JP2012052850A - Laboratory information system and computer program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a laboratory information system capable of grasping conditions of laboratory-related operations more accurately to properly take improvement measures for the operations.SOLUTION: The laboratory information system of the present invention comprises a storage section 501d for associating first time information on time for a plurality of processes in laboratory-related operations with types of specimen containers used in the laboratory-related operations to store them, a display section 5b, an operation section 5c for specifying the types of the specimen containers, and a control section 5a for allowing second time information on time for at least one of the processes of the laboratory-related operations corresponding to the types of the specimen containers that are specified by the operation section 5c to be displayed on the display section 5b on the basis of the first time information stored in the storage section 501d.

Description

  The present invention relates to a clinical test information system and a computer program that can be used for the clinical test information system.

Conventionally, a clinical examination system having a support function for efficiently processing clinical examination-related work in a hospital laboratory or examination center has been known (see, for example, Patent Document 1).
The clinical laboratory system described in Patent Document 1 includes one task for each time period, including the acceptance of test requests, the arrival of samples, the completion of analysis, and the confirmation of data, which are included in a series of clinical test-related tasks. It has a function to display it on a graph and to display the average time required for each job on a single graph.

JP 2003-279582 A

  According to the clinical examination system described in Patent Document 1, a graph displaying the number of cases and average time required for a plurality of tasks can be used as information for performing a task improvement procedure. However, depending on the hospital, different types of sample containers may be used even for the same examination department or the same examination item, and the average time required for each operation for the entire clinical examination conducted at the hospital etc. is graphed. It is not enough to accurately grasp the state of clinical laboratory-related work.

  In view of the above circumstances, an object of the present invention is to provide a clinical test information system and a computer program capable of more accurately grasping the status of clinical test related work.

(1) A clinical laboratory information system according to the first aspect of the present invention provides:
A storage unit that stores first time information related to time for each of a plurality of steps in a clinical laboratory-related business and a type of a specimen container used in the clinical laboratory-related business in association with each other;
A display unit;
An operation unit for designating the type of the sample container;
Based on the first time information stored in the storage unit, the second time information related to the time for at least one step of clinical laboratory-related work corresponding to the type of sample container specified by the operation unit is displayed. And a control unit to be displayed on the unit.

  According to this configuration, the second time information about at least one process of the clinical laboratory-related work corresponding to the type of the sample container designated by the operation unit is displayed on the display unit. The second time information about the process performed through the above process can be grasped by distinguishing each type of specimen container. Therefore, it is possible to more accurately grasp the status of clinical examination-related work, and it is possible to effectively use the second time information displayed on the display unit for work efficiency and work improvement.

The operation unit can be configured by an input device such as a mouse, a keyboard, and a touch panel connected to a computer constituting the clinical laboratory information system, and a display monitor connected to the computer, for example, using the input device. It can be set as the structure which designates the kind of desired sample container from the display of (display part).
Moreover, the 1st time information memorize | stored in a memory | storage part and the 2nd time information displayed on a display part may be the same, and may differ. For example, the second time information displayed on the display unit may be obtained by calculation from the first time information stored in the storage unit.

(2) The said control part may display the required time of each process in a clinical examination related work on a display part as said 2nd time information.
With such a configuration, it is possible to grasp the time required for each process of clinical laboratory-related work corresponding to the type of sample container designated by the operation unit. For example, for a process that requires a lot of time, Business improvement measures can be taken to reduce the time required.

(3) The storage unit stores, as the first time information, an execution start time and an execution end time of each step in clinical examination-related work,
The control unit may calculate a required time as the second time information based on an execution start time and an execution end time stored in the storage unit.
With such a configuration, the second time information of each process can be easily obtained using the first time information stored in the storage unit. Note that the execution end time and the execution start time may overlap between the steps. For example, the execution end time of a certain process and the execution start time of the next process may be the same.

(4) The control unit may cause the display unit to display, together with the second time information, container information indicating the type of sample container designated by the operation unit.
With such a configuration, it is possible to easily recognize which type of sample container the second time information displayed on the display unit is.

(5) The control unit may display the number of sample containers of the type specified by the operation unit on the display unit together with the second time information.
According to this configuration, it is possible to easily grasp the relationship between the number of specimen containers of the specified type (number of specimens) and the second time information of each process in the clinical laboratory related work corresponding to the specimen container type. Can do.

(6) The control unit may cause the display unit to display the second time information of each process in the clinical examination-related work together with a period division in which the process is performed. Here, the period classification can be a time zone, a day, a day of the week, or the like.
According to this configuration, it is possible to grasp the second time information for each process in the clinical examination-related work in correspondence with the period division (time zone, day, day of week) in which the process is performed.

(7) When a plurality of types of sample containers are designated by the operation unit, the control unit displays second time information of each step in clinical laboratory-related work corresponding to the designated types of sample containers. It may be displayed on the part.
With such a configuration, it is possible to grasp the entire second time information for a plurality of types of sample containers.

(8) The control unit may cause the display unit to display a container type selection region that enables selection of the type of sample container by the operation unit.
Thus, the type of the sample container can be easily specified using the container type selection area displayed on the display unit.

(9) The control unit causes the display unit to display a container type input area in which the container information indicating the type of the sample container can be input by the operation unit, and the container information input by the operation unit is displayed. You may memorize | store in the said memory | storage part.

(10) The container information may include an abbreviation of the sample container.

(11) A computer program according to the second aspect of the present invention provides:
A computer to which an operation unit and a display unit are connected,
Storage means for associating and storing first time information relating to time for each of a plurality of steps in clinical examination-related work and the type of sample container used in the clinical examination-related work;
Designation accepting means for accepting designation of the type of sample container by the operation unit; and
Based on the first time information stored in the storage means, the second time information related to the time for at least one step of clinical laboratory related work corresponding to the type of the sample container designated by the operation unit is displayed. It functions as a control means to be displayed on the part.

  According to the present invention, it is possible to more accurately grasp the status of clinical examination-related work, and it is possible to appropriately perform work improvement measures.

