Development of the mathematical management methods for the university hospital as a part of the medical supply chain system : based on the time motion study

• Project/Area Number: 18310105
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Social systems engineering/Safety system
• Research Institution: Osaka University
• Principal Investigator: OHNO Yuko Osaka University, 大学院・医学系研究科, 教授 (60183026)
• Co-Investigator(Kenkyū-buntansha): MONDEN Morito 大阪大学, 大学院・医学系研究科, 教授 (00127309) ; TAKEDA Hiroshi 大阪大学, 大学院・医学系研究科, 教授 (20127252) ; TESHIMA Teruki 大阪大学, 大学院・医学系研究科, 教授 (40136049) ; MATSUMURA Yasushi 大阪大学, 大学院・医学系研究科, 准教授 (90252642) ; ISHII Atsue 大阪大学, 大学院・医学系研究科, 准教授 (00452433) ; NUMASAKI Hodaka 大阪大学, 大学院・医学系研究科, 助教 (70403011) ; SHIMIZU Sachiko 大阪大学, 大学院・医学系研究科, 助教 (50432498)
• Project Period (FY): 2006 – 2008
• Project Status: Completed (Fiscal Year 2008)
• Budget Amount: ¥16,750,000 (Direct Cost: ¥14,500,000、Indirect Cost: ¥2,250,000); Fiscal Year 2008: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000); Fiscal Year 2007: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000); Fiscal Year 2006: ¥7,000,000 (Direct Cost: ¥7,000,000)
• Keywords: 大学附属病院 / タイムスタディ / サプライチェーン / ビジネスモデル / 病院運営モニタリング / 患者動態モデル / タイムプロセススタディ / 動画像差分処理 / 運営評価方法 / 業務量分析 / 看護新人研修 / 看護必要度 / 業務スケジューリング / 医療圏分析 / 経営工学 / 医療サプライチェーン / 統計数学 / 電子カルテシステム

Research Abstract

医療を定常的に提供するサプライチェーンとして大学附属病院の機能を捉え、教育・研究機能も包含した運営実態・運営論理のモニタリング法として(1)タイムスタディを基盤とする病院内業務把握法、(2)保健医療情報データベースを基盤とする地域社会における医療貢献把握法を研究した。(1)ではOn-Demand 連続タイムスタディ法、看護・医療需要に基づく調査票法、動画差分処理によるビデオモニタリング法、ビジネスモデリング法およびそれと時間情報を組み合わせたタイムプロセススタディ法を開発した。(2)では患者動態モデル、地域医療需要把握・予測モデル、医療提供力モニタリングモデルを開発した。

Research Products

• [Journal Article] Unified Modeling Language (UML) for Hospital-based Cancer Registration Processes (2009)
  • Author(s): Shiki, N., Ohno, Y., Fujii, A., Murata, T., Matsumura, Y.
  • Journal Title: Asian Pacific Journal of Cancer Prevention 9 Pages: 789-796
  • Peer Reviewed
• [Journal Article] New indicators for the evaluation of community policies based on period and cohort effectsin cerebrovascular disease mortality rates (2009)
  • Author(s): Miwa, N., Nakamura, T., Ohno, Y.
  • Journal Title: Japan Hospitals 28
  • Peer Reviewed
• [Journal Article] Long-term Effects of Lifestyle on Multiple Risk Factors in Male Workers (2009)
  • Author(s): Koetaka, H., Ohno, Y., Morimoto, K.
  • Journal Title: Environmental Health and Preventive Medicine 14 Pages: 165-172
  • NAID: 10026958762
  • Peer Reviewed
• [Journal Article] Trends of Centralization of Childhood Cancer Treatment Between 1975 and 2002 in Osaka, Japan. (2009)
  • Author(s): Anna Tsutsui
  • Journal Title: Journal of Clinical Oncology in press
  • Peer Reviewed
• [Journal Article] Partial Cancer Prevalence In Japan up to 2020 : Estimates Based on on Incidence and Survival Data from Population-based Cancer Registries (2008)
  • Author(s): Tabata, N., Ohno, Y., Matsui, R., Sugiyama, H., Ito, Y., Tsukuma, H., Oshima, A.
  • Journal Title: Japanese journal of Clinical Oncology 38 Pages: 146-157
  • Peer Reviewed
• [Journal Article] Efficacy of the Patient Monitoring Method by Difference Image Processing during Sleep (2008)
  • Author(s): Okada, S., Ohno, Y., Yahan, G., Wang, Y., Kato-Nishimura, K., Mohri, I., Taniike, M.
