JP2016143294A - Nursing schedule editing assist program, nursing schedule editing assist method, and nursing schedule editing assist device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make it easy to edit a nursing schedule.SOLUTION: An information processing unit 24 references an instruction DB 30 and instruction detail DB 32 which store the contents of a nursing instruction, a time (cycle) at which the nursing instruction should be implemented, and a period (period defined with an instruction beginning date and instruction terminating date) during which nursing concerning the contents of the nursing instruction should be performed at the time (cycle), uses a screen image producer 26 to display a nursing schedule indicating the period during which the nursing instruction should be implemented. When any of dates included in the period in the displayed nursing schedule is selected, the information processing unit 24 uses the screen image producer 26 to produce and display an instruction change screen image which is used to add a time (cycle) in the selected date.SELECTED DRAWING: Figure 3

Description

  The present invention relates to a nursing schedule editing support program, a nursing schedule editing support method, and a nursing schedule editing support device.

  2. Description of the Related Art Conventionally, in the medical field, the contents of nursing (nursing instructions) to be performed on a patient and the date and period for performing each nursing instruction may be displayed in a list in a calendar format (for example, Patent Documents 1 and 2). Etc.).

JP 2008-21015 A JP-A-9-251488

  On the other hand, in a medical field, there is a demand for individually changing a nursing instruction on a specific date when the nursing instruction is for a plurality of days.

  Conventionally, when changing a nursing instruction on a specific date, it is necessary to change the nursing instruction on or after the specific date and return the nursing instruction on or after the next day of the specific date. Was cumbersome.

  In one aspect, an object of the present invention is to provide a nursing schedule editing support program, a nursing schedule editing support method, and a nursing schedule editing support device capable of easily editing a nursing schedule.

  In one aspect, the nursing schedule editing support program stores a nursing instruction content, a cycle in which the nursing instruction content is to be performed, and a period in which nursing according to the nursing instruction content is to be performed in the cycle The nursing schedule indicating the period during which the nursing instruction content is to be implemented is displayed, and the day selected according to the selection of any day included in the period among the displayed nursing schedules. A program for causing a computer to execute a process for displaying a registration screen for a cycle in which the contents of nursing instructions are the contents of nursing instructions.

  The nursing schedule can be easily edited.

It is a figure showing roughly the composition of the hospital system concerning one embodiment. 2A is a hardware configuration diagram of the server, and FIG. 2B is a hardware configuration diagram of the user terminal. It is a functional block diagram of a server. FIG. 4A is a diagram showing the data structure of the instruction DB, and FIG. 4B is a diagram showing the data structure of the instruction detail DB. It is a flowchart which shows the process of a server. FIG. 6A to FIG. 6C are diagrams showing the transition of the screen by the processing of FIG. It is a figure which shows an example of an instruction | indication change screen. FIGS. 8A and 8B are diagrams showing the state of the instruction DB and instruction detail DB when copying is selected on the screen of FIG. 6B. FIGS. 9A and 9B are diagrams showing the states of the instruction DB and the instruction detail DB when the confirm button is pressed on the instruction change screen of FIG. FIG. 10A and FIG. 10B are diagrams for explaining a comparative example.

  Hereinafter, an embodiment of a hospital system will be described in detail with reference to FIGS. The in-hospital system 100 of this embodiment is a system that manages the contents (nursing schedule) of nursing instructions given to patients by nurses.

  FIG. 1 schematically shows a configuration of an in-hospital system 100 according to an embodiment. As shown in FIG. 1, the in-hospital system 100 includes a server 10 as a nursing schedule editing support device and a user terminal 70. The server 10 and the user terminal 70 are connected to a network 80 such as the Internet or a LAN (Local Area Network). Note that there may be a plurality of user terminals 70 or a single user terminal 70.

