JP2006058805A - Medical wrist band, medical wrist band formation apparatus, control method therefor, and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical wrist band which has high medical accident and medical error prevention effect and a medical wrist band formation apparatus. <P>SOLUTION: The check of the important medical information is made possible and the sure prevention of a medical accident is made possible by color displayed in the wrist band by using the wrist band 30 provided with character information recording sections 41 to 46 printed with the prescribed medical information by black characters or symbols and two or more color display sections 31 to 36 performing color-coded display of identification marks of two or more pieces of medical information by colors other than black. By confining the medical information to two or three pieces, the check of the information on the major cause for the medical accident by the wrist band is made possible and the medical accident prevention effect is high. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a medical wristband and a medical wristband creation device for preventing medical errors in medical examinations, treatments, nursing care, and medical accidents in medical institutions.

  Recently, medical accidents or medical malpractice cases due to newborn misunderstandings or blood transfusion errors have occurred frequently. Reform of medical management system including review of organization is being considered. As one of such management systems, a medical management system is employed that manages a wristband while being worn by an inpatient or an outpatient recipient. The wristband is printed with the name of the examinee or patient, or a barcode, and there is also a wristband in which the blood type of the patient is color-coded with a predetermined color.

Conventionally, the direct thermal printing method is partially used for printing on the wristband, but in many cases the thermal transfer printing method is used. In addition, some prior art documents have proposed to create a wristband using a laser printer in addition to a thermal transfer printer (see Patent Document 1).
JP 2003-193308 A

  However, when creating wristbands by conventional technology, if the wristband of incorrect information is created due to the mistake of the first nurse who creates the wristband, there is no opportunity to check for errors, and conversely, It can be a cause of medical errors and medical accidents.

  Also, Patent Document 1 proposes to color-print the difference in blood type on the wristband, but in a medical accident, not only blood type is a problem, but allergies and other medical treatments must be careful. Misrecognition and misjudgment of important pre-existing diseases, special constitutions, etc. may lead to serious medical errors and medical accidents.

  Furthermore, in the technique of Patent Document 1, synthetic paper is used as a wristband material from the viewpoint of cost and the like. Synthetic paper can be printed by a thermal transfer printer or a laser printer. However, synthetic paper has a poor feeling of use, and there is a risk of damaging the skin especially in the case of a newborn baby. At present, many plastic films or rubber films are still used as wristband materials, and if these materials are used, there is no significant problem even with thermal transfer or direct thermal printing. However, recently, since the use of a material that is gentle to the skin is required, it is expected that materials closer to fabric such as felt or nonwoven fabric will be used in the future. It is problematic to print various types of medical information in different colors using a conventional thermal transfer or direct thermal printer on a wristband of such materials.

The present invention has been made in view of the problems of the prior art, and provides a wristband that can display various important medical information in different colors and has high discrimination power and alertness.
Still another object of the present invention is to provide a wristband creating apparatus capable of creating such a color-coded wristband having a high alerting power without error.

  The present invention suppresses manual input during wristband creation as much as possible, creates a wristband based on personal medical information already registered, and extracts important medical information unique to each individual in the medical information Thus, the problem of the conventional technique is solved by displaying the color band information on the wristband.

  The medical wristband according to the first aspect of the present invention includes a character information recording unit in which predetermined medical information is printed with characters or symbols, and two or more predetermined pieces of medical information are color-coded with identification marks other than black. And two or more color display units. By using the wristband of this aspect, at least two or more medical information items to be noted can be clearly identified by color. As a result, at least as long as the wristband is worn, attention is always given to two or more important medical precautions, and the medical accident prevention effect is great.

  In the medical wristband according to another aspect of the present invention, the color display unit displays the first color display unit that displays the blood type in different colors and the medical information related to the treatment method or constitution other than the blood type in different colors. And at least one other color display portion. Since medical accidents for not being aware of the difference in blood types occur frequently, at least blood types are color-coded to call attention. Furthermore, according to the environment of a hospital or the like, by displaying color-coded medical items that are likely to cause medical accidents, attention is always given to those items, and medical accidents can be greatly suppressed. For example, constitutions such as allergies or medical unique constitutions can be displayed in different colors. Note that when there are too many color-coded display items, the alerting power decreases. It is possible to increase the alerting ability with fewer color-coded display items. Accordingly, it is desirable that the number of color display items is limited to about 2 to 6, and more preferably about 2 to 3.