  • Journal Title: Japanese Journal of Applied IT Healthcare 3 Pages: 85-95
  • Peer Reviewed
• [Journal Article] Phase I/II study of a combination of S-1 and weekly paclitaxel in patients with advanced orrecurrent gastric cancer (2008)
  • Author(s): Kawabata, R., Fujiwara, Y., Doki, Y., Fujita, J., Tsukahara, Y., Yamasaki, M., Miyata, H.,Takiguchi, S., Monden, M.
  • Peer Reviewed
• [Journal Article] the Japanese PCS Working Subgroup of Lung Cancer. Changes in Patterns of Care for Limited-Stage Small-Cell Lung Cancer : Results of the 99-01 Patterns of Care Study?A Nationwide Survey in Japan (2008)
  • Author(s): Uno, T., Sumi, M., Ishihara, Y., Numasaki, H., Mitsumori, M., Teshima, T.
  • Journal Title: International Journal of Radiation Oncology, Biology, Physics 71 Pages: 414-419
  • Peer Reviewed
• [Journal Article] Patterns of pretreatment diagnostic assessment and staging for patients with cervical cancer (1999-2001) : Patterns of Care Study in Japan (2008)
  • Author(s): Toita, T., Kodaira, T., Shinoda, A., Uno, T., Akino, Y., Misumori, M., Teshima, T.
  • Journal Title: Japanese Journal of Clinical Oncology 38 Pages: 26-30
  • Peer Reviewed
• [Journal Article] Patterns of radiotherapy practice for patients with cervical cancer (1999-2001) :Patterns of Care Study in Japan (2008)
  • Author(s): Toita, T., Kodaira, T., Shinoda, A., Uno, T, Akino, Y., Misumori, M., Teshima, T.
  • Journal Title: International Journal of Radiation Oncology, Biology, Physics 70 Pages: 788-794
  • Peer Reviewed
• [Journal Article] Japanese Structure Survey of Radiation Oncology in 2005 Based on Institutional Stratification of Patterns of Care Study (2008)
  • Author(s): Teshima, T., Numasaki, H., Shibuya, H., Nishio, M., Ikeda, H., Ito, H., Sekiguchi, K., Kamikonya, N., Koizumi, M., Tago, M., Nagata, Y., Masaki, H., Nishimura, T., Yamada, S., Committee, J. D.
  • Journal Title: International Journal of Radiation Oncology, Biology, Physics 72 Pages: 144-152
  • Peer Reviewed
• [Journal Article] Workflow Analysis of Medical staffs in Surgical Wards Based on the Time-Motion Study Data (2008)
  • Author(s): Numasaki, H., Ohno, Y., Ishii, A., Kasahara, S., Fujimoto, H., Harauchi, H., Inamura, K., Monden, M., Sakon., M.
  • Journal Title: Japan Hospitals 27 Pages: 75-80
  • Peer Reviewed
• [Journal Article] 外科医からみた医療制度の問題点 (2008)
  • Author(s): 門田守人
  • Journal Title: 外科 70(7) Pages: 699-705
• [Journal Article] 外科からの提言-減少を続ける外科医の現状と展望 (2008)
  • Author(s): 門田守人
  • Journal Title: 医学のあゆみ 225(3) Pages: 260-263
• [Journal Article] アプローチ (2008)
  • Author(s): 門田守人
  • Journal Title: 最新医学 63(6) Pages: 1035-1040
• [Journal Article] Efficacy of the Patient Monitoring Method by Difference Image Processing during Sleep. (2008)
  • Author(s): Shima Okada
  • Journal Title: Japanese Journal of Applied IT Healthcare 3(2) Pages: 85-95
  • Peer Reviewed
• [Journal Article] Workflow Analysis of Medical staff in Surgical Wards Based on Time-Motion Study Data (2008)
  • Author(s): Hodaka Numasaki
  • Journal Title: Japan Hospitals 27 Pages: 75-80
  • Peer Reviewed
• [Journal Article] A multivariate analysis of adhesion molecules expression in assessment of colorectal cancer (2007)
  • Author(s): Ngan, C., Y, Yamamoto, H., Seshimo, I., Ezumi, K., Terayama, M., Hemmi, H., Takemasa, I., Ikeda, M., Sekimoto, M., Monden, M.
  • Journal Title: Jun 15 95(8) Pages: 652-62
  • Peer Reviewed
• [Journal Article] The trend of the effect of surgical volume up to 5 year after resection for stomach andlung cancer patients (2007)
  • Author(s): Saika, K., Ohno, Y., Tanaka, H., Hasegawa, T., Tsukuma, H., Oshima, A.
