JP2012226571A - Infection information provision system, infection information provision device, and computer program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an infection information provision system, an infection information provision device, and a computer program capable of providing information required for prevention of in-hospital infection during medical acts performed by a doctor, nurse, and the like.SOLUTION: A client device displays a list screen D500 by receiving data from a server device. A list map M501 is displayed on the list screen D500. The list map M501 is a map showing arrangement relation of respective sickrooms and facilities in a target floor. On the list map M501, quadrangular sickroom graphics G503 and G504 are displayed at places of sickrooms. On the respective sickroom graphics G503 and G504, patient names G507 of inpatients are displayed. Also, marks G508 and G509 corresponding to pathogens with which infected people are infected are displayed on the side of the patient names G507 of the infected people.

Description

  The present invention relates to an infection information providing system, an infection information providing apparatus, and a computer program for causing a computer to function as an infection information providing apparatus that provides information related to infection of a pathogen of a patient in a medical facility.

  Conventionally, a system for displaying information indicating the status of nosocomial infection in a medical facility such as a hospital is known (for example, Patent Document 1).

  Patent Document 1 discloses a nosocomial infection status diagnosis apparatus that displays the distribution of carriers on a designated floor in a hospital in time series in order to help accurately grasp the infection status. In the nosocomial infection diagnosis apparatus disclosed in Patent Document 1, a floor layout diagram in a hospital is displayed, and a number of points corresponding to the number of carriers are drawn on the coordinates where the carriers exist in the layout diagram. This shows the distribution of carriers.

Japanese Unexamined Patent Publication No. 7-79929

  Medical personnel such as doctors and nurses should take appropriate measures individually for each patient, depending on whether the patient is a carrier or there is a carrier next to the patient. Need to take. However, in the nosocomial infection diagnosis apparatus disclosed in Patent Document 1, the user can know where the carrier is located on the floor by looking at the layout diagram. Information necessary for prevention of nosocomial infection was not obtained from the layout diagram in performing medical care for each patient in the field, such as in which room the patient is a carrier. For this reason, a medical worker has to perform a complicated task of obtaining necessary information by examining a medical chart or the like.

  The present invention has been made in view of such problems, and an infection information providing system that allows a user to easily obtain information necessary for prevention of nosocomial infections when doctors, nurses, and the like perform medical practices. It is an object to provide an infection information providing apparatus and a computer program.

  In order to solve the above-described problem, the infection information providing system according to one aspect of the present invention is a patient room arrangement information indicating the arrangement position of a hospital room in a facility, and a patient identification for identifying a patient who is hospitalized in the hospital room. Information, and when the patient is infected with a pathogen, a storage unit that stores infection information indicating that the patient is infected with a pathogen, a display unit, and the patient room arrangement information stored in the storage unit, Based on the patient identification information and the infection information, a room layout screen including a room layout showing the layout of the rooms in the facility is displayed on the display unit, and corresponds to each room shown in the room layout In addition, the control unit displays patient identification information indicating a patient admitted in the hospital room on the patient room arrangement screen so that it can be identified whether or not the patient is infected with a pathogen.

  In the above aspect, the control unit may be configured to display patient identification information of a patient infected with a pathogen and patient identification information of a patient not infected with a pathogen on the hospital room arrangement screen.

  In the above aspect, the infection information is information capable of identifying a pathogen infected by a patient, and the control unit displays patient identification information of a patient infected with a pathogen on the hospital room arrangement screen. You may be comprised so that the pathogen which is infected may be displayed so that identification is possible.

  In the above aspect, the storage unit stores room identification information for identifying each room whose arrangement position is indicated by the room arrangement information, and the control unit stores the patient room stored in the storage unit. Based on the identification information, corresponding room identification information may be displayed in each room in the room layout diagram.

  The said aspect WHEREIN: The said control part may be comprised so that the patient room in which the infected person is hospitalized, and the patient room in which the infected person is not hospitalized can be distinguished and displayed in the said patient room layout drawing.

  In the above aspect, the control unit displays the room in which the infected person is hospitalized in a predetermined first color graphic in the hospital room layout diagram, and displays the room in which the infected person is not hospitalized in the first color. It may be configured to display in a second color different from the above.

  The said aspect WHEREIN: The said memory | storage part has memorize | stored the equipment location information which shows the arrangement position of equipment other than the hospital room in the said facility, and the environmental test result which detects a pathogen about the equipment in the said facility, The said hospital room layout drawing Further shows the arrangement of equipment in the facility, and the control unit associates the equipment with each equipment shown in the hospital room layout diagram based on the equipment arrangement information stored in the storage unit, Equipment information indicating the pathogen is detected on the basis of the environmental test result stored in the storage unit, and the equipment information of the equipment in which the pathogen is not detected is displayed on the hospital room arrangement screen. The information may be displayed separately from the information.

  In the above aspect, the storage unit stores the entrance / exit date information indicating the date of entrance / exit of each patient, and the infection information including the infection date information indicating the date related to infection and cure of each patient. The infection information providing system further includes a date designating unit for designating a date, and the control unit is configured to store the hospital room arrangement information, the patient identification information, and the hospital discharge date information stored in the storage unit. Based on the infection information, patient identification information indicating a patient admitted to the hospital room on the date specified by the date designating unit is designated by the date designating unit on the room diagram of the room layout diagram. It may be configured to display identifiably whether or not the patient was infected with a pathogen on a given date.

  In the above aspect, the control unit is configured to display a second room arrangement diagram showing the arrangement of patient rooms in the facility based on the patient room arrangement information, the patient identification information, and the infection information stored in the storage unit. It can be displayed on the room layout screen, and in the second room layout diagram, does not include patient identification information indicating a patient who is hospitalized in the hospital room, and the infected room is hospitalized, and the infected room is hospitalized. You may be comprised so that it may display distinguishing from the hospital room which is not carried out.

  In the above aspect, the infection information providing system includes an input unit, and the hospital room layout screen includes a selectable first switching unit for switching display from the hospital room layout map to the second hospital room layout map, and the first A second switching unit that can be selected to switch the display from the two patient room plan to the patient room plan, and the control unit is a case where the patient room plan is displayed on the patient room screen, When the input for selecting the first switching unit is received by the input unit, the display of the patient room arrangement screen is switched from the patient room arrangement diagram to the second patient room arrangement diagram, and the second When the hospital room layout diagram is displayed on the patient room layout screen and an input for selecting the second switching unit is received by the input unit, the patient room layout map is obtained from the second patient room layout map. It may be configured to switch the display of the patient's room placement screen.

  In the above aspect, the control unit reads the patient room arrangement information, the patient identification information, and the infection information from the storage unit at a predetermined cycle, and the read patient room arrangement information, the patient identification information, and the infection Based on the information, the display of the hospital room arrangement screen may be configured to be automatically updateable.

  An infection information providing apparatus according to one aspect of the present invention is an infection information providing apparatus that is communicably connected to a display device that displays information, and includes: A storage unit that stores patient identification information for identifying a hospitalized patient, and infection information indicating that the patient is infected with a pathogen when the patient is infected with a pathogen, and is stored in the storage unit. Based on the patient room arrangement information, the patient identification information, and the infection information, a patient room arrangement screen including a patient room arrangement diagram showing the arrangement of patient rooms in the facility is displayed, and is shown in the patient room arrangement diagram Corresponding to each room, create display data for displaying patient identification information indicating a patient admitted in the room on the room layout screen so that it can be identified whether the patient is infected with a pathogen or not. And a control unit, in order to display the patient's room placement screen on the display device, and a communication unit that transmits the display data generated by the control unit to the display device.

  A computer program according to one aspect of the present invention includes a communication unit for transmitting data to a display device that displays information, patient room arrangement information indicating an arrangement position of a patient room in a facility, and a patient who is hospitalized in the patient room. A computer comprising: storage information for storing patient identification information for identification and infection information indicating that the patient is infected with a pathogen when the patient is infected with a pathogen. A computer program for providing information, the step of reading out the room arrangement information, the patient identification information, and the infection information from the storage unit, the read out the room arrangement information, the patient identification information, And, based on the infection information, display a room layout screen including a room layout showing the layout of the room in the facility, and in the room layout Display data for displaying on the patient room layout screen the patient identification information indicating the patient admitted to the patient room in association with each patient room to be identifiable as to whether the patient is infected with a pathogen or not. Causing the computer to execute a step of creating and transmitting the display data created by the control unit to the display device by the communication unit in order to display the patient room layout screen on the display device .

