JP2003030323A - Nursing support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a nursing support system which keeps confidential relationship between patients and nurses and lighten mental burdens by preventing misdosing and mistranscription of a vital sign, etc., and prevent an insurance request leak by managing past nursing histories. SOLUTION: An identification code matching means 47 matches a nurse identification code, a patient identification code, and a dosing identification code read in by an identification code read means against a terminal nurse master file 62, a terminal patient master file 61, and a terminal dosing detail data file 70, and when their matches are obtained, an advance to next operation is made; when the dosing identification code meets specific conditions, a terminal dosing information recording means 83 records nurse information and a dosing time in the terminal dosing detail data file 70 and if the dosing identification code is discrepant with even one of a patient, an injection prescription, and a dosing day, an alarm means 84 generates an alarm.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a nursing support system and a nursing support program, and in particular, it is suitable for administration of patient medications, vital signs, wounds and other treatments performed by nurses, and administration of medication instruction performed by pharmacists. Nursing support system and nursing support program.

[0002]

2. Description of the Related Art Conventionally, nurses and pharmacists have been in charge of important nursing work supporting patients with doctors. In particular, the administration of prescriptions and injections is a life-threatening task, so careful attention must be paid. On the other hand, since these nurses and pharmacists are in charge of nursing a large number of patients per person, it is difficult to grasp the situation for each patient. In particular, nurses have to perform normal work in dealing with changes in the medical condition of patients day and night, which is extremely hard work. As a result, sometimes an accidental medical error occurred. If such medical mistakes continue, anxiety will occur on the part of the patient, and the relationship between the patient and the nurse or pharmacist, which should originally have a strong relationship of trust, will collapse. In addition, the hospital side wants to accurately grasp the nursing situation, ensure the quality of service of the hospital, and appropriately make insurance claims, but in the conventional nursing field, the ability of individual nurses and pharmacists is There were many aspects entrusted to us, and we were not able to manage them sufficiently.

Explaining some specific examples, for example, when administering a drug to a patient, a pharmacist first sets an injection drug for each patient, writes the name of the patient on a main bottle, and prepares it. The nurse confirmed the name and was giving it. For this reason, there is a risk of misidentifying the same family name or a similar name, but the misidentification could only be avoided within the range that the nurse can recognize. Further, there is a problem that even if there is a medical error due to misidentification, it cannot be objectively confirmed after the fact. As described above, there is anxiety about wrong medication for the patient, but psychological anxiety for the nurse was considerable.

Further, for example, when a nurse collects vital signs, conventionally, the patient's vital signs are entered on a temperature plate, a nursing record book, etc., and the body temperature and the like are graphed as necessary. It was supposed to be converted and saved. In addition, in a hospital that manages data with a computer, it was necessary to input vital sign data each time from a temperature version or a nursing record book.

[0005] Therefore, in the conventional collection of vital signs, it is rare that the patient is allowed to understand the effect of treatment numerically while presenting clear data to the patient based on the history of past vital signs. Not
It was difficult to raise patient awareness. on the other hand,
A mistake sometimes occurred when transcribing from a nursing record book to a computer. Furthermore, if the nurse changes, the items necessary for the transfer have not been collected, and there is a risk that the transfer may be forgotten.

Further, for example, in the conventional medication guidance by a pharmacist, the content of guidance given to the patient by the pharmacist is recorded, and the medication management guidance record book is later stored and stored, or stored in a computer managed separately. I was supposed to enter data.

Therefore, in the conventional medication instruction,
There was a risk of a transcription error when transcribing to the drug management guidance record book, or an input error to the computer. In addition, if the past medication instruction history was printed from a computer and was not carried, it was not possible to refer to it in real time at the bedside, and it was not possible to clearly instruct questions and effects regarding drugs and treatments. In addition, the patient and pharmacist may be misunderstood because the detailed information of the patient cannot be immediately confirmed when taking the medication. Furthermore, it was difficult to formulate the instruction schedule because the administration instruction schedule was not stored in data. Furthermore, the hospital side is supposed to charge insurance premiums according to medication instruction, but it is certain that whether or not medication instruction was implemented depends on the pharmacist's declaration and data entry, so it is certain It could not be said that it was under control, and there was a risk of omission of bills.

Further, for example, in the conventional treatment of a nurse based on a treatment order from a doctor, the nurse receives the instruction of the treatment from the doctor orally or by filling in a medical chart, and the nurse performs the treatment. Then, the treatment performed by the nurse has been described in a medical chart, a treatment slip, etc. and input to the medical system in the medical department. At this time,
In some cases, a nurse may forget to fill in a medical record or a treatment slip, or a transcription error may occur, resulting in omission of a claim for a procedure that was originally covered by insurance.

Further, since the treatment schedule and the treatment history are rarely managed by the computer, sometimes the treatment is wrong or the treatment time is wrong, and the medical process cannot be accurately grasped.

[0010]

SUMMARY OF THE INVENTION The present invention has been made to solve at least one of the above-mentioned problems, and it prevents erroneous administration in medication management and prevents patients and nurses. We will maintain mutual trust and reduce the mental burden, and check for non-medication so that appropriate treatment can be given.

In addition, in the management of vital signs, by eliminating transcription errors, the patient himself / herself can grasp the progress of the treatment to improve the motivation for the treatment, and by managing the vital signs centrally, the nurse changed. Make it easy to check the items to be handed over.

[0012] Further, in the medication instruction management, it is possible to eliminate an error in transcription, and to refer to the past medication instruction history to clearly grasp the question and the effect on the drug of the patient and to give an appropriate instruction.

Further, in the treatment based on the order of the doctor, it is possible to prevent a treatment difference and a treatment time from being mistaken, to easily perform confirmation by a third party, and to accurately record the treatment history so that the treatment history can be accurately recorded. Be able to understand and prevent omission of insurance claims.

It is an object of the present invention to provide a nursing support system and a nursing support program that solve the above problems.

[0015]

The nursing support system according to claim 1 of the present invention is characterized in that the nursing support server includes patient registration means for registering patient information including a patient identification code, and a nurse identification code. A nurse registration means for registering nurse information, a medication information registration means for registering medication information including a medication identification code capable of specifying a patient, a prescription injection sheet, and a medication date, and a patient master file for storing the patient information. , A nurse master file that stores the nurse information, a medication data file that stores the medication information, and a dosing method
A detailed medication data file that stores more detailed medication information such as procedures and number of times, and various information relating to patients, nurses, prescription injections, etc. scheduled to administer medication from the respective files, and portable information via the connection means. And a server information transfer unit that transfers each information transferred from the mobile information terminal to each of the files, and the mobile information terminal transfers from the server information transfer unit via the connection unit. Terminal information transfer means for receiving each information related to a patient, a nurse, a prescription injection prescription, etc. scheduled to be administered, and information received by the terminal information transfer means for transferring each information after administration to the nursing support server The terminal patient master file, terminal nurse master file, terminal medication data file and terminal medication detail data file, respectively. As a file storage means, a nurse identification code that a nurse has, an identification code reading means that reads a patient identification code that a patient has, and a medication identification code that is affixed to a prescription injection prescription, and the read identification codes The identification code collating means for collating each file of the file storage means, the display means for displaying the predetermined collation information collated by the identification code collating means, and the collation of the medication identification code by the identification code collating means are coincident with each other. Occasionally, any one of the terminal medication enforcement information recording means for recording the nurse information and the medication time in the terminal medication detailed data file, the medication identification code by the identification code collating means, and the patient / prescription injection date / dose date 1 It has a warning means for issuing a warning even if there is a mismatch.

By adopting such a configuration, the server information transfer means transfers each information of the nurse master file, the patient master file and the medication detailed data file to the file storage means of the portable information terminal through the connecting means. The nurse identification code, the patient identification code, and the medication identification code transferred by the identification code reading means are collated with the terminal nurse master file, the terminal patient master file, and the terminal medication detailed data file by the identification code collating means, respectively, It is designed to proceed to the next work on the condition that they match. When the medication identification code matches a predetermined condition, the terminal medication enforcement information recording means records the nurse information and the medication time in the terminal medication detailed data file. If any one of the medication identification code and the patient / prescription injection / medication date does not match, the warning means issues a warning. Then, after the medication is completed, the terminal information transfer means transfers each file information in the file storage means to the nursing support server via the connection means. This prevents erroneous medication from occurring and manages the medication history.

The nursing support system according to a second aspect is characterized in that, in the first aspect, the nursing support server is provided with a non-medication check means for retrieving non-medication information for each patient from a detailed medication data file. It is in.

By adopting such a configuration, the non-medication check means detects the non-medication information of the corresponding patient from the detailed medication data file, so that proper treatment can be performed without forgetting to administer the medication.

The nursing support program according to a third aspect of the present invention is characterized in that a portable information terminal used when a nurse administers a prescription injection prescription to a patient, the terminal information transfer means administers medication via the connection means. A procedure for receiving information about a planned patient, nurse, and prescription injection prescription, and storing the information as a terminal patient master file, a terminal nurse master file, a terminal medication data file, and a terminal medication detail data file in the file storage means, respectively. The identification code reading means reads the nurse identification code possessed by the nurse, and the identification code collating means collates the nurse identification code read by the identification code reading means with the terminal nurse master file to perform the corresponding nursing. The procedure for displaying the female information on the display means, and the identification code reading means reads the patient identification code of the patient. And a procedure for the identification code collating means to collate the patient identification code read by the identification code reading means with a terminal patient master file and display corresponding patient information on the display means, and the identification code reading means. , The procedure for reading the medication identification code attached to the prescription injection slip and the terminal medication enforcement information recording means,
When the medication identification code matches the patient / prescription injection / dose date, the procedure for recording the nurse information and the medication time in the terminal medication detail data file, and the warning means include the medication identification code and the patient / prescription. It is to be executed as a procedure to issue a warning if any one of the injection prescription and the medication date does not match.

By adopting such a configuration, first, the terminal information transfer means receives each information regarding the patient, the nurse, and the prescription injection tablet, which are scheduled to administer medication, through the connection means and stores them in the respective files. The terminal patient master file, the terminal nurse master file, the terminal medication data file and the terminal medication detail data file are stored in the means, and when the identification code reading means reads the nurse identification code, the identification code collating means causes the nurse identification code to be stored. Is compared with the terminal nurse master file and the corresponding nurse information is displayed by the display means. Then, when the identification code reading means reads the patient identification code, the identification code collating means collates the patient identification code with the terminal patient master file, reads the corresponding patient information, and displays it on the display means. Subsequently, when the identification code reading means reads the medication identification code, the identification code collating means collates the medication identification code with the terminal medication detailed data file. Then, when the medication identification code matches the patient / prescription injection / dose date, the terminal medication enforcement information recording means records the nurse information and the medication time in the terminal medication detail data file. On the other hand, if any one of the medication identification code, the patient, the prescription injection prescription, and the medication date does not match, the warning means issues a warning. This prevents erroneous medication from occurring and manages the medication history.

