JP6238840B2 - Medical work support device - Google Patents

Description

  The present invention relates to a medical service support apparatus that manages an examination schedule.

  In the medical service support system, an examination schedule (examination plan) is drawn up using the time required for examination defined for each examination item. By creating an examination schedule, medical staff can efficiently carry out the examination work. For example, a nurse distributes a scheduled examination to an examination room, and secures a time frame of the examination room according to the possession time of the assigned examination. As a result, an inspection schedule is planned. Medical staff can know in advance when and who should perform what tasks from a planned examination schedule. For example, on the scheduled test date, the nurse can guide the patient to the examination room before starting the examination, or the doctor can prepare for the next examination before the examination starts.

  Patent Document 1 stores the contents of a medical treatment and the required time, predicts the time required for medical treatment based on the time required for the same medical treatment content as the content of the medical treatment to be reserved, and sets a reservable time zone equal to or greater than the predicted time Disclose what you are looking for and present.

JP 2004-30298 A

  Since the time required for the examination varies depending on the doctor performing the examination, if the time required for the examination is defined as a fixed value, the optimal examination schedule may not be achieved. Further, the time required for the examination becomes shorter as the skill (skill) of the doctor performing the examination becomes higher. Usually, doctors improve their skills as they gain experience, so there may be a large difference between skills at the time of examination appointment and skills at the time of actual examination. For example, regular examinations for endoscopy are often performed every six months or every year, but the time required for examination based on current skills and the requirement for examinations based on skills for six months or one year ahead. There may be significant deviations in time. Young doctors in particular are more likely to grow because they grow faster.

  This invention is made | formed in view of such a condition, The objective is to provide the technique which estimates the time required for medical treatments, such as a test | inspection, accurately.

  A medical service support apparatus according to an aspect of the present invention includes a storage unit that stores a correspondence relationship between experience values of medical staff and time required for medical practice, and medical care staff in charge on a scheduled date on which a reserved medical practice should be performed Experience value calculation that calculates the expected experience value of a person based on the number of medical practices performed by the medical staff in charge in the past and the number of medical practices expected to be implemented from the present to the scheduled date And the time required for the medical action corresponding to the assumed experience value of the medical staff in charge on the scheduled date is identified based on the correspondence relationship, and the time required for the reserved medical action is estimated A required time estimation unit.

  It should be noted that any combination of the above-described constituent elements and a conversion of the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program, and the like are also effective as an aspect of the present invention.

  According to the present invention, it is possible to accurately predict the time required for medical practice.

It is a figure showing composition of a medical service support system concerning an embodiment of the invention. It is a figure which shows the internal structure of the medical service assistance apparatus of FIG. It is a figure which shows the internal structure of the terminal device of FIG. It is a figure which shows the example of a data structure regarding the experience value of the doctor in charge constructed | assembled in an experience value memory | storage part. It is a figure which shows an example of the conversion table which described the relationship between a skill level and the required time of a test | inspection. FIG. 6 is a graph showing the relationship between the skill level described in the conversion table of FIG. 5 and the time required for inspection. It is a figure which shows an example of the examination reservation screen. It is a figure which shows an example of the setting screen of clinical staff information. It is a figure which shows the 1st example of the list screen of a test schedule. It is a figure which shows the 2nd example of the list screen of a test schedule. It is a figure which shows the 3rd example of the list screen of a test schedule. It is a figure which shows the 4th example of the list screen of a test schedule. It is a figure which shows the 5th example of the list screen of a test schedule. It is a figure which shows the 6th example of the list screen of a test schedule. It is a figure which shows the 7th example of the list screen of an inspection schedule. It is a figure which shows the 7th example of the list screen of an inspection schedule. It is a figure which shows the 9th example of the list screen of a test schedule. It is a figure which shows the 10th example of the list screen of an inspection schedule. It is a figure which shows the 11th example of the list screen of a test schedule. It is a figure which shows the 12th example of the list screen of a test schedule. It is a flowchart for demonstrating the test | inspection reservation method by the medical service assistance apparatus which concerns on embodiment of this invention. It is a flowchart for demonstrating the 1st example of the examination schedule review process by the medical service assistance apparatus which concerns on embodiment of this invention. It is a flowchart for demonstrating the 2nd example of the examination schedule review process by the medical service assistance apparatus which concerns on embodiment of this invention. It is a flowchart for demonstrating the 3rd example of the examination schedule review process by the medical service assistance apparatus which concerns on embodiment of this invention. It is a figure which shows an example of the screen which registers the implementation information of the test | inspection by a doctor. It is a figure which shows an example of the certification screen of the skill level by a senior doctor. It is a figure which shows an example of the conversion table which correct | amended the conversion table of FIG. It is a figure which shows an example of the conversion table according to a university. It is a figure which shows an example of the conversion table which described the relationship between the experience value and the duration of a test | inspection based on a modification.

  FIG. 1 is a diagram showing a configuration of a medical service support system 1 according to an embodiment of the present invention. The medical service support system 1 is installed in an endoscope department and is a system for supporting an endoscopic service. The medical service support system 1 includes a plurality of endoscope systems 10a and 10b (hereinafter referred to as “endoscope system 10” unless otherwise distinguished), a medical service support device 30, and a plurality of terminal devices 40a and 40b ( Hereinafter, they are referred to as “terminal device 40” unless otherwise distinguished, and are interconnected by a network 2 such as a LAN.

  The medical service support system 1 can be linked with another system in the medical facility. For example, a gateway device (not shown) is connected to the network 2, and the medical service support system 1 can cooperate with an ordering system, an electronic medical record system, a reception system, and the like via this gateway device.

  The endoscope system 10 includes an endoscope scope 11, an endoscope processing device 12, and a display device 13. The endoscope scope 11 is inserted into a patient's body, and the inside of the body is imaged at the timing when the doctor presses the release switch of the endoscope scope 11. The endoscope scope 11 includes a solid-state imaging device (for example, a CCD image sensor, a CMD image sensor, or a CMOS image sensor) and a signal processing circuit. The solid-state image sensor converts incident light into an electrical signal, and the signal processing circuit performs signal processing such as A / D conversion and noise removal on the image data photoelectrically converted by the solid-state image sensor, and the endoscope. The data is output to the processing device 12.

  The endoscope processing device 12 acquires an image captured by the endoscope scope 11. The endoscope processing device 12 outputs the acquired image to the display device 13 and causes the display device 13 to display the acquired image. It is also possible to display an image being captured in real time. In addition, the endoscope processing apparatus 12 transmits the image acquired from the endoscope scope 11 to the medical work support apparatus 30 and files it in a database in the medical work support apparatus 30.

  The medical service support apparatus 30 controls the entire medical service support system 1 in an integrated manner. The medical service support apparatus 30 is configured by a server, for example. The terminal device 40 is a terminal device used by medical personnel such as doctors and nurses, and is composed of, for example, a PC, a tablet, or a PDA. When a portable terminal device such as a tablet or PDA is used, an access point (not shown) is installed in the network 2 and connected to the network 2 by a wireless LAN.

  The medical service support apparatus 30 receives endoscopic image data transmitted from the endoscope system 10 and accumulates it in a storage unit. The medical service support apparatus 30 also has a function as a Web server, and provides information such as a test result list screen to the terminal apparatus 40 connected to the network 2. The doctor operates the terminal device 40 to input a test report. The medical service support apparatus 30 receives the examination report transmitted from the terminal device 40 and accumulates it in the storage unit. The medical service support apparatus 30 manages the schedule of the endoscopic examination.

  FIG. 2 is a diagram showing an internal configuration of the medical work support apparatus 30 of FIG. The medical service support apparatus 30 includes a communication unit 31, a control unit 32, and a storage unit 33. The control unit 32 includes an examination reservation unit 320. In the present embodiment, in order to pay attention to the schedule management of the endoscopic examination, the functional block of the control unit 32 depicts only functions related to the schedule management function of the endoscopic examination. The examination reservation unit 320 includes an experience value storage unit 321, a level change unit 322, an operation reception unit 323, an experience value calculation unit 324, a required time estimation unit 325, a schedule management unit 326, and a notification unit 327.