  According to the infection information providing system, the infection information providing apparatus, and the computer program according to the present invention, the user can easily obtain information necessary for prevention of nosocomial infection when doctors and nurses perform medical actions. It becomes possible.

The schematic diagram which shows the whole structure of the infection information provision system which concerns on embodiment. The block diagram which shows the structure of the server apparatus with which the infection information provision system which concerns on embodiment is provided. The block diagram which shows the structure of the client apparatus with which the infection information provision system which concerns on embodiment is provided. The schematic diagram which shows the structure of the various databases provided in the server apparatus. The figure which shows the structure of a menu screen. The flowchart which shows the flow of a ward map display process. The figure which shows an example of a ward map screen. The flowchart which shows the flow of a floor map display process. The figure which shows an example of a floor map screen. The flowchart which shows the flow of the patient information display process in a floor map. The figure which shows the example of the floor map screen on which patient information was superimposed and displayed. The flowchart which shows the flow of a list display switching process. The figure which shows an example of a list screen. The flowchart which shows the flow of a floor map display switching process. The flowchart which shows the flow of a floor map redrawing process.

  Hereinafter, preferred embodiments of the present invention will be described with reference to the drawings.

[Configuration of infection information provision system]
FIG. 1 is a schematic diagram showing an overall configuration of an infection information providing system according to the present embodiment. This infection information provision system 1 is installed in a medical facility such as a hospital and is used for confirming the infection status of each patient with pathogens, confirming the transition of nosocomial infections, and the like. The infection information providing system 1 is a client server system using an information network such as a LAN or an intranet, and includes a server device 2 and a client device 3 used by a medical worker such as a doctor or a nurse. In addition, the infection information providing system 1 includes an electronic medical record system 6 in which medical information such as a patient's medical condition, treatment, and course of treatment is recorded, and a sample analyzer 4 including a bacteria testing device. The learning client device 3, the sample analyzer 4, and the electronic medical record system 6 are connected by an information network 5 so that data communication is possible. As a result, the server device 2 can obtain medical information from the electronic medical chart system 6 and a bacterial test result from the sample analyzer 4.

<Configuration of Server Device 2>
FIG. 2 is a block diagram illustrating a configuration of the server device 2. The server device 2 is realized by a computer 2a. As shown in FIG. 2, the computer 2 a includes a main body 21, a display unit 22, and an input unit 23. The main body 21 includes a CPU 21a, ROM 21b, RAM 21c, hard disk 21d, reading device 21e, input / output interface 21f, communication interface 21g, and image output interface 21h. The CPU 21a, ROM 21b, RAM 21c, hard disk 21d, reading device 21e, input The output interface 21f, the communication interface 21g, and the image output interface 21h are connected by a bus 21j.

  The hard disk 21d is installed with various computer programs to be executed by the CPU 21a, such as an operating system and application programs, and data used for executing the computer programs. A server computer program 24a is also installed in the hard disk 21d.

  The reading device 21e is configured by a flexible disk drive, a CD-ROM drive, a DVD-ROM drive, or the like, and can read a computer program or data recorded on the portable recording medium 24. The portable recording medium 24 stores a computer program 24a for causing the computer to function as the server device 2. The computer 2a reads the computer program 24a from the portable recording medium 24, and stores the computer program 24a. It can be installed on the hard disk 21d.

  For example, a multitask operating system such as Windows (registered trademark) manufactured and sold by US Microsoft Corporation is installed in the hard disk 21d. In the following description, it is assumed that the computer program 24a according to the present embodiment operates on the operating system.

  FIG. 4 is a schematic diagram showing the configuration of various databases provided in the hard disk 21d. As shown in FIG. 4, the hard disk 21d includes a device insertion / extraction execution database DB1, an entrance / exit movement information database DB2, a bacteria test result database DB3, a ward configuration database DB4, a ward equipment database DB5, a ward arrangement database DB6, and a ward equipment arrangement database. DB7 and environmental inspection result database DB8 are provided.

  The device insertion / extraction execution database DB1 stores information related to device insertion / extraction from / to the patient. The “device” as used herein refers to a medical device attached to a patient, and examples thereof include a catheter, a drain, an infusion route, an ED tube, an ileus tube, and a ventilator. The server device 2 communicates with the electronic medical record system 6 and receives the medical information of the patient stored in the electronic medical record system 6. In the device insertion / removal execution database DB1, device insertion / removal information included in the medical information transmitted from the electronic medical chart system 6 is stored. Specifically, a patient ID for identifying a patient, a device insertion / extraction date, a device code assigned to the device where the insertion / extraction was performed, a device name, and a ward code indicating a ward where the patient is hospitalized And the like are stored in the device insertion / removal execution database DB1.

  In the entrance / exit movement information database DB2, information on the entrance / exit of the patient is stored. In the entrance / exit movement information database DB2, the entrance / exit movement information included in the medical information transmitted from the electronic medical chart system 6 is stored. Specifically, patient ID, patient name, hospitalization date, discharge date, travel date, ward code of the ward where the patient is admitted, ward name, ward number of the ward where the patient is admitted, bed number, etc. Information is stored in the entrance / exit movement information database DB2.

  Bacteria test result database DB3 stores the results of the patient's bacteria test. The server device 2 communicates with the sample analyzer 4 and receives a sample analysis result (bacteria test) by the sample analyzer 4. In the bacterial test result database DB3, the bacterial test result transmitted from the sample analyzer 4 is stored. Specifically, information such as patient ID, patient name, sample collection date and time, detected bacteria code indicating the detected bacteria, and the name of the detected bacteria are stored in the bacteria test result database DB3. In addition, test results of infectious diseases obtained by tests other than the sample analyzer 4 (for example, test results of influenza antigen A, intestinal infection virus, cold, etc.) are acquired from the electronic medical record system 6 and stored in the bacterial test result database DB3. These test results are also stored.

  The ward configuration database DB4 stores information such as wards and beds provided in the ward. Specifically, the management number, ward code, ward name, floor name, ward number, ward name, and bed number are stored in the ward configuration database DB4.

  The ward facility database DB5 stores information on facilities (toilet, elevator, stairs, bathroom, washroom, etc.) other than the ward rooms in the ward. Specifically, the management number, ward code, ward number, equipment code assigned to each equipment, and equipment name are stored in the ward equipment database DB5.

  In the hospital room arrangement database DB6, arrangement information of each hospital room in the ward is stored. Specifically, the management number, ward floor drawing classification, ward code, ward number, and ward room coordinates are stored in the ward room placement database DB6. The room arrangement information stored in this room arrangement database DB6 is used when creating screen data for floor map display and list display described later. The ward floor drawing classification is set to “1” in the case of a record used for floor map display and “2” in the case of a record used for list display. That is, in the patient room arrangement database DB6, two patient room arrangement information of a room map display for floor map and a patient room arrangement information for list display is registered for one patient room. The room arrangement information stored in this room arrangement database DB6 will be described in detail later.

  In the ward facility arrangement database DB7, arrangement information of each facility in the ward is stored. Specifically, the management number, the ward floor drawing classification, the ward code, the equipment code, and the coordinates of the equipment are stored in the ward equipment arrangement database DB7. The equipment arrangement information stored in the ward equipment arrangement database DB7 is used when creating screen data for floor map display and list display described later. That is, in the same way as the above-described hospital room arrangement database DB6, in the ward equipment arrangement database DB7, two pieces of equipment arrangement information, that is, equipment arrangement information for floor map display and equipment arrangement information for list display, are registered for one equipment. The

  The environmental test result database DB8 stores the results of environmental tests performed at the medical facility. This environmental test is a test for detecting bacteria or the like that are pathogens from hospital rooms or facilities contaminated with pathogens. Specifically, the management number, the room number, the equipment code, the environmental inspection method, the detected bacteria code, and the name of the detected bacteria are stored in the environmental inspection result database DB8.

  The input / output interface 21f is, for example, a serial interface such as USB, IEEE1394, or RS-232C, a parallel interface such as SCSI, IDE, or IEEE1284, and an analog interface including a D / A converter, an A / D converter, and the like. It is configured. An input unit 23 composed of a keyboard and a mouse is connected to the input / output interface 21f, and the user can input data to the computer 2a by using the input unit 23.