  • Journal Title: Japanese Journal of Applied IT Healthcare 1 Pages: 42-49
  • Peer Reviewed
• [Journal Article] New classification of medical staff clinical services for optimal reconstruction of job workflow in a surgical ward : Application of spectrum analysis and sequence relational analysis (2007)
  • Author(s): Numasaki, H., Harauchi, H., Ohno, Y., Inamura, K., Kasahara, S., Monden, M., Sakon, M.
  • Journal Title: Computational Statistics & Data Analysis 51 Pages: 5708-5717
  • Peer Reviewed
• [Journal Article] A Three-Year-Follow-up study on the Change in Physical and Mental Functions of the Aged by the Level of ADL (2007)
  • Author(s): Nakamura, A., Ohno, Y., Ooe, Y., Nakamura, T.
  • Journal Title: Japan Hospitals 26 Pages: 41-52
  • Peer Reviewed
• [Journal Article] Evaluation parameters for care-giving motions (2007)
  • Author(s): Koshino, Y., Ohno, Y., Hashimoto, M., Yoshida, M.
  • Journal Title: Journal of Physical Therapy Science 19 Pages: 299-306
  • NAID: 10020001817
  • Peer Reviewed
• [Journal Article] Eye Movement Patterns of the Elderly during Stair Descent : Effect of Illumination (2007)
  • Author(s): Kasahara, S., Okabe, S., Nakazato, N., Ohno, Y.
  • Journal Title: Journal of Light & Visual Environment 31 Pages: 134-140
  • NAID: 110006473284
  • Peer Reviewed
• [Journal Article] Cancer Survival Trends In Osaka, Japan : the Influence of Age and Stage ay Diagnosis (2007)
  • Author(s): Ito, Y., Ohno, Y., Rachet, B., Coleman, M. P., Tsukuma, H., Oshima, A.
  • Journal Title: Japanese journal of Clinical Oncology 37 Pages: 452-458
  • Peer Reviewed
• [Journal Article] The Application of An Institutional Clinical Data Warehouse to the Assessment of Adverse Drug Reactions (ADRs) : Evaluation of Aminoglycoside and Cephalosporin Associated Nephrotoxicity (2007)
  • Author(s): Zhang, Q., Matsumura, Y., Teratani, T., Yoshimoto, S., Mineno, T., Nakagawa, K., Nagahama, M., Kuwata, S., Takeda, H.
  • Journal Title: Methods of Information in Medicine 46 Pages: 516-522
  • Peer Reviewed
• [Journal Article] Template-based data entry for general description in medicalrecords and data transfer to data warehouse for analysis (2007)
  • Author(s): Matsumura, Y., Kuwata, S., Yamamoto, Y., Izumi, K., Okada, Y., Hazumi, M., Yoshimoto, S., Mineno, T., Nagahama, M., Fujii, A., Takeda, H.
  • Journal Title: Studies in Health Technology and Informatics 129 Pages: 412-416
  • Peer Reviewed
• [Journal Article] Analysis of Yearly Variations in Drug Expenditure for One Patient using Data Warehouse in a Hospital (2007)
  • Author(s): Chen, Y., Matsumura, Y., Nakagawa, K., Ji, S., Nakano, H., Teratani, T., Zhang, Q., Mineno, T., Takeda, H.
  • Journal Title: Journal of Medical Systems 31 Pages: 17-24
  • Peer Reviewed
• [Journal Article] Initial experience with the quality assurance program of radiation therapy on behalf of Japan Radiation Oncology Group (JAROG) (2007)
  • Author(s): Isobe, K., Kagami, Y., Higuchi, K., Kodaira, T., Hasegawa, M., Shikama, N., Nakazawa, M., Fukuda, I., Nihei, K., Ito, K., Teshima, T., Oguchi, M.