It is the schematic which shows the whole structure of the sample information system which concerns on embodiment of this invention. It is a figure which shows the hardware constitutions of a server management apparatus. It is a figure which shows the graph display screen on which the 1st graph was displayed. It is a figure which shows the graph display screen on which the 2nd graph was displayed. It is a figure which shows the graph display screen on which the 3rd graph was displayed. It is a figure which shows a display condition setting screen. It is a flowchart which shows the flow of the operation | work in a hospital. It is a flowchart which shows the flow of the operation | work in a hospital. It is a table | surface which shows the content of a data table. It is a flowchart which shows the procedure of a process of a business condition management program. It is a flowchart which shows a graph display process sequence. It is a figure which shows a group setting screen. It is a figure which shows a right click menu. It is a figure which shows a container master display screen. It is a figure which shows the selection screen of the kind of sample container. It is a figure which shows the graph display screen on which the 1st graph at the time of designating one sample container was displayed. It is a figure which shows the graph display screen as which the 1st graph at the time of designating another one sample container was displayed. It is a figure which shows the graph display screen on which the 1st graph at the time of designating a some sample container was displayed. It is a figure which shows the display format of the required time of the process of the clinical test related business in other embodiment. It is a figure which shows the selection screen of the kind of collection tube in other embodiment.

FIG. 1 is a schematic diagram showing the overall configuration of a clinical test information system according to an embodiment of the present invention.
The clinical test information system 1 according to the present embodiment is installed in a hospital laboratory or the like, and includes an analysis device 3 that analyzes a sample, and a management system 2 that manages test information and the analysis device 3. . The management system 2 is a client / server type system including a server management device 5 and a client management device 4, and in the example shown in the figure, one server management device 5 and a plurality of (three) client management devices. 4 is connected via a communication line 7 so that data communication is possible.

  A plurality of analysis apparatuses 3 are connected to each client management apparatus 4. For example, various types of analyzers 3 such as a blood cell analyzer, a blood coagulation measuring device, a biochemical analyzer, an immune analyzer, and a urine component analyzer (urine analyzer) are connected to the client management device 4. A certain client management apparatus 4 is connected to a plurality of analyzers 3 for performing a test using blood as a sample, and a certain client management apparatus 4 is configured to perform a plurality of analyzes for performing a test using urine as a sample. A plurality of analyzers 3 using the same sample can be connected to one client device 4 such that the device 3 is connected.

  The client management device 4 is connected to a label printer (printing device) 6 for printing a collection label attached to a sample container (collection tube) that contains a sample. The label printer 6 is not limited to the client management device 4 and may be connected to a network in the sample information system 1.

  The management system 2 is connected to the upper system 8 of the hospital via a communication line. The host system 8 includes various terminals such as an order terminal for accepting registration of examination orders, a reception terminal for performing patient visit acceptance processing, an accounting terminal for performing accounting processing, in addition to the host computer 9 These are connected via a communication line 7 so that data communication is possible. A label printer 6 is connected to any one of the terminals 10.

  When the doctor determines that the patient needs an examination, he / she inputs an examination request (examination order) to the order terminal of the host system 8, and the entered examination order is transmitted to the host computer 9 of the host system 8, be registered. Further, the inspection order registered in the host computer 9 is further transmitted to the management system 2 and stored in the server management apparatus 5. The client management device 4 inquires of the server management device 5 about the inspection order, and causes the analysis device 3 to execute the inspection based on the inspection order received from the server management device 5. The server management device 5 receives the measurement result obtained by the analysis device 3 from the client management device 4, arranges it in a predetermined report format, and registers it in the host computer 9 of the host system 8. The report of the measurement result is transmitted from the host computer 9 to the order terminal and is used by the doctor.

[Hardware configuration of server management device]
FIG. 2 is a diagram illustrating a hardware configuration of the server management apparatus. The server management device 5 is configured by a computer 501 including a control unit 5a, a display unit 5b, and an input device 5c. The control unit 5a mainly includes a CPU 501a, a storage device (storage unit) including a ROM 501b, a RAM 501c, and a hard disk 501d, a reading device 501e, an input / output interface 501f, a communication interface 501g, and an image output interface 501h. These are connected by a bus 501i.

  The hard disk 501d is installed with various computer programs to be executed by the CPU 401a, such as an operating system and application programs, and data used for executing the computer programs. In the present embodiment, an application program 504a used for management of examination information and management of the analysis apparatus 3 is installed on the hard disk 501d. More specifically, a work status management program used for supporting improvement of hospital work such as efficiency of clinical examination-related work is installed in the hard disk 501d. The hard disk 501d stores various data used for the business situation management program, for example, data related to execution times of various work processes in clinical examination related work.

As shown in FIG. 2, an input device 5c such as a keyboard and a mouse is connected to the input / output interface 501f. Further, a display unit 5b such as an LCD or a CRT is connected to the image output interface 501h. The display unit 5b can be a touch panel type.
The communication interface 501g is, for example, an Ethernet (registered trademark) interface, and the computer 501 uses the communication interface 501g to use another computer (client management device 4 or host) using a predetermined communication protocol such as the TCP / IP protocol. Data can be transmitted to and received from the computer 9).

  Since the client management device 4 is composed of the same computer as the server management device 5, detailed description is omitted, but the input / output interface of the client management device 4 includes a label printer 6 and a plurality of analysis devices 3. Is connected.

[Flow of clinical laboratory related work in hospital]
Next, refer to FIG. 7 and FIG. 8 for the flow of clinical examination related work (hereinafter also simply referred to as “test related work”) from the time when the patient visits as an outpatient until the patient receives medical examination and clinical examination and completes accounting. I will explain.
First, general patient movement in a hospital will be described. When the patient comes to the hospital, he / she accepts it and waits for the turn to see a doctor. When the doctor determines that examination (here, blood examination) is necessary at this examination, the patient is instructed to move to the blood collection room and to collect blood. After the patient moves to the blood collection room, blood is collected and waits until the examination is completed. And after completion | finish of a test | inspection, a patient receives a medical examination and treatment of a doctor based on a test result. Then, after the reexamination is completed, accounting is performed.

Next, processing and operations on the hospital side (the host system 8, the management system 2, and the analysis device 3) accompanying the above-described patient movement will be described with reference to FIGS.
First, when a patient receives a visit, information related to the patient (patient ID, etc.) is input to the reception terminal of the host system 8 and registered in the host computer 9 (step S1). The visit reception time (first time information) is transmitted from the host computer 9 to the server management apparatus 5 of the management system 2 and stored in the storage unit (step S21).

