Patient Safety

 

Yumi Matsumura, M.D. Ph.D. Professor btn

Patient safety is a fundamental principle of health care. WHO estimated that one in 10 patients is harmed while receiving hospital care. To protect patients from harm, we should understand human nature. Department of patient safety study:
・ a psychological perspective on safety check
・ the role of constructive feedback in patient safety for improving organizational culture
・ patient-healthcare professional relationship and communication after medical harm in healthcare settings

Research and Education

Department of patient safety is recently founded in June 2017. In health care settings, inadequate health care services are sometimes unintentionally provided to cause harm to patients. Therefore, we gather and analyze data on errors and incidents, and then adopt various process-improvement techniques to provide better health care services. Also, it is of importance to manage human errors, and we focus on psychological perspectives on human errors. Below is one of our research themes:

Double-checking medication has been believed to reduce risk by detecting errors, notwithstanding the lack of evidence supporting its efficacy. Double-checking behavior sometimes provokes workload pressures, eventually leading staffs to rush through tasks and fail to check prescriptions or dose preparation adequately. Effective double-check should be re-considered from a viewpoint of human factors.

Figure: Kyoto University Hospital introduced single-check medication instead of double-check in two hospital wards. No significant changes in number and levels of incident reporting were observed after introducing single-check. Single-checking resulted in reducing 50% of checking time.

Members belonging to patient safety team including our department staffs (Mar 2018)


Recent Publications

  1. Kodama S, Matsumura Y, Hattori T, Sato K: Clinical perspectives from Japan. Asian Bioethics Review 7: 410-412, 2015
  2. Matsumura Y, Fujimoto Y, Uemoto S, Ichiyama S: A Strategy for Building Expert Team to Resume Liver Transplantation after Experiencing its Temporal Discontinuation. Healthcare and safety 4: 9-22, 2015

Patient Safety

Professor:Yumi Matsumura
Associate Professor: Katsuhiko Ito
Associate Professor : Keiko Sato
Assistant Professor : Takashi Yamamoto, Tatsuto Nishigori
TEL : 075-751-4694
FAX : 075-751-4563
e-mail: patientsafety@kuhp.kyoto-u.ac.jp
URL: http://www.kuhp.kyoto-u.ac.jp/~wwwrisk/