Development of Electronic Patient Record System Sharing with Patients

本研究的目的是开发一个多用途的模型系统，以便更好地与患者沟通。我们将在我们所属的大学附属医院的临床现场进行尝试，并进行评估。我们可以将医嘱作为医生和护士的护理计划整合到病人的日程安排中。患者可以通过患者终端在网上浏览时间表。虽然我们还没有安装病人终端，但我们可以通过共同医疗终端显示病人的时间表。以颜色编码的顺序记录每个单元，让共同医疗人员了解订单的进度；检查、治疗、护理等等。这可以防止共同医疗人员留下未完成的订单。此外，我们希望通过规范整个医院的繁忙程度来保护患者的安全，因为这使共同医疗人员能够在开始工作之前控制他们的忙碌时间。在实践中，我们将对其进行改进，使其更详细地显示订单的内容，并根据不同的情况进行护理安排。当我们在处理后按下“执行”按钮时，我们可以在电子过程表上看到结果。电子过程表让我们知道病人的状态和提供给病人的医疗服务的所有时间序列信息。我们认为共享共同医疗信息是有益的。医患双方可以共享电子过程表中的信息。看到共同医疗人员与患者的终端是有用的，为患者及其家属提供信息。我们要求所有的共同医疗人员评估电处理表。他们说这对团队护理很有用，尤其是医生和理疗师强调这对降低风险很有效。

The purpose of this study is to develop the multipurpose model system that is useful in communicating with patients well. We are going to give it a try at clinical scene in the university hospital we belong to, and evaluate it.We can integrate orders as doctors' and nurses' care plan into patient's schedules. Patients can browse the schedules on the Web through patients' terminal. Though we have not mounted patient terminal yet, we can show patients their schedules through co-medicals' terminal. The color-coded recording in orders of each cell let co-medicals know the progress of the orders; tests, treatment, nursing and so on. This can prevent co-medicals from leaving the orders unfinished. Moreover we expect preservation of patients' safety by regulating busyness in the whole hospital, because it enables co-medicals to control the time they will be busy before they start to work. When we put it into practice, we are going to improve it so as to show contents of orders in more detail, and will achieve care arrangement correlating to various cases. When we push the 'Implementation' button after the treatment, we can see the results on electric process tables.The electric process table lets us know all time-series information of patients' statuses and of medical services offered to the statuses. We believe that it is useful to share co-medicals' information.Co-medicals and Patients can share information in the electric process table with each other. To see the co-medicals' terminal with patients is useful to provide information for the patients and their families.We asked all co-medicals to evaluate the electric process table. They say that it is useful for team care and especially doctors and physical therapists emphasize that it is effective to reduce the risk..