JP2023076684A - Anesthesia process record display device operation method, anesthesia process record display device, and program - Google Patents

Abstract

To provide an anesthesia process record display method which allows a medical care worker to grasp correspondence between vital information in an anesthesia process record and a medical practice (event information) without placing heavy burden on the medical care worker who is performing a surgical operation or an emergency medical care.SOLUTION: An anesthesia process record display method of the present invention comprises (i) displaying an anesthesia process record including a vital graph of a patient and anesthesia information, (ii) inputting information on a name of and the period of the medical practice which has a period of application to a patient, and (iii) displaying a background of the anesthesia process record corresponding to the medical practice period in a background pattern according to the name of the medical practice.SELECTED DRAWING: Figure 2

Description

The present invention relates to an anesthesia progress record display method and program.

2. Description of the Related Art Generally, an automatic anesthesia recorder is used when performing medical procedures using anesthesia in an operating room, an ICU (Intensive Care Unit), or the like. The automatic anesthesia recorder creates, displays, and records an anesthesia chart representing the time course of anesthesia information and patient's vital information. The anesthesia information is, for example, the oxygen flow rate, the laughing air flow rate, the air flow rate, and the like of the anesthesia machine. Vital information includes, for example, heart rate, body temperature, blood pressure, oxygen saturation, and the like. By viewing this anesthesia chart, a medical worker such as a doctor can grasp the relationship between anesthesia and the patient's condition, and can carry out safe anesthesia management.

In Patent Document 1, biological information (vital information), anesthetic effect information, and medication information are displayed side by side along the time axis, so that medical staff can grasp the patient's condition more quickly and comprehensively. Disclosed is a medical display capable of

JP 2016-086972 A

By the way, the anesthesia chart displays a lot of event information together with the patient's vital information. Event information is information on medical practice. The event information includes, for example, the above-described anesthesia information, transfusion/blood transfusion information, treatment information (cardiopulmonary bypass, single-lung ventilation, tourniquet, etc.). In order to accurately grasp which event information influences the vital information, it is desirable to display as much event information as possible on the anesthesia chart.

However, the more event information to be displayed on the anesthesia chart, the more complicated the display of the anesthesia chart becomes. As a result, it is considered that experience and familiarity are required to visually compare the correspondence between specific event information and vital information quickly and without error. Moreover, even for experienced and familiar medical personnel, it is considered to be a heavy burden to quickly and accurately compare these correspondences during surgery and emergency medical care. This is because erroneous recognition of these correspondence relationships may lead to serious medical accidents.

The present invention has been devised in consideration of the above points, and is capable of synthesizing vital information and medical action (event information) in an anesthesia progress record without imposing a heavy burden on medical personnel during surgery or emergency medical care. To provide an anesthesia progress record display method and a program capable of grasping the correspondence relationship between.

One aspect of the anesthesia progress record display method of the present invention is
displaying an anesthesia log including patient vital graphs and anesthesia information;
inputting the medical practice name of the medical practice that has a period of time given to the patient and information on the medical practice period;
The background of the anesthesia progress record corresponding to the medical practice period is displayed in a background pattern corresponding to the name of the medical practice.

According to the present invention, it is possible to grasp the correspondence relationship between the vital information in the anesthesia progress record and the medical action (event information) without imposing a heavy burden on the medical staff during surgery or emergency medical care. .

1 is a diagram showing an overview of a hospital information system to which an anesthesia progress record display method according to an embodiment is applied; FIG. FIG. 4 is a diagram showing an example of an anesthesia chart according to the embodiment; A diagram showing an example of an anesthesia chart according to another embodiment.

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments of the present invention will be described with reference to the drawings.

<System configuration>
FIG. 1 is a diagram showing an overview of a hospital information system (HIS) to which an anesthesia chart display method according to an embodiment of the present invention is applied. The hospital information system in FIG. 1 has an electronic chart system as a host system, and a medical accounting system, radiation system, central examination system, ordering system, physical distribution management system, and acute department system 1 are connected online.

