Electronic patient records (EPR) is expected as a powerful tool to improve medical care, and is necessary to be developed for achieving this expectation. Thus, the targets of the improvement of medical care should be clarified, and EPR is to be designed to reach the targets. The targets are the improvement of “safety and quality”, “efficency” and “transparency” in medical care. However, we will start to difine these terms and share the definition in common with all medical professionals. I think that the improvement of quality must be taken first. These are a lot of sides in quality, but I would like to focus on reducing the diversion of quality in medical care with EPR. When the diversion in quality shall be diminished, efficency and transparency in medical care would be improved as its results.

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[in Japanese]

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[in Japanese]

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Electronic patient records, introduced into our hospital in March 2004, have enabled us to provide high quality Pharmaceutical Management and counseling Services, including reduction of possible risks during preparation of medicines and development of new expanding fields of pharmacy. On the other hand, electronic patient records have resulted in creating several difficulties such as unresolved problems in the previous version of the information system, many steps required to order correctly, and supporting strategies for when the information systems shut down. Although the present electronic patient records are not perfect and have many limitations, they are an essential parts of our open, safe, and efficient hospital information system. We are in the process of refining our information system and working manuals.

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[in Japanese]

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[in Japanese]

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