JP2002132962A - Medical treatment information system in hospital for preventing false recognition of patient - Google Patents

Abstract

PROBLEM TO BE SOLVED: To avoid taking risks by sorting and processing even a small mistakes in real-time, in an accident that frequently takes place at a medical on site. SOLUTION: A hub using a twist pain cable is used as a terminal, and a PDA as a portable information terminal for hospital is arranged in each room in a wireless LAN, which is connected respectively or independently to information access servers other than a department in charge in the hospital and makes a part of a trunk LAN wireless, processing is conducted in real time, patient information is written by a bar code or non-contact RF-ID, a wristband put on the patient, where a facial photograph is printed and read, information stored in the server is fetched, data and the facial photograph are displayed on a display, the patient himself is also confirmed as the person in question by roll call by reading out, and people around the patient are made to recognize and confirm the patient at the same time.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an in-hospital hospital using the Ethernet 1 for separating and processing even small mistakes in real-time accidents occurring frequently in medical sites and avoiding risks. A medical information system for hospitals to prevent misidentification is built, information exchange of health status with home patients is also activated, information for preventing misidentification is displayed on visualization, and voice alerts are issued. is there.

[0002]

2. Description of the Related Art It is said that an accident at a medical site is caused by a small mistake. In particular, an accident involving an injection is often observed.

[0003] In Tokyo Metropolitan Hiroo Hospital, where an anticoagulant must be infused after instilling an antibiotic, it is said that he died as a result of injecting a disinfectant into another patient by changing the syringe. ing.

[0004] In addition, at Nihon University Itabashi Hospital, it is reported that a resident mistakenly injects a glucose-injecting agent for another patient into a patient where glucose should be injected, resulting in death.

[0005] It is said that many of these accidents at medical sites have been caused by rationalization of medical practice and rut of medical work. For example, when an anticoagulant must be infused after an antibiotic is infused, a different type of syringe can be used to disinfect another patient's anticoagulant to a patient who needs to inject the anticoagulant. In some cases, injections were made, in which case a syringe of the same type was prepared.

[0006] For this reason, measures for preventing medical errors are being considered one after another.

[0007] For example, at a site such as a metropolitan hospital, "handling requirements relating to the use of a syringe or the like" are determined as follows. When used for injection purposes, the color of the syringe is colorless, and when used for purposes other than injection, the color of the syringe is green. The three-way stopcock connected to the vascular system tube is red, and the three-way stopcock other than the vascular system is green. A green catheter tip-type injector is used to connect the injector to the vascular catheter to prevent incorrect connection. The connection between the tube and the syringe should be of the type that prevents misconnection.

[0008]

[Problems to be solved by the invention]
Although it is said that this is caused by a small mistake, especially accidents involving injections have been observed in many cases. However, since medical treatment is very important for human life, recurrence is a concern in the above handling guidelines.

According to the present invention, a conventional medical practice is fundamentally reviewed, a hospital medical information system for preventing misidentification of patients in a hospital is constructed using Ethernet 1, and information for preventing misidentification of patients is visualized. It is intended to be displayed and to be warned by voice.

[0010]

Means for Solving the Problems As means for solving the problems of the present invention, Ethernet 1 in a LAN, which is a communication network for computers created in a hospital, is used.
Departments in the hospital, for example, the ordering server 3 of the medical affairs department 2, the medical material distribution server 5 of the central materials department 4, the medicine management server 7 of the pharmaceutical department 6, and the examination department 8
Examination department server 9, nuclear medicine department 10 image server 11,
In addition to the nursing support server 13 of the ward section 12, the other server 15 of the blood transfusion section 14, the other server 17 of the outpatient section 16, and the like, each is connected to an information access server 18,
Also, in a wireless LAN that makes a part of a basic LAN such as Ethernet 1 wireless, a HUB 19 using a twisted pair cable is used as a terminal, and a PDA (personal digital assistant) 20 as a portable information terminal for a hospital is used. It is configured to be placed in each room.

