JP2010015443A - Emergency medical care support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an emergency medical care support system which grasps attending situation and working situation of persons concerned in hospitals and notifies an ambulance or the like of decision information on whether an emergency patient can be accepted or not. <P>SOLUTION: The emergency medical care support system for providing an emergency vehicle with information from medical institutions includes: an information control section which collects information about the attending situation and the working situation of persons concerned in medical institutions and prepares intra-hospital information of the medical institutions; a communication section which uses the intra-hospital information and transmits decision information on whether an emergency patient can be accepted by a medical institution or not; and an emergency vehicle which has a display unit capable of receiving the decision information and displaying information showing whether the emergency patient can be accepted by the medical institution or not. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an emergency medical support system capable of quickly searching a hospital that can accept a patient and transporting the patient in a short time when the patient is transported to a hospital by an ambulance or the like.

 Conventionally, in an emergency medical field, an emergency patient is transported to a hospital by an ambulance or the like. At this time, in the ambulance, the emergency life-saving qualification holder judges the patient's symptoms and transports them to the nearest hospital where medical treatment is possible. However, depending on the symptoms, surgery may be required and prompt action is required. .

 However, if there is a lack of diagnostic equipment (CT equipment, ultrasonic equipment, etc.) at the destination hospital, the doctor in charge is absent, or other patients are undergoing surgery, it will not be possible to accept emergency cases. The patient will be transported to another hospital, and the patient's life-saving measures may be delayed by so-called traversing.

 In order to deal with such problems, Patent Document 1 describes an emergency medical support system that instructs a hospital to which an emergency patient should be transported based on position information of an ambulance. Patent Document 2 describes an emergency transport support system in which priority is set according to attribute information (information on locations, departments, etc.) and acceptance capabilities of a plurality of hospitals, and a transport destination is determined. Yes. Further, Patent Document 3 describes an emergency notification system that determines a patient accommodation destination according to the accommodation situation of a hospital and makes a reservation for the hospital.

However, the conventional system does not consider the working conditions of hospital doctors, technicians, or nurses when determining whether to accept a patient. Alternatively, if another patient is undergoing surgery, or if the laboratory technician or nurse has insufficient hands, the patient cannot be accepted and may be sent to another hospital. Even if it is accepted, it may take time until medical treatment and the patient's treatment may not be in time.
JP 2004-157930 A JP 2007-128245 A JP-A-2005-281

  The conventional emergency lifesaving system does not consider the working conditions of doctors, technicians, or nurses at the hospital when deciding whether or not a patient can be accepted. Or, when other patients were undergoing surgery, the patient could not be accepted and lifesaving measures could be delayed.

  The present invention has been made in view of the above circumstances, and it is possible to grasp the working status and working status of hospital personnel in real time, and to accurately determine whether or not an emergency patient can be accepted and to notify an ambulance etc. The purpose is to provide a support system.

  The present invention according to claim 1 is an emergency medical support system that provides information from a medical institution to an emergency transport body, and collects the attendance records and work status information of persons concerned in the medical institution, An information management unit that creates in-hospital information of the institution, a communication unit that transmits determination information on whether or not to accept an emergency patient at the medical institution using the in-hospital information, and the medical institution that receives the determination information And an emergency transport body having a display unit capable of displaying information indicating whether or not a patient can be accepted.

  According to one embodiment of the present invention, information on attendance and attendance records of hospital staff and in-hospital work status information is collected in real time, and whether or not an emergency patient can be accepted is determined based on the collected information and notified to an ambulance or the like. Therefore, the patient can be transported early to a hospital where medical care can be performed.

  Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings.

 FIG. 1 is a system diagram showing a configuration of an emergency medical support system of the present invention. The system of FIG. 1 receives information from a plurality of medical institutions 100, 200, 300 (illustrated as hospitals A, B, C) and hospitals A, B, C,. An emergency lifesaving center 50 that provides information on acceptance of emergency patients and the like, and an emergency carrier 60 that can receive information provided from the emergency lifesaving center 50 are included. The ambulance 60 includes an ambulance, an ambulance helicopter, and the like, but will be described as the ambulance 60 in the following description.

 The system configuration of the medical institutions 100, 200, 300 will be described by taking the hospital A (100) as an example. Reference numeral 10 denotes a hospital information system (HIS) configured in the hospital A. For example, terminal devices (computer terminals) arranged in the reception department 12, the examination room 13, the examination room 14, the operating room 15, and the like are connected. In the examination room 14, for example, an examination of an electroencephalogram or an electrocardiogram, a blood examination, or the like is performed. Other departments include the pharmaceutical department and accounting department.

