JP4591193B2 - Medical accident prevention support system - Google Patents

Description

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

Preventing medical accidents and minimizing risks related to medical accidents are important in considering stable hospital management.
The key to predicting and preventing a medical accident is how to use an incident report (a near-miss report), which is a report of a dangerous event that does not lead to a medical accident. Incident reports are dangerous actions that can lead to accidents if you make a mistake, and are composed of the date and time of occurrence, place of occurrence, party information, patient information, action information, etc., and specific contents are described in free text It is what has been. In order to investigate the cause of an incident, it is necessary to objectively and accurately describe the cause-and-effect relationship of the actions of not only the parties but also the workers involved in the report over time. However, in conventional paper reports, there are problems that the contents of reports submitted by reporters (medical workers such as doctors and nurses) are often incomplete or insufficiently explained. . Therefore, by digitizing the incident report, it is possible to report immediately, and by inputting the required input items with a template of standard text, it is possible to report with simple text and accurate text that is difficult to be affected by structured individual differences (For example, refer nonpatent literature 1).

  However, most of the current situation is that only computerized information is published on paper or intranet in the form of risk management news. In addition, a method has been devised in which an alarm is given to a terminal in accordance with a risk when an error is made in comparison with a predetermined procedure when inputting a medical practice such as injection (see, for example, Patent Document 1). ).

JP 2003-44587 A

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

  The problem to be solved is to prevent medical accidents. For example, when a nurse gives an injection / infusion or a drug delivery to a patient in response to a doctor's instruction, Self-judgment occurs and the risk of medical accidents cannot always be reduced.

  Therefore, the present invention creates a check item database that summarizes medical risks related to instruction information as check items, searches for related check items using instruction information input from the electronic medical record system, and incidents corresponding to the related check items that have been searched Is created from an incident database, an aligned check item list is created in which related check items are arranged in order of increasing or decreasing number of searched incidents, and a medical accident prevention information presenting system is provided in association with instruction information. This makes it possible to reduce the medical risk by checking the medical risk backed by the incident occurrence frequency as a check item at the time of implementation.

  In addition, incidents corresponding to each related check item in the aligned check item list can be input, and incidents related to related check items can be registered in the incident database as related check item corresponding incidents. As a result, the alignment check item list displayed on the medical accident prevention information input / output screen can always be updated, and the medical risk can be reduced according to the current situation.

In addition, when inputting instruction information in the electronic medical record input / output unit, an alternative can be presented for an instruction with a high frequency of incidents related to related check items related to the instruction. Thereby, a medical risk can be reduced at the instruction stage.
Also, input instruction information and instructor comments in the electronic medical record input / output unit, and when an incident occurs, the incident corresponding to the related check item is registered in the incident database in association with the instructor comment, and the second instruction information is input In this case, candidates for instructor comments regarding instructions can be presented in order of increasing or decreasing incidence of incidents corresponding to related check items.
As a result, it is possible to appropriately transmit an alert to an incident related to an instruction to an instruction recipient such as a nurse, thereby reducing medical risks.

  According to the medical accident prevention information presentation system of the present invention, based on the instruction information input by the electronic medical record system, the related check items for reducing the risk of medical accidents are presented in a changing order based on the occurrence frequency of incidents. In addition, it is possible to reduce the risk of medical accidents by sequentially checking the related check items with high priority. Alternatively, by sequentially checking the related check items in order from the lowest priority, there is an effect that it is possible to reduce the risk of a rare medical accident that the practitioner is not aware of and to safely perform the instruction.

In addition, when an incident related to a related check item occurs, by registering the incident related to the related check item associated with the related check item, the aligned check item list that reduces the risk of medical accidents can be kept up to date. When conducting the second, it is possible to immediately check the related check items with higher priority immediately, reducing the risk of medical accidents, or immediately checking the related check items in order of lower priority By doing so, the risk of rare medical accidents that the practitioner is not aware of can be reduced, and the instructions can be safely executed.
In addition, for instructions with many incidents corresponding to related check items corresponding to related check items, for example, by presenting an alternative medicine with the same drug effect to the instructor as an alternative, the risk of medical accidents related to the instruction can be reduced. There is an effect that can be reduced.

