JP2002083062A - Patient treatment instruction information managing device used for treatment confirmation system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a patient treatment instruction information managing device which can eliminates the possibility that the same treatment is performed repeatedly to the same patient. SOLUTION: This is a patient treatment instruction information managing device used for a treatment confirmation system having a portable collation device equipped with a collating means which reads patient specific information specifying a patient out of a wrist band put on the body of the patient and has the patient specific information printed in the form of a bar code and collates the patient specific information with information read by a bar code reader 11 out of an article or document, needed to treat the patient, where the information to be collated with the patient specific information is printed in the form of a bar code while relating them to treatment instruction information from a doctor and a display means for displaying the matching result to the user, a storage means 2 which stores the treatment instruction information regarding patients, and a data output means 3 which outputs the treatment instruction information stored in the storage means to a portable collation device 10.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to patient treatment instruction information which stores articles such as injections to be administered to a patient and treatment instruction information relating to documents such as a treatment request form from a doctor as a basis for treatment of the patient. Regarding the management device.

[0002]

2. Description of the Related Art In a hospital, after a doctor examines a patient, an injection prescription describing injections to be administered to the patient (medication using an infusion bottle or a syringe, blood products used during blood transfusion, etc.), Issue a request for treatment that describes the necessary tests and surgery, and based on the injection prescription and the request for treatment, a nurse, a physician in charge of examination, and a physician in charge of surgery take steps such as administration of injectables and surgery or examination. Administered to patients.
Documents relating to the treatment instruction information such as the injection prescription and the treatment request form described above have conventionally been issued in paper. In recent years, however, hospital doctors have input such treatment instruction information from a terminal and managed by a host computer. Medical information systems that utilize various medical information effectively by connecting each of the departments to a host computer are being used. On the other hand, in view of the problem of medical mistakes such as medication mistakes and mistakes in taking patients during surgery and examinations, which have frequently occurred in recent years,
At the same time as having each patient wear a wristband on which the patient ID number is printed in the form of a barcode, the patient is required to provide the article such as an injection medicine to be administered to the patient and a document such as a treatment request form which is the basis of treatment for the patient. The collation information that can be collated with the patient ID number is printed in the form of a barcode, and when performing a treatment on a patient, the patient ID number and the collation information are read and collated with a barcode reader, so that articles and A treatment confirmation system using a portable collation device capable of confirming whether or not a document is definitely for the patient has been proposed.

[0003]

The applicant has been studying further safety and efficiency in the medical field, combining the medical information system and the treatment confirmation system, and carrying the treatment instruction information from the medical information system. The inventors have invented a treatment confirmation system that downloads the data to a pattern collation device and performs collation confirmation for each treatment requested by a doctor. As a result, it is possible not only to check and confirm the patient and the articles to be administered to the patient, but also to confirm whether or not all the treatments required by the doctor have been executed without fail. Security can be improved. However, in a system that simply downloads treatment instruction information from a medical information system to a portable collation device, when the treatment instruction information of the same patient is downloaded to a plurality of portable collation devices, the same treatment is performed twice for one patient. There is a problem that it may be performed. The present invention solves the above-described problems, and when performing a treatment based on treatment instruction information using a portable collation device, a treatment confirmation system that performs collation confirmation for each treatment of the treatment instruction information. It is an object of the present invention to provide a patient treatment instruction information management device that can eliminate the possibility of performing the same treatment a plurality of times.

[0004]

In order to achieve the above-mentioned object, a patient treatment instruction information management device used in a treatment confirmation system according to the present invention is mounted on a patient's body to identify a patient. The information (patient ID number) is read from the wristband printed in the form of a barcode, and the patient identification information is read, and collation information that can be collated with the patient identification information (patient ID number, article ID number, etc.) is a barcode. A barcode reader for reading the collation information from articles or documents required for treatment of the patient printed in the form of
A portable collating apparatus comprising: a collating unit for collating patient identification information and collation information read by a barcode reader in association with treatment instruction information from a doctor; and a display unit for displaying a collation result to a user. A treatment confirmation system comprising: storage means for storing the treatment instruction information relating to a patient; and a patient treatment instruction information management device including data output means for outputting the treatment instruction information stored in the storage means to the portable collation device. A medical treatment instruction information management device, wherein the treatment instruction information and the data output stored in the storage means are not output from the data output means to the portable collation apparatus more than once. And control means for managing the treatment instruction information output from the means.

[0005]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of a patient treatment instruction information management device used in a treatment confirmation system according to the present invention will be described below with reference to an embodiment shown in the accompanying drawings.

