JP5302290B2 - Nursing support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a nursing support system capable of confirming a motion performed during a nursing service. <P>SOLUTION: A nursing support system comprises a terminal device which is carried by a nurse and a server device capable of communicating with the terminal device. The terminal device has: input means to receive an operation input by the nurse; and notification means to notify the server device of an initiation and a completion of each nursing service that the nurse performs in accordance with an operation content received by the input means. The server device has: receiving means to receive the notification of the initiation and completion of the nursing service from the terminal device; position acquisition means to acquire a presence position of the terminal device in a hospital as position information of the nurse carrying the terminal device; and behavior analysis means to derive a flow line from a series of the position information acquired by the position acquisition means during the period from the time when the receiving means receives the initiation of the nursing service till the time when the same receives the completion of the nursing service. <P>COPYRIGHT: (C)2012,JPO&amp;INPIT

Description

  Embodiments described herein relate generally to a nursing support system.

  2. Description of the Related Art Conventionally, data is browsed and data is input by using a portable terminal device such as a PDA in order to advance a nursing action efficiently in a hospital. Conventionally, a technique has been proposed in which a portable wireless terminal is carried so that the flow and position of a nurse in a hospital can be confirmed.

  However, in the prior art, although it is possible to confirm the flow line and position of the nurse, it is impossible to confirm the relationship with the work content, so it cannot be used for improving work efficiency.

The nursing support system of the embodiment includes a terminal device carried by a nurse and a server device that can communicate with the terminal device. The terminal device includes an input unit and a notification unit. The input means receives a nurse's operation input. The notifying means notifies the server device of the start / completion of each nursing work performed by the nurse according to the operation content received by the input means. The server device includes a receiving unit, a position acquiring unit, a behavior analyzing unit, and an information providing unit . The receiving means receives notification of start / completion of nursing work from the terminal device. The position acquisition means acquires the presence position of the terminal device in the hospital room as the position information of the nurse carrying the terminal device. The behavior analysis means calculates the time interval of the position information based on a series of position information acquired by the position acquisition means from when the reception means receives the start of the nursing service until it receives completion of the nursing service. It calculates as a residence time at each position, and a flow line is derived by connecting points indicating each position expressed in a magnitude corresponding to the residence time in time series order. The information providing means provides a flow line derived from the same type of nursing work performed in the same hospital room for the plurality of nurses to the terminal device in a comparable state.

FIG. 1 is a diagram schematically illustrating the overall configuration of a nursing support system according to an embodiment. FIG. 2 is a diagram illustrating an example of a configuration of the terminal device. FIG. 3 is a diagram illustrating an example of the configuration of a hospital server. FIG. 4 is a diagram schematically illustrating an example of the data configuration of the authentication repository. FIG. 5 is a diagram schematically illustrating an example of the data configuration of the nursing plan repository. FIG. 6 is a diagram schematically illustrating an example of the data configuration of the electronic medical record repository. FIG. 7 is a diagram schematically illustrating an example of a data configuration of a patient repository. FIG. 8 is a diagram schematically illustrating an example of the data configuration of the action history repository. FIG. 9 is a diagram illustrating an example of a flow line analysis result. FIG. 10 is a diagram illustrating another example of the flow line analysis result. FIG. 11 is a flowchart illustrating a procedure of authentication processing performed between the terminal device and the hospital server. FIG. 12 is a flowchart illustrating a procedure of nursing plan providing processing performed between the terminal device and the hospital server. FIG. 13 is a flowchart showing the procedure of the electronic medical record providing process performed between the terminal device and the hospital server. FIG. 14 is a flowchart illustrating a procedure of behavior analysis processing executed by the hospital server. FIG. 15 is a flowchart illustrating a procedure of analysis result providing processing performed between the terminal device and the hospital server.

  Hereinafter, an embodiment of a nursing support system will be described in detail with reference to the accompanying drawings. In addition, this invention is not limited by embodiment described below.

  FIG. 1 is a diagram schematically showing an overall configuration of a nursing support system 100 according to the present embodiment. As shown in the figure, the nursing support system 100 includes a terminal device 10 and a hospital server 20. Here, the terminal device 10 and the in-hospital server 20 are disposed in the same hospital H, and are communicably connected via a wired or wireless LAN 31 (Local Area Network).

  The terminal device 10 is a portable information communication terminal carried by each nurse (including an associate nurse) in the hospital H. The nurse can refer to the electronic medical records, nursing plans, etc. of each patient by accessing the in-hospital server 20 using the terminal device 10. Here, the “nursing plan” is a schedule for nursing work such as temperature measurement and blood sampling performed by each nurse.

  The hospital server 20 is one or a plurality of server devices having functions such as a Web server, an application server, and a database server. The in-hospital server 20 stores and manages various data necessary for nursing work at the hospital H, and provides these data so that the terminal device 10 can refer to them.

