{"id":214,"date":"2026-04-20T16:27:48","date_gmt":"2026-04-20T07:27:48","guid":{"rendered":"https:\/\/medicalmac.com\/wordpress\/?p=214"},"modified":"2026-04-20T16:27:48","modified_gmt":"2026-04-20T07:27:48","slug":"%e5%b0%8f%e5%85%90%e7%97%85%e6%a3%9f%e3%82%a2%e3%83%a9%e3%83%bc%e3%83%a0%e9%96%a2%e9%80%a3%e7%99%ba%e8%a1%a8%e3%81%a8%e5%bd%93%e9%99%a2%e3%83%97%e3%83%acrrs%e3%81%ae%e6%af%94%e8%bc%83%e8%80%83","status":"publish","type":"post","link":"https:\/\/medicalmac.com\/wordpress\/blog\/2026\/04\/20\/%e5%b0%8f%e5%85%90%e7%97%85%e6%a3%9f%e3%82%a2%e3%83%a9%e3%83%bc%e3%83%a0%e9%96%a2%e9%80%a3%e7%99%ba%e8%a1%a8%e3%81%a8%e5%bd%93%e9%99%a2%e3%83%97%e3%83%acrrs%e3%81%ae%e6%af%94%e8%bc%83%e8%80%83\/","title":{"rendered":"\u5c0f\u5150\u75c5\u68df\u30a2\u30e9\u30fc\u30e0\u95a2\u9023\u767a\u8868\u3068\u5f53\u9662\u30d7\u30ecRRS\u306e\u6bd4\u8f03\u8003\u5bdf"},"content":{"rendered":"\n

\u5c0f\u5150\u79d1\u5b66\u4f1a\u3067\u767a\u8868\u3055\u308c\u305f\u3001\u30a2\u30e9\u30fc\u30e0\u30d5\u30a1\u30c6\u30a3\u30fc\u30b0\u3078\u306e\u5bfe\u5fdc\u7b56\u3068\u5f53\u9662\u904b\u7528\u306e\u30d7\u30ec<\/em>RRS<\/em>\u3092\u8e0f\u307e\u3048\u305f\u6574\u7406<\/em><\/p>\n\n\n\n

\u8981\u65e8<\/strong>  <\/strong>\u4eca\u56de\u78ba\u8a8d\u3057\u305f\u767a\u8868\u7fa4\u306f\u3001\u2460\u30a2\u30e9\u30fc\u30e0\u8a2d\u5b9a\u30fb\u9045\u5ef6\u30fb\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3\u306e\u8a2d\u8a08\u3001\u2461Safety-II\u306b\u57fa\u3065\u304f\u73fe\u5834\u904b\u7528\u6539\u5584\u3001\u3068\u3044\u3046\u4e8c\u3064\u306e\u8ef8\u304b\u3089\u5c0f\u5150\u75c5\u68df\u306e\u30a2\u30e9\u30fc\u30e0\u75b2\u52b4\u3068\u60a3\u8005\u5b89\u5168\u3092\u6271\u3063\u3066\u3044\u305f\u3002\u5f53\u9662\u306e\u30d7\u30ecRRS\u306f\u3053\u308c\u3089\u3088\u308a\u4e00\u6bb5\u4e0a\u4f4d\u3067\u3001\u5358\u4e00\u95be\u5024\u30a2\u30e9\u30fc\u30e0\u3067\u306f\u306a\u304f\u3001\u8907\u6570\u306e\u751f\u4f53\u60c5\u5831\u30fb\u5e74\u9f62\u88dc\u6b63\u30fb\u30ab\u30eb\u30c6\u6587\u8108\u3092\u7d71\u5408\u3057\u3066\u300c\u4ecb\u5165\u3059\u3079\u304d\u60aa\u5316\u300d\u3092\u62bd\u51fa\u3059\u308b\u4ed5\u7d44\u307f\u3068\u4f4d\u7f6e\u3065\u3051\u3089\u308c\u308b\u3002\u672c\u5831\u544a\u66f8\u3067\u306f\u3001\u767a\u8868\u5185\u5bb9\u3092\u6574\u7406\u3057\u305f\u4e0a\u3067\u3001\u5f53\u9662\u30d7\u30ecRRS\u3092\u30a2\u30e9\u30fc\u30e0\u7cfb\u306e\u4ee3\u66ff\u3067\u306f\u306a\u304f\u300c\u610f\u5473\u3065\u3051\u5c64\u300d\u300c\u512a\u5148\u9806\u4f4d\u4ed8\u3051\u5c64\u300d\u3068\u3057\u3066\u6349\u3048\u3001\u4eca\u5f8c\u306e\u8a55\u4fa1\u6307\u6a19\u3068\u7814\u7a76\u8ab2\u984c\u3092\u63d0\u6848\u3059\u308b\u3002<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

