JP4262143B2 - Diagnostic support device, diagnostic support program, and diagnostic support method - Google Patents

Description

  The present invention relates to a medical examination support apparatus that supports medical examination of a patient by a medical staff in a hospital or a clinic.

  Conventionally, in large hospitals and clinics, the waiting time for outpatients often becomes long, which causes dissatisfaction with the patient and lowers the evaluation of the hospital. In some hospitals, there are hospitals that display a list of reception numbers of patients waiting for a medical examination on the screen so that the patient or medical staff can grasp the medical examination status by viewing the list.

However, conventional hospitals are not able to grasp the waiting time of outpatients (waiting time for each examination room, accounting waiting time, etc.), and rely on human resources to grasp the waiting time for each examination room. There is only the present situation. Therefore, even if there is an examination room where the patient has been waiting for a long time, since the detailed information is not grasped, it is not possible to take appropriate measures to reduce the waiting time. Therefore, a hospital guidance system is disclosed in which the waiting time of the patient is calculated and displayed on the screen using the data stored in the electronic chip attached to the received patient examination ticket (for example, a patent) Reference 1).
JP 2002-123603 A (page 1-3, FIG. 1)

  However, the above hospital guidance system only calculates and displays the waiting time of the patient based on the number of patients accepted and the past average examination time, and actively reduces the waiting time of the patient. is not.

  In view of the circumstances described above, an object of the present invention is to provide a medical examination support apparatus that can reduce the medical examination waiting time of a patient.

The examination support apparatus of the present invention that solves the above problems is as follows.
A waiting time database in which the patient's examination reception time, examination start time, and examination end time are stored;
A database update unit for updating the waiting time database;
A waiting time calculation unit for obtaining a waiting time for a diagnosis when receiving a diagnosis at the current time based on the stored contents of the waiting time database;
A diagnosis delay notifying unit for notifying that a diagnosis delay has occurred when a diagnosis delay occurs in which the diagnosis waiting time obtained by the waiting time calculation unit exceeds a predetermined time.

  According to the medical examination support apparatus of the present invention, when a medical examination delay occurs when the medical examination waiting time exceeds a predetermined time by providing a waiting time database, a database update unit, a waiting time calculation unit, and a medical examination delay notification unit, For example, it is possible to notify the medical staff who can provide support to the department or the examination room where the examination delay has occurred, and to take an appropriate action according to the notice.

  Here, the medical examination support apparatus may include a waiting time display unit that displays the medical waiting time obtained by the waiting time calculation unit.

  When the examination support apparatus according to the present invention is configured as described above, since the examination waiting time is displayed on the waiting time display unit, it is possible to notify appropriate information to a supportable medical worker. .

  In addition, the waiting time calculation unit calculates a waiting time for each clinic or examination room, and the examination delay notification unit notifies the examination delay for each department or each examination room. Also good.

  When the examination support apparatus according to the present invention is configured as described above, since the examination waiting time is notified for each department or examination room, it is possible to notify appropriate information to a supportable medical worker. Become.

  According to the examination support apparatus of the present invention, as described above, the waiting time for patient examination can be reduced by providing the waiting time database, the database update unit, the waiting time calculation unit, and the diagnosis delay notification unit. A diagnosis support apparatus can be realized.

  In other words, outpatient waiting times can be easily grasped, and the arrangement of medical staff such as doctors, nurses, and pharmacists can be reviewed in real time according to the degree of congestion at each department or examination room. Support for departments or consultation rooms can be promoted.

  In addition, the patient can easily grasp the waiting time of the medical department where he / she consults, so that the time can be effectively utilized.

  Further, in the case of a patient who receives a plurality of medical departments, it is possible to easily determine which medical department should be consulted first.

  The hospital can also improve the medical quality of the hospital by analyzing the waiting time for outpatients using a clinical data analysis system, etc., pursuing the cause of congestion, and improving the problems. Moreover, since the waiting time of outpatients is an important index in the evaluation of hospital functions, the evaluation of the hospital can be improved.

  Embodiments of the present invention will be described below with reference to the drawings.

  FIG. 1 is a schematic configuration diagram showing an embodiment of the examination support apparatus of the present invention.

  As shown in FIG. 1, the examination support apparatus 90 includes a waiting time database 91 in which the patient's examination reception time, the examination start time, and the examination end time are stored, and a database update unit 92 that updates the waiting time database 91. The waiting time calculating unit 93 for obtaining the waiting time for the diagnosis when the diagnosis is received at the current time based on the stored contents of the waiting time database 91, and the waiting time for the diagnosis determined by the waiting time calculating unit 93 exceeds a predetermined time. When a medical examination delay occurs, a medical examination delay notification unit 94 that notifies that the medical examination delay has occurred is provided.

