JP2012203843A - Medical system and management method of medical system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical system or the like which prevents a mix-up or the like of medical prescription information without burdening a nurse or the like.SOLUTION: A medical system 1 includes: a medical prescription information device 10 for accumulating medical prescription information; a medicine arranging part 30 which is provided with an arranging part for arranging medicines corresponding to the medical prescription information and includes information with regard to the medicines; a device 90 for a medical worker belonging to a medical worker; a device 50 for a patient belonging to a patient; and medical equipment 70 which is used for treatment of the patient. Communications with the medical prescription information device, the medicine arranging part and the medical equipment can be respectively performed by the medical worker carrying the device for a medical worker automatically by coming into contact with each of them, and communication with the device for a patient can be performed automatically by coming into contact with the device for a patient or the patient who is wearing the device for a patient.

Description

  The present invention relates to a medical system having a medical device or the like used for treating a patient or the like and a management method of the medical system, for example.

Conventionally, when a medical device such as an infusion pump used for treating a patient or the like is loaded with a drug and operated, the nurse in charge is responsible for the type of drug and the specific medical device for each patient. Refer to the "medical chart" that describes the operation.
At this time, an electronic medical record using a computer has been proposed in view of the inconvenience of handling if the medical record is stored in paper. In addition, a system that acquires such electronic medical chart data as electronic data through communication or the like and reflects the electronic data in the electronic medical chart has been proposed (for example, Patent Document 1).

JP 2011-22969 A

However, a nurse or the like who actually operates an infusion pump or the like on site needs to operate a computer in order to acquire such electronic medical record data.
In addition, since nurses and the like are busy with treatment of patients and the like, it is a burden to force such an operation, and there is a problem that wrong data may be acquired due to an operation error.
In addition, when a nurse or the like handles a medicine tray for placing a medicine for each patient, it is necessary to check whether the patient is the medicine tray of the patient who is trying to perform treatment. It was a burden.

  Accordingly, the present invention provides a medical system and a management method for the medical system that do not place a burden on medical staff such as nurses and that do not cause any misunderstanding of medical prescription information such as medical record data. Objective.

  In the present invention, the above object is a medicine having a medical prescription information device for storing medical prescription information, a placement unit for placing a medicine corresponding to the medical prescription information, and medicine information relating to the medicine. A medical system having a placement unit, a medical worker device possessed by a medical worker, a patient device possessed by a patient, and a medical device used for treatment of the patient, at least for the medical worker The medical staff possessing the device can automatically communicate with each other by contacting the medical prescription information device, the drug placement unit and the medical device, and the patient device or the patient device. This is achieved by a medical system characterized by being configured to automatically communicate with the patient device by contacting the patient wearing the device.

According to the above configuration, a medical worker who possesses a device for a medical worker can automatically communicate with each other by contacting the medical prescription information device, the drug placement unit, and the medical device, By being in contact with a patient apparatus or a patient wearing the patient apparatus, the apparatus can automatically communicate with the patient apparatus.
Therefore, a medical worker such as a nurse can acquire medical prescription information simply by touching a medical prescription information device such as an electronic medical record in the state where the medical worker device is held. For this reason, since it is not necessary for a nurse or the like to operate a computer or the like as in the prior art, the burden on the nurse or the like is reduced.
In addition, nurses can automatically obtain medical prescription information in their own medical device, so it is possible to prevent medical prescription information such as medical record data from being mistaken due to misoperation of computers, etc. can do.

Furthermore, a nurse or the like can communicate with a medicine placement section such as a medicine tray by simply touching the medicine placement section, and confirm whether the medicine tray is a medicine tray of a patient who is going to perform his / her own treatment. Can do.
In this regard, conventionally, since it was confirmed only by visual observation of a nurse or the like, the burden on the nurse or the like can be remarkably reduced as compared with the conventional case.
In addition, a medical worker such as a nurse can perform communication such as patient confirmation just by touching the patient or the patient device while holding the device for the medical worker. For example, since medical prescription information necessary for the operation of the medical device can be transmitted simply by touching the device, the burden on the nurse or the like can be significantly reduced.
Furthermore, since the configuration does not require a new system to be constructed among the medical staff, patient, medical prescription information device, and medical equipment, the burden on medical staff such as nurses can be reduced at a low cost. it can.

