Construction of System for Protecting Medical Malpractice Using PDA with bar-code-reader

我们的主要目标是利用带条码阅读器的PDA构建医疗事故保护系统。尤其关注药物、注射和输血的案例。作为该系统的先决条件，确定了以下几个问题。病人需要在手腕上戴一个带有条形码的腕带。PDA的设计目的是使用腕带和带有条形码阅读器的PDA来检查患者以及患者本人与医疗程序内容之间关系的一致性。该系统旨在通过医院网络系统连接HIS（医院信息系统），并通过交换患者记录进行协作。我们研究的主要成果如下：应用该系统，建立了某医院的标准工作流程。注射给药，特别是在普通病房和icu的地方。口服药物，外用药物，尤指在普通病房使用的药物针棒错误保护。我们已经向澳大利亚的三家医院作了访问报告。我们建立了岐阜大学医院所用医疗物资的主档案。这对于检查患者使用的材料非常有用。实践证明，该制度对医疗事故的保护是十分有效的。

Our major goal is constructing the system for protecting the medical malpractice using PDA with a bar-code reader. Especially focused on the cases of medication, injection, and blood transfusion.As a prerequisite for the system, following issues are determined.1. A patient is required to have a band with a bar-code on the wrist.2. A PDA is designed to check the patient and the consistency of the relationship between the patient himself and the contents of medical procedures using the wrist-band and the PDA with a bar-code reader.3. The system is designed to connect the HIS (hospital information system) via a hospital network system, and collaborate by exchanging the patient records.The major outcomes of our research are as follows.A. We have established the standard workflow in a hospital by using the system.1. Administration by injection, especially at the place of general ward and ICU2. Oral medicine, medicine for external use, especially at the place of a general ward3. Protection for a needle stick errorB. We have reported the visiting to three hospitals in Australia.C. We have established the master files of the medical materials used in Gifu University Hospital. This is very useful for checking the materials used for a patient.The system is proved to be very useful for protecting the medical malpractices.