Next, when the medical examination by the doctor is started, the medical examination time is input to the doctor's order terminal, and is transmitted and registered in the host computer 9 (step S2). The examination time (second time information) is transmitted to the server management device 5 and stored in the storage unit of the server management device 5 (step S22).
During the examination, an examination request (examination order) is input to the order terminal by the doctor as necessary and registered in the host computer 9 (step S3). This inspection order is transmitted to the server management apparatus 5 together with the request registration time (third time information) and stored in the storage unit of the server management apparatus 5 (step S23).

When the examination ends and the patient arrives at the blood collection room for blood collection, the arrival time is input to the terminal of the blood collection room of the host system 8, and is transmitted to the host computer 9 and registered (step S4). The arrival time (fourth time information) is transmitted to the server management device 5 and stored in the storage unit of the server management device 5 (step S24).
Further, at the terminal of the host system 8, a collection label to be affixed to the sample container is issued based on the test order (step S5). A patient ID, a sample ID (barcode), and the like are printed on the collection label as information about the sample. The time (fifth time information) when the collection label is issued is transmitted from the host computer 9 to the server management apparatus 5 and stored in the storage unit (step S25). The collection label may be issued by the printer 6 connected to the client management apparatus 4 on the management system 2 side. In this case, the time when the collection label is issued is transmitted to the server management apparatus 5 and stored in the storage unit. Remembered.

  When the patient's blood is collected in the sample container to which the collection label is affixed, the time is input to the terminal of the blood collection room, and is transmitted and registered in the host computer 9 (step S6). The collection (blood collection) time (sixth time information) is transmitted from the host computer 9 to the server management device 5 and stored in the storage unit of the server management device 5 (step S26). The sample container containing the sample is transported to the examination room, and the arrival time (seventh time information) is input to the server management device 5 and stored in the storage unit (step S27).

  In the laboratory, sample pretreatment such as centrifugation is performed as necessary, and then the sample container is set in the analyzer 3. The analyzer 3 reads the barcode described on the sample container's collection label (step S51), inquires of the client management device 4 of the management system 2 about the test order for the sample in the sample container (step S52), and further The client management device 4 inquires of the server management device 5 about the inspection order. The server management apparatus 5 transmits a test order to the client management apparatus 4, and the client management apparatus 4 transmits the test order to the analysis apparatus 3 to execute sample measurement. The time at this time is stored in the storage unit of the server management device 5 as the inspection start time (eighth time information) (step S28).

  The analysis device 3 performs measurement based on the inspection order (step S53), and transmits the measurement result to the client management device 4 (step S54). Further, the client management device 4 transmits the measurement result to the server management device 5. The server management device 5 stores the time at which the inspection result is received from the client management device 4 in the storage unit as the result storage time (ninth time information) (step S29).

  The client management device 4 determines whether or not re-examination is necessary based on the measurement result. If re-examination is necessary, the client management device 4 transmits a re-inspection order to the analysis device 3 to execute re-examination (Step S55). Further, the time at this time is transmitted to the server management apparatus 5 as the retest start time (tenth time information) and stored in the storage unit of the server management apparatus 5 (step S30).

  After the remeasurement is completed, the analysis device 3 transmits the remeasurement result to the client management device 4 (step S56), and the client management device 4 transmits the remeasurement result to the server management device 5. The server management device 5 stores the time when the remeasurement result is received in the storage unit as the retest result storage time (11th time information) (step S31).

  The client management device 4 of the management system 2 accepts the approval (validation) for the measurement result and the remeasurement result by the laboratory technician (step S32), and the time when the acceptance of the approval is completed is the result approval time (twelfth time information). The data is transmitted from the client management device 4 to the server management device 5 and stored in the storage unit of the server management device 5 (step S33). Thereafter, the server management device 5 arranges the measurement result in a predetermined report format, transmits it to the host computer 9 of the host system 8, and stores the time in the storage unit as the report time (13th time information) (step S34). ).

  The host computer 9 of the host system 8 transmits a measurement result report to the doctor's order terminal (step S7). Based on the report, the doctor reexamines the patient. The time of re-examination (examination of medical examination) is input to the doctor's order terminal, and is transmitted and registered in the host computer 9 (step S8). Further, the diagnosis resumption time (14th time information) is transmitted from the host computer 9 to the server management apparatus 5 and stored in the storage unit of the server management apparatus 5 (step S35).

  When the re-examination is completed, the result of the re-examination is input to the doctor's order terminal, transmitted to the host computer 9 and registered (step S9). Then, the time when the result of the re-examination is registered is transmitted from the host computer 9 to the server management apparatus 5 as the examination end time (15th time information), and stored in the storage unit of the server management apparatus 5 (step S36). .

  Thereafter, when the patient completes the accounting, the accounted information is input to the accounting terminal of the host system 8 and registered in the host computer 9 (step S10). Further, the time (16th time information) at which the accounting is completed is transmitted from the host computer 9 to the server management apparatus 5 and stored in the storage unit of the server management apparatus 5 (step S37).

[Business status management by management system]
As described above, the time information (first time information) of each process of the examination-related work stored in the storage unit of the server management device 5 of the management system 2 is used to support work improvement such as work efficiency improvement in the hospital. Used. Specifically, the management system 2 can determine the time required for each process (second time information) (turn around time ( (Turnaround time), also referred to as “TAT”) based on a predetermined condition.

  In the storage unit (hard disk 501d) of the server management apparatus 5, each time information described above is stored in a data table as shown in FIG. In this data table, each time information includes “date of month”, “day of week”, “patient ID”, “request ID”, “specimen ID”, “request department”, “examination department” that received the patient visit. "," Analyzer "," container (type) "," examination item "," patient category "," request category ", and" examination category ". Further, as described above, the storage unit of the server management apparatus 5 is installed with a business situation management program for displaying the time required for each process in the hospital work in a graph using this data table. .

  The type of “container” (specimen container) stored in the data table is determined in consideration of various data stored in the storage unit of the server management apparatus 5 when a test request is made by a doctor. The Specifically, the storage unit of the server management device 5 stores a test item master in which the type of sample container and the sample amount corresponding to the test item are registered, and the server management device 5 is based on the test request. The sample item type corresponding to the test item included in the test request is acquired by referring to the test item master. Such determination of the type of sample container may be performed by the client management apparatus 4 or the terminal 10 of the host system 8.

