JP2009037376A - Nursing support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To appropriately display the necessity of the change of sickbeds according to the nursing necessity of patients and sickbeds where patients are arranged. <P>SOLUTION: This nursing support system is provided with: a sickbed information storage part 1 for storing a distance from a nurse center to a sickbed; a patient information storage part 2 for storing the nursing necessity of each patient; an adaptivity decision part 3 for deciding the adaptivity of the assignment of sickbeds to patients for every patient from a relation between the nursing necessity of the patients and the distances from the nurse center to the sickbeds assigned to the patients; and a display control part 4 for, when it is decided that the adaptivity of the assignment of the sickbeds is absent, controlling the display of the patients as patients whose sickbed change is required on a picture. Thus, it is possible to decide the adaptivity of the assignment of sickbeds under the consideration of not only the nursing necessity of each patient but also the distance from the nurse center to the sickbed assigned to each patient. Therefore, it is possible to appropriately display the patients whose sickbed change is really required on a picture. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a nursing support system, and is particularly suitable for use in a system that manages patient transition within a hospital.

  Generally, in hospitals that accept inpatients, there are cases where the patient is moved (the position of the bed is changed) depending on the condition of the patient and the availability of the bed (bed). For example, if a patient admitted to a general hospital bed needs high-density medical practice due to acute hate etc., the patient is transferred to an ICU (intensive care unit) for treatment. Is normal. Appropriate medical care is provided by the ICU, and patients whose condition is stabilized or mild are transferred to a general bed.

  In addition, there are many hospital rooms even though they are general beds. Many hospitals have a plurality of hospital rooms on each floor, and a nurse center is provided in one room on the floor. Patients who are admitted to the general bed also have various medical conditions, and the necessity of nursing by the nurse varies from patient to patient. For example, a post-operative patient needs a lot of nursing care by a nurse, and the degree of nursing care becomes low when the patient's condition stabilizes thereafter. For this reason, patients are transferred daily even in general beds so that patients who have a high degree of need for nursing such as after surgery become hospital rooms as close to the nurse center as possible.

  Furthermore, there are some patients who are hospitalized and discharged from hospitals every day. All hospitalized patients have different symptoms and the level of nursing needs varies from individual to individual. In this way, in a situation where the patient and their nursing needs change day by day, in order to enable the decision of hospitalized beds according to the need for nursing care and the availability of beds, etc. It is necessary to properly manage the floor change. Traditionally, this floor-shifting management has been performed relying on the experience and intuition of nurses.

In the medical assistance system, a technique for displaying a patient who needs to change beds and the priority thereof is known (for example, see Patent Document 1). In the technique described in Patent Document 1, a patient who satisfies a predetermined floor change condition (scheduled surgery on the day, expiration of the bed expiration date of the day, change in nursing level) is registered as a patient who needs to be transferred, and the patient is required. It is displayed on the patient selection screen whether or not it is registered in the patient who has moved. Alternatively, it is displayed that the patient is registered as a patient requiring a transition by displaying the priority of the transition condition that the patient has satisfied.
JP 2003-30320 A

  However, in the technique described in the above-mentioned Patent Document 1, when a patient who needs to change floor is displayed on the screen, a change in the nursing level is considered as one of the moving bed conditions, but the patient is appropriate depending on the nursing level. It is not taken into account whether it is placed in a different bed (room). That is, in Patent Document 1, in addition to the function of displaying a patient whose nursing level change is set to “present” on the screen as a patient requiring a transitional bed, a function for searching for a bed that matches the nursing level of the patient requiring a transitional floor. However, it is not considered whether or not the patient is already placed on the bed corresponding to the nursing degree when determining whether or not to register as a patient requiring a changeover.

  For this reason, there is a problem that a patient who does not need to be moved may be registered as a patient who needs to be moved and displayed on the screen. On the other hand, there is a problem that even if a patient has a high nursing level and needs to change floor, the patient may not be registered as a patient who needs to be transferred unless the nursing level is changed, and may not be displayed on the screen as a patient who needs to change floor.

  The present invention has been made to solve such a problem, and it is possible to appropriately display the necessity of changing beds according to the patient's nursing needs and the beds on which the patients are placed. With the goal.