[0011] In a wireless LAN for making a part of the main LAN wireless, an HU using a twisted pair cable is used.
A real-time process is performed by using a B (hub) 19 as a terminal.
An adapter called a user module is attached to the UB (hub) side.

Also, a bar code or a non-contact RF-ID
Then, the patient information (patient ID, ward, medical department, security code, etc.) is described, and the wristband 21 worn by the patient on which the face photo is printed is read, and the information stored in the server is taken in. , Gender, date of birth, address, and face photo are displayed on the display and read aloud to confirm the roll call to the patient, and also to the surrounding people to recognize and confirm the patient. The bar code used in the present invention is not only an ordinary bar code, but also can be expected to prevent crime by using a two-dimensional or three-dimensional bar code, and can multiplex information.

In order to confirm the prescription and administration of the medicine for internal or external use, the bar code attached to the medicine is read by a reader attached to the PDA (Personal Digital Assistant) 20 and the patient's wristband 2 is read.
1 to read a bar code or a non-contact RF-ID,
When a medical worker in charge of administration, such as a doctor or nurse, administers a drug, the information of the worker is also input and confirmed from a barcode or non-contact RF-ID.

The information of the patient's wristband 21 is compared with the order information of the server, and if it is confirmed that the medicine is prescribed for the patient, the portable terminal gives the name of the medicine, dosage, taking time, taking method, and the like by voice. It is output and displayed on the display together with the face photo, but the face photo is arbitrarily displayed.

If the medicine is prescribed for a different patient, an alarm is sounded to alert the patient and the patient ID (medical record number), ward, medical department, name, gender, Date of birth, etc., PD on face photo (optional)
It is to be displayed on the display of A20.

In confirming the infusion and the prescription, the barcode attached to the infusion is read by a reader attached to the PDA 20 and the barcode of the patient's wristband 21 or the non-contact RF-ID is read.
When the infusion is checked against the order information of the server and confirmed that the infusion is prescribed for the patient, the infusion name, the amount of use, the time of use, the method of use, and the like are output by voice to the PDA 20, and a face photograph (optional) Is displayed on the display together with

Information on the medical staff in charge of implementation, such as doctors and nurses, is also input and confirmed from a barcode or non-contact RF-ID.

If it is prepared for a different patient, PD
A20 emits an alarm sound to call attention to the patient, and when the infusion is prepared correctly, the patient's patient ID (medical record number), ward, medical department, name, gender, The date of birth, etc., along with a face photo (optional)
It is to be displayed on the display of the DA20.

In transfusion and confirmation of prescription, the bar code attached to the blood product is read by a reader attached to the PDA 20 and the bar code of the patient's wristband 21 or the non-contact RF-
It reads the ID, checks it against the server order information,
If it is confirmed that the blood product is prescribed for the patient, the name of the blood product, the amount of use, the time of use, the method of use, etc. are set in the PDA20.
Is output as a voice and is displayed on the display together with the photograph of the face (optional). Further, information of the medical staff in charge of implementation, such as doctors and nurses, is also input and confirmed from a barcode or non-contact RF-ID.

If the transfusion is prepared for a different patient, P
The DA20 issues an alarm sound to alert the patient, and the patient ID (chart number), ward, medical department, name, gender, date of birth, etc. of the patient to whom the blood product was prescribed and a photo of the face of the PDA 20 are given. It is to be shown on the display.

In the treatment and prescription confirmation, when the bar code or the non-contact RF-ID of the patient's wristband 21 is read by the attached reader of the PDA 20 while the treatment program is running, the treatment order for the patient is displayed on the screen. Is displayed on the display, and the details of the treatment are read out by voice and displayed on the display together with the face photograph. In addition, information on the medical staff in charge of implementation, such as doctors and nurses,
This is confirmed by inputting from a barcode or a non-contact RF-ID.

When the treatment is performed according to the doctor's instruction, the end of the treatment is checked, the end time is written in the database of the information access server 18, the treatment different from the instruction is checked in advance, and the doctor's contents Double check,
Update the database in real time and check the end of treatment after input is completed.

