JP2012000291A - Hemodialysis monitoring system, central monitoring device, control program for central monitoring device, and hemodialysis monitoring method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To further improve safety of dialysis treatment by informing abnormalities and precautions accurately for each patient during hemodialysis treatment.SOLUTION: A hemodialysis monitoring system stores treatment information about the hemodialysis treatment of a patient in connection with notification information including alarms and precautions to be informed under a predetermined condition during the hemodialysis treatment for each patient. The hemodialysis monitoring system compares information of a patient during the hemodialysis treatment and the stored treatment information. When the hemodialysis monitoring system determines that the alarm or the notification is necessary, the notification information of the patient is displayed as text data on an information display section of a hemodialyzer. Even when notification contents of abnormalities and precautions are different for each patient, the notification contents appropriate for each patient is informed accurately to medical workers.

Description

  The present invention relates to a hemodialysis monitoring system, a central monitoring device, a control program for the central monitoring device, and a dialysis monitoring method used for hemodialysis treatment.

  Conventionally, a central monitoring apparatus for monitoring a patient's hemodialysis treatment is known (see, for example, Patent Document 1).

  Each hemodialysis apparatus disclosed in Patent Document 1 is provided with an input interface including a display with a touch switch that can be operated by a medical worker. The hemodialysis apparatus is configured to transmit information on a patient being monitored during hemodialysis to the central monitoring apparatus and to transmit other information to the central monitoring apparatus by operating a touch switch.

  On the other hand, the central monitoring device is provided with a storage unit that stores information on a patient's past dialysis treatment. The central monitoring device and the hemodialysis device are connected. During dialysis treatment, the patient information transmitted from the hemodialyzer to the central monitoring device is stored in the central monitoring device. Information stored in the central monitoring device can be read out by operating the hemodialysis device and displayed on the hemodialysis device. In other words, during the dialysis treatment, information can be exchanged between the central monitoring device and the hemodialysis device, and the information desired by the operator of the hemodialysis device can be read from the central monitoring device and confirmed. It has become.

JP-A-6-205827

  By the way, ensuring the safety of patients is a top priority during dialysis treatment. In order to ensure patient safety, if an abnormality occurs during treatment, it is necessary to accurately notify the medical staff of the abnormality, or to properly notify the medical staff of precautions when performing dialysis treatment. There is.

  However, patients undergoing dialysis treatment have different medical conditions and physical conditions. And since it is necessary to perform the dialysis treatment according to a medical condition and a physical condition with respect to each patient, it is not appropriate to alert | report the abnormality and cautions in hemodialysis to all patients similarly. That is, the upper limit value and the lower limit value of blood pressure, pulse, etc. at the time of treatment are different for each patient, and it is sometimes necessary to administer a drug depending on the patient, or some treatment may be required during dialysis. Furthermore, when a drug is administered, the type and administration method of the drug may vary from patient to patient, and the treatment varies, for example, massage or oxygen inhalation, and varies from patient to patient. Moreover, depending on the patient, for example, there are persons who have to pay particular attention to a decrease in blood pressure.

  In this way, the contents of notification of abnormalities and the contents of notification of precautions differ for each patient, but conventionally, conditions for alarming can be set only within various parameters that can be input in advance to the hemodialysis machine. Therefore, it was not possible to provide appropriate notifications according to individual patient conditions and requests. In Patent Literature 1, information is simply exchanged between the central monitoring device and the hemodialysis device. Therefore, when an abnormality occurs during dialysis treatment or attention is required, it is difficult to accurately report the occurrence of the abnormality or the precautions depending on the target patient.

  The present invention has been made in view of such points, and the purpose of the present invention is to make it possible to accurately report abnormalities and warnings for each patient during hemodialysis treatment, The purpose is to further increase the safety of dialysis treatment.

  In order to achieve the above object, according to the present invention, treatment information related to a patient's hemodialysis treatment and notification information indicating an alarm or caution to be notified under a predetermined condition during hemodialysis treatment are stored in association with each patient. In addition, the notification information is displayed as text data on the information display section of the hemodialysis apparatus under predetermined conditions during dialysis treatment.

  A first invention includes a hemodialysis apparatus configured to perform hemodialysis treatment of a patient, and a central monitoring apparatus that monitors hemodialysis treatment by the hemodialysis apparatus, and the hemodialysis apparatus and the central monitoring apparatus In the hemodialysis monitoring system configured to be communicably connected to each other, the hemodialysis apparatus includes an information display unit that displays various information, a control unit that controls the information display unit, and a patient undergoing hemodialysis treatment. A treatment-time information acquisition unit that acquires information in the treatment, and a treatment-time information output unit that outputs information on treatment of the patient acquired by the treatment-time information acquisition unit to the central monitoring device, the central monitoring device comprising: A patient information storage unit for storing treatment information related to a patient's hemodialysis treatment and notification information indicating an alarm or caution to be notified under a predetermined condition at the time of hemodialysis treatment in association with each patient; and The treatment information acquired by the treatment information acquisition unit of the liquid dialysis device is compared with the treatment information stored in the patient information storage unit, and when it is determined that the predetermined condition is satisfied, the hemodialysis treatment is being performed. A notification information acquisition unit that acquires patient notification information from the patient information storage unit; and a notification information output unit that outputs the notification information acquired by the notification information acquisition unit to the hemodialyzer. The control unit displays the notification information output from the notification information output unit on the information display unit as text data.

  According to this configuration, in the patient information storage unit of the central monitoring apparatus, treatment information to be performed and notification information indicating an alarm or a caution are associated and stored for each patient who receives hemodialysis treatment.

  On the other hand, during hemodialysis treatment by the hemodialysis apparatus, information during the hemodialysis treatment of the patient is obtained by the treatment time information obtaining unit. And the information under treatment acquired by the treatment time information acquisition part is compared with the treatment information of the patient memorize | stored previously in a alerting | reporting information acquisition part. As a result of the comparison, when it is determined that a predetermined condition requiring an alarm or attention is satisfied, notification information about the patient undergoing hemodialysis treatment is transmitted to the hemodialysis apparatus and displayed as text data on the information display unit.

  In a second aspect based on the first aspect, the patient information storage unit of the central monitoring device stores a record in which notification information is notified during the patient's past hemodialysis treatment in association with the patient as a notification record. The notification information acquisition unit provides the patient notification information required during dialysis treatment based on the information being treated acquired by the treatment information acquisition unit and the notification record stored in the patient information storage unit. It is acquired from a patient information storage part, and it is comprised so that it may output to a hemodialysis apparatus, It is characterized by the above-mentioned.