  A medical wristband creation device according to another aspect of the present invention includes a medical information acquisition unit that acquires personal medical information of a patient, at least two or more predetermined color display information from the acquired medical information, and character symbol display information. Color print data including at least two or more color identification marks made of a predetermined color based on the extracted color display information, a display data creation unit that generates character print data based on the character symbol display information, An ink jet printer that prints color identification marks and black character information on a wristband in accordance with print data. In this aspect, since color printing is performed by the ink jet printer, even if the material is close to the fabric, two or more types of color display information can be clearly printed by the wristband.

  In the medical wristband creation device according to another aspect of the present invention, the medical information acquisition unit accesses the medical information database based on the patient specifying information for specifying the patient, and acquires the personal medical information of the specified individual It is characterized by doing. In this aspect, it is possible to suppress manual input as much as possible by making maximum use of already registered medical information as medical information input when creating a wristband. Thereby, medical information can be input more accurately, and a medical accident due to an input error when creating a wristband can be prevented. Also, medical information input processing is simplified, and wristband creation is simplified.

  A medical wristband creation device according to another aspect of the present invention includes a code reading device in which a medical information acquisition unit can read a one-dimensional code or a two-dimensional code displayed on a medical chart or the like, and the code reading device Personal medical information is acquired based on code information read by the apparatus. According to this aspect, when a predetermined patient identification code is displayed on a medical record or a medical examination ticket, medical information for creating a wristband can be input only by a machine reading operation, and unless a medical record is mistaken, It is possible to prevent human input errors. Here, as the one-dimensional code and the two-dimensional code, any known code such as a barcode, a QR code, a Maxi code, Veri, and a Data Matrix PDF417 can be used. When all the medical information is recorded by the two-dimensional code, access to the medical database is not necessary.

  In the medical wristband creation device according to another aspect of the present invention, the display data creation unit extracts at least AB, A, B, and O blood types from the medical information as color display information, and these blood types are different. Print data of a color identification mark represented by a color is generated.

  The medical wristband creating apparatus according to another aspect of the present invention is characterized in that the color display information includes at least a blood type, a specific symptom, and an allergy type.

  In the medical wristband creation device according to another aspect of the present invention, the display data creation unit further includes a color identification mark that can identify RH (+) and (−) by color.

  In the medical wristband creation device according to another aspect of the present invention, the display data creation unit further generates print data including one-dimensional or two-dimensional machine-readable code for at least part of the personal medical information. It is characterized by. Predetermined medical information or all medical information is converted into a predetermined code and printed on a wristband. Since the medical wristband creation apparatus of the present invention includes an inkjet printer, such printing is possible. This makes it possible to obtain detailed medical information from the wristband.

  The medical wristband creation device according to another aspect of the present invention further includes a management information setting unit capable of changing the color setting of the color identification mark corresponding to the color display information. It creates a wristband that can handle specialities according to the differences in the hospital environment.

  The control method of the medical wristband creation device according to the first aspect of the present invention includes: (a) a medical information acquisition step of acquiring personal medical information of a patient; and (b) at least two or more predetermined from the acquired medical information Color display information and character symbol display information are extracted, color print data including at least two or more color identification marks having a predetermined color based on the extracted color display information, and character print based on the character symbol display information A step of generating data; and (c) a step of printing a color identification mark and black character information on a predetermined wristband according to the color print data and the character print data.

  In the control method of the medical wristband creation device according to another aspect of the present invention, in the step (a), the medical information database is accessed based on the patient specifying information for specifying the patient, and personal medical care of the specified individual is performed. It is characterized by acquiring information.

