Abstract
The operation related systems are one of the most difficult systems to implement. We describe the current state of operation related systems in Osaka, Akita, Saga, Kyushu, and Tokai University Hospital and present the subjects in implementing them. An operation relates an operation system which deals with operation application, anesthesia order, operation schedule, and records of an operation, an anesthesia record system which receives vital sign data from biological monitor system and records anesthesia and injection drugs used in an operation, and a physical distribution management system which is for preparing and records the materials used in an operation. Furthermore, an operation requires the system for blood order entry and records of transfusion, pathological test order, radiological examination order with image reference, and operation reports. One of the subjects is how to enter the medical materials used in each operation into the system, and how to use these data for management of distribution and purchase of material or billing. Another subject is how to interface the data of injection drugs and anesthesia entered in the anesthesia record system to electronic medical record system and accounting system. To successfully implement the system, careful job analysis is needed and the effective implementation step considering with cost-effectiveness is essential.
