JP6308052B2 - Patient transfer system in hospital - Google Patents

Description

  The present invention relates to a patient transport system, and more particularly to a patient transport system in a hospital that transports a patient with a transport vehicle that automatically runs in the hospital.

  Conventionally, a guide detecting means for detecting information on a guide means indicating a route to a moving destination provided on the floor is provided, and positional information detected by the guiding means and information on the moving destination input to the setting means Therefore, it is disclosed that the control means controls the drive means and the steering means of the medical bed so that the medical bed is self-propelled (see Patent Document 1).

  In addition, an electric vehicle (electric wheelchair) that conveys a patient to a target room in a facility such as a hospital has been proposed (see Patent Document 2). The electric vehicle generates a movement information for moving a vehicle body to a target room based on the room reading information and a recording / reading unit that reads a recording medium in which room information for specifying the target room is recorded. A movement information generation unit and a movement control unit that moves the vehicle main body based on the movement information are provided.

  When the patient arrives at the hospital, the patient inserts an examination ticket into the reception terminal. At this time, the reception terminal writes examination information (room information) on the examination ticket. The examination information is information including a room code such as an examination room or an examination room that is a destination of the patient, and a moving order thereof. The patient can receive an automatic transport service by inserting and reading the examination ticket in which the examination information is written into the examination ticket insertion slot of the electric wheelchair.

JP 2004-222851 A JP 2011-1556057 A

  In patent document 1 and patent document 2, it is described regarding the method of moving the conveyance vehicle which conveys a patient to the destination in a hospital. On the other hand, there are many patients who wish to be transported by a transport vehicle without walking from the reception to the target medical department at the hospital. In addition, the number of patients is not necessarily the same in all clinical departments, the number of patients varies depending on the clinical departments, and the number of patients varies depending on the time zone. When a hospital is equipped with a transport vehicle, it is necessary to efficiently transport the applicant to the destination with an appropriate number of transport vehicles. However, Patent Document 1 and Patent Document 2 do not describe anything about such a viewpoint.

  The present invention has been made in view of the above problems, and an object thereof is to provide a patient transport system in a hospital that can efficiently use a transport vehicle for transporting a patient as a whole hospital. .

  A patient transportation system that solves the above problem is a patient transportation system in a hospital that includes a plurality of transport vehicles that transport a patient, and that includes at least a general reception area where the transport vehicle is waiting. And a computer in the hospital in which at least the scheduled visit number on the medical treatment date, the scheduled visit time, and the number of patient treatments scheduled for each time of each department are recorded, and a control computer for instructing the waiting position by wireless communication to the carrier vehicle, It has. The control computer waits for the general reception on the medical treatment date based on the data of the scheduled visit number per hour on the medical treatment date and the planned patient treatment time per hour of each medical department recorded in the computer in the hospital. Calculate the number of transport vehicles to be placed on standby at a location, allocate the number of transport vehicles to be kept on standby based on the calculation result and the total number of transport vehicles, and based on the allocated number The standby position is instructed to the transport vehicle.

  The number of patients visiting the hospital varies depending on the day of the week and the time of day. In addition, the number of patients who wish to be transported in a hospital by a transport vehicle is not constant. And the number of transport vehicles with which a hospital is equipped is also limited. For this reason, when a patient who visits the hospital wishes to use the transport vehicle at the general reception and then dispatches the transport vehicle to the general reception, it is necessary to wait for the transport vehicle to move from the standby location to the general reception or the department reception. Added to time. In particular, since there are a large number of patients waiting at the general reception before the start of medical treatment, the congestion becomes severe if the start of transport by the transport vehicle is delayed.

  However, the control computer waits in the waiting area for general reception on the medical treatment date based on the data of the scheduled visit number per hour on the medical treatment date and the planned patient treatment time per hour for each department recorded in the hospital computer. Calculate the number of vehicles to be transported. Based on the calculation result and the total number of transport vehicles, the number of transport vehicles to be waited at the standby location is allocated, and the standby location is instructed to each transport vehicle based on the allocated number. Therefore, before the patient who visits the hospital, the patient may wait for the patient's visit with the appropriate number of transport vehicles waiting for the general reception in response to the situation of the planned visitor who wishes to transport by transport vehicle. it can. Therefore, the transport vehicle for transporting the patient can be efficiently used as the entire hospital.