  In the control method of the medical wristband creation device according to another aspect of the present invention, the step (a) reads the one-dimensional code or the two-dimensional code displayed on the medical chart or the like, and based on the read code information It is characterized by acquiring medical information.

  In the control method of the medical wristband creation device according to another aspect of the present invention, step (b) extracts at least A, B, O, and AB blood types as color display information, and these blood types are different. Color print data of a color identification mark expressed by color is generated.

  In the control method of the medical wristband creation device according to another aspect of the present invention, step (b) extracts at least blood type, special attention patient, and allergy information as color display information, and each of these medical information is different. Color print data of a color identification mark that can be identified by color is generated.

  Another aspect of the present invention is characterized by comprising a program that causes a computer to execute each step of the medical wristband creation method according to any one of the above aspects. The computer includes a CPU, a logic circuit, a memory, various control programs, and the like, and executes each step of the medical wristband creation method by reading this program.

According to the present invention, when the wristband is created, the personal identification information registered or recorded in the medical record is read by the reading device and the personal medical information is input, thereby preventing an input error when creating the wristband. it can. In addition, since a plurality of important medical information can be identified with various colors on the wristband, it is possible to prevent an error caused by a medical site and to prevent a medical error. Furthermore, since it is not necessary to input individual medical information, it is possible to reduce the labor for creating the wristband. In addition, since the medical information and color settings to be printed on the wristband can be changed according to the environment, it is possible to color-display the items considered to be the most important according to the hospital on the wristband.

(Medical wristband creation device)
The best mode for carrying out the present invention will be described with reference to the drawings. First, FIG. 1 shows a functional block diagram according to an embodiment of a medical wristband creating apparatus according to the present invention. The medical wristband creation device 10 includes an input device 11 such as a keyboard or a touch plate, a code reading device 12 that reads a barcode or a two-dimensional code, a band creation control device 13, and an inkjet printer 15 that can perform color printing. Yes. Moreover, you may comprise so that the medical information database 14 centrally managed in the hospital can be accessed as needed. Further, a display device can be provided as appropriate.

  The band creation control device 13 includes a CPU, a ROM, a RAM, and a control program, as long as it can process data according to a predetermined control program. Therefore, it is also possible to install and use dedicated processing control software on a general-purpose computer such as a PC and an OS. The main function of the band creation control device 13 is to control the ink jet printer 15 to print the color display information and the character display information on the wristband 30 in a predetermined format based on the input personal medical information. .

  The band creation control device includes a data control unit 21, a management information setting unit 22, and a display data creation unit 23. The data control unit 21 controls acquisition of personal medical data and other operations of the entire band creation control device 13. The management information setting unit 22 can set management information such as setting items to be printed on the wristband and specifying color coding of the color display information. The set information is stored in the print pattern storage unit 24 as print information. These settings can be made only by a predetermined authority and an authority authentication means can be provided.

  The display data creation unit 23 includes a print pattern storage unit 24, a print data generation unit 25, a medical information analysis unit 26, a code conversion unit 27, and a personal information acquisition unit 28. The print pattern storage unit 24 stores a predetermined print pattern, and the print data generation unit 25 generates print data from the medical information so as to print predetermined items of the personal medical information according to the predetermined print pattern. .

  The medical information acquisition unit 28 acquires medical information of an individual who creates a wristband from information input from the input device 11 or registered medical information. The medical information analysis unit 26 extracts color display information, character / symbol display information, and code display information to be printed on the wristband from the personal medical information acquired by the medical information acquisition unit 28. The code conversion unit 29 converts the code display information into a predetermined bird or two-dimensional code. As the two-dimensional code, a known code format such as QR code, Maxi code, Veri, Data, Matrix, PDF417, or the like can be arbitrarily used.

