JP6030943B2 - Nurse dispatch management system - Google Patents

Description

  The present invention relates to a nurse dispatch management system, and more particularly to a system for supporting temporary dispatch of nurses according to the amount of work performed.

  As is well known, in hospitals and welfare care facilities, mainly nurses and caregivers (hereinafter referred to simply as “nurses”) and patients and care recipients (hereinafter referred to as patients and caregivers). A nurse call system has been set up to allow people to talk to each other. In this nurse call system, a nurse call cordless handset that a patient uses for calling is provided in each bed, and a nurse call master phone is installed in the nurse center so that a call can be made between them.

  There is also a nurse call system that combines a PHS (Personal Handy-phone System) terminal carried by a nurse. In this type of nurse call system, when a patient makes a call by pressing the call button of the nurse call slave unit, the PHS terminal or the nurse call master unit notifies that the call has been made. The nurse responds with a PHS terminal carried by the nurse, a handset of a nurse call parent machine, or the like.

  By the way, a nurse is usually in charge of a plurality of patients, and nursing work and care work (hereinafter referred to simply as “nursing work”) are also diverse. The nurse performs a predetermined nursing operation as an “order” for the patient in charge according to the schedule, and also performs a required nursing operation for the calling source patient when a nurse call occurs. The order is an instruction for medical practice at a medical site, and includes, for example, an inspection order, a prescription order, a rehabilitation order, and an injection order.

  As described above, the nursing work performed by the nurse includes a scheduled work to be performed in advance as an order and an unscheduled work to be performed when a nurse call occurs. That is, the nurse call occurs regardless of the schedule. For this reason, if the nurse performs an unscheduled task in response to an unexpected nurse call, the subsequent scheduled task cannot be performed as scheduled by the order.

  In the past, systems have been proposed that allow nurses to properly perform various nursing tasks even when such unscheduled nursing tasks occur due to nurse calls (for example, patents). Reference 1). That is, in the nursing service management system described in Patent Document 1, it is determined whether or not an unscheduled nursing service that is not included in the nursing service schedule information in the scheduled storage unit is performed by the nurse, and the unscheduled nursing service is performed. When it is detected that this is performed by a nurse, the nursing work schedule information in the schedule storage unit is changed.

JP 2009-75870 A

  According to the technique described in Patent Document 1, when a nurse performs an unscheduled nursing operation in response to a nurse call, the nursing operation schedule information is considered in consideration of the time when the unscheduled nursing operation is performed. Can be changed appropriately.

  However, if a lot of nurse calls occur and it takes a long time to engage in unscheduled nursing work, changing the nursing work schedule information alone will not be in time, which may hinder scheduled work by order. Moreover, when nurse calls occur frequently, there is a shortage of nurses who should perform nursing work in response to them, which may hinder unscheduled work due to nurse calls.

  The present invention has been made to solve such problems, and even when unexpected nurse calls occur frequently, the lack of human resources such as nurses is resolved and nursing work is appropriately performed. It aims to be able to do it.

In order to solve the above-described problems, according to the present invention, based on the nurse call history information, the amount of work per unit time of nursing work corresponding to the nurse call is calculated based on the number of nurses and the number of nurses per unit time. If a predetermined threshold value is exceeded based on the amount of work that can be handled per person, a dispatch request message is sent to request a nurse to be dispatched. It is trying to generate.

  According to the present invention configured as described above, unexpected nurse calls occur frequently during a unit time, and when the workload per unit time of nursing work corresponding to these nurse calls exceeds a predetermined threshold, Is detected based on the nurse call history information, and a nurse dispatch request message is output. Therefore, it is possible to dispatch additional nurses in response to the dispatch request message, and it is possible to solve the shortage of human resources such as nurses and appropriately perform nursing work.

It is a figure which shows the example of whole structure of the nurse call system to which the nurse dispatch management system by this embodiment is applied. It is a block diagram which shows the function structural example of the nurse call main | base station by this embodiment. It is a figure which shows the structural example of the log | history information which the log | history memory | storage part of the nurse call parent machine by this embodiment memorize | stores. It is a figure which shows the relationship between the determination timing by the workload determination part by this embodiment, and unit time. It is a flowchart which shows the operation example of the nurse call main | base station by this embodiment. It is a block diagram which shows the function structural example of the nurse call parent machine which concerns on a modification. It is a figure which shows the example of the information memorize | stored in the required time memory | storage part of the nurse call parent machine which concerns on a modification. It is a figure which shows another example of the information memorize | stored in the required time memory | storage part of the nurse call parent machine which concerns on a modification. It is a block diagram which shows the function structural example of the nurse call parent machine which concerns on a modification. It is a figure which shows the structural example of the log | history information which the log | history memory | storage part of the nurse call parent machine which concerns on a modification memorize | stores. It is a figure which shows another example of the information memorize | stored in the required time memory | storage part of the nurse call parent machine which concerns on a modification. It is a block diagram which shows the function structural example of the nurse call parent machine which concerns on a modification. It is a block diagram which shows the function structural example of the nurse call parent machine which concerns on a modification.

  Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing an example of the overall configuration of a nurse call system to which the nurse dispatch management system according to the present embodiment is applied. In this example, a nurse call system for nursing support installed in a hospital will be described as an example. However, the nurse dispatch system of this embodiment is also applied to a nurse call system for nursing support installed in a care facility. Applicable.

  As shown in FIG. 1, in the present embodiment, a nurse call system of a hospital having two wards A and B will be described as an example. In the reference numerals attached to the functional structures described below, the functional structure of the reference numeral with “A” after the number relates to the ward A, and the functional structure of the reference numeral with “B” after the number relates to the ward B The same numerals are given to components having the same function.

  As a premise, it is assumed that a nurse engaged in nursing work in ward A is assigned to ward A, and a nurse engaged in nursing work in ward B is assigned to ward B. That is, the nurse assigned to the ward A should be engaged in nursing work in the ward A, and the nurse assigned to the ward B should be engaged in nursing work in the ward B in principle. . The nurse dispatch management system according to the present embodiment supports temporary dispatch of a nurse in ward A to ward B or temporary dispatch of a nurse in ward B to ward A according to the amount of work. Is.

  In FIG. 1, 1A and 1B are nurse call masters, and are installed in the nurse centers of the respective wards A and B, for example. The nurse call master units 1A and 1B include a handset (not shown). The handset is for performing a response operation to a call from a patient (nurse call slave unit).

  Reference numeral 2 denotes a controller that performs control related to a call and data transmission / reception. In the present embodiment, the controller 2 performs control related to transmission / reception of calls and data in the ward A and control related to transmission / reception of calls and data in the ward B. The controller 2 also performs control related to transmission / reception of messages regarding temporary dispatch of nurses between the two wards A and B.

  3A and 3B are corridor lights installed in each hospital room, and the name of the patient in the hospital room is displayed. When the patient in the hospital room calls the nurse, it is displayed that the call has been performed. It has become.

  4A and 4B are wall-embedded slave units that are embedded in the bedside walls of a hospital room. These wall-embedded slave units 4A and 4B are connected to the corridor lamps 3A and 3B. The wall-embedded slave units 4A and 4B are provided with a call button for the patient to call the nurse, and a microphone and a speaker used when the patient has a conversation with the nurse.

  Reference numerals 5A and 5B denote hand-type slave units, which are connected to the wall-embedded slave units 4A and 4B. The hand-type slave units 5A and 5B are also equipped with a call button for the patient to call the nurse, and a microphone and a speaker used when the patient has a conversation with the nurse, similar to the wall-type slave units 4A and 4B. Yes.

  6A and 6B are handheld squall main devices, which control calls and data transmission / reception using the portable terminals 8A and 8B possessed by each nurse. These hand hunter squall main devices 6A and 6B are installed, for example, in a communication center in a hospital and are connected to nurse call master devices 1A and 1B. 7A and 7B are radio base stations for communicating with the portable terminals 8A and 8B.

  Among the configurations shown above, the nurse call master units 1A and 1B and the controller 2 constitute the nurse dispatch management system of the present embodiment.

  FIG. 2 is a block diagram illustrating a functional configuration example of the nurse call master units 1A and 1B. As shown in FIG. 2, the nurse call master units 1A and 1B of the present embodiment include a history storage unit 11, a business amount determination unit 12, a dispatch request message generation unit 13 and a message display unit 14 as functional configurations. Yes.

  The history storage unit 11 stores nurse call history information. That is, when a nurse call is made from the wall-embedded slave units 4A and 4B or the hand-type slave units 5A and 5B to the nurse call master units 1A and 1B, the history storage unit 11 provides information on the nurse call. Is stored as a history.

  FIG. 3 is a diagram illustrating a configuration example of history information stored in the history storage unit 11. As shown in FIG. 3, the history storage unit 11 includes, as nurse call history information, patient room information indicating the room in which the nurse call has been made, and the nurse call slave unit (wall-embedded slave unit 4A used for the nurse call). , 4B or hand-type handset 5A, 5B), call time information representing the time when the nurse call was made, and treatment information representing the content of the treatment performed by the nurse in response to the nurse call To do.

  Here, the hospital room information indicating the hospital room where the nurse call is performed is, for example, identification information of the corridor lamps 3A and 3B installed for the hospital room. The identification information of the corridor lamps 3A and 3B is given by the corridor lamps 3A and 3B in the process in which a call signal is transmitted from the nurse call slave unit to the nurse call master units 1A and 1B. It is notified to the call master units 1A and 1B.

  The room information indicating the room where the nurse call is made may be room number information associated with the identification information of the hall lights 3A and 3B. In this case, the association table information used for converting the identification information of the corridor lights 3A and 3B into the room number information may be stored in the controller 2 or the nurse call masters 1A and 1B.