The nursing support system according to claim 4 is characterized by a nursing support system for supporting the management of vital signs, wherein the nursing support server is a patient registration means for registering patient information including a patient identification code. , Nurse registration means for registering nurse information including a nurse identification code, schedule registration means for registering patient schedule information, a patient master file for storing the patient information, and nursing for storing the nurse information Female master file, a schedule file that stores schedule information for each patient, a vital sign file that stores vital sign information for each patient, and a patient, a nurse, a schedule that plans to collect vital signs from each of the files. Read each information about past vital signs etc. and carry it via the connection means. And a server information transfer unit that transfers each information transferred from the mobile information terminal to each of the files, and the mobile information terminal transfers the information from the server information transfer unit via the connection unit. Terminal information transfer that receives each information related to patients, nurses, schedules and past vital signs for which the vital signs to be transferred are received, and transfers each information after collecting the vital signs to the nursing support server Means and a file storage means for storing the information received by the terminal information transfer means as a terminal patient master file, a terminal nurse master file, a terminal schedule file and a terminal vital sign file, respectively.
Identification code reading means for reading the nurse identification code of the nurse and the patient identification code of the patient, and the read nurse identification code or patient identification code in the terminal nurse master file or the terminal patient master file, respectively. Identification code collating means for collating,
The display means for displaying the information collated by the identification code collating means, the vital sign input means for inputting the vital sign information of the patient, and the vital sign information inputted by the vital sign input means together with the nurse and the reception time. Terminal vital sign recording means for recording in the terminal vital sign file, schedule searching means for searching the terminal schedule file for schedule information such as surgery and medication related to the patient based on the patient identification code, and based on the patient identification code And a vital sign search means for searching past vital sign information from the terminal vital sign file.

By adopting such a configuration, the server information transfer means stores each information of the nurse master file, the patient master file, the schedule file and the vital sign file in the file storage of the portable information terminal through the connecting means. The identification code collating means collates the nurse identification code and the patient identification code read by the identification code reading means with the terminal nurse master file and the terminal patient master file, and the next operation is performed on the condition that they match. It is designed to proceed. Then, when the vital sign information of the patient is inputted from the vital sign input means, the terminal vital sign recording means,
The vital sign information is recorded in the terminal vital sign file together with the nurse and the time of concentrating. Further, when it is desired to grasp the patient's schedule, the schedule search means accesses the terminal schedule file to read the schedule of the corresponding patient and display it on the display means. Further, when searching for past vital sign information, the vital sign search means reads the vital sign history of the patient from the terminal vital sign file and displays it on the display means. Then, after collecting the vital signs, the terminal information transfer means transfers the information of each file in the file storage means to the nursing support server. This allows you to enter vital signs at the bedside and store them in the nursing support server as they are, so you can prevent transcription errors, etc., and refer to the schedule and past vital sign history as necessary to see the progress of treatment with the patient. Confirmation can encourage patients to participate in active treatment.

The nursing support system according to a fifth aspect is characterized in that, in the fourth aspect, the nursing support server stores medication information registration means for registering medication information of a patient and medication information for each patient. And a detailed medication data file in which more detailed medication information is stored. Further, medication information regarding a patient who collects vital signs is obtained from the medication data file and the detailed medication data file from the portable information terminal. Medication information to be transferred to the file storage means and stored in the file storage means as a terminal medication data file and a terminal medication detail data file, and the mobile information terminal to retrieve patient medication information from the terminal medication data file and the terminal medication detail data file. It is equipped with a search means.

By adopting such a configuration, when collecting the vital signs, when it is desired to know the medication information such as the prescription injection prescription administered to the patient, the medication information retrieval means causes the terminal medication details. The medication information of the patient is read out from the data file and displayed. Therefore, the medication information can be promptly confirmed even when vital signs are being collected at the bedside.

The nursing support system according to claim 6 is characterized in that, in claim 4 or 5, the nursing support server is provided with graphing processing means for graphing the vital sign information of the vital sign file. There is a point.

By adopting such a configuration, the graphing processing means reads the vital sign information from the vital sign file and graphs it, so that the vital sign information consisting of numerical values can be visually grasped. Like

The nursing support program according to claim 7 is characterized in that a portable information terminal used when a nurse collects vital signs of a patient is used, and terminal information transfer means plans to collect vital signs. Receiving information about patients, nurses, schedules, and past vital signs via connection means, and storing them as file patient storage files such as terminal patient master file, terminal nurse master file, terminal schedule file, and terminal vital sign file. The storing procedure, the identification code reading means reads the nurse identification code of the nurse, and the identification code collating means collates the nurse identification code read by the identification code reading means with the terminal nurse master file. And displaying the corresponding nurse information on the display means, and the identification code. Reading means, a step of reading the patient identification code with the patient, said identification code verification means,
A procedure for collating the patient identification code read by the identification code reading means with the terminal patient master file to display corresponding patient information on the display means, and the terminal vital sign recording means for inputting the vital sign by the vital sign input means. A procedure for recording information in the terminal vital sign file together with the nurse and the time of reception, and a procedure for the schedule search means to search the terminal schedule file for schedule information regarding surgery, medication, etc. regarding the patient based on the patient identification code. Then, the vital sign search means executes it as a procedure for searching past vital sign information from the terminal vital sign file based on the patient identification code.

By adopting such a configuration, first, the terminal information transfer means receives, through the connection means, the information about the patient, the nurse, the schedule, and the vital signs about which the vital signs are to be collected. The terminal memory master file, the terminal nurse master file, the terminal schedule file, and the terminal vital sign file are stored in the file storage means, respectively, and when the identification code reading means reads the nurse identification code, the identification code collating means makes the nursing code. The nurse identification code is collated with the terminal nurse master file and the corresponding nurse information is displayed by the display means. Subsequently, when the identification code reading means reads the patient identification code, the identification code collating means collates the patient identification code with the terminal patient master file and displays the corresponding patient information by the display means. Then, the terminal vital sign recording means records the patient's vital sign information inputted by the vital sign input means in the terminal vital sign file together with the nurse and the reception time. On the other hand, the schedule retrieval means accesses the terminal schedule file to retrieve the schedule information of the patient and display it on the display means. Also, the vital sign search means accesses the terminal vital sign file to search for past vital sign information and display it on the display means. This allows you to enter vital signs at the bedside and store them in the nursing support server as they are, so you can prevent transcription errors, etc., and refer to the schedule and past vital sign history as necessary to see the progress of treatment with the patient. Confirmation can encourage patients to participate in active treatment.

A nursing support system according to claim 8 is a nursing support system for supporting medication instruction, wherein the nursing support server includes a patient registration means for registering patient information including a patient identification code, and a pharmacist. A pharmacist registration means for registering pharmacist information including an identification code, a guidance schedule registration means for registering guidance schedule information such as a scheduled date of medication guidance and guidance schedule content for each patient, and a patient master file for storing the patient information. A pharmacist master file that stores the pharmacist information, a guidance schedule data file that stores the guidance schedule information, a guidance record data file that stores medication guidance record information by the pharmacist, and a patient who plans medication guidance from each of the files. Reads each information about the pharmacist, the appointment schedule, the instruction record, etc. and transfers them to the portable information terminal through the connection means. In addition, the mobile information terminal has server information transfer means for storing each information transferred from the mobile information terminal in each of the files, and the mobile information terminal has the medication instruction transferred from the server information transfer means via the connection means. Terminal information transfer means for receiving information about a patient, a pharmacist, an appointment schedule, instruction records, etc., and transferring each information after medication instruction to a nursing support server, and each information received by the terminal information transfer means A terminal patient master file, a terminal pharmacist master file, a terminal guidance schedule data file and a terminal guidance record data file, respectively, a pharmacist input means for inputting a pharmacist to be instructed, and a patient to input a patient to be instructed Input means and input from these pharmacist input means or patient input means The identification code collating means for collating the pharmacist identification code or the patient identification code with each file of the file storage means, the display means for displaying the predetermined collation information collated by the identification code collating means, and the patient identification code. Guidance schedule retrieval means for retrieving patient guidance schedule information from the terminal guidance schedule data file based on the above, guidance record input means for inputting medication guidance record information instructing the patient, and medication taken by this guidance record input means The terminal guidance record information recording means for recording the guidance record information in the terminal guidance record data file.

By adopting such a configuration, the server information transfer means allows the pharmacist master file, patient master file, instruction schedule data file and instruction record data file to be stored in the portable information terminal via the connection means. The identification code collating unit receives the pharmacist identification code input by the pharmacist inputting unit and the patient identification code input by the patient inputting unit by the identification code collating unit and collates and matches with each terminal pharmacist master file and the terminal patient master file. The pharmacist information and the patient information are displayed on the display means to proceed to the next work.
Then, when confirming the medication instruction schedule of the patient, the guidance schedule search means reads the schedule information of the medication instruction of the patient from the terminal guidance schedule data file and displays it on the display means. Further, the record of the medication guidance is input from the guidance record input means, and is sequentially recorded in the terminal guidance record data file by the terminal guidance record information recording means. After the medication instruction is completed, the terminal information transfer means transfers each file information in the file storage means to the nursing support server via the connection means. This makes it possible to record medication instruction at the bedside and prevent transcription errors.

A nursing support system according to a ninth aspect is characterized in that, in the eighth aspect, the nursing support server is provided with a guidance record template master file in which a template sentence of a medication guidance record is stored. The template information is transferred to the portable information terminal by the server information transfer means,
Upon receiving this, the terminal information transfer means stores it in the file storage means as a terminal guidance record template master file, and the portable information terminal retrieves a template sentence of a prescribed medication guidance record from the terminal guidance record template master file. The point is that a template search means is provided.

By adopting such a configuration, the server information transfer means transfers the instruction record template master file to the file storage means of the portable information terminal in advance and stores it as the terminal instruction record template master file. When the medication guidance is recorded, the template retrieval means accesses the terminal guidance record template master file to read the template text of a predetermined medication guidance record and display it on the display means. Therefore, it is convenient to record the medication instruction, and the medication instruction can be quickly recorded.

The nursing support system according to claim 10 is characterized in that, in claim 8 or 9, the portable information terminal accesses a terminal guidance record data file to retrieve a history of past medication guidance contents. It is equipped with a teaching history search means.

By adopting such a configuration, when it is desired to refer to the past medication guidance history, the guidance history search means reads the medication guidance history from the terminal guidance record data file and displays it on the display means. As a result, it is possible to give accurate medication instruction to the patient while referring to the history of medication instruction.

The nursing support program according to claim 11 is characterized in that the personal information terminal used by the pharmacist to give the patient medication instruction is scheduled by the terminal information transfer means through the connecting means. A procedure for receiving information about a patient, a pharmacist, an instruction schedule, and an instruction record and storing the information as a terminal patient master file, a terminal pharmacist master file, a terminal instruction schedule data file, and a terminal instruction record data file in the file storage means, and a pharmacist. The input means inputs the pharmacist to be instructed, the identification code collating means collates the inputted pharmacist identification code with the terminal pharmacist master file and displays the corresponding pharmacist information on the display means, and the patient input means. The procedure for inputting the patient to be instructed and the identification code matching means Is compared with the terminal patient master file to display the corresponding patient information on the display means, and the teaching schedule search means searches the terminal guidance schedule data file for the patient guidance schedule information based on the patient identification code and The procedure of displaying on the display means and the terminal guidance record information recording means perform the procedure of recording the medication guidance record information input by the guidance record input means in the terminal guidance record data file.

By adopting such a configuration, first, the terminal information transfer means receives, through the connection means, each information regarding the patient, the pharmacist, the instruction schedule, and the instruction record for the medication instruction, respectively. When the pharmacist inputting the pharmacist inputting means inputs the pharmacist's identification code, the identification code collating means stores the pharmacist's identification code The terminal pharmacist master file is collated and the corresponding pharmacist information is displayed on the display means. Then, when the patient input means inputs a patient to receive medication instruction, the identification code collating means collates the patient identification code with the terminal patient master file, reads out the corresponding patient information, and displays it on the display means. Subsequently, the teaching schedule retrieval means accesses the terminal guidance schedule data file and displays the guidance schedule information on the display means. The record of the medication guidance is input by the guidance record input means and is recorded and accumulated in the terminal guidance record data file by the terminal guidance record information recording means. This makes it possible to record medication instruction at the bedside and prevent transcription errors.

