Annual Report 2017
Office of Safety Management
Masaru Konishi, Tomonori Yano, Masami Muto, Toshikatsu Kawasaki, Masahito Yonemura, Kaori Horiuchi, Chika Hara
Introduction
The Office of Safety Management has been created as the department responsible for the cross-organizational safety management in our hospital (National Cancer Center Hospital East : NCCHE) in order to practice the best medical service and care for cancer patients.
Our team and what we do
Since 2016, two full time staff (a pharmacist and a nurse) have been arranged to the Office of Safety Management to 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. The routine activity of our office is the examination and analysis for all incident cases in our hospital. Also, we made counterplans for serious cases and make them well known for all staff. Furthermore, staff doctors performed medical record surveys of all in-hospital death cases, and held mortality and morbidity conferences. Prompt case study conferences in our hospital corresponding to the medical accident investigation system were held for five cases, however there was no case to be judged as necessary to report.
Research activities
The total number of incident reported was 5,713 cases; 527 cases (9%) from doctors, 4,681 cases (82%) from nurses, 229 cases (4%) from pharmacists, 109 cases (2%) from radiological technicians, 65 cases (1%) from laboratory technicians, 41 cases (1%) from nutritionists, 15 cases (<1%) from clerical staff, and 46 cases (1%) from others.
Education
This year, there were two lectures about safety management in the NCCHE. One was the management for cancer patients with bone metastases and another was the organization of safety management as an advanced treatment hospital. Also, some orientations were held for new hires, mid-career, or childcare leave staff.
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 of patient misidentification, and 12% of incident reporting from doctors.