  FIG. 3 is a graph display screen 101 showing an example of a graph displayed on the display unit 5b by the business situation management program. The graph display screen 101 includes a title display area 101a for displaying a graph condition name (title), a graph display area 101b for displaying a graph, a condition display area 101c for displaying a graph display condition, and screen operations. An operation button display area 101d and the like are included.

  The graph (first graph G1) displayed in the graph display area 101b is a graph of each process of examination-related work in each time zone (every hour) within the hospital work hours (for example, 9 am to 6 pm). The average work time (required time) is accumulated into a bar graph. In the present embodiment, the examination-related work is divided into eight processes of “diagnosis”, “blood collection”, “pre-processing”, “initial examination”, “re-examination”, “report”, “treatment”, and “accounting”. The display contents of each process can be recognized by the legend (display contents explanation area) 101j displayed on the right side of the graph display area 101b. In addition, a graph creation condition display area 101k is provided in the first graph G1 of the graph display area 101b. In this area 101k, graph display conditions set by a method described later are displayed.

The time required for the execution of each process is obtained as follows from the execution time of each work stored in the data table (see FIG. 9).
(1) Examination time → From visit reception time to patient arrival time (2) Blood collection time → From patient arrival time to sample arrival time (3) Pretreatment time → From sample arrival time to test start time (4) Initial test time → From the examination start time to the reexamination start time (5) Reexamination time → From the reexamination start time to the result approval time (6) Reporting time → From the result approval time to the examination resumption time (7) Treatment time → From the examination resumption time to the examination end time (8) Accounting time → From examination end time to accounting time

  In the graph G1, the number of samples (number of sample containers) for each time zone is displayed as a line graph together with a bar graph. In the present embodiment, as shown in the legend 101j, a line graph indicating the number of samples of the normal sample, the urgent sample, and the total sample obtained by combining these samples can be displayed.

  In the condition display area 101c on the graph display screen 101, a part of the conditions set on the display condition setting screen 100 (see FIG. 6) described later is displayed, and the setting contents can be changed. In the operation button display area 101d, an “information clear” button 101e for returning the setting contents to the initial state, a “print” button 101f for printing the graph, and “return” for returning the display to the previous state. A “redisplay” button 101h is provided for redisplaying the graph with the button 101g and the condition changed in the condition display area 101c.

  The first graph G1 is a bar graph in which the time required for all processes in the inspection-related work is accumulated. Therefore, for example, in each time zone, it is easy to grasp the total required time from the patient's visit to the end of the accounting, which can be used to improve the work focusing on the patient side. However, it is difficult to read from the first graph G1 how much work time each process such as medical examination and blood collection takes for each time zone and how the work time changes. Yes.

  Therefore, the work status management program of the present embodiment is not limited to the stacked first graph G1 of all the processes as shown in FIG. 3, but is also a graph (second graph G2, third graph) showing the time required for each process. G3; see FIGS. 4 and 5) can be displayed on the display unit 5b.

  As shown in FIG. 4, the second graph G2 is a bar graph in which only one process is extracted from each process of the inspection-related work. The horizontal axis is the time zone (or day, day of the week) as in the first graph G1, and the vertical axis is the average work time (required time). The second graph G2 can be displayed by performing a predetermined operation on the first graph G1.

  Specifically, in the state of FIG. 3 in which the first graph G1 is displayed, left click on any one of the process parts constituting the bar graph using the input device 5c such as a mouse ( specify. Thereby, the second graph G2 is displayed with only the process extracted. In the legend 101j, only those corresponding to the extracted steps are displayed in a conspicuous color, and the others are displayed in a conspicuous color such as gray (grayed out). In this way, by indicating only the processes displayed on the graph in the legend 101j in an easy-to-understand manner, it is possible to easily grasp which process the second graph G2 indicates.

  The specific process to be displayed on the second graph G2 may be specified from any bar graph in the first graph G1, and only by specifying a specific process from the bar graph in any one time zone, The average work time in all time zones of the process can be displayed on the second graph G2. The specific process to be displayed on the second graph G2 can be designated from a plurality of processes displayed on the legend 101j.

  In the present embodiment, it is possible to display the maximum value and the minimum value of the work time used for calculating the average work time together for the bar graph of the average work time extracted from only one process. is there. Specifically, a horizontal line mark (beard) H indicating the maximum value is displayed on the upper side across the vertex of the bar graph, and a horizontal line mark (beard) L indicating the minimum value is displayed on the lower side. In order to display the maximum value and the minimum value, it is only necessary to check “display whiskers” in the “maximum / minimum” item in the condition display area 101c below the second graph G2. In this way, by displaying the maximum and minimum values together with the average work time, it is possible to recognize the degree of variation in work time, and this makes it possible to more accurately grasp the status of inspection-related work. It becomes.

  Further, in the present embodiment, it is possible to display not only one process but a plurality of processes and display a bar graph as in the graph (third graph) G3 shown in FIG. Specifically, a plurality of processes are specified from any of the bar graphs in the first graph G1, for example, when a plurality of processes are left-clicked with the mouse while pressing a keyboard control key, only the plurality of processes are extracted. A bar graph for each working time zone is displayed.

  Thus, by displaying the third graph G3 obtained by extracting a plurality of processes, it may be possible to make it easier to grasp the business situation. For example, there are two processes, a diagnosis process and a treatment process, which are mainly involved with a doctor. By extracting only these two processes and displaying the third graph G3, the doctor can work in any time zone. It is possible to easily grasp whether time is required. In particular, in the first graph G1, the examination process (time) and the treatment process (time) are displayed at positions that are separated from each other in the vertical direction, so it is very easy to grasp the average work time of the two processes combined. Although it is difficult, in the third graph G3, since it is possible to display the separated processes directly stacked one above the other, it is possible to easily grasp the total of the average work time of a plurality of processes.

