JP2005353086A - Supporting system of medical treatment entry confirmation, method, and computer program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To confirm that a plurality of medical treatment entries scheduled to be offered to a plurality of patients can surely be executed in a supporting system of medical treatment entry confirmation. <P>SOLUTION: The supporting system of medical treatment entry confirmation is provided with: a retrieval means 42 for searching a database 21 to store medical treatment entry data, state data, and patient identification data according to retrieval conditions in association with the plurality of patients and a plurality of medical treatment entries to be confirmed; displays 41 and 5 for displaying a matrix-shaped chart with patients on a first axis and medical treatments on a second axis on the basis of the medical treatment data obtained as a retrieval result and displaying a symbol mark assigned to a state shown by the state data included in the medical treatment data obtained as the search result within a corresponding square in the chart respectively; and an input means 3 capable of designating desired squares and the like. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention confirms various medical items such as prescription, injection, and inspection performed by a nurse or the like for a plurality of patients in accordance with an instruction from a doctor or the like in a medical facility such as a hospital or the like. Therefore, the present invention belongs to the technical field of a novel medical item confirmation support system and method, and a computer program for causing a computer to function as such a system.

Conventionally, in medical-related facilities such as hospitals, a large number of patients are generally in charge of a large number of patients, for example, in units of wards, units of medical departments, units of medical departments, and the like. Therefore, in medical facilities, work tables such as ward units called cardex etc. are created, and by looking at this, various nurses etc. receive various medical items instructed by one or more doctors. There is a mechanism for confirming this.

Furthermore, a system for confirming various medical items has been developed with recent progress of computers. For example, by running a computer program called “navigation care map” or “care map” (both registered trademarks of Kameda Medical Information Laboratory) on a computer, the horizontal axis is created electronically for each patient. A so-called "care map", which is a table with dates and medical items on the vertical axis, is displayed on the computer screen, and nurses etc. can check the schedule for each patient by seeing this. ing. Such a care map is disclosed in Japanese Patent Nos. 2706645 (Japanese Patent Laid-Open No. 9-185651) and 2815346 (Japanese Patent Laid-Open No. 10-214302) patented by the present applicant. Yes.

However, even if traditional work schedules are displayed on the screen or on the paper as described above, under the system where multiple nurses perform various medical items for multiple patients,
For example, after an order is issued by a doctor, etc., it is displayed on the screen or paper,
It is not clear on the display whether the nurse has confirmed this, or whether it has been executed. For this reason, there is a problem in that confirmation failure from the schedule, omission of execution, and error are likely to occur, causing a medical error.

Furthermore, although the above-described care map can be used to easily and reliably check the schedule for each patient, it is a separate table for each patient. For this reason, there is a problem that as the number of patients to be assigned increases, the confirmation work becomes more complicated and lacks practicality. Furthermore, it is difficult to grasp the overall workload and work sequence, such as what to do next or what to do that day for nurses who deal with multiple patients on the care map display. Nurses can become extremely busy or free on certain days.

In addition, as a result of instructions from doctors etc., if the administration period of continuously administered drugs or injections is approaching the end, it is in charge of whether or not this administration should continue further It is very difficult for a nurse or the like, or even a doctor himself / herself to confirm with certainty or no deficiency, and this causes stress in the nurse and the like. Needless to say, if the prescription is actually lost, the treatment will have a serious adverse effect.

The present invention has been made in view of the above problems, and medical item confirmation support that makes it possible to confirm a plurality of medical items scheduled to be performed on a plurality of patients so that the medical items can be reliably executed. It is an object to provide a system and method, and a computer program that causes a computer to function as such a system.

In order to solve the above problem, the medical item confirmation support system of the present invention has medical item data indicating a medical item in one state among a plurality of preset states, state data indicating the one state, and Search means for searching a database storing medical data including patient identification data indicating a patient related to execution of a medical item with search conditions corresponding to a plurality of patients to be confirmed and a plurality of medical items, and a search by the search means Based on the medical data obtained as a result, a matrix-like table with the patient as the first axis and the medical items as the second axis is displayed, and assigned to the plurality of types of states by state. Among the plurality of types of symbol marks, one symbol mark assigned to the state indicated by the state data included in the medical data obtained as the search result is Display means for displaying each in a corresponding square in the table, and input means for designating a desired square or symbol mark or a desired patient in the displayed table, wherein the display means includes the input At least a part of the mass or symbol mark designated by the means or the medical data related to the patient is displayed in a predetermined format different from the table instead of or over the table or together with the table, and the input means displays the display The status data indicated by the symbol mark displayed by the means is configured to be changeable, and after the change by the input means, the display means puts the symbol mark indicating the status data after the change in the corresponding cell. indicate.

According to the medical item confirmation support system of the present invention, the database constructed in the system or connected to the system via the communication means has a plurality of preset states (for example, medical items planned by a doctor or the like). State in which the order relating to the medical item has been issued by the doctor, the state in which the order relating to the medical item has been confirmed by the nurse, the state in which the medical item has been executed by the nurse, etc.) Among them, medical data including medical item data indicating a medical item in one state, state data indicating the one state, and patient identification data indicating a patient related to execution of the medical item is stored. On the other hand, a plurality of types of symbol marks are assigned to the plurality of types of states for each state. For example, a symbol mark “O” is assigned to a state where an order relating to a medical item has been issued by a doctor or the like,
A symbol mark “-” is assigned to a state where an order relating to a medical item has been confirmed by a nurse or the like. Alternatively, for example, a symbol mark “Δ” is assigned to a state in which a medical item is planned by a doctor or the like, and a symbol mark “X” is assigned to a state in which the medical item has been executed by a nurse or the like. . Such a symbol mark may be an arbitrary design pattern, may be color or black and white, may be a short text sentence, an alphabet or a Japanese word, and includes a blank (blank).

In operation, the search means first searches the database for a plurality of patients to be confirmed (for example, a plurality of patients having the same ward, the same medical department, the same doctor in charge, the same nursing team, etc.) and a plurality of medical items. A search is performed with search conditions according to (for example, medical items such as prescription, injection, and examination). In addition, search conditions such as the execution date, order issue date, etc. related to each medical practice are within the specified number of days (for example, 4 days or 2 days on the future side from today or the reference date). Search by. However, as a search condition, for example, conditions such as all patients, all medical items, all periods, etc. are possible, and conditions such as one patient, one medical item, only one day (today), etc. are also possible.

