Reduction of overwork time of nurses by innovation of nursing records using structured clinical knowledge

Satoko Tsuru, Akihiro Nakao, Naohisa Yahagi, Kouichi Tanizaki, Kumiko Sudo, Shizuka Morimatsu, Tomomi Takaki, Nobuko Takakusaki, Tomoko Higashi, Keiko Nakashigeg, Miyuki Takahashi

研究成果: Conference contribution

2 被引用数 (Scopus)

抄録

Hospitalization expenses account for a high rate of national medical care expenditure in Japan. The Japanese national medical care expenditure was 42 trillion 364.4 billion yen in 2015, in which hospitalization expenses were 15 trillion 575.2 billion yen (36. 8%). Therefore, it is necessary to take measures to reduce hospitalization expenses. The total ratio of the labor cost of physicians and nurses accounted for about 1/3 of all expenditures of general hospitals in 2015. Moreover, the personnel cost of nurses accounted for about 1/5 of all expenditure, showing that the personnel cost of nurses is an element with a large influence on hospital management. The objective of this study was to develop a methodology to reduce the overtime work of nurses accounting for a large rate of personnel expenses by focusing on overtime work, a personnel expense-increasing factor, aiming at hospital cost reduction. First, the cause of overtime work, planning, and recording by nurses were analyzed and an IT application increasing the quality and efficiency of the work was developed. Then, fees for the use and maintenance of the IT system meeting the following conditions were set as a strategy to introduce the system: (1) 50% reduction of the overtime work of nurses and (2) fees 50% or lower than the reduced payment for overtime work. This IT application was introduced to the heads and directors of nursing of 5 hospitals and the strategy was proposed. All heads and directors highly evaluated the system and responded to initiate the process for the introduction. It was suggested that the methodology to reduce the overtime work of nurses proposed by this study is useful and feasible.

本文言語English
ホスト出版物のタイトルMEDINFO 2019
ホスト出版物のサブタイトルHealth and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics
編集者Brigitte Seroussi, Lucila Ohno-Machado, Lucila Ohno-Machado, Brigitte Seroussi
出版社IOS Press
ページ1061-1064
ページ数4
ISBN(電子版)9781643680026
DOI
出版ステータスPublished - 2019 8 21
外部発表はい
イベント17th World Congress on Medical and Health Informatics, MEDINFO 2019 - Lyon, France
継続期間: 2019 8 252019 8 30

出版物シリーズ

名前Studies in Health Technology and Informatics
264
ISSN(印刷版)0926-9630
ISSN(電子版)1879-8365

Conference

Conference17th World Congress on Medical and Health Informatics, MEDINFO 2019
国/地域France
CityLyon
Period19/8/2519/8/30

ASJC Scopus subject areas

  • 生体医工学
  • 健康情報学
  • 健康情報管理

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