TY - GEN
T1 - Nursing record innovations aimed at harmonizing structured clinical knowledge among doctors and nurses
AU - Tsuru, Satoko
AU - Tamamoto, Tetsuro
AU - Furuya, Hitoshi
AU - Nakao, Akihiro
AU - Fukuyama, Mari
AU - Tanizaki, Kouichi
AU - Yahagi, Naohisa
N1 - Funding Information:
We are deeply grateful for the collaboration of the project members and organizations. This work was supported by JSPS KAKENHI (Grant-in-Aid for Scientific Research) No. 17H01608.
Publisher Copyright:
© 2020 European Federation for Medical Informatics (EFMI) and IOS Press.
PY - 2020/6/16
Y1 - 2020/6/16
N2 - Hospitalization expenses account for a high proportion of national medical care expenditure in Japan. In 2015, the total national medical care expenditure in Japan was 42.4 trillion yen, and hospitalization expenses were 15.6 trillion yen (36.8%). Therefore, it is necessary to reduce hospitalization expenses. The labor cost of physicians and nurses accounted for about 1/3rd of all expenditure of general hospitals in 2015. Moreover, the personnel cost of nurses accounted for about 1/5th of all expenditure, indicating that it has a marked impact on hospital management. Nurses spend a lot of time completing descriptive records; however, the quality of such records is poor. It is necessary to improve nurse's records to make them highly accessible and reduce the amount of time nurses spend producing records. The objective of this study was to improve the processes underlying record-keeping by nurses in order to harmonize structured clinical knowledge among doctors and nurses. We created 778 Patient Condition Adaptive Path System (PCAPS) items, covering all of the clinical departments that were registered for the PCAPS content master. The resultant masters will be standardized by sharing them with hospitals that adopt the “Team Compass” application. We were able to summarize all of the information in clinical progress sheets because we could link the information described in electronic medical records with that described in Team Compass. Therefore, it became easy to collect information by linking information about clinical orders. The system also made it possible for foundational nursing plans to be created in collaboration with doctors instead of being developed by nurses alone because it allowed information regarding patients' problems, the clinical process, and observation selection to be shared smoothly with doctors. We implemented Team Compass in May 2019. On the first day, PCAPS-based care pathways were used to treat 580 of 623 inpatients. Approximately 4,000 patients were treated using this system from May to August 2019. No major problems have arisen since the implementation of Team Compass.
AB - Hospitalization expenses account for a high proportion of national medical care expenditure in Japan. In 2015, the total national medical care expenditure in Japan was 42.4 trillion yen, and hospitalization expenses were 15.6 trillion yen (36.8%). Therefore, it is necessary to reduce hospitalization expenses. The labor cost of physicians and nurses accounted for about 1/3rd of all expenditure of general hospitals in 2015. Moreover, the personnel cost of nurses accounted for about 1/5th of all expenditure, indicating that it has a marked impact on hospital management. Nurses spend a lot of time completing descriptive records; however, the quality of such records is poor. It is necessary to improve nurse's records to make them highly accessible and reduce the amount of time nurses spend producing records. The objective of this study was to improve the processes underlying record-keeping by nurses in order to harmonize structured clinical knowledge among doctors and nurses. We created 778 Patient Condition Adaptive Path System (PCAPS) items, covering all of the clinical departments that were registered for the PCAPS content master. The resultant masters will be standardized by sharing them with hospitals that adopt the “Team Compass” application. We were able to summarize all of the information in clinical progress sheets because we could link the information described in electronic medical records with that described in Team Compass. Therefore, it became easy to collect information by linking information about clinical orders. The system also made it possible for foundational nursing plans to be created in collaboration with doctors instead of being developed by nurses alone because it allowed information regarding patients' problems, the clinical process, and observation selection to be shared smoothly with doctors. We implemented Team Compass in May 2019. On the first day, PCAPS-based care pathways were used to treat 580 of 623 inpatients. Approximately 4,000 patients were treated using this system from May to August 2019. No major problems have arisen since the implementation of Team Compass.
KW - Digitalization
KW - Healthcare
KW - Quality management
KW - Structured clinical knowledge
UR - http://www.scopus.com/inward/record.url?scp=85086945484&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85086945484&partnerID=8YFLogxK
U2 - 10.3233/SHTI200238
DO - 10.3233/SHTI200238
M3 - Conference contribution
C2 - 32570461
AN - SCOPUS:85086945484
T3 - Studies in Health Technology and Informatics
SP - 638
EP - 642
BT - Digital Personalized Health and Medicine - Proceedings of MIE 2020
A2 - Pape-Haugaard, Louise B.
A2 - Lovis, Christian
A2 - Madsen, Inge Cort
A2 - Weber, Patrick
A2 - Nielsen, Per Hostrup
A2 - Scott, Philip
PB - IOS Press
T2 - 30th Medical Informatics Europe Conference, MIE 2020
Y2 - 28 April 2020 through 1 May 2020
ER -