| Project/Area Number |
24590601
|
|---|
| Research Category |
Grant-in-Aid for Scientific Research (C)
|
| Allocation Type | Multi-year Fund |
|---|
| Section | 一般 |
|---|
| Research Field |
Medical sociology
|
|---|
| Research Institution | The University of Tokyo |
|---|
Principal Investigator |
|
|---|
| 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.
|
