JP4636952B2 - Nurse call system - Google Patents

Description

  The present invention relates to a nurse call system used in a hospital or a nursing facility, and more particularly to a nurse call system that is installed at the entrance of a hospital room and has an individual information corridor lamp that displays the name of a patient in the hospital room.

Patients who have been accepted in hospitals and nursing homes are not surprised at any time, so in principle, they must be monitored 24 hours by medical and nursing staff. However, as is generally known, hospital work and care work are busy, and the number of staff members is naturally limited, so that it is impossible to care and care for all patients for 24 hours.

In such a situation, a labor-saving patrol means that watches over patients at predetermined time intervals, such as so-called regular patrols and occasional patrols, except for specific intensive monitoring subjects such as serious persons. Will cover.

Here, patrol is also referred to as a round, and whether there are any abnormalities when one or two nurses, etc., look directly at the eyes of all patients in the ward or a specific patient. It means to confirm whether.

In general, this patrol work is often carried out at an appropriate interval such as 2 hours or 3 hours at night, particularly in the late-night work zone. In the case of patrol in the middle of the night, pay careful attention to how the flashlight is applied so as not to disturb the sleep of the patient in the lit room and observe the patient's condition in detail while moving quietly. It will be.

In many cases, patrol means monitoring a patient at midnight, but is not limited to this, and some hospitals and wards also decide to carry out time even in day shifts.

In any case, the main purpose of the patrol work is to detect patient abnormalities at an early stage. Specifically, patrol the patient's room while carefully observing the patient's state, behavior, respiratory condition, medical equipment wearing condition, etc. If abnormalities are noticed, take prompt action to prevent accidents.

However, even if such a systematic patrol system is being watched over, the patient, etc. may suffer from self-extubation of respiratory organs or infusion tubes, respiratory arrest, myocardial infarction, falling from bed, falling while walking, etc. Unfortunately, cases leading to sudden deaths occur.

When such a fatal accident occurs, the patient nursing system becomes a problem again. In some cases, inadequate patient care systems have been pointed out by patients, and there have been cases in which lawsuits have been filed due to delays in the discovery of patient anomalies or prolonged neglect as causes of death.

In response to such complaints from the patient side, the medical staff only needs to submit a patrol record to prove the truth, but it is often difficult in practice. It is troublesome to take a patrol record itself, and there are few examples of proper recording even in hospitals where it is decided to take a record.

Therefore, as a substitute proof, a nursing record with vital signs, an electronic medical record with the progress of medical treatment, or a ward diary will be submitted to verify the frequency of patient monitoring. In many cases, it is difficult to establish a record.

Patent Document 1 shown as an example of taking a nursing record describes a nursing support system capable of inputting and displaying an observation result of an affected area on a PDA carried by a nurse or the like.
Further, Non-Patent Document 1 is an example showing the difficulty of recording.

... JP-A-11-155822 ..Present case report (Present case report company) 1588, page 117

In the invention of Patent Document 1, a nurse or the like cannot record a patrol result for each hospital room unless he / she carries a PDA mobile phone during patrol. At night patrol with a flashlight, both hands are blocked by the PDA and flashlight, which hinders patrol work.

Non-patent document 1, which is a judgment case issued on April 15, 1996 in the Tokyo District Court, relates to a fallen death accident from the bed of an elderly inpatient. , He claimed that the nurses would make more frequent patrols and paid more attention to the movement of child X with the above-mentioned fall in mind. As you can see, it is vague, lacking concreteness, and the details are not clear about how we increased the frequency of patrols and paid attention to the movement of X children. "

The present invention transmits a patrol completion signal to the nurse call master unit by operating the patrol button of the individual information corridor lamp after completing the patrol of the patient room in each hospital room. Name) and the inspection completion date and time can be stored as inspection data.

