JP4432608B2 - Medical accident prevention information presentation system - Google Patents

Description

  The present invention relates to an information system in the medical field, and more particularly to a system that displays an incident report on a personal computer or mobile terminal screen as medical accident prevention information in cooperation with an electronic medical record system.

Preventing medical accidents and minimizing risks related to medical accidents are important in considering stable hospital management.
The key to predicting and preventing a medical accident is how to use an incident report (a near-miss report), which is a report of a dangerous event that does not lead to a medical accident. Incident reports are dangerous actions that can lead to accidents if you make a mistake, and are composed of the date and time of occurrence, place of occurrence, party information, patient information, action information, etc., and specific contents are described in free text It is what has been.
In order to investigate the cause of an incident, it is necessary to objectively and accurately describe the causal relationship between the actions of not only the parties but also the workers involved in the report over time.

However, with conventional paper reports, it is a problem that the reports submitted by the reporters (medical workers such as doctors and nurses) often have incomplete or insufficient explanations. ing. Therefore, there is a technology that can be reported immediately by digitizing the incident report, and by inputting the required input items with a template template, it is possible to report in simple sentences and accurate sentences that are not easily affected by structured individual differences. There is (for example, Non-Patent Document 1).
However, most of the current situation is that only computerized information is published on paper or intranet in the form of risk management news. In addition, a method has been devised that issues an alarm to the terminal depending on the risk when entering the execution of a medical practice such as medication or treatment, if it is incorrect against a predetermined procedure (for example, Patent Document 1).

JP 2003-44587 A

Medical Informatics 2001; 21 (1): pp77-82

However, in the prior art, it has been difficult to avoid potential risks of occurrence of incidents other than predetermined actions.
An object of the present invention is to provide a medical accident prevention information presentation system useful for improving the medical accident prevention effect.

  In the medical accident prevention information presentation system of the present invention, an incident is searched from an incident database based on medical information input from an electronic medical record, a teaching incident similar to the searched incident is extracted, and the searched incident and the extracted teaching are extracted. Present an incident at the same time.

  The medical accident prevention information presentation system of the present invention extracts teaching incidents that seem to be similar and have high educational effects from past incidents that occurred during daily medical practice, and responds directly to the relevant actions In addition to the predicted incident, a similar teaching incident that may occur is presented simultaneously.

  According to the medical accident prevention information presentation system of the present invention, the collected incidents can be effectively used for preventing medical accidents, and the medical accident prevention effect can be improved.

Hereafter, the structure of the preferable Example of the typical medical accident prevention information presentation system of this invention is summarized.
(1) A medical accident prevention information presentation system according to the present invention includes an electronic medical record input unit, an electronic medical record control unit, and a medical information collection unit that cooperates with an electronic medical record system including an electronic medical record database, an incident database, and a teaching incident A database, an incident search unit, a teaching incident extraction unit, a medical accident prevention information generation unit, and a medical accident prevention information display unit, wherein the medical information collection unit receives the medical information input from the electronic medical record input unit From the electronic medical chart control unit, and the incident search unit records the date and time of recording of the medical information, recorder information, patient information, patient's problems such as disease name, chief complaint information, examination information, evaluation information, instructions At least a part of the information and the date and time of occurrence of the incident stored in the incident database Participant information, patient information, action information, classification information, comparing at least a part of the specific content, searching for the incident, date and time of occurrence included in the searched incident, occurrence location, party information, patient information, Action information, classification information, at least part of specific contents, and at least date and time of occurrence of teaching incident, place of occurrence, party information, patient information, action information, classification information, specific contents stored in the teaching incident database The medical incident prevention information generation unit compares the part with the extracted incident, and the medical accident prevention information generation unit shapes the extracted incident incident and the medical incident prevention information display unit. Present at the same time.

