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医療における有害事象と医療過誤の研究における標準要素:SESAME声明
Richard T Griffey1, Maria Unbeck2,3, David C Stockwell4
1Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA griffeyr@wustl.edu.
BMJ quality & safety
|January 23, 2026
まとめ
医療における有害事象の報告は一貫性がありません。新しい有害事象と医療過誤の研究における標準要素(SESAME)ガイドラインは、報告の質と患者の安全を改善するための44項目のチェックリストを提供します。
科学分野:
- 医療研究
- 患者安全
- 医療過誤報告
背景:
- 医療研究における有害事象の報告の一貫性のばらつきとギャップが指摘されています。
- 不完全な報告の詳細(研究デザイン、実施、方法論、定義)は、解釈、評価、再現性を妨げます。
- これらの欠陥は、患者安全イニシアチブや政策に対する研究の影響を制限します。
研究 の 目的:
- 有害事象報告の質の課題に対処するため。
- 患者の危害に関する研究のための標準化された報告ガイドラインを導入するため。
主な方法:
- SESAME(有害事象と医療過誤の研究における標準要素)ガイドラインの開発。
- 2年間のコンセンサス主導のプロセスを通じて44項目のチェックリストが作成されました。
- 国際的な学際的パネルが、Enhancing the QUAlity and Transparency Of Health Research Networkの基準を遵守して開発を主導しました。
主要な成果:
- SESAMEガイドラインは44項目のチェックリストであり、開発されました。
- 患者の危害に関する研究における包括的かつ標準化された報告をサポートすることを目的としています。
- ガイドラインはコンセンサスプロセスを通じて作成されました。
結論:
- SESAMEガイドラインは、有害事象報告の質と標準化を強化するためのフレームワークを提供します。
- 報告の改善により、結果の解釈、批判的評価、再現性が向上することが期待されます。
- このイニシアチブは、患者安全研究が政策や実践に与える影響を強化することを目的としています。
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