Next, based on the medical data obtained as a result of this search, the display means takes a patient on the first axis (for example, the vertical axis) and takes a medical item on the second axis (for example, the horizontal axis). A table is displayed, and the symbol marks assigned to the states indicated by the state data included in the medical data obtained as a search result are displayed in the corresponding cells in the table. Next, when a desired square or symbol mark or a desired patient in the displayed table is designated by the input means, the display means displays at least one of the thus designated square or symbol mark or medical data relating to the patient. The part is displayed in a predetermined format. For example, the medical data indicating the details of the patient and the medical item corresponding to the cell where the designated symbol mark is located is displayed in text, or the medical data is further displayed in text by the detailed item. Alternatively, various work tables or worksheets for designated patients and medical items may be displayed. When the state data indicated by the symbol mark displayed by the display means is changed by the input means, the display means displays the symbol mark indicating the changed state data in the corresponding cell.

Accordingly, a nurse or the like can see a plurality of patients (for example, for example, by looking at a table in which a symbol mark indicating a state of a medical item planned by a doctor or a medical item for which an order is issued is attached in a corresponding square. It is possible to overlook the state of a plurality of medical items for the patient or a group to which the user belongs, and to reduce the probability of occurrence of a confirmation error or a medical error. More specifically, for example, if a nurse or the like has not confirmed the order even though a doctor has issued the order, a symbol mark indicating the state before confirmation is continuously displayed in the table. Therefore, the possibility that a nurse or the like overlooks this can be reduced.

In one aspect of the medical item confirmation support system of the present invention, the input unit is configured to change the state data corresponding to the medical data displayed in the predetermined format by the display unit. For example, by designating a desired cell or symbol mark in the table or a desired patient, status data corresponding to medical data displayed in a predetermined format is changed by the input means. For example, after confirming medical data displayed in text, the state data corresponding to this medical data is changed from an unconfirmed state to a confirmed state by a predetermined mouse click operation, key operation, or the like. Then, symbol marks corresponding to the changed state data are displayed in the corresponding cells in the table. That is, the confirmation work for each medical item can be reliably performed through the display of the table and the display of the predetermined format.

In this aspect, the medical items are subdivided into detailed items, and the status data corresponding to one square of the table includes a plurality of detailed status data indicating the status of each detailed item, and the display means As the predetermined format, at least a part of the medical data is displayed for each detailed item, and the input means changes the detailed status data corresponding to the medical data displayed in the predetermined format by the display means The state data including the detailed state data may be changed by changing the detailed state data.

If comprised in this way, the detailed status data corresponding to the medical data displayed for every detailed item as a predetermined format will be changed with an input means, and the status data containing this detailed status data will be changed. For example, if the status data for all the detailed items constituting one medical item is changed to indicate that the order has been confirmed, the status data of the medical item consisting of these detailed items will also indicate that the order has been confirmed. Be changed.

  In this case, the input means is configured to be able to designate a desired portion of the medical data displayed for each of the detailed items in the predetermined format, and the display means is the desired data designated by the input means. The medical data relating to this part may be displayed in yet another format.

If comprised in this way, if the desired part is designated by the input means among the medical data displayed for every detailed item with the predetermined format different from a table | surface, the medical data concerning this desired part will be displayed in another format. Therefore, the contents of the medical item can be confirmed hierarchically or step by step.

In another aspect of the medical item confirmation support system of the present invention, the plurality of states include a state in which the medical item is being planned for execution, a state in which an order relating to the medical item has been issued, and an order relating to the medical item In this way, various medical items such as prescriptions, injections, examinations, etc. are simply planned for a plurality of patients. Nurses, doctors, etc. can easily determine whether they are in the middle stage, at the stage of issuing the order, at the stage where the order has been confirmed, or at the stage of execution by looking at the table. Since it can be visually recognized, it is very convenient in practice.

  In another aspect of the medical item confirmation support system of the present invention, the display unit displays the medical data in a different manner according to the state based on the state data as the predetermined format.

According to this aspect, the display means displays the medical data in a predetermined format different from the table and in a different aspect depending on the state. For example, when the order is issued, the medical data is displayed in red text, and when the order is confirmed, the medical data is displayed in black text. Therefore, nurses, doctors, etc. can easily visually recognize the status data about the medical data displayed in a predetermined format different from this table.

The corresponding state data may be changed by a mouse click operation or the like on the medical data displayed in a predetermined format different from the table. If comprised in this way, since a display mode will change from red to black, for example by the change of state data, possibility of performing a change operation or a confirmation operation accidentally can be reduced.

In another aspect of the medical item confirmation support system of the present invention, the display means further separates medical items displayed in the predetermined format and accompanied by the examination result according to designation by the input means. Display test result data in format.

According to this aspect, for a medical item (for example, an examination after execution) accompanied by an examination result displayed in a predetermined format, the display means further examines the examination result in another format according to designation by the input means. Display data. Therefore, the inspection result data can be displayed from the table display to the display in a predetermined format, which is very convenient practically.

In another aspect of the medical item confirmation support system of the present invention, the database updates the stored content in accordance with the change of the state data by the input unit and performs the change of the state data by the input unit At least one of operator identification data for identifying the operator and change date data indicating the date when the change by the input means is executed is stored in association with the state data.

  According to this aspect, when the state data is changed, the database is updated. At this time, operator identification data or a change indicating the operator (for example, a specific nurse) who executed the change is executed. Since the modified date and time data indicating the date and time are stored in association with the status data, the operator and date and time related to the modification can be specified or confirmed later.

In another aspect of the medical item confirmation support system of the present invention, the display means displays at least one of the operator identification data and change date / time data in addition to or instead of the table.

According to this aspect, the operator identification data and the change date / time data displayed in addition to or in place of the table are displayed. By seeing this, the nurse, the doctor, etc. executed the change of the state data. The operator (for example, a specific nurse) and the date and time can be confirmed.

