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2020 2017 29 4 21() ( 27 ) 28 10 30 3 3
. 29 1) 29 4 1 30 3 31 29 7 20 30 2 20 1 2 3 ( 1) ( 2) 3 (1) (2) (3) 5
6 NPO MWNS PHNNS MWNS ) MWNS MWNS PHN PHN PHN N PHN MW= NS= PHN= MWNS NS NS PHN MWNS NS NS () 1 STEP STEP STEP A STEP STEP5 PDCA STEP ( 2
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5 5 3. 2 3 () 29 8 3 () 10 15 8
29 930 29 8 3 ()JNA 10:00-10:05 5 10:05-10:35 30 10:35-11:20 45 11:20-11:30 10 11:30-12:15 45 12:15-13:25 (70 ) 28 PDCA 13:25-14:45 80 14:45-14:55 (10 ) 14:55-15:00 5 1) 2) ( 5 <> 9
15 () // 6 5 1 3 5 / 10
(3) 11
2. 29 4-1. 3 () 1,947,494 354,216 46,990 () 14,189 2,901 324 (1 ) (1 ) 4 NICU/GCU () (4 ) (1 ) 13 1 (5 ) (1 ) (1 ) ( ) ( )
4-2. 2 () 121,550 3 () 600700 777 80 2 (4 ) (1 ) (1 ) 2 ( MSW) (1 ) (1 ) 1 () () 14
1) 195 4 4 5 (NICUGCU) () 15
NICU () NICU 16
6. 29 11 23 () 27 44 NICU/GCU 30 1 17 33 4 ( 1 2 3( 20 38 (NICU) 17
( ) NICU/GCU 18
(2 ) 19
20
2) 35 4 15 4 12 72 (H29 ) 28 5 () 2 7 1 ( 28 110 ) ( )( ) () 7. () () () 21
() ( ) ( ) (23) () 22
8. 29 9 21 () 1 2 3 4 8/16 29 10 19 () 29 11 16 () 30 1 18 () 6 16 7 15 5 16 5 12 9. 29 12 11 () 33 81 9 ( 27MSW1) 6 ( 5 1) 1 ( 1) 1 ( 1) 4 ( 4 3) NPO 3 (NPO 4) 23 6 ( 8 3 7 1) 2 1 7
8 7 24
25 PHNNS MWNSMSW ( MWNS MSW ( PHN PHN MW= NS= PHN= MWNS NS NS PHN NS NS () PHN MWNS CO PHN PHN CO= MW NPO MW PHNNS MWNSMSW ( MWNS MSW ( PHN PHN MW= NS= PHN= MWNS NS NS PHN NS NS () PHN MWNS CO PHN PHN CO= MW NPO MW
10 26
3) 3 () 4 7,500 36.8(H28) 2.06(H26 ) 28 1 28 ( ) 11 () () 1 1 () 27
1 6 () ( 29 28
() 2 () 29 29
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() () 31
14. 32
33
4) 2 7 () 121,550 (H28 ) 16.4 2 600 700 25.5 54.0 2 2 34
2 KJ () 2 35
() PDCA 15. 1 2 3 4 9 11 () 10 16 () 12 11 () 1 19 () JA 16 25 10 18 15 27 14 19 ( ) 16. 29 11 6 () 29 12 11 () JA ( ) 15 31 ( ) ( ) 20 46 ( MSW) ( ) 36
() 2 2 2 2 37
() () ( ) () 38
39 JA MWNS MWNS MWNS NPO () NPO () MWNS MWNS NPO () JA MWNS ( ()
5) 3 1 17 2 29 80 1 2 4 40
() () 41
() 4 30 18 29 11 20 14 31 () ()( ) 19 30 2 6 19 37 () 42
43 4 2
20 44
45
46 1 7 1 2 MWNS P PHN PHN PHN MW= NS= PHN= 1 MWNS DRMWNS NS 12 63 PHN 1 2 3 PHNMWNS 7 1 2 ) MWNS PHN P PHN PHN MW= NS= PHN= 1 MWNS 1 DRMWNS NS 12 63 PHN 1 2 3
3. 2829 2 10 29 2 1) 29 (1) 6 5 () 47
(2) (3) () PDCA PDCA 48
(4) 2 49
NPO 21 2 2)2 50
22 3) 51
53
1. 1) (1) (2) 1 () (3) (4) (5) (6) 2) (1) (2)( 1 ) (3) () 3) 29 8 3 () JNA ( 2 ) 150-0001 5-8-2 1 1 28 (1 2 ) 4) 29 7 () 30 2 20 (1) () (2) () :NICUGCU : : NPO 54
1) 2) 3) 28 4) 29 () 2. () 55
3.() () ( ( ) ( ) ( ) ( ) ( ) ( ) / 56
4 (: ) 29 8 3 1) 2) 3) 4) 5) A B- -6 1 /2 1 10 2 (89 ) 2 12 1 (1011 ) 3 2 1 (12 1 ) -7-7 () 6) (1) (2) (3)() 30 2 20 7) (1) (2) 30 3 57
5. 1) A 58
() % () ()2500 () () () () () () () () () () () () () () () () 3 59
3 () ( 60
2)() B- <> B- 61
3) (1)() 1 ( / ) ( / ) -6 ( / ) ( / ) ( / ) ( / ) ( / ) 62
(2) -7 () 1 2 () 3() 4() 5 (1 ) 63
(3) -7 () 1 2 () 3() 4() 5 (1 ) 64
(4) -9 1) 2) () () ( ) (1) ( B-) (2) 65
2) (3) ( ) (4) 3) ( ) 4) (NICU NICU ) 5) 66
29 29 2 2018 3 31 150-0001 5-8-2 TEL FAX URL 03-5778-8831 03-5778-5601 http://www.nurse.or.jp/ 67