  In order to solve the above-mentioned problems, in the present invention, the compatibility of the allocation of the bed to each patient is determined based on the relationship between the distance from the nurse center to the bed allocated to each patient and the nursing necessity of each patient. It is determined for each patient, and a patient who is determined not to be compatible is displayed on the screen as a patient requiring a transition bed.

  According to the present invention configured as described above, the suitability of bed allocation is determined in consideration of not only the degree of nursing care of each patient but also the distance from the nurse center to the bed allocated to each patient. Therefore, it is possible to appropriately display the necessity of changing beds in accordance with the patient's need for nursing and the bed layout. In other words, according to the present invention, it is preferable in hospital operation that patients with a high degree of nursing need be placed on a bed as close to the nurse center as possible, and patients with a low degree of nursing need be placed on a bed as far as possible from the nurse center. The patient who is placed on the bed away from the nurse center even though the need for nursing is high, and the patient who is placed on the bed near the nurse center when the need for nursing is low are displayed on the screen. be able to.

(First embodiment)
Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a functional block diagram illustrating a configuration example of a nursing support system according to the first embodiment. As shown in FIG. 1, a nursing support system 100 according to the first embodiment includes a bed information storage unit 1, a patient information storage unit 2, a suitability determination unit 3, a display control unit 4, and a display 5. Yes. The suitability determination unit 3 includes a first ranking unit 11, a second ranking unit 12, a difference calculation unit 13, and a determination unit 14. Here, the compatibility determination unit 3 and the display control unit 4 are actually configured by including a CPU or MPU of a computer, a RAM, a ROM, and the like, and can be realized by operating a program stored in the RAM or the ROM.

  The bed information storage unit 1 is a recording medium that stores bed information including distance information representing the distance from the nurse center to the bed for each bed. FIG. 2 is a diagram illustrating an example of bed information. As shown in FIG. 2, the bed information includes a room number that uniquely identifies a room, a bed number that uniquely identifies a bed (bed) in the room, and information on the distance from the nurse center to the bed. Yes. The distance may be the same for all the beds in the same room, or may be a different value in units of several meters for each bed. FIG. 2 shows an example in which all the beds in the same hospital room have the same distance.

  The patient information storage unit 2 is a recording medium that stores patient information for each patient, including bed allocation information indicating the bed allocated to the patient and nursing necessity information indicating the patient's need for nursing. FIG. 3 is a diagram illustrating an example of patient information. As shown in FIG. 3, the patient information includes the patient's name, the bed number (bed allocation information) that uniquely identifies the bed (bed) assigned to the patient, and the patient's nursing need. . The nursing necessity level is a numerical value indicating how much the patient needs nursing. The larger the numerical value, the higher the nursing necessity level, and the smaller the numerical value, the lower the nursing necessity level. Note that FIG. 3 shows only information related to the present invention, but other information such as the age, sex, and state of the patient is actually included in the patient information.

  FIG. 4 is a diagram showing an example of an evaluation vote used when the nursing need is digitized. The evaluation vote is roughly divided into A. A plurality of items relating to monitoring and treatment, etc .; And a plurality of items relating to the patient's situation and the like. Each item is determined from the viewpoint of whether or not nursing by a nurse is necessary, and if it falls under that item, one or two points are given. And the numerical value of nursing necessity is calculated | required by adding up all the points | pieces attached to each item. The need for nursing using this evaluation form is calculated every day, and the need for nursing of the patient information shown in FIG. 3 is updated and stored every day.

  The nursing support system 100 of this embodiment may include an operation unit for inputting patient information to be updated. Here, regarding the necessity level information, the numerical value of the evaluation result using the evaluation form shown in FIG. 4 may be directly input. Alternatively, an input / output screen provided with an answer input field for each item of the evaluation form shown in FIG. 4 is displayed on the display 5, and the result of the answer input from the user is automatically totaled and the numerical value of the nursing necessity information is obtained. May be calculated.

  Based on the distance information stored in the bed information storage unit 1 and the patient information stored in the patient information storage unit 2, the suitability determination unit 3 determines the necessity of nursing of the patient and the bed assigned to the patient. Based on the relationship with the distance from the nurse center, the suitability of the bed allocation to the patient is determined for each patient.