  According to this configuration, when performing hemodialysis treatment on a patient who has been notified of notification information in the past, the notification information is notified based on the notification record. Accurate notification can be performed.

  In a third aspect based on the first aspect, the patient information storage unit of the central monitoring device stores past treatment data obtained during the patient's past hemodialysis treatment in association with the patient, and provides notification information. The acquisition unit stores the patient information necessary for dialysis treatment based on the information during treatment acquired by the treatment information acquisition unit and the past treatment data stored in the patient information storage unit. It is acquired from a part and it is comprised so that it may output to a hemodialysis apparatus.

  According to this configuration, it is possible to store, for example, blood pressure under treatment as past treatment data for a patient who has undergone hemodialysis treatment in the past. And when performing hemodialysis treatment to the patient, since notification information is notified based on the past treatment data, it becomes possible to perform more accurate notification.

  According to a fourth invention, in any one of the first to third inventions, the central monitoring device is provided with an input device for inputting the notification information of each patient in text.

  According to this configuration, it is possible to input the notification information of each patient by the input device of the central monitoring device without providing an input device for inputting the notification information in text in each hemodialysis device. Therefore, the structure of the hemodialysis apparatus is simplified.

  According to a fifth aspect of the present invention, there is provided a central monitoring device for monitoring a patient's hemodialysis treatment performed by a hemodialysis device. The central monitoring device is communicably connected to the hemodialysis device. A patient information storage unit that stores alarm information or caution information that should be notified under predetermined conditions in association with each patient, information obtained during hemodialysis treatment of the patient obtained by the hemodialysis apparatus, and the above A notification information acquisition unit that compares the treatment information stored in the patient information storage unit and acquires notification information of the patient undergoing hemodialysis treatment from the patient information storage unit when it is determined that the predetermined condition is satisfied; A notification information output unit configured to output the notification information acquired by the notification information acquisition unit to the hemodialysis apparatus, and the notification information output from the notification information output unit And it is characterized in that it is configured to be displayed as text data in the location.

  A sixth invention is a control program for a central monitoring apparatus introduced into a central monitoring apparatus for monitoring a patient's hemodialysis treatment performed by a hemodialysis apparatus, the treatment information regarding the patient's hemodialysis treatment, and hemodialysis A patient information storage unit for storing, in association with each patient, alarm information or warning information to be notified under predetermined conditions at the time of treatment, and information obtained during the hemodialysis treatment of the patient obtained by the hemodialysis apparatus; A notification information acquisition unit that acquires notification information of a patient undergoing hemodialysis treatment from the patient information storage unit when it is determined that the predetermined condition is satisfied by comparing with the treatment information stored in the patient information storage unit And a notification information output unit that outputs the notification information acquired by the notification information acquisition unit to the hemodialysis device, and the notification information output Broadcast information output from and is characterized in that it is configured to be displayed as text data in the hemodialysis apparatus.

  In a dialysis monitoring method using a hemodialysis apparatus for performing hemodialysis treatment of a patient and a central monitoring apparatus for monitoring hemodialysis treatment by the hemodialysis apparatus, the seventh invention relates to treatment information on hemodialysis treatment of the patient, A first step of storing alarm information or warning information to be notified under a predetermined condition at the time of hemodialysis treatment in association with each patient in the central monitoring apparatus, and the patient's hemodialysis by the hemodialysis apparatus A second step of obtaining information during treatment and outputting the obtained information during treatment of the patient to the central monitoring device; information during treatment of the patient obtained in the second step; The treatment information of the patient stored in step 1 is compared to determine whether or not a predetermined condition is satisfied. When it is determined that the predetermined condition is satisfied, A third step of acquiring knowledge information; a fourth step of outputting the notification information acquired in the third step to the hemodialysis device; and the notification information output in the fourth step of the hemodialysis. And a fifth step of displaying the data as text data on the information display unit of the apparatus.

  According to the first invention, the treatment information related to the patient's hemodialysis treatment and the notification information indicating the warning or caution to be notified under a predetermined condition at the time of hemodialysis treatment are stored in association with each patient, When information on the patient's hemodialysis treatment is compared with the stored treatment information, and it is determined that an alarm or caution is required, the notification information of the patient undergoing hemodialysis treatment is displayed on the information display section of the hemodialysis device. It can be displayed as text data. This makes it possible to accurately notify the medical staff of the notification content according to the patient when the notification content of the abnormality and the notification content of the precautions are different for each patient, thereby further improving the safety of hemodialysis treatment. Can be increased.

  According to the second invention, in the patient information storage unit, the notification record notified during the hemodialysis treatment of the patient in the past is stored in association with the patient, and the information acquired by the patient information acquisition unit and the past Since the notification information of the patient under dialysis treatment is acquired from the patient information storage unit based on the notification record of the patient, more accurate notification can be performed based on the past record of the patient, Safety can be increased.

  According to the third invention, the patient information storage unit stores the past treatment data obtained during the patient's past hemodialysis treatment in association with the patient, and the information acquired by the patient information acquisition unit Since the notification information of the patient under dialysis treatment is acquired from the patient information storage unit based on the past treatment data, more accurate notification can be performed based on the patient's past treatment data. Safety can be increased.

  According to the fourth invention, since the central monitoring device is provided with the input device for inputting the notification information of each patient in the text, it is not necessary to provide the input device for inputting with the text in each hemodialysis device. The cost of each hemodialysis apparatus can be reduced, and consequently the cost of the hemodialysis monitoring system can be reduced. In addition, it is not necessary to input notification information to each hemodialysis device one by one, and since it can be input and transmitted collectively by the central monitoring device, it is possible to reduce the labor of medical workers. .

  According to the fifth to seventh inventions, in the same manner as the first invention, when the contents of the abnormality notification and the notification contents of the precautions differ for each patient, the notification contents according to the patient are accurately notified to the medical staff. And the safety of hemodialysis treatment can be further enhanced.

It is a figure showing the outline of the hemodialysis monitoring system concerning an embodiment. It is a block diagram of a hemodialysis apparatus. It is a figure which shows an example of the display of the console display of a hemodialysis apparatus. It is a block diagram of a central monitoring apparatus. It is a figure which shows a patient information database. It is a figure which shows a dialysis condition database. It is a figure which shows a patient specific information database. It is a figure which shows the alerting | reporting condition database. It is a figure which shows an alerting | reporting condition input screen. It is a figure which shows the alerting | reporting information database. It is a figure which shows the alerting | reporting information input screen. It is a figure which shows the past treatment database. It is a figure which shows the database which extracted the data at the time of 30-minute progress of dialysis. It is a flowchart which shows operation | movement of the alerting | reporting information acquisition part. It is a flowchart which shows the procedure of hemodialysis.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. It should be noted that the following description of the preferred embodiment is merely illustrative in nature, and is not intended to limit the present invention, its application, or its use.

