2019 Volume 49 Issue 2 Pages 183-194
Considering that intentionally not following the rules which have been set in each workplace makes it difficult to ensure medication safety, MIBM proposed by Nagai et al is an effective method to identify the areas to be enhanced to prevent people from intentionally not following rules, and the whole structure of concreate means for enhancing the organizational activities have not been clarified well, this study conducted a survey on 56 hospitals of different sizes in Japan, and based on the results, systematized means useful for enhancing the four activities focused by MIBM. As the results, it was found that most hospitals cannot thoroughly implement the four activities, implementation status of means for enhancing the activities is different hospital-by-hospital, appropriate combination of means enables hospitals to enhance their activities, and the effectiveness of individual mean depends on size of hospital except means for enhancing activity “monitoring and instructing of not following rules in workplaces.” Application of MIBM with taking these results into considerations can be expected to make the activities more fit to each hospital.