  Specifically, the first ranking unit 11 of the suitability determination unit 3 ranks each patient in the order from the shortest distance indicated by the distance information regarding the bed indicated by the bed allocation information. The second ranking unit 12 ranks each patient in descending order of necessity of nursing indicated by the need for nursing care information. The difference calculation unit 13 calculates, for each patient, the difference between the ranking based on the distance given by the first ranking unit 11 and the ranking based on the nursing necessity given by the second ranking unit 12. The determination unit 14 determines that there is no suitability for bed allocation for a patient whose difference calculated by the difference calculation unit 13 is equal to or greater than a predetermined threshold.

  For example, a patient assigned with a bed farthest from the nurse center has the lowest rank based on distance. If there are 50 patients in all, the patient ranks 50th. On the other hand, if the patient's need for nursing is the highest, the rank based on the patient's need for nursing is first. In this case, the difference between the rank based on the distance and the rank based on the nursing necessity is “49”. At this time, for example, if a value “25” which is half of the total number of patients is set to a predetermined threshold value, the difference in rank exceeds the threshold value, so that this patient is determined not to be compatible with the bed allocation. That is, it is determined that a patient who is placed on a bed away from the nurse center even though the necessity for nursing is high is a patient who needs to be transferred.

  In addition, the patient who is assigned the bed closest to the nurse center has the first rank based on the distance. On the other hand, if the patient's need for nursing is the lowest, the ranking based on the patient's need for nursing is 50th. Also in this case, the difference between the rank based on the distance and the rank based on the need for nursing is “49”, and the difference between the ranks exceeds the threshold value. Therefore, this patient is also determined not to be compatible with the bed allocation. . That is, it is determined that a patient who is placed on a bed near the nurse center even though the necessity for nursing is low is a patient who needs to be transferred.

  In addition, although the 1st ranking part 11 ranked each patient in order with a short distance here, and the 2nd ranking part 12 demonstrated the example which ranks each patient in order with high nursing necessity degree, The reverse is also acceptable. In other words, the first ranking unit 11 ranks the patients in the descending order of the distance indicated by the distance information, and the second ranking unit 12 ranks the patients in the descending order of the need for nursing indicated by the nursing necessity information. You may make it attach. Even in this case, the operations of the difference calculation unit 13 and the determination unit 14 are the same.

  Moreover, although the example which sets a predetermined | prescribed threshold value to the half value of the total number of patients was demonstrated here, it is not limited to this. If the predetermined threshold value is set to a large value, too many patients are extracted as patients who need to be transferred. Therefore, it is preferable that the predetermined threshold value can be set to an arbitrary value in accordance with a hospital operation method or the like.

  The display control unit 4 performs control so that the patient who is determined not to be compatible with the bed allocation by the fitness determining unit 3 is displayed on the display 5 as a patient who needs to be transferred. FIG. 5 is a diagram illustrating an example of the screen display. The screen example shown here is a standby screen (patient status display screen) of the nurse call master unit provided in the nurse call system, and information related to the patient (for example, the name of the patient enclosed in a rectangular frame) is displayed. .

  Specifically, the display control unit 4 displays the patient's age, sex, and state with the face icon 50 based on the patient information stored in the patient information storage unit 2, and on the face icon 50. The patient's bed number (bed number) is displayed, and the name of the patient is displayed on the right side of the face icon 50.

  Moreover, the display control part 4 displays the alert | report icon 51 for alert | reporting that it is a patient requiring a transition bed about the patient determined by the suitability determination part 3 that there is no adaptability of a bed allocation. In addition, the display control unit 4 displays an indicator 52 indicating the magnitude of the difference calculated by the difference calculation unit 13 for the patient determined by the compatibility determination unit 3 to be not compatible with the bed allocation. Also good. When the indicator 52 is displayed, the display level of the indicator 52 is small for a patient with a small difference between the rank based on the distance and the rank based on the need for nursing, and the display level of the indicator 52 is large for a patient with a large difference. The nurse who has seen 52 can intuitively grasp the degree of necessity for the patient to change bed.