  The communication interface 21g is an Ethernet (registered trademark) interface. The communication interface 21g is connected to the client device 3, the sample analyzer 4, and the electronic medical chart system 6 via the information network 5. The computer 2a can transmit / receive data to / from the client apparatus 3, the sample analyzer 4, and the electronic medical chart system 6 connected to the information network 5 using a predetermined communication protocol by the communication interface 21g. .

  The image output interface 21h is connected to a display unit 22 composed of an LCD, a CRT, or the like, and outputs a video signal corresponding to image data given from the CPU 21a to the display unit 22. The display unit 22 displays an image (screen) according to the input video signal.

<Configuration of Client Device 3>
FIG. 3 is a block diagram showing a configuration of the client apparatus 3 according to the present embodiment. The client device 3 is realized by a computer 3a. As shown in FIG. 3, the computer 3 a includes a main body 31, a display unit 32, and an input unit 33. The main body 31 includes a CPU 31a, ROM 31b, RAM 31c, hard disk 31d, reading device 31e, input / output interface 31f, communication interface 31g, and image output interface 31h. The CPU 31a, ROM 31b, RAM 31c, hard disk 31d, reading device 31e, input device 31e The output interface 31f, the communication interface 31g, and the image output interface 31h are connected by a bus 31j.

  The hard disk 31d is installed with various computer programs to be executed by the CPU 31a, such as an operating system and application programs, and data used for executing the computer programs. The client program 34a of the infection information providing system 1 is also installed on the hard disk 31d.

  The reading device 31e is configured by a flexible disk drive, a CD-ROM drive, a DVD-ROM drive, or the like, and can read a computer program or data recorded on the portable recording medium 34. The portable recording medium 34 stores a computer program 34a for causing the computer to function as the client device 3. The computer 3a reads the computer program 34a from the portable recording medium 34, and stores the computer program 34a. It can be installed on the hard disk 31d.

  The hard disk 31d is installed with a multitask operating system such as Windows (registered trademark) manufactured and sold by Microsoft Corporation. In the following description, it is assumed that the computer program 34a according to the present embodiment operates on the operating system.

  Further, since the other configuration of the client device 3 is the same as the configuration of the server device 2 described above, the description thereof is omitted.

<Configuration of Sample Analyzer 4>
The sample analyzer 4 according to the present embodiment is a bacteria testing device that detects bacteria from samples of blood, urine, sputum, and other body fluids. The sample analyzer 4 is an automatic analyzer that automatically analyzes the input sample. A sample is prepared by adding a reagent to the sample, and the measurement sample is optically measured. Is configured to detect bacteria. The sample analyzer 4 is connected to the information network 5 and can send and receive data to and from the server device 2. When the sample analyzer 4 analyzes the sample and obtains an analysis result (bacteria test result), the sample test apparatus 4 transmits the bacteria test result to the server device 2.

[Operation of infection information providing system 1]
The infection information providing system 1 is a multi-user system, and the functions of the infection information providing system 1 can be used when a user logs in. The user makes a login request to the infection information providing system 1 by inputting the user name and password using the client device 3. The server device 3 receives the user name and password, and performs login authentication using the user name and password. If the login authentication is successful, a menu screen is displayed on the display unit 32 of the client device 3.

  FIG. 5 is a diagram showing the configuration of the menu screen. As shown in FIG. 5, the menu screen D100 includes a bulletin board area A101 used for communication between users, a document management area A102 for browsing, creating, editing, saving, deleting, etc., document data related to hospital infection. A mail operation area A103 for browsing, creating, and transmitting mails, and a menu area A104 for switching the display to each screen of the infection information providing system 1 are provided. A plurality of menus for calling various functions of the infection information providing system 1 are provided in the menu area A104. The menu area A104 is provided with four tabs T105 to T108. When the user selects one of these tabs T105 to T108 by a mouse operation or the like, an icon corresponding to the selected tab is displayed in the menu area A104. It is displayed. Functions used for nosocomial infection management are assigned to the icons included in the nosocomial infection management tab T105. Specifically, a “nosocomial infection report” icon C111 assigned to display and creation of nosocomial infection reports, “detection” assigned to display the number of detections for each day or week in the month specified by the user "Monitoring" icon C112, "Patient search" icon C113 assigned to search and display of medical information such as patient infection status, treatment, treatment progress, etc., display of distribution status of infected persons by ward or floor “Ward map” icon C114, “Bulletin board registration” icon C115 to which posting of information to the bulletin board is assigned, “User setting” icon C116 to which setting of information regarding the user who uses the infection information providing system 1 is assigned, and infection “Manual” assigned to download the operation manual of the information provision system 1 Downloaded "icon C117 is provided as an icon of nosocomial infection management tab T105. Here, the “icon” refers to an image that is assigned a specific function and is designed to symbolically represent the function, and includes an image displayed in a window.

  The functions assigned to each icon of the hospital infection management tab T105 as described above are an infection control doctor (ICD) and an infection management nurse (ICN) for implementing countermeasures against infectious diseases, and normal medical sites (such as hospital rooms). Used by doctors and nurses who perform medical practices.

  The ICT support tab T106 is provided with an icon (not shown) to which a function for supporting the infection control team (ICT) is assigned. The infection control team is a team composed of an infection control doctor and an infection control nurse who are specialists in charge of infection management. The infection control team is responsible for infection management in the entire medical facility, and conducts nosocomial surveillance to prevent outbreaks and countermeasures for outbreaks, formulates an infection control plan for the entire medical facility, implements infection prevention for staff, and Provide guidance. On the other hand, medical workers such as doctors and nurses who do not belong to the infection control team mainly perform medical treatment individually on each patient. Therefore, members of the infection control team need global information such as the distribution status of infected people in the entire ward and infected locations (locations where infected people and bacteria are detected) in each floor. Doctors and nurses who do not belong to the infection control team are required to carry out medical practices while appropriately preventing infection for each patient. Individual information is required. Thus, the information regarding the required infection differs between members of the infection control team and medical workers who do not belong to the infection control team. The ICT support tab T106 is a tab for providing information used for the work of the infection control team as described above.

  Each of the master maintenance tabs T107 and T108 includes a device insertion / extraction execution database DB1, an entrance / exit movement information database DB2, a bacteria test result database DB3, a ward configuration database DB4, a ward equipment database DB5, a ward arrangement database DB6, a ward equipment arrangement database DB7, In addition, an icon for performing master management of the environmental inspection result database DB8 is provided (not shown).

<Ward map display process>
The user can call the ward map display function by selecting the ward map icon C114 included in the above-mentioned hospital infection management tab T105 by operating the mouse or the like. The ward map display function is realized when the server device 2 and the client device 3 execute a ward map display process described below.

  FIG. 6 is a flowchart showing the flow of the ward map display process. When the ward map icon C114 is selected and the CPU 31a of the client device 3 accepts a ward map display instruction (step S101), the CPU 31a sends request data for requesting ward map display data necessary for displaying the ward map to the server. It transmits to the apparatus 2 (step S102).

  The request data transmitted from the client device 3 is received by the server device 2. The CPU 21a of the server device 2 stands by until the request data is received (NO in step S103). When the server device 2 receives the request data (YES in step S103), the CPU 21a acquires the entrance / exit movement information and the bacteria test result of the patient admitted to each ward from the entrance / exit movement information database DB2 and the bacteria test result database DB3. (Step S104). The entry / exit movement information identifies which floor of each ward each patient is admitted to, and which patient is infected with the pathogen, and if so, which pathogen is infected Is identified. Further, both the entrance / exit movement information and the bacteria test result include the patient ID, and thereby the entrance / exit movement information and the bacteria test result of the same patient are acquired in association with each other. These entrance / exit movement information and bacteria test results are information necessary to create a ward map described later.

  Next, the CPU 21a creates ward map display data based on the acquired information (step S105). In addition, the CPU 21a transmits the created ward map display data to the requesting client device 3 (step S106), and ends the process.

  The ward map display data transmitted from the server device 2 is received by the client device 3. The CPU 31a of the client device 3 waits until receiving the ward map display data (NO in step S107). When the client device 3 receives the ward map display data (YES in step S107), the CPU 31a displays the ward map on the display unit 32 based on the received ward map display data (step S108), and ends the process. .