  Hereinafter, the configuration of the terminal device 10 and the hospital server 20 will be described. FIG. 2 is a diagram illustrating an example of the configuration of the terminal device 10. As shown in FIG. 1, the terminal device 10 includes a central processing unit (CPU) 11, a read only memory (ROM) 12, and a random access memory (RAM) 13 as microcomputers for executing information processing.

  The CPU 11 comprehensively controls the terminal device 10 by executing various programs stored in the ROM 12 or the storage unit 16 described later. The ROM 12 stores a program for performing basic operations. The RAM 13 is a main storage device of the terminal device 10 and functions as a work area for the CPU 11.

  The CPU 11 is connected to an input unit 14 and a display unit 15 via various input / output circuits (not shown). The input unit 14 is an input device such as a keyboard or a pointing device, and notifies the CPU 11 of the operation content operated by the nurse. The display unit 15 is a display device such as an LCD (Liquid Crystal Display), and displays various types of information in accordance with instructions from the CPU 11. In addition, it is good also as a form which receives operation content in cooperation with the display part 15 by making the input part 14 into a touchscreen structure.

  The CPU 11 is connected to a storage unit 16 and a communication I / F 17 via various input / output circuits (not shown). The storage unit 16 is a storage medium such as an HDD (Hard Disk Drive) or a flash memory, and stores various programs and files such as a Web browser. The communication I / F 17 is an interface for performing data communication with the hospital server 20. The CPU 11 controls the communication I / F 17 and transmits / receives various data to / from the hospital server 20. Although not shown, the terminal device 10 includes a timekeeping device such as an RTC (Real Time Clock), and the CPU 11 indicates the current date and time (year / month / day and time) based on the time information timed by the timekeeping device. It can be acquired.

  Next, the functional configuration of the terminal device 10 will be described. As shown in FIG. 2, the CPU 11 of the terminal device 10 cooperates with a program stored in the ROM 12 or the storage unit 16 to refer to the communication control unit 111, the nursing plan reference unit 112, the electronic medical record reference unit 113, and the analysis result reference. The unit 114 is realized.

  The communication control unit 111 is a functional unit that controls the communication I / F 17 and transmits / receives data to / from the hospital server 20. When accessing the in-hospital server 20, the communication control unit 111 uses the nurse ID and password pair input from the operator (nurse) of the apparatus through the input unit 14 as connection information. Send to.

  The nursing plan reference unit 112 generates instruction information for requesting reference to the nursing plan (hereinafter referred to as nursing plan reference request) according to the operation content input via the input unit 14, and the hospital plans through the communication control unit 111. To the internal server 20. In addition, when a nursing plan is provided from the hospital server 20, the nursing plan reference unit 112 displays each work item included in the nursing plan on the display unit 15 in a selectable state. When the nursing plan reference unit 112 receives an editing operation (start / completion check) for each business item via the input unit 14, the nursing plan reference unit 112 notifies the hospital server 20 of the editing content via the communication control unit 111. To instruct the nursing plan to be updated.

  The electronic medical record reference unit 113 generates instruction information for requesting reference to the electronic medical record (hereinafter referred to as an electronic medical record reference request) in accordance with the operation content input via the input unit 14, and the inside of the hospital through the communication control unit 111. Send to server 20. In addition, when the electronic medical record is provided from the hospital server 20, the electronic medical record reference unit 113 displays each item included in the electronic medical record on the display unit 15 in a selectable state. In addition, when the electronic medical record reference unit 113 receives an editing operation (for example, recording of a medical condition progress) on a specific item via the input unit 14, the electronic medical record reference unit 113 notifies the hospital server 20 of the editing content via the communication control unit 111. By instructing to update the electronic medical record. The electronic medical record reference request includes a specific patient ID.

The analysis result reference unit 114 generates instruction information for requesting reference to the analysis result (hereinafter referred to as analysis result reference request) according to the operation content input through the input unit 14, and the hospital through the communication control unit 111. To the internal server 20. Further, when the analysis result is provided from the hospital server 20, the analysis result reference unit 114 displays an image corresponding to the analysis result on the display unit 15.
It should be noted that the analysis result reference request includes information (hereinafter referred to as a specific item) that can specify an analysis target, such as one or a plurality of nurse IDs, work items, and dates.

  FIG. 3 is a diagram illustrating an example of the configuration of the hospital server 20. As shown in the figure, the hospital server 20 includes a CPU 21, a ROM 22, and a RAM 23 as a microcomputer that executes information processing.

  The CPU 21 comprehensively controls the hospital server 20 by executing various programs stored in the ROM 22 or a storage unit 26 described later. The ROM 22 stores a program for performing basic operations. The RAM 23 is a main storage device of the hospital server 20 and functions as a work area for the CPU 21.

  The CPU 21 is connected to an input unit 24 and a display unit 25 via various input / output circuits (not shown). The input unit 24 is an input device such as a keyboard or a pointing device, and notifies the CPU 21 of the operation content operated by the operator. The display unit 25 is a display device such as an LCD, and displays various types of information in accordance with instructions from the CPU 21.

