Shisa Kanko, also known as “pointing and calling,” is a Japanese safety technique. It involves pointing at an object or indicator. One then verbally calls out its status to confirm or verify its condition. This method is commonly used in Japan’s railway system. Other industries have adopted it to enhance safety and accuracy.

“Pointing and Calling” involves physically indicating an object or action, such as medication administration, equipment checks, or patient identification. For example, involve pointing to a medication label. At the same time, the intended action is verbalised, such as stating the medication name and dosage. This dual-action approach engages multiple senses—visual, auditory, and kinesthetic—to reinforce attention and accuracy.

“Pointing and Calling” helps healthcare professionals maintain focus. It reduces reliance on memory. This technique may prevent errors, particularly in high-stress environments like emergency departments and intensive care units.

Shisa Kanko in the Japanese Rail System

References

Violato E, Chao ICI, McCartan C, Concannon B. Pointing and calling the way to patient safety: An introduction and initial use case. Journal of Patient Safety and Risk Management. 2022;27(2):86-93. doi:10.1177/25160435221078099

Shinohara, K., Naito, H., Matsui, Y., & Hikono, M. (2013). The effects of “finger pointing and calling” on cognitive control processes in the task-switching paradigm. International Journal of Industrial Ergonomics, 43(2), 129-136. https://doi.org/10.1016/j.ergon.2012.08.004