  FIG. 7 is a diagram illustrating an example of a ward map screen. As shown in FIG. 7, the ward map screen D200 is provided with a ward map area A202 in which a ward map M201 is displayed. When a plurality of wards are provided in the medical facility, ward switching tabs T203 to T205 are displayed in the ward map area A202. The ward switching tabs T203 to T205 can be selected by a mouse click operation or the like by the user, and the ward map of the ward corresponding to the selected tab is displayed in the ward map area A202.

  The ward map M201 is displayed as a figure in which the structure of the entire ward is simplified. When the ward is composed of a plurality of floors, a ward map M201 showing the floors of each floor is displayed. On the left side of the floor diagram G206 of each floor, a floor number display G215 indicating the number of floors is attached. In the floor diagram G206, floor information G207 is displayed for each floor. The floor information G207 includes the name of each floor and the number of patients hospitalized on that floor. This makes it easy to know how many hospitalized patients are on which floor. When a plurality of floors are provided on the same floor, floor information G207 is displayed for each floor. For example, in the example shown in FIG. 7, the 4th floor is divided into a “4th floor east” floor, a “4th floor west” floor, and an “HCU” floor. Floor information G207 including “4th floor east” and the number of hospitalized patients “22”, and floor information G207 including the floor name “4th floor west” and the number of hospitalized patients “1” for the “4th floor west” floor, For the “HCU” floor, floor information G207 including the floor name “HCU” and the number of inpatients “0” is displayed.

  In addition, in the floor diagram of each floor, infected person information G208 on that floor is displayed. The infected person information is shown as a circular figure in which a number indicating the number of infected persons is drawn. The circular figure is color-coded into red, blue, and orange depending on the type of infectious agent. That is, the type of pathogen is indicated by the color of the circular figure. Specifically, a red graphic G209 indicates a group of MRSA, resistant bacteria, and MDRP infections, that is, a bacterial infection group, and a blue graphic G210 indicates influenza antigen A, influenza antigen B, BHBV, HCV, audit target (bed / water), cold, intestinal infectious virus group, that is, the group of infectious diseases caused by virus, orange figure G211 shows TPHA (syphilis), HTLV (human T lymphoid) Group). In addition, in the infected person information G208, the infected person information G208 detected within one week from the date specified by the date / time specifying area A214, which will be described later, has a star figure on the lower right of the circular figure.

  In the red graphic G209, the number of patients with infectious diseases belonging to the red group is displayed. Similarly, the number of patients with infectious diseases belonging to the blue group is displayed in the blue graphic G210, and the number of patients with infectious diseases belonging to the orange group is displayed in the orange graphic G211. This makes it easy to know how many patients with which type (group) of infectious disease are on which floor.

  On the left side of the ward map area A202 as described above, there is provided an infected person list display area A212 in which a list of the number of infected persons in the entire hospital of each infectious disease is displayed. In addition, a legend area A213 is provided above the ward map area A202 to show a legend explaining the meaning of symbols used in the ward map. In the legend area A213, as an explanation of the graphics G209 to G211, infectious diseases belonging to the group corresponding to each graphic are shown for each group.

  Further, on the left side of the legend area A213, a date / time specifying area A214 for specifying the date / time is provided. This date / time specifying area A214 includes an input box for specifying the date / time. By specifying the date and time in the input box, the display is updated to the ward map indicating the infection status in the ward at the specified date and time.

  Each floor information G207 described above can be selected by a user's mouse click operation. When one floor information G207 is selected, a floor map display process to be described later is called and a floor map of the selected floor is displayed.

<Floor map display processing>
The user can call the floor map display process for displaying the floor map of the floor by selecting the floor information G207 of the floor for which the floor map is to be displayed from the floor information G207 of the ward map M201 described above.

  FIG. 8 is a flowchart showing the flow of the floor map display process. When the floor information G207 is selected, the CPU 31a of the client device 3 receives a floor map display instruction of a floor (hereinafter referred to as “target floor”) corresponding to the selected floor information G207 (step S201). CPU31a transmits the request data which requests | requires the floor map display data required for the display of a floor map to the server apparatus 2 (step S202). This request data includes information (ward code) for identifying the target floor.

  The request data transmitted from the client device 3 is received by the server device 2. The CPU 21a of the server device 2 waits until the request data is received (NO in step S203). When the server device 2 receives the request data (YES in step S203), the CPU 21a first stores the patient information (patient ID and patient name) of the patient belonging to the target floor at the current date and time, the ward code included in the request data, and the current Is searched from the entrance / exit movement information database DB2 using the date and time information as a search key (step S204).

  Next, the CPU 21a searches the bacterial test result database DB3 for the infection information of the patient at the current date and time by using the patient ID and the current date and time information acquired in step S204 as a search key, and also attaches the device of the patient at the current date and time. Information is retrieved from the device insertion / removal execution database DB1 (step S205). In this process, the detection bacteria code and the detection bacteria name included in the bacterial test result immediately before the current date and time are acquired as infection information. At this time, infection information is not acquired from the result of the bacterial test performed twice or more before. For example, if bacteria are not detected in the bacterial test results immediately before the current date and time, even if bacteria were detected in previous bacterial test results, the infection is currently cured, so The information does not include any detected bacteria code and detected bacteria name. In step S205, a device code and a device name of a device whose device removal date is not registered from the device insertion date to the current date and time are acquired as device mounting information. For example, if both the device insertion date and the removal date are registered in the device insertion / extraction execution database DB1, and the removal date is between the device insertion date and the current date and time, the device is once Since the device is attached to the patient but is not currently attached, the information on the device is not included in the device attachment information.

  Next, using the ward code included in the request data as a search key, the CPU 21a searches the ward room placement database DB6 and the ward equipment placement database DB7 for ward room placement information and equipment placement information used for floor map display on the target floor (step S206). ). In this process, a record including the same ward code as the ward code included in the request data and having the ward floor drawing category “1” is searched from the ward room arrangement database DB6 and the ward equipment arrangement database DB7.

  Next, the CPU 21a searches the environmental examination result information of the current date and time on the target floor using the ward code and the current date and time information included in the request data as search keys (step S207). In this process, the room number or equipment code, the detected bacteria code, and the detected bacteria name included in the environmental test result immediately before the current date and time are acquired as the environmental test result information. At this time, the environmental test result information is not acquired from the environmental test results performed two or more times before in the same hospital room or facility. For example, if bacteria are not detected in the environmental test results that were conducted immediately before the current date and time for a certain room, even if bacteria were detected in the environmental test results that were previously conducted for the same room At present, since the room is not contaminated with bacteria, the environmental test result information relating to the room does not include any detected bacteria code or detected bacteria name.

  Next, the CPU 21a creates floor map display data for displaying the floor map of the target floor at the current date and time based on the information acquired in steps S203 to S207 (step S208). Further, the CPU 21a transmits the created floor map display data to the requesting client device 3 (step S209), and ends the process.

  The floor map display data transmitted from the server device 2 is received by the client device 3. The CPU 31a of the client device 3 stands by until the floor map display data is received (NO in step S210). When the client device 3 receives the floor map display data (YES in step S210), the CPU 31a causes the display unit 32 to display the floor map of the target floor at the current date and time based on the received floor map display data (step S210). S211), the process ends.

  FIG. 9 is a diagram illustrating an example of a floor map screen. As shown in FIG. 9, the floor map screen D300 is provided with a floor map area A302 in which a floor map M301 is displayed.

  The floor map M301 is a perspective view of the target floor. The floor map M301 accurately shows the arrangement of the hospital rooms and facilities on the target floor. In other words, the room room arrangement information acquired from the room arrangement database DB6 in step S206 includes the coordinates of the vertices of the square room as the room arrangement position information. Similarly, the equipment arrangement information acquired from the ward equipment arrangement database DB7 in step S206 includes the coordinates of each vertex of the square equipment as the equipment arrangement position information. On the floor map, figures (squares) G303, G304, G305, and G306 indicating the rooms and facilities are displayed at the positions of the rooms and facilities specified by the arrangement position information.

