| 特集名 | 標準血液透析を再考する―最良の透析処方・管理技術とは | |
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| 題名 | 透析患者のデータ管理技術 | |
| 発刊年月 | 2019年 08月 | |
| 著者 | 石森 勇 | 東京女子医科大学臨床工学部 |
| 著者 | 村上 淳 | 東京女子医科大学臨床工学部 |
| 【 要旨 】 | 透析支援システムは，透析治療の実施，透析装置の管理を行うだけでなく，患者の管理に活用することもできる． 透析支援システムを上手に活用することで，業務の効率化，治療の安全性と質の向上が期待できる．血液透析装置に関する通信共通プロトコルVer.4.0が定められ，透析装置と支援システム間で双方向に情報のやりとりを行うことができるようになった．しかし，高度なデータ管理を行うためには，通信共通プロトコルで規定されるデータのみでは不十分であり，現状では透析支援システムと透析装置メーカを同一とせざるをえない． 透析支援システムには多くのデータが集積される．このデータを使いこなすには，データを適切に管理・活用する能力が求められる． |
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| Theme | Reconsideration of standard hemodialysis: What is the optimal prescription and management for each patient? | |
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| Title | Data management for patients undergoing dialysis | |
| Author | Isamu Ishimori | Department of Clinical Engineering, Tokyo Women's Medical University |
| Author | Jun Murakami | Department of Clinical Engineering, Tokyo Women's Medical University |
| [ Summary ] | Commercially available dialysis support systems ensure safe operation of dialysis machines in addition to management of the dialysis system, particularly for data management in patients undergoing dialysis. Furthermore, efficient usage of these systems improves the job efficiency of medical staff, safety operations, and quality of treatments rendered. The Japanese Society for Dialysis Therapy Communications Protocol Ver. 4.0 associated with dialysis machines was developed and established in 2017. Based on this protocol, bidirectional communication between the dialysis support system and dialysis machines is possible for some items. However, more advanced utilization of dialysis support systems can be achieved by the same manufacturer's system only. The dialysis support system includes big data comprising a database that has been produced and that has grown over time during dialysis treatment. More efficient utilization of big data and improvement in management skills of medical staff will be required for optimized and individualized dialysis treatment. |
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