JP2003108661A - Nursing and medical care supporting system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a nursing and medical care supporting system for easily making a nursing treatment plan concerning various nursing treatments for each patient and disease in a hospital or clinic, and recording and confirming the proper implementation of the nursing treatment following the nursing treatment plan. SOLUTION: Nursing plan information corresponding to a treatment purpose standardized based on a plurality of clinical path items along a time axis is preliminarily stored for each disease. A nurse who is in charge of the nursing treatment for an inpatient displays the nursing treatment plan information based on those clinical path items corresponding to the inpatient in the A column of a display picture set in a personal computer or the like. Then, the nursing treatment is implemented according to each clinical path item displayed as a list, and the nursing treatment result is inputted or recorded for each item. The nursing treatment result is recorded and preserved for each patient. Also, the recorded and preserved nursing treatment result can be read, and displayed in the picture.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a nursing medical support system for nursing treatment performed in a hospital or a clinic, and is particularly suitable for various types of nursing treatment, rehabilitation or nursing care according to the illness of each patient. The present invention relates to a nursing care support system that makes it easy to make a proper nursing treatment plan and records and confirms that a nursing treatment act is appropriately executed according to the nursing treatment plan.

[0002]

2. Description of the Related Art In hospitals and the like, for hospitalized patients who have been diagnosed with a specific disease by a doctor, the chief of the ward, such as the head nurse, has to make a diagnosis of the doctor and the knowledge and experience of the ward manager himself. Based on the nursing treatment action including examination, treatment, drug instruction, nutrition instruction, educational instruction, temperature measurement, symptom observation, etc., a nursing treatment plan is prepared for each patient, and a plurality of nurses are in accordance with the nursing treatment plan. Is providing nursing / treatment for each patient.

However, in recent years, medical technology or medical equipment has become more sophisticated and complicated, and various treatments and nursing actions are required, and doctors and nurses process them appropriately and promptly. Must. Even for the same illness, different nursing treatment plans are made for each patient, and a plurality of nurses, etc. respond based on each plan. Regarding the nursing treatment actions performed in such a state,
While maintaining necessary and sufficient contents, it is required to avoid duplication of examinations, treatments, etc. as much as possible to reduce waste and to keep the hospitalization period in the shortest number of days.

Further, due to the complexity of nursing treatment actions, a plurality of nurses having different years of experience and different proficiency correspond in the field of nursing treatment. It is expected that the quality of action will be high and a uniform nursing treatment action will be maintained among multiple nurses.

[0005]

However, in the field of nursing treatment, the number of nurses and the like is limited, and there is no choice but to cope with the increasing number of inpatients, and to the same patient. However, there may be a need for nursing care all the time. Furthermore, when appropriately treating nursing treatment actions including examinations, treatments, drug guidance, nutritional guidance, educational guidance, thermometry, symptom observation, etc. for each patient and disease type, in addition to the number of nurses, The degree of proficiency also has a great influence.

[0006] In many actual hospitals, a ward manager such as a gynecologist manually creates a nursing treatment plan for a plurality of days for each patient. In the nursing treatment plan, an execution management plan regarding daily nursing treatment actions is described on paper, and a plurality of nurses, etc., treat / nurse the patient by presenting the plan or verbally instructing the patient. . That is, a plurality of nurses and the like take turns for a plurality of days based on a nursing treatment plan individually instructed for each patient and each day. Therefore, only the doctor in charge and the ward manager can understand the progress and progress of the overall nursing treatment plan for the patient. Due to the fact that the person who can grasp the whole thing and the person who performs the actual nursing treatment are different, and because it is necessary to deal with a large number of patients with multiple diseases in the same ward, there is an excess or inability to Sufficient treatment / nursing may be provoked, resulting in an unnecessarily long hospital stay.

[0007] Further, since the treatment / nursing act for the inpatient is performed by a plurality of nurses and the like in turn for a plurality of days of hospitalization, the progress / progress thereof is surely transmitted to the nurses engaged in alternation. In order to do this, it is not enough to rely on verbal information, and many records and inspection results need to be documented or input as electronic information, which requires a lot of time. There is.

