JP3772131B2 - Management system with mental hospital network - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an in-hospital network system including registration, storage, storage and processing of medical information for patient management in a hospital, and further suitable for integrated management of such information, particularly for mental hospitals. Related to a hospital network system.
[0002]
[Prior art]
Conventionally, network systems used by medical staff such as doctors in hospitals include an order entry system and an electronic medical record system. The order entry system electronically inputs information such as a prescription and a clinical test request from the doctor terminal in the examination room as order information, and passes it through a network such as a local area network (LAN) to the drug subsystem or clinical test subsystem. It is a system that improves the quality of medical care by reducing the waiting time of patients and accumulating test results in a database by improving the efficiency of medical work by transmitting in real time. On the other hand, the electronic medical record system is a system in which medical information about a patient is electronically input from a doctor terminal and is sequentially stored in a medical record database.
[0003]
Information related to patients handled in hospitals includes information on medical affairs, information on medical records, information on examinations and test results, information on drug administration, treatment, surgery, etc., information on wards (hospitalization, feeding, nursing, etc.), etc. There is a great deal of information. As described above, computer processing has been widely put into practical use in recent years, but overall, integrated systemization throughout the hospital including all medical information and examinations described in medical records has not been made.
[0004]
By the way, in recent years, an increasing number of people suffer from mental illness, that is, mental illness represented by depression, panic disorder, social phobia and neurosis. Symptoms of these psychiatric patients vary from mild depression that can be completely cured even by living an ordinary daily life by administration of an antidepressant to severe one that requires hospitalization treatment. Psychiatric patients, when their symptoms are severe, do not have general judgment, so they need to be very careful with their behavior or differ from rehabilitation in the usual clinical department Special treatments such as comedy prescriptions such as social rehabilitation or social adaptation training (field learning, shopping, etc.) are required. Family cooperation is also essential. Of course, the management method and system in an inpatient ward are also different from those of ordinary hospitals.
[0005]
This also applies to general hospitals, but the school lunch department in the hospital ward is the department that provides inpatient meals. The hospital meals are different from the general restaurant industry stores, and nutritionally considered meals according to the patient's medical condition must be provided at the correct time. Therefore, in large hospitals with many patients, specialists such as dietitians set up a wide variety of menus according to the type of meal such as regular meals, soft meals, diabetics, kidney meals, etc. In accordance with this, the school lunch service is carried out systematically. When an instruction such as a patient's overnight stay or a meal as a special prescription is given, the number of meals is changed or adjusted each time in the meal management.
[0006]
[Problems to be solved by the invention]
As described in the above prior art, it can be said that the demand for mental hospitals has increased in recent years. In addition, as described above, there are many psychiatric specific orders in psychiatric hospitals, and it is required to construct a system for psychiatric hospitals that meets the demand. However, it has reached the practical application of an integrated network system that connects inpatient wards in mental hospitals that care for particularly severe patients, and examination rooms, examination rooms, and food service centers for treatment and examination of inpatients. Absent.
[0007]
Therefore, the above-mentioned problems are solved, and the present invention incorporates a special curriculum specially given to patients who are admitted to a mental hospital, and enables integrated and optimal management throughout the hospital, which can be integrated in the hospital. To provide a network system.
[0008]
[Means for solving the problems and actions / effects]
  In order to solve the above problems, the present invention
  A host server having a database storing medical information about a large number of patients with mental illness, a terminal device of a first department that is connected to the host server and mainly manages the work by a nurse, and is connected to the host server A terminal device of the second department that comprehensively manages the hospital inside the hospital, a terminal device of the third department mainly working for doctors connected to the host server, and a main device connected to the host server A mental hospital network that connects the terminal devices of the fourth department, which is the department where the therapists are working or who are treated by the therapistsIn
  The pocket money request data for handing over to the psychiatric patient including the number of bills and coins indicating the cash breakdown inputted from the input means provided in the terminal device of the first department is transferred to the database of the host server. Means for storing;
In at least one of the host server and the second terminal device, means for storing the pocket money request data transferred to the database of the host server for a certain period until the registration completion operation and summing the pocket money billing amount;
  On the display screen of the terminal device of the second departmentA plurality of items that are updated sequentially within a certain periodSpending money request dataProcess all at onceMeans for displaying;
  Cash is withdrawn based on the pocket money request data sequentially updated within a certain period of time until the registration completion operation displayed on the display screen of the terminal device of the second department, and the amount withdrawn is used as cash withdrawal data.Input from the input means of the terminal device of the second departmentdo it,Means for transferring and storing in the database;
  Means for displaying the cash withdrawal data on a display screen of the terminal device of the first department;
  Based on the cash withdrawal data displayed on the display screen of the terminal device of the first department, the amount received from the second department is used as cash delivery data to the patient.Input from the input means provided in the terminal unit of the first departmentdo it,Means for transferring and storing in the database of the host server;
  Transfers the group occupational therapy or individual occupational therapy medical prescription data of the patient who is registered by input from the input means provided in the terminal device of the third department where the doctors are working to the database of the host server. Means for storing and
  If the patient ’s comedy prescription data is registered,While prohibiting subsequent updates of prescription data,Means for automatically transmitting a request mail from the terminal device of the third department to the terminal device of the fourth department where the therapists are working or the therapy is given by the therapist;
  Means for displaying the comedy prescription data on a display screen of the terminal device of the fourth department;
  Based on the comedy prescription data displayed on this display screen, the comedy prescription report data that prescribes the patient in the fourth department,Input from the input means provided in the terminal device of the fourth departmentbyRegistration operationsoMeans for transferring and storing in the database;
  When the registration operation of the comedy prescription report data is performed,While prohibiting subsequent updates of prescription report data,Means for automatically transmitting a request mail from the terminal device of the fourth department to the terminal device of the third department where the doctors are working;
  Means for displaying the comedy prescription report data on a display screen of the terminal device of the third department;
  Means for transferring and storing the comedy prescription continuation judgment data indicating the presence or absence of continuation of the comedy prescription registered by input from the input means provided in the terminal device of the third department to the database;
  Means for automatically transmitting a request mail from the terminal device of the third department to the fourth terminal device when the registration operation of the comedy prescription continuation determination data is performed;
WithIt is characterized by that.
