J.Jpn. Surg. Soc.. 104(1): 35-39, 2003

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Feature topic

SAFETY MANAGEMENT ACTIVITIES OF YOKOHAMA CITY UNIVERSITY HOSPITAL
－SAFETY MANAGEMENT IS THE PLATFORM OF QUALITY IMPROVEMENT

Four years have passed since mistaking patients for operations occurred at Yokohama city university hospital (YCU hosp) on January 11, 1999. The accident was not just a simple mistake such as the patients happened to have the same name. Its root seemed to be a system error that deeply related to health care delivery at YCU hosp. Based on the trying experience, YCU hosp started to construct a new system for health care safety management. From 2001 the system development entered the second phase. The activities of this phase included promoting interdoisciplinary projects on a variety of topics, implementing a systematic educational program, and activating risk managers. As a whole, autonomous activities by health care professionals regarding patient safety started to take place in the hospital as a new approach for safety management. The next step will be to expand these activities into a movement for hospital-wide quality improvement and establishing clinical governance.

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