  In addition, the instruction information including comments from the instructor is presented to the practitioner, and the practitioner confirms the comment of the instructor and confirms the related check items. Added support for registering incidents related to related check items. In this way, candidates for instruction comments can be presented in the order of the number of incidents corresponding to related check items, prompting selection, and helping the instructor to determine comments efficiently, giving priority to the risk of frequently occurring medical accidents. There is an effect that can be reduced. In addition, instruction comment candidates can be presented in the order of the incidence of incidents related to related check items, and the selection can be promoted to reduce the risk of rare medical accidents that the practitioner is not aware of, and the instructions can be safely executed. There is an effect that becomes possible.

  Further, at the same time that the instruction is transmitted, the risk of occurrence of a medical accident can be reduced by sending a warning message from the instructor about the medical accident to the instruction recipient according to the frequency of occurrence of incidents related to related check items.

  In order to prevent medical accidents, for example, when nurses make injections or deliver medicines to patients in response to doctors' instructions, some of the instructions are not overlooked or self-judged This is achieved by efficiently presenting check items according to the incident frequency with priorities.

  A first embodiment will be described with reference to FIGS. FIG. 1 is a schematic configuration diagram of functional blocks and data flow of a medical accident prevention support system in cooperation with an electronic medical record system. FIG. 2 is a flowchart illustrating a typical operation of the medical accident prevention support system according to the first embodiment. FIG. 3 is an example of a screen displayed on the medical accident prevention information input / output unit 207. FIG. 4 shows an example of instruction information stored in the electronic medical record database 103. FIG. 5 is a diagram illustrating an example of the check item table. FIG. 6 is a diagram illustrating an example of an incident table.

  As shown in FIG. 1, the medical accident prevention support system is a system that cooperates with an electronic medical record system. Instruction information is collected by the electronic medical record linkage unit 201 from the electronic medical record control unit 102 that registers the instruction information input by the electronic medical record input / output unit 101 in the electronic medical record database 103. Further, it has an alignment check item generation unit 202 that searches related check items related to the collected instruction information from the check item database 203. In addition, it has an incident statistical processing unit 204 that searches the incident database 205 for incidents related to the check items in response to a request from the alignment check item generation unit 202. Further, it has a screen configuration unit 206 that creates an aligned check item list in which the order of related check items is rearranged according to the occurrence frequency of incidents, and configures a screen in association with the collected instruction information. Furthermore, it has a medical accident prevention information input / output unit 207 for displaying the configured screen. The medical accident prevention information input / output unit 207 confirms the instruction information and check items, transmits the input information of the execution result of the instructed action to the electronic medical chart control unit 102, and stores it in the electronic medical chart database 103.

  Here, based on the instruction information input in the electronic medical record input / output unit 101, the medical accident prevention information input / output screen 1000 of FIG. 3 is displayed, and the execution information for the instruction information is input while confirming the related check items, A series of flow until the implementation contents are recorded in the electronic medical record database 103 will be described with reference to the flowchart of FIG.

  First, in step 301, instruction information input by the electronic medical record input / output unit 101 is collected from the electronic medical record control unit 102 as processing of the electronic medical record linkage unit 201. In step 302, the presence or absence of instruction information to be collected is confirmed with Yes and No. If yes, execute step 303; if no, return to step 301. In step 303, as a process of the alignment check item generation unit 202, related check items related to the collected instruction information are searched from the check item database 203. As shown in FIG. 4, the instruction information includes a patient ID that identifies the target patient, an instruction ID that identifies the instruction, and action information that represents an action associated with the instruction. As shown in FIG. 5, the check item table stored in the check item database 203 includes check item IDs for specifying check items, check contents, action information, and the like. For example, if the instruction from the doctor to the nurse is a medicine distribution to the patient, collect all the data for the action information in the check item table from the medicine information in the action information in the instruction information table And search for related check items.