1. \u76ee\u7684<\/h1>\n\n\n\n

\u30dd\u30b9\u30bf\u30fc\u767a\u88682\u984c\u3092\u624b\u639b\u304b\u308a\u3068\u3057\u3066\u3001\u5c0f\u5150\u75c5\u68df\u306b\u304a\u3051\u308b\u30a2\u30e9\u30fc\u30e0\u75b2\u52b4\u5bfe\u7b56\u3001Safety-II\u7684\u6539\u5584\u3001\u305d\u3057\u3066\u5f53\u9662\u3067\u904b\u7528\u3057\u3066\u3044\u308b\u30d7\u30ecRRS\u306e\u4f4d\u7f6e\u3065\u3051\u3092\u6574\u7406\u3057\u3001\u4eca\u5f8c\u306e\u9662\u5185\u5b9f\u88c5\u30fb\u8a55\u4fa1\u30fb\u7814\u7a76\u30c6\u30fc\u30de\u306b\u63a5\u7d9a\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u3002<\/p>\n\n\n\n

2. \u4eca\u56de\u78ba\u8a8d\u3057\u305f\u767a\u8868\u306e\u8981\u70b9<\/h1>\n\n\n\n

\u767a\u88682-P183\u306f\u3001\u5c0f\u5150\u75c5\u68df\u30a2\u30e9\u30fc\u30e0\u30fb\u30d3\u30b8\u30e9\u30f3\u30b9\u5411\u4e0a\u3092\u76ee\u7684\u306b\u3001\u30a2\u30e9\u30fc\u30e0\u9045\u5ef6\u6a5f\u80fd\uff08Delayed Setting: DS\uff09\u304a\u3088\u3073\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3\u306e\u5f71\u97ff\u3092\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3067\u8a55\u4fa1\u3057\u305f\u5185\u5bb9\u3067\u3042\u3063\u305f\u3002\u4e3b\u773c\u306f\u3001\u30a2\u30e9\u30fc\u30e0\u4ef6\u6570\u3092\u6e1b\u3089\u3057\u3064\u3064\u3001\u4f4e\u9178\u7d20\u306a\u3069\u306e\u91cd\u8981\u30a4\u30d9\u30f3\u30c8\u3092\u898b\u9003\u3055\u306a\u3044\u5747\u8861\u70b9\u3092\u3069\u3053\u306b\u7f6e\u304f\u304b\u3001\u3068\u3044\u3046\u6280\u8853\u7684\u554f\u3044\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u767a\u88682-P187\u306f\u3001\u5c0f\u5150\u4e00\u822c\u75c5\u68df\u306b\u304a\u3051\u308b\u30a2\u30e9\u30fc\u30e0\u30fb\u30d3\u30b8\u30e9\u30f3\u30b9\u6539\u5584\u3092Safety-II\u306e\u8996\u70b9\u304b\u3089\u9032\u3081\u305f\u5b9f\u8df5\u5831\u544a\u3067\u3042\u308a\u3001\u591a\u8077\u7a2e\u30c1\u30fc\u30e0\u3001\u6bb5\u968e\u7684\u306a\u8a2d\u5b9a\u5909\u66f4\u3001\u6559\u80b2\u3001\u30e2\u30cb\u30bf\u30fc\u914d\u7f6e\u306e\u518d\u8a2d\u8a08\u3001\u8996\u8a8d\u6027\u30fb\u97f3\u74b0\u5883\u6539\u5584\u3068\u3044\u3063\u305f\u8907\u5408\u4ecb\u5165\u306b\u3088\u3063\u3066\u3001\u7dcf\u30a2\u30e9\u30fc\u30e0\u4ef6\u6570\u306e\u6e1b\u5c11\u3068\u5b9f\u969b\u306e\u5bfe\u5fdc\u884c\u52d5\u306e\u5897\u52a0\u3092\u793a\u3057\u3066\u3044\u305f\u3002\u4e3b\u773c\u306f\u3001\u5358\u306b\u30a2\u30e9\u30fc\u30e0\u3092\u6e1b\u3089\u3059\u3053\u3068\u3067\u306f\u306a\u304f\u3001\u73fe\u5834\u304c\u300c\u610f\u5473\u306e\u3042\u308b\u30a2\u30e9\u30fc\u30e0\u300d\u306b\u6ce8\u610f\u8cc7\u6e90\u3092\u5411\u3051\u3089\u308c\u308b\u3088\u3046\u904b\u7528\u5168\u4f53\u3092\u518d\u8a2d\u8a08\u3059\u308b\u70b9\u306b\u3042\u308b\u3002<\/p>\n\n\n\n