In another aspect of the medical item confirmation support system of the present invention, the database stores in charge data indicating a responsible organization or person in charge of the patient in association with the medical item data, and the search means Based on the responsible data, a search is performed on the condition that the responsible organization or person is the same.

According to this aspect, the database is in charge of the patient, for example, hospital data, ward unit, medical department unit, medical department unit, nurse group unit, doctor group unit, nurse unit, doctor unit, etc. And stored in association with medical item data. And since the search means performs a search on the condition that the responsible organization or person is the same based on this responsible data, a list of patient groups with the same responsible organization or person is displayed. Become. Therefore, if a display means is installed at a place where the responsible organization or person waits or goes back and forth, the responsible organization or person can efficiently and efficiently omit work such as order confirmation for a plurality of patients in charge. Can be done without any problems.

  In another aspect of the medical item confirmation support system of the present invention, the search means performs a search on condition that it is within a predetermined period based on today.

According to this aspect, since the search means performs the search on the condition that it is within a predetermined period, for example, within 4 days, within 3 days, within 2 days, etc., with today as the reference date, A table of critical medical items to be performed can be displayed. Therefore, a nurse or the like can efficiently perform work such as confirmation of an order that should be actually confirmed or executed at the present time without omission.

In another aspect of the medical item confirmation support system of the present invention, the display means displays the symbol in a corresponding cell in the table when the state data indicates a state in which an order relating to the medical item has been issued. In addition to displaying a mark, when the state data indicates a state in which the order relating to the medical item has been confirmed, the symbol mark is not displayed in the corresponding cell in the table.

According to this aspect, for medical items for which an order has been issued, a symbol mark such as “O” is displayed in the corresponding square in the table, and for medical items for which the order has been confirmed, The symbol mark is not displayed in the square to be displayed, that is, it is left blank. Therefore, nurses and others are blank for medical items that have been confirmed, and are marked with a symbol mark for medical items that should be confirmed. Can be identified.

In another aspect of the medical item confirmation support system of the present invention, the symbol mark that corresponds to the emergency instruction is a symbol mark that is visually unique compared to the other ones.

According to this aspect, since the symbol mark for the emergency instruction is a symbol mark of a visually unique aspect such as red display, blinking display, light emission display, etc., nurses, doctors, etc. can overlook the emergency instruction. Can be greatly reduced.

In this aspect, in another aspect of the medical item confirmation support system of the present invention, when the text information included in the medical data includes a predetermined character, the visually unique peculiarity is displayed in the corresponding cell in the table. You may comprise so that the mark of a various aspect may be displayed.

If comprised in this way, even if it does not attach data, such as a tag, a label, or a flag indicating that it is an emergency instruction, to a medical data including a medical item indicating an emergency instruction, a predetermined character is included in the text information included in the medical data. If it is included, it is assumed that it is an emergency instruction, and a visually unique symbol mark is displayed, which is very convenient in practice.

In another aspect of the medical item confirmation support system of the present invention, the display means displays, in addition to the table, a column as to whether or not the medication for the patient expires within a specified period, and the column includes the column. A symbol mark indicating whether or not the medication has expired is displayed.

According to this aspect, the display means displays a column as to whether or not the medication for the patient expires within the designated period on the top or side of the table in the screen. In this column, a symbol mark indicating whether or not the medication expires within the designated period is displayed. For example, for each patient displayed in the table, a symbol mark “◯” is displayed in the prescription out column or the injection out column when the prescription or injection is completed within 4 days. Therefore, doctors, nurses, and the like can reliably recognize the fact that the medication is cut back by a specified period from the time when the medication is cut. Furthermore, as long as the situation in which the medication is cut off within the designated period continues, the symbol mark to that effect continues to be displayed, thereby making it possible to relieve doctors, nurses, and the like from the anxiety and stress that cause the medication to run out.

  In this aspect, the input means may be configured to be able to designate the designated period.

By configuring in this way, it is possible to set a designated period that is considered to be most appropriate for the actual situation and policy from individual specific situations and policies in nurses, doctors, etc. or medical facilities where the medical item confirmation support system is used. Convenient for practical use.

In another aspect of the medical item confirmation support system of the present invention, the search unit changes the search condition according to an operator of the medical item system, and the display unit changes the first axis according to the operator. At least one of the patient, the medical item taken on the second axis, and the symbol mark displayed in the square is changed.

According to this aspect, the patient, medical item, or symbol mark shown in the table changes according to the operator. For example, if the nurse is an operator, a symbol mark indicating that there is a plan, instructed, executed, (with results), urgent, general, etc. is displayed.
If the operator is a doctor, a symbol mark indicating that there is a plan, the timing to be instructed, what has been instructed has been executed (result is present), a new result has arrived, urgent, general, etc. is displayed. In addition, what is necessary is just to comprise so that operation may be started, for example, after inputting operator ID for such identification of an operator.

In another aspect of the medical item confirmation support system of the present invention, a server device including the database and the search unit is connected to the server device via a communication unit, and the input unit and the display unit are A plurality of client devices each including the same are provided.

According to this aspect, a plurality of client devices are provided separately for a plurality of operators such as a plurality of nurse groups in charge of different patients, or a plurality of nurse groups and doctors who are engaged in different duties. It may be provided separately for the operator. This makes it possible for each operator to check separately based on the same database, and to display appropriate medical items, patients or symbol marks according to the operators operating each client device. It may be configured.

In order to solve the above problems, the medical item confirmation method of the present invention provides medical item data indicating a medical item in one state among a plurality of preset states, state data indicating the one state, and the medical A search process for searching a database storing medical data including patient identification data indicating a patient related to the execution of an item with search conditions corresponding to a plurality of patients to be confirmed and a plurality of medical items, and a search result by the search process Based on the medical data obtained as described above, a matrix-like table with the patient as the first axis and the medical items as the second axis is displayed and assigned to the plurality of types of states according to the state. Among the plurality of types of symbol marks, one symbol mark assigned to the state indicated by the state data included in the medical data obtained as the search result is displayed in the table. A first display step of respectively displayed in the definitive corresponding mass,
A first input step for designating a desired cell or symbol mark or a desired patient in the displayed table, and at least a part of the medical data related to the cell or symbol mark or patient designated by the first input step A second display step of displaying in a predetermined format different from the table in place of, overlapping, or together with the table, and a second input step of changing the state data indicated by the symbol mark displayed in the first display step; Then, after the change in the second input step, a third display step of displaying a symbol mark indicating the changed state data in the corresponding cell is included.

