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Impact of a new medical record system for emergency department.

Research Project

Project/Area Number 24590601
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionThe University of Tokyo

Principal Investigator

GUNSHIN Masataka  東京大学, 医学部附属病院, 講師 (40463848)

Co-Investigator(Kenkyū-buntansha) NAKAJIMA Susumu  東京大学医学部附属病院, 救命救急センター長 准教授 (40323597)
MATSUBARA Takehiro  東京大学医学部附属病院, 救急部・集中治療部, 助教 (40361498)
YAHAGI Naoki  東京大学医学部附属病院, 救急部・集中治療部, 教授 (60158045)
SATO Hajime  国立保健医療科学院, 政策技術評価研究部, 部長 (70272424)
Co-Investigator(Renkei-kenkyūsha) INOKUCHI Ryota  JR東京総合病院, 救急総合診療科, 医長 (60744026)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2012: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Keywords救急外来 / 電子カルテ / 医療情報 / 医療安全 / 臨床意思決定支援システム / 救急医療 / 医療情報技術
Outline of Final Research Achievements

Long lengths of stay in emergency departments (EDs) are associated with a low degree of patient satisfaction and poor prognosis. Electronic medical record (EMR) systems have the potential to increase efficiency not only in outpatient departments or wards, but also in EDs. However, the EMR entries reportedly took more time, and the degree of satisfaction was low in EDs. We developed an EMR system focusing on clinical documentation to efficiently enter detailed patient information. We introduced and integrated this newly developed EMR system at a hospital where an existing, standard EMR system was already in use. We found that the newly developed EMR system for EDs was shown to reduce the time needed for overall medical care of patients entering the ED and had a high degree of user satisfaction. Furthermore, in terms of level 2 (emergency) patients, the EMR system was associated with a decrease in the time needed for overall medical care, in addition to length of stay in ED.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (32 results)

All 2015 2014 2013 2012

All Journal Article (27 results) (of which Peer Reviewed: 27 results,  Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (5 results)

  • [Journal Article] Impact of a new medical record system for emergency departments designed to accelerate clinical documentation: a crossover study2015

    • Author(s)
      Inokuchi R, Sato H, Iwagami M, Komaru Y, Iwai S, Gunshin M, Nakamura K, Shinohara K, Kitsuta Y, Nakajima S, and Yahagi N.
    • Journal Title

      Medicine

      Volume: In press

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Relationship between hospital volume and early outcomes in acute ischemic stroke patients treated with recombinant tissue plasminogen activator.2015

    • Author(s)
      Wada T, Yasunaga H, Inokuchi R, Horiguchi H, Fushimi K, Matsubara T, Nakajima S, and Yahagi N.
    • Journal Title

      Int J Stroke.

      Volume: 23 Issue: 1 Pages: 73-78

    • DOI

      10.1111/ijs.12311

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Comparison of intranasal and intravenous diazepam on status epilepticus in stroke patients: a retrospective cohort study.2015

    • Author(s)
      Inokuchi R, Ohashi-Fukuda N, Nakamura K, Wada T, Gunshin M, Kitsuta Y, Nakajima S, and Yahagi N.
    • Journal Title

      Medicine

      Volume: 97 Issue: 7 Pages: e555-e555

    • DOI

      10.1097/md.0000000000000555

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Motivations and barriers to implementing electronic health records and ED information systems in Japan.2014

    • Author(s)
      Inokuchi R, Sato H, Nakamura K, Aoki Y, Shinohara K, Gunshin M, Matsubara T, Kitsuta Y, Yahagi N, and Nakajima S
    • Journal Title

      Am J Emerg Med

      Volume: 32 Pages: 725-30

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Current policies on informed consent in Japan constitute a formidable barrier to emergency research.2014

    • Author(s)
      Inokuchi R, Sato H, Nakajima S, Yahagi N
    • Journal Title

      Resuscitation

      Volume: 85

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Coronary artery dissection after blunt trauma without abnormal electrocardiogram findings.2014

    • Author(s)
      Kawakami Y, Inokuchi R, Tanji M, Ito F, Kumada Y, Matsuse S, Yahagi N, Shinohara K.
    • Journal Title

      Am J Emerg Med.

      Volume: 32

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] An anterior chest wall abscess penetrating the pleural cavity.2014

    • Author(s)
      Yamamoto M, Inokuchi R, Doi K, Yahagi N.
    • Journal Title

      Intensive Care Med.

