JP6505622B2 - Nursing service support system and program - Google Patents

Description

  The present invention relates to a nursing work support system and program for facilitating nursing work using positional information of nurses and patients.

  In the field of ward nursing, regular nurses and helpers visit each hospital room starting from the nurse station and perform necessary nursing work for inpatients. At the nurse station, the chief director or the like assigns a nurse in charge based on the information of the inpatient, and the nurse plans a nursing plan including nursing items created according to the doctor's instructions and the patient's medical condition and its scheduled time of operation. Carry out the care work of the patient in charge in accordance with. In addition to visiting each hospital room at the scheduled time according to the nursing plan, it also calls in response to the nurse call from the patient. In the hospital room, the procedure is carried out with reference to the portable terminal device, the copy of the medical record, and the note / note in which the necessary items are described in advance.

  Patent Document 1 discloses a technique for providing patient information around a current position from a server to the terminal based on current position information of a terminal carried by a nurse. In addition, Patent Document 2 discloses a technique for transmitting to a server the contents of implemented and information of implemented position from a terminal carried by a nurse to a server, and collating with a nursing plan previously stored in the server to confirm implementation. .

JP, 2013-186594, A JP, 2012-185644, A

  At the nurse station, it is desirable that the situation of inpatients be able to be grasped promptly in situations such as nurse assignment and situations where emergency response is required. However, the technique of Patent Document 1 only displays patient information of a patient's room on a terminal device, and can not list patient information of a plurality of patient rooms. In addition, it is desirable for the terminal operation in the hospital room to be as small as possible, but with the technique of Patent Document 1, the patient information first displayed on the terminal in the hospital room is only the name of the hospitalized patient and to display the items to be implemented A separate operation is required.

  In the technology of Patent Document 2, the operation completion input is only from the RFID tag attached to the device, but the operation completion can not be input by the input method for the operation not involving the use of the device.

  The object of the present invention is to confirm the condition of the whole patient on the ward floor, to easily confirm the condition of the patient in the hospital room, and to perform work efficiency by managing the actual contents of execution and visualization of transfer information. It is to provide a nursing service support system and program that contribute to the development of

  (1) The nursing work support system according to the present invention is a nursing work support system including a management apparatus and a nursing terminal apparatus carried by a medical worker, wherein the management apparatus includes names of hospitalized patients, hospital rooms, patient status, And information management means for managing at least nursing items and information management means to generate GUI (Graphical User Interface) of inpatient name list with nursing information including the condition of each inpatient and nursing items for each hospital room A terminal for specifying the current position of the nursing terminal device and an overall display means for displaying the GUIs of the respective sickrooms generated by the all sick room display generation means at the positions of all sick room display generation means and each sick room on the map in the hospital Information specifying the position specifying means and the current position of the nursing terminal apparatus to be the hospital room, providing information to the nursing terminal apparatus with nursing information of each inpatient in the room referring to the information management means An information acquisition unit that includes provision means, and the nursing terminal device acquires, when the current position of the nursing terminal device is a hospital room, nursing information of each inpatient in the hospital room from the information providing unit; A hospital room display generating means for generating a GUI of a hospitalized patient name list with nursing information of each hospitalized patient of the hospital room, and a terminal display means for displaying a GUI of the hospital room generated by the hospital room display generating means. As a result, the nursing information managed by the management device is shared with the nursing terminal device, and the nurse station refers to the entire display means to grasp the state of the entire patient on the ward floor and examine the measures to be taken. This can be performed promptly, and the nurse in the patient's room can promptly perform the grasp of the state of the patient in the patient room and the examination of the measures to be taken by referring to the terminal display means.

  (2) The whole display means may further display the current position of the nursing terminal on a map in the hospital. As a result, the position of the nurse or the like who carries the nursing terminal device can be grasped, and the nearest nurse or the like can be promptly directed to the sick room where the emergency has occurred.

(3) The all hospital room display generation means and the hospital room display generation means may divide the nursing information of each hospitalized patient, and generate a GUI for sequentially switching and displaying each divided part at predetermined time intervals. .
(4) Further, a GUI may be generated to express nursing items by icons. By generating the GUI in this manner, more information can be displayed on the limited display area of each display means.

(5) The nursing terminal apparatus further includes an input unit for inputting implementation completion information of the nursing item, and the hospital room display generation unit completes the implementation of the nursing item triggered by the input of the implementation completion information to the input unit. The terminal display means displays the GUI updated by the hospital room display generation means, and the management device refers to the monitoring means for monitoring the implementation status of the nursing item with reference to the information management means. The information management means further manages the implementation status of the nursing item, updates the implementation status to the implementation completion triggered by the input of the implementation completion information in the nursing terminal, and the all hospital room display generation unit updates the implementation status. It may be configured to generate a GUI capable of identifying that the implementation of the nursing item has been completed, triggered by the detection of the monitoring means. Thus, whether or not the implementation of each nursing item has been completed can be shared among the devices, and can be confirmed on each display means.
(6) The input means displays a list of selection receiving means for receiving the selection of a specific inpatient from the inpatient name list displayed on the terminal display means, and a list of nursing information of the specific inpatient for which the selection receiving means receives the selection. A personal information screen generating means for generating a GUI to be displayed and displaying it on the terminal display means; and an input accepting means for receiving input of implementation completion information of a nursing item on the nursing information list display screen displayed on the terminal display means It is also good. This makes it easy to check the nursing information of each hospitalized patient, and makes it easy to input the implementation completion information.