  The server 10 accumulates and manages data related to the nursing schedule. In addition, the server 10 creates various screens related to the nursing schedule and transmits them to the user terminal 70, or registers and changes nursing instructions according to the input from the user terminal 70. FIG. 2A shows the hardware configuration of the server 10. As shown in FIG. 2A, the server 10 includes a CPU (Central Processing Unit) 90, a ROM (Read Only Memory) 92, a RAM (Random Access Memory) 94, and a storage unit (here, an HDD (Hard Disk Drive)). 96, a network interface 97, a portable storage medium drive 99, and the like. Each part of the server 10 is connected to a bus 98. A program (including a nursing schedule editing support program) stored in the ROM 92 or the HDD 96 by the CPU 90 or a program (including a nursing schedule editing support program) read by the portable storage medium drive 99 from the portable storage medium 91. By executing this, the server 10 is caused to function as the input / output processing unit 20, the nursing instruction registration unit 22 as the storage processing unit, the information processing unit 24, and the screen generation unit 26 shown in FIG. 3. 3 also shows an instruction DB 30 and an instruction detail DB 32 stored in the HDD 96 or the like.

  The input / output processing unit 20 acquires information input at the user terminal 70 and transmits the acquired information to the nursing instruction registration unit 22 and the information processing unit 24. Further, the input / output processing unit 20 transmits the screen generated by the screen generation unit 26 to the user terminal 70.

  The nursing instruction registration unit 22 acquires information on the nursing instruction received from the user terminal 70 by the input / output processing unit 20 and registers it in the instruction DB 30 and the instruction detail DB 32. Here, the instruction DB 30 and the instruction detail DB 32 will be described in detail based on FIGS. 4 (a) and 4 (b).

  FIG. 4A shows the data structure of the instruction DB 30. The instruction DB 30 is a database that stores nursing instruction information. As shown in FIG. 4A, the “patient ID”, “instruction content”, “order No.”, “instruction start date”, “instruction end” Each field of “date and time”. In the “patient ID” field, the identification number of the patient corresponding to the nursing instruction is stored. In the “instruction contents” field, contents of nursing instructions (measurement of vital signs, bathing, etc.) are stored. In the “Order No.” field, an identification number assigned to each nursing instruction is stored. In the fields of “instruction start date and time” and “instruction end date and time”, information on the validity period of the nursing instruction is stored.

  FIG. 4B shows the data structure of the instruction detail DB 32. The instruction detail DB 32 is a database in which specific contents of nursing instructions are stored, and each field includes “order No.”, “attribute”, and “content”. In the “Order No.” field, the Order No. stored in the instruction DB 30 is displayed. Is stored. An attribute (item name) of data is stored in the “attribute” field. For example, in the “attribute” field, “instruction item”, “day designation”, “time designation”, “comment”, and the like are stored. In the “content” field, specific information corresponding to “attribute” is stored. In FIG. 4B, the order No. In the case of a nursing instruction of = 00001, the fact that vital sign measurement is executed every day at 11:00 and 16:00 and partial assistance is stored. When the attribute is “time designation”, the time (time) stored in the “content” field can be said to be a cycle in which nursing instruction should be performed.

  Returning to FIG. 3, the information processing unit 24 performs various processes based on information received by the input / output processing unit 20 from the user terminal 70. For example, when there is a request from the user terminal 70 to change the content of the nursing instruction, the process corresponding to the request is performed and the screen generating unit 26 generates a screen corresponding to the request.

  Under the instruction from the information processing unit 24, the screen generation unit 26 generates a screen to be displayed on the user terminal 70 and transmits it to the input / output processing unit 20. The input / output processing unit 20 transmits the screen generated by the screen generation unit 26 to the user terminal 70.

  Returning to FIG. 1, the user terminal 70 is a terminal for a nurse or the like to browse and input various types of information in a medical institution (hospital or the like), or to register and browse nursing instructions. As shown in FIG. 2B, the user terminal 70 includes a CPU 190, a ROM 192, a RAM 194, a storage unit (HDD) 196, a display unit 193, an input unit 195, a network interface 197, a portable storage medium drive 199, and the like. It has. Each part of the user terminal 70 is connected to the bus 198. The display unit 193 includes a liquid crystal display and the like, and the input unit 195 includes a keyboard, a mouse, a touch panel, and the like. By executing the program, the CPU 190 causes the user terminal 70 to function as a display processing unit that executes display processing and an input processing unit that executes input processing.

