2011 Volume 87 Issue 2 Pages 56-68
The purpose of this study was to clarify characteristics of the sharing processes for medical information in incident cases and to investigate viewpoints of enhancing patient safety. We conducted a time-motion observational study at a cardiovascular acute care hospital with 320 beds in Tokyo. The incident case, which was observed during the time-motion study, was examined, discussed and the results analyzed. Based on the observational study, we found that the unique characteristics of sharing processes for medical information on the observed incident case were : (a) assembling a team to solve the problem immediately with the nurse leader assigning roles to each medical staff member, (b) speedy actions and preparation of medical treatment by the nurse leader and (c) collaboration among nurses based on information sharing. Observations also suggested that to ensure patient clinical safety, it is essential to : (a) commence proactive protocols for a variety of incident cases ; (b) ensure leadership of the nurse leader ; and (c) share patient information appropriately based on collaboration among nurses.