JP2004213321A - Medical task supporting terminal - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical service support terminal capable of efficiently performing a medial service when a doctor and a co-medical perform their rounds and when a patient's condition changes suddenly in any other place other than a bed without disturbing the medial service even when any obstacle is occurred. <P>SOLUTION: A hematometer 11, a pulse and oxygen saturation level instrumentation 112 and a thermometer 113 are connected to a medial service support terminal 3, and the measured blood pressure, pulse, oxygen saturation level and body temperature are inputted as biological information. Various medical data are displayed on a liquid crystal display 301, and information instructed by a doctor and nurse with their finger tips is inputted to a touch panel device 302 arranged on the surface of the liquid crystal display 301, and a medical service support terminal controller 304 constituted of a CPU and a memory or the like controls its communication with the medical information management device 3 and the whole medical service support terminal. The medical service supporting terminal 3 is provided with a movable caster 306 so as to be carried by the doctor and nurse in performing their rounds. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical service support terminal used for doctors and co-medicals, and more particularly to a medical service support terminal for exchanging medical information via a computer network.
[0002]
[Prior art]
2. Description of the Related Art In recent years, an information system in a hospital has been proposed in order to make doctors and nurses work efficiently in the hospital. For example, in an information system configured by a portable information terminal, a child device on a sickbed, and a host computer (server) installed in a nurse station, a nurse carries a portable information terminal by himself and sends nurses' nursing data to the nurse. Is manually input, the portable information terminal is brought to the nurse station, and nursing data is transferred to the host computer by optical communication or the like. The child device on the sickbed is connected to the host computer by wire, automatically measures the patient's body temperature and heart rate, and transfers the data to the host computer.
[0003]
In the above information system, in the child device of the bed, the measured biological information is only notified to the host computer and the previously measured data and the medical information of the patient cannot be referred to. Japanese Patent Application Laid-Open No. 323332 discloses a bed information terminal capable of not only notifying a server but also referring to information stored in the server. This is an information terminal fixed to the bedside, which can be used by doctors, nurses and patients according to their respective uses, and can provide information such as ordering, vital signs, roundtables, and patient information. It allows browsing and input, and aims to improve the efficiency of the work of doctors and nurses and improve the convenience of patients.
[0004]
Prior art document information related to this application includes the following.
[0005]
[Patent Document 1]
JP-A-10-323332
[0006]
[Problems to be solved by the invention]
However, the above-mentioned bed information terminal is a terminal fixed to the bedside, and is assumed to be used by patients, so that it is not always convenient to use at the time of a round of medical treatment including doctors and nurses. There is a problem that there is no. On the other hand, even in cases other than rounds, the location where the patient information should be viewed and entered when the patient's condition suddenly changes is not necessarily on the sickbed, such as a ward in a ward or a corridor. It is considered important to browse patient information, immediately perform medical treatment, and save lives.
[0007]
In addition, since the bed information terminal is configured to temporarily store the measured biological information in the bed information terminal and then periodically transmit it to the server, if a failure occurs in the terminal, However, there is a problem that biological information may be lost.
[0008]
The present invention has been made in order to solve the above-mentioned problems, and can perform medical work efficiently at the time of rounds of doctors and comedicals and sudden changes in patients other than beds, and can cause obstacles. An object of the present invention is to provide a medical service support terminal that does not hinder medical services.
[0009]
[Means for Solving the Problems]
In order to achieve the above object, the present invention according to claim 1 is capable of communicating with a medical information management device that centrally manages medical information via a computer network, and includes a program stored in the medical information management device. A medical service support terminal capable of carrying out medical services based on a doctor and a co-medical, which performs medical services based on the biometric information input means for inputting at least one or more pieces of biometric information. Medical information input means for inputting the instruction information and the medical information, display means for displaying the desired medical information according to the instruction information, and the biological information, the instruction information and the medical information input means Communication means for transmitting the medical information to the medical information management device and receiving the desired medical information from the medical information management device; and A control unit that controls the information input unit, the medical information input unit, the display unit, and the communication unit to perform data processing of the biological information, the instruction information, and the medical information. .
[0010]
Here, the medical information management apparatus includes all forms such as a supercomputer, a general-purpose computer, an office computer, a workstation, a personal computer, a microcomputer, a PDA (Personal Digital Assistance), and a mobile phone. The configuration may be any configuration such as a single device or a system in which a plurality of distributed devices are connected to a network.
