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.

Our members

Recent Publications

  1. Matsumura Y. Risk Analysis of Eculizumab-Related Meningococcal Disease in Japan Using the Japanese Adverse Drug Event Report Database. Drug Healthc Patient Saf. 2020 Nov 10;12:207-215. doi: 10.2147/DHPS.S257009. eCollection 2020
  2. Kodama S, Matsumura Y, Hattori T, Sato K: Clinical perspectives from Japan. Asian Bioethics Review 7: 410-412, 2015
  3. 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
Assistant Professor : Takashi Yamamoto, Tatsuto Nishigori, Karin Kato
TEL : 075-751-4694
FAX : 075-751-4563