Abstract
Smooth operation of home medical care and coordination of multiple professions requires sharing information among different professions. Thus we attempted to develop a documentation system for information sharing with stable quality.
We based the format for information-sharing documents on the Chiba alliance medical path-stroke (drug sheet). We also created a drug calendar that consolidates administered drugs. The system is based on integrated electronic drug histories for receipt computers. Output parameters were arranged so that entered items would populate appropriate fields.
The time required for documentation (the median value) was 1,476 seconds when the system was not used, while it was 927 seconds when the system was used for the first time (p=0.003). Further, the time required for documentation when the system was used for the third time was 527 seconds, reducing the time compared to the first time the system was used (p<0.001). In a usability evaluation, high scores were obtained in areas such as “reduced fatigue,” “long-time users,” “visibility,”and frequent users.”
Use of this system reduced the workload for documentation. Because consolidated management of information synergistically increases its usability, it will be important in the future to make efforts for proliferation of this system.