  Next, processing executed in the in-hospital system 100 of the present embodiment will be described in detail along the flowchart of FIG. As a premise of the processing in FIG. 5, it is assumed that the data in FIG. 4A is stored in the instruction DB 30 and the data in FIG. 4B is stored in the instruction detail DB 32. Further, it is assumed that the nurse designates a patient (for example, a patient whose patient ID is 90001) on the user terminal 70 and inputs a display request for a screen indicating registered nursing instruction contents.

  In the process of FIG. 5, first, in step S10, the information processing section 24 performs a screen display process. In this case, the information processing unit 24 causes the screen generation unit 26 to generate a nursing instruction screen based on a display request from the nurse. The information processing unit 24 collects necessary information (for example, information corresponding to patient ID = 90001) from the instruction DB 30 and the instruction detail DB 32 and transmits the collected information to the screen generation unit 26. Then, the screen generator 26 generates a screen as shown in FIG. 6A based on the received information. In addition, in the screen of FIG. 6A, the period from October 31 to November 6 is displayed as a calendar as an example, and it is necessary to perform vital sign measurement at 11:00 and 16:00 every day on the screen. Is indicated by an arrow “→”. Since the screen generation unit 26 transmits the generated screen data to the user terminal 70 via the input / output processing unit 20, the screen of FIG. 6A is displayed on the display unit 193 in the user terminal 70. Will be.

  Next, in step S11, the information processing unit 24 waits until the nurse right-clicks in a state where the day is specified. For example, suppose that the vital sign measurement on November 1 needs to be executed at 20:00 in addition to 11:00 and 16:00, and the nurse wants to register that fact. In this case, as shown in FIG. 6A, the nurse right-clicks with the mouse cursor positioned on the arrow column on November 1st. When the information processing unit 24 acquires information indicating that such a nurse operation has been performed via the input / output processing unit 20, the information processing unit 24 proceeds to step S12.

  If transfering it to step S12, the information processing part 24 will perform the process which displays a right click menu. Specifically, the information processing unit 24 causes the screen generation unit 26 to generate a right click menu and transmits the screen data of the right click menu to the user terminal 70 via the input / output processing unit 20. As a result, a screen as shown in FIG. 6B is displayed on the display unit 193 of the user terminal 70.

  Next, in step S14, the information processing unit 24 waits until copying is selected by the nurse. Note that the nurse may select other than “copy” from the right-click menu in FIG. As described above, when other than “copy” is selected, processing corresponding to the selection is performed, but in this embodiment, description of each processing in that case is omitted. On the other hand, when “copy” is selected from the right click menu by the nurse, the information processing section 24 proceeds to step S16.

  In step S16, the information processing unit 24 acquires the instruction content of the copy source, and creates copy data in the instruction DB 30 and the instruction detail DB 32. Specifically, as illustrated in FIG. 8A, the information processing unit 24 uses the order No. in the instruction DB 30. = 00002 data is created, and as shown in FIG. = 00002 data is created (see the underlined portions in FIGS. 8A and 8B). In this case, the information processing unit 24 orders the order No. except for the “instruction start date and time” and “instruction end date and time” fields of the instruction DB 30 and the “content” field corresponding to the attribute “time designation” of the instruction detail DB 32. = 00001 information is copied.

  Next, in step S18, the information processing unit 24 displays an instruction change screen. Specifically, the information processing unit 24 causes the screen generation unit 26 to generate an instruction change screen as illustrated in FIG. 7 and transmits the instruction change screen to the user terminal 70 via the input / output processing unit 20. In the screen of FIG. 7, 0:00 and 23:59 of the right-clicked date are displayed in advance as the start date and time and the end date and time. The nurse should change these dates as appropriate. Shall be able to. In addition, the nurse selects one or a plurality of times in the time designation field on the screen of FIG. 7 and presses the “OK” button.

  In step S20, the information processing section 24 waits until the “confirm” button is pressed after the time is selected on the instruction change screen (FIG. 7). When information indicating that the “determine” button has been pressed by the nurse is input to the information processing unit 24 via the user terminal 70 and the input / output processing unit 20, the process proceeds to step S22.