[0011]
The computer network refers to a communication network using telecommunication technology in general, and includes, for example, an Internet system based on TCP (Transmission Control Protocol) / IP (Internet Protocol), a WAN (Wide Area Network), and a LAN (LAN). Local Area Network), optical fiber communication, cable communication, satellite communication, and the like can be adopted, and it does not matter whether it is wired or wireless, or a mixed type of wired and wireless.
[0012]
In addition, the program includes an OS running on a computer, middleware such as database management software, network software, and the like, which execute a part of each process for implementing the present embodiment, based on instructions of the program. Things are also included.
[0013]
Co-medical refers to all non-doctor medical technicians, such as nurses, midwives, pharmacists, clinical radiologists, laboratory technicians, clinical therapists, and social workers. In addition to medical services, it also includes medical services performed by comedicals. Further, the biological information refers to all information relating to biological components such as the heartbeat, blood pressure, pulse, brain wave, oxygen saturation, etc., which are continuously emitted by the body as long as there is a life, and information relating to biological components such as blood and cells.
[0014]
The medical service support terminal includes all forms such as a super computer, a general-purpose computer, an office computer, a workstation, a personal computer, a microcomputer, a PDA (Personal Digital Assistance), and a mobile phone. The above definition is also applied to the following inventions.
[0015]
According to a second aspect of the present invention, in the first aspect, the medical information input by the medical information input means includes ID information of the doctor or the co-medical and a patient. .
[0016]
According to a third aspect of the present invention, in the second aspect, an ID information recognition device is provided, and the ID information is input by the ID information recognition device.
[0017]
Here, the ID information recognition device refers to any device that can read a recording medium on which ID information is recorded, such as a barcode reader, a magnetic card reader, an IC card reader, and a memory card reader.
[0018]
According to a fourth aspect of the present invention, in the first aspect, at least one or more measuring devices for measuring the biological information are provided.
[0019]
Here, the measuring device that measures biological information refers to all devices that can measure biological information, such as a sphygmomanometer, a pulse and oxygen saturation meter, a thermometer, and a POCT (Point Of Care Testing) device.
[0020]
According to a fifth aspect of the present invention, in the invention according to any one of the first to fourth aspects, the medical information input means is configured such that information is input by touch panel input and keyboard input.
[0021]
According to a sixth aspect of the present invention, in the invention according to any one of the first to fifth aspects, the computer network includes a wireless network.
[0022]
The gist of the present invention described in claim 7 is that, in the invention described in any one of claims 1 to 6, it is configured as a table type with casters.
[0023]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[0024]
FIG. 1 is a schematic configuration diagram of a medical information management system 100 to which a medical service support terminal 3 according to an embodiment of the present invention is applied. The medical information management system 100 includes a medical information management device 1, a plurality of medical service support terminals 3, and a computer network 2 that enables the medical information management device 1 and the medical service support terminal 3 to communicate with each other. The medical information management device 1 and the medical service support terminal 3 which manage medical information in a mutual manner exchange medical information with each other, so that doctors and nurses as users efficiently perform medical work in rounds. A computer system that is capable of doing so.
[0025]
The medical information management apparatus 1 includes a medical information database (hereinafter, referred to as a medical information DB) 11, a CPU, and the like, and performs control of the medical information DB 11, transfer of data, various calculations, temporary storage of data, and the like. And a control unit 12.
[0026]
Here, the medical information DB 11 includes, in detail, patient profile information, medical chart input information, a sample test, a bacterial test, a pathological test, a physiological function test, an endoscopy, a radiological test, an oral prescription (including narcotics), an injection prescription. (Including narcotics), blood transfusion prescription, treatment input, application for surgery, application for rehabilitation, medical appointment, hospital appointment, discharge decision, meal, nutritional guidance, disease name registration (ICD (International Statistical Classification of Diseases and Related Health Problems) This is a database that stores order information related to medical examinations, sample information, bacterial tests, pathological tests, physiological function tests, endoscope tests, radiological tests, etc., receipt information, and various types of master information. And nursing There are those that are centrally managing medical information used.
[0027]
The medical information management apparatus 1 has a function as a Web server (not shown) in addition to the functions as the application server and the database server as described above, and utilizes the medical service support terminal 3 and the Web. Information can be exchanged. The configuration of the medical information management apparatus 1 may be a system such as a single system as shown in FIG. 1 or a system in which a plurality of systems are distributed and connected to a network.
