JP5254592B2 - Medical care risk management system, method and program thereof - Google Patents

Description

  The present invention relates to a medical care risk management system, a method and a program for medical / care (welfare) hospitals, institutions, companies, and the like.

  ISO9001 is an international standard for quality management systems and was established in 1987 by the International Organization for Standardization. Details of this standard are described on the Japanese Standards Association website (see Non-Patent Document 1). ISO9001 was originally a standard for the manufacturing and construction industries, but since 2000 it has been revised so that it can be widely applied to the service industry including the medical and nursing care industries. Implementation is also required.

Occupational Health and Safety Assessment Series (OHSAS) 18001 is an occupational safety and health management system that has been established by an international consortium in which organizations that have been certified on an international scale (for example, Lloyd, SGS, Japan Standards Association) participated. A standard for safety and health management systems. This standard is for checking whether occupational health accident risk in organizations such as companies is minimized and activities for avoiding future occurrence risks are continuously improved (Non-Patent Document 2). Please refer.)
An occupational health and safety management system for the construction industry has been developed (see Patent Document 1).

  OHSAS18001 consists of a plan (plan)-do (execution)-check (inspection)-action (review): planning, implementation and operation, inspection and corrective action, and management review as in the ISO14001 standard. It is composed of a so-called deming cycle, and the management system required by OHSAS 18001 requires the implementation of this cycle. A quality management system for medical / nursing care has been developed (see Patent Document 2).

  The technologies described in Patent Documents 1 and 2 are excellent as management systems in the occupational safety and health field and the quality management field. The conventional quality management system for medical and nursing care is intended to improve the quality of medical and nursing care. However, in medical institutions and care facilities, it is necessary to ensure the occupational safety and health of doctors, nurses, caregivers and the like (hereinafter sometimes referred to as work providers, workers, etc.).・ The quality management system for nursing care is not the main target of occupational safety and health. The conventional occupational safety and health management system for the construction industry described above is a system specialized for the construction and civil engineering industry, and is difficult to apply to occupational safety and health for medical and nursing care.

  In addition, in order to comply with ISO9001 (registration examination, maintenance examination, renewal examination) in the medical / nursing care organization, all business activities are covered, the quality of services, that is, the health and safety of the patients concerned. Documents must be recorded to ensure In order to comply with ISO18001 (pass certification, maintenance, and renewal audits), the organization must cover all business activities and ensure occupational safety and health of the workers. However, even in the case of manual work or using a computer, the present situation is that a method for performing quantitative processing efficiently is being sought. In such a situation, it is very difficult for companies to prepare and register the standards-related documents independently. In general, they ask professional standards certification consultants to prepare the documents. There was a need. Furthermore, this standard is subject to maintenance and renewal audits at regular intervals, and it is necessary to continue to create documents required by the standard.

By the way, when applying ISO9001 and ISO18001 (hereinafter referred to as the standard) to medical practice and nursing care services, the scope includes all medical and nursing care practices and services. It is difficult to build, and executing “documentation” and “evaluation record” that are strictly required by the standard causes the inefficiency of work. In addition, the consequences are significant because quality degradation at the medical and nursing care sites is related to the life and quality of life of the patient.
Japanese Standards Association website (http://www.jsa.or.jp/default.asp) Supervised by Masayoshi Yoshizawa, Occupational Safety and Health Management System-OHSAS 18001 / 18002- Bilingual translation and explanation (Publisher: Japanese Standards Association, published March 2004) JP 2006-59332 A JP 2007-207034

  As described above, there are conventional management systems that individually solve occupational safety and health or quality assurance. Such an individual management system is also effective, but the situation is different in the medical and nursing care fields. In other words, services for patients and non-caregivers, that is, quality assurance, are important, but on the other hand, it is also necessary to ensure occupational safety and health of medical / care work providers (doctors, nurses, caregivers, etc.) working at the facility is important. As described above, in the medical / nursing care field, the “both risks” of the work provider in the organization and the patient / caregiver who receives the medical / nursing care service (hereinafter sometimes referred to as “work recipient”). A management perspective is needed. However, conventional management systems exist only for quality assurance or occupational safety and health only, and manage comprehensive risks that take into account the risks of both the work provider and the work recipient. The viewpoint and mechanism (system) to do is not developed.