In the confirmation of the operation and the prescription, the bar code or the non-contact RF-ID of the patient's wristband 21 is read by the attached reader of the PDA 20 while the operation program is running, and the operation order for the patient is displayed on the screen. And the PDA 20 outputs the contents of the treatment by voice, and is displayed on the display of the PDA 20 together with a face photograph (optional). Further, information of the medical staff in charge of implementation, such as doctors and nurses, is also input and confirmed from a barcode or non-contact RF-ID.

The order information of the information access server 18 is compared with the order information, and the operation method to be performed on the patient, for example, whether the operation method is laparotomy, transurethral type, laser type, etc. , The name of the disease, etc., are output by voice from the PDA (Personal Digital Assistant) 20, and displayed on the display of the PDA 20 together with a photograph of the face (optional).

In the confirmation of the test data, in order to prevent a mistake in blood collection tubes, data having a fluctuation of 20% or more from the previous measurement value is changed in data display color to call attention and output as a checklist. For example, PT%, INR, T
T%) can be set by the user.

When confirming the artificial dialysis treatment, the patient's wristband 2 must be checked while the treatment program is running.
When the bar code or the non-contact RF-ID of No. 1 is read by the attached reader of the PDA 20, the order of the dialysis treatment for the patient is displayed on the screen, and the PDA 20 outputs the treatment content by voice, and the photograph of the face (optional) With PD
This is displayed on the A20 display. In addition, information on the medical staff in charge of implementation, such as doctors and nurses,
The information is input from a barcode or a non-contact RF-ID, and the medical practitioner is confirmed.

The present system also introduces, in real time, medical information of a patient who uses a combined use of an external medical institution, in order to prevent combined use of drugs and drug eruptions and side effects associated with combined treatment by doctors in advance. In addition to checking the patient's medical information (electronic medical records, test data, nursing data, drug administration history data, drug composition change data, etc.), the information can be shared with external hospitals and clinics using the Internet. The data exchange protocol shall conform to the data exchange, and data exchange with other medical systems in the hospital (nursing system, drug dispensing system, etc.) and external hospitals and clinics uses XML conforming to MML,
Image data is exchanged in DICOM format conforming to MML, and data exchange with medical equipment is performed in MML.
HL7 in accordance with
It conforms to the ICOM format.

As for the patient guidance, the bar code of the wristband 21 carried by the patient or the non-contact RF-ID is read by a reader attached to the PDA 20.
By entering the password, the patient can refer to the patient's medical charts, medical data, test data, used drugs, etc., and can also display information that the patient wants to know, such as its medical meaning, effects, and side effects. I have. For the confidentiality of the patient information, a unique password is used by using the portable information terminal for patient 23.

The bar code of the patient's wristband 21 describes the patient's ID and security code.
The security code is described only as a barcode from the viewpoint of prevention of misdiagnosis and safety, not only multiplexing information using two-dimensional and three-dimensional barcodes, but also not using human-readable expressions I have decided.

Further features of the patient guidance are as follows: when selecting the patient's illness term, what kind of treatment method is available, what effect it has depending on the treatment method, and how long treatment is required The current adequacy of the treatment you are receiving, other options,
The guidelines for medical treatment are to be displayed and pronounced in an interactive interface for explanation.

Further, in the medication instruction for the patient, the bar code of the wristband 21 carried by the patient or the bar code of the prescribed medicine and the non-contact RF-ID is read, and the password is inputted, so that the prescribed medicine is inputted. Color image,
The information is displayed on the PDA 20 or the portable information terminal for patient 23, and the dosage time, amount, and the like are output by voice, and are also displayed in characters.

In the injection guidance for the patient, the bar code of the wristband 21 carried by the patient or the non-contact R
By reading the F-ID and the barcode of the prescribed injection, and entering the password, the prescribed injection and the color image of the syringe are displayed on the PDA 20 or the portable information terminal 2 for the patient.
3, the injection time, amount, precautions for injection (if there is a change in the composition, etc.) are displayed in voice and text.