2\u984c\u3092\u4e26\u3079\u308b\u3068\u3001183\u306f\u8a2d\u5b9a\u30d1\u30e9\u30e1\u30fc\u30bf\u3068\u5b89\u5168\u6027\u306e\u30c8\u30ec\u30fc\u30c9\u30aa\u30d5\u3001187\u306f\u73fe\u5834\u30b7\u30b9\u30c6\u30e0\u3068\u884c\u52d5\u5909\u5bb9\u306b\u7126\u70b9\u3092\u5f53\u3066\u3066\u304a\u308a\u3001\u524d\u8005\u304c\u6280\u8853\u8a2d\u8a08\u3001\u5f8c\u8005\u304c\u904b\u7528\u8a2d\u8a08\u3092\u62c5\u3063\u3066\u3044\u308b\u3068\u89e3\u91c8\u3067\u304d\u308b\u3002<\/p>\n\n\n\n

3. \u5f53\u9662\u30d7\u30ecRRS\u306e\u6574\u7406<\/h1>\n\n\n\n

\u5f53\u9662\u30d7\u30ecRRS\u306f\u3001\u5e73\u57473\u5206\u7a0b\u5ea6\u306e\u9045\u308c\u3092\u8a31\u5bb9\u3057\u305f\u6e96\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u76e3\u8996\u3068\u3057\u3066\u30011\u5206\u3054\u3068\u306e\u547c\u5438\u6570\u3001\u5fc3\u62cd\u6570\u3001SpO2\u3001\u30d1\u30eb\u30b9\u30ec\u30fc\u30c8\u3001\u5fc3\u96fb\u56f3\u7531\u6765\u547c\u5438\u6570\u306b\u52a0\u3048\u3001\u30ab\u30eb\u30c6\u4e2d\u306e\u75c5\u614b\u8a18\u8ff0\u3001\u30ab\u30eb\u30c6\u304b\u3089\u5f97\u3089\u308c\u305f\u8b66\u544a\u95be\u5024\u3001\u3055\u3089\u306b\u5c0f\u5150\u5e74\u9f62\u5dee\u3092\u52a0\u5473\u3057\u305f\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3092\u7528\u3044\u3066\u4ecb\u5165\u5bfe\u8c61\u3092\u62bd\u51fa\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u3053\u306e\u69cb\u9020\u306f\u3001\u30d9\u30c3\u30c9\u30b5\u30a4\u30c9\u30e2\u30cb\u30bf\u306e\u5358\u4e00\u95be\u5024\u30a2\u30e9\u30fc\u30e0\u3092\u305d\u306e\u307e\u307e\u5f37\u5316\u3057\u305f\u3082\u306e\u3067\u306f\u306a\u3044\u3002\u3080\u3057\u308d\u3001\u8907\u6570\u6307\u6a19\u306e\u6642\u7cfb\u5217\u5909\u5316\u3068\u81e8\u5e8a\u6587\u8108\u3092\u7d71\u5408\u3057\u3001\u300c\u4eca\u3053\u306e\u60a3\u8005\u306b\u4ecb\u5165\u3059\u3079\u304d\u304b\u300d\u3092\u5224\u65ad\u3059\u308b\u4e0a\u4f4d\u30ec\u30a4\u30e4\u30fc\u3067\u3042\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u5f93\u6765\u578b\u30a2\u30e9\u30fc\u30e0\u304c\u300c\u95be\u5024\u9038\u8131\u306e\u691c\u77e5\u88c5\u7f6e\u300d\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001\u5f53\u9662\u30d7\u30ecRRS\u306f\u300c\u81e8\u5e8a\u72b6\u614b\u306e\u89e3\u91c8\u88c5\u7f6e\u300d\u300c\u512a\u5148\u9806\u4f4d\u4ed8\u3051\u88c5\u7f6e\u300d\u3068\u4f4d\u7f6e\u3065\u3051\u308b\u65b9\u304c\u672c\u8cea\u306b\u8fd1\u3044\u3002<\/p>\n\n\n\n