On the other hand, in the course of complicated medical treatment, there is concern about the difference in the quality of nursing medical treatment among a plurality of nurses who have different years of experience and proficiency and the occurrence of medical treatment / nursing mistakes. It is starting to become a problem.

In the case of hospitalization for a medium to long term, it is difficult for a patient who receives medical treatment to know the progress of his / her examination / treatment, which imposes an excessive mental burden.

Nursing plans are based on the doctor's judgment at any time and the experience and knowledge of the ward manager, such as the chief of the ward, so that the hospitalization period can be extended and individual hospital expenses can be increased by performing it individually for each patient. It is difficult to know in advance.

Under such circumstances, an attempt to introduce an electronic medical chart system and an electronic ordering system has been made in order to rationalize nursing / treatment by sharing medical information with doctors, nurses, hospital staff and the like. Has been. These systems consist of doctors' diagnostic findings and treatment instructions such as medications,
Records of information such as test results after the fact are digitized and provided only to multiple hospital staff. Then, only the nursing treatment plan established in advance is recorded, and not the time series information such as the result and the history of the treatment according to the plan. Therefore, for example, when making a nursing treatment plan for a patient who is hospitalized for the treatment of a specific disease, or when trying to shorten the hospitalization period for that patient, etc. As a result of relying on the experience of the planner,
Those systems cannot meet this demand.

[0012] In the electronic medical chart system and the electronic ordering system, in reality, even if the same disease is involved, a plan for nursing treatment action is formulated based on a different treatment policy depending on the instructing doctor and the patient to be treated. Therefore, the items that require input regarding the nursing treatment act are not standardized. For this reason, the items related to the nursing treatment act to be recorded often include free description input. Even when these descriptions are viewed as a record, not only it becomes difficult to understand the plan, but also the input work for each of these items becomes excessive, which causes adverse effects such as pressing the time of nursing treatment action for the patient. There was a problem that it would occur.

Even if these systems are introduced, it is difficult to maintain a high-quality and uniform nursing treatment action in the field of nursing by a plurality of nurses having different years of experience and proficiency level. .

Therefore, the present invention provides inspection, treatment, drug instruction, nutrition instruction, educational instruction, temperature measurement, etc. in a hospital or clinic.
Nursing care actions such as observing symptoms should be performed at a high level and uniformly without being influenced by the proficiency level of the nurse.
It is an object of the present invention to provide a nursing care support system that can provide timely support according to the course of treatment.

By connecting a plurality of electronic information devices having this nursing and medical support system to a network via a backup server, or by having a portable information terminal owned by a plurality of nurses, a nursing action or the like can be performed. It enables related persons and patients to share the information, rationalizes nursing treatment activities, suppresses mistakes related to nursing treatment actions, reduces clerical work in reporting related to nursing treatment actions, and patients themselves. Can reduce the mental burden by knowing the progress of self-treatment in a timely manner, and can realize the rationalization support of management in hospitals by collecting and analyzing records of nursing treatment actions.

[0016]

In order to solve the above problems, in the present invention, in a nursing care support system, display means for displaying nursing treatment plan information corresponding to a treatment purpose including a plurality of clinical path items, According to the clinical path item, there is provided input means for inputting or recording a nursing care result, and control means for displaying and controlling the nursing care plan information according to a designation and storing the inputted or recorded nursing care result. The nursing treatment plan information is standardized by the clinical path items along the time axis, and is stored in advance according to a plurality of treatment purposes.

Further, the control means reads out the nursing treatment plan information when the treatment purpose is designated, and the display means displays a plurality of clinical path items relating to the nursing treatment plan for each patient. Displayed a list.

Further, the control means can display the stored nursing treatment plan information having the nursing treatment result on the display means according to a designation, and when the nursing treatment according to the clinical path item is interrupted. , Switch to the display of other designated nursing care plan information, or if the nursing care result input or recorded in accordance with the clinical path item is judged to be abnormal, the nursing care plan information can be freely displayed. We decided to switch to the display of description items.

[0019]

BEST MODE FOR CARRYING OUT THE INVENTION An embodiment of a nursing care support system according to the present invention will be described below with reference to the drawings.

