JP2002056080A - Supporting method for hospital business, operation goods managing method, operation goods managing system, articles of consumption managing device, central managing device, reuse goods managing device, and recording medium - Google Patents

Abstract

PROBLEM TO BE SOLVED: To prevent a medical accident due to the lack of the stock of operation goods and to make a medical treatment action to be smooth by managing the stock on the operation goods. SOLUTION: The central managing device 1 decides the quantity of reuse goods and consumable articles, which are required for an operation, and transmits the necessary quantity to a consumable article managing device 2 and a reuse goods managing device 3. The consumable article managing device 2 manages the quantity of stock and properly orders it to a factory 4 so as to prevent the lack of stock. The reuse goods managing device 3 manages the quantity of the reuse goods.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a hospital business support method, a surgical product management method, and a surgical operation method for supporting a hospital business by managing the quantity of surgical supplies such as scalpels and medicines required in a hospital. The present invention relates to an article management system, a consumable item management apparatus, a central management apparatus, a reusable article management apparatus, and a recording medium on which a computer program for operating each of these apparatuses is recorded.

[0002]

2. Description of the Related Art In a hospital having many patients, more than 1,000 operations are performed annually, so that management in performing the operations is important. For example, there are a wide variety of items to be managed, such as the scheduled date of surgery, the doctor in charge of surgery, nurses, the securing of operating rooms, and the preparation of surgical tools. Under such circumstances, an operation plan management system for managing operations performed in hospitals has recently been realized. Japanese Patent Application Laid-Open No. H11-85876 discloses such an operation plan management system.

The contents of JP-A-11-85876 will be described below. The gazette discloses a technique for managing information on surgery using a computer.If surgery is planned, enter the surgery date, the attending physician, the patient's symptoms, the surgical procedure, and the materials to be used in the computer. Register
In addition, they secured an operating room, managed the schedule of the attending physician and the patient, printed out the necessary supplies for surgery, and ordered necessary surgical supplies from the surgical supply procurement department.

[0004]

However, Japanese Patent Application Laid-Open No.
The surgical management system disclosed in Japanese Patent No. 85876 only orders surgical supplies and does not perform inventory management of the ordered surgical supplies. Surgery requires many kinds of surgical supplies, such as reusable articles such as scalpels and forceps, as well as consumables such as gauze, surgical sutures, and chemicals. The number of these surgical supplies must not be short, and inventory control is very important.

[0005] Leaving the management of these surgical supplies to a busy doctor or nurse or the like impedes smooth medical treatment and causes a medical accident. Also, when air-operated surgical instruments such as pacemakers are transported from abroad, it takes a very long time to obtain them, so it is necessary to thoroughly manage their inventory.
In particular, if the inventory management target is surgical supplies, a broken inventory could affect the life of the patient, so a surgical supply management system to operate the surgery smoothly and eventually support the hospital business will be established. Was eagerly awaited.

[0006] As described above, surgical supplies are roughly classified into reusable items such as scalpels that can be reused after sterilization, and consumables such as gauze and drugs that are subject to disposal once used. There is a characteristic that can be. That is, the number of consumables is reduced each time the operation is performed, but can be used again when not used in the operation. Therefore, it can be said that it is necessary to appropriately manage consumables according to the use or non-use status.

[0007] On the other hand, reusable products can be used except when the durability is reduced, so that there is no excess or deficiency in the inventory, and in the past, especially inventory management was not properly performed. . However, in recent years, medical accidents in which sutures are left while leaving forceps or the like on the stomach or the like in open surgery have been observed. Although this medical accident was caused by negligence of a doctor or the like, it could have been prevented beforehand if the manager who manages the surgical supplies had sufficient management consciousness regarding the stock of reusable items.

[0008] In addition, when an operation is planned as described above, the surgical supplies and the number of the surgical supplies are determined according to the type of the operation. However, the determined number of the surgical supplies is determined based on experience. And it was not always appropriate.

[0009] Some of the consumables are subject to medical insurance claims. Conventionally, this request has been made by a nurse or the like peeling off the claim label attached to the consumable after the operation, and attaching the label to a billing ledger. However, it is difficult to impose this task on busy nurses and the like, and it is often avoided because of the complicated work. Under such circumstances, there has been a problem that insurance claims have not been accurately made at hospitals. If insurance claims are not made reliably, the income and expenditure will be unclear, resulting in a situation in which the management of the hospital will be shaken. Therefore, it is necessary to strictly manage consumables to be covered by insurance claims.

Further, in the operating room, other surgical supplies are prepared in addition to the previously prepared surgical supplies. These surgical supplies are prepared in a dedicated storage in advance,
When an accident occurs, a reusable or consumable item is taken out from the storage and used. It is necessary to accurately control the quantity of consumables taken out of this storage, but it is extremely difficult to count and manage the quantity in a tense situation during surgery. Further, it is necessary to accurately grasp the used quantity of the consumables to be covered by the insurance from the used consumables.

The present invention has been made in view of the above circumstances, and an object of the present invention is to manage the inventory of surgical supplies composed of reusable goods and consumables, thereby obtaining a stock of surgical supplies. A hospital business support method, a surgical product management method, and a surgical product management system that can prevent a medical accident due to shortage and support a smooth medical practice, and a consumable supply management device, a central management device, It is an object of the present invention to provide a reusable article management device and a recording medium on which a computer program for causing each of these devices to function is recorded.

Another object of the present invention is to provide a consumables management apparatus capable of ordering and replenishing the insufficient consumables at an appropriate timing when the stock quantity of consumables decreases. It is in.

It is another object of the present invention to provide a surgical article management system and a central management apparatus capable of optimizing a required quantity of surgical articles determined based on an operation plan.

[0014] Another object of the present invention is to provide a surgical article management system capable of accurately managing the number of consumables to be covered by an insurance claim to clarify the balance and stabilize hospital management. And a consumables management device.

Still another object of the present invention is to manage the amount of consumables taken out of a storage in an emergency and to manage the amount of consumables that are subject to insurance claims caused by their use. It is an object of the present invention to provide a surgical management system and a central management device capable of performing such operations.

[0016]

A hospital business support method according to a first aspect of the present invention is a hospital business support method, in which a support company determines the quantity of reusable and consumable items required for surgery before surgery. Decided, supplied the required quantity of reused goods and consumables to the hospital, after surgery, collected and reused supplied goods, counted the number of supplied reused goods, supplied Consumables are characterized by counting the quantity and placing an order as appropriate.

In the first invention, a support company that supports the hospital business requires a necessary quantity of reusable items such as scalpels and consumables such as gauze necessary for the operation based on the operation plan submitted by the doctor in charge. To determine. Based on this, the support company supplies necessary reused goods and consumables to the required quantity of hospitals. Then, inventory management is performed for the consumables, and an order is appropriately placed so that shortage does not occur. On the other hand, recycled products are collected and sterilized after surgery, and their quantity is controlled. As described above, since the reusable goods and consumables necessary for the operation are supplied to the hospital, the hospital side can concentrate on the operation more, thereby reducing the number of medical accidents. Conventionally, the hospital side independently manages the stock quantity of consumables and places orders with multiple contractors.However, the support contractor decided to collectively supply and collectively order, so the burden on the hospital side is greatly reduced. Thus, the management cost can be reduced. Further, after the operation, the support contractor collects and sterilizes reusable items such as scalpels, so that the hospital is free from the burden of processing such as sterilization. In addition, since the inventory quantity of the reused product is thoroughly managed, it is possible to detect a medical accident such as leaving a scalpel or the like in the patient at an early stage. That is, according to the present invention, it is possible to improve the quality of medical treatment in a hospital business and reduce costs in terms of economy.

A surgical article management method according to a second aspect of the present invention is a surgical article management method for determining the number of reusable articles and consumables necessary for surgery and managing the determined quantities of reusable articles and consumables. Ordering of the consumables based on the required quantity of the consumables required for the operation and the stock quantity of the consumables registered in the consumable stock file in which the stock quantity of each consumable prepared in advance is registered. Is determined, the required quantity of reusable items necessary for the operation is registered in a reusable item inventory file in which the inventory amount of each reusable item prepared in advance is registered, and consumables not used in the operation are registered. Register the remaining quantity in the consumables inventory file, register the remaining quantity of reusable items not used in the operation in the reusable item inventory file, and register the reusable items registered in the reusable item inventory file. Quantity and the reused product The registered refrigerator file recyclates of remaining quantity, and if the the total value of the quantity used of recycled products used in surgery do not match, characterized in that it is determined that the abnormality.