  • Journal Title: Japanese journal of Clinical Oncology 37 Pages: 135-139
  • Peer Reviewed
• [Journal Article] 病棟での個人情報管理とICタグ (2007)
  • Author(s): 大野ゆう子, 清水佐知子
  • Journal Title: 情報処理 48 Pages: 344-348
  • Peer Reviewed
• [Journal Article] Cancer Survival Trends In Osaka, Japan: the Influence of Age and Stage ay Diagnosis (2007)
  • Author(s): Yuri Ito
  • Journal Title: Jpn J Clin Oncol 37 Pages: 452-458
  • Peer Reviewed
• [Journal Article] New Approach for the Time Motion Analysis of Medical Staff in a Ward by Video Image Processing (2007)
  • Author(s): Shima Okada
  • Journal Title: Final program and abstract, SICE2007. (suppl.) Pages: 103-103
  • Peer Reviewed
• [Journal Article] タイムスタディデータベースに基づく自動解析プログラムの開発 (2006)
  • Author(s): 検見崎兼治, 大野ゆう子, 沼崎穂高, 笠原聡子, 石井豊恵
  • Journal Title: 日本公衆衛生雑誌 53・10 Pages: 289-289
• [Journal Article] 看護業務における看護師の電子カルテの使用状況について (2006)
  • Author(s): 上田樹里, 大野ゆう子, 沼崎穂高, 笠原聡子, 石井豊恵
  • Journal Title: 日本公衆衛生雑誌 53・10 Pages: 289-289
• [Presentation] Significance of the body-weight's ratio of caregiver and receiver in the training process of care-giving motion (2008)
  • Author(s): Yaemi Koshino
  • Organizer: European Congress for Medical and Biological Engineering
  • Place of Presentation: Belgium
  • Year and Date: 2008-11-24
• [Presentation] Medical service area for cancer patients in Osaka, Japan (2008)
  • Author(s): Shiki, N., Ohno, Y., Ito, Y., Tsukuma, H.
  • Organizer: Asia-Pacific Journal of Clinical Oncology, 4, A174-175. (2008) 有30th Annual Meeting IACR
  • Place of Presentation: Sydney, Australia
  • Year and Date: 2008-11-20
• [Presentation] The concentration of treatment facilities for childhood cancer from the viewpoint of Pareto curve and thenumber of patients treated per hospital in Osaka Japan (2008)
  • Author(s): Tsutsui, A., Ohno, Y., Hara, J., Ito, Y., Tsukuma, H.
  • Organizer: Asia-Pacific Journal of Clinical Oncology, 4, A180. (2008) 有30th Annual Meeting IACR
  • Place of Presentation: Sydney, Australia
  • Year and Date: 2008-11-20
• [Presentation] Population-based relationship between 5-year survival rate and hospital treatmentvolume of childhood cancer in Osaka (2008)
  • Author(s): Tsutsui, A., Ohno, Y., Ito, Y., Tsukuma, H.
  • Organizer: The 67th Annual Meeting of the JapaneseCancer Association, 377. (2008)有第67回日本癌学会学術総会
  • Place of Presentation: 東京
  • Year and Date: 2008-10-29
• [Presentation] Examination of Non-Restrictive and Non-Invasive Sleep Evaluation Technique for Children Using Difference Images, The 30th Annual International IEEE EMBS Conference, 2483-2487 (2008)
  • Author(s): Okada, S., Ohno, Y., Goyahan, Kato-Nishimura, K., Mohri, I., Taniike, M.
  • Organizer: (2008)有 The 30th Annual International IEEE EMBS Conference
  • Place of Presentation: Vancouver Convention & Exhibition Centre, Vancouver, British Columbia, Canada
  • Year and Date: 2008-08-23
• [Presentation] Examination of Non-Restrictive and Non-Invasive Sleep Evaluati on Technique for Children Using Difference Images (2008)
  • Author(s): Shima OKADA
  • Organizer: 30th Annual International IEEE EMBS Conference
  • Place of Presentation: Canada
  • Year and Date: 2008-08-22
• [Presentation] がん医療均てん化指標としてのがん患者受療動態と地域別生存率に関する研究(3,58-61. (2008)) (2008)
  • Author(s): 志岐直美, 大野ゆう子, 清水佐知子, 伊藤ゆり, 井岡亜希子, 津熊秀明
  • Organizer: 有ITヘルスケア学会第二回学術大会
  • Place of Presentation: 東京
  • Year and Date: 2008-05-25
• [Presentation] Significance of the body-weight's ratio of caregiver and receiver in the training process of care-giving motion (2008)
  • Author(s): Koshino, Y., Ohno, Y.
  • Organizer: Proceedings of 4th European Congress for Medical and Biological Engineering 2008. (2008)有4th European Congress for Medical and Biological Engineering
  • Place of Presentation: Antwerp Belgium
• [Presentation] Development of Non-restrained Sleep-Monitoring Method by Using Difference Image Processing (2008)
  • Author(s): Okada, S., Ohno, Y., Kenmizaki, K., Tsutsui, A., Wang, Y.
  • Organizer: Proc. European Congress for MBE 2008, 1765. (2008) 有 4th European Congress for Medical and Biological Engineering
  • Place of Presentation: Antwerp Belgium
• [Presentation] Jastro Committee, Relation between radiotherapy facilities and breastcancer survival ; database linkage study (2008)
  • Author(s): Mochimaru, Y., Ohno, Y., Numasaki, H., Ito, Y., Tsukuma, H., Soda, M., Suyama, A., Teshima, T.