\u307e\u305f\u3001LLM\u306e\u307f\u3067\u904e\u5270\u691c\u77e5\u304c\u751f\u3058\u305f\u6bb5\u968e\u3092\u7d4c\u3066\u3001\u5168\u6587\u691c\u7d22\u3084\u30eb\u30fc\u30eb\u30d9\u30fc\u30b9\u5f8c\u51e6\u7406\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u3067\u30a2\u30e9\u30fc\u30c8\u983b\u5ea6\u3092\u6291\u5236\u3057\u3001\u5b9f\u7528\u30ec\u30d9\u30eb\u306e\u983b\u5ea6\u306b\u307e\u3067\u6700\u9069\u5316\u3057\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u3001\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u306e\u9ad8\u611f\u5ea6\u5316\u3060\u3051\u3067\u306a\u304f\u3001\u8aa4\u691c\u77e5\u6291\u5236\u3068\u904b\u7528\u53ef\u80fd\u6027\u3092\u540c\u6642\u306b\u8ffd\u6c42\u3057\u305f\u8a2d\u8a08\u3068\u7406\u89e3\u3067\u304d\u308b\u3002<\/p>\n\n\n\n

4. \u6bd4\u8f03\u8003\u5bdf<\/h1>\n\n\n\n

\u7b2c\u4e00\u306b\u3001\u4eca\u56de\u306e\u767a\u8868\u7fa4\u306e\u4e2d\u5fc3\u8ab2\u984c\u306f\u300c\u30a2\u30e9\u30fc\u30e0\u75b2\u52b4\u3092\u3044\u304b\u306b\u6e1b\u3089\u3059\u304b\u300d\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001\u5f53\u9662\u30d7\u30ecRRS\u306e\u4e2d\u5fc3\u8ab2\u984c\u306f\u300c\u8ab0\u3092\u672c\u5f53\u306b\u4ecb\u5165\u5bfe\u8c61\u3068\u307f\u306a\u3059\u304b\u300d\u3092\u9ad8\u7cbe\u5ea6\u306b\u5b9a\u3081\u308b\u70b9\u306b\u3042\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u5f53\u9662\u30d7\u30ecRRS\u306f\u3001\u5358\u306a\u308b\u30a2\u30e9\u30fc\u30e0\u524a\u6e1b\u7b56\u3067\u306f\u306a\u304f\u3001\u30a2\u30e9\u30fc\u30e0\u306e\u610f\u5473\u3065\u3051\u305d\u306e\u3082\u306e\u3092\u518d\u69cb\u6210\u3059\u308b\u4ed5\u7d44\u307f\u3068\u8a00\u3048\u308b\u3002<\/p>\n\n\n\n

\u7b2c\u4e8c\u306b\u3001\u767a\u8868183\u306eDelayed Setting\u3084\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3\u306f\u3001\u5358\u4e00\u30b7\u30b0\u30ca\u30eb\u306e\u901a\u77e5\u6761\u4ef6\u3092\u3069\u3046\u5909\u3048\u308b\u304b\u3068\u3044\u3046\u8a2d\u8a08\u3067\u3042\u308b\u3002\u4e00\u65b9\u3001\u5f53\u9662\u30d7\u30ecRRS\u306f\u3001\u8907\u6570\u306e\u751f\u7406\u6307\u6a19\u3001\u5e74\u9f62\u5dee\u3001\u75c5\u614b\u6587\u8108\u3092\u7d71\u5408\u3057\u3066\u8b66\u6212\u5ea6\u3092\u7b97\u51fa\u3059\u308b\u305f\u3081\u3001\u3088\u308a\u4e0a\u6d41\u3067\u300c\u3069\u306e\u30b7\u30b0\u30ca\u30eb\u3092\u5371\u967a\u3068\u898b\u306a\u3059\u304b\u300d\u3092\u6c7a\u3081\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u95be\u5024\u8abf\u6574\u306e\u5ef6\u9577\u3067\u306f\u306a\u304f\u3001\u591a\u5909\u91cf\u30fb\u6587\u8108\u7d71\u5408\u578b\u306e\u691c\u77e5\u8a2d\u8a08\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u7b2c\u4e09\u306b\u3001\u767a\u8868187\u306eSafety-II\u7684\u5b9f\u8df5\u306f\u5f53\u9662\u30d7\u30ecRRS\u3068\u975e\u5e38\u306b\u89aa\u548c\u6027\u304c\u9ad8\u3044\u3002Safety-II\u306f\u3001\u5931\u6557\u306e\u56de\u907f\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u65e5\u5e38\u7684\u306b\u3046\u307e\u304f\u3044\u3063\u3066\u3044\u308b\u8abf\u6574\u3092\u652f\u3048\u3001\u9069\u5fdc\u80fd\u529b\u3092\u9ad8\u3081\u308b\u3053\u3068\u3067\u5b89\u5168\u3092\u5b9f\u73fe\u3059\u308b\u7acb\u5834\u3067\u3042\u308b[1]\u3002\u5f53\u9662\u30d7\u30ecRRS\u3082\u307e\u305f\u3001\u73fe\u5834\u306e\u6ce8\u610f\u8cc7\u6e90\u3092\u9650\u3089\u308c\u305f\u60a3\u8005\u3078\u96c6\u4e2d\u3055\u305b\u308b\u305f\u3081\u306e\u652f\u63f4\u57fa\u76e4\u3067\u3042\u308a\u3001\u5358\u72ec\u306e\u30b9\u30b3\u30a2\u3067\u306f\u306a\u304f\u3001\u904b\u7528\u30fb\u901a\u77e5\u30fb\u53d7\u3051\u624b\u306e\u884c\u52d5\u3068\u4e00\u4f53\u3067\u4fa1\u5024\u3092\u6301\u3064\u3002<\/p>\n\n\n\n