A surgical article management system according to a third aspect of the present invention comprises:
Based on the operation plan received by the central management device installed in the hospital, the number of reusable items and consumables required for the operation is determined, and the determined required number of reusable items is determined as the reusable item management device. A surgical supplies management system for transmitting the determined required number of consumables to a consumables management device, wherein the consumables management device calculates the required number of consumables transmitted from the central management device. The consumables required quantity receiving means to be received, the consumables inventory file in which the stock quantity of each consumable is registered, the consumables required quantity received by the consumables required quantity receiving means, and the consumables stock file registered in the consumables stock file. Order determination means for determining an order of the consumable based on the stock quantity of the consumable, and the central management device determines a remaining quantity of the reusable and consumable not used in the operation. A remaining quantity receiving means for applying only a reuse article remaining quantity transmission means for transmitting the remaining quantity of recycled product accepted by said residue quantity accepting unit to the recyclates management device,
Consumables remaining quantity transmitting means for transmitting the remaining quantity of consumables received by the remaining quantity receiving means to the consumables management apparatus, wherein the consumables management apparatus is transmitted by the consumables remaining quantity transmitting means. Consumables remaining quantity registration means for registering the remaining quantity of consumables in the consumables inventory file, further comprising:
The reusable item management device includes a reusable item inventory file in which the inventory quantity of each reusable item is registered, and a reusable item inventory file in which the required number of reusable items transmitted from the central management device is registered in the reusable item inventory file. A used product necessary quantity registering means, a reusable product remaining quantity registration means for registering a reusable product remaining quantity transmitted by the reusable product remaining quantity transmitting means in the reusable product inventory file, A used quantity receiving means for receiving the used quantity of the reused goods, a required quantity of the reused goods registered in the reused goods inventory file, and a used quantity of the reused goods received by the used quantity receiving means;
And a comparing means for comparing the total value of the remaining quantities of the reusable articles registered in the reusable article inventory file with the comparison means. As a result of the comparison, the required quantity of the reusable articles, An abnormal signal output unit that outputs an abnormal signal when the total value of the quantities does not match is further provided.

A surgical article management system according to a fourth aspect of the present invention comprises:
In the third invention, the central management device includes a reference value file in which a reference value for determining whether or not the remaining quantity of surgical supplies including reusable goods and consumables is appropriate is registered for each surgical goods, An operation name-surgical item correlation file in which the required number of surgical items including reusable items and consumables required for the operation are registered according to the type of operation, the remaining number of surgical items received by the remaining number receiving means, and A reference value comparison means for comparing the reference value of the surgical article registered in the reference value file with the reference value comparison means, and as a result of comparison by the reference value comparison means, if the remaining quantity of the surgical article exceeds the reference value, Changing means for changing a required quantity of the surgical product registered in the product correlation file.

A surgical article management system according to a fifth aspect of the present invention comprises:
In the third or fourth aspect of the present invention, the consumables management device includes:
The consumables remaining quantity transmission unit transmits the consumables remaining quantity transmission unit based on the required consumables file in which the consumables to be claimed for insurance are registered among the consumables and the required quantity of the consumables received by the consumables required quantity receiving unit. A use quantity calculating means for calculating the usage quantity of the consumable supplies by subtracting the remaining quantity of the consumable supplies; and a billing consumable registered in the billing consumables file based on the usage quantity of the consumable supplies calculated by the use quantity calculation means. Extracting means for extracting the use quantity of the article.

A surgical article management system according to a sixth aspect of the present invention comprises:
In the third to fifth inventions, the apparatus further includes an automatic inventory storage unit that outputs the number of times the lid of the storage box is opened / closed to the central management device as a usage amount of each consumable, wherein the consumables are classified and stored. The central management device includes a usage quantity storage unit that stores a usage quantity of each consumable output from the automatic inventory storage, and an auxiliary billing consumable that registers a billed consumable to be covered by an insurance claim among the consumables. The apparatus further comprises auxiliary extraction means for extracting the usage quantity of the billed consumables registered in the auxiliary billing consumable file from the file and the usage quantity of the consumables stored by the usage quantity storage means.

A consumables management device according to a seventh aspect of the present invention is a consumables management device for managing the number of consumables used in an operation, and receives a required number of consumables transmitted from outside. Means, a consumables inventory file in which the stock quantity of each consumable is registered, the required quantity of consumables received by the consumables required quantity receiving means, and the inventory quantity of the consumables registered in the consumables inventory file Order determination means for determining the order of the consumable based on the above, and consumable remaining quantity registering means for registering the remaining quantity of the consumable transmitted from the outside in the consumable stock file. .

[0024] In the consumables management device according to an eighth aspect of the present invention, in the seventh aspect, the order determination means receives the consumables inventory quantity registered in the consumables inventory file by the consumables required quantity receiving means. , Divided by the required quantity of the consumables, when the divided value exceeds a predetermined threshold,
It is characterized in that it is configured to determine the order of the consumable.

According to a ninth aspect of the present invention, in the consumables management apparatus according to the seventh aspect, the order determining means receives the required quantity of consumables from the stock quantity of the consumables registered in the consumables inventory file. The system is characterized in that the required quantity of the consumables is reduced, and when the reduced value exceeds a predetermined threshold value, an order for the consumables is determined.

The consumables management device according to the tenth aspect of the present invention comprises
In the thirteenth to ninth aspects, the consumable supplies file in which the consumables to be claimed for insurance among the consumables are registered and the required quantity of the consumables received by the consumables required quantity receiving means are transmitted from outside. A use quantity calculating means for calculating the usage quantity of the consumable supplies by subtracting the remaining quantity of the consumable supplies; and a billing consumable registered in the billing consumables file based on the usage quantity of the consumable supplies calculated by the use quantity calculation means. Extracting means for extracting the use quantity of the article.

The central management device according to the eleventh aspect of the present invention determines the number of reusable items and consumables necessary for the operation based on the determined operation plan, and determines the determined number of reusable items and consumables. A central management device for managing the remaining quantity of reusable goods and consumables not used in the operation, and a remaining quantity of reusable goods received by the remaining quantity receiving means. And a consumable remaining quantity transmitting means for transmitting the remaining quantity of consumables received by the remaining quantity receiving means to the outside.

The central management apparatus according to the twelfth aspect is the
In the present invention, a reference value file in which reference values for determining whether the remaining quantity of surgical supplies including reusable goods and consumables is appropriate is registered for each surgical goods, Surgery name-surgical article correlation file in which the required quantity of surgical supplies including consumables is registered according to the type of surgery, the remaining quantity of surgical supplies received by the remaining quantity receiving means, and the surgery registered in the reference value file When the remaining quantity of the surgical supplies exceeds the reference value as a result of comparison by the reference value comparing means for comparing the reference value of the surgical instrument with the reference value comparing means, the surgical procedure registered in the surgical name-surgical article correlation file And changing means for changing the required number of articles.

The central management device according to the thirteenth invention is an eleventh embodiment.
Alternatively, in the twelfth aspect, a usage quantity storage means for storing a usage quantity of each consumable output from the outside, an auxiliary billing consumables file in which billing consumables to be claimed for insurance among consumables are stored, The apparatus further comprises auxiliary extracting means for extracting the used quantity of the billed consumables registered in the auxiliary billed consumables file from the used quantity of the consumables stored by the used quantity storage means.

A reusable item management device according to a fourteenth aspect of the present invention is a reusable item management device for managing the number of reusable items used in an operation, wherein the reusable item inventory in which the inventory amount of each reusable item is registered. A file, a required quantity of reusable goods registering the required quantity of reusable goods transmitted from the outside in the reusable goods inventory file, and a remaining quantity of reusable goods transmitted from the outside to the reusable goods inventory. A reusable product remaining quantity registering means for registering in the file, a use quantity receiving means for receiving the used quantity of the reusable product used in the operation, a required quantity of the reusable product registered in the reusable product inventory file, The comparing means compares the used quantity of the reusable product received by the used quantity receiving means with the total value of the remaining quantity of the reusable product registered in the reusable product inventory file, and the comparing means. That said the required number of recyclates, if the total value of the quantity used and the remaining quantity is not identical, characterized in that it comprises an abnormality signal output means for outputting an abnormality signal.

A computer-readable recording medium according to a fifteenth aspect of the present invention is a computer-readable recording medium storing a computer program for managing the number of consumables used in a surgery. In the medium, the required quantity of consumables receiving program code means for causing the computer to receive the required quantity of consumables transmitted from another computer, and causing the computer to register the stock quantity of each consumable in a consumable stock file. Program code means, based on the required quantity of consumables received by the computer by the consumables required quantity receiving program code means, and the inventory quantity of the consumables registered in the consumables inventory file. Program code means for determining the order of consumables; The chromatography data, computer program comprising program code means for registering the remaining quantity of the transmitted consumables from the other computers on the consumables stock file is characterized in that it is recorded.

According to a sixteenth aspect of the present invention, in the computer-readable recording medium, the computer determines the quantities of reusable articles and consumables necessary for the surgery based on the determined surgery plan, and determines the quantity. In a computer-readable recording medium on which a computer program for managing the quantity of reusable articles and consumables is recorded, the computer stores the reusable articles and consumables not used in the operation. A remaining quantity receiving program code means for receiving the remaining quantity; a program code means for transmitting the remaining quantity of the reusable product received by the remaining quantity receiving program code means to another computer; and the remaining quantity receiving program code means. Program code for sending the remaining quantity of consumables accepted to another computer A computer program comprising the stages, characterized in that it is recorded.

