JP6603145B2 - Endoscope cleaning management system - Google Patents

Description

  The present invention relates to a technique for performing management related to endoscope cleaning.

  In Japan, the Japan Gastroenterological Endoscopy Society announced the “Gastrointestinal Endoscope Equipment Cleaning and Disinfection Guidelines” in 1998, and in medical facilities, the published guidelines were used to prevent infection by endoscopy. Compliant cleaning and disinfection are performed. In order to efficiently perform endoscope cleaning and disinfection, many medical facilities use endoscope cleaning devices, and endoscope cleaning devices automatically perform endoscope cleaning, disinfection, and rinsing processes. To do.

  Patent Document 1 discloses an endoscope cleaning / disinfecting apparatus that performs re-cleaning of an endoscope when it is determined that the cleaning level of the endoscope after cleaning does not satisfy a predetermined standard. This endoscope cleaning / disinfecting apparatus sets the usable time of the endoscope according to the number of cleanings performed until it is determined that the cleaning level of the endoscope satisfies a predetermined standard. The endoscope processor to which the endoscope is connected prohibits the use of the endoscope when the elapsed time since the cleaning of the endoscope exceeds the usable time.

JP 2012-71028 A

  Medical devices are classified into critical devices, semi-critical devices, and non-critical devices according to the sterilization / disinfection category, but endoscopes belong to semi-critical devices and are required to be sterilized or highly functional disinfected. Therefore, the endoscope cleaning apparatus uses a chemical solution such as glutaraldehyde (GA) which is a high-function disinfectant.

  The cleaning operator is obliged to perform suction cleaning of the suction / forceps channel, cleaning of the outer surface of the endoscope, and brushing of the suction / forceps channel before setting the endoscope in the cleaning tank of the endoscope cleaning apparatus. Endoscopic cleaning devices use high-acting disinfectants, but it is known that protein residues remaining in the endoscope reduce the effects of high-performance disinfecting agents. Therefore, before setting the endoscope in the cleaning tank, the cleaning operator needs to remove as much as possible of protein residues caused by the patient's mucus and blood by manual cleaning.

  There are individual differences in the manual cleaning skill of the cleaning operator, and the degree of contamination of the endoscope varies depending on the type of examination using the endoscope. In particular, ESD (endoscopic submucosal dissection) involves bleeding because the mucous membrane around the lesion is cut with a knife, and the degree of contamination is higher than other examination types. In addition, there are various types of endoscopes, and there are differences in locations that are easily contaminated due to differences in structure.

  Under such circumstances, it is necessary for the medical facility to grasp the proficiency level of the cleaning workers and make efforts to raise the cleaning skills of all the cleaning workers. Therefore, in medical facilities, it is anxious to construct a mechanism for evaluating the manual cleaning proficiency of individual cleaning workers.

  This invention is made | formed in view of such a condition, The objective is to provide the technique which evaluates the proficiency of the cleaning operation | work of a cleaning operator.

  In order to solve the above-described problems, an endoscope cleaning management system according to an aspect of the present invention includes a cleaning record management unit that manages cleaning information of an endoscope for each cleaning operator, and a post-cleaning by a cleaning operator. Measurement data reception unit that receives measurement data of residue, measurement data management unit that manages measurement data received by the measurement data reception unit for each cleaning operator, cleaning history that is managed by the cleaning record management unit, and measurement data Based on the measurement data managed by the management unit, the proficiency level evaluation unit for deriving a skill level indicating the work proficiency level of the cleaning worker, and the derived skill level of the cleaning worker are registered as attribute information of the cleaning worker. An attribute setting unit.

  It should be noted that any combination of the above-described constituent elements and a conversion of the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program, etc. are also effective as an aspect of the present invention.

  ADVANTAGE OF THE INVENTION According to this invention, the technique which evaluates the proficiency level of the cleaning operation | work of a cleaning operator can be provided.