  In step S22, the nursing instruction registration unit 22 sets the instruction start date and time and the instruction end date and time of the copy data based on the information input on the instruction change screen. For example, when the “confirm” button is pressed with the content of the instruction change screen of FIG. 7, the nursing instruction registration unit 22 stores the instruction start date and time and the instruction end date and time in the instruction DB 30 as shown in FIG. Set.

  Next, in step S <b> 24, the nursing instruction registration unit 22 reflects the time (time) selected on the instruction change screen in the instruction detail DB 32. For example, when the “confirm” button is pressed with the content of the instruction change screen of FIG. 7, the nursing instruction registration unit 22 displays the order No. in the instruction detail DB 32 as shown in FIG. “20 o'clock” is set in the “content” field corresponding to the attribute “time designation” = 000002.

  Next, in step S26, the information processing section 24 changes and displays the nursing instruction screen. Specifically, the information processing unit 24 corresponds to the patient ID = 90001 among the data in the instruction DB 30 in FIG. 9A and the instruction detail DB 32 in FIG. Data is transmitted to generate a screen as shown in FIG. Since the screen generation unit 26 transmits the generated screen data to the user terminal 70 via the input / output processing unit 20, the screen of FIG. 6C is displayed on the display unit 193 in the user terminal 70. Will be.

  In the screen of FIG. 6 (c), it is necessary to perform vital sign measurement on a cycle of 11:00, 16:00, and 20:00 on November 1, and on other days, 11:00 and 16:00. What needs to be done in a cycle is displayed in an easy-to-understand manner. In FIG. 6C, the newly displayed nursing schedule presentation condition is described as “one day at 20:00”, but this is indicated by the order number in the instruction DB 30 as shown in FIG. 9A. . This is because the period determined by the instruction start date and time and the instruction end date and time of = 00002 is one day.

  In the following, the screen shown in FIG. 6C is also displayed when the nurse issues a request to display a nursing schedule with patient ID = 90001.

  As can be understood from the above description, in the present embodiment, the information display unit 24, the screen generation unit 26, and the input / output processing unit 20, including the first display unit for displaying the nursing schedule and the instruction change screen are displayed. A function as the second display unit is realized.

  As described above in detail, according to the present embodiment, the information processing unit 24 relates to the content of the nursing instruction, the time (cycle) at which the nursing instruction should be performed, and the nursing instruction content at this time (cycle). Referring to the instruction DB 30 and the instruction detail DB 32 storing the period for which nursing is to be performed (the period specified by the instruction start date and the instruction end date), the period for which the nursing instruction is to be performed using the screen generation unit 26 Is displayed (S10, FIG. 6 (a)). Then, the information processing unit 24 should give the same nursing instruction as the period for the day according to selection of any day included in the period (S12, S14) in the displayed nursing schedule. An instruction change screen (FIG. 7) for adding a time (cycle) is displayed using the screen generator 26 (S20). As a result, the nurse should select one of the nursing schedule periods and select a time (cycle) on the displayed instruction change screen, so that the nurse should carry out the nursing instruction on the selected day. Time (cycle) can be added. Thus, in this embodiment, since it is possible to easily change the cycle of the nursing instruction on any day of the period in which the nursing instruction should be performed, the nurse can change the nursing schedule with a simple operation. It becomes possible to do.

  In this embodiment, the instruction change screen is a screen for adding a new time to the time (cycle) stored in the instruction detail DB 32 in association with the period, so the nurse specifies a new time. The nursing schedule can be changed by performing a simple operation.

  Further, in this embodiment, the nursing instruction registration unit 22 indicates the contents of the nursing instruction, the time (cycle) input on the instruction change screen, and the day selected by the nurse (the day when the nurse clicked). And stored in the instruction detail DB 32. As a result, even if a cycle is added on any day of the period, it is not divided into three data such as data before the day, data of the day, and data after the day. Two types of data can be used: data and data of the day. Thereby, data can be simplified.

  In the present embodiment, as shown in FIG. 6C, the information processing unit 24 displays the nursing schedule newly registered on the instruction change screen along with the original nursing schedule. The registered information can be displayed easily.