A nursing support system according to a twelfth aspect of the present invention is a nursing support system for supporting treatment to a patient, wherein the nursing support server registers patient information including a patient identification code. A nurse registration means for registering nurse information including a nurse identification code; a treatment order registration means for registering treatment order information from a doctor; a patient master file for storing the patient information; and the nurse information. A nurse master file that stores the information, a treatment order data file that stores the treatment order information, and each information regarding the patient, the nurse, the treatment order, and the like to be treated from each of the files, and read through the connection means. Server information that is transferred to the mobile information terminal and stores each information transferred from the mobile information terminal in each file. The portable information terminal has transfer means and receives each information related to a patient, a nurse, a treatment order, and the like scheduled for treatment transferred from the server information transfer means via the connection means, and after the treatment. Terminal information transfer means for transferring each information of 1. to the nursing support server, and file storage means for storing each information received by the terminal information transfer means as a terminal patient master file, a terminal nurse master file and a terminal treatment order data file, respectively. , A nurse input means for inputting a nurse to be treated, a patient input means for inputting a patient to be treated, and a nurse identification code or a patient by receiving data input by these nurse input means or patient input means, respectively. Identification code collating means for collating an identification code with each file of the file storage means, Display means for displaying predetermined collation information collated by the identification code collating means, treatment order retrieval means for retrieving treatment order information of the patient from the terminal treatment order data file based on the patient identification code, and performed for the patient. This is in the point that it is provided with a treatment execution information input means for inputting treatment execution information and a terminal treatment execution information recording means for storing the treatment execution information input by the treatment execution information input means in the terminal treatment order data file.

By adopting such a configuration, the server information transfer means transfers each information of the nurse master file, the patient master file and the treatment order data file to the file storage means of the portable information terminal through the connecting means. The identification code collating unit collates the nurse identification code transferred and input by the nurse input unit and the patient identification code input by the patient input unit with the terminal nurse master file and the terminal patient master file, and the matching nurse information and Read the patient information and display it on the display,
It is designed to proceed to the next work. Then, in order to confirm the treatment order from the doctor, the treatment order search means reads the treatment order of the corresponding patient from the terminal treatment order data file and displays it on the display means. Also,
When the execution information of the treatment performed on the patient is input from the treatment execution information input means, the terminal treatment execution information recording means records the treatment execution information in the terminal treatment order data file.
After the treatment is completed, the terminal information transfer means transfers each file information in the file storage means to the nursing support server via the connection means. As a result, the treatment order from the doctor can be managed by the nursing support system, so mistakes in the treatment can be prevented, and because the treatment by the nurse can be entered on-site, it is not forgotten to write it in the nursing record book etc. Moreover, the treatment history can be used to record the treatment history And can be used for insurance claims.

A nursing support system according to a thirteenth aspect is characterized in that, in the twelfth aspect, a treatment master registration unit for registering various treatment contents in the nursing support server and a treatment registered by the treatment master registration unit. A procedure master file for storing the contents is provided, and the server procedure information is transferred from the server information transfer means to the terminal information transfer means via the connection means, and the terminal storage master file is provided in the file storage means. From the terminal treatment master file upon receiving a temporary treatment selection command from the temporary treatment input means for inputting the treatment performed when the temporary treatment not recorded in the order data file is performed, and the temporary treatment input command from the temporary treatment input means. It is provided with a terminal treatment master reading means for reading the treatment contents.

By adopting such a configuration, the server information transfer means transfers the treatment master file to the portable information terminal in advance and stores it in the file storage means as the terminal treatment master file. Then, when the nurse temporarily performs a treatment not recorded in the treatment order data file by a doctor's oral instruction, etc., when the temporary treatment input means sends a temporary treatment selection command, the terminal treatment master reading means Read the specified treatment from the terminal treatment master file. This allows temporary treatment to be stored in the nursing support system without forgetting.

The nursing support system according to claim 14 is characterized in that, in claim 12 or 13, the treatment history retrieval means for retrieving the contents of treatment performed in the past on the portable information terminal from the terminal treatment order data file. Is equipped with.

By adopting such a configuration, when the nurse refers to the past treatment performed on the patient, the treatment history retrieval means reads the treatment history of the patient from the terminal treatment order data file. Display on the display means. With this, it is possible to explain the treatment process at the bedside while promptly referring to the treatment history.

The nursing support program according to claim 15 is characterized in that the terminal information transfer means receives via the connection means each piece of information regarding a patient, a nurse, and a treatment order to be treated, and stores them in files. A procedure for storing in the means as a terminal patient master file, a terminal nurse master file and a terminal treatment order data file,
A procedure for the nurse input means to input a nurse to be treated,
Identification code collating means collates the inputted nurse identification code with the terminal nurse master file to display the corresponding nurse information on the display means, and patient input means inputs the patient to be treated And a procedure for the identification code collating means to collate the input patient identification code with the terminal patient master file to display the corresponding patient information on the display means, and the treatment order searching means for the patient based on the patient identification code. And a procedure for retrieving the treatment order information from the terminal treatment order data file and displaying it on the display means, and the terminal treatment execution information recording means stores the treatment execution information input by the treatment execution information input means in the terminal treatment order data file. It is to be executed as a recording procedure.

By adopting such a configuration, the server information transfer means transfers each information of the nurse master file, the patient master file and the treatment order data file to the file storage means of the portable information terminal through the connecting means. When it is transferred and the nurse to be treated is input by the nurse input means, the identification code collating means collates the nurse identification code with the terminal nurse master file and displays the corresponding nurse information on the display means. Subsequently, when the patient input means inputs the patient to be treated, the identification code collating means collates the patient identification code with the terminal patient master file and displays the corresponding patient information on the display means. Then, the treatment order search means accesses the terminal treatment order data file, displays the treatment order information of the patient on the display means, performs treatment according to the treatment order information, and then performs the treatment execution information input by the treatment execution information input means. Is recorded in the terminal treatment order data file by the terminal treatment execution information recording means.

[0045]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An example of an embodiment of a nursing support system and a nursing support program according to the present invention will be described below with reference to the drawings.

The nursing support system 1 of the present embodiment is a system for managing various operations related to nursing support, and realizes medication management, vital sign management, medication instruction management and treatment management. . That is, as shown in FIG. 1, the nursing support system 1 of the present embodiment is
The nursing support server 2 and the portable information terminal 3 are connected via a cradle 4, and when carrying out nursing work, the portable information terminal 3 is detached from the cradle 4, and when transferring data, the cradle. It is designed to be connected to 4.

First, the nursing support server 2 will be described. The nursing support server 2 mainly stores a server main memory 6 in which a nursing support server program 5 is stored and data necessary for nursing support. A file storage device 7 and a server C that performs various arithmetic processing and control processing according to the instructions of the nursing support server program 5.
The PU 8 includes an input device 9 such as a keyboard 9a and a mouse 9b for inputting various data and conditions, and an output device 10 such as a display 10a and a printer 10b for outputting data associated with nursing support. Has been done.

The nursing support program outputs various commands for executing the nursing support server 2, and it is carried through the cradle 4 and a command signal from the user input through the input device 9. The server CPU 8 receives the data signal and the command signal transmitted from the information terminal 3.
A command is output to each of the constituent means.

As shown in FIG. 1, the file storage device 7 stores a patient master file 11 for storing patient information.
And a nurse master file 12 for storing nurse information
And a pharmacist master file 13 that stores pharmacist information
And the attending physician master file 14 that stores attending physician information
And a procedure master file 15 for storing information on a nurse's procedure such as injection method, a mastering method master file 16 for storing various prescriptions, and a guidance record template master for storing a template sentence of medication instruction record. A file 17, a treatment master file 18 that stores various treatment contents, a medication data file 19 that stores medication information, and a medication detail data file 20 that stores more detailed medication information such as a dosing method, procedure, and frequency. , A schedule file 21 that stores schedule information for each patient, and a vital sign file 22 that stores vital sign information for each patient
A guidance schedule data file 23 for storing the guidance schedule information, a guidance record data file 24 for storing the medication guidance record information by the pharmacist, and a treatment order data file 25 for storing the treatment order information are stored. .

As shown in FIG. 2, the patient master file 11 stores necessary identification information such as name, sex, date of birth, height, weight, blood type, address and the like, as well as an identification code unique to the patient. . The "history" is designed so that the user can arbitrarily input information. For example, the number of cigarettes smoked per day, the amount of alcohol consumed per day, the degree of exercise, the presence or absence of pregnancy, etc. can be stored. There is.

As shown in FIG. 3, the nurse master file 12 stores the nurse (executor) -specific identification code, the nurse's name, the ward code in charge, and whether or not to leave the office (stop flag). It is supposed to be done. Whether or not the employee has left the company is saved because it is necessary to refer to past medication information by the nurse even after leaving the company.

As shown in FIG. 4, the pharmacist master file 13 stores a pharmacist's unique identification code, a pharmacist name, a mark, and whether or not to leave the office (stop flag).

As shown in FIG. 5, the doctor's master file 14 stores data of doctors who can be doctors, and stores the doctor's name and presence / absence of termination (stop flag) together with an identification code unique to the doctor. It is supposed to be done. Then, in the case of medication or treatment under the instruction of a doctor, when the name of the attending physician is entered in the medication data file 19 or the treatment order data file 25, the corresponding attending physician name should be selected from the attending physician master file 14. Has become.

In addition, the procedure master file 15 has a structure shown in FIG.
As shown in, information on the procedure performed by the nurse such as epidural injection / intraneuronal injection is stored together with the procedure identification code. Then, the medication data file 19 for administering the injection prescription in the medication given by the doctor
When entering a procedure in the procedure, the procedure master file 1
The applicable procedure is selected from 5.

Further, as shown in FIG. 7, the drinking master file 16 stores the drinking identification code, information on how to drink, the number of times, morning, noon, evening and bedtime. Has been done. For example, information such as once a day after breakfast, three times a day for two hours after each meal, or an emergency is stored.

Further, in the instruction record template master file 17, as shown in FIG. 8, a template sentence which serves as a reference when recording the medication instruction is stored together with an identification number and a keyword. For example, a template sentence such as "number of bowel movements, stool volume, stool hardness" is stored in correspondence with the keyword "Benpi", and "discontinuation or change of drug is repeated" in response to the keyword "Fuan". "Anxiety about being given" and other template sentences are stored, which is convenient for recording medication instructions.

Although not shown, the treatment master file 18 stores various treatment contents ordered by a doctor, such as wound treatment such as gauze replacement and compress replacement. The treatment master file 18 is used as an input aid when inputting an order from a doctor to the treatment order data file 25, or when an oral treatment order from a doctor as described later is made, the temporary treatment is performed. It is designed to be used as an input aid when entering content.

In addition, the medication data file 19 is shown in FIG.
As shown in FIG. 5, information for administering a drug on a prescription or injection is stored for each patient, and the medication data table 19b is paired with the medication head table 19a.
As shown in FIG. 9, for example, the medication head table 19a
In addition to the patient identification code, the date and time of administration, the date of hospitalization, the ward code, the ward number, the attending physician identification code, the pharmacist identification code, and the like are stored. In addition to the patient identification code, the prescription injection identification code, the dose, the number of times, the number of days, the presence / absence of label check, and the like are stored in the medication data table 19b. In addition, each identification code is
In this embodiment, it is specified by a predetermined number.

Further, in the detailed drug data file 20,
As shown in FIG. 10, more detailed medication information is stored based on the medication data file 19. For example, in addition to the patient identification code, the scheduled date and time of administration, basic information on the prescription injection identification code, as well as the number of occasions and doses,
The taking method, the procedure, the way to drink, the number of days, the number of times and other comments are stored. Also, detailed medication data file 2
In 0, the information on the nurse (administrator) who administers the medication and the administration time (enforcement time) are stored as history information. It is possible to determine whether or not the drug is not administered by setting the drug completion flag based on the drug information or separately. Incidentally, the reason for non-medication is also stored.

