The Japanese Journal of Quality and Safety in Healthcare
Online ISSN : 1882-3254
Print ISSN : 1881-3658
ISSN-L : 1881-3658
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Our Approach for the Operation of a Complication Reporting System and its Outcome
Hiroyasu SAKAIKeisuke KUMADAMika SANOHirotoshi IIHARAMasahito SHIMIZU
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2023 Volume 18 Issue 4 Pages 414-419

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Abstract
Our hospital lacked a reporting system specialized in the complication; so, the doctors had to report therapy-related complications as the incident. Additionally, they felt resistance in reporting the inevitable complication as the incident with the fault-like image. Thus, we decided to establish a complication reporting system for doctors to be able to report the complication without feeling resistance. The rate of the complication reports among total reports, including the complication and the incident, and that of the doctors among all occupations who submitted those reports had increased after starting this operation. The numbers of the complication reports of level 3b and 4b were elevated, because complications over the level 3b were defined as the mandatory report object. Notably, the number of reports of level 2 and 3a also increased, and the complications were reported anew from eight clinical departments. Thus, doctors have reported complications voluntarily after starting this system, indicating that our complication reporting system contributed to the maturation of doctors’ awareness for reporting.
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