Malpractice in Japanese hospitals
Malpractice in Japanese hospitals
In 1999,about 40 cases of malpractice were reported in Japan.And probably there were more malpractice cases.Naturally enough,hospital must not harm patients,though.In order to realize this natural thing,total risk management had to be performed completely for all medical care duties of hardware,software and personnel management.I think of 3 counter measures.1st is to analyse medical care duties in order to reduce the risk of malpractice.It is certain that every affair is accompanied with risk.There is nothing free from risk and is safe one hundred percent.But we must make efforts to reduce the risk.Fundamental cause of malpractice is the defects of system or organization to bring about the chain of mistakes or errors.In order to reduce the risk,we have to carry out risk analysis which is to bring all risks to light.Second is to build up a total system of training-record-report-watch.When malpractice happens,anyone who made mistakes is specified and is called to account for own errors.That is necessary process but only with this process it is difficult to stop recurrence of the malpractice.Another person will make a similar mistake.Human error rather than machine trouble is the main reason for malpractice.So in order to avoid such human error,it is necessary to have a view point to pursuit fundamental cause of accident rather than culprit.And to avoid such human error,it is necessary to make a training system for medical workers to prevent accidents from occurring.Third is to build up the check system of medication by the disclosure of information.I think the nation's medical workers have not learned lessons from mistakes,because malpractices have been covered up.Institutions have to disclose incidents of apparent malpractice and "near-miss" incidents if raising the alarm will be of help to other medical institution.
In 1999,about 40 cases of malpractice were reported in Japan.And probably there were more malpractice cases.Naturally enough,hospital must not harm patients,though.In order to realize this natural thing,total risk management had to be performed completely for all medical care duties of hardware,software and personnel management.I think of 3 counter measures.1st is to analyse medical care duties in order to reduce the risk of malpractice.It is certain that every affair is accompanied with risk.There is nothing free from risk and is safe one hundred percent.But we must make efforts to reduce the risk.Fundamental cause of malpractice is the defects of system or organization to bring about the chain of mistakes or errors.In order to reduce the risk,we have to carry out risk analysis which is to bring all risks to light.Second is to build up a total system of training-record-report-watch.When malpractice happens,anyone who made mistakes is specified and is called to account for own errors.That is necessary process but only with this process it is difficult to stop recurrence of the malpractice.Another person will make a similar mistake.Human error rather than machine trouble is the main reason for malpractice.So in order to avoid such human error,it is necessary to have a view point to pursuit fundamental cause of accident rather than culprit.And to avoid such human error,it is necessary to make a training system for medical workers to prevent accidents from occurring.Third is to build up the check system of medication by the disclosure of information.I think the nation's medical workers have not learned lessons from mistakes,because malpractices have been covered up.Institutions have to disclose incidents of apparent malpractice and "near-miss" incidents if raising the alarm will be of help to other medical institution.
posted by sekiya at 4:42 AM
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