JP6095324B2 - In-hospital patient guidance system and patient portable terminal - Google Patents

Description

  The present invention relates to an in-hospital patient guidance system, and more particularly to improvement in safety such as prevention of patient misplacement.

  A conventional patient guidance system in a hospital discloses the following items in Patent Document 1.

  A plurality of terminal devices are arranged at appropriate positions in the passage in the hospital, and can read patient ID information from an IC tag held by the patient. The management device searches for in-hospital destination (examination room) information of the patient registered in advance based on the patient ID information read by the terminal device, and the destination stored in advance from the location information of the terminal device and the destination information of the patient The guidance information is read out and transmitted to the terminal device. The terminal device displays the received destination guidance information. Thereby, the destination guidance for the patient in the hospital is accurately performed.

JP 2004-302957 A

Open-Karte (http://www.innervision.co.jp/expo/zoom/hitachi_it19/index.html (search date: October 16, 2012))

  However, although Patent Document 1 guides the destination of a patient in a hospital, it does not improve patient safety, such as prevention of patient mistakes and mistaking of treatment drugs by patients.

  Therefore, an object of the present invention is to provide an in-hospital patient guidance system that improves patient safety.

In order to achieve the above object, an in-hospital patient guidance system according to the present invention includes an electronic medical record system for storing patient personal information and order information in a database, a network connection with the electronic medical record system, and a patient or patient attendant. patient for a portable terminal but a mobile terminal possessed, is pre SL connected patient portable terminal and the electronic medical record system and network, in a hospital medical personnel has and a health care worker terminal is a terminal used A patient guidance system, further comprising: a map database for storing a map in a hospital; and a position database for storing the position of the portable terminal for patients in the hospital in association with the map; When the destination set based on the order information matches the current location of the patient mobile terminal, the mobile terminal It is characterized in that for displaying the code to verify the patient to be read by parties terminal.
The patient portable terminal according to the present invention is a patient portable terminal used for a patient guidance system in a hospital and possessed by a patient or a patient attendant, and is an identification code used for patient confirmation. The identification code read by the code reading function provided in the hospital patient guidance system is displayed at the time of examination.

  ADVANTAGE OF THE INVENTION According to this invention, the in-hospital patient guidance system which improves a patient's safety can be provided.

The block diagram which shows the structural example of the in-hospital patient guidance system of this invention. The table which showed an example of the memory content of patient DB201 to which the electronic medical chart system 2 of FIG. 1 refers. The table which showed an example of the memory content of order DB202 which the electronic medical chart system 2 of FIG. 1 refers. The table which showed an example of the memory content of map DB203 which the patient guidance system 7 of FIG. 1 refers. The table which showed an example of the memory content of position DB204 which the patient guidance system 7 of FIG. 1 refers. The process figure which shows the first half of the process sequence of the Example of this invention. The process figure which shows the second half of the process sequence of the Example of this invention. FIG. 7 is a diagram showing a display example of the display unit of the patient portable terminal 3 in step 101 of the process diagram of FIG. 6; FIG. 7 is a diagram showing a display example of the display unit of the patient portable terminal 3 in step 102 in the process diagram of FIG. 6; FIG. 7 is a diagram showing a display example of the display unit of the patient portable terminal 3 in step 104 of the process diagram of FIG. 6; FIG. 7 is a diagram showing a display example of the display unit of the portable terminal 10 for medical workers in step 106 in the process diagram of FIG. The figure which shows the example of a display of the display part of the portable terminal 10 for medical workers of step 107 of the process diagram of FIG.

  Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings. In the following description and the accompanying drawings, the same reference numerals are given to the constituent elements having the same functional configuration, and redundant description will be omitted.

