Hospital End User Computing in Japan How to Use FileMaker Pro with Hospital Information Systems


by

Shunji Wakamiya

DOI: 10.2174/97816080521651120101
eISBN: 978-1-60805-216-5, 2012
ISBN: 978-1-60805-558-6



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Indexed in: Scopus

Organizational computing has been critical to the development of medical informatics. Many end user applications (EUAs), such as FileM...[view complete introduction]

Table of Contents

Foreword

- Pp. i-ii (2)

Michio Kimura

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Preface

- Pp. iii-iv (2)

Shunji Wakamiya, Kazunobu Yamauchi and Hiroyuki Yoshihara

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List of Contributors

- Pp. v-vii (3)

Shunji Wakamiya, Kazunobu Yamauchi and Hiroyuki Yoshihara

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Definition and Classification of End User Computing in This Book

- Pp. 3-5 (3)

Shunji Wakamiya, Kazunobu Yamauchi, Hiroyuki Yoshihara, Tsukasa Tsunoda and Osamu Sato

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Construction of a Clinical Decision Support System

- Pp. 6-24 (19)

Yasuhito Yamamoto

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Bi-Directional Integration Between EMR and FileMaker

- Pp. 25-38 (14)

Shigeru Yoshida

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Document-Oriented Computing-Based System

- Pp. 39-49 (11)

Akira Ohtahara

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Hospital Information System at Osaka National Hospital: Input/Output and Reference System Using FileMaker

- Pp. 50-70 (21)

Atsuhiko Okagaki

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Integration Between Hospital Information Systems and FileMaker Pro

- Pp. 71-78 (8)

Tetsu Nakamura

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Gradual Implementation of Local Medical Information System Within Hospital Using FileMaker Pro®: New Insights on Physician and Clinical Stuff Adaptation

- Pp. 79-88 (10)

Kazutoshi Matsunami

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A Medical Information Management System by Medics, For Medics, Built With Filemaker and Incorporated into the Hospital Information System

- Pp. 89-106 (18)

Shinsuke Hiramatsu

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Small System Suitable For Team Working With Diabetes Mellitus Patients

- Pp. 107-121 (15)

Tatsuhiko Koga and Hiroshi Hara

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Improvement of Workflows in Health Screening For Employees by Making Use of Existing Systems and FileMaker Pro

- Pp. 122-135 (14)

Shunji Wakamiya and Kazunobu Yamauchi

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Merits and Demerits in End User Computing Based Online Incident Reporting Application Made With FileMaker Pro in Comparison With Organized Computing Based Counterpart

- Pp. 136-146 (11)

Shunsuke Hotokezaka

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The World of Software Developed by Medical Staff

- Pp. 147-148 (2)

Shunji Wakamiya, Kazunobu Yamauchi, Hiroyuki Yoshihara, Tsukasa Tsunoda and Osamu Sato

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End User Computing and FileMaker Pro Observed From the Viewpoint of Hospital Information System Management

- Pp. 149-158 (10)

Yoshimune Shiratori

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Index

- Pp. 159-163 (5)

Shunji Wakamiya, Kazunobu Yamauchi and Hiroyuki Yoshihara

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Foreword

The system of Medical information has seen progress. It began with the streamlining of medical accounting, promoting order entries, and then computerizing medical records. All of those innovations have been contributing not only to reducing the wait time but also to improving medical safety, making an end of handwritten requests, preventing patient mix-ups, etc. Now that the contents of medical records are to be also integrated into medical information system, what is going to be required? It is absolutely necessary to support medical care for patients through the promotion of the information sharing of team medicine. The promotion of education and research, early detection of side-effects, and the creation of clinical evidence, as well as guidelines, will be also required.

In order to satisfy those requirements, vast amounts of data of Organized Computing - a hospital information system which contributes to medical management - is essential, End User Computing – a tool that can easily exteriorize users’ effective ideas – is suitable for the application and analysis of the data. When we combine these two factors, we are confronted with the following three issues:

  • The Hospital information system has yet to standardize its data output format,
  • To realize a secure connection between the former that aims to be isolated from the Internet and the latter that requires the use of the Internet,
  • How to generate documentation for the latter in the case where it is incorporated into medical treatment.


With regard to the first issue, as the Ministry of Health, Labor, and Welfare set eight standards in March, 2010, it is expected that each medical information system will be equipped with standard information output function. In terms of the second and the third issues, the previous similar books have gone no further than noting their convenience and flexibility, and this is the first book that has successfully referred to those issues.

I sincerely hope that this book will help the readers contribute to further promoting medical science and medical care in research and educational processes, and that this will also help improve the readers’ medical operating environment such as preparation of documents and reports.