FIG. 1 is a schematic diagram of a treatment confirmation system employing a patient treatment instruction information management device according to the present invention. As shown in the drawing, the patient treatment instruction information management device 1 stores a treatment instruction information relating to a plurality of patients in a storage unit 2 and outputs the treatment instruction information stored in the storage unit 2 to a portable collation device 10. The system includes a data output unit 3 and a control unit 4 for controlling the storage unit 1 and the data output unit 3. After inputting the treatment instruction information from the patient treatment instruction information management device, the portable collation device 10 reads the patient identification information (patient ID number) from the patient's wristband, and reads the collation information from the article or document, The read information (patient identification information and collation information) is used for collation confirmation based on the treatment instruction information.

The control means 4 includes an output management section 4a and an information management section 4b. The output management section 4a transmits the processing instruction information to the portable collating apparatus 10 as shown in the flowchart of FIG. When a download instruction is input (step 2-1), the setting content of the treatment instruction information is confirmed (step 2-2). Here, the setting contents of the treatment instruction information will be described. The treatment instruction information includes a treatment already completed, a treatment that has not been performed yet, and a treatment that has not been completed. Are already output to the portable collating apparatus 10 and the treatment instruction information is already output. After confirming the setting contents of the treatment instruction information, first, it is determined whether or not the treatment instruction information is untreated information (step 2-3). The output is rejected, and the fact that output as "reference information" is possible is displayed on an appropriate display provided in the patient treatment instruction information management device or a display of the portable collation device as necessary (step 2-). 7). If the treatment instruction information is untreated information in the determination in step 2-3, it is next determined whether or not the treatment instruction information has been output (step 2-4). If so, the output of the treatment instruction information is refused, and if necessary, an appropriate display that can be provided in the patient treatment instruction information management device indicating that the output as “reference information” is possible, or a portable collating device. It is displayed on the display (step 2-7). If it is determined in step 2-4 that the treatment instruction information has not been output,
The treatment instruction information is output to the portable collating apparatus 10 via the data output means 3 (step 2-5), and the treatment instruction information is set as output (step 2-6), and another treatment instruction information is set. It waits until a download instruction is input (step 2-1).

[0008] Here, "treatment instruction information" and "reference information"
Explaining the difference, “procedure instruction information” is information that, when downloaded, allows the portable collating device 10 to perform collation confirmation based on the treatment instruction information.
The “reference information” is information for which the portable collation device 10 cannot perform the collation confirmation even when the collation is downloaded.

As shown in the flowchart of FIG. 3, when information related to the treatment is input from the portable collating apparatus 10, the information management unit 4b determines whether or not the information is information on the completion of the treatment (step S1). 3-1) If it is the information of the completion of the treatment, the treatment instruction information stored in the portable collating apparatus 10 is cleared (step 3-2), and the treatment instruction information is set to the treated state (step 3-3). ). If the information input from the portable collation device 10 is not the treatment completion information in the determination in step 1, the treatment was interrupted for some reason, and the treatment instruction information stored in the portable collation device 10 is cleared. (Step 3-4) to clear the output setting of the treatment instruction information (step 3-3).
5). In addition, information on the reason for interruption can be input from the portable collation device 10 and stored as needed.

With the above-described configuration, untreated "treatment instruction information" is prevented from being simultaneously downloaded to a plurality of portable collating apparatuses, and a serious problem such as the same treatment being repeatedly performed on one patient is avoided. You can completely avoid it.

Next, the configuration of the portable collating apparatus and collation confirmation using the portable collating apparatus will be described. FIG.
FIG. 1 is a schematic diagram illustrating a configuration of a portable collation device 10. As shown in the drawing, the portable collating apparatus 10 includes a barcode reader 11, a storage unit 12, an input unit 13, and a control unit 14.
And a display 15. The storage means 12
The control unit 14 is configured to store the treatment instruction information from the patient treatment information management device 1, and the patient identification information read from the patient's wristband by the barcode reader 11 and read from the article or document. The collation information is collated and confirmed using the treatment instruction information stored in the storage means 12.
Is configured to display treatment instruction information, collation results, and the like. The input means 13 is an interface that allows the user to input information such as designating treatment instruction information to be collated by the user, and may be constituted by mechanical switches. May be a touch panel type input means 13.