(Overall configuration example of hospital patient guidance system)
The in-hospital patient guidance system is a hospital facility guidance system for patients constructed in medical institutions such as hospitals, and includes a terminal device 4-1 in the examination room 4 and a terminal device 5- in the treatment room 5. 1, a terminal device 6-1 in the imaging room 6 , an electronic medical chart system 2, a patient guidance system 7, a patient portable terminal 3, and a medical worker portable terminal 10. The constituent elements of the in-hospital patient guidance system are connected to each other so as to be able to transmit and receive patient information, medical information, and position information via a wired network 9 or a wireless network 8 having a separate access point (not shown).

The terminal device 4-1 in the examination room 4 is a computer or workstation placed in the examination room 4 that performs treatment such as examination by a doctor or treatment based on the doctor's order, and the patient's findings and treatment results are stored in the electronic medical chart system 2. Input terminal. Also terminal device 5-1 of the treatment chamber 5 is a terminal device 4-1 computer or workstation placed in the treatment chamber 5 as well as the examination chamber 4, an input terminal of an electronic medical record system 2. Terminals 6-1 radiographing room 6 is also a computer or workstation was likewise placed in the imaging chamber 6 and the terminal device 4-1's office 4, an input terminal of an electronic medical record system 2, the imaging room 6 If a modality of an X-ray fluoroscopic apparatus, an X-ray CT apparatus, and an MRI apparatus is installed, a medical image of a patient obtained by the modality is output to a network. For example, in the examination room 4 The doctor can interpret the images on the terminal device 4-1 or the terminal device 5-1 in the treatment room 5 .

The electronic medical record system 2 is a function that replaces the paper medical chart, which was previously filled in by the doctor / dentist, with the electronic system, edits and manages the medical record as electronic information, and records it in the database Is realized by a client server system including a client terminal and a server. In other words, the client terminals are the terminal device 4-1 in the examination room 4, the terminal device 5-1 in the treatment room 5 , and the terminal device 6-1 in the imaging room 6 , and the electronic medical record (server) 2 stores the patient's personal information The patient database (DB) 201 is connected to an order database (DB) 202 that stores treatments such as injection, infusion, medication, physical therapy, occupational therapy, etc. (collectively referred to as “order”).

That is, the doctor inputs a patient ID or the like for identifying a patient to the terminal device 4-1 or the like of the examination room 4 that is a client terminal. Next, the server 2 receives the input of the terminal device 4-1 in the examination room 4 , accesses the patient DB 201 in which the patient's personal information is stored, and corresponds to the input of the terminal device 4-1 in the examination room 4. The personal information other than the patient ID of the patient is read from the patient DB 201 and the personal information of the patient other than the patient ID is sent to the terminal device 4-1 in the examination room 4 . Next, the terminal device 4-1 in the examination room 4 displays the patient's personal information other than the patient ID, and the doctor near the terminal device 4-1 in the examination room 4 confirms the patient's identity and performs the order. Transition. Next, a health care worker such as a nurse shifts to a procedure for an order issued by a doctor.

Next, the medical worker inputs an order name or the like for specifying the order in the terminal device 4-1 or the like in the examination room 4 . Next, the server 2 receives the input from the terminal device 4-1 in the examination room 4 , accesses the order DB 202 in which the order is stored in association with the order name and the order content, and the terminal device 4 in the examination room 4 The order contents other than the order name corresponding to the input of -1 are read from the order DB 202, and the order contents are sent to the terminal device 4-1 in the examination room 4 . Next, the terminal device 4-1 in the examination room 4 displays the order contents, and a medical worker near the terminal apparatus 4-1 in the examination room 4 confirms the display contents of the order and performs the order. Details of the electronic medical record are disclosed in Non-Patent Document 1.

The patient guidance system 7 has a function for guiding a map in a hospital for patients, and a map database (DB) 203 for storing the map in the hospital and a mobile terminal 3 for the patient detects the current position of the patient etc. And a position database (DB) 204 that associates the detected current position with the position on the map. Details of the patient guidance system 7 are disclosed in Patent Document 1, for example.

The patient portable terminal 3 is an information communication device that can be touch-operated such as a tablet terminal or a smartphone, for example, a portable terminal possessed by the patient or a patient attendant, and is temporarily lent when the patient accepts it at a medical institution. It may be returned when leaving the medical institution, or it may be a portable terminal device that the patient himself uses normally.

