Journal of Medical Safety
Online ISSN : 1348-6322
Print ISSN : 1349-5224
ISSN-L : 1348-6322
Enlightenment activities in hospital for better electronic medical record documentation~Introduction of the postoperative care plan sharing system~
Saori KarasawaMunetaka YamamotoJunpei TakahashiMasahiro MatsumotoNoriko TamuraAyako YoudaShiori KawasakiHiroyuki Kobayashi
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JOURNAL FREE ACCESS

2022 Volume 18 Pages 30-35

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Abstract

From 2018, in order to share a patient’s risk factor for postoperative complications, doctors are required to include a “postoperative care plan” template to their patients’ electronic medical records. This was set as one of the “safety priority items” to be addressed by the entire hospital, and the effect of this template was monitored both quantitatively and qualitatively. From 2018-2019, Patient Safety Management Section aimed to inform the hospital staff on ways to improve the quality of postsurgical care plans. We were able to confirm, through both quantitative and qualitative measures, that they were successful in their efforts.
The awareness of rules (quantitative measurement) was improved through general activities such as in-hospital meetings and effective email distribution. However, rule compliance (qualitative measurement) was improved through not only increased awareness of the rules, but through the creation of a better system and by staff taking initiative.

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© 2022 Japan Society of Risk Management for Clinical Medicine
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