Kyushu University Academic Staff Educational and Research Activities Database
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SHIN USHIRO Last modified date:2021.07.21



Undergraduate School
Administration Post
Other


Homepage
https://kyushu-u.pure.elsevier.com/en/persons/shin-ushiro
 Reseacher Profiling Tool Kyushu University Pure
Academic Degree
Doctor of Philosophy
Country of degree conferring institution (Overseas)
No
Field of Specialization
Patient safety, Public health
Total Priod of education and research career in the foreign country
00years00months
Outline Activities
1. Institutional level(Kyuhsu University Hospital)
1) Initial response and action to and prevention of adverse events in medicine
2) Education and training of the staff in terms of patient safety promotion
3) Investigate adverse events, craft preventive measures and deliver them to relevant divisions in the hospital
4) Conflict easing in the hospital and the court and negotiation on compensation/liability payement

2. National level(Japan Council for Quality Health Care; JQ)
1) Regional chair of "University Hospital Group of Kyushu Region" in the Patient Safety Council of National University Hospital Group.
2) Operation of nationwide adverse event reporting system for medical institutions and community pharmacies
3) Operation of "the Japan Obstetric Compensation System", i.e. system of no-fault compensation and investigation/prevention

3. International level
1) Delivering Lecture and input in the meeting of WHO(World Health Organization)
2) Planning the new WHO campaign on patient safety promotion, i.e. "Medication safety" and "World Patient Safety Day (September 17, annually)"
3) Delivering a lecture in ISQua Webinar (ISQua; International Society for Quality in Health Care) as an ISQua Expert
4) Operation of ISQua as a board member which began in 2017 and delivering lecture on international occasions such as scientific congresses and meetings of international organizations.
5) Operation of the Global Ministerial Summit on Patient Safety (2017-)
6) Delegate of Japan, G20 Patent Safety Leaders Group
Research
Research Interests
  • Research on preventing adverse event at long-term care facility through reporting and learning system
    keyword : Long-term care facility, Adverse event
    2021.04~2023.03.
  • Development of digital contents for medical student education through ICT
    keyword : Medical education, Simulation, ICT (Information Communication Technology)、National Medical Practitioners Qualifying Examination
    2020.04~2023.03.
  • Support system with ICT to develop seemless system in pre and post graduate education.
    keyword : Medical education, Simulation, ICT (Information Communication Technology)
    2019.04~2021.03.
  • Incident report analysis though natural language processing (NLP).
    keyword : Adverse event, Reporting and Learning System, Artificial Intelligence
    2018.04~2022.03.
  • Building of patient/resident healthcare safety system
    keyword : Long-term care facility
    2018.04~2021.03.
  • Delivering knowledge on the operation of nationwide adverse event reporting ysstem in Japan to middle-to-low income countries through the WHO projects
    keyword : Adverse event, Reporting and Learning System
    2014.07~2021.03.
  • Launch and operation of nationwide systems to promote patient safety
    keyword : Patient safety
    2014.07~2021.03.
Current and Past Project
  • Japan Council for Quality Health Care (JQ) is an entity what carries on projects related to quality and safety improvement in healthcare. Clinical guideline is one of the effective tools to ensure quality and safety in medicine. Therefore, JQ has carried our Minds project that instructs standardized method of developing clinical guidelines and distributes guidelines. The previous research group funded by the government during 2019-2020 revealed that platform of medical education and its contents is lacking or in shortage across Japanese medical schools. So the group promoted and distributed those resources developed in the research among medical schools. I investigated several education system abroad i.e. Portugal system and Malaysian system in 2019 and input the lessons gained through them to the group in 2020.
    The group separated from umbrella group in 2020 to extend the research. The projects in the group include i) Development of digital contents for medical student education and ii) Research on computerization of National Physician's Qualifying Exam which is a newly added theme.
  • Preceding study conducted fact-finding survey to build patient/resident healthcare safety system in long-term care facility during 2019-2020. A draft plan on reporting and learning system of adverse event that tales place in long-term care facilities was laid out in 2020.
    The research group plans to further elucidate the specific measures to prevent adverse event in long-term care settings and identify a specific case publicly available in academic database to deliberate what measures need be practically taken in long-term care facilities from a legal viewpoint.
  • Japan Council for Quality Health Care (JQ) is an entity what carries on projects related to quality and safety improvement in healthcare. Clinical guideline is one of the effective tools to ensure quality and safety in medicine. Therefore, JQ has carried our Minds project that instructs standardized method of developing clinical guidelines and distributes guidelines. The research group revealed in 2019 that platform of medical education and its contents is lacking or in shortage across Japan. So the group is now promoting and distributing those resources developed the research among medical schools across Japan. I investigated several education system abroad i.e. Portugal system and Malaysian system in 2019 and input the lessons gained through them to the group.
