Kyushu University Academic Staff Educational and Research Activities Database
List of Reports
SHIN USHIRO Last modified date:2024.04.11

Professor / Kyushu University Hospital


Reports
1. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.192:Pressure Ulcers Caused by Medical Devices, 2022.11.
2. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.193:Wrong Drug Administration Route (1st Follow-up Report), 2022.12.
3. 2022 Prevention Report of the Japan Obstetric Compensation System for Cerebral Palsy.
4. Medical Safety Information No.204.
5. Medical Safety Information No.206.
6. Medical Safety Information No.205.
7. Medical Safety Information No.204.
8. Medical Safety Information No.205.
9. Medical Safety Information No.202.
10. Medical Safety Information No.201.
11. Medical Safety Information No.200.
12. 後 信, Project to Collect Medical Near-miss/Adverse Event Information 2022 Annual Report, 公益財団法人日本医療機能評価機構, 2023.07.
13. Medical Safety Information No.199.
14. Medical Safety Information No.198.
15. Medical Safety Information No.197.
16. Medical Safety Information No.196.
17. 2022 Prevention Report of the Japan Obstetric Compensation System for Cerebral Palsy.
18. Medical Safety Information No.195.
19. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.203: Extravascular Leakage in Pediatric Patients (1st Follow-up Report), 2023.10.
20. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.202:Failure to Open the Central Seal of a Dual Chamber Infusion Bag, 2023.09.
21. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.201:Wrong Unit Selected on Syringe Pump, 2023.08.
22. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.200:Burn Caused by Hot Water Used to Prevent Laparoscopic Lens Fogging, 2023.07.
23. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.199:Medical Safety Information Highlighted in Quarterly Reports in 2022, 2023.06.
24. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.198:Magnetic Material (e.g. Metal Products) Taken in the MRI Room (2nd Follow-up Report), 2023.05.
25. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.197:Forgetting to Switch on the Bed Leaving Sensor, 2023.04.
26. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.196:Medical Safety Information Released in 2022, 2023.03.
27. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.195:Examination/Procedure Conducted on Wrong Patient Due to Failure to Carry out Checks, 2023.02.
28. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.194:Forgetting to Reconnect Ventilator Circuit Tubing Due to Use of a Test Lung, 2023.01.
29. Medical Safety Information No.194.
30. Medical Safety Information No.193.
31. Medical Safety Information No.192.
32. Medical Safety Information No.191.
33. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.191: Local Injection of High-Concentration Adrenaline Due to Container Mix-Up, 2022.10.
34. Medical Safety Information No.190.
35. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.190: Selection of Wrong Connection for Indwelling Bladder Catheter, 2022.09.
36. Medical Safety Information No.189.
37. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.189: Burn Caused by a Hot Towel, 2022.08.
38. Medical Safety Information No.188.
39. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.188: Fitting of Elastic Stockings to Patients with Arteriosclerosis Obliterans of the Lower Limbs, 2022.07.
40. 後 信, Project to Collect Medical Near-miss/Adverse Event Information 2021 Annual Report, 公益財団法人日本医療機能評価機構, 2022.07.
41. Medical Safety Information No.187.
42. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.187: Medical Safety Information Highlighted in Quarterly Reports in 2021, 2022.06.
43. Candid communication on disputable incident with patient/family and relevant global tide on patient safety .
44. Medical Safety Information No.186.
45. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.186: Failure to Check Blood Test Results before Administering Anticancer Drugs, 2022.05.
46. Medical Safety Information No.185.
47. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.185: Use of a Used Endoscope on Another Patient, 2022.04.
48. 2021 Prevention Report of the Japan Obstetric Compensation System for Cerebral Palsy.
49. Medical Safety Information No.184.
50. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.184: Medical Safety Information Released in 2021, 2022.03.
51. Medical Safety Information No.183.
52. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.183: Confusion between Product Volume and Active Ingredient Dosage (1st Follow-up Report), 2022.02.
