JP5758615B2 - Continuous display medical information display system - Google Patents

Description

  BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an always-display medical information display system, and more particularly, to an always-display medical information display system that always displays on a bedside display device medical information that is required to be referred to at any time on the bedside of a patient About.

  Patients admitted to medical institutions such as hospitals may be subject to various conditions and restrictions regarding movement, posture, excretion, meals, etc., depending on the type of disease, medical condition, and freedom of limbs. . These conditions or restrictions are important medical information that may have a serious impact on patients if they are not observed. In addition to patients themselves, medical staff such as doctors and nurses, families, and visits It is medical information that needs to be referred to from time to time for all persons in contact with patients, such as people. However, there has been no efficient system for displaying these important medical information on the patient bedside.

  For example, as the simplest method, it has been proposed that the above-mentioned conditions or restrictions are made into pictograms, and these are detachably attached to a patient's bedside by means such as a magnet. However, this method requires a great deal of labor for attaching and managing the pictogram on the bedside. In other words, the work of attaching pictograms to the bedside of each patient must be performed up to the bedside, and confirmation of what kind of pictogram is attached to the bedside of each patient. However, since it can not be done without going to the bedside, it is necessary for medical staff to actually go to the bedside of each patient to attach and manage pictograms, which is very important for medical staff such as nurses It is a burden.

  In addition, for example, when a doctor instructs a specific patient to set or change a new condition or restriction, or when the patient moves a hospital room or bed, the medical staff actually It is necessary to go to the side and attach a new pictogram or change to a new one. However, these operations require a great deal of labor and time, and if they are postponed for reasons of busyness, there is a risk of forgetting to attach a pictogram or forgetting to change. Furthermore, in the method of removably attaching a pictogram corresponding to conditions or restrictions to the bedside with a means such as a magnet, the pasted pictogram may be peeled off or replaced with another patient's pictogram due to some elasticity. There is no possibility of doing it, and there is a drawback that it is not reliable as medical information.

  On the other hand, conventionally, as a system for referring to necessary medical information on the bedside of a patient, for example, as seen in Patent Documents 1 and 2, bedside medical care using a bedside terminal installed on the patient's bedside Information systems have been proposed. These bedside medical information systems connect a bedside terminal installed at the bedside of a patient and a medical information system built in a medical institution via a network so that medical staff such as doctors and nurses can connect It is a system that can refer to and input necessary medical information at the bedside of a patient.

  However, since most medical information stored in the medical information system of a medical institution is usually information that is deeply related to the privacy of the individual patient, medical staff such as doctors and nurses can receive the patient's information via the bedside terminal. When accessing medical information, in addition to entering an ID number, it is mandatory to enter authentication information, etc. Conditions and restrictions on movement, posture, excretion, meals, etc. imposed on patients It takes too much time and time to refer to the medical information about, and it is inconvenient that it cannot be seen immediately when you want to see it. In addition, since family members and visitors are not usually given ID numbers or authentication information, even in medical institutions where bedside medical information systems are introduced, the above-mentioned conditions for patients concerned The restriction cannot be referred to as appropriate at the bedside, and there is a disadvantage that it is impossible to know what conditions or restrictions are imposed on the patient.

  In addition, existing bedside medical information systems usually allow television and video viewing on bedside terminals to improve patient amenities, and many hospitalized patients have a predetermined time. Apart from the doctor's rounds, other times, people often watch television or video on the bedside terminal display device, and if a medical staff such as a doctor or nurse visits the patient at the bedside terminal. When referring to the imposed conditions or restrictions, there is an inconvenience that the patient must temporarily stop watching TV or video. Watching TV and video on a bedside terminal is usually charged, so it is not necessary to stop watching TV or video to see the above conditions or restrictions at any time, regardless of rounds or emergencies. The psychological burden on the medical staff is very difficult.

JP-A-10-323332 JP 2000-285181 A

  The present invention has been made to solve the above-mentioned problems and inconveniences. Anyone can always set the conditions or restrictions on movement, posture, excretion, meals, etc. imposed on each patient. An always-display type medical information display system that can be referred to at the bedside and can be easily managed to add, change, and delete conditions or restrictions that can always be referenced at the bedside; and It is an object to provide a program for realizing such a system.

  As a result of intensive studies to solve the above problems, the present inventors have found that the conditions or restrictions on movement, posture, excretion, meals, etc. imposed on each patient are relatively medical information. Focusing on low privacy, this medical information is always displayed on a display device placed on the patient's bedside, and the correspondence between each patient and the conditions or restrictions imposed on each patient By managing the relationship collectively with a management terminal located at a nurse center, etc., everyone including family members and visitors, including medical staff, always refers to the conditions or restrictions imposed on the patient at the bedside. In addition, the present invention has been completed by finding that management of change, deletion, addition, etc. of the above-mentioned conditions or restrictions can be easily and efficiently performed.