  In the floor map M301, a room number is displayed inside a figure of a hospital room (hereinafter referred to as “patient room figure”) G303 and G304. Two types of hospital room graphics are provided, and one of the hospital room graphics G303 has a black square frame and a white graphic inside the frame, and indicates a hospital room in which an infected person is not hospitalized. The other room figure G304 is a figure in which the square frame is black and the inside of the frame is red (indicated by hatching in the figure), and indicates the room where the infected person is hospitalized. In step S208, the CPU 21a identifies the hospital room in which the patient whose pathogen is detected by the bacterial test is hospitalized based on the bacterial test result and the entrance / exit movement information, and displays the identified room in the hospital room graphic G304. Floor map display data is created so that rooms other than those are displayed in the room graphic G303.

  In the floor map M301, equipment names are displayed inside the equipment figures (hereinafter referred to as “equipment figures”) G305 and G306. Two types of equipment figures are provided. One equipment figure G305 is a figure in which the square frame is black and the inside of the frame is a white figure, and indicates a facility in which no pathogen is detected in the environmental test. The other equipment figure G306 is a figure in which the square frame is black and the inside of the frame is red (indicated by diagonal lines in the figure), and indicates equipment in which pathogens are detected in the environmental test. In step S208, the CPU 21a identifies the facility in which the pathogen is detected by the environmental inspection based on the environmental inspection result, displays the identified facility with the facility graphic G306, and displays the other facilities with the facility graphic G305. As shown, floor map display data is created.

   In addition, a legend area A313 is provided above the floor map area A302 where a legend explaining the meaning of the symbols is shown. In the legend area A313, the same legend as the legend area A213 on the ward map screen D200 is displayed.

  Further, on the left side of the legend area A313, a date / time specifying area A314 for specifying the date / time is provided. In this date / time specification area A314, a target floor input box B317 for specifying the target floor, a date / time input box B315 for specifying the date / time, and a redraw button B316 for instructing redrawing of the floor map screen D300 are displayed. And are included. The user selects the floor for which the floor map is to be displayed in the target floor input box B317, specifies the date and time in the date and time input box B315, and then selects the redraw button B316 by clicking with the mouse. The display is updated to the floor map indicating the infection status in the designated target floor at the date and time.

  Below the date / time input box B315, a floor map display switching button B318 for switching display to the floor map screen and a list display switching button B319 for switching display to a list screen described later are provided. Each of the floor map display switching button B318 and the list display switching button B319 is a selectable graphic object (control), and can be selected by clicking with a mouse or the like. However, in the floor map screen D300, the floor map display switching button B318 is already selected, so it is displayed in the selected state (in FIG. 9, it is displayed as a button larger than the non-selected state display), and It cannot be selected. On the floor map screen D300, the list display switching button B319 is displayed in a non-selected state (a button smaller than the selected button), and can be selected by a mouse click operation or the like. When this list display switching button B319 is selected, the display is switched from the floor map screen D300 to the list screen.

  To the right of the list display switching button B319, a manual update radio button B320 for manually executing update of the display screen (floor map screen or list screen), and for automatically executing update of the display screen every predetermined time. Automatic update radio button B321. The manual update radio button B320 and the automatic update radio button B321 are graphic objects that can be selected by clicking the mouse, and only one of them can be selected at the same time.

  The floor map screen D300 is mainly used by members of the infection control team. The floor map M301 shown on the floor map screen D300 accurately represents the placement positions of hospital rooms and facilities. In addition, in the floor map M301, information such as the patient name is not displayed in each room figure, and the room in which the infected person is hospitalized and the facility in which the pathogen is detected by the environmental test (hereinafter referred to as “infected room etc.”). ) Are displayed separately from hospital rooms in which infected persons are not hospitalized and facilities in which pathogens are not detected by environmental tests (hereinafter referred to as “non-infected rooms, etc.”). For this reason, the floor map screen D300 allows an infection control team member to easily grasp the exact location of an infected room or the like, which is important information for work related to infection management in the entire medical facility.

<Patient information display process on floor map>
The user can display information on patients who are hospitalized in the room by performing a mouse-over operation (an operation for placing the mouse pointer on the room graphic) in any room on the floor map M301 described above. Hereinafter, patient information display processing on this floor map will be described.

  FIG. 10 is a flowchart showing the flow of the patient information display process on the floor map. When the CPU 31a of the client apparatus 3 accepts the mouse over operation of the hospital room graphic (step S301), the patient information of the patient belonging to the hospital room corresponding to the hospital room graphic for which the mouse over has been performed is superimposed and displayed on the floor map (step S302). ).

  FIG. 11 is a diagram illustrating an example of a floor map screen on which patient information is superimposed and displayed. FIG. 11 shows an example in which the mouse over operation is performed on the room diagram G304 of the room number “308”. Hospital room “308” is an infected hospital room or the like, and an inpatient is included in an inpatient. The patient information of the patient admitted to the hospital room is displayed surrounded by a balloon-shaped frame G401. In this balloon-like frame G401, names of hospitalized patients G402 are displayed side by side, and marks G403 and G404 indicating infected pathogens are displayed to the left of the names of hospitalized patients who are infected. The pathogen marks G403 and G404 are symbols corresponding to the pathogen symbols in which the pathogen infected by the hospitalized patient is shown as a legend in the legend area A313. For example, the patient “Kiyoshi Fukuoka” is infected with the influenza antigen B, and the same mark G403 as the mark of the influenza antigen B shown in the legend is displayed to the left of the patient name “Kiyoshi Fukuoka”.

  When the patient is wearing a device, a mark indicating that the device is worn is displayed to the left of the patient's name. In the example shown in FIG. 11, the patient “Takeshi Kumamoto” is infected with a pathogen and wears a device, and a mark G404 corresponding to an intestinal infection virus that is an infected pathogen, a device wearing mark G405, Are displayed side by side to the left of the patient name “Takeshi Kumamoto”.

  Thus, by displaying the patient information in accordance with the mouse-over operation of the room graphic, the user can easily grasp the patient who is hospitalized in the room. Further, the patient name and the mark indicating the infected pathogen are displayed in association with each other, so that the user can easily grasp which patient is infected with which pathogen. If a member of the infection control team who referred to the floor map screen D300 wants to know the name of the patient admitted to a room such as an infected room or an infected pathogen, or a medical worker who does not belong to the infection control team If a person is referring to the floor map and wants to know detailed patient information about a specific room, these users can use the mouse-over operation on the room shape corresponding to the target room. Information can be easily obtained.

  Returning to FIG. 10, the patient information display process on the floor map will be described. The CPU 31a determines whether or not the mouse pointer is removed from the room graphic that has been mouse-over (step S303). CPU31a repeats the process of step S303, when the mouse pointer has not come off from the room graphic (NO in step S303). When the user wants to erase (hide) the patient information, the user moves the mouse pointer from the room figure. In step S303, when the mouse pointer is removed from the hospital room graphic (YES in step S303), the CPU 31a hides the displayed patient information (step S304) and ends the process.

  In this way, on the floor map screen D300, the user can pop-up the patient information by performing a mouse-over operation on the patient room graphic, and the patient information can be hidden by removing the mouse pointer from the patient room graphic. it can. Thereby, the user can display patient information of an arbitrary hospital room only when necessary, and can easily hide the patient information when the patient information is not desired to be displayed.

<List display switching process>
As described above, the user can call up the list display switching process for displaying the list map of the floor by selecting the list display switching button B319 on the floor map screen D300.

  FIG. 12 is a flowchart showing the flow of the list display switching process. When the list display switching button B319 is selected, when the CPU 31a of the client device 3 receives a list display instruction for the same target floor as the floor map screen D300 being displayed at that time (step S401), the CPU 31a displays the list display. Request data for requesting the list display data necessary for the transmission is transmitted to the server device 2 (step S402). This request data includes information (ward code) for identifying the target floor.

  The request data transmitted from the client device 3 is received by the server device 2. The CPU 21a of the server device 2 stands by until the request data is received (NO in step S403). When the server apparatus 2 receives the request data (YES in step S403), the CPU 21a first stores the patient information (patient ID and patient name) of the patient belonging to the target floor at the current date and time, the ward code included in the request data, and the current Is searched from the entrance / exit movement information database DB2 using the date and time information as a search key (step S404).

  Next, the CPU 21a searches the bacterial test result database DB3 for the infection information of the patient at the current date and time using the patient ID and the current date and time information acquired at step S404 as a search key, and also attaches the device of the patient at the current date and time. Information is retrieved from the device insertion / removal execution database DB1 (step S405). Since this process is the same as the process of step S205, its description is omitted.