53. Medical Safety Information No.182.
54. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.182: Drug Mix-up between Serenace Injection and Silece, 2022.01.
55. Medical Safety Information No.181.
56. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.181: Resected Organ/Tissue Remaining after Performing Laparoscopic Surgery, 2021.12.
57. Medical Safety Information No.180.
58. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.180: Incorrect Prescription of Meylon Injection 250 mL Preparation, 2021.11.
59. Medical Safety Information No.179.
60. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.179: Contamination with Another Patient’s Pathology Test Specimen, 2021.10.
61. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.178: Burn while Bathing a Newborn or Infant, 2021.09.
62. Medical Safety Information No.178.
63. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.177: Accidental Ingestion of PTP Sheets (2nd Follow-up Report), 2021.08.
64. Medical Safety Information No.177.
65. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.177: Attachment; For Users of Oral Medication, 2021.08.
66. Medical Safety Information No.177.
67. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.176: Disconnection of Ventilator Circuit Tubing, 2021.07.
68. Medical Safety Information No.176.
69. 後 信, Project to Collect Medical Near-miss/Adverse Event Information 2020 Annual Report, 公益財団法人日本医療機能評価機構, 2021.07.
70. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.175: Medical Safety Information Highlighted in Quarterly Reports in 2020, 2021.06.
71. Medical Safety Information No.175.
72. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.174: Failure to Inject Enteral Nutrient after Administering Insulin, 2021.05.
73. Medical Safety Information No.174.
74. Medical Safety Information No.173.
75. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.173: Tenfold Error in Flow Rate ofInfusion Pump, etc., 2021.04.
76. Medical Safety Information No.172.
77. 2020 Prevention Report of the Japan Obstetric Compensation System for Cerebral Palsy.
78. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.172: Medical Safety Information Released in 2020, 2021.03.
79. Medical Safety Information No.171.
80. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.171: Reactivation of Hepatitis B Due to Immunosuppression/Chemotherapy , 2021.02.
81. Medical Safety Information No.170.
82. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.170: Provision of Unsuitable Food to a Patient with Impaired Chewing/Swallowing Function, 2021.01.
83. Medical Safety Information No.169.
84. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.169: Omission from Prescription/OrderWhen Continuing Prescription for
Current Medicines Brought in at Hospitalizatio
, 2020.12.
85. Medical Safety Information No.168.
86. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.168: Failure to Check Oxygen Tank Valve Was Open, 2020.11.
87. Medical Safety Information No.167.
88. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.167: Bone Marrow Suppression Due to Antirheumatic (Methotrexate) Overdose (2nd Follow-up Report), 2020.10.
89. Medical Safety Information No.166.
90. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.166: Surgical Procedure Other Than Patient-Consented Procedure Carried Out, 2020.09.
91. Medical Safety Information No.165.
92. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.165: Alert Failure Resulting in Administration of a Drug to a Patient Allergic to It, 2020.08.
93. Medical Safety Information No.164.
94. 後 信, Project to Collect Medical Near-miss/Adverse Event Information 2019 Annual Report, 公益財団法人日本医療機能評価機構, 2020.07.
95. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.164: Central Venous Catheter Guide Wire Left Behind, 2020.07.
96. Medical Safety Information No.163.
97. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.163: Medical Safety Information Highlighted in Quarterly Reports in 2019, 2020.06.
98. Medical Safety Information No.162.
99. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.162: Falls When Transferring to a Bed, 2020.05.
100. Medical Safety Information No.161.
101. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.161: Burns Caused by a Pulse Oximeter Probe, 2020.04.
102. Medical Safety Information No.160.
103. 2019 Prevention report of the Japan Obstetric Compensation System for Cerebral Palsy.
104. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.160: Medical Safety Information Released in 2019, 2020.03.
105. Medical Safety Information No.159.
106. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.159: Misconnection Causing Obstructed Exhalation in Patients with an Endotracheal/Tracheostomy Tube, 2020.02.