  That is, the present invention is connected to at least one bedside display device disposed on the bedside of a patient, a display terminal connected to the bedside display device, and the display terminal via a network. A medical information display system comprising a management terminal and a storage device connected to the management terminal; the display terminal recognizes a user ID number and the recognized ID number to the management terminal Means for transmitting, means for receiving medical information transmitted from the management terminal, and means for displaying the received medical information on the bedside display device; the storage device provides medical care for a patient to be managed Information is stored; the management terminal is configured to receive an ID number transmitted from the display terminal and a patient corresponding to the received ID number. Continuous display comprising means for selecting medical information of items that can be displayed at all times from medical information stored in the storage device, and means for transmitting the selected medical information to the display terminal The above-mentioned problems are solved by providing a type medical information display system. Moreover, this invention solves said subject by providing the program which makes a computer implement | achieve the always-display type medical information display system of this invention.

  In a preferred aspect of the always-display medical information display system of the present invention, the storage device stores a correspondence table associating each item of medical information stored with whether or not display is always possible. The management terminal has means for displaying the correspondence table stored in the storage device on its display device, means for changing the displayed correspondence table based on an input from the outside, and changed correspondence Means for storing the table in the storage device together with the change history is provided. When the constantly displaying medical information display system of the present invention includes such means, the operator of the management terminal always displays which item of medical information among the medical information stored in the storage device. It is possible to appropriately set and change whether to display on the bedside display device as possible.

  Moreover, in the preferable one aspect | mode of the always-display type medical information display system of this invention, the said management terminal is always from the medical information which the said memory | storage device has memorize | stored about the 1 or several patient made into management object. A means for selecting medical information of items that can be displayed and displaying it on its own display device, a means for changing the displayed medical information based on an external input, and a change history of the changed medical information In addition, there is provided means for storing in the storage device. When the always-display medical information display system of the present invention includes such means, the operator of the management terminal appropriately stores the medical information of items stored in the storage device that can be always displayed. Can be changed, deleted, added. Changes, deletions, and additions of medical information for items that can be displayed at all times are set by appropriate access rights, and are performed only by medical staff such as doctors and nurses via a display terminal. be able to.

  Furthermore, in a preferable aspect of the always-display medical information display system of the present invention, the storage device has an area for storing a message addressed to a patient to be managed or a related party; However, when the ID number of the user is received from the display terminal, means for confirming the presence or absence of a message addressed to the patient or the related person corresponding to the received ID number, and if there is a message, there is a message And a means for transmitting the message stored in the storage device to the display terminal when receiving a message disclosure request from the display terminal; The terminal has means for receiving message presence information from the management terminal, means for displaying the received message presence information on the bedside display device, means for receiving input of a message disclosure request, and input It means for transmitting a message disclosure request to the management terminal receives a message from the management terminal comprises means for displaying the message on the bedside display. When the always-display medical information display system of the present invention is equipped with such means, a message addressed to the patient and his / her family is transmitted to the addressee via the display terminal and the bedside display device. This is convenient.

  Also, in a preferable aspect of the always-display medical information display system of the present invention, the display terminal transmits a power ON signal to the management terminal when the display terminal is powered on. And a means for receiving a standard screen from the management terminal; and a means for displaying the received standard screen on a bedside display device; the storage device stores the standard screen; Means for receiving a power ON signal from the display terminal and means for transmitting the standard screen to the display terminal when receiving a power ON signal from the display device. When the always-display medical information display system of the present invention is provided with such means, for example, the current date and time, calendar, headline news, notification from the medical institution, meal menu, etc. Information can be displayed on the bedside display device as a standard screen.

  In the always-display medical information display system of the present invention, the medical information that is always displayed on the bedside display device is any medical information as long as the privacy is low and the consent of the patient or the person concerned can be obtained. Although it may be present and is not limited to specific medical information, typically, for example, conditions and restrictions imposed on patient movement, posture, excretion, meals, drinks, and the like can be given. These conditions and restrictions are important medical information not only for the patient and the medical staff but also for family members, related persons, and visitors who are in contact with the patient. It is desirable to be able to. In addition, for example, precautions for medical staff such as “Prohibition of right upper limb treatment”, presence / absence and type of allergies and infections, and individual patients who can be obtained by conducting a survey called fall / fall assessment for each patient. Information that indicates the risk of falling and falling with numerical values or symbols, measurement information from a bed sensor, etc. can be included. It is desirable that all or a part of the medical information is pictogramed so that the meaning can be understood at a glance.