  Next, using the ward code included in the request data as a search key, the CPU 21a searches the ward room placement database DB6 and the ward equipment placement database DB7 for the ward room placement information and the equipment placement information used for the list display on the target floor (step S406). . In this process, a record including the same ward code as the ward code included in the request data and having the ward floor drawing category “2” is retrieved from the ward room arrangement database DB6 and the ward equipment arrangement database DB7.

  Next, the CPU 21a searches for the environmental examination result information of the current date and time on the target floor using the ward code and the current date and time information included in the request data as search keys (step S407). Since this process is the same as the process of step S207, its description is omitted.

  Next, the CPU 21a creates list display data for displaying the list screen of the target floor at the current date and time based on the information acquired in steps S403 to S407 (step S408). In addition, the CPU 21a transmits the created list display data to the requesting client device 3 (step S409), and ends the process.

  The list display data transmitted from the server device 2 is received by the client device 3. The CPU 31a of the client device 3 stands by until the list display data is received (NO in step S410). When the client apparatus 3 receives the list display data (YES in step S410), the CPU 31a displays the list screen of the target floor at the current date on the display unit 32 based on the received list display data (step S411). The process is terminated.

  FIG. 13 is a diagram illustrating an example of a list screen. As shown in FIG. 13, the list screen D500 is provided with a list map area A502 in which a list map M501 is displayed.

  The list map M501 is a schematic plan view of the target floor. The list map M501 shows a rough layout of hospital rooms and facilities on the target floor. In other words, the room room arrangement information acquired from the room arrangement database DB6 in step S206 includes the coordinates of one vertex of a quadrangular room as the room position information. Similarly, the equipment arrangement information acquired from the ward equipment arrangement database DB7 in step S206 includes the coordinates of one vertex of the square equipment as the equipment arrangement position information. On the floor map, figures (squares) G503, G504, G505, and G506 indicating the rooms and facilities are displayed at the positions of the rooms and facilities specified by the arrangement position information.

  In the list map M501, a rectangular frame smaller than the room graphic is displayed so as to contact the frame of the room graphic G503 and G504, and the room number is displayed inside the frame. Two types of hospital room graphics are provided, and one of the hospital room graphics G503 is a black figure in which the square frame is a thin line and the inside of the frame is a white figure, and indicates a hospital room in which an infected person is not hospitalized. In the other room graphic G504, the square frame is a thick red line (indicated by diagonal lines in the figure), and the inside of the frame is a white graphic indicating a hospital room in which an infected person is hospitalized. In step S408, the CPU 21a identifies the hospital room in which the patient whose pathogen is detected by the bacterial test is hospitalized based on the bacterial test result and the entrance / exit movement information, and displays the identified room in the hospital room graphic G504. List display data is created so that the other rooms are displayed as the room figure G503.

  Furthermore, the name G507 of the inpatient is displayed side by side on the inside of the room figure G504 indicating the room in which the infected person is hospitalized, and a mark indicating the infectious pathogen is on the left of the name of the inpatient who is the infected person G508 and G509 are displayed. The pathogen marks G508 and G509 are symbols corresponding to the pathogen symbols of which pathogens infected by hospitalized patients are shown as legends in the legend area A313. For example, the patient “Kiyoshi Fukuoka” is infected with influenza antigen B, and the same mark G508 as the mark of influenza antigen B shown in the legend is displayed to the left of the patient name “Kiyoshi Fukuoka”.

  When the patient is wearing a device, a mark indicating that the device is worn is displayed to the left of the patient's name. In the example shown in FIG. 13, the patient “Takeshi Kumamoto” is infected with a pathogen and wears a device, and a mark G509 corresponding to an intestinal infectious virus that is an infected pathogen, a device wearing mark G510, Are displayed side by side to the left of the patient name “Takeshi Kumamoto”.

  In the list map M501, equipment names are displayed inside the equipment figures G505 and G506. Two kinds of equipment figures are provided, and one equipment figure G505 is a figure in which the square frame is black and the inside of the frame is a white figure, and indicates a facility in which no pathogen is detected in the environmental inspection. The other equipment graphic G506 is a graphic in which the square frame is black and the inner side of the frame is red (indicated by hatching in the figure), and indicates a facility in which a pathogen is detected in an environmental test. In step S408, the CPU 21a identifies the facility in which the pathogen is detected by the environmental test based on the environmental test result, displays the identified facility with the facility graphic G506, and displays the other facilities with the facility graphic G505. As shown, floor map display data is created.

  A legend area A313 is provided above the list map area A502. The legend area A313 displays a legend explaining the meaning of the symbol. In the legend area A313, the same legend as the legend area A213 on the ward map screen D200 is displayed. In the floor map screen D300, the symbols shown in the legend are not used.

  Further, on the left side of the legend area A313, a date / time specifying area A314 for specifying the date / time is provided. In the date / time designation area A314, the same contents as the date / time designation area A314 in the floor map screen D300 described above are displayed. That is, in the date and time designation area A314, a target floor input box B317 for designating the target floor, a date and time input box B315 for designating the date and time, and a redraw button B316 for instructing redrawing of the list screen D500. And are included. The user selects the floor on which the list screen is to be displayed in the target floor input box B317, specifies the date and time in the date and time input box B315, and then selects the redraw button B316 by clicking with the mouse. The display is updated to a list map showing the infection status in the designated target floor at the date and time.

  Similar to the floor map screen D300, a floor map display switching button B318 and a list display switching button B319 are provided below the date / time input box B315. However, in the list screen D500, the list display switching button B319 is already selected, so it is displayed in the selected state (in FIG. 13, it is displayed as a button larger than the non-selected state display) and further selected. It is not possible. On the list screen D500, the floor map display switching button B318 is displayed in a non-selected state (a button smaller than the selected button) and can be selected by a mouse click operation or the like. When the floor map display switching button B318 is selected, the display is switched from the list screen D500 to the floor map screen.

  Similar to the floor map screen D300, a manual update radio button B320 and an automatic update radio button B321 are provided to the right of the list display switching button B319.

  The list screen D500 is mainly used by medical personnel who do not belong to the infection control team. A list map M501 shown on the list display screen D500 roughly represents the arrangement positions of hospital rooms and facilities. More specifically, in the list map M501, the shape and size of each room and facility are not accurate, but the relative arrangement positional relationship between each room and facility (that is, which room is next to which room). Etc., the positional relationship between hospital rooms and facilities, and between facilities) is accurately shown. The list map M501 displays the names of patients who are hospitalized in each room graphic and marks indicating the pathogens that the patient is infected with. As a result, the list screen D500 allows a medical worker who performs medical treatment to a patient to determine which patient is an infected person (bacterial carrier) and in which room, and what infectious patient has an infectious disease. Information necessary for prevention of nosocomial infections can be easily obtained when performing medical treatment for each patient on site, such as whether the patient is afflicted.

<Floor map display switching process>
As described above, the user can call the floor map display switching process for switching the display to the floor map of the floor by selecting the floor map display switching button B318 on the list screen D500.

  FIG. 14 is a flowchart showing the flow of the floor map display switching process. When the floor map display switching button B318 is selected, the CPU 31a of the client device 3 receives a floor map display instruction for the same target floor as the list screen D500 being displayed at that time (step S501), the CPU 31a Request data for requesting floor map display data necessary for map display is transmitted to the server device 2 (step S502). Since the subsequent processing is the same as steps S203 to S211 of the floor map display processing, detailed description is omitted, but when the request data is received by the server device 2 (YES in step S503), the CPU 21a Obtain patient information of patients currently belonging to the target floor, infection information and device mounting information of each patient, patient room arrangement information and facility arrangement information on the floor map display, and current environmental test result information on the target floor (step) S504 to S507), floor map display data is created based on the acquired information (step S508), and the created floor map display data is transmitted to the client device 3 (step S509). When the client device 3 receives the floor map display data (step S510), the CPU 31a switches the display of the display unit 320 from the list screen to the floor map screen (step S511), and ends the process.

  In this way, the user can easily switch the screen display between the floor map screen and the list screen.

