[实施报告:利用优先级监测评分确定预防低级别事件再次发生措施的优先级的尝试]。

Makoto Sasaki, Isao Yamaguchi, Yoshihiro Kitoh, Tsuyoshi Ueyama, Ryuhei Iwaki, Naomi Nishio, Tetsuo Kida, Koji Koizumi, Hidemichi Kawata
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引用次数: 0

摘要

目的:本研究的目的是尝试使用优先监测评分来决定优先措施,以防止先前报告的低级别事件再次发生。方法:对我院放射治疗科7名放射技师近5年报告的低水平放射事故进行调查。根据调查结果,通过将潜在事件级别、发生频率和可检测性的每个分数相乘来计算优先监测得分。此外,还研究了优先级监测得分与各因素的关系。结果:从67个低级别事件的调查结果中,设置优先级监测得分的平均值+标准差(23.1)作为优先级决策的阈值。优先监测评分与潜在事件级别相关性最强(相关系数r=0.74)。结论:建议通过设置优先监测评分的阈值,考虑对需要采取预防措施的低级别事件进行优先决策的可能性。另一方面,各设施的报告要求和事件级别分类各不相同。因此,需要在每个设施中考虑决定优先级的阈值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Implementation Report: Attempt for a Decision of Priorities in Measures to Prevent Recurrence of Low-level Incidents Using Priority Monitoring Score].

Purpose: The aim of this study was to attempt to make a decision on priorities in measures to prevent recurrence of previously reported low-level incidents using the priority monitoring score.

Methods: A survey of the low-level incidents reported over the past 5 years in the department of radiation therapy was conducted among 7 radiological technologists. From the results of the survey, the priority monitoring score was calculated by multiplying each score of the potential incident level, the occurrence frequency, and the detectability. Additionally, the relationship between the priority monitoring score and each factor was investigated.

Results: From the results of a survey of 67 low-level incidents, the mean+standard deviation (23.1) of the priority monitoring score was set as the threshold for a decision of priorities. The strongest correlation was observed between the priority monitoring score and the potential incident level (a correlation coefficient, r=0.74).

Conclusion: It is suggested that the possibility of prioritizing the decision of low-level incidents that require measures to prevent recurrence be considered by setting the threshold for the priority monitoring score. On the other hand, the reporting requirements and the level classification for incidents vary among facilities. Therefore, the threshold for the decision of priorities needs to be considered in each facility.

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