  In the always-display medical information display system of the present invention, the bedside display device and the display terminal may be integrated or may be separate. When the bedside display device and the display terminal are separate, the bedside terminal of an existing bedside medical information system may be used as the display terminal. Further, as the bedside display device, for example, an image display device having its own mail address may be used. In this case, the management terminal directly or through the display terminal sends the mail address of the image display device. To send medical information to be displayed at all times. Incidentally, the correspondence between the image display device, that is, the mail address and the patient can be stored in the storage device in advance when a specific image display device is assigned to the patient at the time of hospitalization, for example. Even when a patient moves in a hospital room or bed, the necessary medical information can always be transmitted to the image display device of the corresponding patient by moving with the image display device.

  The bedside display device in the always-display medical information display system of the present invention is effective when installed on the bedside in a medical institution such as a hospital or a nursing facility, as well as the patient's in the field of home medical care or home care. It is effective even when installed on the bedside.

  According to the always-display medical information display system of the present invention, it is possible to always accurately display on the bedside the conditions or restrictions imposed on each patient, for example, movement, posture, excretion, meals, etc. Not only medical staff but also family members and visitors can know the various conditions and restrictions on the patient accurately at any time, and the advantage is that appropriate measures can be taken. In addition, according to the always-display medical information display system of the present invention, the management terminal can efficiently and easily change, delete, and add medical information such as various conditions and restrictions displayed on the bedside display device. In addition, when a patient moves in a hospital room or bed, the patient's ID number is always recognized on the patient's bedside by recognizing the patient's ID number on the display terminal that has moved. Therefore, it is possible to reduce the burden on the medical staff and to provide an efficient medical or nursing service.

It is a conceptual diagram which shows the whole structure of an example of the always-display type medical information display system of this invention. It is a figure which shows an example of the standard screen displayed with a bedside display apparatus. It is a figure which shows an example of the medical information displayed with a bedside display apparatus. It is a figure which shows an example of the message list displayed with a bedside display apparatus. It is a figure which shows an example of the message displayed with a bedside display apparatus. It is an example of the correspondence table | surface which shows the correspondence of the item of medical information, and the possibility of a continuous display. It is a figure which shows an example of the list | wrist matched with the pictogram of the medical information of the item made possible always display, and a patient name. It is a conceptual diagram which shows the whole structure of another example of the continuous display type medical information display system of this invention.

  EXAMPLES Hereinafter, although this invention is explained in full detail based on an Example, it cannot be overemphasized that this invention is not restricted to the thing of an Example.

<System configuration>
FIG. 1 is a conceptual diagram showing the overall configuration of an example of a constantly displaying medical information display system of the present invention. In FIG. 1, reference numeral 1 denotes an always-display medical information display system of the present invention. The always-display medical information display system 1 of the present invention includes bedside display devices 2 ₁ , 2 ₂ disposed on each bedside, The display terminals 3 ₁ , 3 ₂ connected to the bedside display devices 2 ₁ , 2 ₂ , the management terminal 4 connected to the display terminals 3 ₁ , 3 ₂ via the network N, and the management terminal 4, respectively. And a storage device 5 connected via a network N. In this example, the storage device 5 is connected to the management terminal 4 via the network N, but the storage device 5 may be directly connected to the management terminal 4.

6 ₁ and 6 ₂ are beds, and M ₁ and M ₂ are patients. FIG. 1 shows only two beds 6 ₁ , 6 ₂ and two bedside display devices 2 ₁ , 2 ₂ and display terminals 3 ₁ , 3 ₂ arranged in each of them. However, the number of bedside display devices 2 ₁ , 2 ₂ and display terminals 3 ₁ , 3 ₂ varies depending on the number of beds 6 ₁ , 6 _2. Needless to say, it may be. Further, the display terminal ₃ 1, _{3 2} in the example of FIG. 1, bedside display device ₂ 1, _{2 2} are disposed beside the likewise bed _{6 1} or _{6 2,} the display terminal ₃ 1, 3 ₂ necessarily may not be arranged in bedside bed 6 ₁ or 6 _2, may be located remotely and bed 6 ₁ or 6 _2.

Reference numerals 7 ₁ and 7 ₂ denote non-contact IC card reader / writers, and 8 ₁ and 8 ₂ denote IC cards. The non-contact IC card reader / writers 7 ₁ and 7 ₂ are connected to the display terminals 3 ₁ and 3 ₂ , respectively, and function as means for recognizing the user ID number. One IC card 8 ₁ , 8 ₂ is assigned to each of the patients M ₁ , M ₂ , and usually has a unique number for each card, so that the IC cards 8 ₁ , 8 ₂ . Each unique number can be used as an ID number of patients M ₁ , M ₂ . Instead of the contactless IC card reader writer _{71, 7 2,} a bar code reader and reading the 1-dimensional or 2-dimensional bar code attached to the patient _M 1, arm of _{M 2,} etc., the patient _M 1, _{M 2} A biometric information reader that reads the biometric information may be used as a means for recognizing the user ID number.

