JP2008225665A - Nurse allocation device and nurse allocation program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a nurse allocation device and program, for allocating nurses so that they have nearly equal volumes of work. <P>SOLUTION: This nurse allocation device has: a nurse list 20 recording a nurse name and a current nurse work amount; a patient master 30 recording a patient name, a nursing degree, an aid category, an event, and a necessary work amount of the patient; a necessary work amount update means 11 calculating the necessary work amount based on the patient master 30 and updating the patient master 30; a nurse allocation means 12 selecting the nurse having a smallest work amount from the nurses recorded in the nurse list 20 and allocating him or her to be in charge of the patient; a nurse work amount update means 13 adding the necessary work amount of the patient to the nurse work amount of the nurse in charge and updating the nurse work amount; and an allocation recording file 60 associating and recording the nurse in charge and the patient based on an allocation result. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a nurse allocation apparatus and a nurse allocation program for selecting a nurse who is in charge of in-patient day care from among a plurality of nurses and allocating the nurse as a responsible nurse for the patient.

  Usually, a nurse in a hospital or the like often takes care of a plurality of inpatients, but the amount of work of each nurse varies greatly depending on what kind of patients are handled. Conventionally, when a field manager in a hospital or the like assigns each nurse as a nurse who owns a specific patient, the workload of each nurse is considered in consideration of the patient's medical condition, characteristics of the department, the number of beds, etc. Allocation is determined to be even.

  However, the amount of work required for nursing each patient on the day varies greatly depending on whether the patient is hospitalized, examined, or treated, and the workload is affected by the skill level of each nurse. It is a difficult task to allocate the nurses so that the load is even. As a result, the nurse's work load becomes excessively large or small, and a state that is undesirable for both the nurse and the patient often occurs.

  Therefore, as one of the methods for allocating nurses, in order to create a work schedule with work schedules for multiple nurses over a long period of two weeks or more, each nurse's skill level, work series, Disclosed is a nurse work schedule creation support software including a step of displaying an input screen of evaluation rules such as day allocation, required number of persons, etc., and a step of automatically calculating by a computer so as to satisfy the evaluation rules as much as possible (for example, , See Patent Document 1).

A patient nursing degree list is created using patient admission data and predetermined nursing master data, while nurse skill quantitative values and relative values are compared using nurse duty data and predetermined nurse skill master data. Proper placement method of nurses that can provide information for nurse placement by creating skill value lists, creating nursing degree value lists for each nurse from these lists, and displaying or printing them Is disclosed (for example, see Patent Document 2).
JP 2004-151790 A JP 2005-267521 A

  However, in the methods of Patent Document 1 and Patent Document 2 described above, consideration of information related to a patient is not sufficient, so it is extremely difficult to allocate nurses so that the workload of each nurse is almost equal.

  In view of the above circumstances, an object of the present invention is to provide a nurse allocation device and a nurse allocation program that can allocate nurses so that the amount of work of each nurse is almost equal.

The nurse allocation device of the present invention that achieves the above-described object provides:
A nurse allocation device that selects nurses from among a plurality of nurses who are responsible for the day care of hospitalized patients and allocates them as the nurses responsible for the patient,
A list of nurses that record the names of nurses chosen as nurses on the day and the amount of nursing work on that day,
A patient master in which a patient name, a nursing degree representing the degree of nursing, a relief category representing a relief category, an event representing the contents of the treatment on the day, and a necessary work amount necessary for the nursing of the patient on the day, and
Necessary work amount update means for calculating the necessary work amount necessary for patient care based on the nursing degree, relief category, and event recorded in the patient master, and updating the necessary work amount of the patient master;
For each patient, a nurse allocating means for selecting a nurse with the least amount of work from among the nurses recorded in the nurse list and allocating the nurse as a responsible nurse for the patient;
Nursing work amount updating means for updating the nursing work amount of the nurse list with a value obtained by adding the necessary work amount of the patient to the nursing work amount of the nurse allocated as the primary nurse of the patient by the nurse allocation means When,
An allocation recording file is provided, which records an associated nurse and a patient in association with each other based on the allocation result obtained by the nurse allocation means.

  According to the nurse allocation device of the present invention, the amount of work calculated based on the patient's nursing degree, relief category, and event is totaled for each nurse to obtain the required amount of work, so that the amount is equalized. Since the assignment is performed, the work amount of each nurse can be made almost equal.

  Here, it is preferable that the nurse allocation apparatus includes an allocation result display unit that displays an allocation result obtained by the nurse allocation unit on a screen.

  When the nurse allocation device of the present invention is configured as described above, each nurse can easily obtain information about his / her patient by browsing the allocation results displayed on this screen, The on-site supervisor can quickly grasp whether or not the allocation result displayed on the screen is inconvenient.

In addition, the patient master records the main nurse in charge of patient care,
The nurse allocating means searches whether or not the primary nurse of the patient is included in the nurse list, and as a result of the search, the primary nurse of the patient is included in the nurse list. If the primary nurse is not included in the nurse list as a result of the search, the primary nurse is assigned as the primary nurse of the patient. A nurse with the smallest amount of work may be selected from the nurse list and assigned as a nurse responsible for the patient.

  When the nurse allocation device according to the present invention is configured as described above, the primary nurse in charge of the patient is preferentially allocated as the primary nurse, so that a reasonable allocation result is obtained for both the patient and the nurse. be able to.

  In addition, the nurse allocating means extracts a nurse who has been a patient nurse of the patient within a predetermined period in the past from the allocation record file, and extracts the extracted nurses from the nurse list. If the result of the search includes a nurse who is in charge of the patient, the nurse with the least amount of work is selected from the nurses in charge of the patient and If the result of the search does not include the patient's primary nurse, the nurse with the least amount of work is selected from the nurse list and assigned as the primary nurse for the patient. It may be a thing.

When the nurse allocation device of the present invention is configured as described above, the nurses within the predetermined period in the past of the patient are preferentially allocated as the nurses, so that both the patient and the nurse are reasonable. A realistic allocation result can be obtained.

In addition, the patient master records the team to which the patient belongs, and the nurse list records the team to which the nurse belongs,
The nurse allocating means searches whether the nurse belonging to the same team as the team to which the patient belongs is included in the nurse list, and, as a result of the search, the nurse belonging to the same team When the nurse is included, the nurse with the least amount of work is selected from the nurses and assigned as the nurse responsible for the patient. As a result of the search, nurses belonging to the same team are included. If not, the nurse with the smallest amount of work may be selected from the nurse list and assigned as the nurse responsible for the patient.

