JP2011204207A - Medical information management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical information management system that can manage cleaning and sterilizing of medical equipment to which identification means cannot be provided individually.SOLUTION: A cleaning management system 1 included in the medical information management system 100 includes a gateway computer 11 including: a storage part 13 which stores an accommodation unit identifier for a unit accommodating the medical equipment 63 after completing cleaning and sterilizing; and a processing part 12 which, when cleaning and sterilizing of the medical equipment 63 belonging to the unit used for accommodation are completed, creates a cleaning/sterilizing-completed identifier indicating cleaning and sterilizing and makes the storage part 13 store the identifier in association with the accommodation unit identifier.

Description

  The present invention relates to a medical information management system that manages that a medical device has been cleaned and sterilized.

  Since medical devices used for surgery and treatment are in direct contact with a patient, they must be reliably cleaned and sterilized after use. For example, in Patent Document 1, when a plurality of types of cleaning devices are used for cleaning and disinfecting one endoscope when cleaning the endoscope using a plurality of endoscope cleaning devices, The number of cleaning devices is the same as the number of IC tags, and information on cleaning and disinfection performed in the endoscope cleaning device is transmitted to a server such as a hospital network via a LAN connection unit. .

JP 2009-77751 A, [0043]

  By the way, the endoscope has at least one identification means such as an IC tag and can be managed individually. However, medical devices such as scalpels and forceps that are used in large quantities in surgery and treatment, and that are repeatedly used after repeated washing and sterilization are identified as IC tags. Providing means is not practical. In addition, there is a medical device that cannot secure a space for providing an identification unit such as an IC tag. The technique described in Patent Document 1 is intended for an endoscope having a plurality of IC tags, and there is room for improvement in managing the cleaning and sterilization of a medical device for which an identification means cannot be provided. is there.

  The present invention has been made in view of the above, and an object of the present invention is to provide a medical information management system capable of managing that a medical device that cannot be individually provided with an identification means is cleaned and sterilized.

  In order to solve the above-described problems and achieve the object, the medical information management system according to the present invention includes a storage unit that stores a storage unit identifier for a unit in which a medical device after cleaning and sterilization is stored; When the cleaning and sterilization of the medical device belonging to the unit to be stored is completed, a cleaning sterilization identifier indicating that the cleaning and sterilization is completed is created, and the storage unit for the medical device after the cleaning and sterilization is completed And a processing unit stored in the storage unit in association with an identifier.

  As a preferred aspect of the present invention, when the medical device belonging to the unit to be stored is cleaned, the processing unit desirably changes the value of the usage number identifier indicating the number of times the medical device has been used. .

  As a preferred aspect of the present invention, it is desirable that the processing unit is connected to a communication line and can communicate with a management server connected to the communication line.

  As a preferred aspect of the present invention, the management server acquires the storage unit identifier and the corresponding sterilized identifier corresponding to the storage unit via the processing unit, and performs cleaning of the medical device belonging to the storage unit identifier. It is desirable to create a history and store it in the storage unit of the management server.

  As a preferred aspect of the present invention, the management server obtains the storage unit identifier and the corresponding use count identifier via the processing unit, and uses the medical device usage history belonging to the storage unit identifier. Is preferably created and stored in the storage unit of the management server.

  As a preferred aspect of the present invention, it is desirable that the management server creates authentication information for authenticating that the medical device belonging to the storage unit identifier has been cleaned and sterilized based on the identifier that has been cleaned and sterilized.

  INDUSTRIAL APPLICABILITY The present invention can provide a medical information management system that can manage that a medical device that cannot be individually provided with an identification means is cleaned and sterilized.

FIG. 1 is an overall configuration diagram of a medical information management system according to the present embodiment. FIG. 2 is a schematic diagram for explaining medical device cleaning and medical device management in a hospital in the medical information management system according to the present embodiment. FIG. 3 is a diagram illustrating a state where a plurality of medical devices are stored in one container after cleaning and sterilization are completed. FIG. 4 is a flowchart showing a procedure for cleaning and sterilizing a medical device. FIG. 5 is a schematic diagram illustrating an example of a database created by the medical device cleaning management system and the medical information management system according to the present embodiment. FIG. 6 is a schematic diagram illustrating an example of a database created by the medical information management system according to the present embodiment.

  Hereinafter, the present invention will be described in detail with reference to the drawings. The present invention is not limited to the following description. The constituent elements in the following description include those that can be easily assumed by those skilled in the art, those that are substantially the same, and those in a so-called equivalent range. The configurations disclosed below can be combined as appropriate.

  FIG. 1 is an overall configuration diagram of a medical information management system according to the present embodiment. The medical information management system 100 includes a medical equipment cleaning management system (hereinafter referred to as a cleaning management system as necessary) 1 provided in the hospital 10A, a management server 2, and a communication line 101. In the present embodiment, the medical information management system 100 only needs to include at least the cleaning management system 1.