According to the medical item confirmation method of the present invention, since it operates in the same manner as the medical item confirmation support system of the present invention described above, the nurse or the like can specify the medical item planned by the doctor or the like and the medical item for which the order has been issued. By looking at the table in which the symbol mark indicating the state is attached in the corresponding square, it is possible to overlook the state of a plurality of medical items for a plurality of patients, and the probability of occurrence of a confirmation error and further a medical error can be reduced. .

In order to solve the above problems, the computer program of the present invention causes a computer to function as the above-described medical item confirmation support system of the present invention (including various aspects thereof). More specifically, a computer program is a computer,
It is made to function as each component, such as a search means, a display means, an input means, etc. which comprise the medical item confirmation assistance system of this invention mentioned above.

According to the computer program of the present invention, the computer program is read into a computer from a recording medium such as a CD-ROM (Compact Disc Read Only Memory), a DVD-ROM (DVD Read Only Memory), or a hard disk storing the computer program. If the computer program is executed or after the computer program is downloaded to a computer via communication means, the above-described medical item confirmation support system of the present invention can be realized relatively easily.

  Such an operation and other advantages of the present invention will become apparent from the embodiments described below.

  As described above in detail, according to the medical item confirmation support system of the present invention, the medical items can be confirmed easily and quickly so that a plurality of medical items scheduled to be performed on a plurality of patients can be reliably executed. It becomes possible to do. In other words, a medical item confirmation support system that is very easy to use is realized from the standpoint of a person who performs various medical items for a large number of patients such as nurses and doctors.

  Moreover, according to the machine-readable medium which recorded the program of this invention, a general purpose or a special purpose computer can be functioned as a medical item confirmation assistance system of this invention as mentioned above.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
(First embodiment)
FIG. 1 is a block diagram of a medical item confirmation support system as a first embodiment of the present invention, and FIG. 2 is a conceptual diagram schematically showing a schematic configuration of data in an example of a database used in the first embodiment. It is.

  In FIG. 1, the medical item confirmation support system includes, as hardware resources, computers such as known personal computers, workstations, medium computers, large computers, mobile computers (portable information terminals), electronic notebooks, and the like. 2, an input device 3, a processing device 4, a display device 5, a printing device 6, a communication device 7, a reading device 8, and a system clock 9.

  The storage device 2 includes a well-known storage device that can be randomly accessed, such as a hard disk device, an IC (Integrated Circuit) memory, a magnetic disk device, a magneto-optical disk device, and an optical disk device.

A database 21 is constructed in the storage device 2. For example, as shown in FIG. 2, the database 21 includes a large number of patient files 21a provided for each patient. Each patient file 21a includes patient ID data, encoded ward data, patient data, patient data, etc. Various medical data for electronic medical records concerning the patient, such as attribute data, are stored. Further, each patient file 21a includes a plurality of preset states (for example, a state where a medical item is planned by a doctor, a state where an order related to the medical item has been issued by a doctor, a nurse, etc. Medical item data indicating the medical item in one state, state data indicating the one state among the state in which the order related to the medical item has been confirmed, the medical item being executed by a nurse, etc. Confirmation date and time data indicating the date and time the nurse confirmed the corresponding medical item, confirmer signature (data) indicating the confirmer such as the nurse who confirmed the medical item, and date and time when the doctor issued the order Issuance date / time data, execution date / time data, etc., on which a nurse or the like has executed a medical item according to an order, are stored.

Returning to FIG. 1 again, the input device 3 includes a keyboard, a numeric keypad, a mouse, a trackball, an input pen, an input tablet, a voice input device, and the like, and includes medical item data, status data, a confirmer signature, various other data, A command can be input, and an arbitrary position of an image displayed on the display device 5 can be designated.

The processing device 4 is composed of a CPU (Central Processing Unit), and a display control means 41 for controlling display on the display device 5 as described later and a search means 42 for searching the database 21 as described later are logically provided. Has been built. In the present embodiment, the display control means 41 and the display device 5 constructed in the processing device 4 as described above display a confirmation table with a symbol mark, or a medical item corresponding to the symbol mark. An example of display means for displaying the contents in another format is configured.

The display device 5 is a known display device such as a CRT (Cathode Ray Tube) device or an LCD (liquid crystal display device), and is configured to display various display data under the control of the display control means 41. In particular, an arbitrary position on the screen can be designated by the input device 3.

  The printing device 6 is a known printing device such as a laser beam printer or an ink jet printer, and may be a color or monochrome type. The printing device 6 is configured to be able to print an arbitrary screen (that is, a confirmation table with a symbol mark) displayed on the display device 5 by inputting a predetermined printing command from the input device 3. .

  The communication device 7 includes, for example, a modem for exchanging various files and data such as patient files with other computers. The communication device 7 is connected to other large computers, personal computers, mobile computers (portable information terminals), electronic notebooks, etc. via communication lines such as wired, wireless, dedicated lines, general lines, and telephone lines. Yes.

  The reading device 8 includes, for example, a CD-ROM drive, a DVD-ROM drive, an FD (flexible disk) drive, and the like, and reads a computer program recorded on a recording medium 8a such as a CD-ROM, DVD-ROM, or FD. . The computer program read by the machine in this way causes a computer that is a hardware resource of the medical item confirmation support system to function as the medical item confirmation support system. A part or all of the database constructed in the storage device 2 may be recorded on the recording medium 2a and read as necessary.

The system clock 9 has a calendar function, and always measures the current date and time regardless of whether the main power of the medical item confirmation support system is turned on or off. 9 refers to the date and time measured. In place of such a system clock 9, a clock device outside the system that outputs a signal in a predetermined format indicating the current date and time at a constant cycle is referred to, and the current date and time is obtained by the processing device 4 based on this signal. You may comprise as follows.