 The network 11 is connected to an attendance / leaving system 16 and is further connected to an information management unit 17 that collects and manages the location information of hospital personnel from each department 12-15. A network interface (I / F) 18 that communicates with the network 40 is connected to the network 11.

 Reference numeral 20 denotes an RIS (Radiology Information System), which manages image diagnostic apparatuses connected to the network 21, for example, medical devices such as an X-ray CT apparatus, an MRI apparatus, and an X-ray imaging apparatus. These medical devices are arranged in the imaging examination rooms 22, 23, and 24, respectively. A PACS (Picture Archiving Communication System) 25 is connected to the network 21, an image database 26 is connected to the PACS 25, and the RIS 20 and the PACS 25 are also connected to the network 11 of the HIS 10.

 In addition, the reception department 12, the examination room 13, the examination room 14, the operating room 15, and the imaging examination rooms 22, 23, and 24 are equipped with a non-contact type information reading device 31, which is worn by hospital staff 32. The information stored in the existing information medium 33 (for example, an IC tag or an IC card) can be read. The hospital staff 32 is, for example, a doctor, a laboratory technician, a nurse, or the like. The information medium 33 is an IC card such as an employee card that is always worn by the hospital staff 32 in the hospital, and will be described as the IC card 33 in the following description. The information reading device 31 is, for example, a card reader, and will be described as the card reader 31 in the following description.

 The information related to the IC card 33 is read by the card reader 31 when the hospital staff 32 enters the examination room or the like and leaves the examination room or the like. Since the IC card 33 stores personal information of the hospital staff 32, for example, information such as name, personal ID, medical department, qualification, etc., by using the information read by the card reader 31, the hospital staff 32 It is possible to know where is in the hospital. As a communication method between the IC card 33 and the card reader 31, for example, RFID (Radio Frequency Identification) capable of wireless communication is suitable.

 The information management unit 17 collects information on the current work status of hospital-related persons 32 such as doctors, technicians, nurses and the like for each medical department based on information from the time and attendance system 16 and information read by the card reader 31. Create in-hospital information for hospital A. The network I / F 18 transmits the in-hospital information created by the information management unit 17 to the emergency lifesaving center 50 via the network 40.

 The other hospitals B and C have the same system configuration, and the emergency lifesaving center 50 centrally manages the in-hospital information transmitted from each hospital A, B, and C and transmits it to the ambulance 60. For this reason, the emergency lifesaving center 50 includes a communication unit 51 that performs wireless communication with the ambulance 60.

 The ambulance 60 includes a communication unit 61 that performs wireless communication with the emergency lifesaving center 50, an emergency medical device 62, a display portion 63, and a CPU 64 that controls them, and the display portion 63 includes the emergency lifesaving center 50. The information sent from can be displayed.

  Next, the operation of the emergency medical support system of the present invention will be described. FIG. 2 is a flowchart for acquiring information on the work status of hospital personnel at hospital A.

  In FIG. 2, at start step S <b> 1, it is determined based on the information of the attendance / leaving system 16 whether or not a hospital person is attending. Here, we will assume that you are working. In step S2, the information on the IC card 33 of the hospital staff 32 is read by the card reader 31 arranged in each department. The following odd steps S3, S5,... S17 are steps for determining the location of the hospital personnel, and even steps S4, S6,.

  Step S3 is a step for determining acceptance of an emergency patient. At this time, for example, when a nurse enters the reception department 12, the card reader 31 reads the nurse's IC card 33 and sends the information to the information management section 17. In the information management section 17, in step S4, the nurse Create information that you are dealing with an emergency.

  In the next step S5, when the reception of the emergency patient is completed and the nurse leaves the reception department 12, the card reader 31 of the reception department 12 reads the nurse's IC card 33 and sends the information to the information management section 17. The information management unit 17 determines that the nurse has left the room and creates information indicating that the work is waiting in step S6.

  In step S7, the inspection is started. When the inspection engineer enters the inspection room 14, the card reader 31 of the inspection room 14 reads the IC card 33 of the engineer and sends the information to the information management unit 17. The information management unit 17 creates information that the engineer is inspecting in step S8 based on the room entry information.

  When the inspection is completed in step S9 and the engineer leaves the inspection room 14, the card reader 31 in the inspection room 14 reads the IC card 33 of the engineer and sends the information to the information management unit 17. The information management unit 17 determines that the engineer has left the room and creates information indicating that the work is waiting in step S10. When performing an inspection using an X-ray CT apparatus or the like, the information management unit 17 is informed that an inspection engineer has entered or left one of the imaging inspection rooms 22 to 24, and information on the inspection or waiting for work is provided. create.

