JP2020190872A - Evaluation device, system, evaluation device control program, and evaluation method - Google Patents

Abstract

To provide an evaluation device, a system, an evaluation device control program and an evaluation method for evaluating the quality of care on the basis of objective data and thereby performing stable evaluation.SOLUTION: Provided is a monitoring system comprising a detection unit arranged in the living quarters of a care recipient and having an acceptance unit, a staff terminal carried by care staff, and an evaluation device. An evaluation device 20 includes an evaluation unit 212 for acquiring the care record of the care recipient from a first storage unit 231 in which the record of care given to the care recipient is recorded and evaluating a first care given to the care recipient on the basis of an elapsed time from the time the first care is given till time a care call is accepted when the care call accepted by the acceptance unit is associated with the first care for the care recipient included in the care record, and an output unit 22 for outputting the evaluation result of the evaluation unit 212.SELECTED DRAWING: Figure 4

Description

The present invention relates to an evaluation device, a system, a control program for the evaluation device, and an evaluation method. In particular, the present invention relates to an evaluation device, a system, a control program of the evaluation device, and an evaluation method used in a facility that cares for a care recipient.

In Japan, the longevity of life has become remarkable due to the improvement of living standards, the improvement of sanitary environment, and the improvement of medical standards due to the high economic growth after the war. For this reason, coupled with the decline in the birth rate, the aging society has a high aging rate. In such an aging society, it is expected that the number of care recipients who need care will increase due to illness, injury, and aging.

In addition, the quality of care provided to the care recipient often depends on the ability of the care staff to provide the care. Improvements are needed for inadequate care staff, but first of all, the quality of service needs to be evaluated.

For the customer satisfaction information management system of the long-term care-related business disclosed in Patent Document 1, anyone can propose the optimum products and services by utilizing the survey results of the customer satisfaction of the long-term care-related business such as home-visit bathing services. The purpose is to realize an environment where it can be done. Then, in this information management system, the first database that stores the responses from customers to the customer satisfaction survey of the nursing care-related business and the satisfaction of the information stored in the first database that exceeds a predetermined standard are answered. A second database that stores the proposed content in association with information on customer characteristics such as symptoms, physical characteristics, and family composition of the care recipient, and customer characteristics such as symptoms, physical characteristics, and family composition of the care recipient. It includes a search means for searching and outputting the optimum proposal contents from the second database by inputting the information of.

Japanese Unexamined Patent Publication No. 2003-132179

However, in Patent Document 1, the quality of service is evaluated based on customer satisfaction, and in this customer satisfaction survey, the response data to the questionnaire (questionnaire) from the customer stored in the first database is used. It is to be used. Therefore, in Patent Document 1, the evaluation is based on the subjective satisfaction of the customer, and the evaluation may not be stable.

The present invention has been made in view of the above circumstances, and an object of the present invention is to perform a stable evaluation by evaluating the quality of care based on objective data.

The above object of the present invention is achieved by the following means.

(1) An evaluation device that evaluates the care of the care recipient by the staff at the facility that responds to the care call from the care recipient received by the reception department.
The care record of the care recipient is acquired from the first storage unit in which the care record performed on the care recipient is recorded, and the care call received by the reception unit is included in the care record of the care recipient. When related to the first care for the care recipient, the first care given to the care recipient is evaluated based on the elapsed time from the first care to the acceptance of the care call. Evaluation department and
An output unit that outputs the evaluation result in the evaluation unit and
Evaluation device equipped with.

(2) The evaluation device according to (1) above, further comprising a determination unit for determining whether or not the care call is related to the first care.

(3) The evaluation device according to (2) above, wherein the determination unit determines that the elapsed time is related to the first care when the elapsed time is within a predetermined time.

(4) The care record includes a record of the second care performed in response to the care call.
The determination unit determines that the care call is related to the first care when the content of the first care and the content of the second care have a predetermined correspondence relationship (2). ), Or the evaluation device according to (3) above.

(5) The evaluation device according to (4) above, which includes a second storage unit that stores correspondence information that describes the correspondence.

(6) In the care record, information regarding the second care input by the staff is recorded.
The evaluation device according to (5) above, wherein the correspondence information is updated based on the information regarding the second care.

(7) The care record includes information that identifies the staff who provided the first care to the care recipient.
The evaluation device according to any one of (1) to (6) above, wherein the output unit outputs the evaluation result associated with the staff.

(8) A second storage unit for storing an evaluation table describing the correspondence between the evaluation level and the determination threshold value related to the elapsed time is provided.
The evaluation device according to any one of (1) to (7) above, wherein the evaluation unit evaluates the first care using the evaluation table.

(9) The above-mentioned (8), wherein there are a plurality of the evaluation tables corresponding to the first type of care, and each of the evaluation tables describes a determination threshold value having a different elapsed time. Evaluation device.

(10) There are a plurality of the evaluation tables corresponding to the attribute information of the care recipient, and the determination threshold value of the evaluation table is set according to the attribute information.
The evaluation device according to (8) or (9) above, wherein the evaluation unit evaluates the first care using the evaluation table according to the acquired attribute information.

(11) The reception department that accepts care calls from long-term care recipients
The first memory unit in which the care record performed on the care recipient is recorded, and
The evaluation device according to any one of (1) to (10) above, and
System with.

