Office of Safety Management

Tomonori Yano, Keiji Okinaka, Masami Muto, Hisae Matsuhashi, Masahito Yonemura, Chika Hara

Introduction

The Office of Safety Management has been created as the department responsible for crossorganizational safety management in our hospital in order to practice best medical service and care for cancer patients.

Routine activities

This year, we organized the medical safety reporting system both in clinical practice and clinical trials to clarify the governance of the directors of our hospital as the top authority. And, we started the medical record survey of all inhospital death cases, mortality and morbidity conferences, and prompt case study conferences in the hospital in order to correspond to the medical accident investigation system that started this October.

An infectious disease physician arrived at our hospital this year, and a support system for treatment of infectious diseases related to cancer itself or anti-cancer treatment was put in place. In addition, we also enhanced the infectious control abilities of staff at our hospital.

Research activities

The total number of cases reported was 2,832; from doctors: 296 cases (10%), from nurses: 2,169 cases (77%), from pharmacists: 209 cases (7%), from radiological technicians 70 cases (2%), from laboratory technicians: 22 cases (1%), from nutritionists: 20 cases (1%), from clerical staff: 15 cases (1%), and from others: 31 cases (1%).

Education

Medical safety

Training course of Team Strategies and Tools to Enhance Performance and Patient Safety (STEPPS) , Training course of basic life support (BLS) and advanced cardiovascular life support (ACLS)

Infectious control

Countermeasures for tuberculosis, Countermeasures for flu

Future prospects

This year, we clarified the medical safety reporting system, and it resulted in an increase in the incident report number. We could improve the awareness of medical safety of all the staff. In addition, infectious disease physicians arrived at our hospital, making the office more efficient. Future goals, including for next year, are zero patient misidentifications, doubling of incident reporting from non-nursing staff, and prevention of infectious outbreaks, and we will continue to make every effort in order to achieve these goals.