Kyushu University Academic Staff Educational and Research Activities Database
List of Reports
SHIN USHIRO Last modified date:2020.07.23

Professor / Kyushu University Hospital


Reports
1. 2016 Prevention report of the Japan Obstetric Compensation System for Cerebral Palsy.
2. 2017 Prevention report of the Japan Obstetric Compensation System for Cerebral Palsy.
3. 2018 Prevention report of the Japan Obstetric Compensation System for Cerebral Palsy.
4. 2019 Prevention report of the Japan Obstetric Compensation System for Cerebral Palsy.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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.
10. 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.
11. 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.
12. 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.
13. 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.
14. 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.
15. 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.
16. 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.
17. 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.
18. 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.
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.146:Inadequate checks of Oxygen Remaining (1st Follow-up Report), 2019.01.
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.147:Injury from a Wheelchair Footrest, 2019.02.
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.148:Medical Safety Information released in 2018, 2019.03.
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.149:Operation/Examination Postponed Due to Delays in Stopping Drugs, 2019.04.
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.150:Forgetting to Check the Pathologic Diagnosis Report—Upper Gastrointestinal Endoscopy—, 2019.05.
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.151:Medical Safety Information Highlighted in Quarterly Reports in 2018, 2019.06.
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.152:Gauze Remaining After Surgery (1)—Gauze Count—, 2019.07.
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.153:Gauze Remaining After Surgery (2)—Checking the X-ray Image—, 2019.08.
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.154:Patient Mix-up When Using Electronic Medical Records, 2019.09.
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.155:Falls from a Pediatric Bed, 2019.10.
29. Medical Safety Information Book.
30. Medical Safety Information No.163.
31. Medical Safety Information No.162.
32. Medical Safety Information No.161.
33. Medical Safety Information No.160.
34. Medical Safety Information No.159.
35. Medical Safety Information No.158.
36. Medical Safety Information No.157.
37. Medical Safety Information No.156.
38. Medical Safety Information No.155.
39. Medical Safety Information No.154.
40. Medical Safety Information No.153.
41. 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.
42. 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.
43. Medical Safety Information No.152.
44. Medical Safety Information No.151.
45. Medical Safety Information No.150.
46. Medical Safety Information No.149.
47. Medical Safety Information No.148.
48. Medical Safety Information No.147.
49. Medical Safety Information No.146.
50. Medical Safety Information No.145.
51. Medical Safety Information No.144.
52. Medical Safety Information No.143.
53. Medical Safety Information No.142.
54. Medical Safety Information No.141.
55. Medical Safety Information No.136.
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.92:Forgetting to Connect Ventilator Hoses, 2014.07.
57. 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.
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.94:Magnetic Material (e.g. Metal Products) Taken in the MRI Room (1st Follow-up Report), 2014.09.
59. 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.
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.96:Insulin Pen Mix-up, 2014.11.
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.97:Wrong Choice of Pneumococcal Vaccine Preparation, 2014.12.
62. 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.
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.99:Left-Right Mix-Up When Inserting a Thoracostomy Tube, 2015.02.
64. 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.
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.101:Wrong Drug Administration Route, 2015.04.
66. 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.
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.103:Medical Safety Information released from 2011 to 2013, 2015.06.
68. 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.
69. 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.
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.106:Wrongly Prepared Drug for a Pediatric Patient, 2015.09.
71. 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.
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.108:Incorrect Concentration of Adrenaline, 2015.11.
73. 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.
74. 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.
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.111:Delays in Urgent Contact Regarding Panic Values, 2016.02.
76. 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.
77. 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.
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.114:Forgetting to Resume Anticoagulants/Antiplatelet Drugs, 2016.05.
79. 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.
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.116:Patient Mix-up in Drug Administration, 2016.07.
81. 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.
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.118:Drug Mix-up Due to Similar Appearance, 2016.09.
83. 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.
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.120:Administration of the Wrong Drug from a Syringe Not Labeled with the Drug Name, 2016.11.
85. 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.
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.122:Error in Measuring Body Weight Before Dialysis, 2017.01.
87. 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.
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.124:Medical Safety Information released in 2016, 2017.03.
89. 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.
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.126:Blood Sample Taken from Limb During an Infusion in the Same Limb, 2017.05.
91. 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.
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.128:Wrong Site Surgery(Right/Left)—Neurosurgical Procedures—, 2017.07.
93. 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.
94. 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.
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.131:Misunderstanding of Insulin Units(1st Follow-up Report), 2017.10.
96. 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. .
97. Medical Safety Information No.140.
98. Medical Safety Information No.139.
99. Medical Safety Information No.138.
100. Medical Safety Information No.137.
101. Medical Safety Information No.135.
102. Medical Safety Information No.134.
103. Medical Safety Information No.133.
104. Medical Safety Information No.132.
105. Medical Safety Information No.131.
106. Medical Safety Information No.130.
107. Medical Safety Information No.129.
108. 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.
109. Medical Safety Information No.128.
110. Medical Safety Information No.127.
111. Medical Safety Information No.126.
112. Medical Safety Information No.125.
113. Medical Safety Information No.124.
114. Medical Safety Information No.123.
115. Medical Safety Information No.122.
116. Medical Safety Information No.121.
117. Medical Safety Information No.120.
118. Medical Safety Information No.119.
119. Medical Safety Information No.118.
120. Medical Safety Information No.117.
121. Medical Safety Information No.116.
122. Medical Safety Information No.115.
123. Medical Safety Information No.114.
124. Medical Safety Information No.113.
125. Medical Safety Information No.112.
126. Medical Safety Information No.111.
127. Medical Safety Information No.110.
128. Medical Safety Information No.109.
129. Medical Safety Information No.108.
130. Medical Safety Information No.107.
131. Medical Safety Information No.106.
132. Medical Safety Information No.105.
133. Medical Safety Information No.104.
134. Medical Safety Information No.103.
135. Medical Safety Information No.102.
136. Medical Safety Information No.101.
137. Medical Safety Information No.100.
138. Medical Safety Information No.99.
139. Medical Safety Information No.98.
140. Medical Safety Information No.97.
141. Medical Safety Information No.96.
142. Medical Safety Information No.95.
143. Medical Safety Information No.94.
144. Medical Safety Information No.93.
145. Medical Safety Information No.92.
146. Medical Safety Information No.91.