\u3044\u308a\u3087\u3046\u3058\u3053<\/p>\n\n\n\n
(1) Harmful incident, (2) Medical accident<\/p>\n\n\n\n
\u5b9a\u7fa9 <\/p>\n","protected":false},"excerpt":{"rendered":" \u3044\u308a\u3087\u3046\u3058\u3053 (1) Harmful incident, (2) Medical accident \u5b9a\u7fa9(1) \u533b\u7642\u306b\u8d77\u56e0\u3057\u3066\u60a3\u8005\u306b\u4e0d\u5fc5\u8981\u306a\u5bb3\u3092\u3082\u305f\u3089\u3057\u305f\u3067\u304d\u3054\u3068(WHO, 2009)(2) \u5f53\u8a72\u75c5\u9662\u7b49\u306b\u52e4\u52d9\u3059\u308b\u533b\u7642\u5f93\u4e8b […]<\/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-1662","post","type-post","status-publish","format-standard","hentry","category-7"],"_links":{"self":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1662","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=1662"}],"version-history":[{"count":10,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1662\/revisions"}],"predecessor-version":[{"id":2201,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1662\/revisions\/2201"}],"wp:attachment":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1662"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1662"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1662"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
(1) \u533b\u7642\u306b\u8d77\u56e0\u3057\u3066\u60a3\u8005\u306b\u4e0d\u5fc5\u8981\u306a\u5bb3\u3092\u3082\u305f\u3089\u3057\u305f\u3067\u304d\u3054\u3068(WHO, 2009)
(2) \u5f53\u8a72\u75c5\u9662\u7b49\u306b\u52e4\u52d9\u3059\u308b\u533b\u7642\u5f93\u4e8b\u8005\u304c\u63d0\u4f9b\u3057\u305f\u533b\u7642\u306b\u8d77\u56e0\u3057\uff0c\u53c8\u306f\u8d77\u56e0\u3059\u308b\u3068\u7591\u308f\u308c\u308b\u6b7b\u4ea1\u53c8\u306f\u6b7b\u7523\u3067\u3042\u3063\u3066\uff0c\u5f53\u8a72\u7ba1\u7406\u8005\u304c\u5f53\u8a72\u6b7b\u4ea1\u53c8\u306f\u6b7b\u7523\u3092\u4e88\u671f\u3057\u306a\u304b\u3064\u305f\u3082\u306e\u3068\u3057\u3066\u539a\u751f\u52b4\u50cd\u7701\u4ee4\u3067\u5b9a\u3081\u308b\u3082\u306e\uff08\u533b\u7642\u6cd5\u7b2c 6 \u6761\u306e 10, 2015\uff09
\u89e3\u8aac
\u533b\u7642\u4e8b\u6545\u3068\u3044\u3046\u7528\u8a9e\u306f\uff0c\u6df7\u4e71\u3092\u3082\u305f\u3089\u3059\u7528\u8a9e\u3067\u3042\u308a\uff0c\u4f7f\u7528\u3059\u308b\u969b\u306b\u306f\uff0c\u5b9a\u7fa9\u3082\u542b\u3081\u3066\u4f7f\u7528\u3059\u308b\u3053\u3068\u3092\u63a8\u5968\u3059\u308b\uff0e\u7279\u306b\uff0c\u65e5\u672c\u3067\u306f(2)\u306e\u5b9a\u7fa9\u304c\u9650\u5b9a\u7684\u306b\u7528\u3044\u3089\u308c\u3066\u3044\u308b\uff0e(1)\u3068(2)\u306f\uff0c\u3044\u305a\u308c\u3082\u533b\u7642\u4e8b\u6545\u3060\u304c\uff0c\u5225\u7528\u8a9e\u3060\u3068\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3042\u308b\uff0e
