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NTT 143-8540 5-21-16 Tel 03-3762-4151 Fax: 03-5493-5417 E-mail health@med.toho-u.ac.jp URL http://jhmtokyo.umin.jp 2

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14 00 14 50 NTT B11 B12 B13 B14 B15 DVT/PE 14 50 15 40 B21 B22 B23 B24 B25 19

15 40 16 30 B31 B32 1 B33 B34 B35 20

10 45 11 45 B41 FMEA B42 NTTPC B43 BSC B44 BSC( B45 B46 14 00 14 50 B51 Web B52 CaPMnet B53 B54 B55 21

14 50 15 40 B61 B62 B63 B64 B65 15 40 16 30 B71 B72 B73 NTT B74 B75 22

14 00 15 00 B81 B82 B83 B84 ICU PDA B85 DPC B86 JAHIS) 15 00 16 00 B91 B92 B93 B94 B95 B96 23

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14 00 15 00 P01 P02 P03 P04 P05 P06 P07 P08 NTT P09 P10 P11 P12 P13 SEM P14 P15 P16 Work stress in association with low back pain in Kunming nurses WU Yinghui School of Nursing, Kunming Medical University Toho University 27

P17 P18 P19 MIC NPO P20 PEG P21 DPC P22 28

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A1 EBM (Disease Management) ( ) 1985 1987 1998 2005 31

T1 100 17 35 50 2000 1840 1860 1900 1726 32

K1 1970 4 KY 33

K2 MVV( ) PDCA BSC 4 2 BSC 5 2 100 BSC BSC 1981 3 1989 4 1989 6 1995 4 1995 4 2001 4 2003 4 2004 4 34

S1 (MQI) 17 18 1971 3 1979 1980 1985 10 1991 3 2000 35

S2 58 14 18 58 4 14 4 18 4 36

S3 NTT NTT 2000 12 8 IT NTT 2006 7 1991 1993 1993 ( NTT ) 2003 37

L1 for Nurses 1963 2 2 100 4 2 50 38

L2 39

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B11 1) 2) 3) 4) 5) 6) 1) 2) 3) 4) 5) 6) (QC) 43

B12 1) 2) 3) 2) 3) 4) 1) 2) 3) 4) 196 25 28 15 20 / 15 / 15 / 30 / 210 / 540 / 660 / 150 / 870 / 690 / 44

B13 ~ ~ 1) 2) 3) 1) 2) 3) 45

B14 1) 1) 1) 1) 1) 1) 46

B15 DVT/PE 1) 2) 3) 4) 1) 2) 3) 4) 2004 DVT /PE 2008 DVT/PE 2 DVT 1 3 7 1 DVT/PE 3 7 D DVT/PE DVT/PE 2008 BSC 47

B21 1) 1) 1) 1) 1) 1) 20 3 2005 10 48

B22 1) 1) 1) 1) 49

B23 1) 1) 1) 1) 1) 1) 1) 2 25 6 6 2008 7 9 3 113 92 84 76 73 93 66 2007 50

B24 1) 1) 1) SHEL SHEL 63% 100% 47% 74% 43% 26% 71% 51

B25 1) 1) 10 8 ( ) ( ) 70 50 50 ( ) ( ) 52

B31 1) 1) 18 19 11 MECE ER ER BLS ER 23 969 1 18 37,8 19 42,1 2 53

B32 1 1) 1) 1) 1) 1) 1) 1) 1 KYT A 1 96 1 2008 9 KYT 4 90 DVD 10 15 1 1 t Pre Post 2 McNemar Pre Post 80 83.3 SD Pre 4.4 1.0 Post 4.8 1.3 Post Pre Post DVD Post 4 1 KYT 54

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B35 1,2) 1) 2), K 10.,. 57

B41 FMEA 1) 1) 1) 1) 1) 1) 1) FMEA FMEA FMEA 58

B42 1) 2) 3) 4) 1) NTTPC 2) 3) 4) FMEA Failure Hazard HarmCause Solution 59

B43 BSC 1) 2) 3) 1) 2) 3) 2007 7.3 1000 602008 2008 (7 9 11 ) ( ) 2008 11 2.5 1000 1 1 60

B44 BSC( 1) 1) 1) 2) 1) 2) ICU 2007 36 1 2008 BSC 2008 BSC KPI Key Performance Indicators KPI 1 6 0 27 BSC 1 KPI BSC 61

B45 1) 2) 3) 1) 2) 3) 8 2007 3 2 8 11 8 5 4 5 62

B46 1) 2) 1) 2) NDP National Demonstration Program TQM S CQI TQM JICA AAKCP 2007 3 2008 11 8 S TQM AAKCP TQM AAKCP TQM TQM TQM TQM TQM AAKCP Mind Set TQM AAKCP TQM 63

B51 Web 1) 2) 3) 1) 2) 3) Web Web Web 1 2007 420 2010 2 Web 420 104 25 Web 16 30 Web 3 Web 48 33 31 18 Web 2 Web 2 1 Web Web 64

B52 CaPMnet 1,2) 2) 3) 1) 2) 3) 4 96 CaPMnet 2007 11 CaPMnet ) 3 URL plaza.umin.ac.jp/capmnet CaPMnet 65

