Office of Safety Management

Masaru Konishi, Tomonori Yano, Masami Muto, Toshikatsu Kawasaki, Masahito Yonemura, Mie Itou, Chika Hara

Introduction

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

Our team and what we do

In 2016, two full time staff (a pharmacist and a nurse) were arranged to the Office of Safety Management to make strengthen the organization. And, we started the committee for introducing a new high-difficulty medical technology in order to permit designation as an advanced treatment hospital within this year. Routine activity of the office is the examination and analysis for all incident cases in the hospital. Also, we made the counterplan for serious cases and well known cases for all staff. Futhermore, staff doctors performed the medical record survey of all in-hospital death cases, and hold Morbidity and Mortality conferences. Prompt case study conferences in the hospital corresponding to the medical accident investigation system were held for four cases, however there was no case to be judged as necessary to report.

Research activities

The total number of incidents reported was 4,532 cases; 438 cases (10%) from doctors, 3,648 cases (80%) from nurses, 188 cases (4%) from pharmacists, 93 cases (2%) from radiological technicians, 50 cases (1%) from laboratory technicians, 27 cases (1%) from nutritionists, 24 cases (1%) from clerical staff, and 64 cases (1%) from others.

Clinical trials

No clinical trials.

Education

Lecture about the organization of safety management in the National Cancer Center Hospital East (NCCHE)

Training course of the Basic Life Support (BLS) and the Advanced Cardiovascular Life Support (ACLS), Lecture about the ACLS

Future prospects

This year, we strengthened the organization of safety management, and it resulted in an increase in the incident report number. We were able to improve the awareness of medical safety of the whole staff. Future goals, including next year, are zero patient misidentifications, and 10% of incident reporting from doctors.