u6027\u3082\u3042\u308b\uff0e<br>\u53c2\u8003\u6587\u732e<br>1) Civil Air Navigation Services Organization. Safety Culture Definition and Enhancement<br>Process. (2008) https:\/\/www.icao.int\/NACC\/Documents\/Meetings\/2018\/ASBU18\/OD-10-<br>Safety%20Culture%20Definition%20and%20Enhancement%20Process.pdf [\u30a2\u30af\u30bb\u30b9\u65e5<br>2023.05.07]<br>2) Care Quality Commission. CQC calls for a change in safety culture across the NHS to reduce<br>avoidable harm. (2018) https:\/\/www.cqc.org.uk\/news\/releases\/cqc-calls-change-safety-cultureacross-nhs-reduce-avoidable-harm-0[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]<br>3) \u539a\u751f\u52b4\u50cd\u7701\uff0e\u5b89\u5168\u306a\u533b\u7642\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u306e 10 \u306e\u8981\u70b9. (2001)<br>https:\/\/www.mhlw.go.jp\/topics\/2001\/0110\/tp1030-1f.html[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]<br>4) World Health Organization. Enhance patient and family engagement for the provision of safer<br>health care. Meeting Report (2019). https:\/\/cdn.who.int\/media\/docs\/default-source\/patientsafety\/pfps\/2019_pfps-meeting-report_final.pdf?sfvrsn=2a92da85_5&amp;download=true[\u30a2\u30af\u30bb\u30b9\u65e5<br>2023.05.07]<br>5) IAEA Department of Nuclear Safety and Security. CUTURE FOR SAFETY. Nuclear Safety and<br>Security Programme. https:\/\/www.iaea.org\/sites\/default\/files\/culture_for_safety_leaflet.pdf[\u30a2<br>\u30af\u30bb\u30b9\u65e5 2023.05.07]<br><br><a href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSeqgXeDRIHh-9R7etNfwgfP5fWNQZ1f4qTz8boKj1fo7EQ30w\/viewform\">\u672c\u7528\u8a9e\u306b\u5bfe\u3059\u308b\u3054\u610f\u898b\u304c\u3054\u3056\u3044\u307e\u3057\u305f\u3089\u3053\u3061\u3089\u304b\u3089\u304a\u5bc4\u305b\u304f\u3060\u3055\u3044\u3002<\/a><br><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3044\u308a\u3087\u3046\u3042\u3093\u305c\u3093\u3076\u3093\u304b Patient safety culture \u5b9a\u7fa9\u533b\u7642\u5c02\u9580\u8077\u304c\u5f37\u56fa\u306a\u5b89\u5168\u7ba1\u7406\u30b7\u30b9\u30c6\u30e0\u306e\u5b9f\u88c5\u3092\u901a\u3058\uff0c\u52aa\u529b\u3057\u3066\u904b\u7528\u3059\u308b\u6587\u5316\u3067\u3042\u308a\uff0c\u4ee5\u4e0b\u306e 5 \u3064\u306e\u9ad8\u3044\u30ec\u30d9\u30eb\u306e\u7279\u5fb4\u3092\u793a\u3059\uff0e(1)\u6700\u524d\u7dda\u306e\u533b\u7642\u5f93\u4e8b\u8005\uff0c\u533b\u5e2b [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-1658","post","type-post","status-publish","format-standard","hentry","category-7"],"_links":{"self":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1658","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1658"}],"version-history":[{"count":4,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1658\/revisions"}],"predecessor-version":[{"id":2190,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1658\/revisions\/2190"}],"wp:attachment":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1658"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1658"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1658"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}