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Development and verification of a method to design operation process using ICT for increasing quality and efficiency in healthcare

Research Project

Project/Area Number 23K21013
Project/Area Number (Other) 21H01562 (2021-2023)
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeMulti-year Fund (2024)
Single-year Grants (2021-2023)
Section一般
Review Section Basic Section 25010:Social systems engineering-related
Research InstitutionWaseda University (2022-2024)
The University of Tokyo (2021)

Principal Investigator

下野 僚子  早稲田大学, 理工学術院, 准教授(任期付) (60609361)

Co-Investigator(Kenkyū-buntansha) 棟近 雅彦  早稲田大学, 理工学術院, 教授 (10200247)
山田 秀  慶應義塾大学, 理工学部(矢上), 教授 (60260965)
加藤 省吾  電気通信大学, 大学院情報理工学研究科, 准教授 (80516766)
佐野 雅隆  拓殖大学, 商学部, 准教授 (50580221)
梶原 千里  静岡大学, 情報学部, 准教授 (70707835)
Project Period (FY) 2021-04-01 – 2025-03-31
Project Status Granted (Fiscal Year 2024)
Budget Amount *help
¥17,290,000 (Direct Cost: ¥13,300,000、Indirect Cost: ¥3,990,000)
Fiscal Year 2024: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2023: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2022: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2021: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Keywords品質管理 / 業務プロセス設計 / 医療情報システム / 要員配置 / 卒後教育 / 医療社会システム工学 / 医療業務システム / 業務プロセス / 業務支援システム / 力量評価 / 力量管理 / 社会実装 / 医療ICT / 教育
Outline of Research at the Start

医療費抑制政策のもとで医療機関が厳しい経営環境におかれる中、臨床現場では限られた医療資源で質や効率を維持するため、データの利活用により業務状況を客観的かつ詳細に把握し、状況に合わせた無駄のない資源配分によって医療の質と効率の向上できる業務設計が必要である。本研究では、確保が難しい人的資源の有効活用を指向した業務設計のため、データ収集の基盤整備を進めてきた先行施設において、各患者に適した人材配置(患者-業務者マッチング)と人材育成(業務者個別の教育)の実践的方法の開発と検証を行う。

Outline of Annual Research Achievements

本研究は、医療の質と効率を向上できる医療業務を実現するため、患者に対して最適な業務者を配置するための「患者-業務者マッチング(課題①)」と、業務者の力量を効果的に向上するための「個別教育(課題②)」について、臨床現場で実用可能な方法として開発し、ICT基盤を活用しデータに基づいて実証することを目的としている。現場管理者と実務者との継続的な議論により、臨床との整合を確認しながら進めている。2023年度は下記を実施した。
・患者-業務者マッチング(課題①):現状導入されているマッチングの実践上の課題を把握し、患者側の困難度と業務者側の技術レベルのマッチング状況を確認するため、それぞれ4段階で設定された困難度と技術レベルのギャップである充足度を指標として分析を実施した。
・個別教育(課題②):採血業務の後工程にある測定分析業務において、既往研究で提案されていた特性要因図を用いた力量評価手法の課題の把握に基づき、力量評価とその評価結果に基づく個別教育に関する改善手法を検討した。

Current Status of Research Progress
Current Status of Research Progress

2: Research has progressed on the whole more than it was originally planned.

Reason

2023年度は、課題①では前年度までに行った患者-業務者のマッチングにかかる課題の系統的な整理に基づき、マッチングに係る重要度の高い課題について改善策を実施し、データ解析によって検証まで進めた。課題②では採血業務に加え、測定分析業務に関して力量評価手法の実践性を高める課題の把握と解決について体系化することができた。

Strategy for Future Research Activity

2023年度に行った改善策の実施と検証をふまえ、2024年度は、課題①の患者-採血者のマッチングにおいて残された課題の改善を進める。さらに他施設への展開方法を検討する。課題②の個別教育に関しては、力量評価に基づく教育に関して体系化してきた手法について、現場での実践性をさらに高める改善策を実施する。

