| Project/Area Number |
17390154
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Hiroshima University |
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Principal Investigator |
ISHIKAWA Kiyomu Hiroshima University, Hospital, Professor (30168190)
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| Co-Investigator(Kenkyū-buntansha) |
TANAKA Takeshi Hiroshima University, Hospital, Associate Professor (40325197)
IWASAKI Yasumasa Hiroshima University, Hospital, Associate Professor (50232666)
IWATA Norikazu Hiroshima University, Information Media Center, Associate Professor (00346537)
KONISHI Nakao Hiroshima University, Hospital, Associate Professor (70325190)
TSUKUMA Hidehiko Hiroshima University, Hospital, Associate Professor (10222134)
三宅 裕子 広島国際大学, 医療福祉学部, 教授 (20352049)
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| Project Period (FY) |
2005 – 2007
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| Project Status |
Completed (Fiscal Year 2007)
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| Budget Amount *help |
¥6,660,000 (Direct Cost: ¥6,000,000、Indirect Cost: ¥660,000)
Fiscal Year 2007: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2006: ¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 2005: ¥1,700,000 (Direct Cost: ¥1,700,000)
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| Keywords | Health informatics / Electronic health record / Medical care and welfare |
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| Research Abstract |
[Background] Educational training hospitals should serve as "Models of Team Healthcare" to provide advanced clinical practice and human resources training. Practically, their fundamental strategies focus on how to describe patient healthcare records which contain accountability on clinical process and deserve the information disclosure to patients. However, in Japan, the current e-chart system has not reached the sufficient standard to improve the quality of medical service and patient safety.
[Progress]Authors thought that this disadvantage was primarily caused by the basic structure of EHR. Under such circumstances, as the gradual approach towards EHR reform, the annual workshops for medical and co-medical specialists have been held home and abroad from the following aspects.
(1) The EHR structure from the patient safety management viewpoint
(2) Endure the emergency state
(3) How to deal with narrative data
(4) The compatibility of data use and data protection
[Results] 1) In order to assu
… More
re accountability, Researchers devised "Clinical Navigation System" which accelerates PDCA with process information sharing among staff-in-charge to assure time sequence survey and multidimensional data organization structure was proposed. 2) Specifically, in consideration for field operation in emergency service, cross-occupational practice flow was constructed. 3) Integrated system model for narrative data was designed in order to arrange, record, and retrieve individual patients' problems, and condition change led by interventional practice. 4) The issues on availability and data security were investigated. Data base structure which enables to avoid information lack, destruction, and duplication was focused as well as finalizing contents of preventive protection.
[Future direction] As the project subjects for IMIA SIG targets on healthcare information security, our results were submitted and adapted as the official agenda by Board Meeting. Furthermore, it is expected that they will be finalized at the next Hiroshima meeting in 2009 and included in "Hiroshima Declaration. Less
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