  FIG. 1 shows a schematic diagram of a dialysis monitoring system 1 according to an embodiment of the present invention. The dialysis monitoring system 1 includes a plurality of hemodialysis apparatuses 10, 10,... And a central monitoring apparatus 11. The hemodialysis apparatus 10 and the central monitoring apparatus 11 are connected to each other via a signal line 12 and a network 13 so as to communicate with each other. The network 13 is a local network.

  The hemodialysis apparatus 10 and the central monitoring apparatus 11 may be directly connected without using the network 13, or may be connected so as to be able to perform wireless communication via a known wireless communication device. The communication form is not particularly limited.

  The dialysis monitoring system 1 is used in, for example, a medical facility such as a dialysis clinic or a hospital, and is configured to monitor hemodialysis treatment for patients performed by each hemodialysis apparatus 10 with a central monitoring apparatus 11. ing. The number of hemodialyzers 10 varies depending on the scale of the medical facility and is not particularly limited. However, in this embodiment, for example, it is preferable that the number is about several tens to several hundreds.

  The hemodialysis apparatus 10 is placed beside a patient's bed for each bed, and is configured to actually perform hemodialysis. That is, as shown in FIG. 2, the hemodialysis apparatus 10 includes a blood pump 20, a syringe pump 21, a console display (information display unit) 22, an input / output unit (information output unit during treatment) 23, and an input interface. 24, blood pressure measurement unit 25, water removal measurement unit 26, venous pressure measurement unit 27, dialysate pressure measurement unit 28, pulse measurement unit 29, fluid replacement measurement unit 30, indicator lamp 31, and speaker 32 and a control unit 35 to which these are connected. The hemodialyzer 10 further includes a blood circuit, a dialysate circuit, a dialyzer, and the like, but these are well-known ones and will not be described. The hemodialyzer 10 also includes a sensor for measuring dialysate pressure, a sensor for measuring dialysate temperature, and the like. These sensors are well known.

  The blood pump 20 is a so-called ironing type pump configured to pump blood by squeezing a tube through which a patient's blood flows. The control unit 35 controls ON, OFF, and blood pumping amount. It has become. Further, the control unit 35 can estimate and obtain the blood flow rate based on the rotation speed of the blood pump 20.

  The syringe pump 21 is a well-known mechanical pump for administering a drug to a patient who needs to administer the drug. A syringe containing a medicine is set in the syringe pump 21, and the timing, dosage, and administration time of the medicine are controlled by the control unit 35.

  As shown in FIG. 3, the console display 22 is capable of displaying dialysis conditions, patient information during dialysis, and the like. For example, the console display 22 includes a color liquid crystal panel and is controlled by the control unit 35. The The console display 22 includes a dialysis remaining time display unit 22a, a water removal amount display unit 22b, a target water removal amount and water removal rate display unit 22c, a venous pressure display unit 22d, a dialysate pressure display unit 22e, and a syringe. A pump operation state display unit 22f, a blood pump operation state display unit 22g, and an alarm and caution display unit 22h are provided.

  The control unit 35 is configured to display alarms and cautions described later on the display unit 22h of the console display 22 as text data.

  Note that the display contents of the display units 22 a to 22 h can be switched by operating the input interface 24. For example, the screen can be changed to a screen for inputting dialysis conditions, or can be changed to a screen for confirming the input dialysis conditions.

  The input / output unit 23 is connected to the signal line 12. The input / output unit 23 is configured to output information on the patient's hemodialysis as a predetermined signal to the central monitoring device 11 and to input various information output from the central monitoring device 11 to the control unit 35. .

  The input interface 24 includes touch switches, buttons, operation knobs, and the like provided on the surface of the console display 22. The touch switch has a known structure having a transparent electrode, for example. The input interface 24 allows input of dialysis conditions and screen switching.

  The blood pressure measurement unit 25 is for measuring the blood pressure of a patient in substantially real time. The water removal amount measuring unit 26 is for obtaining the water removal amount of the patient. The venous pressure measuring unit 27 is for measuring the venous pressure of the patient in substantially real time. The dialysate pressure measuring unit 28 is for measuring the dialysate pressure in substantially real time. The pulse measuring unit 29 is for measuring a patient's pulse. The fluid replacement amount measuring unit 30 is for measuring the amount of fluid replacement performed after dialysis is started.

  The blood pressure measurement unit 25, the water removal amount measurement unit 26, the venous pressure measurement unit 27, the dialysate pressure measurement unit 28, the pulse measurement unit 29, and the replacement fluid amount measurement unit 30 are information during patient hemodialysis treatment. The treatment time information acquisition unit for acquiring the information is configured.

  The indicator lamp 31 is configured to blink or light when notifying an alarm or caution, and is controlled by the control unit 35. The indicator lamp 31 is provided with a red lamp, a green lamp, a yellow lamp, and a white lamp, and blinks or lights up individually. Further, the control unit 35 can switch the blinking speed of each lamp between “fast” and “slow”. The indicator lamp 31 may be provided with a lamp other than the color described above. Further, the blinking speed may be arbitrarily controlled.

  The speaker 32 is configured to emit a sound when notifying an alarm or a caution, and is controlled by the control unit 35 to emit a plurality of types of timbres.

  The control unit 35 is configured to operate the blood pump 20 and each unit based on dialysis conditions. In addition, if it is necessary to administer a drug, the syringe pump 21 is also operated.

  During the hemodialysis treatment, the amount of water removal, blood pressure, pulse, venous pressure, and the like are measured as information during the hemodialysis treatment of the patient, and the blood flow is estimated. Entered. In addition, the control unit 35 measures the number of times the replacement fluid has been performed and also measures the time that has elapsed since the start of dialysis treatment. The control unit 35 causes the console display 22 to display necessary information among the information during the hemodialysis treatment of the patient, and outputs the information during the hemodialysis treatment of the patient to the input / output unit 23. The input / output unit 23 outputs information on the patient's hemodialysis treatment output from the control unit 35 to the central monitoring device 10. The input / output unit 23 is a treatment time information output unit of the present invention.