  In addition, the examination support apparatus of this embodiment is also provided with a waiting time display unit 95 that displays the examination waiting time obtained by the waiting time calculation unit 93. The examination waiting time is calculated for each department or examination room, and the examination delay notification unit 94 is configured to notify the examination delay for each department or examination room.

  Furthermore, the examination support apparatus according to this embodiment includes a supporter database 96 in which medical personnel capable of supporting medical care are registered for each clinical department or for each examination room. Based on the supporter database 96, it is configured to notify the medical staff who can support the medical treatment of the department or the examination room where the examination delay has occurred to the effect that the examination delay has occurred.

  The medical examination support apparatus 90 is also connected to a patient reception processing unit 98 that performs patient reception / inquiry / registration processing, a medical examination processing unit 99 that performs medical chart preparation processing by a doctor, and the like via a hospital network line 86. The entire hospital system is configured.

  FIG. 2 is a schematic diagram of a computer system in which the examination support apparatus of this embodiment is formed.

  FIG. 2 shows a server 80_1, a shared disk device 80_2 in which a database such as a waiting time database and a supporter database is constructed, and a plurality of client terminals 80_3 connected to the server 80_1 and the shared disk device 80_2 via the hospital network line 86. , 80_4, 80_5.

  As the server 80_1, a high-speed and large-capacity computer system generally called a workstation, a personal computer system, or the like can be used.

  As the client terminals 80_3, 80_4, and 80_5, a personal computer system such as a desktop type or a notebook type can be used, but a portable communication device such as a PHS (Personal Handyphone System) 80_6 may be used instead of the personal computer. Good.

  The client terminals 80_3, 80_4, and 80_5 are in accordance with instructions from the main body portions 80c, 80d, and 80e in which a CPU, a main storage device, an auxiliary storage device, a communication board, and the like are incorporated, and the main body portions 80c, 80d, and 80e of each client terminal. Display devices 81c, 81d, 81e for displaying images and character strings on the screen, keyboards 82c, 82d, 82e for inputting instructions from the operator to the client terminals 80_3, 80_4, 80_5, and screens of the display devices There are provided mice 83c, 83d, and 83e for inputting an instruction corresponding to an icon or the like displayed at the designated position by designating an arbitrary position above.

  These keyboards 82c, 82d, and 82e are provided with a “work button” (not shown), and a medical worker such as a doctor or a nurse who uses the client terminal presses the “work button”. By doing so, it is possible to log in / out of the examination support apparatus 90.

  The server 80_1, the shared disk device 80_2, the client terminals 80_3, 80_4, 80_5, and the PHS 80_6 form a diagnosis support device 90 (see FIG. 1) as a whole.

  Next, the operation of the above examination support apparatus will be described.

  FIG. 3 is a conceptual diagram showing the operation of the examination support apparatus of the present embodiment.

  As shown in FIG. 3, this examination support apparatus includes a waiting time database 91 (see FIG. 1). The waiting time database 91 is constantly updated by the received patient list 88 created by the patient reception processing unit 98, and the time of the transition is stored every time the patient's examination state transitions. .

  Medical personnel such as doctors and nurses grasp the congestion status of outpatient consultations by referring to the waiting time database 91, and medical personnel with congested medical department skills can perform outpatient work as needed. Can be supported.

  The data of the waiting time database 91 is transmitted to the display system of each department in the hospital, and the waiting time of the outpatient is displayed on, for example, an outpatient display board.

  The data in the waiting time database 91 is also transmitted to a clinical data analysis system provided in the hospital. In clinical data analysis systems and the like, clinical data is analyzed using the data, and for example, the waiting time of outpatients is statistically processed, and a form is output in the form of an Excel sheet or the like.

  FIG. 4 is a diagram showing an example of the waiting time database in the present embodiment.

  As shown in FIG. 4, the waiting time database 91 includes a patient number 91a, a reservation date 91b, a reservation number 91c, a consultation room code 91d, a reservation department code 91e, a reservation frame code 91f, a reservation time 91g, and a visit time 91h. Items such as a block reception time 91i, a medical examination start time 91j, a medical examination end time 91k, a medical examination time 91l, and an accounting end time 91m are provided.