The acute department system 1 has a database server 100 . The database server 100 is communicably connected to other systems included in the hospital information system, such as the above-described electronic chart system and ordering system, via a gateway server 101 as a data exchanger.

The database server 100 centrally manages data of an operating room, an intensive care unit (ICU), and an emergency room (ER). In the following, the intensive care unit and emergency room are abbreviated as intensive care unit or ICU-ER.

The operating room is equipped with an anesthesia machine 200 and a biological information monitor 210 , which are connected online to the database server 100 via a conversion module 220 . The ICU-ER is equipped with a ventilator, an aortic balloon pump, a biological information monitor, etc. (not shown), which are connected online to the database server 100 via a conversion module (not shown).

The database server 100 collects online data from the anesthesia machine 200, biological information monitor 210, ventilator (not shown), blood gas analyzer (not shown), etc. installed in the operating room or ICU-ER. centrally managed. In addition, the database server 100 can acquire data such as patient attributes, various examination data, drug orders, and surgical orders from an electronic medical chart system, an ordering system, a central examination system, and the like via the gateway server 101 . Furthermore, it is also possible to send data from the acute department system 1 to other systems included in the hospital information system.

The database server 100 can centrally manage the perioperative period, from preoperative surgical reservations to scheduling and postoperative anesthesia record summaries.

The database server 100 is also connected to a terminal 103 in the operating room and a terminal 104 in the ICU-ER. The terminals 103 and 104 have the function of receiving data from the database server 100 and creating an anesthesia chart. Specifically, the terminals 103 and 104 have a ROM (Read Only Memory), a RAM (Random Access Memory), a CPU (Central Processing Unit), etc., and the CPU executes a program held in the ROM, Create and display an anesthesia chart.

Specifically, the terminals 103 and 104 receive information such as various online data, process events from entering the room, anesthesia machine information, vital information, drug information, and infusion information from the database server 100, and based on this information, the anesthesia chart form and display Furthermore, the terminals 103 and 104 can register information such as the start/end of anesthesia in the anesthesia chart.

Anesthesia charts formed by the terminals 103 , 104 are also recorded by the database server 100 . In addition, this anesthesia chart can be referred to at an in-hospital or external terminal via the Web server 102 .

<Anesthesia chart>
Next, an anesthesia chart (which may be called an automatic anesthesia record) formed and displayed according to the present embodiment will be described with reference to FIG.

FIG. 2 is a display example of the anesthesia chart 10 of this embodiment. The anesthesia chart 10 is formed and displayed by the terminals 103,104.

The anesthesia chart 10 of this embodiment includes a patient information area 11, an anesthesia machine information area 12, a vital graph area 13, a drug area 14, an infusion area 15, an equipment data area 16, an event icon area 17, and a balance area 18. be The anesthesia chart 10 also includes a progress list display area 20 .

The vital graph area 13 displays the vital graph of a patient undergoing surgery or treatment. In the anesthesia machine information area 12, the medicine area 14, and the infusion area 15, the state of the anesthesia machine, the administration state of the medicine, and the administration information of the infusion over time are displayed by Gantt charts and numbers, respectively. The equipment data area 16, the event icon area 17, and the balance area 18 display chronological equipment data, the presence or absence of an event, the start/end of the event, and the IN/OUT balance, respectively, using numbers and symbols. In the progress list display area 20, the start time, end time, etc. of the action are displayed in time and characters.

In addition, in the anesthesia chart 10 of the present embodiment, the background color of the anesthesia chart corresponding to the medical practice period of a specific medical practice is displayed in different colors according to the name of the medical practice. ing.

In the example of FIG. 2, the background colors of the periods during which specific medical practices 1 to 3 are performed are displayed in different colors. In FIG. 2, for convenience, the background of the period during which medical procedures 1 to 3 are performed is indicated by different hatching patterns. Specifically, medical practice 1 is, for example, heart-lung machine, medical practice 2 is, for example, single-lung ventilation, and medical practice 3 is, for example, tourniquet. That is, in the anesthesia chart 10 of the present embodiment, the background color for the period during which cardiopulmonary bypass is performed, the background color for the period for single-lung ventilation, and the background color for the period during which tourniquet is performed are displayed in different colors.

