Abstract
Objective: At our center, in order to ensure safety in examinations, the treatment status of examinees is checked by collecting information beforehand as well as in medical interviews on the day of examinations, for those deemed to be at high risk, a nursing record is generated and risk management conducted. We carried out a study to enhance the accuracy of medical interviews by assessing the current situations of examinees.
Methods: From among 25,352 persons who underwent a one-day Ningen Dock between April 1 2012 and March 31 2013, we extracted those at high risk and conducted an investigation to determine the numbers of those for whom a nursing record was generated and those in whom an exam had been cancelled, as well as the numbers of incidents that occurred, We also investigated the times taken for information collection and medical interviews.
Results: Among the 25,352 persons who underwent the 1-day Ningen Dock, 4,772 had a history of high-risk conditions. There were 4,697 with hypertension (nothing was done about 136), 129 with unruptured aneurysms (86 not operated on) and 64 with thoraco-abdominal aneurysms (48 not operated on). The number of nursing records generated was 258 for hypertension (Ningen Dock cancelled for 13, certain exams cancelled for 79, exams performed at a later date for 15, exams continued with completion of consent form for 151), 38 for abdominal aortic aneurysms (certain exams cancelled for 18) 17 for thoracic aortic aneurysms (certain exams cancelled for 10) and 72 for unruptured cerebral aneurysms (certain exams cancelled for 12). There was one case of exacerbation of symptoms, involving hyperkalemia in a person undergoing dialysis. The collection of information on the previous day had taken 121 min on average and the medical interview on the day of Ningen Dock 7 min per person on average.
Conclusion: As a result of risk management conducted in medical interviews, there was only one case of exacerbation of symptoms. However, as the collection of information took a lot of time, collection methods should be studied in the future. It will also be necessary to raise the skill of center staff in conducting medical interviews.