(12) A control program that controls an evaluation device that evaluates the care of the care recipient by the staff at a facility that responds to a care call from the care recipient received by the reception department.
Step (a) of receiving a care call from the care recipient by the reception section,
The step (b) of acquiring the care record of the long-term care person from the first storage unit in which the care record performed on the long-term care person is recorded, and
When the care call received in the step (a) is related to the first care for the long-term care person included in the care record, from the first care to the reception of the care call. The step (c) of evaluating the first care given to the care recipient based on the elapsed time, and
The step (d) for outputting the evaluation result in the step (c) and
A control program that allows a computer to perform processing that includes.

(13) Step (a) of receiving a care call from the care recipient by the reception department,
The step (b) of acquiring the care record of the long-term care person from the first storage unit in which the care record performed on the long-term care person is recorded, and
When the care call received in the step (a) is related to the first care for the long-term care person included in the care record, from the first care to the reception of the care call. The step (c) of evaluating the first care given to the care recipient based on the elapsed time, and
The step (d) for outputting the evaluation result in the step (c) and
Evaluation method including.

The evaluation device according to the present invention acquires the care record of the care recipient from the first storage unit in which the care record performed on the care recipient is recorded, and the care call received by the reception unit is the care. When related to the first care for the care recipient included in the record, it was given to the care recipient based on the elapsed time from the first care to the acceptance of the care call. It includes an evaluation unit for evaluating the first care and an output unit for outputting the evaluation result in the evaluation unit. As a result, stable evaluation can be performed by evaluating the quality of care based on objective data.

It is a figure which shows the whole structure of the monitoring system including the evaluation device. It is a figure which shows the example of the detection part installed in the room of a care subject. It is a block diagram which shows the schematic structure of the detection part. It is a block diagram which shows the schematic structure of the evaluation apparatus. It is a block diagram which shows the schematic structure of a fixed terminal. It is a block diagram which shows the schematic structure of the staff terminal. This is an example of a care plan list (care record 1) stored in the memory unit. This is an example of the operation screen displayed on the staff terminal. This is an example of the operation screen displayed on the staff terminal. It is a sequence chart which shows the processing procedure about care call of a monitoring system. This is an example of a care call management list (care record 2) stored in the storage unit. This is an example of the operation screen displayed on the staff terminal. This is an example of the operation screen displayed on the staff terminal. This is an example of the updated care management list. It is a flowchart which shows the evaluation process by the evaluation apparatus which concerns on 1st Embodiment. It is a subroutine flowchart of step S330. This is an example of an evaluation table stored in the storage unit. This is an example of the evaluation result. It is a subroutine flowchart of step S330 in 2nd Embodiment. This is an example of a correspondence list showing the correspondence between the first and second cares stored in the storage unit. This is an output example of the evaluation result. It is an example of the care subject list and the evaluation table stored in the storage part in the first modification. It is a flowchart which shows the output process of the evaluation result in the 2nd modification. This is an output example of the evaluation results for a specific care staff.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings. In the description of the drawings, the same elements are designated by the same reference numerals, and duplicate description will be omitted. In addition, the dimensional ratios in the drawings are exaggerated for convenience of explanation and may differ from the actual ratios.

(overall structure)
FIG. 1 is a diagram showing an overall configuration of a monitoring system 1 according to the present embodiment, and FIG. 2 is a diagram showing an example of a detection unit 10 installed around a bed in a room of a care subject 70. The care target person 70 is, for example, a care recipient, and the care staff 80 is a caregiver who cares for the care target person 70.

As shown in FIG. 1, the monitoring system 1 includes a plurality of detection units 10, an evaluation device 20, a fixed terminal 30, and one or more staff terminals 40. These are connected to each other by wire or wirelessly via a network 50 such as a LAN (Local Area Network), a telephone network, or a data communication network so as to be communicable with each other. The network 50 may include repeaters such as repeaters, bridges, routers or cross-connects that relay communication signals. In the example shown in FIG. 1, the staff terminal 40, the detection unit 10, the evaluation device 20, and the fixed terminal 30 are connected to each other by a network 50 such as a wireless LAN including an access point 51 (for example, a LAN according to the IEEE802.11 standard). , Connected to communicate.

The watching system 1 is arranged at an appropriate place according to the care target person 70. The care target person 70 is, for example, a patient who needs nursing care due to illness or injury, or the above-mentioned care recipient who needs nursing care due to deterioration of physical ability due to old age or the like. In particular, from the viewpoint of enabling early detection and early coping, the care target person 70 may be a person who needs the detection when a predetermined inconvenient event such as an abnormal state occurs in the person. Therefore, the watching system 1 is suitably arranged in buildings such as hospitals, welfare facilities for the elderly, nursing care facilities, and dwelling units, depending on the type of care target person 70. In the example shown in FIG. 1, the monitoring system 1 is arranged in a long-term care facility having a plurality of rooms (living rooms) in which a plurality of care target persons 70 move in and a plurality of rooms including a care station (also referred to as a nurse station). ..

The detection unit 10 is arranged in each living room of the care subject 70. In the example shown in FIG. 1, four detection units 10 are arranged in the living rooms of Mr. A, Mr. B, Mr. C, and Mr. D, who are the care target persons 70, respectively. The observation area of the detection unit 10 includes a bed 60. The care staff 80, who provides nursing or long-term care to the care target person 70, carries a staff terminal 40, which is a mobile terminal, respectively. However, the position, number, and the like of each configuration included in the monitoring system 1 are not limited to the example shown in FIG. For example, the evaluation device 20 does not have to be located at the care station and may be an external server unit connected to the network 50. Further, the fixed terminal 30 may be omitted, and the evaluation device 20 or the staff terminal 40 may take on the function.