  Next, in step 304, the incident statistical processing unit 204 searches the incident database 205 for incident statistical information corresponding to the retrieved related check item. As shown in FIG. 6, the incident table stored in the incident database 205 includes an incident ID for identifying an incident, occurrence date and time, occurrence location, party information, patient information, action information, classification information, and the like. For example, in the case of drug distribution, it is possible to find the incident frequency corresponding to each of the related check items by collecting all the data whose action information is “pharmacy”, searching for incidents, and totaling the search results. I can do it. In step 305, as the processing of the screen composition unit 206, an alignment check item list in which the related check items are aligned is created based on the incident searched for for each related check item in the incident statistics processing unit 204. For example, an alignment check item list arranged in ascending order or descending order based on the incident occurrence frequency for each related check item is created. Next, in step 306, as the processing of the screen composition unit 206, the instruction information and the alignment check item list are laid out and displayed on the medical accident prevention information input / output unit 207.

  It should be noted that the font size of the character string representing the check contents of each related check item in the alignment check item list may be large when the incident occurrence frequency is high or small when the incident frequency is low. Further, the incident occurrence frequency may be expressed by color shading. For example, when the incident occurrence frequency is high, it may be close to the primary color red, and when it is low, it may be close to the primary color blue.

  FIG. 3 is an example of a medical accident prevention information input / output screen 1000 laid out displayed on the medical accident prevention information input / output unit 207. Consists of an operator information part 1100 and an execution information part 1200. The execution information part 1200 includes an instruction information part 1210, an alignment check item list part 1220, an incident reference button 1230 that can be referred to whenever an incident is desired, and a related check item confirmation button. 1250 and an execution confirmation button 1260. In step 307, as the processing of the medical accident prevention information input / output unit 207, the alignment check item confirmation processing of the alignment check item list unit 1220 is performed. Specifically, the practitioner performs the delivery of the medicine to the patient based on the information in the instruction information unit 1210. Before the implementation, the practitioner checks the alignment check item in the alignment check item list unit 1220, and checks the check box 1221. Select with a mouse etc., and set the check to On.

  Next, in step 308, if the related check item confirmation button 1250 is pressed, it is confirmed with Yes and No whether the check item has been confirmed. For example, if all the alignment check items are checked, the alignment check items are confirmed. When there are many alignment check items, the alignment check items may be confirmed when the predetermined number of check boxes 1221 are turned on. For example, when the four check boxes 1221 are turned on in order from the top, the alignment check items may be confirmed. If Yes, the alignment check item has been confirmed, the process proceeds to step 309. If No, the process returns to step 307 to continue the alignment check item confirmation process. In Step 309, it is confirmed whether or not the execution confirmation button 1260 has been pressed. If it has been pressed, the process proceeds to Step 310, and if not, the process returns to Step 307. In step 310, as the processing of the medical accident prevention information input / output unit 207, the implementation information is sent to the electronic medical chart control unit 102, and the implementation information is recorded in the electronic medical chart database 103. This is the end of the series of flows.

  Here, the instruction information is collected in real time as step 301, but a method of collecting the instruction information once in the electronic medical record database 103 and collecting it later may be used. Specifically, the instruction information input by the electronic medical record input / output unit 101 is registered in the electronic medical record database 103 via the electronic medical record control unit 102, and the electronic medical record linkage unit 201 transmits the electronic information at a necessary timing. Registered instruction information may be collected from the electronic medical record database 103 via the medical chart control unit 102. The timing for collecting the instruction information is, for example, when the nurse in charge performs a medicine distribution for a designated patient. Further, the electronic medical chart control unit 102 and the electronic medical chart linkage unit 201 are connected by a local area network (LAN) in a hospital, a wireless LAN, or a wide area network (WAN) outside the hospital. May be.