[0009]
In hospitals, various prescriptions are given to patients. If the above configuration is adopted, the order received from each department in the hospital is output to the terminal device installed in the desired department, so no document or special communication means is required in the order processing, and the order is received in the target department. You can refer to the data and execute the order.
[0011]
According to the said structure, it acts usefully in the process of providing pocket money to a patient as part of the treatment performed with respect to the inpatient of a mental hospital. In other words, in the communication process from the first department that requests pocket money to the second department that actually withdraws cash (hereinafter also referred to as general affairs), what has been written directly in the past, or the pocket money request is sent to the word processor. In any case, the document must be delivered to the general affairs, such as what is input and printed out, and not only a considerable amount of labor and labor is required for the delivery, but also a certain amount of time is spent in transmitting the information. However, if the above configuration is adopted, it is not necessary for the nurse to deliver the pocket money request slip to the general affairs, and when there is a pocket money request, it can be transmitted only by inputting the pocket money request data from the terminal device of the first department. Become. In addition, since the data is immediately stored in the database of the host server and transferred to the general affairs terminal device, it is possible to increase the speed of data transmission, and the system is efficient in in-hospital data transmission.
[0012]
In addition, a registration operation of the pocket money request data for transferring and storing the pocket money request data input in the first department to the host server database is permitted only when a specific condition is satisfied. It can also be configured.
[0013]
Specifically, for example, input / update of pocket money request data by a person other than the nurse from the first department can be prohibited. In addition, since the name of the nurse in charge is also described in the pocket money request data, it is possible to avoid inadvertent data input by a person outside the department.
[0014]
In addition, when the registration operation permitted only when the specific condition is satisfied indicates that the registration is completed, the pocket money request data is not allowed to be subsequently updated (information other than insurance related information). Also good.
[0016]
Specifically, for example, a period such as one week is determined, and during that time, the pocket money request data from the first department is sequentially input / updated. When a registration completion operation is performed after one week, or when a pre-programmed designated time is reached, a plurality of pocket money request data stored in one week are processed at the same time and the terminal device It can be set as the structure referred by. If it is programmed in advance to display the total amount of charges based on a plurality of pocket money request data after the registration completion operation, the total amount of pocket money charges in the second department from the input of pocket money request data from the first department The process up to reference is automatically and consistently performed, so that further efficiency can be achieved.
[0018]
More specifically, in psychiatry, there are comedic prescriptions such as psychotherapy and occupational therapy given by a therapist, apart from medical examination and treatment by a doctor. When executing this type of order, it is necessary to transmit the therapy request data from the doctor to the therapist and report the therapy result from the therapist to the doctor, and whether to continue the therapy after that. It is necessary to transmit information again. Of course, it takes time to transmit these information in the same manner as described above, and there is a part in which it is impossible to predict how much time will be required, such as work or judgment by a doctor or therapist. However, according to the system configured as described above, doctors and therapists need to input requests and results from the terminal devices owned by the respective departments when necessary. It is possible to save time and trouble to call a nurse if necessary. The actions and effects described above, such as speeding up data transmission and eliminating waste of paper resources, are even more pronounced.
[0019]
In addition, the present invention configured as described above has the object of displaying data from the department of the terminal device to which the data is input when the registration operation of each data permitted only when a specific condition is satisfied indicates that the registration is completed. It is also possible to provide a function of sending a request mail to the department.
[0020]
With this configuration, when it is difficult to determine when data is input, such as doctor and therapist decision result data, when the specified input is made rather than referring to a certain time Since the request mail is sent to the target department together with the data, it becomes possible to refer to the data in the target department in response to the reception of the mail.