In the conventional electronic medical record system and electronic ordering system related to nursing medical services, doctors' diagnostic findings, medical treatment instructions such as medications, and post-recording of information such as test results are digitized to allow multiple hospital staff It was only provided.

On the other hand, in the nursing care support system of this embodiment, the concept of critical path, which is a process control technique, is introduced into the nursing treatment action, and, for example, in nursing and treatment for patients in a time series after hospitalization. Various necessary treatment information was simplified and standardized (hereinafter, this is referred to as a clinical path as a critical path introduced in the medical field). The treatment information by the clinical path is converted into electronic information for each disease and every hospitalization date, for example. Then, based on the clinical path treatment information, a nursing treatment plan corresponding to the disease can be planned in a timely manner for each inpatient. Furthermore, a system is provided in which a nurse or the like who carries out nursing treatment actions for the inpatient can confirm the nursing treatment actions according to the clinical path items in the nursing treatment plan, input necessary items, and store and record these.

Therefore, FIG. 1 shows a specific example of a nursing treatment plan corresponding to the disease for each inpatient based on the clinical path treatment information by the nursing care support system of this embodiment. In FIG. 1, the screen X related to nursing record input in the nursing treatment plan is an LC attached to a personal computer or the like.
An example of the case of being displayed on D or the like is shown.

Next, various information displayed on the screen X will be described. In the "date" column, the date when the nursing treatment action is performed is initially displayed. When the patient number registered in advance is entered in the "patient number" field, the patient name is displayed. Then, the day of admission of the patient is displayed, and in the figure, the first day of admission, “1” day, is displayed. Furthermore, when the hospitalization registration of the patient is entered in the “disease code” field and a disease according to the treatment purpose of the hospitalization is entered, the treatment code for each disease and the disease etc. corresponding to this code are automatically entered. The disease name and is displayed. In the figure, it is displayed that the treatment purpose of the inpatient is "diabetes education 2 weeks". Here, it is assumed that all diseases and the like that can be treated in the ward are coded.

The area A is an area screen on which clinical path items are displayed, and each item is sequentially displayed in a list format. Each clinical path item displayed in the A column is the one that is read out and displayed from the clinical path treatment information stored in a computerized form in the database, using the disease code and the hospitalization elapsed date as keys. is there. In the figure, an example of a state in which the clinical path items necessary for the nursing treatment act on the first day of being hospitalized for "two weeks of diabetes education" are listed. If the size of the display area is limited, or if the display area cannot be fully displayed,
Make the area screen scrollable.

In the parentheses () provided for each clinical path item displayed in the column A, an input / record according to the attribute of the item can be entered. For confirmation check items such as "inspection", use a numeric keypad or the like to press the 1 key for OK and the 2 key for NG to perform a confirmation check. I do. For measured value items such as “height” and “weight”, refer to “15
Enter a measured value such as "5" or "60", and an appropriate wording such as "freedom in the ward" for memo items such as rest confirmation items. In addition, in the symptom observation item and the like, a code can be entered for each working form of a nurse or the like regarding whether or not there is a symptom. In this way, all the clinical path items displayed in the A column are input / recorded by the nurse or the like.

The column B is a free entry column for specially describing the items required when the nursing treatment act is performed according to each clinical path item displayed in the column A. In the column B, the time, article, and writer are entered, and in the writer column, the person-in-charge code at the time of logging on this nursing record entry is automatically displayed, and its name is also displayed at the same time. .
Each input field is equipped with a "Cancel" check button. Clicking this button will cancel the input article, etc., but as shown in the figure, double lines are overlaid to ensure security. However, it is possible to check what was filled in later.

The column C is for selecting whether the nursing record input is normal input or variance input. When Nursing Record Input screen X is activated,
"Normal input" is set, and when transitioning to a nursing treatment act that is different from the disease due to complications, etc., click the "Variance input" check button to display the clinical path displayed in column A. Discontinue nursing treatment by item. Then, for example, when the previous day is variance and the case returns to normal, the check button of “normal input” is clicked. At this time, the corresponding code is entered in the “disease code” field, and the day of hospitalization for the disease is entered. Then, the clinical path items corresponding to the disease code and the hospitalization elapsed date are listed in the column A.