  (7) The information management means further manages the scheduled completion time of implementation of the nursing item, and the monitoring means further monitors whether the implementation status of the nursing item is updated to the execution completion at the scheduled completion time of completion, all The sick room display generation means can identify in the display part of the nursing item that it has not been implemented after the planned completion time, triggered by the monitoring means detecting that the implementation status is not updated after the planned completion time. The GUI is generated, the information providing means provides the nursing terminal with the unupdated information of the implementation status detected by the monitoring means, the information acquiring means acquires the unupdated information from the information providing means, and the hospital room display generating means Alternatively, it may be possible to generate a GUI that can be identified by the display portion of the nursing item that it has not been implemented after the scheduled implementation completion time. This makes it possible to quickly grasp nursing items that are not implemented as scheduled.

  (8) A patient terminal device carried by or carried by a hospitalized patient is further provided, the terminal position specifying means further specifies the current position of the patient terminal device, and the monitoring means refers to the information management means to position the hospital room of the inpatient. Monitoring the status of the separation between the inpatient and the current position of the patient terminal of the inpatient, the all-room-room display generating means is a predetermined separation between the position of the inpatient's room and the current position of the inpatient's patient terminal. In response to the detection of the occurrence by the monitoring means, a GUI capable of identifying the occurrence of the predetermined separation in the display portion of the nursing information may be generated. Thus, it is possible to promptly detect that the patient has left the patient's room and to promptly take necessary measures.

  (9) The entire display means may display the current position of the patient terminal device specified by the terminal position specifying means. Thereby, the whereabouts of the patient who left the hospital room can be grasped promptly.

  (10) The information management means further manages the scheduled execution time and place of the nursing item, and the monitoring means indicates that the patient terminal device of the inpatient is the nursing item at the scheduled execution time of the nursing item of a certain inpatient. It is further monitored whether or not it is at the place of implementation, and all the sick room display generation means is absent when the monitoring means detects that the patient terminal is absent at the place of implementation at the scheduled implementation time. It is also possible to generate a GUI that can be identified in the display portion of the nursing information. This makes it possible to grasp the presence or absence of a patient at an execution place such as a doctor's office or examination room at the implementation reservation time of a nursing item such as a medical examination or examination, and can take the second best measures immediately in the absence. .

  (11) The management device and the nursing terminal device may further include warning means for notifying that the monitoring means has made a predetermined detection by voice or alarm. This makes it possible to recognize that predetermined detection has been performed even in a situation where the user can not view the display means.

It is a schematic diagram of a nursing service support system of the present invention. It is a figure which shows an example of a structure of a management apparatus. It is a figure which shows an example of arrangement | positioning of the access point in a hospital. It is a figure which shows an example of a structure of a nursing terminal device. It is a figure which shows an example of GUI of the inpatient name list with nursing information. It is a figure which shows the example which displayed GUI of the inpatient name list | wrist with the nursing information of each hospital room on the position of each hospital room on the map in the hospital displayed on the display part of the management apparatus. It is a figure explaining the aspect which changes each part which divided | segmented and divided | segmented nursing information one by one, and displays it on screen. It is a figure which shows the example which displayed GUI of the inpatient name list | wrist of the said hospital room with nursing information with the display part of the nursing terminal device of a certain hospital room. It is a figure which shows the example which displayed the present position of a nursing terminal device and a patient terminal device on the map in the hospital displayed on the display part of the management apparatus. It is a figure explaining that the detail screen of nursing information is displayed by selecting the part by which the nursing information of the specific hospitalized patient of the nursing terminal device was displayed. It is a figure which shows an example of a structure of a patient terminal device.

  Hereinafter, embodiments of a nursing service support system and program of the present invention will be described with reference to the drawings. The present invention can be applied to any work in a work form similar to nursing work, and is not limited to this embodiment.

[System configuration]
FIG. 1 is a schematic view of a nursing service support system 1. The nursing service support system 1 includes a management device 10, an access point 20, and a nursing terminal device 30. The management device 10 communicates with the nursing terminal device 30 via an access point 20 connected via a network NW such as a wired LAN or a wireless LAN. Communication is performed between the access point 20 and the nursing terminal device 30 by any wireless communication means. The number of access points 20 and the number of nursing terminal devices 30 are arbitrary.

  The management device 10 is a device that manages information related to nursing work and provides the information to the nursing terminal device 30. FIG. 2 is a diagram showing an example of the configuration of the management apparatus 10. As shown in FIG. The management device 10 is a computer, and includes a CPU 11, a ROM 12, a RAM 13, an input unit 14, a display unit 15, a storage unit 16, and a communication unit 17.

  The CPU 11 executes a program stored in the ROM 12 or the storage unit 16 to realize the function of the management device 10. The ROM 12 is a non-volatile memory that stores a basic program and the like for operating the computer. The RAM 13 is a volatile memory that provides a work area of the CPU 11. The input unit 14 is an input device such as a keyboard or a pointing device, and provides the CPU 11 with information input by the user. The display unit 15 includes a display such as an LCD, and displays various types of information under the control of the CPU 11. The storage unit 16 is a storage medium such as an HDD or a flash memory, and stores various programs executed by the CPU 11 and various files such as a table used for execution. The communication unit 17 is an interface for connecting to the network NW, and sends and receives various information to and from the nursing terminal device 30 via the access point 20 connected to the network NW.

  The access point 20 is an access point such as a wireless LAN for communicating with the nursing terminal device 30. For example, as shown in FIG. 3, a plurality of access points 20 are installed at various places in a hospital such as a hospital room, a corridor, a toilet, an outpatient area, an examination room, an operating room, etc. Wireless communication is performed by any communication method. Each access point 20 is assigned an access point ID which is its own identification ID.

