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Voice of Users

Nurse assistance system

Customer : Panasonic Health Insurance Association Matsushita Memorial Hospital

Access the nurse assistance system using a TOUGBOOK CF-H1 from your hospital bedside. Uniform management complete with images.

Saving the lives and protecting the health of those residing in the northern part of Osaka, Matsushita Memorial Hospital is located in the Osaka commuter town of Moriguchi. In 2009, a complete switch from the paper-based medical charts used up to that time was made to “electronic charts”. That was when the Toughbook CF-H1, a mobile PC designed for the healthcare industry, was introduced. This enabled things such as the vital signs and drug dosages of patients to be safely and efficiently recorded and referenced, which greatly increased the quality of nursing care.

Actively promoting the latest in advanced medical care for the health and lives of those in outlying areas

Hospital director: Dr.Tetsuro Yamane

Hospital director: Dr.Tetsuro Yamane
“We strive to provide medical care based on attentive listening to the patient and knowing that the patient feels that his or her request is being fulfilled.”

Matsushita Memorial Hospital stands in a leafy suburban residential neighborhood in the city of Moriguchi. As a general hospital geared toward acute-phase treatment, it works in cooperation with other medical institutions while providing medical care that really takes into account the situation of each and every patient.
Dr. Yamane, the Hospital Director puts it this way: “I aim to make this a hospital where patients can be truly satisfied with the best of Japanese hospitality. I aim to provide legendary service that will lead people to say, ‘I’m sure glad I was treated at Matsushita Memorial Hospital’”.
Since there are no governmental hospitals in the three cities of Moriguchi, Kadoma, and Neyagawa, it can be said that the role this hospital takes on in this area is huge. In 2006, the 7-patient-to-1-nurse standard was implemented and in 2009, electronic charts were introduced. Taking a lead in advanced medical treatments and through such achievements as being designated “a base hospital in Osaka Prefecture for the treatment of cancer”, this hospital has earned the trust of citizens living in the area.

The decision to introduce these computers was easy. This was the only model equipped with everything needed for medical care facilities

Assistant director and nursing department head manager: Fumiyo Sakai

Assistant director and nursing department head manager: Fumiyo Sakai
“It’s great that with this single machine we can accomplish everything from the recording of vital signs and drug administration to the taking of patient photos and the referencing of all sorts of image data.”

Accounting department manager: Shinji Katoh

Accounting department manager: Shinji Katoh
“Other companies did not offer anything that compares to the functions and performance of the Toughbook CF-H1, a computer specifically designed for the medical environment.”

In 2009, electronic charts were fully implemented at the Matsushita Memorial Hospital and the nursing assistance system was completely renewed. Deployment of the Toughbook CF-H1 mobile PC for the healthcare industry reformed the healthcare environment at the hospital. Up until this time, PDAs were used. These terminals were carried around by nurses in the inpatient ward and, being limited in functionality, they did not have a reputation for increasing efficiency.
“The system was not integrated with the electronic charts and they could not handle images. The only thing they could do is record numerical data for vital signs and be used for confirmation of drug doses. Furthermore, after inputting information in the patient’s room, the data could not be linked until it was connected to a PC located at the nurse station. Dead batteries also gave us much anguish.” This is how Ms. Sakai, the Assistant Director, recalls the pain of using PDAs.
It was at that time that I came to know of the CF-H1 Toughbook, a tablet style mobile PC specifically designed for healthcare. Accounting department manager Mr. Katoh said he was surprised when he first saw it during the development stage.
“It’s packed with features in a compact body. It even has a barcode reader, camera, and Bluetooth. No other computer is as specialized for the medical environment as this one. Actually, in the past I used to use a Toughbook in my job so I already knew how durable and resistant to water they are. As a descendent in the Toughbook family that has been designed for healthcare, I can place full confidence in this terminal.” (Mr. Katoh, manager)
“In a nursing environment, great care is taken in hygiene control. Dust collects in keyboard terminals and cleanliness cannot be maintained. In this regard, the CF-H1 has no large gaps or protrusions and being able to wipe it with disinfecting alcohol or hypochlorous acid is a real plus. It is really comfortable to use and we no longer have to worry about the batteries running out.” (Ms. Sakai, Assistant Director)

The CF-H1 can be kept in a sanitary condition by wiping it completely with disinfecting alcohol or hypochlorous acid.

The CF-H1 can be kept in a sanitary condition by wiping it completely with disinfecting alcohol or hypochlorous acid.

Taking advantage of the CF-H1 characteristics to make it even more suited to patient care

At a nursing station a keyboard is connected to a cradle. This enables the quick entry of lengthy written records.

At a nursing station a keyboard is connected to a cradle. This enables the quick entry of lengthy written records.

