Incident/accident at Visiting Nurse Service and their prevention/countermeasures : From the study at Visiting Nurse Service Station in N city 3 years after the enforcement of the Care Insurance Act.

摘要

It has been 3 years since the Care Insurance Act was enforced, and we investigated the fact that incidents/accidents occur and their prevention when Visiting Nurse Service is provided in N city. The highest number of accidents which occurred during the service was traffic accidents caused by nurses followed by patients' serious falls or bleeding caused by catheters for the withdrawal of urine or intravenous feeding, and accidents involving both patients and nurses while helping to transfer patients. About 90% of nurses and administrators share the information on countermeasures to prevent accidents. However, less than 50% of them discuss these accidents thoroughly and write or use manuals. In addition, only around 20% of the nurses are educated or trained in the use of these manuals, which was the lowest rate among the questions asked on our survey. As a result, we found that both administrators and staff strongly hope necessary coutermeasures will be executed in the future to prevent these accidents from occurring. What they expect most is institutions which can investigate the fact that accidents occur and help make manuals which are effective in preventing them such as universities, research centers, administrative offices, etc. This is a challenge which should be confronted as soon as possible.