Report

(3 results)
  • 2023 Annual Research Report
  • 2022 Annual Research Report
  • 2021 Annual Research Report
  • Research Products

    (54 results)

All 2024 2023 2022 2021

All Journal Article (19 results) (of which Peer Reviewed: 12 results,  Open Access: 11 results) Presentation (32 results) (of which Int'l Joint Research: 15 results,  Invited: 2 results) Book (3 results)

  • [Journal Article] 統計作成プロセス診断の試行について2024

    • Author(s)
      下野僚子、安井清一
    • Journal Title

      品質

      Volume: 54 Pages: 41-44

    • Related Report
      2023 Annual Research Report
  • [Journal Article] A Case Study on the Method of the Development of Ishikawa Diagram for the Quality and Competence in Clinical Laboratory2023

    • Author(s)
      SANO Masataka
    • Journal Title

      Innovation and Supply Chain Management

      Volume: 17 Issue: 3 Pages: 121-125

    • DOI

      10.14327/iscm.17.121

    • ISSN
      2187-0969, 2187-8684
    • Year and Date
      2023-09-30
    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effectiveness of Changing the Class of Molecularly Targeted Agent after Disease Progression during Initial Molecularly Targeted Therapy for Luminal Advanced/Metastatic Breast Cancer2023

    • Author(s)
      Satoko Nakano, Akemi Mibu, Shunsuke Kato, Shigeo Yamaguchi, Yuna Suzuki, Kaoru Tanimura, Masataka Sano
    • Journal Title

      Journal of Nippon Medical School

      Volume: 90 Issue: 2 Pages: 179-185

    • DOI

      10.1272/jnms.JNMS.2023_90-205

    • ISSN
      1345-4676, 1347-3409
    • Year and Date
      2023-04-25
    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Detecting unexpected scores of individual students in an examination based on past scores and current daily efforts2023

    • Author(s)
      Alauddin, N., Tanaka, S. and Yamada, S.
    • Journal Title

      The TQM Journal

      Volume: - Issue: 8 Pages: 2485-2502

    • DOI

      10.1108/tqm-07-2022-0226

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 災害時の医療継続性を高めるマネジメントシステムとは2023

    • Author(s)
      梶原千里
    • Journal Title

      経営システム

      Volume: 32(2) Pages: 120-125

    • Related Report
      2022 Annual Research Report
  • [Journal Article] A comparative survey on the certification effect of Occupational Health and Safety Management System2022

    • Author(s)
      Kono, N., Kaneko, M., Saito, M, Makino, C. and Yamada, S.
    • Journal Title

      Total Quality Science

      Volume: 8 Issue: 1 Pages: 32-39

    • DOI

      10.17929/tqs.8.32

    • ISSN
      2189-3195
    • Year and Date
      2022-12-27
    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of Crisis Awareness and Behavioral Changes of Medical Staff against Disasters2022

    • Author(s)
      Chisato Kajihara, Sango Makimura, Takayuki Masui, Takahiro Atsumi, Katsuya Onoki
    • Journal Title

      Total Quality Science

      Volume: 8 Issue: 1 Pages: 23-31

    • DOI

      10.17929/tqs.8.23

    • ISSN
      2189-3195
    • Year and Date
      2022-12-27
    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Method to Derive Check Points for Process Management in Health Promotion Projects by Local Government:Case Study of an Awareness Event2022

    • Author(s)
      下野僚子,堀内美佐,兵法彩,菊池康紀,大久保達也
    • Journal Title

      Journal of The Japanese Society for Quality Control

      Volume: 52 Issue: 4 Pages: 263-274

    • DOI

      10.20684/quality.52.4_263

    • ISSN
      0386-8230, 2432-1044
    • Year and Date
      2022-10-15
    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Method for Software Test Design Considering Weakness and Adverse Condition2022

    • Author(s)
      Koichi Tanizaki, Yasuaki Hiruta, Takeshi Soma, Naohiro Yamao, Shogo Kato, Yoshinori Iizuka
    • Journal Title

