There has been no established standards that indicate what should be described in a report of studies that uses health data collected routinely for the non-research purposes. With a hope that such criteria facilitates the readers to understand the strength and weakness of the study, the REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) was developed by an international group of researchers and stakeholders. We translated the RECORD into Japanese with the permission from the RECORD co-chairs. RECORD extended the STROBE statement that set the standard for a general observational studies. We hope that the RECORD standards guide researchers in conducting studies that uses routinely collected health data, and also improve the quality of the reports of such studies.

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Objective: The purposes of this study are to describe from narratives the experiences of independent midwives who sustained relationships with clients even after a midwifery accident, and to clarify the feelings of midwives regarding their relationship with the client resulting from a midwifery accident and the process of coming to terms with the accident. Participants and methods: A life story research design was used to investigate four independent midwives. Data were collected by asking participants details of midwifery accidents. Results: The present study described the life stories of Participant A, who still struggles to completely come to terms with the midwifery accident; Participant B, who decided to live with the burden of her negligence; Participant C, who continues to question the meaning of the accident while recognizing her own over-optimism and weaknesses; and Participant D, who immediately faced up to and came to terms with the entire situation after the accident. Discussion: The independent midwives, cognizant of sustaining the relationship with the client even post-accident, faced the fact that despite their best efforts, the accidents were attributable to overly optimistic midwifery diagnoses and management. All four midwives went through a different process of acceptance, reaching their own understanding of the adverse event. For the midwives, the shock of being at fault in a midwifery accident constitutes what can be described as a critical situation, and sustaining the relationship with the client and her husband, and receiving the support of individuals connected with the accident were instrumental in getting back on their feet. The findings point to the following implications for dealing with the aftermath of a midwifery accident: along with the solidifying of institutional support measures, the necessity to produce guidelines focusing in particular on early response under the assumption that accidents can and do happen.

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Purpose: To verify the effect of KYT (Kiken Yochi Traning: training for risk prediction) for Long-Term Care Health Facility Staffs. Subjects and Methods: We invited 51 staff members working at a Long-Term Care Health Facility in Ibaraki prefecture to participate in at least one out of the 6 KYT sessions held on from July 25 to July 30, 2016. These sessions comprised a sixty-minute risk prediction training program using an illustration of a geriatric ward. The Stanford Patient Safety Center of Inquiry (PSCI) Culture Survey was conducted before and after intervention to assess safety awareness among participants. Result: Forty-three out of the 51 staff members (84. 3%) participated in the training and 29 staff members responded to the survey. The total score and self-awareness score on the Stanford PSCI Culture Survey improved after intervention, which was evident from the findings of a one-way repeated measures analysis of variance. Conclusion: It was suggested that the safety- awareness of the staff members in Long-Term Care Health Facilities could be improved by an intervention using KYT.

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Purpose: To identify the menstruation status of nurses, the safety behavior in nursing around the menstruation period, the relationship self-care behavior and nursing safety behavior. Subjects and Methods: Self-written administered questionnaire survey targeting 410 nurses in the ages of 20 to 40. Survey items were to recognize attributes, menstruation period peripheral symptoms, self-care behavior and nursing safety behavior, susceptibility to errors. For the analysis, the description statistic, the verification of the relationship, the rank correlation coefficient, the difference between the mean values were tested. The free description was categorized in similar terms. Confirmed positive correlation with nursing safety behaviors that ( Thinking things calmly ) and ( Acting consciously and carefully ) of self-care behavior. Results: 248 subjects analyzed. The pain factor was the highest among the symptoms, and the safety behavior was significantly higher in the peri - menstrual period. 41% recognize the likelihood of error, and have much to do with concentration. We confirmed positive correlation with nursing safety behaviors that (Thinking things calmly ) and ( Acting consciously and carefully ) of self-care behavior. Conclusion: Safety behavior in nursing is difficult to maintain in the menstrual period. As weak correlation was found between all of the safety behaviors and countermeasures for the surrounding circumstances of self-care behavior. I think that taking self-care actions by coping with their own situations leads to security.

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We invented a novel simulation-based hands-on training program to educate senior staff physicians for ultrasound-guided central venous catheterization. The new training course consists of the following points: a target vein （internal jugular vein or subclavian vein) can be chosen by trainees, depending on their routine clinical settings; simulators （a box-type simulator with a simple simulated vein or a torso type with an anatomically atypical running simulated vein) can be chosen depending on trainee skill; and training can proceed step by step up to the trainee’s skill level under supervision and outcome-based evaluation by the instructors. The novel simulation training for ultrasound-guided central venous catheterization has been welcomed by the senior staff physicians. We believe the new training may improve their skill and performance in their clinical settings.

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