{"created":"2023-06-20T15:54:16.385039+00:00","id":9389,"links":{},"metadata":{"_buckets":{"deposit":"718f6c36-de7e-4a98-b3e8-75e2e3131472"},"_deposit":{"created_by":22,"id":"9389","owners":[22],"pid":{"revision_id":0,"type":"depid","value":"9389"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00009389","sets":["100:90:265"]},"author_link":["2998","21032","29183","1174","21015","21014"],"item_10004_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"13","bibliographicPageStart":"2","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"京都第二赤十字病院医学雑誌"},{"bibliographic_title":"Medical journal of Kyoto Second Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_10004_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"病院は多職種が協同して医療提供する場であり，簡潔・明瞭・迅速で確実なコミュニケーションは必須である．京都第二赤十字病院職員のコミュニケーション・エラーの現状を把握するために，全職員（1,252 名）を対象にアンケート調査を行った．調査内容は，コミュニケーション・エラーの経験，SBAR，二回挑戦ルール，権威勾配，ブリーフィングの実施，コミュニケーション阻害要因など17 項目である．回答率は60.1％ だった．コミュニケーション・エラーは，医師・看護師・研修医で多く（75.0％，72.5％，78.3％），コメディカル（64.4％），事務（59.7％）が経験し，そのうち18.5％，13.1％，10.5％，5.4％，5.3％ に患者の健康被害が生じていた．医師・看護師・事務は約95％ が簡潔明瞭な発言をし，90％ 以上が状態確認努力を実施していた．置換復唱は，看護師（78.0％）・研修医（69.6％）で実施していたが，医師は40.2％ にすぎなかった．権威勾配は，医療職で約80％，事務で60.5％ 経験し，医師の83.3％，その他の職種では90％ 以上が口出ししてはいけないと思っていた．コミュニケーション阻害要因は，性格，仕事量，情報の確認不足，職場の雰囲気が多かった．職場環境は，医師・看護師・事務で90％ 以上良好と思っているが，コメディカルや研修医では，20％が満足していなかった．デブリーフィングは，6～8 割が未実施．全職種が医療従事者間のコミュニケーションを高める努力が必要と考え，日常業務での指導を希望していた．コミュニケーションへの異なる対応が職種間で認められた．コミュニケーション・エラーの回避には，ノンテクニカルスキルなどによるコミュニケーションの統一化を図ることが重要と思われる．","subitem_description_type":"Abstract"}]},"item_10004_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"21032","nameIdentifierScheme":"WEKO"}],"names":[{"name":"YOKONO, Satoshi"}]}]},"item_10004_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"京都第二赤十字病院"}]},"item_10004_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00357778 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温"}],"nameIdentifiers":[{"nameIdentifier":"2998","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000001392836 ","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000001392836 "}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-12-19"}],"displaytype":"simple","filename":"MJKSRCH36_2.PDF","filesize":[{"value":"1.8 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