[0028]
The computer network 2 is a transmission path for medical information transmitted and received between the medical information management apparatus 1 and the medical service support terminal 3, and is configured by a wired or wireless network such as a hospital LAN, for example. Here, the wired network assumes that the medical service support terminal 3 is connected to an information outlet provided in each bed in the hospital, and the wireless network means that the medical service support terminal 3 It is assumed that wireless communication is performed with wireless LAN access points provided at various places in the hospital.
[0029]
As shown in FIG. 2, the medical service support terminal 3 is a desk-type terminal device with casters, and one is provided for each doctor and nurse, and is carried when the doctor and nurse carry out a round. It is intended to provide medical services.
[0030]
A sphygmomanometer 311, a pulse and oxygen saturation meter 312, and a thermometer 313 are connected to the medical service support terminal 3, and vital signs measured by these measuring devices are automatically input as biological information. ing. In addition, although these measuring devices and the medical service support terminal 3 are connected by wire, they may be connected wirelessly, or these measuring devices and the medical service support terminal 3 are not connected. Alternatively, a method of manually inputting measurement values from the keyboard 308 may be used. The automatically input biometric information is transmitted to the medical information management device 1 via a communication device 309 provided in the medical service support terminal 3 by wire or wirelessly.
[0031]
The liquid crystal display 301 displays various types of medical information transmitted from the medical information management device 1. The touch panel device 302 provided on the surface of the liquid crystal display 301 displays information specified by a doctor and a nurse at a fingertip. What you enter. A drawer 305 is provided on a side surface of the medical service support terminal 3, and a keyboard 308 is housed in the drawer 305, so that a doctor and a nurse can input data using a keyboard. . The numeric keypad of the keyboard may be provided beside the liquid crystal display 301.
[0032]
Further, a barcode reader 303 is also connected to the medical service terminal 3, and the barcode reader 303 enables the user to easily input doctor and nurse ID information, medical information to be administered to a patient, and the like. I have. The drawer 305 is capable of storing the above-described blood pressure meter 111, pulse and oxygen saturation meter 112, thermometer 113, and other vital sign measuring devices, and is stored in the drawer 305 when not in use. Have been.
[0033]
A medical service support terminal control device 304 including a CPU, a memory, and the like is stored in the back of the drawer 305 so as to control communication with the medical information management device 1 and control the entire medical service support terminal 3. Has become. Below the drawer 305 is a medical equipment storage 307 that can store medical equipment such as a drip bottle, so that doctors and nurses can store medical equipment necessary for rounds.
[0034]
In addition, the medical service support terminal 3 is provided with a caster 306, so that it can be moved. This allows the doctor and the nurse to carry out rounds, so that the medical service can be performed efficiently. In addition, unlike portable terminals, doctors and nurses can use freely without closing both hands, so that medical work can be performed smoothly.
[0035]
Next, the flow of data in the medical service support apparatus 3 will be described with reference to FIG. 3, which is a functional block diagram of the medical service support terminal 3. The medical service support terminal 3 includes a biological information input unit 31, an operation and medical information input unit 32, a display unit 33, a control unit 34, and a communication unit 35, and exchanges medical information with the medical information management device 1 by exchanging medical information. , And can provide medical services. That is, the biological information d1 input via the biological information input unit 31 is immediately transferred to the communication unit 35 by the control unit 34, and transmitted from the communication unit 35 to the medical information management device 1 by wireless or wired communication. It has become. On the other hand, the operation information d2 and the medical information d3 input via the operation and medical information input unit 32 are transferred to the communication unit 35 by the control unit 34, and the medical information management device 1 is transmitted from the communication unit 35 by wireless or wired communication. Is sent to Therefore, the inputted biological information d1 and medical information d3 are not stored in the medical service support apparatus 3, but are stored and stored in the medical information management apparatus 3 which manages medical information in a unified manner. Even if a failure occurs in the medical service support device 3, there is little possibility of losing medical information, and the system configuration can be made resistant to the failure. When the desired medical information d4 corresponding to the operation information d2 is transmitted from the medical information management apparatus 1, the medical service support apparatus 3 receives the desired medical information d4 via the communication unit 35 and the control unit 34. , On the display unit 33.