  Here, a comparative example will be described. FIG. 10A shows a screen image displayed in the comparative example. In the example shown in FIG. 10A, it is assumed that the condition is changed only on a specific day (for example, November 1) among nursing instructions (vital sign measurement) given to a patient as in the above embodiment. In this case, the nurse needs to change the instruction conditions after a specific day (November 1) and restore the instruction conditions after the next day (November 2). there were. Such an operation is necessary because the data for the subsequent period is overwritten when the instruction condition is changed. In addition, after performing the said operation, as shown in FIG.10 (b), the display (white circle display) different on the day when the instruction | indication conditions were changed, and the day which was not changed were displayed. In this comparative example, the operation for changing the instruction condition is more complicated than in the above embodiment, and a plurality of instruction conditions are displayed in one line, so that it is difficult to see.

  In the above embodiment, the case where the start date and time and the end date and time can be changed on the instruction change screen (FIG. 7) has been described. However, the present invention is not limited to this, and each date and time may not be changed. In this case, step S22 may be performed before step S18. Further, only one of the dates and times may be changed.

  In the above embodiment, the case where the instruction DB 30 and the instruction detail DB 32 are separate databases has been described. However, the present invention is not limited to this, and the instruction DB 30 and the instruction detail DB 32 may be combined into one database.

  The above processing functions can be realized by a computer. In that case, a program describing the processing contents of the functions that the processing apparatus should have is provided. By executing the program on a computer, the above processing functions are realized on the computer. The program describing the processing contents can be recorded on a computer-readable recording medium (except for a carrier wave).

  When the program is distributed, for example, it is sold in the form of a portable recording medium such as a DVD (Digital Versatile Disc) or a CD-ROM (Compact Disc Read Only Memory) on which the program is recorded. It is also possible to store the program in a storage device of a server computer and transfer the program from the server computer to another computer via a network.

  The computer that executes the program stores, for example, the program recorded on the portable recording medium or the program transferred from the server computer in its own storage device. Then, the computer reads the program from its own storage device and executes processing according to the program. The computer can also read the program directly from the portable recording medium and execute processing according to the program. Further, each time the program is transferred from the server computer, the computer can sequentially execute processing according to the received program.

  The above-described embodiment is an example of a preferred embodiment of the present invention. However, the present invention is not limited to this, and various modifications can be made without departing from the scope of the present invention.

In addition, the following additional remarks are disclosed regarding description of the above embodiment.
(Supplementary Note 1) The nursing instruction content is referred to the storage unit that stores the nursing instruction content, the cycle in which the nursing instruction content is to be implemented, and the period in which the nursing instruction content is to be implemented in the cycle. Display a nursing schedule showing how long the content should be implemented;
In response to the selection of any day included in the period among the displayed nursing schedules, a registration screen of a cycle in which the nursing instruction content is the nursing instruction content for the selected day is displayed.
A nursing schedule editing support program characterized by causing a computer to execute processing.
(Additional remark 2) The said registration screen is a screen which adds a new cycle to the cycle memorize | stored in the said memory | storage part in association with the said period, The nursing schedule edit assistance program of Additional remark 1 characterized by the above-mentioned .
(Additional remark 3) The said nursing instruction | indication content, the cycle registered in the said registration screen, and the said date made into object are memorize | stored in the said memory | storage part, The process is further performed by the computer characterized by the above-mentioned Or the nursing schedule edit assistance program of 2 description.
(Additional remark 4) The process which displays the nursing schedule based on the information memorize | stored by the process memorize | stored with the said nursing schedule displayed by the process which displays the said nursing schedule is further performed by the computer. Nursing schedule editing support program described in 1.
(Additional remark 5) With reference to the memory | storage part which memorize | stored the nursing instruction content, the cycle which should perform the said nursing instruction content, and the period which should perform the nursing which concerns on the said nursing instruction content in the said cycle, the said nursing instruction Display a nursing schedule showing how long the content should be implemented;
In response to the selection of any day included in the period among the displayed nursing schedules, a registration screen of a cycle in which the nursing instruction content is the nursing instruction content for the selected day is displayed.
A nursing schedule editing support method, characterized in that a computer executes processing.
(Additional remark 6) The said registration screen is a screen which adds a new cycle to the cycle memorize | stored in the said memory | storage part in association with the said period, The nursing schedule edit assistance method of Additional remark 5 characterized by the above-mentioned .
(Supplementary note 7) The computer further executes a process of storing the contents of the nursing instruction, the cycle registered on the registration screen, and the target date in the storage unit. Or the nursing schedule edit assistance method of 6.
(Supplementary Note 8) The computer further executes a process of displaying a nursing schedule based on the information stored in the storing process together with the nursing schedule displayed in the process of displaying the nursing schedule. The nursing schedule editing support method described in 1.
(Additional remark 9) The memory | storage part which memorize | stored the nursing instruction content, the cycle which should implement the said nursing instruction content, and the period which should perform the nursing which concerns on the said nursing instruction content in the said cycle,
A first display unit that refers to the storage unit and displays a nursing schedule indicating a period during which the nursing instruction content is to be implemented;
Of the nursing schedule displayed by the first display unit, according to the selection of any day included in the period, the selected day is targeted, and the nursing instruction content is the nursing instruction content. A second display for displaying a registration screen;
Nursing schedule editing support device.
(Additional remark 10) The said registration screen is a screen which adds a new cycle to the cycle memorize | stored in the said memory | storage part in association with the said period, The nursing schedule edit assistance apparatus of Additional remark 9 characterized by the above-mentioned. .
(Additional remark 11) The nursing schedule edit of additional remark 9 or 10 further provided with the memory | storage process part memorize | stored in the said memory | storage part which memorize | stores the said nursing instruction | indication content, the cycle registered in the said registration screen, the said target, and the said memory | storage part Support device.
(Additional remark 12) The said 1st display part displays the nursing schedule based on the information which the said memory | storage process part memorize | stored in the said memory | storage part with the displayed said nursing schedule, The nursing schedule of Additional remark 11 characterized by the above-mentioned Editing support device.