  In the present embodiment, a cleaning management system 1 included in each of a plurality of hospitals 10A, 10B, 10C, 10D and the like is connected to the communication line 101. The management server 2 is connected to the communication line 101. In the present embodiment, the communication line 101 is connected to a server (manufacturer-side server) 50 of a medical device manufacturer, but the manufacturer-side server 50 may not be connected to the communication line 101.

  The cleaning management system 1 and the management server 2 may be electrically connected to the communication line 101 or may be connected via a wireless communication device (hereinafter, other devices connected to the communication line 101). The same applies to the above). In the present embodiment, the management server 2 is a computer having a processing unit 12 and a storage unit 13, for example. The management server 2 is connected to the communication line 101 via the router 103. The router 103 reduces the risk of unauthorized access to the management server 2 and attacks on the management server 2 by computer viruses.

  The cleaning management system 1 manages at least the cleaning history of medical devices used in hospitals 10A, 10B, and the like. The cleaning management system 1 includes at least a computer 11 (hereinafter referred to as a gateway computer) 11 having a processing unit 12 and a storage unit 13. The gateway computer 11 is connected to the communication line 101 via the router 102. The router 102 reduces the risk of unauthorized access to the cleaning management system 1 and attacks on the cleaning management system 1 by computer viruses. As described above, in the medical information management system 100, the processing unit 12 of the gateway computer 11 is connected to the communication line 101 and can communicate with the management server 2 connected to the communication line 101.

  The gateway computer 11 is connected to a hospital LAN (Local Area Network) 14 which is a hospital communication line. The hospital LAN 14 is connected to a management computer 15, a printer 16, and a wireless communication device 17. A terminal device 18 such as a PDA (Personal Data Assistant), a barcode reader 19 as an information reading unit, and an RFID (Radio Frequency IDentification) scanner 20 are used when the cleaning management system 1 manages the cleaning history of a medical device.

  FIG. 2 is a schematic diagram for explaining medical device cleaning and medical device management in a hospital in the medical information management system according to the present embodiment. The hospital 10A includes a cleaning chamber 21 for cleaning the medical device 61 (endoscope, laparoscope, heart-lung machine, etc.) and a medical device 63 (scalpel, forceps, etc.), and a storage 25 for storing the cleaned medical device. It has an equipment storage 26 for storing equipment 60 (electrocardiograph, blood pressure monitor, etc.) used for surgery and medical care, and an operating room 27 for performing surgery. In the present embodiment, medical devices 61 and 63 require cleaning and sterilization, for example, by direct contact with a patient in surgery or treatment, and the equipment 60 is in direct contact with the patient in surgery or treatment. It is something that does not. In the present embodiment, the cleaned medical devices 61 and 63 are stored in the storage 25 in the form of a package 62 and a container 64 that are stored in units necessary for surgery and treatment. Check devices 43 and 42 are arranged at the entrance of the equipment storage 26 and the entrance of the storage 25, respectively.

  The check devices 43 and 42 are devices for preventing the equipment 60 and the medical devices 61 and 63 from being taken out from the equipment storage 26 and the storage 25 without permission and stored in the equipment storage 26 and the storage 25. It is. The check devices 43 and 42 warn when an unauthorized device 60 and medical devices 61 and 63 are taken out from the device storage 26 or storage 25 or stored in the device storage 26 or storage 25. Light). In the present embodiment, the check devices 43 and 42 may not be provided. For example, when the processing unit 12 of the gateway computer 11 allows the display of the equipment 60 and the medical devices 61 and 63 to be allowed to enter or exit from the screen of the terminal device 18, or does not permit the terminal device 18 to accept the entry or exit. A warning sound may be generated at the same time (the same applies hereinafter).

  When an operation is performed in the operating room 27, the necessary equipment 60 is taken out from the equipment storage 26 and the necessary medical devices 61 and 63 are taken out from the storage 25. When the necessary equipment 60 is taken out from the equipment storage 26, the worker inputs information that the necessary equipment 60 is taken out (shipping information) to the terminal device 18. When this information is input, information (identification information) for identifying the equipment 60 is also input to the terminal device 18. In the present embodiment, the equipment 60 has a barcode or RFID in which identification information or the like is described. The worker inputs the identification information to the terminal device 18 by reading the identification information described in the barcode or the RFID using, for example, the barcode reader 19 or the RFID scanner 20 shown in FIG.

  The exit information and the identification information are sent to the processing unit 12 of the gateway computer 11 via the wireless communication device 17 and the LAN 14. The processing unit 12 that has acquired the delivery information and the identification information uses the identifier for identifying the equipment 60 (equipment identifier, for example, management) as the delivery information that indicates that the necessary equipment 60 has been delivered from the equipment storage 26. No.) and stored in the storage unit 13. At this time, the processing unit 12 specifies the equipment identifier from the acquired identification information. Then, the processing unit 12 transmits information (exit permission information) that permits the necessary equipment 60 to be taken out from the equipment storage 26 to the check device 43 disposed at the entrance of the equipment storage 26. Accordingly, the check device 43 permits the necessary equipment 60 to be taken out from the equipment storage 26.

