JP2006172336A - Managing method for medical equipment - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a managing method which can supply completely sterilized medical equipment to departments for use and prevent supply deficiency and recovery omission of the medical equipment. <P>SOLUTION: Bar-codes are given to a medical equipment and are stored in a data base of a computer. A list on which the bar-codes of the required medical equipments are put is printed in supplying, recovering and sterilizing, and the bar-codes of the same list and those of medical equipments are read and verified. While required numbers/types are checked, each processing date/sterilization data/each operative name are recorded in the data base. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a method for managing medical equipment used for treatment of surgery in a medical facility.

Conventionally, medical devices do not have individual management codes, but are managed by name, so that supply shortages and collection failures were likely to occur only by the operator's own confirmation. On the other hand, Patent Document 1 discloses a technique in which the name and number of medical devices are made into a database and an order card on which they are written is issued at the time of supply, and management such as delivery / recovery is performed based on the card. Proposed. However, sterilization should be managed individually, not by product type. For example, if a patient becomes infected after use, it is possible to track and grasp which medical device has been sterilized and which sterilization has a problem. It was difficult.
Japanese Patent Laid-Open No. 6-5201

  The problem to be solved by the present invention is to solve these conventional problems, provide a management method of medical equipment that can prevent supply shortage and recovery omission, and can supply reliable sterilized medical equipment to the department in use. There is to do.

The configuration of the present invention that solves this problem is as follows.
1) Each of a plurality of medical devices used in a medical facility is given identification information indicating the device type and a device name, stored in a computer database, and the identification information is stored in a device bag containing cleaned and sterilized medical devices. A bar code or magnetically written label is attached and stored in a peelable manner, and the equipment list that lists the name and number of medical equipment used for treatment, the patient name and the treatment name from the database when treating the patient. A list of medical device names / numbers, patient names, and treatment names is attached to the same equipment list by bar code or magnetism, and the medical equipment packed in the bag based on the equipment list is displayed. Medical products prepared by reading the identification information of the labels affixed to the equipment bag of the medical equipment and the list identification information of the equipment stock list Check the name and number of the equipment, determine whether the necessary medical equipment is correctly stocked, output the result, and the medical equipment together with the equipment stock list and the label affixing sheet attached to the list. When the medical equipment is removed from the equipment bag at the time of treatment, the label is peeled off from the equipment bag and pasted on the label affixing sheet, and the used medical equipment after treatment is collected with the equipment list and label affixing sheet. The collected labeling sheet label identification information and the equipment identification list list identification information are read and collated with the name and number of the collected medical equipment to determine whether all of the used medical equipment has been collected. 2) Management method of medical equipment characterized by judging and outputting the result 2) Cleaning the collected used medical equipment Identification of medical equipment labels that are stored in a material bag, sterilized with a sterilizer, and sterilized with a label on which the medical device identification information is written by bar code or magnetism. The information is read and recorded in the database as sterilized information, and the sterilized bag-filled medical equipment is stored until the time of treatment for the patient. 3) The medical equipment management method described in 1) above. When sterilizing, a movable sensor capable of measuring and outputting temperature, pressure, and time is placed near the medical equipment to sterilize, and along with the sterilization, the temperature over time in the same environment as the medical equipment in the sterilizer The medical device management method 4) described in 2) above, wherein the pressure / time is measured by the sensor, and the temperature / pressure / time data is output from the sensor after sterilization and recorded in the database. 4) The database is a medical device. The management method of medical equipment as described in 2) or 3) above, wherein the collection date of each collection / cleaning / sterilization / storage process and the information of each worker are recorded. The individual information indicating individual equipment is added to the identification information, and when the identification information of the label is read and recorded in the database, the individual information is recorded together with the name and the number, and the medical equipment can be individually managed. ) To 4) Management method for medical equipment described in any of the above 6) The label contains the medical equipment identification information, name, sterilization information, expiration date for use, and the part where the identification information is written can be separated. The medical device management method 7) according to any one of 1) to 5), wherein the perforated line is formed as described above, and the label application sheet is integrated with the equipment assortment list, and the equipment assortment list is transferred from the equipment bag. It exists in the management method of the medical equipment in any one of said 1) -6) which enabled it to affix the peeled label directly.

  According to the present invention, since identification information is given to medical equipment and collated by a computer at the time of supply and at the time of collection, supply shortage and collection omission due to human error are prevented. In addition, by identifying and managing medical equipment individually, especially when sterilization failure occurs, it is possible to track who was sterilized and when and how to sterilize it and take quick measures. .

  In the present invention, when sterilizing cleaned medical equipment, a movable sensor for measuring temperature, pressure, and time is simultaneously placed in the sterilizer, and temperature, pressure, and time over time are recorded during sterilization. Therefore, when a poor sterilization is discovered, the medical device sterilized under the same conditions can be quickly recovered and the sterilization conditions can be reviewed quickly. When there is a margin in the equipment assortment list, it may be integrated with the label affixing sheet, and the label peeled off from the equipment bag may be directly attached to the equipment assortment list. Embodiments of the present invention will be specifically described below with reference to the drawings.

