Based on JIS X 8341-3: 2010, the authors did the simple tests of web accessibility for visually impaired persons to 47 National University Hospital Websites in Japan in January 2014. As results the authors conclude that the accessibility is not enough in many websites, mainly due to a complex structure of webpage, lacks or miss-descriptions of alt-attribution in image-tags, fixed small characters and insufficiencies of color contrast between color of characters and of backgrounds. To improve this situation, the authors propose a systematic approach by an each hospital to understanding HTML and web design for visually impaired persons better.

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 Advances in technology-based medical applications have increased opportunities to use clinical knowledge based on medical research evidence and gather patient data. This study focused on the standardization of clinical information elements in the service of sharing the clinical knowledge with the patient data from adult liver transplant recipients, and facilitating collaboration among members of the medical staff. To find out the characteristics of the clinical knowledge on Unit Sheet of Patient Condition Adaptive Path System (PCAPS), all texts information in the remarks column on Unit Sheet for recipients were gathered and analyzed. The results of this analysis clarified that these information had four features of knowledge structure. These elements based on the four features in this study could clearly arrange the clinical knowledge in proceeding studies, and furthermore the living donor liver transplant specialists used the classified clinical knowledge to evaluate the element effects, and clinical data on relevant issues were, as a result, systematically exchanged with Japanese doctors because they executed the clinical works of clinical process in accordance with plans. By this collaboration, previously unresolved issues related to adult cases of liver transplantation in which information was missing, available information was inadequate, or communication problems occurred were positively resolved. The results of this study show that both access to the most recent information about effective treatment and experiential knowledge can contribute to improving the safety and quality of medical care for adult liver transplant recipients.

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 In many medical institutions with advanced medical systems, the calculation of the standard 7：1 staffing ratios for nurses can result in high income for hospital. In order to meet this standard, it is the most important condition that “actual the number of nurse” in a given ward is not less than does not fall short of “standard number of nurse”. In order to meet this standard, it is important that “actual number of nurses” in a given ward does not fall short of “standard number of nurses”. The purpose of this study is aiming to analyze and to recommend a method ensuring that “actual number of nurses” in a ward is not less than “standard number of nurses”.
 The study found that the ease with which nurses can take paid vacation leave on hospital holidays has an effect on “the mean number of hospitalized patients”. Factors affecting and the number of public holidays and hospital holidays, constituting the period when paid leave is likely to be taken, are sufficient care must be taken in the calculation of “standard number of nurse”. This study demonstrated that “standard number of nurses” can be estimated in advance with constant precision. There are monthly fluctuations in the number of hospitalized patients and paid leave taken by nurses on legal holidays. Therefore, it is important for medical facilities to conceptualize appropriate coping mechanisms in advance on a monthly basis, so as to adhere to set standards.

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 The purpose of this study is to clarify the present conditions of a hospital homepage from a citizen’s view point. We surveyed homepages of 476 hospitals and 1,764 clinics located at Hokkaido. There are five endpoints―performance of medical care, frequency of update, explanation about radiology examinations, claim investigation, doctor’s profile, subjective estimate of impression. We analyzed the differences from regionality and scale, and a relationship between each end points and subjective estimate with the use of quantification theory 2. As a result, the regionality analysis for hospitals showed that there were significant differences between Sapporo and Asahikawa and the other area. Similarly, the scale analysis shows that there were significant differences at the point of frequency of update and explanation about radiology examination. The results of the use of quantification theory 2 showed that doctor profile affect subjective estimate. In the analysis for clinics, there are significant differences between Sapporo and Asahikawa, and Hakodate.

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