      Total Quality Science

      Volume: 7 Issue: 3 Pages: 173-189

    • DOI

      10.17929/tqs.7.173

    • ISSN
      2189-3195
    • Year and Date
      2022-05-11
    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The 175th Symposium2022

    • Author(s)
      下野僚子
    • Journal Title

      Journal of The Japanese Society for Quality Control

      Volume: 52 Issue: 2 Pages: 117-121

    • DOI

      10.20684/quality.52.2_117

    • ISSN
      0386-8230, 2432-1044
    • Year and Date
      2022-04-15
    • Related Report
      2022 Annual Research Report
  • [Journal Article] Verification of an Individual Training System in Blood Collection through Data Acquisition and Analysis2022

    • Author(s)
      Ryoko Shimono, Rie Akinaga
    • Journal Title

      Total Quality Science

      Volume: 7 Issue: 2 Pages: 82-88

    • DOI

      10.17929/tqs.7.82

    • NAID

      130008162121

    • ISSN
      2189-3195
    • Year and Date
      2022-02-20
    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Detection of unusual scores of individual students for immediate remedy according to daily assessment data2022

    • Author(s)
      Alauddin, N. and Yamada, S.
    • Journal Title

      The TQM Journal

      Volume: - Issue: 6 Pages: 1514-1531

    • DOI

      10.1108/tqm-04-2022-0125

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] TQM model based on Deming prize for schools2022

    • Author(s)
      Alauddin, N. and Yamada, S.
    • Journal Title

      International Journal of Quality and Service Sciences

      Volume: 14(4) Issue: 4 Pages: 635-651

    • DOI

      10.1108/ijqss-09-2021-0131

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Case study on the correlation between the feature of the text and the click rate in search-linked advertisement2022

    • Author(s)
      Furihara, H. and Yamada, S.
    • Journal Title

      Proceedings of ANQ 2022 congress

      Volume: - Pages: 875-890

    • Related Report
      2022 Annual Research Report
  • [Journal Article] Use of ISO certification system in municipalities proposed measures to promote2022

    • Author(s)
      Matsushita, N., Kaneko, M. and Yamada, S.
    • Journal Title

      Proceedings of ANQ 2022 congress

      Volume: - Pages: 1213-1228

    • Related Report
      2022 Annual Research Report
  • [Journal Article] Algorithmic construction of Latin hypercube design2022

    • Author(s)
      Ueda, A. and Yamada, S.
    • Journal Title

      Proceedings of ANQ 2022 congress

      Volume: - Pages: 752-764

    • Related Report
      2022 Annual Research Report
  • [Journal Article] A Study on Planning and Evaluation of Disaster Exercise Based on Disaster Records2021

    • Author(s)
      Chisato Kajihara, Takayuki Masui, Takahiro Atsumi, Katsuya Onoki, Masahiko Munechika
    • Journal Title

      Total Quality Science

      Volume: 7 Issue: 1 Pages: 23-30

    • DOI

      10.17929/tqs.7.23

    • NAID

      130008136748

    • ISSN
      2189-3195
    • Year and Date
      2021-12-28
    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Development of Competence Evaluation System for Quality Assurance of Healthcare2021

    • Author(s)
      下野僚子,秋永理恵,名取良弘
    • Journal Title

      Journal of The Japanese Society for Quality Control

      Volume: 51 Issue: 2 Pages: 104-109

    • DOI

      10.20684/quality.51.2_104

    • NAID

      130008071850

    • ISSN
      0386-8230, 2432-1044
    • Year and Date
      2021-04-15
    • Related Report
      2021 Annual Research Report
  • [Journal Article] Development of competence management system for quality assurance in clinical laboratory tests2021

    • Author(s)
      Ryoko Shimono, Rie Akinaga, Kazunori Hase
    • Journal Title

      Proceedings of International Scientific and Business Quality Congress

      Volume: 2021 Pages: 288-293

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Presentation] A Study on How to Reduce Defects After Shipment of Unit Houses2023

    • Author(s)
      Kaito Ishii, Ryoko Shimono, Masahiko Munechika
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Effective allocation of nursing resources to appropriate departments2023