Column D is a writer confirmation column for inputting a nursing record. Nursing treatment for inpatients is usually performed by three shifts by nurses, etc., and there are three categories of late night shift, day shift and semi-night shift, so enter the person in charge code in each work category column. be able to. At this time,
For the security check, this nursing record input screen is compared and checked with the person-in-charge code when logging on. The person-in-charge code for each division is entered by entering it in parentheses (). Here, when the inputted person-in-charge code is collated and confirmed, a clinical path item related to the inpatient corresponding to the disease code, the hospitalization elapsed date, and the work division is displayed in the column A. . Therefore, the nurse or the like who inputs the person-in-charge code may perform the nursing treatment act on the inpatient in accordance with the displayed clinical path item and record the result.

When the "display" button provided on the screen X is clicked and pressed, the data in the middle of inputting the patient number is discarded, the data before input is redisplayed, and the "return" button is clicked and pressed. Then, the data immediately after the input of the disease code and the hospitalization elapsed date is redisplayed.

A "register" button is provided on the screen X, and when this button is pressed, a record of the nursing treatment performed by the nurse or the like according to the clinical path item,
Alternatively, the description for the free input item is stored. At this time, if there are omissions of checks or omissions, a warning is issued by sound, or by highlighting the omission items or displaying a omission message, to prompt the omission of the omissions. Therefore, the recorded contents are stored after these leaked items are filled.

The screen X is provided with a "history" button. While performing nursing treatment actions for inpatients, there may be cases where you want to refer to past nursing treatment actions, and shift to the inquiry screen where you can inquire about nursing treatment actions not only for the inpatient but other inpatients. It is like this. The inquired disease code, the clinical path item as a record corresponding to the patient or the designated hospitalization date may be displayed in the column A, or may be displayed in a window separately opened in the screen X.

Furthermore, a "close" button is provided, which is pressed after registration when closing the nursing record input screen. Or use it to exit the inquiry screen,
You may close the inquiry screen and return to the nursing record input screen.

When inputting for each item,
By associating the input contents with specific keys such as a ten-key pad, the input operation is easy, and moreover, the input error can be prevented. Further, although it can be associated with a specific key such as a keyboard, if a touch panel system is adopted for the screen itself, an input operation can be performed in an interactive manner at the time of input. Alternatively, input may be performed by clicking with a pointer such as a mouse.

The nursing care support system according to this embodiment using the nursing record input screen shown in FIG. 1 will be described below with reference to the drawings. An outline of functional blocks related to this nursing record medical system is shown in FIG.

In FIG. 2, the nursing medical support system is
The control unit 1, the storage unit 1, the input operation unit 3, the display unit 4, and the print / output unit 5 are included.

The control means 1 is composed of a CPU or the like, and controls the entire system as well as the master registration function section 1
1, admission and discharge registration control unit 12, clinical path function unit 13
Further, the master registration function unit 11 has a person registration control unit 111, a list display item registration control unit 112,
Then, the check list item registration control unit 113 is divided. Further, the clinical path function unit 13 has a nursing record input control unit 131 and a patient-specific record introduction control unit 132.

The storage means 2 stores a first storage section 21 for storing clinical path treatment information for each illness code and for each admission date, and a clinical path treatment record information recorded for each inpatient. 2 storage unit 22 is provided.

The nursing care support system includes a server having a storage means 2, a control means 1 connected to a network such as LAN and Ethernet (registered trademark), a personal computer having an input means 3 and a display means 4, and the like. It can be configured with a plurality of electronic terminal devices. It is also possible to configure these electronic terminal devices as mobile information terminals.

Next, an operation process in the nursing care support system having the configuration shown in FIG. 2 will be described with reference to the drawing.

First, when an operator such as a nurse clicks "start", "program" and "clinical path" in order by operating the input operation means 3 to start the program of the nursing and medical support system, a message is displayed. Enter the person in charge code and password according to the login screen displayed on the means 4. This operation is to confirm whether or not the person is originally qualified to access the system.