(Detection unit 10)
FIG. 3 is a block diagram showing a schematic configuration of the detection unit 10. As shown in the figure, the detection unit 10 includes a control unit 11, a communication unit 12, a camera 13, a care call unit 14, and a voice input / output unit 15, which are connected to each other by a bus.

The control unit 11 is composed of a CPU (Central Processing Unit) and a memory such as a RAM (Random Access Memory) and a ROM (Read Only Memory), and controls and performs arithmetic processing of each unit of the detection unit 10 according to a program. The control unit 11 may further include an HDD (Hard Disk Drive) as a memory.

The communication unit 12 is an interface circuit for communicating with other devices such as the evaluation device 20, the fixed terminal 30, or the staff terminal 40 via the network 50. It is an interface for various local connections such as a network interface for wired communication based on standards such as Ethernet (registered trademark) and a wireless communication interface based on standards such as Bluetooth and 802.11, and it is a communication with each terminal connected to the network 50. I do.

The camera 13 is arranged on the ceiling or the upper part of the wall of the living room, for example, and photographs the bed 60 of the care subject 70 directly below as an observation area, and outputs a photographed image (photographed image data) taken from a bird's-eye view. This captured image (also referred to as "video") includes still images and moving images. Although the camera 13 is a near-infrared camera, a visible light camera may be used instead, or these may be used in combination. Further, the camera 13 outputs an image at, for example, 30 fps or 60 fps. Although the configuration of the system 1 is described as watching over the camera 13, the present invention is not limited to this, and the detection unit 10 may acquire an image from an external camera.

The care call unit 14 includes a push button type switch, and when the switch is pressed by the care target person 70 or the like, a care call (also referred to as a nurse call) is transmitted. The care call may be detected by a voice microphone instead of the push button type switch. When the switch of the care call unit 14 is pressed, that is, when the care call is detected, the control unit 11 transmits a notification to the evaluation device 20 or the like via the communication unit 12 and the network 50. The care call unit 14 functions as a care call reception unit.

The voice input / output unit 15 is, for example, a speaker and a microphone, and enables a voice call by transmitting and receiving a voice signal to and from the staff terminal 40 and the like via the communication unit 12. The voice input / output unit 15 may be connected to the detection unit 10 via the communication unit 12 as an external device of the detection unit 10.

(Evaluation device 20)
FIG. 4 is a block diagram showing a schematic configuration of the evaluation device 20. The evaluation device 20 is also referred to as a server, and includes a control unit 21, a communication unit 22, and a storage unit 23 (also referred to as a database). The control unit 21 includes a CPU, RAM, ROM, and the like as the same configuration as the control unit 11 of the detection unit 10. The communication unit 22 has the same configuration as the communication unit 12. The control unit 21 functions as the determination unit 211 and the evaluation unit 212, and evaluates the care plan or the care for the care call (the first care described later) based on an objective standard. Further, the communication unit 22 functions as an output unit that outputs the evaluation result in cooperation with the control unit 21, and notifies the determination result to a predetermined output destination. This notification destination includes, for example, a staff terminal 40 and a fixed terminal 30.

The evaluation device 20 may be provided in the same building as the living room for the care target person 70, or may be provided in a remote location and connected via a network. Further, it may be configured as a separate body from the storage unit 23. For example, the evaluation device 20 may be a cloud server virtually constructed by a plurality of servers arranged on a network such as the Internet. Each configuration is communicatively connected to each other by a bus.

The storage unit 23 functions as a first storage unit 231 and a second storage unit 232. The care record and the care target list are stored in the first storage unit 231. This care record includes a care plan list (hereinafter, also referred to as "care record 1") and a care call management list (hereinafter, also referred to as "care record 2"). The correspondence list and the evaluation table are stored in the second storage unit 232. The entire storage unit 23 may also be a file server on the cloud, like the evaluation device 20. Further, in the evaluation device 20, only the first storage unit 231 may be separated from other constituent units such as the second storage unit 232. For example, the evaluation device 20 (including the second storage unit 232) other than the first storage unit 231 is arranged on another site outside the facility or on the cloud, and the configuration of the monitoring system 1 other than this (first storage unit 231). (Including) will be placed in the facility. A description of these lists, tables, etc. stored in the storage unit 23 will be described later.

(Judgment unit 211, evaluation unit 212)
The determination unit 211 of the control unit 21 determines whether or not the care call received by the care call unit 14 is related to the first care included in the care record 1 or the care record 2 stored in the first storage unit 231. To do. A correspondence list (correspondence relation information) may be used for this determination. The evaluation unit 212 determines that the care call received by the care call unit 14 is a request related to the first care to the long-term care recipient (care target person 70) included in the care records 1 and 2. The first care given to the care recipient is evaluated based on the elapsed time between the care being given and the care call being accepted. Specific examples of these processes will be described later.

Here, in the following, the care event to be evaluated is referred to as "first care", and the care event used to evaluate the first care is referred to as "second care". The first care includes care events for both the care plan and the care call. The second care includes only care call care events.

(Fixed terminal 30)
FIG. 5 is a block diagram showing a schematic configuration of the fixed terminal 30. The fixed terminal 30 is a so-called PC (Personal Computer), and includes a control unit 31 composed of a CPU, RAM, and the like, a communication unit 32, a display unit 33, an input unit 34, and an audio input / output unit 35. The fixed terminal 30 is arranged in, for example, a nurse station.

