医療安全のための最近の具体的な取り組み－PCAPSを用いた医療安全に資する臨床知識の構造化－

抄録

Healthcare services are advanced complex systems. It is necessary to construct "QMS for Healthcare: QMS-H" that bases the feature of health care to Patient safety. It is expected that Patient safety is achieved more effectively and efficiently if the QMS-H model development and the introduction proceed. However, after the introduction of QMS-H, the problem of Patient safety remains. It is thought that it is a management technology of the health care technology that is the professional skill. In the medical practice, the one is a dangerous act. If an unqualified person does the medical practice, it is considered as a crime. The medical practice has a very strong invasiveness. The doctor has the technology that can safely handle a dangerous act as a professional skill. Therefore, the plan and the implementation of a medical practice concerned have been legally permitted. The author appropriated the focus to clinical knowledge to implement the medical treatment intervention safely. The development of the clinical knowledge structurizing contents and the development of the IT system for using are tried now (PCAPS project). It introduces the activity of the PCAPS project.