JP4521232B2 - Nosocomial infection prevention device and nosocomial infection prevention program - Google Patents

Description

The present invention relates to a hospital infection prevention instrumentation 置及 beauty nosocomial infection prevention program, and more particularly, hospital to prevent medical staff in medical facilities, hospital workers, outside visitors, the hospital infection-borne medical devices, etc. It related to infection prevention instrumentation 置及 beauty nosocomial infection prevention program.

  Conventionally, in order to prevent nosocomial infections mediated by medical staff, hospital workers, outside visitors, medical equipment, etc. in medical facilities, a so-called gown technique, that is, a protective gown dedicated to each room in front of each room. The person was put in the hospital room and returned to the gown when leaving.

  However, in this method, since it is left to the will of the individual entering the hospital room, it cannot always be said that hospital infection can be effectively prevented.

As a technique that can be applied to solve this problem, conventionally, personal information of a visitor to a medical facility is managed, the medical facility is divided into a plurality of barrier zones, and an entrance condition is set for each barrier zone. There has been a technique for restricting a person entering the barrier zone based on information and the entry conditions (see, for example, Patent Document 1).
JP 2003-6342 A

  However, according to the above-mentioned conventional technology, as the above-mentioned entrance condition, a person who has a mild infectious disease such as a cold cannot enter the neonatal room or the ICU, or a person who has a severe infectious disease such as tuberculosis Barrier zones that can be entered according to the infectious disease of the resident, such as conditions that cannot enter all barrier zones such as restaurants, shops, barber shops, newborn baby rooms, etc. have been established, and infectious diseases have been found However, there is a problem that no hospital-acquired infection mediated by an unspecified number of people who have not been found infectious diseases cannot be prevented. It was.

The present invention has been made to solve the above problems, to provide a hospital infection prevention instrumentation 置及 beauty hospital infection control programs capable of preventing nosocomial infection mediated an unspecified number of entrant With the goal.

In order to achieve the above object, the nosocomial infection prevention apparatus according to claim 1 is inputted by receiving the entrance schedule information indicating the scheduled entrance to the hospital room and the scheduled entrance time through the entrance schedule information receiving apparatus. A room entry schedule input means, a room entry schedule registration means for registering by storing the room entry schedule information input by the room entry schedule input means in a storage means, and a room entry for identifying a person entering the hospital room Resident identification information acquisition means for acquiring occupant identification information by reading through the occupant identification information reader, and preventing nosocomial infection from the property of the occupant when the occupant enters the hospital room An entry time tool specifying information acquisition means for acquiring an entry time tool specifying information for specifying a tool required for reading by using an entry time tool specifying information reader; When the occupant identification information is acquired by the entry occupant identification information acquisition means, the occupant identified by the occupant identification information matches the planned occupant indicated by the occupancy schedule information, and this The difference between the time at the time point and the scheduled entry time indicated by the scheduled entry information is within a predetermined time, and the target for prevention of nosocomial infection of the entry specified device specification information and the entry specified device specification information By referring to the database in a table format in which necessity information indicating necessity for each disease is associated in advance, the entry tool specifying information acquired by the entry tool specifying information acquisition means entry tool is shown to the disease chamber of the patient's room of the entrant only when it is determined that includes all of the equipment that is required to prevent infection of the patient when entering the patient's room A room admission determination unit that determines that the admission is permitted; and a room admission unit that allows the room occupant to enter the hospital room only when the admission permission determination unit determines that the admission is permitted. Entered by receiving the scheduled exit time information indicating the scheduled exit time of the person entering the hospital room via the scheduled exit time information receiving device, and input by the scheduled exit input unit Exit schedule registration means for registering by registering the scheduled exit time information in the storage means in association with the corresponding entry schedule information, and the exit person specifying information for specifying the exit person from the hospital room The person-to-be-leaved person information acquisition means obtained by reading through the specific information reader and the person-to-be-leaved person information are obtained by the person-to-be-leaved person information acquisition means. When the exit person specified by the exit person specifying information matches the entrance person indicated by the entrance schedule information, the time at this time and the associated entrance schedule information are stored. A room availability determination unit that determines that the person leaving the room is allowed to leave the room only when a difference from the scheduled room time indicated by the scheduled room time information is within a third predetermined time, and the room availability determination unit Only when it is determined by the means that it is permitted to leave the room, the room leaving authorization means that allows the person leaving the room to leave the room, and when the person leaving the room leaves the room, The exit-specific information for identifying the equipment required to prevent nosocomial infection and the equipment-specific information for identifying the storage equipment for storing the used equipment are provided. An exit-specific information acquisition unit that is acquired by reading through an information reading device, and when the leaving person specifying information is acquired by the leaving person specifying information acquisition unit, The exit person specified by the exit person specifying information matches the entrance person indicated by the entrance schedule information, and at this time and the scheduled exit time information stored in association with the entrance schedule information. The difference between the indicated scheduled leaving time is within a third predetermined time, and the required information for each disease to be prevented from nosocomial infection with respect to the leaving tool specifying information and the tool specified by the leaving tool specifying information. With reference to a database in a table format in which necessity information indicating no is associated in advance, the leaving time tool specifying information is obtained by the leaving time tool specifying information acquisition means. And when it is determined that the container specification information has not been acquired, or it is determined that only the container specification information has been acquired out of the exit tool specification information and the storage device specification information by the exit tool specification information acquisition means. In this case, it is determined that the person leaving the room is allowed to leave the room.

The entry schedule information input by the entry schedule input means may be input via an input device such as a keyboard or a pointing device, or an external device via a communication line such as a local area network, the Internet, or an intranet. Input from. The storage means includes a RAM (Random Access Memory), an EEPROM (Electrically Erasable and Programmable Read Only Memory), a semiconductor storage element such as a flash EEPROM (Flash EEPROM), smart media (SmartMedia (registered trademark)), xD. Picture card (xD-Picture Card), compact flash (CompactFlash), ATA (AT Attachment) card, micro drive, floppy disk, CD-R (Compact Disc-Recordable), CD-RW (Compact Disc-ReWritable), optical Examples include a portable recording medium such as a magnetic disk, a fixed recording medium such as a hard disk, or an external storage device provided in a server computer connected to a network. Furthermore, in the acquisition of the occupant identification information by the occupant identification information acquisition means, in addition to acquisition through an input device such as a keyboard and a pointing device, a communication line such as a local area network, the Internet, or an intranet is used. Acquisition from external devices. In addition, in the input of the scheduled exit time information by the above-mentioned exit schedule input means, in addition to input via an input device such as a keyboard and a pointing device, externally via a communication line such as a local area network, the Internet, an intranet, etc. Contains input from the device. In addition to acquiring via the input device such as a keyboard and a pointing device, the above-mentioned exiting person specifying information acquisition means can acquire the leaving person specifying information via a communication line such as a local area network, the Internet, or an intranet. Acquisition from external devices. In addition, the acquisition of the device specifying information by the above-mentioned device specifying information acquisition device at the time of leaving the room is performed through a communication line such as a local area network, the Internet, or an intranet in addition to acquisition through an input device such as a keyboard and a pointing device. Acquisition from external devices.

  Thus, according to the nosocomial infection prevention apparatus according to claim 1, the entrance schedule information indicating the scheduled entrance time and the scheduled entrance time to the hospital room of the medical facility is stored in advance by the storage means, and It is possible to obtain the user identification information for identifying the person entering the room, and when the person identification information is acquired, the room entry specified by the room identification information is indicated by the room entry schedule information. Only when it matches with the planner and the difference between the time at this time and the planned entrance time indicated by the entrance schedule information is within a predetermined time, the entry person is allowed to enter the hospital room. Only when it is determined and it is determined that the room is permitted to enter the room, the intruder can enter the hospital room, so that nosocomial infections caused by an unspecified number of invaders can be prevented.

The entry authorization means according to the present invention is the electronic entry lock provided individually at the entrance door provided at the entrance of the hospital room . The entrance door lock management device that remotely controls locking and unlocking is controlled so as to unlock the entrance door, thereby enabling entry into the hospital room.

In addition, as in the invention described in claim 3 , the present invention further includes an entry history storage means for storing in the storage means the entry time of the entry person to the sick room and the entry history information indicating the entry person. Is preferred. Thereby, it is possible to easily grasp the infection route when nosocomial infection occurs.