It is a figure which shows the structure of the washing | cleaning management system concerning the Example of this invention. It is a figure which shows the structure of a washing | cleaning management server. It is a figure which shows the manual cleaning log | history of a cleaning operator. It is a figure which shows the log | history of the measurement data for every cleaning operator. It is a figure which shows the average residual amount of the measurement data for every cleaning operator. It is a figure which shows the skill level registered into an attribute information recording part. It is a figure which shows the work procedure information of the washing | cleaning provided to an advanced person. It is a figure which shows the work procedure information of the washing | cleaning provided to an intermediate person and a beginner. It is a figure which shows the example of a bleeding amount table.

  FIG. 1 is a diagram showing a configuration of a cleaning management system 1 according to an embodiment of the present invention. The cleaning management system 1 is a system for managing the cleaning processing of the endoscope used in the endoscopy, and is disposed in the endoscope processing device 3, the terminal device 4, the cleaning management server 10, and the cleaning room. A display device 5, an ID reading unit 6 and a cleaning device 7 are provided. The endoscope processing device 3, the terminal device 4, the display device 5, the ID reading unit 6, and the cleaning device 7 shown in FIG. 1 are connected to the cleaning management server 10 through a network 2 such as a LAN (local area network). The

  The endoscope processing apparatus 3 is disposed in an examination room and is connected to an endoscope. When the endoscope is connected, the endoscope processing apparatus 3 acquires the identification information (scope ID) of the endoscope, and transmits information regarding the scope ID and the inspection to the cleaning management server 10. The information regarding the inspection includes inspection type information. When the examination is started, the endoscope processing device 3 processes the image data acquired by the endoscope and displays the in-vivo image on the display device. The endoscope processing device 3 acquires a captured image at the timing when the release switch of the endoscope is pressed. The acquired captured image is transmitted to an image server (not shown) and recorded.

  Immediately after completion of the inspection, the cleaning operator wipes the outer surface of the endoscope and performs suction cleaning of the suction / forceps channel. This cleaning process is also called bedside cleaning, and the cleaning operator puts the cleaned endoscope into a dedicated container and carries it to the cleaning room so as not to touch the surroundings.

  In the cleaning room, the cleaning operator manually cleans the endoscope with the sink 9 (manual cleaning). A display device 5 is disposed in the vicinity of the sink 9, and information indicating the work procedure may be provided from the cleaning management server 10 and displayed on the display device 5. At this time, provided information may be different depending on the skill level of the cleaning operator.

  The cleaning operator removes the air / water supply button, suction button, forceps plug, etc., and cleans the endoscope outer surface with running water. The cleaning operator then brushes the suction / forceps channel using a dedicated channel cleaning brush. Also, use a brush to clean the removed air / water feed button, suction button, and forceps plug.

  The cleaning operator has an ID card in which identification information (user ID) for identifying himself / herself is recorded, and reads the user ID by the ID reading unit 6 arranged beside the sink 9 before starting manual cleaning. Make it. Further, a tape printed with identification information (scope ID) is attached to the endoscope, and the cleaning operator causes the ID reading unit 6 to read the scope ID before starting manual cleaning. The ID reading unit 6 transmits the read user ID and scope ID to the cleaning management server 10 as cleaning information related to manual cleaning, so that the cleaning management server 10 can manually clean the endoscope and the endoscope. Record in association with. The cleaning operator may have an RFID tag that records the user ID and cause the ID reading unit 6 that is an RFID reader to read the user ID. At this time, the endoscope may also have an RFID tag that records the scope ID, and the ID reader 6 may read the scope ID.

  A cleaning device 7 is arranged in the cleaning chamber, and the manually cleaned endoscope is set in a cleaning tank of the cleaning device 7 and mechanically cleaned. At this time, the user ID of the cleaning operator and the scope ID of the endoscope are read by the ID reading unit 8 and transmitted to the cleaning management server 10 as cleaning information regarding machine cleaning. As a result, the endoscope and the operator who mechanically cleaned the endoscope are recorded in association with each other.

  Medical facilities measure the residue of manually cleaned endoscopes to check for proper manual cleaning. The total number check is ideal, but since a certain amount of time is required for the check, a sampling check is actually performed to measure the residue of the endoscope. In particular, the protein residue of the endoscope reduces the effect of the high-function disinfectant used in the cleaning device 7, and it is important for the prevention of infection that the protein residue is sufficiently removed by manual cleaning. is there. Therefore, the cleaning management system 1 measures the residual amount of the manually cleaned endoscope before putting it in the cleaning tank of the cleaning device 7 in order to confirm whether the manual cleaning operation is properly performed. It is managed for each cleaning operator and used to evaluate the proficiency level of the cleaning operator.

