Objective: Risk management of inpatient falls is one of the important issues in clinical practice. Coroban® is an assessment tool that enables efficient calculation and understanding of fall risk by analyzing nursing records withartificial intelligence. The purpose of this study was to evaluate the fall prediction accuracy of Coroban® for inpatients.
Method: From the medical records of patients admitted to HITO medical center from April, 2020 to January, 2021, fall assessment sheets, fall incident reports and fall prediction data by Coroban were extracted together, and the fall incident incidence rate and the accuracy (sensitivity, specificity and alert rate.) of Coroban® and the fall assessment sheet was evaluated. Coroban® was set to issue an alert continuously for 7 days when the risk score exceeded 0.420.
Results: Fall incident rate was 4.54‰. The sensitivity of the Coroban® and the fall assessment sheet was 56％ and 99％, respectively, and the specificity was 70％ and 7％, respectively. When the Coroban® threshold was set to 0.329 (The value that can predict 80％ of severity 3b incidents), the sensitivity and specificity were 82％ and 49％, respectively.
Conclusion: Coroban® has a higher specificity for predicting falls than traditional fall assessment sheets, and because AI analyzes daily care records and displays fall risks, it enables efficient risk calculation and understanding. This suggests that Coroban® can narrow down high-risk patients, which can also help reduce the burden on healthcare professionals.

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Objectives: Clinical practice guidelines (CPGs) are important tools expected to be utilized by cancer counselors to appropriately inform patients and their families about current standards of care. However, the frequency and the process by which they are utilized by the counselors remain unknown. Thus, this study aimed to clarify the status of CPG utilization among counselors assigned to Cancer Information and Support Centers (CISCs) in hospitals.
Methods: An online, self-administered questionnaire was conducted via a mailing list to all cancer care hospital CISCs in Japan in April 2022. Counselors were assessed on their use of 25 CPGs for healthcare providers and 8 patient guidebooks based on CPGs. The associations between the use of CPGs and patient guidebooks (number of uses and occasions for intention to use) and the background factors of the counselors, including their specialty and training attendance status, were statistically analyzed.
Results: A total of 730 counselors responded, of whom more than 60% intended to use the CPGs and/or patient guidebooks on three or more occasions, such as for personal study or when explaining medical information. However, the average number of CPGs and patient guidebooks used was 7.2 and 3.6, respectively. The use of CPGs and patient guidebooks was directly associated with the degree of commitment to counseling, specialization, and the length and amount of experience of the cancer counselor. Training significantly increased guideline usage, and accumulated training programs further increased the use of CPGs and patient guidebooks.
Conclusion: The number of counselors utilizing the CPGs and patient guidebooks was low. However, numerous occasions occurred in which they wanted to use them, so an increase in use is expected in the future. This study suggests that participation in training programs promotes the use of CPGs and patient guidebooks and improves the knowledge and skills for utilization of standard practice information.

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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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The revision of medical care act has made it a requirement for advanced treatment hospital to keep track of all cases of death. Currently, each hospital has standards for determining the contents of death case confirmation, and further steps. We conducted a survey in university hospitals participating in the Japanese National University Council for Clinical Quality Management to investigate the current situation of tracking all cases of death and the issues involved in standardizing it in the future. Each hospital has different approaches to dealing with death cases, making it difficult to standardize them right now. However, we believe that sharing information on how other hospitals are dealing with death cases can lead to improvements in the quality of tracking them.

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Public health nurses, midwives, and nurses are subject to a warning, suspension from work for up to three years, or revocation of their license under the Public Health Nurses, Midwives, and Nurses Act if sentenced to a fine or greater, or for committing a crime or misconduct in connection with their work. In the 20 years from FY2001 to FY2020, a total of 404 individuals (31 public health nurses, 3 midwives, 1 person qualified as both a public health nurse and a midwife, and 364 nurses) were punished, for average annual number of 20.2 individuals. 5 nurses were punished twice. In terms of reason for / content of disciplinary action, traffic offenses, fraud/theft, and medical malpractice were the most common reasons for disciplinary action, and these three reasons accounted for the majority of disciplinary actions. For most of the traffic offenses and medical malpractice offenses, the punishment was limited to six months or less of suspension from practice, while fraud and theft were severely punished. Also, many licenses were revoked for homicide, assault, and sex offenses.
Reflecting the criminal penalties, the administrative suspension period for accidents due to negligence was shorter, while the penalties for intentional crimes were harsher.

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