Further, according to the present invention, as in the invention described in claim 4 , the occupant identification information for identifying the occupant entering the ward in which the ward is provided via the occupant identification information reader. The occupant identification information acquisition means acquired by reading the information, and the occupant specified by the occupant identification information when the occupant identification information is acquired by the occupant identification information acquisition means Only when the person who is scheduled to enter is indicated by the entry schedule information and the difference between the current time and the scheduled entry time indicated by the entry schedule information is within the second predetermined time. The admission permission determination means for determining that the occupant is allowed to enter the ward, and only when the admission permission determination means determines that the admission is permitted, The admission approval means that enables entry into the ward, and It is preferably provided. As a result, people who enter the ward can also be restricted to only those who are set in advance to enter the ward, and more effectively prevent nosocomial infections mediated by an unspecified number of people. be able to. In addition to acquiring via the input device such as a keyboard and a pointing device, the above-mentioned accessor specifying information acquisition means can acquire communication information such as a local area network, the Internet, and an intranet. Acquisition from an external device via.

Further, according to the present invention, as in the invention described in claim 5 , the exit permitting means remotely controls locking and unlocking of the electronic lock provided individually at the exit door provided at the exit of the hospital room. The exit door locking management device may be allowed to leave the hospital room by controlling to unlock the exit door. As a result, even those who leave the room can be restricted to only those who have been set in advance to enter the room, and more effectively prevent nosocomial infections mediated by an unspecified number of people entering the room. be able to.

The invention according to claims 1 to 5 stores, in the storage means, the leaving time information of the person leaving the hospital room and the leaving history information indicating the person leaving the room, as in the invention according to claim 6. You may further provide a leaving history memory | storage means. Thereby, it is possible to easily grasp the infection route when nosocomial infection occurs.

Furthermore, the invention according to any one of claims 1 to 6 is a retreat for identifying a person who has left the ward where the ward is provided, as in the invention according to claim 7. The vacant identification information acquisition means for acquiring the resident identification information and the vacant identification person specified by the vacant identification information when the vacancy identification information is acquired by the vacancy identification information acquisition means. Matches the scheduled entry person indicated by the entry schedule information, and the difference between the time at this time and the scheduled exit time indicated by the scheduled exit information stored in association with the entry schedule information is the fourth Only when it is within a predetermined period of time, it is determined that the vacant can be removed from the ward only when it is within the predetermined time, and the vacancy permission determining means determines that the vacant is permitted to leave. The ward of the retired person only if Retirement building and possibilities to retreat building authorization means of preferably further comprises a. As a result, those who leave the ward can also be restricted to only those who have been set in advance to enter the ward, and more effectively prevent nosocomial infections mediated by an unspecified number of visitors. be able to. In addition, in the acquisition of the vacant identification information by the above-mentioned vacant identification information acquisition means, in addition to acquisition via an input device such as a keyboard and a pointing device, communication lines such as a local area network, the Internet, an intranet, etc. Acquisition from an external device via.

On the other hand, in order to achieve the above object, the nosocomial infection prevention program according to claim 8 uses a computer to enter a room entrance schedule information indicating a room entrance schedule information and a person scheduled to enter a hospital room of a medical facility via an entrance schedule information receiving apparatus. The entrance schedule input means for inputting by receiving the information, the entrance schedule registration means for registering by storing the entrance schedule information input by the entrance schedule input means in the storage means, and the person entering the hospital room are specified. Occupant identification information acquisition means for acquiring the occupant identification information for reading by the occupant identification information reader, the hospital infection from the belongings of the occupant when the occupant enters the hospital room Entering the room by reading the room entry tool specifying information for specifying the tool required to prevent the entry through the room entry tool specifying information reader When the occupant identification information is acquired by the tool identification information acquisition means and the occupant identification information acquisition means, the occupant schedule specified by the occupant identification information is indicated by the occupancy schedule information. And the difference between the time at this time and the scheduled entry time indicated by the scheduled entry information is within a predetermined time, and is specified by the entry time tool specifying information and the entry time tool specifying information. The information acquired by the device specifying information acquisition unit at the time of entering the room by referring to a database in a table format in which necessity information indicating necessity of each disease to be prevented from hospital infection for the device is associated in advance. the only if the tool indicated by the equipment identification information when filling chamber is determined to include all equipment needed to prevent infection from patients with the disease chamber when entering the patient's room A room admission determination unit that determines that a room person is allowed to enter the hospital room, and only when the room person is allowed to enter the room by the room admission determination unit. The room entry authorization means, the room exit schedule input means for inputting the scheduled exit time information indicating the scheduled exit time of the person entering the hospital room from the hospital room via the scheduled exit time information receiving device, the exit schedule Exit schedule registration means for registering by registering the scheduled exit time information input by the input means by storing in the storage means in association with the corresponding entrance schedule information, exit person for specifying the exit person from the hospital room Leaving person specific information acquiring means for acquiring specific information by causing the leaving person specific information reading device to read the information, and the leaving person specifying information acquiring means to exit the room When the person specifying information is acquired, the person leaving the room specified by the person leaving the room information matches the person entering the room indicated by the room entry schedule information, and the time at this point and the room entry schedule information are associated with each other. A room availability determination unit that determines that the person leaving the room is permitted to leave the room only when a difference from the scheduled room time indicated by the scheduled room time information stored is within a third predetermined time; Only when it is determined that the leaving is permitted by the leaving permission determination means, the leaving approval means for allowing the leaving person to leave the room, and the leaving when the leaving person leaves the room. To obtain information on leaving the room for identifying equipment required to prevent nosocomial infections from the property of the person in person, and to identify the container that houses the used equipment A nosocomial infection prevention program for functioning as an out-of-room equipment specifying information acquisition means for acquiring a storage equipment specifying information, wherein the leaving availability determination means is obtained by the left person specifying information acquisition means. When the exit person specified by the exit person specifying information matches the entrance person indicated by the entrance schedule information, the time stored at this time and the associated entrance schedule information are stored. The difference between the scheduled exit time indicated by the scheduled exit time information is within a third predetermined time, and is a target for prevention of nosocomial infection of the equipment specified by the exit time tool specifying information and the exit time tool specifying information. By referring to a database in a table format in which necessity information indicating necessity for each disease is associated in advance, the above-mentioned device information acquisition unit for leaving the room is used. When it is determined that the exiting tool specifying information and the storing tool specifying information have not been acquired, or the leaving tool specifying information and the storing tool specifying information by the leaving tool specifying information acquiring means, the storing tool specifying information When it is determined that only the user has been acquired, it is determined that the person leaving the room leaves the room.

Therefore, according to the nosocomial infection prevention program according to the eighth aspect , the computer can be operated in the same manner as the invention according to the first aspect. Can prevent nosocomial infections mediated by the elderly.

  According to the present invention, the entrance schedule information indicating the scheduled entrance time and the scheduled entrance time to the hospital room of the medical facility is stored in advance by the storage means, and the entrance person specifying information for specifying the entrance person to the hospital room When the occupant identification information is acquired, the occupant identified by the occupant identification information matches the scheduled occupant indicated by the occupancy schedule information, and the time at this time Only when the difference between the scheduled entry time indicated by the scheduled entry information and the scheduled entry time is within a predetermined time, it is determined that the entry person is allowed to enter the hospital room, and the entry is determined to be permitted. Only in some cases, the occupant can enter the hospital room, so that it is possible to prevent nosocomial infections mediated by an unspecified number of occupants.

  The best mode for carrying out the present invention will be described below in detail with reference to the drawings. Here, the case where the present invention is applied as a nosocomial infection prevention system constructed using a network stretched in a medical facility will be described.

  First, the configuration of a hospital infection prevention system 10 to which the present invention is applied will be described with reference to FIG.

  As shown in the figure, the nosocomial infection prevention system 10 according to this embodiment includes a system management server 20 that manages the entire system 10 and a plurality of personal computers that are installed at various locations in a medical facility and function as terminal devices. A computer 30 (hereinafter referred to as “terminal PC”) and a lock management server 40 that remotely controls locking and unlocking of a plurality of electronic locks 42 individually provided for a plurality of predetermined doors in a medical facility. And an information management server 50 that manages the exchange of various information with a plurality of operation panels 60 provided in the vicinity of the door.