  Preferably, the communication between the medical worker device and the medical prescription information device, the patient device, the drug placement unit, and the medical device is via a medical worker or the body of the medical worker and the patient. It is characterized by being performed.

According to the above configuration, since communication is performed by so-called human body communication, for example, a medical worker such as a nurse simply touches the housing of the medical prescription information device or the like, and the communication is executed and touched. Etc. are simply removed from the housing or the like of the medical prescription information device.
Therefore, communication can be performed very easily and easily for medical staff and the like.

  Preferably, the medical worker device communicates with the medical prescription information device to acquire the medical prescription information, and the medical worker device acquires the medical treatment of a specific patient from the acquired medical prescription information. The prescription information is specified, and the medical staff device communicates with the medicine placement section so that the medical prescription information identified by the medical staff device corresponds to the medicine information of the medicine placement section. The device for medical personnel communicates with the device for the patient of the specific patient, thereby confirming the specific patient and communicating with the medical device. Thus, the medical prescription information is transmitted to the medical device.

According to the above configuration, the medical staff device can confirm whether the selected medicine placement section is correct by communicating with the medicine placement section, and can communicate with the patient device of a specific patient. Thus, a specific patient can be confirmed. In addition, the medical staff device is configured to transmit medical prescription information to the medical device by communicating with the medical device.
For this reason, medical personnel such as nurses can check the drug placement unit and the patient extremely easily and easily, and can also provide necessary information to the medical device.

  Preferably, in the medical prescription information device, the medical prescription information is stored in association with identification information of the medical staff.

According to the said structure, in the medical prescription information apparatus, the medical prescription information is linked | related and memorize | stored in the medical prescription information. For this reason, for example, a medical prescription information device is transmitted by a medical staff device such as a nurse terminal to the medical prescription information device. The medical prescription information related to the nurse identification information can be selected and transmitted to the nurse terminal.
Therefore, a medical staff device such as a nurse terminal can automatically acquire necessary medical prescription information without fail.

  Preferably, the medical worker device is permitted after the medical worker transmits the identification information of the medical worker to the medical device and the medical device permits the medical worker to operate the medical worker device. The medical staff device of a medical staff is configured to transmit the medical prescription information to the permitted medical equipment.

According to the above configuration, after the medical device permits the operation of the medical worker of the medical worker device, the medical worker device of the permitted medical worker transmits medical prescription information to the permitted medical device. It is the composition to do.
For this reason, it is possible to effectively prevent a person who does not have the authority to operate the medical device from operating the medical device.

  In the present invention, the above object is a medicine having a medical prescription information device for storing medical prescription information, a placement unit for placing a medicine corresponding to the medical prescription information, and medicine information relating to the medicine. A method for managing a medical system, comprising a placement unit, a medical worker device possessed by a medical staff, a patient device possessed by a patient, and a medical device used for treatment of the patient, wherein the medical device is at least A medical worker who possesses a device for a worker can automatically communicate with each other by contacting the medical prescription information device, the medicine placement unit, and the medical device, and the patient device or Achieved by a method for managing a medical system, characterized in that the device can automatically communicate with the patient device by contacting the patient wearing the patient device. It is.

  As described above, according to the present invention, there is no burden on medical staff such as nurses, and the medical system and the management of the medical system do not cause any mistakes in medical prescription information such as medical record data. A method can be provided.

It is the schematic which shows the medical system of this invention. It is a schematic explanatory drawing of the human body communication which made the nurse terminal and the electronic medical chart apparatus an example. It is a schematic block diagram which shows the main structures of the electronic medical chart apparatus and nurse terminal of FIG. It is a schematic block diagram which shows the main structures of the chemical | medical agent tray and patient terminal of FIG. It is a schematic block diagram which shows the main structures of the infusion pump of FIG. It is a schematic flowchart which shows the process in which the nurse terminal of FIG. 1 acquires order information (pharmaceutical prescription data) etc. from an electronic medical chart apparatus. It is a schematic flowchart which shows a chemical | medical agent tray selection process. It is a schematic flowchart which shows the patient confirmation process by the nurse back. It is a schematic flowchart which shows an infusion pump connection process.

