A Study on the Methodology to Analyse and Prevent Medical Errors Due to Non-observance

It is necessary to tackle medical errors in order to provide safe healthcare. Medical errors are defined as departures from standards and can be divided into 2 categories: the first occurs even though workers follow standards, and the second occurs because they act contrary to standards and is called non-observance. Although some studies, as typified by error proofs, have been performed on the former, there are few studies on the latter. Therefore, errors due to non-observance chronically occur in hospitals. In this paper, we define non-observance as intentional departure from standards and discuss a mechanism generating non-observance. Furthermore, we propose a method to analyse non-observance and to prevent it by improving work methods and education.