  Further, the slave unit information indicating the nurse call slave unit used for the nurse call is, for example, identification information of the wall-embedded slave units 4A and 4B or the hand type slave units 5A and 5B. This identification information is given to the call signal by the wall-embedded slave units 4A and 4B or the hand-type slave units 5A and 5B themselves when the call button is pressed, and the nurse call is made via the corridor lights 3A and 3B and the controller 2. Notified to base units 1A and 1B.

  Note that the child device information indicating the nurse call child device used for the nurse call may be patient information associated with the identification information of the wall-mounted child devices 4A and 4B or the hand child devices 5A and 5B. . In this case, the association table information used to convert the identification information of the wall-embedded slave units 4A and 4B or the hand-type slave units 5A and 5B into the patient information is stored in the controller 2 or the nurse call master units 1A and 1B. Just remember.

  The call time information indicating the time when the nurse call is made is, for example, when the nurse call master units 1A and 1B receive a call signal, the history storage unit 11 detects the time at that time, and the call time information. Remember as.

  In addition, treatment information indicating the content of treatment performed by the nurse is input by operating the mobile terminals 8A and 8B possessed by the nurse after the nurse performs the treatment in response to the nurse call, for example, This is notified to the nurse call master units 1A and 1B via the main hand callers 6A and 6B. Alternatively, after the nurse performs a treatment in response to the nurse call, the nurse may input the treatment information by operating the nurse call master units 1A and 1B.

  Based on the nurse call history information stored in the history storage unit 11, the workload determination unit 12 determines whether or not the workload per unit time of nursing work corresponding to the nurse call exceeds a predetermined threshold. judge. For example, the work amount determination unit 12 detects the number of occurrences of nurse calls per unit time as the work amount based on the history information stored in the history storage unit 11. Then, it is determined whether or not the number of occurrences of the detected nurse call exceeds a predetermined number that is a predetermined threshold.

  Strictly speaking, the number of nurse calls is not the amount of nursing work performed by the nurses. However, since some kind of nursing work is always performed in response to the nurse call, it can be said that the amount of nursing work is correlated with the number of times the nurse call occurs. Therefore, it is possible to grasp the number of occurrences of the nurse call as the amount of nursing work performed in response to the nurse call.

  FIG. 4 is a diagram illustrating the relationship between the determination timing by the workload determination unit 12 and the unit time. As shown in FIG. 4, the work amount determination unit 12 sets a predetermined time (for example, one hour) as a unit time retroactively from the current determination time, and determines the amount of work during that time (the number of times a nurse call has occurred) as a nurse. Detect from call history information. On the other hand, the work amount determination unit 12 performs determination at any time with an interval of a sampling time (for example, 10 minutes) shorter than the unit time.

  The threshold used for the determination by the workload determination unit 12 takes into account, for example, the number of nurses in charge of each ward A and B and the number of nurse calls that a nurse can handle per person during a unit time. Thus, it is set in advance in the workload determination unit 12. For example, if there are 10 nurses in charge of Ward A and the number of nurse calls that can be handled by one nurse per unit time is 3 times, the nurse call master unit 1A of Ward A will have The amount determination unit 12 is set to 30 times as a predetermined threshold value. A predetermined threshold value is also set in the work amount determination unit 12 provided in the nurse call master unit 1B of the ward B based on the same concept.

  The predetermined threshold value can be set to an arbitrary value by operating the nurse call master units 1A and 1B. For example, considering that there are individual differences in the ability of 10 nurses to respond, it is possible to set a value different from 30 obtained by the simple calculation as described above as the predetermined threshold.

  The dispatch request message generating unit 13 generates a dispatch request message for requesting the dispatch of a nurse when the work amount determining unit 12 determines that the work amount per unit time exceeds a predetermined threshold. Here, the dispatch request message generated by the dispatch request message generator 13 included in the nurse call master unit 1A of the ward A is transmitted to the nurse call master unit 1B of the ward B via the controller 2. On the other hand, the dispatch request message generated by the dispatch request message generator 13 included in the nurse call master unit 1B of the ward B is transmitted to the nurse call master unit 1A of the ward A via the controller 2.

  The message display unit 14 displays the dispatch request message generated by the dispatch request message generating unit 13 on a display (not shown). Specifically, the message display unit 14 included in the nurse call master unit 1A of the ward A displays the dispatch request message sent from the nurse call master unit 1B of the ward B on the display. On the other hand, the message display unit 14 provided in the nurse call master unit 1B of the ward B displays the dispatch request message sent from the nurse call master unit 1A of the ward A on the display.

  FIG. 5 is a flowchart showing an operation example of the nurse call master units 1A and 1B configured as described above. The flowchart shown in FIG. 5 starts when the nurse call master units 1A and 1B are powered on. In addition to the flowchart shown in FIG. 5, it is assumed that the history information is stored in the history storage unit 11 every time a nurse call occurs. Below, it demonstrates as operation | movement performed by the nurse call main | base station 1A of the ward A. FIG.