  The function of the control unit 32 can be realized by hardware resources alone or by cooperation of hardware resources and software resources. Processors, ROM, RAM, and other LSIs can be used as hardware resources. Programs such as operating systems and applications can be used as software resources.

  The storage unit 33 includes, for example, an HDD, an SSD, and the like, and includes an experience value storage unit 331, a conversion table 332, and a schedule storage unit 333. In this embodiment, in order to pay attention to schedule management for endoscopic examination, the functional blocks in the storage unit 33 depict only functions related to the schedule management function for endoscopic examination.

  FIG. 3 is a diagram showing an internal configuration of the terminal device 40 of FIG. The terminal device 40 includes a communication unit 41, a control unit 42, a storage unit 43, and a display unit 44.

  In an endoscopic examination, the time required for the examination varies depending on the doctor performing the examination. Therefore, when the required time for inspection is set to a fixed value, the required time for inspection and the actual inspection time may be greatly different. Therefore, it is conceivable to calculate the average value of the inspection time from the actual inspection results and use the average value as the required time for the inspection.

  The time required for the examination decreases as the skill of the doctor performing the examination improves. Therefore, there may be a discrepancy between the skill at the scheduled inspection date and the skill at the time of calculating the average value. In this case, an error occurs between the time required for the inspection based on the skill at the scheduled inspection date and the time required for the inspection based on the skill when the average value is calculated. Since doctors grow by conducting tests, the skills at the scheduled test date are considered to be higher than the current skills. However, the method of predicting the time required for the test by averaging the test times of past test results cannot take into account the growth of doctors up to the scheduled test date, so the growth due to skill improvement cannot be reflected, and the time required for the test It was difficult to predict accurately.

  If the prediction accuracy of the time required for inspection is low, it becomes difficult to formulate an optimal inspection schedule, and a difference between the inspection schedule and the actual inspection progress tends to occur. As a result, the waiting time of patients who came to the hospital on time became longer, or the medical staff had to work overtime without completing all examinations on time.

  Hereinafter, a method for improving the prediction accuracy of the time required for the test by calculating the time required for the test in anticipation of the growth of the doctor until the scheduled test date will be described. Hereinafter, a specific description will be given with reference to FIGS. 2 and 3. The experience value storage unit 331 stores experience values related to endoscopy for each doctor. Experience values of endoscopy for each doctor may be accumulated for each examination item. The experience value may be accumulated for each procedure. Further, the experience values may be classified and stored in two layers with the inspection item as the first classification and the procedure as the second classification. In the simplest design, physician experience corresponds to the number of tests performed.

  The experience value accumulating unit 321 increases the experience value of the endoscopic examination of the doctor after the end of the endoscopic examination by the doctor. For example, the experience value of the examination item performed by the doctor is incremented (+1).

  The conversion table 332 stores the correspondence between the skill level classified according to the experience value of the doctor and the time required for the examination. The level changing unit 322 changes the skill level according to the experience value of the doctor. For example, the skill level is increased each time the number of examinations performed by a doctor exceeds a certain number. When the experience value of the doctor is accumulated for each examination item, the skill level of the doctor is also set for each examination item.

  The operation accepting unit 323 accepts various instruction signals and data generated due to operations performed by the medical staff on the operation input unit 45 of the terminal device 40 via the network 2. For example, examination reservation information is accepted. The examination reservation information includes at least patient information, a scheduled examination date, and a doctor in charge. A specific example of the examination reservation information will be described later. The examination reservation information may be input from the terminal device 40 installed in the endoscope department, or may be input from a not-shown HIS (Hospital Information System) ordering system via a gateway device not shown. is there.

  In addition, some items of examination reservation information may be input from the ordering system, and some other items may be input from the terminal device 40. For example, there may be a case where patient information, scheduled examination date, examination item and doctor in charge are input from the ordering system, and a nurse who has browsed the information on the terminal device 40 inputs the examination room and the start time of the examination.

  When the start time of the examination is designated by a medical staff such as a nurse, the experience value calculation unit 324 and the required time estimation unit 325 estimate the time required for the examination. The experience value calculation unit 324 calculates an assumed experience value (hereinafter referred to as an assumed experience value) of the doctor in charge on a scheduled date on which the scheduled examination should be performed. Specifically, the experience value calculation unit 324 calculates an assumed experience value based on the number of tests performed by the doctor in charge up to now and the number of tests predicted to be performed from now until the scheduled date of the test. . More specifically, the assumed experience value is calculated by adding the number of tests performed and the number of tests predicted to be performed.

  In this embodiment, since experience values are accumulated for each examination item, the experience value calculation unit 324 calculates the assumed experience value of the examination item based on the number of examinations of the doctor in charge in the reserved examination item. To do. When experience values are accumulated for each procedure, the experience value calculation unit 324 calculates an assumed experience value for the procedure based on the number of examinations of the doctor in charge in the reserved procedure. In addition, when experience values are classified and stored in two layers with the examination item as the first classification and the technique as the second classification, the experience value calculation unit 324 displays the reserved examination item of the doctor in charge in the technique to be used. Based on the number of examinations, an assumed experience value in the procedure used by the examination item is calculated.

  The experience value calculation unit 324 calculates the number of tests predicted to be performed from the present to the scheduled date of the test, the number of days from the present to the scheduled date of the test, and the tests performed per day in the past of the doctor in charge. Calculated based on the average number of Specifically, it is calculated by multiplying the number of days by the average number of tests performed per day.

  The average number of tests performed per day in the past is, for example, the period from the date when the doctor first performed the test to the date when the test was last performed, divided by the number of tests performed within that period. Can be calculated. It may be calculated by dividing the number of examinations performed during the latest predetermined period (for example, 3 years). Alternatively, the average number of the above examinations may be calculated by excluding the period and the number of examinations in a year when the number of examinations is less than a predetermined number.

  The required time estimation unit 325 specifies the skill level corresponding to the assumed experience value of the doctor in charge on the scheduled date of the reserved test, and specifies the required time of the test corresponding to the skill level with reference to the conversion table 332 Then, the time required for the reserved inspection is estimated.

  The schedule storage unit 333 stores an examination schedule table managed by the schedule management unit 326. When the examination is reserved, the schedule management unit 326 includes an examination schedule including at least the patient information of the examination, the scheduled date, the scheduled start time, the doctor in charge, and the required time of the examination estimated by the required time estimation unit 325, Add to the inspection schedule table.

  The experience value calculation unit 324 recalculates the assumed experience value of the doctor in charge at the scheduled date of the reserved examination at a predetermined timing, and the required time estimation unit 325 recalculates the required time of the reserved examination at the timing. presume. The timing may be a preset date and time or an event occurrence timing.

  For example, in the case where the inspection schedule is reviewed at 17:00 every day, the timing comes at 17:00 every day. Further, in the case where the inspection schedule is reviewed at 17:00 every Monday, the timing arrives at 17:00 every Monday. The timing may be a timing when the skill level of the doctor is increased. In this case, the recalculation of the experience value and the re-estimation of the required time are targeted only for the examination schedule of the corresponding doctor. The timing may be a timing at which a medical worker performs an operation for instructing the review of the examination schedule.

  When the required time re-estimated by the required time estimation unit 325 is different from the required time estimated last time, the schedule management unit 326 changes the reserved inspection schedule. Specifically, the required time for the reserved inspection is changed to the re-estimated required time. The schedule management unit 326 may be set to automatically change the reserved examination schedule, or may be set to change on condition that a user operation indicating consent to the change is accepted.

  In the case of setting to change the inspection schedule on condition that a user operation indicating consent to change is accepted, the notification unit 327 notifies the terminal device 40 that the inspection schedule can be updated, and a message to that effect is sent. It is displayed on the display unit 44.

  When the inspection schedule is set to be automatically changed without the user's consent and the inspection schedule is actually changed, the notification unit 327 notifies the terminal device 40 that the inspection schedule has been changed. Is displayed on the display unit 44. The message may be notified by e-mail.

