Prospects of Hospital Information Systems and Patient Safety in Japan
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Objectives: Approximately 20 years have passed since hospital information systems (HISs) featuring full-scale electronicmedical records were first implemented in Japan. Patient safety is one of the most important of the several “safety” roles thatHISs are expected to fulfill. However, insufficient research has analyzed the contribution of HISs to patient safety. This paperreviews the history of HISs in connection with patient safety in Japan and discusses the future of the patient safety function ofHISs in a favorable environment for digitization. Methods: A review on the history of HISs with functions that contribute topatient safety was conducted, analyzing evidence from reports published by the Japanese government and papers on patientsafety and HISs published in various countries. Results: Patient safety has become a concern, and initiatives to promote patientsafety have progressed simultaneously with the spread of HISs. To address the problem of patient safety, most large hospitalsprioritize patients’ welfare when building HISs. However, no HIS-associated reduction in adverse events due to medicaltreatment could be confirmed. Conclusions: HISs are expected to help prevent medical accidents, such as patient- and drugrelatederrors. It is hoped that the patient safety functions of HISs will become generalized and contribute to patient safety inthe future. To achieve this, the government and academic societies should provide regulations and guidelines on HISs andpatient safety to the medical community and medical-device vendors. Furthermore, departments responsible for HISs andpatient safety should collaborate to gather evidence for the effectiveness of HISs.
Abstract
Objectives: Approximately 20 years have passed since hospital information systems (HISs) featuring full-scale electronicmedical records were first implemented in Japan. Patient safety is one of the most important of the several “safety” roles thatHISs are expected to fulfill. However, insufficient research has analyzed the contribution of HISs to patient safety. This paperreviews the history of HISs in connection with patient safety in Japan and discusses the future of the patient safety function ofHISs in a favorable environment for digitization. Methods: A review on the history of HISs with functions that contribute topatient safety was conducted, analyzing evidence from reports published by the Japanese government and papers on patientsafety and HISs published in various countries. Results: Patient safety has become a concern, and initiatives to promote patientsafety have progressed simultaneously with the spread of HISs. To address the problem of patient safety, most large hospitalsprioritize patients’ welfare when building HISs. However, no HIS-associated reduction in adverse events due to medicaltreatment could be confirmed. Conclusions: HISs are expected to help prevent medical accidents, such as patient- and drugrelatederrors. It is hoped that the patient safety functions of HISs will become generalized and contribute to patient safety inthe future. To achieve this, the government and academic societies should provide regulations and guidelines on HISs andpatient safety to the medical community and medical-device vendors. Furthermore, departments responsible for HISs andpatient safety should collaborate to gather evidence for the effectiveness of HISs.
참고문헌 (30)
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