Development of clinical support system using electrical medical record systems by intrahospital Local Area Network

利用院内局域网电子病历系统开发临床支持系统

• 批准号: 08672585
• 负责人: SOEJIMA Yoshiyuki
• 金额: $ 1.22万
• 依托单位: Yamaguchi University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1996
• 资助国家: 日本
• 起止时间: 1996 至 1997
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08672585/
• 关键词: electrical medical records; template for various types of disease; data base server for electrical medical records; data base sever for clinical images; input style; clinical support system; intrahospital LAN; cross platform; 電子カルテシステム; 中央診療部門ICU

1. Construction of network for electrical medical recordsWe constructed network for electrical medical records used by 10BASE-T cable last year.This year we connected Data Base server at medical information section2. Network operating system for electrical medical recordsWe used Windows NT4.0 as network OS and installed at Data base serve for electrical medical records.So we can use either Windows & Macintosh system as Client machine3. Connection to other networks in hospital and its efficacy1) Connection to Data Base server at medical information sectionWe can use Data Base server for laboratory data by their reading computer soft made by Microsoft access basic Paramedical stuff can access Data Base server for electrical medical records at ICUSo they can realize the condition of ICU patients3) Connection to DB server for CT and MR images and their findings at radiological sectionWe can access Data Base server at radiological section for CT and MR images and read their findings4) Conne … More ction to other clinical sections' computer and operating room's computerWe can make reservation for operation and postoperative ICU stay using by prepared template4. Improvement of electrical medical record soft1) Preparation of template for various kinds of disease2) Improvement of Input style :therapy & laboratory data by input assistant system included Microsoft word3) Medical record softWe made menu function used by Microsoft visual Basic5. Conclusion and meaning of this researchThe aim of the medical record development project of Welfare Facilities is to share patient's history and to standardize medical record. In central clinical sections such as an intensive care unit, where the team medical treatment is so important, sharing patient's clinical information is more beneficial than in other sections.Since the medical record system established in this study is freely accessible from physicians, nurses, and paramedical staff who are engated in treatment of ICU patients, the system enables the ICU staff 1) to easily share patients' data among team members, 2) to broadly inform treatment plans, 3) to produce an intimate communication between physician and non-physician members, and thus 4) to make the team medical treatment more effective.Furthermore, by this medical record system, the standardization of medical chart becomes possible, and the improvement of chart recording becomes easier. Clinical education of residents also becomes more effective by using chart recording with template.For the administrative work, this electrical medical record system is useful in writing medical certificates, patients' data file for consultation, and health insurance receipts.In conclusion, electronic chart recording is a useful support system for clinical activities in central sections such as ICU,where many physicians are involved in treatment of patients. Less

1。去年10Base-T电缆使用的​​电气病历网络构建网络，用于电气病历。这一年我们在Medical Information第2部分连接了数据库服务器2。电气病历的网络操作系统使用Windows NT4.0用作网络操作系统，并在数据库中安装用于电气记录。因此，我们可以将Windows＆Macintosh系统用作客户端机器3。 Connection to other networks in hospital and its effectiveness1) Connection to Data Base server at medical information sectionWe can use Data Base server for laboratory data by their reading computer soft made by Microsoft access basic Paramedical stuff can access Data Base server for electrical medical records at ICUSo they can realize the condition of ICU patients3) Connection to DB server for CT and MR images and their findings at radiological sectionWe can access Data Base server at radiological section for CT and MR images and read their findings4) Conne…对其他临床部门的计算机和手术室的计算机的更多信息可以预订进行操作和术后ICU停留，并使用准备好模板4。改进电病历软件1）准备各种疾病的模板的准备2）输入样式的改进：输入助理系统的治疗和实验室数据包括Microsoft Word3）Microsoft Visual Basic 5使用的Michort Record SoftWe Made菜单功能。结论和这项研究的意义，福利设施的病历开发项目的目的是分享患者的病史并标准化病历。在中心临床部分（例如重症监护病房）中，团队医疗非常重要，共享患者的临床信息比其他部门更有益。在本研究中建立的病历系统可以自由访问医师，护士和护理人员之间的访问权限，并在ICU患者中进行治疗，该系统可以使ICU员工的治疗范围很广泛，以使ICU的临床范围很广泛，以便于ICU范围内的数据范围，以实现3个实现数据，并能轻松地介绍ICU的数据。在物理和非物理学家之间，因此4）使团队的医疗治疗更加有效。Furthermore通过此病历系统，医疗图表的标准化变得可能是可能的，并且图表记录的改进变得更加容易。通过使用模板使用图表记录，对居民的临床教育也变得更加有效。对于行政工作，该电气病历系统在编写医疗证书，患者的数据文件和健康保险收据中有用。结论，电子图表记录是用于ICU等中央区域（例如ICU）的临床活动的有用支持系统，例如ICU，许多医生都参与患者的治疗。较少的

项目成果

Akio Tateishi, et al.: "The evaluation on the efficiency of intensive care. -comparison between various types of disease-" J Jpn Soc Intensive Care Med. 5-supple. S270 (1998)

Akio Tateishi 等人：“重症监护效率的评估。-各种类型疾病之间的比较-”J Jpn Soc Intense Care Med。