  The nursing terminal device 30 is a terminal device such as a notebook PC, a tablet terminal, or a handy terminal carried by a healthcare worker including a nurse. The nursing terminal apparatus 30 is assigned a nursing terminal ID which is its own identification ID.

  FIG. 4 is a diagram showing an example of the configuration of the nursing terminal device 30. As shown in FIG. The management device 30 is a computer, and includes a CPU 31, a ROM 32, a RAM 33, an input unit 34, a display unit 35, a storage unit 36, and a communication unit 37.

  The CPU 31 executes a program stored in the ROM 32 or the storage unit 36 to realize the function of the nursing terminal device 30. The ROM 32 is a non-volatile memory that stores basic programs and the like for operating the computer. The RAM 33 is a volatile memory that provides a work area of the CPU 31. The input unit 34 is an input device such as a keyboard or a pointing device, and provides the CPU 31 with information input by the user. The display unit 35 includes a display such as an LCD, and displays various types of information according to the control of the CPU 31. The display unit 35 may be integrated with the touch panel input unit 34. The storage unit 36 is a storage medium such as an HDD or a flash memory, and stores various programs executed by the CPU 31 and various files used for execution. The communication unit 37 is an interface for performing wireless communication with the access point 20 in an arbitrary communication scheme, and transmits and receives various information to and from the management apparatus 10 via the access point 20 and the network NW.

[How to realize the function]
Subsequently, how the function of the nursing service support system 1 of the present invention is realized by the management device 10, the access point 20, and the nursing terminal device 30 will be described.

  The nursing work support system 1 lists nursing information including patient status and nursing items for each patient in all the sick rooms on a map in the hospital displayed on the display unit 15 of the management device 10 provided at a nurse station or the like. While displaying, it is a system which displays a list of nursing information of each patient of the patient's room on the display unit 35 of the communication terminal 30 in the communication area of the access point 20 provided in the patient's room.

  The storage unit 16 of the management device 10 stores in advance at least nursing information such as the name of a hospitalized patient, a hospital room, the condition of the patient, and nursing items, and functions as an information management means. In addition, it refers in advance to the information management means, and prestores an all-room GUI generation program for generating a GUI of a hospitalized patient name list with nursing information for each hospital room. The program is read from the storage unit 16 to the CPU 11 together with the nursing information and executed to realize the function of the all-patients room display generating unit that generates the GUI of the inpatient name list with the nursing information for each sick room.

  An example of a GUI generated by the function of the all hospital room display generation means is shown in FIG. FIG. 5 shows a GUI of a list of inpatient names with nursing information of four persons in the same hospital room. Such GUI is generated for each hospital room. Since the contents included in the nursing information are common to each person, the first patient (patent Ichiro) portion of the list will be described as an example. On the first line, a bed number [8201], a nurse call number [+2], a warning number [+0], and a hospitalization day [1 day] are displayed. On the second line, the name, the number of times of body temperature measurement KT [1], the number of times of pulse measurement P [1], and the number of times of blood pressure measurement BD [1] are displayed. The third line shows nursing items. The nursing items include, for example, turning over, getting up, sitting position holding, transfer, oral hygiene, food intake, clothes removal and the like, and the display method of the items is arbitrary. In the example of FIG. 5, each item is displayed as an icon to save space in a limited display area. In this example, seven items of turn over, wake up, sitting down, transfer, oral hygiene, food intake, and clothes removal are displayed in order from the left. Furthermore, since which item needs to be performed varies depending on the patient, for example, the required item is a light colored icon (third and sixth in the case of Patent Ichiro), and an unnecessary item is a dark colored icon , 1, 2, 4, 5, 7, it may be possible to identify the necessity of implementation.

  The display unit 15 of the management device 10 functions as an overall display means for displaying the GUIs of the respective sick rooms generated by the all sick room display generation means at the positions of the respective sick rooms on the map in the hospital. For example, if there are inpatients in the 801 and 802 sickrooms and four in each of the 820 to 822 sickrooms, as shown in FIG. A GUI showing human-only nursing information and a GUI of a list of inpatient names with nursing information for the four-room room are displayed.

  The GUI generated by the function of the entire hospital room display generation means does not have to display all the nursing information stored in the storage unit 16 in the display space at one time. For example, the nursing information is divided and divided A GUI may be generated which sequentially switches and displays each of the acquired parts at predetermined time intervals or in response to a predetermined input operation. By generating the GUI in this manner, more information can be displayed on the limited display area of each display means.

  FIG. 7 shows an example in which the display area is divided into the fixed area and the switching area, and the display is switched at predetermined time intervals only in the switching area. Here, the entire nursing information to be displayed includes a bed number, nurse call frequency, warning frequency, hospitalization days, patient name, body temperature measurement frequency KT, pulse measurement frequency P, blood pressure measurement frequency BD (hereinafter referred to as "basic information". ), Nursing items (see the explanation in Fig. 5), rounding results [8:36], work confirmation [bathing assistance at 13:20, surgery at 15 o'clock], vital measurement values [body temperature KT 37.4 ° C, pulse rate P56, blood pressure 147/122] and divide them into (1) basic information, (2) nursing items, (3) rounds, (4) work confirmation, and (5) vital measurements, 1) is fixedly displayed in the fixed area (first and second rows), and (2) to (5) are sequentially displayed in the switching area (third row). That is, the states in which (1) and (2) are displayed (FIG. 7 (a)), the states in which (1) and (3) are displayed (FIG. 7 (b)), (1) and (4) The display state (FIG. 7 (c)), (1) and (5) are sequentially displayed (FIG. 7 (d)), and the state returns to (1) and (2) again. To be repeated from then on. Of course, the provision of the fixed area is not essential, and the entire area may be switched.