107. Medical Safety Information No.158.
108. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.158: Administration of a Sustained-Release Preparation in Ground-Up Form, 2020.01.
109. Medical Safety Information No.157.
110. Medical Safety Information Book.
111. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.157: Rectal Injury Due to Glycerin Enema Administered in a Standing Position, 2019.12.
112. Medical Safety Information No.156.
113. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.156: Incorrect Administration of Injection Drug Used for Sedation, 2019.11.
114. Medical Safety Information No.155.
115. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.155:Falls from a Pediatric Bed, 2019.10.
116. Medical Safety Information No.154.
117. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.154:Patient Mix-up When Using Electronic Medical Records, 2019.09.
118. 後 信, Project to Collect Medical Near-miss/Adverse Event Information 2018 Annual Report, 公益財団法人日本医療機能評価機構, 2019.08.
119. Medical Safety Information No.153.
120. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.153:Gauze Remaining After Surgery (2)—Checking the X-ray Image—, 2019.08.
121. Medical Safety Information No.152.
122. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.152:Gauze Remaining After Surgery (1)—Gauze Count—, 2019.07.
123. Medical Safety Information No.151.
124. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.151:Medical Safety Information Highlighted in Quarterly Reports in 2018, 2019.06.
125. Medical Safety Information No.150.
126. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.150:Forgetting to Check the Pathologic Diagnosis Report—Upper Gastrointestinal Endoscopy—, 2019.05.
127. Medical Safety Information No.149.
128. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.149:Operation/Examination Postponed Due to Delays in Stopping Drugs, 2019.04.
129. Medical Safety Information No.148.
130. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.148:Medical Safety Information released in 2018, 2019.03.
131. 2018 Prevention report of the Japan Obstetric Compensation System for Cerebral Palsy.
132. Medical Safety Information No.147.
133. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.147:Injury from a Wheelchair Footrest, 2019.02.
134. Medical Safety Information No.146.
135. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.146:Inadequate checks of Oxygen Remaining (1st Follow-up Report), 2019.01.
136. Medical Safety Information No.145.
137. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.145:Administration of the Usual Dosage of Drugs for Patients with Impaired Renal Function, 2018.12.
138. Medical Safety Information No.144.
139. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.144:Failure to Submit a Pathology Specimen, 2018.11.
140. Medical Safety Information No.143.
141. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.143:Error When Refilling a Prescription Due to Failure to Revise Prescription Details
, 2018.10.
142. Medical Safety Information No.142.
143. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.142:Urethral Damage Caused by an Indwelling Bladder Catheter (1st Follow-up Report)
, 2018.09.
144. Shin Ushiro, Hideaki Suzuki, Shigeru Ueda, The Japan Obstetric Compensation System for Cerebral Palsy: A strategic system of data aggregation, investigation, amelioration, and no-fault compensation, 2018.08, The Japan Obstetric Compensation System for Cerebral Palsy (JOCS-CP), which investigates, develops preventive mechanisms, and awards monetary compensation, to cases of cerebral palsy was urgently introduced in 2009 in response to growing concern about Japan’s deteriorating perinatal care and low birthrate. The JOCS-CP has no legal rationale as there was no time for deliberation in the Diet. However, uUnder the strong political leadership, the Japan Council for Quality Health Care (JQ) launched the JOCS-CP with support not only of various stakeholders.childbirth facilities but of relevant scientific organizations, experts, patient representatives, the central and local governments and indemnity insurance companies. The JOCS-CP features of no-fault-based compensation which was discussed decades ago in a committee of the Japan Medical Association aiming at both financial aid to patient and family and early settlement of dispute. The registration rate of the JOCS-CP is 99.9%. As of December 2017, about 75% (2,233) of petitions had been approved by the Review Committee for compensation. All of the approved cases were consecutively put on analysis in the Investigation Committee which has compiled more than one thousand Investigative Reports. The reports were delivered not only to the childbirth facility but to the guardians/families. Survey revealed that 73%most of of childbirth facility and 65% of the guardians /families responded in favor of the reports. With regard to amelioration of profound cerebral palsy, the Prevention Reports has been published on annual basis through analysis of all the Investigative Reports. The Prevention Reports and other educational materials were produced and distributed not only among medical professionals but among pregnant women. It is notable that the number of lawsuit filing related to Obstetrics demonstrated rapid decrease compared to that of other medical specialties. The JOCS-CP operated by JQ, private entity, with a quasi-public nature complementary to social security system could be described as a social experiment. It was overhauled in 2015, but deserves further discussion on reform for better evolving into better system. .