[0021]
  In addition, the present invention provides a host server having a database storing medical information about a large number of psychiatric patients, and a terminal device of a first department that is connected to the host server and performs overall task management mainly by a nurse. A terminal device of a second department that comprehensively manages the inside of the hospital connected to the host server, a terminal device of a third department that is connected to the host server and is mainly used by doctors, and the host Connects the terminal device of the 4th department which is the department where the therapists mainly work or are treated by the therapist connected to the server and the terminal equipment of the 5th department which manages the meal service. Mental hospital networkIn,
  The pocket money request data for handing over to the psychiatric patient including the number of bills and coins indicating the cash breakdown inputted from the input means provided in the terminal device of the first department is transferred to the database of the host server. Means for storing;
  Means for displaying the pocket money request data on a display screen of the terminal device of the second department;
  Cash is withdrawn based on the pocket money request data displayed on the display screen of the terminal device of the second department, and the amount withdrawn is used as cash withdrawal data.Input from the input means of the terminal device of the second departmentdo it,Means for transferring and storing in the database;
  Means for displaying the cash withdrawal data on a display screen of the terminal device of the first department;
  Based on the cash withdrawal data displayed on the display screen of the terminal device of the first department, cash received from the second department is used as cash delivery data to the patient.Input from the input means provided in the terminal unit of the first departmentdo it,Means for transferring and storing in the database of the host server;
  Transfers the group occupational therapy or individual occupational therapy medical prescription data of the patient who is registered by input from the input means provided in the terminal device of the third department where the doctors are working to the database of the host server. Means for storing and
  If the patient ’s comedy prescription data is registered,While prohibiting subsequent updates of prescription data,Means for automatically transmitting a request mail from the terminal device of the third department to the terminal device of the fourth department where the therapists are working or the therapy is given by the therapist;
  Means for displaying the comedy prescription data on a display screen of the terminal device of the fourth department;
  Based on the comedy prescription data displayed on this display screen, the comedy prescription report data that prescribes the patient in the fourth department,Input from the input means provided in the terminal device of the fourth departmentbyRegistration operationsoMeans for transferring and storing in the database;
  When the registration operation of the comedy prescription report data is performed,While prohibiting subsequent updates of prescription report data,Means for automatically transmitting a request mail from the terminal device of the fourth department to the terminal device of the third department where the doctors are working;
  Means for displaying the comedy prescription report data on a display screen of the terminal device of the third department;
  Means for transferring and storing the comedy prescription continuation judgment data indicating the presence or absence of continuation of the comedy prescription registered by input from the input means provided in the terminal device of the third department to the database;
  Means for automatically transmitting a request mail from the terminal device of the third department to the fourth terminal device when the registration operation of the comedy prescription continuation determination data is performed;,
mainMeans for storing the overnight stay data input from the input means provided in the terminal device of the first department that performs the task management by the nurse in the processing data storage means of the host server;
  Means for displaying the number of meal meal change data due to outing included in the outing schedule data on the display screen of the terminal device of the fifth department that manages the lunch service;
  Means for storing overnight stay data input from the terminal device of the first department in the processing data storage means of the host server;
  SaidStored in the processing data storage means of the host serverIn order to perform the billing process based on the actual overnight stay data, the number of meal meals changed by the extra night included in the actual overnight stay data is displayed on the display screen of the terminal device of the second department that comprehensively manages the hospital. Means to
Processing means for setting a billing fee for school lunch expenses based on school lunch data in the second department;
  It is characterized by including.
[0022]
According to the above-described invention, for example, the meal meal number change data by the overnight stay included in the overnight stay schedule data input from the nursing center is specifically referred to in the lunch center, and the meal meal number is changed based on the data. A number changing system may be provided. Moreover, as another example, it is configured to include an expense billing processing system that refers to and processes the meal meal number data changed by the overnight stay included in the actual overnight stay data input from the nursing center with the terminal device for general affairs. You can also.
[0023]
In this way, if a system that normally functions as a single unit, such as overnight management or school lunch management, links each system by referring to (part of) information transmitted within the system from a plurality of terminal devices. Therefore, it can be effectively used as a comprehensive management system in a hospital, and information transmission speed and accuracy can be improved.
[0024]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, specific embodiments of the present invention will be described in detail with reference to the drawings. FIG. 1 shows a hardware configuration of a hospital network system according to an embodiment of the present invention. A host server 1 is provided with a plurality of terminal devices 2 via a LAN 3 (communication network). Information generated from each department in the hospital where the terminal device 2 is provided is executed by the host server 1 connected to a network linked by a LAN.
[0025]
The host server 1 is connected to the LAN 3 via the I / O port 11, and the I / O port 11 is connected to the common bus line 18. A CPU 12, ROM 13, RAM 14, and hard disk (HDD) 15 as main storage means are provided via the common bus line 18.
[0026]
The HDD 15 as a large-capacity storage unit has a plurality of databases as shown in FIG. The database includes a patient database 50 for managing patient information such as patient name, hospitalization history, overnight stay, and pocket money, a patient prescription database 51 for managing patient prescription information such as prescriptions and therapy results, and input assistance for these databases. There are a master database 52 for storing data to be stored, a bulletin board database 53 for storing information shared in the hospital and communication information, a mail database 54 for storing the mail contents of each individual, and the like.
[0027]
Returning to FIG. 1, a program storage area is set in the HDD 15, and a pocket order process for receiving pocket money request data from the terminal via the LAN 3 and storing it in the database 16 (or RAM 14 in some cases) for processing. Program 41, a comedy prescription processing program 42 for receiving prescription data for a patient and storing it in the database 16 (or RAM 14 as the case may be) for processing, as well as a meal meal number changing program 43 and a cost billing processing program Application programs necessary for system execution, such as 44, are stored.
[0028]
A personal computer as the terminal device 2 is installed in each of an examination room, a pharmacy, a meal room, a nursing center, a ward, and the like.
[0029]
FIG. 2 is a block diagram illustrating a configuration example of the terminal device. As shown in FIG. 2, each terminal device 2 is configured as a computer including an I / O port 21 and a CPU 29, a ROM 30, and a RAM 31 connected to the I / O port 21, and a keyboard 25, a mouse 26, and an output means as input means. A printer 22 having a printer control unit (not shown) and a monitor control unit 23 are connected to the I / O port 21. The monitor control unit 23 is connected to a monitor 24 as output means having a display screen. Furthermore, a hard disk drive (HDD) 32 is provided as a fixed storage device provided with an operating system (OS) 32a for managing the terminal device 2. Various data transmitted from the host server 1 to the terminal device 2 can be stored and used in the data memory 31a.
[0030]
The terminal device 2 may be configured as, for example, a desktop computer, but may be a laptop computer or laptop computer that uses a battery or the like as a power supply unit.