  If the required time registered in the inspection schedule is different from the actual required time on the inspection day, the schedule management unit 326 changes the inspection schedule for the inspection on the current day following the inspection. Also in this case, there are a setting for automatically changing the inspection schedule of the subsequent inspection, and a setting for changing on condition that a user operation for agreeing to the change is accepted. The notification unit 327 displays a message indicating that the inspection schedule can be updated or the inspection schedule has been changed in the same manner as when the inspection schedule for the inspection is changed due to re-estimation of the time required for the inspection. The message is displayed on the display unit 44.

  The schedule management unit 326 may be set so as to prohibit the change of the inspection schedule from the date and time retroactive to a predetermined set period from the reserved inspection start date and time to the inspection start date and time. For nurses, changing the test schedule on the day or the day before can be confusing. For example, in the case where the medicine is arranged to arrive at a certain time, if the examination start time is advanced on the day, the medicine may not be in time for the examination. In an environment where all the nurses cannot see the terminal device 40, some nurses cannot immediately know the change of the test start time on the day. Therefore, it may be set so that the inspection schedule cannot be changed during the period from the start date and time of the inspection to the set time. For example, the inspection schedule for the inspection may not be changed from the day before the inspection or from the morning of the day.

  In the following, the data structure held in the experience value storage unit 331 and the elements necessary for planning the inspection schedule will be described. Specifically, the relationship between the data structure of inspection, skill level, and time required for inspection will be described.

  The examination information includes patient information (including patient name, patient ID, and other attribute information related to the patient), examination item, doctor in charge of examination, scheduled examination date (including examination date and appointment time), and actual examination. The inspection execution time, which is the required time, and the inspection room scheduled to be executed are included. In designing an examination schedule, the time frame is greatly influenced by the doctor in charge of the examination.

  FIG. 4 shows a data configuration example related to the experience value of the doctor in charge constructed in the experience value storage unit 331. In the data configuration example shown in FIG. 4, the number of examination results indicating the number of times of examinations (total) performed in the past is linked to the doctor in charge for each examination item. The current skill level of the inspection is linked to the number of inspection results of each inspection item. In addition, the number of inspection results of each inspection item is also associated with the average number of inspections indicating how many inspections have been performed per day.

The average number of inspections can be calculated by the following (Formula 1).
Average number of inspections (number of cases / day) = Number of inspection results (number of cases) ÷ Past inspection period (days)
... (Formula 1)
In the past examination execution period, for example, a period from the most recent day to the newest day among the examinations performed by the doctor in the past is set. The total number of inspections performed during the period is set as the number of inspection results.

  The threshold value of the number of inspection results necessary for improving the skill level is a variable value. In the present embodiment, the skill level is set to increase by one point every time the number of inspection results exceeds 100. In addition, the time required for inspection is defined for each inspection item according to the skill level. The relationship between the skill level and the time required for the inspection is a relationship in which the time required for the inspection is shortened as the skill level increases. When the skill level reaches a certain level, the time required for inspection converges.

  FIG. 5 shows an example of the conversion table 332 describing the relationship between the skill level and the time required for inspection. FIG. 6 is a graph showing the relationship between the skill level described in the conversion table 332 of FIG. 5 and the time required for inspection. The conversion table 332 illustrated in FIG. 5 is generated from, for example, past statistical data of the medical institution. As shown in FIGS. 5 and 6, the time required for the inspection decreases as the skill level increases. Note that the time required according to the skill level and the time required for reduction due to the increase in skill level are different for each inspection item.

  For example, in the upper endoscopy, the time required for a doctor with a skill level of 2 is 49 minutes, and the time required for a doctor with a skill level of 9 is 20 minutes. The required time is shortened as the skill level increases. Even if the skill level is the same 2, the required time is 42 minutes for the upper endoscopy and 60 minutes for the lower endoscopy.

  Note that the reference time (the time required for the inspection when the skill level = 0) can be adjusted by the system setting. The amount of time that decreases as the skill level increases can also be adjusted by system settings. In the example shown in FIGS. 5 and 6, the upper endoscopy is decreased to -8, -7, -6,..., And the lower endoscopy is -15, -10, -5,. The ERCP is set to decrease to -5, -5, -4,.

  As the skill level increases, the time required for the inspection decreases, and when the skill level exceeds a certain level, the time required for the inspection converges. 5 and 6 show an example in which the time required for upper endoscopy converges to 20 minutes, the time required for lower endoscopy converges to 43 minutes, and the time required for ERCP converges to 71 minutes. Yes. The time required for this convergence test can also be adjusted by system settings. As described above, the required time estimation unit 325 can determine the required time according to the skill level for each inspection item with reference to the conversion table 332.

  The inspection schedule is created by the following two steps. The first step is an examination reservation. For example, an examination scheduled to be performed is reserved on the day before the examination. The second step is modification of the inspection schedule. For example, the inspection schedule is adjusted according to the progress of the inspection day.

  FIG. 7 is a diagram illustrating an example of an examination reservation screen 70. The reservation screen 70 is displayed on the display unit 44 of the terminal device 40. When a medical worker schedules an examination, he / she inputs examination reservation information from this screen 70. The medical staff inputs patient information, scheduled examination date, examination room, and doctor in charge as examination reservation information. Of the patient information, the patient name and patient ID are essential input items, and the other attribute information is optional input items. Of the scheduled inspection dates, the inspection date is an indispensable item, and the reservation time is an optional input item. The appointment time corresponds to the inspection start time. In this embodiment, the reservation time is also input. The laboratory and the doctor in charge are mandatory input items.

  When the registration button 72 at the lower right of the screen is pressed by the medical staff, the examination reservation can be registered. When the inspection reservation is registered, the inspection schedule table held in the schedule storage unit 333 is updated. Note that when the registration button 72 is pressed in a state where no required input items are input, a message prompting to input all the required input items is displayed. An inspection reservation cannot be registered if the required input items are not entered. On the other hand, when the registration button 72 is pressed in a state where any input item is not input, the examination reservation can be registered. In addition, when the registration button 72 is pressed in a state where the examination of the same doctor in charge already exists in the same time zone, a warning message indicating that registration cannot be performed in that time zone is displayed. In this state, the inspection reservation cannot be registered and can be registered when the overlap of the time zones is resolved.

  FIG. 8 is a diagram showing an example of the clinical staff information setting screen 80. FIG. 8 shows a doctor information setting screen 80. On this screen 80, doctor information such as a doctor's name and ID can be confirmed.

  For the calculation of the time required for the reserved inspection, the values of the items 81 to 84 of the inspection skill are used. Specifically, the values of the number 81 of examinations indicating the number of examinations performed by the doctor in the past, the skill level 82, the scheduled examination time 83 indicating the time required for the examination, and the average examination number 84 are used.

  As described above, in this embodiment, the skill level is increased by one point when 100 inspections are performed. In the example of the screen 80 shown in FIG. 8, since the number 81 of inspections for the upper endoscopy is 1000, the skill level 82 for the upper endoscopy is 10. Further, since the number 81 of inspections performed for the lower endoscopy is 200, the skill level 82 for the lower endoscopy is 2.

  As described above, the scheduled inspection time 83 is determined by the skill level. Since the skill level 82 of the upper endoscopy is 10, the scheduled inspection time 83 for the upper endoscopy is 20 minutes. Since the skill level 82 of the lower endoscopy is 2, the scheduled inspection time 83 of the lower endoscopy is 60 minutes.

  As described above, the average number of inspections 84 can be calculated by dividing the number of inspections 81 performed by the past inspection period. For example, when the past examination execution period of the upper endoscopy of the doctor registered in the screen 80 shown in FIG. 8 is 100 days, the average number 84 of the upper endoscopy of the doctor is 10. When the past examination execution period of the lower endoscopy is 40 days, the average number 84 of the lower endoscopy of the doctor is 5.

  FIG. 9 is a diagram illustrating a first example of the inspection schedule list screen 90. A screen 90 in FIG. 9 displays an inspection list from today 10:00 to 14:00 in the examination room 1 to the examination room 5. By browsing this examination list, the medical staff can confirm patient information, examination items, doctors in charge, examination rooms, and required time for each examination reserved.