Further, in the schedule file 21, as shown in FIG. 11, a patient schedule to be referred to when collecting vital signs is stored for each patient. For example, a schedule relating to surgery such as completing pre-surgical medication at 8:30 and starting surgery from 14:50, a schedule for detailed examination, a blood sampling schedule, and the like are stored.

The vital sign file 22 contains
As shown in FIGS. 12 and 13, the collected vital sign information is stored for each patient. For example, the date and time of reception, blood pressure, pulse, body temperature, respiratory rate, meal code, urine volume, bowel movement, and performed nurse identification code are stored together with the patient identification code. It should be noted that in the present embodiment, among the pieces of vital sign information, one that is collected multiple times a day
Separate files are created for those that collect only once a day. For example, for meal code, urine volume and bowel movement,
Since it only needs to be collected once a day, it is stored as a separate file as shown in FIG.

Further, the teaching schedule data file 23 contains
As shown in FIG. 14, schedule information on medication instruction by a pharmacist is stored for each patient. For example, the patient identification code is stored together with the problem of prescription use and side effects, and other content of the problem that the patient is complaining about, along with the patient's hospitalization date, instruction date, instruction implementation date, issue classification number, instruction category. Information such as the filled-in pharmacist identification code, the guidance pharmacist identification code, and the guidance fee calculation sheet is stored. Since the pharmacist who fills in and the pharmacist who gives guidance may be different from the pharmacist who actually gives the guidance and the pharmacist who gives the guidance record, separate items are provided. Further, the item of printing the guidance fee calculation form is for determining whether or not the insurance bill material by the medication instruction is printed.

The instruction record data file 24 contains
As shown in FIG. 15, the medication instruction record information by the pharmacist is stored. That is, the problem number, the data classification, and the medication instruction content are stored together with the patient identification code. The content of this instruction record is basically filled according to the SOAP format. The SOAP format is S (Subjective); Subjective complaints O (Objective); Objective observation A (Assessment) by pharmacist; Evaluation P (Plan) based on subjective complaints and objective observation; Treatment plan I mean. By recording the medication instruction according to the SOAP format, it is considered that the medication instruction is objective and has a small difference.

Further, the treatment order data file 25 stores treatment order information from a doctor for each patient. For example, the patient name, the nurse identification code, the name of the doctor who issued the command, and the treatment content are stored together with the patient identification code. The contents of treatment include those related to the treatment of wounds, replacement of compresses, and disinfection.

Next, each component of the server CPU 8 will be described. The server CPU 8 registers patient registration means 31 for registering patient information including a patient identification code, nurse registration means 32 for registering nurse information including a nurse identification code, and pharmacist information including a pharmacist identification code. The pharmacist registration means 33, the attending doctor registration means 34 for registering information about each doctor, the procedure registration means 35 for registering information on the procedure associated with medication, and the drinking way registration means 36 for registering information on how to take the medicine regarding the prescription. And a medication information registering means 37 for registering medication information including a patient, a prescription injection and a medication identification code capable of specifying a medication date, a schedule registering means 38 for registering patient schedule information, and guidance schedule information for each patient. Teaching schedule registration means 39 for registering
And instruction record template registration means 40 for registering a basic sentence that becomes a template in the record of medication instruction, treatment order registration means 41 for registering treatment order information from a doctor, and treatment master registration means for registering various treatment contents. 42, a non-medication check unit 43 that receives an instruction for non-medication check from the input device 9 and reads and outputs non-medication information for each patient from the detailed medication data file 20, and a graphing process that graphs vital sign information. Means 44 and file storage device 7
Of each file to read necessary information and transfer it to the portable information terminal 3 via the cradle 4 and transfer each information transferred from the portable information terminal 3 via the cradle 4 to each file of the file storage device 7. And a server information transfer means 45 for recording the information.

More specifically, each component forming the server CPU 8 will be described in detail. A patient registration unit 31, a nurse registration unit 32, a pharmacist registration unit 33, a doctor registration unit 34, a procedure registration unit 35, and a drinking manner registration unit 36. , The medication information registration means 37, the schedule registration means 38, the guidance schedule registration means 39, the guidance record template registration means 40, the treatment order registration means 41, and the treatment master registration means are input from the input device 9 such as the keyboard 9a or the mouse 9b. According to the instruction of the nursing support server program 5, the information thus obtained is registered in the corresponding file.

Further, the non-medication check means 43 receives the non-medication check signal from the input device 9 and reads the non-medication information for each patient from the detailed medication data file 20 and outputs it to the output device 10. . At this time, if there is a reason for non-medication, the reason can also be output, and the reason can be confirmed on the output device 10.

Further, the graphing processing means 44 is adapted to graph the recorded vital sign information from numerical values, so that the difference from the past vital sign information and the therapeutic effect can be visually grasped. Has become.

Further, the server information transfer means 45 is adapted to transmit or receive information to or from the portable information terminal 3 when a hot sink button (not shown) of the cradle 4 is pressed. Before starting nursing, the server information transfer means 45 reads a predetermined file from the file storage device 7 and transfers data to the mobile information terminal 3, and after completion of nursing, the data is transferred from the mobile information terminal 3. Then, the file is written to a predetermined file in the file storage device 7 and updated.

Next, the portable information terminal 3 in this embodiment will be described. As shown in FIG. 1, the portable information terminal 3 mainly includes a liquid crystal display screen 46 for inputting various conditions and outputting and displaying information, and a laser barcode scanner as an identification code reading means for reading various identification codes. 47, a terminal main memory 49 in which a nursing support terminal program 48 is stored, a terminal file recording device 50 for storing information of each file transferred from the nursing support server 2, and the nursing support terminal program 48.
Terminal C that performs various arithmetic processing and control processing according to the command of
It is composed of a PU 51.

Explaining each constituting means of the portable information terminal 3, the liquid crystal display screen 46 has a vital sign input section 52, a pharmacist input section 53, and a patient input section 54.
It includes an instruction record input unit 55, a nurse input unit 56, a treatment implementation information input unit 57, a temporary treatment input unit 58, various conditions input unit 59, and an output display unit 60.

The vital sign input section 52 is for sequentially inputting vital sign information when a nurse collects vital signs such as blood pressure and body temperature. Further, the pharmacist input unit 53 is for inputting a pharmacist who gives the medication guidance when giving the medication guidance. Further, the patient input unit 54 is for inputting a patient name for receiving medication instruction. Then, the guidance record input unit 55
Is for specifically inputting the medication instruction record information instructed by the pharmacist. The nurse input unit 56 is for inputting a nurse when treating a patient according to a doctor's instruction. On the other hand, the treatment implementation information input unit 57
This is for inputting the implementation information of the treatment performed by the nurse based on the treatment order from the doctor. In addition, the temporary treatment input unit 58 is for selecting and inputting the temporary treatment contents actually performed from various treatment contents when the temporary treatment not recorded in the treatment order data file 25 is performed. is there. The various conditions input unit 59 is for inputting various conditions necessary for providing nursing support such as a screen change command. On the other hand, the output display unit 60 displays information corresponding to each input unit and the laser barcode scanner 4
Various information such as the information read by 7 is displayed on the screen.

The laser bar code scanner 47 described above is adapted to read the patient identification code, the nurse identification code and the medication identification code which are printed out as a bar code through the nursing support server 2 in advance by the laser scanner. There is.

Further, the nursing support terminal program 48
Is for outputting various commands for causing the mobile information terminal 3 to be executed as the nursing support system 1, and the terminal CPU 51 executes various processes in accordance with these commands.

Further, the terminal file recording device 50 appropriately sets the predetermined information of the file storage device 7 transferred from the server information transfer means 45 of the nursing support server 2 via the cradle 4 as a terminal file according to the content of nursing. As shown in FIG. 1, the terminal patient master file 61 and the terminal nurse master file 62 are stored.
, Terminal pharmacist master file 63, terminal doctor master file 64, terminal procedure master file 65, terminal drinking master file 66, terminal guidance record template master file 67, terminal treatment master file 68, terminal medication data A file 69, a terminal medication detailed data file 70, a terminal schedule file 71, a terminal vital sign file 72, a terminal guidance schedule data file 73, a terminal guidance record data file 74, and a terminal treatment order data file 75. Has been done.

The terminal CPU 51 is composed of various processing means. That is, the terminal CPU 51
Is a terminal information transfer means 81 for transferring data of the terminal file recording device 50 to and from the nursing support server 2 via the cradle 4, and an identification code read by the laser bar code scanner 47 in the terminal file recording device 50. An identification code collating means 82 for collating each terminal file,
A warning is issued when at least one of the terminal medication execution information sending means for recording the information of the nurse who has taken the medication and the medication time in the terminal medication detailed data file 70 and the medication identification code, the patient, the medication and the medication date do not match. Warning means 8 issued
4, a terminal vital sign recording means 85 for recording the vital sign information in the terminal vital sign file 72 together with the nurse and the time of the reception, and a schedule for retrieving patient schedule information from the terminal schedule file 71 based on the patient identification code. Search means 86, vital sign search means 87 for searching past vital sign information from the terminal vital sign file 72 based on the patient identification code, and terminal medication data file 69 and terminal medication detail data file 70 for patient medication information. Medication information search means 88 for searching from the terminal, guidance schedule searching means 89 for searching patient guidance schedule information from the terminal guidance schedule data file 73, and medication guidance record information input by the guidance record input unit 55 to the terminal guidance record data. Terminal instruction recorded in file 74 And recording information recording means 90, a model search unit 91 for searching the model statement teaching the recording from the terminal guidance recording stationery master file 67, instruction history search means searches a history of medication instruction from the terminal guidance record data file 74 9
2 and treatment order search means 93 for retrieving treatment order information of the patient from the terminal treatment order data file 75.
A terminal treatment execution information recording unit 94 for recording the treatment execution information input by the treatment execution information input unit 57 in the terminal treatment order data file 75, and the temporary treatment input unit 58.
From the terminal treatment master reading means 95 for reading the treatment contents from the terminal treatment master file 68 in response to the temporary treatment selection command from the terminal treatment master file 68, and the treatment history searching means 96 for searching the terminal treatment order data file 75 for the past treatment contents. It is configured.

More specifically, each component forming the terminal CPU 51 will be described in detail.
1 receives each information transferred from the file storage device 7 of the nursing support server 2 via the cradle 4 and stores it in the terminal file recording device 50 as appropriate according to the content of nursing, and stores the data after the end of nursing. The information is read from the terminal file recording device 50 and transferred to the nursing support server 2.

The identification code collating means 82 uses the patient identification code, the nurse identification code and the medication identification code read by the laser bar code scanner 47 as a terminal patient master file 61, a terminal nurse master file 62 and a terminal medication detailed data file, respectively. 70 to be collated.

The terminal medication execution information sending means records the information on the nurse who administers the medication and the medication time in the terminal medication detailed data file 70 when the identification code collating means 82 collates the medication identifying codes. And
It is designed to accumulate information about who took the medication and when.

The warning means 84 issues a warning when the medication identification code read by the laser bar code scanner 47 does not match any one of the already read patient identification code, prescription injection prescription identification code and medication date. It is like this. The medication identification code is composed of at least a patient identification code, a prescription injection prescription identification code, and code information identifying a medication date.

Further, the terminal vital sign recording means 85
Records the vital sign information such as the blood pressure and the body temperature inputted by the vital sign input unit 52 in the terminal vital sign file 72 together with the nurse information and the collecting time. You can always check if it is a numerical value.

Further, the schedule retrieval means 86 reads out the schedule information such as the operation date and time and blood sampling time regarding the patient from the terminal schedule file 71 based on the patient identification code and displays it on the liquid crystal display screen 46.

