Abstract
In a satellite institution without an inpatient facility, there are many difficulties in managing maintainance dialysis patients who have complex complications. Therefore, we have intended to establish an intranet system using several personal computers connected through a LAN card, air station and external superficial antenna in a bid to centralize and hold medical information regarding our dialysis patients. Prior to establishing this intranet system, we developed our original computer soft ware by discussing the needs of doctors, nurses and dietitians. Two years have passed since the introduction of this intranet system to our medical institution, and merits and demerits of our intranet system have become clear over time and various kinds of problems have raised and been resolved. Here, we report the experience of using our intranet system. Our intranet system certainly facilitated the availability of correct medical information for each patient and increased operation efficiency of nursing service. However, there were more problems than initially anticipated in operating the personal computers such as loading daily data of dialysis patients into the computer. Maintenance of our intranet system was occasionally disrupted due to lack of experience. The creation of clinical conferences by using this intranet system made the conference more active than before, increasing the nursing skill as well as solving many related issues. This introduction of an intranet system is expected to transform routine medical treatment of dialysis into ‘participating type of medical treatment for dialysis’.