Further, as a method of extracting one or a plurality of steps and displaying them on the graph as in the second graph G2 and the third graph G3, in the present embodiment, the steps to be displayed can be set as a group in advance. It has become.
Specifically, when a right click is performed on the first graph G1 shown in FIG. 3, a right click menu (auxiliary operation screen) 104 shown in FIG. 13 is displayed. In this right-click menu 104, it is possible to select groups 1 to 4 and group settings. When group setting is selected here, a group setting screen 103 shown in FIG. 12 is displayed.

  In this group setting screen 103, any or all of the four groups 1 to 4 can be specified by check boxes, and the process to be displayed on the graph for each of the groups 1 to 4 can be specified by check boxes. Is possible. In the illustrated example, group 1 and group 2 are designated. In group 1, examination time and treatment time related to the doctor's work are specified, and in group 2, measurement time and retest time related to the operation of the analyzer are specified. Then, a desired group and process are designated, and the group is set by clicking the OK button.

  When right-clicking on the first graph G1, only the groups 1 to 4 designated in advance in the group setting can be selected. When any one of the selectable groups 1 to 4 is selected, only the process specified in the group is displayed on the second graph G2 or the third graph G3. Further, even if the second graph G2 or the third graph G3 is right-clicked, the same right-click menu 104 is displayed, and another group can be selected to switch the display or to set the group. it can.

  As described above, a combination of a plurality of processes to be displayed on the graph is set as a group in advance, so that it is possible to perform the operation with fewer operations without performing an operation of designating each of the plurality of processes from the first graph G1 It is possible to display the second graph G2 or the third graph G3 obtained by extracting only the process. Thereby, user operability can be improved.

[Graph display conditions]
Next, display conditions for the graph will be described. The business situation management program according to the present embodiment can display the average work time of processes in a graph by narrowing down to, for example, inspection-related work for a specific inspection department or inspection item. When the business management program is started in the server management apparatus 5 and a predetermined operation is performed, a display condition setting screen 100 shown in FIG. 6 is displayed on the display unit 5b.
The setting screen 100 includes a setting item display area 100a and an operation button display area 100b. The setting item display area 100a includes “condition name”, “graph”, “counting method” (“period” “unit”), “display unit”, “request source”, “inspection department”, “analyzer”, Setting items for “item group”, “container”, “examination item”, “patient category”, and “request category” are provided.

In the setting item of “condition name”, a preset condition name can be selected or a new condition name can be arbitrarily input by the user. In the illustrated example, a condition name “TAT (turn around time) situation” is set.
In the “graph” setting item, a preset graph type can be selected. In the present embodiment, in order to display the graphs shown in FIG. 3 to FIG.

  In the setting item of “totaling method”, setting of “period” and setting of “unit” can be performed. In the “period” setting item, the first and last date of the total period to be displayed in the graph can be set. In addition, if you want to summarize on a specific day (day of the week) within this total period, select one or more of “weekdays”, “half-holiday”, “holiday (holiday)”, “Monday to Sunday”. can do.

  In the “unit” setting item, either “sample unit” or “request unit” can be selected. “Sample unit” can be selected when the average work time per sample is displayed in a graph. “Request unit” is used when the average work time per request (examination order) is displayed in a graph. You can choose. For example, when a doctor requests a test that requires a plurality of samples for one patient in a certain department, selecting “sample unit” calculates the average work time of the work process for each sample, When “request unit” is selected, the average work time of the work process in which all the samples included in one request are combined is calculated. The graph displayed by “sample unit” can be used to improve the work efficiency of laboratory technicians and analyzers that handle samples one by one, and the graph displayed by “request unit” can be used for each request. It can be used to improve work for patients who receive it. When calculating the average work time in “sample units”, the number of samples identified by the sample ID in the data table shown in FIG. 9 is used, and when calculating the average work time in “request units”, the data table The number of requests identified by the request ID is used.

  In the “display unit” setting item, the display unit can be selected from three options of “day”, “day difference”, and “day (day of the week)”. When “within the day” is selected here, as shown in the graph of FIG. 3, the average work time of each process is displayed with the time zone as the horizontal axis. When “daily difference” is selected, the average work time of each process for each day is displayed with the date included in the total period set in “period” of “total method” as the horizontal axis. When “intraday (day of the week)” is selected, the average work time of each step is displayed with the day of the week included in the tabulation period set in “period” of “tabulation method” as the horizontal axis. That is, in the present embodiment, the average work time can be displayed in a graph for each time period, every day, and every period section. In addition to these period divisions, other time divisions such as weekly or monthly may be adopted.

Other conditions include: “Requester” (selection of the requesting department for internal medicine, surgery, etc.), “Examination Department” (selection of blood, immunity, etc.), “Analyzer” (type of blood, immunity, etc. Selection), “item group”, “container (sample container)”, “examination item”, “patient category”, “request category”, and “examination category”. In “request source” to “inspection item”, conditions to be narrowed down can be input by a code or the like. For “inspection items”, “in-hospital” and “outsourcing” can be further narrowed down.
With regard to “patient classification”, it is possible to narrow down “first visit” and “re-examination”. In “Request category”, “Reservation acceptance” and “Reception on the day” can be narrowed down, and in “Inspection category”, “Normal” and “Urgent” can be narrowed down. The above condition setting can be performed using information recorded in the data table of FIG. 9 and information accompanying it.
In the present embodiment, the above conditions are provided. However, the present invention is not limited to these conditions, and only a part of these settings may be set or other setting items may be provided. Good.

  When a desired condition is set on the display condition setting screen 100 and the “graph display” button 100e in the lowermost operation button display area 100b is clicked (selected) with a mouse or the like, the graph (first graph) shown in FIG. G1 is displayed in a state where a desired condition is satisfied. When the “information clear” button 100c in the operation button display area 100b is clicked, the conditions set in the setting item display area 100a are returned to the initial state. When the “Delete Condition” button 100d is clicked, the currently displayed condition is deleted. When the “save condition” button 100f is clicked, the set condition is saved in the storage unit 5b.

[Setting graph display conditions according to sample container type]
Next, among the above display conditions, a case where the graph display conditions are narrowed down by the type of “container” (specimen container) will be described in detail.
FIG. 14 is a diagram showing a container master display screen. Various information (container master data) about the sample container is stored in the storage unit of the server management apparatus 5, and this container master data is confirmed via the container master display screen 105 displayed on the display unit 5b. Management of registration, update, etc. is performed. The container master display screen 105 can be displayed on the display unit 5b by performing a predetermined operation after starting the business improvement support program.