Further, when the care staff 80 or the technical staff attaches the detection unit 10 to each room (living room) through the fixed terminal 30, they can associate the room number with the detection unit 10 or make a living room such as a bed 60. The position information of the installation object, that is, the contour information of the upward view by the camera 13 on the ceiling is calibrated and specified. In addition, identification information such as the name and ID number of the care target person 70 who is hospitalized or resident is associated with each room number.

(Staff terminal 40)
FIG. 6 is a block diagram showing a schematic configuration of the staff terminal 40. The staff terminal 40 includes a control unit 41, a wireless communication unit 42, a display unit 43, an input unit 44, and a voice input / output unit 45, which are connected to each other by a bus. The control unit 41 includes a CPU, RAM, ROM, and the like as the same configuration as the control unit 11 of the detection unit 10. The wireless communication unit 42 enables wireless communication using standards such as Wi-Fi and Bluetooth, and wirelessly communicates with each device via the access point 51 or directly. The display unit 43 and the input unit 44 are touch panels, and a touch sensor as the input unit 44 is superimposed on the display surface of the display unit 43 composed of a liquid crystal or the like. The display unit 43 and the input unit 44 display to the care staff 80 various operation screens displaying a list of a plurality of events included in the care records 1 and 2, and accept various operations through the operation screens. .. The voice input / output unit 45 is, for example, a speaker and a microphone, and enables the care staff 80 to make a voice call with another staff terminal 40 via the wireless communication unit 42. The staff terminal 40 is a device that functions as a user interface of the watching system 1, and can be configured by a portable communication terminal device such as a tablet computer, a smartphone, or a mobile phone. In addition, the care staff 80 confirms care events such as care calls, inputs treatment records related to care for care calls and care plans, and receives output of evaluation results through the staff terminal 40, as will be described later. To do.

At the start of business, the care staff 80 performs login authentication processing to the evaluation device 20 through the assigned staff terminal 40. The care staff 80 inputs the staff ID and password through the touch panel (display unit 43, input unit 44) of the staff terminal 40. The staff terminal 40 transmits this to the evaluation device 20. The evaluation device 20 collates the authentication information stored in the storage unit 23, and transmits the authentication result according to the authority of the care staff 80 to the staff terminal 40 to complete the login authentication.

(Care records 1 and 2)
Next, the care plan list (care record 1) and the care call management list (care record 2) stored in the first storage unit 231 will be described with reference to FIGS. 7 to 13.

(Care plan list (care record 1))
FIG. 7 is an example of a care plan list stored in the first storage unit 231. The care plan list is also called a care plan, and as shown in FIG. 7, a plurality of care events are included, and each care event is composed of basic information and staff correspondence information. This basic information is input in advance by a manager such as a facility manager according to the care plan.

This basic information includes the care ID, care timing (scheduled time), care name (care type), room number (detection unit ID), care target person, and staff in charge, which are the primary keys automatically assigned. included. The "care name" includes morning care, dietary care, wheelchair transfer care, postural change care, water intake care, walking care, bathing care, and the like. Morning care is care performed by the care staff 80 when the care subject 70 gets up from bed in the morning, and this morning care includes face washing, tooth brushing, denture wearing, changing clothes, and the like. Dietary care and hydration care are cares that assist with diet or hydration. Wheelchair transfer care is the care of moving from bed to wheelchair and sitting. Postural change care is care for repositioning in bed to prevent pressure ulcers.

As for the staff correspondence information, the correspondence status of the care staff 80 is recorded by the procedure as shown below. FIG. 8 is an example of the operation screen 430 displayed on the display unit 43 of the staff terminal 40. On the operation screen 430, among the care events included in the care plan list of FIG. 7, the care events for the staff E are listed. The area a01 of the operation screen 430 corresponds to the care event of the care IDc015 of FIG. The care staff 80 transitions to a confirmation operation screen (not shown) by operating any of the care events on the operation screen 430. On the confirmation operation screen, the care staff 80 can confirm detailed information of the care event such as the content of the care event and special notes (matters to be sent).

The care staff 80 can enter a treatment record of care after providing care for a care event. FIG. 9 is an example of the operation screen 431 for inputting the treatment record. The operation screen 431 for inputting the treatment record differs depending on the type or content of the care event, and FIG. 9 is an operation screen for excretion care. Areas a11 to a16 and buttons b1 are arranged in order from the top on the operation screen 431 of FIG. The area a11 is composed of a fixed bar and a tab area, and the current time and the like are displayed on the fixed bar. Also, the tab area can be scrolled horizontally. By scrolling, the screen switches to another operation screen such as the operation screen 430 of FIG. In the area a12, the information of the care staff 80 using (that is, logged in) the staff terminal 40, the icon indicating the type of the care event (excretion assistance), the care ID, and the information of the care target person 70 are displayed. There is. Areas a13 to a15 are provided with areas for entering the type and amount of excrement according to the type of each of the pad (diaper), toilet, and portable excretion container (device). The area a16 is provided with a column for selecting the time when the care was actually performed (the time relative to the current time). The care staff 80 fills in each input field as necessary, and operates the button b1 after the entry is completed, so that the input data is transmitted from the staff terminal 40 to the evaluation device 20. If the care staff 80 in charge to which the care event is assigned cannot respond by other treatments or the like, he / she can transfer to another care staff 80. In that case, the staff name of the care staff 80, which is different from the staff scheduled to be in charge, is recorded in the corresponding staff of the staff correspondence information.