  The computer is a host computer of the hospital, and the control computer obtains data of the scheduled visit number and the planned patient treatment number for each clinical department from the patient data recorded in the electronic medical record. Is preferred. Electronic medical records are recorded on the hospital host computer. The electronic medical records include basic patient data (name, address, age, gender, insurance card number, medical department, doctor in charge, medical appointments, etc.) and in-hospital procedures. Completion time, number of patients for each department (congestion status), etc. The host computer also records the scheduled visit date and scheduled department of the first visit patient. Therefore, the control computer can easily obtain appropriate data from the host computer for calculating the number of transport vehicles to be kept waiting at the general reception standby place on the medical treatment date.

  In addition to the general reception, a waiting area is also provided in the reception of a department that is common to a plurality of medical departments, and the control computer, after the start of medical treatment, the standby place of the general reception and the reception of the medical department Calculate the number of transport vehicles to be waited at the standby location, allocate the number of transport vehicles to be standby at each standby location based on the calculation result and the total number of transport vehicles, and based on the allocated number It is preferable to indicate the waiting place to each transport vehicle.

  Since the general reception is a place where all patients who wish to be transported to the respective departments by waiting for the turn, there is a large number of people and a waiting place where a plurality of transport cars can wait is essential. However, the number of patients waiting for a transport vehicle in front of a medical department after medical treatment is smaller than the number of patients waiting for general reception. For this reason, there is no problem even if the transport vehicle temporarily stands by in the clinical department passage. However, if the hospital is large, it is possible to efficiently transport patients who have completed medical treatment at the clinical department by setting up a common standby place at the reception of multiple departments and waiting the transport vehicle at the standby place. Even if the number of waiting vehicles increases, it is possible to prevent a person passing through the passage from being hindered.

  It is preferable that the control computer predicts the number of visiting patients and the visiting time based on at least the weather and past information, and allocates the number of transport vehicles to be waiting to each waiting place in consideration of the predicted result. The planned visit number, scheduled visit time, and scheduled patient treatment count for each department in the clinic day are only scheduled, and the patient may change the scheduled visit date or scheduled visit time depending on the weather. Therefore, the relationship between the number of visits and visit times in the past and the weather is examined, and the result is recorded in the control computer as weather-related data. Then, by predicting the expected number of visitors and scheduled time from the weather information and weather-related data on the medical treatment date, and reflecting that prediction in the distribution of the number of transport vehicles that should wait at each waiting place, the visit due to the weather Can handle variations in the number of people and visit times. Therefore, it is possible to perform more appropriate dispatch of the transport vehicle, and it is possible to perform more efficient transport (distribution).

  ADVANTAGE OF THE INVENTION According to this invention, the conveyance vehicle which conveys a patient can be used efficiently as the whole hospital.

(A) is the schematic which shows the stand-by place of the conveyance vehicle of a patient conveyance system, (b) is a schematic block diagram of a patient conveyance system. The schematic diagram which shows arrangement | positioning of the conveyance vehicle which waits with the patient in a general reception. The schematic diagram which shows another embodiment.

Hereinafter, an embodiment embodying the present invention will be described with reference to FIGS. 1 and 2.
As shown in FIG. 1 (a), the patient transport system in a hospital includes a plurality of transport vehicles 11 for transporting a patient, and the waiting places 14, 15 of the transport vehicle 11 are respectively provided in the general reception 12 and the clinical department reception 13 of the hospital. It has. The medical department reception 13 is a reception common to a plurality of medical departments, and is provided at least on each floor where there are medical departments.

  The standby place 14 of the general reception 12 can wait for a larger number of transport vehicles 11 than the standby place 15 of the medical department reception 13. In addition, the patient transport system includes a standby place (not shown) where the transport vehicle 11 waits on a holiday day. The transport vehicle 11 is configured by, for example, a known electric vehicle that transports one patient Pa in a state of sitting on a seat. The transport vehicle 11 includes a wireless communication unit (not shown).