(1) WHO (2020)\u306f\uff0c\u901a\u5e38\u533b\u7642\u884c\u70ba\u304b\u3089\u306e\u9038\u8131\u3092\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\uff0c\u305d\u306e\u3046\u3061\u60a3\u8005\u306b\u5bb3\u3092\u3082\u305f\u3057\u305f\u3082\u306e\u3092\u6709\u5bb3\u306a\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8(harmful incident)\u3068\u5b9a\u7fa9\u3057\u3066\u304a\u308a\uff0c\u3053\u308c\u3092\u53ef\u80fd\u306a\u9650\u308a\u4f4e\u6e1b\u3059\u308b\u3053\u3068\u3092\u533b\u7642\u5b89\u5168\/\u60a3\u8005\u5b89\u5168\u306e\u76ee\u6a19\u3068\u3057\u3066\u3044\u308b\u3053\u3068\u304b\u3089\uff0c\u672c\u59d4\u54e1\u4f1a\u306f\uff0c\u533b\u7642\u4e8b\u6545\u306b\u76f8\u5f53\u3059\u308b\u82f1\u8a9e\u3068\u3057\u3066 harmful incident \u3092\u63a1\u7528\u3057\u305f.\u65e5\u672c\u3067\u306f\uff0c\u533b\u7642\u4e8b\u6545\u306f\uff0c\u300c\u533b\u7642\u306b\u95a2\u308f\u308b\u5834\u6240\u3067\uff0c\u533b\u7642\u306e\u5168\u904e\u7a0b\u306b\u304a\u3044\u3066\u767a\u751f\u3059\u308b\u3059\u3079\u3066\u306e\u4eba\u8eab\u4e8b\u6545\u300d1,2)<\/sup>.\u5b9a\u7fa9\u3055\u308c\uff0c\u533b\u7642\u5f93\u4e8b\u8005\u306e\u904e\u8aa4\uff0c\u904e\u5931\u306e\u6709\u7121\u3092\u554f\u308f\u305a\uff0c\u60a3\u8005\u306e\u307f\u306a\u3089\u305a\u533b\u7642\u8005\u304c\u5bb3\u3092\u53d7\u3051\u308b\u3053\u3068\uff08\u52b4\u50cd\u707d\u5bb3\uff09\u3082\u542b\u307e\u308c\u3066\u3044\u308b\u304c\uff0c\u672c\u59d4\u54e1\u4f1a\u306f\uff0c\u52b4\u50cd\u707d\u5bb3\u306e\u9632\u6b62\u306f\uff0c\u533b\u7642\u5b89\u5168\/\u60a3\u8005\u5b89\u5168\u306e\u67a0\u7d44\u307f\u3068\u306f\u5225\u3060\u3068\u8003\u3048\uff0c\u539a\u751f\u7701\/\u539a\u751f\u52b4\u50cd\u7701\u306e\u300c\u533b\u7642\u4e8b\u6545\u300d\u306e\u5b9a\u7fa9\u3092\u610f\u56f3\u7684\u306b\u63a1\u7528\u3057\u306a\u304b\u3063\u305f\uff0e\u306a\u304a\uff0cWHO \u306f\u3001harmful incident\uff08\u6709\u5bb3\u306a\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\uff09\u306b\u306f\uff0c\u9632\u6b62\u53ef\u80fd\u306a adverse event\uff08\u6709\u5bb3\u4e8b\u8c61\uff09\u3068\u9632\u6b62\u3067\u304d\u306a\u304b\u3063\u305fadverse\u3000reaction\uff08\u6709\u5bb3\u53cd\u5fdc\uff09\u304c\u542b\u307e\u308c\u308b\u3068\u3057\u3066\u3044\u308b\u304c\uff0c\u7c73\u56fd\u533b\u5b66\u7814\u7a76\u6240(Institute of Medicine: IOM)\u306f\uff0cadverse event \u3068\u306f\uff0c\u533b\u7642\u4ecb\u5165\u306b\u8d77\u56e0\u3057\u3066\u5bb3\u3092\u3082\u305f\u3089\u3057\u305f\u3067\u304d\u3054\u3068\u3067\u3042\u308a\uff0c\u60a3\u8005\u306e\u75c5\u614b\u306b\u8d77\u56e0\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3068\u5b9a\u7fa9\u3057 3)<\/sup>\uff0c adverse event \u3068 harmful incident \u3092\u307b\u307c\u540c\u3058\u6587\u8108\u3067\u7528\u3044\u308b\u7b49\uff0c\u56fd\u5916\u3067\u3082 adverse event \u306e\u5b9a\u7fa9\u304c\u5b9a\u307e\u3063\u3066\u3044\u306a\u3044\u305f\u3081\uff0cadverse event \u3092\u533b\u7642\u4e8b\u6545\u306e\u82f1\u8a33\u3068\u3057\u3066\u63a1\u7528\u305b\u305a\uff0cWHO\u306e\u5b9a\u7fa9\u3059\u308b harmful incident \u3092\u63a1\u7528\u3057\u305f\uff0e