  When the nurse allocation device of the present invention is configured as described above, a nurse who belongs to the same team as the team to which the patient belongs is preferentially allocated as a responsible nurse. A reasonable allocation result can be obtained.

The above nurse list also records the skill rank representing the level of nurse skills,
The above-mentioned nurse allocation means allocates the nurse with the highest skill rank among the selected nurses as the responsible nurse of the patient when multiple nurses with the smallest workload are selected. There may be.

  When the nurse allocation device of the present invention is configured as described above, a nurse with a high skill rank is preferentially allocated as a responsible nurse, so that a reasonable allocation result can be obtained for both the patient and the nurse. Can do.

In addition, the nurse allocation program of the present invention that achieves the above object is
Computer
A program that functions as a nurse allocation device that selects a nurse who is in charge of nursing on the day of an inpatient from among a plurality of nurses and assigns it as a nurse in charge of the patient,
A list of nurses that record the names of nurses chosen as nurses on the day and the amount of nursing work on that day,
A patient master in which a patient name, a nursing degree representing the degree of nursing, a relief category representing a relief category, an event representing the contents of the treatment on the day, and a necessary work amount necessary for the nursing of the patient on the day, and
Necessary work amount update means for calculating the necessary work amount necessary for patient care based on the nursing degree, relief category, and event recorded in the patient master, and updating the necessary work amount of the patient master;
For each patient, a nurse allocating means for selecting a nurse with the least amount of work from among the nurses recorded in the nurse list and allocating the nurse as a responsible nurse for the patient;
Nursing work amount updating means for updating the nursing work amount of the nurse list with a value obtained by adding the necessary work amount of the patient to the nursing work amount of the nurse allocated as the primary nurse of the patient by the nurse allocation means When,
It is made to function as a nurse allocation apparatus provided with the allocation recording file which records a charge nurse and a patient in association with each other based on the allocation result obtained by the nurse allocation means.

  According to the nurse allocation program of the present invention, the amount of work calculated based on the patient's degree of nursing, relief category, and event is totaled for each nurse to obtain the required amount of work. Since the assignment is performed, the work amount of each nurse can be made almost equal.

  Here, the nurse allocation program of the present invention is preferably provided with an allocation result display means for displaying the allocation result obtained by the nurse allocation means on the screen.

  When the nurse allocation program of the present invention is configured as described above, the allocation result can be easily corrected by examining the allocation result displayed on the screen.

In addition, the patient master records the main nurse in charge of patient care,
The nurse allocating means searches whether or not the primary nurse of the patient is included in the nurse list, and as a result of the search, the primary nurse of the patient is included in the nurse list. If the primary nurse is not included in the nurse list as a result of the search, the primary nurse is assigned as the primary nurse of the patient. A nurse with the smallest amount of work may be selected from the nurse list and assigned as a nurse responsible for the patient.

  When the nurse allocation program of the present invention is configured as described above, the primary nurse of the patient is preferentially assigned as the primary nurse, so that a reasonable allocation result is obtained for both the patient and the nurse. be able to.

  In addition, the nurse allocating means extracts a nurse who has been a patient nurse of the patient within a predetermined period in the past from the allocation record file, and extracts the extracted nurses from the nurse list. If the result of the search includes a nurse who is in charge of the patient, the nurse with the least amount of work is selected from the nurses in charge of the patient and If the result of the search does not include the patient's primary nurse, the nurse with the least amount of work is selected from the nurse list and assigned as the primary nurse for the patient. It may be a thing.

  When the nurse allocation program of the present invention is configured as described above, the nurses within the predetermined period in the past of the patient are preferentially assigned as the nurses, which is reasonable for both patients and nurses. A realistic allocation result can be obtained.

In addition, the patient master records the team to which the patient belongs, and the nurse list records the team to which the nurse belongs,
The nurse allocating means searches whether the nurse belonging to the same team as the team to which the patient belongs is included in the nurse list, and, as a result of the search, the nurse belonging to the same team When the nurse is included, the nurse with the least amount of work is selected from the nurses and assigned as the nurse responsible for the patient. As a result of the search, nurses belonging to the same team are included. If not, the nurse with the smallest amount of work may be selected from the nurse list and assigned as the nurse responsible for the patient.

  When the nurse allocation program according to the present invention is configured as described above, nurses belonging to the same team as the team to which the patient belongs are preferentially allocated as the responsible nurse, so both the patient and the nurse A reasonable allocation result can be obtained.

The above nurse list also records the skill rank representing the level of nurse skills,
The above-mentioned nurse allocation means allocates the nurse with the highest skill rank among the selected nurses as the responsible nurse of the patient when multiple nurses with the smallest workload are selected. There may be.

  When the nurse allocation program of the present invention is configured as described above, a nurse with a high skill rank is preferentially assigned as a responsible nurse, so that a reasonable allocation result can be obtained for both the patient and the nurse. Can do.

  ADVANTAGE OF THE INVENTION According to this invention, the nurse allocation apparatus and nurse allocation program which can allocate a nurse so that the workload of each nurse may become substantially equal are realizable.

  Embodiments of the present invention will be described below with reference to the drawings.

  Embodiments of the present invention will be described below. In this embodiment, an example is shown in which the nurse allocation device is configured as a client and server system including one server and three clients. However, the nurse allocation device of the present invention is not necessarily a client and server system. However, it may be a stand-alone system composed of one computer.

  FIG. 1 is an overall configuration diagram of a client and server system including a client constituting a nurse allocation device as an embodiment of the present invention and a server connected to the client via a communication line. Here, one computer 100 that operates as a server and three computers 200, 300, and 400 that operate as clients and are connected to the computer 100 via a communication line 900 are shown.

  In this embodiment, the communication line 900 is a LAN (Local Area Network) in one enterprise where the client and server system is installed. However, the communication line 900 is the Internet, a WAN (Wide Area Network), and the like. Processing that spans business entities may be performed.

  The computer 100 that operates as a server and the three computers 200, 300, and 400 that operate as clients are installed with necessary portions of computer programs having configurations described later, and execute the computer programs. Thus, these computers 100, 200, 300, and 400 operate as a nurse allocation device as a whole.

