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A study on the mechanism and countermeasures of medical devices incidents
( Haizhe Jin ),( Masahiko Munechika ),( Masataka Sano ),( Chisato Kajihara ),( Masaaki Kaneko ),( Fu Guo ) 한국품질경영학회 2015 한국품질경영학회 학술대회 Vol.2015 No.2
Purpose: This study will focus on the human, medical devices and human-computer interactions to analyze the medical devices incidents. Based on the analysis result, this study will suggest the mechanism of medical devices incidents and the countermeasure methods. Approach: In this study, we summarize the mechanism of medical devices incidents through the analysis and research on the cases of medical devices incidents. Mechanism of medical devices incidents will consider the error-process, error-factors and the operating environments. The consideration point is the human, medical devices and human-computer interactions. Based on the explored mechanism of medical incidents, this study will establish the countermeasures through eliminating the error-factors of medical devices incidents. Methods to establish the countermeasures will consider the characteristics of human, features of operating environment and medical devices. In order to ensure the countermeasure``s effect, the countermeasure ideal is by improving the features of operating environment and operating devices to cater human``s characteristics. Findings: Through this study we will present following two: (l) Propose the general mechanism which can summarize the incidents of medical devices, (2) Propose the countermeasures which based on the mechanism and can solve the practical problems. Value of paper: Three aspects of human, devices and the interaction caused the medical devices incidents. In the past research on the medical devices, one or two aspects are considered, but a few of research combine the three aspects. To consider the three aspects and propose the useful mechanism and countermeasure method is one of the value of this paper. Using the practical case to propose scientific result and to solve the practical medical problems is also the value of this paper.
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A matrix of the functions and organizations that ensure continued healthcare services in a disaster
( Chisato Kajihara ),( Masahiko Munechika ),( Masaaki Kaneko ),( Masataka Sano ),( Haizhe Jin ) 한국품질경영학회 2015 한국품질경영학회 학술대회 Vol.2015 No.2
Purpose Japan is one of the most natural disaster-prone countries in the world. In the case of a natural disaster or mass casualty incident, a large number of injured people are likely to go to hospitals, which need to provide more services at such times. Thus, it is necessary for various bodies - such as hospitals, municipalities, medical associations, pharmaceutical associations, and trade associations - to collaborate. For example, coordination among multiple hospitals is important when transporting patients to another hospital if they cannot be examined at the first one. There is a pressing need to establish an Area Disaster Resilience Management System for Healthcare (ADRMS-H) to increase medical resilience. In order to develop an ADRMS-H and ensure that continuous healthcare is provided during calamities, it is necessary to clarify the functions (which we have already explained) and coordination that organizations must perform. Since medical care needs change by the hour during disasters, so do the functions that guarantee ongoing healthcare. This study aims to create a matrix of functions ensuring continued healthcare services in a disaster and relevant organizations to understand each one``s role and how they relate to each other. Methodology/Approach We used the case of Kawaguchi city in Saitama Prefecture, Japan as an example to illustrate related organizations needed to fulfill the functions for ensuring continued healthcare services. Next, we created a matrix of the functions and organizations. Findings This study identified related organizations such as municipalities, hospitals, medical associations, and trade associations in Kawaguchi city. Since functions for ensuring ongoing health care change by the hour, so do the organizations, whose transformations we analyzed by the hour. Value The results of this paper can help people understand how related organizations work together during disasters; in light of this, it will be possible to develop a model for an ADRMS-H in terms of coordination among organizations.
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Development of Assessment Item for Area Resilience for Healthcare with SERVQUAL
( Masataka Sano ),( Masahiko Munechika ),( Chisato Kajihara ),( Masaaki Kaneko ),( Haizhe Jin ) 한국품질경영학회 2015 한국품질경영학회 학술대회 Vol.2015 No.2
Purpose; It is important to maintain continuity of health care services when disaster occur. Countries such as Japan that are characterized by a high risk of natural disasters should take countermeasures against healthcare service disruptions. To enhance healthcare services`` continuity in area, healthcare institutions should consider the relationship between municipalities and healthcare-related organizations. In addition, it is necessary to evaluate current performance of their system and improve towards upcoming disturbance. This study focuses on evaluation for resilience of area resilience of healthcare services with the consideration for community resilience assessment and SERVQUAL. Methodology/Approach; To clarify Business continuity management system (BCMS) that includes every stakeholder in the healthcare services community, we defined necessary functional areas in disaster base medical centers. We derived assessment items thorough structures based on the previous literature while incorporating the viewpoint of the healthcare services field. Moreover, we compared these items with the existing evaluation items thorough literature survey such as community resilience assessment system and SERVQUAL. After development of the evaluation items, we discussed with managers of health care institution and develop measurement and improvement plan. Findings; As a result, we developed evaluation items of resilience for area healthcare services including disaster base medical centers. The items are organized with the structure, process and outcome which is proposed by Donabedian. With the consideration of SERVQUAL, evaluation of area resilience should include the management of the perception among citizen since the service level during disaster is quite different from usual state. Research limitations/implications; The assessment items for area healthcare services is not applied for the evaluation of the area. With the quality management system for health care model, the outcomes of this study will be useful for business continuity in various regions since it unites the management system. In addition, the study contributes to making a safer and more secure society.
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