    • Author(s)
      Yuri Nakano, Keiko Arai, Ryoko Shimono, Masahiko Munechika
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A Study on Flaws in the Manufacturing Process of Unit Houses2023

    • Author(s)
      Yuta Nakamura, Ryoko Shimono, Masahiko Munechika
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A Study of the Optimal Conditions for Painting in Unit Houses2023

    • Author(s)
      Shuhei Hayashi, Ryoko Shimono, Masahiko Munechika
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Proposed method of analyzing deliberately caused quality fraud2023

    • Author(s)
      Rio Shibata, Masahiko Munechika, Ryoko Shimono
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Study on the promotion of ACP using workshops2023

    • Author(s)
      Kio Yamatani, Ryoko Shimono, Akira Shindo and Masahiko Munechika
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A proposal of a method to understand the differences in quality requirements by customers2023

    • Author(s)
      Soma Fujii, Ryoko Shimono, Yukio Takenobe, Masahiko Munechika
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Research on Improving the Accuracy of Falls and Falls Assessment2023

    • Author(s)
      Shinkichiro Kama, Ryoko Shimono, Fumio Fukumura and Masahiko Munechika
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] リハビリ介入患者における転倒転落アセスメントの精度向上に関する研究2023

    • Author(s)
      釜晋吉郎,福村文雄.甲斐田幸輝,木村美香,棟近雅彦
    • Organizer
      日本品質管理学会第53回年次大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] ユニットハウスにおける塗装の最適条件に関する研究2023

    • Author(s)
      林修平,下野僚子,棟近雅彦
    • Organizer
      日本品質管理学会第53回年次大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] BPOにおける業務を可視化する手法の提案2023

    • Author(s)
      藤井蒼馬,石井魁斗,竹延幸雄,下野僚子,棟近雅彦
    • Organizer
      日本品質管理学会第53回年次大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 質改善の基本2023

    • Author(s)
      棟近雅彦
    • Organizer
      第23回日本術中画像情報学会
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] Recognition survey to improve the reference level of ISO 22000 certification system2023

    • Author(s)
      Saito, W. and Yamada, S.
    • Organizer
      Proceedings of ANQ 2023 congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Discussion on the comparative analysis of educational effects amongst teachers in schools2023

    • Author(s)
      Urata, Y. and Yamada, S.
    • Organizer
      Proceedings of ANQ 2023 congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Verifying the effect of initial sample size in Bayesian optimization2023

    • Author(s)
      Furuuchi, S. and Yamada, S.
    • Organizer
      Proceedings of ANQ 2023 congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 工学の視点で医療安全を考えるー病院における転倒・転落事故防止のための管理体制の構築ー2023

    • Author(s)
      加藤省吾
    • Organizer
      医療の質・安全学会第18回学術集会
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] Evaluation of the degree of crisis awareness and behavioral change through disaster exercise: A case study of a disaster response exercise in a pharmacy department2023

    • Author(s)
      Chisato Kajihara, Michishi Kashiwabara, Makiko Yamao, Yuki Aoki, Katsushige Yabe, Masaaki Kaneko, Masataka Sano, Masahiko Munechika
    • Organizer
      22nd Congress on Disaster and Emergency Medicine
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Proposed Guidelines for the Creation of E-learning Materials based on the Analysis of Course Log Data2023

    • Author(s)
      Chisato Kajihara
    • Organizer
      The 21st ANQ Congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] リンパ浮腫のエビデンス構築にむけたパスに基づく診療データ収集の方法論2022

    • Author(s)
      下野僚子、水流聡子
    • Organizer
      第5回日本リンパ浮腫学会総会
    • Related Report
      2022 Annual Research Report
  • [Presentation] Individual Training System for New Employees in Blood Collection at a Hospital2022

    • Author(s)
      Ryoko Shimono, Yuya Higuchi, Kohei Fukumoto, Emi Inumaru, Rie Akinaga
    • Organizer
      The International Forum on Quality and Safety in Healthcare
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 臨床検査業務における特性要因図を用いた力量評価手法:3施設への適用を通した実用化に向けた方策の検討2022