  Computers generally called workstations or personal computers can be used for the three computers 200, 300, and 400 that operate as clients. In the system shown in FIG. 1, a so-called notebook personal computer is used for one of the computers 400.

  Further, the computer 100 has a large-capacity recording medium, and a database including various master files in this enterprise is constructed in the recording medium, and a nurse allocation process is executed together with each computer 200, 300, 400. It is supposed to operate as a server.

Each of the computers 100, 200, 300, and 400 includes a main unit 101, 201, 301, 401, and a main unit 101 each including a CPU (central processing unit), a RAM (random access memory), a hard disk, a communication board, and the like. , 201, 301, 401, displays 102, 202, 302, 402 for displaying images and character strings on display screens 102a, 202a, 302a, 402a, and computers 200, 300, 400,
By designating an arbitrary position on the keyboards 103, 203, 303, 403 and the display screens 102a, 202a, 302a, 402a for inputting a user's instruction to 400, the icon displayed at that position at the time of the designation Pointing devices (in the case of computers 100, 200, and 300, mice 104, 204, and 304, in the case of computer 400, track pad 404) are provided.

  The main units 101, 201, 301, 401 are further provided with MO loading slots 101a, 201a, 301a, 401a and CD / DVD loading slots 101b, 201b, 301b, 401b into which MOs (magneto-optical disks) and CD / DVDs are loaded. And an MO drive or a CD / DVD drive for driving an MO, a CD, or a DVD loaded from the loading ports 101a, 201a, 301a, 401a, 101b, 201b, 301b, 401b. Also built-in.

  FIG. 2 is a hardware configuration diagram of the computer whose appearance is shown in FIG.

  Here, the computer 100 will be described as a representative, but the computers 200, 300, and 400 basically have the same configuration.

  2 shows the CPU 111, RAM 112, hard disk controller 113, MO drive 114, CD / DVD drive 115, mouse controller 116, keyboard controller 117, display controller 118, and communication board 119. , They are connected to each other by a bus 110.

  As described with reference to FIG. 1, the MO drive 114 and the CD / DVD drive 115 are for accessing the MO 601 and the CD / DVD 602 loaded from the MO loading port 101a and the CD / DVD loading port 101b, respectively.

  The communication board 119 is connected to the communication line 900.

  2 also shows a hard disk 600 accessed by the hard disk controller 113, a mouse 104 controlled by the mouse controller 116, a keyboard 103 controlled by the keyboard controller 117, and a display 102 controlled by the display controller 118. ing.

  Next, an embodiment of the nurse allocation device and nurse allocation program of the present invention will be described.

  FIG. 3 is a schematic configuration diagram of the nurse allocation apparatus and nurse allocation program of the present invention using the client and server system shown in FIG.

  First, the nurse allocation device of the present invention will be described.

As shown in FIG. 3, this nurse allocation device 10 is a device that selects a nurse who is in charge of the day care of an inpatient from among a plurality of nurses and allocates it as a nurse who takes care of the day. The nurse list 20 on which the nurse's current day's nursing work volume, the team to which the nurse belongs, and the skill rank of the nurse are recorded, and the patient's nursing The degree of nursing that represents the degree of relief, the relief category that represents the degree of relief, the event that represents the details of the treatment to be performed on the patient on that day, the amount of work required for the patient on that day, the team to which the patient belongs, The patient master 30 in which the main nurse in charge of the patient's nursing is recorded, and the nursing care of the patient based on the nursing degree, the relief category, and the event recorded in the patient master 30. The necessary work amount updating means 11 for calculating the necessary work amount necessary for the patient and updating the necessary work amount of the patient master 30 and the most important work amount among the nurses recorded in the patient master 30 for each patient. The nurse allocation means 12 that selects a small number of nurses and assigns them as the responsible nurses of the patient, and the necessary work of the patient in relation to the nursing work amount of the nurses assigned as the responsible nurses of the patients by the nurse allocation means 12 Nursing service amount updating means 13 for updating the amount of nursing work in the nurse list 20 with the value obtained by adding the quantity, an allocation record file 60 for recording the allocation result allocated by the nurse allocation means 12, and the allocation record Allocation result display means 14 for reading out each nurse's on-patients recorded in the file 60 and the nurse's amount of nursing work and displaying them on the screen It is equipped with a.

  The nurse allocating means 12 of this embodiment is searched for whether or not the main nurse of the patient is included in the nurse list 20, and the main nurse of the patient is the nurse. When included in the list 20, the primary nurse may be assigned as the primary nurse for the patient.

  In addition, the nurse allocating means 12 of the present embodiment extracts nurses who have been the nurses of the patient within the past predetermined period, for example, within the past month, from the allocation record file 60. It is searched whether or not the extracted nurse is included in the nurse list 20, and when the nurse is in charge of the patient, the nurse with the smallest amount of work is selected from the nurses in charge. May be selected and assigned as a nurse who owns the patient.

  Further, the nurse allocating means of this embodiment is searched for whether the nurse belonging to the same team as the team to which the patient belongs is included in the nurse list 20, and belongs to the same team. When a nurse is included, a nurse having the smallest amount of work is selected from the nurses and assigned as a nurse who owns the patient.

  Furthermore, in addition to the above, the nurse allocation device 10 of the present embodiment includes an entrance / exit information master 40 in which information related to the patient's entrance / exit is recorded, and an instruction information master 50 in which instruction information related to treatment to be performed on the patient is recorded. , And a workload master A71, a workload master B72, and a workload master C72 in which the workload corresponding to the nursing degree, the rescue category, and the event are recorded, respectively.

  Next, the nurse allocation program of the present invention will be described.

  The nurse allocation program 90 (see FIG. 3) is recorded on, for example, a CD / DVD 602 (see FIG. 2), and the CD / DVD is transferred from the CD / DVD loading slot 201b of the computer 100 (see FIG. 1) to the computer. 100 is read into 100 and installed in the hard disk 600. Then, by activating the nurse allocation program 90 as necessary, the computer 100 selects a nurse who is in charge of the day care of the inpatient from among a plurality of nurses and assigns the nurse as a responsible nurse of the patient. It can function as a nurse allocation device.

  As shown in FIG. 3, the program includes a computer, a nurse list 20, a patient master 30, a required workload updating means 11, a nurse allocation means 12, a nursing workload updating means 13, and an allocation record. This is a program that functions as a nurse allocation device that includes a file 60.