  The patient portable terminal 3 is connected to the electronic medical record system 2 via a network, and includes a detection unit that detects the current position of the patient and a storage unit that stores a map of the hospital, and the current position of the patient and the inside of the hospital And the patient's personal information and order information stored in the database, the patient's guidance information is generated, and the generated guidance information is displayed.

  The portable terminal 10 for medical workers is an information communication device that can be touch-operated by a medical worker including a doctor, a nurse, a clinical laboratory technician, and a radiographer, such as a tablet terminal or a smartphone. From the viewpoint of information security, it is desirable to temporarily lend to healthcare professionals under the control of

  The medical worker terminal 10 is network-connected to the patient portable terminal 3 and the electronic medical record system 2, and the unique information of the patient portable terminal 3 presented by the patient, the patient personal information, the patient authentication Display information for verifying the identity of the patient by collating information with the specific information of the portable terminal for the patient obtained in advance through the network, the personal information of the patient, and the authentication information of the patient. And a display unit for displaying, and an input unit for inputting whether or not the patient's identity verification is performed based on the display information.

  Then, the electronic medical chart system 2 obtains information on whether or not to execute the order of the order information by querying the database whether or not the patient's identity confirmation input by the medical staff terminal is performed. The information on permission / non-permission of execution of the obtained order is transmitted to the terminal 10 for medical workers, and the terminal 10 for medical workers confirms permission / non-permission of execution of the transmitted order. Information is displayed on the display unit.

  Note that the electronic medical record system 2 and the patient guidance system 7 may be configured by independent arithmetic processing devices such as computers, or may be configured as a common arithmetic processing device.

(Description of database functions)
Next, contents registered in the database of the patient guidance system 7 will be described with reference to FIGS.

  FIG. 2 is a table showing an example of the stored contents of the patient DB 201 referred to by the electronic medical record system 2 of FIG.

  The patient DB 201 stores contents relating to personal information for identifying a patient such as a patient ID 31 and a patient name 32 used for patient authentication.

FIG. 3 is a table showing an example of stored contents of the order DB 202 referred to by the electronic medical chart system 2 of FIG. The order DB 202 stores contents related to order information to patients by medical staff. That is, the order DB 202 holds an order ID 41, a patient ID 42, a date and time 43, an execution place 44, an order status 45, an execution person in charge 46 of an order medical worker, and the like. The execution place 44 is a place where the order is made, and the status 45 is data indicating whether or not this order is executed and whether or not the arrival of the patient is confirmed. In addition, the management of each medical worker is performed based on the person in charge 46 of the medical worker of the order. With respect to the order information of a certain patient for a certain day, a patient schedule is constructed based on this order information, arranged in order from the earliest scheduled execution time, and the execution place 44 of the order where the status 45 has not arrived is set as the destination.

FIG. 4 is a table showing an example of the stored contents of the map DB 203 referred to by the patient guidance system 7 of FIG. FIG. 5 is a table showing an example of the stored contents of the position DB 204 referred to by the patient guidance system 7 of FIG.

The position DB 204 includes items such as a patient ID 51, a patient name 52, and current position information 53. That is, the patient guidance system 7 acquires the position of the patient moving within the medical institution (that is, the position of the patient portable terminal 3 possessed by the patient ) and updates the position DB 204 at predetermined time intervals. Therefore, the position DB 204 stores the latest position information of each patient.

The patient DB 201, the order DB 202, the map DB 203, and the position DB 204 described above are the electronic medical record system 2, the patient guidance system 7, the terminal device 4-1 of the examination room 4, the terminal device 5-1 of the treatment room 5 , Reference may be made from any of the terminal devices 6-1 in the photographing room 6 .

(Guidance to the patient's treatment room and explanation of the procedure for medical professionals' work management)
Next, a processing procedure of the management of the operation guide and medical personnel to the treatment chamber of a patient in a hospital patient guidance system embodiment will be described with reference to FIGS. 6 through 12.