10 server (nursing schedule editing support device)
20 Input / output processing part (part of the first display part, part of the second display part)
22 Nursing instruction registration unit (memory processing unit)
24 Information processing unit (part of the first display unit, part of the second display unit)
26 Screen generator (part of the first display unit, part of the second display unit)

Claims (6)

The nursing instruction content is implemented with reference to a storage unit that stores the nursing instruction content, the cycle in which the nursing instruction content should be performed, and the period in which nursing according to the nursing instruction content should be performed in the cycle. Display a nursing schedule showing the period
In response to the selection of any day included in the period among the displayed nursing schedules, a registration screen of a cycle in which the nursing instruction content is the nursing instruction content for the selected day is displayed.
A nursing schedule editing support program characterized by causing a computer to execute processing.   The nursing schedule editing support program according to claim 1, wherein the registration screen is a screen for adding a new cycle to a cycle stored in the storage unit in association with the period.   The said nursing instruction content, the cycle registered in the said registration screen, and the said date made into object are memorize | stored in the said memory | storage part, The process is further performed to the computer. Nursing schedule editing support program described.   The computer according to claim 3, further comprising: causing the computer to further execute a process of displaying a nursing schedule based on the information stored in the storing process together with the nursing schedule displayed in the process of displaying the nursing schedule. Nursing schedule editing support program. The nursing instruction content is implemented with reference to a storage unit that stores the nursing instruction content, the cycle in which the nursing instruction content should be performed, and the period in which nursing according to the nursing instruction content should be performed in the cycle. Display a nursing schedule showing the period
In response to the selection of any day included in the period among the displayed nursing schedules, a registration screen of a cycle in which the nursing instruction content is the nursing instruction content for the selected day is displayed.
A nursing schedule editing support method, characterized in that a computer executes processing. A storage unit storing nursing instruction content, a cycle in which the nursing instruction content is to be performed, and a period in which nursing according to the nursing instruction content is to be performed in the cycle;
A first display unit that refers to the storage unit and displays a nursing schedule indicating a period during which the nursing instruction content is to be implemented;
Of the nursing schedule displayed by the first display unit, according to the selection of any day included in the period, the selected day is targeted, and the nursing instruction content is the nursing instruction content. A second display for displaying a registration screen;
Nursing schedule editing support device.

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