<Floor map redrawing process>
As described above, the user inputs information on the floor for which the floor map is to be displayed in the target floor input box B317 in the state where the manual update radio button B320 is selected in the date / time designation area A314 of the floor map screen D300, and inputs the date / time. By inputting the date and time information in the box B315 and selecting the redraw button B318, a floor map redrawing process for redrawing the floor map screen showing the infection status of the designated floor at the designated date and time can be called. When the user selects the automatic update radio button B320, the floor map screen showing the infection status at the current date and time on the same target floor map as the currently displayed floor map is re-displayed every predetermined time (for example, 1 minute). The floor map redrawing process to be drawn is called.

  FIG. 15 is a flowchart showing the flow of the floor map redrawing process. With the manual update radio button B320 selected on the floor map screen, floor information is input to the target floor input box B317, date / time information is input to the date / time input box B315, and the redraw button B318 is selected. Thus, the CPU 31a of the client device 3 accepts designation of the selected target floor and date and time, and an instruction to redraw the floor map screen. In addition, when the automatic update radio button B321 is selected on the floor map screen and a predetermined update time arrives, the CPU 31a of the client device 3 designates the same target floor and current date and time as the currently displayed floor map, In addition, an instruction to redraw the floor map screen is automatically accepted. As described above, when the CPU 31a receives the target floor, the date and time, and the redrawing instruction (step S601), the CPU 31a transmits request data for requesting floor map display data necessary for displaying the floor map to the server device 2 (step S602). ). The request data includes information for specifying the target floor (ward code) and information indicating the designated date and time.

  The request data transmitted from the client device 3 is received by the server device 2. The CPU 21a of the server device 2 stands by until the request data is received (NO in step S603). When the server apparatus 2 receives the request data (YES in step S603), the CPU 21a first stores the patient information (patient ID and patient name) of the patient belonging to the target floor at the specified date and time, the ward code and the specified date and time included in the request data. The information is searched from the entrance / exit movement information database DB2 using the search key (step S604).

  Next, the CPU 21a searches the bacterial test result database DB3 for the infection information of the patient at the specified date and time using the patient ID and the specified date and time information acquired in step S604 as a search key, and also displays the device mounting information of the patient at the specified date and time as the device. A search is performed from the insertion / extraction execution database DB1 (step S605). In this process, the detection bacteria code and the detection bacteria name included in the bacterial test result immediately before the designated date and time are acquired as infection information. At this time, infection information is not acquired from the result of the bacterial test performed at least twice before the designated date and time. For example, if bacteria are not detected in the bacterial test results immediately before the designated date and time, even if bacteria are detected in the previous bacterial test results, the infection is cured at the designated date and time. The infection information does not include any detected bacteria code or detected bacteria name. In step S605, the results of the bacterial test after the designated date and time are not referred to.

  In step S605, a device code and a device name of a device whose device removal date is not registered between the device insertion date and the specified date are acquired as device mounting information. For example, when both the device insertion date and the removal date are registered in the device insertion / extraction execution database DB1, and the removal date is between the device insertion date and the specified date / time, the device is once a patient. However, the device information is not included in the device mounting information because it is not mounted on the designated date and time. In step S605, device insertion / extraction execution data after the designated date and time is not referred to.

  Next, the CPU 21a searches the ward room arrangement database DB6 and the ward equipment arrangement database DB7 for the ward room arrangement information and the equipment arrangement information used for the floor map display on the target floor using the ward code included in the request data as a search key (step S606). ). Since this process is the same as the process of step S206 described above, the description thereof is omitted.

  Next, the CPU 21a searches for the environmental examination result information of the specified date and time on the target floor using the ward code and the specified date and time information included in the request data as search keys (step S607). In this process, the room number or equipment code, the detected bacteria code, and the detected bacteria name included in the environmental test result immediately before the designated date and time are acquired as the environmental test result information. At this time, the environmental test result information is not acquired from the environmental test results that were performed at least twice before the specified date and time in the same hospital room or facility. For example, if bacteria are not detected in the environmental test results conducted immediately before the designated date and time for a certain room, even if bacteria were detected in environmental test results conducted for the same room before that, At present, the room is not contaminated with bacteria, and the environmental test result information relating to the room does not include any detected bacteria code or detected bacteria name. In step S607, the environmental inspection results after the designated date and time are not referred to.

  Next, based on the information acquired in steps S603 to S607, the CPU 21a creates floor map display data for displaying the floor map of the target floor at the specified date and time (step S608). In addition, the CPU 21a transmits the created floor map display data to the requesting client device 3 (step S609), and ends the process.

  The floor map display data transmitted from the server device 2 is received by the client device 3. The CPU 31a of the client device 3 stands by until the floor map display data is received (NO in step S610). When the client device 3 receives the floor map display data (YES in step S610), the CPU 31a causes the display unit 32 to display the floor map of the target floor at the specified date and time based on the received floor map display data. The floor map is redrawn (step S611), and the process ends.

  Thus, by designating an arbitrary floor and an arbitrary date / time in the past, a floor map of the designated floor at the specified date / time can be easily displayed. Therefore, the user can easily check the past infection status. For example, a member of the infection control team can efficiently carry out work related to infection management by checking the transition of the infection status from the past to the present. be able to.

  Note that the list map can be redrawn in the same manner as the floor map. In the redrawing of the list map, the request data for requesting the list display data is transmitted to the server device 2 instead of the request data for requesting the floor map display data in step S602. In step S606, the floor map display on the target floor is displayed. In place of the hospital room arrangement information and the equipment arrangement information in the room, the room arrangement information and the equipment arrangement information in the list display on the target floor are acquired, and in steps S608 to S610, list display data is created instead of the floor map display data. Since it is the same as the floor map redrawing process except that the list map is redrawn instead of the floor map in step S611, the description is omitted.

  As described above, in the infection information providing system 1 according to the present embodiment, not only information for supporting work related to infection control for members of the infection control team, but also general information that does not belong to the infection control team. Information necessary for prevention of nosocomial infections can be provided to medical staff when performing medical treatment on each patient on site.

(Other embodiments)
In the above-described embodiment, the configuration in which the name of the patient who is admitted to each hospital room graphic is displayed in the list map has been described. However, the present invention is not limited to this. Instead of the patient name, information that can identify the patient, such as a patient ID, may be displayed.

  In the above embodiment, in the list map, in order to distinguish between an infected person and a non-infected person, a mark indicating an infected pathogen is displayed next to the patient's name. It is not limited to. For example, the name of the infected patient and the name of the non-infected patient are displayed in different colors, the name of the infected patient is enclosed in a frame, and the name of the non-infected patient is not enclosed in a frame, etc. The infected patient and the non-infected person may be distinguished by displaying the infected patient name and the non-infected patient name in different display formats. Moreover, it is good also as a structure which does not display the patient name of an uninfected person but displays only the patient name of an infected person.

  In the above embodiment, in the list map, it is possible to identify which pathogen is infected by the infected person by displaying a mark indicating the infected pathogen next to the patient's name. It is not limited to this. For example, the name of the pathogen infected by the patient may be displayed next to the patient's name.

  Further, in the above embodiment, in the list map, the room shape of the hospital room where the infected person is hospitalized is shown in bold red, and the room room shape of the room where the infected person is not hospitalized is shown as a thin black line. Thus, the configuration in which the hospital room in which the infected person is hospitalized and the hospital room in which the infected person is not hospitalized is displayed separately, but is not limited thereto. The room shape of the room where the infected person is hospitalized is a red figure inside the black frame, the room shape of the room where the infected person is not hospitalized is the white figure inside the black frame, etc. Depending on the mode, the room figure of the hospital room in which the infected person is hospitalized may be different from the room room figure of the hospital room in which the infected person is not hospitalized.

  Further, in the above embodiment, although the shape and dimensions of each hospital room and facility are not accurate, a configuration has been described in which a list map is displayed that accurately indicates the relative arrangement positional relationship between each hospital room and facility. However, the present invention is not limited to this. The list map may be a map that accurately shows the shape, size, and position of each hospital room and each facility.

  In the above-described embodiment, the configuration in which the name of a patient who is admitted to a hospital room is displayed on the inside of the room room diagram of each room on the list map is not limited to this. An area for displaying the patient's name may be provided separately from the hospital room graphic, and the name of the patient who is hospitalized for each hospital room number may be displayed in a list format in this area. In addition, an area for displaying the names of patients who are hospitalized for each room number in a list format may be provided on the list screen, and only the room number instead of the room figure is displayed on the list map in the arrangement position of the room.