  Next, the operation of the nursing support system 100 according to the first embodiment configured as described above will be described. FIG. 6 is a flowchart showing an operation example of the nursing support system 100 according to the first embodiment. It is assumed that the bed information and the patient information are already stored in the bed information storage unit 1 and the patient information storage unit 2, respectively, when executing this flowchart.

  In FIG. 6, the suitability determination unit 3 reads the distance information included in the bed information from the bed information storage unit 1 (step S1), and reads out the nursing necessity information included in the patient information from the patient information storage unit 2 ( Step S2). Here, the distance information of all the beds and the nursing necessity information of all patients are read out, but the following may be used. That is, the second ranking unit 12 reads out patient information including the bed allocation information and the nursing necessity level information from the patient information storage unit 2 as shown in FIG. In addition, the first ranking unit 11 reads out the bed distance information indicated by the bed allocation information of each patient from the bed information storage unit 1.

  Next, the first ranking unit 11 ranks each patient in the order from the shortest distance from the nurse center to the bed, and the second ranking unit 12 ranks each patient in descending order of necessity of nursing ( Step S3).

  Next, the suitability determination unit 3 determines the suitability of bed allocation for a certain patient from the relationship between the patient's need for nursing and the distance of the bed allocated to the patient from the nurse center (step S4). . Specifically, the difference calculation unit 13 calculates the difference between the rank based on the distance of the patient and the rank based on the nursing need, and the determination unit 14 determines whether or not the calculated difference is equal to or greater than a predetermined threshold. To determine whether the patient is compatible with the bed allocation.

  When the determination unit 14 determines that there is no suitability for the allocation of the bed for the patient (No in step S5), the display control unit 4 sets the patient as a patient requiring a change bed on the display 5. Control is performed to display the screen (step S6). On the other hand, if the determination unit 14 determines that there is suitability for the allocation of the bed for the patient (Yes in step S5), the process proceeds to step S7 without performing the process in step S6.

  The suitability determination unit 3 determines whether or not the suitability of the bed allocation has been determined for all patients (step S7). Here, when the suitability determination unit 3 determines that the suitability of the bed allocation has not been determined for all patients (No in step S7), the process returns to step S4 to designate the next patient. To determine the suitability of bed allocation. On the other hand, if the suitability determination unit 3 determines that the conformity of the bed allocation has been determined for all patients (Yes in step S7), the process of this flowchart is terminated.

  As described above in detail, in the first embodiment, the compatibility of the allocation of the bed to each patient is determined based on the relationship between the distance from the nurse center to the bed allocated to each patient and the nursing necessity of each patient. The determination is made for each patient, and the patient who is determined not to be compatible is displayed on the screen as a patient requiring a transition bed. As a result, the suitability of the bed allocation is determined in consideration of not only the degree of nursing care of each patient but also the distance from the nurse center to the bed allocated to each patient. The patient can be appropriately displayed on the screen. In other words, a patient who is placed on a bed away from the nurse center even though the need for nursing is high, or a patient who is placed on a bed near the nurse center but has a low need for nursing is displayed on the screen as a patient who needs to be transferred. can do.

  In the first embodiment, the suitability of the bed allocation is determined for each patient from the difference between the rank based on the distance and the rank based on the necessity of nursing. According to such a determination method, when determining the suitability of a certain patient's bed allocation, the suitability of a bed allocation can be determined based on the relative ranking among all patients. For example, among a plurality of patients placed in the same hospital room some distance from the nurse center, a patient with a high need for nursing is preferentially recognized as a patient requiring a transfer, so the nurse must By referring to the screen display of the floor patient, it is possible to make a more appropriate determination of floor change without relying on experience or intuition.

(Second Embodiment)
Next, a second embodiment of the present invention will be described with reference to the drawings. FIG. 7 is a functional block diagram illustrating a configuration example of a nursing support system according to the second embodiment. In FIG. 7, those given the same reference numerals as those shown in FIG. 1 have the same functions, and therefore redundant description is omitted here.

