Nagasaki University Hospital

UpToDate® Plays a Vital Role at Nagasaki University Hospital in Training the Country’s Next Generation of Top Medical Professionals

Nagasaki University Hospital strives to provide the highest standard of medical care and is considered to be one of Japan’s top centers for the treatment of cancer and infectious diseases. The 862-bed hospital has a long and distinguished history, having been established in 1861 as Nagasaki Yojosho. In 1923, it was renamed Nagasaki University Hospital and currently has more than 1,500 employees.

Nagasaki University Hospital

The facility is ISO 9001-certified, demonstrating a high degree of commitment to quality practices in all areas of operations and care.

The hospital, which is affiliated with the Nagasaki University School of Medicine, has an excellent reputation for developing skilled medical professionals not only for the Nagasaki Prefecture, but for all of Japan.

A Valued Resource For Learning And Practicing Evidence-Based Medicine

Nagasaki University Hospital adopted UpToDate in 2009 to solidify its commitment to practicing evidence-based medicine in clinical decision-making, according to Dr. Hisayuki Hamada, Director of Medical Education Development Center at the hospital. Dr. Hamada studied in Canada as part of his postgraduate medical education, where he learned about the importance of an evidence-based approach in diagnosing and treating patients.

"Nagasaki University Hospital is very committed to training the next generation of medical professionals using the latest solutions," said Dr. Hamada. "We have featured UpToDate in lectures and workshops to help train our medical students and residents in practicing evidence-based medicine. UpToDate has a very good reputation with our students, who find it to be an invaluable tool in helping them to make diagnoses in complex cases and to formulate effective treatment plans. The resource plays an important role in our clinical education."

Dr. Hisayuki Hamada

"UpToDate has a very good reputation with our students, who find it to be an invaluable tool in helping them to make diagnoses in complex cases and to formulate effective treatment plans."

— Hisayuki Hamada, MD, Director of Medical Education, Development Center, Nagasaki University Hospital, Nagasaki, Japan

Dr. Hamada added that Nagasaki University School of Medicine is competing with schools in far larger cities for the best medical students, yet it is a top choice for students. Out of 1,080 universities in the nation, Nagasaki University School of Medicine is the fifth choice for students pursuing a medical education. Dr. Hamada believes that offering cutting-edge tools such as UpToDate is one key factor that helps make the University such a desirable training institution.

Dr. Tomohiro Koga, an associate professor at the hospital, also feels that UpToDate is a vital resource. "We feel the quality of clinical education has been improved through our use of UpToDate at the hospital and university for many years. The medical content available with UpToDate is the most comprehensive of all of the online medical resources that I have used, and cover more specialties. We feel confident in relying on UpToDate to make clinical decisions because multiple studies have shown that UpToDate contributes to improved outcomes."

The Standard Of Evidence-Based Medical Practice

In addition to its role in training, Dr. Hamada notes that the physicians in the Departments of Infection Control and Primary Care use UpToDate often."As a primary care physician myself," said Dr. Hamada, "I use UpToDate every day, not only for teaching purposes, but also to enhance patient diagnoses and treatments, particularly with complicated cases."

Nagasaki University Hospital increasingly receives patients from other parts of Asia, especially Korea and China. Using UpToDate helps the team feel assured that they are working in compliance with international guidelines and standards, thus supporting a high standard of care.

Dr. Tomohiro Koga

"We feel the quality of clinical education has been improved through our use of UpToDate at the hospital and university for these many years."

— Tomohiro Koga, MD, Associate Professor, Medical Education Development Center, Nagasaki University Hospital, Nagasaki, Japan

In 2014, clinicians at Nagasaki University Hospital increased their usage of UpToDate by 24% over 2013. Their queries spanned all 22 specialties covered by UpToDate, and the most popular topics accessed were:

  • Diagnosis and treatment of adenovirus infection
  • Treatment and prevention of pneumocystis pneumonia in non-HIV-infected patients
  • Treatment of Langerhans cell histiocytosis
  • Management of low-grade glioma
  • Approach to the adult with fever of unknown origin
  • Causes of thrombocytopenia in children
  • Pathogenesis, clinical manifestations, and diagnosis of brain abscess
  • Epidemiology, clinical manifestations, and treatment of cytomegalovirus infection in immunocompetent adults
  • Causes and diagnosis of membranous nephropathy
  • Causes of thrombotic thrombocytopenic purpura-hemolytic uremic syndrome in adults

"We consider UpToDate to be the ‘Bible’ of evidence-based medicine, an internationally recognized and authoritative resource."

— Dr. Hisayuki Hamada, MD, Director of Medical Education, Development Center, Nagasaki University Hospital, Nagasaki, Japan

With the rapid rate of new medical research being published, clinical leaders at Nagasaki University Hospital recognize that it is an ongoing challenge for clinicians to stay current on the latest medical knowledge. Recommendations on the use of antibiotics, for example, is constantly changing. UpToDate provides instant access to the latest best-practice guidelines at the point of care.

"UpToDate helps ensure that we have access to the very latest information reviewed and validated by medical experts. This makes it easier for us to honor our commitment to practice evidence-based medicine. We consider UpToDate to be the ‘Bible’ of evidence-based medicine, an internationally recognized and authoritative resource," said Dr. Hamada.

Looking Ahead

Nagasaki University Hospital readily embraces new technologies to improve quality of care. In addition to implementing an electronic medical record (EMR) system for clinicians to access patient charts at the point of care, they also provide residents with mobile devices for immediate access to evidence-based recommendations.

Dr. Hamada continued, "Our clinicians rely on UpToDate to provide current, evidence-based care. As the landscape of HealthIT continues to evolve, we look forward to providing seamless access to UpToDate in the clinical workflow."

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1. Isaac T, Zheng J, Jha A. Use of UpToDate and outcomes in US hospitals. J Hosp Med. 2011 Nov 16. doi: 10.1002/jhm.944.

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