JP2007094686A - Care information management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a care information management system for managing information by free sorting by IDs of data obtained by entering and processing handwritten memorandums as images in a personal computer. <P>SOLUTION: The care information management system comprises an information entry means entering various IDs by patients or tenants or handwritten memorandum information by patients or tenants, in exclusive forms carried always with the personnel or arranged in a plurality of places in facilities; a data input means for entering, into a computer of a terminal, data obtained by carrying out OCR processing of various ID portions by a scanner provided in the installation place of the exclusive forms and processing the memorandum information as images; and a display means for displaying latest care information on individual patients or tenants by setting computers of a plurality of terminals into LAN environment and sorting information by patients or tenants and in time series or the like by the various IDs from a monitor. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a care information management system. More specifically, the present invention relates to a care information management system for managing handwritten information created by individual nurses and caregivers as individual images with various IDs in the care and nursing settings.

  In general, medical information in a medical facility is described in a paper medium called a medical record and managed for each patient. A medical information management system that manages such medical information using a computer system is known as an electronic medical record system.

  In this electronic medical record system, a doctor records medical information such as examination, diagnosis, medication, etc. from a terminal device such as a keyboard to a data storage device such as a hard disk, and displays it on a display as necessary or on a paper medium. It is a system that enables browsing by printing out.

JP 2005-196369 A

  However, the electronic medical record system is used to write medical information comprehensively determined by a doctor, and information that nurses exchange with oral / telephone (in-hospital line, PHS) or notes regarding multiple patients, Most of these controls are currently extremely incomplete and flawed, or are rarely recorded or managed.

  For this reason, what is left as a so-called official record, such as a diary of nursing / nursing care, has a substantial lack of important information. Therefore, the more important and urgent the information is, the more information can be communicated and dealt with on the spot, and there is a problem that is not recorded because it is done.

  Due to such a situation, even if a major accident including a fatal accident occurs, it is not often possible to verify the sign and progress of the accident at all. If we look at this situation from a different point of view, at present, individual employees will be half-intentionally or convinced, "whether this will be recorded", "whether this will be reported or communicated" There is a problem that individual staff members make private judgments and private discretion about reporting, contacting and not consulting such information.

  The present invention was devised in view of the above points, and management of information is performed by freely sorting input memos as images into a personal computer (hereinafter referred to as PC) by ID. It aims at providing the care information management system which performs.

In order to achieve the above-mentioned object, the care information management system according to the present invention can be used in various forms for each patient or tenant on a dedicated form that is always carried by each staff member or arranged at a plurality of locations in a facility. An information entry means for filling in the memo information of the ID and the patient, or the handbook for each resident,
A data input means for performing OCR processing on the various ID portions by a scanner provided at a location where the dedicated form is installed and processing the memo information as an image to a terminal computer; and a plurality of terminal computers connected to the LAN Displaying means for displaying the latest care information of each individual patient or occupant is set in the environment and sorted by patient or occupant and time series by various IDs from the monitor.

  Here, in a business site consisting of a plurality of patients or a plurality of staff members involved in tenants, information that each staff member encounters and captures regarding each patient or tenant is handwritten sheet with various ID writing fields, Write on the spot, upload it to a PC (LAN environment) via a scanner, sort by patient ID or occupancy and time series by various IDs, and display on a monitor in the LAN environment. Information can be shared by all employees.

  In addition, in order to achieve the above object, the care information management system according to the present invention is provided for each patient or tenant on a dedicated form that is always carried by each staff member or arranged at a plurality of locations in the facility. The various ID portions are subjected to OCR processing by means of information entry means for entering the memo information of each ID and patient or resident's handbook, and a scanner provided at the installation location of the dedicated form, and the memo information is used as an image. Data input means for inputting processed data into the terminal computer, and the staff manager in charge fills in a dedicated form with various IDs for each patient or resident and procedures for each care for each resident And the computers of the plurality of terminals are set in a LAN environment, and sorted by patient or tenant and time series by various IDs from the monitor It comprises display means for displaying the individual patient or resident of the latest care information and care by procedures, Te.

  Here, on a business site consisting of a plurality of staff members involved in a plurality of tenants at a nursing facility, information that each staff member encounters and captures about each tenant is put on the handwritten sheet with various ID writing fields on the spot. The person in charge of the staff moves into each individual occupant by writing, uploading it to a PC (LAN environment) via a scanner, sorting by occupant and by time series, etc. according to various IDs, and displaying on a monitor in the LAN environment. Check the latest care information of the resident, quickly discover changes in the occupant's mental and physical conditions, etc., thereby correcting, adding and changing the resident's procedure manual on the handwritten sheet with various ID fields. And upload it to a PC (LAN environment) via a scanner, sort by resident and time series by various IDs , It is possible to present the latest of care-specific instructions to the staff to individual residents by displaying a monitor in the LAN environment.