  The storage device 5 usually has a list of patients to be managed and patient information about the patients, for example, patient number, name, date of birth, age, gender, address, emergency contact, insurance number, Medical departments, disease names, physicians in charge, nurses in charge, assistants in charge, IC card unique numbers, passwords, biometric authentication information, etc. are memorized, and medical records are electronically stored as medical information Has been. The contents of this electronic chart include the conditions and restrictions on movement, posture, excretion, meals, drinks, etc. imposed on each patient, such as “prohibition of right upper limb treatment” and “prohibition of left upper limb treatment”. Precautions for medical staff, such as the presence and type of allergies and infections, the risk of falls for individual patients obtained by the fall assessment, measurement information from the bed sensor, etc. are included. Further, the storage device 5 includes a correspondence table that associates each item of medical information stored with whether or not display is always possible, information about pictograms that depict various conditions, restrictions, precautions, etc., and a standard screen. In addition, there is an area for storing a message addressed to a patient to be managed or a related person. When an existing hospital information system server exists on the network N, a part or all of the storage device of the system server may be used as the storage device 5. The storage device 5 may be a single storage device as an object, or may be two or more storage devices distributed on the network N.

Hereinafter will be described a constant display type operation of the medical information display system 1 of the present invention, the bedside display device 2 ₁ installed in bedside bed ₆₁ as an example. First, nurses who are bedside patient M ₁ or the patient M ₁ is, when the ON the power of the display terminal 3 _1, display terminal 3 _1, the power ON signal indicating that the power is turned ON Is transmitted to the management terminal 4 via the network N. The management terminal 4 receives the power ON signal from the display terminal 3 _1, transmits the standard screen in the storage unit 5 are stored in the display terminal 3 _1.

Display terminal 3 ₁ receives the standard screen transmitted from the management terminal 4, and displays the standard screen bedside display device 2 ₁ is connected. An example of a standard screen displayed on the bedside display device 2 ₁ shown in Fig.

  As shown in FIG. 2, the standard screen includes, for example, general information such as a notification from the medical institution and a menu of meals in addition to the date, current time, and calendar of the day. Note that the standard screen in FIG. 2 is merely an example, and information other than that shown in FIG. 2 may be displayed on the standard screen as appropriate. Such information includes, for example, headline news and weather forecasts for the day. What kind of information is displayed as the standard screen may be set by an appropriate person in charge via the management terminal 4 or other appropriate terminals.

Next, nurses who are bedside patient _{M 1} or the patient _{M 1} is an IC card _{8 1} patient _{M 1,} when placed on the non-contact IC card reader-writer _71, the non-contact IC card reader-writer 7 ₁ reads recognizes the card-specific ID stored in the IC card ₈₁ as the ID number of the patient M _1, the display terminal 3 _1, the management terminal ID numbers contactless IC card reader-writer ₇₁ has read 4 to send. By the way, as the ID number of the patient _{M 1,} rather than the unique number of the IC card _{8 1,} it may be a separate ID number, which was stored in the IC card _{8 1.}

The management terminal 4 receives it receives the transmission of the ID number from the display terminal 3 _1, against the storage device 5 of the data, to check whether patients received ID number exists. If not, the management terminal 4 transmits an error message to the display terminal 3 _1. When the patient corresponding to the received ID number exists as the patient M ₁ , the management terminal 4 stores the patient M _{1 in the} storage device 5 together with the basic information about the patient M ₁ such as the name. among medical information, select the medical information item is always displayed friendly transmitted to display terminal 3 _1. At the same time the management terminal 4 searches the message storage area provided in the storage device 5, checks for message addressed to the patient M ₁ or its personnel, displays the message presence information if there is a message to send to use the terminal _{3 1.} If in the absence message, the management terminal 4 transmits a message without information on the display terminal 3 _1.

From the management terminal 4, display terminal 3 ₁ which receives the transmission of information about the health information and whether the message always displayable and item for a patient M ₁ receives these, connected bedside displayed on the display device _{2 1.} An example of the display screen is shown in FIG.

As shown in FIG. 3, disappears calendar part of the standard screen shown in FIG. 2, instead, ward numbers patient M _1, hospital room number, ID number, name, together with the basic information, such as doctor, medical information as conditions with respect to the movement imposed on the patient M ₁ is 2, 1 restrictions on the attitude, and limitations 1 dietary, are respectively displayed on the bedside display unit 2 ₁ a pictogram. From the display by such a pictogram, the patient M _1, it is in relation to the movement it is necessary to "cane" or "wheelchair", "Do not cause the back of the bed 60 degrees or more" for the attitude that, also with respect to meal Can understand that "night meals are prohibited".