  Here, the visit time 91h refers to the time when the patient visits the hospital and the visit reception process is performed, for example, the examination ticket is passed through the revisit reception machine, and the block reception time 91i refers to the medical treatment that the patient receives. The time when the reception process is performed at the block reception to which the department belongs is referred to. The medical examination start time 91j is the time when the medical examination by the doctor is started, and the medical examination end time 91k is the time when the medical examination by the doctor is finished. The examination time 91l is the time from the start of the examination to the end of the examination, and the accounting end time 91m is the time when the accounting process is completed.

  Of the above items, the examination room code 91d, the appointment department code 91e, and the appointment frame code 91f are linked by the following master table.

  FIG. 5 is a diagram illustrating an example of a master table used in the present embodiment.

  In the present embodiment, as shown in FIG. 5, three master tables are used: an examination room master 97_1, a appointment department master 97_2, and an appointment frame master 97_3.

  The examination room master 97_1 shown in FIG. 5A is provided with two items of an examination room code 97_1a and an examination room name 97_1b. In the appointment examination department master 97_2 shown in FIG. There are two items of the department code 97_2a and the appointment frame name 97_2b. The appointment frame master 97_3 shown in FIG. 5C has two items of the appointment frame code 97_3a and the appointment department name 97_3b. Yes.

  The examination room master 97_1, the appointment examination department master 97_2, and the appointment frame master 97_3 associate the examination room code 91d, the appointment examination department code 91e, and the appointment frame code 91f of the waiting time database 91 (see FIG. 4). Yes.

  FIG. 6 is a schematic diagram showing the operation of the database update unit in the present embodiment.

  In the database update unit (see FIG. 1) of the present embodiment, six processes are performed as shown in FIG.

  In “1. Obtaining a medical appointment”, a waiting time DB record is generated in the waiting time database 91 (see FIG. 4) triggered by the issuance of a medical appointment order, and a patient number 91a, a reservation date 91b, a reservation number 91c, The examination room code 91d, the appointment examination department code 91e, the appointment frame code 91f, and the appointment time 91g are updated.

  In "2. Patient visits", the patient's visit time 91h is updated with the patient passing the examination ticket through the revisit reception machine as a trigger.

  In “3. Patient arrives at block reception and confirms arrival”, the block reception time 91i is updated with the arrival confirmation from the received patient list as a trigger.

  In “4. The doctor calls the patient and starts the examination”, the examination start time 91j is updated with the doctor opening the patient's chart as a trigger.

  In “5. The doctor finishes the patient's examination”, the examination end time 91k is updated with the doctor closing the patient's chart as a trigger. At the same time, the examination time 91l is calculated by calculating the examination time from the examination end time 91k to the examination start time 91j.

  In “6. Patient finishes accounting and leaves hospital”, the accounting end time 91 m is updated with the accounting calculation processing being performed as a trigger.

  Next, the operation of the examination support apparatus of the present embodiment will be described with reference to a flowchart.

  FIG. 7 is a flowchart showing the operation of the database update unit in the present embodiment.

  In this embodiment, the database update unit 92 (see FIG. 1) is activated every time the reservation information is updated.

  As shown in FIG. 7, first, the update content of the reservation information is read (step S01), and the update content of the reservation information is determined (step S02).

  As a result of the determination in step S02, if the update contents of the reservation information are those at the time of saving the examination reservation order, a reservation number is acquired (step S03), and a new record is added to the waiting time database 91 (see FIG. 4). Then, the patient number 91a, the reservation date 91b, the reservation number 91c, the examination room code 91d, the appointment examination department code 91e, and the appointment frame code 91f are updated (step S04), and the process ends.

  Here, as the reservation number 91c, a number obtained by adding 1 to the latest reservation number is acquired for each reservation frame. For example, if the latest reservation number is “002”, the reservation number 91c is “003”.

  As a result of the determination in step S02, when the update contents of the reservation information are those at the time of the patient visit, that is, at the time of passing the hospital re-entry reception machine, the waiting time database 91 (see FIG. 4) is searched and the patient reservation information (Step S05), the reservation time 91g of the acquired record is updated with the current time (step S06), and the process ends.

  As a result of the determination in step S02, when the update contents of the reservation information are those at the time of block reception, the waiting time database 91 (see FIG. 4) is searched to acquire patient reservation information (step S07). The block reception time 91i of the recorded record is updated with the current time (step S08), and the process ends.