The vital sign search means 87 reads the past vital sign information from the terminal vital sign file 72 based on the patient identification code and displays it on the liquid crystal display screen 46. As a result, it is possible to give appropriate advice at the bedside while showing past vital sign information to the patient, and the patient can always confirm the therapeutic effect.

Further, the medication information retrieval means 88 accesses the terminal medication data file 69 and the terminal medication detail data file 70, reads the medication information of the patient and displays it on the liquid crystal display screen 46. As a result, the information on the prescription injection prescription administered to the patient can be confirmed on the mobile information terminal 3 at any time.

Further, the instruction schedule retrieval means 89 accesses the instruction instruction schedule data file 73 for the patient instruction instruction information based on the patient identification code to read the patient administration instruction information and display it on the liquid crystal display screen 46. It is supposed to do. As a result, the content of the medication instruction to be given to the patient can be confirmed on the mobile information terminal 3.

The terminal guidance record information recording means 90 is
The medication guidance record information input by the guidance record input unit 55 is recorded in the terminal guidance record data file 74, so that the medication guidance given by the pharmacist can be confirmed later.

Further, the template retrieval means 91 accesses the terminal guidance record template master file 67 to input the guidance record template of the patient who has given the medication guidance, and obtains the guidance record template text of the contents related to the SOAP format. The data is read out and displayed on the liquid crystal display screen 46. The guidance record template is displayed together with the keyword, and the pharmacist corrects and changes it and records it.

Further, when the pharmacist refers to the patient's medication instruction history, the instruction history retrieval means 92 reads the relevant patient's instruction history from the terminal instruction record data file 74 and displays it on the liquid crystal display screen 46. ing.

The treatment order search means 93 also accesses the terminal treatment order data file 75 for the treatment order information of the patient based on the patient identification code, reads the treatment order of the corresponding patient, and displays it on the liquid crystal display screen 46. It is like this. This allows the nurse to confirm the treatment command from the doctor on the mobile terminal 3.

Further, the terminal treatment implementation information recording means 94 is
The treatment execution information input by the treatment execution information input unit 57 is accessed to the terminal treatment order data file 75 to record the treatment time and the like. As a result, the data of who performed the treatment according to which treatment order of which doctor is stored as a history can be confirmed later and the consistency with the content of the insurance claim can be confirmed.

Further, the terminal treatment master reading means 95 is adapted to receive the temporary treatment selection command from the temporary treatment input section 58, read the treatment contents from the terminal treatment master file 68, and display them on the liquid crystal display screen 46. , It is possible to select and enter from the choices without having to write the teacher's content one by one.

Further, the treatment history retrieval means 96 issues a retrieval instruction of the treatment history information to the terminal treatment order data file 75.
To read the treatment history of the designated patient and display it on the liquid crystal display screen 46. The treatment history mainly includes the date and time of the treatment, the contents of the treatment, comments, the name of the ordering doctor, and the information of the person performing the treatment.

Next, the nursing support system 1 of this embodiment
The operation of the nursing support program will be described. There are various kinds of nursing that can be realized by the nursing support system 1 of the present embodiment, but in the present embodiment, the operation will be described regarding medication management, vital sign management, medication instruction management, and treatment management.

First, the medication management in this embodiment will be described with reference to FIGS. 16 and 17.

When the patient information, the nurse information, and the prescription of the patient who is scheduled to administer the drug are input in advance in the nursing support server 2 using the keyboard 9a and the mouse 9b of the input device 9, the patient registration means 31 and the nurse registration means 32 and the medication information registration means 37 register the respective information in the patient master file 11, the nurse master file 12, the medication data file 19 and the medication detailed data file 20 (step 1).

Subsequently, each identification code is printed as a bar code from the printer 10b, the patient identification bar code is formed as a wrist band or a name plate of the patient, and the nurse identification bar code is formed as a name plate of the nurse. Then, the medication identification barcode is formed and attached as a seal on the prescription injection prescription set for each patient (step 2). Note that the medication identification barcode may be printed from the computer of the pharmacy connected to the nursing support server 2 and attached to the prescription injection label without being printed directly from the nursing support server 2.

Next, the information about the patient, the nurse, and the prescription injection prescription scheduled to be administered is transferred from the nursing support server 2 to the portable information terminal 3 (step 3). In this data transfer, the portable information terminal 3 is set in the cradle 4 and the nursing support server 2 is put in a transmission waiting state,
The server information transfer means 45, which has received the transfer signal, starts data transfer by pressing the hot sync button. Each transferred information is written in the terminal file recording device 50 by the terminal information transfer means 81 and stored as a terminal patient master file 61, a terminal nurse master file 62, a terminal medication data file 69 and a terminal medication detail data file 70, respectively. To be done.

Next, before the nurse actually administers the prescription injection prescription to the patient, it is checked by using the identification bar code whether or not the prescription injection prescription is prescribed to the target patient.
That is, the identification bar code printed on the nurse's name plate is read by the laser bar code scanner 47 of the portable information terminal 3 (step 4). This allows
According to the instruction of the nursing support terminal program 48, the identification code collating means 82 collates the nurse identification bar code with the terminal nurse master file 62 and reads the corresponding nurse information. This nurse information is displayed on the liquid crystal display screen 46 as shown in FIG. 17 (A) (step 5). At this time, if a nurse identification bar code that has not been registered is being read, no screen is displayed and the next step cannot proceed.

Next, the identification bar code printed on the wrist band of the patient is read by the laser bar code scanner 47 of the portable information terminal 3 (step 6). As a result, according to the instruction of the nursing support terminal program 48, the identification code collating means 82 collates the patient identification bar code with the terminal patient master file 61 and reads the corresponding patient information. This patient information is displayed on the liquid crystal display screen 46 as shown in FIG. 17 (A) (step 7). At this time, if a patient identification bar code that has not been registered is being read, no screen is displayed and the next step cannot proceed. In addition, when it is desired to refer to the detailed information of the patient, the liquid crystal display screen 46
When the detail mark is selected above, detailed patient information as shown in FIG. 17B is displayed.

Next, the laser bar code scanner 4 displays the medication identification barcode attached to the prescription injection prescription.
It is read by 7 (step 8). Thereby, the identification code collating means 82 collates the medication identification barcode with the terminal medication detail data file 70 according to the instruction of the nursing support terminal program 48. It is determined whether the patient number of the medication identification barcode matches the already-read patient identification barcode. On the other hand, the prescription injection identification code and the medication date of the medication identification barcode are collated with the terminal medication detailed data file 70 to determine whether they match (step 9).

As a result, in the case of Yes, that is, when all the conditions of the medication identification barcode, the patient identification code, the prescription injection identification code and the medication date are met, the terminal medication execution information recording means 83 causes the nurse information. And the medication time is recorded in the terminal medication detail data file 70 (step 10). The liquid crystal display screen 46 is in a waiting state for reading the next identification barcode.

If the user wishes to confirm the prescription injection prescription scheduled to be administered, when the medication information display button on the screen is pressed, the medication information is displayed on the liquid crystal display screen 46 as shown in FIG. 17C. . Furthermore, when it is desired to refer to more detailed information regarding these prescription injection prescriptions, the detailed information button in the screen is pressed to display the detailed information as shown in FIG. 17 (D).

On the other hand, in step 8, if No,
That is, when any one of the medication identification barcode, the patient identification code, the prescription injection identification code, and the medication date does not match, the warning means 84 generates an error sound and displays an error display on the liquid crystal display screen 46. (Step 11). You cannot go any further.

Next, it is judged whether or not all the medications of the subject patient have been checked after the medication identification barcodes match (step 12). If No, that is, if the other prescription injection prescriptions have not been checked, the process proceeds to step 8 to read the medication identification barcode.

On the other hand, if Yes in step 12, that is, if all the prescription injection check has been completed for the target patient, it is judged whether or not the medication has been completed for all patients (step 13). ), If there are still medication patients, proceed to step 6 and repeat the medication check. In addition, when the administration to all patients is completed, the portable information terminal 3 is set in the cradle 4, the nursing support server 2 is set in the reception waiting state, and the hot sync button is pressed to store the file in the terminal file recording device 50. Transfer the data to the device 7 (step 14).
At this time, in response to the signal from the cradle 4, the server information transfer means 45 and the terminal information transfer means 81 execute data transfer. When this data transfer ends, the medication management ends.

When checking the unmedicated data in the nursing support server 2, if a command for non-medication check is input from the input device 9, the non-medication check means 43 follows the instruction of the nursing support server program 5. The medication detailed data file 20 is accessed, and if there is unmedication information of the patient, it is read and displayed on the display 10a. At this time, if the reason for non-medication is input, it can be referred to. When administering the prescription injection that has not been administered, it is necessary to transfer the data from the nursing support server 2 to the portable information terminal 3 again via the cradle 4 and check the medication again.

Therefore, according to the medication management in the present embodiment, the nurse self-confirms whether or not the prescription injection prescribed by the doctor matches the patient, and also checks the machine, so that erroneous medication can be prevented. Can be prevented. As a result, the patient's sense of security can be enhanced and the nurse's psychological anxiety can be reduced.

Further, since the nurse information and the medication time are accumulated as a medication history, it is possible to confirm by a third person after the fact, and triple check can be performed together with the check by the nurse and the machine.

Furthermore, since the medication information can be confirmed on the portable information terminal 3, the check can be performed at the bedside, and the data can be immediately checked for the nurse's question.

Furthermore, since the non-medication check can be performed, it is possible to perform appropriate treatment without forgetting to carry out the procedure.

Next, vital sign management in this embodiment will be described with reference to FIGS. 18 and 19.

In the vital sign management, first, the keyboard 9 of the input device 9 is previously set in the nursing support server 2.
Enter patient information and nurse information using a and mouse 9b,
The patient registration means 31 and the nurse registration means 32 register the respective information in the patient master file 11 and the nurse master file 12 (step 21). In addition to the patient information, the schedule of the patient is registered in the schedule file 21 by the schedule registration means 38, and the prescription data and the like of the patient are also registered in the medication information registration means 37.
Is registered in the medication data file 19 and the medication detail data file 20.

Subsequently, each identification code is printed as a bar code from the printer 10b, the patient identification bar code is formed as a patient wristband or name plate, and the nurse identification bar code is formed as a nurse name plate. (Step 22).

Next, the information regarding the patient, the nurse, the schedule, and the vital signs scheduled to be administered is transferred from the nursing support server 2 to the portable information terminal 3 (step 23). In this data transfer, the portable information terminal 3 is set in the cradle 4, the nursing support server 2 is placed in the transmission waiting state, and the server information transfer means 45 which has received the transfer signal by pressing the hot sync button of the cradle 4 transfers the data. Start the transfer. The transferred information is written in the terminal file recording device 50 by the terminal information transfer means 81 and stored as a terminal patient master file 61, a terminal nurse master file 62, a terminal schedule file 71 and a terminal vital sign file 72, respectively. .

Next, when the nurse actually collects the vital signs of the patient, the identification bar codes of the nurse and the patient are read. That is, the identification bar code printed on the nurse's name plate is read by the laser bar code scanner 47 of the portable information terminal 3 (step 2).
4). Thereby, the identification code collating means 82 collates the nurse identification bar code with the terminal nurse master file 62 according to the instruction of the nursing support terminal program 48, and reads the corresponding nurse information. This nurse information is shown in Figure 1.
As shown in FIG. 9 (A), the initial screen is displayed on the liquid crystal display screen 46 (step 25). At this time, if a nurse identification bar code that has not been registered is being read, no screen is displayed and the next step cannot proceed.