  In order to make it possible to display the inpatient name list with the nursing information of the inpatient of the patient room on the nursing terminal device 30 carried by a nurse or the like in the patient's room, the management device 10 can check the current position of the nursing terminal device 30, for example. Identify in the following way. Thereby, the function of the terminal position specifying means is realized. Although the case where the access point for transmitting and receiving the nursing information and the access point for providing the position information are integrated is described as an example here, if the position of the nursing terminal device 30 can be specified, the position specification is realized. The form is arbitrary. For example, an access point for providing position information (for example, for IMES (Indoor MEssaging System)) is provided separately from an access point for transmitting and receiving nursing information, and is separate from the nursing terminal (for example, for IMES) The transmitter may be carried along with the nursing terminal and used.

  The storage unit 16 of the management device 10 stores in advance an access point table that associates the access point ID with the installation position of the access point. Further, a current position specifying program for specifying the current position of (the user of) the nursing terminal apparatus 30 with reference to the access point table triggered by having received the access point ID and the nursing terminal ID is also stored in advance.

  The CPU 31 of the nursing terminal device 30 reads and executes the communication program and its own nursing terminal ID stored in advance in the storage unit 36, and sequentially transmits its own nursing terminal ID from the communication unit 37. The nearest access point 20 receives this, and transmits the said nursing terminal ID to the management apparatus 10 with own access point ID.

  The CPU 11 of the management device 10 reads and executes the communication program stored in the storage unit 16 in advance, receives the access point ID and the nursing terminal ID transmitted from the nursing terminal device 30, and uses this as a trigger from the storage unit 16 Read and execute the current position specification program and access point table. Thereby, the position of the access point 20 that has received the nursing terminal ID is specified as the current position of the nursing terminal device 30 (user). For example, when the access point 20 that has received the nursing terminal ID is installed in a certain hospital room, the current position of the nursing terminal device 30 that has transmitted the nursing terminal ID is identified as the hospital room.

  When it is specified that the current position of the nursing terminal device 30 is a certain sick room, the CPU 11 of the management device 10 reads and executes the communication program stored in advance in the storage unit 16 and carries out nursing information of the hospitalized patient of the relevant sick room. Are read from the storage unit 16 and transmitted to the nursing terminal device 30 via the communication unit 17. In the nursing terminal device 30, a hospital room GUI generation program for generating a GUI of a hospitalized patient name list with nursing information from the nursing information of the hospitalized patient in the patient room acquired from the management device 10 is stored in advance in the storage unit. The CPU 31 of the nursing terminal device 30 reads and executes the communication program stored in advance in the storage unit 36, receives via the communication unit 37 the nursing information of the inpatient of the patient room transmitted from the management device 10, and stores it. After storing in the unit 36, the nursing information and the sick room GUI generation program are read and executed. As a result, a GUI of a list of inpatient names with nursing information in the relevant room is generated, and the function of the room display generation means is realized. The GUI to be generated may be the same as or different from the GUI (see FIG. 5) of each hospital room generated by the function of all the hospital room display generation means.

  The display unit 35 of the nursing terminal device 30 functions as a terminal display means for displaying the GUI of the inpatient name list with nursing information in the patient room generated by the patient room display generation means. For example, if the patient's room is a quadruple room, it is displayed as shown in FIG.

  The GUI generated by the function of the hospital room display generation means does not have to display all the nursing information stored in the storage unit 36 in the display space at one time, for example, the nursing information is divided and divided. A GUI may be generated which sequentially switches and displays each part at predetermined time intervals or in response to a predetermined input operation. By generating the GUI in this manner, more information can be displayed on the limited display area of each display means (see FIG. 7).

  The nursing information supported by the management apparatus 10 is shared with the nursing terminal device 30 by the nursing work support system 1 configured as described above, and the nurse station refers to the display unit 15 which is the entire display means. In the ward floor, the patient's entire condition and the action to be taken can be grasped, and the nurse in the ward immediately refers to the display unit 35 which is the terminal display means for the patient's state and the action to be taken in the patient room. Can be grasped.

  Since the current position of the nursing terminal device 30 can be sequentially obtained by the function of the terminal position specifying means, a function of storing the obtained current position information in the storage unit 16 in time series may be added to the current position specifying program. . As a result, it becomes possible to analyze flow lines of nurses etc. ex post, and it can be used to consider the assignment of personnel and the improvement of the efficiency of work.

  A function of displaying on the display unit 15 the current position of the nursing terminal device 30 specified by the function of the terminal position specifying means together with the nursing information of the hospitalized patient in each room may be added to the all-rooms GUI generation program. For example, FIG. 9 shows the current position of each nursing terminal 30 on a map in a hospital with a heart mark with a nursing terminal ID, and the nursing terminal 30 with the first nursing terminal ID is in the examination room. The second nursing terminal 30 is located in the 821 ward and the third nursing terminal 30 is located in the 801 ward. As a result, the current position of each nursing terminal device 30 can be grasped sequentially on the display unit 15, and the nearest nurse or the like can be promptly directed to the hospital room where the emergency has occurred in the inpatient.

  The management device 10 may further manage the implementation status of each nursing item, update the implementation status with the implementation completion information input in the nursing terminal 30, and reflect the updated implementation status on the GUI. Thereby, it can be shared between the management device 10 and the nursing terminal device 30 whether or not the implementation of each nursing item is completed, and can be confirmed on each display unit. This function can be realized, for example, as follows.