  (2) A medical accident prevention information presentation system according to the present invention includes an electronic medical record input unit, an electronic medical record control unit, and a medical information collection unit linked to an electronic medical record system including an electronic medical record database, an incident database, and a teaching incident A database, an incident search unit, a teaching incident extraction unit, a medical accident prevention information generation unit, and a medical accident prevention information display unit, wherein the medical information collection unit receives the medical information input from the electronic medical record input unit From the electronic medical chart control unit, and the incident search unit records the date and time of recording of the medical information, recorder information, patient information, patient's problems such as disease name, chief complaint information, examination information, evaluation information, instructions At least a part of the information and the date and time of occurrence of the incident stored in the incident database Participant information, patient information, action information, classification information, comparing at least a part of the specific content, searching for the incident, date and time of occurrence included in the searched incident, occurrence location, party information, patient information, Action information, classification information, at least part of specific contents, and at least date and time of occurrence of teaching incident, place of occurrence, party information, patient information, action information, classification information, specific contents stored in the teaching incident database The first teaching incident similar to the incident is extracted, the teaching incident stored in the teaching incident database is a node, and the hierarchical relationship between the teaching incidents is a connection between the nodes Based on the first system diagram data indicating From the related ID that extracts the teaching incident and refers to the second system diagram data of the node, the second system based on the first teaching incident related ID and the second teaching incident related ID A diagram data is searched, and a related third teaching incident is extracted based on the second system diagram data, and the medical accident prevention information generating unit is configured to search the incident, the first teaching incident, and the first teaching incident. The second teaching incident and the third teaching incident are shaped and simultaneously presented on the medical accident prevention information display unit.

  (3) A medical accident prevention information presentation system according to the present invention includes an electronic medical record input unit, an electronic medical record control unit, and a medical information collection unit that cooperates with an electronic medical record system including an electronic medical record database, an incident database, and a teaching incident A database, an incident search unit, a teaching incident extraction unit, a teaching accident database, a teaching accident extraction unit, a medical accident prevention information generation unit, and a medical accident prevention information display unit, the medical information collection unit, The medical information input from the electronic medical record input unit is acquired from the electronic medical record control unit, and the incident search unit is a problem held by the patient, such as the recording date and time of the acquired medical information, recorder information, patient information, and disease name , Main complaint information, examination information, evaluation information, and instruction information, and the incident Incident date and time of occurrence, location of occurrence, party information, patient information, action information, classification information, at least part of specific content stored in the database, search for the incident, and included in the searched incident Date and time of occurrence, place of occurrence, party information, patient information, action information, classification information, at least part of the specific contents, and the date and time of occurrence of the teaching incident stored in the teaching incident database, place of occurrence, party information, patient Information, action information, classification information, and at least a part of specific contents are extracted to extract the teaching incident similar to the incident, and the occurrence date / time, occurrence location, and party information included in the extracted teaching incident , Patient information, action information, classification information, at least a part of specific contents, and the teaching accident Similar to the extracted teaching incident by comparing the date and time of announcement of the teaching accident, announcement facility information, occurrence date and time, occurrence facility, party information, patient information, action information, influence of results, and specific contents stored in the database The said medical accident prevention information is extracted, and the said medical accident prevention information production | generation part shapes the searched said incident, the extracted said teaching incident, and the extracted said teaching accident, and shows it simultaneously to the said medical accident prevention information display part.

The medical accident prevention information presentation system according to the embodiment of the present invention prevents medical accidents by simultaneously presenting similar teaching incidents that can occur in addition to past incidents that directly correspond to the corresponding medical practice in cooperation with the electronic medical record. It was possible to improve the effect.
In the following description of the embodiments, the “medical accident prevention information presentation system” is simply abbreviated as “system” for simplification.

  The system according to the first embodiment of the present invention will be described in detail with reference to FIGS.

  FIG. 1 is a schematic configuration diagram of a function block and a data flow of a system linked with an electronic medical record system in Embodiment 1 of the present invention.

  FIG. 2 is a flowchart showing a typical operation of the system according to the first embodiment of this invention.

  FIG. 3 is a diagram illustrating an example of an electronic medical record data table stored in the electronic medical record database according to the first embodiment of the present invention.

  FIG. 4 is a diagram illustrating an example of an incident data table stored in the incident database according to the first embodiment of this invention.

  FIG. 5 is a diagram illustrating an example of the taught incident data table stored in the taught incident database according to the first embodiment of the present invention.

  FIG. 6 is a diagram illustrating an example of a medical accident prevention information presentation screen according to the first embodiment of the present invention.

  FIG. 7 is a diagram illustrating an example of the relationship between the characteristic factor diagram and the bone ID in the first embodiment of the present invention.

  FIG. 8 is a diagram illustrating an example of a characteristic factor diagram data table according to the first embodiment of this invention.

  FIG. 9 is a diagram illustrating an example of a characteristic factor diagram completed by associating a label with a bone ID in Example 1 of the present invention, and is a diagram illustrating an example of a characteristic factor diagram in which a label is displayed on each bone. .