      Volume: 40 Pages: 736-7

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Granulocyte colony-stimulating factor-producing lung cancer and acute respiratory distress syndrome.2014

    • Author(s)
      Inokuchi R, Manabe H, Ohta F, Nakamura K, Nakajima S, Yahagi N.
    • Journal Title

      Clin Respir J.

      Volume: 40

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Anaerobiospirillum succiniciproducens-induced bacteremia in a healthy man.2014

    • Author(s)
      Inokuchi R, Ishida T, Maeda J, Nakajima S, Yahagi N, Matsumoto A.
    • Journal Title

      Am J Emerg Med.

      Volume: 32

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 救急医療における被験者同意を要件としない臨床試験に関する米国の規制: 歴史的経緯、現行の法令・ガイド ラインと課題.2014

    • Author(s)
      佐藤元、井口竜太
    • Journal Title

      国立保健医療

      Volume: 63 Pages: 48-60

    • NAID

      110009808498

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 救急医療における臨床試験・治験に係わる倫理と法令・規則: 説明同意を実施要件としない臨床試験・治験.2014

    • Author(s)
      佐藤元、井口竜太
    • Journal Title

      Clinical Research Professionals

      Volume: 41 Pages: 4-12

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 米国の救急外来における電子カルテシステムと臨床診断意思決定支援システム2013

    • Author(s)
      井口 竜太, 佐藤 元, 中村 謙介, 松原 全宏, 軍神 正隆, 石井 健, 中島 勧, 矢作 直樹
    • Journal Title

      保健医療科学

      Volume: 62 Pages: 88-97

    • NAID

      110009575217

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Development of Information Systems and Clinical Decision Support Systems for Emergency Departments: A Long Road Ahead for Japan.2013

    • Author(s)
      井口 竜太, 佐藤 元, 中島 勧, 篠原 一彰, 中村 謙介, 松原 全宏, 軍神 正隆, 石井 健, 矢作 直樹
    • Journal Title

      Emergency Medicine Journal

      Volume: In Press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Bronchial ulceration as a prognostic indicator for varicella pneumonia: Case report and systematic literature review.2013

    • Author(s)
      Inokuchi R Nakamura K Sato H Shinohara K Aoki Y Doi K Gunshin M Ishii T Matsubara T Hiruma T Nakajima S Yahagi N.
    • Journal Title

      J Clin Virol

      Volume: In Press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Ethylenediaminetetraacetic acid-dependent pseudothrombocytopenia complicated by eosinophilic pneumonia.2013

    • Author(s)
      Ohashi N Nakamura K Inokuchi R Sato H Nakajima S Yahagi N
    • Journal Title

      Am J Emerg Med

      Volume: In Press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Endotoxin adsorption by polymyxin B column or intraaortic balloon pumping use for severe septic cardiomyopathy.2013

    • Author(s)
      Nakamura K Doi K Inokuchi R Fukuda T Hiruma T Ishii T Nakajima S Noiri E Yahagi N
    • Journal Title

      Am J Emerg Med

      Volume: In Press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] A Healthy Young Man with Neck Sprain.2013

    • Author(s)
      Inokuchi R Wada T Ohta F Sonoo T Aoki Y Asada T Hiruma T Shinohara K Nakajima S Yahagi N
    • Journal Title

      Am J Emerg Med

      Volume: In Press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Coronary artery aneurysms after adult-onset Kawasaki disease.2013

    • Author(s)
      Inokuchi R Kurata H Harada Y Aoki Y Matsubara T Doi K Ishii T Gunshin M Hiruma T Nakajima S Yahagi N
    • Journal Title

      Circulation

      Volume: In Press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] IVC cardiac variation: New concept for evaluation of intravascular water volume2013

    • Author(s)
      Nakamura K Tomida M Ando T Inokuchi R Matsubara T Kobayashi E Nakajima S Yahagi N Sakuma I
    • Journal Title

      J Med Ultrasonics

      Volume: In Press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Right kidney passing into the intrathoracic space after blunt abdominal trauma.2013

    • Author(s)
      Inokuchi R Hashimoto K Kobayashi H Ishida T Matsumoto A Kumada Y Yokoyama H Okada M Ito F Saito I Shinohara K.
    • Journal Title

      Emerg Med J

      Volume: In Press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Hypertriglyceridemia as a possible cause of coma: A case report.2012

    • Author(s)
      Inokuchi R Matsumoto A Azihara R Sato H Kumada Y Yokoyama H Okada M Ishida T Nakamura K Nakajima S Yahagi N Shinohara K.
    • Journal Title