  As a result of the determination in step S02, if the update contents of the reservation information are those at the time of chart opening, the waiting time database 91 (see FIG. 4) is searched to acquire patient reservation information (step S09) and acquisition The medical examination start time 91j of the recorded record is updated with the current time (step S10), and the process ends.

  As a result of the determination in step S02, when the update contents of the reservation information are those at the time of the chart closing, the waiting time database 91 (see FIG. 4) is searched to acquire the patient reservation information (step S11). The examination end time 91k of the recorded record is updated with the current time (step S12), and the process ends.

  As a result of the determination in step S02, if the update contents of the reservation information are those at the time of the accounting process, the waiting time database 91 (see FIG. 4) is searched to acquire the patient reservation information (step S13). The transaction end time 91m of the recorded record is updated with the current time (step S12), and the process ends.

  FIG. 8 is a flowchart showing the operation of the waiting time calculation unit in the present embodiment.

  The waiting time calculation unit 93 (see FIG. 1) of the present embodiment is automatically activated, for example, every 3 minutes.

  As shown in FIG. 8, first, the records in the waiting time database 91 (see FIG. 4) are sorted by the reservation frame code 91f, and then sequentially read from the top record (step S21).

  Next, it is determined whether or not any value is entered in the examination time 91l of the read record (step S22).

  As a result of the determination in step S22, if any value is entered in the consultation time 91l, the process proceeds to step S23 to determine whether or not the value of the reservation frame code 91f is the same as the value of the reservation frame code 91f of the immediately preceding record.

  As a result of the determination in step S23, if the value of the reservation frame code 91f is the same as the value of the reservation frame code 91f of the previous record, the process proceeds to step S24, where the number of patients who have completed the examination and the examination time are accumulated, and the process proceeds to step S28.

  As a result of the determination in step S23, if the value of the reservation frame code 91f is different from the value of the reservation frame code 91f of the immediately preceding record, the process proceeds to step S25 to calculate the average consultation time, and then proceeds to step S28. The average examination time is calculated based on the accumulated examination time obtained in step S23.

  Here, a calculation example of the average examination time will be described. For example, among the five records in which the same reservation frame code 91f is “0101” in the records of the waiting time database 91 (see FIG. 4), the examination times of the four records having the value in the examination time 91l: “ 23 ”,“ 21 ”,“ 28 ”,“ 28 ”(unit: minutes) are accumulated and divided by the number of records 4 to obtain an average examination time:“ 25 ”(unit: minutes).

  As a result of the determination in step S22, if there is no value in the examination time 91l, the process proceeds to step S26 to determine whether or not there is a value in the examination start time 91j and no value in the examination end time 91k.

  As a result of the determination in step S26, if a value is entered in the examination start time 91j and no value is entered in the examination end time 91k, the process proceeds to step S27, the examination delay time is calculated, and the process proceeds to step S28.

  As a result of the determination in step S26, if the examination start time 91j has no value or the examination end time 91k has a value, the process proceeds directly to step S28.

  Here, a calculation example of the examination delay time will be described. For example, among the five records in which the same reservation frame code 91f is “0101” in the records of the waiting time database 91 (see FIG. 4), the diagnosis start time 91j has a value and the diagnosis end time 91k has a value. Patients who do not have a sign, that is, patients who are currently being examined are included in the calculation. That is, since the difference between the reservation time 91g (“10:30”) of the fifth record among the five records and the current time (“10:30”) at which the calculation is performed is zero, the examination delay time is “ "None" is calculated.

  Next, in step S28, the next record is read to determine whether or not there is a next record (step S29). If there is a next record, the process returns to step S22 to continue the processing from step S22. If there is no next record, the process proceeds to step S30.

  In step S30, an average consultation time is calculated, and then the process proceeds to step S31.

  In step S31, the calculation results of the average examination time and the examination delay time are written in the work area 97_4 (see FIG. 9), and then the process proceeds to step S32.

  In step S32, it is determined whether or not there is a record in which the examination delay time exceeds 60 minutes among the records written in the work area 97_4 (see FIG. 9), and the examination delay time exceeds 60 minutes. If there is no record, the process ends. If there is a record whose consultation delay time exceeds 60 minutes, the process proceeds to step S33, and after starting the diagnosis delay notification process by the diagnosis delay notification unit 94 (see FIG. 1), The process ends.

  In the present embodiment, 60 minutes is defined as a predetermined time, and it is determined whether or not the delay is based on the predetermined time. However, this time is arbitrarily set, preferably It is preferable to provide a setting area in a database or the like so that the user can freely change the numerical value.