According to the present invention, just by pressing the patrol button of the individual information corridor lamp, the patrol date and time, the patrol room, and the patrol person can be automatically stored and the patrol history can be maintained. Moreover, since the operation of the patrol button is performed in units of hospital rooms, it is possible to omit the trouble of operating for each patient.

Embodiments according to the present invention will be described below with reference to the accompanying drawings.
In FIG. 1, 1 is installed for each nurse station, and a call call function, a call function and nursing, and a nurse call master unit having a patient information display function, 2 are installed at the entrances and exits of each hospital room, respectively. Touch panel type individual information corridor lamp having information display function, 3 is installed near each bed in a hospital room and has a call function and a call function, 4 is a handy main unit, 5 is a radio base station, Reference numeral 6 denotes a portable terminal carried by a nurse or the like.

The nurse call master unit 1 is connected to a nurse call server 8, a nursing support system 9, and an in-hospital information system 10 through an in-hospital system network 7 as necessary.

The in-hospital information system 10 includes an ordering system, an electronic medical record system, an examination department system, an outpatient department system, and other information systems.

Reference numeral 11 denotes a portable information terminal that can be carried by a nurse or the like and can input or display a patient's vital signs, etc. The portable information terminal 11 can be connected by an appropriate communication means such as a wired, wireless, or USB card. In conjunction with the nursing support system 9, information is shared.

The overall operation of the nurse call system of the present invention will be described with reference to FIG.
When the call button of the nurse call handset 3 is pressed, the call status is displayed by turning on the representative light in the individual information corridor lamp 2, and the call signal is transmitted from the nurse call master unit 1, the handy main unit 4, the wireless base Sent to station 5.

As a result, the nurse call master unit 1 makes a ringing tone, and a call screen for displaying the name of the called patient is displayed. At the same time, in response to the call radio wave transmitted from the radio base station 5, the radio terminal 6 rings and the call information is displayed.

In this state, when the nurse call master unit 1 or the wireless terminal 6 performs a response operation, the ringing sound of the nurse call master unit 1 or the wireless terminal 6 stops and the calling state of the individual information corridor lamp 2 is canceled, and the nurse call child Communication with the machine 3 is possible.

FIG. 2 shows an example of a standby screen of the nurse call master unit 1.
This screen is generally referred to as a layout type and the like. The bed arrangement of the ward is displayed in a graphic form, and the patient names are displayed in a plurality of name sections 12 corresponding to each bed.
In the illustrated example, the rooms are grouped by hospital room.
On the upper part of the standby screen, an operation menu 13 such as a call / call, end call, broadcast, PHS assignment, patient information, other information, patrol, etc. is displayed.

FIG. 3 is a detailed view of the name part 12.
The name section 12 can display various unique information of the patient using not only the patient name but also the character color, background color, symbol, icon, and the like.

For example, it is possible to express the relief category (carrying, escort, walking alone) by the difference in the background color of the bed number category 15 by the presence or absence of the difference in the background color of the name number 14 in red and blue in the gender and background colors. it can.

Further, in the illustrated example, five information notification areas 1 (16), information notification area 2 (17), information notification area 3 (18), information notification area 4 (19), and information notification area 5 (20) are displayed. By using these information areas, it is possible to display information such as the degree of nursing, severity, infectious disease, medical department, doctor in charge, and nursing team for each patient.
In this embodiment, patrol information is displayed using the information notification area 3 (18).

Returning again to the standby screen of FIG.
When the patrol button 21 prepared in the operation menu 13 is pressed, the patrol person input window to the screen (22) are displayed in the lower right corner on the standby screen, and the patrol person input waits.
This patrol person input screen 22 has a screen configuration in which the names of two persons in charge can be input in consideration of the fact that patrol work may be performed by two people in a hospital.
The name of the person in charge can be substituted with the person in charge code.

When the input of the names of one or two inspection personnel is completed, the inspection display screen shown in FIG. 4 is displayed.
This patrol display screen is very similar to the standby screen, but differs in that patrol information is displayed in the patrol information section 18 of each name part. Incidentally, in this embodiment, the background color of the inspection information section can be distinguished by blue for the prospective inspection person and by blue for the inspection completion person.

