Publications by authors named "Yumiko Uto"

8 Publications

  • Page 1 of 1

Secondary use of hospital information system data for safe bedside radiography in terms of patient factors.

Health Inf Manag 2019 Jan 23;48(1):24-32. Epub 2018 Jan 23.

2 Department of Medical Information Sciences, Graduate School of Medical and Dental Sciences, Kagoshima University, Japan.

Objective:: The purpose of this study was to use patient data gathered by a hospital information system (HIS) to improve the safe performance of bedside radiography.

Method:: Hierarchical cluster analysis was used to investigate the factors of hospitalised patients who had undergone radiography in the X-ray room or at the bedside. Logistic regression analysis was then performed to quantify patient factors and calculate the probability of undergoing general radiography or bedside radiography.

Results:: Patients were grouped into six clusters by hierarchical cluster analysis on the basis of their factors. We found a remarkable difference between clusters for the ratio of bedside radiography. Results indicated that "types of transportation" and "level of mobility" related to the ratio of bedside radiography. Logistic regression analysis of the associations between the probability of undergoing bedside radiography and patient factors indicated that type of transportation and level of mobility were highly correlated with bedside radiography or general radiography.

Conclusion:: Our results suggested that the secondary use of HIS data for the quantitative evaluation of patient factors and implementation of those quantitative values in medical records may be useful for the safe performance of bedside radiography as well as providing a method of decision support for doctors to order bedside radiography.
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http://dx.doi.org/10.1177/1833358317749162DOI Listing
January 2019

Development of an electronic instruction system to promote multidisciplinary teams.

Stud Health Technol Inform 2014 ;201:140-4

Dept. of Medical Information Sciences Graduate School of Medical and Dental Sciences, Kagoshima University.

While the provision of medical care incorporating safety measures, etc. that can earn the trust of the people, patients in particular, is required, the content of instruction is diverse, complex and rapidly increasing in volume along with the sophistication and specialization of medical care. However, until now, the development of electronic instruction systems has lagged behind in the development of HIS. All instructions must be linked to orders and the input of the implementation of instructions in the electronic instruction system incorporated into medical accounting. The system must aim at integrating physician and nursing records and be of a specification that can ensure reliability and efficiency. We report on the efforts at Kagoshima University Hospital to systematize instruction in order to promote multidisciplinary teams.
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June 2015

Development of the electronic patient record system based on problem oriented system.

Stud Health Technol Inform 2013 ;192:1036

Department of Medical Informatics, Graduate School of Medical and Dental Sciences, Kagoshima University.

In Japan, POS (problem oriented system) is recommended in the clinical guideline. Therefore, the records are mainly made by SOAP. We developed a system mainly with a function which enabled our staff members of all kinds of professions including doctors to enter the patients' clinical information as an identical record, regardless if they were outpatients or inpatients, and to observe the contents chronologically. This electric patient record system is called "e-kanja recording system". On this system, all staff members in the medical team can now share the same information. Moreover, the contents can be reviewed by colleagues; the quality of records has been improved as it is evaluated by the others.
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April 2015

[Image examination of malignant tumors in lungs observed on the basis of cost analysis using diagnosis procedure combination data].

Nihon Hoshasen Gijutsu Gakkai Zasshi 2010 Feb;66(2):137-43

Kagoshima Medical Technology College.

Recently, the environment of medical treatment in our country has become more strict. The purpose of this study is to find changes in the implementation of diagnostic imaging from the point of view of cost analysis, through the use of diagnosis procedure combination (DPC) data. The patient data has been extracted from the DPC data. We compared patients (n=693) in terms of their daily income, cost, and image examination cost ratio for malignant tumors in lungs. The results of this study indicated the ratio of the image examination cost of 040040xx99100x was 25.2% in the old grading sheet. The ratio of the image examination cost increased 42.4% in the new grading sheet. The implementation of diagnostic imaging was able to be made visible simply by analyzing the cost. We found one of the methodologies that connected the improvement of that standard treatment with the examination of each DPC.
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http://dx.doi.org/10.6009/jjrt.66.137DOI Listing
February 2010

The development of the nursing action master file.

Stud Health Technol Inform 2009 ;146:771

International University of Health and Welfare, Tochigi, Japan.

The nursing action master was developed through collecting terms used by the nurses. The nursing action terms were classified in 2 of the basics and specialty. The nursing action master consists of four hierarchical structures. Serial numbers and ID are set in every hierarchy. It started from 2006 to supply the master and it is revised every year. The number of the publication records is 1,053 basic nursing practice standard terms.
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October 2009

Examination of nursing dependency for admission fee and measurement of nurses' work load for nursing care.

Stud Health Technol Inform 2009 ;146:712

Dept. of Medical Information Sciences, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.

In April 2006, a system called seven-to-one nursing system was newly introduced in acute medicine which requires intense nursing care. In April 2008, a survey was conducted using "Assessment Sheet regarding Severity of Disease / Degree of Necessity of Nursing Care at General Wards", and obligation was established to fulfill certain requirements in medical institutions which collect the basic admission charge for the seven-to-one system. This survey is not a tool developed to investigate the amount of care required for patients but to measure the standard for the facility level. We report the findings from the comparisons of survey results for the amount of care provided to individual patients according to "The Classification of Degree of Nursing Care, Kagoshima University Edition".
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October 2009

Study on weighting of amount of nursing care using data on index of patient's need for nursing.

Stud Health Technol Inform 2006 ;122:372-5

Department of Community Health Nursing & Nursing Informatics Faculty of Medicine, Kagoshima University, Japan.

We have creatively categorized the classification of index of patient's need for nursing to collect ever-objective data on the index of patient's need for nursing and utilized it as an indicator to evaluate the amount of nursing care necessary for patients. We also weighted the index of patient's need for nursing and categorized it into categories A, B and C based on the accumulated data on the index of patient's need for nursing, and calculated the cost of nursing care by adding the nurse salary data to the weighting. Moreover, we developed a system in which measurement of amount of nursing care based on the data on the index of patient's need for nursing and calculation of nursing care cost could be done by utilizing the hospital Data Warehouse.
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December 2006

Study on weighting of amount of nursing care using data on index of patient's need for nursing and system approach.

J Med Syst 2005 Apr;29(2):165-77

Department of Community Health Nursing and Nursing Informatics, Faculty of Medicine, Kagoshima University, Sakuragaoka, Kagoshima, Japan.

The importance of appropriate staffing of nurses has been emphasized and optimal provision of nursing care has increased in order to improve the quality of nursing service. Since the introduction of the nursing information system in 1987, we have creatively categorized the classification of index of patient's need for nursing to collect ever-objective data on the index of patient's need for nursing and utilized it as an indicator to evaluate the amount of nursing care necessary for patients. We also weighted the index of patient's need for nursing and categorized it into categories A, B, and C based on the accumulated data on the index of patient's need for nursing, and calculated the cost of nursing care by adding the nurse salary data to the weighting. In addition, we developed a system in which measurement of amount of nursing care based on the data on the index of patient's need for nursing and calculation of nursing care cost could be done by utilizing the hospital Data Warehouse (DWH) and adopted a system approach that could contribute to improvement in patient service and make hospital management better.
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http://dx.doi.org/10.1007/s10916-005-3004-8DOI Listing
April 2005