CONSTRUCTION OF AN ELECTRONIC MEDICAL RECORD SYSTEM AT A JAPANESE UNIVERSITY HOSPITAL : THE VAGOYA CITY UNIVERSITY HOSPITAL EXPERIENCE

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In Japan, few comprehensive electronic medical record systems (EMRSs) have been implemented at the university hospital level, and very few reports have addressed the construction of such systems. Nagoya City University Hospital developed a total EMRS which was launched in January 2004. Minutes were taken of the ongoing discussions of the system by the Steering Committee and 10 working groups (Electronic Medical Records, Outpatient and Inpatient, Nursing, Examination, Radiology and Imaging, Prescription and Injection, Surgical Operations, Medical Affairs and Accounting, Office Work and Management, and Engineering and Local Area Network [LAN]) during the construction phase. Using the KJ method pioneered by Kawakita Jiro, the authors attempted to classify these minutes retrospectively. The total number of topics covered was 1, 464, including those discussed by the Steering Committee. For further classification, the number of topics including those counted more than once was 1, 972 (145.3%), excluding those raised by the Steering Committee and those specifically addressed by the Engineering and LAN Working Group (26 topics were counted only once). Among the remaining nine working groups, four topics were discussed with a frequency of more than 19% (counted more than once) in each working group and were common to six or more working groups. The topics identified in this manner concerned information, operation, relations with other departments or sections, and engineering and LAN including security, which may be horizontally positioned between the Steering Committee and each working group, while the conventional customary working groups are organized vertically. Considering the significance of the medical information involved, setting up four committees on the above-mentioned topics appeared to be very useful for developing an EMRS.
名古屋市立大学の論文
2007-02-28

CONSTRUCTION OF AN ELECTRONIC MEDICAL RECORD SYSTEM AT A JAPANESE UNIVERSITY HOSPITAL : THE VAGOYA CITY UNIVERSITY HOSPITAL EXPERIENCE

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