作業療法部門のリスクマネジメント評価—適用可能性の検討

Risk management assessment and evaluation of its applicability for occupational therapy departments

要旨：作業療法部門のリスクマネジメント(以下，RM)評価の適用可能性を検討した．先行研究にて，作業療法部門の管理者のコンセンサスにより形成したRM32項目を4段階の評定尺度に作成し，17病院89名の作業療法士に所属する作業療法部門でのRM実施状況の調査を行った．項目毎の平均値，Cronbachα，再テスト法による1回目・2回目調査得点間の相関係数を求めた．その結果，1回目調査89名の全項目のCronbachαは0.91であり，82名の再テスト法の結果では全項目に相関がみられた．本RM評価は作業療法部門のRM実施状況の尺度として適用可能であり，作業療法部門の医療安全向上に役立つと考えられる．

　The purpose of this study was to examine the applicability of the Risk Management (RM) assessment for occupational therapy departments. Thirty-two RM items were developed based on a consensus of managerial staff of the OT departments in the first author's previous studies. An evaluation form containing the 32 items using the 4-grade scale was developed for this study and was used to examine how well the RM was carried out by 89 occupational therapists from 17 hospitals. The data was analyzed to obtain Cronbach's α as well as the correlation coefficient between the initial and second study scores based on the test-retest reliability method. The results show that Cronbach's α was 0.91 for 32 items from 89 occupational therapists in the initial study. It was also found that there were correlations for all items from 82 occupational therapists based on the test-retest reliability method. It is suggested that the 32 RM items could measure administration in occupational therapy departments when the evaluation form was used, and also the evaluation form could improve each occupational therapist's recognition toward RM when the evaluation form was used for occupational therapists individually. Therefore, it was concluded that the RM assessment developed in this study was a useful tool to improve safety in occupational therapy departments.