Publications by authors named "Tomomi Umemura"

Objectives: Incident reporting systems are widely used to identify risks and enable organisational learning. Free-text descriptions contain important information about factors associated with incidents. This study aimed to develop error scores by extracting information about the presence of error factors in incidents using an original decision-making model that partly relies on natural language processing techniques.

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Incident reporting systems have been widely adopted to collect information about patient safety incidents. Much of the value of incident reports lies in the free-text section. Computer processing of semantic information may be helpful to analyze this.

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Medical safety management has an economic dimension that has received little attention. Medical expenses associated with medical malpractice in Japan should be investigated in relation to patient safety measures and their consequences. We analyzed medical accidents that occurred within the past seven years at a university hospital.

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Article Synopsis
  • The study assessed methods to decrease patient misidentification incidents, focusing on those deemed serious (level 2 and above) using a structured problem-solving approach.
  • The analysis revealed that the most common misidentifications occurred during sample collection, drug administration, and meal services, prompting the establishment of a 20% reduction target as a hospital priority.
  • Implementing standardized identification procedures and distributing instructional resources led to an 18% decrease in serious misidentification incidents, emphasizing the need for ongoing efforts to improve patient safety.
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Metal-catalyzed H/D exchange in hydrothermal deuterium oxide, performed in an autoclave using external heating or in a sealed glass tube under microwave irradiation, was shown to be an efficient method for preparing various deuterium-labeled compounds. Phosphonium salts for the Wittig reaction were deuterated at the α-position in the presence of MS 4A under microwave irradiation; primary alcohols and primary/secondary amines were deuterated at the α-position in the presence of ruthenium catalyst under microwave irradiation; metal-catalyzed direct C-H functionalizations on sp³ and sp² carbon gave the corresponding fully deuterated products under hydrothermal conditions. These methods gave various deuterium-labelled compounds efficiently using D₂O as a D-atom source.

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