  Similarly, when the necessary medical devices 61 and 63 are taken from the storage 25, the operator gives information (shipping information) that the package 62 and the container 64 in which the necessary medical devices 61 and 63 are stored are taken out. Input to the terminal device 18. In the present embodiment, the medical device 61 has a barcode or RFID in which identification information or the like is described. The container 64 in which a plurality of medical devices 63 are stored also has a barcode or RFID in which identification information or the like is described. The worker inputs the identification information to the terminal device 18 by reading the identification information described in the barcode or the RFID using, for example, the barcode reader 19 or the RFID scanner 20 shown in FIG.

  The processing unit 12 that has acquired the shipping information and the identification information via the wireless communication device 17 and the LAN 14 causes the storage unit 13 to store the shipping information in association with the equipment identifier. At this time, the processing unit 12 specifies the equipment identifier from the acquired identification information. Then, the processing unit 12 transmits information (exit permission information) that permits the necessary packages 62 and containers 64 to be taken out from the storage 25 to the check device 42 that is arranged at the entrance of the storage 25. Accordingly, the check device 42 permits the necessary package 62 and container 64 to be taken out from the storage 25.

  After the operation is completed, the used equipment 60 is stored in the equipment storage 26 after being disinfected and inspected. At this time, the operator inputs information on the completion of disinfection and inspection and identification information to the terminal device 18. These pieces of information are sent to the processing unit 12 via the wireless communication device 17 and the LAN 14. The processing unit 12 that has acquired the information specifies the equipment identifier from the identification information, and stores the information that the disinfection and inspection are completed in the storage unit 13 in association with the specified equipment identifier. Then, the processing unit 12 transmits information indicating that the necessary equipment 60 has been disinfected or inspected (warehousing permission information) to the check device 43 disposed at the entrance of the equipment storage 26. As a result, the check device 43 permits the equipment 60 to be stored in the equipment storage 26. Next, the handling of a medical device that is used for surgery or treatment and that requires cleaning will be described.

  FIG. 3 is a diagram illustrating a state where a plurality of medical devices are stored in one container after cleaning and sterilization are completed. The medical devices 61 and 63 that are used for surgery and treatment and are in direct contact with the patient are cleaned after use and then sterilized. Then, the medical devices 61 and 63 after the cleaning and sterilization are completed are stored in the package 62 and the container 64 as described above. The package 62 and the container 64 are units for storing medical devices after the cleaning and sterilization are completed.

  Each medical device 61 such as an endoscope or a laparoscope is provided with an identification means such as a barcode or RFID in which information (for example, a management number) for identifying itself is described. . For this reason, the cleaning management system 1 and the medical information management system 100 can individually manage the medical device 61 having the identification means. On the other hand, since medical devices 63 such as scalpels and forceps are used in one hospital in an enormous number (thousands to tens of thousands), identification such as barcodes and RFIDs is used for all. It is difficult to attach means. For this reason, the medical device 63 such as a scalpel or forceps normally does not have an identification means. As a result, it is very difficult for the cleaning management system 1 and the medical information management system 100 to individually manage the medical devices 63 such as a scalpel and forceps.

  In the present embodiment, the medical devices 61 and 63 are managed in units (storage units) in which the medical devices 61 and 63 after cleaning and sterilization are completed. For example, the medical device 61 such as an endoscope or a laparoscope is individually housed in the package 62 after cleaning and sterilization are completed. Therefore, the storage unit of the medical device 61 is the package 62. Since each medical device 61 has an identification means such as a barcode or RFID, it can be managed by using the identification means each has. In the present embodiment, the package 62 stores the medical device 61 to which identification information is individually given. However, even if the package 62 stores a medical device 63 to which identification information is not individually given. Good. Further, the medical device 61 to which identification information is given individually may be stored in the package 62.

  For example, after cleaning and sterilization of medical devices 63 such as scalpels and forceps, as shown in FIGS. 2 and 3, a plurality of (or a single) medical devices 63 are grouped into individual containers. 64. Therefore, the storage unit of the medical device 63 is the container 64. Since each medical device 63 does not have an identification means such as a barcode or RFID, it cannot be managed individually. However, the medical device 63 can be stored by attaching an identification means to the container 64 as a storage unit. It can be managed in units, that is, in units of containers 64.

  In this embodiment, each storage unit is identified by providing a storage unit identifier for identifying the storage unit. The storage unit identifier is, for example, an ID code or a management number provided individually for each storage unit. The storage unit identifier is set for each storage unit. Since each medical device 61 has an identification unit individually, the identification unit (more specifically, an ID code or the like that the identification unit has) can be used as a storage unit identifier. The medical device 63 does not have identification means individually. Therefore, in the medical device 63, an ID code or the like set for each container 64 or the like serves as a storage unit identifier. Next, procedures for cleaning and sterilizing the medical devices 61 and 63 will be described.