  The CPU 21 is connected to a storage unit 26 and a communication I / F 27 via various input / output circuits (not shown).

  The storage unit 26 is a storage medium such as an HDD or a flash memory, and stores various programs and files for realizing each functional unit described later. The files stored in the storage unit 26 include, for example, an authentication repository 261 that stores and manages a pair of each nurse's nurse ID and password, an electronic medical record repository 263 that stores and manages each patient's electronic medical record, Patient repository 264 that stores and manages the location (patient / bed) of hospitalized patients, nursing plan repository 262 that stores and manages each nurse's nursing plan, behavior history repository 265 that stores and manages each nurse's action history, etc. Is mentioned.

  FIG. 4 is a diagram schematically illustrating an example of the data configuration of the authentication repository 261. As shown in the figure, the authentication repository 261 stores a nurse ID as identification information for identifying each nurse and a password in association with each other. Here, the combination of the nurse ID and the password is authentication information necessary for accessing the in-hospital server 20, and the in-hospital server 20 includes the combination of the nurse ID and the password transmitted from the terminal device 10. Is permitted when it matches any authentication information registered in the authentication repository 261. Note that the nurse ID and password are assigned in advance to each nurse.

  FIG. 5 is a diagram schematically illustrating an example of the data configuration of the nursing care plan repository 262. As shown in the figure, the nursing plan repository 262 stores a nurse ID for identifying each nurse, a date, and an item name (task item) of a nursing task to be performed on that day in association with each other. Each work item is associated with a column for checking the start and completion of the nursing work. It is assumed that the nurse of hospital H is set to check the start column at the start of each work item and check the completion column at the completion.

  FIG. 6 is a diagram schematically illustrating an example of a data configuration of the electronic medical record repository 263. As shown in the figure, the electronic medical record repository 263 stores a patient ID for identifying each patient in the hospital H and the electronic medical record of the patient with this patient ID in association with each other.

  FIG. 7 is a diagram schematically illustrating an example of the data configuration of the patient repository 264. As shown in the figure, the patient repository 264 stores a patient ID of an inpatient admitted to the hospital H, a room number identifying the patient's room, and a bed number identifying the patient's bed in association with each other. ing.

  FIG. 8 is a diagram schematically illustrating an example of the data configuration of the action history repository 265. As shown in the figure, the action history repository 265 stores, for each nurse ID of each nurse, the action date and time and the action history indicating the content of the action performed on the date and time. Here, the action history is a record of the actions of the nurse. The start and completion of each work item registered in the nursing plan, the position information of the nurse in the hospital H, etc. are recorded as the action history. The In the example of FIG. 8, the nurse with the nurse ID “N001” started “temperature measurement” for each patient with the room number “H301” at 10:03 on November 9, 2010, and It is recorded as an action history that the patient moved to the bed number “B01” of the room number “H301” at 4 minutes and moved to the bed number “B02” of the same room number at 10: 9.

  Returning to FIG. 3, the communication I / F 27 is an interface for performing data communication with the terminal device 10. CPU21 transmits / receives various data between the terminal devices 10 using communication I / F27. Although not shown, the in-hospital server 20 includes a timing device such as an RTC, and the CPU 21 acquires the current date and time (year / month / day and time) based on the time information timed by the timing device. To do.

  Next, the functional configuration of the hospital server 20 will be described. As shown in FIG. 3, the CPU 21 of the hospital server 20 cooperates with a program stored in the ROM 22 or the storage unit 26 to communicate with the communication control unit 211, the nursing plan providing unit 212, the electronic medical record providing unit 213, and the action history. The recording unit 214 and the behavior analysis unit 215 are realized.

  The communication control unit 211 is a functional unit that controls the communication I / F 27 and transmits / receives data to / from the terminal device 10. Specifically, the communication control unit 211 sets the nurse ID and password set included in the connection information transmitted from the terminal device 10 and each authentication information registered in the authentication repository 261 (a set of nurse ID and password). ) To determine whether there is a match. If they match, the communication control unit 211 determines that the nurse with the nurse ID is an operator of the terminal device 10 and uses a known technique such as a cookie, so that the terminal device 10 that has transmitted the nurse ID Establish a session for. If the connection information does not match any authentication information in the authentication repository 261, the communication control unit 211 determines that the access is unauthorized and rejects the access.

  The nursing plan providing unit 212 is a functional unit that provides a nursing plan to the terminal device 10 in response to a nursing plan reference request transmitted from the terminal device 10. Specifically, the nursing plan providing unit 212 reads out the nursing plan associated with the nurse ID from the nursing plan repository 262 based on the nurse ID of the terminal device 10 that has transmitted the nursing plan reference request, and the communication control unit It transmits to the terminal device 10 via 211. In addition, when a specific date (year / month / day) is specified together with the nursing plan reference request from the terminal device 10, the nursing plan associated with the specified date is read, but the specific date is specified. If not, the nursing plan associated with today's date shall be retrieved.