  In view of the above-mentioned problems, a system and method for managing a comprehensive risk taking into account both doctors and nurses (work providers) engaged in medical care and nursing care, and patients and care recipients (work recipients) And to provide a program.

In order to solve the above-mentioned problems, the medical / care risk management system according to the first invention
A work master table composed of a plurality of work in medical care and at least one element related to the work, and a risk source master table in which risk sources related to the elements and risk information associated therewith are defined Storage means for storing
An input means for inputting work information;
With reference to the work master table and the hazard source master table, at least one element related to the work information is selected based on the input work information, and the risk source and the risk information related to the selected element are selected. Risk evaluation data generating means for generating risk evaluation data including
Have

The medical / care risk management system according to the second invention is
An output means for editing the risk assessment data and outputting it as a hazard assessment table compliant with international standards (such as ISO);
It further has these.

The medical / nursing care risk management system according to the third invention is
The work information is
Including electronic medical record information (such as disease name, weight, height, examination items and frequency) and / or electronic care information (such as items and frequency of care, necessity of care, disease, weight, height, etc.) Features.

The medical / nursing care risk management system according to the fourth invention is
The work information includes clinic plan information and / or care plan information,
The risk assessment data generation means includes
With reference to the hazard source master table, at least one element included in the clinic plan information and / or care plan information included in the input work information is selected, and the hazard source related to the selected element and its Risk evaluation data including danger information is generated using a calculation means.

The medical / nursing care risk management system according to the fifth invention is
The work information includes work receiver attribute information (number and attributes of patients, care recipients, etc.) and / or work provider attribute information (number and attributes of doctors, nurses, care staff, etc.),
It is characterized by that.

The medical / nursing care risk management system according to the sixth invention is:
The output means is
The risk evaluation data is edited and output so as to include danger sources and danger information for only the work recipient.
Preferably, the output means edits risk assessment data for only the user who receives the work, and outputs the data as a medical / nursing care plan compliant with an international standard (such as ISO).

The medical / nursing care risk management system according to the seventh invention
The output means is
The risk evaluation data is edited and output so as to include danger sources and danger information for only the work provider.

  As described above, the solution of the present invention has been described as a system (apparatus). However, the present invention can also be realized as a method, a program, and a storage medium storing the program, which are substantially equivalent to these. It should be understood that these are included in the scope of the invention. Each step of the following methods and programs uses an arithmetic processing unit such as a CPU or DSP as needed for data processing. The input data, processed / generated data, etc. It is stored in a storage device such as an HDD or a memory.

For example, the medical / nursing care risk management method according to the eighth aspect of the present invention realized as a method is as follows:
A work master table composed of a plurality of work in medical care and at least one element related to the work, and a risk source master table in which risk sources related to the elements and risk information associated therewith are defined Storing in a storage means;
An input step for entering work information;
With reference to the work master table and the hazard source master table, at least one element related to the work information is selected based on the input work information, and the risk source and the risk information related to the selected element are selected. A risk evaluation data generation step for generating risk evaluation data including
It is characterized by having.

A medical / nursing risk management program for causing a computer to execute the medical / nursing risk management method according to the ninth invention
A work master table composed of a plurality of work in medical care and at least one element related to the work, and a risk source master table in which risk sources related to the elements and risk information associated therewith are defined Storing in a storage means;
An input step for entering work information;
With reference to the work master table and the hazard source master table, at least one element related to the work information is selected based on the input work information, and the risk source and the risk information related to the selected element are selected. A risk evaluation data generation step for generating risk evaluation data including
It is characterized by having.