  FIG. 4 is a flowchart showing a procedure for cleaning and sterilizing a medical device. The medical devices 61 and 63 that are used for surgery or treatment and need to be cleaned are sent to the cleaning chamber 21 and cleaned. The cleaning chamber 21 is divided into a cleaning unit 22, a storage unit 23, and a sterilization unit 24. Check devices 40 and 41 are disposed at the outlet of the cleaning unit 22 and the outlet of the sterilization unit 24, respectively. When the medical devices 61 and 63 that have not been cleaned move from the cleaning unit 22 to the storage unit 23, the check device 40 issues a warning (sound, light, etc.). When the medical devices 61 and 63 that have not been sterilized are removed from the sterilization unit 24, the check device 41 issues a warning (sound, light, etc.). As a result, the medical devices 61 and 63 that have not been cleaned and / or sterilized are prevented from being taken out of the cleaning chamber 21. As described above, the processing unit 12 of the gateway computer 11 may display a warning or permission on the screen of the terminal device 18 instead of the check devices 40 and 41.

  The cleaning unit 22 cleans the medical devices 61 and 63 used for surgery and treatment in a high temperature and high pressure environment. Before the medical devices 61 and 63 are stored in the cleaning unit 22, the worker inputs the identification information of the medical devices 61 and 63 and information that the medical devices 61 and 63 are stored in the cleaning unit 22 to the terminal device 18 ( Step S101). The identification information includes a storage unit identifier. As described above, each of the medical devices 61 has an identification unit, and thus has an individual storage unit identifier. On the other hand, since each medical device 63 does not have an individual identification unit, it is managed by a storage unit identifier included in the identification information of the container 64.

  The identification information of the medical device 61 can be obtained from, for example, a barcode or RFID that the medical device 61 has. The identification information of the medical device 63 can be acquired from, for example, a bar code or an RFID included in the container 64 in which the medical device 63 that has been cleaned and sterilized is stored. The container 64 is a package of medical equipment 63 used in surgery or treatment, and the medical equipment 63 used corresponding to the surgery or treatment is selected and packaged. Therefore, if the storage unit identifier of the container 64 is the same, the same type of medical device 63 is always stored in the container 64.

  If information is input before cleaning (step S101), the cleaning device 22 cleans the medical devices 61 and 63. When cleaning the medical devices 63 stored in the plurality of containers 64, the medical devices 63 stored in the containers 64 having the same storage unit identifier may be cleaned so as to be identified as one unit. In this case, the medical devices 63 stored in the containers 64 may be cleaned without being distinguished.

  When cleaning is completed, the operator inputs identification information of the medical devices 61 and 63 and information that cleaning is completed (cleaning end information) to the terminal device 18 (step S102). The processing unit 12 of the gateway computer 11 acquires the identification information and the cleaning end information from the terminal device 18 via the wireless communication device 17 and the LAN 14. The processing unit 12 creates cleaned identifiers for the medical devices 61 and 63 based on the acquired cleaning end information (step S103), and a storage unit identifier for identifying the medical devices 61 and 63 from the acquired identification information. Is identified. Then, the processing unit 12 stores the created washed identifier in the storage unit 13 in association with the specified storage unit identifier. In the medical device 61, the washed identifier is created for each medical device 61. In the medical device 63, the cleaned identifier is created for each container 64 in which the medical device 63 is stored.

  The operator moves the medical devices 61 and 63 that have been cleaned to the storage unit 23. In this case, the medical devices 61 and 63 cannot be moved to the storage unit 23 if there is no washed identifier corresponding to the storage unit identifier. For example, when the processing unit 12 determines that the corresponding cleaned identifier does not exist, the processing unit 12 performs control so that the entrance to the storage unit 23 is not opened. This prevents the unwashed medical devices 61 and 63 from flowing to the subsequent process.

  In the storage unit 23, the cleaned medical device 61 is stored in a pack to form a package 62. Further, the cleaned medical devices 63 are classified for each item stored in each container 64 and stored in each container 64. When the medical device 63 stored in the container 64 having the same storage unit identifier is cleaned so that it can be specified as one unit, the same medical device 63 as before the cleaning is stored in the container 64 having the same storage unit identifier. Is stored. On the other hand, when the medical devices 63 stored in the containers 64 are cleaned without distinction, the types of the medical devices 63 stored in the containers 64 having the same storage unit identifier are the same as before cleaning. It is not necessarily the same thing before.

  The package 62 and the container 64 are sent to the sterilization unit 24. The sterilization unit 24 sterilizes the package 62 and the container 64 by electromagnetic waves, chemical action, or the like. Thereafter, the operator takes out the package 62 and the container 64 from the sterilization unit 24, and sends information indicating that the sterilization of the medical devices 61 and 63 has been completed (sterilization end information) and identification information of the medical devices 61 and 63 to the terminal device 18. To enter. The sterilization end information and identification information are sent from the terminal device 18 to the processing unit 12 of the gateway computer 11 via the wireless communication device 17 and the LAN 14.

