Abstract
With the introduction of electronic medical records in September 2003, our hospital began to function with an IT system in the hospital environment. However, there have been many cases in which omission of entry of activity has been suspected. This problem not only considerably increased work associated with verification by medical processors but also caused concern regarding the reliability of consistency between actual and recorded injections and accuracy of drug control.
With updating of our drug control system, we took measures to prevent omission of entry of injection treatment and entry errors in electronic medical records by checking released drugs based on inventory control.
This system management revealed that entry of injection treatment was omitted at a rate of 4 to 5% of injections prior to system operation, and that this system thus prevented omission of entry of injection treatment. It was also confirmed that the error rate was 1 to 2% for data entries, which were made after using injections stored for emergencies.
Careful data entry assures the authenticity of medical records. Because our system improves accuracy of control, we expect that it can also be used for automatic ordering.