  In the display list, each examination schedule is displayed so as to secure the time frame of the examination room to be carried out by the time required for the examination. The progress of the inspection displayed in the inspection list is represented by a color or a pattern. In this embodiment, the left-slanted diagonal line pattern is reserved (ie, the test has not been performed), the left-up diagonal line pattern indicates that the patient has been accepted, the diagonal lattice pattern is being tested, and the vertical line pattern is being recovered from the patient after the test is completed. The horizontal line pattern indicates patient exit.

  The inspection schedule drawn with the vertical line pattern and the inspection schedule drawn with the horizontal line pattern have already been inspected. The time required for the inspection schedule that has already been inspected is displayed as the actual inspection execution time. The examination end time for calculating the examination execution time is transferred from the time information obtained by the medical worker performing the examination end operation on the operation input unit 45 at the end of the examination, or transferred from the endoscope system 10. Time information can be used.

  In the case of an examination schedule in which the doctor in charge is not input, the time required for the examination is estimated by assuming a skill level of 0 and a time frame for the examination room is secured. An inspection schedule in which no inspection room is input is assigned to a frame “no inspection room designation”, and an inspection schedule in which no reservation time is input is assigned to a frame “no time specification”.

  The experience value calculation unit 324 calculates the time required for the test from the value of the test score set for each doctor. Specifically, the experience value calculation unit 324 calculates the estimated number of tests by multiplying the average number of tests by the growth period. The growth period is calculated from the difference between the date when the inspection is scheduled and the scheduled inspection date. The assumed number of inspections is the number of inspections that are predicted to be performed from the date the inspection is scheduled to the scheduled inspection date. The experience value calculation unit 324 calculates the total number of assumed examinations by adding the calculated number of assumed examinations and the number of past examinations performed. The assumed total number of inspections is the predicted number of inspection results as of the scheduled inspection date. The required time estimation unit 325 specifies the score level corresponding to the assumed total number of inspections, and specifies the required time for the inspection according to the score level. The schedule management unit 326 secures a time frame of the examination room according to the specified time required for the examination.

  Hereinafter, an examination 91 (patient ID: 56789, doctor in charge: Rokuro Shiga, examination item: lower endoscopy) in the screen 90 shown in FIG. 9 will be described as an example. The current skill level of Shiga Rokuro's lower endoscopy is 0, the actual number of inspections is 90, and the average number of inspections is 5. In this case, if the current skill level (= 0), referring to the conversion table 332 in FIG. 5, it is necessary to secure a time frame of 85 minutes.

  On the other hand, when the growth period is 2 days, the assumed number of inspections is 10. The assumed number of inspections is calculated by multiplying the average number of inspections (= 5) and the growth period (= 2). Since the assumed number of inspections is 10 and the number of inspection results is 90, the total number of assumed inspections is 100. When the assumed total number of inspections is 100, the skill level at the scheduled inspection date increases by 1 point and becomes 1. If the skill level of lower endoscopy is 1, securing a time frame of 70 minutes is sufficient.

  If the scheduled examination does not end within the scheduled time, the notification unit 327 displays an alert message 92 on the screen 90. In the example shown in FIG. 9, 13:45 is set as the scheduled time, and it is displayed that there is a possibility that the examination in the examination room 2 may not end within the scheduled time.

  FIG. 10 is a diagram illustrating a second example of the inspection schedule list screen 100. When the inspection is performed, the time actually taken for the inspection is recorded as the inspection execution time. When there is a difference between the inspection execution time and the required time for the inspection that has been secured in advance, the notification unit 327 displays a message 101 indicating that the inspection schedule can be updated in the screen 100. Since the adjustment of the examination schedule is performed for each examination room, the notification unit 327 displays which examination room can be updated.

  When the message 101 is selected by a user operation on the operation input unit 45, the notification unit 327 displays a message dialog 102 that asks whether or not to update the examination schedule. When the “Yes” button in the message dialog 102 is pressed, the schedule management unit 326 determines the time frame of the affected examination schedule according to the difference between the examination execution time and the time required for the examination secured in advance. Adjust.

  When adjusting the examination schedule, the schedule management unit 326 makes adjustments so that examinations of the same doctor in charge do not overlap in the same time zone. Furthermore, when the skill level of the doctor in charge at the time of the examination reservation is different from the skill level on the examination day, the schedule management unit 326 can adjust the examination schedule using the time required for the examination according to the skill level on the examination day.

  FIG. 11 is a diagram illustrating a third example of the inspection schedule list screen 110. FIG. 12 is a diagram illustrating a fourth example of the inspection schedule list screen 120. Hereinafter, an example will be described in which the inspection schedule is adjusted based on the difference between the actual inspection progress and the required time required for the inspection. First, the case where the former is shorter than the latter will be described. A screen 110 shown in FIG. 11 shows a screen before adjustment of the inspection schedule, and a screen 120 shown in FIG. 12 shows a screen after adjustment of the inspection schedule.

  In the screen 110 shown in FIG. 11, three examinations are reserved in the examination room 2. The items of the first examination schedule 111 are: patient: ID 45678, patient name: Goro Gifu, examination item: upper EUS, time required for examination: 60 minutes. The actual inspection time is 30 minutes. Each item of the second examination schedule 112 is: patient: ID56789, patient name: Kyoto Nanao, examination item: lower endoscopy, and time required for examination: 90 minutes. The actual inspection time is 30 minutes. Each item of the third examination schedule 113 is: patient: ID67890, patient name: Osaka Hachiro, examination item: upper endoscopy Examination time: 60 minutes.

  In the first inspection schedule 111 and the second inspection schedule 112, there is a difference between the time required for inspection and the inspection execution time. The notification unit 327 displays a message 114 indicating that the examination schedule of the examination room 2 can be updated. When the user performs a selection operation on the message 114, the notification unit 327 displays a message dialog for confirming whether or not to update the examination schedule. When the user performs an operation indicating consent to the update, the schedule management unit 326 calculates a difference between the inspection execution time and the required time for the inspection that has been secured in advance.

  In the first inspection schedule 111, the time required for inspection is 60 minutes and the inspection execution time is 30 minutes, so the difference between them is 30 minutes. In the second inspection schedule 112, the required time for the inspection is 90 minutes and the inspection execution time is 30 minutes, so the difference between the two is 60 minutes.

  The schedule management unit 326 shortens the time frame of the first inspection schedule 111 secured on the inspection list from 60 minutes to 30 minutes. This is a process for reflecting in the examination list that the examination has been completed 30 minutes earlier. The schedule management unit 326 shortens the time frame of the second inspection schedule 112 secured on the inspection list from 90 minutes to 30 minutes. This is a process for reflecting in the examination list that the examination is completed 60 minutes earlier.

  Since the third inspection schedule 113 is not yet implemented, the schedule management unit 326 does not change the time frame itself of the third inspection schedule 113 secured on the inspection list. In order to reflect the shortened time frame of the first inspection schedule 111 and the second inspection schedule 112, the schedule management unit 326 adjusts the reservation time of the third inspection schedule 113 (more specifically, ) In this example, when the reservation time is advanced, a free time of 5 minutes is inserted in consideration of the preparation time for the inspection.

  The total time shortened in the first inspection schedule 111 and the second inspection schedule 112 is 120 minutes. Considering the inspection preparation time of 5 minutes, the time to advance the reserved time of the third inspection schedule 113 is 115 minutes. The schedule management unit 326 advances the reservation time of the third inspection schedule 113 by 115 minutes.

  The first inspection schedule 121, the second inspection schedule 122, and the third inspection schedule 123 in the screen 120 after adjustment of the inspection schedule shown in FIG. 12 are the first in the screen 110 before adjustment of the inspection schedule shown in FIG. Corresponds to the first inspection schedule 111, the second inspection schedule 112 and the third inspection schedule 113, respectively.

