Affiliations: ATR Knowledge Science Laboratories, 2-2-2, Hikaridai,
Seika-cho, Soraku-gun, Kyoto 619-0288, Japan. E-mail: [email protected] | School of Engineering, The University of Tokyo, Tokyo, Japan | National Institute of Information and Communications
Technology, Kyoto, Japan | Seinan Jo Gakuin University Fukuoka, Kyoto, Japan | Kyoto Institute of Technology, Kyoto, Japan
Abstract: Many medical accidents and incidents occurred due to communication
errors. To avoid such incidents, in this paper, we propose a system for
determining communication errors. Especially, we propose a model that can be
applied to multi-layered or chained situations. First, we provide an overview
of communication errors in nursing activities. Then we describe the warp and
woof model for nursing task that was proposed by Harada and considers
multi-layered or chained situations. Next we describe a system for determining
communication errors based on the warp and woof model for nursing task. The
system is capable of generating nursing activity diagrams semi-automatically and
compiles necessary nursing activities. We also propose a prototype tagging of
the nursing corpus for an effective generation of the diagrams. Then we combine
the diagram generation with the Kamishibai KeyGraph to determine possible
points of the hidden or potential factors of communication errors.
Keywords: nursing risk management, communication error, multi-layered or chained situations, the warp and woof model, nursing activity diagrams, Kamishibai KeyGraph