  First, the workload determination unit 12 determines whether or not 10 minutes, which is a sampling time interval for determination, has elapsed (step S1). Here, if 10 minutes has not yet elapsed, the process transitions to step S6. On the other hand, when 10 minutes of the sampling time has elapsed, the work amount determination unit 12 detects the number of occurrences of nurse calls per unit time as the work amount based on the history information stored in the history storage unit 11 ( Step S2). Note that immediately after the process is started, history information sufficient for unit time is not accumulated. In this case, the number of occurrences of the nurse call is detected based on the accumulated history information.

  Then, the business amount determination unit 12 determines whether or not the detected business amount exceeds a predetermined threshold, that is, whether or not the number of occurrences of the nurse call exceeds the predetermined number (step S3). Here, when the work amount determination unit 12 determines that the number of occurrences of the nurse call does not exceed the predetermined number, the process proceeds to step S6. On the other hand, when the workload determination unit 12 determines that the number of occurrences of the nurse call exceeds the predetermined number, the dispatch request message generating unit 13 generates a dispatch request message for requesting the nurse to be dispatched (step S4), it transmits toward the nurse call master 1B of ward B (step S5).

  Next, the message display unit 14 determines whether or not a dispatch request message has been received from the nurse call master unit 1B of the ward B (step S6). If the message display unit 14 has not received the dispatch request message, the process proceeds to step S8. On the other hand, when the message display unit 14 receives the dispatch request message from the nurse call master unit 1B, the message display unit 14 displays the dispatch request message on the display (step S7).

  Thereafter, the workload determination unit 12 determines whether or not the nurse call master unit 1A is powered off (step S8). Here, if the power of the nurse call parent device 1A is not turned off, the processing returns to step S1. On the other hand, when the power of the nurse call parent device 1A is turned off, the processing of the flowchart shown in FIG. 5 ends.

  As described above in detail, in the present embodiment, based on the nurse call history information stored in the history storage unit 11 as needed, the workload per unit time of nursing work corresponding to the nurse call (occurrence of nurse call) The workload determination unit 12 determines whether or not the number of times exceeds a predetermined threshold. When it is determined that the amount of work per unit time exceeds a predetermined threshold in a certain ward, the dispatch request message generating unit 13 generates a dispatch request message and transmits it to another ward, and a message display unit 14 is displayed on the display.

  According to this embodiment configured as described above, for example, in the ward A, when many unexpected nurse calls occur during a unit time and the number of occurrences exceeds a predetermined number, this is based on nurse call history information. The nurse dispatch request message is displayed on the display of the nurse call master unit 1B in the ward B. Therefore, a nurse who has seen this dispatch request message at the nurse center of ward B can temporarily dispatch a nurse who is usually in charge of ward B to ward A. As a result, the temporary shortage of human resources in the ward A can be resolved, and nursing work in the ward A can be performed appropriately.

  In the above embodiment, an example in which the number of occurrences of a nurse call is detected as the amount of work per unit time and the number of occurrences of the nurse call is determined to exceed a predetermined number has been described. It is not limited to this. For example, the total nursing time of nursing work performed per unit time may be detected as the work amount per unit time, and it may be determined whether or not the nursing time exceeds a predetermined time.

  FIG. 6 is a block diagram illustrating a configuration example of nurse call master units 1A and 1B according to a modification example in which nursing time is detected as a workload of nursing work. In FIG. 6, those given the same reference numerals as those shown in FIG. 2 have the same functions, and therefore redundant description is omitted here.

  In the example illustrated in FIG. 6, the nurse call parent devices 1 </ b> A and 1 </ b> B further include a required time storage unit 21 in addition to the configuration illustrated in FIG. 2. Further, in place of the work amount determination unit 12 shown in FIG. 2, a work amount determination unit 22 having a function different from that is provided.

  The required time storage unit 21 stores in advance the required time per nursing work performed in response to a nurse call. This required time can be, for example, an average value calculated from past results. Moreover, it is good also as a value calculated | required from statistical calculation other than an average value.

  Based on the nurse call history information stored in the history storage unit 11 and the required time information stored in the required time storage unit 22, the business amount determination unit 22 performed per unit time according to the nurse call. The total nursing time of nursing work is detected as the work amount per unit time. Then, it is determined whether or not the detected nursing time exceeds a predetermined time which is a predetermined threshold.

  The threshold value used for the determination by the work amount determination unit 22 is, for example, 1 for the number of nurses in charge of each ward A and B and the unscheduled nursing work performed in response to a nurse call during a unit time. It is set in advance in the work amount determination unit 22 in consideration of the time that can be handled per person. For example, if there are 10 nurses in charge of ward A, and the nurse can handle 15 minutes per unit time (1 hour) for unscheduled nursing work, nurse in ward A 150 minutes is set as a predetermined threshold value in the work amount determination unit 22 provided in the call master device 1A. A predetermined threshold value is also set in the work amount determination unit 22 provided in the nurse call master unit 1B of the ward B based on the same concept.