  ADVANTAGE OF THE INVENTION According to this invention, it becomes possible to manage the comprehensive risk which considered both the work provider engaged in medical care and care, and a patient and a care receiver (receiver). Further, by using information such as a clinic plan and an electronic medical record created by an existing external system, it is possible to automatically create risk evaluation data at a low cost and easily. In addition, medical and nursing care plans (so-called clinic plans, care plans, etc.) can be automatically and easily created by external systems as a means of document recording / evaluation required by ISO9001, without human labor or costs. It is also possible to automatically generate risk evaluation data by inputting a completed medical / care plan, electronic medical record, and electronic care information. It is also possible to output documents and data that can be used as risk source evaluation documents.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. FIG. 1 is a block diagram showing a basic configuration of a medical / care risk management system according to an embodiment of the present invention. As shown in the figure, the medical / care risk management system 100 includes a storage unit 110, an input unit 120, a risk evaluation data generation unit 130, an output unit 140, an editing control unit 150, a reception unit 160, and an update unit 170. . The medical / nursing care risk management system 100 further includes arithmetic means (not shown) such as CPU and DSP. The medical / nursing care risk management system 100 includes a terminal 122, a clinic plan creation / management system, a care plan creation / management system, and an electronic medical record creation / management via a network 200 such as the Internet, WAN, LAN, and wired / wireless telephone network. It is connected to an external system 210 such as a system, PDA, mobile device, mobile phone or the like. A part of the terminal 122 is directly connected to the system 100 locally.

  The storage means (device) 110 includes a plurality of operations in medical care and nursing care and at least one element related to the operation (including standard statistical information such as each element and a standard numerical value per unit quantity of the element). And a hazard source master table 114 in which hazard sources related to the elements and hazard information associated therewith are defined. Furthermore, the storage means 110 includes facilities related to medical and nursing elements (inspection devices such as MRI, CT, and PET, operating rooms, examination rooms, hospitalized beds, special surgical instruments (such as gamma knives), nursing instruments, etc. ), A schedule master table 116 including at least one schedule information of personnel (surgeon doctor, anesthesiologist, nurse, laboratory technician, caregiver, etc.) is stored.

  Furthermore, the storage means 110 includes work recipient attribute information (number of patients, care recipients, and the like, and attributes such as weight, height, preference, personality) and / or work provider attribute information (doctor, nurse, care staff). Etc. and personal attribute information 118 including weight, height, preference, personality, stress, work status, etc.). The output means 140 or the edit control means 150 can edit the risk evaluation data with reference to the schedule master table 116 and output the data as a medical / care plan. For example, in the medical field, the specific date and time of the clinic plan depends on the schedule of the inspection device, the empty bed, the surgeon, the anesthesiologist, etc. According to the present invention, these schedules Accordingly, it is possible to easily and automatically create a clinic plan, a care plan, or the like in which a specific date and time that is more practical is set. On the other hand, based on the clinic plan to which staff and patients such as specific inspection devices, work providers and beneficiaries are assigned, risk data that is more accurate and reliable can be created. You can also.

  The input unit 120 includes the name of work information to be evaluated (work to be risk-evaluated, for example, “hospital work for appendectomy”) and the like via the terminal 122 connected locally or connected via a network. Enter the quantity (in this case, number of people). The risk evaluation data generation means 130 refers to the work master table 112 stored in the storage means 110 and determines each element included in the work to be evaluated and their quantity based on the input work information to be evaluated. Intermediate data including the generated intermediate data is generated using arithmetic means (for example, MPU, CPU, etc., not shown). Further, the risk evaluation data generation means 130 generates risk evaluation data including hazard data and accident type classification data by using the calculation means with reference to the hazard source master table 114 based on the generated intermediate data. To do. That is, when information matching the information included in the intermediate data is included in the item of the hazard source evaluation data, the item is extracted, and the item of the accident type classification data associated with this item is also extracted, These are used as risk assessment data.

  The output means 140 edits the risk evaluation data and outputs it to the terminal 122 as a risk source evaluation table (book) in a format compliant with international standards such as ISO, or as a file compliant with a spreadsheet application such as Excel. Or printing on a printer (not shown).

  The receiving means 160 receives the work from the external system 210, the electronic medical chart system, etc. (the name of the disease or a treatment for it, such as appendectomy) and the elements included in the work (preoperative examination, blood examination, postoperative examination, Electronic medical record information including bathing, meals, etc.) is received via the network 200. In other words, the system 100 receives data including the work to be evaluated and the real value of each element included in the work from the external system 210 using the receiving means 160 via the network 200, and this is received by the input means. Can be used for input. In this way, if the configuration is such that the work information to be evaluated is received from the external system, the medical / nursing care related data built on the existing external system without any manual intervention is effectively utilized, which is complicated and enormous. It is possible to easily and automatically create a risk assessment (typically a hazard source assessment table) that requires labor.

