@article{oai:kobe-tokiwa.repo.nii.ac.jp:00000494, author = {中野, 順子 and 柳生, 敏子 and 高松, 邦彦 and 関, 雅幸 and 長尾, 厚子 and NAKANO, Junko and YAGYU, Toshiko and TAKAMATSU, Kunihiko and SEKI, Masayuki and NAGAO, Atsuko}, issue = {8}, journal = {神戸常盤大学紀要, Bulletin of Kobe Tokiwa University}, month = {Mar}, note = {目的:本学通信制課程の学生が就業する施設で体験するヒヤリ・ハット事例を全国300床以上の病院と比較し特徴を明らかにし、事故報告のしくみや意識についての実態を知る。方法:対象は1年次生188名。2013年質問紙調査を実施。調査内容は背景、事故報告のしくみ、意識、ヒヤリ・ハット体験で、印象的な体験や気持ちは自由記載とした。結果:回収率52%。就業する施設は200床以下の病院、施設が約7割を占めた。ヒヤリ・ハット体験は「療養上の世話」で、熱傷・暴力・誤嚥・入浴・離院、「観察情報」が高率で、自由記載からは注射・与薬・転倒転落が上位を占めた。事故報告の仕組みは約90%が保有し、意識では約30%が報告に消極的であった。結論:学生が就業する施設でのヒヤリ・ハット体験の特徴は、療養上の世話と医師、患者・家族に関する項目が全国調査より高い比率を占めた。事故報告のしくみは有るものの運用実態や事故報告の意識の解明は今後の課題である。, Objective: To reveal characteristics and perception of near-miss errors and its reporting system of hospitals where the students are employed, comparing with a national data of larger scale hospitals over 300 beds.Methods: A questionnaire survey was conducted in 2013 on 188 first-year working students in a correspondence course. Main question items were consisted of the background information, experience, perception, and the system of reporting near-miss errors. Significant events were asked in the form of an open question. Results: The response rate was 52%. Around 70% of the hospitals had less than 200 beds. There was an increase of the near-miss errors of burns, violence, aspirations, bathing, leaving hospitals, and observation on patient care. Also, increased cases at injection, medication, and falls were observed in open questions. Ninety percent of the facilities had a system of reporting near-miss cases but 30% of nurses were passive about the reporting. Conclusion:Features of near-miss errors at targeted hospitals were revealed as there were increased cases at patient care, and items related to doctors, patients or their families. Although most facilities have the system of incident report, analysis of the perception on near-miss errors and actual implementation of the system is further needed., 13, KJ00009666759, 報告, Report}, pages = {97--106}, title = {「短期大学通信制課程(2年制)の学生が就業する施設におけるヒヤリ・ハット体験の実態調査」}, year = {2015}, yomi = {ナカノ, ジュンコ and ヤギュウ, トシコ and タカマツ, クニヒコ and セキ, マサユキ and ナガオ, アツコ} }