In general, in the case of special patrol focused on critically ill patients, only the designated patient is colored with the designated color in the patrol information section in the name part, but in the general patrol, the patrol information section in the name part of all patients is changed. Color with the specified color.

Note that the inspection color of the inspection information section 18 can be set to a different designated color depending on the difference between the inspection start signal and the inspection end signal transmitted from the individual information corridor lamp, which will be described later.
Accordingly, if the color change of the inspection information section 18 is observed, the progress status of the inspection work can be known in detail.
In this embodiment, the patrol information section 18 is individually provided in the name part of each patient. However, if the patrol information is displayed in units of hospital rooms, it is not necessary to provide the patrol information section in the name part of each patient. The design of the name part can be simplified.

Further, the patrol display screen of FIG. 4 is provided with a patrol end button 23 for ending the patrol state and a patrol history button 24 used when referring to a past patrol history as an operation menu. By touching the patrol end button 23, the patrol work can be stopped halfway.

FIG. 5 is an external view of the individual information corridor lamp 2 according to the present invention, which includes a representative lamp 25 and a recovery button 26, and a liquid crystal screen 27 with a touch panel is provided at the center thereof.
In the figure, a stop button 28 and a patrol button 29 are displayed on a standby screen having a sunflower pattern. The stop button 28 and the patrol button 29 are displayed when the patrol start signal transmitted from the nurse call parent device 1 is received.
In order to display the patrol state more clearly, it is advisable to devise lighting of the representative corridor lamp, blinking color, and the like.

By the way, the nurse or the like confirms the inspection target room on the display screen of the individual information corridor lamp 2 and enters the room. In this case, when programmed to immediately notify the end of the patrol by operating the patrol button 29, when entering the hospital room, the patrol button 29 is not operated and the patrol of all patients in the hospital room is completed, When leaving the hospital room, it is desirable to adopt a procedure of pressing the patrol button 29 only once. By this operation, a patrol completion signal is transmitted to the nurse call parent device 1. Upon completion of transmission, the display of the stop button 28 and the patrol button 29 on the standby screen of the individual information corridor lamp 2 disappears, and the screen returns to the initial standby screen.

The stop button 28 is operated when the patrol in the hospital room is temporarily stopped for some reason, for example, when it is necessary to search for a patient because the patient is away from the bed and is not sure where to go. By pressing the cancel button 28, a patrol stop signal is transmitted to the nurse call master unit 1. Note that the cancel button 28 is not necessarily required when the nurse call master device 1 can stop the inspection work.

According to another embodiment of the present invention, both the inspection start and inspection end signals can be input to the individual information corridor lamp 2.
That is, when the patrol button 29 is pressed, the patrol patient screen of FIG. 6 can be displayed in an expanded manner. In this case, by pressing the patrol button 29 when entering the room, the patient can be observed after accurately grasping the patient information on the patrol patient screen, so that more appropriate patient patrol is possible.

In the patrol patient screen of FIG. 6, patient information is displayed together with the patient name in the same graphic as the nurse call parent machine, but a simpler display focusing only on useful information when patroling the patient in the hospital room. It is also possible to change to. In any case, the screen design is free and patient information can be displayed in characters.
In this way, when the patrol of all the patients in the hospital room is completed, the completion button 30 is pushed when leaving the hospital room. Thereby, the individual information corridor lamp 2 returns to the standby state, and an initial standby screen is displayed.

In the case of this embodiment, the buttons 29 and 30 are operated at the time of entering and leaving the room, that is, patrol start and patrol completion, and the start signal and the end signal are linked to this operation. In the nurse call master device 1 that has transmitted and received this, the inspection start time and end time can be recorded and recorded as inspection history.

The stop button 31 is operated when it is impossible to patrol all or some of the patients in the hospital room, as described above.