Next, the identification bar code printed on the wrist band of the patient is read by the laser bar code scanner 47 of the portable information terminal 3 (step 26). Thereby, according to the instruction of the nursing support terminal program 48,
The identification code collating means 82 collates the patient identification bar code with the terminal patient master file 61 and reads the corresponding patient information. This patient information is displayed on the liquid crystal display screen 46 as shown in FIG. 19 (A) (step 27). At this time, if a patient identification bar code that has not been registered is being read, no screen is displayed and the next step cannot proceed.

Next, the nurse selects the data input screen (step 28), measures the vital signs of the patient's blood pressure, body temperature, etc., and displays the liquid crystal as shown in FIGS. 19 (B) and 19 (C). Data is input from the vital sign input section 52 of the display screen 46 (step 29). When the data is updated after inputting the necessary data, the terminal vital sign recording means 85 promptly records the vital sign information in the terminal vital sign file 72 together with the nurse information and the reception time (step 30).

If necessary, the patient's schedule, past vital signs, patient information and medication information can also be referred to.

That is, when the schedule button on the liquid crystal display screen 46 is selected (step 31), the schedule retrieval means 86 accesses the terminal schedule file 71 to read out the schedule of the patient, and the schedule shown in FIG.
As shown in FIG. 9 (D), it is displayed on the liquid crystal display screen 46 (step 32).

The liquid crystal display screen 4 shown in FIG.
If the front and back selection buttons are selected in step 6 (step 3
3), the vital sign search means 87 reads the vital sign information of the designated date and time from the terminal vital sign file 72 and displays the past vital sign information on the liquid crystal display screen 46 (step 34).

When the patient information button on the liquid crystal display screen 46 is selected to query the patient information (step 35), the detailed patient information is retrieved from the terminal patient master file 61 based on the patient identification code already read. It is read and displayed on the liquid crystal display screen 46 as shown in FIG. 19 (E) (step 36).

Further, when the medication information button on the liquid crystal display screen 46 is selected (step 37), the medication information retrieval means 88 reads the medication information of the patient from the terminal medication data file 69 and the terminal medication detail data file 70, and FIG. As shown in (F) and FIG. 19 (G),
The desired medication information is displayed on the liquid crystal display screen 46 (step 38).

After measuring, inputting and updating the vital signs of the patients in this way, it is judged whether or not the vital signs for all the target patients have been completed (step 39). , And repeat the collection of vital signs. On the other hand, when the vital signs for all the patients have been collected, the portable information terminal 3 is set in the cradle 4, the nursing support server 2 is set in the waiting state, and the hot sync button is pressed to save the file from the terminal file recording device 50. The data is transferred to the storage device 7 (step 40). At this time, in response to the signal from the cradle 4, the server information transfer means 45 and the terminal information transfer means 81 execute data transfer. When this data transfer ends, vital sign management ends.

[0124] In the nursing support server 2, the graphing processing means 44 may, if necessary, display the vital sign file 2
Graphing processing can be performed based on the numerical information of vital signs accumulated in No. 2, and printing can be performed from the printer 10b. This makes it easy for patients to understand the numerical data visually.

Therefore, according to the vital sign management in the present embodiment, since data can be input at the bedside when collecting vital signs, it is not necessary to transcribe to a nursing record book or the like, and a transcription error does not occur. Also,
The historical data history of vital signs can be referred to quickly, so that clear data can be presented to the patient. Furthermore, since the patient's schedule can be referred to at the bedside, the patient's own progress status of the treatment can be grasped, and the patient's willingness to take the treatment can be expected to improve the treatment motivation.

On the other hand, since the vital signs and schedule of the patient are centrally managed, the situation of the patient can be immediately grasped even if the nurse in charge changes, and special notes necessary for handing over can be directly input from the portable information terminal 3. Therefore, forgetting to take over is unlikely to occur.

Furthermore, since the nursing support server 2 can graph the vital signs input from the mobile information terminal 3, the material can be created in an extremely short time. Moreover, by centrally managing vital sign information,
Patient schedule. It is possible to prevent nursing mistakes and transfer mistakes due to missing data such as special notes.

Next, the medication instruction management in this embodiment will be described with reference to FIGS. 20 and 21.

In the medication instruction management, first, in the nursing support server 2, patient information and pharmacist information are input using the keyboard 9a and the mouse 9b of the input device 9,
The information is registered in the patient master file 11 and the pharmacist master file 13 by the patient registration means 31 and the pharmacist registration means 33 (step 41). In addition, the complaint and the guidance content of the patient who plans to take the medication instruction are input in advance, and the guidance schedule registration unit 39 instructs the guidance schedule data file 2
Record in 3. Further, the template record of the guidance record is recorded in advance in the guidance record template master file 17 by the guidance record template registration means 40.

[0130] Next, each piece of information regarding the patient who plans to take medication, the pharmacist, the guidance schedule, and the guidance record is transferred from the nursing support server 2 to the portable information terminal 3 (step 4).
2). For this data transfer, the portable information terminal 3 is set in the cradle 4 and the nursing support server 2 is put in a transmission waiting state,
When the button of the hot sink of the cradle 4 is pressed, the server information transfer means 45 which has received the transfer signal starts data transfer. The transferred information is transferred to the terminal information transfer means 8
1 is written in the terminal file recording device 50 and stored as a terminal patient master file 61, a terminal pharmacist master file 63, a terminal guidance schedule data file 73, and a terminal guidance record data file 74, respectively.

When the pharmacist actually instructs the patient to take medication, first, the liquid crystal display screen 46 of the portable information terminal 3 is displayed.
A pharmacist to be instructed is selected by the pharmacist inputting section 53 (step 43). This is selected from the combo box in FIG. Based on the selected pharmacist identification code, the identification code collating means 82 reads the corresponding pharmacist information from the terminal pharmacist master file 63 and displays it on the liquid crystal display screen 46 (step 44). At this time, even if an unregistered pharmacist tries to work, he cannot proceed.

Next, the patient to be instructed is selected (step 45). This is selected from the list box which is the patient input section 54 of FIG. Identification code collating means 8 based on the selected patient identification code
2 reads the corresponding patient information from the terminal patient master file 61 and displays it on the liquid crystal display screen 46 (step 4).
6). At this time, even if you try to work on a patient who is not registered, you cannot proceed to the next step.

Then, when execution is instructed on the screen of FIG. 21A, a guidance content selection screen for medication guidance as shown in FIG. 21B is displayed (step 47). At this point, it is possible to newly register, update, or delete the instruction content. When the contents of a predetermined teaching schedule are selected and executed on the screen of FIG. 21 (B), FIG.
Is displayed and the instruction record is entered in the SOAP format in accordance with the medication instruction (step 48).

Here, when the search button is selected, the template search means 91 reads out the template sentence corresponding to the SOAP format from the terminal guidance record template master file 67, and FIG.
Display the screen as shown in. The pharmacist fills in the guidance record while referring to this template. Note that it is possible to refer to patient information and medication information as needed.

Then, the medication instruction record information input according to the SOAP format is recorded in the terminal guidance record data file 74 by the terminal guidance record information recording means 90 (step 49).

When the pharmacist wants to refer to the past guidance history, the guidance history retrieval means 92 accesses the terminal guidance record data file 74 (step 50), reads the medication guidance history of the corresponding patient, and reads the liquid crystal. Display screen 46
(Step 51).

Thereafter, it is judged whether or not the medication instruction has been completed for all the target patients (step 52). If not, the process proceeds to step 45, the next patient is selected and input, and the medication instruction is repeated. . In addition, when the medication instruction to all target patients is completed, the portable information terminal 3 is set in the cradle 4, the nursing support server 2 is set in the reception waiting state, and the hot sync button is pressed to make the terminal file recording device 50 The data is transferred to the file storage device 7 (step 53). At this time, in response to the signal from the cradle 4, the server information transfer means 45 and the terminal information transfer means 81 execute data transfer. When this data transfer ends, the medication instruction management ends.

Therefore, according to the medication instruction management in this embodiment, since data can be input at the bedside at the time of medication instruction, it is not necessary to transcribe to the medication management instruction record book, and a transcription error does not occur. Further, since the past history of the medication instruction can be referred to promptly, the patient can be accurately given the medication instruction, and the patient can clearly judge the question and the effect on the prescription injection and the treatment. Furthermore, since detailed information on the patient can be referred to at the bedside, the pharmacist will not misunderstand.

On the other hand, in the nursing support server 2, since the medication instruction data can be accumulated, the omission of the instruction can be eliminated, the omission of the insurance claim can be eliminated, and the medical office processing can be appropriately and efficiently executed.

Next, the treatment management in this embodiment will be described with reference to FIGS. 22 and 23.

In the treatment management, first, patient information, nurse information and doctor information are input in advance in the nursing support server 2 using the keyboard 9a and mouse 9b of the input device 9, and patient registration means 31 and nurse registration are performed. The information is registered in the patient master file 11, the nurse master file 12, and the attending physician master file 14 by the means 32 and attending physician registering means 34 (step 61). Further, when the attending physician or a nurse instructed by the attending physician inputs a treatment order, the treatment order registration means 41 registers it in the treatment order data file 25.

Next, the information regarding the patient, the nurse, and the treatment order scheduled to be treated is transferred from the nursing support server 2 to the portable information terminal 3 (step 62). In this data transfer, the portable information terminal 3 is set in the cradle 4, the nursing support server 2 is placed in the transmission waiting state, and the server information transfer means 45 which has received the transfer signal by pressing the hot sync button of the cradle 4 transfers the data. Start the transfer.
The transferred information is written in the terminal file recording device 50 by the terminal information transfer means 81, and the terminal patient master file 61 and the terminal nurse master file 62 are respectively written.
And stored as the terminal treatment order data file 75.

When the nurse actually treats the patient, first, the nurse to be treated is selected from the nurse input section 56 on the liquid crystal display screen 46 of the portable information terminal 3 (step 63). For the selected nurse identification code, the identification code collating means 82 is used by the terminal nurse master file 62.
Then, the corresponding nurse information is read out and displayed on the liquid crystal display screen 46 (step 64). At this time, even if an unregistered nurse tries to work, he / she cannot proceed.

Next, the patient to be treated is selected from the patient input section 54 (step 65). The selected patient identification code is collated by the identification code collating means 82 with the terminal patient master file 61, the corresponding patient information is read out and displayed on the liquid crystal display screen 46 (step 66). At this time, even if you try to work on a patient who is not registered, you cannot proceed to the next step.

Then, when a treatment order search is instructed (step 67), the treatment order search means 93 accesses the terminal treatment order data file 75 to check whether or not the treatment order information based on the patient identification code exists. It is determined (step 68). In the case of Yes, that is, when the treatment order exists, the treatment order information is read out and displayed on the liquid crystal display screen 46 as shown in FIG. 23 (A) (step 69).

Then, the nurse carries out treatment according to the treatment order information (step 70), and the liquid crystal display screen 4
The treatment order information input unit 57 in 6 checks whether the treatment order has been performed (step 71). When this check is made, the terminal treatment execution information recording means 94 attaches the performed check flag to the terminal treatment order data file 75.

On the other hand, if No in step 68, that is, even if there is no treatment order, the extra treatment information is recorded when the extra treatment is performed. Specifically, in FIG. 23A, when the button of the temporary treatment input section 58 of the liquid crystal display screen 46 is selected (step 72), the terminal treatment master reading means 95 reads various treatment contents from the terminal treatment master file 68. Upon reading, the temporary treatment input screen as shown in FIG. 23B is displayed. On the temporary treatment input screen, a temporary treatment is selected and input (step 73).

When referring to the past treatment history, when the treatment history inquiry is selected and instructed on the liquid crystal display screen 46 of FIG. 23 (A) or FIG. 23 (B), the treatment history is displayed. The retrieval means 96 accesses the terminal treatment order data file 75, reads the past treatment data of the corresponding patient, and displays it on the liquid crystal display screen 46 as shown in FIG. 23 (C) (step 75). As a result, it is possible to perform another treatment while referring to the treatment history of the past.