  As shown in FIG. 1A, the waiting place 14 of the general reception 12 includes a portion 14a (a portion surrounded by a two-dot chain line) where the hospital passage 16 continues to the waiting space 12a of the general reception 12, and a portion 14a. It is continuous and is composed of a waiting space 12 a and a section 14 b partitioned by a wall 17. The waiting area 15 of the medical department reception 13 is provided in a state where a part of the in-hospital passage 16 facing the medical department reception 13 is widened.

  As shown in FIG. 1B, the patient transport system includes a hospital host computer 20 and a control computer 30 that instructs the transport vehicle 11 about a standby location. The control computer 30 is connected to the hospital host computer 20 via a wired LAN (local area network) 18.

  The host computer 20 is connected to a medical terminal provided in each examination room (not shown) via a wired LAN 18. The host computer 20 records an electronic medical record of each patient. Electronic medical records include basic patient data (name, address, age, gender, insurance card number, medical department, doctor in charge, medical appointments, etc.), hospital treatment completion time, number of patients in each department (congestion status), etc. It is recorded. The host computer 20 also records the scheduled visit date and scheduled department of the first visit patient. The host computer 20 functions as a computer in the hospital in which at least the scheduled number of visits on the medical treatment date, the scheduled visit time, and the planned number of patient treatments for each department time are recorded.

  The control computer 30 has a CPU and a memory (not shown). Based on the data of the scheduled number of visitors per hour on the medical treatment date and the planned number of patient treatments per hour of each medical department recorded in the host computer 20, the control computer 30 waits for the waiting place 14 of the general reception 12 and the medical treatment on the medical treatment date. The number of transport vehicles 11 to be placed on standby at the waiting place 15 of the department reception 13 is calculated. More specifically, the control computer 30 acquires data on the medical department, the medical appointment, and the scheduled number of patient treatments for each clinical department from the electronic medical record data recorded in the host computer 20, and based on the data. Thus, the number of transporting vehicles 11 necessary for the standby place 14 of the general reception 12 and the standby place 15 of the medical department reception 13 on the medical treatment day is calculated. Further, the control computer 30 allocates the number of transport vehicles 11 to be waiting at each standby place based on the calculation result and the total number of transport vehicles 11 provided in the hospital, and based on the allocated number. A standby place is instructed to each transport vehicle 11.

  The control computer 30 is connected to the wireless communication unit 19 and can communicate with each transport vehicle 11 via the wireless communication unit 19. The transport vehicle 11 includes an input device for a patient on board to instruct a destination (target medical department). The input device includes, for example, a reading unit that reads an examination ticket, and confirms a medical department recorded on the examination ticket. When the reading device confirms the target medical department, the control device installed in the transport vehicle 11 controls the movement of the transport vehicle 11 to the waiting place 15 of the clinical department reception 13 corresponding to the target medical department.

  As shown in FIG. 2, the waiting space 12a of the general reception 12 is provided with a number of chairs 12b on which a patient sits. In addition, a guidance display 21 is provided in the waiting space 12a. The guidance display 21 is provided at a position where the person sitting on the chair 12b in the waiting space 12a of the general reception 12 can easily see the guidance screen (for example, diagonally upward and forward). The guidance display 21 displays the order of boarding the transport vehicle 11 and the number of transport vehicles 11 that can be boarded at the present time for the patient waiting at the general reception 12.

Next, the operation of the patient transportation system configured as described above will be described. The patient transport system transports a patient with a transport vehicle 11 that automatically runs in a hospital.
The control computer 30 obtains the electronic medical record data, the scheduled visit date and time of the first visit patient, and the data of the scheduled medical department from the host computer 20 before starting the reception on the day of the medical treatment day. The control computer 30 is based on the data of the scheduled number of visitors per hour on the medical day and the number of patient treatments scheduled per hour of each medical department, and the standby place 14 of the general reception 12 and the standby place 15 of the medical department reception 13 on the medical day. The number of transport vehicles 11 to be kept waiting is calculated. Based on the calculation result and the total number of transport vehicles 11 in the hospital, the control computer 30 allocates the number of transport vehicles 11 to be waited at both standby places 14 and 15, and based on the allocated number. A standby place is instructed to each transport vehicle 11.

