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Evaluation of Healthcare Quality by Practical Clinical Indicators.

Research Project

Project/Area Number 16590432
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionNihon University

Principal Investigator

MAEDA Yukihiro  Nihon University, School of Medicine, Research Assistant, 医学部, 助手 (10287641)

Co-Investigator(Kenkyū-buntansha) UMESATO Yoshimasa  Nihon University, School of Medicine, Associate Professor, 医学部, 助教授 (60213485)
OHMICHI Hisashi  Nihon University, School of Medicine, Professor, 医学部, 教授 (60158805)
TERASAKI Hitoshi  Nihon University, School of Medicine, Instructor, 医学部, 講師 (90227512)
Project Period (FY) 2004 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 2006: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2005: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2004: ¥500,000 (Direct Cost: ¥500,000)
KeywordsHospital Functional Evaluation / Japan Council for Quality Health Care / Quality of Healthcare / Clinical Indicators / Diagnosis Procedure Combination / Hospital Performance Report / パフォーマンス・レポート / 評価指標 / 褥瘡発生率 / 医療の質評価 / クリニカル・インディケーター
Research Abstract

For improvement in the quality of health care, it has been said that the evaluation based on the data of the process of medical examination and the data of outcome of medical examination is important. This research is the one having aimed to contribute to the improvement of the quality of hospital medical care by using data, such as DPC (Diagnosis Procedure Combination), and examining the clinical indicators that can be objectively compared of based on data.
The research group by a doctor, a medical-examination information manager, etc. who has professional expertise and experience about medical-examination information management or information analysis was organized.
In this research, the following was explored : collection of DPC related information, examination of the overseas case and the domestic case regarding clinical indicators, rearrangement of the clinical indicators which it should grasp basically, examination of the definition of adverse event, examination of the complication of care judgment logic by the combination of the diagnosis (ICD-10 code), analysis of data concerning the occurrence of pressure ulcers and re-admission rate, examination of hospital performance report which is directed to the quality improvement of health care, examination concerning the topic and the like of present condition of Hospital Functional Evaluation by Japan Council for Quality Health Care.
It is thought that clinical indicators and the evaluation method, which were examined by this research, are effective as one of the methods of contributing to the improvement of the quality of health care, although there is still a problem in the improvement of the data accuracy etc. And it is thought that publication of the hospital performance report has an effect in promotion of the in-hospital activity for improvement in the medical quality. It is beneficial to examine concerning the social plan for promoting.

Report

(4 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • 2004 Annual Research Report
  • Research Products

    (17 results)

All 2006 2005 2004

All Journal Article (17 results)

  • [Journal Article] 医療の質の評価とPreventable Trauma Death2006

    • Author(s)
      前田幸宏, 他5名
    • Journal Title

      脳と神経 58巻・10号

      Pages: 849-855

    • NAID

      40015150922

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] 診療録記載情報による診療の質評価に関する研究2006

    • Author(s)
      梅里良正, 前田幸宏, 他4名
    • Journal Title

      診療録管理 18巻・2号

      Pages: 116-116

    • NAID

      10018227885

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 認定病院における医療記録の点検・評価の実施状況に関する調査2006

    • Author(s)
      寺崎仁, 前田幸宏, 他7名
    • Journal Title

      診療録管理 18巻・2号

      Pages: 104-104

    • NAID

      10018227873

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Quality Assurance of Medical Treatment and Preventable Trauma Death.2006

    • Author(s)
      Yukihiro Maeda
    • Journal Title

      BRAIN AND NERVE 58(10)

      Pages: 849-855

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Evaluation of medical care quality by the contents indicated to the medical record2006

    • Author(s)
      Yoshimasa Umesato
    • Journal Title

      Medical Record Administration 18(2)

      Pages: 116-116

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Research on the enforcement rate of check and audit of a medical record in authorization hospital by Hospital Functional Evaluation.2006

    • Author(s)
      Hitoshi, Terasaki
    • Journal Title

      Medical Record Administration 18(2)

      Pages: 104-104

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 診療録記載情報による診療の質評価に関する研究2006

    • Author(s)
      梅里良生, 前田幸宏, 他4名
    • Journal Title

      診療録管理 18巻・2号

      Pages: 116-116

    • NAID

      10018227885

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 認定病因における医療記録の点検・評価の実施状況に関する調査2006

    • Author(s)
      寺崎仁, 前田幸宏, 他7名
    • Journal Title

      診療録管理 18巻・2号

      Pages: 104-104

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 指標によるケアの質評価 -褥瘡発生の施設間比較の試み-2005

    • Author(s)
      三宅哲, 他9名
    • Journal Title

      診療録管理 17巻・2号

      Pages: 170-170

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 病院機能評価における書面審査データからみた認定病院の現状評価と継続的な改善支援に関する研究2005

    • Author(s)
      前田幸宏, 他11名
    • Journal Title

      病院管理 42巻Supplement

      Pages: 205-205

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Evaluation of Medical Care Quality by Clinical Indicators. - The trial of the comparison between institutions of the occurrence of pressure ulcers -2005

    • Author(s)
      Akira Miyake
    • Journal Title

      Medical Record Administration 17(2)

      Pages: 170-170

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Research on evaluation of the present condition of the authorization hospital by analysis of document examination data of Hospital Functional Evaluation by JCQHC, and the study of continuous improvement support method.2005

    • Author(s)
      Yukihiro Maeda
    • Journal Title

      HOSPITAL ADMINISTRATION 42(Supplement)

      Pages: 205-205

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 指標によるケアの質評価 -褥瘡発生の施設間比較の試み-2005

    • Author(s)
      三宅哲 (他9名)
    • Journal Title

      診療録管理 第17巻第2号

      Pages: 170-170

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 病院機能評価における書面審査データからみた認定病院の現状評価と継続的な改善支援に関する研究2005

    • Author(s)
      前田幸宏 (他11名)
    • Journal Title

      病院管理 第42巻Supplement

      Pages: 205-205

    • Related Report
      2005 Annual Research Report
  • [Journal Article] わが国の病院における医療の質評価指標の導入の現状と今後のあり方に関する研究2004

    • Author(s)
      前田幸宏, ほか
    • Journal Title

      病院管理 41巻Supplement

      Pages: 248-248

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Research on the current state of practical use of the evaluation indicators of health care quality, and the ideal way in the future.2004

    • Author(s)
      Yukihiro Maeda
    • Journal Title

      HOSPITAL ADMINISTRATION 41(Supplement)

      Pages: 248-248

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] わが国の病院における医療の質評価指標の導入の現状と今後のあり方に関する研究2004

    • Author(s)
      前田幸宏 ほか
    • Journal Title

      病院管理 41巻Supplement

      Pages: 248-248

    • Related Report
      2004 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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