  FIG. 9 is a diagram showing a work area used in the present embodiment.

  In this work area 97_4, five items of a department name 97_4a, an examination room name 97_4b, a reservation frame name 97_4c, an average examination time 97_4d, and an examination delay time 97_4e are provided.

  As shown in FIG. 9, the average waiting time 97_4d and the examination delay time 97_4e of the examination room name: “9-1” (corresponding to the examination room code: “0901” in FIG. 4) are calculated by the above-described waiting time calculation unit. The obtained “25” and “none” are written respectively.

  Further, in the record in the work area 97_4, there is one record in which the examination delay time 97_4e exceeds 60 minutes (reservation frame name 97_4c: “(doctor) Tanaka”, examination delay time 97_4e: “62”). Since it exists, this record becomes a processing target of the diagnosis delay notification process by the diagnosis delay notification unit 94 (see FIG. 1).

  FIG. 10 is the first half of a flowchart showing the operation of the diagnosis delay notification unit in the present embodiment.

  The diagnosis delay notification unit 94 (see FIG. 1) of the present embodiment is activated according to the activation operation by the waiting time calculation unit 93 (see FIG. 1).

  As shown in FIG. 10, first, a record of the login situation database (see FIG. 4) is read (step S41).

  FIG. 11 is a diagram showing a login status database used in the present embodiment.

  As shown in FIG. 11, the login status database 97_5 includes a user number 97_5a, a belonging department 97_5b, a skill holding department 97_5c, a login flag 97_5d, a work flag 97_5e, a login time 97_5f, a login terminal name 97_5g, And 8 items of PHS number 97_5h are provided.

  Here, the user is a medical worker such as a doctor or nurse who is notified of the delay in the examination by the examination support apparatus, and is sent to another department or other examination room. A person who can support medical care.

  The user number 97_5a is an identification number of the user of this medical assistance device that is a target for receiving notification that a medical examination delay has occurred by this medical assistance device.

  The logged-in flag 97_5d is a flag indicating whether or not the user is logged in to the examination support apparatus 90 (see FIG. 2) of the present embodiment, and the user is a client terminal 80_3, 80_4, 80_5, or PHS 80_6. When the user logs in to the examination support apparatus by operating “1”, that is, it is turned on, and when the user logs out, it is “0”, that is, turned off.

  The work flag 97_5e is a flag indicating whether or not the user is working. After the user logs in, the user cannot keep his / her hand for medical examination or nursing, or other medical departments or other When the support to the examination room becomes impossible, the “work in progress button” provided on the client terminals 80_3, 80_4, 80_5, and PHS80_6 is pressed to “1”, that is, the user turns on. When the “work button” is pressed again, it is “0”, that is, turned off.

  The login status database 97_5 in this embodiment corresponds to the supporter database referred to in the present invention.

  Returning to the flowchart of FIG.

  In step S41, after the record of the login status database 97_5 (see FIG. 11) is read, in step S42, the belonging medical department 97_5b has the name of the medical department of “examination delay time 60 minutes or more” in the work area 97_4 (see FIG. 9). It is determined whether or not it matches 97 — 4a.

  As a result of the determination in step S42, when the belonging medical department 97_5b matches the medical department name 97_4a of “examination delay time 60 minutes or more” in the work area 97_4, the process proceeds to step S43, and the login flag 97_5d is “1”, that is, ON. It is determined whether or not.

  As a result of the determination in step S43, if the login flag 97_5d is on, the process proceeds to step S44, and it is determined whether the work flag 97_5e is “1”, that is, whether it is on.

  As a result of the determination in step S44, if the work flag 97_5e is on, the process proceeds to step S47, and the processes after step S47 are performed.

  As a result of the determination in step S44, if the work flag 97_5e is not turned on, the process proceeds to step S45, the examination delay information is transmitted to the logged-in terminal, the process proceeds to step S47, and the processes after step S47 are performed.

  If the result of determination in step S43 is that the logged-in flag 97_5d is not turned on, the procedure proceeds to step S46 to transmit the examination delay information to the portable PHS, and then proceeds to step S47 to perform the processing after step S47. Is called.

  As a result of the determination in step S42, if the belonging medical department 97_5b does not coincide with the medical department name 97_4a of “examination delay time 60 minutes or more” in the work area 97_4, the process proceeds to step S47.

  In step S47, the next record is read to determine whether or not there is a record (step S48). If there is a record, the process returns to step S42 to continue the processing from step S42. If there is no record, the process proceeds to step S49.