(Care call management list (care record 2))
Next, the procedure for accumulating and updating the care call management list will be described. FIG. 10 is a sequence chart showing a processing procedure related to the care call of the monitoring system 1.

(Steps S110, S120)
The detection unit 10 detects the event of the care call by the care call unit 14 by the care target person 70, and transmits the event information regarding the received care call to the evaluation device 20. This event information includes image data obtained by photographing the observation area with the camera 13 when an event occurs, that is, when the care call unit 14 is operated by the care target person 70 or the like (or before or after). Still images or moving images) may be included.

(Step S130)
The evaluation device 20 updates the care call management list (care record 2) of the first storage unit 231. FIG. 11 is an example of a care call management list (care record 2) stored in the first storage unit 231. The event of each care call is composed of care call occurrence status information and treatment content information. In response to accepting a care call, the evaluation device 20 adds a new care call care event to this care call management list. Event IDe021 is a newly added event.

(Step S140)
If the care call management list is updated when the care call event is detected and added, or when the status of the event is changed (step S190 described later), the evaluation device 20 displays the updated care call management list. , Deliver to all logged-in staff terminals 40. The delivery destination at this time may be delivered only to the staff terminal 40 used by the care staff 80 who is in charge of the care target person 70 who generated the event. Each staff terminal 40 that has received the care call management list returns a receipt confirmation command in response to receiving the care call management list from the evaluation device 20 (not shown). The care call management list may be transmitted from the evaluation device 20 only by transmitting the difference data. For example, only the part that has changed with respect to the care call management list transmitted immediately before, that is, the event that has been added or updated is transmitted as the care call management list to all staff terminals 40.

(Step S150)
Each staff terminal 40 updates the display content of the display unit 43 in response to receiving the care call management list from the evaluation device 20. FIG. 12 is an operation screen displayed on the staff terminal 40, and the operation screen 432 of the same figure displays a list of care call events. If there are many events to display, you can scroll up and down by flicking. When responding to an unsupported event, the care staff 80 operates, for example, the area a21 by the care staff 80. As a result, the transition to the operation screen 433 for content confirmation is performed.

(Step S160)
Areas a31, a32, and button b3 are arranged in order from the top on the operation screen 433 of FIG. In the area a31, the ID (name: Mr. A) of the care target person 70 who generated the care call event, the event ID (e21), and the ID (name: staff D) of the staff 80 who uses the staff terminal 40 are displayed. ing. In the area a32, a thumbnail image of a photographed image of the living room of the care target person 70 at the time of receiving the care call is displayed. The care staff 80 operates the "speak" button and the "view" button at the bottom when the thumbnail image is insufficient as information and the current situation is to be confirmed. By operating the "speak" button, it is possible to talk to the care target person 70 (Mr. A) through the voice input / output unit 15. By operating the "view" button, the live video captured by the camera 13 can be viewed by streaming playback.

The care staff 80 (staff D) decides to take the initiative in taking charge of the care call event (e021) displayed by operating the button b3 (“corresponding”). When the button b3 is operated, the process proceeds to step S170. On the other hand, if it does not correspond, the operation screen 432 is returned by operating the back button (triangular icon) at the bottom.

(Steps S170, S180)
The staff terminal 40 transmits a response request regarding the selected event to the evaluation device 20 in response to the operation of the "corresponding" button. The evaluation device 20 returns an approval notice in response to this request.

(Step S190)
The evaluation device 20 updates the care call management list according to the process of step S170. Specifically, among the treatment content information of the corresponding care event, the progress information (see FIG. 11) is updated to have been dealt with, and the name of the corresponding staff is recorded.

(Step S200)
The care staff 80 can input the treatment content after the treatment. FIG. 13 is an operation screen 434 for inputting treatment contents displayed on the staff terminal 40. Areas a41 to a44 and buttons b4 are arranged in order from the top on the operation screen 434 of FIG. Area a41 allows you to select the type of treatment performed for the care call event. Treatment contents include change of clothes care, excretion care, water intake care, and postural change care. By tapping the area a42, the character input palette pops up beside it. This allows the care staff 80 to enter a message. If the message input in the area a42 is to be shared as a message to other staff or the like, the area a44 is checked. In addition, the time (end time) at which care was performed can be input in the area a43. If more detailed recording is required according to the selected treatment content, it can be performed on another operation screen (for example, the operation screen 431 in FIG. 9). After inputting the treatment content, the care staff 80 operates the transmission button b4 to complete the input.

(Step S210)
The staff terminal 40 transmits the received treatment content to the evaluation device 20 in response to the operation of the transmission button b4.

(Step S220)
The evaluation device 20 updates the care call management list according to the process of step S210. FIG. 14 is an example of the updated care call management list. The content of the treatment content information is updated and added based on the treatment content input in step S200. In FIG. 14, the care IDe 21 corresponds to the treatment content input on the operation screen 434 of FIG.

By the above measures, information such as the occurrence status and response status of each care event is recorded and accumulated in the care plan list (care record 1) and the care call management list (care record 2). Next, the evaluation process of the care event performed using these accumulated care records will be described.