  As shown in FIG. 7, a nursing support system 200 according to the second embodiment includes a bed information storage unit 1, a patient information storage unit 2, a suitability determination unit 30, a display control unit 4, and a display 5. Yes. The suitability determination unit 30 includes a table information storage unit 21 and a determination unit 22. Here, the compatibility determination unit 30 and the display control unit 4 are actually configured by including a CPU or MPU of a computer, a RAM, a ROM, and the like, and can be realized by operating a program stored in the RAM or the ROM.

  The table information storage unit 21 stores, for each of a plurality of ranks, table information that stores table information defining a range of the necessity of nursing to belong to each rank and a range of the distance from the nurse center to the bed. . FIG. 8 is a diagram showing a configuration example of this table information. In the example of FIG. 8, the nursing necessity level and the distance are divided into three ranks A to C, and necessary conditions are defined for each rank. For example, rank A indicates that a patient who has 10 or more nursing needs and should be placed on a nearby hospital bed within a distance of 0 to 20 m from the nurse center. Rank B indicates that the patient needs 5 to 9 points of nursing care and should be placed on a bed within a distance of 21 to 40 m from the nurse center. Rank C indicates that the patient needs 0 to 4 nursing care points and should be placed on a hospital bed at a distance of 41 or more from the nurse center.

  Note that the table information shown in FIG. 8 is merely an example, and the present invention is not limited to this. For example, the number of ranks to be divided may be two or four or more. In addition, the number of nursing needs and distance belonging to each rank are merely examples. It is preferable to be able to arbitrarily set the necessity of nursing and the ranking of distances according to hospital room layouts and operation rules for changing floors using the nursing support system 200 of this embodiment.

  Moreover, in FIG. 8, although the range of the distance which should belong to each rank is defined as a distance from a nurse center to a sickbed for a plurality of ranks A to C, it is not limited to this. For example, instead of defining the range of the distance from the nurse center to the beds, corresponding to a plurality of ranks A to C, bed numbers to belong to the plurality of ranks A to C may be defined.

  The determination unit 22 determines whether the rank corresponding to the nursing necessity set for each patient matches the rank corresponding to the distance from the nurse center of the bed assigned to each patient. The suitability of bed allocation is determined for each patient. Specifically, the determination unit 22 determines that there is no suitability for bed allocation for a patient whose nursing need rank and distance rank do not match. For example, a patient whose nursing need is 10 or more belongs to rank A with regard to the need for nursing. However, if the patient is placed on a hospital bed 30 m from the nurse center, the patient belongs to rank B with respect to distance. In this case, since the rank A of the need for nursing does not match the rank B of the distance, it is determined that the patient does not have the suitability of the bed allocation.

  Even in the second embodiment configured as described above, a patient who is placed on a bed away from the nurse center even though the need for nursing is high, or a bed placed near the nurse center where the need for nursing is low. The displayed patient can be displayed on the screen as a patient requiring a changeover.

  In the first and second embodiments described above, an example has been described in which all the patients determined by the determination units 14 and 22 to be non-matchable for bed allocation are displayed on the screen as patients who need to be transferred. However, the present invention is not limited to this. Not. For example, in the first embodiment, when the upper limit number of patients to be displayed on the screen as a patient requiring a changeover bed is determined and there are more than the upper limit number of patients determined to be incompatible with the bed allocation, Alternatively, the upper limit number of patients may be displayed on the screen as the patient who needs to be transferred in descending order of the difference between the rank based on the necessity of nursing and the rank based on the distance.

  In the second embodiment, only a patient whose nursing necessity rank and distance rank are separated from each other by two may be displayed on the screen as a patient who needs to be transferred. For example, for a patient whose nursing need belongs to rank A, a patient who belongs to rank B with respect to the distance is not a patient who needs to be transferred, and only a patient who belongs to rank C with respect to the distance is displayed on the screen as a patient requiring change. For patients whose nursing need is in rank B, the ranks are not separated from each other by two, so they are not regarded as patients who need to be transferred. In addition, for patients whose nursing need belongs to rank C, patients belonging to rank B with respect to distance are not required to be transferred patients, and only patients belonging to rank A with respect to distance are displayed on the screen as patients requiring change.

