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IS E-HEALTHCARE CHART CONTRIBUTORY TO PATIENT
SAFETY?
Kiyomu Ishikawa, Takeshi Tanaka, Minoru Ikeuchi and Hidehiko Tsukuma
Department of Healthcare Informatics and Hospital Systems Management,
Hiroshima University Hospital, Hiroshima, Japan
Keywords: E-Healthcare Chart, Questionnaire Survey, Medical safety, Provision of training opportunities.
Abstract: Toward 503 hospitals evaluated by Japan Council Health Care (JCHC), the questionnaire survey was
conducted and analysed according to 2 groups of pre-2005 and post-2006 system introduction. As the result,
it was found that despite with the annual improvement in the e-healthcare chart system function, both
information system and users’ operation were insufficient with concern of medical accidents: About sixty
per cent of the hospitals have experienced information-system-related harmful incidents. Among the
hospitals that implemented information security education of health information system, 60% had triggered
harmful incidents, and preavoid experience. In contrast, 40% of hospitals without information security
education had triggering experience. We found preavoid experiences in 70% of those reported no preavoid
experiences. There is a possibility that the organizational development for information literacy raises the
consciousness of users towards harmful incidents through the accumulation of information on such
incidents.
1 AIM
E-healthcare Chart or EHR has been developed as
the key medium to support individual lives by
means of multi-occupational networking. Today, it
could be the core tool in team healthcare process.
While, according to the survey of 273 public and
national hospitals (together 144,019 beds) from
January to June, 2009, 172 facilities reported fatal
medical accidents (JCQHC). Here, based on “The
survey of the development and issues on the
computerization of medical process” of the hospitals
included in the study, the experience rates of
harmful incidents are compared with the provision
of training opportunities.
2 METHOD
The internet-based questionnaire survey was
conducted from July to August, 2009, and 1488
target hospitals which had been authorized to meet
the functional criteria by Japan Council for Quality
Health Care (JCQHC) were asked to fill in the forms
with both multiple choice and open questions.
The focus was “the relation between the
occurrence of harmful incidents or prevention
experience, management organization and training
system.”
The following topics were analyzed.
a. The introduction status of a health care
information system
b. The status of the education of the hospital
personnel for the use of the healthcare
information system
c. Is healthcare chart monitored to check the
risk of harmful incidents?
In Japan, the Ministry of Health, Labor and
Welfare enacted “the guidelines for safety
management of health information systems” (Japan
Ministry of Health, Labour and Welfare in 2005. In
order to find the effects of the guideline
enforcement, the target hospitals were classified into
2 groups, one that included hospitals with systems
introduced before 2005, and the other with hospitals
that introduced the system later.
3 RESULT
3.1 The Introduction Status of Heath
Information System
Answers were received from 503 hospitals (33.8%).
430
Ishikawa K., Tanaka T., Ikeuchi M. and Tsukuma H..
IS E-HEALTHCARE CHART CONTRIBUTORY TO PATIENT SAFETY?.
DOI: 10.5220/0003846904300433
In Proceedings of the International Conference on Health Informatics (HEALTHINF-2012), pages 430-433
ISBN: 978-989-8425-88-1
Copyright
c
2012 SCITEPRESS (Science and Technology Publications, Lda.)