JP2019144819A - Management program, management method, and management device - Google Patents

Abstract

To restrain unwanted alarms from outputting.SOLUTION: Disclosed is a device for causing a computer to execute processing of: obtaining, when a prescribed time has elapsed since a patient hospitalized deviates from a first area assigned to the patient, information expressing a schedule set in accordance with a medical treatment of the patient from an electronic medical record system; identifying a second area concerning a place of the patient predicted based on the information expressing the schedule; and transmitting, when the absence of the patient from the identified second area is detected, a request to output an alarm to a prescribed terminal.SELECTED DRAWING: Figure 9

Description

  The present invention relates to a management program, a management method, and a management apparatus.

  Conventionally, a technique for preventing a patient's wrinkle or the like in a medical institution or the like is known. As one of the techniques, for example, a technique for sending an alarm to a nurse terminal when a hospitalized patient leaves a bed or the like for a certain time is known.

JP 2001-184408 A JP 2005-278864 A JP 2004-348717 A

  In the conventional technology described above, for example, when an alarm is output to the nurse terminal even when the patient is moving to a treatment room or while the patient is undergoing an examination or treatment. There is. In such a case, an unnecessary alarm is output to the nurse's terminal, which may increase the burden on the nurse to deal with.

  In one aspect, the present invention is directed to suppressing unnecessary alarm output.

  In one aspect, when a predetermined time has elapsed since a hospitalized patient has deviated from the first area assigned to the patient, a schedule set in accordance with the treatment of the patient is obtained from an electronic medical record system. An alarm when detecting that the patient is not in the specified second area, acquiring information indicating, identifying a second area related to the patient's whereabouts predicted based on the information indicating the schedule The output request is transmitted to a predetermined terminal, and the computer is caused to execute the process.

  Each of the above processes may be a functional unit that realizes each of the above processes, a procedure that realizes each of the processes, or may be a computer-readable storage medium that stores a program that causes a computer to execute each process.

  Unnecessary alarm output can be suppressed.

It is a figure which shows an example of the system configuration | structure of the management system of 1st embodiment. It is a figure which shows an example of the hardware constitutions of the management apparatus of 1st embodiment. It is a figure which shows an example of the movement database of 1st embodiment. It is a figure which shows an example of the absence time tolerance database of 1st embodiment. It is a figure which shows an example of the patient state database of 1st embodiment. It is a figure which shows an example of the patient schedule database of 1st embodiment. It is a figure which shows an example of the reception status database of 1st embodiment. It is a figure explaining the function of the management process part of 1st embodiment. It is a flowchart explaining operation | movement of the management apparatus of 1st embodiment. It is a figure which shows an example of the system configuration | structure of the management system of 2nd embodiment. It is a figure which shows an example of the patient schedule database of 2nd embodiment. It is a figure which shows an example of the present location database of 2nd embodiment. It is a figure which shows an example of the audio | voice database of 2nd embodiment. It is a figure which shows an example of the face authentication database of 2nd embodiment. It is a figure which shows an example of the daily activity database of 2nd embodiment. It is a figure explaining the function of the management process part of 2nd embodiment. It is a flowchart explaining operation | movement of the management apparatus of 2nd embodiment.

(First embodiment)
The first embodiment will be described below with reference to the drawings. FIG. 1 is a diagram illustrating an example of a system configuration of a management system according to the first embodiment.

  The management system 100 of this embodiment includes a management device 200, an electronic medical record system 300, and a nurse call system 400.

  The management system 100 of this embodiment is provided in a medical institution, for example, and manages the state of a patient admitted to the medical institution, for example.

  The management apparatus 200 of this embodiment is connected to the electronic medical record system 300 and the nurse call system 400 via a network or the like. For example, when it is detected that the patient is absent from the bed or the like for a predetermined time, the management apparatus 200 refers to the schedule of the patient managed in the electronic medical record system 300 and determines whether or not the patient is at the planned location. Is detected. In addition, when the management apparatus 200 detects the absence of a patient at a planned location in the electronic medical chart system 300, the management apparatus 200 requests the nurse call system 400 to output an alarm.

  As described above, when the patient is absent from the bed or the like, the management apparatus 200 according to the present embodiment determines whether or not an alarm output is necessary in cooperation with the electronic medical record system 300. Therefore, according to the present embodiment, even when the patient is absent from the bed for a predetermined time or more, no alarm is output when an examination, treatment, examination, or the like is received. Therefore, according to the present embodiment, unnecessary alarm output can be suppressed.

  The management apparatus 200 according to the present embodiment includes a movement database 210, an absence time allowance database 220, a patient status database 230, and a management processing unit 240.

  The movement database 210 stores information on the movement time from one place to another place in a medical institution or the like where the management system 100 is introduced. The absence time allowance database 220 stores information indicating an allowable time even if the patient (input patient) is absent from the bed or the like. The patient status database 230 stores information indicating the patient status.

  The management processing unit 240 refers to the absence time allowance database 220 and detects that the absence of the patient in the area (first area) assigned to the patient, such as a bed or a hospital room, is greater than or equal to the allowable time. Then, the management processing unit 240 refers to the patient schedule managed by the electronic medical chart system 300 and the movement database 210 to determine whether or not the absence of the patient is an unscheduled action, and the result is In response, an alarm is output to the nurse call system 400.