Furthermore, “B” is displayed in the center of FIG. 3 as a symbol indicating the risk of falling. The risk of falls is, for example, information that can be obtained by conducting a survey called a fall and fall assessment that examines the degree of freedom and ability of the patient's limbs for each patient. For example, “A” is a low risk level, “B” is a high risk level, and “C” is a high risk level information. By attaching numbers to the symbols A, B, and C, it is also possible to further subdivide the risk of each rank. Information about risk of such tipping falling, as medical information, when by displaying on the bedside display device 2 ₁ with various conditions and limitations described above, for example, the patient M ₁ is about to descend from the bed, medical staff and family members are in the buckwheat, stakeholders, such as meeting people, overturning of the patient M _1, to know the risk of falling, it is possible to take appropriate auxiliary and support.

  In addition, information about getting out of bed is displayed under the risk of falling. The information about the prediction of getting out of bed means, for example, that the patient is getting out of bed detected by a strain sensor attached to the bed frame as disclosed in Japanese Patent Application Laid-Open No. 2009-118935, that is, the patient is about to get off the bed. In the example of FIG. 3, the time when such a bed prediction signal is issued and the elapsed time from that time to the present are displayed.

Further, in the upper part of FIG. 3, a message “There is a message” is displayed based on the message presence information transmitted from the management terminal 4, so that a message is displayed on the bedside of the patient M ₁ and the patient M _1. Who are present can know that there is some message.

As described above, according to the constant display medical information display system 1 of the present invention, by placing on the non-contact IC card reader-writer _71, which is installed IC card 8 ₁ patient M ₁ bedside patient M only to recognize the _first ID number to the display terminal 3 _1, the bedside display device 2 _1, because the medical information that is always displayed friendly for patients M ₁ is displayed, such as input of a password It does not require an authentication operation and is extremely convenient.

The non-contact IC card reader-writer ₇₁ has transmitted the IC card ₈₁ of the unique number that is placed on the reading in advance a predetermined time interval which is determined, it to the display terminal 3 _1, display terminal 3 _1, between the non-contact IC card reader-writer ₇₁ with the transmission of periodically ID numbers, medical information is always displayed friendly for patients M ₁ bedside display device 2 ₁ indicate. And the like if IC card ₈₁ is removed from on the non-contact IC card reader-writer _71, when the transmission of the ID number from the non-contact IC card reader-writer ₇₁ is interrupted more than a predetermined time, the display terminal 3 _1, stop to receive the medical information that is always displayed friendly for patients M ₁ bedside display device 2 _1, and displays the original standard screen bedside display device 2 _1.

When the recognition means of the ID number patient M ₁ in the display terminal 3 _1, the non-contact IC card reader-writer 7 instead of ₁ as described above, for example, a bar code attached to the wrist of a patient M _1, etc., the display use the terminal 3 _1, via the screen of the bedside display device 2 _1, or via an appropriate input device connected to the display terminal 3 _1, the display until a stop instruction is inputted, the read to view the medical information that is always displayed allowed for the patient M ₁ corresponding to the ID number to the bedside display device 2 _1.

To view the message, click on the “I have a message” section on the screen of FIG. 3 or touch it with a finger. When the patient M ₁ or its officials, to touch or finger to click the location of the "there is a message" on the screen shown in FIG. 3, the signal is a message disclosure requirements, the management terminal from the display terminal 3 ₁ 4 is transmitted. The management terminal 4 receives the message disclosure request from the display terminal 3 _1, transmits a message for a patient M ₁ in the storage device 5 is stored in the display terminal 3 _1. At the same time, the management terminal 4, marks the "sent" to the message that is sent to the display terminal 3 _1, is stored in the storage device 5 as the past message. On the other hand, the display terminal 3 _1, when the management terminal 4 to receive a message for a patient M _1, for example, as shown in FIG. 4, first a message creation date and its title only bedside display device 2 ₁ In addition, the message “Please select a message” is displayed.

Patients M ₁ or its officials, on the screen of FIG. 4, for example, when touched by the finger to click on the title location of the called "Genki?", For example, as shown in FIG. 5, message titled "Genki?" The contents of are displayed. When you have read this message and no longer need it, click on “Delete” or touch it with your finger, then click on the “OK” on the right or touch it with your finger. What is necessary is just to delete the said message.