  FIG. 13 is a diagram illustrating a fifth example of the inspection schedule list screen 130. FIG. 14 is a diagram illustrating a sixth example of the inspection schedule list screen 140. Hereinafter, an example will be described in which the actual progress of the inspection is longer than the time required for the inspection secured in advance. A screen 130 shown in FIG. 13 shows a screen before adjustment of the inspection schedule, and a screen 140 shown in FIG. 14 shows a screen after adjustment of the inspection schedule.

  In the screen 130 shown in FIG. 13, three examinations are reserved in the examination room 3. Each item of the first examination schedule 131 is: patient: ID89012, patient name: Juro Okayama, examination item: upper EUS, time required for examination: 60 minutes. The actual inspection time is 90 minutes. Each item of the second examination schedule 132 is patient: ID90123, patient name: Jiro Yamaguchi, examination item: lower endoscopy, and time required for examination: 45 minutes. The actual inspection time is 60 minutes. Each item of the third examination schedule 133 is: patient: ID67890, patient name: Osaka Hachiro, examination item: upper endoscopy Examination time: 60 minutes.

  In the first inspection schedule 131 and the second inspection schedule 132, there is a difference between the time required for inspection and the inspection execution time. The notification unit 327 displays a message 134 indicating that the examination schedule of the examination room 3 can be updated. When the user performs a selection operation on the message 134, the notification unit 327 displays a message dialog for confirming whether or not to update the examination schedule. When the user performs an operation indicating consent to the update, the schedule management unit 326 calculates a difference between the inspection execution time and the required time for the inspection that has been secured in advance.

  In the first inspection schedule 131, the time required for inspection is 60 minutes and the inspection execution time is 90 minutes, so the difference between them is −30 minutes. In the second inspection schedule 132, the time required for inspection is 45 minutes and the inspection execution time is 60 minutes, so the difference between the two is -15 minutes.

  The schedule management unit 326 extends the time frame of the first inspection schedule 131 secured on the inspection list from 60 minutes to 90 minutes. This is a process for reflecting in the examination list that the examination has been completed 30 minutes later. The schedule management unit 326 extends the time frame of the second inspection schedule 132 secured on the inspection list from 45 minutes to 60 minutes. This is a process for reflecting in the examination list that the examination has been completed 15 minutes later.

  Since the third inspection schedule 133 is not yet implemented, the schedule management unit 326 does not change the time frame itself of the third inspection schedule 133 secured on the inspection list. In order to reflect the extension of the time frame of the first inspection schedule 131 and the second inspection schedule 132, the schedule management unit 326 adjusts the reservation time of the third inspection schedule 133 (more specifically delays). . In this example, when the reservation time is delayed, a free time of 5 minutes is inserted in consideration of the preparation time for the inspection.

  The total time extended by the first inspection schedule 131 and the second inspection schedule 132 is 45 minutes. Considering the inspection preparation time of 5 minutes, the time for delaying the reserved time of the third inspection schedule 133 is 50 minutes. The schedule management unit 326 delays the reservation time of the third examination schedule 133 by 50 minutes.

  The first inspection schedule 141, the second inspection schedule 142, and the third inspection schedule 143 in the screen 140 after the inspection schedule adjustment shown in FIG. 14 are the first in the screen 130 before the inspection schedule adjustment shown in FIG. Corresponds to the first inspection schedule 131, the second inspection schedule 132, and the third inspection schedule 133, respectively.

  FIG. 15 is a diagram illustrating a seventh example of the inspection schedule list screen 150. FIG. 16 is a diagram illustrating a seventh example of the inspection schedule list screen 160. Hereinafter, when adjusting the examination schedule based on the difference between the actual examination progress and the time required for the examination that was secured in advance, an example of adjusting the examination of the same doctor so that it does not overlap in the same time zone Will be explained. A screen 150 shown in FIG. 15 shows a screen before adjustment of the inspection schedule, and a screen 160 shown in FIG. 16 shows a screen after adjustment of the inspection schedule.

  In the screen 150 shown in FIG. 15, three examinations are reserved in the examination room 1. Each item of the first examination schedule 151 is patient: ID12345, patient name: Ichiro Tokyo, examination item: upper EUS, time required for examination: 90 minutes, doctor in charge: Jiro Kanagawa. The actual inspection time is 40 minutes. Each item of the second examination schedule 152 is patient: ID23456, patient name: Saburo Shizuoka, examination item: upper EUS, time required for examination: 45 minutes, doctor in charge: Jiro Kanagawa. The actual inspection time is 45 minutes. Each item of the third examination schedule 153 includes: patient: ID34567, patient name: Shiro Aichi, examination item: upper endoscopy, time required for examination: 42 minutes, doctor in charge: Jiro Kanagawa, appointment time: 12:00 Examination end scheduled time: 12:45 minutes.

  In the first inspection schedule 151, there is a difference between the required time for inspection and the inspection execution time. The notification unit 327 displays a message 155 indicating that the examination schedule of the examination room 1 can be updated. When the user performs a selection operation on the message 155, the notification unit 327 displays a message dialog requesting confirmation of whether or not to update the examination schedule. When the user performs an operation indicating consent to the update, the schedule management unit 326 calculates a difference between the inspection execution time and the required time for the inspection that has been secured in advance.

  In the first inspection schedule 151, since the time required for inspection is 90 minutes and the inspection execution time is 40 minutes, the difference between the two is 50 minutes. The schedule management unit 326 shortens the time frame of the first inspection schedule 151 secured on the inspection list from 90 minutes to 40 minutes. This is a process for reflecting in the examination list that the examination is completed 50 minutes earlier.

  In the second inspection schedule 152, there is no difference between the required time for inspection and the inspection execution time. The schedule management unit 326 advances the reserved time of the second inspection schedule 152 by 50 minutes in order to reflect the shortened time frame of the first inspection schedule 151.

  Since the third inspection schedule 153 has not been performed, the schedule management unit 326 does not change the time frame of the third inspection schedule 153 secured on the inspection list. In order to reflect the shortened time frame of the first inspection schedule 151, the schedule management unit 326 advances the reserved time of the third inspection schedule 153. At that time, if it is advanced 50 minutes, the time zone of the third examination schedule 153 in the examination room 1 and the second examination schedule 154 in the examination room 3 overlap. Since the doctors in charge of these examinations are the same, if the reservation time of the third examination schedule 153 in the examination room 1 is advanced by 50 minutes, the third examination schedule 153 in the examination room 1 and the second examination in the examination room 3 Any of the examinations reserved in the schedule 154 cannot be performed.

  When adjusting the examination schedule, the schedule management unit 326 confirms whether or not the same examination schedule of the doctor in charge exists in the movement candidate time zone. When there is an examination schedule of the same doctor in charge, the schedule management unit 326 adjusts the time frame of the examination schedule to be processed as long as the time zones do not overlap.

  In the example shown in FIG. 15, the time frame of the second examination schedule 154 in the examination room 3 is 12:00 to 12:45. The schedule management unit 326 advances the reserved time of the third examination schedule 153 in the examination room 1 so as not to overlap with the time zone of 12:00 to 12:45. In this case, the reservation time can be advanced to 12:45. In this example, when the reservation time is advanced, a free time of 5 minutes is inserted in consideration of the preparation time for the inspection. Considering this 5 minutes of preparation time, the schedule management unit 326 changes the reservation time of the third examination schedule 153 in the examination room 1 from 12:00 to 12:50.

  The first examination schedule 161 of the examination room 1, the second examination schedule 162 and the third examination schedule 163, and the second examination schedule 164 of the examination room 3 in the screen 160 after adjustment of the examination schedule shown in FIG. 15, the first examination schedule 151 of the examination room 1, the second examination schedule 152 and the third examination schedule 153, and the second examination schedule 154 of the examination room 3 in the screen 150 before adjustment of the examination schedule shown in FIG. It corresponds to each.

  FIG. 17 is a diagram illustrating a ninth example of the inspection schedule list screen 170. FIG. 18 is a diagram illustrating a tenth example of the inspection schedule list screen 180. Hereinafter, an example in which the inspection schedule is adjusted based on the skill level on the inspection day when the skill level on the inspection day is different from the day on which the inspection is reserved will be described. A screen 170 shown in FIG. 17 shows a screen before adjustment of the inspection schedule, and a screen 180 shown in FIG. 18 shows a screen after adjustment of the inspection schedule.