(Medical wristband creation processing operation)
The wristband creation processing operation will be described. First, under the control of the medical information acquisition unit 28, the personal medical data is read from the code 61 written in the medical chart 60 or the like by the code reading device 12. The code 61 may be a bar code or the like, but is preferably a two-dimensional code when the amount of personal medical data is large. When only the identification number for identifying the patient is recorded in the code 61 on the medical chart, the hospital is connected via the communication control unit 29 based on the identification number of the patient read from the code 61 of the medical chart 60. You may make it read personal medical information from the medical information database 14 inside. Furthermore, when a code is not attached to the medical chart or the like, it is desirable that the personal medical information is read from the medical database 14 by inputting only the patient identification number with the input device 11. In this way, when creating a wristband, human input of medical information is avoided as much as possible, and the patient's personal medical data is mechanically acquired by a reader, etc. Can be suppressed.

  The personal medical information acquired by the medical information acquisition unit 28 is output to the medical information analysis unit 26, and color display information, character / symbol display information, and code display information, which are print information for the wristband, are extracted. The extracted color display information and character / symbol display information are output to the print information generation unit 25, and the code display information is output to the code conversion unit 27.

  The color display information is predetermined medical information printed and displayed in a color-coded manner on the wristband, and the character / symbol display information is predetermined information printed and displayed as character information on the wristband. is there. The code display information is predetermined information printed as a one-dimensional or two-dimensional code on the wristband. Therefore, the color display information is converted into a predetermined code by the code conversion unit 27 and output to the print data generation unit 25.

  The print data generation unit 25 is based on the color print pattern information, character print pattern information, and code print information stored in the print pattern storage unit 24 for color display information, character / symbol display information, and code display information. The predetermined print data to be processed and printed on the wristband 30 is generated.

(Example of medical wristband)
FIG. 2 shows an embodiment of a medical wristband according to the present invention. The wristband 30 shown in FIG. 2 is merely one example. The type / number of color-coded medical information to be printed on the wristband, the type / number of character / symbol information, and the color, position, and size to be printed are: It is possible to design freely according to environmental conditions such as the size of the hospital and the number of patients.

  The wristband 30 shows a blood group 31, a patient 33 requiring attention, an allergic constitution 34, a department 35, and a ward 35 as color display information, and attribute information 41 such as name, date of birth, etc. as character / symbol information, Examples are blood type 42, patient identification number 43, allergen name 44, physician ID number 45, ward name 46, and the like. Moreover, although both the two-dimensional code 47 and the barcode 48 are shown as the code information, either one may be printed, or neither may be printed.

  The wristband 30 displays a large amount of medical information 41 to 46 as character information, and at least two kinds of color display information 31 to 36 can be color-printed so that important medical information can be identified at a glance. It is designed. The portion displaying these color displays 31 to 36 is a color display unit. In the example of FIG. 2, the blood type color display information 31 is the first color display unit, and the other color display information 32 to 36 is displayed. The parts to be displayed are sequentially the second to sixth color display parts. If the number of color display parts becomes too large, the alerting power of color-coded display becomes weak, so it is desirable to make the number the minimum necessary. Preferably about 2-3 pieces are desirable. Which information is displayed in color is preferably selected based on objective data such as the incidence and risk of past medical accidents.

  The blood type is printed not only as the character information 42 but also as the color display information 31. Further, the display of RH (-) or the like may be performed with the character and color display 32. In FIG. 2, the color display 33 of the patient requiring attention is made of two red stripes. The color display 33 of the patient who needs attention is attached when the patient has an important problem to be medically noted. Try to be as prominent as possible in order to call attention to the treatment of patients with this indication. If it is not a patient who needs attention, this is a state where there is nothing, so that the patient who needs attention can be easily identified.

  The allergic constitution 34 is color-coded according to the allergen or according to the type of allergen such as food allergy, metal allergy, and other allergies, and at the same time, the allergen is printed as character information. In the case of not having an allergic constitution, this position is blank (white), and since the color is given here, a point to be noted can be clearly identified.

  Next to the allergy information, departments 35 such as internal medicine and surgery are color-coded and displayed as color display information, and the doctor ID number 45 in charge is printed as character information. The ward 36 is displayed in color next to the color display information of the department 35 in charge, and the ward name 36 is printed. Therefore, the patient's important medical information can be immediately identified from the wristband 30 by the color display information, and more specific by the character information (41 to 46) or the code information (47, 48) as necessary. Information can be obtained.