  In detail, the control computer 30 aggregates the appointment time of the patient who visits the same day among the patients permitted to board the transport vehicle 11, the in-hospital treatment completion time after the visit and the department, by time, The number of patients is taken as tabular data from the aggregated data. For example, the table data shown in Table 1 is created. In Table 1, N1 indicating the scheduled number of visitors of the general reception 12 indicates, for example, a number from several tens to less than one hundred, N2 is a smaller number, and N3 indicates a smaller number than N2.

Next, the control computer 30 controls the delivery of the transport vehicle 11 by predicting the transport frequency from the data in Table 1 and predicting the transport frequency. For example, if the total number of transport vehicles 11 is a system of 15, the number of carts is as shown in Table 2. And the control computer 30 dispatches the conveyance vehicle 11 to each waiting place beforehand according to the number. In other words, the control computer 30 instructs each transport vehicle 11 about a standby location, and each transport vehicle 11 moves to the specified standby location and stands by.

Further, the control computer 30 displays the order of patients boarding the transport vehicle 11 and the number of transport vehicles 11 that can be boarded at the present time on the guidance display 21 of the general reception 12 based on the data in Table 2. .

  The patient waiting for the transport vehicle 11 at the general reception 12 looks at the display on the guidance display 21 and confirms whether or not he / she can board the vehicle. By instructing the destination to the transport vehicle 11, the transport vehicle 11 transports the target medical department reception 13.

  The data in Tables 1 and 2 were created based on the data of the scheduled number of patients per hour on the medical day and the number of patients scheduled to be treated per hour for each department. Data on the number of patient treatments per hour in each department may be changed. When the reception data at the general reception 12 and the data on the number of patient treatments at each department are changed from the schedule, the host computer 20 changes the data. The control computer 30 changes Tables 1 and 2 in response to changes in the data of the host computer 20 at a predetermined cycle.

  The number of patients visiting the hospital varies depending on the day of the week and the time of day. Moreover, the number of patients desiring to be transported in the hospital by the transport vehicle 11 is not constant. And the number of the conveyance vehicles 11 with which a hospital is equipped is also limited. Therefore, if the patient who visited the hospital wishes to be transported by the transport vehicle 11 at the general reception 12 or the clinical department reception 13, the transport vehicle 11 is placed in the standby place. The time until moving from the general reception 12 to the clinical department reception 13 is added to the waiting time. In particular, since the number of patients waiting at the general reception 12 before the start of medical treatment is large, the congestion becomes severe if the start of transport by the transport vehicle 11 is delayed.

  However, the control computer 30 determines the number of transport vehicles 11 to be waiting at both waiting places 14 and 15 based on the data of the scheduled number of patients per hour on the medical day and the number of patients scheduled for treatment per hour of each department. In addition, the transport vehicle 11 is in a standby state at both standby places 14 and 15 before the start of reception. Therefore, the waiting time for the patient to wait for conveyance by the conveyance vehicle 11 is shortened. Therefore, the transport vehicle 11 that transports the patient can be used efficiently as the entire hospital.

According to this embodiment, the following effects can be obtained.
(1) The patient transport system includes a plurality of transport vehicles 11 for transporting a patient, and at least a general reception 12 includes a standby place 14 for the transport vehicle 11. The patient transportation system is a hospital computer in which at least the scheduled number of visits on the medical treatment date, the scheduled visit time, and the planned number of patient treatments for each time of each department are recorded, and control for instructing the waiting position to the transport vehicle 11 by wireless communication. And a computer 30. The control computer 30 stores the waiting place 14 of the general reception 12 on the medical treatment date based on the data of the scheduled number of visitors per hour on the medical treatment date, the scheduled visit time on each medical treatment day, and the expected number of patient treatments per hour in each department. The number of transport vehicles 11 to be kept waiting is calculated. Based on the calculation result and the total number of transport vehicles 11, the control computer 30 allocates the number of transport vehicles 11 to be standby to the standby location 14, and instructs the transport vehicle 11 on the standby location based on the allocated numbers. To do.

  According to this configuration, before the patient accepts at the general reception 12 on the medical treatment day, the transport vehicle 11 is in a standby state at the standby place 14, so that the patient waits for the transport by the transport vehicle 11 at the general reception 12. Time is shortened. Therefore, the transport vehicle 11 that transports the patient can be used efficiently as the entire hospital.