  In the screen 170 shown in FIG. 17, each item of the third examination schedule 171 in the examination room 1 includes: patient: ID34567, patient name: Aichi Shiro, examination item: upper endoscopy, time required for examination: 42 minutes, Doctor in charge: Jiro Kanagawa, reservation time: 13:00. Since the time required for the examination is set to 42 minutes, the skill level on the examination day regarding the upper endoscopy of Jiro Kanagawa, the doctor in charge, is assumed to be 2 (see FIG. 5).

  On the other hand, if the skill level does not improve as expected by the day of the inspection and the actual skill level of the inspection day is 0, the skill level assumed when the inspection was scheduled and the actual skill level of the inspection day Will be different. The time required for inspection varies depending on the skill level. The notification unit 327 displays a message 172 indicating that the examination schedule of the examination room 1 can be updated. When the user performs a selection operation on the message 172, the notification unit 327 displays a message dialog for confirming whether or not to update the examination schedule. When the user performs an operation indicating consent to update, the experience value calculation unit 324 calculates the experience value on the examination day. The required time estimation unit 325 specifies the skill level corresponding to the experience value, and specifies the required time for the inspection according to the skill level with reference to the conversion table 332. The schedule management unit 326 changes the time frame of the third inspection schedule 171 to the time required for the specified inspection. In this example, the time is changed from 42 minutes to 57 minutes.

  The third examination schedule 181 of the examination room 1 in the screen 180 after adjustment of the examination schedule shown in FIG. 18 corresponds to the third examination schedule 171 of the examination room 1 in the screen 170 before adjustment of the examination schedule shown in FIG. doing. The former has a longer inspection time than the latter.

  FIG. 19 is a diagram illustrating an eleventh example of the inspection schedule list screen 190. FIG. 20 is a diagram illustrating a twelfth example of the inspection schedule list screen 200. Hereinafter, an example in which the inspection schedule is corrected by a user operation on the operation input unit 45 will be described. The user can distribute examinations assigned to “no examination room designation” or “no time designation” to an appropriate examination room, or an examination in an examination room with a large number of examinations to another examination room.

  For example, when changing the examination room of a certain examination schedule in the examination list to another examination room, the user can drag and drop the examination schedule with a mouse and distribute it to another examination room. Similarly, when changing the examination appointment time, it can be changed by operating the mouse. For example, an inspection schedule of an inspection room where the progress of the inspection is delayed can be assigned to an inspection room with a margin.

  In the example shown in FIGS. 19 and 20, the second examination schedule 191 of the examination room 3 in the screen 190 shown in FIG. 19 is dragged and dropped in the time frame of the examination room 4 with a mouse, thereby the examination schedule 191. Are distributed to the examination room 4. The second examination schedule 201 of the examination room 4 in the screen 200 shown in FIG. 20 is a distribution of the second examination schedule 191 of the examination room 3 in the screen 190 shown in FIG. When the examination schedule is allocated, if there is an examination schedule of the same doctor in charge at the same time zone, a warning message is displayed. In addition, the doctor in charge prohibits a sorting operation in which the time zones of the same examination schedule overlap.

  FIG. 21 is a flowchart for explaining an examination reservation method by the medical service support apparatus 30 according to the embodiment of the present invention. When an inspection reservation is issued by the terminal device 40 and / or the HIS ordering system, the schedule management unit 326 acquires inspection reservation information (S10). The schedule management unit 326 requests the experience value calculation unit 324 and the required time estimation unit 325 to estimate the required time for the examination.

  The experience value calculation unit 324 calculates the assumed experience value of the doctor in charge on the scheduled test date (S11). The method described above can be used as a method for calculating the assumed experience value. The required time estimation unit 325 specifies an assumed skill level that the doctor in charge would have reached on the scheduled examination date from the assumed experience value calculated by the experience value calculation unit 324 (S12). The required time estimation unit 325 refers to the conversion table 332 and estimates the required time for the inspection from the identified assumed skill level (S13). The required time estimation unit 325 passes the estimated required time for the inspection to the schedule management unit 326, and the schedule management unit 326 includes the inspection schedule including the required time for the inspection in the inspection schedule table (S14).

  17 and 18 described above, an example has been described in which the inspection schedule is adjusted based on the skill level on the inspection day when the skill level on the inspection day is different from the day on which the inspection is reserved. When the date on which the inspection is scheduled is far away from the inspection day, the time required for the inspection may vary greatly due to the adjustment of the inspection schedule. In this case, the influence on other subsequent inspections is increased. Therefore, it is conceivable to periodically review the inspection schedule and introduce a mechanism for suppressing a significant change in the time required for the inspection on the day of the inspection or on the previous day.

  FIG. 22 is a flowchart for explaining a first example of the examination schedule review process by the medical work support apparatus 30 according to the embodiment of the present invention. The schedule management unit 326 determines whether the review timing of the set inspection schedule has arrived (S20). As described above, the review timing may be a time set periodically in units of weeks or days, or may be an event generation timing such as an increase in the skill level of the doctor in charge.

  When the inspection schedule review timing comes (Y in S20), the schedule management unit 326 requests the experience value calculation unit 324 and the required time estimation unit 325 to re-estimate the required time for the inspection.

  The experience value calculation unit 324 recalculates the assumed experience value of the doctor in charge on the scheduled test date (S21). As described above, the assumed experience value is calculated by adding the number of inspection results and the assumed number of inspections. The number of actual inspections is usually different between the date when the inspection is scheduled and the date when the review timing comes. The assumed number of inspections is calculated by multiplying the average number of inspections by the growth period. The growth period is different between the date when the examination is scheduled and the date when the review timing comes, and the average number of examinations may be the same or different. The experience value calculation unit 324 calculates an assumed experience value based on the number of inspection results, the average number of inspections, and the growth period on the day when the review timing comes.

  The required time estimation unit 325 specifies an assumed skill level that the doctor in charge will have reached on the scheduled examination date from the assumed experience value recalculated by the experience value calculation unit 324 (S22). The required time estimation unit 325 refers to the conversion table 332 and re-estimates the required time for the inspection from the identified assumed skill level (S23). The required time estimation unit 325 passes the re-estimated required time for the examination to the schedule management unit 326.

  The schedule management unit 326 determines whether or not the currently registered required time for the inspection is the same as the required time for the inspection re-estimated by the required time estimation unit 325 (S24). If the time required for the inspection has changed (Y in S24), the schedule management unit 326 requests the notification unit 327 to send a message. The notification unit 327 displays a message indicating that there is an updatable examination schedule on the display unit 44 of the terminal device 40 (S25). When the operation reception unit 323 receives a signal indicating a user operation that agrees to update to the operation input unit 45 (Y in S26), the operation reception unit 323 notifies the schedule management unit 326 to that effect. The schedule management unit 326 updates the required time for the inspection in the inspection schedule to the re-estimated required time for the inspection (S27).

  If a signal indicating a user operation for agreeing to update cannot be received in step S26 (N in S26), step S27 is skipped. That is, the inspection schedule is not updated. When the time required for the inspection currently registered in step S24 is the same as the time required for the re-estimated inspection (N in S24), the processing in steps S25 to S27 is skipped. That is, the inspection schedule is not updated. While the inspection schedule review timing does not arrive in step S20 (N in S20), the processes in steps S21 to S27 are not activated.

  FIG. 23 is a flowchart for explaining a second example of the examination schedule review process by the medical work support apparatus 30 according to the embodiment of the present invention. The processing of step S20 to step S23 is the same as the flowchart of the first example shown in FIG.