  The electronic medical chart system 300 of this embodiment is a system that manages information such as medical records, examination orders, prescriptions, and image / inspection results for each patient.

  Information managed by the electronic medical record system 300 includes items input by doctors of medical institutions and items input by medical staff such as nurses and laboratory technicians. The electronic medical record system 300 includes, for example, a server storing information to be managed, and a terminal device for a doctor, medical staff, and the like to browse information and input information.

  The electronic medical record system 300 according to the present embodiment includes, for example, a patient schedule database 310 and an acceptance status database 320.

  The patient schedule database 310 stores information indicating a schedule for each patient. The reception state database 320 stores information indicating whether or not the patient has undergone examinations, treatments, examinations, and the like included in the patient's schedule.

  The nurse call system 400 receives an alarm output request from the management apparatus 200 and outputs an alarm. The nurse call system 400 may output the alarm as, for example, a general nurse call.

  Next, the management apparatus 200 of this embodiment will be described. FIG. 2 is a diagram illustrating an example of a hardware configuration of the management apparatus according to the first embodiment.

  The management device 200 according to the present embodiment includes an input device 21, an output device 22, a drive device 23, an auxiliary storage device 24, a memory device 25, an arithmetic processing device 26, and an interface device 27 that are connected to each other via a bus B. .

  The input device 21 is a device for inputting various information, and is realized by, for example, a keyboard or a pointing device. The output device 22 is for outputting various kinds of information, and is realized by, for example, a display. The interface device 27 includes a LAN card or the like and is used for connecting to a network.

  The management program that implements the management processing unit 240 and the like is at least a part of various programs that control the management apparatus 200. The management program is provided, for example, by distributing the storage medium 28 or downloading from the network. The storage medium 28 storing the management program stores information such as a CD-ROM, a flexible disk, a magneto-optical disk, etc., a storage medium for recording information optically, electrically or magnetically, a ROM, a flash memory, etc. Various types of storage media such as a semiconductor memory for electrical recording can be used.

  The management program is installed from the storage medium 28 to the auxiliary storage device 24 via the drive device 23 when the storage medium 28 storing the management program is set in the drive device 23. The management program downloaded from the network is installed in the auxiliary storage device 24 via the interface device 27.

  The auxiliary storage device 24 stores the installed management program, and also stores necessary files, data, and the like such as the movement database 210, the absence time allowance database 220, and the patient condition database 230 described above. The memory device 25 reads and stores the management program from the auxiliary storage device 24 when the management device 200 is activated. The arithmetic processing unit 26 implements various processes as described later according to the management program stored in the memory device 25.

  Next, each database included in the management apparatus 200 will be described with reference to FIGS. Each database of the management device 200 may be stored in a storage area such as the auxiliary storage device 24, for example.

  FIG. 3 is a diagram illustrating an example of the migration database according to the first embodiment. In the present embodiment, the movement database 210 is given to the management apparatus 200 in advance.

  The movement database 210 includes information items such as type, room, ward, ward, and average movement time, and each item is associated. In the following description, information including the value of each item in the movement database 210 is referred to as movement information.

  The value of the item “type” indicates the type of examination or treatment performed on the patient. The value of the item “room” indicates the name of the place (room) where the examination or treatment is performed. The value of the item “ward” indicates the ward name of a medical institution or the like in which the management system 100 is introduced.

  The value of the item “patient room” indicates the name of a hospital room of a medical institution or the like in which the management system 100 is introduced. The value of the item “average travel time” is the average value of the travel time from the location indicated by the value of the item “room” to the location indicated by the item “patient room”. Note that the value of the item “average travel time” is a value calculated from the travel times of a plurality of patients, nurses, and the like.

  In the example of FIG. 3, for example, it can be seen that the average travel time between the imaging room 2 performing MRI (Magnetic Resonance Imaging) examination and the room 301 in the ward 3A is 17 minutes.

  In FIG. 3, although the average travel time from the hospital room to the location indicated by the value of the item “room” is stored, the present invention is not limited to this. In the movement database 210, for example, information indicating an average moving time from the photographing room 1 to the photographing room 2 may be stored.

  FIG. 4 is a diagram illustrating an example of the absence time allowance database according to the first embodiment. The absence time allowance database 220 of this embodiment may be given to the management apparatus 200 in advance.

  The absence time allowance database 220 includes patient ID, time zone, and absence allowance time as information items, and the item “patient ID” is associated with other items. In the following description, information including the value of the item “patient ID” and the values of other items in the absence time allowance database 220 will be referred to as absence allowance time information.

  The value of the item “patient ID” is identification information for specifying a patient. The value of the item “time zone” indicates a time zone in one day. The value of the item “permissible absence time” indicates a time during which absence is permitted in the corresponding time zone. In addition, the value of the item “absence allowable time” in the present embodiment is a time during which the patient is allowed to be absent continuously in the corresponding time zone.

  In the example of FIG. 4, it can be seen that the patient with the patient ID “0001” is allowed to be absent for 10 minutes in the morning.