In the above description, as a method of accumulating care records, a method of accumulating data through data input from a mobile terminal or a PC has been shown, but the present invention is not limited to this. Instead of these methods, or together with these methods, care staff 80 etc. handwritten on a record sheet on which care record items such as time, corresponding care staff name, care target person name, care type, etc. are described. You may enter the correspondence record with. Then, the care record may be accumulated by the text data or the like obtained by OCR (optical character recognition) the image data obtained by reading the recording sheet with a scanner or the like. Alternatively, as an alternative method, the contents of the care performed from the image analysis may be recognized and automatically accumulated together with or in place of these. Specifically, using the image obtained from the camera 13 of the detection unit 10, the care content such as the time performed from the image analysis, the corresponding care staff name, the care target person name, the type of care, etc. Recognize and record. At this time, the care staff name may be recognized by recognizing the identification ID of the mobile terminal that is being carried and used by short-range wireless communication.

(Care event evaluation process)
FIG. 15A is a main flowchart showing the evaluation process of the first care executed by the evaluation device 20, and FIG. 15B is a subroutine flowchart showing the process of step S33 of FIG. 15A.

(Step S31)
The evaluation unit 212 of the evaluation device 20 acquires the care record 1 (care plan list) and the care record 2 (care call management list) from the first storage unit 231. As the care record, for example, only care events recorded in a predetermined period (for example, the past month or one week) may be used.

(Step S32)
The determination unit 211 extracts a care event (second care) of a care call regarding a certain care target person 70 (for example, Mr. A, hereinafter also referred to as a target care target person 70) with reference to the care record 2. When there are a plurality of these care events, each care event is targeted for evaluation, and the following processing (processing up to step S37) is repeated. Further, when the evaluation of all the care events for a certain care target person 70 (for example, Mr. A) is completed, the following processing is repeated for the next care target person 70 (for example, Mr. B).

(Step S33)
The determination unit 211 determines whether or not each care event related to the target care target person 70 is related to the second care extracted in step S32 with reference to the care record 1 and the care record 2. To do. That is, it is determined whether the second care is a requirement associated with each care event. The care event to be judged includes both the care event of the care plan and the care event of the care call.

(Step S331)
This determination is performed by the subroutine flowchart shown in FIG. 15B. In step S331 of FIG. 15B, the determination unit 211 has a second care (care call care event) for the target care target person 70 (for example, Mr. A) in step S32 among the plurality of care events related to the care target person 70. ) Care events that took place before the specified time are extracted as corresponding care events. The predetermined time is several minutes to several tens of minutes. The predetermined time is, for example, 30 minutes, and the care event performed in the period from the occurrence time (reception time) of the second care event to 30 minutes before is extracted. As described above, the processing of the subroutine flowchart is completed, and the process returns to the main processing of FIG. 15A (end (return)).

(Step S34)
If there is no related care event in step S33 (NO), the control unit 21 ends the process (end). On the other hand, if there is one or more related care events (first care) (YES), the process proceeds to step S35.

(Step S35)
For each of the first cares, the evaluation unit 212 calculates the elapsed time from the first care being performed (end time) to the acceptance of the care call related to the second care.

(Step S36)
The evaluation unit 212 evaluates each first care from the elapsed time using the evaluation table in the second storage unit 232. FIG. 16 is an example of an evaluation table. In the evaluation table, the correspondence between the judgment threshold value and the evaluation level is described. For example, if the elapsed time is less than 3 minutes, it becomes the worst level 1 (L1), if it is 10 minutes or more, it becomes the best (no problem) level 3 (L3), and the middle is level 2 (L2).

FIG. 17 is an example of the evaluation result in step S36. In the figure, care IDe21 (see FIG. 11), which is a care event for the same care subject 70 (Mr. A), and care IDc011 (see FIG. 7), which is the first care, are shown. There is a corresponding relationship. That is, this second care is a care related to the first care. Then, the elapsed time from the first care response end time of 10:00 to the second care occurrence time of 10:02 is 2 minutes. The evaluation unit 212 determines the care IDc011, which is the first care, as level 1 by using the evaluation table.

(Step S37)
The control unit 21 as an output unit outputs the evaluation result. For example, the evaluation result is added to the evaluation result list (not shown) of the storage unit 23. Alternatively, it is added to the care record 1 or the care record 2 including the first care to be evaluated. Further, the evaluation result may be output to the fixed terminal 30 or the staff terminal 40. After that, the process of FIG. 15A is repeated for all the care target persons 70, with the other care target persons 70 in the facility as the determination targets.

As described above, the evaluation device according to the present embodiment acquires the care record of the long-term care person from the first storage unit in which the care record made to the long-term care person is recorded, and the care call received by the reception department is received. When related to the first care for the care recipient included in the care record, the first care given to the care recipient based on the elapsed time from the first care to the acceptance of the care call. It is equipped with an evaluation unit that evaluates care, and outputs the evaluation results in this evaluation unit. By evaluating the quality of care for a care event based on objective data in this way, stable evaluation can be performed. Highly competent care staff efficiently perform a series of necessary treatments when performing one care. On the other hand, care staff who are not highly capable perform a care call from the same care recipient immediately after giving one care to the care recipient because the treatment is minimal or the treatment is inadequate. It is easy to get called again with. Given this situation, in the first embodiment, the quality of care is evaluated based on the elapsed time from the first care being performed to the reception of the next related care call.