  As shown in FIG. 4, the central monitoring device 11 includes a display 40, an input / output unit 41, an input device 42, a control device 43, and a storage device 44. The control device 43 is constituted by a general-purpose personal computer or the like, and has a CPU, a ROM, a RAM, and the like (not shown). The control device 43 stores a control program for operating the central monitoring device 11, and the central monitoring device 11 operates according to this control program.

  The display 40 is composed of, for example, a color liquid crystal panel or the like, and is placed together with the control device 43 in, for example, a nurse station of a medical facility. The display 40 is controlled by the control device 43 and displays various screens described later.

  The input / output unit 41 is connected to the signal line 12. The input / output unit 41 is configured to output the information stored in the central monitoring device 11 as a predetermined signal to the hemodialysis device 10 and to input various information output from the hemodialysis device 10 to the control unit 43. Has been.

  The input device 42 includes a mouse and a general keyboard, and text can be easily input by using the keyboard.

  The storage device 44 includes a known storage medium and stores various information. The storage device 44 is provided with a patient information storage unit 44a. The patient information storage unit 44a is provided with a patient information database as shown in FIG. The patient information database is configured so that dialysis conditions, patient-specific information, notification conditions, notification information, and notification records can be stored in association with patient IDs. The dialysis conditions, patient specific information, notification conditions, and notification information in the patient information database are input using the input device 42.

  The patient ID is an identification number set for each patient. As shown in FIG. 6, the dialysis condition database includes the body weight, water removal rate, and dialysis time of the patient receiving dialysis treatment, and these correspond to the patient ID. As shown in FIG. 7, the patient-specific information includes the patient name, age, sex, dry weight (standard weight), and past history, and these correspond to the patient ID.

  The notification condition is a condition for determining whether or not to notify a medical staff of an alarm or caution, and is treatment information related to a patient's hemodialysis treatment.

  As shown in FIG. 8, the notification condition database stores a plurality of first notification conditions, second notification conditions, third notification conditions (not shown),. Then, the notification condition selected from these notification conditions is stored in association with the patient ID as the notification condition in the patient information database shown in FIG. In FIG. 5, only the first notification condition is selected and stored, but only the second notification condition may be selected or a plurality of notification conditions may be selected.

  As shown in FIG. 8, the first notification condition includes an item name and a set value. The item name is, for example, the patient's systolic blood pressure, diastolic blood pressure, venous pressure, dialysis elapsed time (time elapsed since the start of dialysis), and the like. The set value is, for example, an upper limit value and a lower limit value (mmHg) if the item name is systolic blood pressure or diastolic blood pressure, and is an upper limit value if the item name is venous pressure. If it is elapsed time, it is time (min). The second notification condition, the third notification condition,... Are the same as the first notification condition.

  When inputting the item name and the set value in the notification condition database, the control device 43 causes the display 40 to display a notification condition input screen as shown in FIG. The notification condition input screen can be switched from another screen by a predetermined operation and displayed on the display 40.

  No. in the notification condition input screen. 1 is the first notification condition in the notification condition database of FIG. Similarly, 2 to 4 are second to fourth notification conditions in the notification condition database. The item names on the notification condition input screen correspond to the item names of the notification condition database described above, and the upper limit value, lower limit value, and elapsed time on the notification condition input screen correspond to the set values of the notification condition database.

  As shown in the figure, in the notification condition input screen, when the item name is the maximum blood pressure or the minimum blood pressure, an upper limit value and a lower limit value can be input. If the item name is venous pressure, only the upper limit value can be entered. When the item name is dialysis elapsed time, the elapsed time can be input. The “Register” button on the notification condition input screen is a button for storing input information in the patient information storage unit 44a by clicking with a mouse after inputting necessary items (item names and setting values).

  The number of notification conditions stored in the notification condition database is not limited to four, and a large number can be stored.

  The item names in the notification condition database include not only the maximum blood pressure, the minimum blood pressure, the venous pressure, and the dialysis elapsed time shown in FIG. When the number of times of replacement fluid is used as the item name, the number of times is input as a setting value. When the amount of replacement fluid is used as the item name, the amount (ml) is input as the set value. Past treatment data refers to information (blood pressure) when the patient needs attention, such as changes in condition or sudden changes in blood pressure during dialysis treatment in the past. , Vein pressure, elapsed time, and the like) and corresponding information during the current treatment, and is an item for setting whether or not to notify that attention has been required in the past. When this past treatment data is input as an item name, YES or NO is input as a setting value. If YES, it is notified that it has been necessary to pay attention in the past, and if NO, that fact is not notified.

  The item name and setting value of the notification condition database can be input with the keyboard of the input device 42. Therefore, it is possible to easily input a large number of notification conditions.

  Note that the item name may be selected and input by a pull-down menu, for example.

  The notification information in the database shown in FIG. 5 is specific information indicating how alarms and cautions are notified to medical staff. As shown in FIG. 10, the notification information database stores first notification information, second notification information, third notification information (not shown),. The notification information selected from the notification information is stored in the patient information database shown in FIG. 5 in association with the patient ID as notification information. In FIG. 5, only the first notification information is selected and stored, but only the second notification information may be selected or a plurality of notification information may be selected.

  As shown in FIG. 10, the first notification information includes an item name, text, indicator lamp control, and notification sound control. The item name is, for example, “follow-up” in the case where it is sufficient to observe the progress, “minor” in which more attention is required, “serious” in which more attention is required.

  The text is text data to be displayed on the console display 22 of the hemodialysis apparatus 10, and various characters and sentences can be arbitrarily and freely input and stored. The indicator lamp control stores how the indicator lamp 31 of the hemodialysis apparatus 10 blinks or is lit. The notification sound control stores which timbre the timbre emitted from the speaker 32 of the hemodialysis apparatus 10 is set to.

  When inputting the notification information, the control device 43 causes the display 40 to display a notification information input screen as shown in FIG. The notification information input screen can be displayed by switching from another screen by a predetermined operation.

  No. in the notification information input screen. 1 is the first broadcast information in the broadcast information database of FIG. Similarly, 2 to 4 are second to fourth broadcast information in the broadcast information database. The item names on the notification information input screen correspond to the item names of the notification information in the notification information database described above, and the text, indicator light control, and notification sound control on the notification information input screen are respectively the text and display of the notification information database. It corresponds to lamp control and notification sound control.

  As shown in the figure, the text can be freely input by the input device 42. Although not shown, it is also possible to arbitrarily set the color and size of the text, the background color, etc. on the notification information input screen.

  The indicator light control and the notification sound control can be selected from a pull-down menu. The “Register” button on the notification information input screen is clicked with a mouse after inputting necessary items (item name, text, indicator light control and notification sound control), and the input information is stored in the patient information storage unit 44a. It is a button to make it.