  The terminal device 4 is arrange | positioned at a nurse station and is operated by the medical worker. In the embodiment, the terminal device 4 is used for inputting the endoscope residue measurement data after manual cleaning. The input measurement data of the residue is transmitted to the cleaning management server 10 and managed.

  FIG. 2 shows the configuration of the cleaning management server 10. The cleaning management server 10 includes an inspection information reception unit 20, a cleaning record management unit 22, a measurement data reception unit 24, a measurement data management unit 26, a proficiency level evaluation unit 28, an attribute setting unit 30, a work procedure provision unit 32, and work availability determination. The unit 34 and the recording unit 40 are provided. These configurations can be realized in hardware by an arbitrary processor, memory, auxiliary storage device, and other LSI, and in terms of software, it is realized by a program loaded in the memory. Depicts functional blocks realized by. Accordingly, those skilled in the art will understand that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof.

  The cleaning record management unit 22 manages endoscope cleaning information for each cleaning operator. Specifically, the cleaning record management unit 22 acquires cleaning information related to manual cleaning read by the ID reading unit 6, manages it as a cleaning history of the cleaning operator, and records it in the cleaning information recording unit 44. The cleaning record management unit 22 may acquire cleaning information related to machine cleaning read by the ID reading unit 8, manage it as a cleaning history of the cleaning operator, and record it in the cleaning information recording unit 44.

  FIG. 3 shows a manual cleaning history of the cleaning operator managed in the cleaning information recording unit 44. The cleaning record management unit 22 manages the number of manual cleanings for each endoscope model for each cleaning operator. When the cleaning record management unit 22 acquires the user ID and the scope ID from the ID reading unit 6, the cleaning record management unit 22 identifies the endoscope model from the scope ID and increments the number of cleanings of the corresponding model of the user ID by one. In this way, the cleaning information recording unit 44 records the number of manual cleanings for each endoscope model for each cleaning operator. Further, the cleaning information recording unit 44 may record the history of machine cleaning performed by the cleaning operator.

  In the cleaning information recording unit 44, the acquired cleaning information may be recorded as it is. That is, the cleaning information recording unit 44 may record the user ID, the scope ID, and the cleaning date in association with each other.

  The residual amount of protein remaining in the endoscope after manual washing may be measured by various reagents and instruments, but here, a means capable of quantitatively measuring the residual amount is used. For example, a test kit may be used in which the outer surface of the endoscope is rubbed a predetermined number of times with a cotton swab, the stain on the cotton swab reacts with the reagent, and the residual amount of protein is measured by putting the reagent in a measuring instrument. An example of a reagent for measuring the residual amount of protein is Amido Black 10B dye, but other reagents may be used. The location to be rubbed with a cotton swab is determined for each endoscope model so that the measurement preconditions do not vary.

  The measurement result is displayed on the measuring device and printed from the measuring device, and the nurse inputs measurement data from the terminal device 4. At this time, the ID of the cleaning operator (user ID), the endoscope model (scope model ID), and the cleaning date are input together with the measurement data. The input measurement data is transmitted to the cleaning management server 10. The measuring device may be connected to the network 2 and the measurement data may be transmitted to the cleaning management server 10 together with the cleaning operator (user ID), the endoscope model (scope model ID), and the cleaning date.

  The measurement data receiving unit 24 receives measurement data of residues after manual cleaning by a cleaning operator. The measurement data management unit 26 manages the measurement data received by the measurement data receiving unit 24 for each cleaning operator.

  FIG. 4 shows a history of measurement data for each cleaning operator managed in the measurement data recording unit 46. The measurement data management unit 26 manages measurement data for each cleaning operator. The measurement data is a result of quantitatively measuring the amount of protein remaining in the endoscope, and the measurement data recording unit 46 records the user ID, the endoscope model, the date, and the measurement data in association with each other. In the example shown in FIG. 4, only the measurement data of the cleaning operator A is shown, but the measurement data of the other cleaning operators B and C are similarly recorded in the measurement data recording unit 46.