  As shown in FIG. 2, the electronic lock 42 according to this embodiment is provided for the ward entrance door 92 </ b> A, the ward exit door 92 </ b> B, and the ward door 92 </ b> C of the medical facility 90.

  As shown in FIG. 2, the operation panel 60 according to this embodiment includes the vicinity of the entrance door on the wall surface where the door 92 </ b> A of the ward entrance of the medical facility 90 is installed, and the ward of the medical facility 90. The vicinity of the door on the exit side of the wall surface where the exit door 92B is installed, and the vicinity of the door on the entrance side and exit side on the wall surface where the door 92C provided in each hospital room of the medical facility 90 is installed One unit is provided for each. As shown in FIG. 1, each operation panel 60 is attached to an ID card reader 62 that reads the identification code from an ID (Identification) card in which an identification code for identifying the owner is stored. A tag reader 64 that reads the identification code in a non-contact manner from an IC tag that stores an identification code for identifying a tool to be used, and a display 66 that displays various types of information.

  That is, in the nosocomial infection prevention system 10 according to this embodiment, an ID card is used to restrict the passage of the doors 92A to 92C leading to the respective hospital rooms of the medical facility 90, and a person who is permitted to pass the doors 92A to 92C. (Hereinafter referred to as “permitted person”) is preliminarily distributed with an ID card storing an individual identification code (corresponding to a “related party identification code” described later) for identifying the permitted person. The Then, when passing through the doors 92 </ b> A to 92 </ b> C, the passer performs an operation of reading the identification code stored in the ID card distributed by the ID card reader 62 provided in the vicinity of the door. become.

  Further, in the hospital infection prevention system 10 according to the present embodiment, equipment such as a mask and gloves required for preventing hospital infection, and instruments used for examination and treatment of patients in a hospital room (hereinafter, the relevant) For each of the equipments and instruments as “necessary tools”), an IC in which an individual identification code (corresponding to “tool identification code” described later) for specifying the necessary tools is stored. A tag is attached. Then, when the passage permitter passes through the doors 92A to 92C leading to the respective hospital rooms of the medical facility 90, when the passage permitter wears or possesses the necessary tools, the passage permitter is attached to the necessary tools. The identification code is read by the tag reader 64 from the IC tag. As shown in FIG. 2, each hospital room of the medical facility 90 according to the present embodiment has a waste cart 94 for storing various wastes. In contrast, an IC tag storing an identification code for specifying the waste cart 94 is attached in advance.

  Note that the operation panel 60 according to the present embodiment is also provided with a numeric keypad (not shown) for inputting various information such as a password.

  As shown in FIG. 1, the system management server 20, each terminal PC 30, the lock management server 40, and the information management server 50 are connected via a connection device 70 such as a modem, a router, a TA (Terminal Adapter), etc. The system management server 20, each terminal PC 30, the lock management server 40 and the information management server 50 can communicate with each other via the network 12. Therefore, the system management server 20 controls the locking and unlocking of each electronic lock 42 via the locking management server 40 and the ID card reader 62 of each operation panel 60 via the information management server 50. The acquisition of the identification code read by the tag reader 64 and the display of various types of information on the display 66 provided on each operation panel 60 via the information management server 50 can be performed via the network 12. Each terminal PC 30 can acquire various information stored by the system management server 20.

  The network 12 is not limited to an intranet, and various networks such as the Internet, a LAN (Local Area Network), a VAN (Value Added Network), a telephone line network, an ECHONET, and a HomePNA may be applied alone or in combination. it can.

  The terminal PC 30, the lock management server 40, and the information management server 50 include a keyboard for inputting various information, an input device such as a mouse, a monitor device (display) for displaying various menu screens, processing results, and the like. A printer for printing information is provided. Since this hardware configuration is general, a detailed description thereof is omitted here.

  Next, with reference to FIG. 3, the main structure of the electrical system of the system management server 20 having a particularly important role in the hospital infection prevention system 10 will be described.

  As shown in the figure, the system management server 20 according to the present embodiment includes a CPU (Central Processing Unit) 20A that controls the operation of the entire system management server 20, and a work area when the CPU 20A executes various processing programs. A RAM (Random Access Memory) 20B used, a ROM (Read Only Memory) 20C in which various control programs and various parameters are stored in advance, a hard disk 20D used to store various information, and various information are input. And a display 20F used for displaying various types of information, and an input / output port 20G for exchanging various types of information with an external device via the network 12. Are mutually connected by a system bus BUS.

  Therefore, the CPU 20A accesses the RAM 20B, ROM 20C, and hard disk 20D, acquires various input information via the keyboard 20E, displays various information on the display 20F, and an external device connected to the network 12 via the input / output port 20G. Various information can be exchanged with each other.

  On the other hand, FIG. 4 schematically shows main storage contents of the hard disk 20D provided in the system management server 20. As shown in the figure, the hard disk 20D has a database area DB for storing various databases, a control program for controlling the system management server 20, a program for storing various programs, and the like. A region PG is provided.

  The database area DB stores information on doctors, nurses, and various workers in the medical facility 90 (hereinafter, the doctors, nurses, and various workers are collectively referred to as “related persons”). A related person database DB1, a patient database DB2 for storing information about patients admitted to each room in the ward of the medical facility 90, a disease-specific tool database DB3 for storing information about necessary tools, and a related person A schedule database DB4 for storing information related to the schedule of entering and leaving the hospital room and a history database DB5 for storing information related to the history of entering and leaving the hospital room of the concerned person are included. Hereinafter, the configuration of these databases will be described in detail with reference to the drawings.

  As shown in FIG. 5, the participant database DB1 according to the present embodiment is configured to store each piece of information of a participant identification code and a password.

  The related party identification code information is given in advance as different data (numerical data in the present embodiment) for each related party in order to identify each related party, and the password information corresponds to the related party identification code information. It is a password registered by the parties concerned.

  In the nosocomial infection prevention system 10 according to the present embodiment, all parties are provisionally permitted to pass, and each party has an ID card that stores the party identification code assigned to it in advance. Distributed. In the hospital infection prevention system 10, the first digit of the related person identification code is used to indicate the type of the corresponding related person (here, 3 types of doctor, nurse, and various workers). By referring to the first digit, the type of the corresponding party can be specified.

  On the other hand, as shown in FIG. 6, the patient database DB2 according to the present embodiment is configured to store information on a patient identification code, a security level, a disease name, and a hospital room.

  The patient identification code information is given in advance as different data (numerical data in the present embodiment) for each patient in order to identify each patient.

  The security level information is information indicating a permission level for entering a hospital room where the corresponding patient is hospitalized. In the nosocomial infection prevention system 10 according to the present embodiment, the security level information includes level 1 that allows unlimited entry into a hospital room, level 2 that allows entry into a hospital room with restrictions, and level 3 that cannot enter a hospital room. Stage levels are applied. In the hospital infection prevention system 10, only doctors and nurses can enter a hospital room whose security level is level 2.

  The disease name information is information indicating a disease name of the corresponding patient, and the hospital room information is information indicating a hospital room in which the corresponding patient is hospitalized.

  On the other hand, as shown in FIG. 7, the disease-specific tool database DB3 according to the present embodiment is configured to store each information of a disease name and necessary tools. The necessary equipment information includes information on caps, gloves, masks, face shields, gowns, equipment (apparatus used for examination and treatment of patients in a hospital room), slippers, and patient equipment during patient transfer. It is.

  The disease name information is information indicating the name of a disease that is the target of hospital infection prevention in the hospital infection prevention system 10.

  The necessary tool information is information indicating necessary tools required when a patient suffering from a corresponding disease enters a hospital room. As shown in the figure, in the disease-specific tool database DB3 according to the present embodiment, the necessary tool information is information indicating whether necessary / unnecessary for each disease to be prevented from hospital infection (here, When it is necessary, “◯” is stored. When it is unnecessary, “−”) is stored in a table format. In the example shown in the figure, for example, when entering the patient's room suffering from any of “measles”, “varicella”, “tuberculosis”, a cap, gloves, mask, face shield, gown, instrument, It shows that it is necessary to wear or carry slippers and patient equipment during patient transfer.