In the doctor's guidance, when a doctor interviews or examines a patient's symptoms and selects the symptom or site, the doctor also displays what kind of illness the patient has, its possibility, coexistence of the illness, and the like. For example, if you look at the symptoms of rash appearing due to fever, disease names such as measles, scarlet fever, spring fever, rubella, sudden rash, chickenpox, typhus, typhoid fever, pox, drug eruption, pediatric strofluus etc. are displayed When you select a disease name, the tests and symptoms required to make a diagnosis are displayed, and the diagnosis name shows what treatment is available for each age and gender or constitution, It is also possible to link to research institutions and dissertations.

In the patient service, it is possible to make an appointment of an outpatient medical treatment from the home page, and the patient service is registered by using the personal information terminal 23 or a personal computer at the patient's home using the Internet phone. Home doctor services are to be provided to patients. It is also possible to specify time zones and make reservations.

With regard to home medical care, data communication between the information access server 18 of the hospital medical information system and the personal digital assistant 23 carried by the home patient or the personal computer installed at the patient's home via the Internet is possible. The medical information and medical history of the medical institution that stores the medical data of the patient, the medical history, the drug history, etc. are stored in the medical information database. The patient's personal information terminal 23 carried by a home patient or a personal computer installed at the patient's home for inputting numerical values such as body temperature, pulse, blood pressure, etc. Not only do they send to the hospital over the Internet,
The patient's portable information terminal 23 or the Internet horn of a personal computer installed in the patient's home can be used to receive a doctor's diagnosis and a prescription of a medicine at a medical institution while staying at home.

The examination equipment used at home controls the measurement equipment by the portable information terminal for patient 23 or a personal computer installed in the patient's house, and transmits the measurement results to the hospital via the Internet. Instructions from the medical institution can also be easily performed, and when the button of the portable information terminal for patient 23 is pressed, the Internet horn is activated at the same time as being connected to the ward section 12 via the information access server 18 of the hospital, In addition to being able to understand the condition of the patient from the hospital side, transmission of medical information to home patients and transmission of drug prescriptions to designated pharmacies can be performed by fax or e-mail.

Further, it is also possible to make reservations for outpatient medical treatment hours for outpatients.

The wristband 21 used for patient recognition is
Using the embedded non-contact RF-ID and confirming entry / exit management to the ward, the medical staff embeds the non-contact RF-ID into which the medical staff information has been input into the staff card, and the patient Patient information (patient ID, ward, department,
Non-contact RF- with security code, etc.)
The ID is embedded in the wristband 21 and a non-contact RF-ID antenna (not shown) installed at each ward entrance is used to obtain information on the person, time, infection information, etc. of the hospital medical information system set in advance. In addition, medical staff and patients are restricted from coming and going, so that medical malpractice can be prevented.

In confirming the operator, a non-contact R in which patient information (patient ID, ward, medical department, security code, etc.) is input to the wristband 21 used by the patient.
The F-ID is embedded, the patient information is automatically read by the non-contact RF-ID antenna installed at the entrance of the operating room 22, and the operation patient is automatically confirmed based on the operation order information. Not only the patient, but also the same patient, when there is a difference in the designated date, designated time, and the like, when the patient is brought to the operating room or to the operating room 22, it is notified by voice or a warning signal.

In the operating room 22, an operation schedule, an operation method, input of materials to be used by voice recognition, patient confirmation, and the like are performed on the day of the operation, and the patient confirmation is performed by attributes such as a patient's name and age, blood type, disease name, and operation method. For example, the PDA outputs a sound, and an opportunity is provided for the attendant, including the patient, to confirm.

In confirming the blood collection, an outpatient blood collection patient confirms the patient and the contents of the test order by placing his / her hand on a table in which a non-contact RF-ID antenna installed in the blood collection room is embedded. Based on the information, the type of blood collection tube, the amount of blood collection, and the like are displayed on the display of the PDA installed on the blood collection table, and the blood collector confirms the end of blood collection.

The inpatient has a non-contact R set on a cart.
By placing your hand on the table with the F-ID antenna embedded, the patient and the contents of the test order are confirmed, and based on the test order, the type of blood collection tube and the amount of blood collection are displayed on the PDA display. You should confirm the end.