A computer-readable recording medium according to a seventeenth aspect of the present invention is a computer-readable recording medium in which a computer program for managing the quantity of reusable items used for surgery is recorded. In the recording medium, a program code means for causing the computer to register the stock quantity of each reused product in a reused product inventory file, and the computer re-using the required quantity of the reused product transmitted from another computer. Program code means for registering in the article inventory file, program code means for causing the computer to register the remaining quantity of reusable items transmitted from the other computer in the reusable article inventory file,
A use quantity receiving program code means for receiving a use quantity of the reusable product used in the operation; a necessary quantity of the reusable product registered in the reusable product inventory file by the computer; and the use quantity receiving program code Comparing program code means for comparing the used quantity of the reusable product received by the means and the total value of the remaining quantity of the reusable product registered in the reusable product inventory file; and As a result of comparison by the comparison program code means, a computer program including program code means for outputting an abnormal signal when the required quantity of the reusable product does not match the total value of the used quantity and the remaining quantity is recorded. It is characterized by being.

In the second invention, the third invention, the seventh invention, the eleventh invention, the fourteenth invention to the seventeenth invention, if the doctor in charge of the operation and the operation name are determined, the doctor in charge and the operation name are entered. Surgical supplies used in this operation are determined as keys,
The determined required number of reusable items related to the surgical supplies is transmitted from the central management device to the reusable item management device, and the required number of consumables is transmitted to the consumable item management device. The consumables management device has a consumables inventory file in which the stock of each consumable is registered in advance.The consumables management device compares the required quantity of consumables with the inventory quantity and newly adds consumables. Since it is determined whether or not it is necessary to add the consumables, and if necessary, the consumables are ordered from a factory, a supplier, or the like. Therefore, it is possible to prevent the stock of the consumables from breaking.

After the operation is performed, the central management device receives the quantities of the reusable items and the consumable items which have not been used in the operation, and transmits them to the reusable item management device and the consumable item management device, respectively. And the consumables management device
Since the remaining quantity not used in the surgery is registered in the consumables inventory file, inventory management can be performed in consideration of the remaining quantity of consumables not used in the surgery, and more accurate orders can be placed. It becomes possible. In particular, in surgery, the consumables used are thrown into a special container, so it is difficult to accurately grasp the amount used,
In the present invention, since the remaining quantity of consumables placed on the surgical supply wagon is counted and input to the administrator without using the present invention, the number of consumables is reduced as compared with the case of counting the used number. It is possible to manage easily and accurately.

On the other hand, the reuse management device has a reuse product inventory file for managing the inventory quantity of each reuse product, and when the central management device transmits the quantity required for the operation, the reuse product inventory is stored. Register the required quantity of the reusable item in the file. In addition, when the remaining quantity of the re-used product not used in the operation is transmitted from the central management device, the remaining quantity of the re-used product is registered in the re-used product stock file. When the used reusable items placed on the instrument table are collected in the Reusable Item Management Room for sterilization, the reusable item manager counts the used amount for each reusable item and uses it. Enter the quantity into the reuse management device. If the total value of the registered required quantity, the input used quantity, and the registered remaining quantity do not match, it is determined that the reusable article has been lost due to an abnormal state, that is, for some reason. Therefore, when the reusable article is lost, the operation that caused the loss can be identified at an early stage. As described above, since the stock of the reusable goods and the consumable goods is appropriately managed, it becomes possible for the doctor or the like to concentrate on the medical treatment, and as a result, the medical accident can be greatly reduced.

According to the eighth and ninth aspects of the present invention, the consumables registered in the consumables inventory file are converted into the consumables inventories for each consumable by the required number of consumables required in the operation. Remove or reduce. If the divided value or the reduced value is equal to or less than a predetermined threshold value, it is determined that the stock quantity is in short supply, and the consumable is ordered from a factory, a supplier, or the like. This greatly reduces the possibility of causing congestion, and makes it possible to prevent shortage of consumables during the operation. In addition, by setting the threshold value to an appropriate value according to the type of consumables, inventory replenishment according to the type of consumables can be performed, and an appropriate order can be placed with a factory or a supplier.

In the fourth and twelfth inventions, it is determined whether or not the received remaining quantity of surgical supplies including reusable articles and consumables is an appropriate value. In making this determination, a reference value for determining whether the remaining quantity of surgical supplies is appropriate is prepared in advance in a reference value file registered for each surgical supply, and compared with the received remaining quantity. If the remaining quantity of the surgical supplies exceeds the reference value as a result of the comparison, the required quantity of the surgical supplies is changed to the required quantity of the pre-registered surgical name-surgical supply correlation file according to the type of the operation. Thus, it is possible to standardize the required quantity required for the operation, and the accuracy of inventory management of surgical supplies is further improved.

According to the fifth and tenth aspects of the present invention, a claim consumable file in which the types of consumables to be claimed for insurance are registered is provided in advance. Then, the remaining quantity is subtracted from the received required quantity of consumables, and the used quantity of consumables used in the operation is calculated. Then, referring to the billing consumables file, the amount of billing consumables used is calculated from the amount of consumables used, so that the quantity of consumables that are subject to insurance claims can be accurately grasped, and Clarification and stable hospital management can be achieved.

According to the sixth and thirteenth inventions, the consumables are sorted and stored in the storage box of the automatic inventory storage.
This known automatic stock storage outputs the number of used consumables according to the number of times the lid of the storage box is opened and closed, and stores the output used number of each consumable. In addition, the central management device is also provided with an auxiliary bill consumable file in which the types of billed consumables to be covered by insurance are registered in advance. Then, referring to the auxiliary billing consumables file, the usage amount of the auxiliary billing consumables is extracted from the used amount of the consumables, so that the quantity of the consumables to be covered by the insurance claim can be accurately grasped, It is possible to clarify the balance and stabilize hospital management. In addition, since it is possible to accurately grasp the used quantity of the consumables used in the operation and stored in the automatic inventory storage, it is possible to replenish the consumables to be replenished without excess or shortage.

[0041]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiment 1 The present invention will be described below in detail with reference to the drawings showing an embodiment. FIG. 1 is a schematic diagram showing a surgical article management system according to the present invention. In the figure, reference numeral 1 denotes a central management device that controls the preparation and inventory management of surgical supplies. The central management apparatus 1 determines reusable items such as scalpels and consumables such as gauze and medicine and the number thereof necessary for the operation based on the operation plan submitted by the doctor in charge. The required number of consumables required for the operation is transmitted to the consumables management device 2 connected via the communication network N. The consumables management device 2 has a consumables stock file 25a such as a hard disk, and registers the stock quantity of each consumable.

Since the consumables used in the operation are discarded, the stock quantity decreases, and in that case, the factory 4 for producing gauze, sutures, suture needles, etc., the factory 4 for producing medicines, suppliers, etc. (Hereinafter, a factory that manufactures gauze, etc., a factory that manufactures a drug, and a supplier are referred to as a factory 4). On the other hand, the required quantity of reusable items required for the operation is also transmitted to the reusable item management device 3 connected via the communication network N. Reused product management device 3
Has a reusable item inventory file 35a such as a hard disk, and registers the inventory quantity of each reusable item. The reused product is collected after the operation, and is reused by performing a sterilization process.

FIG. 2 is a block diagram showing a hardware configuration of the central management device 1. In the figure, 16 is MPU11
Is a communication unit such as a router that transmits and receives information to and from the consumables management device 2 and the reusable products management device 3 connected via the communication network N in accordance with the instruction. When the operation plan is notified from a doctor or the like, an administrator of the central management apparatus 1 (hereinafter, referred to as a central administrator), which is a member of the support contractor, inputs an operation date, Enter the operation plan data such as the doctor and operation name. At the time of input, the content is CRT
Alternatively, it is displayed on the display unit 14 such as a liquid crystal display.

FIG. 3 is an explanatory view showing an operation plan input screen. As shown in the figure, the operation date, time,
Enter the operating room, patient name, operation name, surgeon, etc. The input data is temporarily stored in the RAM 12 and then stored in the operation plan file 15a of the storage unit 15 such as a hard disk.

In the operation name-operation item correlation file 15b, operation items necessary for the operation and the number of the operation items are registered. Surgical items are reusable items such as scalpels, and consumables such as gauze and medicine, and the number required for each operation is registered. The central manager can input data from the input unit 13 and change the contents of the surgery name-surgery article correlation file 15b as appropriate. In addition, since the supplies used for the operation and the required quantities differ depending on the surgeon performing the operation, the number of the surgical supplies corresponding to the surgeon is registered in the operation name-operative article correlation file 15b.

When necessary items are input on the input screen shown in FIG. 3 and the decision button is clicked, the MPU 11
Searches for the operation name-surgical item correlation file 15b using the operation name and the surgeon as keys, and stores the number of surgical items necessary for the operation, that is, the number of reusable items and the number of consumables, in the operation plan file 15a. At the same time, the contents are displayed on the display unit 14.