  In addition, in the hospital infection prevention system 10 according to the present embodiment, for all necessary tools to be handled, a different tool identification code for each necessary tool (in this embodiment, alphabet and (A combination of numerical values) is provided in advance, and as the necessary tool information, in addition to information indicating whether it is necessary / unnecessary, tool identification code information corresponding to the necessary tool when necessary is also stored. Yes. In the example shown in the figure, for example, a cap required when entering a patient room of a patient suffering from “measles” is a cap assigned with “A01” as a device identification code. . As described above, in the hospital infection prevention system 10 according to the present embodiment, an IC tag storing a device identification code is attached to all necessary tools to be handled.

  On the other hand, as shown in FIG. 8, the schedule database DB4 according to the present embodiment is configured to store each information of a participant identification code, entry / exit date / time, patient identification code, hospital room, and completion.

  The related party identification code information, patient identification code information, and patient room information are the same information as that of the related party database DB1 and patient database DB2, and the entry / exit date information is specified by the corresponding related party identification code. Information indicating the scheduled date and time of entering the corresponding hospital room and the scheduled date and time of leaving the hospital room.

  In the example shown in the figure, for example, a participant who is assigned '0001' as a participant identification code is assigned '5001' as a patient identification code from 14:00 to 15:00 on July 16, 2004. This shows that the patient is scheduled to enter the patient's room (schedule).

  Further, the completion information is information indicating whether or not the corresponding schedule is completed (here, “○” when completed, and “−” when not completed).

  On the other hand, as shown in FIG. 9, the history database DB5 according to the present embodiment is configured to store information on date, time, person identification code, hospital room, and patient identification code.

  The related party identification code information, the room information and the patient identification code information are the same information as that of the related party database DB1 and the patient database DB2, and the date information and time information are specified by the corresponding related party identification code. It is the information which shows the date and time (entrance time and leaving time) when the related person entered the hospital room where the corresponding patient is hospitalized.

  In the example shown in the figure, for example, a party to whom “0001” is assigned as a party identification code is assigned “5001” as a patient identification code from 14:00 to 14:52 on July 16, 2004. Indicates that the patient was admitted to the hospital room.

  Next, the operation of the hospital infection prevention system 10 according to the present embodiment will be described. In order to avoid complications, in the following, each database of the participant database DB1, the patient database DB2, and the disease-specific tool database DB3 has been constructed in advance, and a participant identification code assigned to each participant. A case will be described in which an ID card in which is stored is distributed and an IC tag storing a tool identification code assigned to the required tool is attached to each required tool.

  First, with reference to FIG. 10, the operation of the nosocomial infection prevention system 10 when registering the schedule of each party in the schedule database DB4 will be described. Note that FIG. 10 shows that when an instruction input for registering an entrance / exit schedule to a hospital room related to any related party (hereinafter referred to as “registration instruction input”) is made to the system management server 20. It is a flowchart which shows the flow of a process of the schedule registration program performed in CPU20A of the system management server 20, and the said program is beforehand memorize | stored in the program area | region PG of hard disk 20D.

  In step 100 of the figure, the party identification code of the party to be registered in the schedule, the patient room that the person concerned is scheduled to enter, the date and time of entering and leaving the patient room, and the patient who is hospitalized in the patient room By displaying a message for prompting the input of each piece of information on the identification code on the display 20F, these pieces of information are input. At this time, the registrant of the schedule inputs the information using the keyboard 20E provided in the system management server 20.

  Then, in the next step 102, each input information is registered in the schedule database DB4, and then this schedule registration program is terminated. In step 102, if the input related party identification code has already been registered, the input information other than the related party identification code is registered in association with the registered related party identification code. If no related person identification code is registered, all of the input information is newly registered. At this time, information indicating incomplete (here, “−”) is registered as corresponding completion information.

  By executing the above schedule registration program, the schedule database DB4 shown in FIG. 8 is constructed.

  Next, nosocomial infection prevention processing executed in the system management server 20 will be described with reference to FIG. FIG. 11 is a flowchart showing the flow of processing of the nosocomial infection prevention program executed by the CPU 20A of the system management server 20 every predetermined period (in this embodiment, 0.1 second). It is stored in advance in the 20D program area PG.

  First, in Step 200, it is determined whether or not the ID card has been read by the ID card reader 62 of the operation panel 60 provided outside the ward of the door 92A that passes when entering the ward. If it is determined, the process proceeds to step 202, the ward entrance examination processing program (subroutine program) is executed, and then the hospital infection prevention program is terminated.

  On the other hand, if a negative determination is made in step 200, the process proceeds to step 204, where the ID card of the operation panel 60 provided outside the room of the door 92C that passes when entering any room in the ward. It is determined whether or not the ID card has been read by the reader 62. If the determination is affirmative, the process proceeds to step 206 to execute a hospital room entrance examination processing program (subroutine program), and then infection in the hospital. End the prevention program.

  On the other hand, if a negative determination is made in step 204, the process proceeds to step 208, where the ID card of the operation panel 60 provided inside the ward of the door 92C that passes when leaving from any ward in the ward. It is determined whether or not the ID card has been read by the reader 62. If the determination is affirmative, the process proceeds to step 210 to execute a room exit test program (subroutine program), and then infection in the hospital. End the prevention program.

  On the other hand, if a negative determination is made in step 208, the process proceeds to step 212, where the ID card reader 62 of the operation panel 60 provided on the inner side of the ward of the door 92B that passes when leaving the ward is used for the ID card. It is determined whether or not reading has been performed. If the determination is affirmative, the process proceeds to step 214 to execute a ward exit test program (subroutine program), and then terminate the hospital infection prevention program. To do.

  If the determination in step 212 is negative, it is assumed that no ID card reading operation has been performed at any door in the ward of the medical facility 90, and no hospital infection is performed without performing any processing. Exit the program.

  Next, with reference to FIG. 12, a ward entrance examination processing program will be described. FIG. 12 is a flowchart showing the processing flow of the ward entrance examination processing program, which is also stored in advance in the program area PG of the hard disk 20D.

  In step 300 of the figure, the operation panel 60 (hereinafter referred to as “the person identification code”), which has been read in step 200 of the main routine (see also FIG. 11) of the nosocomial infection prevention program, is read. It is acquired via the network 12 from the “processing target entry operation panel”).

  In the next step 302, it is determined whether or not the acquired related party identification code is registered in the related party database DB1. If the determination is affirmative, the process proceeds to step 304. The process proceeds to step 318.

  In step 304, password information corresponding to the acquired related party identification code is read from the related party database DB1, and entry / exit date information corresponding to the acquired related party identification code is read from the schedule database DB4. For example, when the related party database DB1 and the schedule database DB4 are those shown in FIGS. 5 and 8, respectively, when the acquired related party identification code is “0001”, “ABCD” is read as the password information. And “040716 14: 00-040716 15:00”, “040716 15: 30-040716 16:30”,... Are read out as the entry / exit date information.

  In the next step 306, among the read entry / exit date / time information, the difference between the scheduled entry / exit date indicated by the entry / exit date / time information indicating the entry / exit date / time closest to the date / time at this time is the predetermined time. (Corresponding to the “second predetermined time” of the present invention, which is 10 minutes in this embodiment), it is determined whether or not the entrant is going to enter the building as scheduled. If the determination is affirmative, the process proceeds to step 308. If the determination is negative, the process proceeds to step 318 described later.

  Here, the person who is going to enter the ward inputs the password registered by himself / herself using a numeric keypad (not shown) provided on the processing target ward operation panel.

  Therefore, in step 308, the password is acquired from the processing target entrance operation panel via the network 12, and in the next step 310, the acquired password and the password indicated by the password information read out in the process of step 304 are obtained. It is determined whether or not they match, and if the determination is affirmative, the process proceeds to step 312, and if the determination is negative, the process proceeds to step 318 described later.

  In step 312, patient identification code information and room information corresponding to the party identification code acquired by the processing in step 300 are read from the schedule database DB 4, and then disease name information corresponding to the patient identification code information is read from the patient database DB 2. The necessary tool information corresponding to the read disease name information is read from the disease-specific tool database DB3. Then, in the next step 314, a screen (hereinafter referred to as “necessary equipment display screen”) indicating necessary equipment to be equipped or possessed for each hospital room scheduled to enter the room using the read out hospital room information and necessary equipment information. ”) Is displayed on the display 66 of the processing target entrance operation panel, the operation panel is controlled via the network 12.