B53 1) 1) 1) 2) 1) 2) 19 3 20 4 2008 U-Japan 1 10 450 20 1 43 1 66

B54 1) 1) 16 310 2006 9 1 2007 2 28 2007 2 1 2007 2 28 102 32.9% 286 141 35 85.4 vs 81.6, t = 2.33, P = 0.021 44.1% vs 14.3%, P 0.001 62.2% vs 28.6%, P 0.001; 86.7% vs 28.6%, P 0.001 28.7% vs 60.0%, P 0.001 18 67

B55 1) 1) 20 21 IT 68

B61 1) 1) 1) 37 934 17 17 4 4 3 3 1 3 3 3 3 2 3 3 3 3 3 4 3 69

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B64 1) 1) 1 72

B65 1) 1) 2) 2) 1) 2) 4 1 2 3 Well Being 73

B71 1) 2) 3) 1) 2) 3) ( ) 2004 5 JR 74

B72 1) 1) MVV( ) 75

B73 1) 2) 2) 2) 3) 1) NTT 2) NTT 3) NTT 2008 100 100 76

B74 1) 2,3) 1) 2) 3) Braess 77

B75 1) 1) 1) 1) 1) 1) 49 03 COPD 14 3 SMO06 CRC 97 GCP 78

B81 1) 1) 1) 20 4 3 PDF 79

B82 1) 1) 1) 1) 2006 9 2008 2 8 2008 5 202 90 44.6 80

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B84 ICU PDA 1) 2) 3) 1) 2) 3) 2005 Personal digital Assistant ICU ICU 82

B85 DPC 1) 2) 2) 3) 1) 2) 3) 16 7 DPC 18 6 DPC DPC 19 8 DPC MEDI-TARGET MDC DPC 83

B86 1) 1) JAHIS) 84

B91 1) 1) 1) 1) 1) 18 20 20 7 4 1 20 11 2 20 20 20 1 2 19 85

B92 1) 1) 1) 1) 4 20 114 7 85 100 20 13 11 50 38 34 20 86

B93 1) 1) 2) 1) 2) 70 87

B94 1) 1) 1) 1) 1) 1) 1) 15 18 B 88

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B96 1) 1) 1) 1) 1) 1) 1) 300 9 2008 10 2008 10 2009 1 12 12 90

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P01 1) 1) 2) 1) 1) 1) 2) 93

P02 1) 2) 2) 2) 2) 1) 2) 94

P03 1) 1) 2) 1) 1) 1) 2) 95

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P07 1) 1) 1) 1) 1) 1) 1) 15 7 17 18 99

P08 1) 1) 1) 1) 1) 1) NTT QOL NTT 2008 2 2008 2 2009 1 22 4 18 8 36 4 18 4 18 100

P09 1) 1) 101

P10 1,2) 2) 2) 1) 2) 2006 2008 19 12 20 1 84.9% 269 12.5 6.1 (NSAIDs 56.5% 102

P11 1) 2) 1) 2) 2008 11 3 2 6 100 27 2 12 2 11 2 Q1 Q Q8 103

P12 1) 1) 1) 1) 1) 2 3 ER 43 29 1. 25 86.2% 3 10.3% 1 3.4% 2.1) 29 (100%) 2) 29 100% 3) 29 100% 3) 29 100% 4) 29 100% 3. ( ) OJT OffJT 104

P13 SEM 1) 1) 2) 3) 1) 2) 3) 2003 11 12 1371 1052 122 25.70 SEM GFI.90; IFI.94; CFI.93 105

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P15 1) 2) 2) 3) 3) 4) 1) 2) 3) 4) 5 1 1 2 107

P16 Work stress in association with low back pain in Kunming nurses WU Yinghui 1,2) LI Baogang 1) 1) School of Nursing, Kunming Medical University 2) Toho University Objective: To examine the association between work stress and low back pain in a sample of Kunming hospital nurses. Methods: 1353 female nurses in 5 hospitals were recruited in our questionnaire survey. The work stress was measured by Effort-Reward Imbalance (ERI) questionnaire, and the von Korff scale was used to assess the low back pain. Multivariate logistic regression was applied to analyze the association between them. Results: the ERI ratios in the nurses was 1.21, indicating the level of work stress was high. After adjustment for a number of confounding factors, it was found that nurses with high effort-reward imbalance had an elevated odd ratio (OR) for disability (1.77, 95% CI 1.14-2.75). Conclusion: Work stress should be considered as an important risk factor of low back pain. 108

P17 1) 2) 2) 3) 3) 1) 2) 3) 2005 6 3 3 1 Virginia Mason Medical Center ACE 2 Sharp Coronado Hospital Health Care Center (3)M.D.Anderson Cancer Center Learning Center 109

P18 1) 2) 1) 2) 2008 AGREE 110

P19 1) 1) MIC NPO 2002 269 21 1,000 2007 3,471 2007 2008 17 10 2007 111

P20 PEG 1) 1) 1) 1) 1) 1) 1) ASPEN PEG PEG PEG NNST Nerima-Nutrition Support Team) PEG PEG 38 PEG PEG 112

P21 DPC 1) 1) 1) 1) 1) [ ] DPC [ ] 2007 7 2008 10 32 2008 11 4 [ ] 32 67.8 25.3 4.3 20.3 14 1 12 4 61 20 1.2 2.4 4 1 4 [ ] 5.3 [ ] DPC 113

P22 1) 2) 1) 2) 1999 9 2004 11 1999 9 2008 3 341 16 37 114

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