  FIG. 2 is a flowchart for explaining an example of processing steps in the occupational safety and health management system according to the present invention. As shown in the figure, in step S11, work information is input using the keyboard of the terminal 122 or the input means 120 of the system 100. In response to this input, in step S12, the system 100 refers to the work master table 112 and the hazard source master table 114, and based on the input work information, at least one element related to the work information and its attachments. Data (quantity etc.) is selected / generated as intermediate data. In step S13, the risk evaluation data generating means generates risk evaluation data including the risk source related to the selected / generated intermediate data (element) and the risk information using the calculation means (not shown). In step S14, the output unit 140 (or the editing control unit 150) edits the risk evaluation data, for example, a risk source evaluation table compliant with international standards (ISO etc.), an evaluation table for quality control, or work provision It is edited into a format such as an evaluation table for workers, that is, an evaluation table for occupational safety and health, and an evaluation table for work users. In step S15, the output unit 140 outputs the edited data or table to a printer, terminal, or the like.

  FIG. 3 is a diagram illustrating an example of a tree structure interface (for medical use) of the risk master table. As shown in the figure, the root of the tree structure part Tr has “medical action” and “care action”. For example, the root “medical action” has child elements by field such as internal medicine, surgery, pediatrics, etc. . The internal medicine also has “Drip” B1, “Gauze Exchange” B2, etc. as its child elements. When the infusion B1 is clicked here, infusion risks Rt11 and Rt12 are displayed as elements of the risk table portion Rt. Rt11 is the risk of the patient (work recipient), and Rt12 is the risk of the worker (work provider).

  Similarly, the gauze replacement risk Rt21, Rt22 is displayed even if the gauze replacement B2 is clicked. In the risk table, the occurrence status (accident type classification), occurrence factor (hazardous factor), severity, possibility of occurrence, work depending on the international standard to be compliant, items to be edited and output and management table, etc. There are items of frequency, evaluation value, rank, preventive measure, and person who performs the work, and each has information such as sentences, numerical values, symbols, and ranking symbols. In addition, the risk table has a graphical display section such as an illustration, and has a user interface that is easy to understand. This tree structure interface can be edited, and it is possible to correct information by clicking on a portion desired to be edited or to replace an illustration. The system according to the present invention creates risk evaluation data by referring to this risk table as a master.

  FIG. 4 is a diagram showing an example (for medical use) of a medical / care risk assessment document output by the system according to the present invention. As shown to (a) of FIG. 4, the medical risk with respect to drip and gauze exchange is totaled and displayed in this case. This medical / nursing care risk assessment can be used as a risk assessment for the side receiving medical practice (ie, the patient or the person receiving care), but the occupational safety of nurses, caregivers, doctors and other workers It can also be used as a risk assessment document. For example, the tripping at the time of transportation shown in the figure may cause injury to a nurse or injury to a patient being transported. This medical / nursing care risk assessment document can be used as it is as an ISO 9001 educational material. FIG. 4B is a table in which the nurse's risk is evaluated for the element “surgery”. Thus, according to the present system, it is possible to perform risk evaluation from various viewpoints.

  FIG. 5 is a diagram showing an example of a toolbox used in an interface used in the system according to the present invention. The toolbox illustration can be selected and pasted on the graphical display of the interface used in the system (for example, the risk master table tree structure interface).

  An example of a table defining the premise element information for each element used in the system according to the present invention is shown below. As shown in the table, in the prerequisite element information pattern 1, only the order of one critical path “abcdef” can be generated. In the case of the prerequisite element information pattern 2, two order patterns can be generated, and in the case of the pattern 3, five order patterns can be generated. These generated order patterns may be selected in order by the round robin method to create a plan. However, as will be described later, it is preferable to select the most efficient order pattern based on schedule information such as doctors and equipment. is there.

  The table below is an example of a medical / care plan output by the system according to the present invention (or input as work information from an external system). This table is a medical plan for normal appendectomy surgery, and this system extracts preoperative examination and surgery-related elements related to the surgery based on the target medical / care information only named appendectomy surgery. And create a medical plan based on their context. As shown in the table, the general sequence of medical procedures for surgery includes at least one preoperative examination, multiple preoperative procedures such as anesthesia and disinfection, multiple postoperative procedures such as surgery, infusion and withdrawal It consists of treatment, medical examination such as follow-up, and at least one postoperative examination. Normally, each element forms a critical path having a temporal relationship as described above, so that it is not possible to change the order of each element. However, for example, the element “preoperative examination” is divided into blood tests and CT in more detail, but these usually have no problem even if the order is reversed, so scheduling of rare examination equipment such as CT is not possible. It is preferable to determine the order and date and time of CT and blood tests so that they function well.

