2026 Volume 76 Issue 2 Pages 33-41
Abstract:We previously reported on our hospital’s efforts to increase the number of incident reports in the FUKUSHIMA JOURNAL OF MEDICAL SCIENCE. Fostering a reporting culture is essential to creating an organization where all incidents are reported. This time, we focused on fostering a learning culture as the second step. Specifically, we introduced the four-round hazard prediction training method as a method for analyzing incident cases at our hospital, and had each department implement it. Given our busy work environment, we made a simple manual unique to our hospital to make it easy for all staff to participate in the training. When examining incident cases, we established a rule that it is okay if no effective countermeasures are devised. As a result, we successfully increased the number of hazard prediction training sessions, from 125 in first year 2019, when the training was introduced, to 1,565 in last year 2024. Introducing hazard prediction training, which provides an opportunity to reflect on incident cases, with easy-to-enforce rules for staff, and sharing what each department learned from the cases across the hospital, not only improved the learning culture of organization but also contributed to the revision of in-hospital manuals and fostered communication among staff.