CF-H1 being recharged at a nurse station.

CF-H1 being recharged at a nurse station.

Currently, at Matsushita Memorial Hospital, a total of 60 CF-H1 Toughbook PCs have been introduced to the ICU, HCU and kidney care, nutritional guidance and other sections mainly in the inpatient ward (as of June, 2009).
“For young nurses brought up in an era of video games and mobile phones, there was absolutely no problem accepting this new technology. Even older nurses were able to get used to operating them quickly and there was not a single person who got left behind in their job.” (Ms. Sakai, Assistant Director)
In patient rooms, she said that pen input was an advantage.
“When inputting using a laptop, we had to get patients to roll over to face the wagon and our line of site would be diverted from them. With the CF-H1, we can do pen input while looking at the patient and having a conversation. There is no stress on the patient who can view information on the screen without having to move when laying or sitting on the bed.” (Ms. Sakai, Assistant Director)
Unexpectedly, we learned that nurses found that being able to use a keyboard after docking the PC into a cradle particularly convenient.
“Being able to input using a keyboard, it became clearly apparent that the amount of information nurses recorded had increased. This is very beneficial because detailed records can be kept." (Ms. Sakai, Assistant Director)
Since the main system can be accessed from the bedside in the same way it can be accessed from the nurse station, all patient information can be referenced and not just the “record” and “confirmation” that were available on the PDAs used up to now. Thanks to the CF-H1, nurses are now able to further devote themselves to the care of their patients.
“Since nurses can now quickly share data, it has become easy for doctors to grasp changes in a patient’s condition more quickly. Not only is time used more effectively, but I feel that our nursing has become much more patient oriented.” (Ms. Sakai, Assistant Director)

One great thing about the CF-H1 is not only its long battery life, but the fact that one unit can carry two batteries. It is not necessary to shutdown and turn off the power to change batteries, so nursing work is not impeded. Ms. Sakai also said that since recharging is taken care of when placed in the cradle, there is no need for troublesome connecting and disconnecting of the power cord each time.

Toward a new infrastructure tool for team and community healthcare

Authentication using the CF-H1 to read the barcode printed on a patient’s wrist band.

Authentication using the CF-H1 to read the barcode printed on a patient’s wrist band.

The CF-H1 photographs and records the treatment progress of bedsores. Many uses can be envisioned such as those applied to nursing.

The CF-H1 photographs and records the treatment progress of bedsores. Many uses can be envisioned such as those applied to nursing.

Ms. Sakai, the Assistant Director, emphasizes that medical care from now on will focus on the patient and staff will work in unison to achieve what she calls “team-oriented medical care”.
“Team-oriented medical care is where information and issues pertaining to nurse-care planning are shared among patients and nurses. It is where patients are convinced of the right approach because their wishes and desires have been considered. In this regard, I think the ability of the CF-H1 to allow the patient to directly view information on the screen side-by-side with the nurse is its great merit.” (Ms. Sakai, Assistant Director)
In the near future, it will probably be possible for patients, while in their beds, to watch the CF-H1 screen and get explanations about their condition and receive instructions about nutrition, medicines, and rehabilitation.
For example, it would be much easier to convey changes in blood sugar level by displaying them colorfully on a graph rather than just telling them a bunch of numbers. This exemplifies the true value of the CF-H1 as a communication tool, not just an instrument for taking records and confirming a drug dose.
From here on, the hospital will be introducing the CF-H1 into the outpatient ward and the plan is to use it for things such as medical exams administered by nurses. By bringing IT into the hospital environment, it is expected that there will be a marked increase in work efficiency and that there will be great benefits in the way personnel can be efficiently allocated to different tasks.
Furthermore, use of the CF-H1 is not just limited to the hospital. Advancing into home medical care and visit-based examinations, we can easily assume that the future may hold greater expansion into a deeper level of community healthcare. If the CF-H1 is always available for community healthcare, it will be possible to do things right in the patient’s home such as conduct examinations while referencing detailed medical information and to take records with no fear of leaving something out. This system ensures that each medical institution will be able to easily share individual patient information.

The CF-H1 is surely set to be a main player in cutting a path toward a new era of medicine that is both detailed and humanistic.
 
Cooperation: Nippon Jimuki Co., Ltd.
Electronic charts: CSI Co., Ltd.
Nurse assistance system: Maruman Computer Service, Co., Ltd.
Customer
Panasonic Health Insurance Association Matsushita Memorial Hospital
Address
5-55 Sotojima-cho, Moriguchi-shi, Osaka, Japan
Homepage
http://www.mhio.panasonic.co.jp/kinen/kinen.htm
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Specification and configuration may vary depending on country. Accessories may vary depending on your mobile PC configuration.
Specifications subject to change without notice.
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