The nurse list 20 records the name of the nurse selected as a nurse on the day and the amount of nursing work on that day. The patient master 30 stores the patient name, the nursing level indicating the degree of nursing, The relief category representing the category, the event representing the content of the treatment on the day, and the necessary workload necessary for the day's nursing of the patient are recorded. The necessary workload update means 11 is recorded in the patient master 30. The necessary work amount necessary for nursing of the patient is calculated based on the degree of nursing, the relief category, and the event, and the necessary work amount of the patient master 30 is updated. The nurse allocating means 12 The nurse with the smallest amount of work is selected from among the nurses recorded in the nurse list 20 and assigned as the nurse responsible for the patient. The nurse work amount in the nurse list 20 is updated with a value obtained by adding the necessary work amount of the patient to the nurse work amount assigned as the primary nurse of the patient by the teacher assigning means 12. The file 60 records the associated nurse and the patient in association with each other based on the allocation result obtained by the nurse allocation unit 12.

  Furthermore, in this nurse allocation program 90, an entrance / exit information master 40, an instruction information master 50, a business volume master A71, a business volume master B72, a business volume master C73, and the like are used. Details of these files are as follows. The modes will be described sequentially.

  In this embodiment, the allocation result display means 14 is provided, and the allocation result obtained by the nurse allocation means 12 is displayed on the screen. By viewing the allocation results, each nurse can easily obtain information about his / her patients and the on-site supervisor can quickly determine whether the allocation results displayed on the screen are inconvenient. Can grasp.

  FIG. 4 is a diagram showing an example of a nurse list used in the present embodiment.

  This nurse list 20 is for recording information on nurses who can work as a responsible nurse for the day. As shown in FIG. 4, the date 20a for the day, the work category 20b for the day, the name of the nurse Four items of 20c, team 20d, skill rank 20e, and nursing work amount 20f are recorded for each nurse.

  FIG. 5 is a diagram illustrating an example of a patient master used in the present embodiment.

  The patient master 30 records information about inpatients. As shown in FIG. 5, a hospital room 30a, a patient name 30b, a medical department 30c, a nursing degree 30d, a relief category 30e, an event 30f, and a necessary work amount. Nine items of 30 g, team 30 h, and main nurse name 30 i are recorded for each patient.

  FIG. 6 is a diagram illustrating an example of an entrance / exit information master used in the present embodiment.

  As shown in FIG. 6, this entrance / exit information master 40 includes 8 of date 40a, entrance / exit 40b, patient name 40c, medical department 40d, hospital room 40e, bed 40f, team 40g, primary nurse name 40h. The item is recorded.

  FIG. 7 is a diagram illustrating an example of the instruction information master used in the present embodiment.

  As shown in FIG. 7, in this instruction information master 50, a date 50a, a patient name 50b, and instruction contents 50c are recorded.

  FIG. 8 is a diagram illustrating an example of a business volume master A used in the present embodiment.

As shown in FIG. 8, this work volume master A71 records three items, a nursing degree 71a and a required work volume 71b.

  FIG. 9 is a diagram illustrating an example of a business volume master B used in the present embodiment.

  As shown in FIG. 9, a rescue category 72a and a required workload 72b are recorded in the workload master B72.

  FIG. 10 is a diagram illustrating an example of a business volume master C used in the present embodiment.

  As shown in FIG. 10, two items of an event 73a and a required workload 73b are recorded in the workload master C73.

  FIG. 11 is a diagram showing an example of an allocation recording file used in this embodiment.

  As shown in FIG. 11, in this allocation record file 60, date 60a, duty category 60b, nurse name 60c, hospital room 60d, patient name 60e, team 60f, nursing degree 60g, relief category 60h, event 60i, necessary Ten items of the workload 60j are recorded.

  Next, the operation of the nurse allocation device in this embodiment will be described.

  First, at the start of the day, the patient master 30 (refer to FIG. 5) based on the newly recorded hospital information and the instruction information newly recorded in the instruction information master 50 (refer to FIG. 7) and the instruction information master 50 (refer to FIG. 7). ) Is updated. Next, the necessary work amount necessary for the patient recorded in the patient master 30 and the update of the patient master 30 are performed by the necessary work amount update means 11 (see FIG. 3).

  FIG. 12 is a flowchart showing the operation of the required workload updating unit in this embodiment.

  As shown in FIG. 12, first, the necessary work amount updating means 11 (see FIG. 3) records the nursing degree 30d, relief category 30e, and event 30f of one patient recorded in the patient master 30 (see FIG. 5). Are read out (step S01).

  Next, the necessary work amount 71b (work amount x) corresponding to the nursing degree 71a having the same value as the value of the patient's nursing degree 30d is read from the work amount master A71 (see FIG. 8) (step S02). The necessary work amount 72b (work amount y) corresponding to the rescue section 72a having the same value as the value of the patient's rescue section 30e is read from the amount master B72 (see FIG. 9) (step S02), and the work amount master C73 ( From FIG. 10, the necessary work amount 73b (work amount z) corresponding to the event 73a having the same value as the value of the patient event 30f is read (step S03).

  Next, a total value of the above-described workload x, workload y, and workload z is calculated (step S04), and the total workload is used to determine the required workload 30g of the patient in the patient master 30 (see FIG. 5). It is updated (step S05).

  The above series of processing is repeated until all the patients recorded in the patient master 30 are completed (step S06).

  Thus, after all of the patient workload 30g recorded in the patient master 30 is updated, the nurse allocation by the nurse allocation means is performed.

  FIG. 13 is a flowchart showing the operation of the nurse allocating means in this embodiment.

  As shown in FIG. 13, in the nurse allocating means 12 (see FIG. 3) of the present embodiment, first, information on one patient recorded in the patient master 30 (see FIG. 5) is read (step S11). . Next, it is determined whether or not the primary nurse name 30i of the patient is set (step S12).

  If the primary nurse name 30i is set as a result of the determination in step S12, the nurse is assigned as the nurse responsible for the patient (step S13), and the nurse in the nurse list 20 (see FIG. 4) The nurse's nursing workload 20f is updated with a value obtained by adding the patient's workload 30f to the nurse's nursing workload 20f (step S14). Next, it progresses to step S15, and it is determined whether the process of all the patients was complete | finished (step S15), when the process of all the patients was complete | finished, all the processes are complete | finished and the process of all the patients is complete | finished. If not, the process returns to step S11 to repeat the processes after step S11.