  The predetermined threshold value can be set to an arbitrary value by operating the nurse call master units 1A and 1B. For example, considering that there are individual differences in the ability of 10 nurses, it is possible to set a value different from 150 minutes obtained by the simple calculation as described above as the predetermined threshold.

  Information as shown in FIG. 7 may be used as a specific example of the required time per nursing operation stored in the required time storage unit 21. That is, as shown in FIG. 7, the required time storage unit 21 calculates the total of the movement time required for the nurse to move according to the distance between the hospital room and the nurse center and the treatment time required for the treatment of the patient. As the required time per time, the required time is stored for each of a plurality of hospital rooms.

  Here, the travel time required for the nurse to move can be obtained by dividing the distance between the hospital room and the nurse center by the average walking speed of the nurse. Further, the treatment time required for the treatment for the patient can be obtained as an average value of past results or other statistical values.

  When the information as shown in FIG. 7 is stored in the required time storage unit 21, the business amount determination unit 22 stores the history information stored in the history storage unit 11 and the required time information stored in the required time storage unit 21. Based on this, the total nursing time of nursing work performed per unit time is obtained by acquiring and totaling the time required for each nursing work corresponding to the hospital room where the nurse call was made for each history. Is detected. Then, it is determined whether or not the detected nursing time exceeds a predetermined time.

  When configured in this way, it is possible to detect the total nursing time of the nursing work performed per unit time in consideration of the nurse's travel time that differs for each hospital room in which the nurse call is performed. As a result, the amount of work per unit time of nursing work can be detected more accurately, and the dispatch request message can be generated more accurately.

  Further, as another example of the required time information per nursing work stored in the required time storage unit 21, information as shown in FIG. 8 may be used. That is, as shown in FIG. 8, the required time storage unit 21 stores the movement time required for the movement of the nurse according to the distance between the hospital room and the nurse center for each of the plurality of hospital rooms and the treatment required for the treatment for the patient. Time is stored for each of a plurality of treatment contents.

  When the information as illustrated in FIG. 8 is stored in the required time storage unit 21, the business amount determination unit 22 stores the history information stored in the history storage unit 11 and the required time information stored in the required time storage unit 21. Based on the above, it corresponds to the treatment carried out in the hospital room where the nurse call was made, with the total time of the nurse's travel time and the treatment time according to the treatment content as the required time per nursing work The total nursing time of nursing work performed per unit time is detected by acquiring and totaling the time required for each nursing work for each history. Then, it is determined whether or not the detected nursing time exceeds a predetermined time.

  When configured in this way, it takes into account both the nurse's travel time, which differs for each room where the nurse call was made, and the treatment time, which differs for each type of treatment actually performed by the nurse. It is possible to detect the total nursing time of the nursing work performed. As a result, the amount of work per unit time of nursing work can be detected more accurately, and the dispatch request message can be generated more accurately.

  Further, instead of storing the treatment time per nursing operation in the required time storage unit 21 in advance, the treatment time per nursing operation may be detected and recorded as nurse call history information. . FIG. 9 is a diagram illustrating a configuration example of the nurse call master units 1A and 1B in that case. In the example illustrated in FIG. 9, a history storage unit 31 that stores history information having different contents is used instead of the history storage unit 11 illustrated in FIG. 6. Further, instead of the work amount determination unit 22 shown in FIG. 6, a work amount determination unit 32 having a function different from this is provided.

  FIG. 10 is a diagram showing a configuration example of history information stored in the history storage unit 31 of the nurse call master units 1A and 1B according to the modification shown in FIG. As illustrated in FIG. 10, the history storage unit 31 includes, as nurse call history information, patient room information indicating a hospital room in which a nurse call has been performed, slave device information indicating a nurse call slave device used for the nurse call, and nurse call. In addition to the call time information indicating the time when the nurse was performed and the treatment information indicating the content of the treatment performed by the nurse in response to the nurse call, the nurse's entry time and exit time to the hospital room where the nurse call was performed Is stored.

  Here, the entry / exit time information can be detected as follows, for example. That is, the nurse is allowed to have an IC tag, and each hospital room and each nurse call child machine is provided with a reader device. The reader device for each hospital room is connected to the corridor lights 3A and 3B, and the reader device for each nurse call child device is connected to the wall-embedded child devices 4A and 4B. The IC tag stores nurse information for uniquely identifying a nurse, for example.

  When the nurse enters the hospital room, the IC tag is brought close to the reader device in the hospital room to read the nurse information, and when leaving the nurse room, the IC tag is brought closer to the hospital room reader device to read the nurse information. . Further, when a treatment is performed on a patient who has made a nurse call, the IC tag is brought close to the reader device of the nurse call slave unit to read the nurse information.

  The patient room reader device reads the nurse information through the corridor lights 3A and 3B and the controller 2 together with the reading time when entering the room, the reading time when leaving the room, and the room information indicating the room in which the nurse is installed. Transmit to nurse call master units 1A and 1B. Further, the reader device of the nurse call slave unit sends the read nurse information together with the slave unit information to the nurse call master unit 1A, via the wall-embedded slave units 4A and 4B, the corridor lights 3A and 3B, and the controller 2. Send to 1B.

