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Development of quality management system for clinical nursing service

Research Project

Project/Area Number 17H01608
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Fundamental nursing
Research InstitutionThe University of Tokyo

Principal Investigator

Tsuru Satoko  東京大学, 大学院工学系研究科(工学部), 教授 (80177328)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥41,860,000 (Direct Cost: ¥32,200,000、Indirect Cost: ¥9,660,000)
Fiscal Year 2019: ¥11,960,000 (Direct Cost: ¥9,200,000、Indirect Cost: ¥2,760,000)
Fiscal Year 2018: ¥14,300,000 (Direct Cost: ¥11,000,000、Indirect Cost: ¥3,300,000)
Fiscal Year 2017: ¥15,600,000 (Direct Cost: ¥12,000,000、Indirect Cost: ¥3,600,000)
Keywords臨床看護知識 / 構造化 / 看護計画 / 看護記録 / 超過勤務 / 臨床看護 / 質マネジメントシステム / 看護技術 / 品質 / 改善 / 品質管理 / 質 / 超過勤務時間 / 超過勤務支払額
Outline of Final Research Achievements

A purpose of this study is to develop "the quality management system for the clinical nursing service". The system supports the guarantee of the high quality nursing care plan, certain enforcement and an effective record, and a quality evaluation and the improvement of the nursing based on data. "Overhours" was judged with a use for the result index that the construction of the quality management system of the clinical nursing service. In B Hospital, approximately 400 nursingNavi contents were developed and, were set within 760 PCAPS contents through action research. The system application was developed as TeamCompass which supported team medical care. In the B Hospital, The system was implemented in May, 2019. In overhours (for record) of the B Hospital, it was reduced approximately 30% in March, 2020 in comparison with March, 2019.

Academic Significance and Societal Importance of the Research Achievements

構造化看護計画の立案支援システムと,実施に対する構造化看護記録システムが開発された.(1)看護計画・看護記録の漏れの防止(2)優先順位の高い観察へのしぼりこみ(3)併存疾患管理上有用な観察項目の追加 が可能である.これによって,叙述的記録は,ある条件のときのみ必要となる状況となる.この看護計画と記録の構造化は,臨床看護の科学化を推進するデータに基づく評価・改善システムを構築することになる.本研究は,現状の非効率で低品質の看護計画・看護記録に,圧倒的な効率性と品質改善をもたらす.また本研究のモデル構築により,看護の思考プロセスの科学化を推進することが期待される.

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • Research Products

    (39 results)

All 2020 2019 2018 2017

All Journal Article (12 results) (of which Peer Reviewed: 12 results,  Open Access: 2 results) Presentation (26 results) (of which Int'l Joint Research: 14 results,  Invited: 14 results) Patent(Industrial Property Rights) (1 results)

  • [Journal Article] Models for Designing Excellent Service Through Co-creation Environment2020

    • Author(s)
      Hara T., Tsuru S., Yasui S.
    • Journal Title

      Serviceology for Services. ICServ 2020. Communications in Computer and Information Science

      Volume: 1189

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Nursing Record Innovations Aimed at Harmonizing Structured Clinical Knowledge among Doctors and Nurses2020

    • Author(s)
      Satoko Tsuru, Tetsuro Tamamoto, Hitoshi Furuya, Akihiro Nakao, Mari Fukuyamab, Kouichi Tanizaki, Naohisa Yahagi
    • Journal Title

      Studies in Health Technology and Informatics MIE2020

      Volume: -

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Reduction of Overwork Time of Nurses by Innovation of Nursing Records using Structured Clinical Knowledge2019

    • Author(s)
      Satoko TSURU, Akihiro Nakao, Naohisa Yahagi, Kouichi Tanizaki, Kumiko Sudo, Shizuka Morimatsu, Tomomi Takaki, Nobuko Takakusaki, Tomoko Higashi, Keiko Nakashige, Miyuki Takahashi
    • Journal Title

      MEDINFO 2019: Health and Wellbeing e-Networks for All

      Volume: 17 Pages: 1061-1064

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Development of a method for evaluating bed-management system risks in hospital wards2019

    • Author(s)
      Hiroki Yamada, Satoko Tsuru, Fumio Fukumura, Seiichi Yasui
    • Journal Title

      17th Asian Network for Quality Congress, Scientific paper

      Volume: 17 Pages: 1-10

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Possibility of evaluation for contributing to ability growth of new clinical technologists2019

    • Author(s)
      Kazuya TSUNODA, Satoko TSURU, Seiichi YASUI, Rie AKINAGA
    • Journal Title

      17th Asian Network for Quality Congress, Scientific paper

      Volume: 17 Pages: 1-8

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Design of a complication management process for inpatients with dementia2019

    • Author(s)
      Ayami Ozaki , Satoko Tsuru, Yutaka Machida, Hara Tatsunori, Nakao Akihiro, Naohisa Yahagi
    • Journal Title