  If the result of determination in step S12 is that the primary nurse name 30i has not been set, processing proceeds to step S16, and the patient has been handled within the past month with reference to the allocation record file 60 (see FIG. 11). It is determined whether or not a certain nurse (host nurse 60f) is recorded.

  As a result of the determination in step S16, when there is a nurse who has handled the patient, the process proceeds to step S17, and it is determined whether there are a plurality of nurses who have handled the patient.

  If the result of determination in step S17 is that there is only one person, the process proceeds to step S13, where the nurse is assigned as the nurse responsible for the patient, and then the processing after step S14 is continued.

  As a result of the determination in step S17, if there are a plurality of nurses, the process proceeds to step S18, and the nurse with the least amount of work is extracted from the plurality of nurses in charge, and the process proceeds to step S19.

  In step S19, it is determined whether or not there are a plurality of extracted nurses.

  If the result of determination in step S19 is that there is only one person, the process proceeds to step S20, where the extracted nurse is assigned as the nurse responsible for the patient, and then the processing from step S14 is continued.

  As a result of the determination in step S19, in the case of a plurality of cases, the process proceeds to step S21, the nurse list 20 is referred to, and the nurse with the highest skill rank 20e is selected from the extracted plurality of nurses and the patient is in charge. After allocating as a nurse, the processing after step S14 is continued.

  On the other hand, if the result of determination in step S <b> 16 is that there is no nurse who has handled the patient, the process proceeds to step S <b> 22 to determine whether there is a nurse belonging to the same team as the patient.

  As a result of the determination in step S22, if there is a nurse belonging to the same team as the patient, the process proceeds to step S23 to determine whether or not there are a plurality of nurses belonging to the same team as the patient.

  If the result of determination in step S23 is that there is only one person, the process proceeds to step S13, where the nurse is assigned as the nurse responsible for the patient, and then the processing after step S14 is continued.

  As a result of the determination in step S23, in the case of a plurality of cases, the process proceeds to step S24, and after extracting the nurse with the least amount of work from among a plurality of nurses belonging to the same team as the patient, the processes in and after step S19 are continued.

  If the result of determination in step S22 is that there is no nurse belonging to the same team as the patient, the process proceeds to step S25, where the nurse with the least amount of work is extracted from the patient master 20, and then the process proceeds to step S19 and step S19. Subsequent processing continues.

  Next, an example of the nurse allocation device of this embodiment will be described.

  In this nurse allocation device, at the start of work every morning, the amount of nursing work 20f of each nurse in the nurse list 20 (see FIG. 5) is initialized and the necessary work of each patient in the patient master 30 (see FIG. 5). A quantity of 30 g is initialized.

  Next, the contents of the treatment given to the patient on the day based on the information regarding the hospital discharge recorded in the hospital discharge information master 40 (see FIG. 6) and the instructions from the doctor recorded in the patient instruction information master 50 (see FIG. 7). For example, information such as “one day before surgery”, “radiological examination”, “meal assistance” is read out and input to the event 30f of the patient master 30, and other items are displayed on the current day of each patient. Information such as nursing level and relief category is entered.

  Next, the required work amount 30g of the patient master 30 is input by the required work amount update means 11 (see FIG. 3). That is, as shown in FIG. 12, from the nursing record 30d: “A1” in the first record 30_1 (patient name: “Shiro Suda”) recorded in the patient master 30 (see FIG. 5), the workload master A (refer to FIG. 8) is referred to, and the workload x: “4” is obtained. Next, the rescue volume 30e: “Transport” to the workload master B (refer to FIG. 9), the workload y: “ 3 ”is obtained, and then the business amount z:“ 0 ”is obtained from the event 30f“ ”with reference to the business amount master C (see FIG. 10). Next, the work amount x, the work amount y, and the work amount z are totaled to calculate the necessary work amount “7” necessary for nursing the patient, and the value is input to the required work amount 30g column of the record 30_1. .

  Next, from the nursing degree 30d: “C1” in the second record 30_2 (patient name: “Masako Yaguchi”), the workload x: “2” is obtained by referring to the workload master A (see FIG. 8). Next, the work amount y: “1” is obtained by referring to the work amount master B (see FIG. 9) from the rescue category 30e: “Self Walk”, and then, from the event 30f “operation”, the work amount master C (see FIG. 9). 10), the workload z: “4” is obtained. Next, the work amount x, the work amount y, and the work amount z are totaled to calculate the necessary work amount “7” necessary for the nursing of the patient, and the value is input to the required work amount 30g column of the record 30_2. .

  In the same manner, the necessary work amount 30g column for each patient after the third record 30_3 is updated.

  Thus, after the update of the required work amount 30g column is completed, next, the nurse assigning means 12 (see FIG. 3) uses the nurses assigned to each patient recorded in the patient master 30 (see FIG. 5). Allocation is performed (see FIG. 13).

First, the allocation of the nurse in charge of the first record 30_1 (patient name: “Shiro Hirota”) of the patient master 30 (see FIG. 5) is started. "Nurse 1" is allocated as a nurse who owns this patient, and the allocation result is recorded in the allocation record file 60 (see FIG. 11). That is, as the first record of the allocation record file 60, the date “20070124” in the date 60a column, the work category “day shift” in the work category 60b column, the “nurse 1” in the primary nurse name 60c column, and the hospital room 60d column The patient's room number “501”, the patient name “Shiro Awata” in the patient name 60e column, the patient's team “A” in the team 60f column, “A1” in the nursing degree 60g column, and “carry” in the relief category 60h column "" Is entered in the event 60i column and "7" is entered in the required work amount 60j column. Subsequently, a value “7” obtained by adding the required work amount “7” to the value (unentered) in the nursing work amount 20 f column of “nurse 1” of the nurse list 20 (see FIG. 4) is input.