  When creating a plan, refer to the schedule master table and create a medical / nursing plan that describes the actual date and time schedule based on the availability schedule of human and equipment resources such as surgeons, anesthesiologists, and CTs. It can be created automatically by this system. In addition, when this medical plan is confirmed, information in which human and facility resources consumed by this medical plan have already been allocated at the date and time is registered in the schedule master table.

  An example of the schedule master table is shown in the table below. As shown in the table, schedule information such as vacant (indicating that it is an available resource), already allocated, and holidays are defined for each person and facility. If resources have already been allocated, it is preferable to enter the plan number of the allocation destination in the corresponding item.

  In this system, for example, in the case of medical practice involving anesthesia or infusion, if there is gender, weight, age, etc. as the attribute information of the subject, the necessary amount of anesthetic drug, infusion, etc. It is also possible to include in the medical / nursing care plan with reference to a map in which the amount, frequency and frequency are defined. For example, a map defining children, children, adults, etc. for each gender is prepared, and the details of each element can be determined by referring to the map based on the patient attribute information. In addition, based on other attribute information of the medical treatment (action), for example, referring to a map defined for each target region or a map defined for each serious injury, attribute information required for each element (numerical value, Frequency, type of drugs, etc.), this system automatically medical. It can also be included in a care plan.

  FIGS. 6-8 is a figure which shows an example (for medical use) of the medical / nursing care plan output with the system by this invention. Alternatively, the data of FIG. 6-8 may be input as work information, and risk assessment data may be created directly based on this. As shown in the figure, this is a clinic plan for patients and hospitals, respectively, and at the same time can be used as a recorded document in ISO9001. In addition, as shown in Fig. 7, there are check boxes for risks that may occur. If an accident actually occurs, click these checkboxes to add a check and easily report the accident. Can do. It also has an editing function that adds new accidents to this table. FIG. 8 is a table extracted by editing the risk of the worker (work provider). Thus, according to this system, it is possible to output various types of evaluation tables.

FIG. 9 is a diagram in which accidents and near-misses for patients (work recipients) experienced in the medical field are tabulated. FIG. 10 is a diagram in which accidents and near-misses for medical workers (work providers) experienced in the medical field are tabulated. Since this system includes input means for inputting actual risk data including actual accidents or near-miss cases that have actually been experienced, a summary table such as this figure is output as actual data, or the risk that has been input It is possible to update the risk assessment master table based on the actual data.
Moreover, FIG. 11 is a figure which shows the total breakdown of the accident (risk) totaled regarding the appendectomy hospitalization by this system.

  Although the above description and reference drawings are intended for medical work, the present invention is similarly applicable to care work. FIG. 12 is a diagram illustrating an example of a tree structure interface (for care) of the risk master table. FIGS. 13 and 14 are diagrams showing an example of a medical / nursing care plan (for a user / for a work recipient, for a hospital / for a work provider) output by the system according to the present invention. As shown in the figure, these are care plans for patients and care establishments, respectively, and at the same time can be used as recorded documents in ISO9001.

  FIG. 15 is a diagram showing an example (for a work provider) of a care risk edited and output by the system according to the present invention. As shown in the figure, in the day service work, it is understood that the work provider has risks such as a fall and back pain during nursing care.

  FIG. 16 is a diagram showing an example of a care risk evaluation document output by the system according to the present invention. FIG. 17 is a diagram in which accidents and near-misses for users (work recipients) experienced in the field of care are tabulated. FIG. 18 is a table summarizing accidents and near-misses for workers (work providers) experienced at a nursing care site. FIG. 19 is a diagram showing a breakdown of totals of accidents (risks) totaled for day service by this system. Thus, the present invention can be used for nursing care.