  Next, referring to the flowcharts of FIGS. 3 and 4 and the display examples of FIGS. 5 to 9 regarding the operation of displaying the medical item confirmation table and the like in the medical item confirmation support system configured as described above. explain. FIG. 3 is a flowchart showing an operation for displaying a medical item confirmation table and the like in the first embodiment, and FIG. 4 is a flowchart showing a specific example of the generation of display data in this operation. It is. FIGS. 5 to 9 are plan views showing various display examples displayed on part or all of the screen of the display device 5 in the first embodiment.

  In FIG. 3, first, conditions for a plurality of patients and a plurality of medical items to be included in the medical item confirmation table displayed on the display device 5 are set. Here, for example, the same nurse group or the like in which the display device 5 is arranged so that a plurality of patients in charge of the same nurse group or the like are listed in the medical item confirmation table without excess or deficiency The ward, medical department, department, etc. in charge are set as conditions. Which unit is used by the same nurse group depends on the operation at the medical facility. Further, a plurality of medical items such as prescription, injection, examination, image photographing, instruction to a patient, etc. that such a nurse group or the like should confirm and execute by itself are set as conditions (step S11). At this time, it is one condition that an order is issued by a doctor or the like or a planned medical item for a specified number of days including today (for example, 4 days), based on today obtained from the system clock 9. It is good. Such a search condition may be automatically set based on the installation location of the display device 5 and “today”, or in addition to or instead of the nurse via the input device 3. An operator such as a doctor may arbitrarily perform the operation.

  Next, the database 21 as shown in FIG. 2 is searched according to the search conditions set in this way (step S12). Here, for example, ward data indicating a ward that matches the search condition and issuance date / time data that matches the search condition are used as search keywords, and the search is performed in units of medical item data in each patient file 21a. Based on the medical data obtained as a search result, display data for displaying a matrix table with a plurality of patients on the vertical axis and a plurality of medical items on the horizontal axis, and a plurality of types of states On the other hand, among the multiple types of symbol marks assigned to each state, one symbol mark assigned to the state indicated by the state data included in the medical data obtained as a search result is displayed in the corresponding square in this table. The display data to be generated is generated (step S13). Here, for the sake of simplicity, a plurality of types of symbol marks are treated as two types of marks: a symbol mark “◯” displayed in the square and a blank that is not displayed in the square.

  More specifically, for example, as shown in FIG. 4, in this step S13, the vertical axis of the table is determined based on the patient ID obtained as the search result, and the table is displayed based on the medical item obtained as the search result. First, the basic skeleton of the table such as a frame is configured by determining the horizontal axis of the frame (step S31), and based on the state data obtained as a search result of the symbol mark predetermined for each state, Each cell is set in an area 302 (see FIG. 5) of a table 301 described later (step S32). Subsequently, it is determined whether or not a predetermined character such as “emergency” or “urgent” is included in the text data constituting the medical item data related to the order of a doctor or the like obtained as a search result ( If this is included (step S33: Yes), highlight display is set for the corresponding symbol mark (step S34), and the process proceeds to step S35. If this is not included (step S33: No), the process proceeds to step S35. Subsequently, it is determined whether or not a medication outage, that is, a prescription out of injection or an injection outage occurs within a specified period (step S35). A predetermined symbol mark is set for a corresponding cell in an area 306 (see FIG. 5) of Table 301 described later (step S36), and the generation of the display data is finished. In addition, when no medication has expired (step S35: No), the generation of the display data is finished as it is.

  Returning to FIG. 3 again, the display device 5 displays the display data generated in step S13 in this manner under the control of the display control means 41, for example, as the medical item confirmation table 301 shown in FIG. 5 is displayed and output on part or all of the screen 5 (step S14).

  Here, in the region 302 surrounded by the thick line in FIG. 5, for each patient and each medical item, a medical item for which an order has been issued by a doctor or the like and the order has not been confirmed by a nurse or the like. A symbol mark 303 of “◯” is displayed in the corresponding cell. On the other hand, the symbol mark 303 is not displayed and blank in the square corresponding to the medical item whose order has already been confirmed by the nurse or the like. However, instead of blanking in this way, symbol marks of other shapes, other colors, or other display forms may be displayed. And not only depending on whether or not the order has been confirmed, but also the status data corresponding to the status that is being planned and the order has not been issued, the status that the order has been confirmed but has been executed, etc. Depending on, it may be indicated by a symbol mark to that effect.

  In FIG. 5, a highlighted “●” symbol mark 304 is displayed for each medical item corresponding to the emergency instruction. However, instead of such highlight display, it may be displayed in red, orange, or the like, or the shape of the symbol mark may be “☆”, “!”, Etc., to call attention.

  On the other hand, in FIG. 5, in an area 306 adjacent to the right side of the area 302 surrounded by a bold line, for each patient, a “prescription” in which an order has been issued by a doctor or the like is shown in the search date column 308. If the prescription instruction expires within the specified period (4 days in this example) indicated in the specified period column 309 based on the search date (March 2, 2001 in this example) A symbol mark 307 of “◯” is displayed in each square. Similarly, if each patient is an “injection” for which an order has been issued by a doctor, etc., and the injection instruction has expired within the specified period based on the search date, a “○” Symbol marks 307 are respectively displayed.

  Note that the date and time data and the specified period data displayed in the search date column 308 and the specified period column 309 that are incidentally displayed in the table 301 can be changed by the input device 3, respectively. According to the system clock 9, today is set as the search date, and it is not necessary to change the designated period frequently.

  Further, in the table 301 shown in FIG. 5, the line 305 of the uppermost patient is displayed in reverse video, which is in a state in which this line 305 is selected by the designation operation via the input device 3. It is shown that.

  Returning to FIG. 3 again, it is determined whether or not there is a change in the condition for the patient and items constituting the table 301 to be displayed (step S15). Specifically, for example, it is determined whether or not the search condition is changed via the input device 3 by a nurse, a doctor, or the like who wants to display the table 301 on which different patient groups or different item groups are placed. If there is a condition change (step S15: Yes), the process returns to step S12 to search the database (step S12), generate display data (step S13), and output the table (step S14) again.

