Psychiatric Outcome Management System Using Clinical Pathways : Development, Evaluation, and Improvement

本研究的目的是开发、评估和改进使用临床路径的精神病学结局管理系统（PSYCHOMS）。该系统由四个主要部分组成：(1)临床路径与方差分析系统；(2)护理经理与员工日常记录系统；(3)护理计划系统；(4)护理管理支持系统。此外，任何跨学科团队成员都可以使用该系统访问患者的信息。因此，每个跨学科团队成员的专业知识都可以最大限度地用于患者的利益和改善总体结果。未来的研究挑战是，为了改善精神科服务，有必要开发日本各精神科医院通用的数据库。因此，确定了将精神病诊断系统数据库标准化作为精神病诊断系统商业化研究议程的必要性。

The purpose of this research was to carry out development, evaluation, and improvement regarding the Psychiatric Outcome Management System Using Clinical Pathways(PSYCHOMS). This system has four major components :(1) clinical pathway and variance analyzing system,(2) nursing manager and staff' s daily recording system,(3) nursing care planning system, and(4) nursing management support system. Also, any interdisciplinary team member can access the patient' s information using this system. Therefore, each interdisciplinary team member' s expertise can be utilized maximally for the patient' s benefit and for improved total outcomes. As future research challenge, in order to improve psychiatric services, it is necessary to develop the database common to each psychiatric hospital in Japan. Therefore, it was confirmed the necessity of standardization for data base of the PSYCHOMS as a research agenda for commercialization of the PSYCHOMS.