title: Development of information systems and clinical decision support systems for emergency departments: a long road ahead for Japan.
abstract: Emergency care services face common challenges worldwide, including the failure to identify emergency illnesses, deviations from standard treatments, deterioration in the quality of medical care, increased costs from unnecessary testing, and insufficient education and training of emergency personnel. These issues are currently being addressed by implementing emergency department information systems (EDIS) and clinical decision support systems (CDSS). Such systems have been shown to increase the efficiency and safety of emergency medical care. In Japan, however, their development is hindered by a shortage of emergency physicians and insufficient funding. In addition, language barriers make it difficult to introduce EDIS and CDSS in Japan that have been created for an English-speaking market. This perspective addresses the key events that motivated a campaign to prioritise these services in Japan and the need to customise EDIS and CDSS for its population.
authors.affiliation: Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, , Bunkyo-ku, Tokyo, Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Inokuchi
authors.forename: Hajime
authors.initials: H
authors.lastname: Sato
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakajima
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Shinohara
authors.forename: Kensuke
authors.initials: K
authors.lastname: Nakamura
authors.forename: Masataka
authors.initials: M
authors.lastname: Gunshin
authors.forename: Takahiro
authors.initials: T
authors.lastname: Hiruma
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ishii
authors.forename: Takehiro
authors.initials: T
authors.lastname: Matsubara
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Kitsuta
authors.forename: Naoki
authors.initials: N
authors.lastname: Yahagi
mesh_terms: D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D007564:Japan
keywords: emergency care systems; emergency departments