\u7b2c\u56db\u306b\u3001\u6587\u732e\u7684\u306b\u3082\u5c0f\u5150\u75c5\u68df\u306e\u751f\u4f53\u30e2\u30cb\u30bf\u30a2\u30e9\u30fc\u30e0\u306f\u9ad8\u983b\u5ea6\u3067\u3001\u305d\u306e\u591a\u304f\u306f\u975e\u4ecb\u5165\u7684\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b[2-4]\u3002\u305d\u306e\u305f\u3081\u3001\u5358\u7d14\u306b\u30e2\u30cb\u30bf\u4ef6\u6570\u3084\u30a2\u30e9\u30fc\u30e0\u4ef6\u6570\u3092\u5897\u3084\u3059\u307b\u3069\u5b89\u5168\u306b\u306a\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3002\u3080\u3057\u308d\u3001\u30ce\u30a4\u30ba\u3092\u6291\u3048\u305f\u3046\u3048\u3067\u3001\u4ecb\u5165\u3059\u3079\u304d\u60a3\u8005\u3078\u306e\u53cd\u5fdc\u6027\u3092\u9ad8\u3081\u308b\u8a2d\u8a08\u304c\u5fc5\u8981\u3067\u3042\u308a\u3001\u5f53\u9662\u30d7\u30ecRRS\u306f\u3053\u306e\u65b9\u5411\u6027\u306b\u5408\u81f4\u3059\u308b\u3002<\/p>\n\n\n\n

\u7b2c\u4e94\u306b\u3001PEWS\u3092\u542b\u3080\u65e2\u5b58\u306e\u5c0f\u5150\u65e9\u671f\u8b66\u6212\u30b7\u30b9\u30c6\u30e0\u306f\u3001\u4e00\u5b9a\u306e\u6709\u7528\u6027\u3092\u793a\u3057\u3064\u3064\u3082\u3001\u5b9f\u88c5\u52b9\u679c\u3084\u8ee2\u5e30\u6539\u5584\u306f\u4e00\u69d8\u3067\u306f\u306a\u304f\u3001\u30b9\u30b3\u30a2\u5358\u4f53\u3067\u306e\u904b\u7528\u306b\u306f\u9650\u754c\u304c\u3042\u308b\u3068\u3055\u308c\u308b[5-8]\u3002\u5f53\u9662\u30d7\u30ecRRS\u306f\u3001PEWS\u306e\u601d\u60f3\u3092\u5171\u6709\u3057\u306a\u304c\u3089\u3082\u30011\u5206\u5358\u4f4d\u306e\u591a\u5909\u91cf\u30c7\u30fc\u30bf\u3068\u30ab\u30eb\u30c6\u6587\u8108\u3092\u7d71\u5408\u3057\u3066\u3044\u308b\u70b9\u3067\u3001\u5f93\u6765\u30b9\u30b3\u30a2\u3088\u308a\u9ad8\u89e3\u50cf\u5ea6\u306e\u30d7\u30ec\u30a2\u30e9\u30fc\u30c8\u5c64\u3068\u3057\u3066\u4f4d\u7f6e\u3065\u3051\u3089\u308c\u308b\u3002<\/p>\n\n\n\n