  The schedule management unit 326 determines whether or not the currently registered required time for the inspection is the same as the required time for the inspection re-estimated by the required time estimation unit 325 (S24). When the required time for the inspection has changed (Y in S24), the schedule management unit 326 updates the required time for the inspection in the inspection schedule to the re-estimated required time for the inspection (S27). The schedule management unit 326 requests the notification unit 327 to transmit an update completion message. The notification unit 327 causes the display unit 44 of the terminal device 40 to display a message indicating that the examination schedule has been updated (S28). If the time required for the inspection currently registered in step S24 is the same as the time required for the re-estimated inspection (N in S24), the processes in steps S27 and S28 are skipped. That is, the inspection schedule is not updated.

  Comparing the first example and the second example, the first example is a prior consent type and the second example is a post-report type. In either case, the medical staff can be made aware of the update of the examination schedule. For example, if the period of the review date and the scheduled inspection date are longer than the set period (for example, more than one month), the influence of the update of the inspection schedule on the work is minor, so the post-report type is adopted and less than the set period In this case, the prior consent type may be adopted because the influence of the update of the inspection schedule on the work is relatively large.

  FIG. 24 is a flowchart for explaining a third example of the examination schedule review process by the medical work support apparatus 30 according to the embodiment of the present invention. In the flowchart of the third example, the process of step S245 is added between the process of step S24 of the flowchart of the second example shown in FIG. 23 and the process of step S27.

  When the examination list for the day is printed out the day before and distributed to the medical staff, it is preferable not to change the examination schedule for the day after printing. In this case, the period from the time of printing out until the completion of all the inspections for the current day is set as the update prohibition period for the current day inspection schedule. A certain period may be set as the update prohibition period at the discretion of the nurse manager.

  In the flowchart of FIG. 24, the schedule management unit 326 determines whether the currently registered required time for the examination is the same as the required time for the examination re-estimated by the required time estimation unit 325 (S24). If the time required for the inspection has changed (Y in S24), the schedule management unit 326 determines whether or not the inspection schedule is within the update prohibition period (S245). If it is not within the update prohibition period (N in S245), the schedule management unit 326 updates the time required for the inspection in the inspection schedule to the time required for the reestimated inspection (S27). The schedule management unit 326 requests the notification unit 327 to transmit an update completion message. The notification unit 327 causes the display unit 44 of the terminal device 40 to display a message indicating that the examination schedule has been updated (S28).

  If it is within the update prohibition period in step S245 (Y in S245), the processes in steps S27 and S28 are skipped. That is, the inspection schedule is not updated. If the time required for the inspection currently registered in step S24 is the same as the time required for the re-estimated inspection (N in S24), the processes in steps S245, S27, and S28 are skipped. That is, the inspection schedule is not updated.

  So far, doctors' experience values, skill levels, and time required for examinations have been explained using simplified models. Hereinafter, a more detailed model that takes into consideration the difficulty of examination, the degree of growth of doctors, the attributes of doctors, and the like will be described.

  First, an example that considers the difficulty of inspection will be described. Specifically, the skill level is set so that the skill level is more likely to increase as the examination with the more difficult procedure is performed. For example, in the case of an inspection not involving a technique, the experience value accumulating unit 321 gives 1 point for one inspection as usual. Similarly, in the case of an examination involving a technique with a low difficulty level (for example, drug spraying, etc.), the experience value accumulating unit 321 gives 1 point to the execution of the examination. In the case of an examination involving a technique with a high degree of difficulty (for example, removal of an affected area), the experience value accumulating unit 321 gives 3 points to the execution of the examination. In this setting, the skill level is more likely to increase as the examination with the more difficult procedure is performed.

  In this way, the experience value accumulating unit 321 weights points to be given for one inspection according to the difficulty of the inspection. As a result, the level-up sensitivity by the level changing unit 322 is adjusted according to the difficulty level of the inspection.

  FIG. 25 shows an example of a screen 250 for registering examination execution information by a doctor. The user inputs the doctor who performed the examination in the input field 251 of the practitioner. In FIG. 25, the procedure tab 252 is selected from the implementation information. The procedure performed by the doctor (Taro Yamada) in the upper endoscopy is displayed. Fiberscopy 253 of the stomach and duodenum is performed once and fiberscope 254 of the esophagus is performed once.

  The level changing unit 322 has so far determined that the number of inspections reaches a specific number of times as a condition for improving the skill level. However, the level changing unit 322 may increase the skill level on the condition that the specific inspection contents are successfully executed. In some cases, it is possible to judge that there is sufficient skill when an examination with a specific procedure with a high degree of difficulty can be carried out independently. For example, when a specific inspection can be performed within a specified time, the skill level may be increased.

  For example, when a doctor with an upper endoscopy skill level of 0 or 1 performs an upper endoscopy in 60 minutes, the skill level may be increased to 2. This is because the skill of performing the upper endoscopy in 60 minutes corresponds to skill level = 2. It should be noted that the skill level may be increased to 2 on the condition that the execution in 60 minutes has been successful several times (for example, three times) instead of once.

  In addition, when the fibrescopy of the stomach / duodenum can be carried out independently without the attending doctor, the skill level may be increased. The screen 250 shown in FIG. 25 also has a sub-practitioner registration field 255. In this way, the level changing unit 322 can adjust the level-up sensitivity according to the difficulty level of the inspection.

  Next, an example considering the growth rate of a doctor will be described. In reality, variations in the growth rate occur between doctors. The doctor's growth rate can be determined by comparing the time required for the doctor's current skill level with the actual time required for the doctor. When the latter is shorter than the former, it can be said that the growth rate is fast. When the time obtained by subtracting the required time corresponding to the current skill level from the actual required time is equal to or shorter than the required time corresponding to the next skill level, the experience value accumulating unit 321 performs, for example, one inspection. 10 points are awarded. In the conversion table 332 shown in FIG. 5, when the current skill level of the upper endoscopy is 1, the required time is 49 minutes. When the required time for the implementation is 41 minutes, it is shorter than the required time of 42 minutes when the skill level is 2. In this case, the experience value accumulating unit 321 determines that the doctor is a fast growing doctor and gives a plurality of points to one test.

  As described above, the experience value accumulating unit 321 weights points to be given to the execution of one test according to the doctor's degree of growth. As a result, the level-up sensitivity by the level changing unit 322 is adjusted according to the degree of growth of the doctor.

  Next, an example in which the skill level is manually set based on the judgment of the senior doctor will be described. If it is judged that you have a certain level of skill, such as award at an academic conference, degree acquisition, overseas training, professor recommendation, etc., the skill level will be determined by the judgment of a senior doctor.

  FIG. 26 shows an example of the skill level authorization screen 260 by the senior doctor. An inspection item, a skill level, a reason for giving the skill level, and an approver who approves the skill level are provided.

  Next, an example of adjusting the correspondence between the skill level and the time required for inspection will be described. This correspondence can also be understood as a doctor's growth curve. As described above, in reality, there is a variation in the growth rate for each doctor. The doctor's growth curve is corrected according to the doctor's growth rate.

  For example, in the conversion table 332 shown in FIG. 5, the time required for the upper endoscopy is -8, -7, -6, -5, -4, -3, -2, -1, 0 as the skill level increases. , Shortened to 0. If the skill level is increased from 1 to 2, it will be reduced by 7 minutes. For example, consider a case where the actual required time when a skill level of a doctor is 1 is 49 minutes and the actual required time when the skill level after level-up is 2 is 41 minutes. In this case, it is usually shortened by 7 minutes but shortened by 8 minutes. That is, it can be estimated that the growth is faster than the assumed growth rate.

  FIG. 27 is a diagram illustrating an example of a conversion table 332a obtained by correcting the conversion table 332 in FIG. Compared with the conversion table 332 in FIG. 5, in the conversion table 332a in FIG. 27, the required time after the skill level 2 in the upper endoscopy is shortened. In the conversion table 332 of FIG. 5, the required time decreases from −6, −5, −4, −3, −2, −1, 0, 0 after skill level 2. On the other hand, in the conversion table 332a of FIG. 27, the required time after skill level 2 decreases to -7, -6, -5, -3, 0, -1, 0, 0. That is, the shortening width is increased every time one level is increased.

  Thus, the conversion table 332 that defines the correspondence between the skill level and the time required for the examination is customized according to the degree of growth of the doctor. There are various customization methods. For example, a method of selecting a conversion table 332 according to the degree of growth from a plurality of patterns of conversion tables 332 may be used.