[0031]
FIG. 12 is a flowchart showing an example of the flow of basic order processing. First, when a certain order is accepted, each terminal device connected to the host server 1 via the LAN 3 inputs order data necessary for each processing (for example, input of pocket money request data, personal occupational therapy prescription data, etc. described later) 2 (S111). Data (information) input by the keyboard 25 or mouse 26 on each terminal device 2 side is sent to the host server 1 via the LAN 3 and stored (S112). Then, an order data reference operation is performed from each terminal device 2 through the LAN 3 as necessary (S113). Each target terminal device is provided in a general affairs or a school lunch room, and there are a plurality of terminal devices depending on the case. The data to be referred to is output to an output device such as the monitor 24 or the printer 22 of each terminal device 2 (S114). In addition to the visual information from the monitor 24, various information may be output by an audio output device. In that case, audio is output from the speaker 28 connected to the I / O port 21 via the amplifier 27 of FIG. Based on the output order data, an order designated by each department is executed.
[0032]
In this in-hospital system, orders generated in the hospital are stored in the database of the host server 1 and are referenced from the target department. In other words, when a test or prescription order is input from a predetermined department such as a doctor or a nursing center, the input data is registered in the database 16 of the host server 1 and is referred to by each target department via the network. The Therefore, the medical treatment result and the latest state of the patient can be grasped in other departments, and it is possible to realize better medical care by grasping the comprehensive state of the patient.
[0033]
In addition, the registration operation to the database 17 can be performed only from an appropriate department where the registration operation is performed, and data information of other departments can only be referred to and cannot be registered. In which department each data is registered or referred to will be described later together with a detailed description of the system.
[0034]
Hereinafter, a specific order processing system in accordance with the basic configuration and the flow of basic order processing will be described.
[0035]
In the treatment of psychiatric patients during their hospitalization, as part of recreation aimed at returning to society, there is a method in which a predetermined pocket money is provided to a patient and the money is used for shopping.
[0036]
FIG. 3 shows a business flow of the pocket money order processing system of the present invention. Here, the nursing center will be described as an example of the first department that supervises the task management by the nurse, and the general affairs will be described as an example of the second department that comprehensively manages the inside of the hospital. When paying pocket money to a patient, the nurse first registers the pocket money request data of the target patient from an input means such as a keyboard provided in the terminal device (S101). The inputted pocket money request data is stored in the patient database 50 of the host server 1 and is then referred to by the general affairs terminal device connected to the host server 1 via the LAN 3 (S102), but is registered or updated. The pocket money request data is stored for one week, and then the amount charged of the accumulated pocket money request data is tabulated, and the tabulated result is displayed on the general affairs terminal device. Here, the means for summing up the charges may be provided in either the host server or the terminal device of the nursing center. That is, here, in the general affairs, the pocket money request data accumulated for one week by registration from the nursing center is aggregated, and a plurality of request data for one week are processed simultaneously.
[0037]
FIG. 7 shows a reference mode screen for the pocket money request data input by the nurse. The pocket money request data entered by the nurse is the basic information of the patient, such as the patient's name, patient ID, gender, date of birth, height, weight, insurance type, physician, diagnosis name, ward, bed number, nurse in charge, etc. And information such as the breakdown of cash to be delivered to the patient, registration date, registrant name, and cash classification. In terms of the breakdown of cash, each of the nine cash items of 10,000 yen bill, 5,000 yen bill, 1,000 yen bill, 500 yen coin, 100 yen coin, 50 yen coin, 10 yen coin, 5 yen coin and 1 yen coin A numerical value output unit 402 (402a, 402b, etc.) is provided, and at the time of input, each quantity is numerically input from an input means such as a keyboard. The cash breakdown can be set freely by the nurse in consideration of patient exchange. In addition, registration or updating of pocket money request data other than nurses is prohibited.
[0038]
As mentioned above, the registration of pocket money request data can only be entered from the terminal device of the nursing center and can only be referred from other departments, and the pocket money request data cannot be registered. . In addition, for example, a user name and a password of each nurse and nurse length may be registered in advance on the input screen, and data input may not be performed unless the password is correctly input. In this case, for example, a portion related to a more serious judgment can be configured such that only the nurse length is given the right to execute the input, and the safety of the system is also increased.
[0039]
Returning to FIG. 3, next, the general affairs withdraws cash from the bank or the like based on the counting result (S103). This is withdrawn from a hospital bank account or the like, but it is also possible to withdraw cash that has been deposited in advance as a deposit from the patient into the hospital account. Next, the general affairs registers the cash withdrawal data including the bank withdrawal date and the withdrawal name data from the input means of the general affairs terminal device (S104).
[0040]
Thereafter, the cash is transferred from the general affairs to the nursing center (this is by direct handing or in-hospital delivery means) (S105). At this time, the nurse who received the cash receives the cash receiving date and the name of the receiving nurse as pocket money receiving data. Registration is performed from the terminal device of the nursing center (S106). Then, the pocket money receipt is printed out (S107), and when the nurse gives cash to the patient, the pocket money receipt is received from the patient or his / her family and the series of operations of the pocket money order processing system is completed. In the general affairs, the pocket money receipt printout process is necessary for the duty of storing medical data, and although it is written here, it is also possible to store the data on a read-only and non-writable disk or the like.
[0041]
In addition, it may be configured to add some restrictions when registering the pocket money request data. For example, it is possible to check whether or not the order has been completed, and to take a confirmation process as to whether or not the input person is a corresponding person. FIG. 13 shows a flowchart of the system until the input data is stored in the database by the storage means of the host server. First, an ID / password is input (S121). If they are correct, the process proceeds to YES in S122. If they are not correct, the ID / password is input again. Thereafter, the pocket money request data is input / updated from the terminal device of the nursing center (S123). Thereafter, in S124, it is determined whether or not the input order is an order that has been completed, and if it is not an order that has been completed, the process proceeds to input of an ID / password. If the order has been completed, the process advances to NO in S124, displays that the data cannot be updated because the completed operation has been completed (S126), and ends. Then, the ID / password is input by the nurse, the nurse length, etc. (S125), whether they are correct, that is, whether the ID is already registered and whether the password is unique to the ID. (S127), and if it is correct, the process proceeds to YES in S127. If it is not accurate, the ID / password is re-input in S125. After proceeding to YES in S127, the input data is stored in the host server by inputting the approval information of the pocket money data in S128 (S129).