  In step S49, it is determined whether or not there is a doctor or nurse who has received the examination delay information (step S49). If there is a doctor or nurse who has received the examination delay information, the process is terminated. If there is no doctor or nurse who has received the message, the process proceeds to the latter half of the flowchart of steps S51 to S59 (see FIG. 12), and after the latter half of the process is completed, all the processes are terminated.

  FIG. 12 is the latter half of the flowchart showing the operation of the examination delay notification unit in the present embodiment.

  In step S51, a record of the login status database (see FIG. 4) is read, and in step S52, the skill-carrying medical department 97_5c has a medical department name 97_4a of “examination delay time of 60 minutes or longer” in the work area 97_4 (see FIG. 9). It is determined whether or not it matches.

  As a result of the determination in step S52, if the skill possessing medical department 97_5c matches the medical department name 97_4a of “examination delay time of 60 minutes or longer” in the work area 97_4, the process proceeds to step S53, and the work area of the corresponding medical department 97_5b of the corresponding person It is determined whether or not the examination delay time 97_4e in 97_4 exceeds 30 minutes.

  As a result of the determination in step S53, if the examination delay time 97_4e does not exceed 30 minutes, the process proceeds to step S54, and it is determined whether or not the login flag 97_5d is “1”, that is, whether it is on.

  As a result of the determination in step S54, if the login flag 97_5d is turned on, the process proceeds to step S55 to determine whether the work flag 97_5e is “1”, that is, whether it is turned on.

  If the result of determination in step S55 is that the work flag 97_5e is on, processing proceeds to step S58.

  As a result of the determination in step S55, if the work flag 97_5e is not turned on, the process proceeds to step S56, where the examination delay information is transmitted to the logged-in terminal, and the process proceeds to step S58.

  If the result of determination in step S54 is that the logged-in flag 97_5d is not on, processing proceeds to step S57, where the examination delay information is transmitted to the portable PHS, and processing proceeds to step S58.

  In step S58, the next record is read to determine whether or not there is a record (step S59). If there is a record, the process returns to step S52 to continue the processing from step S52. If there is no record, all processing ends.

  In this way, by dividing into the two steps of the process up to step S49 and the process from step S51, first, a doctor or nurse of the delayed medical department is searched, and if there is no corresponding person, the skill of the clinical department is determined. The doctors or nurses that are held are searched, and the assignment can be made in consideration of the priority level of the skill level of the supporter.

  Below, an example of operation | movement of said diagnostic delay notification part is demonstrated based on the work area 97_4 shown in FIG. 9, and the login condition database 97_5 shown in FIG.

  Of the records in the work area 97_4 (see FIG. 9), the name of the department 97_4a: “orthopedic surgery” with the “diagnosis delay time of 60 minutes or more” is the target department for the examination delay notification. Among the records of the login status database 97_5 shown in FIG. 11, the department number 97_5b to which the department belongs is “orthopedic” and logged in, but the work flag 97_5e is “0”, that is, the user number is “unavailable”. : “15539” (marked by ☆) and the belonging department 97_5b are not “orthopedic”, but the skill possessing department 97_5c is “orthopedic” and the logged-in flag 97_5d is “0”, that is, logged in. The user number that is not registered: “15852” (marked with ★) is the subject of the examination delay notification.

  FIG. 13 is a diagram illustrating a mechanism of a consultation delay notification to a medical staff capable of supporting medical care in the present embodiment.

  As shown in FIG. 13, the medical assistance device 90 of this embodiment includes a waiting time database 91, a database update unit 92, a waiting time calculation unit 93, a diagnosis delay notification unit 94, and a waiting time display unit 95. I have.

  The waiting time database 91 stores the patient's examination reception time, examination start time, and examination end time.

  The database update unit 92 automatically updates the waiting time database 91 every 3 minutes.

  The waiting time calculation unit 93 obtains a waiting time for medical examination when a medical examination is received at the current time based on the stored contents of the waiting time database 91.

  The medical examination delay notifying unit 94 is a doctor who belongs to the medical department or possesses the skills of the medical department when the medical examination delay that the medical examination waiting time obtained by the waiting time calculating unit 93 exceeds 1 hour occurs. -Notify the nurse's client terminal or PHS that the examination delay has occurred.

  The waiting time display unit 95 displays the examination waiting time obtained by the waiting time calculation unit 93 on a screen of a client terminal, a PHS, or the like.