  FIG. 10 is a diagram illustrating an example of a medical accident prevention information presentation screen displaying a characteristic factor diagram according to the first embodiment of the present invention.

  As shown in FIG. 1, the system collects medical information at all times from an electronic medical record control unit 2 that records medical information related to a medical practice input from the electronic medical record input unit 1 in an electronic medical record database 3. 4, an incident search unit 5 that searches for incidents from the incident database 6 based on the medical information collected by the medical information collection unit 4, and extracts similar teaching incidents from the teaching incident database 8 based on the searched incidents The teaching incident extraction unit 7 includes a medical accident prevention information generation unit 9 that shapes the extracted teaching incident and displays it on the medical accident prevention information display unit 10.

  A process until presentation of medical accident prevention information based on medical information collected from an electronic medical chart will be described with reference to the flowchart of FIG. 2 using FIGS.

  Step 201: Collect medical information from the electronic medical chart control unit 2 as processing of the medical information collection unit 4.

  Step 202: Confirm the presence / absence of collected medical information with Yes and No. If yes, execute step 203; if no, return to step 201.

  Step 203: As a process of the incident search unit 5, an incident is searched from the incident database 6 based on the collected medical information.

  As shown in FIG. 3, the medical information includes the date and time of the record, the recordr information, the patient information, the patient's problems such as the name of the disease, the main complaint information of the patient's main complaint, the objective examination findings and examination data of the doctor. There are examination information, evaluation information that describes comprehensive judgment from collected information, and instruction information such as specific treatment plans and instructions. For example, when a doctor examines a patient and gives a medicine, the medical information includes the recordr information (doctor), patient information such as the patient's name and age, main complaint information, medical examination information, prescription contents of the medicine, etc. Instruction information etc. are included.

As shown in FIG. 4, incidents registered in the incident database 6 include occurrence date and time, occurrence location, party information, patient information, action information, classification information, and specific contents. By comparing these with the medical information, the incident search unit 5 searches for zero or one or more incidents. For example, the incident ID: 001 can be searched as an incident of a misregulated drug with a similar medicine name (an incorrect prescription of “halosten” and “halotestine”) from the prescription content (instruction information) “halosten” and the specific content of the incident.
As a result of the search, when the corresponding incident does not exist in the incident database 6 (in the case of zero), the process returns to step 201.

  Step 204: A similar teaching incident can be extracted from the teaching incident database 8 from one of the incidents searched in step 203. In the teaching incident database 8, an important incident that is considered to have a high medical accident prevention effect is selected from the incident data table shown in FIG. 4, and a teaching incident table is created as shown in FIG. Therefore, the search for the teaching incident is performed by comparing the occurrence date and time, the occurrence location, the party information, the patient information, the action information, the specific content, and the like. For example, it is possible to extract a case where the action information is “medicine” and the classification information is “another medicine is mixed in the medicine bag” as a similar teaching incident. In this example, teaching incident IDs: 001, 002, and 003 are extracted.

  Step 205: For all the incidents searched in Step 203, it is confirmed with Yes or No whether the teaching incident extraction processing in Step 204 is completed. If Yes, execute Step 206 and the subsequent steps. If No, return to Step 204.

  Step 206: Format the retrieved incident and the extracted teaching incident to create display data.

  Step 207: The display data created in step 206 is displayed on the medical accident prevention information presentation screen. FIG. 6 is an example of a medical accident prevention information presentation screen. The incident information display unit 11 displays the date and time of occurrence, the place of occurrence, the party information, the patient information, the action information, the classification information, and the specific contents based on the incident searched in step 203, for example, as a formatted sentence. Similarly, the teaching incident information display unit 12 displays the specific contents of each of the teaching incidents extracted in step 204 as, for example, a shaped sentence. Moreover, you may display the characteristic of the specific content of an incident as a graphical expression, for example, a characteristic factor diagram. The characteristic factor diagram is used to investigate the cause of the occurrence of an event and is also called a fish bone diagram.

  Here, a method of developing specific contents on the characteristic factor diagram will be described. For each teaching incident, a characteristic factor diagram data table as shown in FIG. 8 is created in which the teaching incident ID, the bone ID of the characteristic factor diagram shown in FIG. 7, and the label displayed on each bone ID are associated with each other. In step 206, the bone ID and the label are searched from the characteristic factor diagram data table of FIG. 8 based on the teaching incident ID extracted from the teaching incident data table of FIG.