[0042]
FIG. 14 is a diagram for explaining, as an example, detailed process information in the systemized business flow of the pocket money request described so far. Although this corresponds to the flowchart of FIG. 3, here, as shown in FIG. 14A, the pocketing request data registration cycle is set to one week, and the totaling result of the pocket money request data by the general affairs once a week on a specific day of the week. (S102). Then, cash withdrawal and cash withdrawal data registration are performed every specific day of the week (S104), and cash is given to the nurse. The sequence is as detailed above. Of course, the pocketing request data registration cycle may not be set to one week, but may be set freely.
[0043]
FIG. 14B is a diagram for explaining, in a list, in which department each data is registered and referred to, the update authority for each data, and the data storage period. In the pocket money request order system here, the main departments that register and refer to each data are the nursing center and the general affairs, so it consists of only these two departments. Can be linked to departments that run other systems.
[0044]
In addition, there is a business of arranging sanitary materials necessary for hospitalization. A flowchart of the system is shown in FIG. First, when a required hygiene material request is generated, hygiene material arrangement data is registered from the nursing center (S201). Subsequently, inventory data is allocated in the central material (hereinafter also referred to as a material warehouse) (S202). Here, if there is a stock of the sanitary material, no arrangement is made to the supplier, and the stock data (insufficient data) is referred to by the outpatient nursing chief only when there is no stock (S203), Sanitary material ordering data is registered from the input means of the terminal device (S204), and an order is placed with a supplier. When an order is placed and inventory data is updated, sanitary material delivery data (S208) is registered in the central material. On the other hand, in the general affairs, the hygiene material arrangement data is referred to (S205), and the general affairs withdraws the patient's share of cash from the bank (S206) and registers the cash withdrawal data (S207). Shipped (S209). The nurse registers the hygiene material receipt data when receiving the hygiene material (S210).
[0045]
Here, the cash withdrawal process (S206) in the general affairs in this system may be performed simultaneously with the cash withdrawal process in the pocket money request order. Data relating to pocket money and hygiene materials are different, but for example, if the same date is used to collect the data, and the burden for the same patient is collected from the bank, the efficiency increases. It is also possible to collect all cash bills from patients or their families.
[0046]
Next, an example of an order execution system related to prescription for a patient will be described.
[0047]
In the treatment of psychiatric patients, there are comedy prescriptions such as psychotherapy and physical therapy. Treatment with comedic prescriptions is not a doctor but a psychotherapist or physical therapist and is a psychiatric specific prescription and is very important. It can be said that this prescription is also aimed at achieving a kind of social return.
[0048]
The system of individual occupational therapy prescription in this comedy prescription will be explained. FIG. 5 shows a work flow of the occupational therapy prescription processing system. Here, the medical office is mainly used as the third department where doctors work, and the therapy center (OT) is used as the fourth department, which is mainly used by therapists or where therapy is provided by therapists. An example will be described below. First, when a personal occupational therapy prescription is issued by a doctor, personal occupational therapy prescription data is registered from the input means of the terminal device of the medical office (examination room) (S301). Updating after the doctor determines that the data registration is complete is prohibited, and at the same time as the data registration is completed, a request mail is automatically distributed to the occupational therapist (S321). The personal occupational therapy prescription data is displayed on the terminal device of the OT, and the occupational therapist refers to this data (S302). Here, the flow of the system for prohibiting the update of data after the completion of registration is the same as that in FIG. 13 (S124).
[0049]
FIG. 8 is a reference mode screen for occupational therapy prescription data registered by a doctor. This occupational therapy prescription data includes prescription date, patient ID, patient name, gender, age, date of birth, ward, diagnosis name, OT purpose, physician name, and the like. In FIG. 8, the data output to the occupational therapy category output unit 411 (in this case, the individual occupational therapy is selected) is input in the form of a radio button. In addition, for example, the OT purpose output unit 412 and the work item output unit 413 In FIG. 5, a check is made at a corresponding place from a plurality of options, and at the time of input, a selection format dialog list is used.
[0050]
FIG. 15 is a diagram illustrating, as an example, detailed process information in a systematic workflow of collective occupational therapy that can be executed as an individual occupational therapy prescription and a system substantially similar thereto. In this occupational therapy, the cycle is not particularly defined, and when instructed by a doctor, a therapist is contacted at any time. FIG. 16 is a diagram for explaining in a list which department each data is registered and referred to in the occupational therapy prescription system, the authority to update each data, and the storage period of the data.