(Second Embodiment)
Next, the evaluation device 20 according to the second embodiment will be described with reference to FIGS. 18 to 20. In the second embodiment, the correspondence list stored in the second storage unit 232 is used to determine whether the second care is a request related to the first care.

FIG. 18 is a subroutine flowchart of step S33 of FIG. 15A in the second embodiment. Other processes (FIGS. 10 and 15A) of the second embodiment, the main body configuration, and the like are the same as those of the first embodiment, and the description thereof will be omitted.

(Step S336)
The determination unit 211 is performed by the same process as in step S331 by a predetermined time before the second care for the target care target person 70 (for example, Mr. A) among the plurality of care events related to the care target person 70. Extract care events. This second care is the one extracted in step S32.

(Step S337)
The determination unit 211 acquires the correspondence list from the second storage unit 232. FIG. 19 is an example of a correspondence list. The correspondence list describes the correspondence between the first care and the second care. For example, there is often a correspondence relationship between morning care and subsequent change of clothes, so the correspondence relationship is "Yes". This correspondence list is set in advance by the administrator. This correspondence list can be individually changed by an administrator or the like through, for example, the fixed terminal 30. In addition, statistics of care events performed during a period up to a predetermined time (for example, 1 or 2 hours) before the occurrence time of the second care (care call) may be collected and updated (learned) by the statistical data. .. For example, the combination of care events in which the frequency of the two care types is higher than the predetermined value is changed to the setting of the correspondence relationship "Yes", and the care event whose frequency is lower than the predetermined value is changed to the setting of "None".

(Step S338)
The determination unit 211 narrows down the care events extracted in step S336. Specifically, the correspondence list is used to further extract care events that have a correspondence with the second care in step S32. For example, if the second care is a change of clothes, the morning care or bathing care is extracted as the related care (first care). As described above, the processing of the subroutine flowchart is completed, the process returns to the main processing of FIG. 15A, and the processing of step S34 and subsequent steps is performed. FIG. 20 is an example of the evaluation result in step S36 in the second embodiment. FIG. 20 corresponds to FIG. 17, and a column of the treatment content of the second care determined to have a correspondence relationship is added. By using the correspondence list in this way, the same effect as that of the first embodiment can be obtained, and more accurate and stable evaluation can be performed.

(First modification)
Next, the evaluation device 20 according to the first modification will be described with reference to FIG. 21. FIG. 21 (a) is an example of a care target person list stored in the first storage unit 231, and FIG. 21 (b) is an example of an evaluation table according to the attribute information of the care target person. In the care target person list, the care target person name and room number, incidental information as attribute information, and the level of certification for long-term care are recorded. In addition, FIG. 21B is an evaluation table for care recipients having a high level of certification for long-term care as attribute information. For example, the evaluation table shown in FIG. 21 (b) is applied to the care target person 70 having a care-requiring certification level of 2 or more, and the standard evaluation shown in FIG. The table is applied. In the evaluation table of FIG. 21B, the determination threshold value of the elapsed time is lengthened according to the attribute information. As described above, by applying the evaluation table according to the attribute information of the care target person 70 as in the first modification, more accurate and stable evaluation can be performed.

As the evaluation table, not only two types but also three or more types of tables may be used. In addition, an evaluation table may be selected instead of the level of certification for long-term care, or depending on the presence or absence of certification for dementia. In addition, the evaluation table to be used may be selected according to the type of the first care.

(Second modification)
Next, the evaluation device 20 according to the second modification will be described with reference to FIGS. 22 and 23. In the second modification, the evaluation results output in the first embodiment and the like are aggregated and output in association with the care staff 80.

FIG. 22 is a flowchart showing the output processing of the evaluation result in the second modification, and FIG. 23 is an output example of the evaluation result.

(Step S41)
The evaluation unit 212 acquires the evaluation result. For example, in step S37, if the evaluation result list is generated, the evaluation result is acquired from this evaluation result list, or if the evaluation results are recorded in the care records 1 and 2, the evaluation results are acquired from these records. The evaluation result includes information for identifying the care staff 80 who performed the first care (staff ID) as shown in the output example of FIG. 20, and information regarding the first care (care type, care target person). Is done.

(Step S42)
The evaluation unit 212 aggregates the evaluation results for each care staff 80.

(Step S43)
The control unit 21 and the communication unit 22 as output units output the evaluation result. FIG. 23 is a summary of the evaluation results for the specific care staff 80 (staff E). In the figure, the evaluation result may be quantified for each evaluation level, and the numerical value may be statistically processed. In addition, the evaluation result may include the date and time of occurrence of the first care (or the date and time of end of response), and may be aggregated for each time of occurrence. Further, as an evaluation, when the evaluation is performed over a long period of time, the transition in time series may be output so that the change with time can be understood.

By outputting the evaluation result for each care staff in this way, the ability of the care staff can be objectively evaluated, which can be useful for improving the quality of care services.

The configuration of the evaluation device 20 and the monitoring device 1 including the evaluation device 20 described above is not limited to the above configuration, but is within the scope of claims, as the main configuration has been described in explaining the features of the above-described embodiment. Can be modified in various ways. In addition, the configuration of a general evaluation device and monitoring system is not excluded. For example, the function of the evaluation device 20 may include components other than the above components, or may not include a part of the above components.