  As the item name of the notification information database, in addition to the follow-up observation, minor, and serious shown in FIG. 11, although not shown, it is also possible to input a treatment performed during injection (drug administration) and hemodialysis. Yes.

  When the item name in the notification information database is injection, it is possible to input the administration drug name and administration method as text. For example, “Please administer erythropoietin preparation” can be entered.

  Further, when the item name in the notification information database is treatment, for example, massage, oxygen inhalation, replacement fluid, and the like can be input as text. For example, “please perform foot massage” can be entered.

  Another item name in the broadcast information database is alerting. In this case, examples of the text include excessive water removal, insufficient water removal, attention to blood pressure reduction, and observation of vitals (pulse, blood pressure). For example, “Please be careful about blood pressure.”, “Circulating blood volume is low. Check the water removal rate.”, “It is a time zone where blood pressure tends to decrease. Or the like.

  The notification record of the patient information database shown in FIG. 5 is stored when a situation that requires attention to the patient during dialysis treatment in the past occurs, and is composed of the contents and patient information such as blood pressure at the time of occurrence. Has been. For example, in the case of a patient whose blood pressure has suddenly dropped 30 minutes after the start of dialysis, the text is memorized as “the blood pressure sharply drops 30 minutes after the start of dialysis”, and the blood pressure at that time, etc. Is stored as an elapsed time of 30 minutes as a set value.

  Furthermore, the patient information storage unit 44a of the storage device 44 is provided with a past treatment database. As shown in FIG. 12, in the past treatment database, past treatment data obtained during a patient's past hemodialysis treatment is stored in association with the patient. That is, the past treatment database includes the date (treatment date) on which the patient performed dialysis treatment, the time when the dialysis treatment was started, the elapsed time from the start time (in minutes), the amount of water removed, and the maximum blood pressure (blood pressure (upper)) , Systolic blood pressure (blood pressure (lower)), pulse, venous pressure, dialysate pressure, dialysate temperature, etc., which correspond to the patient ID. The past treatment data is not limited to these, and may include other data.

  Past treatment data is stored every minute until the end of dialysis. Each data such as water removal amount and blood pressure is a value at the time when the treatment elapsed time (minutes) has elapsed from the start of dialysis treatment. Therefore, for example, if the dialysis time is 4 hours as shown in FIG. 12, the past treatment data for one dialysis treatment is 60 (minutes) × 4 (hours) = 240 (minutes) per patient. Although it becomes a large amount of data in a row, it is not a problem because it is stored in the external storage device 44.

  The elapsed time is not limited to 1 minute, and may be shorter or longer than 1 minute.

  Based on the data stored in the past treatment database, the control device 43 extracts the data when 30 minutes have elapsed from the start of dialysis and creates another database, as shown in FIG. Thereby, at the time of the next treatment, it becomes possible to judge a patient's abnormality based on past data when 30 minutes from the start of dialysis. This is an exemplification, and for example, another database may be created based on data immediately after the start of dialysis, or another database may be created based on data one hour after the start of treatment.

  Moreover, although not shown in figure, the control apparatus 43 can obtain the average blood pressure at the time of a patient's dialysis treatment, the minimum blood pressure, the maximum blood pressure, etc. based on the data memorize | stored in the past treatment database. . The average blood pressure can be averaged over the entire dialysis time. For example, based on the database shown in FIG. 13, an average value obtained by averaging blood pressure at the time when 30 minutes have elapsed since the start of dialysis treatment is obtained. You can also.

  As shown in FIG. 4, the control device 43 includes a notification information acquisition unit 43 a. The notification information acquisition unit 43a compares the information during the dialysis treatment of the patient with the treatment information (notification condition) regarding the patient's hemodialysis treatment stored in the patient information storage unit 44a, and determines whether or not a predetermined condition is satisfied. When it is determined that the predetermined condition is satisfied, notification information corresponding to the notification condition of the patient undergoing hemodialysis treatment is acquired from the patient information storage unit 44a.

  The control point in the notification information acquisition unit 43a will be described based on the flowchart shown in FIG. First, in step SA1 after the start, the notification condition of the patient is acquired from the information (see the database in FIG. 5) stored in the patient information storage unit 44a. In subsequent step SA2, information (blood pressure, etc.) of the patient during dialysis treatment output from the hemodialysis apparatus 10 is acquired.

  Thereafter, in step SA3, the notification condition acquired in step SA1 is compared with the information on the patient undergoing dialysis treatment acquired in step SA2, and it is determined whether the information on the patient undergoing dialysis treatment satisfies the notification condition. .

  If YES is determined in step SA3 and the information on the treatment of the patient undergoing dialysis treatment satisfies the notification condition, the process proceeds to step SA4 and information stored in the patient information storage unit 44a (in FIG. 5). Information of the patient is acquired from the database).

  On the other hand, if NO is determined in step SA3 and the information on the patient's hemodialysis treatment does not satisfy the notification condition, the process proceeds to step SA5. In step SA5, past treatment data is acquired. The past treatment data acquired in step SA5 is, for example, data when 30 minutes from the start of dialysis shown in FIG.

  In step SA6 following step SA5, it is determined whether or not the difference between the past treatment data and the information being treated is greater than or equal to a predetermined value. For example, in the past treatment data, an average value of blood pressure (lower) is obtained, and if the difference between this average value and the lowest blood pressure when 30 minutes have elapsed since the start of treatment in the current treatment is greater than or equal to a predetermined value, in step SA6 It determines with YES. On the other hand, if the difference is less than the predetermined value, NO is determined in step SA6. Information acquired in step SA2 is used as information during treatment.

  If NO is determined in step SA6, the process proceeds to step SB7 in the flowchart of FIG. 15 described later. On the other hand, if YES is determined in step SA6, the process proceeds to step SA4.

  In step SA4, notification information is acquired. The notification information acquired in step SA4 is output from the control device 43 of the central monitoring device 11 to the input / output unit 41. The input / output unit 41 is configured to output notification information to the hemodialysis apparatus 10. The notification information is input to the control unit 35 via the input / output unit 23 of the hemodialysis apparatus 10. The control unit 35 controls the console display 22, the indicator lamp 31, and the speaker 32 based on the notification information.

  The central monitoring device 11 is configured to output the dialysis conditions stored in the patient information storage unit 44a as the dialysis condition database shown in FIG. This operation is executed by operating the input device 42 of the central monitoring device 11.