  (2) The computer is the host computer 20 of the hospital, and the control computer 30 obtains the scheduled visit number, the scheduled visit time, and the scheduled patient treatment count for each clinical department from the patient data recorded in the electronic medical record. . An electronic medical record is recorded in the hospital host computer 20, and the patient's basic data (name, address, age, gender, insurance card number, medical department, doctor in charge, medical appointment, etc.) Treatment completion time, number of treatments (congestion status) for each department, etc. The host computer 20 also records the scheduled visit date and scheduled department of the first visit patient. Therefore, the control computer 30 can easily obtain data from the host computer 20 for calculating the number of transport vehicles 11 to be kept waiting at the waiting place 14 of the general reception 12 on the medical treatment date.

  (3) In addition to the standby place 14 of the general reception 12, a standby place 15 is also provided in the clinical department reception 13 that is a reception common to a plurality of medical departments. The number of transport vehicles 11 to be placed on standby at the standby location 14 and the standby location 15 of the clinical department reception 13 is calculated, and the transport to be standby at each standby location 14, 15 based on the calculation result and the total number of transport vehicles 11. The number of vehicles 11 is distributed, and the standby location is instructed to each transport vehicle 11 based on the allocated number.

  The general reception 12 is a place where all patients who wish to be transported by the transport vehicle 11 first wait for their turn, so a large number of patients are required, and a standby place 14 where a plurality of transport vehicles 11 can wait is required. However, the number of patients waiting for the transport vehicle 11 in front of the medical department after medical treatment is smaller than the number of patients waiting at the general reception 12. Therefore, there is no problem even if the transport vehicle 11 temporarily stands by in the medical department passage. However, in the case of a large-scale hospital, if a common waiting place 15 is provided in a plurality of clinical department receptions 13 and the transport vehicle 11 is made to wait in the waiting place 15, patients who have been treated in the medical department can be efficiently treated. In addition to being able to carry, it is possible to prevent a person passing through the passage from being hindered even when the number of the waiting vehicles 11 increases.

  (4) In the waiting space 12a of the general reception 12, a guidance display 21 is provided. The guidance display 21 displays the order in which the patient waiting for the transport vehicle 11 at the general reception 12 gets on the transport vehicle 11 and the current time. The number of transport vehicles 11 that can be boarded is displayed. Therefore, the patient who waits for the transport vehicle 11 at the general reception 12 can easily determine whether he / she may board the transport vehicle 11 by looking at the display on the guidance display 21.

  (5) When the control computer 30 calculates the number of transport vehicles 11 to be put on standby at the standby place 14 of the general reception 12 and the standby place 15 of the medical department reception 13, after the reception of the general reception 12 or after the start of medical treatment, When the data on the number of visits per hour and the number of patient treatments per hour in each department are changed from the schedule, the changes in Tables 1 and 2 are made in accordance with the change of the data. According to this configuration, the standby position of the transport vehicle 11 can be more accurately instructed to the transport vehicle 11, and the transport vehicle 11 can be used more efficiently.

The embodiment is not limited to the above, and may be embodied as follows, for example.
○ The control computer 30 predicts the number of patients to visit and the visit time based on at least the weather and past information, and allocates the number of transport vehicles 11 to be waited for at each waiting place in consideration of the prediction results. Good. The number of patients scheduled to visit on the clinic day, the scheduled visit time, and the number of patients scheduled to be treated at each department time are only scheduled, and depending on the weather, the patient changes the scheduled visit date or scheduled visit time on that day. There is a case. Therefore, the relationship between the number of visits and visit times in the past and the weather is examined, and the result is recorded in the control computer 30 as weather-related data. Then, for example, weather information is acquired through the Internet, the number of scheduled visits and the scheduled visit time are predicted from the information and the weather-related data, and the prediction is distributed to the number of transport vehicles 11 to be waiting at each waiting place. If reflected, it is possible to cope with variations in the number of visitors due to the weather. For example, if there is a statistic that the number of visits is small during bad weather, it is possible to suppress extra delivery of the transport vehicle 11 to the waiting place 14. Therefore, more appropriate dispatch of the transport vehicle 11 can be performed, and more efficient transport (distribution) can be performed.