  On the container master display screen 105, a container information display area (container information input) for displaying various types of information such as “code”, “name”, “abbreviation”, “capacity”, etc. of the sample container in a table format. (Region) 105a is provided. In addition, an operation button display area 105 b having operation buttons such as “redisplay”, “add”, “delete”, and “registration” is provided at the bottom of the container master display screen 105. Each button in the operation button display area 105b is assigned to a function key of the keyboard.

  In order to add new sample container information to the container master data, the “add” button 105d of the operation button display unit 105b is clicked (selected). As a result, various information such as “code”, “name”, and “abbreviation” can be directly input at the bottom of the table displayed in the container information display area 105a. Then, after the information is input, the input content can be reflected in the container master data by clicking the “Register” button 105f.

  In order to delete sample container information from the container master data, the “delete” button 105e is clicked with the sample container information to be deleted selected from the container information display area 105a. Then, a message box (not shown) “Yes: No (Do you want to delete the container code: container name)?” (Yes / No) is displayed. By selecting “Yes”, the sample container is displayed. Information can be deleted.

  When the “redisplay” button 105c in the operation button display area 105b is clicked, the container information display area 105a can be redisplayed in a state in which changes such as addition or deletion of information on the sample container are reflected. The contents of the container master data can be printed by clicking the “print” button 105g. If the “CSV output” button 105h is clicked, the contents of the container master data can be output as a CSV format data file. If the “CSV import” button 105j is clicked, a CSV format data file can be imported. it can.

  As shown in FIG. 6, the “container” item on the display condition setting screen 100 is provided with code input fields 100a1 and 100a3 and abbreviation display fields 100a2 and 100a4. Then, by inputting the code of the sample container in the code input fields 100a1 and 100a3, it is possible to display the graphs G1 to G3 narrowed down by the type of the sample container. In the abbreviation display columns 100a2 and 100a4, abbreviations corresponding to the codes input in the code input column are read from the container master data and displayed.

  When the user does not know the code of the sample container, the “collection tube information master code search” screen (container type selection area) 106 as shown in FIG. 15 is displayed by double-clicking the code input fields 100a1 and 100a3. Can be displayed. On this screen 106, all codes and abbreviations registered in the container master data are displayed in a state of being associated with each other. The user can input a sample container code in the code input fields 100a1 and 100a3 of FIG. 6 by selecting a desired code from the screen 106 and clicking the “end” button 106a at the bottom.

  In the code input fields 100a1 and 100a3 in FIG. 6, a plurality of sample containers registered in the container master data can be specified within a code range. Specifically, by inputting the first code of the range in the left code input column 100a1 of the two code input columns 100a1 and 100a3 and inputting the last code in the range in the right code input column 100b1. A plurality of sample containers included between two codes can be designated. In this way, by enabling specification of a plurality of types of sample containers, the degree of freedom in setting the graph display conditions can be increased.

  16 and 17 show a graph display screen 101 that displays the first graph G1 in a state of being narrowed down by the type of sample container. The first graph G1 shown in FIG. 16 is obtained by designating “tea pre” as the type of the sample container, as displayed in the graph creation condition display area 101k. This description of “tea pre” is an abbreviation for the specimen container, and as shown in FIG. 14, the specimen with the code “001” and the name registered in the container master data “tea plain biochemistry / immunity test”. Show container.

  The first graph G1 shown in FIG. 17 specifies “capillary baby” as the type of specimen container. This “capillary baby” is also an abbreviation of the specimen container, and as shown in FIG. 14, the specimen is a specimen container whose code is “002” and whose name registered in the container master data is “capillary baby plain immunoassay”.

  As shown in FIG. 14, “tea pre” and “capillary baby” are different sample containers, but may be used for the same test item. Specifically, “tea pre” has a volume of 6.0 ml, whereas “capillary baby” has a volume of 0.15 ml (150 μl), and the sample collection volumes of both are different. However, both are used for immunological tests.

  In addition, “capillary baby” is mainly used when collecting a small amount of blood from a newborn, and “tea pre” is used when collecting blood from a general patient. In general, blood is collected in a blood collection room, but newborns are collected in a newborn room, etc., which is different from the blood collection room. Therefore, the procedure until blood collection is performed for “tea pre” and “capillary baby”. In addition, after blood collection, the route for transporting the sample container to the place where the analyzer is installed is different. Therefore, the collection time (from the patient arrival time to the sample arrival time) in examination-related work naturally varies.

  When comparing the first graph G1 shown in FIG. 16 (the graph narrowed down by “tea pre”) and the first graph G1 shown in FIG. 17 (the graph narrowed down by “capillary baby”), the “collection time” is It is greatly different, and it can be seen that “capillary baby” requires more time than “tea pre”. Therefore, it can be said that work efficiency can be improved more effectively by performing work improvement measures that reduce the “collection time” when using “capillary baby”.

As described above, by setting the type of sample container as the display condition of the graph, it is possible to distinguish between the time required for the processes to be performed through different processes even if it is related to the test performed for the same test item. It is possible to grasp.
In addition, since the number of selected specimen containers (number of specimens) is also displayed in the graphs of FIGS. 16 and 17, the time required for each process can be grasped in correspondence with the number of specimen containers. Therefore, it is possible to know how many types of sample containers need to be prepared.

  FIG. 18 shows a first graph G1 when both “tea pre” and “capillary baby” are selected as the types of specimen containers. In order to display the first graph G1, in the “container” item of the display condition setting screen 100, “001” (brown) is input in the left code input field 100a1, and “right” is input in the right code input field 100a3. "002" (capillary baby) may be input. The “collection time” in this case is an average of the time required for “tea pre” and the time required for “capillary baby”.

In addition, an example will be described below in which the type of sample container is set as a graph display condition, so that the status of clinical laboratory-related work can be grasped more accurately and work improvement treatment in the laboratory can be performed.

  In the examination room, one sample container is sequentially transported between a plurality of analyzers, and the samples are aspirated from the sample containers in the respective analyzers to perform different types of analysis. At this time, since the type of sample and the type of sample container to be used differ depending on the analyzer, the path of movement in the laboratory before the end of a series of analyzes on the sample contained in one container varies depending on the type of sample container. . Therefore, it is very useful to set the type of the sample container as a display condition of the graph in order to grasp the state of clinical laboratory work, particularly the movement state of the sample container in the laboratory.