Here, the subject of notification of delay in examination is a user who belongs to the department where the examination is delayed for 60 minutes or more, or a user who possesses the skills of the department, and the examination of that department. Users who have a delay time that does not exceed 30 minutes and who match their departments are given priority for notification.

  FIG. 14 is a diagram illustrating a display example of the waiting time by the waiting time display unit of the present embodiment.

  As shown in FIG. 14 (a), a user who is logged in to the system and has no available hands, that is, a belonging medical care marked with a star among the records in the login status database 97_5 (see FIG. 11). The department 97_5b is a delay medical department, and the user is logged in, and the work flag 97_5e is notified to the user of the client terminal whose user number is “0539”: “15539”.

  Further, as shown in FIG. 14B, a user who has not logged in to the system, that is, a user number: “15852” marked with a star among records of the login status database 97_5 (see FIG. 11). The PHS user is notified.

  In this way, the diagnosis delay notification is notified, and the user such as the client terminal or PHS, that is, the doctor or nurse sees the diagnosis delay notification displayed on the screen. Move and support medical examination.

  In addition, as shown in FIG. 3, clinical data is analyzed using a diagnosis delay notification created by the diagnosis support apparatus of the present invention in a clinical data analysis system or the like, for example, waiting time of outpatients is statistically processed. It is also possible to output a form in the form of an Excel sheet or the like.

  Below, the various aspects of the examination assistance apparatus of this invention are demonstrated.

(Appendix 1)
A waiting time database in which the patient's examination reception time, examination start time, and examination end time are stored;
A database update unit for updating the waiting time database;
A waiting time calculation unit for obtaining a waiting time for a diagnosis when receiving a diagnosis at the current time based on the stored contents of the waiting time database;
A diagnosis delay notifying unit for notifying that the diagnosis delay has occurred when a diagnosis delay occurs in which the diagnosis waiting time determined by the waiting time calculation unit exceeds a predetermined time; apparatus.

(Appendix 2)
2. The examination support apparatus according to appendix 1, further comprising a waiting time display unit that displays the waiting time for the examination obtained by the waiting time calculation unit.

(Appendix 3)
The waiting time calculation unit obtains a waiting time for diagnosis for each department or each examination room, and the examination delay notification unit notifies a diagnosis delay for each department or each examination room. The examination assistance apparatus of Additional remark 1.

(Appendix 4)
It has a supporter database in which medical staff capable of supporting medical care are registered for each department or each examination room.
The medical examination delay notification unit is configured to notify the medical staff who can support the medical treatment of the medical department or the medical examination room where the medical examination delay has occurred based on the supporter database to the effect that the medical examination delay has occurred. The examination support apparatus according to supplementary note 3, characterized by:

(Appendix 5)
Computer
A database update unit that updates a waiting time database in which a patient's examination reception time, examination start time, and examination end time are stored;
A waiting time calculation unit for obtaining a waiting time for a diagnosis when receiving a diagnosis at the current time based on the stored contents of the waiting time database;
Operating as a medical assistance device including a medical delay notification unit for notifying that a medical delay has occurred when a medical delay occurs in which the medical waiting time determined by the waiting time calculator exceeds a predetermined time. Diagnostic support program characterized by

It is a schematic block diagram which shows one Embodiment of the diagnosis assistance apparatus of this invention. It is a schematic diagram of the computer system with which the examination assistance apparatus of this embodiment is formed. It is a conceptual diagram which shows operation | movement of the examination assistance apparatus of this embodiment. It is a figure which shows an example of the waiting time database in this embodiment. It is a figure which shows an example of the master table used for this embodiment. It is a schematic diagram which shows operation | movement of the database update part in this embodiment. It is a flowchart which shows operation | movement of the database update part in this embodiment. It is a flowchart which shows operation | movement of the waiting time calculating part in this embodiment. It is a figure which shows the work area used for this embodiment. It is the first half part of the flowchart which shows operation | movement of the diagnosis delay notification part in this embodiment. It is a figure which shows the login condition database used for this embodiment. It is the latter half part of the flowchart which shows operation | movement of the diagnosis delay notification part in this embodiment. It is a figure which shows the mechanism of the consultation delay notification to the medical worker who can support the medical treatment in this embodiment. It is a figure which shows the example of a display of the waiting time by the waiting time display part of this embodiment.