      17th Asian Network for Quality Congress, Scientific paper

      Volume: 17 Pages: 1-8

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Spatio-Temporal Analysis of Sleep Quality in Nursing Home Residents with Sensor Data2019

    • Author(s)
      Kazuma URUSHITANI, Seiichi YASUI and Satoko TSURU
    • Journal Title

      17th Asian Network for Quality Congress, Scientific paper

      Volume: 17 Pages: 1-9

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Digitalization Aiming at Solving Problems with Overtime Work in Health Care: Significance of Reduction of Overwork Time of Nurses by Innovation of Nursing Records2018

    • Author(s)
      Satoko TSURU, Naohisa YAHAGI, Akihiro NAKAO, Koichi TANIZAKI
    • Journal Title

      16th Asian Network for Quality Congress, Scientific paper

      Volume: 16 Pages: 1-6

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Development of a health support system for children based on medical examination -Elaboration of risk criteria and design of a risk assessment method-2018

    • Author(s)
      2.Nana ISHIKAWA, Satoko TSURU, Takanori MOTOKI
    • Journal Title

      16th Asian Network for Quality Congress, Scientific paper

      Volume: 16 Pages: 1-12

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Development of Growth Management Support Tool and Structure of Information Gathering for Child Health2017

    • Author(s)
      Maki KARIYAZAKI, Satoko TSURU, Takanori MOTOKI, Masako FUJIWARA
    • Journal Title

      Total Quality Science

      Volume: 3 Pages: 78-89

    • NAID

      130006316138

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Development of a regional health and medical care system for child of elementary schools based on collaboration of four organizations2017

    • Author(s)
      Satoko Tsuru, Maki Kariyazaki, Naohisa Yahagi, Takanori Motoki, Masako Fujiwara, Hitoshi Mio
    • Journal Title

      Proc. of the 13th Asian Network for Quality Congress, Scientific paper

      Volume: 13 Pages: 1-7

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Change Management for Productivity Improvement in Hospital using Structured Documentation System for Nursing2017

    • Author(s)
      Satoko Tsuru, Akira Shindo, Shizuka Morimatsu, Kumiko Sudo, Akihide Masumoto, Miho Omori
    • Journal Title

      Proc. of the 61th EOQ Congress, Scientific paper

      Volume: 61 Pages: 1-13

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Presentation] Reduction of Overwork Time of Nurses by Innovation of Nursing Records using Structured Clinical Knowledge2019

    • Author(s)
      Satoko TSURU, Akihiro Nakao, Naohisa Yahagi, Kouichi Tanizaki, Kumiko Sudo, Shizuka Morimatsu, Tomomi Takaki, Nobuko Takakusaki, Tomoko Higashi, Keiko Nakashige, Miyuki Takahashi
    • Organizer
      MEDINFO2019, Lyon, (oral)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Realization of the high quality team medicine through visualization of the clinical process using PCAPS2019

    • Author(s)
      Satoko Tsuru
    • Organizer
      The 4th Symposiumu on Quallity Function Devplyment and Innovation; ASQFD Hangzhou
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Development of a method for evaluating bed-management system risks in hospital wards2019

    • Author(s)
      Hiroki Yamada, Satoko Tsuru, Fumio Fukumura, Seiichi Yasui
    • Organizer
      17th Asian Network for Quality Congress, Bangkok
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Possibility of evaluation for contributing to ability growth of new clinical technologists2019

    • Author(s)
      Kazuya TSUNODA, Satoko TSURU, Seiichi YASUI, Rie AKINAGA
    • Organizer
      17th Asian Network for Quality Congress,Bangkok
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A Method to Visualize the Thought Processes of Doctors Formulating the Strategy to Prescribe the Proper Medicine for Patients2019

    • Author(s)
      Momoko Nishioka, Satoko Tsuru, Takashi Motegi, Tatsunori Hara, Akihiro Nakao, Naohisa Yahagi
    • Organizer
      17th Asian Network for Quality Congress, Bangkok
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Design of a complication management process for inpatients with dementia2019

    • Author(s)
      Ayami Ozaki , Satoko Tsuru, Yutaka Machida, Hara Tatsunori, Nakao Akihiro, Naohisa Yahagi
    • Organizer
      17th Asian Network for Quality Congress, Bangkok
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Spatio-Temporal Analysis of Sleep Quality in Nursing Home Residents with Sensor Data2019

    • Author(s)
      Kazuma URUSHITANI, Seiichi YASUI and Satoko TSURU
    • Organizer
      17th Asian Network for Quality Congress, Bangkok
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 臨床知識学の目指すもの2019

    • Author(s)
      水流聡子
    • Organizer
      第3回臨床知識学会学術集会,京都
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 超過勤務削減とチーム医療向上のために実現した・したい「看護計画と看護記録のイノベーション」2019