  1-8 is an example which applied this invention to management of the medical equipment used for a patient's operation in a hospital. FIG. 1 is an explanatory view showing management of medical equipment of the embodiment, FIG. 2 is an explanatory view of the equipment bag of the embodiment, FIG. 3 is an explanatory view of the equipment assortment list of the embodiment, and FIG. 4 is a patient use equipment of the embodiment. FIG. 5 is an explanatory diagram of a sterilization equipment list of the embodiment, FIG. 6 is an explanatory diagram of an inventory management database of the embodiment, FIG. 7 is an explanatory diagram of a tracking management database of the embodiment, and FIG. It is a flow of management of medical equipment.

  In the present embodiment, a periodic surgery schedule for the received patient is created and input to the computer Pc. Patient information is recorded in the server S. Various medical equipment K used for the operation is cleaned and sterilized and enclosed in the equipment bag 1, and an equipment set Ks containing a plurality of medical equipment K used for the operation is stored in the storage shelf 8 in each operation type container. to manage.

  On the outer surface of the equipment bag 1, the name, assembly date, sterilization information, and expiration date of use of the medical equipment K are described, and an equipment barcode 2b indicating the individual medical equipment K is described below. A perforation 2c is formed so that the portion 2b can be cut off. 2a is a small label. An instrument set barcode 3d indicating the medical instrument K accommodated therein is attached to the instrument set Ks.

  Each equipment set Ks and medical equipment K are managed by an inventory management database 6 and a tracking management database 7 shown in FIGS. In the inventory management database 6, the equipment set name, quantity, classification, location and number of equipment sets Ks for each technique are recorded in real time. The tracking management database 7 records the device code of the medical device K alone, the device name, the date / time of the sterilization process, the operator, the number of sterilizations, the sterilization apparatus, the sterilization program, the collection date, the cleaning date, and the storage location.

  When the patient's operation date is reached according to the periodic operation schedule, the data of the periodic operation schedule is taken into the computer Pc of the management office, and the equipment assortment list 3 and the patient use equipment list 4 as the label affixing sheet are printed by the printer 10. The equipment list 3 includes patient information 3a, equipment list 3c of medical equipment K used for surgery (equipment code, equipment classification, equipment name, standard, quantity, storage location, etc.), patient information 3a, and contents of equipment list 3c. A list identification bar code 3b indicating is shown. The patient use equipment list 4 has a patient information 4a, a list identification bar code 4b that is the same as the list identification bar code 3b, and a label affixing column 4c for affixing the small label 2a of the equipment bag 1.

  In the sterilized room, the equipment set Ks containing the medical equipment K described in the equipment stock list 3 is taken out from the storage shelf 8, and the equipment barcode 2b of the label 2 attached to the equipment bag 1 of the medical equipment K is used. The list identification barcode 3b of the equipment assortment list 3 and the equipment set barcode 3d of the equipment set Ks are read and collated by the barcode reader Sc, and the determination result is displayed on the screen of the computer Pc. If not, the names and number of medical equipment K for the shortage are displayed and the shortage is replenished. At the same time, the column of the existing position in the inventory management database 6 is updated, and the operator inputs his / her name into the computer Pc and records it. The prepared equipment set Ks is set together with the equipment stock list 3 and the patient use equipment list 4 in a supply case cart and temporarily stored in the supply room until the operation time (not shown).

  At the operation time, the equipment set Ks is transported to the operating room of a predetermined ward by a case cart, the small label 2a is cut off from the label 2 of each equipment bag 1 along the perforation 2c, and the label of the patient use equipment list 4 is attached. Paste in column 4c. The small label 2a may be attached after the operation. After the operation, the equipment set Ks is transported to the cleaning room by the case cart together with the equipment stock list 3 and the patient use equipment list 4 and collected.

  In the cleaning room, the device barcode 4b of each small label 2a of the patient use equipment list 4, the list identification barcode 4b of the patient use equipment list 4 and the equipment set barcode 3d of the equipment set Ks are read by the barcode reader Sc and collated. The determination result is displayed on the screen of the computer Pc. If the entire amount has not been collected, the name / number of unrecovered medical equipment K is displayed, and the used operating room is confirmed and the collection operation is performed again. At the same time, the column of the existing position in the inventory management database 6 and the collection date in the tracking management database 7 are updated, and the operator inputs his / her name into the computer Pc and records it.

  The collected medical equipment K is sorted by type and disassembled as necessary, set in a washing cart and washed by the washing machine 9, and the location management column 6 and the tracking management database 7 are washed. The day is updated and the worker name is recorded. After cleaning, if the medical equipment K is disassembled before cleaning in the packaging / assembly room, the medical equipment K is assembled and printed, and the sterilization equipment list 5 including the list identification bar code 5a and the equipment list 5b is printed. The label 2 is output and affixed to a new equipment bag 1, and the cleaned medical equipment K is accommodated in the equipment bag 1. The medical equipment K is stored in a sterilization bag (not shown) for each sterilization equipment list 5 together with a movable sensor 12 (for example, Calibac: trademark) capable of measuring and outputting temperature, pressure, and time. Then, sterilization is performed by the sterilizer 11. During sterilization, the sensor 12 measures the temperature, pressure, and time over time.