Preferred embodiments of the present invention will be described below in detail with reference to the accompanying drawings.
The embodiments described below are preferred specific examples of the present invention, and thus various technically preferable limitations are given. However, the scope of the present invention is particularly limited in the following description. Unless otherwise stated, the present invention is not limited to these embodiments.

FIG. 1 is a schematic view showing a medical system 1 of the present invention. As shown in FIG. 1, the medical system 1 is an electronic medical record device 10 (an example of a medical prescription information device) that stores electronic medical records including medical prescription data (order information) that is medical prescription information for a patient. have.
The electronic medical chart is stored in the electronic medical chart apparatus 10 for each patient identification number, for example, and the electronic medical chart apparatus 10 is, for example, a personal computer (PC).

Further, the medical system 1 of FIG. 1 includes, for example, a medicine tray 30 that is a medicine placement unit that places medicines to be prescribed to the patient according to the order information described above.
The medicine tray 30 is an arrangement unit that actually places a medicine case or the like, for example, has a tray body (not shown), and is medicine information such as medicine placed on the tray body. For example, order information Is stored.

Moreover, the medical system 1 of FIG. 1 has a patient terminal 50 that is a patient device possessed by a patient, for example, and also has an infusion pump 70 that is a medical device used for treatment of the patient.
The infusion pump 70 is disposed in an infusion or the like on the side of a patient or the like, and can be controlled when supplying an infusion solution such as a medicinal solution to the patient or the like.
Specifically, the infusion pump 70 uses an infusion tube having high elasticity and self-expandability, and is configured to provide a preset drug solution to a patient by inserting the tube into a machine and pressing it with a roller. .

Further, the medical system 1 of FIG. 1 also includes a nurse terminal 90 which is a device for a medical worker who is a medical worker who performs treatment of a patient or the like, for example, a nurse.
Among these, since the patient terminal 50 and the nurse terminal 90 are each possessed by a person, the patient terminal 50 and the nurse terminal 90 have, for example, a wristwatch type, and the patient and the nurse can be placed on their arms.
The patient terminal 50 and the nurse terminal 90 are not limited to a wristwatch type, but a mobile phone type, a B5 (A4) notebook type, a glasses type, an accessory type (necklace, earrings), a pen type, a belt type, and a belt wearing type. (Pedometer, activity meter, etc.) may be used.

The electronic medical chart device 10, the medicine tray 30, the patient terminal 50, the infusion pump 70, and the nurse terminal 90 are the electronic medical chart side communication device 11, the medicine tray side communication device 31, the patient side communication device 51, and the infusion pump, respectively. Side communication device 71 and nurse side communication device 91 are configured to communicate with each other, and this communication is a so-called human body communication system.
Each of these communication devices may have both a transmission function and a reception function, or may have a configuration having only one of the functions according to the role of each.

This human body communication method is communication performed by passing a weak current etc. to the human body, and communication is possible when a person wearing a dedicated device touches a person wearing another similar device It is a method. Further, the human body communication method may cause a current to flow or generate an electric field during communication, which are called a current method and an electric field method, respectively.
In the case of the current method, communication is performed by supplying a current of several hundred microamperes to the surface of the human body. In the embodiment, a current system human body communication system will be described below as an example.

  FIG. 2 is a schematic explanatory diagram of human body communication taking the nurse terminal 90 and the electronic medical chart device 10 as an example. Human body communication can be performed not only between the nurse terminal 90 and the electronic medical chart device 10, but also between the nurse terminal 90 and the drug tray 30, the patient terminal 50, and the infusion pump 70 as shown in FIG. In FIG. 2, human body communication in the present embodiment will be described using the nurse terminal 90 and the electronic medical chart device 10 as an example.

  As shown in FIG. 2, when the nurse A having the nurse terminal 90 comes into contact with the casing of the PC which is the electronic medical chart device 10, the nurse of the nurse terminal 90 arranged on the arm of the nurse A The side communication device 91 can electrically communicate with the electronic medical record side communication device 11 of the electronic medical record device 10 via the human body of the nurse's back and the housing of the electronic medical record device 10.