  In step S11, the operation is started, and when the doctor enters the operating room 15, the card reader 31 of the operating room 15 reads the doctor's IC card 33 and sends the information to the information management unit 17. The information management unit 17 creates information that the doctor is operating in step S12 based on the room entry information. When the operation is completed in step S13 and the doctor leaves the operating room 15, the card reader 31 in the operating room 15 reads the doctor's IC card 33 and sends the information to the information management unit 17. The information management unit 17 determines that the doctor has left the room and creates information that the work is waiting in step S14.

  When the doctor enters the examination room 13 in step S15, the card reader 31 in the examination room 13 reads the doctor's IC card 33 and sends the information to the information management unit 17. The information management unit 17 creates information indicating that the doctor is being examined in step S16 based on the room entry information. When the examination ends in step S17 and the doctor leaves the examination room 13, the card reader 31 in the examination room 13 reads the doctor's IC card 33 and sends the information to the information management unit 17. The information management unit 17 determines that the doctor has left the room and creates information indicating that the work is waiting in step S18.

  Step S19 is a step of determining whether or not a hospital person has left the office based on the information of the attendance and leaving system 16, and the process of steps S2 to S18 is repeatedly performed while working, and there are hospital persons who have left the office. Ends the update of the information of the relevant hospital personnel in step S20.

  In this way, by determining the current location of the hospital personnel (nurses, technicians, doctors, etc.), the information management unit 17 can determine whether the hospital personnel are currently working or waiting (empty). Judgment can be made while automatically updating in-hospital information in real time. In addition, the method of estimating the current situation of hospital personnel by judging the entry / exit of each department is effective because it does not bother the hospital personnel.

  In order to know the current work status of the hospital staff more accurately, a start button and a work completion button are provided for each room so that the hospital staff presses the appropriate button before starting the work or when the work is completed. However, it is not appropriate because it may cause the user to forget to press the button and require a lot of trouble from the hospital staff. On the other hand, in the present invention, since the hospital information is read to create the in-hospital information by reading the information of the IC card 33 (employee card) that is always worn, the comparison is made without any trouble of the hospital staff. Accurate in-hospital information can be created.

  The information management unit 17 creates in-hospital information by centrally managing information on the work status of hospital personnel in the hospital based on the collected information, and transmits the in-hospital information to the emergency lifesaving center 50 via the network I / F 18.

  FIG. 3 is an explanatory diagram illustrating an example of in-hospital information created by the information management unit 17. As in-hospital information, for example, information 51 of medical departments (internal medicine, surgery, obstetrics and gynecology), number information 52 of hospital personnel (doctors, engineers, nurses, etc.) belonging to each medical department, and hospital relations Information 53 indicating the current work status of the person is displayed on the display unit. Further, judgment information 54 on whether or not emergency patients can be accepted is displayed based on the current working status of hospital staff.

  In the example of FIG. 3, in the column of the number of doctors, engineers, and nurses in the hospital A, the person currently working is displayed in red 531 and the person waiting for work is displayed in white 532. . As a result, if there are doctors, technicians, and nurses waiting for work, judgment information 541 for accepting emergency cases is displayed.

  Similarly, the number of doctors, technicians, and nurses as well as the number of people currently working and those who are waiting for work are displayed for surgery. NG determination information 542 indicating the impossibility is displayed. Note that the in-hospital information in FIG. 3 shows an example, and it is needless to say that the display example is not limited to this display example and may take other display forms.

  As in-hospital information, as shown in FIG. 3, if there is information 51 of the department, number information 52 of the hospital staff, and information 53 indicating the current working status of each hospital staff, it is determined whether or not the emergency patient can be accepted. Therefore, these pieces of information can also be used as judgment information. However, it is effective to display the determination information 541 and 542 indicating whether it is acceptable (OK) or not (NG) because it can be quickly determined.

  On the other hand, the emergency lifesaving center 50 receives in-hospital information sent from the hospitals A, B, and C and centrally manages them. Based on the in-hospital information sent from the hospitals A, B, and C, the emergency and lifesaving center 50 creates information indicating which hospitals are acceptable for each department and transmits the information to the ambulance 60. FIG. 4 shows an example of acceptance determination information transmitted from the emergency lifesaving center 50 to the ambulance 60.