  If all of the patients determined to be incompatible with the bed allocation by the determination units 14 and 22 are displayed on the screen as patients who need to be transferred, the number of patients who need to be transferred will increase too much and confuse the nurse on the contrary. There may be things. On the other hand, by limiting the number of target patients to be displayed on the screen as patients requiring a changeover by the above-described method, the number of patients requiring a changeover to be displayed on the screen can be prevented from becoming too large.

  In addition, each of the first and second embodiments described above is merely an example of a specific example for carrying out the present invention, and the technical scope of the present invention should not be interpreted in a limited manner. It will not be. In other words, the present invention can be implemented in various forms without departing from the spirit or main features thereof.

It is a functional block diagram which shows the structural example of the nursing assistance system by 1st Embodiment. It is a figure which shows the structural example of bed information. It is a figure which shows the structural example of patient information. It is a figure which shows the example of the evaluation vote used when digitizing a nursing necessity degree. It is a figure which shows an example of the screen display of this embodiment. It is a flowchart which shows the operation example of the nursing assistance system by 1st Embodiment. It is a functional block diagram which shows the structural example of the nursing assistance system by 2nd Embodiment. It is a figure which shows the structural example of the table information used by 2nd Embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Bed information storage part 2 Patient information storage part 3 Suitability determination part 4 Display control part 5 Display 11 1st ranking part 12 2nd ranking part 13 Difference calculating part 14 Determination part 21 Table information storage part 22 Determination part 30 Suitability Sex determination unit

Claims (5)

A bed information storage unit that stores distance information representing the distance from the nurse center to the bed for each bed;
A patient information storage unit for storing patient information for each patient, including patient bed allocation information representing a patient bed allocated to a patient and nursing necessity information representing a degree of nursing care of the patient;
Based on the distance information stored in the bed information storage unit and the patient information stored in the patient information storage unit, the necessity of nursing of the patient and the nurse center of the bed assigned to the patient A suitability determination unit that determines the suitability of the allocation of the bed for the patient from the relationship with the distance of each patient,
A nursing support system, comprising: a display control unit configured to perform control so that a patient determined to be incompatible with the bed allocation by the compatibility determination unit is displayed on the screen as a patient who needs to be transferred. The suitability determination unit includes a first ranking unit that ranks each patient in order of decreasing distance indicated by the distance information for the bed indicated by the bed allocation information;
A second ranking unit that ranks each patient in descending order of nursing necessity indicated by the nursing necessity information;
A difference calculation unit that calculates a difference between the ranking given by the first ranking unit and the ranking given by the second ranking unit for each patient;
The nursing according to claim 1, further comprising: a determination unit that determines that the difference calculated by the difference calculation unit is not compatible with the allocation of the bed for a patient having a predetermined threshold value or more. Support system. The suitability determination unit includes a first ranking unit that ranks each patient in descending order of the distance indicated by the distance information for the bed indicated by the bed allocation information;
A second ranking unit that ranks each patient in descending order of nursing necessity indicated by the nursing necessity information;
A difference calculation unit that calculates a difference between the ranking given by the first ranking unit and the ranking given by the second ranking unit for each patient;
The nursing according to claim 1, further comprising: a determination unit that determines that the difference calculated by the difference calculation unit is not compatible with the allocation of the bed for a patient having a predetermined threshold value or more. Support system. The display control unit performs control so that the magnitude of the difference calculated by the difference calculation unit is displayed by an indicator for a patient determined by the suitability determination unit to be incompatible with the bed allocation. The nursing support system according to claim 2 or 3, wherein The suitability determination unit includes a table information storage unit that stores table information that defines a range of the necessity of nursing to belong to each rank and a range of the distance from the nurse center to the bed for each of a plurality of ranks. ,
The rank to which the need for nursing indicated by the need for nursing care information belongs is extracted with reference to the table information, and the rank to which the distance indicated by the distance information belongs for the bed indicated by the bed assignment information is the table. The information is extracted by referring to the information, and it is determined whether or not the rank to which the nursing need belongs and the rank to which the distance belongs are matched, and the allocation of the bed to the patient who is determined that the ranks do not match. The nursing support system according to claim 1, further comprising: a determination unit that determines that there is no compatibility.