  When the nursing plan providing unit 212 receives a nursing plan update instruction from the terminal device 10, the nursing plan providing unit 212 updates the nursing plan by reflecting the edited contents in the corresponding work of the nursing plan being provided to the terminal device 10. . Specifically, when the nursing plan providing unit 212 receives an instruction from the terminal device 10 to check “start” or “complete” of a specific work item included in the nursing plan, the nursing plan being provided to the terminal device 10 is received. By adding a check flag to the start column or completion column of the corresponding business item included in the plan, the edited content in the terminal device 10 is reflected.

  The electronic medical record providing unit 213 is a functional unit that provides the electronic medical record to the terminal device 10 in response to an electronic medical record reference request transmitted from the terminal device 10. Specifically, the electronic medical record providing unit 213 reads the electronic medical record associated with the patient ID from the electronic medical record repository 263 based on the patient ID included in the electronic medical record reference request, and the terminal via the communication control unit 211 Transmit to device 10. When receiving an electronic medical record update instruction (edit contents) from the terminal device 10, the electronic medical record providing unit 213 updates the electronic medical record by reflecting the edited contents on the electronic medical record being provided to the terminal device 10. .

  The behavior history recording unit 214 is a functional unit that records the behavior history of each nurse in the behavior history repository 265. Specifically, each time the action plan recording unit 214 adds a check flag to the “start” or “complete” item of each work item included in the nursing plan, the nursing plan providing unit 212 adds the date (year / month). Date) and time as the action date and time, the job item to be added, its editing contents (start / end), and the nurse ID of the terminal device 10 that has instructed this editing are registered in the action history repository 265. .

  In addition, every time the electronic medical record providing unit 213 accepts an electronic medical record reference request, the action history recording unit 214 displays the room number and the bed number of the patient repository 264 corresponding to the patient ID included in the electronic medical record reference request. Acquired as position information of a nurse (nurse ID) who operates the apparatus 10. Then, the action history recording unit 214 sets the date and time when the electronic medical record reference request is received as the action date and registers it in the action history repository 265 in association with the acquired position information and nurse ID.

  The behavior analysis unit 215 analyzes the behavior history registered in the behavior history repository 265 and provides an analysis result in response to the analysis result reference request transmitted from the terminal device 10.

  Specifically, the behavior analysis unit 215 uses the daily behavior history of each nurse (nurse ID) registered in the behavior history repository 265 as an analysis target, and the start time and completion of each task recorded in the behavior history. The execution time of each task is derived from the difference (time interval) from the time. Also, based on a series of location information recorded during the execution time of each business item, the movement route of the business item is derived as a flow line and provided to the terminal device 10 together with detailed information on the business item related to this derivation. To do. The behavior analysis unit 215 calculates the residence time at each position from the time interval of each position information registered in the behavior history, and reflects the calculated residence time on the flow line. Hereinafter, the analysis result of the flow line and the like derived by the behavior analysis unit 215 is referred to as “flow line analysis result”.

  FIG. 9 is a diagram illustrating an example of a flow line analysis result provided by the behavior analysis unit 215. In the figure, the information shown in the upper part is the flow line analysis result when the nurse with the nurse ID: N001 measured the temperature of each patient of the room number (H301) on November 9, 2010, and this work This indicates that the execution time of was 10:03 to 10:26. Further, in the figure, the flow line L is the route traveled by the nurse, and the residence time at each bed position is represented by the size of the point D. It is assumed that a hospital room map M on which the flow line L is superimposed is stored in advance in the storage unit 26 and the like.

  Moreover, it is good also as a form which provides the flow line analysis result of the other date of the same nurse, and the flow line analysis result of another nurse so that comparison is possible. Here, FIG. 10 is a diagram illustrating another example of the flow line analysis result provided by the behavior analysis unit 215. In the same figure, the left figure is the flow line analysis result of the comparison source, and represents the same flow line analysis result as FIG. The figure on the right shows the result of the flow analysis of the comparison destination. The behavior when another nurse (nurse ID: N005) conducted the temperature measurement for the room number (H301) on November 5, 2010. The line analysis results are shown. Thus, in the hospital server 20, it is possible to enlighten nurses on improvement points of business operations and the like by providing the flow line analysis results in a comparable manner.

  Note that the flow line analysis result provided as the comparison destination is not limited to the example of FIG. 10. For example, when the nurse ID of another nurse is designated by the nurse who operates the terminal device 10, From the flow line analysis result of the same work condition (the same room number in the case of FIG. 8) regarding the nurse IDs of the other nurses, it is possible to provide the one closest to the comparison source date. Alternatively, the execution time required to perform the same task as the comparison source may be derived for each nurse, and the flow line analysis result with the shortest or average execution time may be provided as the comparison destination.

  Hereinafter, the operation of the nursing support system 100 will be described with reference to FIGS. First, the authentication process performed between the terminal device 10 and the hospital server 20 will be described with reference to FIG. Here, FIG. 11 is a flowchart showing a procedure of authentication processing performed between the terminal device 10 and the hospital server 20.

