医療安全に対する認識レベルと経験年数による差

摘要

According to the report of the reporting project of medical accidents (from July 2010 to March 2011) which was issued by the Ministry of Health, Labour, and Welfare, a lot of incidents involving radiological technologists occurred among young ages or experienced ages; therefore, we focused on this matter. We carried out questionnaires for the radiological technologists at the radiology department of our hospital to see how concerned they are about the patient treatment safety. We examined the causal relationship between years of their experience and their concerns about the patient treatment safety. As a result, we found that their concerns about the patient treatment safety are characteristically different depending on the years of experi ence. The results showed that the new technologists were on a low level of caring with a similar philosophy to the saying "To err is human". They also lack a positive attitude. Moreover, they stated that the causes of the errors were neither the devices nor the system of the devices. Mid-career technologists stated that the most common cause of errors is the liability of the person concerned. They are concerned that education to improve individual abilities is important. Experienced technologists stated that the cause of the error is excluding the person concerned, but due to the devices, patients, or advanced specialization of the examinations. However, they also had the positive attitude to promote the patient treatment safety.%医療事故をゼロにし，患者の安全を確保し安心を与える医療を行うことは医療施設の命題である．1999年に米国Institute of Medicine（IOM）から「To Err is Human」という書物が出版され「人は誰でも間違える」という言葉が人々に知られるようになった．これは，基本的にアクシデント，インシデント，ヒヤリ・ハットなどは人間を介したエラーが主であるが，事故を起こした当事者を青めるのでなく．