FIG. 6 is a diagram illustrating an example of a correspondence table that associates each item of medical information stored in the storage device 5 with whether or not display is always possible. In the example shown in FIG. 6, among the displayed items, the “disease name”, “presence / absence of infectious disease”, “CT test result”, and “MRI test result” items correspond to “non-display”. The “Condition and restriction”, “Falling / falling risk”, and “Get out of bed prediction” items are associated with “Yes” indicating whether or not display is always possible. In this state, for example, from the display terminal 3 _1, the ID number of the patient M ₁ is transmitted, the management terminal 4, from the patient medical information M ₁ in the storage device 5 is stored, the corresponding items that are always displayed "Yes" in the table, i.e., "conditions and limitations", transmits "fall falling risk" and "mobilization prediction" item and select the medical information on the display terminal 3 ₁ of. At this time, if it contains pictogram on if the medical information of each item, the management terminal 4 transmits the pictogram even together to the display terminal 3 _1. When medical information about the patient M ₁ containing a pictogram display terminal 3 ₁ from the management terminal 4 is transmitted, the display terminal 3 ₁ receives it, above it to be displayed on the bedside display device 2 ₁ Just as you did.

  The correspondence between each item of medical information stored in the storage device 5 and whether or not it can be displayed at all times can be changed as follows. That is, the operator of the management terminal 4 reads out a correspondence table as shown in FIG. 6 from the storage device 5 when necessary and displays it on the display device of the management terminal 4 via an appropriate input means such as a display screen or a keyboard. Thus, the correspondence table shown in FIG. 6 may be appropriately changed on the screen. For example, in FIG. 6, the “Predicted bed” item has the “Yes” square highlighted in black and is always “Yes”, but the “No” square is clicked or touched with a finger or the like, for example. On the contrary, the square of “Yes” becomes white, and the correspondence between the item “Prediction of getting out of bed” and whether or not display is always possible is changed to “No”. In this state, when the operator of the management terminal 4 clicks an update button (not shown) on the display screen or touches it with a finger or the like, the changed correspondence table is stored together with the update date and time, or in some cases, the updater information. It is stored in the device 5. The storage device 5 also stores a correspondence table before the change, and the change history of the correspondence table can be traced via the management terminal 4.

  Further, when necessary, the operator of the management terminal 4 selects medical information of items that can be always displayed from the medical information stored in the storage device 5, for example, a patient as shown in FIG. It can be displayed on the display device of the management terminal 4 as a list of pictograms corresponding to names. By looking at this list, it is possible to collectively grasp what medical information can be always displayed for each patient to be managed.

  Further, the operator of the management terminal 4 appropriately changes, adds, or deletes the medical information shown in FIG. 7 on the screen via an appropriate input means such as a display screen or a keyboard on which the list shown in FIG. 7 is displayed. can do. For example, the patient “Patient Ichiro” in the uppermost column in FIG. 7 currently has the conditions and restrictions such as “cane” for movement, “angle to raise the back of the bed up to 60 degrees”, and “prohibit eating and drinking” for meals. However, when “Prohibition of Eating and Drinking” is canceled by an instruction from the doctor, the operator of the management terminal 4 designates a pictogram of “Prohibition of Eating and Eating” for meals on the display screen. By reversing the display and pressing an appropriate delete key or delete button (not shown), the restriction of “prohibition of eating and drinking” set for the patient “patient Ichiro” can be deleted.

  Similarly, for example, in the case of “Patient Saburo” in the third column, when the restriction of “no meals” is newly imposed by the doctor's instruction, the operator of the management terminal 4 “ Click on the “+” display in the “Patient Saburo” column or touch it with your finger to display a list of pictograms prepared in advance as conditions or restrictions on the display screen of the management terminal 4. You can select the “no meals” pictogram. The selected pictogram is displayed in place of the “+” at the “+” portion that was previously clicked or touched.

  Further, for example, in the case of “patient Jiro” in the second column, for example, when the doctor in charge instructs to change the movement condition from “cane” to “wheelchair”, the operator of the management terminal 4 Is set for the patient “Patient Jiro” by clicking the pictogram of the “Cane” in the “Patient Jiro” column or touching it with a finger etc. to invert it and pressing the appropriate delete key or delete button (not shown). The “cane” condition is deleted, and then “+” in the “patient Jiro” column is clicked or touched with a finger or the like, and the display screen of the management terminal 4 is prepared in advance as conditions or restrictions. You can display a list of available pictograms and select the "wheelchair" pictogram from the list.

  After the necessary deletion, addition, and change are performed as described above, when the operator of the management terminal 4 clicks an update button (not shown) on the display screen or touches it with a finger or the like, the changed medical care is performed. The information is stored in the storage device 5 together with the update date and time, and in some cases, information about the updater or the update instructor. Medical information before the change is also stored in the storage device 5, and a change history of medical information about items that can be always displayed can be traced for each patient via the management terminal 4.

