Abstract
Juntendo University Nerima Hospital was established on July 1, 2005 and is the first hospital of the school to adopt an electronic medical records system, making documentation of all medical services paperless. Systems were established for each section of the hospital, and then all the sections were integrated via a local area network (LAN). Anesthesia-recording within the operating rooms was also computerized. Thereby, accounting data during the operation could be transmitted electronically to the accounting department. When services are made paperless, it is necessary for each section to have a server to maintain the medical records electronically, and a strong structure that links everything. However, our hospital does not allow the section servers (made by another company) to accept personal patient and doctor information. As a result, the employee database and medication database is not connected to the databases of each section server. Data is entered by the doctors, nurses, and operators of the individual sections, while new or modified employee or medication records are manually entered by system engineers into the electronic medical records (EGMAIN-FX) developed by Fujitsu. This situation has not changed, and this work must be done each time an employee or medication change occurs. Therefore, for smooth functioning of the operating sections, a system that connects the electronic medical records system, the operation ordering system, and the automated computerized anesthesia-recording system must be developed. This would play a significant role in facilitating operating room function in the long run.
