患者 の 安全 に 関する ロンドン プロトコル の 進化
Francesco De Micco1,2, Gianmarco Di Palma1,2, Vittoradolfo Tambone1
1Research Unit of Bioethics and Humanities, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, 00128 Roma, Italy.
Healthcare (Basel, Switzerland)
|August 28, 2025
まとめ
2024年のロンドン議定書は,インシデントに焦点を当てたレビューからシステム分析に移行し,より深い調査とレジリエントなヘルスケアシステムの利害関係者の関与を促進します.
科学分野:
- 医療管理
- 患者安全科学
- 臨床リスク管理
背景:
- 患者の安全と臨床リスク管理は,世界の医療の優先事項です.
- ロンドンプロトコルは,有害事象を非処罰的に調査するための重要な方法論です.
- 2004年の枠組みは2024年版に更新されました.
研究 の 目的:
- ロンドン議定書2024の構造,原則,革新を批判的に検討する.
- 事故を中心とした分析から 失敗と成功のより広い理解への進化を強調します
- 医療における文化的変革の触媒としての役割について説明します.
主な方法:
- 有害事象の調査のための全身的な,非懲罰的なレンズ.
- 安全科学,人間要因,デジタルヘルスの進歩を統合する.
- 回復力,積極的な学習,そして利害関係者の関与を強調する.
主要な成果:
- 実行可能な勧告を伴う 徹底した調査を少なめること
- 患者と家族を安全プロセスに 巻き込むことに重点を置く
- 強み (総合的な分析,協力) と課題 (複雑さ,抵抗性) を認識する.
結論:
- ロンドン議定書2024は より安全で 回復力のある医療への 文化的変革を推進しています
- 課題を克服するには リーダーシップ スタッフの関与 デジタル技術が必要です
- 失敗と成功の両方を分析することで 継続的な学習を促進します
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