  According to the first embodiment, based on the instruction information input in the electronic medical record system, the related check items for reducing the risk of medical accidents are presented in a different order based on the total information of the incident, for example, In addition, it is possible to reduce the risk of medical accidents by confirming sequentially from check items with high incident occurrence frequency and high priority. Or, for example, by confirming sequentially from the related check items in the order of low incident incidence and low priority, the risk of rare medical accidents that the practitioner is not aware of is reduced and instructions are safely implemented There is an effect that becomes possible.

  A second embodiment will be described with reference to FIGS. 1 to 3 and FIGS. 6 to 10. FIG. 7 is a flowchart for explaining the second embodiment corresponding to the related check item confirmation processing in step 307 of the flowchart of FIG. FIG. 8 is an example of a screen that displays detailed information of an incident. FIG. 9 is an example of an incident input screen. FIG. 10 is an example of an incident table corresponding to related check items.

  Here, the instruction information is input from the electronic medical record input / output unit 101 of FIG. 1, the medical accident prevention information input / output screen 1000 of FIG. 3 is displayed, and the electronic medical record control unit 102 records the implementation contents in the electronic medical record database 103. A series of flow up to this point will be described with reference to the flowcharts of FIGS. 2 and 7 using FIGS. Steps 301 to 306 in FIG. 2 are the same as those in the first embodiment. Based on the instruction information from the electronic medical record system, an alignment check item list is created, and the instruction information and related check items are laid out to create a medical checkup. Displayed on the accident prevention information input / output unit 207. Next, in step 307, check item confirmation processing is performed. For example, when the reference button 1222 in FIG. 3 is pressed, in step 401 in FIG. 7, the incident and the statistical information regarding the corresponding check item for which the reference button 1222 is pressed are displayed as shown in FIG. The medical accident prevention information input / output screen 1000 shown in FIG. 8 is obtained by switching the implementation information part 1200 of FIG. 3 to the related check item incident information part 1300. The related check item incident information section 1300 includes an incident detail information section 1310, a statistical information section 1320, an incident confirmation button 1330, and a reflection input button 1340.

  Next, in step 402, it is confirmed with Yes and No whether the reflection input button 1340 has been pressed. If yes, go to step 404. In the case of No, the process proceeds to step 403, where it is confirmed with Yes and No whether the incident confirmation button 1330 has been pressed. If Yes, the process moves to Step 407, switches to the execution screen, and the process of Step 307 in FIG. 2 is completed. If No, the process returns to Step 402. In step 404, the screen is switched to the incident input screen shown in FIG. In step 405, the incident referred to in FIG. 8 is reflected in the input area. FIG. 9 is a diagram in which the related check item incident information unit 1300 in FIG. 8 is switched to the incident input unit 1400. The incident input unit 1400 includes an incident details input unit 1410 and an incident registration button 1420. The incident details input section 1410 can reflect the contents of the incident details information section 1310 referred to in FIG. 8 in each input area. For example, the occurrence location 1412, the action information 1415, the classification information 1416, the specific content 1417, and the like are reflected. The occurrence date and time 1411 reflects the current date and time, the party information 1413 reflects from the operator information unit 1100, and the patient information 1414 and the action information 1415 reflect the target patient information and action information from the instruction information. Also good.

  Next, the practitioner edits each content and presses the incident registration button 1420, and the incident statistics processing unit 204 registers the incident in the incident database 205. In step 406, it is confirmed with Yes and No whether the incident registration button 1420 has been pressed. If Yes, the process proceeds to step 407. If No, the process returns to step 406. In step 407, the incident input unit 1400 is switched to the implementation information unit 1200 shown in FIG.