In the example of FIG. 2, medical practice 1 (for example, cardiopulmonary bypass) started at 9:07 and ended at 9:50, so the background color for this period is the first color. Medical action 2 (for example, single lung ventilation) started at 9:19 and ended at 10:19, so the background color for this period is the second color. Medical act 3 (eg tourniquet) started at 9:58 and ended at 10:10, so the background color for this period is the third color. Incidentally, in the example of FIG. 2, only the background colors corresponding to medical practice 1 and medical practice 2 are identifiably displayed, and the background color corresponding to medical practice 3 is not identifiably displayed. As described above, in this embodiment, the medical staff can select the background color of any medical practice to be displayed in an identifiable manner using a mouse or keyboard.

In the example of FIG. 2, the background colors other than the vital graph area 13 are also color-coded according to the period of the medical practice, but only the background color of the vital graph area 13 may be color-coded according to the medical practice period. .

The creation and display processing of such an anesthesia chart 10 is premised on displaying an anesthesia chart including patient vital graphs and anesthesia information (that is, areas such as areas 12 to 18 including vital graphs and anesthesia information). is created and displayed), and on top of that, the background color of the medical practice period set by a medical practitioner such as a doctor or nurse is displayed in different colors.

Actually, the medical staff uses the operation keys of the terminals 103 and 104 to set and select the medical practice for which the background color is to be colored. Next, the medical staff uses the operation keys of the terminals 103 and 104 to input the start and end of the medical practice when starting and ending the medical practice. Through such operations, terminals 103 and 104 are operated by the medical staff to input the name of the medical practice and the information on the duration of the medical practice performed on the patient. Then, as shown in FIG. 2, the terminals 103 and 104 display the background color of the anesthesia chart 10 corresponding to the period of medical practice in different colors according to the name of the medical practice.

<effect>
As described above, according to the present embodiment, (i) an anesthesia chart including a patient's vital graph and anesthesia information is displayed, and (ii) a medical treatment of a medical practice having a period during which the patient is given is displayed. (iii) The background color of the anesthesia chart corresponding to the medical practice period is displayed in a different color according to the medical practice name. By doing so, it is possible to grasp the correspondence relationship between the vital information in the anesthesia chart and the medical treatment (event information) without imposing a heavy burden on the medical staff during surgery or emergency medical care. Become.

In particular, in the anesthesia chart, information related to anesthesia administration and other information is displayed in addition to the vital graph, so a large amount of information is displayed on one screen, resulting in a very complicated display. . Therefore, it may not be easy to grasp the correlation between the vital graph and the medical practice. The anesthesia chart display method of the present embodiment avoids such an inconvenience, and makes it possible to easily comprehend the correspondence relationship between vital information and medical practice (event information) having a period.

In particular, since the background color of the vital graph area 13 in which the vital graph is displayed is color-coded according to the name of the medical practice, the correspondence relationship between the vital information and the medical practice (event information) can be clearly grasped. In particular, when the background is painted out according to the period of medical practice as in the present embodiment, the medical staff can clearly recognize the overlapping period of medical practice.

In addition, a list of correspondences between medical practice names and background colors ("action legend") is displayed in an area other than the area where background colors are displayed (for example, the leftmost area of the vital graph area 13 in FIG. 2). By doing so, the medical staff can easily recognize which background color corresponds to which medical practice, and can easily grasp which medical practice was performed in which period.

Incidentally, in the display of conventional anesthesia charts, for example, when a doctor finds a position (time point) where blood pressure is abnormally low on a vital graph, he tries to find the cause, and what kind of medical action was being performed at that time point. is compared with the vital graph and the Gantt display of the medical practice or the medical practice record table (the start/end time of the medical practice displayed in the progress list display area 20). On the other hand, in the present embodiment, since the vital graph is given a background color corresponding to the medical practice, the correlation between the vital graph and the medical practice can be grasped at a glance.