  • The project works in an attempt to retrieve knowledge on patient safety from a database odf adverse event in medicine through artificial intelligence (Ai).
  • In the revision of Japanese Medical Payment System in the fiscal year of 2018, new item for the payemnt of additional medical fee called "Patient Safety Network Formation Fee" was devised. Hospitals who seek the \fee is required to conduct on-saite survey of othe hospital(s) in tems of the system for assuring patien safety. This project aimes at formulating list of items for evaluating the system for assuring patient safety in individual hospitals.
  • Information Communication Technology is expected to paly a greater role in patient safety in Japanese hospitals. This proect will try to grasp the ICT system which has worled in hospitals in terms of its function, effectivemess, susability etc. Eventually, it will propose the idea of standard element which should be included in hospital ICT system for safer care in Japanese hospitals.
  • It aims to build a novel system for adverse event reporting and learning system of long-term care facility which Japanese residents will increasingly utilize. Effective measure to distribute preventative measures to the adverse enents will also developed.
  • Measures to enhance cooperation between clinical department and pathological department for patient safety is studied and comparative indicators for benchmarking the effectiveness of in-house patient safety system is formulated.
  • Local governments has equipped a division to contact patients in the local community on line and/or face-to-face to enhance patient safety and build trust between patient and medical institutions over the last ten years under the Health Service Law in Japan. What the division, called "patient safety support center", have conducted for patient safety remains greatly diverse and it is vital to study the situation of the performance of the centers and normalize it. The reserch take the methotology in accordance with PDCA cycle and get the knowledge of the performance by on site visit and/or a questionnair survey to the center and make an effective feedback to the nationwide centers.
  • The study group reserches detail of the planned new peer-review system for accidental clinical death in medicine under the revised Health Service Law and envision the framework and details of the system which is to be referred by the government to craft operating guidline of the system.
  • Local governments has equipped a division to contact patients in the local community on line and/or face-to-face to enhance patient safety and build trust between patient and medical institutions over the last ten years under the Health Service Law in Japan. What the division, called "patient safety support center", have conducted for patient safety remains greatly diverse and it is vital to study the situation of the performance of the centers and normalize it. The reserch take the methotology in accordance with PDCA cycle and get the knowledge of the performance by on site visit and/or a questionnair survey to the center and make an effective feedback to the nationwide centers.
Academic Activities
Works, Software and Database
1. Web-based case searching system of adverse event
[URL].
2. Web-based case serching system of near-miss event
[URL].
3. Database of peer-review repots of cases of cerebral palsy in the Japan Obstetric Compenasation System
[URL].
4. Database of peer-review repots of cases of cerebral palsy in the Japan Obstetric Compensation System
[URL].
5. Database of peer-review repots of cases of cerebral palsy in the Japan Obstetric Compensation System
[URL].
Membership in Academic Society
  • Japan Society for Healthcare Administration
  • Japan Society of Clinical Oncology (JSCO)
  • Japan Society for Quality and Safety oin Healthcare(JSQSH)
  • Japan Surgical Society (JSS)
  • International Society for Quality in Health Care (ISQua)
Awards
  • Launch and operation of nationwide adverse event reporting and learning system on medical institutions and community pharmacy
Educational
Educational Activities
I provide staffs in Kyushu University Hospital and medical students with a lecture on patient safety promotion with wide variety of topics from in-house issue to nationwide and/or worldwide issues regarding patient safety.
Particularly, some recent lectures focuses on the new investigation/prevention system of accidental death in medicine which was launched by the government according to the Health Service Law on Oct 1, 2015.

On occasions of staffer's and student's educations, knowledge i.g. agendas of the Ministerial Summit on Patient Safety, WHO-World Patient Safety Day gained through international meetings and congresses is included in agendas of internal meetings with staff members and lectures for students.

With regard to student education, I joined in a study group on ICT application for education of medical student in 2019. I visited Portugal and Malaysia to survey what is underway on this issue and input feedback to the group. A platform for simulation education and contents of it was developed in 2019 and the group initiated to distribute them across medical schools in Japan in times of pandemic that hinders in-person education.