That is, the current E in FIG. 2 flows from the nurse terminal 90 over the human body of the nurse back and reaches the electronic medical chart side communication device 11 of the electronic medical chart device 10, and communication is possible by this current flow. It becomes.
In the present embodiment, the nurse-side communication device 91 can communicate with the electronic medical record-side communication device 11 only by the nurse A touching the electronic medical record device 10. The communication is completed by releasing the hand from 10.

In this regard, conventionally, the nurse has operated the PC, which is an electronic medical chart device, to acquire prescription data (medical record) of the patient's medicine, etc., so that the operation is complicated and there is a risk that an operation error will occur. .
In the present embodiment, as shown in FIG. 2, since the nurse A can communicate simply by touching the electronic medical chart device 10, for example, the patient's medical chart information can be acquired, etc. It does not take, and the composition of the chart does not occur.

  The electronic medical chart device 10, the medicine tray 30, the patient terminal 50, the infusion pump 70, and the nurse terminal 90 shown in FIG. 1 each have a computer, and the computer includes a CPU (Central Processing Unit), a RAM (Random) (not shown). It has an Access Memory (ROM), a ROM (Read Only Memory), etc., and is connected via a bus.

FIG. 3 is a schematic block diagram showing main configurations of the electronic medical chart apparatus 10 and the nurse terminal 90 of FIG.
As shown in FIG. 3, the electronic medical chart apparatus 10 includes an electronic medical chart control unit 12. The electronic medical chart apparatus 10 includes the above-described electronic medical chart side communication apparatus 11, an electronic medical chart input apparatus 13 for inputting information, an electronic medical chart display apparatus 14 for displaying information, and the like. It is controlled by the control unit 12.
Note that a storage unit, a processing unit, and the like of the electronic medical chart apparatus 10 of FIG. 3 will be described later.

As shown in FIG. 3, the nurse terminal 90 has a nurse terminal control unit 92. The nurse terminal 90 includes the nurse-side communication device 91, the nurse terminal input device 93, the nurse terminal display device 94, and the like, which are controlled by the nurse terminal control unit 92.
The storage unit of the nurse terminal 90 in FIG. 3 will be described later.

FIG. 4 is a schematic block diagram showing main configurations of the medicine tray 30 and the patient terminal 50 of FIG.
As shown in FIG. 4, the medicine tray 30 has a medicine tray control unit 32. The medicine tray 30 includes the medicine tray communication device 31 and the medicine tray input device 33 described above, and these are controlled by the medicine tray control unit 32.
The storage unit and processing unit of the medicine tray 30 in FIG. 4 will be described later.

Further, as shown in FIG. 4, the patient terminal 50 has a patient terminal control unit 52. The patient terminal 50 includes the above-described patient-side communication device 51, which is controlled by the patient terminal control unit 52.
In addition, the memory | storage part, process part, etc. of the patient terminal 50 of FIG. 4 are mentioned later.

FIG. 5 is a schematic block diagram showing a main configuration of the infusion pump 70 of FIG. As shown in FIG. 5, the infusion pump 70 has an infusion pump control unit 72. The infusion pump 70 includes the infusion pump-side communication device 71, the infusion pump input device 73, the infusion pump display device 74, and the infusion pump main body 75 which is a part that performs the original function of the infusion pump. It is controlled by the infusion pump control unit 72.
In addition, the memory | storage part, process part, etc. of the infusion pump 70 of FIG. 5 are mentioned later.

6 to 9 are schematic flowcharts showing main operations and the like of the medical system 1 according to the present embodiment.
In the present embodiment, the nurse A possesses the nurse terminal 90 shown in FIG. 1, obtains order information (prescription data such as medicines) of the patient in charge from the electronic medical chart device 10, and then the medicine tray 30. The following describes an example of a series of operations in which the infusion pump 70 is operated after the patient is carried to the patient and the patient is confirmed.
Further, in describing this example, the description will be made along the flowcharts of FIGS. 6 to 9 and the storage unit and processing unit of FIGS. 1 to 5 will also be described.