  First, in the terminal device 10, when accessing the hospital server 20, the nurse inputs connection information (nurse ID and password) assigned to him / her through the input unit 14. Accordingly, when receiving the connection information input from the input unit 14 (step S11), the communication control unit 111 of the terminal device 10 transmits the connection information to the hospital server 20 (step S12).

  In the hospital server 20, when the communication control unit 211 receives the connection information transmitted from the terminal device 10 (step S21), the communication control unit 211 transmits the connection information and each authentication information registered in the nursing plan repository 262. Are checked (step S22), and it is determined whether or not there is a match (step S23). Here, when it is determined that it does not match any authentication information registered in the nursing plan repository 262 (step S23; No), the communication control unit 211 determines that the access is unauthorized and response information indicating that access is denied. Is transmitted to the terminal device 10 (step S24), and the process is terminated.

  If it is determined in step S23 that there is authentication information that matches the connection information (step S23; Yes), the communication control unit 211 determines that the nurse corresponding to the nurse ID of the authentication information is the terminal device that is the access source. 10 is determined, and response information indicating that access is permitted is transmitted to the terminal device 10 (step S25). In this case, the communication control unit 211 maintains a session with the terminal device 10 and continues the nursing plan providing process (FIG. 12), the electronic medical record providing process (FIG. 13), or the analysis result providing process (FIG. 15). The process is continued to any of the above.

  On the other hand, in the terminal device 10, when the communication control unit 111 receives the response information from the hospital server 20 (step S13), it is determined whether or not this response information permits access (step S14). Here, when it is determined that the response information indicates that access is denied (step S14; No), the communication control unit 111 displays a screen informing that the access is denied on the display unit 15 (step S15). ), The process is terminated.

  If it is determined in step S14 that the response information indicates that access is permitted (step S14; Yes), the communication control unit 111 maintains a session with the in-hospital server 20 and provides a subsequent nursing plan. The process is continued in any of the process (FIG. 12), the electronic medical record provision process (FIG. 13), or the analysis result provision process (FIG. 15).

  In this way, in the authentication process, only authorized nurses registered in the authentication repository 261 are allowed to access the hospital server 20, so that the security of data such as electronic medical records can be ensured.

  Next, with reference to FIG. 12, the operation | movement at the time of referring a nursing plan from the terminal device 10 is demonstrated. Here, FIG. 12 is a flowchart showing the procedure of the nursing plan providing process performed between the terminal device 10 and the hospital server 20. This process is a process that can be executed after access is permitted in the authentication process of FIG.

  First, when the nursing plan reference unit 112 of the terminal device 10 receives an operation content instructing reference of a nursing plan from the input unit 14 (step S31), the nursing plan reference request is generated and transmitted to the hospital server 20 (step S31). Step S32).

  In the hospital server 20, when the communication control unit 211 receives a nursing plan reference request from the terminal device 10 (step S41), the nursing plan providing unit 212 sets the nurse ID of the terminal device 10 that has transmitted the nursing plan reference request. Based on this, the nursing plan associated with the nurse ID is read from the nursing plan repository 262 (step S42). Subsequently, the nursing plan providing unit 212 transmits the nursing plan read in step S42 to the terminal device 10 (step S43).

  In the terminal device 10, when the communication control unit 111 receives the nursing plan (step S33), the nursing plan reference unit 112 displays the nursing plan on the display unit 15 (step S34). Subsequently, the nursing plan reference unit 112 determines whether an editing operation for checking “start” or “complete” is input via the input unit 14 for any of the business items included in the nursing plan. (Step S35). If it is determined that no editing operation is input (step S35; No), the process proceeds to step S37.

  In step S35, when it is determined that an editing operation for checking “start” or “complete” is input for a specific work item (step S35; Yes), the nursing plan reference unit 112 is an object of editing. The business item and the edited content are notified to the hospital server 20 (step S36), and the process proceeds to step S37.

  In subsequent step S37, the nursing plan providing unit 212 determines whether or not an operation content for ending reference to the nursing plan has been input to the input unit 14, and if it is determined that the operation content is not input (step S37; No) ), The process returns to step S35 again. In addition, when an operation to end the nursing plan reference is input via the input unit 14 (step S37; Yes), the nursing plan reference unit 112 notifies the hospital server 20 of the reference end of the nursing plan. (Step S38). Then, the nursing plan providing unit 212 deletes the nursing plan displayed on the display unit 15 (step S39), and ends the process.

  On the other hand, in the hospital server 20, the nursing plan providing unit 212 determines whether or not the task item to be edited and the editing content are notified from the terminal device 10 (step S44). Here, when it determines with not being notified (step S44; No), it transfers to step S47. In step S44, when the notification of the work item to be edited and the editing content is received (step S44; Yes), the nursing plan providing unit 212 selects the work item to be edited from the nursing plan being provided to the terminal device 10. Then, a check flag corresponding to the editing content is added to the start column or completion column of the business item (step S45).