  FIG. 5 shows the average residual amount of measurement data for each cleaning operator managed in the measurement data recording unit 46. The measurement data management unit 26 calculates an average residual amount for each endoscope model for each cleaning operator based on the measurement data history shown in FIG. 4 and records it in the measurement data recording unit 46. The measurement data management unit 26 calculates an average residual amount based on a predetermined number of measurement data measured at a time close to the current date and time. For example, the measurement data recording unit 46 may calculate the average residual amount from the latest five measurement data of the same model. The average residual amount is used for comparison with a predetermined reference value for the residual amount. If the average residual amount is small, it is evaluated that manual cleaning is performed well. If the average residual amount is large, manual cleaning is performed. Is evaluated as not being implemented properly.

  The proficiency level evaluation unit 28 derives a skill level indicating the work proficiency level of the cleaning operator based on the cleaning history managed by the cleaning record management unit 22 and the measurement data managed by the measurement data management unit 26. The proficiency level evaluation unit 28 derives the skill level of the person in charge of cleaning for each endoscope model. The attribute setting unit 30 registers the skill level of the cleaning worker derived by the proficiency level evaluation unit 28 as attribute information of the cleaning worker. Specifically, the attribute setting unit 30 records the skill level of the cleaning operator in the attribute information recording unit 48 for each endoscope model.

  The proficiency level evaluation unit 28 sets two or more skill levels, and based on the cleaning history managed by the cleaning record management unit 22 and the average residual amount managed by the measurement data management unit 26, the skill level of the cleaning operator Is derived. In the embodiment, three skill levels are set. Skill level 1 indicates that the work proficiency is high, skill level 2 indicates that the work proficiency is normal, and skill level 3 indicates that the work proficiency is low.

  Regarding the average residual amount, the proficiency level evaluation unit 28 compares the average residual amount with the first reference value and the second reference value. For example, the first reference value is 0.5 and the second reference value is 1. When the average residual amount is less than or equal to the first reference value, the proficiency level evaluation unit 28 derives skill level 1, and when the average residual amount is greater than the first reference value and equal to or less than the second reference value, the proficiency level evaluation unit 28 derives skill level 2, and when the average residual amount is larger than the second reference value, the proficiency level evaluation unit 28 derives skill level 3.

  Regarding the cleaning history, the skill level evaluation unit 28 prohibits the setting of skill level 1 for an endoscope model if the number of cleaning operations for a certain endoscope model is less than a predetermined number (for example, 100 times). Therefore, even if the proficiency level evaluation unit 28 derives a skill level of 1 with respect to the average residual amount, the skill level is lowered to 2 if the number of times of washing the endoscope model is less than 100 times. Since experience greatly affects the acquisition of techniques for manual cleaning, skill level 1 should not be given until it reaches 100 times. When the skill level 1 is derived with respect to the average residual amount, the skill level evaluation unit 28 derives the skill level 1 for the cleaning operator when the cleaning count reaches the reference 100 times.

The attribute setting unit 30 records the skill level of the cleaning worker in the attribute information recording unit 48 as the attribute information of the cleaning worker.
FIG. 6 shows skill levels registered in the attribute information recording unit 48. Skill level 1 cleaning workers are called “advanced”, skill level 2 cleaning workers are called “intermediate”, and skill level 3 cleaning workers are called “beginner”. The endoscope models LLL, MMM, and NNN are intermediate persons, and the endoscope model OOO is set as an advanced person. As described above, in the embodiment, the cleaning operation of the cleaning operator can be appropriately evaluated by setting the skill level in consideration of not only the number of cleaning times but also the measurement result of the protein residual amount. In addition, by setting a skill level for each endoscope model, the pros and cons of each endoscope model can be evaluated.

  After the skill level evaluation unit 28 derives the skill level of the cleaning operator, the measurement data receiving unit 24 receives new measurement data for the cleaning operator, and the measurement data management unit 26 determines a new average residual amount. Once calculated, the skill level is re-evaluated. In addition, when the cleaning record management unit 22 acquires the cleaning information and the number of cleanings of the cleaning operator included in the cleaning information reaches a predetermined number (100 times), the proficiency level evaluation unit 28 re-evaluates the skill level. To do.