  Moreover, in said embodiment, although the infection information provision system 1 described the structure provided with the server apparatus 2 and the client apparatus 3, it is not limited to this. It is good also as an infection information provision system which mounts all the functions of the server apparatus 2 and the client apparatus 3 in one apparatus.

  In the above embodiment, the case where the client device 3 is configured by the computer 3a has been described. However, the present invention is not limited to this. The client device 3 may be configured by a mobile phone, a smartphone, a PDA, or a mobile game machine.

  In the above-described embodiment, the configuration in which all the processing of the computer program 24a is executed by the single computer 2a has been described. However, the present invention is not limited to this, and processing similar to that of the computer program 24a described above is performed. It is also possible to make a distributed system in which a plurality of devices (computers) execute the above. The same applies to the computer 3a.

  In the above-described embodiment, the server program 24a dedicated to the infection information providing system is installed in the server device 2, and the client program 34a dedicated to the server program 24a is installed in the client device 3, so that the server device 2 and the client Although the configuration in which the various processes described above are executed by the apparatus 3 has been described, the present invention is not limited to this. A configuration in which a WWW browser program is installed in the client device 3 and the server device 2 functioning as a WWW server and the client device 3 functioning as a WWW client communicate with each other by the http protocol to execute the same processing as described above. Also good.

  An infection information providing system, an infection information providing apparatus, and a computer program according to the present invention provide an infection information providing system, an infection information providing apparatus, and a computer that provide information related to infection of a patient's pathogen in a medical facility. It is useful as a computer program or the like for functioning as a device.

DESCRIPTION OF SYMBOLS 1 Infection information provision system 2 Server apparatus 2a Computer 21a CPU
21b ROM
21c RAM
21d Hard disk 24a Computer program 3 Client device 3a Computer 31a CPU
31b ROM
31c RAM
31d Hard disk 4 Sample analyzer

Claims (13)

Room location information indicating the location of the room in the facility, patient identification information for identifying a patient admitted to the room, and that the patient is infected with a pathogen if the patient is infected with the pathogen A storage unit for storing infection information to be shown;
A display unit;
Based on the patient room arrangement information, the patient identification information, and the infection information stored in the storage unit, the display unit displays a patient room arrangement screen including a patient room arrangement diagram showing the arrangement of patient rooms in the facility. In addition, the patient room arrangement screen can be used to identify whether the patient is infected with a pathogen or not by identifying patient identification information indicating a patient admitted to the patient room in association with each room shown in the room arrangement diagram. A control unit to be displayed on
Comprising
Infection information provision system. The control unit is configured to display patient identification information of a patient infected with a pathogen and patient identification information of a patient not infected with a pathogen on the hospital room arrangement screen.
The infection information providing system according to claim 1. The infection information is information that can identify the pathogen that the patient is infected with,
The control unit is configured to display patient identification information of a patient infected with a pathogen on the hospital room layout screen so that the pathogen infected by the patient can be identified.
The infection information provision system according to claim 1 or 2. The storage unit stores room identification information for identifying each room whose arrangement position is indicated by the room arrangement information.
The control unit is configured to display corresponding room identification information on each room in the room layout based on the room identification information stored in the storage unit,
The infection information provision system according to any one of claims 1 to 3. The control unit is configured to distinguish and display a hospital room in which an infected person is hospitalized and a hospital room in which an infected person is not hospitalized in the hospital room layout diagram.
The infection information provision system according to any one of claims 1 to 4. In the hospital room layout diagram, the control unit displays a hospital room in which an infected person is hospitalized with a graphic of a predetermined first color, and a hospital room in which the infected person is not hospitalized is different from the first color. Configured to display in two colors,
The infection information providing system according to claim 5. The storage unit stores facility arrangement information indicating an arrangement position of equipment other than a hospital room in the facility, and an environmental test result for detecting a pathogen for the equipment in the facility,
The hospital room layout diagram further shows the arrangement of equipment in the facility,
The control unit causes the facility information indicating the facility to be displayed on the patient room layout screen in association with each facility shown in the patient room layout diagram based on the facility layout information stored in the storage unit, And based on the said environmental test result memorize | stored in the said memory | storage part, it is comprised so that the equipment information of the installation in which the pathogen was detected, and the equipment information of the equipment in which the pathogen was not detected can be distinguished and displayed. ,
The infection information provision system according to any one of claims 1 to 6. The storage unit stores entrance / exit date information indicating the date of entrance / exit of each patient, and stores the infection information including infection date information indicating a date related to morbidity and cure of each patient. ,
A date designating part for designating a date;
The control unit, based on the hospital room arrangement information, the patient identification information, the entrance / exit date information, and the infection information stored in the storage unit, in the room room diagram of the hospital room arrangement diagram, the date designation unit The patient identification information indicating the patient who has been admitted to the hospital room on the date specified by is configured to display whether or not the patient was infected with a pathogen on the date specified by the date specifying unit. Being
The infection information provision system according to any one of claims 1 to 7. Based on the patient room arrangement information, the patient identification information, and the infection information stored in the storage unit, the control unit displays a second patient room arrangement diagram showing the arrangement of patient rooms in the facility as the patient room arrangement screen. In the second room layout diagram, it does not include patient identification information indicating a patient who is hospitalized in a hospital room, and a hospital room in which an infected person is hospitalized and a hospital room in which the infected person is not hospitalized Configured to be displayed separately from
The infection information provision system according to any one of claims 1 to 8. It has an input part,
The hospital room layout screen includes a selectable first switching unit for switching display from the patient room layout map to the second patient room layout map, and selection for switching display from the second patient room layout map to the patient room layout map. A possible second switching part,
The control unit is a case where the patient room layout diagram is displayed on the patient room layout screen, and when an input for selecting the first switching unit is received by the input unit, It is comprised so that the display of the said patient room arrangement | positioning screen may be switched to a 2nd patient's room arrangement | positioning map, Comprising: It is a case where the said 2nd patient's room arrangement | positioning map is displayed on the said patient's room arrangement | positioning screen, Comprising: When the input is accepted by the input unit, the display of the patient room arrangement screen is switched from the second patient room arrangement drawing to the patient room arrangement drawing.
The infection information providing system according to claim 9. The control unit reads out the room arrangement information, the patient identification information, and the infection information from the storage unit at a predetermined cycle, and based on the read out room arrangement information, the patient identification information, and the infection information , Configured to automatically update the display of the room layout screen,
The infection information provision system according to any one of claims 1 to 10. An infection information providing device communicably connected to a display device for displaying information,
Room location information indicating the location of the room in the facility, patient identification information for identifying a patient admitted to the room, and that the patient is infected with a pathogen if the patient is infected with the pathogen A storage unit for storing infection information to be shown;
Based on the patient room arrangement information stored in the storage unit, the patient identification information, and the infection information, display a patient room arrangement screen including a patient room arrangement diagram showing the arrangement of patient rooms in the facility, and In order to display patient identification information indicating a patient admitted to the hospital room on the patient room layout screen in association with each room shown in the patient room layout diagram so that it can be identified whether the patient is infected with a pathogen or not. A control unit for creating display data of
A communication unit for transmitting the display data created by the control unit to the display device in order to display the patient room layout screen on the display device;
Comprising
Infection information provider. A communication unit for transmitting data to a display device for displaying information, patient room arrangement information indicating an arrangement position of a patient room in a facility, patient identification information for identifying a patient admitted to the patient room, and a patient A computer program for causing a computer provided with information on infection in the facility to have a storage unit storing infection information indicating infection with a pathogen when infected with a pathogen ,
Reading the patient room arrangement information, the patient identification information, and the infection information from the storage unit;
Based on the read out room arrangement information, the patient identification information, and the infection information, a room arrangement screen including a room arrangement showing the arrangement of the room in the facility is displayed, and the room arrangement diagram Display data for displaying patient identification information indicating a patient admitted to the hospital room on the patient room layout screen in association with each hospital room displayed so as to be able to identify whether the patient is infected with a pathogen or not. A step to create,
Transmitting the display data created by the control unit to the display device by the communication unit in order to display the room layout screen on the display device;
Causing the computer to execute
Computer program.

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