  If it is desired to directly input an incident corresponding to a related check item without referring to the incident, the following may be performed. In the confirmation process of the related check item in step 307 in FIG. 2, the display is switched to the incident input screen shown in FIG. 9 in step 404 in FIG. 7 as a process in which the input button 1223 is pressed. Wait until pressed. When the incident registration button 1420 is pressed, the display may be switched to the execution screen in step 407.

Next, in step 308 of FIG. 2, whether or not the related check item has been confirmed is confirmed with Yes and No. If Yes, the process proceeds to step 309. If No, the process returns to step 307. By repeating the above steps for all items required by the practitioner among the related check items, zero or more related check item-corresponding incidents corresponding to the related check items can be registered as necessary. For example, the incident corresponding to the related check item shown in FIG. 10 in which the check item ID and the instruction ID are added to the column of the incident table of FIG. 6 is stored.
After step 309, processing is performed in the same manner as in the first embodiment, and implementation information is registered in the electronic medical record database 103 through the electronic medical chart control unit 102.

  According to the second embodiment, when an incident corresponding to the related check item occurs, by registering the incident in association with the related check item, the check item capable of reducing the risk of medical accident is always updated. Can keep. That is, when performing the next second implementation, it is possible to immediately check sequentially from the check items with high priority, and there is an effect of reducing the risk of medical accidents according to the current situation. Or, it is possible to check the related check items in the order of low priority immediately, thereby reducing the risk of rare medical accidents that the practitioner is not aware of in accordance with the current situation, and safely performing instructions. There is an effect to become.

  A third embodiment will be described with reference to FIGS. 1, 3 to 4, and 10 to 11. FIG. FIG. 11 is an example of an electronic medical record instruction input screen displayed on the electronic medical record input / output unit 101. FIG. 11 is an example of an electronic medical record input / output screen showing a prescription instruction input by changing the alternative medicine.

  A doctor who is an operator inputs an instruction such as treatment for the patient to the electronic medical record input / output unit 101 while confirming the medical information of the patient registered in the electronic medical record database 103 shown in FIG. For example, FIG. 11 shows an example in which a prescription for issuing a medicine to the patient is performed. The prescription instruction by the doctor is instructed to the nurse who is the practitioner through the pharmacy. In the medical accident prevention information input / output unit 207 of the nurse who received the instruction, as shown in FIG.

  The electronic medical record instruction input screen 2000 in FIG. 11 includes an operator information part 2100, an instruction input part 2200, and a medicine information part 2300. Further, the instruction input unit 2200 includes a prescription instruction unit 2210 and a medicine selection unit 2220. Specifically, the doctor selects a drug from the drug selection unit 2220 with a mouse or the like and deploys it to the prescription instruction unit 2210. The developed medicine is sent to the electronic medical chart control unit 102 by the prescription instruction unit 2210 by selecting and using the mouse, etc. for usage, capacity, etc., or by inputting characters with the keyboard and pressing the registration button 2400 with the mouse. . The electronic medical record control unit 102 requests the incident statistical processing unit 204 via the electronic medical record linkage unit 201 to search the incident database 205 for incident information related to the drug selected by the drug selection unit 2220. Based on the occurrence frequency of the found incident, the electronic medical chart control unit 102 presents a list of alternative medicine candidates 2310 that can be replaced to the drug information unit 2300 when the occurrence frequency of the incident is high. For example, an instruction ID including “drug A” is retrieved from the instruction content of the instruction information table in FIG. 4 and an incident having an instruction ID related to “drug A” is retrieved from the related check item correspondence incident table in FIG. Thereby, the incident occurrence frequency regarding “drug A” can be obtained. If the incident occurrence frequency is above a certain level, for example, “Drug X” and “Drug Y” with the same medicinal effect are listed as candidates, and each incident occurrence frequency is calculated in the same manner as “Drug A”. The alternative medicine candidates 2310 can be displayed in the order of decreasing incident occurrence frequency.

