医療情報システムと医療の質・安全

抄録

　Healthcare Information technology (HIT) is regarded as a key issue for improving quality of healthcare and patients’ safety. Physicians order entry systems have been widely accepted especially in large-scale hospitals and the complex daily clinical tasks have been optimized by functions of order entry and clinical data repository. Electronic health record system (EHR) and tele- medicine technology have been changing the style of healthcare delivery and information exchange between healthcare providers and patients. These changes will effect great improvement of quality of healthcare. Furthermore, inter- institutional sharing and analysis of clinical database will enable healthcare providers to understand the relative position of their qualities compared to other provides’. In order to introduce such new healthcare environment, we have to adopt standards of terminology, classifications, and communication protocols, etc .Adoption of such standardized information systems would provide more safety to clinical settings. On the other hand, it is important to watch the pros, and cons. of adopting such HIT, because miss-use of systems could cause the user harmful human errors. Such endless human errors should be managed by centralized network-based real-time monitoring of all the status of HIT syste ms, the interactions between systems and humans, and the clinical data of patients.