  FIG. 5 is a diagram illustrating an example of a patient state database according to the first embodiment. In the patient status database 230 of the present embodiment, information indicating the patient status acquired by the management processing unit 240 is accumulated.

  The patient state database 230 has patient ID, date and state as information items, and the value of the item “patient ID” is associated with other items. In the following description, information including the value of the item “patient ID” and the values of other items in the patient state database 230 is referred to as patient state information.

  The value of the item “date and time” indicates the date and time when the patient state information is acquired. The value of the item “state” indicates the state of the patient. In the present embodiment, the value of the item “state” includes the location where the patient is staying, information indicating whether an alarm is output, and whether the patient has received reception for examination or treatment. The information shown is included.

  In the example of FIG. 5, it can be seen that the patient with the patient ID “0001” resides in the hospital room where his / her bed is located at 12:30 on December 4, 2017.

  The electronic medical record system 300 according to the present embodiment may include a patient database in which patient information including a patient's name, sex, age, hospitalized room, and disease name is stored. Further, the management apparatus 200 may have this patient database.

  Next, the patient schedule database 310 and the reception status database 320 stored in the electronic medical chart system 300 will be described with reference to FIGS. 6 and 7.

  FIG. 6 is a diagram illustrating an example of a patient schedule database according to the first embodiment. The patient schedule database 310 of this embodiment is provided in a storage device of a server included in the electronic medical chart system 300 or the like. The patient schedule database 310 stores information indicating schedules related to patient treatment, such as examinations, treatments, and medical examinations performed on patients. In other words, the patient schedule database 310 stores information indicating a schedule set according to the patient's treatment.

  The patient schedule database 310 of this embodiment includes at least a patient ID, a record type, a type, a room, and a date as information items, and the item “patient ID” is associated with other items. In the following description, in the patient schedule database 310, information including the value of the item “patient ID” and the values of other items is referred to as schedule information.

  The value of the item “record type” indicates the job type of the staff member who entered the schedule information. For example, when the value of the item “record type” is “request”, it may indicate that the schedule information is input by a doctor. The value of the item “type” indicates the type of examination or treatment performed on the patient. The value of the item “date / time” indicates the start date / time and the end date / time of the examination or treatment indicated by the value of the item “type”.

  In the example of FIG. 6, the patient with the patient ID “0001” is scheduled to undergo an examination named “general imaging” in the imaging room 1 between 13:00 and 13:30 on December 4, 2017. I know that there is.

  The schedule information stored in the patient schedule database 310 may include items other than the items shown in FIG. Specifically, for example, the schedule information may include an examination room where an examination is performed, an item indicating a room where treatment or medical examination is received, an item indicating the name of a technician or doctor in charge, and the like.

  FIG. 7 is a diagram illustrating an example of an acceptance state database according to the first embodiment. The reception status database 320 of this embodiment includes patient ID, record type, type, room, reception status, reception date and time as information items, and the item “patient ID” is associated with other items. In the following description, in the reception status database 320, information including the value of the item “patient ID” and the values of other items is referred to as reception status information.

  For example, in the electronic medical chart system 300, the reception status information of the present embodiment may be stored in the reception status database 320 in conjunction with the schedule information when the schedule information is input.

  The value of the item “acceptance state” indicates whether or not the patient has accepted to receive an examination or treatment indicated by the value of the item “type”.

  Specifically, for example, when a patient undergoes an examination “general radiography”, the patient moves to an examination room where “general radiography” is performed, and accepts the examination in the examination room.

  At this time, the examination room staff inputs to the reception status database 320 that the patient has received reception for receiving an examination called “general imaging”. The value input here is stored in the reception state database 320 as the value of the item “reception state”.

  In the present embodiment, when the value of the item “acceptance status” is “accepted”, it indicates that the acceptance has been performed, and when the value of the item “acceptance status” is “unaccepted” Indicates that no reception has been made.

  In the present embodiment, when the reception status information is stored in the patient status database 230, the value of the item “acceptance status” is “unaccepted” as an initial value.

  The value of the item “acceptance date and time” indicates the date and time when the value of the item “acceptance status” is changed from “not accepted” to “accepted”. Therefore, when the reception status information is stored in the reception status database 320, the value of the item “acceptance date and time” is not present.

  In the example of FIG. 7, for example, it can be seen that the patient with the patient ID “0001” received the examination at 12:45 on Dec. 4, 2017 in order to receive the examination “general imaging” in the imaging room 1. Further, in the example of FIG. 7, for example, it is understood that the patient with the patient ID “0001” has not yet received the reception for “surgery”.

  The electronic medical record system 300 according to the present embodiment notifies that the reception has been performed when the value of the item “acceptance status” is changed from “not received” to “accepted” in the reception status database 320. May be transmitted to the management apparatus 200.

  Next, the function of the management processing unit 240 included in the management apparatus 200 will be described with reference to FIG. FIG. 8 is a diagram illustrating functions of the management processing unit according to the first embodiment.

  The management processing unit 240 of this embodiment includes a patient position detection unit 241, an allowable time determination unit 242, a schedule determination unit 243, a movement determination unit 244, an acceptance state determination unit 245, a state storage unit 246, and an alarm output unit 247.