FIG. 4 is an explanatory diagram showing the required quantity of surgical supplies. As shown in the figure, the name of the reused product and its required quantity, and the name of the consumable product and its required quantity are displayed.
Note that the central manager can add other necessary reusable items and consumable items from the input unit 13, and similarly, the required quantity can be increased or decreased as needed. And
When the central administrator clicks the OK button, the required quantity of the reusable item is transmitted to the reusable item management device 3 and the required number of the consumable item is transmitted to the consumable item management device 2. In addition,
The required quantity of reusable items is transmitted in association with the reusable item code for identifying each reusable item. Similarly, the required amount of consumable items is also associated with the consumable item code for identifying each consumable item. Sent. In the following, when the quantity is transmitted, it is assumed that the reusable item code and the consumable item code are also transmitted at the same time.

FIG. 5 is an explanatory view showing a screen for inputting the remaining quantity of surgical supplies after the operation. When the operation is completed, the central manager counts the remaining number of reusable items and consumables on the surgical supplies wagon, and inputs the respective remaining numbers into the input unit 1.
Enter with 3. The input data is registered in the post-operative management file 15c in association with the operation plan code.
The registered remaining quantity of the reusable item is transmitted to the reusable item management device 3 and registered in the reusable item stock file 35a. Also, the remaining quantity of the registered consumables is transmitted to the consumables management device 2 and registered in the consumables stock file 25a.

FIG. 6 is a block diagram showing the hardware configuration of the consumable goods management device 2. In the figure, 26 is MPU2
1 is a communication unit such as a router that transmits and receives information to and from the central management apparatus 1 connected via the communication network N in accordance with the instruction of 1. In addition, a storage unit 25 such as a hard disk of the consumables management device 2 is provided with a consumables stock file 25a in which the number of stocked consumables is registered. The required quantity and the remaining quantity of consumables transmitted from the central management device 1 are temporarily stored in the RAM 22, and then registered in the consumables stock file 25a. The registered contents are displayed on a CRT or a liquid crystal display by an administrator of the consumables management device 2 (hereinafter, referred to as a consumables manager) operating the input unit 23 such as a keyboard. It can be displayed on the unit 24.

FIG. 7 is an explanatory view showing the database structure of the consumables stock file 25a. As shown in the figure, the stock quantity of each consumable is registered in association with the consumable.
In addition, when a threshold value for determining the timing of ordering the consumables from the factory 4 is registered and the required quantity of the consumables is transmitted from the central management device 1, the registered stock quantity is required. Divide by quantity. If the value is equal to or less than the registered threshold value, it is determined that the consumable is insufficient, and the consumable is ordered from the factory 4. For example, the stock quantity of the suture “silk thread (60 cm × 10 pieces)” is “8”.
5 "pieces, the required quantity is" 5 "(see FIG. 4),
The value obtained by the division is “17”, which is equal to or less than the threshold value “20”. Therefore, “silk thread (60 cm × 10 pieces)” is to be ordered to the factory 4. Consumables indicated by diagonal lines in the figure are to be ordered. The threshold can be appropriately changed by the consumables manager through the input unit 23.

In the above example, the inventory quantity is divided by the required quantity, and the divided value is compared with the threshold value to determine whether or not to place an order. However, the required quantity is subtracted from the inventory quantity to determine the value. May be ordered if is less than or equal to the threshold value. For example, for the consumable “〇 × Suture Needle”, the inventory quantity “2
7 "and the required quantity is" 8 "(see FIG. 4), so the difference is" 19 ". Since the threshold value is set to “20”, the consumable item “Δ × suture needle” is also subject to the order from the factory 4. In addition, the date of the last order is registered in the consumables stock file 25a.

After determining whether or not there is an order for consumables as described above,
The required quantity transmitted from the central management device 1 is subtracted from the stock quantity and registered. For example, the consumable “silk thread (50 cm × 1
0), the required quantity “3” (see FIG. 4) is subtracted from the original inventory quantity “350” to reduce the inventory quantity to “34”.
7 ".

On the other hand, when the operation is completed and there is a remaining number of consumables, the central management device 1 transmits the remaining number of consumables to the consumables management device 2. The consumables management device 2 receives the remaining quantity of consumables and registers it in the consumables stock file 25a. Specifically, the remaining quantity of the received consumable is added to the stock quantity of the consumable. For example, the consumable “silk thread (50 cm
× 10 pieces) ”for the original inventory quantity“ 347 ”
Is added to the remaining quantity of consumables "1" (see FIG. 5) and registered as stock quantity "348". As a result, inventory management can be performed in consideration of the number of consumables not used in the operation.

FIG. 8 is a block diagram showing the hardware configuration of the reusable item management device 3. In the figure, 36 is the MPU
A communication unit such as a router that transmits and receives information to and from the central management device 1 connected via the communication network N in accordance with the instruction of 31. Further, a storage unit 35 such as a hard disk of the reusable item management device 3 is provided with a reusable item inventory file 35a in which the number of inventories of reusable items is registered. The required quantity and the remaining quantity of the reused product transmitted from the central management device 1 are stored in the RAM 3.
2 temporarily stored in the reusable goods inventory file 35
a. These registered contents are stored by the manager of the reusable goods management device 3 (hereinafter, referred to as a member of the support company).
By operating the input unit 33 such as a keyboard by a reusable product manager), it can be displayed on a display unit 34 such as a CRT or a liquid crystal display.

The reusable items used in the operation are placed on an instrument table, and thereafter collected, sterilized, and stored in a sterilization room where the reusable item management device 3 is installed. The number of the collected used reusable items is confirmed by the reusable item manager, and the confirmed number is input from the input unit 33 for each reusable item. The input data is registered in the reusable goods inventory file 35a.

FIG. 9 is an explanatory diagram showing the database structure of the reusable goods inventory file 35a. As shown in the figure, the stock quantity is registered in the reusable goods inventory file 35a in association with the reusable goods. When the required quantity is transmitted from the central management device 1, the MPU 31 subtracts the required quantity from the stock quantity. When the operation is completed and the remaining quantity is transmitted from the central management apparatus 1, the remaining quantity is added to the reduced value. Further, when the used reused product is collected in the sterilization room and the reused product manager inputs the used quantity, the used quantity is further added to the added value.

The required quantity, the remaining quantity, and the used quantity are registered for each operation in association with the operation plan code.
When the used quantity is input from the input unit 33, the MPU 31 stores the required quantity, the remaining quantity, and the received used quantity registered in the reusable goods inventory file 35a in the RAM 3 respectively.
2 is stored. Then, it is determined whether or not the total value of the remaining quantity and the used quantity matches the required quantity.

All of the reusable items are to be reused by sterilization, and if there are no abnormalities, the numbers are the same. This determination is made for all reusable items used in the operation. If it is determined that they do not match, there is a possibility that the reused product has been lost for some reason.
1 indicates that an abnormal state has occurred on the display unit 34.
For example, the required quantity “2” and the remaining quantity “1” after the operation are transmitted and stored from the central management device 1 for the reusable product “intestinal forceps (model: straight)”. However, the used reusable product “intestinal forceps (model: straight)” has not been carried into the sterilization room, and the reusable product manager inputs the used quantity “0”. In this case, it is possible to easily determine that the quantity of the reusable articles is inconsistent and an abnormal situation has occurred.

FIGS. 10 and 11 are flowcharts showing the processing procedure between the central management device 1 and the consumables management device 2. First, the central administrator inputs the operation plan into the input unit 13.
Is input (step S101). The MPU 11 determines the number of reusable items and consumables necessary for the operation with reference to the operation name-operation item correlation file 15b (step S1).
02). The contents are stored in the operation plan file 15a, and the required number of consumables is transmitted to the consumables management device 2 (step S103).

The required quantity of the consumables transmitted is transmitted to the communication unit 26.
Accepted at (Step S104) And MPU
21 determines the order of the consumables based on the stock quantity and the required quantity of the consumables registered in the consumables stock file 25a (step S105, A). This determination method will be described later. Then, the MPU 21 registers the received necessary quantity in the consumables stock file 25a. Specifically, the required quantity of the consumable is subtracted from the stock quantity of the registered consumable (step S111).

Then, after the operation is completed, the remaining quantity of the reusable goods and the remaining quantity of the consumable goods are inputted from the input unit 13 by the central manager.
If input, the MPU 11 accepts the remaining quantity (step S112), and transmits the remaining quantity of the consumable to the consumables management device 2 (step S113). When the remaining quantity of consumables is transmitted, the MPU 21 of the consumables management device 2 registers the remaining quantity in the consumables stock file 25a (step S114). Specifically, the remaining quantity is added to the stock quantity registered in the consumables stock file 25a.

FIG. 12 is a flowchart showing the procedure of order determination processing. MPU 21 is a consumables stock file 25
The stock quantity of the consumables registered in a is divided by the received necessary quantity, or the received necessary quantity is subtracted from the stock quantity of the consumables (step S121). Then, it is determined whether the divided value or the subtracted value is smaller than a predetermined threshold value (step S122). If it is determined that it is smaller than the threshold value (YES in step S122),
It is determined that the stock is insufficient and an order is determined (step S12).
3).