  The proficiency level evaluation unit 28 sets the skill level of the cleaning operator to the second level when the cleaning history and measurement data of the cleaning operator for which the first skill level is set as the attribute information satisfy a predetermined first condition. Change to skill level. The first condition is a condition for improving the level, and the proficiency level evaluation unit 28 determines the skill level when the average residual amount of the cleaning operator in which the skill level 3 is set is equal to or lower than the second reference value. To skill level 2. In addition, the proficiency level evaluation unit 28 changes the skill level to the skill level 1 when the average residual amount of the cleaning workers in which the skill levels 2 and 3 are set is equal to or less than the first reference value. The changed skill level is registered in the attribute information recording unit 48 by the attribute setting unit 30 as the attribute information of the cleaning operator.

  On the other hand, the proficiency level evaluation unit 28 determines the skill level of the cleaning operator when the cleaning history and measurement data of the cleaning operator for which the second skill level is set as the attribute information do not satisfy the predetermined second condition. To the first skill level. The second condition is a condition for maintaining the level, and the proficiency level evaluation unit 28 determines that the average residual amount of the cleaning operator in which the skill level 2 is set is not less than or equal to the second reference value. If it exceeds, the skill level is changed to skill level 3. Further, the proficiency level evaluation unit 28 sets the skill level to the skill level 2 or the skill level when the average residual amount of the cleaning worker for which the skill level 1 is set does not fall below the first reference value and exceeds the first reference value. Change to 3.

  Note that the second condition for maintaining the level may be defined by a stricter reference value than the first condition for increasing the level. The proficiency level evaluation unit 28 may change the skill level to the skill level 3 when the average residual amount of the cleaning operator in which the skill level 2 is set exceeds the third reference value. When the second condition is made stricter than the first condition, the average residual amount to be compared with the reference value is the average residual amount calculated from the measured data after leveling up. Here, the first reference value <the third reference value <the second reference value, and for example, the third reference value is 0.9. In addition, the proficiency level evaluation unit 28 changes the skill level to the skill level 2 or 3 when the average residual amount of the cleaning operator in which the skill level 1 is set exceeds the fourth reference value. Here, the fourth reference value <the first reference value, and for example, the fourth reference value is 0.4. Thus, by defining the second condition with a stricter reference value than the first condition, it is possible to give a sense of tension to maintain the skill level even after the level is improved.

  Thus, when the cleaning history and measurement data of the cleaning operator are updated, the proficiency level evaluation unit 28 may reevaluate the proficiency level of the cleaning operator each time. By re-evaluating the proficiency level in this way, it is possible to give motivation to the skill level to the cleaning operator. In addition, cleaning workers who continue to be advanced without downgrading for a long period of time will be awarded as excellent cleaning personnel, while on the other hand, for cleaning workers who have been downgraded, a penalty such as retraining will be imposed, It becomes possible to give a feeling of tension to daily cleaning work. Since manual cleaning is a very important task for preventing infection, a system to maintain the quality of manual cleaning can be established by introducing an evaluation system that raises and lowers the level.

  Further, the proficiency level evaluation unit 28 uses the average value of the latest predetermined number of measurement data calculated by the measurement data management unit 26 to derive the skill level of the cleaning operator. The proficiency level evaluation unit 28 derives the skill level of the cleaning worker based on a predetermined number of measurement data measured at a time close to the time when the skill level is derived, so that the evaluation according to the recent work of the cleaning worker is performed. It can be carried out.

Hereinafter, the usage method of the skill level derived | led-out by the proficiency level evaluation part 28 is demonstrated.
In the cleaning room, the display device 5 is disposed in the vicinity of the sink 9, and the work procedure providing unit 32 provides the work procedure information related to manual cleaning from the display device 5 to the cleaning operator. At this time, the work procedure providing unit 32 determines the work procedure information to be provided according to the skill level registered as the attribute information of the cleaning worker.