<Other embodiments>
The above-described embodiments are merely examples of specific implementations of the present invention, and the technical scope of the present invention should not be construed to be limited by these. That is, the present invention can be embodied in various forms without departing from its spirit or essential characteristics.

For example, the medical staff may be allowed to designate any one of a plurality of medical practices 1-3, and the background color of the designated medical practices 1-3 may be highlighted. In this way, it becomes easier for the medical staff to grasp the relationship between the medical practice that the medical staff wishes to pay attention to and the vital graph. A specific description will be given with reference to FIG. The medical staff uses the mouse or the like of the terminals 103 and 104 to move the pointer to any medical practice name or background color in the response list (the response list displayed at the left end of the vital graph area 13). The name of the medical practice or the background color is specified by performing a selection operation with the . Then, the terminals 103 and 104 highlight the background color of the anesthesia chart 10 corresponding to the designated medical practice name or background color. In the example of FIG. 3, a medical practice 3 is designated by the medical practitioner, and the background color corresponding to medical practice 3 is highlighted. Note that highlighting may be, for example, darkening the background color, enclosing a region with a background color in a frame, or increasing the brightness. In this case, only the background color of the medical practice 3 may be left, and the background colors corresponding to the medical practices 1 and 2 not specified may be deleted.

Further, for example, a medical staff may be allowed to designate any one of a plurality of pieces of vital information included in the vital graph, and the graph of the designated vital information may be highlighted. In this way, it becomes easier for the medical staff to grasp the relationship between the medical practice to which the medical staff wants to focus and the vital information. For example, the medical staff uses the mouse or the like of the terminals 103 and 104 to move the pointer to any of the vital information in the correspondence list (correspondence list displayed at the left end of the vital graph area 13) and perform selection operation. to specify the vital information. The terminals 103 and 104 then highlight the vital graph corresponding to the selected vital information. For example, when HR (heart rate) is specified by a medical professional, the vital graph of HR is highlighted (for example, blinking). In this case, only the HR vital graph may be left, and the vital graphs not specified may be erased.

Furthermore, in the display processing of the anesthesia chart 10 of the present invention, by using different layers for the vital graph and the numerical data and the background color, it is possible to suppress deterioration of the visibility of the vital graph and the numerical data due to the background color. is preferred.

Also, in an area where two or more background colors overlap, it is preferable to suppress deterioration in the visibility of the vital graph and numerical data by changing the brightness, saturation, and brightness of the vital graph and numerical data.

In addition, the medical staff may be allowed to select the areas 12 to 18 to which the background color corresponding to the medical treatment period is applied from the areas 12 to 18 . In other words, it may be possible to select whether or not to apply a background color corresponding to the medical practice period for each of the areas 12-18. For example, the background colors of only the anesthesia machine information area 12, the vital graph area 13, and the drug area 14 may be colored according to the medical treatment period, and the background colors of the other areas 15 to 18 may remain unchanged.

In the above-described embodiment, the case where the anesthesia chart creation and display processing according to the present invention is performed by the terminals 103 and 104 has been described, but the present invention is not limited to this. , and display processing of the created anesthesia chart 10 may be performed on the terminal 103, 104 or the like.

In the above-described embodiment, a case has been described in which the background color of the anesthesia chart corresponding to the medical practice period is displayed in different colors according to the name of the medical practice. A background color may be added to correspond to the anticipated effective period of the drug or the contraindicated period. In this way, the relationship between the vital graph and the drug efficacy period or contraindication period can be grasped at a glance, so that the doctor can consider some other treatment.

In the above-described embodiment, the case where the background color of the anesthesia chart corresponding to the medical practice period is displayed in the background color corresponding to the name of the medical practice has been described. By displaying the background of the anesthesia chart to be performed in a background pattern corresponding to the name of the medical practice, the same effects as those of the above-described embodiment can be obtained. Examples of this background pattern include color, pattern, luminance, and the like. In other words, the "background color" in the above-described embodiment can be replaced with the "background pattern".