  FIG. 9 shows a state where a label of the searched bone ID is placed on the bone ID of FIG. For example, from the teaching incident ID: 001 in the characteristic factor diagram data table of FIG. 8, the label “Another drug is mixed in the medicine bag” is set in the bone ID: 100, and the label “Dispensing mistake of similar medicine” is set in the bone ID: 200. Bone ID: 210 has the label “Name is similar and misadjusted”, Bone ID: 300 has the label “Prescribing Audit Mistake”, and Bone ID: 310 has the label “Neglecting all prescription audits” To complete the characteristic factor diagram. In the characteristic factor diagram, when the highlighting of the data table is Yes, the outside of the label is enclosed in a rectangle.

  FIG. 10 shows the completed characteristic factor diagram displayed on the medical accident prevention information presentation screen. Note that the process of displaying the incident display information and the teaching incident display information in step 207 is performed as the display information to the incident information display unit 11 or the teaching incident information display unit 12 with the shaped text and the characteristic factor diagram as concrete contents. One or both of them may be displayed. If the teaching incident cannot be extracted in step 204, only incident display information may be created in step 206 and displayed in step 207.

  According to the first embodiment, medical information is always collected from an electronic medical record, an incident is searched based on the information, a teaching incident is extracted from a teaching incident database based on the searched incident, and the searched incident and teaching are searched. By simultaneously displaying incidents, there is an effect that not only the risks related to the corresponding incidents but also the risks related to similar incidents can be simultaneously reduced. In addition, there is an effect that the specific contents of the teaching incident can be presented as a characteristic factor diagram and the specific contents can be intuitively grasped.

  A system according to a second embodiment of the present invention will be described in detail with reference to FIGS. 2 and 11 to 13.

  FIG. 11 is a diagram illustrating an example of a system diagram illustrating the relationship between teaching incidents in a hierarchical expression according to the second exemplary embodiment of the present invention.

  FIG. 12 is a diagram illustrating an example of a taught incident system diagram data table according to the second embodiment of the present invention.

FIG. 13 is a diagram illustrating an example of a medical accident prevention information presentation screen according to the second embodiment of the present invention.
The processing from step 201 to step 203 in FIG. 2 is the same as that in the first embodiment, and medical information is collected from the electronic medical record system and an incident is searched from the incident database 6.

  Step 204: First, as in the first embodiment, for one of the searched incidents, the teaching incident is extracted from the teaching incident database 8 based on each item of the searched incident. Next, the label of the teaching incident system diagram data table in FIG. 12 is searched based on the extracted teaching incident classification information, and the corresponding classification ID is obtained. Next, the system diagram shown in FIG. 11 is created using the classification ID, the node ID, and the parent node ID, and the related classification ID and the related node ID.

  For example, when the classification information of the teaching incident is “another drug is mixed in the medicine bag”, the classification ID: 01 can be obtained from the label of the teaching incident system diagram data table. Next, the classification ID 01 and the node IDs 1 to 14 are processed in order, and the parent-child relationship is constructed with reference to the parent node ID, and the system diagram of FIG. 11 is created. First, a “dispensing error” with a node ID of 1 is created as the highest node. The next “mixing another medicine in the medicine bag” creates a node by connecting the parent node ID: 1 to the “dispensing error” of the node ID: 1 of the classification ID: 01. In the next “dispensing mistake of similar medicine”, since the parent node ID is 2, the node is created by connecting to “addition of another medicine into the medicine bag” having the node ID of 2. In the same manner, the system diagram of FIG. 11 is completed. If there is a related classification ID and a related node ID, the node of the label having the same classification ID and node ID is associated with the node as a related classification node. In this example, a “prescription error” with a classification ID of 02 and a node ID of 01 is created in association with the nodes of “prescription content confirmation error” and “prescription audit error”.

  Step 205: It is confirmed with Yes and No whether all teaching incidents have been extracted for all the incidents searched in Step 203. If yes, execute step 206; if no, return to step 204 to process the remaining searched incidents.

  Step 206: Format the retrieved incident, the extracted teaching incident, and the teaching incident system diagram to create display data.