  The processing unit 12 that has acquired the sterilization end information and the identification information creates a cleaning sterilized identifier indicating that the cleaning and sterilization has ended (step S104). Then, the processing unit 12 specifies the storage unit identifier of the medical device 61 or the container 64 from the identification information, and includes information on the sterilization completed identifier, the storage unit identifier, the date and time when sterilization is completed (at the time of completion of the cleaning sterilization). Information) is stored in the storage unit 13 in association with each other. Thereby, the gateway computer 11 can obtain a history of cleaning and sterilization of the medical device 61 or the container 64. In this case, the processing unit 12 also includes information (cleaning device information, sterilization device information) that can specify a device used for cleaning (cleaning device) and a device used for sterilization (sterilization device), a cleaning sterilized identifier, a storage unit It is preferable to store the identifier in the storage unit 13 in association with the cleaning sterilization end information. By storing the cleaning device information, the sterilization device information, and the cleaning sterilization end information in the storage unit 13 in association with each other, it is possible to specify medical devices that have been simultaneously cleaned and sterilized with the same cleaning device or the same sterilization device. This facilitates the task of tracking the cleaning history and sterilization history of the medical device.

  The time when the sterilization is completed is, for example, the time when the processing unit 12 receives the sterilization end information and the identification information. For example, the processing unit 12 of the gateway computer 11 acquires a reference time (standard time or the like) via the communication line 101, and generates sterilization end information based on the acquired standard time. The sterilization end information includes the date and time when the sterilization of the medical devices 61 and 63 is completed.

  In addition, the processing unit 12 associates the cleaned identifier, the storage unit identifier, and the sterilization end time information in association with each other and stores them in the storage unit 13, and indicates the number of times the medical devices 61 and 63 are used. May be changed and stored in the storage unit 13 in association with the storage unit identifier. Specifically, the processing unit 12 that has generated the cleaned identifier adds 1 to the value of the usage count identifier (that is, the previous usage count of the medical devices 61 and 63) before the cleaned identifier is generated. The generated value is generated as a new usage number identifier and stored in the storage unit 13 in association with the storage unit identifier. By doing in this way, since the use condition of medical equipment 61 and 63 can be grasped, the timing at which medical equipment 61 and 63 are maintained or exchanged can be grasped. As a result, the medical device 61, 63 can be prevented from malfunctioning or malfunctioning, and safety is improved. In addition, about the medical device 63, the frequency | count of use is managed for every storage unit.

  The processing unit 12 that has acquired the sterilization end information and has created the sterilization completed identifier causes the printer 16 to print (issue) the label 28 in which at least the storage unit identifier information (for example, barcode) is described (step S105). . In this case, the label 28 may include information including an identifier for cleaning and sterilization. This label 28 is affixed to the package 62 (step S106). The label 28 is issued to the medical devices 61 and 63 that have been cleaned and sterilized. Therefore, the medical device 61 in the package 62 to which the label 28 is attached and the medical device 63 in the container 64 have been cleaned and sterilized.

  The processing unit 12 transmits information indicating that the cleaning and sterilization of the medical devices 61 and 63 has been completed (that is, an identifier that has been cleaned and sterilized) to the check device 41. Accordingly, the check device 41 permits the medical devices 61 and 63, specifically, the package 62 storing the medical device 61 and the container 64 storing the medical device 63 to be taken out from the cleaning chamber 21. When the check device 41 has not received the sterilization identifier, the check device 41 does not allow the medical devices 61 and 63 to be taken out of the cleaning chamber 21. When such medical devices 61 and 63 are about to be taken out of the cleaning chamber 21, the check device 41 issues a warning. As a result, it is possible to prevent the medical devices 61 and 63 that have not been cleaned and sterilized from being taken out of the cleaning chamber 21, thereby improving safety.

  The medical devices 61 and 63 that have been cleaned and sterilized (specifically, the package 62 in which the medical device 61 is stored and the container 64 in which the medical device 63 is stored) are carried out of the cleaning chamber 21 and used next. Until it is stored in the storage 25 (step S107). In storing the medical devices 61 and 63, the operator uses the information that the package 62 and the container 64 are stored in the storage 25 and the storage unit identifiers of the medical devices 61 and 63 stored in the package 62 and the container 64. Input to device 18. For example, the worker reads the label 28 including the storage unit identifier using the barcode reader 19 and the RFID scanner 20 shown in FIG. With this operation, the storage unit identifier is input to the terminal device 18.

  The storage unit identifier is transmitted to the processing unit 12 via the wireless communication device 17 and the LAN 14. The processing unit 12 that has acquired the storage unit identifier determines whether or not the storage and sterilization identifier corresponding to the storage unit information exists in the storage unit 13. When the corresponding cleaned and sterilized identifier is present in the storage unit 13, the processing unit 12 transmits information for warehousing (warehousing permission information) to the terminal device 18 or the checking device 42. The terminal device 18 which acquired the warehousing permission information displays on the display unit that the warehousing is permitted. The worker who has confirmed this display causes the package 62 or the container 64 permitted to be received to enter the storage 25. In addition, the check device 42 that has acquired the warehousing permission information permits the package 62 and the container 64 corresponding to the warehousing permission information to enter the storage 25.

