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

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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