When the doctor determines that the medicine can be replaced, one of the alternative medicine candidates 2310 is selected, and the change button 2320 is pressed with a mouse or the like, so that the medicine can be changed to a medicine with less incident occurrence and can be prescribed.
According to Example 3, regarding an instruction with many incidents corresponding to related check items, for example, by presenting an alternative medicine with the same effect as an alternative to the instruction person, the risk of a medical accident related to the instruction can be reduced. There is an effect that can be reduced.

  A fourth embodiment will be described with reference to FIGS. 1 and 12 to 16. FIG. 12 is an example of an electronic medical record instruction input screen for explaining the fourth embodiment displayed on the electronic medical record input / output unit 101. FIG. 13 is an example of a medical accident prevention information input screen displaying an instructor comment. FIG. 14 is a diagram illustrating an example of the instruction comment table. FIG. 15 is a diagram illustrating an example of the instruction comment master table. FIG. 16 is a diagram illustrating an example of an incident table corresponding to related check items for explaining claim 4.

  12 includes an operator information part 2100, an instruction input part 2200, an instructor comment input part 2500, and a registration button 2400. Further, the instruction input unit 2200 includes a prescription instruction unit 2210 and a medicine selection unit 2220. The instructor comment input unit 2500 includes an instructor comment destination list 2510, an instructor comment description list 2520, and an instructor. There is a comment editor 2530.

The instruction information unit 1210 in FIG. 13 includes an instruction comment display unit 1270 that displays a comment such as an alert for preventing medical accidents from an instruction person such as a doctor in addition to the instruction information.
Here, the instruction information and the instructor comment input in the electronic medical record input / output unit 101 are input in the medical accident prevention information input / output screen 1000, the instructor comment and the related check items are confirmed, and the implementation details are recorded. A series of flow up to will be described with reference to FIGS. 1 and 12 to 15.

  First, an instructor such as a doctor inputs an instruction such as treatment for a patient to the electronic medical record input / output unit 101 while confirming the medical information of the patient to be medical care registered in the electronic medical record database 103. For example, FIG. 12 shows an example in which a doctor who is an instructor makes a prescription for issuing a medicine for the patient. Specifically, the doctor selects a drug from the drug selection unit 2220 with a mouse or the like and deploys it to the prescription instruction unit 2210. In the prescription instruction unit 2210, the developed medicine is selected and input with a mouse or the like for usage, capacity, etc., or characters are entered with a keyboard to complete prescription instruction contents.

  Next, when it is desired to alert the pharmacist or nurse who receives the instruction to the medical accident regarding the prescription content, a comment can be sent to the instruction receiver. For example, when it is desired to send a comment to the nurse, the nurse is selected from the instructor comment destination list 2510 with a mouse or the like, and the comment content is selected from the instructor comment description list 2520 with a mouse or the like. Further, the selected destination and comment description are expanded in the instructor comment editing unit 2530, and can be edited with a keyboard or the like as necessary. Next, the registration button 2400 is pressed with a mouse or the like to send the instruction information and the instructor comment to the electronic medical chart control unit 102, and the instruction information and the comment information are registered in the electronic medical record database 103.

  Here, the instructor comment description list 2520 is read from the instruction comment master table managed by the comment ID as shown in FIG. The instructor comment is stored in the electronic medical record database 103 in association with the instruction ID and the comment ID as shown in FIG.