In addition, it is desirable that deletion, addition, and change of medical information for items that can be always displayed as described above can be performed not only in the management terminal 4 but also in the display terminals 3 ₁ and 3 ₂ . . However, since the display terminals 3 ₁ , 3 ₂ are normally installed on the bedside of the patient and are basically in a state where anyone can use them, the display terminals 3 ₁ , 3 ₂ are connected via the display terminals 3 ₁ , 3 ₂ . In order to delete, add, or change the above medical information, an authentication procedure for confirming that the operator is an authorized medical staff is required as shown below.

That is, when the medical staff authorized such as a doctor or a nurse, for example, via the display terminal 3 ₁ changes the medical information about the items that are always visible stored in the storage device 5 , first, the medical staff, placing the IC card 8s of itself in the non-contact IC card reader writer ₇₁ connected to the display terminal 3 _1, recognizes its own ID number to the contactless IC card reader writer ₇₁ Let Non-contact IC card reader-writer 7 _1, or recognized ID number is that of medical staff, regardless of whether it is that of the patient, tell it to the display terminal 3 _1, display terminal 3 ₁ Non transmits the ID number to contact IC card reader-writer ₇₁ has recognized the management terminal 4.

The management terminal 4, when the ID number received from the display terminal 3 ₁ is of the medical staff, transmits a signal requesting input of authentication information to the display terminal 3 _1. Display terminal 3 ₁ displays upon receiving a signal requesting input of authentication information from the management terminal 4, the bedside display device 2 _1, for example, an input column of the message and the password "Please enter a password", Require medical staff to enter password. When the medical staff to enter a password in the password input field bedside display device 2 _1, display terminal 3 ₁ accepts it, and transmits the entered password to the management terminal 4.

The management terminal 4 receives the password transmitted from the display terminal 3 _1, and the ID number received earlier, based on the received and password display terminal 3 ₁ user legitimate registered this time Check if you are a medical staff. This confirmation is performed by matching the ID number and password transmitted ID number and password for each medical staff stored in the storage device 5 and the display terminal 3 _1. Result of the collation, if it is authenticated the user of the display terminal 3 ₁ is a medical staff regular registered, the management terminal 4, for one or more patients are managed, the storage device 5 stores and selects the medical information item that is capable of displaying all times from the medical information to be transmitted to the display terminal 3 _1.

Display terminal 3 _1, from the management terminal 4, for one or more of the patient receives the medical information item that is capable of displaying at all times, and displays the received medical information bedside display device 2 _1. Medical information items that are always visible to be displayed on the bedside display unit 2 ₁ is a list basically the same as that shown in FIG. 7 described above is displayed on the display screen of the management terminal 4, medical staff who is a user of the display terminal 3 _1, the same procedure as the operator of the management terminal 4 described above, suitably a medical information item that is capable of displaying all times, add, modify, to delete it can. Add appropriate, change, and delete is completed, the medical staff is a display terminal 3 ₁ of the user, may be touched by the finger such as clicking the Update button on the display screen of the bedside display device 2 _1. When the update button is to click is touched, the display terminal 3 ₁ transmits the medical information that has changed the management terminal 4.

The management terminal 4 receives the medical information that has changed, which has been transmitted from the display terminal 3 _1, the received medical information, along with information about the change date and time and change user, in the storage device 5. The storage device 5, it is as mentioned above that is also stored medical information before change, whether through the management terminal 4, or whether through the display terminal 3 _1, for each patient The change history of medical information for items that can be always displayed is stored in the storage device 5 and can be traced as necessary.

The computer display terminal 3 ₁ described _above, 3 _2, the operation of the management terminal 4, a plurality of computers, respectively, which is programmed to operate as a display terminal 3 _1, 3 2 or the management terminal _4, Needless to say, each means included in the display terminals 3 ₁ and 3 ₂ and the management terminal 4 is realized by a hardware resource and a computer program included in the display terminals 3 ₁ and 3 ₂ .

FIG. 8 is a conceptual diagram showing the overall configuration of another example of the always-display medical information display system 1 of the present invention. In FIG. 8, 9 ₁ and 9 ₂ are display devices in the existing bedside medical information system, and 10 is a management server in the existing bedside medical information system. As shown in the figure, the display devices 9 ₁ and 9 ₂ are connected to display terminals 3 ₁ and 3 ₂ , respectively, and the display terminals 3 ₁ and 3 ₂ are management servers in the bedside medical information system via a network N. In this example, the display terminals 3 ₁ and 3 ₂ also function as bedside terminals of the bedside medical information system. As described above, the always-display medical information display system 1 according to the present invention uses the existing bedside medical information system and separates the bedside medical information system display devices 9 ₁ and 9 ₂ from the bedside display device. It can also be constructed by providing 2 ₁ , 2 ₂ and incorporating a program for causing the bedside terminal of the bedside medical information system to function as the display terminals 3 ₁ , 3 ₂ .