[0051]
Returning to FIG. 5, following the data reference by the occupational therapist (S302), the occupational therapist actually performs the therapy to the patient (S303) and then registers the occupational therapy report data (S304). This occupational therapy report data includes information such as patient ID, patient name, sex, age, date of birth, ward, diagnosis name, primary doctor name, report contents (according to attached file), occupational therapist name, and the like. Registration / update of occupational therapy report data other than occupational therapists is prohibited. Simultaneously with completion of data registration, a therapy report mail is automatically transmitted to the medical office (examination room) (S322). Next, the doctor refers to the occupational therapy report data at the terminal device of the medical office (S305). Based on the judgment of the doctor, it is judged whether to end or continue the occupational therapy (S306), and the judgment result is registered as continuation judgment data from the terminal device of the medical office (examination room) (S307). The continuation determination data includes information such as the continuation category, prescription date, therapy duration, and name of the attending physician. The registered continuation judgment data follows the same flow as the aforementioned personal occupational therapy prescription data, and a continuation confirmation mail is automatically distributed to the OT terminal device (S323), and the data is displayed and referred to by the occupational therapist. (S308). Whether or not occupational therapy is continued, and if it is continued, the duration is displayed as data. If the judgment data is completed, the therapy to the patient is stopped, and if it is continued, the therapy to the patient is continued until the therapy period ends (return to S303). The registered occupational therapy data is stored in the patient prescription database 51 of the host server 1 and is also referred to from the general affairs terminal device connected to the host server 1 via the LAN 3. In general affairs, this occupational therapy prescription is printed out (S309), and the signatures of the doctor and the occupational therapist are received and stored. The above is a series of flow of the personal occupational therapy prescription system.
[0052]
In addition to the above-mentioned individual occupational therapy, comedic prescriptions include group occupational therapy, psychotherapy, physical therapy, and the like. They can also be executed by a system configuration substantially similar to the above.
[0053]
Next, as another embodiment of the present invention of a similar in-hospital network system, a network of lunch rooms and nursing centers will be described in detail. The hardware configuration is the same as that shown in FIG. 2 for the terminal devices of the nursing center and the feeding room, as in the pocket money ordering system described above. Here, in particular, when a patient is granted permission to stay overnight, in order to communicate changes in the number of meals due to staying overnight, the nursing center and the school lunch management room will be connected to speed up communication and delays in changing information, etc. We will describe a system that improves efficiency so that no unnecessary meals are produced.
[0054]
The system for changing the number of meal meals by staying outside will be described. FIG. 6 shows a business flow of the lunch meal number changing system. Here, the fifth department that manages the school lunch service will be described as a school lunch center. First, when the doctor gives permission for the patient to stay overnight (S501), the nurse registers the planned overnight stay data from the input means of the terminal device of the nursing center (S502). Next, the lunch change data portion of the planned overnight stay data is referred to at the lunch center (S503).
[0055]
FIG. 9 is a screen of a normal reference mode for the planned overnight stay data registered from the terminal device of the nursing center. As shown in FIG. 9, the overnight stay schedule data includes the registration date, patient ID, patient name, scheduled overnight departure date, scheduled departure time, scheduled return date, scheduled return date, destination, meal change, doctor name In addition to the registered nurse name, as will be described later, the changed ward, the number of breakfasts (by type), the number of lunches (by type), the number of dinners (by type), special meal names, Information such as wages is included. However, since the reference screen shown in FIG. 9 is a general screen that can be referred to by departments such as medical offices and pharmacies as well as the school lunch center, the screen display of the contents of the school lunch change data, which is detailed information on the school lunch change, is It is not displayed, and it is displayed only for the lunch change period in the case of “necessary” and the necessity / unnecessary information of the lunch change (output unit 440). It should be noted that the presence or absence of a meal change indicated by the output unit 440 may be more simply configured as a description of only necessity / unnecessity for displaying whether a meal is necessary or not.
[0056]
This outside stay schedule data is the schedule data at that time, and registration / update of outside stay schedule data other than nurses is prohibited. When entering the patient's out-of-stay data, enter whether or not to change the school lunch in the form of a radio button with or without a meal, and if so, provide further details. FIG. 10 shows an output example of the meal change data including the detailed data. In the lunch center, the meal change data shown in FIG. 10 is referred to. That is, the lunch change data portion, which is an information portion necessary for lunch management, included in the planned overnight stay data is referred to. Information for stopping meals due to overnight stays is output to the pause information output unit 434. In addition, meals during hospitalization include regular ordinary meals, rice that has been affected by the body such as neurogenic gastritis, etc. A special meal is sometimes used as a meal. In the output screen shown in FIG. 10, such type-specific information is included (type-specific number-of-meals output unit 431), which of the three meals (adaptive food output unit 435), and what type of meal is changed for what reason Information indicating whether or not the meal has been changed is also output (special meal change output unit 432).
[0057]
Returning to FIG. 6, the flow of this system will be described. The meal change data described in detail above registered from the terminal device by the keyboard or the like from the nursing center is stored in the patient database 50 of the host server 1. It is referred to by the terminal device of the lunch center connected by LAN3 (S503). Based on the meal change data displayed / referenced on the terminal device in the lunch room, the number of meals for that day is adjusted (S504) to prepare for lunch. The above is a series of flows of the lunch meal number changing order system.
[0058]
In addition, even when the number of days of staying outside is increased and the patient is hospitalized again, the number of meals can be easily changed by inputting the meal change data for increasing the number of meals from the nursing center.
[0059]
Here, we have focused on the change in the number of meal meals due to overnight stays. It can be easily implemented by inputting the meal change data.
[0060]
That is, in the series of systems implemented by the above configuration, the feeding room and the nursing center are connected to the host server 1 and networked via the LAN 3, so that the patient's overnight stay data is transferred from the nursing center terminal device to the keyboard or the like. By registering from the input means, it is possible to distribute the data of the number of meals changed to the school lunch room. Until now, it was necessary to fill out the lunch change slip in writing and contact the nursing center with the school lunch management center directly or verbally. However, since the nursing center and the meal management center are connected by a network system, it is possible to achieve paperless hospital documents and further increase the efficiency and speed of information transmission.
[0061]
Next, the expense claim processing system based on the overnight stay performance data will be described. This system has almost the same flow as the meal meal number change processing system described above, and redundant description of the data storage process, equipment, and the like is omitted.