In the laboratory, it is assumed that after a specific type of sample container is transported to and analyzed by the analyzer A, an analysis is performed on the sample transported to the analyzer B and remaining in the container. Here, as a result of designating the specific type of sample container as the display condition of the graph, it may take longer than expected for the sample container of that type to take all samples from the arrival of the sample to the laboratory. Sometimes it turns out. If the sample container waiting for analysis by the analyzer A remains at the end of the investigation and the sample container is not easily transported to the analyzer B, the sample dispenser is placed in front of the analyzer A. It is conceivable that the efficiency of the examination can be improved by providing and subdividing the sample in the sample container into two sample containers, respectively transporting them to the analyzer A and the analyzer B and performing the analysis in parallel. In this way, by setting the type of the sample container as the display condition of the graph, it is possible to discover that there is a problem in the movement state of the sample container in the laboratory, and thereby it is possible to improve clinical laboratory related work. .

[Graph display procedure]
Next, processing for executing the business situation management program in the server management apparatus 5 and displaying the graphs G1 to G3 as described above will be described with reference to the flowchart of FIG.
In step S101 of FIG. 10, the CPU 501a of the server management apparatus 5 determines whether or not the business status management program has been executed and an instruction to display the required time display screen (TAT screen) for inspection-related business has been issued. If the CPU 501a determines that a display instruction has been issued, the process proceeds to step S102, and first, the display unit 5b displays the display condition setting screen 100 shown in FIG. The user can set display conditions as described above on the display condition setting screen 100.

  Next, in step S <b> 103, the CPU 501 a determines whether the “graph display” button 100 e on the display condition setting screen 100 is selected. When the CPU 501a determines that the “graph display” button 100e is selected, the CPU 501a performs graph display processing in step S104. If the CPU 501a determines that the “graph display” button 100e has not been selected, the CPU 501a advances the process to step S106.

  When the graph display process is performed in step S104, the CPU 501a determines whether or not the “return” button 101g on the graph display screen 101 (see FIG. 3) has been selected. If the CPU 501a determines that the “return” button 101g has been selected, the CPU 501a returns the process to step S102 and displays the display condition setting screen 100 on the display unit 5b again. If it is determined that the “return” button 101g has not been selected, the process proceeds to step S112.

  In step S106, the CPU 501a determines whether or not the “clear information” button 100c on the display condition setting screen 100 has been selected. If it is determined that the button has been selected, the process proceeds to step S107, and the display conditions are initialized. After performing the process of returning to step S112, the process proceeds to step S112. If the CPU 501a determines that the “clear information” button 100c has not been selected, the process proceeds to step S108.

In step S108, the CPU 501a determines whether or not the “condition delete” button 100d on the display condition setting screen 100 has been selected. If the CPU 501a determines that it has been selected, the process proceeds to step S109 and determines that it has not been selected. If so, the process proceeds to step S110.
In step S109, the CPU 501a deletes the display condition setting made on the display condition setting screen 100, and advances the process to step S112.

In step S110, the CPU 501a determines whether or not the “save condition” button 100f on the display condition setting screen 100 has been selected. If the CPU 501a determines that it has been selected, the process proceeds to step S111. If so, the process proceeds to step S112.
In step S111, the CPU 501a saves the conditions made on the display condition setting screen 100 in the hard disk 501d, and advances the process to step S112.

  In step S112, the CPU 501a determines whether or not an instruction to end the TAT screen has been issued. If it is determined that an instruction to end has been issued, the CPU 501a closes the TAT screen and ends the process, and determines that no instruction has been given In that case, the process returns to step S102.

Next, the graph display process in step S104 will be described in more detail.
FIG. 11 is a flowchart showing the procedure of the graph display process.
In step S201 of FIG. 11, the CPU 501a searches the data table shown in FIG. 9 based on the display condition setting made on the display condition setting screen 100.

Subsequently, in step S202, the sum total of each process is calculated | required for every time slot | zone, and the average working time per sample or per request is calculated.
Next, in step S203, the display unit 5b displays a graph display screen 101 (see FIG. 3) in which a bar graph (first graph) G1 obtained by stacking all processes of the business is displayed in the graph display area 101b.

  Next, in step S204, the CPU 501a determines whether or not one or more processes are designated in the first graph G1. This designation is performed by left-clicking one or more steps in the bar graph in the first graph G1 as described above. If the CPU 501a determines that one or more processes have been designated, the CPU 501a extracts only the designated processes and displays the second or third graphs G2 and G3 on the graph display screen 101 in step S205. The process proceeds to S212. If the CPU 501a determines that one or more steps have not been designated, the process proceeds to step S206.

  In step S206, the CPU 501a determines whether or not the graph display screen 101 is right-clicked. If it is determined that the button has been right-clicked, the process proceeds to step S207. If it is determined that the button has not been right-clicked, the process returns.

  In step S207, the CPU 501a displays the right click menu 104 shown in FIG. 13 on the display unit 5b. In step S208, the CPU 501a determines whether or not the groups 1 to 4 are selected. When the CPU 501a determines that the groups 1 to 4 have been selected, in step S209, the second or third graph G2, G3 in which only the process specified on the group setting screen 103 shown in FIG. 12 is extracted. Is displayed on the graph display screen 101, and if it is determined that the groups 1 to 4 have not been selected, the process proceeds to step S210.

  In step S210, the CPU 501a determines whether the group setting is selected from the right-click menu 104. If the group setting is determined to be selected, the CPU 501a displays the group setting screen 103 in step S211. The process returns to step S204. If the CPU 501a determines that the group setting has not been selected, the process returns.

  In step S212, the CPU 501a determines whether or not the “return” button 101g (see FIGS. 4 and 5) on the graph display screen 101 is selected while the second graph G2 or the third graph G3 is displayed. To do. When the CPU 501a determines that the “return” button 101g has been selected, the process returns to step S203 to display again the bar graph (first graph) G1 in which all processes are stacked, and the “return” button 101g selects. If it is determined that the process has not been performed, the process returns.

