著者

Yousuke Takemura Yutaka Sakurai Shoji Yokoya Junji Otaki Takeshi Matsuoka Nobutaro Ban Ichiro Hirata Tetsuro Miki Tsukasa Tsuda

出版者

Tohoku University Medical Press

雑誌

The Tohoku Journal of Experimental Medicine (ISSN:00408727)

巻号頁・発行日

vol.206, no.2, pp.151-154, 2005 (Released:2005-05-12)

参考文献数

13

被引用文献数

16 35

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Open-ended questions, which allow patients to discuss their concerns freely, are widely considered an efficient method gathering medical information from patients during a medical interview. However, few studies have examined the relationship between the use of open-ended questions and the amount of information obtained from patients during the medical interview. This study examines this relationship using a relatively large sample size under more standardized conditions than in previous studies. The Japanese Group for Research on the Medical Interview undertook this research in 2002-2003. A total of 1,527 medical students conducted medical interviews with standardized patients, and 1,220 met the inclusion criteria for this study. The interview was limited to five minutes. Evaluators (medical school faculty physicians) evaluated the use of open-ended questions during the medical interview. The reliability of the evaluation sheet was also examined. The amount of information obtained was measured through the medical interview evaluation sheet. The use of open-ended questions was positively related to the amount of information elicited from the patients (F = 41.0, p < 0.0001). This study provides data to support the hypothesis regarding the favorable relationship between the use of the open-ended questions and the amount of information from the patients.

著者

三友 信夫 松倉 洋史 松岡 猛 Nobuo MITOMO Hiroshi MATSUKURA Takeshi MATSUOKA 運輸省船舶技術研究所システム技術部 運輸省船舶技術研究所システム技術部 運輸省船舶技術研究所システム技術部

出版者

運輸省船舶技術研究所

雑誌

船舶技術研究所報告 (ISSN:0495775X)

巻号頁・発行日

vol.37, no.3, pp.77-141, 2000

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For large and complex systems, full and enough investigation is required not to damage the public or operators, before design, construction and operation. Especially chemical plant, nuclear power plant and ships etc. must not cause any large accidents because of the safety of the public or lots of people working there. So, the new assessment, PSA (Probabilistic Safety Assessment), becomes popular in addition to deterministic safety assessment for these complex systems. In this paper, as an example of an application of PSA for the marine field, the event tree analysis method was applied to the Titanic accident. Factors which related to the Titanic accident were all selected under the those day's surrounding condition. The occurrence probabilities of the factors have been estimated from various data. The probability that the Titanic encounters the sever accidents, and number of fatality have been calculated. This report has shown the detailed procedure of event tree analysis for a marine accident. It has also shown the effectiveness of event tree analysis for the analysis of accident causes and for the improvement of the safety for various large complex systems.