Michio Kimura, MD, PhD
Medical Information Department
Hamamatsu University, School of Medicine
Japan Association for Medical Informatics (JAMI), Director General
Japan


Preface

This book is intended for readers who wish to efficiently improve the environment of medical treatment and care, such as staff engaged in medical clinics or hospitals, and vendors targeting medical information systems. Medical information systems are generally introduced to medical facilities by vendors who fulfill the functional criteria of medical information systems when each facility develops and introduces these systems. However, many medical staffs with experience of using medical information systems may feel that such systems developed by vendors do not always provide a good working environment for medical staff. Therefore, medical facilities cannot always make the huge investments necessary to construct medical information systems implementing all of the functions requested by medical staff. This book discusses ways of addressing these issues. Although, there have been many reports regarding computerization within hospital departments or personal work, there have been a few reports in the English literature concerning end user computing as a method of computerization implemented in the whole hospital. End user computing has been widely adopted in the field of medical treatment and care in Japan, but it has not been adopted around the world as there have been few reports in English. The main purpose of this book is to share our experiences regarding end user applications with workers outside Japan. Medical information systems have developed from receipt processing systems to electronic medical records through order entry systems since the 1970s, and are now shifting toward electronic health records. These systems have been introduced at various facilities by organizational computing. In contrast to the flow of such organizational computing, many applications supporting medical workflow by end user computing have recently been reported in Japan. FileMaker Pro is a common tool in end user computing, especially in Japan, and can be used in the whole hospital, between or among departments, for individual departments, and for individuals within an organization. Some end user application systems cooperate with hospital information systems, and some such systems have been developed and introduced by end users. Therefore, we selected end user application systems in Japan and focused in this book on how to use FileMaker Pro with hospital information systems. This book will provide new viewpoints regarding future hospital information systems and will offer advice to achieve cooperation between end user applications and hospital information systems, how end user applications are implemented, and the most important points in the development of medical information systems that give priority to the effectiveness of medical workflows or collection of medical data.

Shunji Wakamiya
Department of Ophthalmology
Kawasaki Medical School
Japan

Kazunobu Yamauchi
Faculty of Medical Information & Management Science
School of Health Sciences, Fujita Health University
Japan

Hiroyuki Yoshihara
Department of Medical Informatics
Graduate School of Medicine Kyoto University
Japan

List of Contributors

Editor(s):
Shunji Wakamiya
Kawasaki Medical School
Japan




Co-Editor(s):
Kazunobu Yamauchi
Fujita Health University
Japan


Hiroyuki Yoshihara
Kyoto University
Japan




Contributor(s):
Akira Ohtahara
Division of Cardiology
San-in Rosai Hospital
1-8-1 Kaike-Shinden, Yonago
Tottori
Japan


Atsuhiko Okagaki
Department of Gynecology
Osaka National Hospital
2-1-14 Hoenzaka, Chuo-Ku
Osaka
Japan


Hiroshi Hara
Department of Internal Medicine
Haradoi Hospital
6-40-8 Aoba, Higashi-Ku
Fukuoka
Japan


Hiroyuki Yoshihara
Department of Medical Informatics
Graduate School of Medicine Kyoto University
Yoshida-Konoe, Sakyo-Ku
Kyoto
Japan


Kazutoshi Matsunami
Department of Gynecology
Matsunami General Hospital
185-1 Tashiro, Kasamatsu, Hashima-Gun
Gifu
Japan


Osamu Sato
Department of Business Administration
Tokyo Keizai University
1-7-34 Minami-Machi, Kokubunji
Tokyo
Japan


Shinsuke Hiramatsu
Department of Obstetrics and Gynecology
Nippon Steel Hirohata Hospital
3-1 Yumesaki, Hirohata-Ku, Himeji
Hyogo
Japan


Shigeru Yoshida
Medical IT Center
Nagoya University Hospital
65 Tsurumai, Showa-Ku, Nagoya
Aichi
Japan


Shunji Wakamiya
Department of Ophthalmology
Kawasaki Medical School
577 Matsushima, Kurashiki
Okamaya
Japan


Shunsuke Hotokezaka
Department of Orthopedics
Saga Prefectural Hospital Koseikan
1-12-9 Mizugae
Saga
Japan


Tatsuhiko Koga
Department of Internal Medicine
Haradoi Hospital
6-40-8 Aoba, Higashi-Ku
Fukuoka
Japan


Tetsu Nakamura
Department of Radiology
Kakogawa East City Hospital
797-295 Isshiki, Hiraoka, Kakogawa
Hyogo
Japan


Tsukasa Tsunoda
Kawasaki Medical School Hospital
577 Matsushima, Kurashiki
Okamaya
Japan


Yasuhito Yamamoto
Department of Pediatrics
Tokyo Metropolitan Hiroo General Hospital
2-34-10 Ebisu, Shibuya-Ku
Tokyo
Japan


Yosimune Shiratori
Medical Information Department
Gifu University Hospital
1-1 Yanagido, Gifu
Tottori
Japan




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