FIG. 6 is a schematic flowchart showing steps in which the nurse terminal 90 of FIG. 1 acquires order information from the electronic medical chart apparatus 10.
First, the nurse A attaches the nurse terminal 90 of FIG. 1 to an arm or the like, and touches the hand or the like on the casing or the like of the electronic medical chart apparatus 10.
Then, human body communication is performed between the nurse-side communication terminal 91 and the electronic medical chart communication device 11 shown in FIG. 2, and an order information acquisition request is transmitted from the nurse terminal 90 to the electronic medical chart device 10.
At this time, the nurse terminal 90 transmits its own nurse identification number (an example of medical worker identification information) stored in the nurse identification number storage unit 95 of FIG. 3 to the electronic medical chart apparatus 10. To do.
Next, in ST1, the electronic medical chart apparatus 10 determines whether or not an order information acquisition request is transmitted from the nurse terminal 90.

If the electronic medical chart apparatus 10 determines in ST1 that it has received an order information acquisition request from the nurse terminal 90, the process proceeds to ST2. In ST2, the order information search / determination processing unit (program) 15 of the electronic medical chart apparatus 10 of FIG. 3 refers to the order information storage unit 16 and relates to the nurse identification number of the nurse of the nurse terminal 90. Look for whether there is order information.
By the way, in the order information storage unit 16 of the electronic medical chart apparatus 10 of FIG. 3, order information which is prescription data such as medicines for each patient is stored in association with the nurse identification number of the nurse in charge.
Therefore, in ST2, the electronic medical chart apparatus 10 can easily determine whether or not there is order information of the patient in charge of the nurse from the nurse identification number of the nurse who has accessed.

The “order information” includes a prescription drug name, a doctor identification number, a patient identification number, a nurse identification number, and the like. Furthermore, it is more preferable that the year / month / day prescribed as the order information, and the time as necessary are included. By doing so, human errors in the hospital can be further reduced.
In ST2, if there is order information associated with the nurse identification number in the order information storage unit 16 in FIG. 3, the process proceeds to ST3.
In ST3, the electronic medical chart apparatus 10 transmits the order information of the patient associated with the nurse identification number to the nurse terminal 90.
Next, the process proceeds to ST4, and it is confirmed whether there is patient order information that is not associated with the nurse identification number.
Therefore, the nurse A can efficiently acquire only the order information of the patient in charge of the nurse to the nurse terminal 90 of the nurse. Further, since this order information is automatically and definitely transmitted, the information becomes extremely reliable.

  In the present embodiment, the patient order information associated with the nurse identification number is transmitted. However, the order information may be transmitted only on the date of access or the previous day.

On the other hand, in ST2, there is no order information associated with the nurse identification number of the nurse in the order information recording unit 16 of FIG. 3, and in ST4, the order not associated with the nurse identification number. If information exists, the process proceeds to ST5.
That is, the electronic medical chart apparatus 10 selects the order information that is not associated with any nurse identification number from the order information in the order information storage unit 16 in FIG. 3 and transmits it to the nurse terminal 90.
Therefore, the nurse A can select and acquire information close to the order information of the patient he / she is responsible for in the nurse terminal 90, and can easily find the order information of his / her patient. This can empower the nurse's burden.

Next, the process proceeds to ST6. In ST6, the nurse terminal 90 stores the order information transmitted from the electronic medical chart apparatus 10 in the order information storage unit 96 of FIG. 3, and displays it on the nurse terminal display apparatus 94 of FIG.
At this time, the order information associated with the identification number of the nurse and the order information not associated with the nurse are displayed separately on the nurse terminal display device 94.
Next, the process proceeds to ST7. In ST7, the order information selection processing unit (program) 97 of the nurse terminal 90 of FIG. 3 operates, and the nurse A is displayed on the nurse terminal display device 94 by the nurse terminal input device 93 of FIG. It is determined whether or not the order information of a specific patient is selected from the order information.

  When order information is selected by the nurse terminal input device 93 in ST7, the process proceeds to ST8. In ST8, the selected order information (prescription drug name, doctor identification number, patient identification number, nurse identification number, etc.) selected by the nurse terminal input device 93 is the selected order of the nurse terminal 90 in FIG. It is stored in the information storage unit 98.