  The history storage units 31 of the nurse call master units 1A and 1B that have received the above information from the reader device are the room where the nurse call was made and the nurse call slave unit (both stored as part of the history information). Are compared with the hospital room and nurse call slave unit from which the IC tag was read by the reader device, and as part of the history information that matches, the nurse's entry / exit time information (the IC tag of the patient room reader device) Read time).

  In the example shown in FIG. 9, the required time storage unit 21 stores, for each of a plurality of hospital rooms, the travel time required for the nurse to move according to the distance between the hospital room and the nurse center, as shown in FIG. 11.

  Based on the history information stored in the history storage unit 31 and the required time information stored in the required time storage unit 21, the workload determination unit 32 determines the travel time of the nurse and the time from entry to exit time. By taking the total of the difference time as the required time per nursing work, and obtaining and totaling the required time per nursing work corresponding to the hospital room where the nurse call was made, for each history, Detect the total nursing time of nursing work performed per unit time. Then, it is determined whether or not the detected nursing time exceeds a predetermined time.

  When configured in this way, the nurse's travel time varies depending on the room where the nurse call was made, and the treatment time when the nurse actually performed the treatment in response to the nurse call (exiting from entering the room to leaving the room) The total nursing time of nursing work performed per unit time can be detected. As a result, the amount of work per unit time of nursing work can be detected more accurately, and the dispatch request message can be generated more accurately.

  In the above embodiment, an example has been described in which a dispatch request message is generated when the amount of work per unit time of nursing work corresponding to a nurse call exceeds a predetermined threshold. However, a dispatch request message is generated. No mention is made of the processing after the release. On the other hand, the nurse call master units 1A and 1B may be configured as shown in FIG. 12, and a configuration for performing processing after the dispatch request message is generated may be added.

  In the example illustrated in FIG. 12, the nurse call parent devices 1 </ b> A and 1 </ b> B further include a response reception unit 41 and a threshold value changing unit 42 in addition to the configuration illustrated in FIG. 2. In FIG. 12, since components having the same reference numerals as those shown in FIG. 2 have the same functions, redundant description is omitted here. Here, the response receiving unit 41 and the threshold value changing unit 42 are added based on the configuration of FIG. 2, but the configuration of FIG. 6 or FIG. 9 may be used as a base.

  The response reception unit 41 receives a response operation performed when a nurse is dispatched in response to the dispatch request message output by the dispatch request message generation unit 13. For example, when a dispatch request message is output from the dispatch request message generator 13 provided in the nurse call master unit 1A of the ward A, it is transmitted to the nurse call master unit 1B of the ward B and displayed on the message display unit 14. . When the nurse in Ward B who has seen the dispatch request message dispatches a nurse to Ward A, the nurse in the Ward B operates the operation unit (not shown) of the nurse call master 1B. The nurse call master device 1B is informed that the nurse has been dispatched. The response receiving unit 41 receives this input as a response operation.

  When the response reception unit 41 of the nurse call parent device 1B receives the response operation, the response reception unit 41 transmits a notification that the nurse has been dispatched to the nurse call parent device 1A that is the transmission source of the dispatch request message. . When the response operation is accepted by the response accepting unit 41 (when a notification to that effect is received from the nurse call master 1B), the threshold changing unit 42 of the nurse call master unit 1A makes the determination. The predetermined threshold value to be used (here, since it is based on the configuration of FIG. 2, the predetermined threshold value is a threshold value related to the number of occurrences of the nurse call) is changed.

  That is, when nurses are dispatched from ward B to ward A, the number of nurse calls (including nurses dispatched from ward B) in ward A as a whole can be handled per unit time. Will increase. Therefore, the threshold value changing unit 42 changes the predetermined threshold value used for the determination by the workload determination unit 12 to a larger value according to the increased processing capacity of the nurse.

  For example, as in the example described above, if there are 10 nurses in charge of ward A and the number of nurse calls that can be handled by one nurse per unit time is three, the nurse in ward A Initially, a value of 30 times is set as a predetermined threshold value in the work amount determination unit 12 provided in the call parent device 1A. In response to this, the threshold changing unit 42 of the nurse call master unit 1A sends a notification from the nurse call master unit 1B that the response operation is accepted by the response accepting unit 41 of the nurse call master unit 1B and a nurse is dispatched. When it is, the predetermined threshold is changed to a value larger than 30 times.

  Here, it is possible to arbitrarily determine how much the threshold value is increased. For example, the threshold value may be increased by a predetermined fixed value. Alternatively, the number of nurses actually dispatched may be received by the response reception unit 41, and the predetermined threshold may be changed according to the number of nurses dispatched. In the above-described example, when two nurses are dispatched from ward B to ward A, for example, the threshold value changing unit 42 changes the predetermined threshold value to 36 times (= 30 + 3 × 2).