  In addition, the care as used in the present invention refers to support for treatment and support in illness and general daily life performed in a medical institution, or mental and physical disability in general daily life performed in a care facility.

  According to the present invention, handwritten text (sentences, diagrams, tables, or a mixture of these) can be directly input to a PC as information, and information can be freely viewed from each client in a LAN environment.

  In addition, in order to input handwritten memos with a scanner, terminal input devices such as keyboards and tablet PCs are not required for input, and on-site information can be accurately recorded as memos, so that at the time of trial. This is a legal measure.

  Further, the original information of the scanned memo may be bound by the information creator in, for example, a folder for each customer as in the case of a conventional diary. Furthermore, since the daily mental and physical condition of the resident can be browsed through the LAN environment using images, it is possible to save the trouble of having a caregiver or nurse go to the staff room where the diary is stored.

  In addition, if this system is used, for example, in a facility of 100 staff members and 100 residents, memos handwritten by each of the 100 staff members for each tenant are automatically classified by tenant upon uploading to the PC. Since the latest care diary for each resident is automatically generated by sorting in time series, it is possible to easily collect and organize information about each resident.

  In addition, as described above, since the latest care diary for each resident is always automatically generated from the memo as described above, at the time of work shift, the staff who has finished working and the staff who will work from now on will be While referring to the latest care diary and procedure manual at that time, it is possible to easily and reliably send information such as information transmission and sharing.

  In addition, in this system, for procedure manuals and accident reports that do not have an ID entry field pre-printed on the sheet, ID stickers with various ID entry fields are affixed to the sheet, and various IDs are entered appropriately in the ID entry field. Therefore, the sheets taken into the PC as images can be freely sorted by various IDs written on the ID sticker.

  Also, in this system, the procedure manual is stored in a folder for each resident in chronological order from the first version to the latest version, and the latest version is always displayed when browsing in a LAN environment. You can be sure of the procedure.

  In addition, in this system, all versions of the procedure manual updated by corrections and additions are stored in a folder for each tenant in time series, and the latest version is basically always displayed when browsing in a LAN environment. If so, past procedure manuals can be easily browsed, so it is possible to easily check the reason for changing the procedure and its background.

Hereinafter, embodiments of the present invention will be described with reference to the drawings to provide an understanding of the present invention.
FIG. 1 is a block diagram showing an example of the configuration of a care information memo of a care information management system to which the present invention is applied. FIG. 2 shows another example of the configuration of a care information memo of a care information management system to which the present invention is applied. FIG. 3 is a block explanatory diagram, and FIG. 3 is a block explanatory diagram showing an automatic generation flow of a resident diary from a care information memo of a care information management system to which the present invention is applied.

  In the care information management system shown here, a field employee P such as a nurse who is engaged in a nursing / nursing field writes various ID numbers and care information by handwriting into a care information memo which is a dedicated form.

  As shown in FIG. 1, the dedicated form is provided with various ID information display units and handwritten information display units on the upper side of the dedicated form. In the various ID information display sections, the patient or resident ID, staff ID, department ID, and information creation date ID are entered. In the handwritten information display section, the nurse writes handwritten characters, diagrams, tables, and the like for individual information regarding the patient A.

  The dedicated form is read by a scanner. In this case, the ID numbers described in the various ID information display units are digitized by OCR processing, and the handwritten information described in the handwritten information display unit is read as an image, input to the terminal PC, and a LAN-connected server Sent to the PC.

  In addition, as shown in FIGS. 2 (a) and 2 (b), at the time of scanning, a mark for the software to "recognize that it is an ID seal" is provided on the start side and the end side of various ID entry fields. OCR to create ASCII data and use it for sorting.

  Therefore, for example, the ID sticker is pasted on an ordinary A4 notebook, and the A resident or patient ID, staff ID, department ID, and information creation date ID are entered in the ID entry field of this ID sticker. After the ID sticker, handwritten information is displayed on the handwritten information display section by hand writing individual information about the resident or patient A, and another ID sticker is pasted on the blank area, and this ID sticker has an ID entry field. Enter the resident or patient ID, staff ID, department ID, and information creation date ID, and write individual information about the resident or patient B by handwriting. By scanning the notebook written continuously in this way, the ID number written on the ID sticker is digitized by OCR processing, and handwritten information between each ID sticker is read as an image and input to the terminal PC. To the server PC connected to the LAN.