The process of FIG. 6 is completed as described above. In the process of FIG. 6, the nurse terminal 90 can quickly and easily obtain the desired patient order information from the electronic medical chart apparatus 10.
Conventionally, in order to obtain order information from an electronic medical chart apparatus, it is necessary to master the operation of the computer, which places a burden on the nurse. In this regard, in the present embodiment, the nurse can obtain necessary order information simply by touching the electronic medical chart device 10, and thus the medical system 1 is extremely easy to use.

FIG. 7 is a schematic flowchart showing a medicine tray selection process.
In the process of FIG. 6, the nurse A who has obtained the order information of the desired patient he / she is responsible for in the nurse terminal 90, next, the medicine tray 30 in which medicines prescribed for the patient are arranged. Go get it. At this time, the following communication or the like is performed between the nurse terminal 90 of the nurse and the medicine tray 30.

  First, the nurse A who has the nurse terminal 90 contacts the medicine tray 30. Then, in ST11, the medicine tray side communication device 31 and the nurse side communication device 91 of the medicine tray 30 are in a communication state by human body communication. At this time, the nurse terminal 90 acquires the order information in the medicine tray order information storage unit 36 of the medicine tray 30 in FIG. 4, and stores the order information storage for the nurse side medicine tray in the nurse terminal 90 in FIG. Store in the unit 100.

  Next, the process proceeds to ST12. In ST12, the order information judgment processing unit (program) 99 of the nurse terminal 90 of FIG. 3 operates, and the “order information” of the nurse side drug tray order information storage unit 100 of FIG. 3 and the nurse of FIG. The “order information” in the selected order information storage unit 98 of the terminal 90 is compared to determine whether or not they match.

  That is, order information on medicines to be placed on the medicine tray 30 (medical medicines of a specific patient) is stored in the medicine tray order information recording unit 36 of the medicine tray 30 in FIG. Therefore, the nurse terminal 90 can accurately determine whether the order information determination processing unit (program) 99 matches the “order information” of the medicine tray 30. Moreover, the mechanism of the medicine tray 30 can be simplified by the nurse terminal 90 determining.

If the “order information” of the nurse terminal 90 matches the “order information” of the medicine tray 30 in ST12, the process proceeds to ST13. In ST13, “order information” is displayed on the nurse terminal display device 94 of the nurse terminal 90 in FIG. 3 to notify the nurse A that they match.
On the other hand, if the “order information” does not match in ST12, the process proceeds to ST14. In ST14, a message indicating that the order information is different is displayed on the nurse terminal display device 94 of the nurse terminal 90 in FIG.
Thus, the process of FIG. 7 ends. Thereby, the nurse A knows that the medicine tray 30 selected by himself / herself is wrong, and can select the correct medicine tray 30.

In this way, in the process of FIG. 7, it is possible to know whether or not the medicine tray 30 is correct only by contacting the nurse tray with the medicine tray 30. Mistakes can be effectively prevented beforehand.
Conventionally, since the medicine tray 30 is confirmed only by visual inspection of a nurse or the like, the burden on the nurse or the like can be remarkably reduced compared to the conventional case in this embodiment.

FIG. 8 is a schematic flowchart showing a patient confirmation process by the nurse back.
The nurse A who has selected the drug tray 30 of the order information of the patient selected by the patient in the drug tray selection process of FIG. 7 goes to the patient's bed or the like with the drug tray 30.
At this time, Nurse A performs the following communication with the patient. As described above, the patient wears the wristwatch-type patient terminal 50 shown in FIG. 1 on his / her arm, for example.

First, the nurse former who came to the patient contacts the patient or the patient terminal 91 with the nurse terminal 90 attached. Then, as described above, the nurse terminal 90 and the patient terminal 50 are in a communication state by human body communication.
When this communication is started, as shown in ST21 of FIG. 8, the nurse terminal 90 acquires the “patient identification number” stored in the patient identification number storage unit 53 of the patient terminal 50 of FIG. Determine whether or not.

  If the nurse terminal 90 obtains “patient identification number” in ST21, the process proceeds to ST22. In ST22, the order information judgment processing unit (program) 99 of the nurse terminal 90 in FIG. 3 operates, and refers to the “patient identification number” of the order information in the selected order information storage unit 98 in FIG. Determine whether or not.