Hereinafter, the operation of the portable collating apparatus 10 configured as described above will be described with reference to FIGS. FIG. 5 is a flowchart illustrating an example of a process of the control unit 14 in the portable collation device 10,
6 to 9 are views showing examples of display contents on the display 15. FIG. In the following description, a patient ID number is printed on the patient's wristband in the form of a barcode, and a reference label on which the article ID number is printed in the form of a barcode is attached to the article. Means include "patient A
Injection B (article ID number b), injection C (article ID number c), and injection D (article ID number d) are administered to (patient ID number a). "Is stored as follows. Treatment information 1: Patient A (patient ID number a) = Injection drug B (article ID number b) Treatment information 2: Patient A (patient ID number a) = Injection medicine C (article ID number c) Treatment information 3: Patient A (Patient ID number a) = Injection drug D (article ID number d) As shown in FIG. 5, the control unit 14 substitutes the number of pieces of treatment information included in the treatment instruction information into “constant i” (step 5).
-1) Wait until the user selects treatment information (step 5-2). FIG. 6 shows the display contents of the display 15 in this initial state. As shown in the drawing,
The display 15 displays a list of treatment information included in the treatment instruction information in an initial state. In this initial state, the user can select the treatment information to be collated via the input means 13. When the treatment information is selected by the user, the control unit 14 reads the selected treatment information (Step 5-3), and reads the barcode reader 11.
Patient ID from wristband and goods (or documents)
It waits until the number and the article ID number are read (step 5-4). Preferably, at this time, a display prompting the user to read, such as "Please read the patient ID number and the article ID number from the wristband and the article (or document)" may be displayed on the display 15 as necessary. (Not shown). When the patient ID number and the article ID number are read from the wristband and the article (or document) by the barcode reader 11, the patient ID number and the selected treatment information are compared with the article ID number and the selected treatment information, respectively. (Steps 5-5 and 5-
6) Only when both pieces of information match, "successful collation" is displayed on the display 15 (step 5-7: FIG. 7).
(See FIG. 7A.) On the other hand, if none of them match, "collation failure" is displayed (step 5-8: see FIG. 7B).
Then, only when the collation is successful, only the collated treatment information is inverted from the treatment information list (Step 5-
9) After resetting "constant i" to "i-1" (step 5-10), it is determined whether "constant i" is "0" (step 5-11), and "constant i" Is not "0", the display on the display 15 is returned to the list of treatment information (see FIG. 8), and the process returns to step 5-2 to wait until the next treatment information is selected. If the "constant i" is "0" in the determination at step 5-11, the display 15 is displayed to indicate that the treatment has been completed (see FIG. 9). In this way, by displaying the treatment information included in the treatment instruction information in a list and inverting only the treatment information for which the treatment has been completed, the user can determine that the treatment has been completed and the treatment has been completed. You can determine at a glance what you have not done.

In the above-described embodiment, different information (patient ID number / article ID number) is printed on the patient's wristband and the article (or document) to be administered to the patient, and the treatment instruction information includes these pieces of information. Information "patient A"
(Patient ID number a) = Injection B (article ID number b) "is described, but the contents of the information on the wristband and the article (or document) and the treatment instruction information are described in this book. Without being limited to the embodiment, for example, the patient ID number may be printed in the form of a barcode on both the wristband and the article (or document). In this case, the treatment instruction information is not directly used for the collation, but by displaying the treatment information in the form of a list as described above, the user can confirm the contents to be treated, and In the same manner as in the above-described embodiment, after the user selects the treatment information, the user is configured to perform the actual collation, and by inverting only the treatment information for which the collation is successful, the user can terminate the treatment. Thus, it is possible to determine at a glance whether the operation has been performed and the operation has not been completed.

In the above-described embodiment, an example has been described in which the treatment instruction information includes information relating to a treatment for administering an article to a patient. However, this is not limited to this embodiment. The treatment instruction information may include information on documents such as an examination request form, an operation request form, and a medical chart issued by the doctor in charge to the doctor in charge of examination and the doctor in charge of surgery. Specifically, for example, the treatment instruction information for a patient to be operated on includes a patient's chart, an operation request form, an anesthesia request form, and information on a blood transfusion request form. Respectively, patient ID
If the number is printed in the form of a barcode, these documents can be compared with the patient's wristband before the operation, so that the patient is not mistaken.

In this embodiment, an example is described in which a portable collation device is directly connected to the patient treatment instruction information management device, but the configuration of the patient treatment instruction information management device is limited to this embodiment. Instead, for example, it may be configured by a network constructed by a plurality of personal computers. Specifically, for example, the treatment instruction information of the patient is stored in the host computer of the hospital, a plurality of terminals are connected to the host computer, and each terminal can output to the portable collation device. Network that has been established,
A server may be interposed between the host computer and each terminal, and the output of the treatment instruction information may be controlled by the server. In this case, the host computer becomes the storage means 2, each terminal becomes the data output means 3, the server becomes the control section 4, and the patient treatment instruction information management device is constituted by the entire network.
Further, in the present embodiment, an example is described in which the patient treatment instruction information management device and the portable collation device are connected by wire, but this is not limited to the present embodiment, and the patient treatment instruction information management device and the portable collation device may be connected. Of course, it may be configured so that information can be transmitted and received wirelessly with the device. As described above, when the patient treatment instruction information management device and the portable collation device are configured to be able to transmit and receive information wirelessly, the hospital staff goes to the patient's bedside with the portable collation device and It is possible to read the patient ID number from the patient's wristband using the type collating device, and download the treatment instruction information on the patient from the patient treatment instruction information management device based on the information. With this configuration, it is possible to save the hospital staff from having to input the information on the patient himself / herself when downloading the treatment instruction information on the patient from the patient treatment instruction information management device. Since it is possible to prevent mistakes such as the instruction information being downloaded to the portable collation device, it is possible to perform the treatment confirmation more accurately and efficiently.