When ordering consumables, the required quantity of consumables, delivery date, etc. are transmitted from the MPU 21 to the terminal devices (not shown) of the factories 4, 4,... On the other hand, if the divided value or the subtracted value is larger than the threshold value (step S
No at 122), no order is placed (step S12)
4). The above process is performed for all the consumables transmitted from the central management device 1. In this embodiment, the stock quantity is divided or reduced by the required quantity, but the present invention is not necessarily limited to this method, and the order may be determined by an appropriate method.

FIGS. 13 and 14 are flowcharts showing the processing procedure between the central management apparatus 1 and the reusable article management apparatus 3. Step S101 and step S102
This process has already been described with reference to FIG. When the required quantity of the re-used product is determined in step S102, the required quantity of the re-used product is transmitted to the re-used product management device 3 (step S131). The transmitted required quantity of reusable items is registered in the reusable item stock file 35a for each reusable item (step S132). When the operation is completed and the remaining quantity of the reusable product is received in step S112 (see FIG. 11) described above, the MPU 11 transmits the remaining quantity of the reusable product to the reusable product management device 3 (steps S133 and B). ).

The MPU 31 having received the remaining quantity of the reused product registers the remaining quantity of the reused product in the reused product inventory file 35a (step S140). After the operation, the reusable item manager collects the used reusable items used in the operation and placed on the instrument table (step S141). When the used quantity of the used re-used product is input from the input unit 33 by the re-used product manager, the MPU 31 accepts the used quantity (step S142), and stores the used quantity in the RA.
It is temporarily stored in M32. Then, the MPU 31 compares the required quantity registered in the reusable goods inventory file 35a with the total value of the remaining quantity and the used quantity stored in the RAM 32 (Step S143).

As a result of the comparison, if the required quantity of the reusable product is equal to the total value of the remaining quantity and the used quantity (YES in step S144), the reusable product has been collected without fail. The reused product is sterilized by the product manager (step S145) and stored in a warehouse (step S145).
146). On the other hand, if it is determined that they do not match (NO in step S144), it is determined that the reusable article has been lost for some reason, and the MPU 31 outputs an abnormal signal (step S147). Abnormal signal is reused product management device 3
Is displayed on the display unit 34, and that fact is displayed on the display unit 34 (step S148). In addition, the abnormal signal may be output to the central management device 1, and in that case, the fact is displayed on the display unit 14 of the central management device 1 (step S14).
9).

Embodiment 2 FIG. 15 is a block diagram showing a hardware configuration of a central management device 1 according to Embodiment 2. The storage unit 15 is provided with a reference value file 15d in which reference values for determining whether the remaining quantity of surgical supplies including reusable supplies and consumables are appropriate are registered for each surgical supply. Also,
Surgery name-surgery article correlation file 1 described in the first embodiment
In 5b, the surgical supplies necessary for the operation and the quantities thereof are registered. FIG. 16 shows a surgery name-surgical article correlation file 15b.
FIG. 17 is an explanatory diagram showing the database structure of the reference value file 15d.

As shown in FIG. 16, the required quantities of reusable items and consumable items required for the operation are registered as defaults. In the example shown in the figure, necessary surgical items for the operation name "total gastrectomy" are registered. Necessary surgical supplies are also registered for other operations. FIG.
A reference value for determining whether or not the remaining quantity of surgical supplies including reusable and consumables is appropriate is registered. The reference value is appropriately input by the central administrator from the input unit 13 according to the type of the operation. If the remaining quantity after surgery exceeds the registered reference value, the required quantity of surgical supplies registered as default is excessive,
U11 performs a process of changing the required quantity of excessive surgical supplies. The required quantity (see FIG. 16) may be changed by, for example, multiplying the registered required quantity by a predetermined value (for example, 0.8 or the like) and changing and re-registering.

FIG. 18 is an explanatory view showing a screen for inputting the remaining quantity of the surgical supplies after the operation according to the second embodiment. As shown in the drawing, the remaining quantity of the consumable item “barragase” is “7”, for example, which exceeds the reference value “6”. In this case, the MPU 11 changes the required quantity of the balagase from “10” to “8”, and registers the required quantity after the change in the operation name-operative article correlation file 15b. As a result, the required quantity of surgical supplies determined based on the surgical plan converges to the actually required quantity.

FIG. 19 is an explanatory view showing a screen for inputting the remaining quantity and the deficient quantity of the surgical supplies after the operation according to the second embodiment. As described above, the case where the remaining quantity of each surgical product is excessive has been described, but it is also possible that the surgical product is insufficient. When a shortage of surgical supplies occurs, the central manager inputs the remaining quantity “−1” as shown in FIG.
For example, the quantity of the reusable product “intestinal spatula (format: 30 cm)” is insufficient by one. In this case, the MPU
11 changes the required quantity of intestinal spatula (format: 30 cm) from “2” to “3” and changes the required quantity after the change to the operation name−
The information may be registered in the surgical article correlation file 15b.

FIGS. 20 and 21 are flowcharts showing the procedure for changing the required quantity of surgical supplies according to the second embodiment. When the operation is completed and the remaining number of reusable items and the remaining amount of consumables (hereinafter referred to as surgical items) are input from the input unit 13 by the central manager, the MPU 11 accepts the remaining numbers (step S112). This processing is as described in the first embodiment. And MPU1
1 refers to the reference value file 15d and compares the remaining quantity of the surgical supplies with the reference value (step S201). As a result of the comparison, if the remaining quantity exceeds the reference value (step S2
02, YES), surgery name-surgery article correlation file 15b
Is multiplied by an appropriate value (for example, 0.8, etc.) to the required quantity of the surgical product registered in the above, or the required quantity is changed by reducing the appropriate value (step S203, C). Then, the required quantity after the change is stored in the surgery name-surgical article correlation file 1
Register to 5b. If the remaining quantity does not exceed the reference value (NO in step S202), it is determined that the registered necessary quantity is appropriate, and the process proceeds to the next processing without changing the content (C).

Subsequently, the MPU 11 determines that the input remaining quantity is 0.
A comparison is made as to whether or not the number of the surgical supplies is insufficient in the operation (step S211). As a result of the comparison, if the remaining quantity is smaller than 0 (YES in step S211), the required quantity of the surgical product registered in the surgical name-surgical product correlation file 15b is multiplied by an appropriate value (for example, 1.1). Etc.) or add an appropriate value to change the required quantity (step S21)
2). Then, the required quantity after the change is registered in the operation name-operative article correlation file 15b. If the remaining quantity is 0 or more (NO in step S211), the registered necessary quantity is determined to be appropriate, and the content is not changed. The above processing is performed for the operation name-operative article correlation file 15b.
The processing is performed for all of the surgical supplies registered in, and the process ends.

The second embodiment is configured as described above, and other configurations and operations are the same as those of the first embodiment. Corresponding portions are allotted with the same reference numerals, and description thereof is not repeated. Omitted.

Third Embodiment FIG. 22 is a block diagram showing a hardware configuration of a consumable item management device 2 according to a third embodiment. As shown in the figure, the storage unit 25 is provided with a billed consumables file 25b in which billed consumables to be claimed for insurance among consumables are registered. FIG. 23 is an explanatory diagram showing the database structure of the bill consumable file 25b. As shown in the figure, billed consumables to be covered by insurance are registered according to the type of operation. The consumable supplies manager performs registration in the billing consumables file 25b through the input unit 23. In FIG. 23, in the operation “Knee replacement”, the consumables “Knee replacement set (implant)”, “Balloon catheter (with sensor) 16Fr”, and “Urine guide set” that are subject to insurance claims Etc. are registered.

The MPU 21 subtracts the remaining quantity of consumables transmitted after the operation from the required quantity of consumables transmitted before the operation from the central management apparatus 1 to the consumables management apparatus 2 to reduce the used quantity of the consumables. calculate. Then, referring to the billed consumables file 25b, the used quantity of billed consumables to be claimed for insurance is extracted and stored in the storage unit 25, and displayed on the display unit 24. FIG. 24 is an explanatory diagram showing a billable consumables quantity menu displayed on the display unit 24.

As shown in FIG. 24, the used quantity of each billed consumable is displayed (hatched portion in FIG. 24). In this example, in this operation, the billed quantity of the consumable “knee joint replacement set (implant)” is “2”, the billed quantity of “balloon catheter (with sensor) 16Fr” is “1”, and the The billing quantity is “1”. FIG. 25 is an explanatory diagram showing the billed quantity of the billed consumables and the like during the month. MPU21
Accumulates the billed quantity of the extracted billed consumables in the storage unit 25. Then, as shown in the figure, it is also possible to output the billed consumables and billed amount consumed in one month to the display unit 24 or a printing unit (not shown) as a billing statement. In addition, the number of bills, the amount billed, the total number of bills for one month, and the total bill may be displayed or printed.

FIG. 26 is a flowchart showing the procedure of the billed consumables quantity management process according to the third embodiment. The MPU 21 of the consumables management device 2 receives the required quantity of consumables transmitted from the central management device 1 before the operation (step S104). This processing is as described in the first embodiment. When the remaining number of consumables is transmitted from the central management device 1 to the consumables management device 2 in step S113 after the operation, the MPU 21 receives this remaining amount (step S261), and The used quantity is calculated by subtracting the remaining quantity (step S26)
2). After this processing is performed for all transmitted consumables, the billing consumable file 25
With reference to b, the used quantity of the billable consumable is extracted (step S263). The usage amount of the extracted billed consumable is stored in the storage unit 25 (step S264).