Thereafter, it is judged whether or not the treatment of all the target patients has been completed (step 76), and if there is a target patient, the process returns to step 65 and the treatment according to the treatment order is performed. On the other hand, when the treatment for all patients is completed,
While setting the mobile information terminal 3 in the cradle 4,
The nursing support server 2 is put into a reception waiting state, and the button of the hot sink is pushed to transfer the data from the terminal file recording device 50 to the file storage device 7 (step 77). At this time, in response to the signal from the cradle 4, the server information transfer means 45 and the terminal information transfer means 81 execute data transfer. When this data transfer ends, the treatment management ends.

Therefore, according to the treatment management in the present embodiment, it is possible to prevent mistakes in treatment and mistakes in treatment time by managing treatment instructions from the doctor in the nursing support server 2, and to confirm untreated treatment. Is also easy. Further, since the treatment order can be easily referred to, confirmation by a third party becomes easy.

Further, since the treatment performed by the nurse on the patient can be immediately input at the bedside, there is no forgetting or mistaken posting in the nursing record book, and the treatment history is accurately recorded so that the treatment history can be understood. Can be accurately grasped.

Furthermore, since the treatment history can be printed for each patient and used in combination with the insurance claim, the insurance claim omission can be prevented.

The respective configurations of the present embodiment of the present invention are not limited to those described above, but can be changed as appropriate.

For example, the respective constituent means constituting the above-mentioned server CPU 8 or terminal CPU 51 and the respective files recorded in the file storage device 7 are constituted as independent constituent means or files according to their respective functions and characteristics. It is not necessary to limit the number to one, and a plurality of means may be performed by one means, or may be divided more finely.

Further, in the medication instruction and treatment in the present embodiment, the patient identification code, the pharmacist identification code and the nurse identification code are manually or selectively input, respectively, but these are read as identification bar codes. You may input with.

[0156]

As described above, according to the invention according to claim 1 or 3, in the medication management, it is determined whether or not the prescription drug or the injection drug instructed by the doctor matches the patient. Since the confirmation is also made by a machine, it is possible to prevent erroneous medication from occurring. Therefore, the patient's sense of security can be enhanced and the nurse's psychological anxiety can be reduced. Further, since the nurse information and the medication time are accumulated as a medication history, it is possible to make a confirmation by a third party after the fact, and a triple check can be performed together with the check by the nurse and the machine. Furthermore, since the medication information can be confirmed on the portable information terminal, the check can be performed at the bedside, and the data can be immediately checked for a nurse's question.

Further, according to the invention of claim 2, in addition to the effect of the invention of claim 1, it is possible to perform a non-medication check for each patient, and it is possible to perform proper treatment by eliminating medication omissions.

Further, according to the invention as claimed in claim 4 or claim 7, in the vital sign management, since the vital sign can be inputted at the bedside, the transcription error can be prevented and the history of the vital sign can be referred to promptly. Therefore, it is possible to present clear data to the patient,
Furthermore, since the patient's schedule can be referred to quickly,
The patient himself / herself can grasp the progress status of the treatment, and the patient can be expected to improve his / her motivation for the treatment because of the positiveness of the treatment. In addition, the patient's vital signs and schedule can be centrally managed, and special notes can be entered on-site, so that the nurse can forget to take over very smoothly.

Further, according to the invention of claim 5, in addition to the effect of the invention of claim 4, it is possible to confirm the medication status of the patient at the bedside, if necessary, for more accurate treatment. The background can be explained together with vital sign data.

According to the invention of claim 6, in addition to the effect of the invention of claim 4 or 5, it is possible to graph the vital signs input from the portable information terminal. It can be created in an extremely short time. Moreover, by centrally managing vital sign information,
It is possible to prevent nursing mistakes and transfer mistakes due to missing data such as patient schedules and special notes.

Further, according to the invention of claim 8 or claim 11, in the medication instruction, since the record of the medication instruction can be input from the bedside, a transcription error does not occur and the medication instruction data can be accumulated in the nursing support server. As a result, there is no omission of guidance, omission of insurance claims is eliminated, and medical clerical processing can be executed appropriately and efficiently.

According to the invention of claim 9, in addition to the effect of the invention of claim 8, it is convenient because the template can be used when recording the medication instruction, and the medication instruction can be promptly taken. Can be recorded and the work can proceed efficiently.

According to the invention of claim 10, in addition to the effect of the invention of claim 8 or claim 9, since past history of medication instruction can be referred to promptly, accurate medication instruction can be given to the patient. Yes, the patient can clearly judge the question and the effect on the prescription injection and the treatment.

According to the twelfth or fifteenth aspect of the present invention, in various treatments, the treatment instruction from the doctor is managed by the nursing support server to prevent treatment mistakes and treatment time mistakes. It is also possible to confirm untreated. Further, since the treatment order can be easily referred to, confirmation by a third party is easy, and omission of insurance claims can be prevented. Furthermore, since the procedure performed by the nurse on the patient can be immediately input at the bedside, it is possible to avoid forgetting to write in the nursing record book or the like and to make a mistake in transcription.

According to the thirteenth aspect of the invention, in addition to the effect of the twelfth aspect of the invention, the treatment can be easily input even when the temporary treatment which is not recorded in the treatment order data file is applied. Data can be accumulated.

According to the invention of claim 14, in addition to the effects of the invention of claim 12 or claim 13,
At the bedside, the history of treatment can be explained promptly with reference to the treatment history, which can be useful for treatment.

[Brief description of drawings]

FIG. 1 is a schematic configuration block diagram showing an example of an embodiment of a nursing support system according to the present invention.

FIG. 2 is a table showing an example of a patient master file in this embodiment.

FIG. 3 is a table showing an example of a nurse master file in this embodiment.

FIG. 4 is a table showing an example of a pharmacist master file according to the present embodiment.

FIG. 5 is a table showing an example of an attending physician master file in this embodiment.

FIG. 6 is a table showing an example of a procedure master file in the present embodiment.

FIG. 7 is a table showing an example of a drinking-style master file according to the present embodiment.

FIG. 8 is a table showing an example of a teaching record template master file in this embodiment.

FIG. 9 is a table showing an example of a medication data file in the present embodiment.

FIG. 10 is a table showing an example of a detailed medication data file in the present embodiment.

FIG. 11 is a table showing an example of a schedule file in this embodiment.

FIG. 12 is a table showing an example of a vital sign file according to this embodiment.

FIG. 13 is a table showing an example of a vital sign file according to this embodiment.

FIG. 14 is a table showing an example of a training schedule data file in this embodiment.

FIG. 15 is a table showing an example of a teaching record data file in the present embodiment.

FIG. 16 is a flowchart showing the operation of medication management in the nursing support system of the present embodiment.

FIG. 17 is a diagram showing a liquid crystal display screen of a mobile information terminal in medication management using the nursing support system of the present embodiment.

FIG. 18 is a flowchart showing the operation of vital sign management in the nursing support system of this embodiment.

FIG. 19 is a diagram showing a liquid crystal display screen of a mobile information terminal in vital sign management using the nursing support system of this embodiment.

FIG. 20 is a flowchart showing an operation of medication instruction management in the nursing support system of the present embodiment.

FIG. 21 is a diagram showing a liquid crystal display screen of a mobile information terminal in medication instruction management using the nursing support system of the present embodiment.

FIG. 22 is a flowchart showing operation of treatment management in the nursing support system of this embodiment.

FIG. 23 is a diagram showing a liquid crystal display screen of a mobile information terminal in treatment management using the nursing support system of the present embodiment.

[Explanation of symbols]

1 Nursing support system 2 Nursing support server 3 Mobile information terminals 4 cradle 5 Nursing support server program 6 server main memory 7 file storage 8 server CPU 9 Input device 9a keyboard 9b mouse 10 Output device 10a display 10b printer 11 patient master file 12 Nurse Master File 13 Pharmacist master file 14 doctor's master file 15 Procedure Master File 16 How to drink master file 17 Teaching record template master file 18 Procedure master file 19 medication data file 20 Detailed medication data file 21 Schedule file 22 Vital Sign File 23 Teaching Schedule Data File 24 Teaching Record Data File 25 Treatment order data file 31 Patient registration means 32 Nurse registration method 33 Pharmacist registration means 34 Means for registering doctor 35 Procedure registration means 36 Drinking method registration means 37 Medication information registration means 38 Schedule registration means 39 Teaching schedule registration means 40 Instruction record template registration means 41 Treatment order registration means 42 Procedure master registration means 43 Medication check means 44 Graphing processing means 45 Server information transfer means 46 LCD display screen 47 Laser Bar Code Scanner 48 Nursing Support Terminal Program 49 terminal main memory 50 terminal file recording device 51 terminal CPU 52 Vital sign input section 53 Pharmacist input section 54 Patient input section 55 Guidance Record Input Section 56 Nurse Input Section 57 Treatment implementation information input section 58 Temporary treatment input section 59 Condition input section 60 Output display 61 Terminal patient master file 62 Terminal nurse master file 63 Terminal Pharmacist Master File 64 Terminal doctor master file 65 Terminal Procedure Master File 66 Terminal Drink Master File 67 Terminal instruction record template master file 68 Terminal Treatment Master File 69 Terminal medication data file 70 Terminal drug detailed data file 71 Terminal schedule file 72 Terminal vital sign file 73 Terminal guidance schedule data file 74 Terminal guidance record data file 75 Terminal treatment order data file 81 Terminal information transfer means 82 Identification code collating means 83 Terminal Medication Enforcement Information Recording Means 84 Warning means 85 Terminal vital sign recording means 86 Schedule Search Method 87 Vital Sign Search Method 88 Medication information retrieval means 89 Teaching schedule search method 90 Terminal guidance record information recording means 91 Template Search Method 92 Instruction history search means 93 Treatment order search means 94 Terminal Treatment Implementation Information Recording Means 95 terminal treatment master reading means 96 Treatment history search means

Claims (15)