Electronic chart information, potential care information, clinic plan, care plan, etc. sent from an external system should be sent to the external system after converting it to a format compatible with this system or adding a corresponding flag. Is desirable. An example of a correspondence flag is given.
D15: 15 doctors N50: 50 nurses P75: 75 hospitalized patients
PP1 = 65kg, 170cm, stomach ulcer, mild
PP75 = 90kg, 180cm, caecum, nervous ND8: 8 medical checkups MOP9: appendicitis removal surgery 9

  The system 100 further comprises syntax analysis means and / or morphological analysis means (these are not shown). When the work information received from the external system 210 includes “raw electronic medical record information or clinic plan” that has not been format-converted for the system, the system uses syntax analysis means or morphological analysis means. By performing syntax analysis and morphological analysis of "raw electronic medical record information and clinic plan", the patient's disease name and work performed, work to be performed (examination, surgery, etc.), and patients and doctors Human attribute information (weight, height, propensity, medical history, etc.) can be extracted and used to create risk assessment data.

  As described above, in the medical / nursing field, personal data of people who enjoy work such as patients and users, for example, people with a history of disease, infection, violent sexuality, sexual harassment, overweight, older people, etc. Factors have a strong influence on the quality of medical and nursing work and occupational safety and health risk factors. Similarly, personal data of each work provider, such as weight, gender, height, physical strength, stress tolerance, past illness (back pain history, allergies, etc.), work history (excessive work, long working hours, etc.) Factors also affect the quality of medical and nursing work and occupational safety and health risk factors. Therefore, it is possible to appropriately evaluate the overall risk of the facility or organization by reflecting such human factors. This personal data is better if there is accurate information about the individual, but is not essential. For example, in a care facility, information such as the number of people who receive a bathing service and have a weight of 70 kg or more may be used. Furthermore, if there is personal data such as the sex and weight of the work provider, a more appropriate risk assessment that considers the personal data of both the work provider and the work recipient for bathing services. It is possible to evaluate work quality. In particular, long-term care services are hard work, and even if they can be done easily by ordinary males, they are extremely hard work for women and can be risky work. Therefore, the personal data of gender (gender) is also extremely effective data.

  The inventors of the present application pay attention to such facts, hold the personal attribute information of the work provider and the work recipient in the storage means, and use this information for more appropriate and accurate risk evaluation data. Can be output. That is, according to the present invention, more detailed medical / nursing risk assessment data can be automatically created, and medical / nursing quality and medical / nursing occupational health and safety quality can be improved.

  Although the present invention has been described based on the drawings and examples, it should be noted that those skilled in the art can easily make various modifications and corrections based on the present disclosure. Therefore, it should be noted that these variations and modifications are included in the scope of the present invention. For example, the functions included in each unit, each means, each step, etc. can be rearranged so as not to be logically contradictory, and a plurality of means, steps, etc. can be combined or divided into one. It is.

It is a block diagram which shows the basic composition of the medical care / care risk management system by one embodiment of this invention. It is a flowchart explaining an example of the process step in the occupational safety and health management system by this invention. It is a figure which shows an example of the tree structure interface (for medical use) of a risk master table. It is a figure which shows an example (for medical use) of the medical / nursing care risk evaluation document output with the system by this invention. It is a figure which shows an example of the toolbox used with the interface used with the system by this invention. It is a figure which shows an example (for medical use) of the medical care / care plan output with the system by this invention. It is a figure which shows an example (for medical use) of the medical care / care plan output with the system by this invention. It is a figure which shows an example (for medical use) of the medical care / care plan output with the system by this invention. It is the figure which totaled the accident and near-miss for the patient (work recipient) who experienced in the medical field. It is the figure which totaled the accident and near-miss for the medical worker (working provider) experienced in the medical field. It is a figure which shows the total breakdown of the accident (risk) totaled regarding appendectomy hospitalization by this system. It is a figure which shows an example of the tree structure interface (for care) of a risk master table. It is a figure which shows an example (For users / work recipients, in-hospital use / work providers) outputted by the system according to the present invention. It is a figure which shows an example (for user / work recipient), hospital use / work provider's) example of the medical and nursing care plan output with the system by this invention. It is a figure which shows an example (for work providers) of the care risk edited and output by the system by this invention. It is a figure which shows an example of the care risk evaluation document output with the system by this invention. It is the figure which totaled the accident and near-miss for the user (work beneficiary) experienced in the field of care. It is the figure which totaled the accident and near-miss for the worker (work provider) experienced in the field of care. It is a figure which shows the total breakdown of the accident (risk) totaled regarding day service by this system.