The third embodiment is configured as described above, and the other configurations and operations are the same as those of the first and second embodiments. Corresponding portions are allotted with the same reference numerals. A detailed description thereof will be omitted.

Fourth Embodiment FIG. 27 is a schematic diagram showing a surgical article management system according to a fourth embodiment of the present invention, and FIG. 28 is a block diagram showing a hardware configuration of the automatic inventory storage 5. FIG.
Is stored in a storage box for each consumable item, and the used number of each consumable item is recognized by counting the number of times the lid of the storage box is opened and closed. Things. The automatic inventory storage 5 is connected to the central management device 1 by wire or wirelessly. In FIG. 28, a detection unit 52 detects the opening and closing of the storage box and outputs the code number of the consumable in the storage box to the MPU 51. The MPU 51 stores the code number of the consumable and the number of times of detection output from the detection unit 52 in the storage unit 54. After surgery, MPU51
Transmits the used quantity of each consumable from the communication unit 53 that transmits and receives information to and from the central management device 1.

FIG. 29 is a block diagram showing a hardware configuration of a central management device 1 according to the fourth embodiment. The storage unit 15 is provided with an auxiliary billing consumable file 15e in which billed consumables to be claimed for insurance among consumables are registered. Since the contents of the auxiliary consumable file 15e are the same as those of the consumable file 25b, the details are omitted. Further, the MPU 11 of the central management device 1 stores the used quantity output from the automatic inventory storage 5 in the used quantity storage unit 15f of the storage unit 15.

FIG. 30 is an explanatory diagram showing the database structure of the used quantity storage unit 15f. As shown in the figure, the used quantity of consumables output from the automatic stock storage 5 is stored. The MPU 11 refers to the auxiliary consumable file 15e and extracts the used quantity of the consumable to be claimed for insurance from the used quantity of the consumable stored in the used quantity storage unit 15f. In addition, the usage quantity of the extracted consumable supplies is stored in the storage unit 15. This is as described in the third embodiment.

FIG. 31 is a flow chart showing the procedure for managing the used quantity of consumables and the used quantity of billed consumables according to the fourth embodiment. First, when a doctor or the like takes out consumables from the automatic inventory storage 5, the detecting unit 52 sets the MPU 5
1 to output the used consumables code (step S3).
11). The MPU 51 stores the used quantity of the consumable in the storage unit 54 based on the output consumable code (step S312). After the operation is completed, the MPU 51 stores the data in the storage unit 5.
The used quantity of each consumable stored in 4 is transmitted to the central management device 1 (step S313).

The MPU 11 of the central management device 1 stores the used quantity of the consumables transmitted from the automatic stock storage 5 in the used quantity storage unit 15f (step S314). And M
The PU 11 refers to the auxiliary billing consumable file 15e and extracts the billing consumables usage quantity from the consumables usage quantity (step S315). Then, the usage quantity of the extracted consumable supplies is stored in the storage unit 15 (step S316).
As a result, the amount of consumables used in the automatic inventory storage 5 can be accurately grasped, and the period for storing the consumables required for the next operation in the automatic inventory storage 5 can be greatly reduced. . In addition, since the quantity of billed consumables used for insurance claim used from the automatic inventory storage 5 can be accurately grasped, it is possible to further clarify the balance of the hospital.

The fourth embodiment has the above-described configuration, and the other configurations and operations are the same as those of the first to third embodiments. Corresponding portions are denoted by the same reference numerals. A detailed description thereof will be omitted.

Fifth Embodiment FIG. 32 is a schematic diagram showing a hardware configuration for realizing a surgical article management system according to a fifth embodiment. A computer program for executing the central management apparatus 1 according to the first embodiment can be provided by being preinstalled in the central management apparatus 1 as in the fifth embodiment, or can be provided on a CD-ROM, MO, or the like. It is also possible to provide the portable recording medium 1a. Furthermore, it is also possible to provide a computer program by propagating it as a carrier wave via a line. The contents will be described below.

The recording medium 1 in which the program for causing the central management device 1 shown in FIG. 32 to receive the remaining quantity, transmit the remaining quantity of reusable goods, and transmit the remaining quantity of consumables is stored.
a (CD-ROM, MO, DVD-ROM, etc.) is installed in the storage unit 15 (not shown) of the central management apparatus 1. Such a program is stored in the RAM 1 of the central management device 1.
2 and executed. Thereby, it functions as the central management device 1 of the present invention as described above.

The computer program for executing the consumables management apparatus 2 according to the first embodiment can be provided by being preinstalled in the consumables management apparatus 2 as in the fifth embodiment, or can be provided on a CD. -It is also possible to provide a portable recording medium 2a such as a ROM and an MO. Furthermore, it is also possible to provide a computer program by propagating it as a carrier wave via a line. The contents will be described below.

The consumables management apparatus 2 shown in FIG. 32 is made to receive the required quantity of the consumables and to register the stock of the consumables.
A recording medium 2a (CD-ROM, MO, DVD-ROM, or the like) storing a program for determining an order and registering the remaining number of consumables is installed in a storage unit 25 (not shown) of the consumables management device 2. . Such a program is loaded into the RAM 22 of the consumables management device 2 and executed. Thereby, it functions as the consumables management device 2 of the present invention as described above.

Further, a computer program for executing the reusable article management device 3 according to the first embodiment is as follows.
It is also possible to provide the reusable article management device 3 by preinstalling it as in the fifth embodiment,
It is also possible to provide such a portable recording medium 3a. Furthermore, it is also possible to provide a computer program by propagating it as a carrier wave via a line. The contents will be described below.

The reusable article management device 3 shown in FIG. 32 is made to register the stock quantity of the reusable article, register the required quantity of the reusable article, register the remaining quantity of the reusable article, and accept the used quantity. The storage medium 3a (CD-ROM, MO or DVD-ROM, etc.) in which the program for causing the required quantity to be compared with the total value of the used quantity and the remaining quantity and outputting an abnormal signal when they do not match is stored is a reusable product. It is installed in a storage unit 35 (not shown) of the management device 3. Such a program is loaded into the RAM 32 of the reusable item management device 3 and executed. Thereby, it functions as the reusable article management device 3 of the present invention as described above.

The fifth embodiment is configured as described above, and the other configurations and operations are the same as those of the first to fourth embodiments. Corresponding portions are denoted by the same reference numerals. A detailed description thereof will be omitted.

[0092]

As described above in detail, according to the first aspect, the support company that supports the hospital business provides a reusable product such as a scalpel and the like necessary for the operation based on the operation plan submitted by the doctor in charge. Determine the required quantity of consumables such as gauze. Based on this, the support company supplies the required quantity of reusable supplies and consumables to the hospital. Then, inventory management is performed for the consumables, and an order is appropriately placed so that shortage does not occur. On the other hand, recycled products are collected and sterilized after surgery, and their quantity is controlled. As described above, since the reusable supplies and consumables necessary for the operation are supplied to the hospital, the hospital can concentrate more on the operation and reduce the number of medical accidents. Conventionally, the hospital side independently manages the stock quantity of consumables and places orders with multiple contractors.However, the support contractor decided to collectively supply and collectively order, so the burden on the hospital side is greatly reduced. Thus, the management cost can be reduced. For reusable items such as scalpels,
Since the support company collects and sterilizes, the hospital is released from the burden of processing such as sterilization. In addition, since the inventory quantity of the reused product is thoroughly managed, it is possible to detect a medical accident such as leaving a scalpel or the like in the patient at an early stage. That is, according to the present invention, it is possible to improve the quality of medical treatment in a hospital business and reduce costs in terms of economy.

In the second invention, the third invention, the seventh invention, the eleventh invention, the fourteenth invention and the seventeenth invention, when the doctor in charge of the operation and the name of the operation are determined, the doctor in charge and the operation name are changed. Determine the surgical supplies to be used in this surgery as a key,
The determined required number of reusable items related to the surgical supplies is transmitted from the central management device to the reusable item management device, and the required number of consumables is transmitted to the consumable item management device. The consumables management device has a consumables inventory file in which the stock of each consumable is registered in advance.The consumables management device compares the required quantity of consumables with the inventory quantity and newly adds consumables. Since it is determined whether or not it is necessary to add the consumables, and if necessary, the consumables are ordered from a factory, a supplier, or the like. Therefore, it is possible to prevent the stock of the consumables from breaking.

After the operation is performed, the central management unit receives the quantities of the reusable items and the consumable items which have not been used in the operation, and transmits them to the reusable item management device and the consumable item management device, respectively. And the consumables management device
Since the remaining quantity not used in the surgery is registered in the consumables inventory file, inventory management can be performed in consideration of the remaining quantity of consumables not used in the surgery, and more accurate orders can be placed. It becomes possible. In particular, the consumables are thrown into a dedicated container or the like, and it is difficult to accurately grasp the number of consumables. As a result, the number of consumables can be managed more easily and more accurately than in the case of counting the used number.