  When the dispatched nurse returns from ward A to ward B, the nurse in ward B operates the operation part (not shown) of nurse call master 1B again, and the dispatch of the nurse is completed. This is input to the nurse call master unit 1B. The response reception unit 41 of the nurse call parent device 1B receives this input as a response operation. And the said response reception part 41 transmits the notification to the effect that dispatch is complete | finished to the nurse call main | base station 1A. In response to this notification, the threshold value changing unit 42 of the nurse call parent device 1A changes the predetermined threshold value used by the workload determination unit 12 to the original value (30 times).

  With this configuration, the threshold set in the work amount determination unit 12 can be made variable in accordance with the actual nurse call response capability including the dispatched nurse in the strength. As a result, the amount of work that can be handled per unit time in response to a nurse call can be accurately detected and set as a threshold value, and an additional dispatch request message can be accurately generated.

  In addition, although the example which performs the response operation with respect to a dispatch request message in the nurse call main | base station 1B of the ward B which dispatches a nurse was demonstrated here, it responds in the nurse call main | base station 1A of the ward A where a nurse is dispatched. An operation may be performed. In this case, it is not necessary to transmit / receive a notification that the nurse has been dispatched or a notification that the dispatch has been completed between the nurse call master units 1A and 1B.

  Moreover, although the example which changes the threshold value of the work amount determination part 12 by the threshold value change part 42 with which the nurse call main | base station 1A of the ward A where the nurse was dispatched was demonstrated here, the ward B of the ward B where the nurse was dispatched was demonstrated. It is preferable that the threshold value of the workload determination unit 12 is changed by the threshold value changing unit 42 also in the nurse call parent device 1B. In the above example, when two nurses are dispatched from the ward B to the ward A, the threshold changing unit 42 of the nurse call master 1A sets the predetermined threshold set in the work amount determination unit 12 36 times. Change to (= 30 + 3 × 2). Further, the threshold value changing unit 42 of the nurse call parent device 1B changes the predetermined threshold value set in the work amount determining unit 12 to a value that is six times less than usual.

  In the above embodiment, an example in which a dispatch request message is generated when the amount of work per unit time of nursing work corresponding to a nurse call exceeds a predetermined threshold has been described. May be. In FIG. 13, those given the same reference numerals as those shown in FIG. 2 have the same functions, and therefore redundant description is omitted here.

  The example shown in FIG. 13 further includes a dispatchable message generator 51 in addition to the configuration shown in FIG. Further, instead of the work amount determination unit 12 shown in FIG. 2, a work amount determination unit 52 having an additional function is provided. Here, a modification based on the configuration of FIG. 2 is shown, but the configuration of FIG. 6, 9 or 12 may be used as the base.

  In the example illustrated in FIG. 13, the work amount determination unit 52 determines that the work amount per unit time of the nursing work corresponding to the nurse call is a second predetermined threshold based on the history information stored in the history storage unit 11. It is further determined whether or not it is lower than. Further, the dispatchable message generating unit 51 determines that the nurse can be dispatched when the workload determination unit 52 determines that the workload per unit time is below the second predetermined threshold. Generate a dispatchable message to indicate.

  Here, the dispatchable message generated by the dispatchable message generating unit 51 provided in the nurse call master unit 1A of the ward A is transmitted to the nurse call master unit 1B of the ward B via the controller 2, and the message display unit 14 is displayed. On the other hand, the dispatchable message generated by the dispatchable message generator 51 provided in the nurse call master unit 1B of the ward B is transmitted to the nurse call master unit 1A of the ward A via the controller 2, and the message display unit 14 Is displayed.

  The second predetermined threshold used for the determination by the workload determination unit 52 is set to a value smaller than the predetermined threshold described above. The minimum value should be determined in consideration of the maximum number of nurses that may be dispatched and the number of nurse calls that a nurse can handle per person during a unit time. . For example, if there are 10 nurses in charge of ward A and the number of nurse calls that can be handled by one nurse per unit time is 3, the predetermined threshold is 30 times. On the other hand, if the maximum number of nurses that may be dispatched from ward A is two, the second predetermined threshold is 24 times (= 30−3 × 2).

  When configured in this manner, it is possible to notify other wards in advance as a dispatchable message whether or not it is possible to accept a nurse dispatch request. This configuration is particularly suitable when there are three or more wards. For example, in the case where there are three wards A to C, when a dispatch request message is transmitted from the nurse call master unit 1A of the ward A, it is transmitted to the ward B or C to which the dispatchable message is output. It is possible to control.

  When both wards B and C output a dispatchable message, the dispatch request message generator 13 of the nurse call master 1A arbitrarily selects one of the wards B and C, or the ward It is possible to output a dispatch request message to both B and C. On the other hand, when both wards B and C do not output a dispatchable message, it is impossible to dispatch a nurse from wards B and C, so the dispatch request message generating unit 13 of the nurse call master unit 1A The dispatch request message is controlled not to be transmitted to any of the wards B and C.