  A function for generating a GUI capable of identifying whether or not the implementation of each nursing item has been completed is added to the hospital room GUI generation program. When a nurse or the like inputs execution completion information from the input unit 34 of the nursing terminal 30, the execution completion information is read by the CPU 31 and the nursing information and the hospital room GUI generation program are read from the storage unit 36 and executed Be done. As a result, a GUI of a list of inpatients with nursing information in the patient room that can identify the nursing items for which implementation has been completed is generated and displayed on the display unit 35.

  The implementation completion information to be input may include the implementation completion time as well as the completion of the implementation of the target nursing item. In addition, the method of making it possible to identify the unimplemented / implemented completion of the nursing item with the GUI is optional, but for example, the font or color of the display (character or icon) of the nursing item is changed. There is a method such as changing the screen by touching or the like and displaying the implementation completion status of each item in a list.

  The CPU 31 of the nursing terminal device 30 reads and executes the communication program stored in the storage unit 36 in advance, and transmits, from the communication unit 37, the management completion information of the nursing item input in the input unit 34. The storage unit 16 of the management device 10 further stores the implementation status of each nursing item as nursing information. The CPU 11 reads and executes the communication program stored in the storage unit 16 in advance, and the implementation status of the nursing item stored in the storage unit 16 is not yet implemented by the implementation completion information of the nursing item received in the communication unit 17 Update to implementation completion. If the implementation completion information includes the implementation completion time, the implementation may be completed and may be included in the updated implementation status. The storage unit 16 further stores a monitoring program for monitoring the implementation status of the nursing item, which is read and executed by the CPU 11 to realize the function of monitoring means for monitoring the implementation status of the nursing item. In addition, a function to generate a GUI capable of identifying whether or not the implementation of each nursing item has been completed is added to the all hospital room GUI generation program. When the monitoring means detects that the implementation status has been updated, the CPU 11 reads and executes the nursing information before the update, the implementation completion information, and the whole sick room GUI generation program. As a result, a GUI of a list of inpatients with nursing information in each room that can identify nursing items that have been completed is generated and displayed on the display unit 15.

  The management apparatus 10 further manages scheduled execution completion time of the nursing item, and displays in the management apparatus 10 and the nursing terminal apparatus 30 that the non-execution is performed when the execution status is not updated to the execution completion at the scheduled completion time of execution. It may be reflected on the selected GUI. This makes it possible to easily grasp nursing items that are not implemented as scheduled. This function can be realized, for example, as follows.

  The storage unit 16 further stores the planned implementation completion time of the nursing item as the nursing information. Add a function to monitor whether the implementation status of the nursing item is updated to the implementation completion at the implementation completion scheduled time to the monitoring program, and all the hospital room GUI generation programs have not been implemented after the implementation completion scheduled time Add a function to generate a GUI that can be identified in the display section of nursing items. When the monitoring program is read and executed by the CPU 11 and it is detected that the implementation status has not been updated after the planned completion time, the nursing information before the planned completion time and the all sick room GUI generation program are sent to the CPU 11 It is read and executed. As a result, a GUI that can be identified by the display portion of the nursing item as being unimplemented after the scheduled implementation completion time is generated, and this is displayed on the display unit 15. In addition, a warning program that warns by voice or alarm that it has not been implemented after the scheduled implementation completion time is further stored in the storage unit 16, and it is detected that the implementation status is not updated after the scheduled implementation completion time. At the same time, the CPU 11 may be configured to read and execute. Thereby, the function of the warning means is realized, and even in a situation where the user can not view the display unit 15, it is possible to recognize by sound the unimplemented time after the planned completion time of the nursing item.

  The method to make unimplemented after unimplemented / implemented scheduled time in the GUI can be identified is optional, for example, the font or color of the display (character or icon) of the nursing item, changing the background color of the display part of nursing information Methods such as changing the screen, clicking on the display part of the nursing item, touching the screen, etc. to display the implementation status of each item. In addition, the entire hospital room GUI generation program may be configured to be included in the GUI also for the display of the scheduled completion time of implementation. In addition, the storage unit 16 may store as the nursing information the planned completion time of the nursing item as well as the planned completion time of the nursing item, and the whole hospital room GUI generation program may be included in the GUI for displaying the scheduled execution start time. .

  On the other hand, in the nursing terminal device 30, along with the addition of the nursing information managed by the management device 10, when the nursing information is acquired, the planned implementation completion time (and the planned implementation start time) of the nursing item is acquired. In addition, a function for generating a GUI capable of identifying unimplemented after the planned completion time is added to the hospital room GUI generation program. At this time, in response to the acquisition of the non-updated information from the management device 10, the CPU 31 reads and executes the nursing information and the hospital room GUI generation program before the scheduled implementation completion time. As a result, a GUI that can be identified by the display portion of the nursing item as being unimplemented after the scheduled implementation completion time is generated, and this is displayed on the display unit 35. In addition, you may add the function included in GUI also about the display of implementation completion scheduled time and implementation start scheduled time to a sickroom GUI production | generation program. In addition, a warning program that warns by voice or alarm that it has not been implemented after the scheduled implementation completion time is further stored in the storage unit 36, and it is detected that the implementation status is not updated after the scheduled implementation completion time. At the same time, the CPU 31 may be configured to read and execute. Thereby, the function of the warning means is realized, and even in a situation where the user can not view the display unit 35, it is possible to recognize by sound the unimplemented time after the planned completion time of the nursing item.