If the “patient identification number” matches in ST22, the process proceeds to ST23, and a message indicating that the “patient identification number” matches is displayed on the nurse terminal display device 94 of FIG.
On the other hand, if the “patient identification number” does not match in ST22, the process proceeds to ST24, and the nurse terminal display device 94 in FIG.
The patient confirmation process of FIG. 8 is complete | finished above. In ST24, the nurse A knows that the patient he has selected is wrong, and can bring the medicine tray 30 to the patient.

  In this way, in the patient confirmation process of FIG. 8, it is possible to know whether or not the patient is correct just by contacting the nurse or the patient terminal 50, so that the patient's misplacement by the nurse or the like can be effectively prevented. Can be prevented.

FIG. 9 is a schematic flowchart showing an infusion pump connection step.
In FIG. 6, the nurse terminal 90 that has acquired the order information from the electronic medical chart apparatus 10 has the order information in the selected order information storage unit 98, as shown in FIG. Data such as drug information used at 70 is included.
Therefore, in FIG. 8 described above, the nurse A who has confirmed that the patient is not mistaken prepares the infusion for the infusion pump 70 arranged on the patient's bed or the like side.
At this time, when the nurse back holding the nurse terminal 90 contacts the casing of the infusion pump 70, etc., as described above, the nurse side communication device 91 and the infusion pump side communication device 71 are connected by human body communication. A communication state is established (see FIG. 5).

In ST31, it is determined whether or not the infusion pump 70 has received the nurse identification number in the nurse identification number storage unit 95 of the nurse terminal 90.
When the nurse identification number is acquired in ST31, the process proceeds to ST32. In ST32, the nurse identification number determination processing unit (program) 76 of the infusion pump 70 in FIG. 5 operates and is stored in the received nurse identification number and the nurse identification number list information storage unit 77 in FIG. The nurse identification number is compared, and it is determined whether or not the received nurse identification number is included in the nurse identification number of the nurse identification number list information storage unit 77.

In this nurse identification number list information storage unit 77, nurse identification numbers of nurses who have the authority to operate the infusion pump 70 are registered.
Therefore, if the received nurse identification number is included in the nurse identification number of the nurse identification number list information storage unit 77 in ST32, it can be determined that the person is authorized.

  Thus, in this embodiment, the operation of the infusion pump 70 by a person who does not have the authority to operate the infusion pump 70 can be prevented in advance, and the occurrence of an accident or the like can be prevented.

If the received nurse identification number is included in the nurse identification number of the nurse identification number list information storage unit 77 in ST32, the process proceeds to ST33. In ST33, the infusion pump 70 requests the nurse terminal 90 to transmit order information.
In ST34, the nurse terminal 90 transmits the order information in the selected order information storage unit 98 in FIG. 3 to the infusion pump 70.

  Next, the process proceeds to ST35. In ST35, the patient identification number determination processing unit (program) 78 of FIG. 5 operates, and the “patient identification number” of the order information received in ST35 is stored in the registered patient identification number storage unit 79 of the infusion pump 70 of FIG. It is determined whether or not it matches the “patient identification number”.

The registered patient identification number storage unit 79 stores a “patient identification number” of a patient who uses the infusion pump 70. Therefore, in “ST35”, “patient identification number” is compared, and if they match, it is determined that the patient order information is correct.
If the “patient identification number” matches in ST35, the infusion pump main body 95 of FIG. 5 operates, and the infusion pump 70 operates according to the transmitted order information.

Thus, the infusion pump connection process is completed. In this way, in the infusion pump connection step of FIG. 9, it is possible to determine whether or not the nurse has the authority to operate the infusion pump 70 simply by the nurse back contacting the infusion pump 70.
Furthermore, since it is possible to determine whether or not the patient information of “order information” held by the nurse terminal 90 of the nurse A matches the patient information using the infusion pump 70, The occurrence of the situation of providing “order information” such as operation information of the infusion pump 70 to the infusion pump 70 for different patients can be prevented in advance.
Further, since the nurse A can transmit “order information” to the infusion pump 70 only by contacting the infusion pump 70, the burden on the nurse A and the like can be remarkably reduced.