The present system is based on a real-time system using a wireless LAN in which a part of a basic LAN such as the Ethernet 1 is made wireless, and an information access server 18 is connected to the Ethernet 1. Outside of the wireless LAN usage range, it is connected to the network through PHS and mobile phones by exchanging interfaces, using radio waves and light instead of cables, so you can layout freely even after installing the terminal Can be changed easily.
A wireless LAN is used for a branch line connected to a main line by a UB (hub / concentrator) 19.

The network of the present system may be connected to the Ethernet 1 singly, and the scale may be limited to a small clinic or some departments.

The structure of the present system will be specifically described.
A high-speed wireless LAN with a transmission speed of 10 Mbit / s or more is used, and a quasi-millimeter wave band of 190 Hz band is used.
Japan Motorola Al compatible with Ethernet 1
Tair-J or the like is used.

Using an Ethernet 1 in a LAN, which is a communication network for computers created in the hospital, an ordering server 3 is placed in the medical affairs department 2 for order entry, correction, and addition confirmation. . In the central material department 4, a medical material distribution server 5 is provided to manage the distribution of medical materials. Pharmaceutical Division 6
Then, the medicine management server 7 is installed, the medication history management and the patient confirmation are performed, and the change of the data as well as the safety check can be performed by inputting the change information of the powder, the infusion, the tablet, the injection and the like. ing. In the examination department 8, the examination department server 9 is placed, and in addition to ordering in pathology, image database management, medical certificate filing system, and examination data of remote diagnosis are accumulated. In physiology, ordering, data visualization, examination A database of data is being considered. In the nuclear medicine department 10, an image server 11 is placed and a patient is checked. In the ward section 12, nursing support servers 13 are placed,
In addition to patient confirmation, order confirmation, treatment input, and patient data reference are performed, and treatment guidance is displayed. In the blood transfusion department 14, a server 15 is placed and a patient is confirmed. In the outpatient department 16, a server 17 is placed, and in addition to patient confirmation, order confirmation and treatment input are performed.

The portable information terminal for patient 23 carried by the patient,
Or a PDA (Personal Digital Assistant) 2 located in each department
0 indicates that the user can select either audio information or text information, or one of them, and switch it as necessary. The user can determine whether the audio information is based on pronunciation or sound information such as a warning beep. Can be selected according to the situation.
Because there is an individual difference in listening ability, adjustments can be made for each PDA.

In addition, the medicine or the treatment having a high risk is stored in the PDA side with voice information, and the data which is frequently used is stored in the PDA side.

[0049]

As described above, according to the present invention, the configuration of the hospital medical information system for preventing the misidentification of patients in a hospital using Ethernet enables small mistakes in frequent medical accidents. Separation in real time, visualization of information for preventing patient misidentification on the screen, and warning by voice are now possible, and the prevention of patient misidentification has been completed by the wristband carried by the patient.

The present system can use not only medical malpractice prevention but also nursing support and medical nursing management on one PDA as a system, eliminating the need for preparing a terminal for each system as in the prior art.

[0051]

[Brief description of the drawings]

FIG. 1 is a configuration diagram of a hospital medical information system of the present invention.

FIG. 2 is an expanded view of a wristband.

FIG. 3 is a front view of a portable information terminal for a hospital.

[Explanation of symbols]

 1: Ethernet 2: Medical affairs department 3: Ordering server 4: Central material department 5: Medical material distribution server 6: Pharmaceutical department 7: Drug management server 8: Laboratory department 9: Laboratory department server 10: Nuclear medicine department 11: Image server 12: Ward department 13: Nursing support server 14: Blood transfusion department 15: Other server 16: Outpatient department 17: Other server 18: Information access server 19: HUB 20: PDA 21: Wristband 22: Operating room 23: Patient portable information Terminal

Continued on the front page (72) Inventor Kanari 6-16-1 Izumi Ward, Sendai City, Miyagi Prefecture

Claims (13)

