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Is patient safety sufficient in Japan? Differences in patient safety between Japan and the United States – Learning from the United States

机译:日本的患者安全足够吗?日本和美国之间在患者安全方面的差异–向美国学习

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In Japan, patient safety has been promoted at all levels since the 1999 landmark adverse medical event at Yokohama City University Hospital (YCUH). However, patients do not believe that health care is becoming safer. Furthermore, two university hospitals (UHs) that were designated as “advanced treatment hospitals” had their status revoked by the Health Ministry as of June 1, 2015 due to patient safety problems. The history of patient safety in Japan can be roughly divided into two terms: 1999-2009 and since 2010. In the first term, a basic patient safety system was established that included the creation of a patient safety division and an incident-reporting system from the perspective of systems error rather than individual responsibility. Additionally, many companies have promoted the improvement and development of drugs and medical devices in collaboration with health care providers. The two recent serious medical errors at UHs seemed to occur partially due to a lack of medical ethics. Unlike in the United States (US), in Japan, there is no medical license renewal system, the organizations that govern physicians are weak, and the framework of lifelong education is inadequate. Therefore, the second term involves a mindset of quality-driven patient safety. It requires health care providers and policy makers to change their mindset toward medical ethics and patient safety by learning from the US and demands a strong organization and framework to govern physicians in Japan.
机译:在日本,自1999年在横滨市立大学医院(YCUH)发生具有里程碑意义的不良医疗事件以来,各级都提高了患者的安全性。但是,患者并不认为医疗保健变得越来越安全。此外,由于患者安全问题,被指定为“高级治疗医院”的两家大学医院(UH)于2015年6月1日被卫生部撤销了其地位。日本的患者安全历史大致可分为两个术语:1999-2009年和自2010年以来。在第一个术语中,建立了一个基本的患者安全系统,其中包括创建了一个患者安全部门和一个事故报告系统。系统错误而不是个人责任的观点。另外,许多公司与医疗保健提供者合作促进了药物和医疗设备的改进和发展。由于缺乏医疗道德,最近在UH发生的两次严重医疗错误似乎部分发生了。与美国不同,在日本,没有医疗执照更新系统,管理医生的组织薄弱,终身教育框架不完善。因此,第二个术语涉及质量驱动的患者安全的心态。它要求卫生保健提供者和政策制定者通过向美国学习,改变他们对医学伦理和患者安全的观念,并要求有强有力的组织和框架来管理日本的医生。

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