  When the corresponding cleaned and sterilized identifier does not exist in the storage unit 13, the processing unit 12 transmits information that does not permit warehousing (warehousing non-permission information) to the terminal device 18 or the check device 42. The terminal device 18 that acquired the warehousing permission information displays on the display unit that warehousing is not permitted. If the terminal device 18 has a sound generation means (speaker or the like), the terminal device 18 may notify by voice that entry is not permitted. The worker who has confirmed this display accesses the storage unit 13 via the terminal device 18 and investigates the cleaning history of the package 62 and the container 64 that are not allowed to enter. Then, the worker cleans the medical devices 61 and 63 housed in the package 62 and the container 64 that are not allowed to enter as needed. Further, the check device 42 that has acquired the warehousing permission information does not permit the package 62 or the container 64 corresponding to the warehousing permission information to enter the storage 25. When the package 62 or container 64 corresponding to the warehousing permission information is about to be stored in the storage room 25, the check device 42 issues a warning. As a result, it is possible to prevent the package 62 and the container 64 that are not allowed to enter the warehouse 25 from being stored in the storage 25, thereby improving safety.

  According to the present embodiment, for medical devices that can be individually managed (for example, endoscopes and heart-lung machines), cleaning and sterilization are individually managed, and medical devices that cannot be individually managed (for example, scalpels, forceps, Scissors etc. are managed for each storage unit. As a result, when it is desired to track the cleaning history and usage history of medical devices that cannot be managed individually, it is only necessary to track the cleaning history and usage history of each storage unit. Reduced. In addition, if any malfunction occurs due to cleaning or sterilization of a medical device that cannot be managed individually, the cause of the malfunction can be easily identified by tracking the cleaning history etc. of medical devices that belonged to the same storage unit. Become. In addition, when such a malfunction occurs, countermeasures for the malfunction are taken for all medical devices belonging to the same storage unit.

  When the medical device 63 is classified and cleaned for each item stored in each container 64 and stored in the container 64 corresponding to each category, the storage unit identifier is the same unless the medical device 63 is replaced. The same medical device 63 is stored in the container 64. Therefore, in this case, the cleaning history and usage history of the medical device 63 can be tracked by the storage unit identifier of the container 64. Accordingly, when a failure occurs in the medical device 63 stored in a certain container 64, the history (for example, the cleaning history) of the medical device 63 in which the failure occurs is traced based on the storage unit identifier of the container 64. be able to. In the process, if the cause of the defect is known, the medical device 63 that has been stored in the same container 64 as the medical device 63 in which the defect has occurred or the same cleaning device has been cleaned at the same date and time For the medical device 63, the influence of the defect can be minimized by cleaning, inspecting, or stopping the use.

  When the medical devices 63 stored in the containers 64 are cleaned without distinction and stored in the containers 64, the types of the medical devices 63 stored in the containers 64 having the same storage unit identifier are the same. They are not necessarily identical. In this case, the cleaning history and usage history of the medical device 63 cannot always be traced depending on only the storage unit identifier of the container 64. For example, in this example, after the medical device 63 is cleaned and sterilized, the medical device 63 before the surgery or treatment is stored in the container 64 until the medical device 63 is used once for the surgery or treatment and cleaned again. Always stored. However, when the medical device 63 stored in the container 64 after the surgery or treatment is cleaned and stored in the container 64 again, the completely same medical device 63 as that before cleaning is stored in the container 64. Is not limited. And the probability that the medical device 63 completely the same as before washing | cleaning will be accommodated in the container 64 as the frequency | count of use of the medical device 63 increases. In this case, the medical device 63 cleaned by the same cleaning device and at the same date and time is tracked based on the storage unit identifier, so that the medical device cleaned by the same cleaning device as the medical device 63 stored in a container 64 is used. The device 63 can be tracked.

  For example, when a failure occurs in a medical device 63 stored in a container 64, a history (for example, a cleaning history) of the medical device 63 in which the failure has occurred is recorded based on a storage unit identifier that the container 64 has (for example, It can be traced from the cleaning history. In the latest cleaning, when a medical device 63 in which a problem has occurred is cleaned with the medical device 63 stored in the three containers 64 by the same cleaning device and at the same date and time, the medical in which the problem has occurred The device 63 exists in the medical device 63 stored in the three containers 64. The cleaning history of the three containers 64 is similarly tracked. In the process, for example, if the cause of the malfunction is known, it may be stored in the same container 64 as the medical device 63 in which the malfunction occurred after the malfunction occurred. The influence of the malfunction can be minimized by cleaning, examining, or stopping the use of all the medical devices 63 that have characteristics. As described above, in this embodiment, even if it is difficult to provide an identification means individually, it is possible to perform cleaning, etc. without providing an identification means etc. for all medical devices by managing in a storage unit. History can be tracked. As a result, management of cleaning and sterilization of the medical device is facilitated.