In the above-described embodiment, the case of forming and displaying an anesthesia chart in an operating room was mainly described, but the present invention is not limited to this, and can also be applied to an ICU-ER progress chart. It is widely applicable for displaying anesthesia progress records including graphs and anesthesia information. That is, the present invention can also be embodied by replacing the "anesthesia chart" in the above embodiment with the "anesthesia progress record".

One feature of the anesthesia progress record according to the above-described embodiment is that the medical practice having a period performed on the patient includes at least first and second medical practices, and the medical practice period of the first medical practice As for the above, Gantt display is performed, and with regard to the medical practice period of the second medical practice, the background of the anesthesia progress record corresponding to the medical practice period is displayed in a background pattern corresponding to the name of the medical practice. By doing so, compared to expressing the period of all medical actions in the Gantt display, the display of the anesthesia progress record is not complicated, and the vital information and the medical action in the anesthesia progress record are displayed. There is an advantage that the correspondence relationship between can be displayed in an easy-to-understand manner.

In the above-described embodiment, as the first medical action, the anesthesia administration action and the transfusion action shown in the anesthesia machine information area 12, the drug area 14, and the infusion area 15 are exemplified. In addition, cardiopulmonary bypass, single-lung ventilation, tourniquet, etc. are mentioned as examples of the second medical practice. Here, the medical practice displayed in Gantt, that is, the first medical practice is medical practice related to administration of anesthesia, and the medical practice displayed in the background pattern is surgery, posture, single-lung ventilation, pneumoperitoneum, tourniquet, artificial heart-lung machine (pump ON/OFF). , aortic blockage, brain isolation), hypothermia and clipping. This is because, in conventional anesthesia progress records, the period of medical practice related to administration of anesthesia is generally displayed in Gantt, and medical professionals are accustomed to such displays, so it would be better not to change the display to avoid confusion. Because it is possible. However, the present invention is not limited to this.

INDUSTRIAL APPLICABILITY The present invention is useful as a device for displaying an anesthesia chart and a program for displaying an anesthesia chart.

1 Acute Department System 10 Anesthesia Chart 12 Anesthesia Machine Information Area 13 Vital Graph Area 14 Drug Area 15 Infusion Area 100 Database Server 101 Gateway Server 102 Web Server 103, 104 Terminal 200 Anesthesia Machine 210 Biological Information Monitor 220 Conversion Module

Claims (6)

A method of operating an anesthesia history display device having a display for displaying an anesthesia history record including patient vital graphs and anesthesia information, comprising:
From the input part, enter information on the effective period and/or contraindicated period of the drug,
Displaying an anesthesia progress record in a background color based on the effective period and/or the contraindicated period on the display unit;
A method of operating an anesthesia progress display device. moreover,
inputting from the input unit a medical practice name of a medical practice having a period of time given to the patient and information on the medical practice period;
displaying, on the display unit, the background of the anesthesia progress record corresponding to the medical practice period in a background pattern corresponding to the name of the medical practice;
A method of operating the anesthesia progress record display device according to claim 1. An anesthesia progress record display device for displaying an anesthesia progress record including a patient's vital graph and anesthesia information,
an input unit for inputting information on the efficacy period and/or contraindication period of the drug;
a display unit that displays an anesthesia progress record in a background color based on the effective period and/or the contraindicated period;
Anesthesia progress record display device. The input unit further inputs a medical practice name of a medical practice having a period performed on the patient and information on the medical practice period,
The display unit further displays the background of the anesthesia progress record corresponding to the medical practice period in a background pattern corresponding to the name of the medical practice.
The anesthesia progress record display device according to claim 3. to the computer,
a process of displaying an anesthesia progress log including patient vital graphs and anesthesia information;
A process of inputting information on the effective period and/or contraindicated period of the drug;
displaying an anesthesia history record with a background color based on the effective period and/or the contraindicated period;
program to run. to the computer;
moreover,
a process of inputting the medical practice name of the medical practice having a period performed on the patient and information on the medical practice period;
a process of displaying the background of the anesthesia progress record corresponding to the medical practice period in a background pattern corresponding to the name of the medical practice;
6. The program according to claim 5, causing the execution of

Images