  Moreover, although the said embodiment demonstrated the example which exchanges a dispatch request message or a dispatch possible message between several wards in one hospital, this invention is not limited to this. For example, a plurality of hospitals may be connected by a communication network such as the Internet, and a dispatch request message or a dispatchable message may be exchanged between the plurality of hospitals.

  In addition, each of the above-described embodiments is merely an example of implementation in carrying out the present invention, and the technical scope of the present invention should not be construed in a limited manner. In other words, the present invention can be implemented in various forms without departing from the spirit or main features thereof.

1A, 1B Nurse call master unit 2 Controller 11, 31 History storage unit 12, 22, 32, 52 Work volume determination unit 13 Dispatch request message generation unit 14 Message display unit 21 Required time storage unit 41 Response reception unit 42 Threshold change unit 51 Dispatchable message generator

Claims (9)

A history storage unit for storing nurse call history information;
Based on the history information stored in the history storage unit, the workload per unit time of nursing work corresponding to the nurse call corresponds to the number of nurses and the nurse per person per unit time A business amount determination unit that determines whether or not a predetermined threshold value set in advance based on the possible business amount ;
A dispatch request message generating unit that generates a dispatch request message for requesting a nurse when the workload is determined by the workload determination unit to exceed the predetermined threshold; A nurse dispatch management system characterized by   The workload determination unit detects the number of occurrences of the nurse call per unit time as the workload based on the history information stored in the history storage unit, and the number of occurrences of the nurse call is the predetermined number of times. The nurse dispatch management system according to claim 1, wherein it is determined whether or not a predetermined number of times that is a threshold value of the nurse is exceeded. It further includes a required time storage unit that stores a required time per nursing work performed in response to the nurse call.
The work amount determination unit is configured to perform total nursing of the nursing work performed per unit time based on history information stored in the history storage unit and required time information stored in the required time storage unit. The nurse dispatch management system according to claim 1, wherein time is detected as the workload, and it is determined whether or not the nursing time exceeds a predetermined time which is the predetermined threshold. The history storage unit includes, as the history information, at least hospital room information representing a hospital room in which a nurse call is performed,
The required time storage unit is the total time required for moving the nurse according to the distance between the hospital room and the nurse center and the treatment time required for the treatment for the patient as the required time per one nursing operation. We store the time required for each hospital room,
The work amount determination unit is configured to provide the nursing service corresponding to the hospital room in which the nurse call is performed based on the history information stored in the history storage unit and the required time information stored in the required time storage unit. The total nursing time of the nursing work performed per unit time is detected by acquiring and totaling the time required for each time of each history, and detecting the total nursing time of the nursing work performed per unit time Nurse dispatch management system. The history storage unit includes, as the history information, at least treatment room information representing a room in which a nurse call has been performed and treatment information representing treatment details performed by a nurse,
The required time storage unit stores the movement time required for the movement of the nurse according to the distance between the hospital room and the nurse center for each of the plurality of hospital rooms, and stores the treatment time required for the treatment for the patient for each of the plurality of treatment contents. And
The work amount determination unit calculates the total of the travel time and the treatment time based on the history information stored in the history storage unit and the required time information stored in the required time storage unit. As the required time per time, the time required for each nursing work corresponding to the treatment carried out in the hospital room where the nurse call was made is obtained for each individual history and totaled. 4. The nurse dispatch management system according to claim 3, wherein a total nursing time of the nursing work performed per unit time is detected. The history storage unit includes, as the history information, at least entrance room information indicating a hospital room in which a nurse call is performed, and a nurse's entrance time and exit time to the hospital room,
The required time storage unit stores the movement time required for the movement of the nurse according to the distance between the hospital room and the nurse center for each of the plurality of hospital rooms,
The work amount determination unit is configured to move the travel time according to the room where the nurse call is made based on the history information stored in the history storage unit and the required time information stored in the required time storage unit. And the difference time from the entry time to the exit time as the time required for each nursing operation, the time required for the nursing operation corresponding to the hospital room where the nurse call was performed. The nurse dispatch management system according to claim 3, wherein the total nursing time of the nursing work performed per unit time is detected by acquiring and totaling each history. A response reception unit that receives a response operation performed when the nurse is dispatched in response to the dispatch request message output by the dispatch request message generation unit;
The nurse dispatch management system according to claim 1, further comprising a threshold changing unit that changes the predetermined threshold when the response operation is received by the response receiving unit. The response accepting unit accepts the number of nurses dispatched according to the dispatch request message output by the dispatch request message generating unit,
The nurse dispatch management system according to claim 7, wherein the threshold changing unit changes the predetermined threshold according to the number of nurses received by the response receiving unit. Whether the workload per unit time of the nursing work corresponding to the nurse call is below a second predetermined threshold based on the history information stored in the history storage; Is further determined,
Dispatch that generates a dispatchable message indicating that a nurse can be dispatched when the workload is determined by the workload determination unit to be less than the second predetermined threshold. The nurse dispatch management system according to claim 1, further comprising a possible message generation unit.

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