医療記録の電子化は有害事象を少なくするか?—日本の現状—  [in Japanese] Does the Computerization of Healthcare Records Lead to Less Harmful Incidents?—The Current Movement in Japan—  [in Japanese]

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Author(s)

    • 田中 武志 Tanaka T
    • 広島大学病院 医療情報部 Healthcare Informatics and Hospital Systems Management, Hiroshima University Hospital
    • 高橋 静子 Takahashi S
    • 日本医療機能評価機構IT化情報機器検討部会 Health IT Safety Management Project, Japan Council for Quality Health Care
    • 村上 典子 Murakami N
    • 日本医療機能評価機構IT化情報機器検討部会 Health IT Safety Management Project, Japan Council for Quality Health Care
    • 大道 久 Ohmichi H
    • 日本医療機能評価機構IT化情報機器検討部会 Health IT Safety Management Project, Japan Council for Quality Health Care
    • 石川 澄 Ishikawa K
    • 広島大学病院 医療情報部|日本医療機能評価機構IT化情報機器検討部会 Healthcare Informatics and Hospital Systems Management, Hiroshima University Hospital|Health IT Safety Management Project, Japan Council for Quality Health Care
    • 池内 実 Ikeuchi M
    • 広島大学病院 医療情報部 Healthcare Informatics and Hospital Systems Management, Hiroshima University Hospital
    • 津久間 秀彦 Tsukuma H
    • 広島大学病院 医療情報部 Healthcare Informatics and Hospital Systems Management, Hiroshima University Hospital
    • 楠岡 英雄 Kusuoka H
    • 日本医療機能評価機構IT化情報機器検討部会 Health IT Safety Management Project, Japan Council for Quality Health Care
    • 梅里 良正 Umesato Y
    • 日本医療機能評価機構IT化情報機器検討部会 Health IT Safety Management Project, Japan Council for Quality Health Care
    • 岸 真司 Kishi S
    • 日本医療機能評価機構IT化情報機器検討部会 Health IT Safety Management Project, Japan Council for Quality Health Care
    • 土屋 文人 Tsuchiya F
    • 日本医療機能評価機構IT化情報機器検討部会 Health IT Safety Management Project, Japan Council for Quality Health Care
    • 大原 信 Oohara M
    • 日本医療機能評価機構IT化情報機器検討部会 Health IT Safety Management Project, Japan Council for Quality Health Care

Abstract

日本医療機能評価機構による503施設の調査結果を用いて著者らは,電子医療記録がどの程度医療安全を向上させているかをアンケート調査し,200床以下,201床以上400床以下,401床以上,および,2005年以前と2006年以降に類型化して分析を行った.その結果,医療安全に対する電子医療記録システムの機能の向上は年次的に認められるものの,情報システム側だけでなくユーザの操作の面にも問題があり,医療における有害事象,あるいはそれにつながる事象を招く要因になっている可能性があることが示唆された.<br/> 以上のことから,医療記録の精度と現場の安全性を向上させるために著者らは,システムベンダは医療の分野に精通したエンジニアを育て,病院側は技術に精通した情報管理部門スタッフを育成し,複数病院にわたって両者が協力して,医療プロセスに即した使いやすいユーザインタフェイスの改良,標準マスタの整備等を行うことを提案する.

In Japan, the computerization of healthcare process has been developed for the past 30 years.<br/> Toward 503 hospitals evaluated by Japan Council Health Care (JCHC), the questionnaire survey was conducted and analyzed according to the classification of 3 groups such as under 200 beds, form 201 to 400 beds, and over 401 beds, as well as 2 groups of pre–2005 and post–2006 system introduction. As the result, it was found that despite with the annual improvement in the e–healthcare chart system function, i.e. a medical process from a physician's ordering to its confirmation by nurse, the ability of information system and its users' operation were insufficient with concern of medical accidents. Consequently, for the aim of higher accuracy of e–healthcare chart and safety medical practice, it is essential to foster system vender-based engineer familiar with medical field and system management staff of hospitals with technological knowledge. Our proposal is that cross-hospital networking should be built in order to improve the availability of user interface along medical process and to develop the standard master.

Journal

  • Japan Journal of Medical Informatics

    Japan Journal of Medical Informatics 30(5), 261-270, 2010

    Japan Association for Medical Informatics

Codes

  • NII Article ID (NAID)
    130005058878
  • Text Lang
    JPN
  • ISSN
    0289-8055
  • Data Source
    J-STAGE 
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