  The patient position detection unit 241 detects the position of the patient for each patient. The detection of the patient position will be described below.

  In a medical institution or the like in which the management system 100 according to the present embodiment is introduced, for example, cameras are installed on the side of a hospital room or a patient's bed, in an examination room or treatment room, in the vicinity of an entrance of an examination room, in a shop or a canteen. Also good. In this case, image data of an image captured by a camera set at each location may be stored in the electronic medical chart system 300 or the like.

  In this case, for example, the patient position detection unit 241 holds image data of an image obtained by imaging the patient's face for each patient, and collates this image data with image data stored in the electronic medical chart system 300. Then, the location (position) of the patient may be specified.

  Further, in a medical institution or the like in which the management system 100 according to the present embodiment is introduced, for example, a beacon signal is transmitted to a side of a hospital room or a patient's bed, an examination room or a treatment room, the entrance of an examination room, a store or a restaurant A transmitter may be installed. In this embodiment, the patient is caused to wear a receiver that receives a beacon signal and transmits a response signal to the transmitter. The receiver may be attached to the patient as a wristband, for example.

  In this case, the patient position detection unit 241 may detect the position of the patient based on the installation position of the transmitter that has received the notification indicating that the response signal has been received from the receiver worn by the patient.

  In this embodiment, for example, a sensor is provided in the bed used by the patient, and the sensor may detect that the patient has left the bed.

  The allowable time determination unit 242 detects that the patient is not in the area assigned to the patient. Further, the allowable time determination unit 242 refers to the absence time allowance database 220 to determine whether or not the time during which the patient is absent from the area is within the absence allowance time. That is, the allowable time determination unit 242 of the present embodiment detects that a predetermined time has elapsed since the patient deviated from the area to which the patient was assigned.

  In the present embodiment, the area allocated to the patient is, for example, a patient's bed or a hospital room in which the patient is hospitalized. In the present embodiment, for example, for a patient whose symptoms are relatively light, a hospital room input by the patient may be an area assigned to the patient. Further, in the present embodiment, for patients whose symptoms are relatively heavy and who need to rest, the patient's bed may be an area assigned to the patient.

  The schedule determination unit 243 refers to the patient schedule database 310 of the electronic medical record system 300, compares the patient's schedule with the patient position detected by the patient position detection unit 241, and the patient behaves as scheduled. It is determined whether or not.

  The movement determination unit 244 refers to the movement database 210, acquires an average movement time corresponding to the patient's schedule, and determines whether or not the patient is moving.

  The reception state determination unit 245 refers to the reception state database 320 of the electronic medical chart system 300 to determine whether or not the patient has received reception for receiving a scheduled examination or treatment.

  The state storage unit 246 stores patient state information in the patient state database 230.

  The alarm output unit 247 makes an alarm output request to the nurse call system 400 in accordance with the determination result by each determination unit described above. In other words, the alarm output unit 247 issues an alarm to a predetermined terminal when it is determined from the determination result of each determination unit that the user is absent from the planned location (second area) in the electronic medical chart system 300. It plays the role of the output part which transmits the output request.

  In the present embodiment, the patient's whereabouts (second area) may be, for example, one place (one place) or an area including one place.

  Below, with reference to FIG. 9, operation | movement of the management apparatus 200 of this embodiment is demonstrated. FIG. 9 is a flowchart for explaining the operation of the management apparatus according to the first embodiment. The management apparatus 200 according to the present embodiment repeatedly executes the process illustrated in FIG. 9 at predetermined time intervals.

  In the management apparatus 200 of the present embodiment, the management processing unit 240 detects the position of the patient by the patient position detection unit 241 and determines whether or not the patient is in the area assigned to the patient (step S901). . In other words, the management processing unit 240 determines whether or not the patient is absent from the area assigned to the patient.

  In step S901, when the patient is in the allocated area, the management processing unit 240 proceeds to step S906 described below.

  In step S901, when the patient is not present in the area assigned to the patient, the management processing unit 240 determines whether or not the allowable absence time has passed by the allowable time determination unit 242 (step S902). .

  Specifically, the allowable time determination unit 242 acquires the patient ID of the patient whose absence is detected and information indicating the date and time when the absence is detected, and corresponds to the patient ID in the absent time allowable database 220. Refer to the allowable absence time information. Then, the allowable time determination unit 242 acquires the allowable absence time corresponding to the time zone in which the absence is detected, and determines whether or not the allowable absence time has elapsed since the absence of the patient was detected.

  In step S902, when the absence allowable time has not elapsed, the management processing unit 240 returns to step S901.

  In step S902, when the absence allowable time has elapsed, the management processing unit 240 extracts the patient schedule database 310 of the electronic medical chart system 300 using the schedule determination unit 243, and determines whether there is a plan for examination or treatment (step S903). ).

  Specifically, the schedule determination unit 243 refers to the patient schedule database 310 of the electronic medical record system 300 and detects the absence of the item “date and time” from the schedule information including the patient ID of the patient whose absence is detected. It is determined whether or not there is schedule information including the date and time set.

  If the corresponding schedule information exists in step S903, it can be understood that the detected absence is due to the schedule set in the schedule information. Therefore, when the schedule determination unit 243 receives the reception information linked with the schedule information, it can be said that the patient whose absence is detected is acting as scheduled as indicated by the schedule information.