  Subsequently, the action history recording unit 214 displays the task item name and the edited content (start or completion) added by the nursing plan providing unit 212 in step S45, the current date and time (action date and time), and the terminal device 10 The nurse ID is associated and registered in the action history repository 265 (step S46), and the process proceeds to step S47.

  In step S47, the nursing plan providing unit 212 determines whether or not the terminal device 10 has notified the end of the nursing plan reference. If it is determined that the nursing plan has not been notified (step S47; No), the process returns to step S44. . If the end of nursing plan reference is notified (step S47; Yes), the process ends.

  Thus, in the nursing plan providing process, a nursing plan for a nurse who operates the terminal device 10 is provided in response to a request from the terminal device 10. Further, every time “start” or “complete” of the work item included in the nursing plan is instructed, this is recorded in the behavior history repository 265 as a behavior history of the nurse.

  Next, with reference to FIG. 13, an operation when referring to the electronic medical record from the terminal device 10 will be described. Here, FIG. 13 is a flowchart showing the procedure of the electronic medical record provision process performed between the terminal device 10 and the hospital server 20. This process is a process that can be executed after access is permitted in the authentication process of FIG.

  First, when the electronic medical chart reference unit 113 of the terminal device 10 receives an operation content instructing to refer to the electronic medical record for a specific patient ID from the input unit 14 (step S51), the electronic medical chart reference request including the patient ID is received. Is transmitted to the in-hospital server 20 (step S52).

  In the hospital server 20, when the communication control unit 211 receives the electronic medical record reference request from the terminal device 10 (step S61), the electronic medical record providing unit 213 determines the patient based on the patient ID included in the electronic medical record reference request. The electronic medical record associated with the ID is read from the electronic medical record repository 263 (step S62). Subsequently, the electronic medical record providing unit 213 transmits the electronic medical record read in step S62 to the terminal device 10 (step S63).

  Subsequently, based on the patient ID included in the electronic medical record reference request received in step S61, the action history recording unit 214 operates the terminal device 10 with the room number and bed number of the patient repository 264 associated with the patient ID. It acquires as position information of the nurse who performs (step S64). Subsequently, the action history recording unit 214 registers the nurse ID of the terminal device 10 that provided the electronic medical record in the action history repository 265 in association with the current date (action date) and the position information acquired in step S64. (Step S65).

  In the terminal device 10, when the communication control unit 111 receives the electronic medical record (step S53), the electronic medical record reference unit 113 displays the electronic medical record on the display unit 15 (step S54). Subsequently, the electronic medical record reference unit 113 determines whether an editing operation for any item included in the electronic medical record has been input via the input unit 14 (step S55). If it is determined that no editing operation is input (step S55; No), the process proceeds to step S57.

  If it is determined in step S55 that an editing operation has been input for a specific item (step S55; Yes), the electronic medical record reference unit 113 displays the name of the item to be edited and the edited content in the hospital. The server 20 is notified (step S56), and the process proceeds to step S57.

  In subsequent step S57, the electronic medical record providing unit 213 determines whether or not an operation content for ending reference to the electronic medical record is input to the input unit 14, and when it is determined that the operation content is not input (step S57; No) ), The process returns to step S55. In addition, when an operation for ending reference to the electronic medical record is input via the input unit 14 (step S57; Yes), the electronic medical record reference unit 113 notifies the hospital server 20 of the reference end of the electronic medical record. (Step S58). Then, the nursing plan providing unit 212 deletes the electronic medical record displayed on the display unit 15 (step S59), and ends the process.

  On the other hand, in the hospital server 20, the electronic medical record providing unit 213 determines whether the item name to be edited and the editing content are notified from the terminal device 10 (step S66). Here, when it determines with not being notified (step S66; No), it transfers to step S68. In step S66, when the notification of the item name to be edited and the editing content is received (step S66; Yes), the electronic medical record providing unit 213 identifies the item to be edited from the electronic medical record being provided to the terminal device 10. Then, editing according to the editing content is performed (step S67).

  Subsequently, the electronic medical record providing unit 213 determines whether or not the terminal device 10 is notified of the end of reference to the electronic medical record, and when it is determined that the electronic medical record is not notified (step S68; No), the process returns to step S66 again. Further, when the end of the reference of the electronic chart is notified (step S68; Yes), the process is ended.

  As described above, in the electronic medical record providing process, the electronic medical record of the designated patient ID is provided to the terminal device 10 in response to a request from the terminal device 10. In addition, each time an electronic medical record reference is instructed, the patient's room and bed position of the electronic medical record are acquired as position information of the nurse who operates the terminal device 10, and the action history repository 265 is used as the nurse's action history. To record. Accordingly, it is possible to specify the movement path of each nurse in the hospital room with a simple configuration without separately providing a position detection system in the entire hospital H or in each hospital room.

