Abstract
Historically in Japan, the hospital information systems used to be designed as “Office Automation systems” from the viewpoint of hospital administrators’ convenience, which is practically responsible for the information accumulated for accounting management.
We conducted the drastic change of hospital information system to be patient participatory health care provided in the New Hiroshima University Hospital (HUH). The bedside information systems were set up at all of 700 beds. Patients are able to access their past histories and future clinical care procedures with intelligible browse.
The new information system in HUH (HU-MIND II) is designed as “Clinical Management System” (CMS). The core of CMS is Electronic Health Record (EHR), which aims to assure both of the patients’ right to know and the accountability of attendants. Without saying, the team practice including patients needs close communication. EHR are written not only by physicians, but also by all co-workers, which will enable them to make the team communication and ordering requirement reliable and to leave the evidence of conducted practices. In this point, CMS is dispensable tool of convenience and safety management of team practice. Besides, in the emergency care quick decision must be made despite its complicated procedures. Even after the treatment by nurses without physician’s order description, physicians are able to make reconfirmed record.
Being based on the above demand, the new regulation of HUH is composed of 21 components of information collection, accumulation and use. Our focus there was how to make patients’ right compatible with attendants’ accountability. As the data owners, patients have initiative to access their own data at their bedsides. Then they will be able to know own health condition and treatment program and control data flow.