  Therefore, when the corresponding schedule information exists in step S903 and the reception information corresponding to the schedule information is received, the management processing unit 240 proceeds to step S906 described later.

  In step S903, when the corresponding schedule information does not exist, the management processing unit 240 refers to the movement database 210 by the movement determination unit 244 and determines whether the date and time when the absence is detected is in the movement time. (Step S904).

  Specifically, the movement determination unit 244 determines the start time and end time, which are the values of the item “date and time” included in the schedule information including the patient ID of the patient extracted in step S903, and the value of the item “room”. get. Then, the movement determination unit 244 refers to the movement database 210 and acquires the value of the item “room” acquired from the schedule information and the movement time between the patient room where the patient is hospitalized.

  Then, the movement determination unit 244 determines whether or not the movement time includes the date and time when the patient was detected from the acquired movement time and the start time and end time that are values of the item “date and time” included in the schedule information. Judging.

  In step S904, when the date and time when the absence of the patient is detected is during the movement time, the management processing unit 240 proceeds to step S906 described below.

  In step S904, when the date and time when the absence of the patient is detected is not in the travel time, the management processing unit 240 causes the reception state reference unit 245 to perform a treatment or examination not included in the schedule information stored in the patient schedule database 310. It is determined whether or not reception information indicating reception has been received (step S905). At this time, the reception status reference unit 245 determines whether or not the reception information has been received between the date and time when the process of FIG. 9 was last executed and the date and time when the absence of the patient was detected. .

  The case where the management apparatus 200 receives reception information indicating reception of a position or inspection that is not included in the schedule information indicates that some inspection or treatment is being urgently performed.

  Therefore, if the corresponding reception information is received in step S905, the process proceeds to step S906 described later. The management processing unit 240 of this embodiment stores new patient status information in the patient status database 230 by the status storage unit 246 (step S906), and ends the process.

  Here, the patient state information stored in the patient state database 230 will be described. For example, when the date and time when the absence of the patient is detected in step S903 is the time when the examination or treatment is performed, the state storage unit 246 determines the patient ID and the date and time when the absence of the patient is detected. The patient status information in which the corresponding patient status (under examination / treatment) is associated is stored in the patient status database 230.

  Further, for example, when the date and time when the absence of the patient is detected in step S904 is a travel time, the state storage unit 246 detects the patient ID of the patient, the date and time when the absence of the patient is detected, and the corresponding patient. The patient status information in which the status (moving) is associated is stored in the patient status database 230.

  Further, for example, when the unscheduled reception information is received when the absence of the patient is detected in step S905, the state storage unit 246 detects the patient ID of the patient, the date and time when the absence of the patient is detected, Patient state information in which the corresponding patient state (emergency examination / treatment) is associated is stored in the patient state database 230.

  In step S905, if the corresponding reception information has not been received, the patient has been absent in the allocated area for a time longer than the allowable absence time for a reason other than the examination, treatment, and movement for that purpose. Indicates that there is a possibility of a flaw or the like.

  Therefore, in this embodiment, when the corresponding reception information is not received in step S905, the alarm output unit 247 issues an alarm output request to the nurse call system 400 (step S907), and the process is terminated. .

  That is, the allowable time determination unit 242, the schedule determination unit 243, the movement determination unit 244, and the reception state reference unit 245 of the management processing unit 240 according to the present embodiment detect the absence of the allocated area for a time longer than the absence allowable time. For a patient who has been made, he plays the role of an acquisition unit that acquires the schedule information of the patient and a specific unit that specifies the location (second region) of the scheduled patient based on the schedule information.

  Thus, according to the present embodiment, the management apparatus 200 is linked to the electronic medical record system 300. In the present embodiment, the patient is scheduled with reference to the patient schedule information managed in the electronic medical record system 300 after the allowable absence time has elapsed since the absence of the patient in the bed, the hospital room, or the like has been detected. If it is not in the designated location, an alarm output request is transmitted to the nurse call system 400.

  Therefore, according to the present embodiment, when a patient's room is absent for receiving examinations and treatments, an alarm is not output, and an unnecessary alarm output can be suppressed, so that an alarm can be handled. The burden on medical staff can be reduced.

  When the management apparatus 200 according to the present embodiment transmits an alarm output request to the nurse call system 400, the management apparatus 200 displays a message indicating that on the display of the management apparatus 200, a terminal described as the management apparatus 200, or the like. May be.

(Second embodiment)
The second embodiment will be described below with reference to the drawings. The second embodiment is different from the first embodiment in that it is excluded from an alarm output target even when it is absent due to a patient's personal reasons other than examination and treatment. Therefore, in the following description of the second embodiment, only differences from the first embodiment will be described, and those having the same functional configuration as the first embodiment will be described for the first embodiment. The same reference numerals as those used in FIG.

  FIG. 10 is a diagram illustrating an example of a system configuration of the management system according to the second embodiment. The management system 100A of this embodiment includes a management device 200A, an electronic medical record system 300A, and a nurse call system 400.