  Step 207: The display data created in step 206 is displayed on the medical accident prevention information presentation screen. FIG. 13 shows the completed teaching incident system diagram displayed on the medical accident prevention information presentation screen. In addition, a corresponding teaching incident may be searched by selecting an arbitrary node of the displayed teaching incident system diagram with a mouse, and may be shaped and displayed as a teaching incident. For example, in FIG. 13, the specific contents of the teaching incident may be displayed at the lowermost end of the teaching incident information display unit 12 by selecting “Missing similar medicine” as the mouse.

  In addition, when a related classification node is selected with a mouse or the like, the current system diagram is hidden, a node having a related classification node is set as the highest node, and a system diagram including a related classification ID and nodes after the related node ID May be created and displayed. Furthermore, when a node having the highest related classification node is selected with a mouse or the like, the newly displayed system diagram is hidden and the original system diagram that was previously hidden is displayed. good. If the teaching incident cannot be extracted in step 204, only incident display information may be created in step 206 and displayed in step 207.

  According to the second embodiment, medical information is always collected from an electronic medical record, an incident is searched based on the information, a teaching incident is extracted from a teaching incident database based on the searched incident, and the extracted teaching incident is By extracting the system diagram representing the teaching incident hierarchy to which it belongs and displaying the retrieved incident, the extracted teaching incident and the system diagram representing the teaching incident hierarchy at the same time, not only the risks related to the relevant incident but also the similar incidents can be displayed. This has the effect of reducing the risks involved.

  A system according to a second embodiment of the present invention will be described in detail with reference to FIGS. 3 and 14 to 17.

  FIG. 14 is a schematic configuration diagram illustrating a functional block and a data flow of a system linked with an electronic medical record system according to the third embodiment of the present invention.

  FIG. 15 is a flowchart illustrating a typical operation of the system according to the third embodiment of this invention.

  FIG. 16 is a diagram illustrating an example of a teaching accident data table according to the third embodiment of the present invention.

FIG. 17 is a diagram illustrating an example of a medical accident prevention information presentation screen according to the third embodiment of the present invention.
In the present embodiment, the first embodiment is extended so that a teaching accident can be simultaneously presented in addition to a teaching incident. In the conceptual block diagram of the functional block and data flow in FIG. 14, a teaching accident extraction unit 13 and a teaching accident database 14 are added.

  As shown in FIG. 14, the system constantly collects medical information from the electronic medical record control unit 2 that records medical information related to the medical practice input from the electronic medical record input unit 1 in the electronic medical record database 3. 4, an incident search unit 5 that searches for incidents from the incident database 6 based on the medical information collected by the medical information collection unit 4, and extracts similar teaching incidents from the teaching incident database 8 based on the searched incidents Teaching Incident Extraction Unit 7, Teaching Accident Extracting Unit 13 for Extracting Teaching Accident from Teaching Accident Database 14 Based on Extracted Teaching Incident, Retrieval of Searched Incident, Extracted Teaching Incident and Extracted Teaching Accident to Prevent Medical Accident Display on information display unit 10 Composed of medical accident prevention information generating unit 9 that.

  The process until medical accident prevention information is presented based on the medical information collected from the electronic medical chart will be described with reference to the flowchart of FIG.

  Step 1201: Medical information is collected from the electronic medical chart control unit 2 as processing of the medical information collection unit 4.

  Step 1202: Confirm the presence / absence of collected medical information with Yes and No. If yes, execute step 1203; if no, return to step 1201.

  Step 1203: As a process of the incident search unit 5, the incident database 6 is searched for zero or one or more incidents based on the collected medical information. As shown in FIG. 3, the collected medical information includes recording date and time, recorder information, patient information, patient problems such as disease name, main complaint information, examination information, evaluation information, instruction information, and the like. For example, when a doctor examines a patient and puts out a drug, the medical information includes record information (doctor), patient information such as the patient's name and age, problems such as the disease name, chief complaint, and medical information. Furthermore, the prescription content of the medicine is included as instruction information.

  As shown in FIG. 4, incidents registered in the incident database 6 include occurrence date and time, occurrence location, party information, patient information, action information, classification information, and specific contents. Therefore, in the incident search unit 5, for example, the prescription content (instruction information) “Halosten” in the electronic medical record data table of FIG. 3 and the incident of the misregistration with a similar drug name from the specific content of the incident in the incident data table of FIG. (Misprescription of “halosten” and “halotestine”). As a result of the search, if the corresponding incident does not exist in the incident database 6 (in the case of zero), the process returns to step 1201.