  FIG. 13 shows an example of a display state of a necessary tool display screen displayed on the display 66 of the processing target entrance operation panel by the processing in step 314. In the example shown in the figure, as a necessary tool display screen, a name and a tool identification code indicating a necessary tool to be equipped or possessed for each hospital room scheduled to enter the room are displayed. Therefore, the person who enters the ward can grasp the necessary tools when entering the ward that is scheduled to enter the room by referring to the necessary equipment display screen.

  In the next step 316, the locking management server 40 is controlled via the network 12 so as to unlock the door 92A, and then the ward entrance examination processing program is terminated.

  On the other hand, in step 318, an error message is processed to the effect that the door 92A cannot be unlocked because any of the read party identification code, the scheduled schedule, and the entered password is incomplete. This is displayed on the display 66 of the target entrance operation panel, and then the main ward entrance inspection processing program is terminated.

  The person who entered the ward through the examination by the above-mentioned ward entry examination processing program needs the next visit room indicated by the necessary equipment display screen displayed on the display 66 of the treatment target entry operation panel. After wearing or possessing the equipment in the room where the necessary equipment is stored (in the example shown in FIG. 2, the clothing room and the equipment storage), the equipment is directed to the target hospital room. The concerned person reads the ID card by the ID card reader 62 of the operation panel 60 provided outside the target hospital room. As a result, an affirmative determination is made in the processing of step 204 of the hospital infection prevention program described above, and the hospital room entrance examination processing program is executed.

  Next, with reference to FIG. 14, a hospital room entry examination processing program will be described. FIG. 14 is a flowchart showing the flow of processing of the hospital room entrance examination processing program, and the program is also stored in advance in the program area PG of the hard disk 20D.

  In step 400 of the figure, the operation panel 60 (hereinafter, referred to as the person identification code) determined to have been read in step 204 of the main routine (see also FIG. 11) of the nosocomial infection prevention program is read. It is acquired via the network 12 from the “processing target entry operation panel”.

  In the next step 402, it is determined whether or not the acquired related party identification code is registered in the related party database DB1. If the determination is affirmative, the process proceeds to step 404. The process proceeds to step 422.

  In step 404, the entry / exit date / time information and the room information corresponding to the acquired related party identification code are read from the schedule database DB4. For example, in the case where the schedule database DB4 is as shown in FIG. 8, if the acquired related party identification code is “0001”, the entry / exit date information is “040716 14: 00-040716 15:00”. , '040716 15: 30-040716 16:30', ... are read out and 'A0101', 'A0102', ... are read out as the room information.

  In the next step 406, the patient room indicated by the read patient room information includes the patient room in which the processing target entry operation panel is installed, and the scheduled entry date and time to the patient room indicated by the read entry / exit date information By determining whether or not the difference from the date and time at this time is within a predetermined time (corresponding to the “predetermined time” of the present invention, which is 8 minutes in the present embodiment), It is determined whether or not the user intends to enter the room as scheduled. If the determination is affirmative, the process proceeds to step 408. If the determination is negative, the process proceeds to step 422 described later.

  In step 408, the device identification code read from the IC tag attached to the necessary device worn or possessed by the room occupant is acquired by the tag reader 64 provided in the processing target room entry operation panel. Here, it goes without saying that the tool identification code is not acquired when the occupant does not wear or possess any necessary tools.

  In the next step 410, the patient identification code acquired by the process of step 400 and the patient identification code information corresponding to the hospital room provided with the processing target room entry operation panel are read from the schedule database DB4, and then the patient identification code is read. The disease name information corresponding to the information is read from the patient database DB2, and the necessary tool information corresponding to the read disease name information is read from the disease-specific tool database DB3. In the next step 412, it is determined whether or not the tool identification code acquired in step 408 includes all the tool identification codes in the necessary tool information read in step 410. Shifts to step 414, and if a negative determination is made, the flow shifts to step 422 to be described later.

  In step 414, the security level information corresponding to the patient identification code read in the process of step 410 is read from the patient database DB2, and in the next step 416, the security level indicated by the read security level information can enter the room. If the determination is affirmative, the process proceeds to step 418. If the determination is negative, the process proceeds to step 422 to be described later. In the present embodiment, in step 416, when the security level is level 1, the security level is level 2, and the party identified by the party identification code is a doctor or a nurse. It is determined that the security level is enough to enter the room.

  In step 418, the lock management server 40 is controlled via the network 12 so as to unlock the lock of the hospital room door 92C provided with the processing target room entry operation panel. The time, the participant identification code acquired in step 400, the patient room provided with the processing room entry operation panel, and the patient identification code indicating the patient admitted to the patient room are registered in the history database DB5. Then, the hospital room entrance examination processing program is terminated.

  On the other hand, in step 422, since there is a deficiency in any of the read related person identification code, the scheduled schedule, the necessary equipment required to enter the hospital room, and the security level of the hospital room to be entered, An error message indicating that the lock cannot be unlocked is displayed on the display 66 of the processing room entry operation panel, and then the hospital room entry examination processing program is terminated.

  A person who has entered the room after undergoing the examination by the above-mentioned treatment program for entering the hospital room must perform all necessary work in the room and then install all necessary tools that he / she has possessed or possessed in the room. In a waste cart 94 (see also FIG. 2). The concerned person reads the ID card by the ID card reader 62 of the operation panel 60 provided inside the hospital room. As a result, an affirmative determination is made in the processing of step 208 of the above-described hospital infection prevention program, and the hospital room exit test processing program is executed.

  Next, with reference to FIG. 15, a room exit test processing program will be described. FIG. 15 is a flowchart showing the flow of processing of the room exit test processing program, and the program is also stored in advance in the program area PG of the hard disk 20D.

  In step 500 of the figure, the operation panel 60 (hereinafter, referred to as the person identification code) determined to have been read in step 208 of the main routine (see also FIG. 11) of the nosocomial infection prevention program is read. It is acquired via the network 12 from a “processing target leaving operation panel”.

  In the next step 502, it is determined whether or not the acquired related party identification code is registered in the related party database DB1. If the determination is affirmative, the process proceeds to step 504. The process proceeds to step 520.

  In step 504, the entry / exit date / time information and the room information corresponding to the acquired participant identification code are read from the schedule database DB4. For example, in the case where the schedule database DB4 is as shown in FIG. 8, if the acquired related party identification code is “0001”, the entry / exit date information is “040716 14: 00-040716 15:00”. , '040716 15: 30-040716 16:30', ... are read out and 'A0101', 'A0102', ... are read out as the room information.

  In the next step 506, the room indicated by the read out room information includes the room where the processing target exit operation panel is installed, and the scheduled exit date and time from the room indicated by the read out / exit date information and By determining whether or not the difference from the date and time at this time is within a predetermined time (corresponding to the “third predetermined time” of the present invention, which is 9 minutes in the present embodiment), It is determined whether or not the person leaving the room is leaving the room as scheduled. If the determination is affirmative, the process proceeds to step 508. If the determination is negative, the process proceeds to step 520 described later.

  In step 508, the tool identification code read from the IC tag attached to the necessary tool worn or possessed by the person leaving the room is acquired by the tag reader 64 provided on the processing room exit operation panel. Here, it goes without saying that the tool identification code is not acquired when the person leaving the room does not wear or possess any necessary tools.

  In the next step 510, it is determined whether or not the tool identification code has not been acquired in step 508. If the determination is affirmative, the process proceeds to step 512. If the determination is negative, the process proceeds to step 518 described later. To do.

  In step 512, information indicating that the schedule has been completed (in this case, the completion information corresponding to the participant identification code acquired by the process of step 500 and the entry / exit date / time information determined in step 506). Update the schedule database DB4 so that it is

  Then, in the next step 514, the locking management server 40 is controlled via the network 12 so as to unlock the locking of the hospital room door 92C provided with the processing room leaving operation panel, and in the next step 516, The time at this time is registered in the history database DB5 in association with the information registered by the process of step 420 in the above-mentioned hospital room entrance examination processing program when entering the room, and then the room exit examination processing program is terminated. To do.