  The management apparatus 200 </ b> A includes a movement database 210, absence time allowance database 220, patient status database 230, management processing unit 240 </ b> A, patient schedule database 250, current position database 260, voice database 270, and face authentication database 280.

  The electronic medical record system 300 </ b> A according to the present embodiment includes a patient schedule database 310, a reception status database 320, and a daily behavior database 330.

  FIG. 11 is a diagram illustrating an example of a patient schedule database according to the second embodiment. The patient schedule database 250 of this embodiment stores information indicating a patient schedule. In this embodiment, for example, a terminal or the like for inputting a patient's schedule is arranged in the patient's room or bedside, and the patient's schedule is input when the patient's schedule is input via this terminal. Information is stored in the patient schedule database 250. In addition, a patient's schedule may be input from portable terminals, such as a mobile phone and a smart phone which a patient has.

  The patient schedule database 250 includes patient ID, date, time zone, location, and contents as information items, and the item “patient ID” is associated with other items. In the following description, information including the value of the item “patient ID” and the values of other items in the patient schedule database 250 is referred to as patient schedule information.

  The value of the item “date” indicates the date on which the schedule is set. The value of the item “time zone” indicates a time zone in which a schedule is set. The value of the item “place” indicates a place where the patient stays on the corresponding date and time zone. The value of the item “content” indicates the content of the schedule.

  In the example of FIG. 11, it can be seen that the patient with the patient ID “0001” is scheduled to stay in the common room from 15:00 to 17:00 on December 11, 2017 for the correspondence of the visitors.

  FIG. 12 is a diagram illustrating an example of a current position database according to the second embodiment. The current position database 260 of the present embodiment stores information indicating the current position of the patient every time the patient position detection unit 241 detects the position of the patient.

  The current position database 260 of this embodiment has patient ID, date, time, and current position as information items, and the item “patient ID” and other items are associated with each other. In the following description, information including the value of the item “patient ID” and the values of other items in the current position database 260 is referred to as patient position information.

  The value of the item “time” indicates the time when the patient position information is acquired. The value of the item “current position” indicates the current position of the patient detected by the patient position detection unit 241.

  In the example of FIG. 12, it can be seen that the current position of the patient with the patient ID “0001” of 15:00 on December 11, 2017 is the common room.

  In addition, in this embodiment, it has a memory | storage part etc. which were provided in the medical institution and memorize | stored the information which matched the some transmitter which transmits a beacon signal, and the place where each transmitter was installed. Also good. Then, the patient position detection unit 241 refers to this storage unit, identifies the transmitter that has received the response signal from the receiver worn by the patient, and determines the location where the identified transmitter is installed as the current location of the patient. It is good also as a position.

  FIG. 13 is a diagram illustrating an example of a voice database according to the second embodiment. The voice database 270 of this embodiment is provided in the management apparatus 200A in advance. In the present embodiment, for example, when a patient is admitted to a medical institution, information in which voice data spoken by the patient in advance and instruction content indicated by the voice are stored in the voice database 270.

The voice database 270 of this embodiment has patient IDs, recording date / time voice data, and instruction contents as information items, and the item “patient ID” is associated with other items. In the following description, information including the value of the item “patient ID” and the values of other items in the voice database 270 is referred to as voice information.

  The value of the item “recording date and time” indicates the date and time when the audio data was recorded. The value of the item “voice data” is recorded voice data. The value of the item “instruction content” indicates the content of the instruction to the management apparatus 200A.

  In the example of FIG. 13, when the patient with the patient ID “0001” utters “nurse call”, a nurse call output request is transmitted to the nurse call system 400.

  FIG. 14 is a diagram illustrating an example of a face authentication database according to the second embodiment. The face authentication database 280 of this embodiment is provided in advance in the management apparatus 200A. In the present embodiment, when a patient is admitted to a medical institution, an image of a face with a normal expression is taken and the image data of this image is stored in the face authentication database 280.

  The face authentication database 280 of this embodiment has a patient ID, shooting date and time, and face image data as information items, and the item “patient ID” is associated with other items. In the following description, in the face authentication database 280, information including the value of the item “patient ID” and the values of other items is referred to as face image information.

  Next, the daily behavior database 330 included in the electronic medical record system 300A of the present embodiment will be described.

  FIG. 15 is a diagram illustrating an example of a daily activity database according to the second embodiment. The daily behavior database 330 of this embodiment may be updated each time the patient position detection unit 241 detects the current position of the patient, for example. In other words, the daily activity database 330 of the present embodiment may be updated when the current position information is stored in the current position database 260 of the management apparatus 200A.

  The daily behavior database 330 of this embodiment has a patient ID, a place, and a time as information items, and the item “patient ID” is associated with other items. In the following description, information including the value of the item “patient ID” and the values of other items in the reception state database 320 is referred to as daily activity information.

  Next, with reference to FIG. 16, the function of the management processing unit 240A included in the management apparatus 200A of the present embodiment will be described. FIG. 16 is a diagram illustrating functions of the management processing unit according to the second embodiment.

  The management processing unit 240A of the present embodiment includes a patient position detection unit 241, an allowable time determination unit 242, a schedule determination unit 243, a movement determination unit 244, an acceptance state determination unit 245, a state storage unit 246, and an alarm output unit 247. In addition, the management processing unit 240A of the present embodiment includes a voice recognition unit 251, an image recognition unit 252, and a schedule determination unit 253.