Here, when the access is permitted, the system is activated and the menu selection screen X1 of the system is displayed on the display means 4. A specific example of the menu selection screen X1 is shown in FIG. The menu displayed on screen X1 is
Corresponding to the control function of the control means 1, “Nursing record input” and “Patient record inquiry” are provided as clinical path menus, and “Person registration”, “List display item registration” and “List registration item registration” are provided as master registration menus. "Checklist registration" is displayed as "hospitalization registration" and "hospitalization registration" as a registration menu for admission and discharge. Each of the buttons is an iconized button, or is associated with a specific key as illustrated.

Then, the "hospitalization registration" icon is clicked to register the patient's hospitalization on the nursing care support system. Here, the control means 1 is the hospitalization registration control unit 1
2 is activated, and the hospitalization registration screen X2 shown in FIG. 4 is displayed on the display means 4. According to this screen X2, patient number,
Enter the patient name. Further, the disease name column is dropped down, and the disease name is selected from the displayed disease name list and clicked. Then, the code corresponding to the selected disease name is displayed in the disease / course column. In addition, the date of hospitalization may be entered or the date of hospitalization may be automatically entered. Then, the patient's room in the ward is entered. If the nurse in charge determines that the above items are appropriate, the "register" button is pressed. The control means 1 pastes each data input here to the corresponding item in the nursing record input.

Then, the nurse or the like who is in charge of nursing treatment of the inpatient concerned clicks on the "register person" icon in order to register / correct the person in charge who is the basic item handling the nursing record input. , Start the person registration control unit 111,
The person registration / correction screen X3 shown in FIG. 5 is read out and displayed on the display means 4. Here, the nurse or the like who is in charge of nursing the inpatient inputs the person-in-charge code, name and password and clicks the "Register" button. At this time, the password is displayed as a subscript. Here, after the person in charge is registered, only the person in charge can perform screen operations such as nursing record input unless the person in charge is deleted or modified. However, it is assumed that the clinical path treatment record information stored in the second storage means 22 can be accessed without performing this person registration.

Now that the person in charge of nursing the inpatient has been determined, the nurse or the like who is in charge clicks the "nursing record input" icon. The control means 1 activates the nursing record input control section 131 and displays the nursing record input classification designation screen X4 shown in FIG. 6 on the display means 4. When a plurality of nurses, etc. are in charge of nursing treatment actions for the same inpatient, for example, when performing nursing in three shifts, the nurse in charge is in charge of each work. Enter whether you are going to perform nursing in a division. Figure 6
In the designation screen X4 shown in, the case of designating the day shift category is shown.

In this way, since the hospitalization date, patient number, disease code, and work classification are input or designated for the inpatient concerned, the nursing record input control unit 131 calculates the hospitalization elapsed days, Based on the disease code and the work classification, the corresponding clinical path treatment information stored in the first storage unit 21 is read. Then, as shown in FIG. 1, on the nursing record input screen X displayed on the display means 4, the date, the patient number and the name, the disease code and the disease name are applied to each column, and the calculated number of days of hospitalization is output. Further, in the column A, each item of the read clinical path processing information is displayed in a list.

The nursing record input screen X shown in FIG. 1 shows an example of the case where the patient was admitted in the course of "diabetes education for two weeks", and the clinical path processing information of each clinical path displayed in the column A is displayed. The pass item indicates the nursing treatment action that should be performed by a day shift nurse on the first day of hospitalization. Each of these clinical path items has various contents depending on the illness code, the number of hospitalization days, and the work division. In the column A shown in FIG. 1, a display example of the clinical path items is briefly shown. , Partly omitted.

Therefore, the nurse or the like who is in charge of nursing the inpatient concerned is required to perform inspection, treatment, drug instruction, educational instruction, temperature measurement, symptom observation, etc. while confirming according to each clinical path item displayed. Nursing treatment is performed, and the results are shown as "Yes", "No" or "○""X".
Select from the selection items such as “OK” and “NG” and input. The nurse or the like can also input the wording in the free input field B as a memo item for a further necessary item. In the example of FIG. 1, the memo item describes that the hospitalization procedure was performed at 15:00. The next input field shows the case where the entered wording is canceled.