The study group was succeeded to a new group in 2020 to continue production of the contents and, more importantly, conduct research for full-fledged computerized national physician's certification test.
Other Educational Activities
  • 2021.03, I delivered a lecture in WHO Global Patient Safety Network Seminar Series on adverse event reporting and learning system. The Japan Council for Quality Health Care (JQ) has been carrying out the system under the government ordinance since 2004. Similar systems that cover events of pharmacy, perinatal medicine, particularly, cerebral palsy (CP), and accidental death were launched one after another after the first system was initiated. I described details of achievements of the original reporting and learning system. Q&A session followed and I responded multiple questions raised by participants from many countries and regions..
  • 2019.03, I attended the 4th Global Ministerial Sumit on Patient Safety as oneof the delegates of the Japanese Government and in addition I made a speech on ISQua Declaration on patient safety..
  • 2018.04, I delivered a lecture on national patient safety systems, particularly, adverse event reporting and learning system which has been operated by the Japan Council for Quality Health Care (JQ) according to the ministaetrial ordinance in the 3rd Ministerial Summit on Patient Safety in April 2018..
Social
Professional and Outreach Activities
- I have committed to the operation of the Japan Council for Quality Health Care (JQ) that is a foundation i.e. non-profit organization deemed as "Third body" in healthcare circle. It carries out wide range of project for quality and safety improvement such as hospital accreditation, nationwide adverse event reporting and learning system of hospital, clinic and community pharmacy, compensation/investigation/prevention system for cerebral palsy dubbed as "The Japan Obstetric Compensation System for Cerebral Palsy" et cetera. I, as a then divisional manager and a current board member, have been operating nationwide adverse event reporting system, the Japan obstetric compensation system for cerebral palsy and relevant projects in JQ. Those projects mentioned play a vital role for quality and safety improvement in healthcare that greatly affect healthcare for the nation.

- In 2015, the Japanese government passed a revised Health Service Law to build a new peer-review system for accidental clinical death. With the knowledge and expertise on the above projects in JQ, I joined the government's preliminary study group to design the new peer-review system and crafted a report on the system. The new system was launched on Oct 1, 2015. Ever since, I have worked as a member of Steering committee and Prevention committee that improves the system and publish a guidance for safe care.

- WHO (World Health Organization) is now focusing on Universal Health Coverage (UHC) in the SDGs program of the United Nation (UN). In response to request of cooperation and technical aid by WHO, I have participated many international occasions to help LMIC (Low and middle income countries) equip with robust systems for quality and safe care. Specifically, I worked often as a lecturer, moderator and facilitator of group work. WHO launched a project with global experts in 2020 to craft a plan on patient safety: Global Patient Safety Action 2021-2030 that itemizes measures WHO has to take during the next ten years. It is backed by a WHO Resolution approved in the Assembly of WHO (WHA) in 2019. I participated the expert team to commit to the project .

- United Kingdom launched a High-level Summit Meeting: Global Ministerial Summit on Patient Safety to promote patient safety on global basis. The third meeting was held in Tokyo in 2018 by the Japanese government as a host country and JQ as a co-host organization. I worked as a member of a steering committee for the Summit Meeting to be successful with "Tokyo Declaration" agreed by participating ministers and delegates. I attended the fourth Summit Meeting in Jeddah, Saudi Arabia in 2019 as one of the members of the Japanese delegation. I committed to prepare a presentation and speech by the Japanese head of delegation and also made a speech on behalf of ISQua. With those experiences, I assumed a position of "Advisor to the Minister of Health" in 2020.

- The Japan Obstetric Compensation for Cerebral Palsy above mentioned was launched in 2009 to grapple with deteriorating perinatal care delivery system in Japan featured by the decrease in the number of obstetricians and soaring number of lawsuit. Similar challenge is taking place in high-income and middle income countries on global basis. For that reason, there are countries that exhibited interest in building similar system to JQ's system that fits local context. I visited Italy and Malaysia multiple times for helping Minister, experts, government officials commence deliberation on the launch of similar system. In the wake of lectures in hospitals affiliated with the University of Florence, and the University of Milan, I was assigned to a scientific advisory board member of the University of Florence in 2020.

- Saudi Arabia, one of the G20 member countries with obvious interest in patient safety, held a G20 Leaders Meeting as a chair in 2020 following immediate host Japan who convened it in 2019. The Health Ministers' Declaration unveiled in November 2020 mentioned to the launch of a new international expert panel dubbed as "G20 Patient Safety Leaders Group". Saudi Arabia subsequently contacted member countries for nominating delegating experts. I was assigned to the delegation of Japan in January 2021. The Japanese government proclaimed that it supports the new panel in the 148th WHO Executive Board Meeting (WHO-EB) in January 2021. .