  As described above in detail, in the present embodiment, the time required for each process of the examination-related work can be displayed in a graph in a state narrowed down by a specific sample container type, and thus differs depending on the type of sample container. It is possible to distinguish between the steps carried out through the process (in the above example, “collecting time” when “tea pre” and “capillary baby” are used), and appropriately grasp the required time. Therefore, it is possible to more accurately grasp the status of inspection-related work, and it is possible to appropriately perform work improvement measures. In addition, since the time required for each process in the inspection-related work is displayed together with the number of sample containers (number of samples), the relationship between the time required for each process in the inspection-related work and the number of sample containers can be easily grasped. be able to. Moreover, since the time required for each process is displayed for each time zone (or every day, every day of the week), it is possible to easily grasp how much work time is required in which time zone. For this reason, it is possible to appropriately perform work improvement measures that reduce the work time for a process that requires a lot of work time in a certain time zone.

  Further, since the second or third graph G2, G3 can be displayed by designating a specific process directly from the display of the first graph G1, the operability for the user can be improved. In addition, if a specific process is specified from the bar graph in one time zone displayed in the first graph G1, the second or third graph G2, G3 of the process for all time zones can be displayed. The user operability can be further improved.

The present invention is not limited to the embodiment described above, and can be appropriately changed within the scope of the invention described in the claims.
For example, the screen for selecting the type of sample container when setting the display conditions of the graph can be a check box format as shown in FIG. 20 in addition to that shown in FIG. In this case, the check box of a desired sample container may be checked with a mouse or the like and selected by clicking an end button.
Moreover, although the average work time of the specific process of the clinical examination related work is displayed as a bar graph, it may be displayed in a table format as shown in FIG.

  Further, in the above embodiment, the average work time per sample or per request is displayed in a graph for each time zone (or every day, every day of the week), but the work used for calculating the average work time You may display the accumulated time of a time, the median in each time slot | zone, etc. for every time slot | zone. Moreover, although the execution time of each process is memorize | stored in the hard disk 501d of the server management apparatus 5, the average working time calculated from this implementation time may be memorize | stored.

  Moreover, in the said embodiment, although the average work time of each process is displayed by the bar graph for every time slot | zone (or every day, every day of the week), what is necessary is just the display which can understand transition of the average work time of each process. . For example, you may display the line graph which shows the time series change of the average operation time of each process.

  Further, the execution time of each work of clinical laboratory related work is not limited to the form in which the server management apparatus 5 receives and stores the transmission time transmitted from the host computer 9 or the client management apparatus 4, but the user directly uses a keyboard or the like. It is good also as a form input using the input device 5c.

  In the above embodiment, the business situation management program is installed in the server management apparatus 5, and the graph about the time required for each process in the clinical examination related work is displayed on the display unit 5b of the server management apparatus 5. A similar business situation management program may be installed in the management apparatus 4 and the graph may be displayed on the display unit. In this case, the client management device 4 can be configured to receive the execution time of each process recorded in the data table from the server management device 5 and calculate the average work time of each process.

  In the above embodiment, when receiving the start time of each operation (process), the server management device 5 stores the start time of each process in the data table (see FIG. 9) and issues a graph display instruction. When received, the time required for the implementation of each process is calculated based on the start time and the graph is displayed. However, the present invention is not limited to this. For example, when the server management device 5 receives the start time of each process, it calculates the time required to execute each process in advance based on the received time, stores the calculated time in a data table, and displays a graph display instruction. May be displayed based on the calculated time.

DESCRIPTION OF SYMBOLS 1 Test | inspection information system 3 Analysis apparatus 4 Client management apparatus 5 Server management apparatus 5a Control part 5b Display part 5c Input device 501d Hard disk G1 1st graph G2 2nd graph G3 3rd graph

Claims (11)

A storage unit that stores first time information related to time for each of a plurality of steps in a clinical laboratory-related business and a type of a specimen container used in the clinical laboratory-related business in association with each other;
A display unit;
An operation unit for designating the type of the sample container;
Based on the first time information stored in the storage unit, the second time information related to the time for at least one step of clinical laboratory-related work corresponding to the type of sample container specified by the operation unit is displayed. A clinical laboratory information system comprising: a control unit to be displayed on the unit.   The clinical test information system according to claim 1, wherein the control unit displays a time required for each process in the clinical test-related work on the display unit as the second time information. The storage unit stores the execution start time and the execution end time of each step in clinical examination-related work as the first time information,
The clinical test information system according to claim 2, wherein the control unit calculates a required time as the second time information based on an execution start time and an execution end time stored in the storage unit.   The clinical test according to any one of claims 1 to 3, wherein the control unit causes the display unit to display container information indicating a type of the sample container designated by the operation unit together with the second time information. Information system.   The clinical test information system according to any one of claims 1 to 4, wherein the control unit causes the display unit to display the number of sample containers of the type specified by the operation unit together with the second time information. .   The said control part displays the said 2nd time information of each process in a clinical examination related business on the said display part with the period division in which this process was implemented, The clinical of any one of Claims 1-5 Inspection information system.   When a plurality of types of sample containers are specified by the operation unit, the control unit displays the second time information of each step in clinical laboratory-related work corresponding to the specified types of sample containers on the display unit. The clinical laboratory information system according to any one of claims 1 to 6, which is displayed.   The clinical test information system according to any one of claims 1 to 7, wherein the control unit causes the display unit to display a container type selection region that enables selection of the type of sample container by the operation unit.   The control unit causes the display unit to display a container information input area in which container information indicating a type of sample container can be input by the operation unit, and the operation unit inputs the container information input area. The clinical test information system according to any one of claims 1 to 8, wherein container information is stored in the storage unit.   The clinical examination information system according to claim 9, wherein the container information includes an abbreviation of a specimen container. A computer to which an operation unit and a display unit are connected,
Storage means for associating and storing first time information relating to time for each of a plurality of steps in clinical examination-related work and the type of sample container used in the clinical examination-related work;
Designation accepting means for accepting designation of the type of sample container by the operation unit; and
Based on the first time information stored in the storage means, the second time information related to the time for at least one step of clinical laboratory related work corresponding to the type of the sample container designated by the operation unit is displayed. A computer program for functioning as control means to be displayed on the unit.

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