Japan Journal of Medical Informatics
Online ISSN : 2188-8469
Print ISSN : 0289-8055
ISSN-L : 0289-8055
Volume 30, Issue 5
Displaying 1-4 of 4 articles from this issue
Original Article-Notes
  • T Tanaka, K Ishikawa, M Ikeuchi, H Tsukuma, H Kusuoka, Y Umesato, S Ki ...
    2010 Volume 30 Issue 5 Pages 261-270
    Published: 2010
    Released on J-STAGE: February 20, 2015
    JOURNAL FREE ACCESS
     In Japan, the computerization of healthcare process has been developed for the past 30 years.
     Toward 503 hospitals evaluated by Japan Council Health Care (JCHC), the questionnaire survey was conducted and analyzed according to the classification of 3 groups such as under 200 beds, form 201 to 400 beds, and over 401 beds, as well as 2 groups of pre–2005 and post–2006 system introduction. As the result, it was found that despite with the annual improvement in the e–healthcare chart system function, i.e. a medical process from a physician's ordering to its confirmation by nurse, the ability of information system and its users' operation were insufficient with concern of medical accidents. Consequently, for the aim of higher accuracy of e–healthcare chart and safety medical practice, it is essential to foster system vender-based engineer familiar with medical field and system management staff of hospitals with technological knowledge. Our proposal is that cross-hospital networking should be built in order to improve the availability of user interface along medical process and to develop the standard master.
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Original Article-Short Notes
  • T Suzuki, A Ishii, S Doi, S Fujita, K Takabayashi
    2010 Volume 30 Issue 5 Pages 271-276
    Published: 2010
    Released on J-STAGE: February 20, 2015
    JOURNAL FREE ACCESS
     A reduction of insurance reimbursements because of the improper or omission of disease name is a crucial problem for every hospital. Many medical facilities check the disease name before submission of receipt. Even after great efforts, however, it is still difficult to completely avoid an off-label prescription at the time of submission.
     We developed a system which checks disease names relevant to the prescription when prescribed. We experimentally started this system in some medications and extended target medications from 2006 and continued with a combination of two commercial drug databases in 2009. Since there is not an official database which codes medicine and its indication, we purchased databases from two companies and combined them together. Though both databases attempt to match the relation between proper drugs with a standard name of diseases, their contents are considerably different. And even after we combined them it is still insufficient to satisfy all the relations. Therefore, there are many complaints from physicians, for example “Some drugs are improperly checked even though they are allowed for the selected diseases by the Ministry of Health and Welfare”. 170,000 checks were announced from August 2009 to March 2010. NSAIDS were most frequently checked.
     Although an introduction of the new software has decreased the assessments, continuous maintenance of the database is necessary.
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  • S Takarada, Y Fukuda, Y Kagawa, K Takaguchi, M Miyagawa, Y Omori, M Na ...
    2010 Volume 30 Issue 5 Pages 277-284
    Published: 2010
    Released on J-STAGE: February 20, 2015
    JOURNAL FREE ACCESS
     We tried to manage the administration of injection anticancer agents using “regimen order system” on the electronic medical record, and the dispensing support system of injection agents (ampule picker). Doctors can order prescription including injection anticancer agents only using the regimen order system. The ampule picker has some injection anticancer agents, and dispenses them automatically. At the same time, the ampule picker provides the medication history of injection anticancer agents and the checklist. After beginning this management, we consider that we can administrate injection anticancer agents more safely. But some problems exist yet. For example, this system can't provide the medication history of oral anticancer agents.
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Interest Material
  • N Torata, N Nakashima, S Shimizu, K Okamura, S Kuwahara, Y Antoku, T Y ...
    2010 Volume 30 Issue 5 Pages 285-292
    Published: 2010
    Released on J-STAGE: February 20, 2015
    JOURNAL FREE ACCESS
     Kyushu University Hospital has continued telemedicine activity based on international broadband network since 2003 and conducted 253 events which connected 149 institutions in 27 countries by March, 2011. Standardization of audio and visual devices in the network should be important to improve our activity, then, on 2007, we drew out the standard configuration of the DVTS setup which included our technical know-how gained from the past configuration of the early stage. In this study, we developed a package (DVTS package) of audio-visual equipments which is based on the modified standard configuration. We evaluated DVTS package by the new standard configuration with the old configurations. The results show that the DVTS package does not only solve some problems of the old configurations, but also supports universal power voltage and English language even though this package is developed with Japanese products. The DVTS package is useful for DVTS as well as a Web conference system in a spacious venue.
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