[0036]
In addition, browser software is installed in the medical service support terminal 3, and the medical function can be exchanged with the medical information management apparatus 1 by the browser function. The medical information management system 100 operates according to an application program stored in the medical information management apparatus 1, and the application program and data may be brought from the medical information management apparatus 1 via the network as needed. Therefore, the medical service support device 3 can be lightly equipped.
[0037]
Next, the operation of the medical information management system 100 to which the medical service support terminal 3 according to the embodiment of the present invention is applied will be described with reference to FIGS. Here, FIG. 4 is a sequence diagram illustrating an operation when a doctor performs a round, and FIGS. 5 and 6 are sequences illustrating an operation when a nurse performs an order operation and a routine operation. FIG. 7 is a diagram for explaining a screen for inputting a medical record on the medical service support terminal 3, FIG. 8 is a diagram for explaining a nurse schedule display screen on the medical service support terminal 3, and FIG. FIG. 7 is a diagram illustrating a nursing operation screen of a nurse on the medical operation support terminal 3. FIG. 10 is a diagram illustrating an example of a statistical analysis screen on the medical service support terminal 3.
[0038]
First, a case where a doctor performs a round-trip will be described.
[0039]
When the doctor makes a round, first, the doctor inputs his / her ID into the medical service support terminal 3 (step S1). In this method, the barcode reader 303 reads the doctor's ID stored as barcode information on the user's name tag worn by each doctor. As a result, the read doctor ID is transmitted to the medical information management apparatus 1, so that the doctor's initial menu dis0 is displayed on the medical service support terminal 3 based on the doctor ID information (steps S2 to S4). .
[0040]
Next, when the doctor selects the round execution menu m1 from the displayed initial menu dis0, menu selection information is transmitted to the medical information management apparatus 1, and a patient ID input screen dis1 for prompting the input of a patient ID is displayed on the medical service support. It is displayed on the terminal 3 (steps S5 to S7).
[0041]
Then, the doctor carries the medical service support terminal 3, goes to the bed of the patient to be rounded, and inputs the patient ID to the medical service support terminal 3 (steps S8, S9). In this method, a patient ID stored as barcode information on a name tag of a patient who is placed on a bed or worn by a patient is read by a barcode reader 303 by a barcode reader 303. The patient ID is automatically input to dis1. When the patient ID is transmitted to the medical information management apparatus 1, the medical information management apparatus 1 displays a medical record input screen dis2 (displaying the patient ID, the patient name, and simple attribute information) corresponding to the patient ID in the medical service. It is displayed on the support terminal 3 (steps S10 to S12).
[0042]
Next, the doctor performs medical treatment on the patient, and after the medical treatment, inputs a medical record (steps S13 and S14). This is for inputting medical information on a chart input screen dis2 as shown in FIG. More specifically, the main complaint 201 of the patient, the doctor's findings 202, and the prescription of the findings (instructions 203 and order 204) are selected from pull-down menus. Desired chart input information can be obtained from the menu that has been converted, thereby reducing and speeding up input. It should be noted that, with regard to an atypical chart input instead of a pattern input, an input in a free form (input to the input box 205) from the keyboard 308 is also possible, so that it can be applied to any case. It has become. Furthermore, the doctor can add a pull-down menu by inputting a new menu item with respect to the pull-down menu.
[0043]
Then, when the registration button 206 is pressed after the chart entry, the entered chart information is immediately transmitted to the medical information management apparatus 1 in association with the doctor ID and the patient ID, stored in the medical information management DB 11, and registered. A completion message is displayed on the medical service support terminal 3 (steps S15 to S17). As a result, the medical record information of the patient is accumulated in the medical information management apparatus 1 in a non-rewritable form, and is managed centrally. Then, the doctor performs a round-trip operation from step S7 to step S17 for the next patient in the same manner, and when the medical treatment for all the patients to be round-up is completed, the round-trip is completed (step S18).
[0044]
In the medical record input screen dis2, desired medical information can be browsed by pressing the biometric information button 208, the test result button 209, and the patient profile button 210 in addition to the medical record input. Can be supported.
[0045]
Therefore, according to the medical service support terminal 3 of the present embodiment, the medical practice can be easily recorded in real time, so that the efficiency of the medical service can be improved and the medical instruction can be issued in real time. Therefore, it is possible to contribute to speeding up the medical practice and eventually improving the quality of the medical treatment. In addition, possible human errors such as transcription errors can be prevented beforehand, which is very effective as a risk management (medical accident prevention) tool.