  The above has mainly explained the case where the bedside display device of the constantly displaying medical information display system of the present invention is installed on the bedside of hospitalized or admitted patients in a medical institution or care facility, etc. Type medical information display system, the bedside display device is installed on the bedside of the patient who is receiving home medical care or home care, as well as hospitalized or hospitalized in hospitals or nursing care facilities Even so, it is effective and efficient.

  As described above, according to the constantly displaying medical information display system of the present invention, it is necessary to refer to the bedside of each individual patient more accurately and efficiently without imposing excessive burden on the medical staff. Therefore, it is possible to display an appropriate medical information, thereby providing an opportunity for the patient to receive more accurate nursing care. The utility of the present invention in the field of treatment and nursing is great, and its industrial applicability is also great.

DESCRIPTION OF SYMBOLS 1 Constant display type medical information display system 2 ₁ , 2 ₂ Bedside display device 3 ₁ , 3 ₂ Display terminal 4 Management terminal 5 Storage device 6 ₁ , 6 ₂ Bed 7 ₁ , 7 ₂ Non-contact IC card reader / writer 8 ₁ , 8 ₂ IC card 9 ₁ , 9 ₂ bedside medical information system display device 10 bedside medical information system management server N network M ₁ , M ₂ patient

Claims (5)

At least one bedside display device disposed on the bedside of a patient, a display terminal connected to the bedside display device, a management terminal connected to the display terminal via a network, and the management A medical information display system comprising: a storage device connected to a terminal; wherein the display terminal recognizes a user ID number; means for transmitting the recognized ID number to the management terminal; Means for receiving medical information transmitted from a management terminal, and means for displaying the received medical information on the bedside display device; the storage device stores medical information about a patient to be managed; The management terminal stores means for receiving an ID number transmitted from the display terminal and a patient corresponding to the received ID number; And from the medical information that, disease type and condition, in accordance with the freedom of limb movement of the patient, the posture, excretion, meal, or pictogram medical information about imposed conditions or limitations drinks A means for selecting medical information of items that can be displayed at all times ; and a means for transmitting the selected medical information to the display terminal ; Or, for a plurality of patients, the medical information stored in the storage device is made into a pictogram regarding conditions or restrictions imposed on the movement, posture, excretion, meal, or drink of the patient, and can be displayed at all times. Means for selecting the medical information of an item to be displayed on its own display device, means for changing the displayed medical information based on an external input, and the changed medical information. Together with the change history, constant display medical information display system comprising a means for storing in the storage device.   The storage device stores a correspondence table associating each item of medical information stored with whether or not display is always possible; the management terminal stores the correspondence table stored in the storage device itself 2. A means for displaying on the display device, a means for changing the displayed correspondence table based on an input from the outside, and a means for storing the changed correspondence table together with the change history in the storage device. The always-display medical information display system described. The storage device has an area for storing a message addressed to a patient to be managed or a related party; the received ID when the management terminal receives a user ID number from the display terminal A means for confirming the presence or absence of a message addressed to a patient corresponding to a number or a person concerned, a means for transmitting a message that there is a message to the display terminal if there is a message, and the display terminal Means for transmitting a message stored in the storage device to the display terminal when receiving a message disclosure request; the display terminal receiving means for receiving message information from the management terminal; Means for displaying information on the bedside display device, means for receiving an input of a message disclosure request, means for transmitting the inputted message disclosure request to the management terminal, and receiving a message from the management terminal A constant display medical information display system according to claim 1 or 2 the message is provided with a means for displaying on the bedside display. When the ID number received from the display terminal belongs to a medical staff, the management terminal transmits a signal for requesting input of authentication information to the display terminal, and is transmitted from the display terminal. Means for receiving authentication information, means for authenticating that the user of the display terminal is a registered regular medical staff based on the received ID number and authentication information, and when authentication has been properly performed For one or a plurality of patients to be managed , the movement, posture, and excretion of the patient according to the type of disease, medical condition, freedom of limbs, etc., from the medical information stored in the storage device , diet, or is pictogram relates imposed conditions or limitations on the beverage, by selecting the medical information item that is capable of displaying all times, means for transmitting to said display terminal, modified medical information Receiving from the display terminal; and means for storing the received medical information in the storage device together with the change history; the display terminal receiving input of authentication information; Means for transmitting authentication information to the management terminal, means for receiving the medical information of the item which has been pictogramized and can always be displayed for one or a plurality of patients from the management terminal, and received pictogramization comprising means for the displayed medical information to the bedside display device, and means for changing on the basis of the medical information displayed on an external input, means for transmitting the medical information that has changed the management terminal The always-display medical information display system according to any one of claims 1 to 3 . A program for causing a computer to function as the display terminal or the management terminal in the always-display medical information display system according to any one of claims 1 to 4 .

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