FIG. 7 is a block diagram showing an embodiment of the present invention.
The individual information corridor lamp 2 includes a communication interface 32 connected to the nurse call master unit 1, a liquid crystal display unit 27 with a touch panel, a storage unit 33 composed of ROM and RAM, a slave unit interface 34 connected to the nurse call slave unit, a representative A CPU 35 connected to each of the lamp 25 and the recovery button 26 is provided.

The nurse call cordless handset 3 includes a calling unit 36 including a speaker and a microphone and a calling unit 37 having a calling button, and is connected to the cordless handset interface 34 of the individual information corridor lamp 2 via a connection interface 38. .

The nurse call master unit 1 includes a handy interface 39 connected to the handy main device 4, a liquid crystal display unit 40 with a touch panel for displaying a nurse call screen and a patient information screen, various programs such as a program for controlling the entire operation of the nurse call and patient information. A storage unit 41 for storing information, a clock unit 42 for automatically counting the date and time, a communication interface 43 for transmitting / receiving a call signal and various data to / from the individual information corridor lamp 2, a sound source for a ringing tone, an amplifier The CPU 46 is connected to a calling unit 44 having a speaker and a calling unit 45 including a speaker, a microphone, a hook switch interlocking unit, etc., and the operation program is read from the storage unit 41 by the function of the CPU 46 and the overall operation is controlled. To do.

The nurse call master unit 1 is connected to the in-hospital system network via the network interface 47.

Next, the operation related to the patrol operation will be described with reference to the block diagram of FIG. Description of the general operation of the nurse call is omitted.
First, when a patrol operation is performed in the liquid crystal display unit 40 with a touch panel of the nurse call master unit 1, a patrol screen is displayed on the liquid crystal display unit 40 with a touch panel under the control of the CPU 46, and via the communication interface 43, A patrol start signal is transmitted to the individual information corridor lamp 2 preset as a patrol target room.

When the individual information corridor lamp 2 receives the patrol start signal via the communication interface 32, the CPU 35 controls the standby information displayed on the touch panel-equipped liquid crystal display unit 27 according to the program stored in the storage unit 33. A patrol button 29 and a stop button 28 are displayed as necessary.

Next, when a patrol button 29 displayed on the liquid crystal display unit 27 with a touch panel of the individual information corridor lamp 2 is pressed, an operation signal is taken into the CPU 35, and a patrol start signal is transmitted to the nurse call master 1 via the communication interface 32. Sent to.

In this case, the signal transmitted from the individual information corridor lamp 2 to the nurse call master unit 1 includes at least a hospital room ID and a patrol flag. Here, the inspection flag includes inspection start, inspection end, and inspection stop.

Similarly, when a patrol completion operation is performed in the liquid crystal display unit 27 with a touch panel, a hospital room ID and a patrol flag are sent as a patrol completion signal from the individual information corridor lamp 2 to the nurse call master unit 1 as described above. It is done.

FIG. 8 is an example of a patrol table stored in the storage unit 40 of the nurse call base unit 1.

As described above, the patrol signal sent from the individual information corridor lamp 2 to the nurse call master unit 1 includes the hospital room ID and the patrol flag, which are identified by the CPU 46 and stored in the storage unit 41. Data such as a room number, a bed number, and a patient name is acquired with reference to a patient database.

In addition, according to the timing at which the nurse call master unit 1 receives the inspection signal from the individual information corridor lamp 2, the clock unit 41 is referred to and data on the inspection date, start time, and end time is acquired.
Note that the inspection schedule date and time data is automatically input with reference to inspection schedule data and nursing plan data set in advance.
The data in charge of inspection is automatically input with reference to the inspection person in charge table entered in the above-mentioned inspection person in charge input menu.

In addition, when entering the hospital room and leaving the room, without performing the operation of starting and ending the patrol, respectively, when operating the patrol button only when leaving the room and using this as the end signal, The start time item becomes unnecessary.
Also, the patrol table in the figure does not include an item of stop time, but can be added if necessary.