[0046]
Next, a case where a nurse performs order work will be described. In this method, when an order (for example, intravenous drip or the like) is given to a patient by the above-mentioned doctor's round, a nurse receives the order and performs order work.
[0047]
First, the nurse inputs his / her own ID to the medical service support terminal 3 (step S21). In this method, the barcode reader 303 reads the nurse's ID stored as barcode information on the nametag worn by each nurse. As a result, the read nurse ID is transmitted to the medical information management apparatus 1, and based on the nurse ID information, the initial menu dis10 for the nurse is displayed on the medical service support terminal 3 (step S22). To S24).
[0048]
Next, when the nurse selects the schedule browsing m11 from the displayed initial menu dis10, the menu selection information is transmitted to the medical information management device 1, and the nurse's nursing schedule list screen dis11 is displayed on the medical service support terminal 3. (Steps S25 to S27). In this case, as shown in FIG. 8, the nursing schedule of the day is displayed in the unit of hour in the default display, but the date and time can be changed, and the nursing schedule of the designated date and time can be changed. You can also browse.
[0049]
Then, from the nursing schedule list screen dis11, it is confirmed whether or not there is an order work assigned to the patient and what to do with which patient, and the order work is prepared (step S28). The preparation of the order work means that, for example, when an infusion is ordered, a necessary infusion bottle is prepared and stored in the medical instrument storage 307 of the medical service support terminal 3. To prepare.
[0050]
Next, the nurse carries the medical service support terminal 3 and goes to the bed of the patient who performs order work, and inputs the patient's ID to the medical service support terminal 3 (steps S29 and S30). In this method, a patient ID stored as barcode information on a nameplate of a patient on which a nurse is placed on a bed or worn by a patient is read by a barcode reader 303. It is transmitted to the medical information management device 1, and the medical information management device 1 displays a nursing service screen dis13 (displaying the patient ID, the patient name, and simple attribute information) corresponding to the patient ID on the medical service support terminal 3 ( Steps S31 to S33).
[0051]
As shown in FIG. 9, the nursing operation screen dis13 displays a routine operation 231, an order operation 232, and a non-order operation 233 performed for each patient. The nurse is displayed in a list box. The executed order business 232 is confirmed, and when executing the order business, the order business 232 that has not been executed (unexecuted, executed) is selected (step S34). If the order operation is, for example, infusion, the infusion bottle is taken out, the infusion ID is read by the barcode reader 303, and input (step S35).
[0052]
If the order contents, the order target patient, and the order execution date and time are all correct, the registration button 237 can be pressed in the meaning of execution permission. When the registration button 237 is pressed, the selected order operation information is changed to the nurse ID. After being immediately transmitted to the medical information management apparatus 1 in association with the patient ID and registered in the medical information management DB 11, a registration completion message is displayed on the medical service support terminal 3 (steps S36 to S38). Then, the nurse checks the drip to be performed and performs the drip (steps S39 and S40).
[0053]
Therefore, according to the medical service support terminal 3 of the present embodiment, the nurse can perform the requested order work accurately and promptly, and a possible human error such as a mistake in the order target patient or the order contents can be avoided. It can be prevented beforehand, and is also very effective as a risk management (medical accident prevention) tool. In addition, since the information on the performed nursing work is automatically accumulated in the medical information management device 1, it is possible to grasp the contents of the work of the nurse accurately and in real time.
[0054]
Next, a case where a nurse performs routine work will be described. This is a nursing operation (for example, a vital sign measurement such as a temperature measurement or a blood pressure measurement) that is periodically performed for a patient in charge of a nurse.
[0055]
First, the nurse inputs his / her ID to the medical service support terminal 3 (step S51). In this method, the barcode reader 303 reads the nurse's ID stored as barcode information on the nametag worn by each nurse. As a result, the read nurse ID is transmitted to the medical information management apparatus 1, and based on the nurse ID information, the initial menu dis10 for the nurse is displayed on the medical service support terminal 3 (step S52). To S54).
[0056]
Next, when the nurse selects the nursing record m12 from the displayed initial menu dis10, menu selection information is transmitted to the medical information management apparatus 1, and a patient ID input screen dis12 prompting input of a patient ID is displayed on the medical service support terminal 3. (Steps S55 to S57).