[Claims] 1. A department in charge of a hospital, for example, an ordering server of a medical affairs department, a medical material of a central materials department, using Ethernet (registered trademark) in a LAN which is a communication network for computers created in the hospital. Connected to the distribution server, drug management server in the medicine department, examination department server in the examination department, image server in the nuclear medicine department, nursing support server in the ward department, other servers in the blood transfusion department, other servers in the outpatient department, etc. or individually Ethernet system, PDA (Personal Digital Assistant) that is located in each medical department in the hospital or as a portable information terminal carried by outpatients and home patients, and patient information (patient ID, ward, clinic, security·
Code, etc.) through a PDA (Personal Digital Assistant), connects to a server in the department in charge in the hospital, and performs an information access server for real-time information matching and information updating, and patient information (patient ID) , Ward, medical department, security
A bar code or a non-contact RF-ID, and a wristband worn by the patient. A hospital medical information system for preventing misidentification of a patient. 2. A wristband worn by a patient at an arbitrary location includes patient information (patient ID, ward, medical department, security code, etc.) as a bar code or non-contact RF.
-Printed with a face photograph, which is described by ID or arbitrarily
In addition, real-time processing by wireless LAN is performed, the patient information of the wristband is read by the reader attached to the PDA, the information stored in the server is imported, first and last names, gender, date of birth, address, patient's symptoms, medication history Not only that, the printed face photograph is displayed on the PDA display, and the PDA outputs it by voice and confirms with the patient himself, and at the same time confirms with the patient in the room, the attendant, etc., and the list worn by the patient Hospital medical information system to prevent misidentification of patients by confirming the same data between the band and the information access server. 3. When entering and leaving a ward, a non-contact RF-ID in which medical staff information is entered is embedded in a staff card of a medical staff, and patient information (patient ID, ward, Embedding non-contact RF-ID with the input of medical department, security code, etc., collating with the non-contact RF-ID antenna installed at the entrance of each ward, and confirming the patient with the medical staff to prevent patient misidentification Hospital medical information system. 4. When confirming an operator, a non-contact RF-ID in which patient information is input is embedded in a patient wristband, and the embedded patient information is installed at an entrance of an operating room. An antenna automatically reads the patient information, automatically confirms the operation patient based on the operation order information, and uses a wristband worn by the patient and a non-contact R
A hospital medical information system for preventing misidentification of a patient by confirming the same data of the F-ID antenna and notifying the wrong patient or the same patient by voice or a warning signal when the patient is taken to the operating room on a specified date and time other than the specified time. . 5. In confirming blood collection, an outpatient blood collection patient uses a table embedded with a non-contact RF-ID antenna installed at the entrance of the blood collection room, and an inpatient uses a non-contact RF-ID antenna installed on a cart. By placing your hand on the embedded table,
Check the patient and the contents of the test order, and based on the test order, the type of blood collection tube and the amount of blood collection will be displayed on the display installed on the blood collection table for outpatient blood collection patients, and the inpatient will be displayed on the PDA A hospital medical information system for preventing misidentification of patients. 6. When confirming the prescription and administration of a medicine for internal or external use, read the barcode attached to the medicine with a reader attached to the PDA, and read the barcode or non-contact RF-ID of the patient's wristband, or The PDA reads the non-contact RF-ID on the staff card of the medical staff, compares it with the order information on the server, and confirms the drug prescribed for the patient, and then the PDA verifies the drug name, dosage, dosage time, dosage method, etc. Output, add a face photo arbitrarily and display it on the display,
If it was prescribed for a different patient, it will sound an alarm,
Attention is drawn, and the patient ID (medical record number), ward, medical department, name, gender,
A hospital medical information system for preventing misidentification of a patient, characterized by displaying a date of birth and a face photograph on a display. 7. When confirming the infusion and the prescription, the barcode attached to the infusion is read by a reader attached to the PDA, and the barcode or non-contact RF-ID of the patient's wristband is read.