If there are a plurality of care events related to the second care (care event for the care call), only the immediately preceding care event may be evaluated. For example, in step S34 of FIG. 15A, only one care event having the closest time to the time when the care call occurs is evaluated. In addition, when there is one care event (first care) related to a plurality of second cares, for example, when a plurality of care calls are received during the period from the first care to a predetermined time before. The evaluation level may be determined according to the number of times. For example, the greater the number of times, the worse it is evaluated.

Further, in each embodiment, the first care was evaluated based on the elapsed time from the first care being performed until the care call was accepted. As the time when the first care was performed, the time when the first care was completed (“correspondence end time” (see FIGS. 7, 14, etc.)) was used, but the time when the first care was started. May be used. For example, the start time of morning care, or the time when a care call is received as the first care and the response is started (the operation time of button b3 on the operation screen 433 in FIG. 12) is the time when the first care is performed. Used as.

Further, the process in the evaluation device 20 according to the above-described embodiment may include steps other than the steps in the above-mentioned flowchart, or may not include a part of the above-mentioned steps. Further, the order of the steps is not limited to the above-described embodiment. Further, each step may be executed as one step in combination with other steps, may be executed by being included in other steps, or may be executed by being divided into a plurality of steps. For example, in FIG. 18, the process of step S336 may be omitted.

Further, the means and method for performing various processes in the evaluation device 20 according to the above-described embodiment can be realized by either a dedicated hardware circuit or a programmed computer. The program may be provided by a computer-readable recording medium such as a USB memory or a DVD (Digital Versaille Disc) -ROM, or may be provided online via a network such as the Internet. In this case, the program recorded on the computer-readable recording medium is usually transferred to and stored in a storage unit such as a hard disk. Further, the above program may be provided as a single application software, or may be incorporated into the software of a device such as a detection unit as one function.

1 Watching system 10 Detection unit 11 Control unit 12 Communication unit 13 Camera 14 Care call unit 15 Voice input / output unit 20 Evaluation device 21 Control unit 211 Judgment unit 212 Evaluation unit 22 Communication unit 23 Storage unit 231 First storage unit 232 Second storage unit 30 Fixed terminal 40 Staff terminal 41 Control unit 42 Wireless communication unit 43 Display unit 44 Input unit 45 Voice input / output unit 50 Network 60 Bed 70 Care target person 80 Care staff

Claims (13)

It is an evaluation device that evaluates the care of the care recipient by the staff at the facility that responds to the care call from the care recipient received by the reception department.
The care record of the care recipient is acquired from the first storage unit in which the care record performed on the care recipient is recorded, and the care call received by the reception unit is included in the care record of the care recipient. When related to the first care for the care recipient, the first care given to the care recipient is evaluated based on the elapsed time from the first care to the acceptance of the care call. Evaluation department and
An output unit that outputs the evaluation result in the evaluation unit and
Evaluation device equipped with. The evaluation device according to claim 1, further comprising a determination unit for determining whether or not the care call is related to the first care. The evaluation device according to claim 2, wherein the determination unit determines that the elapsed time is within a predetermined time and is related to the first care. The care record includes a record of a second care taken in response to the care call.
2. The determination unit determines that the care call is related to the first care when the content of the first care and the content of the second care have a predetermined correspondence relationship. , Or the evaluation device according to claim 3. The evaluation device according to claim 4, further comprising a second storage unit that stores correspondence information that describes the correspondence. The care record records information about the second care entered by the staff.
The evaluation device according to claim 5, wherein the correspondence information is updated based on the information regarding the second care. The care record contains information that identifies the staff who provided the first care to the care recipient.
The evaluation device according to any one of claims 1 to 6, wherein the output unit outputs the evaluation result associated with the staff. A second storage unit for storing an evaluation table describing the correspondence between the evaluation level and the determination threshold value related to the elapsed time is provided.
The evaluation device according to any one of claims 1 to 7, wherein the evaluation unit evaluates the first care using the evaluation table. The evaluation device according to claim 8, wherein there are a plurality of evaluation tables corresponding to the first type of care, and each evaluation table describes a determination threshold value having a different elapsed time. There are a plurality of the evaluation tables corresponding to the attribute information of the care recipient, and the determination threshold value of the evaluation table is set according to the attribute information.
The evaluation device according to claim 8 or 9, wherein the evaluation unit evaluates the first care using the evaluation table according to the acquired attribute information. The reception department that accepts care calls from long-term care recipients,
The first memory unit in which the care record performed on the care recipient is recorded, and
The evaluation device according to any one of claims 1 to 10.
System with. It is a control program that controls an evaluation device that evaluates the care of the care recipient by the staff in a facility that responds to a care call from the care recipient received by the reception department.
Step (a) of receiving a care call from the care recipient by the reception section,
The step (b) of acquiring the care record of the long-term care person from the first storage unit in which the care record performed on the long-term care person is recorded, and
When the care call received in the step (a) is related to the first care for the long-term care person included in the care record, from the first care to the reception of the care call. The step (c) of evaluating the first care given to the care recipient based on the elapsed time, and
The step (d) for outputting the evaluation result in the step (c) and
A control program that allows a computer to perform processing that includes. Step (a) of receiving a care call from the long-term care person by the reception department,
The step (b) of acquiring the care record of the long-term care person from the first storage unit in which the care record performed on the long-term care person is recorded, and
When the care call received in the step (a) is related to the first care for the long-term care person included in the care record, from the first care to the reception of the care call. The step (c) of evaluating the first care given to the care recipient based on the elapsed time, and
The step (d) for outputting the evaluation result in the step (c) and
Evaluation method including.