  On the other hand, in step 518, it is determined whether or not the tool identification code acquired by the processing in step 508 is only the one corresponding to the waste cart 94. If the determination is affirmative, the waste in the hospital room is determined. If it is determined that the cart 94 is properly carried out, the process proceeds to step 512. If the determination is negative, the process proceeds to step 520.

  In step 520, the door 92C cannot be unlocked because there is a defect in any of the read party identification code, the scheduled schedule, and the necessary equipment worn or possessed. An error message is displayed on the display 66 of the processing room exit operation panel, and then the present room exit test processing program is terminated.

  A person who has left the room after undergoing the examination by the above-mentioned room room exit examination processing program enters another room according to his / her schedule or places the waste cart 94 in the waste disposal room (see also FIG. 2). Will be transported to or removed from the ward.

  Here, when entering another hospital room, the person concerned enters the hospital room indicated by the necessary equipment display screen (see also FIG. 13) displayed on the display 66 of the operation panel 60 when entering the hospital ward. The necessary tools required when entering the room are put on or possessed in the room (the clothes room and the equipment warehouse in the example shown in FIG. 2) in which the necessary tools are stored, and then headed to the target hospital room. The concerned person reads the ID card by the ID card reader 62 of the operation panel 60 provided outside the target hospital room. As a result, an affirmative determination is made in step 204 of the above-described hospital infection prevention program, and the above-described hospital room entrance examination processing program is executed again.

  On the other hand, when a person concerned completes a visit to the ward and leaves the ward, the ID card reader 62 of the operation panel 60 provided near the ward exit door 92B reads the ID card. . As a result, an affirmative determination is made in the process of step 212 of the hospital infection prevention program described above, and the ward leaving examination process program is executed.

  Next, with reference to FIG. 16, the ward exit inspection processing program will be described. FIG. 16 is a flowchart showing the processing flow of the ward leaving examination processing program, which is also stored in advance in the program area PG of the hard disk 20D.

  In step 600 of the figure, the operation panel 60 (hereinafter, referred to as the person identification code) determined to have been read in step 212 of the main routine (see also FIG. 11) of the nosocomial infection prevention program is read. It is acquired via the network 12 from the “processing target leaving operation panel”.

  In the next step 602, it is determined whether or not the acquired related party identification code is registered in the related party database DB 1. If the determination is affirmative, the process proceeds to step 604. The process proceeds to step 614.

  In step 604, the entry / exit date information corresponding to the acquired related party identification code is read from the schedule database DB4. For example, in the case where the schedule database DB4 is as shown in FIG. 8, if the acquired related party identification code is “0001”, the entry / exit date information is “040716 14: 00-040716 15:00”. , '040716 15: 30-040716 16:30', ... are read out.

  In the next step 606, the difference between the scheduled entry / exit date indicated by the entry / exit date / time information indicating the scheduled exit date / time closest to the date / time at this time in the read entry / exit date / time information and the date / time at this time is a predetermined time. (Corresponding to the “fourth predetermined time” of the present invention, which is 15 minutes in the present embodiment), it is determined whether or not the vacant is going to leave as scheduled. If the determination is affirmative, the process proceeds to step 608. If the determination is negative, the process proceeds to step 614 described later.

  In step 608, the tool identification code read from the IC tag attached to the necessary tool worn or possessed by the vacant is acquired by the tag reader 64 provided on the processing target detachment operation panel. Here, it goes without saying that the tool identification code is not acquired when the retired person does not wear or possess any necessary tools.

  In the next step 610, it is determined whether or not the tool identification code has not been acquired in step 608. If the determination is affirmative, the process proceeds to step 612. If the determination is negative, the process proceeds to step 614 described later. To do.

  In step 612, the lock management server 40 is controlled via the network 12 so as to unlock the door 92B at the ward exit, and then the ward exit inspection processing program is terminated.

  On the other hand, in step 614, the door 92B cannot be unlocked because there is a defect in any of the read related person identification code, the scheduled schedule, and the necessary equipment that is worn or possessed. An error message is displayed on the display 66 of the processing target leaving operation panel, and then the main ward leaving inspection processing program is terminated.

  As described above in detail, in the present embodiment, the entrance schedule information indicating the scheduled entrance time to the hospital room of the medical facility and the scheduled entrance time (here, the related person identification code information and the entrance information stored in the schedule database DB4). The information on the date and time of leaving the room is stored in advance by the storage means (here, the hard disk 20D), and the user identification information (here, the identification of the person stored in the ID card) for specifying the person who enters the room. Code) can be acquired, and when the occupant identification information is acquired, the occupant specified by the occupant identification information matches the occupant scheduled by the entry schedule information, and at this time Only when the difference between the scheduled time and the scheduled entry time indicated by the scheduled entry information is within a predetermined time, the entry person is allowed to enter the hospital room. Determined, since the permit entry into the patient's room of the entrant only when the control unit 100 determines that the permitting entry, it is possible to prevent nosocomial infection mediated an unspecified number of entrant.

  Further, in the present embodiment, when the occupant enters the hospital room, device identification information for identifying a device necessary for preventing nosocomial infection from the occupant's belongings (here, , Provided with tool specifying information acquisition means (here, tag reader 64) for acquiring a tool identification code stored in an IC tag provided in the necessary tool, and when the occupant specifying information is acquired, The occupant specified by the occupant identification information matches the admitted person indicated by the occupancy schedule information, and the difference between the time at this time and the expected entry time indicated by the occupancy schedule information is within a predetermined time. In addition, when the device indicated by the device specifying information acquired by the device specifying information acquiring means enters the hospital room, all necessary to prevent infection from the patient in the hospital room. Since it is determined that only allow the entry into the patient's room of the entrant if it contains tools, it is possible to prevent infection from the patient in a hospital room to entrant.

  In the present embodiment, the entry time of the person entering the hospital room and the entry history information indicating the entry person (here, date information, time information and related person identification code information stored in the history database DB5) are displayed. Since it is stored in the storage means, it is possible to easily grasp the infection route when nosocomial infection occurs.

  In the present embodiment, the occupant identification information for identifying the occupant entering the ward in which the hospital room is provided (in this case, the participant identification code stored in the ID card) is acquired. It is provided with a building owner identification information acquisition means (here, the ID card reader 62) and is specified by the building owner identification information when the building owner identification information is acquired by the building owner identification information acquisition means. The occupant matched the scheduled entry indicated by the scheduled entry information, and the difference between the current time and the scheduled entry time indicated by the scheduled entry information was within the second predetermined time. Only when it is determined that the occupant is allowed to enter the ward, and only when it is determined that entry is permitted, the occupant can enter the ward. Anyone entering the ward should also enter the ward. There can be limited only to the entrant that is set in advance, the hospital infection mediated an unspecified number of entrant can be further effectively prevented.

  Further, in the present embodiment, while entering the scheduled exit time information (here, the entry / exit date information stored in the schedule database DB4) indicating the scheduled exit time of the person entering the hospital room from the hospital room, Leaving room specific information (here, the relationship stored in the ID card) for identifying the evacuation person from the hospital room in association with the corresponding occupancy schedule information and storing it in the storage means. When the person-to-be-identified code is acquired by the person-in-room identification information acquisition means (here, the ID card reader 62), the person who has left the room specified by the person-in-room identification information is indicated by the room entry schedule information. And the difference between the time at this time and the scheduled exit time indicated by the scheduled exit time information stored in association with the scheduled entry information is the third place. Since it is determined that the person leaving the room is allowed to leave the room only if it is within the time, and only when it is determined that the person leaving the room is allowed to leave, the person leaving the room is allowed to leave the room. As for those who leave the hospital room, it is possible to limit the entrance to the hospital room only to those who have been set in advance, and it is possible to more effectively prevent nosocomial infections mediated by an unspecified number of visitors. it can.