      J Med Case Rep

      Volume: 6 Pages: 412-412

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] A case of purpura fulminans arising from cryptococcosis.2012

    • Author(s)
      Inokuchi R Nakamura K Aoki Y Hiruma T Gunshin M Matsubara T Ishii T Nakajima S Yahagi N Sato H Shinohara K
    • Journal Title

      Am J Respir Crit Care Med

      Volume: 186 Pages: 109-110

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Diffusion tensor imaging studies of mild traumatic brain injury: A meta-analysis.2012

    • Author(s)
      Aoki Y Inokuchi R Gunshin M Yahagi N Suwa H.
    • Journal Title

      J Neurol Neurosurg Psychiatry

      Volume: 83 Pages: 870-876

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Sudden cardiac arrest caused by tuberculous pericarditis with hemorrhagic pericardial effusion.2012

    • Author(s)
      Hayase N Inokuchi R Nakamura K Horie R Sato H Asada T Ohashi N Yamamoto M Nagatomo K Ito R Gunshin M Matsubara T Ishii T Kitsuta Y Nakajima S Yahagi N.
    • Journal Title

      Intern Med

      Volume: 51 Pages: 3197-3201

    • NAID

      130003307883

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Two Cases of transient global amnesia.2012

    • Author(s)
      Inokuchi R Nakamura K Asada T Gunshin M Ishii T Matsubara T Nakajima S Kitsuta Y Yahagi N
    • Journal Title

      Jpn J Trauma

      Volume: 3 Pages: 13-16

    • NAID

      130004962701

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Aorto-enteric fistula2012

    • Author(s)
      Nakamura K Inokuchi R Hiruma T Nakajima S Ishii T Gunshin M Matsubara T Kitsuta Y
    • Journal Title

      Jpn J Trauma Emerg Med

      Volume: 1 Pages: 25-28

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Trousseau syndrome2012

    • Author(s)
      Nakamura K, Inokuchi R Hiruma T Asada T Nakajima S Ishii T Kitsuta Y Yahagi N
    • Journal Title

      Jpn J Trauma Emerg Med

      Volume: 2 Pages: 40-44

    • NAID

      130004562130

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 大学病院における総合救急診療(ER診療+外傷診療+集中治療)への取り組みと現状、今後の展望について2014

    • Author(s)
      軍神 正隆, 園生 智弘, 小林 宏彰, 和田 智貴, 井口 竜太, 中島 勧, 矢作 直樹
    • Organizer
      日本救急医学会
    • Place of Presentation
      福岡
    • Year and Date
      2014-10-30
    • Related Report
      2014 Annual Research Report
  • [Presentation] 東京大学医学部附属病院救急部における救急車搬送数の増加に寄与した因子の分析2014

    • Author(s)
      園生 智弘, 和田 智貴, 井口 竜太, 軍神 正隆, 中島 勧, 矢作 直樹
    • Organizer
      日本救急医学会
    • Place of Presentation
      福岡
    • Year and Date
      2014-10-30
    • Related Report
      2014 Annual Research Report
  • [Presentation] 生理学的要素と移動時の負担を考慮したICU患者のトリアージ基準2014

    • Author(s)
      橘田 要一, 浅田 敏文, 前田 明倫, 井口 竜太, 比留間 孝広, 福田 龍将, 土井 研人, 軍神 正隆, 中島 勧, 矢作 直樹
    • Organizer
      日本救急医学会
    • Place of Presentation
      福岡
    • Year and Date
      2014-10-28
    • Related Report
      2014 Annual Research Report
  • [Presentation] 日本の救急外来における電子カルテシステム導入の現状調査2013

    • Author(s)
      井口竜太, 佐藤元, 小林宏彰, 園生智弘, 和田智貴,土井研人, 比留間孝広, 軍神正隆, 松原全宏, 中島勧, 矢作直樹.
    • Organizer
      日本救急医学会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 諸外国の救急外来における電子カルテシステムと臨床診断意思決定支援システムの現状と当院における取り組み2012

    • Author(s)
      井口 竜太, 中島 勧, 中村 健介, 軍神 正隆, 松原 全宏, 和田 智貴, 比留間 孝宏, 浅田 敏文, 大橋 奈尾子, 山本 幸, 矢作 直樹
    • Organizer
      日本救急医学会総会
    • Place of Presentation
      京都
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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