  In the present embodiment, it is assumed that a camera for capturing an image of a patient's face and a sound collection device (microphone) for acquiring patient's voice data are provided in an area allocated to the patient. . The camera and the microphone are preferably provided on the bedside or the like, for example, in an area assigned to a patient.

  The voice recognition unit 251 according to the present embodiment has a voice recognition function, analyzes voice data acquired by a microphone or the like provided on the patient's bedside or the like, and indicates the instruction content stored in the voice database 270. It is determined whether or not the corresponding voice data matches.

  The image recognition unit 252 of the present embodiment acquires image data of a patient's face acquired by a camera or the like provided on the patient's bedside or the like. Then, the image recognition unit 252 determines whether the patient's facial expression indicated by the image data is different from the patient's facial expression indicated by the image data stored in the face authentication database 280.

  Specifically, the image recognition unit 252 compares the image of the patient's face in the image data acquired by the bedside camera with the image of the patient's face in the image data stored in the face authentication database 280, It may be determined from the shape of the eyes and mouth that the patient's facial expression is different from the normal time. At this time, the image recognizing unit 252 may exclude a smile as a different expression from the normal time. The image recognizing unit 252 is different from the normal time when the patient's facial expression is a crying face or a troubled face. It may be determined as a facial expression.

  The schedule determination unit 253 of the present embodiment refers to the patient schedule database 250 and determines whether or not a patient schedule is set at the time when the absence of the patient is detected.

  Hereinafter, the operation of the management apparatus 200A of the present embodiment will be described with reference to FIG. FIG. 17 is a flowchart for explaining the operation of the management apparatus according to the second embodiment. The management apparatus 200A according to the present embodiment repeatedly executes the process shown in FIG. 17 every predetermined time.

  The management apparatus 200A of this embodiment determines whether or not the voice data acquired by the microphone or the like by the voice recognition unit 251 of the management processing unit 240A is voice data corresponding to the instruction content of the voice database 270 (step) S1701). If the voice data corresponds to the instruction content in step S1701, the voice recognition unit 251 proceeds to step S1710 described later.

  In step S <b> 1701, when the voice data corresponding to the instruction content is not acquired, the management processing unit 240 </ b> A acquires the patient image data captured by the camera using the image recognition unit 252, and refers to the face authentication database 280. It is determined whether or not the patient's facial expression is different from the normal time (step S1702).

  In step S1702, if the patient's facial expression is different from the normal time, the management processing unit 240A proceeds to step S1710 described later.

  If the patient's facial expression is a normal facial expression in step S1702, the management processing unit 240A proceeds to step S1703.

  The processes in steps S1703 and S1704 in FIG. 17 are the same as the processes in steps S901 and S902 in FIG.

  In step S1704, when the absence allowable time has elapsed, the management processing unit 240A refers to the patient schedule database 250 by the schedule determination unit 253, and determines whether or not the patient has a schedule (step S1705).

Specifically, the schedule determination unit 253 determines in step S1705 whether or not the time at which the absence of the patient is detected in step S1705 is included in the time zone of the patient schedule information set in the patient schedule database 250. If there is a patient's schedule, the management processing unit 240A proceeds to step S1709 described later. In step S1705, if there is no patient schedule, the management processing unit 240A proceeds to step S1706.

  The processing from step S1706 to step S1708 in FIG. 17 is the same as the processing from step S903 to step S905 in FIG.

  In step S1708, when the corresponding reception information is received, the management processing unit 240A stores new patient state information in the patient state database 230 by the state storage unit 246, and further displays current position information indicating the position of the patient. The current position database 260 is stored (step S1709), and the process is terminated.

  If the corresponding reception information is not received in step S1708, the management processing unit 240A makes an alarm output request to the nurse call system 400 by the alarm output unit 247 (step S1710), and the process is terminated.

  As described above, in the present embodiment, when the patient gives an instruction by voice, or when the patient's facial expression is different from the normal state, that is, when the patient's state is different from the normal state, the nurse call system is detected. An alarm output request can be transmitted to 400.

  In the present embodiment, the management processing unit 240A has a voice recognition function and an image recognition function. However, the present invention is not limited to this. The voice recognition function and the image recognition function may be realized by an external server or the like that realizes each function.

  In this case, the management apparatus 200A transmits the patient's voice data to an external server having a voice recognition function, receives the voice data recognition result from the external server, and based on the recognition result and the voice database 270, the patient's voice. It may be determined whether the data corresponds to the instruction content.

  In addition, the management apparatus 200A may transmit image data obtained by photographing a patient's face to an external server having an image recognition function, and obtain a result of comparing the patient's facial expressions from the external server. In this case, the face authentication database 280 may be provided in an external server having an image recognition function.