  Further, in the present embodiment, when the leaving person leaves the hospital room, the tool specifying information for identifying the tool required for preventing nosocomial infection from the belongings of the leaving person (here, It further includes an exit-specific tool acquisition information acquisition unit (in this case, tag reader 64) for acquiring a device identification code stored in an IC tag provided in the necessary tool, and the exit person identification information acquisition unit identifies the exit person When the information is acquired, the exit person specified by the exit person specifying information matches the entrance person indicated by the entrance schedule information, and is stored in association with the current time and the entrance schedule information. The difference between the scheduled exit time indicated by the scheduled exit time information is within a third predetermined time, and the tool feature acquired by the exit time tool specifying information acquisition means When the equipment indicated by the information does not include the equipment required to prevent infection from the patient in the patient room when entering the patient room, the person leaving the room is allowed to leave the patient room. Therefore, it is possible to prevent nosocomial infections that are mediated by tools required to prevent infection from patients in the patient's room owned by those who have left the room.

  In the present embodiment, the storage means stores the exit time of the person leaving the hospital room and the exit history information indicating the exit person (here, the time information stored in the history database DB5). It is possible to make it easier to grasp the infection route when nosocomial infection occurs.

  Further, in the present embodiment, the exit information for acquiring the exit person identification information (here, the related person identification code stored in the ID card) for identifying the exit person from the ward where the hospital room is provided is acquired. It is provided with a building owner identification information acquisition means (here, the ID card reader 62), and is specified by the exit person identification information when the exit person identification information is acquired by the exit person identification information acquisition means. The person who left the room matches the scheduled entry person indicated by the entry schedule information, and the time at this time and the scheduled exit time indicated by the scheduled exit time information stored in association with the entry schedule information. Only when the difference is within the fourth predetermined time, it is determined that the person leaving the ward is allowed to leave the ward, and only when the person leaving the ward is allowed to leave, Leaving the ward As a result, it is possible to limit the number of people who have left the ward to enter the ward only to those who have been set in advance, making hospital infections mediated by an unspecified number of people more effective. Can be prevented.

  In the present embodiment, the case of registering the schedules of the parties using the system management server 20 has been described. However, the present invention is not limited to this, for example, using any one of the terminal PCs 30. It can also be in the form of registration. Also in this case, the same effects as in the present embodiment can be obtained.

  Further, in the present embodiment, a case has been described in which an IC tag for specifying the necessary tool is provided in the necessary tool, and the tool specifying information is acquired by reading the IC tag with a tag reader. For example, characteristic information such as the shape, color, pattern, etc. of each necessary tool is registered in advance, and when the person concerned enters the room, at the time of inspection such as when the person leaves the room, By performing pattern matching using the feature information, it is also possible to obtain the device specifying information of the necessary device worn or possessed by the concerned person. In this case, although the acquisition accuracy of necessary specific information is reduced, it is possible to reduce costs and labor for providing an IC tag for each necessary tool.

  Further, in the present embodiment, the case has been described where the ID card is used to acquire the occupant identification information, the occupant identification information, the vacant identification information, and the vacant identification information. For example, the specific information can be acquired by causing the related person to have an IC tag storing a related person identification code and reading the IC tag with a tag reader. In this case, the related person can acquire his / her specific information without being aware of it, and the convenience can be improved.

  Further, in the present embodiment, a case has been described in which the concerned persons are doctors, nurses, and various workers. However, the present invention is not limited to this, for example, in addition to these, from the outside It is also possible to include other visitors. In this case, the visit schedule of the visitor is registered in advance in the schedule database DB4, and an ID card for identifying the visitor is distributed to the visitor. Also in this case, the same effects as in the present embodiment can be obtained.

  In addition, the configuration (see FIGS. 1 to 4) of the nosocomial infection prevention system 10 described in the present embodiment is merely an example, and it is needless to say that the configuration can be appropriately changed without departing from the gist of the present invention.

  The processing flow of various programs shown in the present embodiment (see FIGS. 10 to 12 and FIGS. 14 to 16) is also an example, and can be changed as appropriate without departing from the gist of the present invention. Needless to say.

  For example, in the ward entrance inspection processing program and the ward exit inspection processing program according to the present embodiment, the case where the history is not registered when the door is unlocked has been described, but the present invention is limited to this. Instead of this, it is also possible to register the history. As an example of this case, immediately before or after step 316 of the ward entrance examination processing program, the date and time at that time and the party identification code acquired in step 300 are stored (registered) in a predetermined area of the hard disk 20D. Immediately before or immediately after step 612 of the ward ward leaving inspection processing program, the date and time at that time, and the party identification code acquired in step 600 are stored in a predetermined area of the hard disk 20D. An example of adding a step of performing a process of storing (registering) can be given. In this case, it is possible to make it easier to grasp the infection route when nosocomial infection occurs.

  Further, the configuration of the necessary tool display screen shown in the present embodiment (see FIG. 13) is also an example, and it goes without saying that it can be changed as appropriate without departing from the gist of the present invention.

  Furthermore, the configuration of various databases shown in the present embodiment (see FIGS. 5 to 9) is also an example, and it goes without saying that it can be changed as appropriate without departing from the gist of the present invention.

It is a mimetic diagram showing composition of hospital infection prevention system 10 concerning an embodiment. It is a schematic plan view of the medical facility 90 in which the nosocomial infection prevention system 10 according to the embodiment is constructed. It is a block diagram which shows the main structures of the electric system of the system management server 20 which concerns on embodiment. It is a schematic diagram which shows the main memory content of the hard disk 20D with which the system management server 20 which concerns on embodiment was equipped. It is a schematic diagram which shows the structure of participant database DB1 which concerns on embodiment. It is a schematic diagram which shows the structure of patient database DB2 which concerns on embodiment. It is a schematic diagram which shows the structure of disease-specific tool database DB3 which concerns on embodiment. It is a schematic diagram which shows the structure of schedule database DB4 which concerns on embodiment. It is a schematic diagram which shows the structure of history database DB5 which concerns on embodiment. It is a flowchart which shows the flow of a process of the schedule registration program which concerns on embodiment. It is a flowchart which shows the flow of a process of the hospital infection prevention program which concerns on embodiment. It is a flowchart which shows the flow of a process of the ward entrance examination processing program which concerns on embodiment. It is the schematic which shows the display state of the required tool display screen which concerns on embodiment. It is a flowchart which shows the flow of a process of the hospital room entrance inspection process program which concerns on embodiment. It is a flowchart which shows the flow of a process of the hospital room leaving examination process program which concerns on embodiment. It is a flowchart which shows the flow of a process of the ward leaving examination process program which concerns on embodiment.

Explanation of symbols

10 hospital infection prevention system 12 network 20 system management server 20A CPU (room entry schedule storage means, entrance permission determination means, entrance permission means, entrance history storage means, entrance permission determination means, entrance approval means, exit schedule storage means, exit (Accessibility determination means, exit authorization means, exit history storage means, exit availability determination means, exit authorization means)
20D hard disk (storage means)
20E keyboard (room entry schedule input means, exit schedule input means)
30 Terminal PC
40 lock management server 42 electronic lock 50 information management server 60 operation panel 62 ID card reader (entrant identification information acquisition means, occupant identification information acquisition means, exit person identification information acquisition means, exit person identification information acquisition means)
64 tag reader (tool specifying information acquiring means, leaving tool specifying information acquiring means)
66 Display DB1 Stakeholder database DB2 Patient database DB3 Disease database DB4 Schedule database DB5 History database

Claims (8)