[0016]

As described above, the patient treatment instruction information management device used in the treatment confirmation system according to the present invention is mounted on the patient's body, and the patient identification information capable of identifying the patient is in the form of a bar code. To read the patient identification information from the printed wristband, and to read the collation information from articles or documents necessary for the treatment of the patient, where the collation information that can be collated with the patient identification information is printed in the form of a barcode. Portable collating device comprising a bar code reader, collating means for collating patient identification information and collation information read by the bar code reader with treatment instruction information from a doctor, and display means for displaying the collation result to the user A storage unit storing the treatment instruction information relating to the plurality of patients, and outputting the treatment instruction information stored in the storage unit to the portable collating apparatus. A patient treatment instruction information management device having a patient treatment instruction information management device provided with a data output means for performing the same treatment instruction information from the data output means two or more times. Since control means for managing the treatment instruction information stored in the storage means and the treatment instruction information output from the data output means so as not to be output to the device is provided, the unprocessed The "procedure instruction information" is downloaded at the same time, and the procedure instruction information from the doctor can be effectively used for collation confirmation while completely avoiding serious problems such as repeatedly performing the same procedure on one patient. It has the effect of becoming.

[Brief description of the drawings]

FIG. 1 is a schematic diagram of a patient treatment instruction information management device according to the present invention and a treatment confirmation system employing the patient treatment instruction information management device.

FIG. 2 is a flowchart illustrating a process of an output management unit in a control unit.

FIG. 3 is a flowchart illustrating a process of an information management unit in a control unit.

FIG. 4 is a schematic diagram showing a configuration of the portable collation device 10.

FIG. 5 is a flowchart illustrating an example of a process of a control unit in the portable collation device.

FIG. 6 is a diagram showing an initial screen of a display 15;

7 (a) and 7 (b) show a display 15 in the portable collation device, respectively. FIG. 7 (a) is a screen when collation is successful, and FIG. 7 (b) is a screen when collation fails. is there.

FIG. 8 is a diagram showing an example of a treatment information list screen on the display 15 after the collation of the treatment information 1 is completed.

FIG. 9 is a diagram showing an example of a screen of the display 15 after matching of all treatment information is completed.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Patient treatment instruction information management device 2 Storage means 3 Data output means 4 Control means 4a Output management unit 4b Information management unit 10 Portable collation device 11 Barcode reader 12 Input means 13 Storage means 14 Control unit 15 Display

 ────────────────────────────────────────────────── ─── Continuing on the front page (72) Inventor Koichi Sato 5-5-1 Nakamachidai, Tsuzuki-ku, Yokohama-shi, Kanagawa F-term in Technomedica Co., Ltd. 5B049 AA05 BB41 CC00 DD02 EE05 FF04 GG06

Claims (6)

[Claims] 1. A collation which is mounted on a patient's body and reads said patient specific information from a wristband on which patient specific information capable of specifying a patient is printed in the form of a bar code, and which can be collated with said patient specific information. A barcode reader for reading the collation information from articles or documents necessary for treatment of a patient whose information is printed in the form of a barcode, a treatment instruction from a doctor for patient identification information and collation information read by a barcode reader, Collating means for collating in association with information, and a portable collating apparatus having a display means for displaying a collation result to a user; a storage means for storing the treatment instruction information relating to a plurality of patients; Used in a treatment confirmation system having a patient treatment instruction information management device including a data output unit for outputting the treated treatment instruction information to the portable collation device. A patient treatment instruction information management device, wherein the treatment instruction information stored in the storage means and the data output means are output from the data output means so that the same treatment instruction information is not output to the portable collation device more than once. A patient treatment instruction information management device for use in a treatment confirmation system, comprising a control unit for managing the treatment instruction information to be processed. 2. The control means stores information indicating whether each piece of treatment instruction information is output information in the storage means,
2. The patient treatment instruction information management device according to claim 1, wherein only unoutputted treatment instruction information can be output from the data output unit. 3. The method according to claim 1, wherein the treatment instruction information includes information on an article to be administered to a patient.
2. The patient treatment instruction information management device according to 1. 4. The patient treatment instruction information management device according to claim 3, wherein the article is an injection to be administered to a patient. 5. The patient treatment instruction information management device according to claim 1, wherein the treatment instruction information includes information on a document serving as a basis for treatment of a patient. 6. The patient treatment instruction information management device according to claim 5, wherein the document is a treatment request form from a doctor and / or a patient chart used for an operation or an examination.