[0057]
Then, the nurse carries the medical service support terminal 3 and goes to the bed of the patient who performs routine work, and inputs the patient's ID to the medical service support terminal 3 (steps S58 and S59). In this method, a patient ID stored as barcode information on a nameplate of a patient on which a nurse is placed on a bed or worn by a patient is read by a barcode reader 303. The nursing record screen dis13 (displaying the patient ID, patient name, and simple attribute information) corresponding to the patient ID is transmitted to the medical information management device 1 and displayed on the medical service support terminal 3 from the medical information management device 1 ( Steps S60 to S62).
[0058]
Since the nursing operation screen dis13 displays the routine operation 231, the order operation 232, and the non-order operation 233 to be performed on each patient as described above, the nurse operates the routine operation 231 displayed in the list box. When executing the routine work, a routine work 231 that has not been executed (unexecuted, executed) is selected (step S63).
[0059]
Next, when the registration button 237 is pressed, the selected routine work information is immediately transmitted to the medical information management apparatus 1 in association with the nurse ID and the patient ID, and is registered in the medical information management DB 11, and then the registration is completed. The message is displayed on the medical service support terminal 3 (steps S64 to S66). Then, the nurse performs a routine task to be performed on the patient (step S67). When the routine work for one patient is completed, the nurse similarly performs the routine work of steps S57 to S67 for the next patient, and when the nurse work for all the patients to be rounded is completed, the routine work is performed. Ends (step S68).
[0060]
Therefore, according to the medical service support terminal 3 of the present embodiment, the nurse can perform the routine service accurately and quickly, and the information on the performed nursing service is accumulated in the medical information management device 1. Therefore, it is possible to accurately grasp the contents of the work of the nurse without causing possible human errors such as transcription errors.
[0061]
In addition, since the nursing operation display screen dis13 displays the order operation 232 in addition to the routine operation 231, if the order operation is included at the round, the order operation can be performed at the same time. Further, on the spot, for example, when non-order work such as body wiping is performed, the executed non-order work information is immediately transmitted to the medical information management apparatus 1 in association with the nurse ID and the patient ID, It is registered in the medical information management DB 11. This is done by pressing the arrow selection button 235 from the list box of the non-order business 233 in the menu to the right list box 234 indicating that the executed non-order business has been executed, and pressing the registration button 237. By doing so, the non-order business information is registered.
[0062]
Therefore, when a nurse performs routine work, it is possible to manage all of the nursing work performed, including order work and non-order work, in addition to routine work, thereby further improving the efficiency of nursing work. be able to.
[0063]
The medical services performed by the doctors and nurses as described above are automatically registered and managed in the medical information management apparatus 1 one by one. Resources can be effectively used, thereby improving hospital management and hospital management. For example, FIG. 10 is a statistical data display screen dis20 in which the total working hours of nurses for each department in a hospital for a certain period of time is calculated for each job (order job, routine job, non-routine job). According to this, it is possible to compare the current number of staff members with the optimum number of staff members calculated by the medical information management apparatus 1, and to change the number of staff members to the optimum number of staff members. As a result, it is possible to prevent as much as possible a medical accident due to possible human error, such as a shortage of staff or an enthusiasm caused by fatigue of a nurse accompanying the staff shortage. It should be noted that the above calculated optimal number of persons to be allocated may be calculated not only by the total number of hours but also by taking into account the characteristics of the work, and even during a certain period of time, one day, one week, It is possible to perform analysis by setting any period such as a month, and it is also possible to calculate an optimal number of persons to be arranged by combining the above-described elements.
[0064]
Although the embodiments of the present invention have been described above, various modifications and changes can be made to the embodiments of the present invention without departing from the spirit of the present invention. For example, although the medical service support terminal 3 of the above embodiment has been described as a round-trip terminal in a hospital, it may be a medical service support terminal 4 that can be carried on a house call as shown in FIG. The medical service support terminal 4 communicates with the medical information management apparatus 1 via an access point capable of wireless communication in a place where a public wireless LAN connection service or a PHS (Personal Handy-phone System) service is provided. Since medical information can be exchanged, the above-mentioned medical record information can be input even at the home visit, so that medical work can be efficiently performed even at the doctor's home visit.
[0065]
In the above embodiment, the measuring device connected to the medical service support terminals 3 and 4 has been described as a device for measuring blood pressure, pulse, oxygen saturation and body temperature, but the present invention is not limited to this. First, a POCT (Point Of Care Testing) device that measures other biological information, for example, biological information related to peripheral blood test findings such as blood glucose level, sodium, potassium, chlorine, and pH (pH). Is also good.