  FIG. 5 is a schematic diagram illustrating an example of a database created by the medical device cleaning management system and the medical information management system according to the present embodiment. In the present embodiment, the processing unit 12 associates the washed and sterilized identifier, the storage unit identifier, and the sterilization end time information with each other and stores them in the storage unit 13 to create the database 80. In the database 80, each storage unit identifier is a container, an endoscope, or the like for convenience of explanation, but is actually an ID number assigned to each container, endoscope, or the like. Further, in the database 80, only one piece of information is described for the same storage unit identifier, but information about the same storage unit identifier is accumulated for the number of washing and sterilization. When the identifier for cleaning and sterilization in the database 80 is 1, it indicates that the medical device 63 belonging to the storage unit identifier has been cleaned and sterilized. When the identifier for cleaning and sterilization in the database 80 is 0, it indicates that the medical device 63 belonging to the storage unit identifier has not been cleaned and sterilized. The numerical value of the usage number identifier indicates the number of times the medical device 63 belonging to the storage unit identifier has been used.

  Using the information stored in the database 80, the processing unit 12 can track the history of cleaning and sterilization of the medical device 61 as described above. Further, by storing the storage unit identifier and the use frequency identifier in the storage unit 13 in association with each other as in the database 80, the processing unit 12 can determine the maintenance time and replacement time of the medical device 61 from the use frequency of the medical device 61. Can also be predicted. Furthermore, by using the database 80, the processing unit 12 can also obtain the sterilization time limit from the sterilization end time information. When the sterilization deadline is approaching, the processing unit 12 can notify the terminal device 18 and the check device 42 that the sterilization deadline is near when the target medical devices 61 and 63 are delivered. . In addition, when the sterilization period has elapsed, the processing unit 12 indicates that the terminal device 18 or the check apparatus prohibits the use when the target medical devices 61 and 63 are delivered because the sterilization period has elapsed. 42 can also be notified. The information described in the database 80 is not limited to this example. The information described in the database 80 includes, for example, identification information for cleaning equipment, identification information for sterilization equipment, and the like.

  FIG. 6 is a schematic diagram illustrating an example of a database created by the medical information management system according to the present embodiment. The processing unit 3 of the management server 2 included in the medical information management system 100 illustrated in FIG. 1 acquires the database 80 from the storage unit 13 included in the gateway computer 11 of the cleaning management system 1 via the communication line 101. Then, the processing unit 3 of the management server 2 generates authentication information for authenticating that the medical device belonging to the storage unit identifier has been cleaned and sterilized based on the cleaned and sterilized identifier and the storage unit identifier described in the database 80. For example, a database 81 in which authentication information is described is created. In this case, the processing unit 3 of the management server 2 may acquire the storage unit identifier, the washed and sterilized identifier, the use frequency identifier, and the like from the storage unit 13 included in the gateway computer 11 and create the database 81 using these. .

  A database 81 shown in FIG. 6 is stored in the storage unit 4 of the management server 2 and describes the authentication information (authentication). When the authentication information is 1, it is authenticated that the medical device belonging to the storage unit identifier is cleaned and sterilized. When the authentication information is 0, the medical device belonging to the storage unit identifier is cleaned and sterilized. Is not certified. As described above, the management server 2 of the medical information management system 100 creates authentication information for authenticating that the medical device belonging to the storage unit identifier has been cleaned and sterilized, and issues the authentication information to the hospitals 10A, 10B, etc. Or issued to Thereby, the management server 2 of the medical information management system 100 ensures that the medical device has been cleaned and sterilized.

  Moreover, in this embodiment, although the process part 12 of the gateway computer 11 of the cleaning management system 1 created the cleaning sterilization identifier, it is not limited to this. For example, the processing unit 3 of the management server 2 acquires the sterilization end information and identification information of the container 64, the medical device 61, and the like online via the processing unit 12 and the communication line 101 of the gateway computer 11, and based on this In this case, the sterilized identifier and the storage unit identifier may be created. Alternatively, the processing unit 3 may acquire the sterilized identifier and the storage unit identifier of the container 64, the medical device 61, and the like online via the processing unit 12. Then, the processing unit 3 may create a history of cleaning of the medical devices 61 and 63 from the cleaned and sterilized identifier and the storage unit identifier and store the history in the storage unit 4. In this way, it is possible to confirm that the medical device has been cleaned and sterilized from the standpoint of a third party different from the hospital 10A and the like, and the history thereof, so that safety is improved.

  Similarly, the processing unit 3 of the management server 2 may acquire the use frequency identifier and the storage unit identifier of the container 64, the medical device 61, and the like online via the processing unit 12 of the gateway computer 11 and the communication line 101. Then, the processing unit 3 may create a use history of the medical devices 61 and 63 from the acquired use frequency identifier and the storage unit identifier, and store the history in the storage unit 4. In this way, since the history of use of the medical device can be confirmed from the standpoint of a third party different from the hospital 10A or the like, safety is improved.