145. Medical Safety Information No.141.
146. 後 信, Project to Collect Medical Near-miss/Adverse Event Information 2017 Annual Report, 公益財団法人日本医療機能評価機構, 2018.08.
147. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.141:Falls from an Examination Table
, 2018.08.
148. Medical Safety Information No.140.
149. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.140:Administration of an Antineoplastic Agent in Excess of the Total Dosage Limit
, 2018.07.
150. Medical Safety Information No.139.
151. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.139:Medical Safety Information released from 2014 to 2016
, 2018.06.
152. Medical Safety Information No.138.
153. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.138:Inadequate Checks Concerning Diagnostic Imaging Reports (1st Follow-up Report)
, 2018.05.
154. Medical Safety Information No.137.
155. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.137:Burns When Using a Heat Pack
, 2018.04.
156. Medical Safety Information No.136.
157. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.136:Medical Safety Information released in 2017
, 2018.03.
158. 2017 Prevention report of the Japan Obstetric Compensation System for Cerebral Palsy.
159. Medical Safety Information No.135.
160. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.135:Failure to Release Standby Mode When Resuming Ventilation (1st Follow-up Report)
, 2018.02.
161. Medical Safety Information No.134.
162. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.134:Erroneous Administration of Disinfectant in the Sterilized Area
, 2018.01.
163. Medical Safety Information No.133.
164. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.133:Chest Drain Left Open to Air
, 2017.12.
165. Medical Safety Information No.132.
166. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.132:Patient Falls While Using the Overbed Table for Support
, 2017.11.
167. Medical Safety Information No.131.
168. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.131:Misunderstanding of Insulin Units(1st Follow-up Report), 2017.10.
169. Medical Safety Information No.130.
170. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.130:Air Embolism Due to a Central Venous Line Left Open, 2017.09.
171. 後 信, Project to Collect Medical Near-miss/Adverse Event Information 2016 Annual Report, 公益財団法人日本医療機能評価機構, 2017.08.
172. Medical Safety Information No.129.
173. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.129:Contraindicated Combined Administration of Drugs (1st Follow-up Report), 2017.08.
174. Medical Safety Information No.128.
175. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.128:Wrong Site Surgery(Right/Left)—Neurosurgical Procedures—, 2017.07.
176. Medical Safety Information No.127.
177. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.127:Medical Safety Information released from 2013 to 2015, 2017.06.
178. Medical Safety Information No.126.
179. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.126:Blood Sample Taken from Limb During an Infusion in the Same Limb, 2017.05.
180. Medical Safety Information No.125.
181. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.125:Insufficient Understanding of Drugs to be Halted Pre-operatively —Oral Contraceptives—, 2017.04.
182. Medical Safety Information No.124.
183. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.124:Medical Safety Information released in 2016, 2017.03.
184. 2016 Prevention report of the Japan Obstetric Compensation System for Cerebral Palsy.
185. Medical Safety Information No.123.
186. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.123:Film Dressing Affixed to Permanent Tracheostomy, 2017.02.
187. Medical Safety Information No.122.
188. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.122:Error in Measuring Body Weight Before Dialysis, 2017.01.
189. Medical Safety Information No.121.
190. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.121:Wrongly Inserted Nasogastric Feeding Tube, 2016.12.
