Philosophy/Action Policy

• Philosophy
• Activity policy
• Clinical Ethics Policy
• Our policy on refusal of blood transfusion for religious reasons

Philosophy

We will collaborate and collaborate with local communities to practice patient-centered medical care.

Activity policy

In order to achieve the philosophy, we will operate the hospital based on the following activity policy.

• Respect patient rights
• Aiming to improve patient satisfaction
• We provide acute medical care in each specialized medical field.
• As a regional medical support hospital, we provide medical care centered on emergency services and referrals.
• As a critical care center, we provide emergency medical care without distinction from mild to severe.
• We provide highly specialized cancer treatment as a base hospital for regional cancer treatment cooperation with the Ibaraki Regional Cancer Center.
• As a disaster base hospital, we will provide rapid disaster medical care.
• For patients who need medical treatment after discharge, we will work closely with local medical institutions, etc.
• Promote medical safety activities to provide safe and reliable medical care
• We provide opportunities for education and training to healthcare professionals inside and outside hospitals.
• Publish medical results and contribute to improving the quality of medical care
• Providing necessary medical information to local communities in an easy-to-understand manner
• Protect the health of local residents in cooperation with administrative agencies
• Aiming for hospital management that incorporates the voices of staff, patients, local residents, and local medical institutions
• We will create a work environment where employees can do their best as professionals.

Clinical Ethics Policy

In order to provide the best medical care that respects the dignity and human rights of our patients, our hospital has established the following "Clinical Ethics Policy".

1. We practice holistic medical care with the utmost respect for the patient's human rights.
2. We provide medical care that complies with laws and regulations related to bioethics and clinical practice guidelines.
3. The "Clinical Ethics Group" plays a central role in systematically examining the code of ethics as a medical institution and clinical ethical issues to determine the best policy.
4. Research activities (including clinical trials) that are necessary for the advancement of medical care are reviewed for validity from an ethical and scientific point of view, mainly by the "Ethics Review Committee" of the corporation, and then judged for suitability.

Our policy on refusal of blood transfusion for religious reasons

All surgeries, tests and procedures that may cause bleeding may require a blood transfusion.However, consent may not always be obtained for religious reasons.Even if consent for blood transfusion therapy cannot be obtained, we would like to give first priority to providing the most effective treatment possible in order to protect the patient's life.Therefore, at Tsukuba Medical Center Hospital (hereinafter referred to as our hospital), our basic policy is "relative no blood transfusion" based on our hospital's philosophy and "Guidelines for Religious Refusal of Blood Transfusion 2008: Joint Committee on Religious Refusal of Blood Transfusion". Therefore, we will take the following measures, so we ask for your understanding and cooperation.
In addition, this policy does not mean refusing medical care for patients who refuse blood transfusions, but we ask that patients understand our policy and make their own decisions regarding relative no blood transfusions or transfer hospitals. is what we aim for.In addition, this policy applies regardless of whether the patient is conscious or not, and regardless of whether the patient is an adult or a minor.

1. If there is a possibility that treatment that requires blood transfusion (surgical operation, treatment that may involve bleeding, etc.)
   ◇ Respect the patient's religious beliefs, fully explain the meaning and significance of blood transfusion,Consent for Relative Bloodlessnessstrive to obtain
   ◇However, if there is a possibility that a treatment that requires a blood transfusion (surgical operation, a procedure that may cause bleeding, etc.) will be performed, a blood transfusion will be refused based on religious reasons. ), we do not provide medical care or treatment for patients who cannot obtain a "Consent Form for Blood Transfusions and Plasma Derivatives", and we recommend that they be transferred to other hospitals.
2. If there is no time to transfer to another hospital due to an emergency, etc., and it is determined that blood transfusion may avoid serious consequences such as death.
   ◇ If there is no time to transfer hospitals due to an emergency, etc., and it is determined that a serious outcome such as death may be avoided by performing a blood transfusion, a blood transfusion will be performed and medical treatment including necessary life-saving surgery will be performed. (relative blood-free policy).In such cases, blood transfusions will be performed even if consent cannot be obtained from the patient's family, or if consent cannot be obtained from the patient due to unconsciousness, etc.
3. For treatment and examinations that do not require blood transfusion
   ◇ Regarding treatment and examinations that do not require blood transfusion, we will provide the best possible medical care to all patients.
4. When an absolute blood transfusion refusal is requested
   ◇We cannot cooperate with requests for absolute refusal of blood transfusions. The "Disclaimer" is an agreement to "absolutely no blood transfusion", and the doctors at our hospital will not agree, sign, or accept it.
5. When the subject is a child
   ◇ If the child's life and body are seriously affected by "medical neglect" and consent for blood transfusion cannot be obtained from the guardian, the child consultation center will be notified and consulted.If there is not enough time to notify and consult, a blood transfusion will be performed.
6. When this policy cannot be handled
   ◇ For cases that cannot be handled by this policy, we will carefully discuss with the medical team and clinical ethics group of our hospital and consider how to handle them.

Note XNUMX)

Blood transfusion: Whole blood, red blood cells, white blood cells, platelets, plasma, autologous blood (preoperative blood collection, intraoperative dilution, intraoperative recovery, postoperative recovery), plasma derivatives (albumin, immunoglobulin, coagulation factor preparations, etc.) )

Note XNUMX)

Absolute bloodlessness: no blood transfusion under any circumstances

Note XNUMX)

Relative non-transfusion: Efforts are made to provide non-transfusion treatment as much as possible, but blood transfusion is performed when there is no other life-saving means than blood transfusion

Note XNUMX)

When blood transfusion is performed as a medical practice, we will fully explain the necessity of blood transfusion, the effects to be obtained, adverse events, etc. to all patients and their families and representatives, and obtain a blood transfusion consent form.In addition, all contents such as the content of the discussion with the patient and family and the content of the medical treatment will be recorded in the medical record.

Our policy for blood transfusion refusal for religious reasons (PDF: 132KB)