Abstract
In Japan, there is a medical accident review system based on the revised Medical Law established on June 18, 2013, and the project to collect medical accident information by Japan Council for Quality Health Care.
Although the objectives of the institutional design of both system are different, there are similarities in terms of prevention of reoccurrence, and these systems complement each other and it is socially required to promote public use.
Both systems are guaranteeing confidentiality, non-punishment and independence according to the WHO guidelines. However, there is currently no legal system prohibiting diverting the report to medical trials. Therefore, if we use the report, it will be required to operate in accordance with the spirit of the WHO guidelines.
Medical accident review system consists of spontaneous review system and third-party review system. Each review system has advantages and disadvantages, and it is necessary to proceed with the reviews while complementing each other.
Medical safety, unlike judicial practice, should consider the recurrence prevention measures by shifting the viewpoint to the organization, not individuals. It is required to promote the medical safety culture by the medical field while enriching the learning system.
In addition, while comparing the medical accident investigation system in each country with the medical accident investigation system in Japan, I will confirm the problems of the medical accident investigation system in Japan and express opinions on future developments and prospects.