[0062]
FIG. 17 shows a business flow of the expense billing processing system that performs the expense billing process with reference to the actual meal data included in the overnight stay record data.
[0063]
The main flow of the system is almost the same as the flow of the meal meal number changing system described above except that the department referred to is the general affairs. The flow of the system will be described with reference to FIG. First, when the patient returns from the overnight stay, the overnight stay result data is registered by the nurse from the input means of the terminal device of the nursing center (S511). Next, the lunch meal data portion of the registered overnight stay data is referred to by general affairs (S512). At this time, an expense claim amount setting process is executed, and the calculated expense calculation data of each patient is output and displayed as an expense claim amount.
[0064]
In the overnight stay performance data, in addition to the overnight stay implementation date and the overnight stay implementation time (return performance date and time, etc.), the actual lunch meal data changed by the overnight stay is included. FIG. 11 shows the actual meal data that is the subject of the patient's cost claim during the hospitalization period. The actual meal data includes data indicating what kind of meal (ordinary rice, rice cake, etc.) and how many meals the patient has in the morning, noon, and evening. It is possible to easily determine the patient's dietary change due to overnight and simplify the receipt input in the general affairs.
[0065]
The overnight stay actual data may be created by correcting a part of the planned overnight stay data. That is, the format may be such that the overnight stay schedule data is input in an updated form.
[0066]
Although each system has been described in detail so far, the overnight stay management system, the meal management system, and the expense billing system refer to each other (part of) information as necessary in a nursing center, a meal center, or general affairs. Link by that. In summary, for example, the planned overnight stay data registered in the overnight stay management system is referred to for changing the number of meals in the lunch management system in the lunch room, and is registered at the nursing center. By referring to the data indicating whether such a meal has been taken or not as general meals data in the overnight stay actual data, the expense request process for the patient can be performed by the general administrator. As described above, the three systems mutually use a part of the information and are effectively linked as a comprehensive system in the hospital.
[0067]
Here, the cooperation in the three main management systems has been described. In addition, in the pocket money request system, when the hospital does not receive cash as the deposit in advance, the nursing center If the cash withdrawal data registered from is referred to by the general affairs, it can be processed together as the above-described expense claim processing system.
[0068]
As described above, the embodiment of the in-hospital network system particularly characterized by the psychiatric inpatient ward has been described in detail, but various other examples of use are possible within the scope of the invention.
[Brief description of the drawings]
FIG. 1 is a block diagram showing a hardware configuration example of a hospital network system according to the present invention.
FIG. 2 is a block diagram illustrating a configuration example of each terminal device.
FIG. 3 is a business flowchart showing an example of a pocket money order processing system according to the present invention.
FIG. 4 is a business flowchart showing an example of a sanitary material request according to the present invention.
FIG. 5 is a business flowchart showing an example of the occupational therapy prescription processing system of the present invention.
FIG. 6 is a business flowchart showing an example of a lunch meal number changing system.
FIG. 7 is a diagram showing an example of a reference mode screen for pocket money request data.
FIG. 8 is a diagram showing an example of a reference mode screen for occupational therapy prescription data.
FIG. 9 is a diagram showing an example of a reference mode screen for planned overnight stay data.
FIG. 10 is a diagram showing an example of a reference mode screen for meal change data.
FIG. 11 is a diagram showing details of school lunch data.
FIG. 12 is a flowchart showing an example of the flow of order processing.
FIG. 13 is a flowchart showing another example of the flow of order processing;
FIG. 14 is a diagram for explaining detailed process information in the pocket money request system.
FIG. 15 is a diagram for explaining detailed process information in the occupational therapy prescription system;
FIG. 16 is a diagram illustrating a list of departments that can register and refer to data in the occupational therapy prescription system.
FIG. 17 is a business flowchart showing an example of an expense billing processing system.
FIG. 18 is a diagram showing a configuration example of a database in the host server.
[Explanation of symbols]
1 Host server
2 Terminal equipment
3 LAN
11, 21 I / O port
12,29 CPU
13,30 ROM
14,31 RAM
16 database
22 Printer
23 Monitor controller
24 Monitor
25 keyboard
26 mouse
27 Amplifier
28 Speaker
32 HDD

Claims (5)

A host server having a database storing medical information about a large number of patients with mental illness, a terminal device of a first department that is connected to the host server and mainly manages the work by a nurse, and is connected to the host server A terminal device of the second department that comprehensively manages the hospital inside the hospital, a terminal device of the third department mainly working for doctors connected to the host server, and a main device connected to the host server In the mental hospital network connecting the terminal devices of the fourth department, which is the department where the therapists are working or who are treated by the therapists ,
The pocket money request data for handing over to the psychiatric patient including the number of bills and coins indicating the cash breakdown inputted from the input means provided in the terminal device of the first department is transferred to the database of the host server. Means for storing;
In at least one of the host server and the second terminal device, means for storing the pocket money request data transferred to the database of the host server for a certain period until the registration completion operation and summing the pocket money billing amount;
Means for collectively processing and displaying a plurality of pocket money request data sequentially updated within a certain period on the display screen of the terminal device of the second department;
Cash is withdrawn based on the pocket money request data sequentially updated within a certain period until the registration completion operation displayed on the display screen of the terminal device of the second department, and the amount of the withdrawal is used as the cash withdrawal data. and input from the input means department terminal device comprises, means for storing is transferred to the database;
Means for displaying the cash withdrawal data on a display screen of the terminal device of the first department;
Based on the cash withdrawal data displayed on the display screen of the terminal unit of the first department, the amount received from the second department is input from the input means provided in the terminal unit of the first department as cash delivery data to the patient. enter, means for storing is transferred to the database of the host server,
Transfers the group occupational therapy or individual occupational therapy medical prescription data of the patient who is registered by input from the input means provided in the terminal device of the third department where the doctors are working to the database of the host server. Means for storing and