An entrance schedule input means for inputting the entrance schedule information indicating the scheduled entrance time and the scheduled entrance time to the hospital room of the medical facility via the entrance schedule information receiving device;
An entrance schedule registration means for registering by storing the entrance schedule information input by the entrance schedule input means in a storage means;
A room occupant identification information acquisition means for acquiring a room occupant identification information for identifying a person admitted to the hospital room through a room occupant identification information reader;
A device-specific information reading device for entering a room is used for identifying a tool required for preventing a hospital infection from belongings of the room occupant when entering the hospital room. Entry device specific information acquisition means to be acquired by reading through,
When the occupant identification information is acquired by the occupant identification information acquisition means, the occupant identified by the occupant identification information matches the planned occupant indicated by the occupancy schedule information, and The difference between the time at this time and the scheduled entry time indicated by the scheduled entry information is within a predetermined time, and prevention of nosocomial infection of the entry specified tool information and the entered tool specification information The room entry tool specification information acquired by the room entry time tool specification information acquisition means with reference to a database in a table format in which necessity information indicating the necessity for each disease to be targeted is associated in advance. entry tool is shown to the disease chamber of the patient's room of the entrant only when it is determined that includes all of the equipment that is required to prevent infection of the patient when entering the patient's room by And entering determination means determines that permit,
Only when it is determined that the admission is permitted by the admission permission determining means, the admission means that allows the admission person to enter the hospital room,
A scheduled exit information input means for inputting a scheduled exit time information indicating a scheduled exit time of the person entering the hospital room through the scheduled exit information receiving device;
An exit schedule registration means for registering by storing the exit schedule time information input by the exit schedule input means in association with the corresponding entry schedule information and storing in the storage means;
A person-to-be-leaved person information acquisition means for acquiring a person who has left the room by reading out a person-specific information for identifying a person who has left the room through a person-to-be-leaved person information reader,
When the exit person specifying information is acquired by the exit person specifying information acquisition means, the exit person specified by the exit person specifying information matches the entrance person indicated by the entrance schedule information, and at this time Only when the difference between the scheduled time and the scheduled exit time indicated by the scheduled exit time information stored in association with the scheduled entry information is within a third predetermined time. A means for determining whether to leave the room,
An exit permitting means that enables the exit of the person leaving the room only when it is determined that the exit is permitted by the exit permission determination means,
When the person leaving the room leaves the hospital room, the room-specific information for identifying the equipment needed to prevent nosocomial infection from the belongings of the person leaving the room, and the used equipment are stored. An exiting tool specifying information acquiring means for acquiring the storing tool specifying information for specifying the storing tool by reading through the exiting tool specifying information reader;
The leaving permission / inhibition judging means is a person who is scheduled to enter the room leaving person specified by the room leaving person specifying information when the person leaving room specifying information is obtained by the person leaving room specifying information obtaining means. And the difference between the time at this time and the scheduled exit time indicated by the scheduled exit time information stored in association with the scheduled entry information is within a third predetermined time, and the leaving time tool With reference to a database in a table format in which specific information and necessity information indicating necessity of each disease for prevention of nosocomial infection for a tool specified by the tool specification information at the time of leaving the room are associated in advance, When it is determined that the leaving tool specifying information and the container specifying information have not been acquired by the leaving tool specifying information acquisition means, or when the leaving tool specifying information is acquired. When it is determined that only the storage device identification information is acquired from the exit-specific device specification information and the storage device specification information according to a stage, it is determined that the exit of the exit person from the hospital room is permitted. apparatus. The entrance authorization means unlocks the entrance door locking management device that remotely controls the locking and unlocking of the electronic lock provided individually at the entrance door provided at the entrance of the hospital room, and unlocks the entrance door. The hospital infection prevention apparatus according to claim 1, wherein the hospital room can be entered by controlling in such a manner. The nosocomial infection prevention device according to claim 1 or 2, further comprising: a room entry history storage unit that stores, in the storage unit, a room entry time information indicating a room entry time and a person entering the hospital room. The occupant identification information acquisition means for acquiring the occupant identification information for identifying the occupant to the ward in which the ward is provided through the occupant identification information reader,
When the occupant identification information is acquired by the occupant identification information acquisition means, the occupant identified by the occupant identification information matches the planned occupant indicated by the occupancy schedule information. In addition, only when the difference between the time at this time and the scheduled entry time indicated by the scheduled entry information is within the second predetermined time, the entry person is allowed to enter the ward. Means for determining whether to enter the building,
Only when it is determined that the entry is permitted by the entry permission determination means, the entry permission means that allows the entry person to enter the ward,
The nosocomial infection prevention apparatus according to any one of claims 1 to 3, further comprising: The exit permitting means unlocks the exit door locking management device for remotely controlling the locking and unlocking of the electronic lock individually provided on the exit door provided at the exit of the hospital room. The nosocomial infection prevention apparatus according to any one of claims 1 to 4, wherein the patient can be discharged from the hospital room by controlling the hospital room. The hospital infection according to any one of claims 1 to 5, further comprising: a room history storage unit that stores, in the storage unit, a time when a person leaves the hospital room and a room history information indicating the person leaving the room. Prevention device. The vacant identification information acquisition means for acquiring the vacant identification information for identifying the vacant from the ward in which the ward is provided, by reading through the vacant identification information reader,
When the exit person specifying information is acquired by the exit person specifying information acquisition means, the exit person specified by the exit person specifying information coincides with the entrance person indicated by the entrance schedule information. And only when the difference between the current time and the scheduled exit time indicated by the scheduled exit time information stored in association with the scheduled entry information is within the fourth predetermined time. A vacancy determination means for determining that the ward is permitted to leave,
The exit permitting means that allows the exit from the ward only when it is determined that the exit is permitted by the exit permission determining means,
The nosocomial infection prevention device according to any one of claims 1 to 6, further comprising: Computer
An entrance schedule input means for inputting an entrance schedule information indicating a scheduled entrance time and a scheduled entrance time to a hospital room of a medical facility through an entrance schedule information receiving device;
An entrance schedule registration means for registering by storing the entrance schedule information input by the entrance schedule input means in a storage means;
A room occupant identification information acquisition means for acquiring the room occupant identification information for identifying a room occupant to the room occupant identification information reader;
A device-specific information reading device for entering a room is used for identifying a tool required for preventing a hospital infection from belongings of the room occupant when entering the hospital room. Entry device specific information acquisition means to be acquired by reading through,
When the occupant identification information is acquired by the occupant identification information acquisition means, the occupant identified by the occupant identification information matches the planned occupant indicated by the occupancy schedule information, and The difference between the time at this time and the scheduled entry time indicated by the scheduled entry information is within a predetermined time, and prevention of nosocomial infection of the entry specified tool information and the entered tool specification information The room entry tool specification information acquired by the room entry time tool specification information acquisition means with reference to a database in a table format in which necessity information indicating the necessity for each disease to be targeted is associated in advance. entry tool is shown to the disease chamber of the patient's room of the entrant only when it is determined that includes all of the equipment that is required to prevent infection of the patient when entering the patient's room by Entry permission determination unit determines that permit,
Only when it is determined that the admission is permitted by the admission permission determination means, the admission permission means that allows the admission person to enter the hospital room,
A scheduled exit input means for inputting a scheduled exit time information indicating a scheduled exit time of the person entering the hospital room through the scheduled exit time information receiving device,
An exit schedule registration means for registering by registering the scheduled exit time information input by the exit schedule input means in association with the corresponding entry schedule information in the storage means,
A person-to-be-leaved person information acquisition means for acquiring a person who has left the room from the room specific information reader for identifying a person who has left the room,
When the exit person specifying information is acquired by the exit person specifying information acquisition means, the exit person specified by the exit person specifying information matches the entrance person indicated by the entrance schedule information, and at this time Only when the difference between the scheduled time and the scheduled exit time indicated by the scheduled exit time information stored in association with the scheduled entry information is within a third predetermined time. Means for determining whether or not to leave,
An exit permitting means that allows the exit of the person leaving the room only when it is determined that the exit is permitted by the exit permission determination means,
In addition, when the person leaving the room leaves the hospital room, he / she obtains information on leaving the room to identify the equipment needed to prevent nosocomial infection from the belongings of the person leaving the room and A nosocomial infection prevention program for functioning as an exiting tool specifying information acquisition means for acquiring storing tool specifying information for specifying a storing tool for storing the tool,
The leaving permission / inhibition judging means is a person who is scheduled to enter the room leaving person specified by the room leaving person specifying information when the person leaving room specifying information is obtained by the person leaving room specifying information obtaining means. And the difference between the time at this time and the scheduled exit time indicated by the scheduled exit time information stored in association with the scheduled entry information is within a third predetermined time, and the leaving time tool With reference to a database in a table format in which specific information and necessity information indicating necessity of each disease for prevention of nosocomial infection for a tool specified by the tool specification information at the time of leaving the room are associated in advance, When it is determined that the leaving tool specifying information and the container specifying information have not been acquired by the leaving tool specifying information acquisition means, or when the leaving tool specifying information is acquired. Prevention of nosocomial infection that determines that only the storage device identification information is acquired from the room-specific device specification information and the storage device specification information according to a step, the exit of the room vacant is permitted from the hospital room program.

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