  In addition, the dedicated forms that have been read by the scanner are stamped with a “Scanned” stamp and stored in each department of the facility.

  Therefore, as shown in FIG. 3, the dedicated forms are installed in, for example, a cafeteria, a toilet, a dressing room, a living room, a day room, and a corridor in a nursing facility. The staff member P who is in charge of the cafeteria describes various ID numbers such as the resident ID number in the various ID information display sections for each resident and observes the state of the resident who eats (for example, whether there is appetite or not. Etc.) is written by handwriting on the handwritten information display portion of the dedicated form, read by the scanner and LAN-PC arranged at each place, and this care information is transmitted to the server PC.

  In this way, the staffs Q, R, S, T, U who are in charge of each place write the mental and physical status of each resident on the dedicated form 1 placed in the toilet, dressing room, living room, day room, hallway, etc. The care information is transmitted to the server PC by being read by a scanner and a LAN-PC arranged at each location.

  Therefore, it becomes possible to manage and grasp the care information of each resident individually by sorting the information such as mental and physical conditions in the dining room, restroom, dressing room, living room, day room and hallway of each resident by ID number. .

  Here, FIG. 4 is an explanatory diagram showing an example of a desktop screen when the care information management system is programmed. FIG. 5 is a block diagram showing the configuration of the user folder in FIG.

  On the screen, “Procedure for each care” 2 and “Care diary” 7 are classified and displayed. When the link bar 1 is clicked, other materials related to the user ("paper material" stored as an image in the user folder by scanner processing) are displayed in chronological order.

  In the “care-specific procedure manual” 2 window, tabs 3 for various care-specific procedure manuals are provided. On the tab 3 of the various care-specific procedures, care items for movement, bathing, changing clothes, meals, and excretion are provided.

  Next, 3.1 displays various ID numbers entered on the ID sticker. That is, when the person in charge of care for each resident enters the procedures for movement, bathing, changing clothes, meals, excretion by handwriting, the OCR software digitally fills the blank area at the top of the procedure manual. If a scanner is attached with an ID sticker to be processed, it is automatically stored in the user's folder, and the latest version is always displayed by a time stamp.

  In the care-specific procedure manual 4, a manual procedure manual for the movement, bathing, changing clothes, meals, and excretion processed by the scanner is displayed. In this case, by clicking on any of the items in tab 3 of the procedure manuals for various cares, the resident's name, date of creation, type of care, and creator are displayed. Is displayed.

  Next, 5 is an update history of each care-specific procedure manual. When the resident's person in charge changes each care procedure according to the resident's mental and physical conditions, each care-specific procedure 6 The latest update date of the document is displayed.

  On the other hand, the date tab 8 of the care diary is provided in the care diary 7 window. In the date tab 8, the past week including today is displayed by default. In addition, in the special note column 9 regarding the date, a simple scheduler and reminder function (a column for entering special notes and events on that date. Anniversary / plan etc. can be entered automatically with a keyboard etc. Also, if a trouble or accident occurs, write it down in this column on the date to make a simple record.)

  Next, in the care memo 10 column, individual information regarding the tenant handwritten in the handwritten information display portion of the dedicated form is displayed, and in the care memo 11 column, the various ID information display portions of the dedicated form are entered. The resident ID, staff ID, department ID, and information creation date ID are displayed.

  The calendar 12 is linked to the special note column 9 related to the date. The date entered in the special note column 9 regarding this date is highlighted in the calendar, and the special note content is popped up when the cursor is moved.

Next, FIG. 6 is explanatory drawing which shows an example of the work taking over by the care information management system of this invention.
In the care information management system of the present invention, in a work site such as a nursing facility such as “multiple users (residents) vs. multiple staffs”, handwriting with a column for writing the care information encountered and captured by each staff member regarding each tenant. Write on the sheet on the spot, upload it to a PC (LAN environment) via a scanner, sort by resident and time series by various IDs, and enter the care staff room via a server PC in the LAN environment Display by the arranged monitor.

  Therefore, several monitors are arranged in the care staff room shown in FIG. On this monitor, the latest version of the procedure manual and the latest care diary (care memos uploaded by each staff member at each facility are automatically arranged for each resident and displayed in chronological order). Yes.

  Here, at the time of work shift, the employee P who has finished working is sending and taking over while looking at the care diary of Mr. A who was in charge on the PC screen. In addition, the staff S who will work from now on will confirm “Are there any changes in the procedures for each care? Furthermore, last time I read a care diary from the day I worked to the present day and check "What is A's current situation?"