  At this time, the electronic medical record linkage unit 201 collects the instruction information and the instructor comment from the electronic medical chart control unit 102, and displays the instruction information, the instructor comment, and the alignment check item list in the same procedure as in the first embodiment. 13 is displayed on the medical accident prevention information input / output unit 207. Here, as described in the second embodiment, the incident is input by pressing the reference button 1222 or the input button 1223 for each related check item in the alignment check item list section 1220, and the instruction information, the instructor comment, and the related check item corresponding incident are displayed. It can be stored in the incident database 205 in association with each other. Specifically, after registering an incident for each related check item, the execution confirmation button 1260 is pressed with a mouse or the like to confirm the execution. At this time, the medical accident prevention information input / output unit 207 sends the implementation information to the electronic medical record linkage unit 201. Next, the electronic medical record linkage unit 201 transmits to the electronic medical record control unit 102 to leave an implementation record in the electronic medical record database 103 and requests the incident statistical processing unit 204 to store the incident in the incident database 205 as shown in FIG. Thus, the instruction information, the instructor comment, and the related check item correspondence incident can be stored in association with each other.

  Next, a method of rearranging the order of the comments in the instructor comment description list 2520 in FIG. 12 described above based on the frequency information of the related check item correspondence incidents associated with the instructor comments will be described.

  For example, the frequency for each comment ID related to “pharmaceutical distribution” can be obtained by searching and counting the comment IDs whose action information is “pharmaceutical distribution” from the incident table corresponding to the related check item in FIG. Thereby, the order of the instructor comment description list 2520 in FIG. 12 can be rearranged in ascending order or descending order.

  According to the fourth embodiment, the instruction comment candidates are presented in the descending order of the number of incidents corresponding to the related check items, prompting selection, and the comments having incidents with high occurrence frequency and high risk of medical accidents are always displayed at the top. In particular, it is possible to support the determination of comments that have a high accident prevention effect. Alternatively, by presenting instruction comment candidates in ascending order of incidents corresponding to related check items, there is an effect that it is possible to support the determination of comments that the practitioner is not aware of and can reduce the risk of rare medical accidents.

  In addition, at the same time as transmitting the instruction, by sending a comment to the instructor about the medical accident according to the frequency of occurrence of the incident corresponding to the related check item to the instruction receiver, there is an effect that the risk of occurrence of the medical accident can be reduced.

It is a block diagram showing the functional block and data flow of the medical accident prevention assistance system of Example 1. FIG. 3 is a flowchart illustrating a typical operation of the medical accident prevention support system according to the first embodiment. It is an example of a medical accident prevention information input / output screen. It is a figure showing an example of an instruction information table. It is a figure showing an example of a check item table. It is a figure showing an example of an incident table. 3 is a flowchart showing a typical operation of the medical accident prevention support system according to the second embodiment, corresponding to step 307 in FIG. 2. It is an example of the medical accident prevention information input / output screen showing a state of incident confirmation. It is an example of the medical accident prevention information input / output screen showing a state of incident input. It is a figure showing an example of the incident table corresponding to a related check item. It is an example of the electronic medical record input / output screen which showed the mode of the prescription instruction | indication input by alternative medicine change. It is an example of an electronic medical record input / output screen showing a state of inputting prescription instructions and comments. It is an example of the medical accident prevention information input / output screen displaying the instructor comment. It is a figure showing an example of an instruction | indication comment table. It is a figure showing an example of an instruction comment master table. It is a figure showing an example of the related check item corresponding | compatible incident table (Claim 4).

Explanation of symbols

101 Electronic chart input / output unit
102 Electronic medical record control unit
103 Electronic medical record database
201 Electronic Medical Record Linkage Department
202 Sort check item generator
203 Check item database
204 Incident Statistics Processing Department
205 Incident Database
206 Screen component
207 Medical accident prevention information input / output section
1000 Medical accident prevention information input / output screen
1100 Operator information section
1200 Implementation Information Department
1210 Instruction information section
1220 Alignment check item list section
1221 Check box
1222 Browse button
1223 Input button
1230 Incident reference button
1240 Incident input button
1250 Related check item confirmation button
1260 Confirmation button
1270 Instructor comment display
1300 Related Check Item Incident Information Department
1310 Incident Detail Information Department
1320 Statistics Information Department
1330 Incident confirmation button
1340 Import button
1400 Incident input section
1410 Incident details input section
1411 Date and time of occurrence
1412 Location of occurrence
1413 Party Information
1414 Patient information
1415 Action information
1416 Classification information
1417 Specific content
1420 Incident registration button
2000 Electronic chart instruction input screen
2100 Operator information section
2200 Instruction input section
2210 Prescription Instruction Department
2220 Drug selector
2300 Drug Information Department
2310 Alternative drug candidates
2320 Change button
2400 Registration button
2500 Instructor comment input section
2510 Instructor comment recipient list
2520 Instructor comment description list
2530 Instructor comment editor.