  Step 1204: As a process of the teaching incident extraction unit 7, a similar teaching incident is extracted from the teaching incident database 8 from one of the incidents searched in step 1203. For example, the incident data table in FIG. 4 and the teaching incident data table in FIG. 5 are compared, and the action information is “medicine” and the classification information is “mixed with another drug in the medicine bag” as similar teaching incidents. Extract.

  Step 1205: For all the incidents searched in step 1203, it is confirmed with Yes and No whether the teaching incident extraction process in step 1204 is completed. If yes, step 1206 is executed. If no, the process returns to step 1204 to process the remaining searched incidents.

  Step 1206: A teaching accident is extracted based on the teaching incident extracted at step 1204. FIG. 16 is an example of the teaching accident data table. For example, based on the “medicine” in the action information in the teaching incident data table in FIG. 5, the action information in the teaching accident table in FIG. 16 can be extracted. Alternatively, teaching accident data with a related teaching incident ID may be prepared in advance, and the teaching accident data having the extracted teaching incident ID may be extracted.

  Step 1207: For all the teaching incident data extracted in step 1204, it is confirmed with Yes and No whether teaching accident extraction has been completed. If Yes, the process proceeds to Step 1208. If No, the process returns to Step 1206, and the remaining extracted teaching incidents are processed.

  Step 1208: Display data is created by shaping the retrieved incident, the extracted teaching incident, and the extracted teaching accident.

  Step 1209: The display data created in step 1208 is displayed on the medical accident prevention information presentation screen.

  FIG. 17 is an example of a medical accident prevention information presentation screen. The incident information display unit 11 displays, for example, the date and time of occurrence, the place of occurrence, the party information, the patient information, the action information, the classification information, and the specific contents as the formatted text based on the incident searched in step 1203. Similarly, the taught incident information display unit 12 displays each of the taught incidents extracted in step 1204 as, for example, a sentence whose specific contents are shaped. Similarly, the teaching accident information display unit 15 displays each teaching accident extracted in step 1206 as, for example, a sentence in which specific contents and the influence of the result are shaped. If a teaching incident cannot be extracted in step 1204, only incident display information may be created in step 1208 and displayed in step 1209. If the teaching accident cannot be extracted in step 1206, incident display information and teaching incident display information may be created in step 1208 and displayed in step 1209.

  According to the third embodiment, medical information is always collected from an electronic medical record, an incident is searched based on the information, a teaching incident is extracted based on the searched incident and a teaching incident database, and the extracted teaching incident is extracted. Extracting and displaying the similar teaching accidents at the same time, not only the risks related to the relevant incidents, but also reducing the risks related to similar teaching incidents and teaching accidents at the same time, It is possible to present effects and the like, which is effective in preventing medical accidents.

  As described above, in the system according to the embodiment of the present invention, in order to effectively use collected incidents for prevention of medical accidents, doctors and nurses etc. input to electronic medical records during daily medical practice. The medical accident prevention effect can be improved by simultaneously presenting similar teaching incidents that can occur in addition to the predicted incidents that directly correspond to the corresponding action information.

The system according to the embodiment of the present invention described above has the following effects.
(1) Search past incidents based on the medical information input in the electronic medical record input unit, and further search for teaching incidents that are similar to the incidents searched from the pre-classified teaching incidents that seem to have a high educational effect. The extracted and searched incidents and the teaching incidents are presented at the same time as medical accident prevention information, so that not only the risks related to the corresponding incidents but also the risks related to similar incidents can be reduced at the same time.
(2) The specific content of the teaching incident can be presented as a characteristic factor diagram used for investigating the cause of the occurrence of the event, and the specific content can be grasped intuitively.

(3) A systematic diagram representing the teaching incident hierarchy to which the extracted teaching incident belongs is extracted, and the incidents that have been searched, the extracted teaching incident, and the systematic diagram representing the extracted teaching incident hierarchy are displayed at the same time, and the corresponding incidents are displayed with good listability. Not only the risk involved but also the risk related to similar incidents can be reduced at the same time.
(4) Since the systematic diagram of teaching incidents can be selected as a screen operation interface with the mouse of each contact point, etc., the corresponding teaching incident can be searched and switched for display, which is effective even for terminals with small screens such as mobile terminals Information can be displayed.

  (5) Extract and display the teaching accident similar to the extracted teaching incident at the same time, reduce the risk related to the relevant incident as well as the risk related to the similar teaching incident and the teaching accident, while actually reducing the accident It is possible to present the influence of the result when it becomes, and contribute to the prevention of medical accidents.