  On the other hand, if there is no condition change (step S15: No), it is determined whether or not an instruction to end the display of the table 301 is given by the input device 3 or the like (step S16). Here, if an instruction to end the display has been given (step S16: Yes), the series of display processing ends. If the instruction to end the display is not given (step S16: No), an item designation for confirming the order by the nurse or the like or confirming the details of the display contents is performed on the table 301. It is determined whether it has been interrupted (step S17). If no item is specified (step S17: No), the process returns to step S15, and the input operation and the like according to steps S15 to S17 are continuously monitored while the same table 301 is displayed.

  If an item is specified in step S17 (step S17: Yes), the process branches to step S18. Here, for example, in FIG. 5, it is assumed that an item related to the line 305 is selected.

  In step S18, the display device 5 displays medical data for the item selected in step S17 in a format different from the table 301 shown in FIG. 5 under the control of the display control unit 41. Here, for example, a screen 401 of detailed contents of medical items as shown in FIG. 6 is displayed. In the table 301 shown in FIG. 5, information indicating whether the order has been confirmed or not confirmed is visually recognized depending on the presence / absence of the symbol mark 303. On the screen 401 shown in FIG. Recognize the specific content of the item. Further, in this screen 401, for example, an order that has already been confirmed by a nurse or the like is displayed in black text, and an order that has not yet been confirmed by a nurse or the like is displayed in red text so that a symbol mark is displayed. Even without 303, it is configured to visually recognize that it has not been confirmed.

  In the screen 401 shown in FIG. 6, the line 402 of the top line medical item is highlighted, and this is a state in which the line 402 is selected by a designation operation or the like via the input device 3. It shows that there is.

  Returning to FIG. 3 again, in the state where the screen 401 is displayed in this way, it is monitored whether or not a confirmation sign (data) is input via the input device 3 or the like (step S19). The input of the confirmation sign (data) corresponds to the work of confirming the medical item data whose order has not been confirmed. For example, in the state where the line 402 shown in FIG. The confirmation button 603 that appears in the screen 601 as shown in FIG. 7 is displayed according to the above, and the confirmation button 603 is operated by a mouse click operation on the input device 3 or the like. ing. In FIG. 7, the selected line 602 is highlighted so that it can be recognized which medical item is being confirmed.

  Returning to FIG. 3 again, if there is an input of a confirmation sign (step S19: Yes), after updating the state data related to the corresponding medical item from the one indicating the order issued state to the one indicating the order confirmed (step) S20), returning to step S13, the subsequent processing is repeated.

Note that the operator identification data indicating the operator who changed the status data (for example, a specific nurse) and the change date / time data indicating the date and time when the change was executed are also included in the status data at the time of the update in step S20. It is updated in the patient file 21a in a form associated with. Thereby, the operator and the date and time related to the change can be specified or confirmed later. In addition, in addition to or instead of the table 301 as shown in FIG. 5, at least one of the operator identification data and the change date / time data may be displayed by the display device 5.

  On the other hand, if there is no confirmation sign input in step S19 (step S19: No), it is determined whether or not a medical data display command related to the medical item shown in FIG. 6 has been issued via the input device 3 or the like. Is determined (step S21). If a medical data display command has not been issued (step S21: NO), the process returns to step S19, and the monitoring in steps S19 and S21 is continued while continuing the display as shown in FIG. 6 displayed in step S18.

  On the other hand, if a medical data display command has been issued in step S21 (step S21: Yes), the display device 5 further displays in another format under the control of the display control means 41 (step S22). . Here, for example, like the screen 501 shown in FIG. 8, the request content screen 502, the sign input person screen 502, the prescription prescription screen 504, or the injection shortage screen 505 for the medical item 402 being selected is displayed. Or the list 702 of the prescription content relevant to the line 602 shown in FIG. 7 is displayed like the screen 701 shown in FIG. In FIG. 9, the screen 701 includes an area 703 for displaying the previously ordered content regarding the prescription related to the selected line 702a and an area 704 for displaying the currently ordered content. Since the contents of this order can be determined with reference to the contents of the order, it is very convenient in practice. The screen 701 as shown in FIG. 9 may be configured to be called when the symbol mark 307 displayed in the area 306 in the table 301 shown in FIG.

  Returning to FIG. 3 again, after performing step S22, the process returns to step S19, and the monitoring in steps S19 to S22 is continued while continuing the display as shown in FIG. 8 or FIG. 9 displayed in step S21.

As described above, according to the first embodiment, a nurse or the like attaches a medical item planned by a doctor or a symbol mark 303 indicating the state of a medical item for which an order has been issued to the corresponding square. By looking at the table 301 and the like, it is possible to overlook the state of a plurality of medical items for a plurality of patients in charge of the user or a group to which the user belongs, and the probability of occurrence of a confirmation error or a medical error can be reduced. In particular, a nurse or the like can change the status data corresponding to the medical data related to these by specifying the symbol mark 303 or the patient in the table 301 or the like via the input device 3. Can be reliably performed with the support of the table 301 or the like.

Furthermore, according to the first embodiment, as shown in FIG. 5, the symbol mark 307 indicating whether or not the medication is expired within the designated period is displayed in the area 306, so that the doctor, nurse, etc. can run out of the medication. It is possible to reliably recognize in advance the fact that the medication will run out by a specified period from the time. Therefore, it becomes possible to release doctors, nurses, and the like from anxiety and stress that may cause a medication outage.

  In the first embodiment described above, as shown in FIG. 6, a situation in which there are a plurality of medical items corresponding to one symbol mark 303 in FIG. 5 frequently occurs due to medical properties, but corresponds to one symbol mark 303. A rule for deleting the symbol mark 303 in the table 301 shown in FIG. 5 may be adopted when the order has been confirmed for all of the plurality of medical items. With such a configuration, if the confirmation work is performed with particular attention to those with the symbol mark 303, the possibility of errors such as omissions in confirmation can be reduced. However, the display mode of the symbol mark may be changed in accordance with the number and ratio of the confirmed medical items among the plurality of medical items corresponding to the single symbol mark 303.