    • Author(s)
      下野僚子、佐野雅隆、秋永理恵、中村育代、坂田一美、安元萌華、棟近雅彦
    • Organizer
      第17回医療の質・安全学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 特性要因図を用いた力量評価システムの教育成果2022

    • Author(s)
      樋口雄哉、吉富博人、川野和彦、長谷一憲、秋永理恵、下野僚子、佐野雅隆
    • Organizer
      第17回医療の質・安全学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 特性要因図を用いた力量評価システムの継続的運用による有用性と課題2022

    • Author(s)
      吉富博人、樋口雄哉、川嶋大輔、吉田真紀、長谷一憲、秋永理恵、下野僚子、佐野雅隆
    • Organizer
      第17回医療の質・安全学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 臨床検査業務における特性要因図を用いた力量評価法への取り組み2022

    • Author(s)
      中村育代、田爪聡子、渡邊輝樹、加山千夏、関孝、佐野雅隆、下野僚子
    • Organizer
      第17回医療の質・安全学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 検査科職員の力量評価と教育の見直し2022

    • Author(s)
      志村拓也、坂田一美、柿沼智史、山本雅博、佐野雅隆、下野僚子
    • Organizer
      第17回医療の質・安全学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 医療のための質マネジメント基礎講座における病院団体プランの新設とその効果2022

    • Author(s)
      梶原千里,佐野雅隆,金子雅明,田中宏明,棟近雅彦
    • Organizer
      第24回日本医療マネジメント学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 経験知の再利用により加工治具設計時間を短縮する手法の開発-設計者へのヒアリングを通したポイント化によるネック工程の特定-2022

    • Author(s)
      栗原慶太, 森口一豊, 熊谷聡, 加藤省吾
    • Organizer
      日本品質管理学会第52回年次大会研究発表会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 地域での健康づくり啓発事業における目標に着目したプロセス管理手法の構築2021

    • Author(s)
      下野僚子、堀内美佐、兵法彩、菊池康紀、大久保達也
    • Organizer
      日本品質管理学会第125回研究発表会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 臨床検査室における能力確保を目的とした特性要因図の作成方法に関する研究2021

    • Author(s)
      佐野雅隆
    • Organizer
      日本設備管理学会
    • Related Report
      2021 Annual Research Report
  • [Presentation] オンライン版・医療のための質マネジメント基礎講座の開発2021

    • Author(s)
      梶原千里,佐野雅隆,金子雅明,田中宏明,棟近雅彦
    • Organizer
      第23回日本医療マネジメント学会学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 院内研修への外部オンライン講座取り組みの試み2021

    • Author(s)
      北川節子,佐藤千明,坂田一美,梶原千里
    • Organizer
      第23回日本医療マネジメント学会学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] Evaluation of the Crisis Awareness and Behavioral Changes of Medical Staff in Emergencies2021

    • Author(s)
      Chisato Kajihara, Sango Makimura, Takayuki Masui, Tkahiro Atsumi, Katsuya Onoki
    • Organizer
      19th ANQ Congress, Singapore (Online)
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Book] 実習R言語による多変量解析: 基礎から機械学習まで (実習ライブラリ 14)2023

    • Author(s)
      内田治 、佐野夏樹、佐野雅隆、下野 僚子
    • Total Pages
      128
    • Publisher
      サイエンス社
    • ISBN
      9784781915739
    • Related Report
      2023 Annual Research Report
  • [Book] 実験計画法の活かし方 -技術開発事例とその秘訣-2023

    • Author(s)
      山田 秀ら
    • Total Pages
      272
    • Publisher
      サイエンス社
    • ISBN
      9784781915777
    • Related Report
      2023 Annual Research Report
  • [Book] 実験計画法 -過飽和計画の構成とデータ解析-2023

    • Author(s)
      山田 秀
    • Total Pages
      176
    • Publisher
      共立出版
    • ISBN
      9784320112742
    • Related Report
      2023 Annual Research Report

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Published: 2021-04-28   Modified: 2024-12-25  

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