  In the above embodiment, when there is no corresponding item of color display information, black boundary lines 37, 38, and 39 may be provided in order to prevent the border between the color display information from becoming unclear. Furthermore, in order to clarify the identification effect by color display information, the belonging data of the department 35, ward 36, etc. are excluded from the color display items, and only medical symptoms and constitutions directly related to medical accidents and medical errors are colored. Display information may be used. By doing this, if there is a color display other than the blood type, the patient will be able to identify at a glance that he / she has some important issues to watch out for, and the discrimination will be further improved. it can. In general, the character / symbol information is desirably printed in black. However, for a patient requiring attention, the name may be printed in color in red or the like.

  The wristband 30 in FIG. 2 is used by being fixed to the wrist or ankle. The wristband 30 is wound around the wrist or ankle in a state where the protruding pin 56 of the stopper 55 is passed through the two holes 50 provided at the left end of the wristband 30, and a plurality of circular shapes provided at the right end of the wristband Two of the round holes 51 are penetrated. Thereafter, the stopper 55 is bent and fixed by connecting the connecting portions 57a and 57b.

  FIG. 3 illustrates print pattern information stored in the print pattern storage unit 24. FIG. 3A shows the color print pattern information in the table format when the wristband 30 of FIG. 2 is created, and FIG. 3B shows an example in which the character print information pattern information is stored in the table format. is there. The color display information column 70 in the color print pattern information table indicates medical items to be printed by color display. In FIG. 3, items to be watched 33, blood group 32, allergen 34, department in charge 35, and ward 36 are items in accordance with the printing of the wristband 30 in FIG. In the column of color 71 items in the center, colors are assigned according to the blood type, allergen, department in charge, and type of ward.

  The items in the rightmost column 72 specify the print position, form, and the like. In the table of FIG. 3A, types 1 to 3 (Roman numerals 1 to 3) are shown, but the printing position and size of the wristband 30 are determined by this form. The shaded portion in FIG. 3A is determined based on the medical information acquired from the personal medical information, and the color to be printed is determined if there is no corresponding medical information. ) When printing the boundary lines 37 to 39, information for printing the boundary lines 37 to 39 can be included in the form information.

  The management information setting unit 22 can set or change each color display information item and the color to be printed. The printing form 72 can also be configured to be freely changeable, but it is desirable that the form is determined in advance and selected from among several patterns.

  Also in the character print pattern information of FIG. 3B, various print information items to be printed are listed in the column of the character symbol display information 75 on the right end. In the personal medical information 76 corresponding to each character / symbol display information 75, specific medical data is extracted as character / symbol information from the medical information acquired by the medical information acquisition unit 28. In FIG. 3B, such specifically printed medical data is shown as medical information in the shaded portion. The printing positions of these pieces of information are also predetermined at predetermined positions A to E as shown in the wristband 30 of FIG. Also for the character print pattern information, the print item 75 and the like can be changed under the control of the management information setting unit 22.

  Note that it is difficult to print relatively fine prints as described above on a wristband made of nonwoven fabric or felt using a thermal printer. However, since ink jet printers print by spraying ink from nozzles, fine printing and color colors can be clearly obtained even if the printing surface is relatively rough. Therefore, in the present invention, color display information, character / symbol display information, and code display information are printed on the wristband 30 by using an ink jet printer 15 capable of color printing.

It is a functional block diagram of the medical wristband creation device concerning one embodiment of the present invention. It is a top view which shows the Example of the medical wristband concerning this invention. It is a table | surface which illustrates the printing pattern information memorize | stored in the printing pattern memory | storage part. (A) shows the color print pattern information in the table format when the wristband of FIG. 2 is created, and (b) is an example in which the character print information pattern information is stored in the table format.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Medical wristband creation apparatus 11 Input device 12 Code reader 13 Wristband creation control apparatus 14 Medical information database 15 Inkjet printer 21 Data control part 22 Management information control part 23 Display data creation part 24 Print pattern storage part 25 Print data generation Unit 26 Medical information analysis unit 27 Code conversion unit 28 Medical information acquisition unit 29 Communication control unit 30 Medical wristband 31 Blood type color display unit 32 RH (-) color display unit 33 Caution patient color display unit 34 Allergen color display unit 35 Department Color Display Unit 36 Ward Color Display Unit 41 Attribute Data Character Symbol Display Unit 42-46 Other Character Symbol Display Units 47, 61 Two-dimensional Code 48 Bar Code 50, 51 Hole 55 Stopper 56 Projection Pin 57a, b Join Part 60 chart