The system block diagram which shows one Example of the nurse call system by this invention. The screen when operating the patrol button on the standby screen of the nurse call master in one embodiment of the present invention. The name part of the nurse call master in one embodiment of the present invention. The patrol screen of the nurse call parent machine in one embodiment of the present invention. The screen on which the patrol button was displayed on the standby screen of the individual information corridor lamp in one embodiment of the present invention. The patrol patient screen of the individual information corridor lamp in one Example of this invention. The block diagram of the nurse call system in one Example of this invention. The patrol database in one Example of this invention.

Explanation of symbols

  1 ・ Nurse call master unit 2 ・ ・ Individual information corridor lamp 3 ・ Nurse call slave unit 4 ・ Handy main unit 5 ・ ・ Radio base station 6 ・ ・ Radio terminal 7 ・ ・ In-hospital system network , 8. Nurse call server, 9. Nursing support system, 10. In-hospital information system, 11. Mobile information terminal, 12. Name section, 13. Operation menu, 14. Name classification, 15. Bed number classification, 16 .... Information notification area 1, 17 .... Information notification area 2, 18 .... Information notification area 3, 19 .... Information notification area 4, 20 .... Information notification area 5, 21 ... Patrol button, 22 .. Patrol person input window, 23. Patrol end button, 24. Patrol history button, 25 ... Representative lamp, 26 ... Restoration button, 27 ... Liquid crystal display with touch panel, 28 ... Cancel button, 29 ... Patrol button, 30 ... End button, 31 ... Cancel button, 32 ... Communication interface, 33 ... Memory unit, 34 ... Slave unit interface, 35 ... CPU, 36 ... Calling unit, 37 ... Calling unit, 38 ... Connection interface , 39 .. Handy interface, 40 .. Liquid crystal display unit with touch panel, 41 .. Memory unit, 42 .. Clock unit, 43 .. Communication interface, 44 .. Call unit, 45.・ CPU, 47 ・ ・ Network interface

Claims (5)

A nurse call master unit that can send and receive patient data to and from a nurse call server and an information system, and an individual information corridor lamp that is connected to the nurse call master unit and displays call information, patient information, etc. at the entrance of a hospital room A nurse call slave unit connected to the individual information corridor lamp and capable of calling / calling with the nurse call master unit,
The nurse call master unit displays a patrol button on its standby screen, activates the patrol display screen by operating the patrol button, displays a patrol button on the standby screen of the individual information corridor light scheduled to patrol, In the hospital room, after the patrol of the hospital room is completed, by operating the patrol button of the individual information corridor lamp, a patrol end signal is transmitted to the nurse call parent machine, and in the nurse call parent machine that has received this, the hospital room number, A nurse call system characterized in that the inspection completion date and time can be stored together with the patient name as inspection data. The individual information corridor lamp is provided with a patrol button and a completion button that are operated when entering and leaving the hospital room, respectively, and an operation signal of the patrol button and the completion button is transmitted to a nurse call parent device. The nurse call system according to claim 1, wherein a patrol start date and a patrol completion date and time can be stored as patrol data together with a hospital room number and a patient name. In the nurse call master unit or the individual information corridor lamp, the identification ID of the person in charge of inspection can be input. In the nurse call master unit, the inspection room data includes a room number, patient name, inspection completion date (or inspection start date and time). The nurse call system according to claim 1 or 2, wherein a person in charge of inspection can be stored together with the inspection completion date and time). The nurse call system according to claim 1, 2 or 3, wherein a patrol end button is provided on the patrol screen of the nurse call master unit, which is operated when the patrol service is canceled halfway. The individual information corridor lamp is provided with a stop button, and when the patrol of all or part of the patient in the room is to be stopped, the pausing screen of the individual information corridor lamp is terminated by the operation of the cancel button, and the standby screen is displayed. The nurse call system according to claim 1, 2, 3, or 4, wherein the return can be performed.