  As described above, the medical system 1 according to the present embodiment is a medical system that does not place a burden on nurses and the like and does not cause a difference in order information such as medical record data.

  The present invention is not limited to the embodiments described above. In the present embodiment, the infusion pump 70 is described as an example of the medical device, but the medical device includes not only the infusion pump 70 but also a syringe pump.

  DESCRIPTION OF SYMBOLS 1 ... Medical system, 10 ... Electronic medical chart apparatus, 11 ... Electronic medical chart side communication apparatus, 12 ... Electronic medical chart control part, 13 ... Electronic medical chart input apparatus, 14 ... Electronic medical chart display Device: 15 ... Order information search determination processing unit (program), 16 ... Order information storage unit, 30 ... Drug tray, 31 ... Drug tray side communication device, 32 ... Drug tray control unit 33 ... pharmaceutical tray input device, 36 ... order information recording unit for the pharmaceutical tray, 50 ... patient terminal, 51 ... patient side communication device, 52 ... patient terminal control unit, 53. ..Patient identification number storage unit, 70 ... infusion pump, 71 ... infusion pump side communication device, 72 ... infusion pump control unit, 73 ... infusion pump input device, 74 ... infusion pump display Device, 75 ... Infusion 76 ... Nurse identification number determination processing unit (program), 77 ... Nurse identification number list information storage unit, 78 ... Patient identification number determination processing unit (program), 79 ... Existing Registered patient identification number storage unit, 90 ... nurse terminal, 91 ... nurse side communication terminal, 92 ... nurse terminal control unit, 93 ... nurse terminal input device, 94 ... nursing Nurse terminal display device, 95 ... Nurse identification number storage unit, 96 ... Order information storage unit, 97 ... Order information selection processing unit (program), 98 ... Selected order information storage unit, 99 ... Order information judgment processing part (program), 100 ... Order information storage part for nurse side drug tray

Claims (6)

A medical prescription information device for storing medical prescription information;
A drug placement unit for placing a drug corresponding to the medical prescription information, and drug information related to the drug; and
A device for medical personnel possessed by the medical personnel;
A medical system having a patient device possessed by a patient and a medical device used to treat the patient,
At least a medical worker who possesses the device for medical personnel can automatically communicate with each other by contacting the medical prescription information device, the drug placement unit, and the medical device, and A medical system characterized by being configured to automatically communicate with a patient device by contacting the patient device or a patient wearing the patient device.   Communication between the medical worker device and the medical prescription information device, the patient device, the drug placement unit, and the medical device is performed through a medical worker or the body of the medical worker and the patient. The medical system according to claim 1. The medical staff device communicates with the medical prescription information device to obtain the medical prescription information,
The device for medical personnel specifies the medical prescription information of a specific patient from the acquired medical prescription information,
The medical staff device determines whether the medical prescription information specified by the medical staff device corresponds to the medicine information of the medicine placement section by communicating with the medicine placement section. And
The medical staff device confirms the specific patient by communicating with the patient device of the specific patient and communicates with the medical device to obtain the medical prescription information. The medical system according to claim 1, wherein the medical system is configured to transmit to a medical device.   The medical system according to any one of claims 1 to 3, wherein the medical prescription information device stores the medical prescription information in association with the identification information of the medical staff.   The medical worker device is allowed to transmit the identification information of the medical worker to the medical device, and the medical device permits the medical worker to operate the medical worker device. The medical system according to any one of claims 1 to 4, wherein the medical worker's device is configured to transmit the medical prescription information to the approved medical device. . A medical prescription information device for storing medical prescription information;
A drug placement unit for placing a drug corresponding to the medical prescription information, and drug information related to the drug; and
A device for medical personnel possessed by the medical personnel;
A patient device that the patient has;
A medical system used to treat a patient, and a medical system management method comprising:
At least a medical worker who possesses the device for medical personnel can automatically communicate with each other by contacting the medical prescription information device, the drug placement unit, and the medical device, and A medical system management method characterized by being configured to automatically communicate with a patient device by contacting the patient device or a patient wearing the patient device.

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