Next, when the check is completed for each clinical path item displayed in the A column, the nurse in charge pushes the "register" button and operates the "close" button to input the nursing record. finish. Here, when the "register" button is pressed and there is no input for the clinical path item scheduled to be input, the control means 1 displays a warning message on the display means 4 or emits a warning sound. It is supposed to be emitted. Furthermore, even during the course of nursing treatment, depending on the clinical path item, the time is counted, and even if no input is made corresponding to a predetermined time lapse, it is displayed on the display means 4. A warning message may be displayed or a warning sound may be emitted.

Further, in the case where a result such as that the input data of the examination exceeds the preset allowable range or the like is obtained and a complication or the like in which the treatment should be prioritized is recognized, the column C is used. It is possible to check the variance input of the above, interrupt the nursing treatment action according to each current clinical path item, read out the clinical path treatment information related to another disease, and display the clinical path item related to the other disease. Here, it is possible to automatically switch to the free description method, or even if it is judged that the inspection value by the doctor or the nurse in charge of the ward is abnormal, it can be switched manually instead of automatically switching. You can When the illness for which treatment should be prioritized has recovered to a certain condition as a result of medical treatment, the treatment is returned to the final time point at which the clinical path item relating to the illness before the switching has been treated.

On the other hand, there may be a case where it is desired to refer to past clinical path processing information even while performing a nursing treatment action according to each clinical path item displayed on the nursing record input screen X as shown in FIG. . In such a case, the nurse in charge displays the menu selection screen X1 on the display means 4, and clicks on the “patient record inquiry” icon. In response to this click, the patient-specific record inquiry control unit 132 is activated, and the patient-specific nursing record screen X5 as shown in FIG. 7 is displayed.

At this point, since the inquiry target is not specified, only the format is displayed.
When the patient number or the patient name is input, the patient-specific record inquiry control unit 132 searches the past clinical path treatment record information stored in the second storage unit 22 and reads the corresponding clinical path processing record information. . On the display means 4, for example, a patient-specific nursing record based on clinical path items as shown in FIG. 7 is displayed every hospitalization date. If all of the images cannot be displayed due to the size of the screen, it may be possible to scroll vertically or horizontally.

When inputting the patient number or the patient name, it may not always be possible to know the case of the patient to be inquired. For example, click the patient name column.
It is convenient to display the patient selection screen by pressing a specific key or the like. A list of multiple patient names and their corresponding disease names is displayed on the patient selection screen,
Select and click the patient name you want to inquire from these.

Further, as shown in FIG. 7, when a nursing record is inquired by designating a specific patient, it is possible to find out what kind of clinical path item is displayed by just looking at the displayed record of the clinical path item. It may not be clear if the nursing treatment act was performed. Then, when the "separate sheet" button provided on the patient-specific nursing record inquiry screen X5 is pressed, the separate sheet inquiry selection screen is displayed on the display means 4. On this selection screen, the clinical path item name including the detailed checklist is displayed, and the required item name is selected from this. The control means 1 further includes
The recorded information stored in the second storage unit 22 is searched, the detailed checklist in the relevant clinical path item is read out, and, for example, the screen X6 as shown in FIG. Thereby, the detailed checklist of the specific clinical path item can be viewed, and the check status can be grasped.

Further, the patient-specific nursing record inquiry screen X5 is provided with a "print" button. When this button is pressed, the displayed patient-specific nursing record is hard-copied by the print / output means 5. It At this time, the print target can be all of the displayed records or a part of which the range is designated.

On the other hand, the nursing record input screen X shown in FIG.
When nursing care is performed according to the clinical path item displayed in, if the record format of the clinical path item is memo type, it is convenient to input a record if a fixed phrase that can be selected from the list is prepared. For example, it is a case of inputting "8th minute intake" in parentheses () like the clinical path item "adult food" shown in the column A on the screen X of FIG.

Then, the "list display item registration" icon provided on the menu selection screen X1 shown in FIG. 3 is clicked. The control means 1 includes a list display item registration control unit 11
2 is started, and the list item registration screen X as shown in FIG. 9 is displayed.
7 is displayed on the display means 4. Select a disease name from the disease names that have been dropped down, display each clinical path item related to the disease name with a drop down, and select the relevant clinical path item from that, and a list item entry field will be displayed. .