  Next, an example in which the correspondence relationship between the skill level and the time required for the examination is adjusted according to the attributes of the doctor will be described. A certain tendency may be seen in how to improve the skill level for each examination item by the university or affiliation. For example, it may be influenced by how the professor teaches, and doctors who receive guidance from the same professor may show similar growth curves.

  FIG. 28 is a diagram illustrating an example of the conversion table 332b for each university. University A is good at upper endoscopy, University B is at lower endoscopy, and University C is good at ERCP. In the example shown in FIG. 28, for each examination item, the time required for a university graduate who is good at the examination is set shorter than that for other university graduates.

  Thus, the conversion table 332 that defines the correspondence between the skill level and the time required for the examination is customized according to the attributes of the doctor. The university of origin is an example of an attribute and can be customized according to the degree and years of service.

  As described above, the conversion table 332 is generally generated based on statistical data of a corresponding medical institution. When each medical institution registers data related to experience and time required for testing in a management database connected to the Internet (not shown), each medical institution should use the statistical data registered in that management database. Can do. For example, nationwide average data can be downloaded and used for the correspondence between skill level and time required for inspection. In addition, various conditions may be specified, and data matching the conditions may be downloaded and used. For example, you may download and use the data for every area, every career, every service years.

  As described above, according to the present embodiment, the time required for the test can be predicted with high accuracy because the time required for the test is predicted in consideration of the growth of the doctor from the date when the test is scheduled to the scheduled test date. . Therefore, an optimal inspection schedule can be drawn up, and inspection work can be managed efficiently. As a result, patient waiting time can be reduced and overtime of medical staff can be reduced.

  The present invention has been described based on the embodiments. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are also within the scope of the present invention. is there.

  In the above-described embodiment, the example in which the correspondence relationship between the skill level and the time required for the inspection is described in the table, but the correspondence relationship may be defined by a function. Further, in the above-described embodiment, the example in which the experience value is converted into the skill level and the time required for the inspection is specified from the skill level has been described. In this respect, the time required for the inspection may be specified directly from the experience value. In this case, a table or function that directly associates the experience value with the time required for the inspection may be used.

  FIG. 29 is a diagram illustrating an example of a conversion table describing the relationship between the experience value and the time required for examination according to a modification. FIG. 5 shows the conversion table 332 describing the relationship between the skill level and the time required for the inspection. FIG. 29 shows the conversion table 332a describing the relationship between the experience value and the required time for the inspection. The required time estimation unit 325 refers to the conversion table 322a and specifies the required time for the test corresponding to the experience value assumed by the doctor on the scheduled test date. In the example shown in FIG. 29, when the number of examination results of the upper endoscopy of the doctor is 0 to 99, the time required for the upper endoscopy is 57 minutes. When the number of inspection results is 100 to 199 times, the required time is 49 minutes. In the upper endoscopy, when the number of inspection results reaches 900 times or more, the required time is saturated and fixed to 20 minutes.

  The conversion table 332a illustrated in FIG. 29 is an example corresponding to the conversion table 322 illustrated in FIG. 5, but the experience values may be further divided. Similarly to the example in which the experience value is converted into the required time for the inspection via the skill level shown in FIG. 5, the difficulty level of the inspection is also the example in which the experience value shown in FIG. 29 is directly converted into the required time for the inspection. It is possible to construct a more elaborate model that takes into account the doctor's growth level and the attributes of the doctor. For example, the conversion table 332a may be customized according to the attributes and / or the degree of growth of each doctor.

  In the above-described embodiment, the reservation for the endoscopic examination has been described. However, the schedule management by the medical work support apparatus 30 is not limited to the appointment for the endoscopic examination. The method described in the above embodiment can be used not only for examinations but also for appointments for all medical practices including examinations, treatments, and operations. The method described in the above-described embodiment can be used not only for the endoscope department but also for reservations for medical practices in other departments.

  DESCRIPTION OF SYMBOLS 1 Medical service support system, 2 Network, 10 Endoscope system, 11 Endoscope, 12 Endoscope processing apparatus, 13 Display apparatus, 30 Medical service support apparatus, 31 Communication part, 32 Control part, 320 Exam reservation part 321 Experience value storage unit, 322 Level change unit, 323 Operation reception unit, 324 Experience value calculation unit, 325 Required time estimation unit, 326 Schedule management unit, 327 Notification unit, 33 storage unit, 331 Experience value storage unit, 332 conversion Table, 333 schedule storage unit, 40 terminal device, 41 communication unit, 42 control unit, 43 storage unit, 44 display unit, 45 operation input unit.

Claims (11)

A storage unit for storing a correspondence relationship between experience values of medical workers and time required for medical treatment;
The expected experience value of the medical staff in charge on the scheduled date on which the scheduled medical practice should be performed is predicted to be implemented by the number of medical practices performed by the medical staff in the past and from the present to the scheduled date. An experience value calculation unit that calculates based on the number of medical practices performed,
The time required for estimating the time required for the reserved medical action by specifying the time required for the medical action corresponding to the assumed experience value of the medical staff in charge on the scheduled date based on the correspondence relationship An estimation unit;
A medical service support apparatus comprising:   Based on the number of days from the present to the scheduled date and the average number of medical practices performed per day in the past of the medical staff in charge, the experience value calculation unit is performed from the present to the scheduled date The medical operation support apparatus according to claim 1, wherein the number of predicted medical actions is calculated. The storage unit stores a correspondence relationship between experience values of medical staff and time required for medical practice for each medical practice item, for each procedure, or for each classification in which both are hierarchized.
The said experience value calculation part calculates the experience value assumed of the medical staff in charge on the said scheduled date according to the item and / or procedure of the reserved medical practice, The said experience value calculation part is characterized by the above-mentioned. Medical work support device. The storage unit stores a correspondence relationship between skill levels classified according to experience values of medical staff and time required for medical practice,
The said time required estimation part specifies the time required for the medical action corresponding to the skill level of the said medical staff in charge on the said schedule date, and estimates the time required for the said reserved medical action, It is characterized by the above-mentioned. Item 2. The medical operation support apparatus according to Item 1. The storage unit stores a conversion table or function that defines a correspondence relationship between the skill level and the time required for medical practice,
The medical work support apparatus according to claim 4, wherein the conversion table or function is customized according to an attribute and / or a growth level of each medical worker. A level change unit that changes the skill level according to the experience value of the medical staff is further provided,
The medical operation support apparatus according to claim 4, wherein the level changing unit adjusts the sensitivity of level up according to a difficulty level of medical practice and / or a growth level of medical staff. The schedule of the medical action including at least the patient information of the reserved medical action, the scheduled date, the scheduled start time, the medical staff in charge, and the required time of the medical action estimated by the required time estimation unit in the schedule table A schedule management unit to include,
The experience value calculation unit recalculates an assumed experience value of the medical staff in charge at the scheduled date of the reserved medical action at a predetermined timing,
The required time estimation unit re-estimates the required time for the reserved medical action at the timing,
The schedule management unit may change the schedule of the reserved medical practice when the required time re-estimated by the required time estimation unit is different from the previously estimated required time. 6. The medical operation support apparatus according to any one of 6.   The medical work support apparatus according to claim 7, wherein the schedule management unit changes the reserved medical practice schedule on the condition that a user operation indicating consent to the change is received.   The information processing apparatus according to claim 1, further comprising: a notification unit configured to notify the user terminal device of a change in the schedule of medical practice when the schedule of the medical practice reserved by the schedule management unit is changed without user consent. Item 8. The medical operation support device according to Item 7.   The change of the schedule of the medical practice is prohibited from the date and time that is a predetermined setting period after the start date and time of the reserved medical practice to the start date and time of the medical practice. The medical operation support apparatus according to Crab. The storage unit stores a conversion table or function that defines a correspondence relationship between the experience value and the time required for medical practice,
The medical work support apparatus according to claim 1, wherein the conversion table or function is customized according to an attribute and / or a growth level of each medical worker.

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