ImSAFER の即行型ImSAFER：QuickSAFER 事故
Contents
1. ImSAFER QuickSAFER ImSAFER QuickSAFER KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 ImSAFER QuickSAFER2. W T Y KAWANO Ryutaro 2014 C T KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 10 ImSAFER QuickSAFER TmSAEFER2014Ver1 0 B f P W T P E T 0 KAWANO Ryutaro 2014 C T 1 W Y T a A 2 KAWANO Ryutar
3. KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 ImSAFER QuickSAFER http www jichi ac jp msc wordpress imsafer 2010 TEL 0285 58 7455 FAX0285 44 8679 EMal jmac jchi ac jp ImSAFER TmSAFER2014Ver1 0 es httP www medicalsafer kts Com ndex htm1 KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 29 15 ImSAFER 2 4 16 2 A 3 5mg 4mg A B B B EL 4mg B
4. 8 5mg 4mg 16 80 B C C 2 C 7 5mg D A B 10 C 2 D 45 1mg 3 0 5mg 1 1mg 4 g 7 P HIIIHIL LILIIII C
5. 1 T ee a JlL slTwo Challenge Lu lt ea Rule EY KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 13 ImSAFER QuickSAFER TmSAFER201 4yver1 0 T 1 T Ya W Y T D gt 3 QuickSAFER KAWANO Ryutaro 2014 C 3 Level 1 D C B 4mg
6. KAWANO Ryutaro 2014 C 1 Lewin B f P E B Behavior P Person E Environment KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 5 ImSAFER QuickSAFER TmSAFER201 4yver1 0 2 Koffka K KAWANO Ryutaro 2014 KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 6 ImSAFER QuickSAFER TmSAEFER2014ver1 0 Lewin E KAWANO Ryutaro 2014 TRY YE 2 Ed KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 7 ImSAFER QuickSAFER TmSAEFER2014ver1 0
7. 50mg 25mg 50mL 2mL h KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 12 ImSAFER QuickSAFER TmSAFER201 4yver1 0 T E P E KAWANO Ryutaro 2014 C 6 4
8. QuickSAFER SAFER Level 1 KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 ImSAFER QuickSAFER TmSAEFER2014ver1 0 QuickSAFER 1 2 4 5 6 7 KAWANO Ryutaro 2014 C QuickSAFER KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 4 ImSAFER QuickSAFER TmSAFER201 4yver1 0 human error JIS Z8115 2000 2
9. amp KAWANO Ryutaro 2014
10. TmSAEFER2014ver1 0 ImSAFER Improvement SAFER ImSAFER 3 KAWANO Ryutaro 2014 C ImSAFER KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 2 ImSAFER QuickSAFER TmSAFER201 4yver1 0 Level I Fault Root Analysis 0 Level I Event Flow Analysis Level I One Point why why Analysis Level 0 KAWANO Ryutaro 2014 C QuickSAFER 1
11. ws 1 KAWANO Ryutaro 2014 2 EO KAWANO Ryutaro 2014 C KAWANO Ryutaro 2014 8 ImSAFER QuickSAFER TmSAFER201 4yver1 0 No 213 17 7 17 15 05 65 KAWANO Ryutaro 2014 C KAWANO Ryutaro KAWANO Ryutaro 2014 9 ImSAFER QuickSAFER TmSAFER201 4yver1 0 14 30 W T Y 14 40 T lt M 0 mL 1
12. ImSAFER QuickSAFER TmSAFER201 4yver1 0 TmSAEER2014Yer1 0 IimSAFER ImnSAFER QuickSAFER QuickSAFER a KAWANO Ryutaro 2014 C QuwckS4FEP
13. o 2014 C KAWANO Ryutaro 2014 T 4 L__ L___ 7 4 11 ImSAFER QuickSAFER TmSAFER201 4yver1 0 2 30 lt
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