[0066]
In addition, the medical service support terminal 3 of the above embodiment is assumed to be used by doctors and nurses. However, in order to obtain informed consent of the patient, the doctor gives the patient a decision based on his / her own judgment. Of course, the medical information displayed on the medical service support terminal 3 may be shown.
[0067]
【The invention's effect】
As described above, according to the medical service support terminal of the present invention, a biological information input unit that inputs biological information, a medical information input unit that inputs instruction information and medical information to a medical information management device, and an operation instruction A medical information management apparatus that includes a display unit that displays desired medical information according to information, a communication unit that transmits and receives biological information, instruction information, and medical information, and a control unit, and that integrally manages medical information. Can be communicated via a computer network with the doctor and can carry on medical services of physicians and co-medical, so that medical services can be efficiently performed at the time of rounds of doctors and co-medicals and sudden changes in patients other than beds. In addition, by being able to immediately record who performed what kind of action on which patient, it becomes possible to prevent human error beforehand, It can serve as a risk management tool. Further, a medical information system that is resistant to equipment failure can be constructed.
[Brief description of the drawings]
FIG. 1 is a schematic configuration diagram of a medical information management system using a medical service support terminal according to an embodiment of the present invention.
FIG. 2 is an external view of a medical service support terminal according to the embodiment of the present invention.
FIG. 3 is a schematic configuration diagram of a medical service support terminal according to the embodiment of the present invention.
FIG. 4 is a diagram illustrating an operation when a doctor performs a round in a medical information management system to which a medical service support terminal according to an embodiment of the present invention is applied.
FIG. 5 is a diagram illustrating an operation when a nurse performs order work in a medical information management system to which the medical work support terminal according to the embodiment of the present invention is applied.
FIG. 6 is a diagram illustrating an operation when a nurse performs order work in a medical information management system to which the medical work support terminal according to the embodiment of the present invention is applied.
FIG. 7 is a diagram illustrating a screen for inputting a medical record of the medical service support terminal according to the embodiment of the present invention.
FIG. 8 is a diagram illustrating a nurse's schedule display screen of the medical service support terminal according to the embodiment of the present invention.
FIG. 9 is a diagram illustrating a nursing operation screen of a nurse of the medical operation support terminal according to the embodiment of the present invention.
FIG. 10 is a diagram illustrating a statistical analysis screen of the medical service support terminal according to the embodiment of the present invention.
FIG. 11 is an external view of a medical service support terminal according to another embodiment of the present invention.
[Explanation of symbols]
1 Medical information management device
2 Computer network
3,4 Medical service support terminal
11 Medical Information Database
12 control unit
31 biological information input unit
32 Operation information input section
33 Display
34 control unit
35 Communication unit
301 liquid crystal display
302 Touch panel device
303 barcode reader
304 Medical service support terminal controller
305 drawers
306 caster
307 Medical device storage
308 keyboard
309 Communication device
311 Sphygmomanometer
312 Pulse and oxygen saturation meter
313 Thermometer

Claims (7)

Medical services of doctors and co-medical that can communicate with a medical information management apparatus that centrally manages medical information via a computer network and provide medical service support based on a program stored in the medical information management apparatus A medical service support terminal that can be carried around,
Biological information input means for inputting at least one or more biological information,
Instruction information to the medical information management device, and medical information input means for inputting the medical information,
Display means for displaying the desired medical information according to the instruction information,
A communication unit that transmits the biological information, the instruction information and the medical information input by the medical information input unit to the medical information management device, and receives the desired medical information from the medical information management device,
A control unit that controls the biological information input unit, the medical information input unit, the display unit, and the communication unit to perform data processing of the biological information, the instruction information, and the medical information;
A medical service support terminal comprising: 2. The medical service support terminal according to claim 1, wherein the medical information input by the medical information input means includes ID information of the doctor or the co-medical and a patient. The medical service support terminal according to claim 2, further comprising an ID information recognition device, wherein the ID information is input by the ID information recognition device. The medical service support terminal according to any one of claims 1 to 3, further comprising at least one measuring device for measuring the biological information. The medical service support terminal according to any one of claims 1 to 4, wherein the medical information input unit inputs information by a touch panel input and a keyboard input. The medical service support terminal according to claim 1, wherein the computer network has a wireless network. The medical service support terminal according to any one of claims 1 to 6, wherein the terminal is configured as a table with casters.

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