  In the nursing terminal 30, the execution completion information of the nursing item on the GUI displaying a list of the nursing information of the hospitalized patient displayed by selecting and inputting a specific hospitalized patient from the hospitalized patient name list displayed on the display unit 35 May be configured to be input. For example, in a state where a list of four persons is displayed as shown in FIG. 10A, for example, by performing a selection input operation by touch or click on a display portion of any one person, for example, Patent Ichiro. A list of the nursing information of the one person as shown in (b) is displayed, and implementation complete information of the nursing item can be input on this list display screen. This makes it easy to check the nursing information of each hospitalized patient, and makes it easy to input the implementation completion information. This function can be realized, for example, as follows.

  A personal information screen generation program for generating a GUI for displaying a list of nursing information of hospitalized patients specified based on the selectively input information is stored in advance in the storage unit 36. A selection input operation is performed on a display portion of a specific inpatient on the inpatient name list displayed on the display unit 35 from the input unit 34 such as a touch panel configured integrally with the mouse and the display unit 35. Then, the information selectively input to the CPU 31 is fetched, and the function of the selection receiving unit is realized. Subsequently, the personal information screen generation program is read and executed by the CPU 31 to generate a GUI for displaying a list of nursing information of hospitalized patients identified based on the selectively input information and displayed on the display unit 35 . Thereby, the function of the personal information screen generating means is realized. Subsequently, in the list display screen of nursing information displayed on the display unit 35, execution completion information of the nursing item is taken into the CPU 31 when a predetermined input operation is performed from the input unit 34 such as a mouse or a touch panel. Thus, the function of the input accepting means is realized.

  Hospitalized patients do not always stay in the hospital room, and they may go out of the hospital room under their own initiative or under the supervision of a hospital person, and in such cases, it is necessary to be able to quickly understand whereabouts of hospitalized patients. It is effective from the viewpoint of the facilitation of hospitalization and the safety of hospitalized patients. In order to obtain such an effect, for example, it is preferable that the present location of the inpatient can be grasped by carrying or attaching the patient terminal device 40 to the inpatient. This function can be realized, for example, as follows.

  The patient terminal device 40 is assigned a patient terminal ID which is its own identification ID. FIG. 11 is a diagram showing an example of the configuration of the patient terminal device 40. As shown in FIG. The patient terminal device 40 is a computer, and includes at least a CPU 41, a ROM 42, a RAM 43, a storage unit 46, and a communication unit 47. The CPU 41 executes a program stored in the storage unit 46 to realize the function of the patient terminal device 40. The ROM 42 is a non-volatile memory that stores basic programs and the like for operating the computer. The RAM 43 is a volatile memory that provides a work area of the CPU 41. The storage unit 46 is a storage medium such as an HDD or a flash memory, and stores various programs executed by the CPU 41 and various files used for the execution. The communication unit 47 is an interface for performing wireless communication with the access point 20 according to an arbitrary communication method, and transmits and receives various types of information to and from the management apparatus 10 via the access point 20 and the network NW.

  The CPU 41 of the patient terminal device 40 reads and executes the communication program and its own patient terminal ID stored in advance in the storage unit 46, and sequentially transmits its own patient terminal ID from the communication unit 47. The nearest access point 20 receives this and transmits the patient terminal ID to the management apparatus 10 together with its own access point ID.

  The CPU 11 of the management device 10 reads and executes the communication program stored in the storage unit 16 in advance, receives the access point ID and the patient terminal ID transmitted from the patient terminal device 40, and from this, triggers the communication program from the storage unit 16 Read and execute the current position specification program and access point table. Thereby, the position of the access point 20 that has received the patient terminal ID is specified as the current position of the patient terminal device 40 (patient). For example, when the access point 20 that has received the patient terminal ID is installed in a certain hospital room, the current position of the patient terminal device 40 that has transmitted the patient terminal ID is identified as the hospital room. As in the case of the nursing terminal device 30, the method of specifying the position described here is an example, and as long as the position of the patient terminal device 40 can be specified, the implementation mode of the position specification is arbitrary.

  The storage unit 16 further stores the patient terminal ID of the hospitalized patient as nursing information and sequentially stores the specified current position of the patient terminal device 40 of the hospitalized patient to which the patient terminal ID is attached. In addition, the monitoring program monitors the distance between a hospital room of a certain inpatient and the current position of the patient terminal 40 of the inpatient by sequentially referring to the storage unit 16 and detects a predetermined gap, and when all predetermined room gap is detected Add the function to start the generation program. Furthermore, a function for generating a GUI capable of identifying that a predetermined separation has occurred in the display portion of the inpatient of the inpatient name list with nursing information is added to the all-room GUI generation program. When the monitoring program is read into the CPU 11 and a predetermined separation is detected during execution, the whole room GUI generation program is further read into the CPU 11 and executed. As a result, a GUI of a list of hospitalized patient names with nursing information in each hospital room can be generated that can identify that the hospitalized patients have moved from the hospital room and a predetermined separation has occurred, and this is displayed on the display unit 15. In addition, a warning program that warns by a voice or alarm that a predetermined separation has occurred is further stored in the storage unit 16, and is configured to be read and executed by the CPU 11 when a predetermined separation is detected. You may As a result, the function of the warning means is realized, and even in a situation where the user can not see the display unit 15, it is possible to recognize the occurrence of a predetermined separation by sound.

  The predetermined separation may be determined when the user is in a place other than the hospitalized patient's room, or may be determined by setting an arbitrary rule, for example, when located in a place other than the hospital room or the room from the hospital room to the toilet. . Further, although any method can be used to make it possible to identify that a predetermined separation has occurred in the GUI, for example, a method such as changing the background color of the display portion of the nursing information of the hospitalized patient or blinking the display can be mentioned. . Also, the identification methods may be different according to the degree of separation.