  The procedure data recording unit 50 records display information indicating a cleaning work procedure. The procedure data recording unit 50 has work procedure information for advanced users and work procedure information for intermediate and beginners separately for each endoscope model. The work procedure information for advanced users may simply indicate the order of each step of the work in text, while the work procedure information for intermediate and beginners shows details in each step of the work, And it may be described with illustrations.

  FIG. 7 shows work procedure information for cleaning provided to advanced users. The work procedure information for advanced users indicates the order of items to be implemented in each process. The advanced person works while looking at the work procedure information displayed on the display device 5 and speaks a predetermined word (for example, “OK”). May be entered. As a result, the cleaning operator can easily confirm the items to be executed next.

  FIG. 8 shows cleaning work procedure information provided to intermediate and beginners. The work procedure information for intermediate and beginners shows detailed implementation items in each step of the work with illustrations. Compared with the work procedure information shown in FIG. 7, the work procedure information shown in FIG. 8 is fine, and intermediate and beginners try to perform an accurate and careful cleaning work while looking at the work procedure information displayed on the display device 5. . For example, when the cleaning operator speaks a predetermined word (for example, “next”), the next page is displayed.

  When the used endoscope is brought into the cleaning room and the ID reading unit 6 transmits the read user ID and scope ID to the cleaning management server 10, the cleaning record management unit 22 acquires the user ID and the scope ID, This is provided to the work procedure providing unit 32. The work procedure providing unit 32 identifies the endoscope model based on the provided scope ID, and is registered in the cleaning operator and the endoscope model from the attribute information recording unit 48 based on the user ID. Identify skill levels. The work procedure providing unit 32 reads the work procedure information recorded in the procedure data recording unit 50 from the specified endoscope model and skill level, and provides the read information to the display device 5. As a result, the display device 5 displays the operation procedure information corresponding to the endoscope model to be manually cleaned and the skill level of the cleaning operator.

The degree of contamination of the endoscope varies depending on the examination in which the endoscope is used. Manual cleaning should be performed with particular care because of the high degree of contamination in examination types with frequent bleeding.
FIG. 9 shows an example of a blood loss table. The bleeding amount table 52 records the degree of bleeding amount for each examination type, rank 1 has no bleeding, rank 2 has a small amount of bleeding, rank 3 has a normal amount of bleeding, and rank 4 has a large amount of bleeding. , Express that.

  In the examination room, the endoscope processing apparatus 3 transmits scope ID and examination type information to the cleaning management server 10. When the inspection is completed, the used endoscope is brought into the cleaning room, and the cleaning operator causes the ID reading unit 6 to read the user ID and the scope ID.

  Returning to FIG. 2, the examination information receiving unit 20 receives the scope ID and the examination information from the endoscope processing device 3 and records them in the examination information recording unit 42. Thereafter, the inspection is completed, the used endoscope is carried into the cleaning room, and when the ID reading unit 6 transmits the read user ID and scope ID to the cleaning management server 10, the cleaning record management unit 22 The ID and scope ID are acquired and provided to the work procedure providing unit 32. The work procedure providing unit 32 refers to the examination information recorded in the examination information recording unit 42 based on the provided scope ID, and specifies the examination type in which the endoscope to be manually cleaned is used.

  The work procedure providing unit 32 refers to the bleeding amount table 52 and checks the bleeding amount rank of the specified examination type. At this time, if the examination type is set to rank 4, that is, the amount of bleeding is large, the work procedure providing unit 32 provides work procedure information for intermediate and beginners even if the cleaning worker is an advanced person. The data is read from the procedure data recording unit 50 and displayed on the display device 5. As described above, when the endoscope is used in an examination with a large amount of bleeding, it is preferable to present detailed procedure information to an advanced person to encourage a careful cleaning operation.

  The work procedure providing unit 32 displays work procedure information for advanced users on the display device 5, and at that time, since it was used in an examination with a large amount of bleeding, the display device 5 indicates that it should be washed carefully. It may be displayed. Thereby, the cleaning operator can recognize that the work should be performed carefully.

  The present invention has been described based on a plurality of embodiments. These embodiments are exemplifications, and it is understood by those skilled in the art that various modifications can be made to the combination of each component and each processing process, and such modifications are within the scope of the present invention. is there.