  Next, the assigned nurse is assigned to the second record 30_2 (patient name: “Masako Yaguchi”) of the patient master 30 (see FIG. 5). Since “Nurse 2” is recorded in the main nurse 20f column of this patient, the nurse “Nurse 2” is allocated as a nurse who owns this patient, and the allocation result is allocated to the allocation record file 60 (FIG. 11). Record). That is, as the second record of the allocation record file 60, the date “20070124” in the date 60a column, the work category “day shift” in the work category 60b column, the “nurse 2” in the nurse name 60c column, and the hospital room 60d column The patient's room number is “502”, the patient name is “Masako Yaguchi” in the patient name 60e column, the patient's team “B” is in the team 60f column, the “C1” is in the nursing degree 60g column, and the “self-study” is in the relief category 60h column. In the event 60i column, “1 day before surgery” is input, and “7” is input in the required work amount 60j column. Subsequently, a value “7” obtained by adding the required work amount “7” to the value (unentered) in the nursing work amount 20 f column of “nurse 2” of the nurse list 20 (see FIG. 4) is input.

Next, the assigned nurse of the third record 30_3 (patient name: “Fuji Taichi”) of the patient master 30 (see FIG. 5) is allocated. Since the main nurse 20f column of this patient is unrecorded, the nurse who has handled this patient within the past month with reference to the allocation record file 60 (see FIG. 11) (host nurse 60f) Since the nurse who has handled this patient is not recorded in the allocation record file 60, the nurse who belongs to the same team “B” as the team to which this patient belongs is nursed. Extract from the nurse list 20 and extract the nurses with the smallest amount of nursing work from the four extracted nurses “Nurse 9”, “Nurse 5”, “Nurse 2”, and “Nurse 6” . In this case, since the nursing work amount of the three nurses “Nurse 9”, “Nurse 5” and “Nurse 6” is zero, the nurse with the highest skill rank 20e among the three nurses “ The nurse 9 ″ is selected and assigned as a nurse who owns the patient, and the allocation result is recorded in the allocation record file 60 (see FIG. 11). That is, as the third record of the allocation record file 60, the date “20070124” in the date 60a column, the work category “day shift” in the work category 60b column, the “nurse 9” in the nurse name 60c column, and the hospital room 60d column The patient's room number is “503”, the patient name is “Taichi Fuji” in the patient name column 60e, the patient's team “B” is in the team 60f column, the “C2” is in the nursing degree 60g column, and the “Self-walking” is in the relief category 60h column "" Is entered in the event 60i column and "2" is entered in the required work amount 60j column. Subsequently, a value “2” obtained by adding the required work amount “7” to the value (unentered) in the nursing work amount 20 f column of “nurse 9” of the nurse list 20 (see FIG. 4) is input.

Next, the assigned nurse of the fourth record 30_3 (patient name: “Katsuhiko Sugiyama”) of the patient master 30 (see FIG. 5) is allocated. Since the main nurse 20f column of this patient is unrecorded, the nurse who has handled this patient within the past month with reference to the allocation record file 60 (see FIG. 11) (host nurse 60f) Since the nurse who has been in charge of this patient is not recorded in the allocation record file 60, the nurse belonging to the same team “C” as the team to which this patient belongs is nursed. Search from the teacher list 20. However, since nurses belonging to the same team “C” are not recorded, the nurse with the smallest amount of nursing work is extracted from the nurse list 20 (see FIG. 4). In this case, four nurses “Nurse 8”, “Nurse 5”, “Nurse 4” whose nursing duties are not yet recorded.
The nurse “Nurse 8” having the highest skill rank 20e is selected from “Nurse 6” and assigned as a nurse who owns the patient, and the allocation result is recorded in the allocation record file 60 (see FIG. 11). That is, as the fourth record of the allocation record file 60, the date “20070124” in the date 60a column, the work category “day shift” in the work category 60b column, the “nurse 8” in the nurse name 60c column, the hospital room 60d column. The patient's room number “505”, the patient name “Katsuhiko Sugiyama” in the patient name 60e column, the patient's team “C” in the team 60f column, the “C2” in the nursing degree 60g column, and the “self walking” in the relief category 60h column In the event 60i column, "radiation examination" is entered, and in the required work amount 60j column, "3" is entered. Subsequently, a value “3” obtained by adding the required work amount “3” to the value (unentered) in the nursing work amount 20 f column of “nurse 8” of the nurse list 20 (see FIG. 4) is input.

  In the same manner, after the nurse allocation is performed for each patient after the fifth record 30_5, the allocation result display means 14 displays the allocation result on the screen.

  FIG. 14 is a diagram showing an allocation result display screen used in the present embodiment.

  The allocation result recorded in the allocation record file 60 (see FIG. 11) by the allocation result display means 14 (see FIG. 3) is read out by the allocation result display means 14 and displayed on the allocation result display screen 80 shown in FIG. Is done. From this allocation result, each nurse can know the name of the patient on the day, the hospital room, the nursing degree, the relief category, the event, and the required work amount of the patient. In addition, since this allocation result display screen is sorted and displayed in the order of date> work classification> hospital nurse, it is easy for a nurse who handles multiple patients to grasp his / her own patient easily. Can do.

  At the bottom of the allocation result display screen 80, a “re-allocation” button 81 and an “end” button 82 are provided. When the allocation result displayed on the allocation result display screen 80 needs to be changed, the nurse list 20 (see FIG. 4), the patient master 30 (see FIG. 5), and the hospital discharge information master 40 (see FIG. 6). After the contents of the instruction information master 50 (see FIG. 7) are corrected, when the “re-allocation” button 81 is pressed, the above-described necessary work amount update means 11 (see FIG. 3), nurse allocation means 12, nursing work A reallocation process is performed by the quantity updating unit 13 and the allocation result display unit 14.

  When there is no need to change, all processes are ended by pressing an “end” button 82.

  Various aspects of the present invention will be additionally described below.

(Appendix 1)
A nurse allocation device that selects nurses from among a plurality of nurses who are responsible for the day care of hospitalized patients and allocates them as the nurses responsible for the patient,
A list of nurses that record the names of nurses chosen as nurses on the day and the amount of nursing work on that day,
A patient master in which a patient name, a nursing degree representing the degree of nursing, a relief category representing a relief category, an event representing the contents of the treatment on the day, and a necessary work amount necessary for the nursing of the patient on the day, and
Necessary work amount update means for calculating the necessary work amount necessary for patient care based on the nursing degree, relief category, and event recorded in the patient master, and updating the necessary work amount of the patient master;
For each patient, a nurse allocating means for selecting a nurse with the least amount of work from among the nurses recorded in the nurse list and allocating the nurse as a responsible nurse for the patient;
Nursing work amount updating means for updating the nursing work amount in the nurse list with a value obtained by adding the necessary work amount of the patient to the nursing work amount of the nurse allocated as the primary nurse of the patient by the nurse allocation means When,
A nurse allocation device comprising: an allocation record file for recording the associated nurse and the patient in association with each other based on the allocation result obtained by the nurse allocation means.

