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Review of incident reports in our institution Seiichi Suzuki 1 , Hidetoshi Onda 1 , Takehiro Sasamoto 1 , Yumi Kamijo 1 , Haruo Takahashi 1 1Dept of Ophthalmol, Showa Univ Sch of Med pp.1167-1171
Published Date 2013/7/15
DOI https://doi.org/10.11477/mf.1410104826
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Abstract. Purpose:To present a review of incident reports in our institution. Method:We reviewed 926 incident reports during 5 years through 2012 at the Department of Ophthalmology, Showa University Hospital. Results:Incident reports were presented from nurses in 790 instances(87%). Errors in medication were reported in 362 instances(40%). Error in laterality of the eye was reported in 42 instances(4.6%). Conclusion:Error in laterality of the eye was a characteristic feature in incident reports from the department of ophthalmology. Less than satisfactory nurse-to-nurse and physician-to-nurse coordination was another major finding.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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