  In the example of FIG. 4, information indicating whether or not each hospital (Act, Department of Surgery, Obstetrics and Gynecology) is acceptable for each hospital A, B, C is displayed in OK and NG, and there is no corresponding department. In this case, it is blank.

 The ambulance 60 performs wireless communication with the emergency lifesaving center 50, receives information sent from the emergency lifesaving center 50, and displays the acceptability determination information shown in FIG. 4 on the display unit 63. Thereby, in the ambulance 60, the hospital which should be conveyed according to a patient's symptom can be determined, and a patient can be conveyed. Once the transport destination is determined, if the ambulance 60 performs wireless communication from the ambulance 60 to the emergency lifesaving center 50 or the transport destination hospital, the hospital can prepare for acceptance, so that emergency patients can be treated without delay. become.

  In the above description, the case where wireless communication is performed between the emergency lifesaving center 50 and the ambulance 60 has been described. However, when there is no emergency lifesaving center 50, the hospitals A, B, C and the ambulance 60 directly You may make it communicate. In this case, the hospitals A, B, and C are provided with a communication unit that communicates with the ambulance 60, and the ambulance 60 receives the in-hospital information transmitted from the hospital and displays information as shown in FIG. It is displayed on 63 and it is judged whether acceptance is possible. Therefore, if it can be accepted, it can be transported immediately, and if it cannot be accepted, it can communicate with other hospitals to determine whether other hospitals can accept it.

  In the embodiment described above, the in-hospital information is created based on the information on entering / exiting each department, but it is also possible to acquire the time information of entering the room. In this case, by comparing the time when the user enters the room with the current time, the elapsed time since entering the room (starting the work) can be confirmed, so that the time at the end of the work can be estimated.

  Therefore, when information that cannot be accepted is created, waiting time information required for acceptance can be presented. Thereby, the ambulance 60 can determine the transport destination in light of the waiting time when the distance is long even when the patient is transported to another hospital.

  Further, in the embodiment described above, the example in which the information on the IC card 33 worn by the hospital staff 32 is read by the card reader 31 has been described. However, the information medium is not limited to the IC card, and for example, the hospital staff 32 possesses it. You may make it read the information of the wearable computer (wearable computer) to do.

  As described above, according to the present invention, it is possible to determine whether or not an ambulance can be accepted by an ambulance based on the in-hospital information created by the medical institution, and the time required for transporting the ambulance patient can be shortened. Moreover, since in-hospital information is automatically updated in real time without bothering a doctor or the like, the latest information can be provided to the emergency transporter.

 The present invention is not limited to the above description, and various modifications can be made without departing from the scope of the claims.

The system diagram which shows the emergency medical assistance system which concerns on one Embodiment of this invention. The flowchart explaining operation | movement of the emergency medical assistance system of this invention. Explanatory drawing which shows an example of the judgment information of the emergency patient acceptance of this invention. Explanatory drawing which shows an example of the information of acceptance / rejection in the ambulance of this invention.

Explanation of symbols

10 ... HIS
12 to 15: Each department 16 in the hospital ... Attendance system 17 ... Information management unit 18 ... Network interface 20 ... RIS
22-24 ... Imaging examination room 40 ... Network 50 ... Emergency lifesaving center 60 ... Ambulance 100, 200, 300 ... Hospital (medical institution)

Claims (5)

An emergency medical support system for providing information from a medical institution to an emergency carrier,
An information management unit that collects information on attendance and attendance records and work statuses of persons concerned in the medical institution and creates in-hospital information of the medical institution
A communication unit that transmits information on whether or not an emergency patient can be accepted at the medical institution using the in-hospital information;
An emergency transport body having a display unit capable of receiving the determination information and displaying information indicating whether or not the patient can be accepted at the medical institution,
Emergency medical support system characterized by comprising   In order to collect information on the work status of the parties concerned, information readers are arranged in each department of the medical institution, information recorded on an information medium possessed by the parties concerned is read by the readers, and the read information The emergency medical support system according to claim 1, wherein the information management unit is notified.   3. The emergency medical support system according to claim 2, wherein the information management unit further processes the information read by the reader and time information at the time of reading to create waiting time information required for patient acceptance. .   The emergency medical support system according to claim 1, wherein the determination information transmitted from the communication unit includes information indicating whether or not a patient can be accepted for each department. An emergency lifesaving center that receives and processes the in-hospital information created by each information management unit of a plurality of medical institutions,
The emergency medical support system according to claim 1, wherein the acceptance information at each medical institution is transmitted from the emergency lifesaving center to the emergency transport body.

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