  Next, a case where hemodialysis treatment is performed using the dialysis monitoring system 1 configured as described above will be described.

  First, as shown in the flowchart of FIG. 15, the medical staff prepares for treatment (step SB1). That is, dialysis conditions, notification conditions, and notification information are input using the input device 42 of the central monitoring device 11 and stored in the patient information storage 44a. It is assumed that the patient specific information shown in FIG. 7 has already been input to the patient information storage unit 44a of the central monitoring device 11.

  Specifically, first, the medical staff inputs the patient's current body weight, water removal rate, and dialysis time into the dialysis condition database shown in FIG. Thereafter, the medical staff operates the input device 42 to display the notification condition input screen shown in FIG. On the notification condition input screen, an item name and a set value corresponding to the item name are input. When the “Register” button on the notification condition input screen is pressed, the information input on the notification condition input screen is stored in the patient information storage unit 44a.

  Further, the input device 42 is operated to display the notification information input screen shown in FIG. The item name, text, indicator light control, and alarm sound control are input to the notification information input screen. When the “registration” button on the notification information input screen is pressed, the information input on the notification information input screen is stored in the patient information storage unit 44a.

  Further, in the patient information database shown in FIG. 5, the first notification condition “high blood pressure” already input in the notification condition database is selected and input as the notification condition, and is already input in the notification information database. The first notification information “follow-up observation” is selected and input as notification information.

  Thereby, the treatment information related to the patient's hemodialysis treatment and the notification information indicating the warning or caution to be notified under a predetermined condition at the time of hemodialysis treatment can be associated with each patient and stored in the central monitoring device 11. . This is the first step of the present invention.

  In addition, the input device 42 is operated to output the dialysis information stored in the patient information storage unit 44 a to each hemodialysis device 10. The output dialysis conditions are input to the control unit 35 of each hemodialysis apparatus 10. This is the dialysis condition assignment operation, which is performed that day before the patient enters the dialysis room.

  The bed on which the patient receives dialysis treatment is determined in advance, and the dialysis condition of the patient is output to the hemodialysis apparatus 10 corresponding to the bed. Therefore, the dialysis conditions of another patient are not output to the hemodialysis apparatus 10 other than the patient.

  In step SB2 after step SB1 in FIG. 15, dialysis treatment is started. A medical worker connects the blood circuit and dialysate circuit of the hemodialyzer 10 and then presses a start button (not shown) of the hemodialyzer 10. Then, the control part 35 of the hemodialysis apparatus 10 controls each apparatus according to the dialysis conditions input previously, and starts a dialysis treatment. During dialysis treatment, each value is measured by the blood pressure measurement unit 25, the water removal amount measurement unit 26, the venous pressure measurement unit 27, the dialysate pressure measurement unit 28, the pulse measurement unit 29, the replacement fluid amount measurement unit 30, and the like. The control unit 35 displays only necessary information among the measured values on the console display 22. In addition, the hemodialysis apparatus 10 outputs each information to the central monitoring apparatus 11. This is the second step of the present invention. The central monitoring device 11 stores each acquired information in the database shown in FIG.

  In step SB3, the central monitoring apparatus 11 starts monitoring and proceeds to step SB4. Steps SB2 and SB3 are performed substantially simultaneously. In step SB4, the operation is performed according to the flowchart shown in FIG.

  That is, first, in step SA1 of the flowchart shown in FIG. 14, the notification information acquisition unit 43a of the control device 43 of the central monitoring device 11 acquires the notification condition of the patient information database stored in the patient information storage unit 44a. This notification condition is for the patient being treated who is being monitored. Specifically, based on FIG. 5, when the first notification condition “maximum blood pressure” is selected and stored as the notification condition of the patient whose patient ID is 100 in the patient information database, step SA1 is performed. Then, the first notification condition “high blood pressure” is acquired. As for the 1st information condition, as it exists in the information condition database shown in Drawing 8, an item name is systolic blood pressure, and a set value is 150-90. This information is acquired by the notification information acquisition unit 43a.

  Thereafter, in step SA2, the notification information acquisition unit 43a acquires information (blood pressure and the like) of the patient undergoing dialysis treatment.

  After obtaining information on the patient undergoing dialysis treatment, in step SA3, the information on the patient undergoing dialysis treatment is compared with the set value of the first notification condition “maximum blood pressure”. And it is judged whether the information of the patient under dialysis treatment satisfies the first notification condition. Specifically, in the first notification condition, since the upper limit value of the maximum blood pressure is 150 mmHg and the lower limit value is set to 90 mmHg, when the patient's maximum blood pressure is higher than 150 mmHg, or lower than 90 mmHg. If it is determined that the first notification condition is satisfied in step SA3. If it is determined in step SA3 that the first notification condition is satisfied, the process proceeds to step SA4. On the other hand, if the maximum blood pressure of the patient undergoing dialysis treatment is between 150 mmHg and 90 mmHg, it is determined in step SA3 that the first notification condition is not satisfied, and thus the process proceeds to step SA5 (described later).

  In step SA5, data is acquired when 30 minutes from the start of dialysis shown in FIG. In the case of a patient who is treated for the first time, since there is no past treatment data, the process proceeds to step SB7 without going through steps SA5 and SA6.

  In step SA6 following step SA5, it is determined whether or not the difference between the past treatment data and the information being treated is greater than or equal to a predetermined value. For example, in the data shown in FIG. 13, an average value of blood pressure (lower) is obtained, and the difference between this average value and the minimum blood pressure when 30 minutes have elapsed since the start of treatment in this treatment is, for example, 20 (predetermined value) If it is above, it determines with YES by step SA6. On the other hand, if the difference is less than 20, NO is determined in step SA6. Information acquired in step SA2 is used as information during treatment. The predetermined value for determination can be arbitrarily set. In step SA6, water removal amount, pulse, venous pressure, dialysate pressure, dialysate temperature, etc. can also be determined.

  If NO is determined in step SA6, the process proceeds to step SB7 in the flowchart of FIG. 15 described later. On the other hand, if YES is determined in step SA6, the process proceeds to step SA4.

  In step SA4, notification information is acquired. That is, as described above, when the patient whose patient ID is 100 satisfies the first notification condition, the first notification information corresponding to the first notification condition is acquired as shown in FIG. As shown in FIG. 10, the item name of the first notification information is “follow-up”, the text is “Beware of blood pressure”, the indicator light control is “red / flashing fast”, and the notification The sound control is “alarm sound A”. Step SA3 and step SA4 are the third step of the present invention.