\u3057\u305f\u304c\u3063\u3066\u5f53\u9662\u3067\u306f\u3001\u30d9\u30c3\u30c9\u30b5\u30a4\u30c9\u30a2\u30e9\u30fc\u30e0\u3092\u5373\u6642\u5b89\u5168\u88c5\u7f6e\u3001\u4e2d\u592e\u76e3\u8996\u8a2d\u5b9a\u6700\u9069\u5316\u3092\u30ce\u30a4\u30ba\u6291\u5236\u88c5\u7f6e\u3001\u30d7\u30ecRRS\u3092\u4ecb\u5165\u512a\u5148\u9806\u4f4d\u4ed8\u3051\u88c5\u7f6e\u3068\u3057\u3066\u4e09\u5c64\u69cb\u9020\u3067\u6574\u7406\u3059\u308b\u306e\u304c\u59a5\u5f53\u3067\u3042\u308b\u3002\u3053\u306e\u898b\u65b9\u306b\u7acb\u3064\u3068\u3001\u4eca\u56de\u306e\u767a\u8868\u7fa4\u306f\u5f53\u9662\u30d7\u30ecRRS\u3068\u7af6\u5408\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u304f\u3001\u3080\u3057\u308d\u30d7\u30ecRRS\u3092\u73fe\u5834\u3067\u751f\u304b\u3059\u305f\u3081\u306e\u4e0b\u4f4d\u57fa\u76e4\u30fb\u5468\u8fba\u57fa\u76e4\u3068\u3057\u3066\u6349\u3048\u76f4\u305b\u308b\u3002<\/p>\n\n\n\n

5. \u5f53\u9662\u3067\u306e\u5b9f\u88c5\u4e0a\u306e\u793a\u5506<\/h1>\n\n\n\n

\u7b2c\u4e00\u306b\u3001\u30d7\u30ecRRS\u967d\u6027\u75c7\u4f8b\u3068\u9670\u6027\u75c7\u4f8b\u3067\u3001\u65e2\u5b58\u30e2\u30cb\u30bf\u30a2\u30e9\u30fc\u30e0\u306e\u95be\u5024\u8a2d\u5b9a\u3084\u9045\u5ef6\u6642\u9593\u3092\u53ef\u5909\u5316\u3067\u304d\u308b\u304b\u3092\u691c\u8a0e\u3059\u308b\u4f59\u5730\u304c\u3042\u308b\u3002\u305f\u3068\u3048\u3070\u30d7\u30ecRRS\u304c\u9ad8\u30ea\u30b9\u30af\u3068\u5224\u5b9a\u3057\u305f\u60a3\u8005\u3067\u306f\u3001DS\u3092\u77ed\u304f\u3057\u3001\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3\u3092\u5f37\u304f\u3059\u308b\u4e00\u65b9\u3001\u4f4e\u30ea\u30b9\u30af\u60a3\u8005\u3067\u306f\u4e0d\u8981\u30a2\u30e9\u30fc\u30e0\u6291\u5236\u3092\u512a\u5148\u3059\u308b\u3001\u3068\u3044\u3063\u305f\u500b\u5225\u5316\u304c\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n\n\n\n

\u7b2c\u4e8c\u306b\u3001\u901a\u77e5\u5f8c\u306e\u884c\u52d5\u3092\u8a55\u4fa1\u6307\u6a19\u306b\u542b\u3081\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u30a2\u30e9\u30fc\u30e0\u4ef6\u6570\u3084\u30d7\u30ecRRS\u767a\u5831\u4ef6\u6570\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u901a\u77e5\u5f8c\u4f55\u5206\u3067\u89b3\u5bdf\u30fb\u518d\u8a55\u4fa1\u30fb\u533b\u5e2b\u9023\u7d61\u30fb\u9178\u7d20\u6295\u4e0e\u30fb\u75c5\u68df\u5185\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3\u304c\u884c\u308f\u308c\u305f\u304b\u3092\u6e2c\u5b9a\u3057\u3066\u3053\u305d\u3001Safety-II\u7684\u306a\u6539\u5584\u3092\u793a\u3057\u3084\u3059\u3044\u3002<\/p>\n\n\n\n

\u7b2c\u4e09\u306b\u3001\u30d7\u30ecRRS\u306e\u4fa1\u5024\u306f\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u7cbe\u5ea6\u3060\u3051\u3067\u306a\u304f\u3001\u53d7\u3051\u624b\u304c\u300c\u3053\u306e\u901a\u77e5\u306f\u52d5\u304f\u4fa1\u5024\u304c\u3042\u308b\u300d\u3068\u611f\u3058\u308b\u4fe1\u983c\u6027\u306b\u4f9d\u5b58\u3059\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u8aa4\u691c\u77e5\u7387\u3001\u4ecb\u5165\u5fc5\u8981\u4f8b\u306b\u5bfe\u3059\u308b\u611f\u5ea6\u3001\u901a\u77e5\u5f8c\u306e\u884c\u52d5\u5909\u5bb9\u3001\u30b9\u30bf\u30c3\u30d5\u53d7\u5bb9\u6027\u3092\u4e26\u884c\u8a55\u4fa1\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u7b2c\u56db\u306b\u3001\u7814\u7a76\u8a08\u753b\u3068\u3057\u3066\u306f\u3001(1)\u30d7\u30ecRRS\u5c0e\u5165\u524d\u5f8c\u6bd4\u8f03\u3001(2)\u9ad8\u983b\u5ea6\u30a2\u30e9\u30fc\u30e0\u60a3\u8005\u7fa4\u306b\u5bfe\u3059\u308b\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u3001(3)\u30d7\u30ecRRS\u5224\u5b9a\u3068\u5b9f\u969b\u306eRRS\u4ecb\u5165\u30fbPICU\u8ee2\u68df\u30fb\u91cd\u75c7\u30a4\u30d9\u30f3\u30c8\u3068\u306e\u95a2\u9023\u89e3\u6790\u3001(4)\u30d7\u30ecRRS\u3068\u65e2\u5b58PEWS\u307e\u305f\u306f\u5358\u4e00\u95be\u5024\u30a2\u30e9\u30fc\u30e0\u306e\u6bd4\u8f03\u3001\u304c\u6709\u671b\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u3053\u3053\u3067\u306e\u8003\u5bdf\u306f\u300c\u6982\u5ff5\u6574\u7406\u300d\u3068\u300c\u7814\u7a76\u69cb\u60f3\u306e\u9aa8\u5b50\u300d\u3068\u3057\u3066\u6271\u3046\u306e\u304c\u9069\u5207\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