  Next, with reference to FIG. 14, a behavior analysis process executed by the behavior analysis unit 215 of the hospital server 20 will be described. Here, FIG. 14 is a flowchart showing a procedure of behavior analysis processing executed by the hospital server 20 (behavior analysis unit 215). The timing for executing this process is not particularly limited. For example, the process may be executed once a day for the behavior history of each nurse on the previous day, or an analysis request from the terminal device 10 may be used. It is good also as a form performed according to each.

  First, the behavior analysis unit 215 of the hospital server 20 refers to the behavior history repository 265 and selects one nurse ID to be analyzed (step S71). For example, when a specific nurse ID is specified from the terminal device 10, the behavior analysis unit 215 sets the specified nurse ID as an analysis target.

  Subsequently, the behavior analysis unit 215 extracts the behavior history of the date to be analyzed from the daily behavior history associated with the nurse ID selected in Step S71 (Step S72). For example, when a specific date is designated from the terminal device 10, the behavior analysis unit 215 sets the behavior history of the designated date as an analysis target.

  Subsequently, the behavior analysis unit 215 derives a flow line by tracing the position information included in the behavior history to be analyzed in chronological order (step S73). Next, the behavior analysis unit 215 calculates the work time required to perform each business item from the difference between the start time and the completion time of each business item included in the behavior history (step S74). Subsequently, when the behavior analysis unit 215 identifies position information within the work time of each business item, that is, a series of position information recorded between the start time and the completion time of each business item, The derived flow line is managed in association with the business item (step S75). Note that the processing (analysis) results in step S73 to step S75 are stored in a predetermined area of the storage unit 26 in association with the corresponding action history in the action history repository 265.

  Subsequently, the behavior analysis unit 215 determines whether or not another date needs to be analyzed (step S76). Here, when it is necessary to analyze another date (step S76; Yes), the process returns to step S72, and the other date is set as an analysis target. For example, when an analysis result for a plurality of days is requested from the terminal device 10 or when the analysis is continuously performed for each day, the behavior analysis unit 215 sets an unprocessed date as an analysis target. Returning to S72 again, this unprocessed date is set as an analysis target.

  If it is determined in step S76 that it is not necessary to set another date as an analysis target (step S76; No), the behavior analysis unit 215 determines whether or not another nurse ID needs to be set as an analysis target. Is determined (step S77). If it is necessary to analyze another nurse ID (step S77; Yes), the process returns to step S71 again, and the other nurse ID is set as an analysis target. For example, when the terminal device 10 requests analysis results of a plurality of nurse IDs, the behavior analysis unit 215 returns to the step S71 again to analyze unprocessed nurse IDs. The nurse ID of the process is set as an analysis target.

  If it is determined in step S77 that it is not necessary to analyze another nurse ID (step S77; No), the behavior analysis unit 215 ends this process.

  In this way, in the behavior analysis process, a flow line is derived from the position information recorded between the start time and completion time of each work item. It becomes possible to specify.

  Next, with reference to FIG. 15, an operation when referring to the analysis result from the terminal device 10 will be described. Here, FIG. 15 is a flowchart showing a procedure of an analysis result providing process performed between the terminal device 10 and the hospital server 20. This process is a process that can be executed after access is permitted in the authentication process of FIG.

  When the analysis result reference unit 114 of the terminal device 10 receives the operation content for instructing the reference of the analysis result from the input unit 14 (step S81), based on the operation content, specific items (specific date or An analysis result reference request including business items and the like is generated and transmitted to the hospital server 20 (step S82).

  On the other hand, in the hospital server 20, when the communication control unit 211 receives the analysis result reference request from the terminal device 10 (step S91), the behavior analysis unit 215, based on the specific items included in the analysis result reference request, The analysis result corresponding to the specific item is transmitted to the terminal device 10 (step S92).

  Here, when the electronic medical record providing unit 213 receives the analysis result reference request, the electronic medical record providing unit 213 executes the behavior analysis process described above based on the specific matter included in the analysis result reference request, and the analysis result is displayed in step S92. It is good also as a form which transmits. In addition, when the behavior analysis process has already been completed for the specific item included in the analysis result reference request, the behavior analysis result stored in association with the specific item is read and transmitted to the terminal device 10. Also good.

  In the terminal device 10, when the communication control unit 111 receives the behavior analysis result (step S83), the analysis result reference unit 114 displays a screen (see FIGS. 9 and 10) corresponding to the behavior analysis result on the display unit 15. (Step S84), the process is terminated.

Thus, according to the analysis result providing process, each nurse can grasp his / her own flow line by providing the terminal device 10 with an analysis result (flow line analysis result) of conditions desired by the nurse. As a result, it is possible to educate nurses about improvements in work operation and work efficiency in performing specific nursing work.

  The embodiment of the present invention has been described above, but the present invention is not limited to this, and various modifications, substitutions, additions, and the like are possible without departing from the spirit of the present invention.

  For example, in the above embodiment, the position information is acquired only in the hospital room in the hospital H. However, the present invention is not limited thereto, and the position information of each nurse may be acquired in the entire hospital H. As specific configurations for realizing this form, for example, there are the following two forms.