  A function of displaying on the display unit 15 the current position of the patient terminal device 40 specified by the function of the terminal position specifying means together with the nursing information of the hospitalized patient in each room may be added to the all-rooms room GUI generation program. For example, FIG. 9 shows the present position of the patient terminal 40 on a map in a hospital by a squared number, and the patient terminal 40 having a patient terminal ID of 801 is 801 in the 801 hospital room. The 8201, 8202 and 8203 patient terminals 40 are in the 820 hospital room, and the 8212, 8213 and 8214 nursing terminals 40 are in the 821 hospital room, and the 8221, 8222 and 8224 nursing terminal 40 are In the 822 ward, the 8204 nursing terminal 40 is outpatiently, the 8211 nursing terminal 40 is in the toilet, and the 8223 nursing terminal 40 is in the examination room. Thereby, the position of the hospitalized patient who carries or wears the nursing terminal device 40 can be sequentially grasped on the display unit 15, and the facilitation of nursing and the improvement of the safety of the hospitalized patient can be achieved.

  The current position information of the patient terminal device 40 specified by the management device 10 may be reflected in the display content of the inpatient name list with nursing information in the nursing terminal device 30.

  For example, on the GUI of the inpatient name list with nursing information displayed on the nursing terminal device 30 in a certain hospital room, it is possible to identify that a certain inpatient in the corresponding hospital room is separated from the hospital room. be able to. This function can be realized, for example, as follows. The CPU 11 of the management apparatus 10 executing the monitoring program has detected a predetermined separation when detecting a predetermined separation between the current position of the patient terminal device 40 of a certain inpatient and the hospital room of the inpatient. A separation detection flag shown is further stored in the storage unit 16 as nursing information. In addition, when the nursing information of the hospitalized patient acquired from the management apparatus 10 includes a separation detection flag in the hospital room GUI generation program, the display portion of the hospitalized patient name list with the nursing information has a predetermined display portion of the hospitalized patient. Add a function to generate a GUI that can identify that separation has occurred. Thereby, when the nursing terminal device 30 in a certain hospital room receives the nursing information of the hospitalized patient of the hospital room from the management device 10 and generates and displays the GUI of the hospitalized patient name list with the nursing information, the GUI Above, it may be possible to identify that a certain inpatient in the relevant room has a predetermined separation from the room.

  Although any method can be used to make it possible to identify that a predetermined separation has occurred in the GUI, for example, a method such as changing the background color of the display portion of the nursing information of the hospitalized patient or blinking the display can be mentioned. Also, the identification methods may be different according to the degree of separation. Also, the GUI may include information on the current position of the patient terminal device 40 included in the nursing information. This makes it possible to quickly find out whereabouts of the patient and to promptly take necessary measures.

  Also, for example, when the management apparatus 10 transmits nursing information to the nursing terminal 30 in a certain hospital room, in addition to the hospitalized patient of the relevant hospital room, the other location where the current position of the patient terminal 40 is the relevant hospital room Nursing information of a patient in a hospital room may be transmitted. In this way, in addition to the nursing information of the inpatient in the patient room, the nursing information of inpatients in other rooms who have come to the patient's room for some reason can also be confirmed on the inpatient name list with nursing information. It becomes possible to take an appropriate response to the hospitalized patient in the hospital room based on the nursing information.

  A hospitalized patient may move out of the hospital room for medical examinations and examinations, but if it can be grasped at a nurse station etc. if it is absent at a predetermined place at a scheduled order or time, You can take the second best measures immediately. Since the current position of the patient terminal device 40 can be sequentially obtained by executing the current position specifying program, the presence / absence at a predetermined time / place can be specified by collating the schedule information and the current position information, and the display unit 15 can be specified. It becomes possible to display. Such a function can be realized, for example, as follows.

  The storage unit 16 is, for each nursing item including outpatient visits, examinations, surgery, etc., scheduled execution time as a reference for determining presence / absence, such as scheduled start time and scheduled completion time of operation, and execution place of each nursing item. It is further stored as nursing information. In addition to the function of acquiring current position information by executing the program, a function of storing the acquired position information in time series in the storage unit 16 is added to the current position identification program. In addition, in the monitoring program, at the scheduled execution time of the inpatient care item of the patient terminal ID obtained by referring to the information management means, the patient terminal device 40 of the execution place of the nursing item and the patient terminal ID. It monitors whether or not the current position of the device matches, and adds a function to start the whole hospital room GUI generation program when the mismatch is detected. Furthermore, in the all hospital room GUI generation program, a function to generate a GUI capable of identifying absence at the implementation location at the implementation scheduled time of the nursing item in the display part of the inpatient of the inpatient name list with nursing information. I will add it. When the monitoring program is read into the CPU 11 and a mismatch is detected during execution, the whole room GUI generation program is further read into the CPU 11 and executed. As a result, a GUI of a list of inpatients with nursing information in each hospital room can be generated that can identify absence at the implementation location at the scheduled implementation time of the nursing item, and this is displayed on the display unit 15. In addition, a warning program that warns by voice or alarm that the user is not at the implementation location at the scheduled implementation time is further stored in the storage unit 16, and a mismatch between the implementation location and the current position is detected. It may be configured to be read and executed by the CPU 11. As a result, the function of the warning means is realized, and even when the user can not view the display unit 15, it is possible to recognize the absence of the patient at the implementation location by sound at the scheduled implementation time.

  The present invention is not limited to the above embodiment as it is, and at the implementation stage, the constituent elements can be modified and embodied without departing from the scope of the invention. Further, various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the above embodiment. Further, for example, a configuration in which some components are deleted from all the components shown in the embodiment is also conceivable. Furthermore, the components described in different embodiments may be combined as appropriate.