Claims (6)

A medical accident prevention support system in cooperation with an electronic medical record system including an electronic medical record input / output unit, an electronic medical record control unit, and an electronic medical record database,
An electronic medical record linkage unit that collects instruction information, which is an action instruction content from the instructor to the instruction recipient input from the electronic medical record input / output unit, from the electronic medical record control unit;
The instruction information includes action information that is an action accompanying the instruction, and a check item database in which check items for the action of the action information are stored in association with the action information;
Related check item corresponding to the action information included in the instruction information acquired from the electronic medical record linkage unit, an alignment check item generation unit to extract from the check item database,
An incident database that stores action information, a check item related to the action information, and incident information related to an incident that occurs with respect to the check item;
An incident statistical processing unit that counts the occurrence frequency of incidents related to the related check items extracted by the alignment check item generation unit based on incident information stored in the incident database for each of the related check items ;
A screen configuration unit that creates an alignment check item list in which the related check items are arranged in descending order of the occurrence frequency of the totalized incidents, and associates the instruction information collected by the electronic medical record linkage unit with the alignment check item list When,
A medical accident prevention support system, comprising: a medical accident prevention information input / output unit that displays the instruction information and the alignment check item list in association with each other. 2. The medical accident prevention support system according to claim 1, wherein the medical accident prevention information input / output unit receives a confirmation processing input for the related check item in the displayed alignment check item list, and receives the confirmation processing input. After accepting, accepting the input of implementation information related to the implementation action for the instruction information,
The electronic medical record linking unit transmits the implementation information to the electronic medical record control unit and registers it in the electronic medical record database. A medical accident prevention support system according to claim 1,
The medical accident prevention information input / output unit accepts selection of the related check item in the displayed list of aligned check items, and extracts information related to an incident frequency of the selected related check item from the incident statistical processing unit A medical accident prevention support system characterized by being displayed. A medical accident prevention support system according to claim 1,
The medical accident prevention information input / output unit accepts an input of an incident corresponding to a specific related check item regarding the displayed alignment check item,
The screen configuration unit configures an incident input screen corresponding to the received related check item,
A medical accident prevention support system, wherein an incident input on the incident input screen is associated with the related check item and the action information and registered in the incident database by the incident statistical processing unit . A medical accident prevention support system according to claim 1 or 2,
When the electronic medical record control unit receives input of instruction information from the electronic medical record input / output unit, the electronic medical record linkage unit searches the incident database for incident information corresponding to the instruction information from the incident statistical processing unit. When the frequency of occurrence of the retrieved incident information is greater than or equal to a certain level, the electronic medical record control unit displays alternative candidates for the instruction information on the electronic medical record input / output unit. system. A medical accident prevention support system according to any one of claims 1 to 3,
The electronic medical record linkage unit collects the instructor comments input from the electronic medical record input / output unit in relation to the instruction information from the electronic medical record control unit,
The medical accident prevention information input / output unit displays the instructor comment in association with the instruction information and the alignment check item list,
The associated check item corresponding incident in association with the instructor comment is registered in the incidents database than the incident statistical processing unit,
When the electronic medical record input / output unit receives the second instruction information, the medical accident prevention information input / output unit presents the candidates for the instructor comment in the order of the occurrence frequency of the incidents related to the related check items. Medical accident prevention support system characterized by

Images