Therefore, a required fixed phrase can be newly described, or a new fixed phrase can be inserted into an existing fixed phrase. When the "Add item" button is clicked, a line is inserted above the line currently positioned in the list item, and additional entry of items is possible. Also, by pressing the "Delete item" button, the currently positioned line can be deleted from the list. Then, when the "register" button is pressed, the added / deleted input contents are registered. The list item registration screen X7 shown in FIG. 9 indicates the disease name "diabetes education 2 weeks".
An example of registration of a fixed phrase in the clinical path item “DM” in FIG. By registering the fixed phrases in this way as needed, it is possible to reduce the check input work for each clinical path item while performing nursing treatment.

The nursing record input screen X shown in FIG.
When performing a nursing treatment according to the clinical path item displayed in, if the recording format of the clinical path item is a check check type, for example, as shown in FIG. When the confirmation of the record of the pass item "SMBG instruction" is based on the detailed checklist, the checklist items can be added / removed / corrected as necessary.

Then, when the "checklist registration" icon on the menu selection screen X1 shown in FIG. 3 is clicked, the control means 1 causes the checklist item registration control section 11 to operate.
3 is activated, and the check list item registration screen X8 shown in FIG. 10 is displayed on the display means 4. Then, select the relevant disease name from the dropped-down disease names, display each clinical path item related to the disease name by down-dropping, and select the relevant clinical path item from that, the checklist item column will be displayed. To be done.

When the "Add item" button on the screen X8 is pressed, for example, a line is inserted above the currently positioned line of the checklist, as indicated by the thick line in the figure.
It becomes possible to add additional items. Also, by pressing the "Delete item" button, the currently positioned line can be deleted from the list. Then, when the "register" button is pressed, the added / deleted input contents are registered. In this way, the detailed check items of the clinical path items can be changed / added and corrected as necessary, and thus the quality of appropriate nursing treatment actions can be improved.

As described above, in the nursing care support system according to the present embodiment, nursing care is performed in advance for each of various diseases, for example, based on the time-series clinical path treatment information such as the number of days after hospitalization. Necessary tests, treatments, drug guidance, nutritional guidance, educational guidance, temperature measurement, symptom observation, etc. are standardized and memorized as each clinical path item, so it is possible to make an appropriate nursing treatment plan for inpatients in a timely manner. it can.

Furthermore, the patient name that enables identification of the patient,
Each item such as identification number, illness name, room number, hospitalization or hospitalization date was stored. Therefore, the patient-specific nursing record can be inquired at any time. The clock built in the electronic information terminal allows the date and time of recording and checking of each clinical path item to be managed.

Further, the examination / treatment / nursing activities necessary for the patient on the day can be displayed, and the examination / treatment /
Since the result of the nursing action is input and recorded in the server, the result of the examination / treatment / nursing action can be compatible with other electronic information terminals. Further, by combining with a printer, it is possible to print out the examination / treatment / nursing memorandum stored for each patient as a nursing record progress.

Although the present embodiment described above is a nursing care support system using the concept of clinical path for the nursing treatment plan for nurses in hospitals, etc.,
The support system can be applied not only to the nursing treatment in a hospital or the like but also to the rehabilitation or nursing care in a medical institution or the like, or home-based nursing, by applying the concept of the clinical path to each.

[0065]

As described above, in the nursing care support system of the present invention, as a clinical path item for various diseases, a nursing treatment plan along a predetermined time axis is standardized and incorporated. The treatment act is completed within the determined period. In addition, the clinical path items are
Since it is standardized and incorporated according to the relationship network of treatments required depending on the disease and the patient's symptoms, it is possible to suppress nursing mistakes regarding nursing treatment and to provide high-quality, uniform medical and nursing services. You can

Further, since the treatment record according to the clinical path item is digitized and saved, a plurality of nurses and related persons working on a shift basis can share the nursing treatment information. And since the treatment records according to the clinical path items are digitized and saved, it can be shared not only by doctors and nurses but also by medical institutions as a history for each patient,
It is possible to prevent duplicate tests and double administration of pharmaceuticals.