7. \u7d50\u8ad6<\/h1>\n\n\n\n

\u4eca\u56de\u306e\u767a\u8868\u7fa4\u306f\u3001\u5c0f\u5150\u75c5\u68df\u30a2\u30e9\u30fc\u30e0\u554f\u984c\u306b\u5bfe\u3057\u3066\u3001\u6280\u8853\u7684\u6700\u9069\u5316\uff08DS\u30fb\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3\uff09\u3068\u904b\u7528\u7684\u6700\u9069\u5316\uff08Safety-II\u3001\u591a\u8077\u7a2e\u4ecb\u5165\u3001\u74b0\u5883\u518d\u8a2d\u8a08\uff09\u306e\u4e21\u9762\u304b\u3089\u63a5\u8fd1\u3057\u3066\u3044\u305f\u3002\u3053\u308c\u306b\u5bfe\u3057\u3001\u5f53\u9662\u30d7\u30ecRRS\u306f\u3001\u8907\u6570\u751f\u4f53\u60c5\u5831\u30fb\u5e74\u9f62\u88dc\u6b63\u30fb\u30ab\u30eb\u30c6\u6587\u8108\u3092\u7528\u3044\u3066\u4ecb\u5165\u3059\u3079\u304d\u60a3\u8005\u3092\u62bd\u51fa\u3059\u308b\u300c\u4e0a\u4f4d\u306e\u5224\u65ad\u652f\u63f4\u5c64\u300d\u3068\u8a00\u3048\u308b\u3002<\/p>\n\n\n\n

\u3057\u305f\u304c\u3063\u3066\u5f53\u9662\u306e\u6b21\u306e\u8ab2\u984c\u306f\u3001\u30d7\u30ecRRS\u3092\u5358\u72ec\u306e\u691c\u77e5\u30b7\u30b9\u30c6\u30e0\u3068\u3057\u3066\u8a55\u4fa1\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u65e2\u5b58\u30a2\u30e9\u30fc\u30e0\u8a2d\u5b9a\u3001\u75c5\u68df\u904b\u7528\u3001\u901a\u77e5\u5f8c\u884c\u52d5\u3068\u9023\u7d50\u3057\u305f\u5168\u4f53\u8a2d\u8a08\u3068\u3057\u3066\u4f4d\u7f6e\u3065\u3051\u308b\u3053\u3068\u3067\u3042\u308b\u3002\u3059\u306a\u308f\u3061\u3001\u300c\u4f55\u3092\u9cf4\u3089\u3059\u304b\u300d\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u300c\u8ab0\u306b\u3001\u3044\u3064\u3001\u3069\u306e\u5f37\u3055\u3067\u3001\u3069\u3046\u52d5\u3044\u3066\u3082\u3089\u3046\u304b\u300d\u3092\u4e00\u4f53\u3067\u8a2d\u8a08\u3059\u308b\u3053\u3068\u304c\u3001\u4eca\u5f8c\u306e\u6700\u3082\u91cd\u8981\u306a\u65b9\u5411\u6027\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u4ed8\u8868. 3\u3064\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306e\u6bd4\u8f03<\/h1>\n\n\n\n
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\u4e3b\u984c<\/td>\u30a2\u30e9\u30fc\u30e0\u9045\u5ef6\u30fb\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3\u306e\u5747\u8861<\/td>Safety-II\u306b\u3088\u308b\u904b\u7528\u6539\u5584<\/td>\u591a\u5909\u91cf\u30fb\u6587\u8108\u7d71\u5408\u306b\u3088\u308b\u4ecb\u5165\u5bfe\u8c61\u62bd\u51fa<\/td><\/tr>
\u5bfe\u8c61\u30c7\u30fc\u30bf<\/td>\u4e3b\u306bSpO2\u4f4e\u4e0b\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3<\/td>\u75c5\u68df\u30a2\u30e9\u30fc\u30e0\u904b\u7528\u5168\u4f53<\/td>\u547c\u5438\u6570\u30fb\u5fc3\u62cd\u6570\u30fbSpO2\u30fb\u30d1\u30eb\u30b9\u30fbECG\u7531\u6765\u547c\u5438\u6570\u30fb\u30ab\u30eb\u30c6\u6587\u8108<\/td><\/tr>
\u4e3b\u306a\u5229\u70b9<\/td>\u4e0d\u8981\u30a2\u30e9\u30fc\u30e0\u524a\u6e1b\u306e\u8a2d\u8a08\u77e5\u898b<\/td>\u73fe\u5834\u306e\u53cd\u5fdc\u6027\u5411\u4e0a<\/td>\u4ecb\u5165\u512a\u5148\u9806\u4f4d\u3092\u9ad8\u7cbe\u5ea6\u5316<\/td><\/tr>
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\u4f4d\u7f6e\u3065\u3051<\/td>\u4e0b\u4f4d\u306e\u901a\u77e5\u6761\u4ef6\u8a2d\u8a08<\/td>\u5468\u8fba\u306e\u904b\u7528\u8a2d\u8a08<\/td>\u4e0a\u4f4d\u306e\u610f\u5473\u3065\u3051\u30fb\u512a\u5148\u9806\u4f4d\u4ed8\u3051<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u53c2\u8003\u6587\u732e<\/h1>\n\n\n\n