  It is possible to provide a medical accident prevention information presentation system that can effectively utilize already collected incidents for medical accident prevention and contribute to the improvement of the medical accident prevention effect, and the industrial applicability is great.

The block diagram showing the functional block and data flow of the medical accident prevention information presentation system of Example 1 of this invention. The flowchart showing typical operation | movement of the medical accident prevention information presentation system of Example 1 of this invention. The figure showing an example of the electronic medical record data table in Example 1 of this invention. The figure showing an example of the incident data table in Example 1 of this invention. The figure showing an example of the teaching incident data table in Example 1 of this invention. The figure showing an example of the medical accident prevention information presentation screen in Example 1 of this invention. The figure explaining the relationship between the characteristic factor figure and bone ID in Example 1 of this invention. The figure showing an example of the characteristic factor diagram data table in Example 1 of this invention. The figure showing an example of the characteristic factor figure completed by making a label correspond to a bone ID in Example 1 of the present invention. The figure showing an example of the medical accident prevention information presentation screen which displayed the characteristic factor figure in Example 1 of this invention. The figure showing an example of the systematic diagram which shows the relation of the teaching incident in Example 2 of this invention. The figure showing an example of the teaching incident systematic diagram data table in Example 2 of this invention. The figure showing an example of the medical accident prevention information presentation screen in Example 2 of this invention. The block diagram showing the functional block and data flow of the medical accident prevention information presentation system of Example 3 of this invention. It is a flowchart showing typical operation | movement of the medical accident prevention information presentation system of Example 3 of this invention. The figure showing an example of the teaching accident data table in Example 3 of this invention. The figure showing an example of the medical accident prevention information presentation screen in Example 3 of this invention.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 1 ... Electronic medical record input part, 2 ... Electronic medical record control part, 3 ... Electronic medical record database, 4 ... Medical care information collection part, 5 ... Incident search part, 6 ... Incident database, 7 ... Teaching incident extraction part, 8 ... Teaching incident database , 9 ... Medical accident prevention information generation unit, 10 ... Medical accident prevention information display unit, 11 ... Incident information display unit, 12 ... Teaching incident information display unit, 13 ... Teaching accident extraction unit, 14 ... Teaching accident database, 15 ... Teaching Accident information display section.

Claims (1)

An electronic medical record input unit;
An electronic medical chart control unit;
Incident database for storing incidents that are reports of dangerous events , with a medical information collection unit linked to an electronic medical record system with an electronic medical record database;
Among the incidents, a teaching incident database that stores teaching incidents that are preselected incidents;
A system diagram data table in which the system of the teaching incidents, the nodes of the teaching incidents are defined in each teaching incident,
Incident search department,
A teaching incident extraction unit;
A medical accident prevention information generation unit;
Has a medical accident prevention information display section,
The medical information collection unit acquires the medical information input from the electronic medical record input unit from the electronic medical record control unit,
The incident search unit includes at least a part of the patient's problems such as recording date and time, recorder information, patient information, and disease name, main complaint information, examination information, evaluation information, and instruction information of the acquired medical information, and the incident database. The incident date and time, occurrence location, party information, patient information, action information, classification information, and at least part of the specific content stored in is searched for the incident,
The teaching incident extraction unit is stored in the teaching incident database, with the occurrence date and time, occurrence location, party information, patient information, action information, classification information, at least part of specific contents included in the searched incident, The date and time of occurrence of the teaching incident, the location of occurrence, the party information, the patient information, the action information, the classification information, and at least a part of the specific contents are compared, and the first teaching incident similar to the incident is extracted,
Based on the extracted teaching incident, the systematic diagram data table is searched, and the first systematic diagram data indicating the hierarchical relationship between the teaching incidents with the extracted teaching incident as a node and the connection between the nodes Based on the first teaching incident, the second teaching incident is extracted, and the related ID of the first teaching incident is extracted from the related ID referring to the second system diagram data of the node. The second system diagram data is searched based on the second related ID of the teaching incident, the related third teaching incident is extracted based on the second system diagram data, and the medical accident prevention information The generating unit shapes the searched incident, the first teaching incident, the second teaching incident, and the third teaching incident, and the medical accident prevention Prevent medical accidents information presentation system, characterized in that simultaneously presented on the information display unit.

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