In the first embodiment described above, it is related to the medical data displayed on the various screens shown in FIG. 5 to FIG. 9 and is already performed general examination, image examination, etc., accompanied by examination results. About a medical item, you may comprise so that a test result data may be displayed by designating this with the input device 3 grade | etc., On a screen. In the first embodiment and each embodiment described below, the medical items are not limited to “prescription” and “injection” shown in FIGS. 5 to 9, but “records of doctors and nursing”, “
“Treatment”, “Examination”, “Conversation”, “Evaluation”, “Meal”, “Activity restriction”, “Observation”
, “Rehabilitation”, “Coordination”, “Admission / Exit”, “Patient Family Education”, “Observation / Monitoring”, “Examination”, “Internal / External Use”, “Treatment”, etc. Further, such medical items may be displayed by hierarchy such as large classification, medium classification, and small classification.

  Furthermore, in the first embodiment described above, the various screens shown in FIG. 5 to FIG. 9 may be displayed by switching images on the entire screen of the display device 5, or may be displayed by split display, window display, or the like. Two or more screens may be displayed side-by-side, vertically, or overlapped, and may be scroll-displayed in units of screens displayed in divided display or window.

(Second Embodiment)
With reference to FIG. 10, the medical item confirmation support system of 2nd Embodiment is demonstrated. FIG. 10 is a plan view showing a table displayed by the medical item confirmation support system of the second embodiment.

  The hardware configuration in the second embodiment is the same as that in the first embodiment described above, and the operation for displaying the medical item confirmation table is the same as that described above except that the types of symbol marks are different. This is the same as in the first embodiment.

  As shown in FIG. 10, in the second embodiment, the display device 5 displays a medical item confirmation table 801 under the control of the display control means 41. In particular, each cell in the table 801 displays a symbol mark 802 composed of various symbols.

Therefore, according to the second embodiment, by looking at the table 801, it is possible to more easily visually identify the medical item to be confirmed.
(Third embodiment)
A third embodiment of the present invention will be described with reference to FIGS. FIG. 11 is a block diagram showing the overall configuration of the third embodiment, and FIG. 12 is a flowchart showing condition setting processing during the operation of the third embodiment.

  In FIG. 11, the medical item confirmation support system according to the third embodiment includes a plurality of units connected via a communication line 200 such as a wired, wireless, dedicated line, general line, and telephone line. Among these, the center device 100 includes a storage device 2 that stores the database 21, a communication device 7, a reading device 8, and a system clock 9. On the other hand, each of the plurality of terminal devices 101 includes at least the input device 3, the processing device 4 ′ including the display control means 41, the display device 5, and the communication device 7. The terminal device 101 includes, for example, a personal computer, a workstation, a mobile computer (portable information terminal), an electronic notebook, and the like.

  Therefore, if the database 21 is stored in the large-scale storage device 2 provided in the center apparatus 100, the same data can be shared by a plurality of terminal apparatuses 101, and the database 21 is stored in each terminal apparatus 101. This is advantageous in practice because a large-scale storage device is not required. Furthermore, the terminal device 101 generally has only a browser function. According to data and programs provided from the center device 100, medical terminal confirmation tables as shown in FIGS. 5 to 9 are displayed on the terminal device 101 side. You may comprise so that it may display.

In the third embodiment, a plurality of terminal devices 101 are installed separately for a plurality of operators such as a plurality of nurse groups in charge of different patients, or are provided for different tasks. May be installed separately for a plurality of operators such as a doctor and the like. In this case, in particular, according to the operator who operates each terminal device 101, a suitable medical item, patient, or symbol mark may be displayed.

  For example, in the third embodiment, the process according to the condition setting (step S11) shown in FIG.

  That is, instead of the condition setting process (step s11) in FIG. 4, in the condition setting process (step S11 ′) shown in FIG. 12, first, the input of the terminal or operator ID is monitored (step S41). If yes (step S41: Yes), it is determined whether or not the specified condition is arbitrarily input via the input device 3 or the like (step S42).

  If the specified condition is input (step S42: Yes), the medical item or patient corresponding to the specified condition is set as the search condition (step S43), and the condition setting process (step S11 ′). Finish. On the other hand, if the specified condition is not input (step S42: No), a medical item or patient corresponding to the operator ID of the terminal device 101 or nurse is set as a search condition (step S44). Then, the condition setting process (step S11 ′) is finished.

In the third embodiment, according to the search condition set in step S44, preferably in the following processing, if the nurse is an operator, there is a plan, an instruction has been made, and an execution has been made (result is present). If the operator is a doctor, the symbol mark indicating urgent, general, etc. is displayed, there is a plan, the timing to be instructed, what has been instructed has been executed (with results), new results have arrived, Immediately, display data is generated so as to display a symbol mark indicating general or the like. In order to identify such an operator, for example, an operator ID may be input and then a reference or input operation may be started.

  The present invention is not limited to the above-described embodiments, and can be appropriately changed without departing from the gist or concept of the invention that can be read from the claims and the entire specification, and medical treatment involving such changes An item confirmation support system and method, and a computer program are also included in the technical scope of the present invention. Needless to say, medical care targeted by the medical item confirmation support system of the present invention includes not only hospital medical care but also nursing medical care and home medical care.

It is a block diagram which shows the structure of the medical item confirmation assistance system of 1st Embodiment of this invention. It is a conceptual diagram which shows typically the schematic structure of the data in an example of the database used by 1st Embodiment. It is a flowchart which shows the operation | movement which displays the table | surface for medical item confirmation, etc. in 1st Embodiment. It is a flowchart which shows a specific example about the production | generation of display data among operation | movement of 1st Embodiment. In 1st Embodiment, it is a top view which shows the example of a display displayed on a part or all of the screen of a display apparatus. In 1st Embodiment, it is a top view which shows the other example of a display displayed on a part or all of the screen of a display apparatus. In 1st Embodiment, it is a top view which shows the other example of a display displayed on a part or all of the screen of a display apparatus. In 1st Embodiment, it is a top view which shows the other example of a display displayed on a part or all of the screen of a display apparatus. In 1st Embodiment, it is a top view which shows the other example of a display displayed on a part or all of the screen of a display apparatus. It is a top view which shows the table | surface displayed by the medical item confirmation assistance system of 2nd Embodiment of this invention. It is a block diagram which shows the whole structure of the medical item confirmation assistance system of 3rd Embodiment of this invention. It is a flowchart which shows the condition setting process in the operation | movement of 3rd Embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 2 ... Memory | storage device 3 ... Input device 4 ... Processing part 5 ... Display apparatus 6 ... Printing apparatus 7 ... Communication part 8 ... Reading apparatus 8a ... Recording medium 9 ... System clock 21 ... Database 41 ... Display control means 42 ... Search means 100 ... Center device 101 ... Terminal device 200 ... Communication line

