JP6502373B2 - 患者の監視及び治療介入/イベントタイムライン - Google Patents
患者の監視及び治療介入/イベントタイムライン Download PDFInfo
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Description
Claims (15)
- 複数の携帯型生命徴候モニタであって、各モニタは医療専門家との最初の接触時点から対象者の生命徴候を継続的にモニタし、前記モニタ済みの生命徴候を無線伝送し、前記生命徴候は血圧(BP)、血液酸素(SpO2)、心拍(HR)、及び呼吸数(RR)を含む、複数の携帯型生命徴候モニタと、
各対象者の前記伝送されたモニタ済みの生命徴候を受信し、前記受信される生命徴候、対象者の性別、対象者の年齢、及び対象者の症状に基づいてトリアージスコアを決定する、患者評価ユニットと、
各対象者の患者軌跡の表示を構築する患者監視ユニットであって、前記患者軌跡は前記モニタされる生命徴候、前記決定されるトリアージスコア、前記対象者の性別、前記対象者の年齢、及び前記対象者の症状を含む、患者監視ユニットと、
少なくとも1人の対象者の前記構築済みの患者軌跡を表示する少なくとも1つの表示装置と
を含む、医療システム。 - 前記患者監視ユニットは、待合所及び救急診療部の少なくとも1つを含む、手当ての種類ごとにまとめられるアイコンの手当ての状況の表示を構築し、各アイコンは1人の対象者を表し、
前記少なくとも1つの表示装置が前記構築済みの手当ての状況の表示を表示する、
請求項1に記載の医療システム。 - 前記手当ての状況の表示が、前記救急診療部及び救急治療室の前記待合所の両方を含み、前記待合室内の前記アイコンがトリアージスコアに応じて色分けされる、請求項2に記載の医療システム。
- 前記患者評価ユニットが、得られた検査結果及び前記モニタ済みの生命徴候に基づいて少なくとも1つの連続臓器不全評価(SOFA)スコアを更に決定し、
前記アイコンが、前記待合所内の前記決定されたトリアージスコア及び前記救急診療部内の前記決定された少なくとも1つのSOFAスコアのうちの少なくとも1つのインジケータを更に含む、
請求項2又は3に記載の医療システム。 - 前記患者軌跡の前記表示が、前記最初の接触時点から測定されるタイムライン及び前記タイムラインに対してグラフィック表示される前記モニタ済みの生命徴候を含む、請求項1乃至4の何れか一項に記載の医療システム。
- 前記決定されたトリアージスコア及び前記少なくとも1つの決定されたSOFAスコアの何れか1つの変化、
少なくとも1人の対象者に治療を施すこと、及び
手当ての種類の変化
の少なくとも1つに基づいてイベントを生成するイベントユニットを更に含み、
前記患者軌跡の前記構築済みの表示が、前記タイムラインによる前記イベントのインジケータを含む、
請求項4又は5に記載の医療システム。 - 前記イベントユニットによって生成される少なくとも1つのイベントが治療の勧告を含み、
前記少なくとも1つのイベントの前記インジケータが、含まれる勧告につながる変化を含む、
請求項6に記載の医療システム。 - 前記イベントユニットによって生成される少なくとも1つのイベントが、健康管理の役割に基づいて勧告と共に医療関係者にそれぞれ宛てられる複数の通知を含む、請求項6又は7に記載の医療システム。
- 前記患者評価ユニットが前記施された治療の有効度を評価し、代わりの治療の勧告を生成し、
前記患者軌跡の前記表示が、前記タイムラインによる前記勧告される代わりの治療のインジケータを含む、
請求項6乃至8の何れか一項に記載の医療システム。 - 患者をモニタする医療システムの作動方法であって、
前記医療システムの患者評価ユニットが、複数の対象者の各対象者を医療専門家との最初の接触時点からモニタする複数の携帯型生命徴候モニタにより継続的にモニタされ伝送される前記複数の対象者の生命徴候を受信するステップであって、前記生命徴候が血圧(BP)、血液酸素(SpO2)、心拍(HR)、及び呼吸数(RR)を含む、受信するステップと、
前記患者評価ユニットが、前記受信される生命徴候、対象者の性別、対象者の年齢、及び対象者の症状に基づいて各対象者のトリアージスコアを決定するステップと、
前記医療システムの患者監視ユニットが、各対象者の患者軌跡の表示を構築するステップであって、前記患者軌跡は前記モニタされる生命徴候、前記決定されるトリアージスコア、前記対象者の性別、前記対象者の年齢、及び前記対象者の症状を含む、構築するステップと、
前記医療システムの表示装置が、少なくとも1人の対象者の前記構築済みの患者軌跡を表示するステップと
を含む、医療システムの作動方法。 - 前記複数の携帯型生命徴候モニタは、トリアージ医による最初のトリアージ評価の救急診療部の待合所に入るとき前記最初の接触時点において前記複数の対象者のそれぞれに取り付けられ、生命徴候を継続的にモニタし伝送する装着型患者モニタであり、
前記医療システムの作動方法は、
前記患者評価ユニットが、前記最初のトリアージ評価中に記録された前記対象者の性別、前記対象者の年齢、及び前記対象者の症状を取得するステップと、
前記患者監視ユニットが、前記待合所及び前記救急診療部を含む、手当ての種類ごとにまとめられるモニタされている対象者の手当ての状況の表示を構築するステップであって、前記待合所内の各対象者は前記決定されたトリアージスコアを示す色分けされたアイコンを使って示される、構築するステップと、
前記表示装置が、前記手当ての状況の表示を表示するステップと
を更に含む、請求項10に記載の医療システムの作動方法。 - 前記医療システムのイベントユニットが、前記決定されたトリアージスコアの変化に基づいてイベントを生成するステップ
を更に含み、
前記患者軌跡の表示を構築するステップが、決定された各トリアージスコア及び前記生成されたイベントを前記最初の接触時点から測定されるタイムラインに従って示すステップを含む、
請求項10又は11に記載の医療システムの作動方法。 - 前記医療システムのイベントユニットが、少なくとも1人の対象者の手当ての種類の変化に応答してイベントを生成するステップを更に含み、
前記患者軌跡の表示を構築するステップは、前記最初の接触時点から測定されるタイムラインに従って前記手当ての種類の変化を示すステップを含み、前記手当ての種類の状況を構築するステップが、前記少なくとも1人の対象者を表すアイコンを前記手当ての種類の変化に応じて変更するステップを含む、
請求項10又は11に記載の医療システムの作動方法。 - 前記医療システムのイベントユニットが、対象者に施される治療のイベントを生成するステップと、
前記患者評価ユニットが、既定の間隔及び前記モニタ済みの生命徴候に基づいて前記施された治療の有効度を評価するステップと、
前記患者評価ユニットが、前記所定の間隔の終わりに、前記施された治療の前記評価された有効度を少なくとも1人の医療関係者に知らせるステップと
を更に含み、
前記患者軌跡の表示を構築するステップが、前記施された治療を前記最初の接触時点から測定されるタイムラインに従って示すステップを含む、
請求項10乃至13の何れか一項に記載の医療システムの作動方法。 - 請求項10乃至14の何れか一項に記載の医療システムの作動方法の各ステップを前記医療システムのコンピュータに実行させるためのソフトウェアを保持する、非一時的コンピュータ可読記憶媒体。
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