@techreport{oai:ipsj.ixsq.nii.ac.jp:00019075,
 author = {安部, 智貴 and 牧之内, 顕文 and 大塚, 雄市 and 野口, 博司 and Tomotaka, ABE and Akifumi, Makinouchi and Yuichi, OTSUKA and Hiroshi, NOGUCHI},
 issue = {68(2005-DBS-137)},
 month = {Jul},
 note = {病院では医療事故防止策が講じられている．米国では，防ぐことができたはずの有害事象は，主要死亡原因のひとつになっており，毎年少なくとも４万４０００人，ことによると９万８０００人が医療ミスにより病院で死亡している．各医療機関はそれぞれ医療事故を防止しようと努力している．新人看護師は卒後数ヶ月で夜勤も含めて実務全般をこなさなければならない．そのため，口頭での指示受けにおける勘違いなどが起こりやすくなる．特に各病院での組織特性の違いも存在する．各病院が医療事故を分析するシステムを独自に持つことで，分析結果を元に速やかに対応策を策定し作業内容に反映することができ，医療事故を防止できる可能性が上昇する．その基盤となるデータベースシステムを開発している．本論文では，データベースシステムの開発について述べる．, The adverse accident prevention plan is lectured on in the hospital. In the United States, the adverse event that should have been able to be prevented, is one of the causes of the main death. More over, it is estimated that at least 44,000 people. Possibly reaching 98,000 people, have died by the medical error in the hospital every year. Each medical institution is making desparate effort to prevent the adverse accident respectively. The onf of the problem in those efforts is measures for new workers. The new figure nursing master should digest the business whole being include the night shift in several months after Sots. Therefore, it becomes easy for the misunderstanding in the instruction receiving by oral etc. to happen. Especially, the difference of the organization characteristic in each hospital exists, too. The possibility that the adverse accident can be prevented rises by each hospital's originally having the system that analyzes the adverse accident, settling on the counter measure promptly based on the analysis result, and reflecting it in the content of work. The data base system which will be the basis paper is developed. In this paper, the development of the data base system is described.},
 title = {院内事故分析・防止基盤データベースの開発},
 year = {2005}
}