191. Medical Safety Information No.120.
192. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.120:Administration of the Wrong Drug from a Syringe Not Labeled with the Drug Name, 2016.11.
193. Medical Safety Information No.119.
194. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.119:Incorrect Setting of Medication Quantity or Solution Volume on a Syringe Pump, 2016.10.
195. Medical Safety Information No.118.
196. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.118:Drug Mix-up Due to Similar Appearance, 2016.09.
197. Medical Safety Information No.117.
198. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.117:Inadequate Checks of Meal Type Information from Other Facilities, 2016.08.
199. Medical Safety Information No.116.
200. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.116:Patient Mix-up in Drug Administration, 2016.07.
201. Medical Safety Information No.115.
202. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.115:Medical Safety Information released from 2012 to 2014, 2016.06.
203. Medical Safety Information No.114.
204. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.114:Forgetting to Resume Anticoagulants/Antiplatelet Drugs, 2016.05.
205. Medical Safety Information No.113.
206. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.113:Air Embolism after Removal of a Central Venous Catheter, 2016.04.
207. Medical Safety Information No.112.
208. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.112:Medical Safety Information released in 2015, 2016.03.
209. Medical Safety Information No.111.
210. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.111:Delays in Urgent Contact Regarding Panic Values, 2016.02.
211. Medical Safety Information No.110.
212. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.110:Blood Transfusion to Wrong Patient (1st Follow-up Report), 2016.01.
213. Medical Safety Information No.109.
214. Medical Safety Information No.108.
215. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.109:Wrong Specimen Container When Taking Blood Samples, 2015.12.
216. Medical Safety Information No.107.
217. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.108:Incorrect Concentration of Adrenaline, 2015.11.
218. Medical Safety Information No.106.
219. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.107:Surgical Fire Due to Ignition of a Flammable Drug by an Electrosurgical Pencil (1st Follow-up Report), 2015.10.
220. Medical Safety Information No.105.
221. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.106:Wrongly Prepared Drug for a Pediatric Patient, 2015.09.
222. Medical Safety Information No.104.
223. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.105:Forgetting to Open/Close a T-shaped Stopcock, 2015.08.
224. Medical Safety Information No.103.
225. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.104:Wrong Weight When Prescribing an Antineoplastic Agent, 2015.07.
226. Medical Safety Information No.102.
227. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.103:Medical Safety Information released from 2011 to 2013, 2015.06.
228. Medical Safety Information No.101.
229. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.102:Misinterpretation of a Verbal Order, 2015.05.
230. Medical Safety Information No.100.
231. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.101:Wrong Drug Administration Route, 2015.04.
232. Medical Safety Information No.99.
233. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.100:Medical Safety Information released in 2014, 2015.03.
234. Medical Safety Information No.98.
235. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.99:Left-Right Mix-Up When Inserting a Thoracostomy Tube, 2015.02.
236. Medical Safety Information No.97.
237. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.98:Wrong Method of Administering a Potassium Preparation, 2015.01.
238. Medical Safety Information No.96.
239. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.97:Wrong Choice of Pneumococcal Vaccine Preparation, 2014.12.
240. Medical Safety Information No.95.
241. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.96:Insulin Pen Mix-up, 2014.11.
242. Medical Safety Information No.94.
243. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.95:Dead Battery in a Central Monitor Transmitter, 2014.10.
244. Medical Safety Information No.93.
245. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.94:Magnetic Material (e.g. Metal Products) Taken in the MRI Room (1st Follow-up Report), 2014.09.
246. Medical Safety Information No.92.
247. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.93:Wrongly Registered Antineoplastic Drug Regimen, 2014.08.
248. Medical Safety Information No.91.
249. Japan Council for Quality Health Care (JQ)((公財)日本医療機能評価機構), JQ Medical Safety Information No.92:Forgetting to Connect Ventilator Hoses, 2014.07.