(Appendix 2)
The nurse allocation apparatus according to appendix 1, further comprising an allocation result display unit that displays an allocation result obtained by the nurse allocation unit on a screen.

(Appendix 3)
The patient master records the name of a primary nurse who is mainly responsible for patient care,
The nurse allocating means searches whether or not the primary nurse of the patient is included in the nurse list, and as a result of the search, the primary nurse of the patient is included in the nurse list. If the primary nurse is not included in the nurse list as a result of the search, the primary nurse is assigned as the primary nurse of the patient. The nurse allocation apparatus according to appendix 1, wherein a nurse having the smallest amount of work is selected from the nurse list and assigned as a nurse who owns the patient.

(Appendix 4)
The nurse allocating means extracts a nurse who has been a nurse who has been in charge of the patient within the past predetermined period from the allocation record file, and the extracted nurse is included in the nurse list. If the result of the search indicates that the patient's nurse is included, the nurse with the smallest amount of work is selected from the nurses and the patient's nurse is selected. As a result of the search, when a nurse who owns the patient is not included, the nurse with the least amount of work is selected from the nurse list and assigned as the nurse responsible for the patient. The nurse allocation device according to Supplementary Note 1, wherein the nurse allocation device is provided.

(Appendix 5)
The patient master records the team to which the patient belongs, and the nurse list records the team to which the nurse belongs,
The nurse allocating means searches whether the nurse belonging to the same team as the team to which the patient belongs is included in the nurse list, and as a result of the search, When the nurse is included, the nurse with the least amount of work is selected from the nurses and assigned as the nurse responsible for the patient. As a result of the search, nurses belonging to the same team are included. 4. The nurse allocation device according to appendix 1, wherein a nurse having the smallest amount of work is selected from the nurse list and assigned as a nurse in charge of the patient when not.

(Appendix 6)
The nurse list also records a skill rank representing the degree of skill of the nurse,
The nurse allocating means allocates the nurse with the highest skill rank among the selected nurses as the nurses in charge of the patient when a plurality of nurses having the smallest workload are selected. The nurse allocation device according to any one of appendices 3 to 5, wherein the nurse allocation device is provided.

(Appendix 7)
A program that causes a computer to function as a nurse allocation device that selects a nurse who is in charge of nursing on the day of an inpatient from among a plurality of nurses and allocates the nurse as a responsible nurse for the patient,
A list of nurses that record the names of nurses chosen as nurses on the day and the amount of nursing work on that day,
A patient master in which a patient name, a nursing degree representing the degree of nursing, a relief category representing a relief category, an event representing the contents of the treatment on the day, and a necessary work amount necessary for the nursing of the patient on the day, and
Necessary work amount update means for calculating the necessary work amount necessary for patient care based on the nursing degree, relief category, and event recorded in the patient master, and updating the necessary work amount of the patient master;
For each patient, a nurse allocating means for selecting a nurse with the least amount of work from among the nurses recorded in the nurse list and allocating the nurse as a responsible nurse for the patient;
Nursing work amount updating means for updating the nursing work amount in the nurse list with a value obtained by adding the necessary work amount of the patient to the nursing work amount of the nurse allocated as the primary nurse of the patient by the nurse allocation means When,
A nurse allocation program that functions as a nurse allocation device including an allocation recording file that records a nurse and a patient in association with each other based on an allocation result obtained by the nurse allocation means.

(Appendix 8)
The nurse allocation program according to appendix 7, further comprising: allocation result display means for displaying an allocation result obtained by the nurse allocation means on a screen.

(Appendix 9)
The patient master records the name of a primary nurse who is mainly responsible for patient care,
The nurse allocating means searches whether or not the primary nurse of the patient is included in the nurse list, and as a result of the search, the primary nurse of the patient is included in the nurse list. If the primary nurse is not included in the nurse list as a result of the search, the primary nurse is assigned as the primary nurse of the patient. 8. The nurse allocation program according to appendix 7, wherein a nurse with the least amount of work is selected from the nurse list and assigned as a nurse in charge of the patient.

(Appendix 10)
The nurse allocating means extracts a nurse who has been a nurse who has been in charge of the patient within the past predetermined period from the allocation record file, and the extracted nurse is included in the nurse list. If the result of the search indicates that the patient's nurse is included, the nurse with the smallest amount of work is selected from the nurses and the patient's nurse is selected. As a result of the search, when a nurse who owns the patient is not included, the nurse with the least amount of work is selected from the nurse list and assigned as the nurse responsible for the patient. The nurse allocation program according to appendix 7, which is characterized in that it exists.

(Appendix 11)
The patient master records the team to which the patient belongs, and the nurse list records the team to which the nurse belongs,
The nurse allocating means searches whether the nurse belonging to the same team as the team to which the patient belongs is included in the nurse list, and as a result of the search, When the nurse is included, the nurse with the least amount of work is selected from the nurses and assigned as the nurse responsible for the patient. As a result of the search, nurses belonging to the same team are included. 8. The nurse allocation program according to appendix 7, wherein a nurse with the least amount of work is selected from the nurse list and assigned as a nurse in charge of the patient when not.

(Appendix 12)
The nurse list also records a skill rank representing the degree of skill of the nurse,
The nurse allocating means allocates the nurse with the highest skill rank among the selected nurses as the nurses in charge of the patient when a plurality of nurses having the smallest workload are selected. The nurse allocation program according to appendices 9 to 11, characterized in that it exists.