  The nursing operation support system of the present invention can achieve efficiency and facilitation of operations by introduction to not only a hospital but also an elderly person housing with nursing.

1 ... nursing work support system 10 ... management device 11, 31, 41 ... CPU
12, 32 ... ROM
13, 33, 43 ... RAM
14, 34 ... input unit 15, 35 ... display unit 16, 36, 46 ... storage unit 17, 37, 47 ... communication unit 20 ... access point 30 ... nursing terminal device 40 ... patient terminal device NW ... network

Claims (14)

A nursing work support system comprising a management device and a nursing terminal carried by a medical worker, comprising:
The management device is
An information management means for at least managing the names of hospitalized patients, hospital rooms, patient states, and nursing items;
An all-patients room display generating unit which generates a GUI of a hospitalized patient name list with nursing information including the condition of each hospitalized patient and nursing items with reference to the information management unit;
An overall display means for displaying the GUIs of the respective sick rooms generated by the all sick room display generation means at positions of respective sick rooms on a map in a hospital;
Terminal position specifying means for specifying the current position of the nursing terminal device;
When the current position of the nursing terminal is specified as a certain hospital room by the terminal position specifying means, the nursing information of each inpatient in the sick room is transmitted to the nursing terminal with reference to the information management means. Information provision means,
Equipped with
The nursing terminal device is
When the current position of the nursing terminal device of the certain hospital room, an information acquiring means for receiving the nursing information for each hospitalized patient of the hospital room transmitted from the information providing unit,
And the hospital room display generating means for generating the GUI of inpatient name list with nursing information of each hospitalized patient of the certain hospital room,
A terminal display means for displaying the GUI that is the patient's room display generating means is generated,
Nursing work support system equipped with   The nursing service support system according to claim 1, wherein the whole display means further displays the current position of the nursing terminal device on a map in a hospital.   The all sick room display generation means and the sick room display generation means are characterized in that the nursing information of each hospitalized patient is divided, and a GUI is generated to sequentially switch and display each divided part at predetermined time intervals. The nursing service support system according to claim 1 or 2.   The nursing service support system according to any one of claims 1 to 3, wherein the all hospital room display generating unit and the hospital room display generating unit generate a GUI that represents the nursing item by an icon. The nursing terminal device is
It further comprises an input unit for inputting the implementation completion information of the nursing item,
The hospital room display generating means generates a GUI capable of identifying that the implementation of the nursing item has been completed in response to the input of the implementation completion information to the input means.
The terminal display means displays the GUI updated by the patient room display generation means,
The management device is
It further comprises monitoring means for monitoring the implementation status of the nursing item with reference to the information management means,
The information management means further manages the implementation status of the nursing item, and updates the implementation status to the implementation completion triggered by the input of the implementation completion information in the nursing terminal device.
The all the sick room display generating means generates a GUI capable of identifying that the implementation of the nursing item is completed when the monitoring means detects the update of the implementation state. The nursing service support system according to any one of to 4. The input means is
Selection receiving means for receiving selection of a specific inpatient from the inpatient name list displayed on the terminal display means;
Personal information screen generation means for generating a GUI for displaying a list of the nursing information of specific inpatients whose selection has been received by the selection reception means, and displaying the GUI on the terminal display means;
Input receiving means for receiving input of implementation completion information of a nursing item on the list display screen of the nursing information displayed on the terminal display means;
The nursing service support system according to claim 5, comprising: The information management means further manages scheduled completion time of implementation of the nursing item,
The monitoring means further monitors whether the implementation status of the nursing item is updated to the implementation completion at the scheduled implementation completion time,
The display of the nursing items is that all the sick room display generation means has not been implemented after the scheduled completion time when the monitoring means detects that the implementation status is not updated after the planned completion time. Generate a GUI that can be identified in parts,
The information providing means provides the nursing terminal with unupdated information of the implementation status detected by the monitoring means.
The information acquisition means acquires the unupdated information from the information provision means.
The nursing service support system according to claim 5 or 6, wherein the hospital room display generating means generates a GUI which can be identified by the display portion of the nursing item that the operation has not been performed after the scheduled execution completion time. It further comprises a patient terminal device carried or worn by the inpatient.
The terminal position specifying means further specifies the current position of the patient terminal,
The monitoring means refers to the information management means to monitor the status of the separation between the position of the inpatient room and the current position of the patient terminal of the inpatient.
The all hospital room display generation means generates a predetermined separation triggered by the monitoring means detecting the occurrence of a predetermined separation between the position of the hospital room of the inpatient and the current position of the patient terminal of the inpatient. The nursing service support system according to any one of claims 5 to 7, wherein a GUI that can be identified by the display portion of the nursing information is generated.   9. The nursing service support system according to claim 8, wherein the overall display means displays the current position of the patient terminal device specified by the terminal position specifying means. The information management means further manages scheduled execution time and place of the nursing item,
The monitoring means further monitors whether or not the patient terminal device of the hospitalized patient is present at a site where the nursing item is performed at a scheduled time of implementation of the nursing item of a certain hospitalized patient.
The all-patients room display generation unit is a display portion of the nursing information that the patient terminal device is absent at the execution location at the execution scheduled time when the monitoring unit detects the absence. The nursing service support system according to claim 8 or 9, wherein an identifiable GUI is generated.   The said management apparatus and the said nursing terminal device are further provided with the alerting | reporting means which notifies that the said monitoring means carried out predetermined | prescribed detection by an audio | voice or an alarm. Nursing service support system.   A program for causing a computer to function as the management device according to claim 1.   A program for causing a computer to function as the nursing terminal device according to claim 1. A program for causing a computer to function as the patient terminal device according to claim 8.