  In the present embodiment, the management server 2 determines whether the medical device is reliably cleaned by the cleaning unit 22 of the cleaning chamber 21 of the medical information management system 100 and whether the medical device is reliably sterilized by the sterilization unit 24. You may make it monitor online via 101. FIG. For example, a monitoring camera is provided in the cleaning unit 22 and the sterilization unit 24, and the processing unit 3 of the management server 2 acquires video from the monitoring camera via the LAN 14, the gateway computer 11, and the communication line 101. Then, the processing unit 3 performs image processing on the video, and determines whether or not the medical devices 61 and 63 are reliably cleaned and sterilized based on the video obtained thereby.

  Further, for example, a meter for measuring the mass of the charged object is provided in the cleaning device included in the cleaning unit 22 and the sterilization device included in the sterilization unit 24. Also, a meter for measuring mass is provided outside the cleaning device and the sterilization device. Both meters allow the measured mass to be transmitted to the management server 2 via the LAN 14, the gateway computer 11 and the communication line 101. In cleaning the medical devices 61 and 63, the processing unit 3 of the management server 2 determines the mass of the medical devices 61 and 63 measured before putting the medical devices 61 and 63 into the cleaning device and the sterilization device, The masses of the medical devices 61 and 63 after being put into the sterilization device are acquired and compared. Then, if the difference between the two is within a predetermined allowable range, the processing unit 3 determines that the medical devices 61 and 63 to be cleaned or sterilized are correct and gives permission to start cleaning or sterilization. When the difference between the two exceeds a predetermined allowable range, the processing unit 3 determines that the medical devices 61 and 63 to be cleaned or sterilized are not correct, and does not give permission for cleaning or sterilization. In this way, the medical devices 61 and 63 to be cleaned and sterilized can be reliably cleaned and sterilized. Thereby, safety is improved.

  If these masses are not measured before the medical devices 61 and 63 are put into the cleaning device or the sterilization device, the processing unit 3 may control the opening of the cleaning device or the sterilization device so as not to open. This is preferable because the mass of the medical devices 61 and 63 is reliably measured before being put into a cleaning device or a sterilization device. In the above description, the management server 2 monitors cleaning and sterilization online, but the gateway computer 11 of the cleaning management system 1 may monitor cleaning and sterilization. However, it is preferable for improving safety because an operating body separate from the hospitals 10A, 10B, etc. operates the management server 2 and the management server 2 monitors cleaning and sterilization, thereby ensuring the objectivity of monitoring. . The medical information management system 100 can be applied not only when cleaning the medical devices 61 and 63 in the hospitals 10A and 10B, but also when cleaning is outsourced to a cleaning company. If a management body that is separate from the cleaning company operates the management server 2 to monitor cleaning and sterilization, it is possible to monitor even for a mode in which cleaning of the medical devices 61 and 63 is entrusted to the cleaning company. Since objectivity can be secured, it is more preferable for improving safety.

  As described above, the medical information management system according to the present invention is useful for managing that a medical device has been cleaned and sterilized.

DESCRIPTION OF SYMBOLS 1 Cleaning management system 2 Management server 3 Processing part 4 Storage part 10A, 10B, 10C, 10D Hospital 11 Gateway computer 12 Processing part 13 Storage part 14 LAN
DESCRIPTION OF SYMBOLS 15 Management computer 16 Printer 17 Wireless communication apparatus 18 Terminal device 19 Bar code reader 20 RFID scanner 21 Cleaning room 22 Cleaning part 23 Storage part 24 Sterilization part 25 Storage 26 Equipment storage 27 Operating room 28 Label 40, 41, 42, 43 Check Device 60 Equipment 61, 63 Medical Device 62 Package 64 Container 80, 81 Database 100 Medical Information Management System 101 Communication Line

Claims (6)

A storage unit for storing a storage unit identifier for a unit in which a medical device after cleaning and sterilization is stored;
When the cleaning and sterilization of the medical device belonging to the unit to be stored is completed, a cleaning sterilization identifier indicating that the cleaning and sterilization is completed is created, and the storage unit for the medical device after the cleaning and sterilization is completed A processing unit that is stored in the storage unit in association with an identifier;
A medical information management system characterized by including:   2. The medical information management system according to claim 1, wherein when the medical device belonging to the unit to be stored is washed, the processing unit changes a value of a usage count identifier indicating the number of times the medical device has been used.   The medical information management system according to claim 1, wherein the processing unit is connected to a communication line and can communicate with a management server connected to the communication line.   The management server acquires the storage unit identifier and the sterilized identifier corresponding to the storage unit identifier via the processing unit, creates a history of cleaning of medical devices belonging to the storage unit identifier, and manages the management The medical information management system according to any one of claims 1 to 3, which is stored in a storage unit of a server.   The management server acquires the storage unit identifier and the corresponding use count identifier via the processing unit, creates a history of use of the medical device belonging to the storage unit identifier, and manages the management server. The medical information management system according to any one of claims 2 to 4, wherein the medical information management system is stored in the storage unit.   6. The medical information management system according to claim 5, wherein the management server creates authentication information for authenticating that a medical device belonging to a storage unit identifier has been cleaned and sterilized based on the cleaned identifier.

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