  ○ The patient transport system is not limited to the case of transporting the patient only in the hospital, and the patient may be transported in a state where the hospital is connected to the outside of the hospital. For example, as shown in FIG. 3, a hospital control computer 30 cooperates with a taxi company dispatch computer 25, and a taxi waiting area 27 where a taxi 26 stands by is provided outside a hospital building 23. When the patient wishes to use the transport vehicle 11, the patient informs that he / she wants to board the transport vehicle 11 from the position where he / she arrived at the hospital by taxi and that he / she wants to board the transport vehicle 11 to the taxi waiting position after the end of the medical treatment. In that case, the control computer 30 instructs the transport vehicle 11 to place the taxi waiting area 27 in the standby place instead of the standby place 14 of the general reception 12.

As a result, for example, a patient who has a physical disability and visits using the taxi 26 is transferred to the transport vehicle 11 after getting off the taxi 26 and then transferred to the transport vehicle 11 without walking by himself. There is no burden on the body. In addition, the control computer 30 obtains the time when the patient takes the taxi 26 and arrives at the hospital from the dispatch computer 25,
By the time the taxi 26 arrives at the hospital, the transport vehicle 11 is kept waiting near the taxi waiting area 27. Therefore, the patient can change to the transport vehicle 11 without waiting time.

  In addition, when the patient after consultation uses the taxi 26, the control computer 30 informs the dispatch computer 25 of the scheduled time for the transport vehicle 11 that transports the patient to arrive at the taxi waiting area 27. The dispatch computer 25 instructs the taxi 26 to go to the taxi waiting area 27 so that the waiting time is reduced after the transport vehicle 11 arrives at the taxi waiting area 27. Therefore, the patient can change to the taxi 26 that gets off the transport vehicle 11, and the return does not have to be burdened on the body. That is, the control computer 30 and the dispatch computer 25 cooperate to allow the transport vehicle 11 to transport the patient using the taxi 26 between the hospital and the hospital without waiting time.

  The method for the patient to inform the transport car 11 of the target medical department is not limited to the method in which the medical ticket is read by the medical card reading unit equipped in the transport car 11. For example, when data specifying a patient is input to the input device of the transport vehicle 11, the transport vehicle 11 transmits the data to the control computer 30 so that the control computer 30 supports the target department in the transport vehicle 11. May be.

  The transport vehicle 11 is not limited to a single passenger, and may be, for example, a two-seater.

  Pa ... patient, 11 ... conveyor car, 12 ... general reception, 13 ... clinical department reception, 14, 15 ... standby place, 20 ... host computer, 30 ... control computer.

Claims (4)

A patient transport system in a hospital comprising a plurality of transport vehicles for transporting a patient, and at least a general reception desk and a clinical department reception with a standby place for the transport vehicle,
A computer in the hospital in which at least the scheduled visit number on the medical treatment date, the scheduled visit time, and the scheduled number of patient treatments for each time of each department are recorded, and a control computer for instructing the waiting position to the transport vehicle by wireless communication ,
The control computer waits for the general reception on the medical treatment date based on the data of the scheduled visit number per hour on the medical treatment date and the planned patient treatment time per hour of each medical department recorded in the computer in the hospital. Calculate the number of transport vehicles to be placed on standby at a location, allocate the number of transport vehicles to be kept on standby based on the calculation result and the total number of transport vehicles, and based on the allocated number A patient transportation system in a hospital, wherein a waiting place is instructed to the transportation vehicle.
  The computer is a host computer of the hospital, and the control computer acquires data of the scheduled number of patients and the number of scheduled patient treatments for each clinical department from patient data recorded in an electronic medical record. The patient transport system in the hospital according to 1.   In addition to the general reception, a waiting area is also provided in the reception of a department that is common to a plurality of medical departments, and the control computer, after the start of medical treatment, the standby place of the general reception and the reception of the medical department Calculate the number of transport vehicles to be waited at the standby location, allocate the number of transport vehicles to be standby at each standby location based on the calculation result and the total number of transport vehicles, and based on the allocated number The patient transportation system in the hospital according to claim 1 or 2, wherein the waiting place is instructed to each transportation vehicle.   The said control computer performs the prediction of a visit patient based on the weather and the past information at least, and considers the prediction result, and allocates the number of the conveyance vehicles which should be waiting in each waiting place. The patient conveyance system in the hospital as described in any one of Claims.