Explanation of symbols

80_1 server 80_2 shared disk device 80_3, 80_4, 80_5 client terminal 80_6 PHS
80c, 80d, 80e Main unit 81c, 81d, 81e Display device 82c, 82d, 82e Keyboard 83c, 83d, 83e Mouse 90 Examination support device 91 Waiting time database 91a Patient number 91b Reservation date 91c Reservation number 91d Examination room code 91e Reservation examination Department code 91f Reservation frame code 91g Reservation time 91h Visit time 91i Block reception time 91j Examination start time 91k Examination end time 91l Examination time 91m Accounting end time 92 Database update part 93 Waiting time calculation part 94 Examination delay notification part 95 Waiting time display part 96 Supporter Database 97_1 Examination Room Master 97_1a Examination Room Code 97_1b Examination Room Name 97_2 Reservation Department Master 97_2a Reservation Department Code 97_2b Reservation Frame Name 97_3 Reservation Frame Master 97_3a Reservation frame code 97_3b Reservation department name 97_4 Work area 97_4a Department name 97_4b Exam room name 97_4c Reservation area name 97_4d Average examination time 97_4 Examination delay time 97_5 Login status database 97_5a User number 97_5b Department c Login flag 97_5e Work flag 97_5f Login time 97_5g Login terminal name 97_5h PHS number 98 Patient reception processing unit 99 Examination processing unit

Claims (3)

A medical examination support device for managing patient reservation information and medical examination status,
  First storage means for storing a medical department identifier, a reservation time, and a medical examination status for each patient in association with the patient identifier;
  A second storage means for storing a department identifier, a skill holding department identifier, a work status, and contact information for each user in association with the user identifier;
  The clinical department identifier corresponding to the patient identifier that refers to the first storage means and indicates that the medical examination status is being examined and the difference between the current time and the appointment time is a predetermined value or more A means for identifying a delayed department identifier based on:
  Means for referring to the second storage means and determining whether or not the work status corresponding to the user identifier having the same department identifier as the delayed department identifier is busy. When,
  In the determination, when it is determined that the work status does not indicate busyness, a contact specified by contact information corresponding to the user identifier is specified as a transmission destination, and the work status is Contact information corresponding to a user identifier having the same skill possessing medical department identifier as the delayed medical department identifier with reference to the second storage means when it is determined that it is busy. A means for identifying the contact identified in as a destination,
  Means for transmitting a notification that a medical delay has occurred to the identified transmission destination;
  A medical assistance device characterized by comprising:   A diagnosis support device that manages patient reservation information and diagnosis status
  Refers to the first storage means for storing the medical department identifier, reservation time, and examination status for each patient in association with the patient identifier, and indicates that the examination status is being examined and the current time And a means for identifying a delayed department identifier based on a department identifier corresponding to a patient identifier whose difference between the reservation time and a predetermined value or more,
  Refer to the second storage means for storing the associated department identifier, skill holding department identifier, work status, and contact information for each user in association with the user identifier, and the same department as the delayed department identifier Means for determining whether or not the work status corresponding to the user identifier having the medical department identifier indicates busyness;
  In the determination, when it is determined that the work status does not indicate busyness, a contact specified by contact information corresponding to the user identifier is specified as a transmission destination, and the work status is Contact information corresponding to a user identifier having the same skill possessing medical department identifier as the delayed medical department identifier with reference to the second storage means when it is determined that it is busy. A means for identifying the contact identified in as a destination,
  Means for sending a notification that a consultation delay has occurred to the identified destination;
  Diagnostic support program characterized by functioning.   A diagnosis support method executed by a diagnosis support apparatus that manages patient reservation information and diagnosis status,
  The medical examination support device
  Refers to the first storage means for storing the medical department identifier, reservation time, and examination status for each patient in association with the patient identifier, and indicates that the examination status is being examined and the current time And a delayed department identifier based on a department identifier corresponding to a patient identifier whose difference between the reservation time and a predetermined value is greater than or equal to a predetermined value,
  Refer to the second storage means for storing the associated department identifier, skill holding department identifier, work status, and contact information for each user in association with the user identifier, and the same department as the delayed department identifier Determine whether the work status corresponding to the user identifier having the medical department identifier is busy,
  In the determination, when it is determined that the work status does not indicate busyness, a contact specified by contact information corresponding to the user identifier is specified as a transmission destination, and the work status is Contact information corresponding to a user identifier having the same skill possessing medical department identifier as the delayed medical department identifier with reference to the second storage means when it is determined that it is busy. Identify the contact identified in as the destination,
  A diagnosis support method, comprising: transmitting a notification that a diagnosis delay has occurred to the identified transmission destination.

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