1. Hollnagel E, Wears RL, Braithwaite J. From Safety-I to Safety-II: A White Paper. NHS England; 2015.<\/p>\n\n\n\n

2. Bonafide CP, Lin R, Zander M, et al. Physiologic Monitor Alarm Rates at 5 Children’s Hospitals. J Hosp Med. 2018;13(6):396-398. PMID: 29694462.<\/p>\n\n\n\n

3. Bonafide CP, O’Hara M, Dalal AK, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children’s Hospital. JAMA Pediatr. 2017;171(6):524-531. PMID: 28394995.<\/p>\n\n\n\n

4. Drew BJ, Harris P, Z\u00e8gre-Hemsey JK, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency. J Hosp Med. 2014\/2015 review article as indexed in PubMed. PMID: 26663904.<\/p>\n\n\n\n

5. Schondelmeyer AC, Bonafide CP, Goel VV, et al. Physiologic Monitor Alarm Burden and Nurses’ Subjective Workload in a Children’s Hospital. Hosp Pediatr. 2021. PMID: 34074710.<\/p>\n\n\n\n

6. Bonafide CP, Localio AR, Roberts KE, et al. Safety Huddle Intervention for Reducing Physiologic Monitor Alarms: A Cluster Randomized Trial. J Hosp Med. 2018. PMID: 29489921.<\/p>\n\n\n\n

7. Goel VV, Poole S, Wallace E, et al. Inpatient-Derived Vital Sign Parameters Implementation: An Alarm Reduction Quality Improvement Study. Pediatrics. 2017. PMID: 28687637.<\/p>\n\n\n\n

8. Chapman SM, Maconochie IK, Early warning score review authors. Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. BMJ Open. 2017;7:e014497. PMID: 28289051.<\/p>\n\n\n\n

9. Montalto SA, et al. Do paediatric early warning systems reduce mortality and critical deterioration events? A systematic review and meta-analysis. Resusc Plus. 2022;10:100262. PMID: 35801231.<\/p>\n\n\n\n

10. Parshuram CS, Duncan HP, Joffe AR, et al. Multicentre validation of the bedside paediatric early warning system score. Crit Care. 2011;15:R184. PMID: 21812993.<\/p>\n\n\n\n

11. de Bruin-Huisman L, Abu-Saad HH, et al. Early warning scores of clinical deterioration in pediatric inpatients: integrative review. Rev Paulista Pediatr. 2023. PMID: 37721339.<\/p>\n\n\n\n

12. Fackler J, Ghobadi K, Gurses AP. Algorithms at the Bedside: Moving Past Development and Validation. Pediatr Crit Care Med. 2024;25(3):276-278. PMID: 38451799.<\/p>\n\n\n\n

\u4f5c\u6210\u65e5<\/em>: 2026-04-20<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

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