  In addition, when YES is determined in step SA6 and the process proceeds to step SA4, when the above-described determination relating to blood pressure is performed in step SA6, in step SA4, “Notice about blood pressure” is information relating to blood pressure as notification information. Please get it. "

  Thereafter, the process returns to the flowchart shown in FIG. 15 and proceeds to Step SB5. In step SB 5, the first notification information “follow-up observation” acquired by the notification information acquisition unit 43 a of the central monitoring device 11 is output to the input / output unit 41 and output to the hemodialysis device 10 by the input / output unit 41. This is the fourth step of the present invention. The first notification information “follow-up” output from the input / output unit 41 of the central monitoring device 11 is input to the control unit 35 of the hemodialysis device 10.

  Next, the process proceeds to step SB6, and the control unit 35 causes the console display 22 to display “Please pay attention to blood pressure”, which is the text of the first notification information (see FIG. 3). This is the fifth step of the present invention. In addition, the control unit 35 causes the red light of the indicator lamp 31 to blink rapidly and generates an alarm sound A from the speaker 32.

  The medical staff can confirm “Please pay attention to blood pressure” as a precaution by looking at the console display 22. And it can grasp | ascertain easily and quickly that it is the situation which should be careful about blood pressure. In addition, the blinking of the indicator lamp 31 and the generation of an alarm sound from the speaker 32 make it possible to grasp that the medical worker is in a situation to watch out even if he or she is away from the patient.

  When the medical staff confirms the precautions, the predetermined button of the hemodialysis apparatus 10 is operated to erase the text. Thereby, the indicator lamp 31 is turned off and the alarm sound generated from the speaker 32 is also stopped.

  Thereafter, the process proceeds to step SB7 to determine whether or not the dialysis treatment is completed. This can be determined by detecting the operating state of the hemodialyzer 10. If dialysis treatment is continuing, NO is determined in step SB7 and the process returns to step SB4. On the other hand, when dialysis treatment is completed, YES is determined in step SB7, the process proceeds to step SB8, and the monitoring is terminated.

  In addition to the precautions, the content of the text may be an alarm with a content that informs the medical staff in advance of the patient's condition. The text in the case of an alarm is “blood pressure reduction” or the like.

  Various other notification conditions can be input and stored in the notification condition database. For example, in the case of a patient whose blood pressure has suddenly decreased after dialysis has started during past dialysis treatment, the notification condition is, for example, “dialysis elapsed time” and the set value is “30 minutes”, for example. In the notification information in the notification information database, the item name is “follow-up observation” and the text is “<30 minutes after the start of dialysis> Please pay attention to blood pressure”.

  In this case, when the central monitoring device 11 operates according to the flow of FIG. 14, first, “dialysis elapsed time” and “30 minutes” are acquired as notification conditions in step SA1. In step SA2, the time elapsed since the start of dialysis is acquired together with the blood pressure and the like. In step SA3, it is determined whether the time elapsed since the start of dialysis has become 30 minutes or more. When 30 minutes have elapsed from the start of dialysis and YES is determined in step SA3, notification information “<30 minutes after starting dialysis> Beware of blood pressure” is acquired and console of hemodialysis machine 10 is acquired. It is displayed on the display 22. Thereby, the medical staff can continue the dialysis treatment while paying attention to the blood pressure based on the information at the time of the past treatment of the patient. Similarly, for example, 30 minutes after the start of dialysis, it is also possible to obtain information such as “please perform foot massage”, “administer erythropoietin preparation”, etc. and display them on the console display 22. It is. The elapsed time is an example and can be set arbitrarily. It is also possible to acquire a plurality of notification information and display it on the console display 22 at a time.

  In the past, for example, in the case of a patient who has been informed of cautions regarding changes in blood pressure, the notification record is stored in the patient information database shown in FIG. As a notification record, when attention is paid regarding a change in blood pressure, the text is “Please pay attention to blood pressure”, and a predetermined blood pressure value is stored as the set value. When the patient in whom the notification record is stored performs dialysis treatment, the control device 43 compares the information in the notification record (predetermined blood pressure value) with the information on the patient undergoing dialysis treatment (blood pressure). When the information on the patient undergoing dialysis treatment substantially matches the information in the notification record, the text of the notification record is displayed on the console display 22.

  As described above, according to this embodiment, treatment information related to a patient's hemodialysis treatment and notification information indicating an alarm or caution to be notified at the time of hemodialysis treatment are stored in association with each patient, Information on the patient during hemodialysis treatment is compared with stored treatment information, and when it is determined that an alarm or attention is required, notification information of the patient during hemodialysis treatment is acquired, and It can be displayed on the console display 22 as text data. This makes it possible to accurately notify the medical staff of the notification content according to the patient when the notification content of the abnormality and the notification content of the precautions are different for each patient, thereby further improving the safety of hemodialysis treatment. Can be increased.

  In addition, in the patient information storage unit 44a, a notification record notified during the patient's past hemodialysis treatment is stored in association with the patient, and based on the information acquired by the patient information acquisition unit 43a and the notification record. Since the notification information of the patient under dialysis treatment is acquired from the patient information storage unit 44a, more accurate notification can be performed based on the past records of the patient, and the safety of hemodialysis treatment is improved. Can do.

  Further, since the central monitoring device 11 is provided with the input device 42 for inputting the notification information of each patient in the text, it is not necessary to provide an input device in each hemodialysis device 10, and the cost of each hemodialysis device 10 is reduced. As a result, the cost of the hemodialysis monitoring system 1 can be reduced.

  Further, since the treatment information related to the dialysis treatment of a plurality of patients is transmitted to the hemodialysis apparatus 10 for each patient, the treatment information related to the patient's hemodialysis treatment is sent to the blood for the patient before the treatment is started. It can be assigned to the dialyzer 10. Thereby, it is not necessary to input treatment information for each hemodialysis apparatus 10, and preparation work at the site of dialysis treatment is facilitated.

  In the above embodiment, in the patient information database shown in FIG. 5, the notification condition is the first notification condition, the notification information is the first notification information, and the first notification information is notified when the first notification condition is satisfied. However, the present invention is not limited to this, and the second notification information or the third notification information may be notified when the first notification condition is satisfied. Further, the first notification information and the third notification information may be notified when the second notification condition is satisfied, or the first notification information and the second notification condition are satisfied when the first notification condition and the second notification condition are satisfied. You may make it alert | report 1 alerting | reporting information and 2nd alerting | reporting information.