[Brief description of drawings]

FIG. 1 is a diagram showing a specific example of a nursing record input screen used in the nursing care support system according to the present embodiment.

FIG. 2 is a diagram showing a system function block diagram in the nursing care support system according to the present embodiment.

FIG. 3 is a diagram showing a specific example of an initial menu selection screen.

FIG. 4 is a diagram showing a specific example of an input screen relating to patient hospitalization registration.

FIG. 5 is a diagram showing a specific example of an input screen regarding registration / correction of a person in charge.

FIG. 6 is a diagram showing a specific example of an input screen for designating a nursing record input category.

FIG. 7 is a diagram showing a specific example of a patient-specific nursing record inquiry screen.

FIG. 8 is a diagram showing an example of an inquiry screen when a separate sheet inquiry is made on the patient-specific nursing record inquiry screen.

FIG. 9 is a diagram showing an example of an item registration screen for selecting a list of memo type items on a nursing record input screen.

FIG. 10 is a diagram showing an example of a checklist item registration screen for setting a checklist for confirmation check type items on the nursing record input screen.

[Explanation of symbols]

1 ... Control means 11 ... Master registration function unit 111 ... Personnel registration control unit 112 ... List display item registration control unit 113 ... Checklist item registration control unit 12 ... Hospitalization registration control unit 13 ... Clinical processing function section 131 ... Nursing record input control unit 132 ... Patient-specific record inquiry control unit 2 ... storage means 21 ... First storage unit 22 ... Second storage unit 3 ... Input operation means 4 ... Display means 5 ... Printing / outputting means

   ─────────────────────────────────────────────────── ─── Continued front page    (71) Applicant 000240617             Yonezawa NEC Corporation             2-6-80 Shimohanazawa, Yonezawa City, Yamagata Prefecture (72) Inventor Sumiko Yoshitani             3-4-1 Iidanishi, Yamagata City, Yamagata Prefecture (72) Inventor Hideo Manaka             2-9-305 Iidanishi 2-chome, Yamagata City, Yamagata Prefecture (72) Inventor Hiroyuki Ono             1-29-905 1-2-1, Mikkamachi, Yamagata City, Yamagata Prefecture (72) Inventor Kazuyoshi Aino             1456, Kuwayama, Mansei-cho, Yonezawa City, Yamagata Prefecture (72) Inventor Yasunori Matsuki             3-34 Shimohanazawa, Yonezawa City, Yamagata Prefecture             Po-Yumicho F-2 (72) Inventor Toshiyuki Hara             2-6-80 Shimohanazawa, Yonezawa City, Yamagata Prefecture Yonezawa             Within NEC Corporation F-term (reference) 4C341 LL30

Claims (7)

[Claims] 1. A display unit for displaying nursing treatment plan information corresponding to a treatment purpose including a plurality of clinical path items, an input unit for inputting or recording a nursing treatment result in accordance with the clinical path items, and according to a designation. And a control means for controlling the display of the nursing care plan information and storing the inputted or recorded nursing care result. 2. The nursing care support system according to claim 1, wherein the nursing treatment plan information is standardized by the clinical path items along the time axis. 3. The nursing treatment plan information is stored in advance according to a plurality of treatment purposes, and the control means reads the nursing treatment plan information when the treatment purpose is designated. Claim 1
Or the nursing care support system according to 2. 4. The nursing care support according to claim 1, wherein the display unit displays a list of a plurality of clinical path items related to the nursing treatment plan for each patient. system. 5. The control unit displays the stored nursing treatment plan information having the nursing treatment result on the display unit according to a designation.
The nursing care support system according to any one of 1. 6. The control means switches to a display of other designated nursing care plan information when the nursing treatment according to the clinical path item is interrupted. Nursing and medical support system described in paragraph. 7. The control means switches the display of the nursing treatment plan information to the display of free description items when it is determined that the nursing treatment result input or recorded according to the clinical path item is abnormal. Claim 1 characterized by
7. The nursing care support system according to any one of items 6 to 6.