Development and Implementation of Bed-Side Network Computer for ...

Development and Implementation of Bed-Side Network Computer for Providing Various Information to Inpatients Seiko Takamatsu'", Kengo MiyoU[l, Seiichi Hujisaki°°, Toshiaki Amakasu°°J, Kazuhiro Takei°", Tetsuya Igarashi°°E, Daisuke Koide°°, Yuzo Onogi°°, Kazuhiko Ohe°° ] EDepartment of Medical Informatics, Graduate School of Medicine, University of Tokyo, 0 []University of Tokyo Hospital, 0 lInformation Technology Engineering Group, IT Solutions Department, Kajima Corporation, ] EDepartment of Health Service Management, School of Health and Welfare, International University of Health and Welfare, [J(Hospital Computer Center, University of Tokyo Hospital

health management (3), nutrition (0), medicine (3) We plan to add contents in the future. And also we have prepared questionnaires via intranet. Furthermore, inpatients can enjoy various WWW site on the Internet through this terminal. We wrote clearly that for the progressive improvement of the service, we gathered the terminal peculiar number and the access place list.

Abstract To improve quality of life of inpatients, we have developed and implemented a bed-side network computer system for inpatients in the University of Tokyo Hospital. Using this system, inpatients can access various information related to hospital equipment, services and procedures of various medical examinations when they are in bed. Furthermore, inpatients can enjoy various WWW site on the Internet through this terminal. In the future, we will add more information, for example, patients' clinical data and also knowledge about various medical treatments to help inpatients decide what treatment they really want.

Results We started this system at September 22nd, 2001. As for intranet, about 100 inpatients used this system per week at the moment. The information which has been seen most is hospital's other service such as the kiosk, the post bureau, ATM, and so on. As for the Internet, 30-20 inpatients used this system per week at the moment

Introduction In recent years, patients wish to be involved in treatment decisions more strongly than ever. So it is important for hospitals to provide as much information as possible to patients. It is often said that when medical stuffs do a good job of providing various information such as medical treatment, therapy and diseases to patients, decision aides such as computers or the Internet are more than handouts0. So we have developed and implemented a bed-side network computer system for inpatients at the University of Tokyo Hospital's new ward with 1048 beds.

Discussion With this system, inpatients became able to acquire various information freely while they were in the bed. When conparing to handouts we used so far, this system has some advantage. First, the renewal of the information is easy. Second, computer based information system can easily accompany personalized medical information with general information. Third, computer based information system has fine reference, so patients can easily find out information which they want. Forth, we can know patients' information needs using the access log of this system. It makes clear that what information we should provide to patients.

Methods We adopt exclusive termiinals which connect patients' TV to the Internet (iBOX-20: Japan Computer Corp.). They are small enough to be embedded inpatients' TV rack. And we have developed a new system which can manage a different charge system, so patients can utilize many service, including watching TV, using intranet or the Internet, washing machine, shopping at hospital's kiosks and so on using the same IC cards. The IC card has password registration when renting and also once recognized by an iBOX-2 can't be recognized in other iBOX-2 to prevent loss of it. We provided 9 main headings (news from the hospital, the guidance of the hospital, the hospital's equipment, medical information, the hospital's official home page, the questionnaire, the Internet, the hospital's other service (the kiosk, the post bureau, ATM, and so on), how to use this system ). As for medical information, we have prepared contents such as the examination ( 22: the number of the items is in () ), treatnent (4), knowledge of disease(3),

AMIA 2002 Annual Symposium Proceedings

Conclusion We have developed and inplemented a bed-side network computer system for inpatients. Next, we plan to provide animation pictures such as educational videos to help patients understand their diseases or personalized medical information such as blood tests and endoscopic imaging to promote the spread of informed consent to patients.

References 1. Deyo, R. A key medical decision maker: the patient: New decision making aids should help patients make the decisions. BMJ. vol323(731 1); 466-7. 2001. 2. hb://infoJcc.coJ12/ibox2/

1176