  In the first mode, each terminal device 10 side acquires the position of its own device in the hospital H as position information, and the position information acquired by each terminal device 10 on the hospital server 20 side is the acquisition date and time. The association is registered in the action history repository 265. More specifically, a position detection function (position detection unit) for detecting the presence position of its own device in the hospital H is added to each terminal device 10, and the detected presence position is added to this position detection unit as position information. To the server 20 in the hospital. In the hospital server 20, the existing behavior history recording unit 214 registers the location information received from the terminal device 10 in the behavior history repository 265 in association with the nurse ID of the terminal device 10 and the current date and time.

  The method for detecting the location of the terminal device 10 is not particularly limited. For example, when a PHS or wireless LAN is used for connection to the LAN 31, the radio wave intensity with each access point provided in the hospital H is used. A known technique for specifying the position may be used.

  In the second embodiment, the position detection system provided in the hospital H is used to acquire the position of each terminal apparatus 10 as position information, and the position information of each terminal apparatus 10 is associated with the acquisition date and time in the hospital. Register in the action history repository 265 of the internal server 20. More specifically, a detection unit capable of detecting the nurse ID of each nurse is installed at each important point in the hospital H. In the hospital server 20, when the nurse ID is detected by each detection unit, the existing action history recording unit 214 acquires the installation position of the detection unit as the position information of the detected nurse ID, It registers with the action history repository 265 in association with the current date and time.

  The method of detecting the nurse ID is not particularly limited. For example, a non-contact tag (IC tag) storing the nurse ID is embedded in each nurse's footwear (slippers, etc.), The nurse ID of each nurse can be detected by arranging the tag reader as a detector on the floor of the place.

  In addition, the program executed by each device of the above embodiment is provided by being incorporated in advance in a storage medium (ROM or storage unit) included in each device, but is not limited thereto, and can be installed in a form or executable. Various types of files may be recorded and provided on a computer-readable recording medium such as a CD-ROM, a flexible disk (FD), a CD-R, or a DVD (Digital Versatile Disk). Furthermore, the storage medium is not limited to a medium independent of a computer or an embedded system, but also includes a storage medium in which a program transmitted via a LAN, the Internet, or the like is downloaded and stored or temporarily stored.

  Further, the program executed by each device of the above embodiment may be stored on a computer connected to a network such as the Internet and provided by being downloaded via the network, or via a network such as the Internet. It may be configured to be provided or distributed.

100 Nursing Support System 10 Terminal Device 11 CPU
111 Communication control unit 112 Nursing plan reference unit 113 Electronic medical record reference unit 114 Analysis result reference unit 12 ROM
13 RAM
14 Input unit 15 Display unit 16 Storage unit 17 Communication I / F
20 Hospital server 21 CPU
211 Communication Control Unit 212 Nursing Plan Providing Unit 213 Electronic Medical Record Providing Unit 214 Behavior History Recording Unit 215 Behavior Analyzing Unit 22 ROM
23 RAM
24 Input unit 25 Display unit 26 Storage unit 261 Authentication repository 262 Nursing plan repository 263 Electronic medical record repository 264 Patient repository 265 Action history repository 27 Communication I / F

JP 2002-31471 A

Claims (4)

A nursing support system comprising a terminal device carried by a nurse and a server device capable of communicating with the terminal device,
The terminal device includes an input unit that receives an operation input of the nurse, and a notification unit that notifies the server device of the start / completion of each nursing work performed by the nurse according to the operation content received by the input unit. When,
Have
The server device receives the notification of start / completion of the nursing work from the terminal device, and acquires the location of the terminal device in a hospital room as position information of a nurse carrying the terminal device. Based on a series of position information acquired by the position acquisition unit between the time when the position acquisition unit and the reception unit receive the start of the nursing service until the completion of the nursing service is received. About behavior analysis means that calculates the time interval as the residence time at each location and derives a flow line by connecting points indicating each location expressed in magnitude according to the residence time in time series , and multiple nurses A nursing support system , comprising: information providing means for providing a flow line derived from the same type of nursing work performed in the same hospital room to the terminal device in a comparable state . Wherein the information providing means includes a flow line in which the behavior analysis unit derived and the information showing the contents of nursing business pertaining to the derivation of the flow line, to claim 1, characterized in that it provides to the terminal device The nursing support system described. The server device further includes a nursing plan providing means for providing the terminal device with a list of nursing tasks determined to be performed by the nurse for each nurse,
The terminal device further includes a nursing plan display means for displaying a list of nursing services provided from the server device in a selectable manner,
The nursing support system according to claim 1 or 2, wherein the input unit of the terminal device accepts a start or completion instruction for a specific nursing service selected from the list of nursing services. The position acquisition means refers to a repository that associates patient identification information for identifying an inpatient in the hospital and a bed position of the inpatient, and determines a bed position corresponding to the patient identification information transmitted from the terminal device. The nursing support system according to any one of claims 1 to 3, wherein the nursing support system is acquired as position information of a nurse carrying the terminal device.

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