(2) \u65e5\u672c\u306e\u533b\u7642\u6cd5\u3067\u5b9a\u7fa9\u3055\u308c\u300c\u533b\u7642\u4e8b\u6545\u300d\u3068\u3057\u3066\u5831\u544a\u7fa9\u52d9\u306e\u3042\u308b\u4e8b\u4f8b\u306b\u3064\u3044\u3066\u306f\uff0c\u9632\u304e\u3048\u305f\u304b\u5426\u304b\u306b\u304b\u304b\u308f\u3089\u305a\uff0c\u533b\u7642\u306b\u8d77\u56e0\u3059\u308b\u4e88\u671f\u305b\u306c\u6b7b\u4ea1\u4e8b\u4f8b\u306e\u3053\u3068\u3092\u6307\u3059\uff0e\u5bfe\u8c61\u3068\u306a\u308b\u4e8b\u4f8b\u306b\u306f\uff0c\u6a19\u6e96\u7684\u306a\u533b\u7642\u304c\u63d0\u4f9b\u3055\u308c\u305f\u304c\uff0c\u601d\u3044\u304c\u3051\u305a\u6b7b\u4ea1\u306b\u81f3\u3063\u305f\u4e8b\u4f8b\u3082\u542b\u307e\u308c\u308b\uff0e\u533b\u7642\u4e8b\u6545\u8abf\u67fb\u30fb\u652f\u63f4\u30bb\u30f3\u30bf\u30fc\u306f\uff0c\u82f1\u8a9e\u306e accident \u306e\u672c\u6765\u306e\u610f\u5473\u300c\u601d\u3044\u304c\u3051\u305a\u8d77\u3053\u308a\uff0c\u56de\u907f\u304c\u96e3\u3057\u304b\u3063\u305f\u3067\u304d\u3054\u3068\u300d\u306b\u8fd1\u3044\u4e8b\u4f8b\u3082\u542b\u307e\u308c\u308b\u3068\u3044\u3046\u8003\u3048\u306e\u3082\u3068\u3067\uff0c\u533b\u7642\u4e8b\u6545\u8abf\u67fb\u5236\u5ea6\u306e\u82f1\u8a33\u3092 medical accident investigation \u3068\u3057\u305f 4)<\/sup>\uff0e\u4e00\u65b9\u3067\uff0c\u4e8b\u4f8b\u306e\u4e2d\u306b\u306f\uff0c\u6a19\u6e96\u533b\u7642\u304b\u3089\u306e\u9038\u8131\u306b\u3088\u308b\u6b7b\u4ea1\u4e8b\u4f8b\u3084\u56de\u907f\u53ef\u80fd\u3067\u3042\u3063\u305f\u3068\u601d\u308f\u308c\u308b\u4e8b\u4f8b\u3082\u542b\u307e\u308c\u308b\u305f\u3081\uff0cmedical accident \u3068\u3044\u3046\u8a33\u8a9e\u306b\u3064\u3044\u3066\u306f\uff0c\u300c\u6a19\u6e96\u7684\u306a\u533b\u7642\u3092\u63d0\u4f9b\u3057\u305f\u304c\u5bb3\u3092\u3082\u305f\u3089\u3057\u305f\u6b7b\u4ea1\u4e8b\u4f8b\u306b\u3064\u3044\u3066\u306e\u8abf\u67fb\u300d\u3068\u3044\u3046\u8aa4\u89e3\u3092\u62db\u304b\u306a\u3044\u3088\u3046\u306b\uff0c\u6cd5\u5f8b\u4e0a\u306e\u5b9a\u7fa9\u3092\u660e\u8a18\u3057\u3066\u4f7f\u7528\u3059\u308b\u3053\u3068\u304c\u671b\u307e\u3057\u3044\uff0e
\u53c2\u8003\u6587\u732e
1) \u539a\u751f\u7701\uff0e\u30ea\u30b9\u30af\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u30de\u30cb\u30e5\u30a2\u30eb\u4f5c\u6210\u59d4\u54e1\u4f1a. \u60a3\u8005\u8aa4\u8a8d\u4e8b\u6545\u9632\u6b62\u65b9\u7b56\u306b\u95a2\u3059\u308b\u691c\u8a0e\u4f1a\u5831\u544a\u66f8. (2000) https:\/\/www.mhlw.go.jp\/www1\/topics\/sisin\/tp1102-1_12.html [\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
2) \u539a\u751f\u52b4\u50cd\u7701\uff0e\u533b\u7642\u5b89\u5168\u5bfe\u7b56\u691c\u8a0e\u4f1a\u8b70. \u533b\u7642\u5b89\u5168\u63a8\u9032\u7dcf\u5408\u5bfe\u7b56\uff5e\u533b\u7642\u4e8b\u6545\u3092\u672a\u7136\u306b\u9632\u6b62\u3059\u308b\u305f\u3081\u306b\uff5e (2002) https:\/\/www.mhlw.go.jp\/topics\/2001\/0110\/tp1030-1y.html[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
3) Institute of Medicine (US) Committee on Quality of Health Care in America. To Err is Human: Building a Safer Health System. Washington DC, National Academies Press (2000)
4) \u4e00\u822c\u793e\u56e3\u6cd5\u4eba\u65e5\u672c\u533b\u7642\u5b89\u5168\u8abf\u67fb\u6a5f\u69cb\uff0ehttps:\/\/www.medsafe.or.jp\/[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
\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><\/p>\n\n\n\n