Figure 6 is a process diagram showing a first half of a processing procedure of the embodiment of the present invention, FIG. 7 is a process diagram illustrating the latter half of the processing procedure of the embodiment of the present invention. 8 is a diagram showing a display example of the display unit of the patient mobile terminal 3 in step 101 of the process diagram of FIG. 6, and FIG. 9 is a display example of the display unit of the patient mobile terminal 3 in step 102 of the process diagram of FIG. FIG. 10 is a diagram showing a display example of the display unit of the patient portable terminal 3 in step 104 of the process diagram of FIG. 6, and FIG. 11 is a portable terminal 10 for medical workers in step 106 of the process diagram of FIG. FIG. 12 is a diagram showing a display example of the display unit of the medical staff mobile terminal 10 in step 107 of the process diagram of FIG.

(Step 101)
The patient receives the patient portable terminal 3 at the reception and activates the received patient portable terminal 3 . On the start-up screen of the patient portable terminal 3 , as shown in FIG. 8, input fields for a patient ID, a medical worker's receptionist ID, and a receptionist password are displayed on the ID input screen 20. The reception person of the medical worker inputs the patient ID, the reception person ID of the medical person, and the reception person password on the startup screen of the portable terminal 3 for patients.

(Step 102)
As shown in FIG. 9, the patient portable terminal 3 displays the in-hospital guide screen 21 of the display unit 3-1.
The in-hospital guide screen 21 is composed of today's schedule 22-1 and a map 22-2.
The patient portable terminal 3 displays the order information of the corresponding patient extracted from the order DB 202 in the electronic medical record system 2 in chronological order in today's schedule 22-1.

  The mobile terminal 3 for patients has a place (★) of the order information that is not yet implemented and has the earliest scheduled start time among the order information arranged in time series on the map 22-2, and the patient guidance system. Check the map DB in 7 and display the destination.

Also, the patient mobile terminal 3 reads the current location (Δ) from the location DB 204 that holds the current location information of the corresponding patient through the wireless network 8 , and displays it on the map 22-2.

(Step 103)
The patient moves to the imaging room according to the guidance on the hospital guidance screen 21.

(Step 104)
When the current location and the destination match, the patient mobile terminal 3 determines that the patient has arrived at the destination, and as shown in FIG. 10, a code (such as a barcode or a matrix type two-dimensional code) is displayed on the treatment authentication screen 24. And status data indicating that the patient has arrived at the place of the order is transmitted to the electronic medical record system 2 through the wireless network 8 .

(Step 105)
The electronic medical record system 2 receives the status data transmitted in the previous step and changes the status of the corresponding order to arrived.

(Step 106)
The medical staff activates the portable terminal 10 for medical staff that is held. In the start-up screen of the mobile terminal 10 for medical workers, as shown in FIG. 11, the login screen 22 displays the medical worker ID and password input fields. The medical worker inputs the medical worker ID and password on the startup screen of the mobile terminal 10 for medical workers.

(Step 107)
The medical worker's mobile terminal 10 obtains the order information issued to the logged-in medical worker from the order DB 202 and displays the order list screen 23 as shown in FIG.

When order information is newly updated, information is transmitted from the electronic medical record system 2 as needed, and the order list screen 23 is updated.

At this time, on the order list screen 23 , only orders for which the patient has arrived at the destination are activated and can be pressed.

(Step 108)
The medical staff selects an order that can be pressed from the order list screen 23 . When selected, the medical staff mobile terminal 10 activates a code (bar code, matrix type two-dimensional code, etc.) reading function. The medical staff is the code displayed on the portable terminal for patients in (Step 104), the code printed on the staff ID of the medical staff, etc., the code output from the electronic medical record system based on the order ID, etc. This 3 code is authenticated by attaching to the drugs used. The authentication information is transmitted from the medical staff mobile terminal 10 to the electronic medical record system 2 and confirms that it matches the order information in the order DB 202. If it does not match the order information, an error message is displayed on the medical staff mobile terminal 10. If they match, an authentication confirmation message is displayed, and the medical staff confirms this message and then takes action.