[Claims] 1. A nursing support system having a nursing support server and a mobile information terminal, and transmitting and receiving data between the two through a connection means such as a cradle to support medication management, wherein the nursing support server is a patient. Patient registration means for registering patient information including an identification code, nurse registration means for registering nurse information including a nurse identification code, and medication including a medication identification code capable of specifying a patient / prescription injection / dose date Medication information registration means for registering information, a patient master file for storing the patient information, a nurse master file for storing the nurse information, a medication data file for storing the medication information, a dosing method / procedure, A detailed medication data file that stores more detailed medication information such as the number of times, and patients, nurses, and prescription injections scheduled for medication from each of the files. The portable information is read out and transferred to the portable information terminal through the connection means and the server information transfer means for storing each information transferred from the portable information terminal in the respective files, and the portable information. The terminal receives each information related to a patient, a nurse, a prescription injection prescription, and the like scheduled for medication transferred from the server information transfer means via the connection means, and transfers each information after medication to the nursing support server. Terminal information transfer means, a file storage means for storing the information received by the terminal information transfer means as a terminal patient master file, a terminal nurse master file, a terminal medication data file and a terminal medication detail data file, respectively, It is affixed to the nurse identification code that you have, the patient identification code that the patient has, and the prescription injection Identification code reading means for reading the medication identification code, identification code collating means for collating the read identification codes with each file of the file storage means, and predetermined collation information collated by the identification code collating means is displayed. Display means, terminal medication enforcement information recording means for recording nurse information and medication time in the terminal medication detail data file when the identification code collation means collates the medication identification code, and the identification code collation A nursing support system comprising: the above-mentioned medication identification code by means and a warning means for issuing a warning when any one of a patient, a prescription injection prescription, and a medication date does not match. 2. The nursing support system according to claim 1, wherein the nursing support server is provided with a non-medication check unit that retrieves non-medication information for each patient from the detailed medication data file. 3. A portable information terminal used when a nurse administers a prescription injection prescription to a patient, each of which relates to a patient, a nurse, and a prescription prescription whose terminal information transfer means plans to administer medication through a connection means. A procedure for receiving information and storing it as a terminal patient master file, a terminal nurse master file, a terminal medication data file and a terminal medication detail data file in the file storage means, respectively, and the identification code reading means is a nurse possessed by the nurse. A step of reading the identification code; a step of causing the identification code collating means to collate the nurse identification code read by the identification code reading means with a terminal nurse master file and display corresponding nurse information on the display means; The identification code reading means reads the patient identification code of the patient; A procedure of collating the patient identification code read by the code reading means with the terminal patient master file and displaying the corresponding patient information on the display means, and the identification code reading means reads the medication identification code affixed to the prescription injection prescription. Procedure, and a procedure for the terminal medication enforcement information recording means to record the nurse information and the medication time in the terminal medication detailed data file when the medication identification code matches the patient / prescription injection date / date, and a warning The means is the medication identification code and the patient / prescription injection /
A nursing support program characterized by being executed as a procedure for issuing a warning if any one of the medication dates does not match. 4. A nursing support system having a nursing support server and a portable information terminal, and transmitting and receiving data between the two through a connection means such as a cradle to support the management of vital signs, wherein the nursing support server is Patient registration means for registering patient information including a patient identification code, nurse registration means for registering nurse information including a nurse identification code, schedule registration means for registering patient schedule information, and the patient information A patient master file to be stored, a nurse master file to store the nurse information, a schedule file to store schedule information for each patient, a vital sign file to store vital sign information for each patient, and from each of the files Patients, nurses, schedules and past plans to collect vital signs The server information transfer unit reads out each piece of information regarding vital signs and the like and transfers the information to the portable information terminal through the connection unit, and stores each piece of information transferred from the portable information terminal in each of the files, and The portable information terminal includes a patient, a nurse, who plans to collect vital signs transferred from the server information transfer means via the connection means.
Terminal information transfer means for receiving each information related to the schedule and past vital signs and transferring each information after collecting the vital signs to the nursing support server, and the information received by the terminal information transfer means for each terminal patient File storage means for storing as a master file, terminal nurse master file, terminal schedule file and terminal vital sign file, identification code reading means for reading a nurse identification code possessed by a nurse and a patient identification code possessed by a patient, and those Identification code collating means for collating the read nurse identification code or patient identification code with the terminal nurse master file or the terminal patient master file, respectively, and display means for displaying the information collated by the identification code collating means; Vitalsa And a terminal vital sign recording means for recording the vital sign information inputted by the vital sign input means in the terminal vital sign file together with the nurse and the concentrating time, and the patient identification code. Schedule search means for searching the terminal schedule file for schedule information such as surgery and medication based on the patient, and vital sign search means for searching past vital sign information from the terminal vital sign file based on the patient identification code. A nursing support system comprising: 5. The nursing support server according to claim 4, further comprising: medication information registration means for registering medication information of a patient; a medication data file storing medication information for each patient; and more detailed medication information. And a stored medication detail data file, and transfers medication information regarding a patient who collects vital signs from the medication data file and the medication detail data file to a portable information terminal and stores the medication data in the file storage means. Nursing support characterized in that it is stored as a file and a terminal medication detail data file, and the mobile information terminal is provided with a medication information search means for retrieving patient medication information from the terminal medication data file and the terminal medication detail data file. system. 6. The nursing support system according to claim 4 or 5, wherein the nursing support server includes graphing processing means for graphing the vital sign information of the vital sign file. 7. A portable information terminal used when a nurse collects a patient's vital signs, the terminal information transfer means is a patient, a nurse, a schedule and past vital signs whose vital signs are scheduled to be collected. The procedure for receiving each information related to the terminal via the connection means and storing them as the terminal patient master file, the terminal nurse master file, the terminal schedule file and the terminal vital sign file in the file storage means, and the identification code reading means, The procedure for reading the nurse identification code of the nurse and the identification code collating means collates the nurse identification code read by the identification code reading means with the terminal nurse master file and displays the corresponding nurse information on the display means. And the identification code reading means reads the patient identification code of the patient. And a procedure for the identification code collating means to collate the patient identification code read by the identification code reading means with a terminal patient master file and display corresponding patient information on the display means, and a terminal vital sign recording means. , A procedure of recording the vital sign information input by the vital sign input means in the terminal vital sign file together with the nurse and the concentrating time, and the schedule search means based on the patient identification code such as surgery or medication related to the patient. Nursing characterized in that it is executed as a procedure for retrieving schedule information from the terminal schedule file, and that the vital sign retrieval means retrieves past vital sign information from the terminal vital sign file based on the patient identification code. Support program. 8. A nursing support system having a nursing support server and a portable information terminal, and transmitting and receiving data between the two through a connection means such as a cradle to support medication instruction, wherein the nursing support server is a patient. Patient registration means to register the patient information including the identification code, pharmacist registration means to register the pharmacist information including the pharmacist identification code, and instruction to register the instruction schedule information such as the scheduled date of medication instruction and the content of the instruction schedule for each patient Schedule registration means, a patient master file that stores the patient information, a pharmacist master file that stores the pharmacist information, a guidance schedule data file that stores the guidance schedule information, and a guidance that stores the medication guidance record information by the pharmacist Recorded data files and patients, pharmacists, who plan to take medication from each of the files
It has a server information transfer means for reading out each piece of information related to an instruction schedule, an instruction record, etc., and transferring the information to the portable information terminal through the connection means, and storing each piece of information transferred from the portable information terminal in each of the files. The portable information terminal receives each information related to the patient, the pharmacist, the instruction schedule, the instruction record, and the like, which are scheduled to be instructed for medication, transferred from the server information transfer means via the connection means, and each after the medication instruction. Terminal information transfer means for transferring information to the nursing support server, and each information received by the terminal information transfer means is stored as a terminal patient master file, a terminal pharmacist master file, a terminal guidance schedule data file and a terminal guidance record data file, respectively. A file storage means, a pharmacist input means for inputting a pharmacist to be instructed, and a finger Patient input means for inputting a patient to be received, and identification code collating means for collating the pharmacist identification code or the patient identification code with each file of the file storage means by receiving the input from these pharmacist input means or patient input means, Display means for displaying predetermined collation information collated by the identification code collating means, instruction schedule search means for retrieving patient instruction schedule information from the terminal instruction schedule data file based on the patient identification code, and patient instruction And a terminal guidance record information recording means for recording the medication guidance record information input by the guidance record input means in the terminal guidance record data file. Characteristic nursing support system. 9. The nursing support server according to claim 8, wherein an instruction record template master file in which a template sentence of a medication instruction record is stored is provided, and the template information of this file is carried by the server information transfer means. The terminal information transfer means, which has transferred the information to the information terminal, stores it in the file storage means as a terminal instruction record template master file, and the portable information terminal stores a predetermined medication instruction from the terminal instruction record template master file. A nursing support system, characterized in that a template retrieval means for retrieving a template sentence of a record is provided. 10. The portable information terminal according to claim 8 or 9, wherein the portable information terminal is provided with instruction history search means for accessing a terminal instruction record data file to retrieve a history of past medication instruction content. Nursing support system. 11. A mobile information terminal used by a pharmacist to give medication instructions to a patient, wherein the terminal information transfer means uses a connection means to obtain information on a patient, a pharmacist, a guidance schedule, and information regarding guidance records. And a procedure for receiving a terminal patient master file, a terminal pharmacist master file, a terminal guidance schedule data file, and a terminal guidance record data file in the file storage means, respectively, and a procedure for the pharmacist input means to input the pharmacist to be taught. , A step in which the identification code collating means collates the inputted pharmacist identification code with the terminal pharmacist master file to display the corresponding pharmacist information on the display means, and a step in which the patient input means inputs a patient to be instructed, The identification code collation means collates the input patient identification code with the terminal patient master file and applies it. To display the user information on the display means, the instruction schedule search means to retrieve the instruction schedule information of the patient from the terminal instruction schedule data file based on the patient identification code, and display it on the display means, and the terminal instruction record A nursing support program, wherein the information recording means executes the medication instruction record information input by the instruction record input means as a procedure for recording in the terminal instruction record data file. 12. A nursing support system having a nursing support server and a portable information terminal, and transmitting and receiving data between the two through a connection means such as a cradle to support treatment to a patient, wherein the nursing support server is A patient registration means for registering patient information including a patient identification code; a nurse registration means for registering nurse information including a nurse identification code; a treatment order registration means for registering treatment order information from a doctor; A patient master file that stores patient information, a nurse master file that stores the nurse information, a treatment order data file that stores the treatment order information, and a patient, a nurse, and a treatment that plan treatment from each of the files. Each piece of information regarding an order, etc. is read out and transferred to the portable information terminal through the connection means, and A portable information terminal having a server information transfer means for storing each information transferred from a terminal in each of the files, and the portable information terminal planning a treatment transferred from the server information transfer means via the connection means, Terminal information transfer means for receiving each information regarding a nurse and a treatment order and for transferring each information after treatment to a nursing support server, and each information received by the terminal information transfer means for a terminal patient master file and a terminal, respectively. File storage means for storing as a nurse master file and terminal treatment order data file, nurse input means for inputting a nurse to be treated, patient input means for inputting a patient to be treated, and these nurse input means or In response to data input by the patient input means, nurse identification code or patient identification code, respectively An identification code collating unit that collates each file of the file storing unit, a display unit that displays predetermined collation information that is collated by the identification code collating unit, and a treatment order information of the patient based on the patient identification code. The treatment order search means for searching from the order data file, the treatment execution information input means for inputting the treatment execution information of the patient, and the treatment execution information input by the treatment execution information input means for the terminal treatment order data file. And a terminal treatment implementation information recording means. 13. The treatment master registration unit according to claim 12, which registers various treatment contents in the nursing support server,
A treatment master file for storing the treatment contents registered by the treatment master registration means is provided, and the treatment information is transferred from the server information transfer means to the terminal information transfer means via the connection means, and the terminal treatment master file is stored in the file storage means. The portable information terminal is provided with a temporary treatment input means for inputting a treatment performed when a temporary treatment not recorded in the terminal treatment order data file is performed, and a temporary treatment selection from the temporary treatment input means. A nursing support system comprising: a terminal treatment master reading unit that reads a treatment content from the terminal treatment master file in response to a command. 14. The nursing support system according to claim 12 or 13, wherein the portable information terminal is provided with a treatment history search means for searching the past treatment details from the terminal treatment order data file. . 15. A portable information terminal used by a nurse for treating a patient in accordance with a treatment order, wherein the terminal information transfer means relates to the patient, the nurse, and the treatment order scheduled to be treated via the connecting means. A procedure of receiving each information and storing it in a file storage means as a terminal patient master file, a terminal nurse master file and a terminal treatment order data file, and a procedure in which the nurse input means inputs a nurse to be treated, Identification code collating means collates the inputted nurse identification code with the terminal nurse master file and displays the corresponding nurse information on the display means, and patient input means inputs the patient to be treated And the identification code collating means collates the inputted patient identification code with the terminal patient master file and displays the corresponding patient information. A procedure for displaying, a procedure for retrieving treatment order, a procedure for retrieving treatment order information of a patient from a terminal treatment order data file based on the patient identification code and displaying it on the display means, and a procedure for recording terminal treatment information, A nursing support program, which is executed as a procedure for recording the treatment execution information input by the treatment execution information input means in a terminal treatment order data file.