1.The Changes of Duties after the Introduction of Electronic Chart System and Its Usefulness
Naoya TAJITSU ; Takeshi YOKOI ; Takahiro TAKEI ; Hiroaki YAMADA ; Kousuke SYUNO ; Norimichi KATAYAMA ; Kuniyoshi HAMADA ; Yoshikazu YAMAMOTO
Journal of the Japanese Association of Rural Medicine 2006;55(1):7-17
Anjo Kosei General Hospital is a large-scale hospital having 692 beds and located in the central part of Aichi. When the hospital moved into the present adress in April 2002, we introduced an electronic chart system that was not common in Japan at that time. Hospital management changed dramatically because until then we were using exclusively papers, and had not possessed even an electronic ordering system. It was also true in the field of medical office work. We hereby report the changes in routines after the introduction of the electronic chart system and its usefulness.The characteristics of our medical work system are as follows.(1)Data refrieval function (Data Ware House)(2)Credit control system(3)Receipt imaging functionWe are evaluating the various effects of the system from seven points of view as follows.(1)Basic data of medical care(2)Staff placement and personnel expenses(3)Work accuracy and efficiency(4)Patients service(5)Storage space reduction(6)Paper reduction(7)In-house questionnaire survey
Work
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Hospitals
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chart
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System
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Reduction (chemical)
2.Attempts at Activating Nursing Care Workers' Conference
Miyuki KOBAYASHI ; Kyoko NAKAZAWA
Journal of the Japanese Association of Rural Medicine 2006;55(4):408-411
To nurses who are doing the actual hands-on work on shifts, the daily conference is indispensable for sharing information among them, working as a united body and addressing the problems of patients accurately. Up until some years ago, however, the conference in our ward had been somehow devoid of continuity and substance. So, by the use of a crosswise chart (a radar chart?), analyses were made to find out what was wrong and what the staff thought about the conference, and an effective approach to making the conference fruitful was sough. A new set of rules were laid down, which resulted in helping the conference become animated. A check of nurses' logs showed a great deal of improvement in terms of the inspector's scores.
Conferences
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chart
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Care given by nurses
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workforce
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seconds