When an operation for registering the patient's comedy prescription data is performed, updating of the prescription data thereafter is prohibited , and therapy is performed by the therapists from the terminal device of the third department or by the therapist. Means for automatically transmitting a request mail to the terminal device of the fourth department to be applied;
Means for displaying the comedy prescription data on a display screen of the terminal device of the fourth department;
Based on the comedy prescription data displayed on this display screen, the input from the input means provided in the terminal device of the fourth department is the prescription report data for the patient in the fourth department. means for storing is transferred to the database registration operation by,
When the registration operation of the comedy prescription report data is performed, the update of the prescription report data is prohibited, and from the terminal device of the fourth department to the terminal device of the third department where doctors are working. Means for automatically sending request emails;
Means for displaying the comedy prescription report data on a display screen of the terminal device of the third department;
Means for transferring and storing the comedy prescription continuation judgment data indicating the presence or absence of continuation of the comedy prescription registered by input from the input means provided in the terminal device of the third department to the database;
Means for automatically transmitting a request mail from the terminal device of the third department to the fourth terminal device when the registration operation of the comedy prescription continuation determination data is performed;
Management system with hospital network, comprising the. A host server having a database storing medical information about a large number of patients with mental illness, a terminal device of a first department that is connected to the host server and mainly manages the work by a nurse, and is connected to the host server A terminal device of the second department that comprehensively manages the hospital inside the hospital, a terminal device of the third department mainly working for doctors connected to the host server, and a main device connected to the host server in psychiatric hospital network that connects the terminal device a fourth department, the fifth department for managing the lunch business and the terminal device is a department therapy is performed by Zaikin to or the therapist therapist et al,
The pocket money request data for handing over to the psychiatric patient including the number of bills and coins indicating the cash breakdown inputted from the input means provided in the terminal device of the first department is transferred to the database of the host server. Means for storing;
Means for displaying the pocket money request data on a display screen of the terminal device of the second department;
Cash is withdrawn based on the pocket money request data displayed on the display screen of the terminal device of the second department, and the withdrawal amount is input as cash withdrawal data from the input means provided in the terminal device of the second department , Means for transferring and storing in the database;
Means for displaying the cash withdrawal data on a display screen of the terminal device of the first department;
Based on the cash withdrawal data displayed on the display screen of the terminal unit of the first department, the cash received from the second department is input from the input means provided in the terminal unit of the first department as cash delivery data to the patient. enter, means for storing is transferred to the database of the host server,
Transfers the group occupational therapy or individual occupational therapy medical prescription data of the patient who is registered by input from the input means provided in the terminal device of the third department where the doctors are working to the database of the host server. Means for storing and
When an operation for registering the patient's comedy prescription data is performed, updating of the prescription data thereafter is prohibited , and therapy is performed by the therapists from the terminal device of the third department or by the therapist. Means for automatically transmitting a request mail to the terminal device of the fourth department to be applied;
Means for displaying the comedy prescription data on a display screen of the terminal device of the fourth department;
Based on the comedy prescription data displayed on this display screen, the input from the input means provided in the terminal device of the fourth department is the prescription report data for the patient in the fourth department. means for storing is transferred to the database registration operation by,
When the registration operation of the comedy prescription report data is performed, the update of the prescription report data is prohibited, and from the terminal device of the fourth department to the terminal device of the third department where doctors are working. Means for automatically sending request emails;
Means for displaying the comedy prescription report data on a display screen of the terminal device of the third department;
Means for transferring and storing the comedy prescription continuation judgment data indicating the presence or absence of continuation of the comedy prescription registered by input from the input means provided in the terminal device of the third department to the database;
Means for automatically transmitting a request mail from the terminal device of the third department to the fourth terminal device when the registration operation of the comedy prescription continuation determination data is performed ;
Means for storing the overnight stay data input from the input means provided in the terminal device of the first department which mainly manages the task management by the nurse in the processing data storage means of the host server;
Means for displaying the number of meal meals changed by staying out included in the staying out schedule data on the display screen of the terminal device of the fifth department that manages the lunch service;
Means for storing overnight stay data input from the terminal device of the first department in the processing data storage means of the host server;
In order to perform the expense billing process based on the overnight stay data stored in the processing data storage means of the host server, the overnight stay result data is displayed on the display screen of the terminal device of the second department that comprehensively manages the inside of the hospital. Means for displaying the number of meal meals data changed by the overnight stay,
And processing means to set the billing of meals costs based on meal record data in the second department,
A management system with a mental hospital network characterized by including: Said means for summing the predetermined period stored to pocket money amount billed up to the allowance of request data registration completion operations transferred to the host server's database, the
When processing and displaying collectively a pre SL Small diction request data, psychiatric hospital network according to claim 1 or 2, characterized in that displayed together the amount of patient borne by generated by sanitary materials arrangements Management system with. The mental medical hospital according to any one of claims 1 to 3, wherein the comedy prescription data includes data indicating an occupational therapy classification as to whether it is a group occupational therapy prescription or an individual occupational therapy . A management system with a network. The comedy prescription data includes any of the occupational work options of handicrafts, potters, cooking, crafts, music, group activities, horticulture, production activities, and occupational therapists at both group occupational therapy prescriptions and individual occupational therapy The management system comprising the mental hospital network according to any one of claims 1 to 4, characterized by including data to be specified .

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