In the disclosed technology, forms such as the following supplementary notes are conceivable.
(Appendix 1)
When a predetermined time has elapsed since the patient who was hospitalized departed from the first area assigned to the patient, information indicating a schedule set according to the treatment of the patient is acquired from the electronic medical record system. ,
Identifying a second region for the patient's whereabouts predicted based on information indicative of the schedule;
A management program for causing a computer to execute a process of transmitting an alarm output request to a predetermined terminal when detecting that the patient does not exist in the specified second area.
(Appendix 2)
The information indicating the schedule includes information indicating a location to which the patient is moved,
A process of identifying the second area related to the planned location of the patient with reference to a movement storage unit storing information indicating a movement time between the first area and the destination location The management program according to appendix 1, which causes the computer to execute
(Appendix 3)
With reference to a schedule storage unit storing information indicating a schedule set by the patient,
The management program according to supplementary note 1 or 2, wherein the computer executes the process of specifying the second area relating to the planned location of the patient.
(Appendix 4)
When receiving from the electronic medical chart system reception information indicating that the patient has received reception for receiving treatment or examination not included in the information indicating the schedule, the patient is The management program according to supplementary note 3, wherein the computer is caused to execute processing that does not transmit the alarm output request even if the alarm is not present in the second area relating to the whereabouts.
(Appendix 5)
Audio data is acquired by a sound collector provided in the first area or in the vicinity of the first area,
Whether or not the voice data collected by the sound collecting device corresponds to the instruction content with reference to a voice storage unit in which the voice data of the patient and the instruction content indicated by the voice data are associated with each other. Judgment,
The management program according to appendix 4, which causes the computer to execute a process of transmitting the alarm output request when voice data collected by the sound collecting device corresponds to the instruction content.
(Appendix 6)
Obtaining image data of an image of the first region,
When it is detected that the patient's facial expression included in the acquired image data is different from the normal facial expression with reference to an image storage unit storing image data obtained by photographing the patient's normal facial expression, 6. The management program according to appendix 4 or 5, wherein the alarm output request is transmitted.
(Appendix 7)
A computer-based management method, wherein the computer
When a predetermined time has elapsed since the patient who was hospitalized departed from the first area assigned to the patient, information indicating a schedule set according to the treatment of the patient is acquired from the electronic medical record system. ,
Identifying a second region for the patient's whereabouts predicted based on information indicative of the schedule;
A management method of transmitting an alarm output request to a predetermined terminal when detecting that the patient does not exist in the specified second area.
(Appendix 8)
When a predetermined time elapses after the hospitalized patient deviates from the first area assigned to the patient, information indicating a schedule set according to the treatment of the patient is acquired from the electronic medical record system An acquisition unit;
A specifying unit for specifying a second region related to the location of the patient predicted based on the information indicating the schedule;
And an output unit that transmits an alarm output request to a predetermined terminal when it is detected that the patient does not exist in the specified second area.

  The present invention is not limited to the specifically disclosed embodiments, and various modifications and changes can be made without departing from the scope of the claims.

100, 100A management system 200, 200A management device 210 movement database 220 absence time tolerance database 230 patient state database 240, 240A management processing unit 241 patient position detection unit 242 tolerance time determination unit 243 schedule determination unit 244 movement determination unit 245 reception state determination Unit 246 Status storage unit 247 Alarm output unit 250 Patient schedule database 251 Voice recognition unit 252 Image recognition unit 253 Schedule determination unit 260 Current position database 270 Voice database 280 Face authentication database 300 Electronic medical record system 310 Patient schedule database 320 Reception status database 330 Daily Behavior Database 400 Nurse Call System

Claims (6)

When a predetermined time has elapsed since the patient who was hospitalized departed from the first area assigned to the patient, information indicating a schedule set according to the treatment of the patient is acquired from the electronic medical record system. ,
Identifying a second region for the patient's whereabouts predicted based on information indicative of the schedule;
A management program for causing a computer to execute a process of transmitting an alarm output request to a predetermined terminal when it is detected that the patient does not exist in the specified second area. The information indicating the schedule includes information indicating a location to which the patient is moved,
A process of identifying a second area relating to the planned location of the patient with reference to a movement storage unit storing information indicating a movement time between the first area and the destination location. The management program according to claim 1, which is executed by the computer. With reference to a schedule storage unit storing information indicating a schedule set by the patient,
The management program according to claim 1 or 2, which causes the computer to execute a process of specifying the second area related to the planned location of the patient.   When receiving from the electronic medical record system reception information indicating that the patient has received reception for receiving treatment or examination not included in the information indicating the schedule, the patient receives the second area. 4. The management program according to claim 1, wherein even if it does not exist, the computer does not transmit the alarm output request and causes the computer to execute processing. 5. A computer-based management method, wherein the computer
When a predetermined time has elapsed since the patient who was hospitalized departed from the first area assigned to the patient, information indicating a schedule set according to the treatment of the patient is acquired from the electronic medical record system. ,
Identifying a second region for the patient's whereabouts predicted based on information indicative of the schedule;
A management method of transmitting an alarm output request to a predetermined terminal when it is detected that the patient does not exist in the specified second area. When a predetermined time elapses after the hospitalized patient deviates from the first area assigned to the patient, information indicating a schedule set according to the treatment of the patient is acquired from the electronic medical record system An acquisition unit;
A specifying unit for specifying a second region related to the location of the patient predicted based on the information indicating the schedule;
And an output unit that transmits an alarm output request to a predetermined terminal when it is detected that the patient does not exist in the specified second area.

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