Presentation 2002/11/8
A Proposal of the Preventive Method for Medical Accidents by the Three Elements FMEA of Human-Environment-Human
Tadashi Ishida, Akihiko Masuda,
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Abstract(in English) In the organization, there are various incidents and accidents induced by human errors. The specific human errors belonging to the organization are those to be produced in due to defects of communication. By the communication between persons, the individual human errors will be amplified and spread widely, and in some cases rescued and recovered to the normal state. In this paper, we focused to the medical accidents in the hospital caused by the communication errors between personnel. The three elements FMEA considering a person, another person and their environment to work was used for the analysis. Prior to produce the FMEA, we introduced the SCM (service category map) followed by the action map to cover all the necessary activities. Furthermore, we introduced the communication flow chart to analysis the actions sequentially. As the results, this paper proposes the necessity of additional mental counseling work during the operation process in the hospital.
Keyword(in Japanese) (See Japanese page)
Keyword(in English) communication error / communication flow / prevent it before happening / decision making
Paper # R2002-47
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Committee R
Conference Date 2002/11/8(1days)
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Language JPN
Title (in Japanese) (See Japanese page)
Sub Title (in Japanese) (See Japanese page)
Title (in English) A Proposal of the Preventive Method for Medical Accidents by the Three Elements FMEA of Human-Environment-Human
Sub Title (in English)
Keyword(1) communication error
Keyword(2) communication flow
Keyword(3) prevent it before happening
Keyword(4) decision making
1st Author's Name Tadashi Ishida
1st Author's Affiliation Graduate School Teikyo University of Science & Technology()
2nd Author's Name Akihiko Masuda
2nd Author's Affiliation Graduate School Teikyo University of Science & Technology
Date 2002/11/8
Paper # R2002-47
Volume (vol) vol.102
Number (no) 454
Page pp.pp.-
#Pages 6
Date of Issue