  • Organizer: Asia-Pacific Journal of Clinical Oncology, 4, A168. (2008) 有 COSA - IACR Joint Scientific Meeting
  • Place of Presentation: Sydney Convention Centre, Sydney, New South Wales, Australia
• [Presentation] 移動検知可能なアクティブRFIDの看護業務モニタリングへの応用 : 人的フロー・患者安全最適化へ向けて (2008)
  • Author(s): 清水佐知子, 大野ゆう子
  • Organizer: 第47回日本生体医工学会大会抄録集, SS9-4(2008)有第47回日本生体医工学会大会
  • Place of Presentation: 神戸
• [Presentation] 麻疹のoutbreakにおける施策の評価・検討 (2008)
  • Author(s): 古島大資, 大野ゆう子, 清水佐知子, 田中政宏, 梯正之
  • Organizer: 第78回日本衛生学会総会抄録集. (2008) 有第78回日本衛生学会総会
  • Place of Presentation: 熊本
• [Presentation] Relation between radiotherapy facilities and breast cancer survival ; database linkage study (2008)
  • Author(s): Yuko Mochimaru
  • Organizer: The International Association of Cancer Registries Scientific Meeting
  • Place of Presentation: Australia
• [Presentation] Trend of introduction of radiation therapy for breastcancer treatment in Osaka Japan-basedon data from Osaka cancer Registry- (2007)
  • Author(s): Mochimaru, Y., Ohno, Y., Numasaki, H., Teshima, T., Ito, Y., Tsukuma, H.
  • Organizer: The 15th Anniversary of Hiroshima Cancer Seminar, 42. (2007) 有 The 15th Anniversary of Hiroshima Cancer Seminar
  • Place of Presentation: Hiroshima, Japan
  • Year and Date: 2007-11-11
• [Presentation] Non-Restrictive Heart Rate Monitoring Using Acceleration Sensor (2007)
  • Author(s): Shima Okada
  • Organizer: IEEE
  • Place of Presentation: New York
  • Year and Date: 2007-09-02
• [Presentation] New Approach for the Time Motion Analysis of Medical Staff in a Ward by Video Image Processing (2007)
  • Author(s): Okada, S., Ohno, Y.
  • Organizer: SICE 2007 Proceedings, 2750-2753. (2007)有SICE 2007 Proceedings
  • Place of Presentation: Kagawa Univer sity
• [Presentation] New Approach for Medical Ward Monitoring Method by Difference Image Processing (2007)
  • Author(s): Okada, S., Ohno, Y.
  • Organizer: The international Conference on Kansei Engineering and Emotion Research 2007 KEER2007Abstract (CD) (2007) 有KEER 2007
  • Place of Presentation: Sapporo, Japan
• [Presentation] The Estimation of the Cure Probability by Markov Model, 29th Annual Meeting of the International Association of Cancer Registries Programme and Book of Abstracts (2007)
  • Author(s): Murakami, A., Ohno, Y., Tabata, N., Shimizu, S.
  • Organizer: 204. (2007)有29th Annual Meeting IACR
  • Place of Presentation: Ljubljana, Slovenia
• [Presentation] Follow-up time required for cure of cancer patients using mixture cure models In Osaka, Japan (2007)
  • Author(s): Tabata, N., Ohno, Y., Murakami, A., Furushima, D., Ito, Y.
  • Organizer: 29th Annual Meeting of the International Association of Cancer Registries Programme and Book of Abstracts, 221.(2007) 有29th Annual Meeting IACR
  • Place of Presentation: Ljubljana, Slovenia
• [Presentation] Fixation Point Analysis of Nursing Students In the Observation of a Patient receiving Oxygen Treatment (2007)
  • Author(s): sahara, S., Okuda, M., Maeda, Y., Ohno, Y.
  • Organizer: International Conference on Kansei Engineering and Emotion Research 2007 (KEER2007)C-23. (2007) 有KEER 2007
  • Place of Presentation: Sapporo, Japan
• [Presentation] Follow-up time required for cure of cancer patients using mixture cure models In Osaka, Japan (2007)
  • Author(s): Nana Tabata
  • Organizer: IACR
  • Place of Presentation: Ljubljana
• [Book] 医療情報サブノート (2008)
  • Author(s): 松村泰志
  • Publisher: 病院情報システム
• [Book] 「病院情報システムの概要」, 「病院情報システムの機能」, 「病院情報システムの概要」, 「病院情報システムの機能」(医療情報-医療情報システム編第2版) (2006)
  • Author(s): 松村泰志
• [Remarks]
  • URL: http://sahswww.med.osaka-u.ac.jp/~fnmet/link.htm