Claims (17)

  A medical wristband comprising: a character information recording unit in which predetermined medical information is printed with characters or symbols; and two or more color display units that display predetermined two or more pieces of medical information in a color-coded manner using identification marks other than black.   The color display section includes a first color display section that displays blood types in different colors, and at least one other color display section that displays medical information related to treatment methods or constitutions other than blood types in different colors. The wristband according to claim 1, wherein A medical information acquisition unit for acquiring personal medical information of the patient;
Color printing including at least two or more predetermined color display information and character / symbol display information extracted from the acquired medical information and including at least two or more color identification marks having predetermined colors based on the extracted color display information Data and a display data creation unit for generating character print data based on the character symbol display information;
An ink jet printer that prints the color identification mark and the black character information on a wristband according to the print data;
A medical wristband creation device comprising:   The medical information acquisition unit according to claim 3, wherein the medical information acquisition unit accesses a medical information database based on patient specifying information for specifying a patient and acquires the personal medical information of the specified individual. Wristband creation device.   The medical information acquisition unit includes a code reader capable of reading a one-dimensional code or a two-dimensional code displayed on a medical chart or the like, and acquires the personal medical information based on the code information read by the code reader. The medical wristband creation device according to claim 3 or 4,   The display data creation unit extracts at least A, B, O, and AB blood types from the medical information as the color display information, and generates print data of the color identification marks that represent these blood types in different colors. The medical wristband creating apparatus according to claim 5.   The medical wristband creation apparatus according to claim 6, wherein the color display information includes at least a blood type, a special attention patient, and an allergy type.   8. The medical wristband creation device according to claim 7, wherein the display data creation unit further includes the color identification mark capable of identifying RH (+) and (−) by color.   The medical wristband creation device according to any one of claims 3 to 8, wherein the display data creation unit further generates print data in a specific color that identifies a patient with special attention.   The display data creation unit further generates the print data including a one-dimensional or two-dimensional machine-readable code for at least a part of the personal medical information. The medical wristband creation device according to item.   The medical wristband creation device according to claim 10, further comprising a management information setting unit capable of changing a color setting of the color identification mark corresponding to the color display information. (A) a medical information acquisition process for acquiring personal medical information of a patient;
(B) Extracting at least two or more predetermined color display information and character / symbol display information from the acquired medical information, and at least two or more color identification marks having predetermined colors based on the extracted color display information Including color print data, and generating character print data based on the character symbol display information;
(C) printing the color identification mark and the black character information on a predetermined wristband according to the color print data and the character print data;
A control method for a medical wristband creation device, comprising:   The medical process according to claim 12, wherein the step (a) accesses a medical information database based on patient specifying information for specifying a patient, and acquires the personal medical information of the specified individual. Control method of wristband creation device.   14. The step (a) reads a one-dimensional code or a two-dimensional code displayed on a medical chart or the like, and acquires the personal medical information based on the read code information. Control method for medical wristband creation device.   The step (b) extracts at least A, B, O, and AB blood types as the color display information, and generates color print data of the color identification mark representing these blood types in different colors. The control method of the medical wristband creation apparatus of Claim 14.   In the step (b), at least blood type, special attention patient, and allergy information are extracted as the color display information, and color print data of the color identification mark that expresses each medical information in a different color is generated. The method for controlling the medical wristband creation device according to claim 15.   A control program for a medical wristband creating apparatus that causes a computer to execute each step of the method according to any one of claims 12 to 16.

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