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  • -.indd 1-.indd 1 2015/03/31 16:52:282015/03/31 16:52:28

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    10 1 9 26

    10 1

    26

    3

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  • WIN-WIN-WIN

    1

  • (WLB)

    26 10

    2

  • 4

    Do

    Check

    Act

    Plan

    3

  • P.52

    P.56

    P.56

    P.57

    4

  • PDCA

    5

  • 6

  • PR

    7

  • P.24

    8

  • 9

  • P.26

    7

    WLB

    KJ1 2 SWOT 3

    5

    10

  • 6

    11

  • 3 10

    12

  • P.34

    6

    SMART

    Specific Measurable Attainable Result-based Time-oriented

    13

  • P.34 P.42

    14

  • PDCA P.46

    15

  • 724

    DPC

    DiNQL

    16

  • PDCA

    17

  • 500

    PDCA

    PDCA

    325

    500

    500

    18

  • 934

    5

    897

    500

    6

    EP-sat

    95

    2 2

    1 5

    446

    19

  • 20

    60

    502

    1

    15 20 2 3

    60

    33

    446

    173

    20

  • 25 25

    1 100 1 50

    1

    502

    30 40

    934

    12

    325

    173

    4

    2 2 ME

    14

    21

  • 502

    565

    173

    897

    1

    7

    978

    22

  • 325

    446

    PJ PJ WS

    100

    934

    23

  • 1

    2 7

    3

    4

    5 PDCA

    9

    24

  • 25

  • 10

    11

    26

  • 27

  • 28

  • 29

  • 30

  • 68 11

    12

    12

    12

    P.10

    12

    P34

    31

  • 32

  • 33

  • 4

    P13

    P14

    34

  • 35

  • 36

  • 37

  • 38

  • 39

  • 40

  • 41

  • 1

    P14

    42

  • A

    43

  • 44

  • 45

  • PDCA

    PDCAPLAN DO

    CHECK ACT CHECK

    PDCA

    46

  • 47

  • 4

    P.52

    P.56

    P.56

    P.57

    21 22

    48

  • WLB

    P52.(1)- - -a P52.(1)- - -b

    P56.(3)

    P52.(1)- - -c P53.(1)- - -d

    P52.(1)- - -c P53.(1)- - -e

    P54.(1)- - -a

    P54.(1)- - -b

    P54.(1)- - -c

    P55.(1)- - -d

    P56.(3

    P.55.(1)- - -e P56.(3 P55.(1)- - -f

    49

  • 4

    50

  • 5

    51

  • 1

    a.

    b.

    c.

    52

  • d.

    ICT ICT

    e.

    53

  • a.WLB

    e

    2 3/

    b.

    c.

    38

    54

  • d.

    e.

    f.

    g.

    55

  • B

    ( )

    56

  • 57

  • 1988 2006 10 ICU

    NICU 2010

    0430 1

    IT

    3 8

    746

    565

    6

    2007 32% 2008 31%

    2009 14.5% 2010 16.2% 2011 10.8% 2012 11.2% 2008

    30%

    173

    80

    58

  • 934

    A 708

    565

    59

  • 60

  • 61

  • ( )

    62

  • P.43

    B P.43

    P.44

    63

  • D P.44

    P.45

    64

  • Web

    http://iryou-kinmukankyou.mhlw.go.jp/

    http://www.mhlw.go.jp/stf/shingi2/0000071857.html

    3

    http://www.mhlw.go.jp/stf/shingi2/0000069016.html

    23 http://www.mhlw.go.jp/topics/bukyoku/isei/igyou/igyoukeiei/keieisihyou/23kannri.html

    http://www.med.or.jp/doctor/hospital_based/

    2014 3 http://dl.med.or.jp/dl-med/kinmu/kshien_tool201403.pdf

    https://www.nurse.or.jp/wlb/index.php

    DiNQL http://www.nurse.or.jp/nursing/database/index.html

    2010 http://www.nurse.or.jp/nursing/practice/shuroanzen/index.html

    2012 9

    http://www.jil.go.jp/institute/research/2012/102.htm 2013

    5 http://www.jil.go.jp/kokunai/reports/report002.htm

    24 25

    http://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000049158.pdf 26 26

    65

  • 72

    http://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000061912.pdf

    http://www.mhlw.go.jp/bunya/iryouhoken/database/zenpan/jittaityousa/19_houkoku.html

    25 25 6

    https://www.hospital.or.jp/pdf/06_20140303_01.pdf

    66

  • 67

  • ( )

    68

  • 69

  • 70

  • 71

  • http://www.mhlw.go.jp/

    TEL

    -.indd 2-.indd 2 2015/03/31 16:52:312015/03/31 16:52:31

  • http://www.mhlw.go.jp/

    TEL

    -.indd 2-.indd 2 2015/03/31 16:52:312015/03/31 16:52:31

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