Explanation of symbols

100 medical / care risk management system 110 storage unit 112 work master table 114 risk source master table 116 schedule master table 118 human attribute information 120 input unit 122 terminal 130 risk evaluation data generation unit 140 output unit 150 edit control unit 160 reception unit 170 Update means 200 Network 210 External system
B1 infusion
B2 gauze exchange
Rt Risk table section
Rt11 Infusion risk
Rt21 Infusion risk
Tr tree structure

Claims (10)

A work master table including a plurality of work in medical care and nursing care, and at least one element related to the work, and a risk source master table in which a risk source related to the element and risk information associated therewith are defined Storage means for storing a risk source master table in which the danger information is related to a work recipient;
An input means for inputting work information;
With reference to the work master table and the hazard source master table, at least one element related to the work information is selected based on the input work information, and the risk source and the risk information related to the selected element are selected. Risk evaluation data generating means for generating risk evaluation data including
Have
The hazard source master table further includes information related to the worker, the risk information is associated with an identifier indicating that the risk information is related to the worker, , Associated with an identifier indicating that it is related to the work recipient,
The risk assessment data generating means is
With reference to the work master table and the hazard source master table, at least one element related to the work information is selected based on the input work information, related to the selected element, and related to the worker First risk evaluation data including a risk information having an identifier and a risk source related to the risk information; a risk information having an identifier related to the work recipient and the risk information related to the selected user; Generating second risk evaluation data including a hazard source using a calculation means;
The medical / nursing care risk management system
Risk sources classified into a first block including the first risk evaluation data and a second block including the second risk evaluation data by editing the first and second risk evaluation data An output means for outputting an evaluation table;
A medical / nursing care risk management system. In the medical / care risk management system according to claim 1 ,
The output means
Editing the first and second risk assessment data and outputting the hazard source assessment table as a hazard source assessment table in accordance with an international standard ;
Health care and long-term care risk management system which is characterized a call. In the medical / care risk management system according to claim 1 or 2 ,
The work information is
Including electronic medical record information and / or electronic care information,
A medical / nursing care risk management system. In the medical / care risk management system according to claim 1 or 2 ,
The work information includes clinic plan information and / or care plan information,
The risk assessment data generation means includes
With reference to the hazard source master table, at least one element included in the clinic plan information and / or care plan information included in the input work information is selected, and the hazard source related to the selected element and its Generating the first and second risk evaluation data including risk information using a calculation means;
A medical / nursing care risk management system. In the medical / nursing care risk management system according to any one of claims 1 to 4 ,
The work information includes work receiver attribute information and / or work provider attribute information,
A medical / nursing care risk management system. In the medical / care risk management system according to any one of claims 1 to 5 ,
The output means is
Editing the first and second risk assessment data so as to include danger sources and danger information for only the work recipient , and outputting the hazard source assessment table ;
A medical / nursing care risk management system. In the medical / care risk management system according to any one of claims 1 to 5 ,
The output means is
Editing the first and second risk assessment data so as to include hazard sources and danger information for only the work provider, and outputting the hazard source assessment table ;
A medical / nursing care risk management system. Medical and nursing care risk management program for realizing the medical and nursing care risk management system according to any one of claims 1 to 7 by a computer. A computer-readable recording medium in which the medical / nursing care risk management program according to claim 8 is recorded. A risk in which the storage means defines a plurality of work in medical care and care, a work master table composed of at least one element related to the work, a risk source related to the element, and risk information associated therewith A source master table, wherein the danger information further includes information related to an operator, a part of the danger information is associated with an identifier indicating that the danger information is related to the worker, and a part of the danger information is and storing the hazard master table in which the associated identifier indicating that is relevant to the work enjoyed person,
An input step in which the input means inputs work information;
The calculation means refers to the work master table and the hazard source master table, selects at least one element related to the work information based on the input work information, and relates to the selected element, First risk evaluation data including a danger information having an identifier related to the person and a danger source related to the danger information, a danger information having an identifier related to the work recipient and to the danger Generating second risk assessment data including hazard sources associated with the information;
The calculation means edits the first and second risk evaluation data into a first block including the first risk evaluation data and a second block including the second risk evaluation data. Outputting a classified hazard assessment table;
A medical / nursing care risk management method characterized by comprising:

Images