On the other hand, the reuse management device has a reused item inventory file for managing the inventory amount of each item to be reused. Register the required quantity of the reusable item in the file. In addition, when the remaining quantity of the re-used product not used in the operation is transmitted from the central management device, the remaining quantity of the re-used product is registered in the re-used product stock file. When the used reusable items placed on the instrument table are collected in the Reusable Item Management Room for sterilization, the reusable item manager counts the used amount for each reusable item and uses it. Enter the quantity into the reuse management device. If the total value of the registered required quantity, the input used quantity, and the registered remaining quantity do not match, it is determined that the reusable article has been lost due to an abnormal state, that is, for some reason. Therefore, when the reusable article is lost, the operation that caused the loss can be identified at an early stage. As described above, since the stock of the reusable goods and the consumable goods is appropriately managed, it becomes possible for the doctor or the like to concentrate on the medical treatment, and as a result, the medical accident can be greatly reduced.

In the eighth and ninth aspects of the invention, the consumables registered in the consumables inventory file are divided or reduced by the required number of consumables required in the operation for each consumable. If the divided value or the reduced value is equal to or less than a predetermined threshold value, it is determined that the stock quantity is in short supply, and the consumable is ordered from a factory, a supplier, or the like. This greatly reduces the possibility of causing congestion, and makes it possible to prevent shortage of consumables during the operation. In addition, by setting the threshold value to an appropriate value according to the type of consumables, inventory replenishment according to the type of consumables can be performed, and an appropriate order can be placed with a factory or a supplier. The present invention can exhibit excellent effects.

In the fourth and twelfth inventions, it is determined whether or not the received remaining quantity of surgical supplies including reusable articles and consumables is an appropriate value. In making this determination, a reference value for determining whether the remaining quantity of surgical supplies is appropriate is prepared in advance in a reference value file registered for each surgical supply, and compared with the received remaining quantity. As a result of the comparison, when the remaining quantity of the surgical supplies exceeds the reference value, the necessary quantity of the pre-registered surgical name-surgical article correlation file is changed according to the type of the surgical procedure. The required quantity can be standardized, and the accuracy of inventory management of surgical supplies is further improved.

In the fifth and tenth aspects of the present invention, a claim consumable file in which the types of consumables to be claimed for insurance are registered is provided in advance. Then, the remaining quantity is subtracted from the received required quantity of consumables, and the used quantity of consumables used in the operation is calculated. Then, referring to the billed consumables file, the billed consumables consumption is extracted from the consumables consumption, so that the quantity of consumables to be claimed for insurance can be accurately grasped, and the Clarification and stable hospital management can be achieved.

In the sixth and thirteenth inventions, the consumables are sorted and stored in the storage box of the automatic inventory storage.
This known automatic stock storage outputs the number of used consumables according to the number of times the lid of the storage box is opened and closed, and stores the output used number of each consumable. The central management device is also provided with a supplementary consumables file in which the types of consumables to be claimed for insurance are registered in advance. Then, referring to the auxiliary billing consumables file, the usage amount of the auxiliary billing consumables is extracted from the used amount of the consumables, so that the quantity of the consumables to be covered by the insurance claim can be accurately grasped, It is possible to clarify the balance and stabilize hospital management. In addition, since it is possible to accurately grasp the used quantity of the consumables used in the operation and stored in the automatic inventory storage, it is possible to replenish the consumables to be replenished without excess or shortage.

[Brief description of the drawings]

FIG. 1 is a schematic diagram showing a surgical article management system according to the present invention.

FIG. 2 is a block diagram illustrating a hardware configuration of a central management device.

FIG. 3 is an explanatory view showing an operation plan input screen.

FIG. 4 is an explanatory view showing a required quantity of surgical supplies.

FIG. 5 is an explanatory diagram showing a screen for inputting the remaining quantity of surgical supplies after surgery.

FIG. 6 is a block diagram illustrating a hardware configuration of the consumable supplies management device.

FIG. 7 is an explanatory diagram showing a database structure of a consumables stock file.

FIG. 8 is a block diagram illustrating a hardware configuration of the reusable item management device.

FIG. 9 is an explanatory diagram showing a database structure of a reused goods inventory file.

FIG. 10 is a flowchart illustrating a processing procedure between the central management device and the consumable supplies management device.

FIG. 11 is a flowchart illustrating a processing procedure between the central management device and the consumables management device.

FIG. 12 is a flowchart illustrating a procedure of an order determination process.

FIG. 13 is a flowchart illustrating a processing procedure between the central management device and the reusable item management device.

FIG. 14 is a flowchart illustrating a processing procedure between a central management device and a reusable item management device.

FIG. 15 is a block diagram illustrating a hardware configuration of a central management device according to the second embodiment.

FIG. 16 is an explanatory diagram showing a database structure of a surgery name-surgery article correlation file.

FIG. 17 is an explanatory diagram showing a database structure of a reference value file.

FIG. 18 is an explanatory diagram showing a screen for inputting the remaining quantity of surgical supplies after surgery according to the second embodiment.

FIG. 19 is an explanatory diagram showing a screen for inputting a remaining quantity and a deficient quantity of surgical supplies after a surgery according to the second embodiment.

FIG. 20 is a flowchart showing a procedure of a necessary quantity changing process of surgical supplies according to the second embodiment.

FIG. 21 is a flowchart illustrating a procedure of a necessary quantity changing process of surgical supplies according to the second embodiment.

FIG. 22 is a block diagram illustrating a hardware configuration of a consumable supplies management device according to a third embodiment.

FIG. 23 is an explanatory diagram showing a database structure of a bill consumable file.

FIG. 24 is an explanatory diagram showing a billable consumables quantity menu displayed on the display unit.

FIG. 25 is an explanatory diagram showing a billed consumable amount and the like of a monthly billable consumable.

FIG. 26 is a flowchart illustrating a procedure of a billable consumables quantity management process according to the third embodiment;

FIG. 27 is a schematic diagram showing a surgical article management system according to a fourth embodiment of the present invention.

FIG. 28 is a block diagram illustrating a hardware configuration of an automatic inventory storage.

FIG. 29 is a block diagram illustrating a hardware configuration of a central management device according to the fourth embodiment.

FIG. 30 is an explanatory diagram showing a database structure of a used quantity storage unit.

FIG. 31 is a flowchart illustrating a procedure of management processing of the number of used consumables and the number of used consumables according to the fourth embodiment;

FIG. 32 is a schematic diagram showing a hardware configuration for realizing the surgical product management system according to the fifth embodiment.

[Explanation of symbols]

 1 Central Management Device 1a Recording Medium 15b Surgery Name-Surgical Supplies Correlation File 15d Reference Value File 15e Auxiliary Billing Consumables File 15f Used Quantity Storage Unit 2 Consumables Management Device 2a Recording Medium 25a Consumables Inventory File 25b Billing Consumables File 3 Re Used item management device 3a Recording medium 35a Reused item inventory file 5 Automatic inventory storage N Communication network

Claims (17)