  In addition, when past treatment data is stored in the patient information storage unit 44a of the central monitoring device 11, information (blood pressure, venous pressure, elapsed time, etc.) when attention is required in the past, and the current time The notification information acquisition unit 43a compares the corresponding information during treatment. And when it is judged that both correspond substantially, it outputs as alerting | reporting information that it has been required attention in the past, and displays it on the console display 22 of the hemodialysis apparatus 10. FIG.

  Moreover, although the said embodiment demonstrated the hemodialysis monitoring system 1 provided with the hemodialysis apparatus 10 and the central monitoring apparatus 11, it connects the central monitoring apparatus 11 to another hemodialysis apparatus (not shown), and blood. The dialysis monitoring system 1 may be configured. Moreover, the control program introduced into the central monitoring apparatus 11 can also be introduced into another general-purpose computer. In this case, the patient information storage unit, the notification information acquisition unit, the input / output unit is installed in the general-purpose computer by the control program. The notification information output from the input / output unit can be displayed as text data on the hemodialysis apparatus.

  As described above, the present invention can be used, for example, when dialysis treatment is performed in a hospital or the like.

DESCRIPTION OF SYMBOLS 1 Hemodialysis monitoring system 10 Hemodialysis apparatus 11 Central monitoring apparatus 22 Console display (information display part)
23 Input / output unit (Treatment information output unit)
25 Blood pressure measurement unit (treatment information acquisition unit)
35 Control Unit 42 Input Device 43a Notification Information Acquisition Unit 44a Patient Information Storage Unit

Claims (7)

A hemodialysis apparatus configured to perform hemodialysis treatment of a patient;
A central monitoring device for monitoring hemodialysis treatment by the hemodialysis device,
In the hemodialysis monitoring system configured such that the hemodialysis device and the central monitoring device are communicably connected,
The hemodialysis apparatus includes an information display unit that displays various types of information, a control unit that controls the information display unit, a treatment information acquisition unit that acquires information during hemodialysis treatment of a patient, and the treatment information acquisition. A treatment-time information output unit that outputs information obtained during treatment of the patient acquired by the unit to the central monitoring device,
The central monitoring device is a patient information storage unit that stores treatment information related to a patient's hemodialysis treatment and notification information indicating an alarm or caution to be notified under predetermined conditions at the time of hemodialysis treatment in association with each patient; During the hemodialysis treatment when it is determined that the predetermined condition is satisfied by comparing the treatment information acquired by the treatment information acquisition unit of the hemodialysis apparatus with the treatment information stored in the patient information storage unit A notification information acquisition unit that acquires the notification information of the patient from the patient information storage unit, and a notification information output unit that outputs the notification information acquired by the notification information acquisition unit to the hemodialysis apparatus,
The hemodialysis monitoring system, wherein the control unit of the hemodialysis apparatus displays the notification information output from the notification information output unit on the information display unit as text data. The hemodialysis monitoring system according to claim 1,
In the patient information storage unit of the central monitoring device, a record in which notification information is notified during a patient's past hemodialysis treatment is stored in association with the patient as a notification record,
The notification information acquisition unit obtains the patient information necessary for dialysis treatment based on the information during treatment acquired by the treatment information acquisition unit and the notification record stored in the patient information storage unit. A hemodialysis monitoring system configured to obtain from a storage unit and output to a hemodialysis apparatus. The hemodialysis monitoring system according to claim 1,
In the patient information storage unit of the central monitoring device, past treatment data obtained during the patient's past hemodialysis treatment is stored in association with the patient,
The notification information acquisition unit provides the patient notification information necessary during dialysis treatment based on the information being treated acquired by the treatment information acquisition unit and the past treatment data stored in the patient information storage unit. A hemodialysis monitoring system that is configured to acquire from an information storage unit and output to a hemodialysis apparatus. The hemodialysis monitoring system according to any one of claims 1 to 3,
The hemodialysis monitoring system according to claim 1 or 2,
The central monitoring device is provided with an input device for inputting the notification information of each patient as text. In a central monitoring device for monitoring a patient's hemodialysis treatment performed by a hemodialysis device,
Connected to the hemodialysis device in a communicable manner,
A patient information storage unit for storing treatment information related to a patient's hemodialysis treatment and notification information indicating warnings or cautions to be notified under predetermined conditions at the time of hemodialysis treatment in association with each patient;
The information obtained during the hemodialysis treatment of the patient acquired by the hemodialysis device is compared with the treatment information stored in the patient information storage unit, and when it is determined that the predetermined condition is satisfied, the hemodialysis treatment is being performed. A notification information acquisition unit for acquiring notification information of a patient from the patient information storage unit;
A notification information output unit that outputs the notification information acquired by the notification information acquisition unit to the hemodialysis apparatus;
A central monitoring device configured to display the notification information output from the notification information output unit as text data on the hemodialysis apparatus. A control program for a central monitoring device installed in a central monitoring device for monitoring hemodialysis treatment of a patient performed by a hemodialysis device,
A patient information storage unit for storing treatment information related to a patient's hemodialysis treatment and notification information indicating warnings or cautions to be notified under predetermined conditions at the time of hemodialysis treatment in association with each patient;
The information obtained during the hemodialysis treatment of the patient acquired by the hemodialysis device is compared with the treatment information stored in the patient information storage unit, and when it is determined that the predetermined condition is satisfied, the hemodialysis treatment is being performed. A notification information acquisition unit for acquiring notification information of a patient from the patient information storage unit;
While configuring the notification information output unit that outputs the notification information acquired by the notification information acquisition unit to the hemodialysis device, the central monitoring device,
A control program configured to display notification information output from the notification information output unit as text data on the hemodialysis apparatus. A hemodialysis apparatus for performing hemodialysis treatment of a patient;
In a dialysis monitoring method using a central monitoring device for monitoring hemodialysis treatment by the hemodialysis device,
A first step of storing, in a central monitoring device, treatment information related to a patient's hemodialysis treatment and notification information indicating an alarm or caution to be notified under predetermined conditions during hemodialysis treatment in association with each patient;
A second step of acquiring information during the hemodialysis treatment of the patient by the hemodialysis device, and outputting the acquired information during the treatment of the patient to the central monitoring device;
The information on the treatment of the patient acquired in the second step is compared with the treatment information of the patient stored in the first step, and it is determined whether or not the predetermined condition is satisfied. If it is determined that the condition is satisfied, a third step of acquiring notification information of the patient undergoing hemodialysis treatment;
A fourth step of outputting the notification information acquired in the third step to the hemodialysis device;
And a fifth step of displaying the notification information output in the fourth step on the information display unit of the hemodialysis apparatus as text data.

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