  For example, even if an advanced user manually cleans an endoscope model that has not been cleaned for a predetermined period (for example, January), the work procedure providing unit 32 provides work procedure information for intermediate and beginners as a procedure. The data may be read from the data recording unit 50 and displayed on the display device 5. As described in the embodiment, the cleaning information recording unit 44 records the user ID, the scope ID, and the cleaning date in association with each other, and the work procedure providing unit 32 refers to the cleaning history of the cleaning information recording unit 44. Thus, it is possible to calculate the period during which no previous cleaning is performed by specifying the previous cleaning date.

  Further, the work availability determination unit 34 may prohibit the beginner from cleaning the endoscope used in the examination with a large amount of bleeding. The work availability determination unit 34 refers to the inspection information recorded in the inspection information recording unit 42 on the basis of the scope ID transmitted from the ID reading unit 6, and the inspection using the endoscope that will be manually cleaned from now on Specify the type. The work availability determination unit 34 refers to the bleeding amount table 52 and checks the bleeding amount rank of the specified examination type. At this time, if the inspection type is set to rank 4, that is, the amount of bleeding is large, the work availability determination unit 34 prohibits cleaning by the person in charge of cleaning when the cleaning worker is a beginner. For example, the work availability determination unit 34 may display on the display device 5 that the work should be changed by another worker of intermediate level or higher.

DESCRIPTION OF SYMBOLS 1 ... Cleaning management system, 2 ... Network, 3 ... Endoscope processing device, 4 ... Terminal device, 5 ... Display device, 6 ... ID reading part, 7 ... Cleaning device, 8 ... ID reading unit, 9 ... Sink, 10 ... Cleaning management server, 20 ... Inspection information reception unit, 22 ... Cleaning record management unit, 24 ... Measurement data reception Unit, 26 ... measurement data management unit, 28 ... proficiency level evaluation unit, 30 ... attribute setting unit, 32 ... work procedure providing unit, 34 ... work availability determination unit, 40 ... Recording unit 42 ... Inspection information recording unit 44 ... Cleaning information recording unit 46 ... Measurement data recording unit 48 ... Attribute information recording unit 50 ... Procedure data recording unit 52・ ・ Bleeding volume table.

Claims (6)

A cleaning record management unit that manages endoscope cleaning information for each cleaning operator;
A measurement data reception unit for receiving measurement data of residues after cleaning by a cleaning operator;
A measurement data management unit that manages the measurement data received by the measurement data reception unit for each cleaning operator;
Based on the cleaning history managed by the cleaning record management unit and the measurement data managed by the measurement data management unit, a proficiency level evaluation unit for deriving a skill level indicating a work proficiency level of the cleaning operator,
An attribute setting unit for registering the derived skill level of the cleaning worker as attribute information of the cleaning worker;
An endoscope cleaning management system comprising: The proficiency evaluation unit derives the skill level of the cleaning operator for each endoscope model,
The endoscope cleaning management system according to claim 1. When the cleaning history and measurement data of the cleaning operator for whom the first skill level is set as the attribute information satisfy the predetermined first condition, the proficiency level evaluation unit determines the skill level of the cleaning operator as the second skill level. Change to skill level,
The endoscope cleaning management system according to claim 1 or 2. The proficiency level evaluation unit determines the skill level of the cleaning operator when the cleaning history and measurement data of the cleaning operator for which the second skill level is set as attribute information do not satisfy the predetermined second condition. Change to one skill level,
The endoscope cleaning management system according to claim 3. In a case where the measurement data management unit manages measurement data for a plurality of times of cleaning by the cleaning operator, the proficiency level evaluation unit is based on a predetermined number of measurement data measured at a time near the time when the skill level is derived To derive the skill level of the cleaning operator,
The endoscope cleaning management system according to any one of claims 1 to 4, wherein A work procedure providing unit for providing work procedure information to the cleaning worker is further provided,
The work procedure providing unit determines work procedure information to be provided according to a skill level registered as attribute information of a cleaning worker.
The endoscope cleaning management system according to any one of claims 1 to 5, wherein

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