  At this time, a code attached to the medicine to be used can be used.

(Step 109)
The medical staff mobile terminal 10 deletes the order from the order list screen 23 .

(Step 110)
The status of the corresponding order is changed to completed in the electronic medical record system 2.

(Step 111)
The patient portable terminal 3 starts guidance toward the next destination.

  In addition, after the medical worker performs the order that matches the order information, the medical worker inputs that the order has been performed to the medical worker terminal 10, and the electronic medical record system 2 includes the patient mobile terminal 3 and Update information for orders executed by the medical staff terminal 10 may be stored in the order DB 202.

  Thereby, the execution information of the order of the medical worker is updated, and the medical worker does not make an input for updating the order execution separately, so that the operability of the medical worker is improved.

As described above, according to the embodiment described above, the electronic medical record system 2 that stores the patient's personal information and order information in the database, the detection unit that is connected to the electronic medical record system 2 and detects the current position of the patient, and the hospital And storing the patient's guidance information using the patient's current position, the hospital map, and the patient's personal information and order information stored in the database. A patient guidance system for a hospital comprising a patient portable terminal 3 for displaying the generated guidance information, which is network-connected to the patient portable terminal 3 and the electronic medical record system 2 and presented by the patient The unique information of the patient portable terminal 3, the personal information of the patient, and the authentication information of the patient are obtained in advance through the network. A display unit for displaying display information for performing identity verification of the patient by collating unique information of the portable terminal for a person, personal information of the patient, and authentication information of the patient, and the patient by the display information A medical worker terminal 10 having an input unit for inputting whether or not to perform identity verification of the patient, and the electronic medical record system 2 performs the identity verification of the patient input by the terminal for medical worker. The information on permission / non-permission of execution of the order of the order information is obtained by querying the database for permission / inhibition, and the information on permission / non-permission of execution of the obtained order is transmitted to the medical staff terminal 10 Then, the medical staff terminal 10 provides an in-hospital patient guidance system that improves patient safety by displaying on the display section permission / non-permission information of execution of the transmitted order. It is possible .

In addition, according to the embodiment , it is possible to improve the efficiency of work by allowing medical staff to easily manage their work. Moreover, the patient can be prevented from being mixed by performing the patient confirmation and the medicine confirmation using the portable terminal for medical staff.

2 Electronic medical record system, 3 Portable terminal for patients, 3-1 Display unit, 4 Examination room, 4-1 Examination room 4 terminal equipment, 5 Treatment room, 5-1 Treatment room 5 terminal equipment, 6 Imaging room, 6 -1 Terminal device in the photographic room 6, 7 Patient guidance system, 8 Wireless network, 9 Wired network, 10 Mobile terminal for medical workers, 201 Patient DB, 202 Order DB, 203 Map DB, 204 Location DB .

Claims (3)

An electronic medical record system for storing patient personal information and order information in a database;
A portable terminal for a patient that is connected to the electronic medical record system by a network and is a portable terminal possessed by a patient or a patient attendant;
A hospital patient guidance system comprising a medical worker terminal that is connected to the portable terminal for a patient and the electronic medical chart system and used by a medical worker,
A map database for storing hospital maps;
A location database that stores the location of the patient mobile terminal in the hospital in association with the map, and
When the destination set based on the order information matches the current location of the patient mobile terminal, the patient mobile terminal displays a code for confirming the patient read by the medical staff terminal And
The in-hospital patient guidance system, wherein the medical staff terminal displays a list of order information issued to logged-in medical staff. 2. The in-hospital patient according to claim 1, wherein the medical staff terminal is capable of pressing the order information corresponding to the patient who has arrived at the destination among the order information displayed in a list. Guidance system.   The in-hospital patient guidance according to claim 1 or 2, wherein the medical staff terminal activates a function of reading the code when any one of the order information displayed in a list is selected. system.

Images