    • Author(s)
      水流聡子
    • Organizer
      第23回日本看護管理学会学術集会,新潟
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] チーム医療のしなやかな対応 ~つながり共創する看護記録のイノベーション~2019

    • Author(s)
      水流聡子
    • Organizer
      第14回医療の質・安全学会学術集会,京都
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 臨床知識学会のスコープと構造モデル整理 ~エクセレントサービスと共創環境の構築に向けて~2019

    • Author(s)
      水流聡子
    • Organizer
      第4回臨床知識学会学術集会,東京
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Nursing improvement using Structured Clinical Knowledge2018

    • Author(s)
      Satoko Tsuru, Chitose Watanabe, Akira Shindo, Shizuka Morimatsu, Kumiko Sudo and Akihide Masumoto
    • Organizer
      MIE2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Study of Nursing Intervention Terms in the Partogram of 70 Labors by Midwifery Students2018

    • Author(s)
      Yumiko Iwao, Satoko Tsuru, Miho Omori
    • Organizer
      MIE2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Logical design of the nursing observation for the quality improvement of the pediatric team medicine2018

    • Author(s)
      Satoko Tsuru
    • Organizer
      29th International Conference on PEDIATRIC NURSING & HEALTHCARE
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Digitalization Aiming at Solving Problems with Overtime Work in Health Care: Significance of Reduction of Overwork Time of Nurses by Innovation of Nursing Records2018

    • Author(s)
      Satoko TSURU, Naohisa YAHAGI, Akihiro NAKAO, Koichi TANIZAKI
    • Organizer
      16th Asian Network for Quality Congress, Almaty
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Development of a health support system for children based on medical examination -Elaboration of risk criteria and design of a risk assessment method-2018

    • Author(s)
      Nana ISHIKAWA, Satoko TSURU, Takanori MOTOKI
    • Organizer
      16th Asian Network for Quality Congress, Almaty
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 看護記録のイノベーション -超過勤務削減とチーム医療のための良質記録の実現―2018

    • Author(s)
      水流聡子
    • Organizer
      第22回日本看護管理学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 臨床看護知識の構造化と活用2018

    • Author(s)
      渡邊千登世・水流聡子・内山真木子・井上真奈美・大森美保・浅田美和
    • Organizer
      第2回日本臨床知識学会 シンポジウム
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 副院長と看護部長がリードする看護記録のイノベーション ~データ化と再利用~2018

    • Author(s)
      水流聡子・渡邉千登世・須藤久美子・森松 静・高木智美・中重 敬子・高草木伸子
    • Organizer
      第2回日本臨床知識学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 「リンパ浮腫医療」の可視化と臨床評価の可能性 ―臨床知識の構造化研究を通した挑戦―2017

    • Author(s)
      水流聡子
    • Organizer
      第1回日本リンパ浮腫学会総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 状態適応型医療サービスの設計 ―急性増悪を管理する連携プロセスの見える化―2017

    • Author(s)
      水流聡子
    • Organizer
      第32回呼吸器医療管理システム研究会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 電子カルテにおける看護情報 看護実践用語標準用語マスター(厚生労働省標準規格)を活用した看護計画・看護記録と臨床看護の質マネジメント2017

    • Author(s)
      渡邊千登世・水流聡子・井上真奈美・大森美保・浅田美和
    • Organizer
      第21回日本看護管理学会学術集会 インフォメーションイクスチェンジ
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 良質なリハビリ・ケアの見える化がもたらすもの2017

    • Author(s)
      水流聡子
    • Organizer
      リハビリテーション・ケア合同研究大会久留米2017 シンポジウム
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 臨床看護サービスの質マネジメントシステムの開発 -看護人財の育成支援システム-2017

    • Author(s)
      水流聡子・渡邊千登世・大森美保・ 井上真奈美・須藤久美子・高木智美・森松 静・佐野けさ美
    • Organizer
      第37回医療情報学連合大会 オーガナイズドセッション
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Development of a regional health and medical care system for child of elementary schools based on collaboration of four organizations2017

    • Author(s)
      Satoko Tsuru, Maki Kariyazaki, Naohisa Yahagi, Takanori Motoki, Masako Fujiwara, Hitoshi Mio
    • Organizer
      The 13th Asian Network for Quality Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Change Management for Productivity Improvement in Hospital using Structured Documentation System for Nursing2017

    • Author(s)
      Satoko Tsuru, Akira Shindo, Shizuka Morimatsu, Kumiko Sudo, Akihide Masumoto, Miho Omori
    • Organizer
      The 61th EOQ Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Patent(Industrial Property Rights)] 管理システムおよび管理プログラム2020

    • Inventor(s)
      中尾彰宏・水流聡子
    • Industrial Property Rights Holder
      中尾彰宏・水流聡子
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      2020-076055
    • Filing Date
      2020
    • Related Report
      2019 Annual Research Report

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Published: 2017-04-28   Modified: 2021-02-19  

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