The PDA outputs the name of the infusion, the amount of use, the time of use, the method of use, etc. by voice, and optionally adds a face photo to the display after confirming that the infusion was prescribed to the patient and comparing it with the order information of the server. If the infusion is correctly prepared, the patient's patient ID (medical record number), ward, medical department, name, gender, date of birth will be displayed if the infusion is correctly prepared. A hospital medical information system for preventing misidentification of a patient, wherein a date and the like and a face photograph (optional) are displayed on a display. 8. When confirming blood transfusion and prescription, read the barcode attached to the blood product with a reader attached to the PDA, and read the barcode of the patient's wristband or non-contact RF.
-Read the ID, compare it with the order information of the server, and confirm that the blood product is prescribed for the patient. If the blood product name, amount used, time used, usage method, etc. are output by the PDA, the face photo Arbitrarily and display on the display,
If prescribed for a different patient, an alarm will sound and alert, and the patient's ID (chart number), ward, clinic, name, gender,
A hospital medical information system for preventing misidentification of a patient, wherein a birth date and the like and a face photograph are arbitrarily displayed on a display. 9. In order to confirm treatment and prescription, when a treatment program is running, if a bar code or non-contact RF-ID of a patient's wrist band is read, a treatment order for the patient is displayed on a screen. And PDA
Will output a voice, arbitrarily display a photo of the face on the display, and also provide information on medical personnel with a bar code or non-contact RF
Confirm by inputting from the ID, if the treatment was performed as instructed, check the end of the treatment and write the end time to the database of the server. If a treatment different from the instruction was performed, enter the details, A hospital medical information system for preventing misidentification of a patient, characterized in that a database is updated in real time so that the contents of the treatment can be confirmed on the side, and the end of the treatment is checked after the input is completed. 10. When confirming a surgery and a prescription, reading a bar code or a non-contact RF-ID of a wristband of a patient while a surgery program is running displays a surgery order for the patient on a screen. And P
DA outputs by voice, optionally displays a face photo on the display, and information on medical personnel is also barcode or non-contact RF
-Input and confirm from the ID, collate with the order information of the server, PDA outputs the operative procedure, physician, operation site, disease name, etc. to be performed for the patient by voice, and optionally displays the face photograph on the display If you perform the surgery as instructed,
The end time of the operation is checked, the end time is written to the database of the server, the database is updated in real time, and if the operation is different from the instruction, the operation is stopped and the doctor checks the operation contents Hospital medical information system to prevent patient misidentification. 11. In the case of artificial dialysis, when a treatment program is activated, reading with a bar code or non-contact RF-ID of a patient's wristband displays an order of a dialysis prescription for the patient on a screen. With PD
A outputs by voice, arbitrarily displays a photograph of the face on the display, and the information of the medical staff is also bar code or non-contact RF
A hospital medical information system for preventing misidentification of a patient, characterized by inputting and confirming from an ID and checking the end of treatment after the input is completed. 12. Medical charts such as electronic medical records, examination data, nursing data, drug administration history data, and drug combination change data as patient medical information can be shared between hospitals and clinics using the Internet, and data exchange is performed. The protocol shall conform to the data exchange. Data exchange with other medical systems in the hospital and other hospitals / clinics uses MML compliant XML, and image data exchange with the MML compliant DICOM format. Data exchange with medical equipment is performed using H
Performed using the L7 protocol, and if there is image data, DI
2. The hospital medical information system according to claim 1, wherein the system conforms to a COM format. 13. Cooperation with patient guidance, doctor guidance, patient service, and home medical care is possible. For home medical care, an information access server of a hospital medical information system, a portable information terminal carried by a home patient or a patient It is an information communication means that can communicate data with the PC installed at home via the Internet, and stores the patient's biometric information (vital / Data), such as body temperature, pulse, blood pressure, etc., can be input by the patient at home to a patient's personal information terminal or a personal computer installed at the patient's home. In addition to sending the information, you can use the Internet horn of a personal digital assistant or a PC installed at the patient's home to stay home. Use the Internet horn to give medical doctors diagnoses and prescribe medicines, etc., send medical information to home patients, send prescriptions to designated pharmacies, and visit outpatients. A hospital medical information system for preventing misidentification of patients, which can schedule medical hours.