  In this way, at the time of work shift, staff who have finished their work through the “procedures by care” and “care diary” displayed on each monitor placed in the care staff room will be able to Care information can be accurately communicated and changes in care procedures can be clearly communicated.

  In addition, the care diary of one resident is written in the care diary in the care diary, for example, by the staff in charge of the cafeteria, toilet, dressing room, living room, day room, etc. This information is uploaded to the PC via the scanner and can be sorted freely by occupant and by time series according to various IDs. Can be performed.

Next, FIG. 7 shows an example of a LAN environment in the care information management system of the present invention.
In this LAN environment, each PC, scanner, and monitor connected via LAN to the staff supervisor desk, staff rest room, each unit (floor) office, office, day room, and staff room (place to send when changing work) Is installed.

  Here, the person in charge of staff uploads a procedure manual on which various ID writing fields are printed or various ID writing stickers are pasted to the PC via the scanner. In addition, in each unit (floor) office and day room, the staff in charge writes the information encountered and captured in the care scene etc. for each resident on a handwritten sheet with various ID fields. Is uploaded to the PC via the scanner.

  These pieces of information are input to the PC server via the LAN cable. Therefore, according to various IDs from the monitors of each staff supervisor desk, staff rest room, each unit (floor) office, office, day room, and staff room (place to send when changing work) By sorting and displaying the latest care information and procedure manuals for individual residents, it is possible to share this information with all staff members.

  In this embodiment, the care information management system in the care facility will be described in detail. Alternatively, a LAN environment can be provided as a care information management system in the hospital facility. In this case, a hospital room, a canteen, a bathing facility A scanner and a PC are arranged in a toilet, a treatment room, etc., and a nurse writes the care information of each inpatient by handwriting on a handwritten sheet with various ID writing fields and uploads it to the PC via the scanner.

  Therefore, the nurse or doctor in charge of the transfer can sort the inpatients by time and in time series at the nurse station or the medical office and share the latest care information of each inpatient. As a result, the doctor can give the nurse an appropriate instruction in care for the inpatient.

It is block explanatory drawing which shows one structural example of the care information memo of the care information management system to which this invention is applied. It is block explanatory drawing which shows the other structural example of the care information memo of the care information management system to which this invention is applied. It is an automatic generation flow explanatory view of "care diary by resident" from "care information memo" by the care information management system to which the present invention is applied. It is explanatory drawing which shows an example of the desktop screen at the time of programming the care information management system to which this invention is applied. It is a block diagram of a user's folder when the care information management system in FIG. 3 is programmed. It is block explanatory drawing which shows an example of the work taking over by the care information management system to which this invention is applied. It is block explanatory drawing which shows an example of LAN environment by the care information management system to which this invention is applied.

Explanation of symbols

1 Link bar 2 Care-specific procedure manual window 3 Various care-specific procedure manual tabs 3.1 ID seal 4 Handwritten procedure manual display column 5 Care-specific procedure manual update history 6 Care-specific procedure update date 7 Care diary window 8 Date tab of care diary 9 Special note column for date 10 Care memo display column 11 Various ID display column 12 Calendar

Claims (3)

Information entry for each staff member to always carry, or to enter memo information for each patient and tenant ID and patient or tenant handbook on dedicated forms placed at multiple locations within the facility Means,
A data input means for performing OCR processing on the various ID portions by a scanner provided at the installation location of the dedicated form, and inputting the processed data as an image of the memo information into a terminal computer;
Display means for setting the computers of the plurality of terminals in a LAN environment and displaying the latest care information of individual patients or residents by sorting by patient or by resident and by time series by various IDs from the monitor A care information management system characterized by comprising: Information entry for each staff member to always carry, or to enter memo information for each patient and tenant ID and patient or tenant handbook on dedicated forms placed at multiple locations within the facility Means,
A data input means for performing OCR processing on the various ID portions by a scanner provided at the installation location of the dedicated form, and inputting the processed data as an image of the memo information into a terminal computer;
The person in charge of the staff fills in the dedicated form with various IDs for each patient or resident and procedures for each care for each resident,
The computers of the terminals are set in a LAN environment, and the latest care information and care-specific procedures for individual patients or residents are sorted according to IDs from the monitor and sorted by patient or by resident. The care information management system characterized by including the display means which displays. 3. The care according to claim 1 or 2, wherein an ID sticker in which various IDs are written is attached to a notebook, and the memo information of the handbook for each patient or resident is entered with this ID sticker as a headline. Information management system.

Images