Claims (20)

Medical data including medical item data indicating a medical item in one state among a plurality of preset states, state data indicating the one state, and patient identification data indicating a patient related to the execution of the medical item Search means for searching a database to be stored with search conditions according to a plurality of patients to be confirmed and a plurality of medical items;
Based on the medical data obtained as a search result by the search means, a matrix-like table with the patient as the first axis and the medical items as the second axis is displayed, and the plurality of types of states are displayed. One symbol mark assigned to the state indicated by the state data included in the medical data obtained as the search result among the plurality of types of symbol marks assigned to the respective states in the corresponding squares in the table, respectively. Display means for displaying;
An input means capable of designating a desired cell or a symbol mark or a desired patient in the displayed table,
The display means displays at least a part of the mass or symbol mark designated by the input means or the medical data related to the patient in a predetermined format different from the table, instead of the table, or overlaid with the table,
The input means is configured to change state data indicated by the symbol mark displayed by the display means,
After the change by the input means, the display means displays a symbol mark indicating the changed state data in the corresponding cell, the medical item confirmation support system. The medical item confirmation support system according to claim 1, wherein the input unit is configured to be able to change the state data corresponding to the medical data displayed in the predetermined format by the display unit. The medical items are subdivided into detailed items, and the status data corresponding to one square of the table includes a plurality of detailed status data indicating the status of each detailed item,
The display means displays at least a part of the medical data for each of the detailed items as the predetermined format,
The input means is configured to change the detailed status data corresponding to the medical data displayed in the predetermined format by the display means, and includes the detailed status data by changing the detailed status data. The medical item confirmation support system according to claim 2, wherein the state data is changed. The input means is configured to be able to specify a desired portion of the medical data displayed for each detailed item in the predetermined format,
The medical item confirmation support system according to claim 3, wherein the display unit displays medical data related to a desired portion specified by the input unit in still another format. The plurality of states include a state in which the medical item is being planned, a state in which an order relating to the medical item has been issued, a state in which an order relating to the medical item has been confirmed, and the medical item having been executed. The medical item confirmation support system according to any one of claims 1 to 4, wherein the medical item confirmation support system includes at least one of certain states. The medical item according to any one of claims 1 to 5, wherein the display unit displays the medical data in a different mode according to the state based on the state data as the predetermined format. Confirmation support system. The medical device that is displayed in the predetermined format and accompanied by the test result displays the test result data in another format according to the designation by the input unit. Item 7. The medical item confirmation support system according to any one of Items 1 to 6. The database updates the stored contents in response to the change of the state data by the input means and changes the operator identification data for identifying the operator who executed the change of the state data by the input means and the change by the input means The medical item confirmation support system according to any one of claims 1 to 7, wherein at least one of the modified date and time data indicating the date and time when the is executed is associated with the state data and stored. The medical item confirmation support system according to claim 8, wherein the display unit displays at least one of the operator identification data and change date data in addition to or instead of the table. The database stores charge data indicating a responsible organization or person in charge of the patient in association with the medical item data,
The medical item confirmation support according to any one of claims 1 to 9, wherein the search means performs a search on the condition that the responsible organization or person is the same based on the responsible data. system. The medical item confirmation support system according to any one of claims 1 to 10, wherein the search unit performs a search on a condition that the search means is within a predetermined period based on today. The display means displays the symbol mark in the corresponding cell in the table and confirms the order related to the medical item when the state data indicates that the order related to the medical item has been issued. The medical item confirmation support system according to any one of claims 1 to 11, wherein when the state data indicates a completed state, the symbol mark is not displayed in a corresponding cell in the table. . The medical item confirmation support system according to any one of claims 1 to 12, wherein the symbol mark corresponding to an emergency instruction is a symbol mark having a visually unique aspect as compared with other symbol marks. . The mark according to claim 13, wherein when a predetermined character is included in the text information included in the medical data, the visually unique mark is displayed in a corresponding cell in the table. Medical item confirmation support system. In addition to the table, the display means displays a column indicating whether or not the medication for the patient expires within a specified period, and displays a symbol mark indicating whether or not the medication is expired in the column. The medical item confirmation support system according to any one of claims 1 to 14, wherein: The medical item confirmation support system according to claim 15, wherein the input unit is configured to be able to designate the designated period. The search means changes the search condition according to an operator of the medical item system, and the display means changes the patient on the first axis, the medical item on the second axis, and the The medical item confirmation support system according to any one of claims 1 to 16, wherein at least one of the symbol marks displayed in the square is changed. A server device including the database and the search unit, and a plurality of client devices connected to the server device via a communication unit and including the input unit and the display unit, respectively. The medical item confirmation support system according to any one of claims 1 to 17. Medical data including medical item data indicating a medical item in one state among a plurality of preset states, state data indicating the one state, and patient identification data indicating a patient related to the execution of the medical item A search step of searching a database to be stored with search conditions corresponding to a plurality of patients to be confirmed and a plurality of medical items;
Based on the medical data obtained as a search result by the search step, a matrix-like table with the patient as the first axis and the medical item as the second axis is displayed, and the plurality of types of states are displayed. One symbol mark assigned to the state indicated by the state data included in the medical data obtained as the search result among the plurality of types of symbol marks assigned to the respective states in the corresponding squares in the table, respectively. A first display step for displaying;
A first input step for designating a desired cell or symbol mark or a desired patient in the displayed table;
A second display step of displaying at least a part of the mass or symbol mark designated by the first input step or medical data relating to the patient in a predetermined format different from the table, instead of or over the table, or together with the table When,
A second input step of changing the state data indicated by the symbol mark displayed in the first display step;
And a third display step of displaying a symbol mark indicating the state data after the change in the corresponding cell after the change in the second input step. A computer program for causing a computer to function as the medical item confirmation support system according to any one of claims 1 to 18.

Images