Y Uto

Kagoshima University, Kagosima, Kagoshima, Japan

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Publications (18)3.95 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: 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.
    Studies in health technology and informatics 01/2014; 201:140-4.
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    ABSTRACT: Objective: The purpose of this study was to improve accessibility to nursing care by clarifying the relationship between patient characteristics and the amount of nursing care for the Diagnosis Procedure Combination system (DPC). Method: The subjects included 528 lung cancer patients; 170 gastric cancer patients; and 91 colon cancer patients, who were hospitalized from July 1, 2008, to March 31, 2010, at a university hospital. The patients were categorized into groups according to factors that could affect the amount of nursing care. Next, the relationship between the patient characteristics and the amount of nursing care was analyzed. Then the results from this study were used to classify patient characteristics according to the patient type and the amount nursing care required. Results: The patient characteristics, which affected the amount of nursing care, varied according to each DPC code. The major factors affecting the amount of nursing care were whether the patient had received a surgical (under general anesthetics) treatment or a non-surgical treatment and the level of activities of daily living (ADL) of the hospitalized patients. For those who had received a surgical operation for colon cancer, the patient's age also affected the amount of nursing care. Conclusions: The findings show that the method for the visualization of the amount of nursing care based on the classification of patient characteristics can be implemented into the electronic health record system. This method can then be used as a management tool to assure appropriate distribution of nursing resources.
    Methods of Information in Medicine 09/2013; 52(6). · 1.08 Impact Factor
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    ABSTRACT: 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.
    Studies in health technology and informatics 01/2013; 192:1036.
  • 07/2009; 12(1):65-65.
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    ABSTRACT: 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".
    Studies in health technology and informatics 02/2009; 146:712.
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    ABSTRACT: To develop a data warehouse system for cost analysis, based on the categories of the diagnosis procedure combination (DPC) system, in which medical costs were estimated by DPC category and factors influencing the balance between costs and fees. We developed a data warehouse system for cost analysis using data from the hospital central data warehouse system. The balance data of patients who were discharged from Kagoshima University Hospital from April 2003 to March 2005 were determined in terms of medical procedure, cost per day and patient admission in order to conduct a drill-down analysis. To evaluate this system, we analyzed cash flow by DPC category of patients who were categorized as having malignant tumors and whose DPC category was reevaluated in 2004. The percentages of medical expenses were highest in patients with acute leukemia, non-Hodgkin's lymphoma, and particularly in patients with malignant tumors of the liver and intrahepatic bile duct. Imaging tests degraded the percentages of medical expenses in Kagoshima University Hospital. These results suggested that cost analysis by patient is important for hospital administration in the inclusive evaluation system using a case-mix index such as DPC.
    Methods of Information in Medicine 02/2007; 46(6):679-85. · 1.08 Impact Factor
  • Yumiko Uto, Ichiro Kumamoto
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    ABSTRACT: 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.
    Studies in health technology and informatics 02/2006; 122:372-5.
  • Yumiko Uto, Ichiro Kumamoto
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    ABSTRACT: 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.
    Journal of Medical Systems 05/2005; 29(2):165-77. · 1.78 Impact Factor
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    ABSTRACT: The hospital reengineering based on a hospital information system
    Journal of Information Processing and Management 01/2001; 42(9):746-752.
  • Japan-hospitals: the journal of the Japan Hospital Association 08/1998; 17:37-43.
  • Japan-hospitals: the journal of the Japan Hospital Association 08/1997; 16:69-73.
  • Japan-hospitals: the journal of the Japan Hospital Association 08/1996; 15:43-8.
  • Japan-hospitals: the journal of the Japan Hospital Association 08/1995; 14:39-43.
  • Y Uto, I Kumamoto
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    ABSTRACT: Since September 1992, attempts have been made at Kagoshima University Hospital to develop the Medical Material Distribution Management System which helps to realize optimal hospital management as a subsystem of the Total Hospital Information System of Kagoshima University (THINK). As this system has been established, it has become possible for us to have an accurate grasp of the flow and stock of medical materials at our hospital. Furthermore, since September 1993, the Medical Material Distribution Management System has been improved and the Total Medical Material Distribution Management System has been smoothly introduced into the site of clinical practice. This system enables automatic demands for fees for treatment with specific instruments and materials covered by health insurance. It was difficult to predict the effect of this system, because no similar system had been developed in Japan. However, more satisfactory results than expected have been obtained since its introduction.
    Japan-hospitals: the journal of the Japan Hospital Association 08/1994; 13:59-64.
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    ABSTRACT: An optical disk filing system is an efficient approach to storing medical records; however, this system has not yet been put to practical use because it is usually a "stand-alone" type indirectly connected to a hospital information system. We have developed a medical record management system with an optical disk filing system connected to the host computer in the hospital information system. We can retrieve and display the medical records through the CRT (Cathode Ray Tube) terminals of the hospital information system at every ward and outpatient clinic. The patient's clinical information can be sent to several areas in the hospital using the hospital information system.
    Japan-hospitals: the journal of the Japan Hospital Association 08/1992; 11:49-53.
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    ABSTRACT: We have developed a hospital management system to analyze the large amount of the nursing information using a microcomputer system. In this system, we have combined the information from the patient database and the nursing database in order to evaluate the quality of medical care in the hospital. The utilization of a microcomputer is useful for filing and analyzing it and presenting the results in a variety of formats, including graphic representations.
    Japan-hospitals: the journal of the Japan Hospital Association 08/1992; 11:55-60.
  • I Kumamoto, Y Uto
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    ABSTRACT: At Kagoshima University Hospital, we have been developing the total hospital information system named THINK (total hospital information system of Kagoshima University), using a large-size computer system. In this system, the entry of data is done only once at the point of origin. The mutual use of data is done by various subsystems, and the user interface is uniformity. As a result of the speed, accuracy, and flexibility of the system's software, we have achieved efficient medical services and hospital management by a unified database; furthermore, we have improved medical care to patients and we can use this database for supporting not only medical education but also clinical research.
    Japan-hospitals: the journal of the Japan Hospital Association 07/1991; 10:25-30.
  • I Kumamoto, Y Uto
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    ABSTRACT: We have developed a computerized nursing system including a nursing information system, a nursing administration system and a nursing support system. This on-line nursing system is linked to the total hospital information system. This paper describes the purpose and concept of the system development. The nursing system can be utilized in the individualized planning, delivery and evaluation of patient care.
    Japan-hospitals: the journal of the Japan Hospital Association 07/1991; 10:43-7.

Publication Stats

5 Citations
3.95 Total Impact Points

Institutions

  • 1991–2014
    • Kagoshima University
      • • Department of Medical Information Science
      • • Graduate School of Medical and Dental Sciences
      • • Faculty of Medicine
      Kagosima, Kagoshima, Japan
  • 2013
    • Osaka Prefecture University
      Sakai, Ōsaka, Japan