  After the sterilization, each measurement data is taken from the sensor 12 into the computer Pc and recorded in the tracking management database 7. The sterilization is determined based on the data measured by the sensor 12. At the same time, the column of the existing position in the inventory management database 6 and the column of sterilization processing in the tracking management database 7 are updated, and the operator name is recorded. After sterilization, the medical device K is taken out from the sterilization bag and sorted according to the storage location, and a plurality of medical devices K used for the operation are accommodated as a set in a container for each surgical procedure and managed in a predetermined storage shelf 8. .

  Since this embodiment is configured as described above, it is possible to reliably prevent supply shortage and collection omission due to human error by providing identification information to medical equipment and collating with a computer at the time of supply and at the time of recovery. The In addition, by identifying and managing medical equipment individually and recording detailed information such as work days and workers, when sterilization failure occurs, there is a problem with tracking who sterilized and when sterilization Can be easily grasped and measures can be taken quickly.

  The present invention is used for management of medical equipment used for treatment such as surgery in a medical facility.

It is explanatory drawing which shows management of the medical equipment of an Example. It is explanatory drawing of the equipment bag of an Example. It is explanatory drawing of the equipment stock list of an Example. It is explanatory drawing of the patient use equipment list | wrist of an Example. It is explanatory drawing of the sterilization processing equipment list | wrist of an Example. It is explanatory drawing of the inventory management database of an Example. It is explanatory drawing of the tracking management database of an Example. It is the flow of management of the medical equipment of an Example.

Explanation of symbols

1 Equipment Bag 2 Label 2a Small Label 2b Equipment Bar Code 2c Perforation 3 Equipment List 3a Patient Information 3b List Identification Bar Code 3c Equipment List 3d Equipment Set Bar Code 4 Patient Use Equipment List 4a Patient Information 4b List Identification Bar Code 4c Label Pasting column 5 Sterilization equipment list 5a List identification bar code 5b Equipment list 6 Inventory management database 7 Tracking management database 8 Storage shelf 9 Washing machine 10 Printer 11 Sterilizer 12 Sensor K Medical equipment Ks Equipment set Pc Computer S Server Sc Bar code leader

Claims (7)

  The identification information indicating the device type and the device name are assigned to each of the plurality of medical devices used in the medical facility and stored in the computer database, and the identification information is barcoded on the device bag containing the cleaned and sterilized medical devices. Or, magnetically written labels can be attached and stored in a peelable manner, and when a patient is treated, a list of medical equipment names / numbers, patient names and treatment names used for treatment is printed from the database. Then, list identification information indicating the name and number of medical equipment, patient name, and treatment name is attached to the equipment stock list by barcode or magnetism, and medical equipment packed in a bag based on the equipment stock list is available. Medical devices that have been prepared by reading the label identification information affixed to the medical device bag and the list identification information of the device list The name and number of the medical devices are collated, it is judged whether the necessary medical equipment has been properly stocked, the result is output, and the medical equipment stocked in the medical facility together with the equipment stock list and the label affixing sheet attached to the list. When the medical equipment is removed from the equipment bag during treatment, the label is peeled off from the equipment bag and applied to the labeling sheet. After treatment, the used medical equipment is collected together with the equipment list and labeling sheet. The label identification information on the collected label affixed sheet and the list identification information on the equipment list are read, and the name and number of the collected medical equipment are collated to determine whether all used medical equipment has been collected. A method for managing medical equipment, characterized in that the result is output.   The collected used medical equipment is washed and stored in a new equipment bag, and a label on which the medical equipment identification information is written by bar code or magnetism is pasted in a sterilizer. The identification information of the label of the sterilized medical device is read and recorded as sterilized information in the database, and the sterilized bag-filled medical device is stored until the patient is treated. Management method for medical equipment.   When sterilizing medical equipment, a movable sensor capable of measuring and outputting temperature, pressure, and time is placed near the medical equipment for sterilization, and at the same time as the medical equipment in the sterilizer The medical device management method according to claim 2, wherein the temperature, pressure, and time are measured with a sensor, and the temperature, pressure, and time data are output from the sensor after sterilization and recorded in a database.   4. The method of managing medical equipment according to claim 2, wherein the database is configured to accumulate and record each processing date of collection, cleaning, sterilization, and storage of medical equipment and information of each worker. .   When individual information indicating individual devices is added to medical device identification information, and when label identification information is read and recorded in the database, individual information is recorded together with the name and number so that medical devices can be managed individually The management method of the medical equipment in any one of Claims 1-4 made.   The label is formed with perforations so that the identification information, name, sterilization information, and expiration date for use of the medical device are described, and the portion where the identification information is described can be separated. The management method of medical equipment of description.   The method for managing medical equipment according to any one of claims 1 to 6, wherein the label attaching sheet is integrated with the equipment assortment list, and the label peeled off from the equipment bag can be directly attached to the equipment assortment list.

Images