[Claims] 1. A method for supporting a hospital business, wherein a support company determines the number of reusable items and consumables required for an operation before an operation, and determines the determined required number of reusable items and consumables. After supplying to the hospital and after surgery, collect and sterilize the supplied reused products, count the number of supplied reused products, count the supplied consumables, and place orders as appropriate. Hospital business support method characterized by the following. 2. A surgical article management method for determining the number of reusable articles and consumables necessary for an operation and managing the determined numbers of reusable articles and consumables, the consumables necessary for the surgery. Determined the order of the consumables based on the required quantity of the consumables and the stock quantity of the consumables registered in the consumables stock file in which the stock quantity of each consumable prepared in advance is registered. The required quantity of reusable items is registered in a reusable item inventory file in which the inventory amount of each reusable item prepared in advance is registered, and the remaining number of consumables not used in the operation is stored in the consumable item inventory file. Register the remaining quantity of reusable items not used in the operation in the reusable item inventory file, and register the required number of reusable items registered in the reusable item inventory file and the reusable item inventory file. The re-interest registered in Goods of remaining quantity, and surgical supplies managing method and the total value of the quantity used of recycled products used were If no match, characterized in that it is determined that the abnormality in the operation. 3. The quantity of reusable items and consumables required for the operation is determined based on an operation plan received by a central management device installed in the hospital, and the determined required number of reusable items is determined. A surgical supplies management system for transmitting to the consumables management device the required quantity of the determined consumables while transmitting the consumables to the reusable goods management device, wherein the consumables management device is a consumables transmitted from the central management device. Consumables required quantity receiving means for receiving the required quantity of consumables, a consumables inventory file in which the stock quantity of each consumable is registered, a required consumables quantity received by the consumables required quantity receiving means, and the consumables Order determination means for determining the order of the consumables based on the stock quantity of the consumables registered in an inventory file, wherein the central management device includes: reusables not used in the operation; Remaining quantity receiving means for receiving the remaining quantity of consumables; reusable goods remaining quantity transmitting means for transmitting the remaining quantity of reusable goods received by the remaining quantity receiving means to the reusable goods management device; Means for transmitting the remaining quantity of consumables received by the means to the consumables management device, the consumables management device comprising: a consumables remaining quantity transmitted by the consumables remaining quantity transmitting means. The consumables remaining quantity registering means for registering a quantity in the consumables stock file further comprises: a reusable goods management device, wherein the reusable goods inventory file registers a stock quantity of each reusable product; and A reusable product required quantity registration unit for registering the required quantity of the reusable product to be transmitted in the reusable product inventory file; and the reuse of the remaining quantity of the reusable product transmitted by the reusable product remaining quantity transmitting unit. A reusable product remaining quantity registering means for registering in the inventory file, a used quantity receiving means for receiving the used quantity of the reusable product used in the operation, and a required quantity of the reusable product registered in the reusable product inventory file, Comparing means for comparing the used quantity of the reusable product received by the used quantity receiving means with the total value of the remaining quantity of the reusable product registered in the reusable product inventory file; As a result, when the required quantity of the reusable product does not match the total value of the used quantity and the remaining quantity, an abnormal signal output means for outputting an abnormal signal is further provided. 4. A reference value file in which reference values for determining whether or not the remaining quantity of surgical supplies including reusable parts and consumables are appropriate are registered for each surgical part. A surgical name-surgical goods correlation file in which the required quantities of surgical supplies including reusable and consumables necessary for the surgery are registered according to the type of surgery, and the remaining quantity of surgical supplies received by the remaining quantity receiving means and A reference value comparison means for comparing the reference value of the surgical article registered in the reference value file with the reference value; and if the remaining quantity of the surgical article exceeds the reference value as a result of the comparison by the reference value comparison means, 4. The apparatus according to claim 3, further comprising changing means for changing a required quantity of the surgical supplies registered in the surgical supplies correlation file.
The surgical article management system according to 1. 5. The consumables management device according to claim 1, wherein said consumable supplies file in which said consumable supplies to be claimed for insurance are registered, and said consumable supplies required quantity received by said consumable supplies required receiving means. A use quantity calculating means for subtracting the remaining quantity of the consumables transmitted by the consumable supply quantity transmitting means to calculate the use quantity of the consumable supplies; and a use quantity of the consumable supplies calculated by the use quantity calculation means. 5. The surgical article management system according to claim 3, further comprising: an extracting unit configured to extract a used quantity of the billable consumables registered in the billable consumables file. 6. The central management unit further comprising: an automatic inventory storage unit that classifies and stores each consumable item, and outputs the number of times the lid of the storage box is opened and closed to the central management device as the usage amount of each consumable item. The apparatus includes: a use quantity storage unit that stores a use quantity of each consumable output from the automatic inventory storage; an auxiliary claim consumable file in which a consumable that is a target of an insurance claim among the consumables is registered; 6. An auxiliary extracting means for extracting the used quantity of the billed consumables registered in the auxiliary billed consumables file from the used quantity of the consumables stored by the used quantity storage means. The surgical article management system according to any one of the above. 7. A consumables management device for managing the number of consumables used in an operation, comprising: a consumables required quantity receiving means for receiving a required quantity of consumables transmitted from outside; The consumables inventory file in which the consumables are registered based on the required quantity of consumables received by the consumables required quantity receiving unit and the consumables inventory quantity registered in the consumables inventory file. The consumable supplies management apparatus further comprises: an order determining means for determining the remaining quantity of consumables transmitted from outside, and a consumable goods remaining quantity registering means for registering the remaining quantity of consumables in the consumable stock file. 8. The consumables inventory quantity registered in the consumables inventory file is divided by the required quantity of consumables received by the consumables required quantity receiving means, and the order determination means is divided by the required quantity of consumables. The consumables management apparatus according to claim 7, wherein an order for the consumable is determined when the value is equal to or less than a predetermined threshold. 9. The consumables inventory quantity registered in the consumables inventory file, the consumables required quantity received by the consumables required quantity receiving means subtracted the required quantity of consumables, the order determination means, the reduced value The consumables management apparatus according to claim 7, wherein the order of the consumables is determined when is less than or equal to a predetermined threshold. 10. A consumables file in which the consumables to be covered by the insurance claim among the consumables are registered, and the required number of consumables received by the consumables necessary quantity receiving means is used to transmit the externally transmitted consumables. A usage quantity calculating means for calculating the usage quantity of the consumables by subtracting the remaining quantity of the consumables; and a billing consumable registered in the billing consumables file from the usage quantity of the consumables calculated by the usage quantity calculation means. 10. The consumables management device according to claim 7, further comprising: an extracting unit configured to extract a used quantity of the consumables. 11. A central management device for determining the number of reusable items and consumables required for the operation based on the determined operation plan, and managing the determined numbers of reusable items and consumables. A remaining quantity receiving means for receiving a remaining quantity of reusable goods and consumables not used in the operation; and a remaining quantity of reusable goods transmitting the remaining quantity of reusing goods received by the remaining quantity receiving means to the outside. A central management device comprising: a transmitting unit; and a consumable remaining quantity transmitting unit that transmits a remaining quantity of consumables received by the remaining quantity receiving unit to the outside. 12. A reference value file in which reference values for determining whether the remaining quantity of surgical supplies including reusable goods and consumables are appropriate are registered for each surgical use, and reuse necessary for surgery. The required quantity of surgical supplies, including supplies and consumables, was registered in the operation name-surgical goods correlation file registered according to the type of surgery, the remaining quantity of surgical supplies received by the remaining quantity receiving means, and the reference value file. A reference value comparing means for comparing the reference value of the surgical supplies with the reference value comparing means; if the remaining quantity of the surgical supplies exceeds the reference value as a result of the comparison by the reference value comparing means, register in the surgery name-surgical supply correlation file 2. A changing means for changing a required quantity of the surgical supplies.
2. The central management device according to 1. 13. A usage quantity storage means for storing the usage quantity of each consumable output from the outside, an auxiliary consumable file storing registered consumables to be claimed for insurance among the consumables, 13. The apparatus according to claim 11, further comprising an auxiliary extracting unit configured to extract a used amount of the billed consumable registered in the auxiliary billed consumable file from the used amount of the consumable stored in the quantity storage unit. Central management device. 14. A reusable item management device for managing the number of reusable items used for surgery, comprising: a reusable item inventory file in which the inventory amount of each reusable item is registered; Means for registering the required quantity of goods in the reused goods inventory file, and means for registering the required quantity of reused goods to register the remaining quantity of reused goods transmitted from the outside in the reused goods inventory file Means, a use quantity receiving means for receiving a used quantity of the reusable product used in the operation, a required quantity of the reusable product registered in the reusable product inventory file, and the reuse received by the used quantity receiving means. Comparing means for comparing the used quantity of the article and the total value of the remaining quantity of the reusable article registered in the reusable article inventory file; And an abnormal signal output means for outputting an abnormal signal when the total value of the used quantity and the remaining quantity does not match. 15. A computer-readable recording medium storing a computer program for managing the number of consumables used in a surgery by a computer, wherein the computer-readable recording medium is transmitted from another computer to the computer. Consumables required quantity receiving program code means for receiving the required quantity of consumables, and program code means for causing the computer to register the stock quantity of each consumable in a consumables inventory file; and Program code means for determining the order of the consumable based on the required quantity of consumables received by the quantity receiving program code means and the inventory quantity of the consumables registered in the consumables inventory file; The computer supplies the consumables sent from the other computer. Readable recording medium on a computer, wherein the computer program comprising program code means for registering the quantity to the consumables stock file is recorded. 16. A computer for determining the number of reusable items and consumables required for the operation based on the determined operation plan, and managing the determined number of reusable items and consumable items. Computer programs are recorded,
A recording medium readable by a computer, wherein the computer receives the remaining quantity of reusable goods and consumables not used in the operation, and the remaining quantity receiving program code means. Program code means for transmitting the received remaining quantity of reusable goods to another computer; and program code means for transmitting the remaining quantity of consumable goods received by the remaining quantity receiving program code means to another computer. A computer readable recording medium on which a computer program is recorded. 17. A computer-readable recording medium in which a computer stores a computer program for managing the number of reusable items used for surgery, comprising: Program code means for registering a stock quantity in a reusable goods inventory file; program code means for causing the computer to register a required quantity of reusable goods transmitted from another computer in the reusable goods inventory file; Program code means for registering the remaining quantity of reusable goods transmitted from the other computer in the reusable goods inventory file; and using the computer to receive the used quantity of reusable goods used in the operation A quantity receiving program code means, The required quantity of the re-used product registered in the re-used product inventory file, the used quantity of the re-used product received by the used quantity receiving program code means, and the re-used product registered in the re-used product inventory file And the total value of the remaining quantity of the comparison program code means for comparing, the computer, the result of the comparison by the comparison program code means, the required quantity of the reused product, the total value of the used quantity and the remaining quantity A computer program including a program code means for outputting an abnormal signal when the values do not match.