1 is an overall configuration diagram of a client and server system including a client constituting a nurse allocation device as an embodiment of the present invention and a server connected to the client by a communication line. FIG. 2 is a hardware configuration diagram of a computer whose appearance is shown in FIG. 1. It is a schematic block diagram of the nurse allocation apparatus and nurse allocation program of this invention using the client and server system shown in FIG. It is a figure which shows an example of the nurse list | wrist used by this embodiment. It is a figure which shows an example of the patient master used by this embodiment. It is a figure which shows an example of the hospital discharge information master used by this embodiment. It is a figure which shows an example of the instruction | indication information master used by this embodiment. It is a figure which shows an example of the business volume master A used by this embodiment. It is a figure which shows an example of the work volume master B used by this embodiment. It is a figure which shows an example of the work volume master C used by this embodiment. It is a figure which shows an example of the allocation recording file used by this embodiment. It is a flowchart which shows operation | movement of the required work amount update means in this embodiment. It is a flowchart which shows operation | movement of the nurse allocation means in this embodiment. It is a figure which shows the allocation result display screen used by this embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Nurse allocation apparatus 11 Necessary work amount update means 12 Nurse assignment means 13 Nursing work amount update means 14 Assignment result display means 20 Nurse list 20a Date 20b Work classification 20c Nurse name 20d Team 20e Skill rank 20f Nursing work quantity 30 Patient Master 30a Hospital Room 30b Patient Name 30c Clinical Department 30d Nursing Degree 30e Relief Category 30f Event 30g Required Work Volume 30h Team 30i Primary Nurse Name 40 Entrance / Exit Information Master 40a Date 40b Admission / Discharge 40c Patient Name 40d Medical Department 40e 40f Bed 40g Team 40h Primary nurse name 50 Instruction information master 50a Date 50b Patient name 50c Instruction content 60 Allocation record file 60a Date 60b Work division 60c Nurse name 60d Patient room 60e Patient name 60 f Team 60g Nursing degree 60h Relief category 60i Event 60j Required work amount 71 Work amount master A
71a, 72a, 73a Nursing degree 71b, 72b, 73b Required work amount 72 Work amount master B
73 Business Master C
80 Allocation result display screen 81 “Re-allocation” button 82 “End” button 90 Nurse allocation program 100, 200, 300, 400 Computer 101, 201, 301, 401 Main unit 102, 202, 302, 402 Display 102a, 202a, 302a, 402a Display screen 103, 203, 303, 403 Keyboard 104, 204, 304 Mouse 101a, 201a, 301a, 401a MO loading slot 101b, 201b, 301b, 401b CD / DVD loading slot 110 Bus 111 CPU
112 RAM
113 Hard disk controller 114 MO drive 115 CD / DVD drive 116 Mouse controller 117 Keyboard controller 118 Display controller 119 Communication board 404 Trackpad 600 Hard disk 601 MO
602 CD / DVD
900 Communication line

Claims (6)

A nurse allocation device that selects nurses from among a plurality of nurses who are responsible for the day care of hospitalized patients and allocates them as the nurses responsible for the patient,
A list of nurses that record the names of nurses chosen as nurses on the day and the amount of nursing work on that day,
A patient master in which a patient name, a nursing degree representing the degree of nursing, a relief category representing a relief category, an event representing the contents of the treatment on the day, and a necessary work amount necessary for the nursing of the patient on the day, and
Necessary work amount update means for calculating the necessary work amount necessary for patient care based on the nursing degree, relief category, and event recorded in the patient master, and updating the necessary work amount of the patient master;
For each patient, a nurse allocating means for selecting a nurse with the least amount of work from among the nurses recorded in the nurse list and allocating the nurse as a responsible nurse for the patient;
Nursing work amount updating means for updating the nursing work amount in the nurse list with a value obtained by adding the necessary work amount of the patient to the nursing work amount of the nurse allocated as the primary nurse of the patient by the nurse allocation means When,
A nurse allocation device comprising: an allocation record file for recording the associated nurse and the patient in association with each other based on the allocation result obtained by the nurse allocation means.   2. The nurse allocation apparatus according to claim 1, further comprising an allocation result display unit for displaying an allocation result obtained by the nurse allocation unit on a screen. The patient master records the name of a primary nurse who is mainly responsible for patient care,
The nurse allocating means searches whether or not the primary nurse of the patient is included in the nurse list, and as a result of the search, the primary nurse of the patient is included in the nurse list. If the primary nurse is not included in the nurse list as a result of the search, the primary nurse is assigned as the primary nurse of the patient. 2. The nurse allocation apparatus according to claim 1, wherein a nurse having the smallest amount of work is selected from the nurse list and assigned as a nurse in charge of the patient.   The nurse allocating means extracts a nurse who has been a nurse who has been in charge of the patient within the past predetermined period from the allocation record file, and the extracted nurse is included in the nurse list. If the result of the search indicates that the patient's nurse is included, the nurse with the smallest amount of work is selected from the nurses and the patient's nurse is selected. As a result of the search, when a nurse who owns the patient is not included, the nurse with the least amount of work is selected from the nurse list and assigned as the nurse responsible for the patient. The nurse allocation device according to claim 1, wherein the nurse allocation device is provided. The patient master records the team to which the patient belongs, and the nurse list records the team to which the nurse belongs,
The nurse allocating means searches whether the nurse belonging to the same team as the team to which the patient belongs is included in the nurse list, and as a result of the search, When the nurse is included, the nurse with the least amount of work is selected from the nurses and assigned as the nurse responsible for the patient. As a result of the search, nurses belonging to the same team are included. 2. The nurse allocation apparatus according to claim 1, wherein a nurse having the smallest amount of work is selected from the nurse list and assigned as a nurse in charge of the patient when not. A program that causes a computer to function as a nurse allocation device that selects a nurse who is in charge of nursing on the day of an inpatient from among a plurality of nurses and allocates the nurse as a responsible nurse for the patient,
A list of nurses that record the names of nurses chosen as nurses on the day and the amount of nursing work on that day,
A patient master in which a patient name, a nursing degree representing the degree of nursing, a relief category representing a relief category, an event representing the contents of the treatment on the day, and a necessary work amount necessary for the nursing of the patient on the day, and
Necessary work amount update means for calculating the necessary work amount necessary for patient care based on the nursing degree, relief category, and event recorded in the patient master, and updating the necessary work amount of the patient master;
For each patient, a nurse allocating means for selecting a nurse with the least amount of work from among the nurses recorded in the nurse list and allocating the nurse as a responsible nurse for the patient;
Nursing work amount updating means for updating the nursing work amount in the nurse list with a value obtained by adding the necessary work amount of the patient to the nursing work amount of the nurse allocated as the primary nurse of the patient by the nurse allocation means When,
A nurse allocation program that functions as a nurse allocation device including an allocation recording file that records a nurse and a patient in association with each other based on an allocation result obtained by the nurse allocation means.

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