JP6668715B2 - Medical support system - Google Patents

Description

The present disclosure relates to medical care support system to be used for the induction of a patient in the hospital.

  2. Description of the Related Art Conventionally, a system has been proposed in which a medical practice scheduled for a visiting patient is registered in advance for each medical treatment item, and a status (progress) for each medical treatment item is managed using data registered at the time of visiting the hospital (for example, And Patent Document 1). For example, in Patent Literature 1, each time a medical practice is performed, a doctor or the like manually changes a medical care item to a completed state via a predetermined terminal. In Patent Literature 1, the status of each medical care item in a patient is displayed on a monitor. The status display is used when guiding a patient in a hospital.

JP 2010-122780 A

  However, in such a system, in order to switch the status of the medical care item to “completed”, it is necessary to operate the terminal every time the medical care is performed, which is troublesome. For this reason, there is a possibility that the medical care status may not be properly managed in the hospital. As a result, there is a possibility that the status information is hardly used for guiding the patient.

The present disclosure has been made in view of the problems of the prior art, it is an object to provide a medical support system capable of performing smooth patient care.

Diagnostic support system according to the first aspect of the present disclosure, indicates a detection device that detect the position information of the patient in the hospital, to position the patient in any of the plurality of areas obtained by dividing the hospital A detection device for detecting position information, and the number of patients in each area is managed based on the position information for each patient detected by the detection device, and is a medical treatment item scheduled in one medical treatment; A management device that manages the status of the medical care item of each patient based on the medical care item stored in the storage device in advance in association with the patient for each content and each procedure and the position information for each patient detected by the detection device When a hospital map including the plurality of areas, the hospital map in association with each area of a patient icon indicating a patient is detected in each area, the on screen of the tablet device And displays at the same time, if the corresponding area and medical items in the previous embodiment in a particular patient there are more than one in a hospital, among the plurality of areas, the smallest area is the number of patients, or, the least latency The graphic indicating the area, as guide information for guiding the movement of the specific patient, the unexecuted medical treatment items for the specific patient managed by the management device, and the management managed by the management device A display control device for further displaying on the screen based at least on the number of patients for each area.

A medical care support system according to a second aspect of the present disclosure is a detection device that detects position information of a patient in a hospital, the position information indicating in which of the plurality of areas the patient is located in the hospital. And the number of patients in each area is managed based on the position information of each patient detected by the detection device, and is a medical treatment item scheduled for one medical treatment, And a management unit that manages the status of the medical care item of each patient based on the medical care item stored in the storage device in advance in association with the patient for each procedure and the position information of each patient detected by the detection device. The status of the examination item is switched based on the operation on the operation terminal for the type of the treatment item which is implemented by the patient moving in a plurality of areas among the medical treatment items. It includes a physical device.

It is a figure showing the schematic structure of the medical treatment support system concerning this embodiment. It is a figure showing an example of a layout of a hospital. It is a figure showing an example of guide display on a display.

  Hereinafter, an embodiment of a diagnosis support system according to the present disclosure will be described with reference to the drawings. FIG. 1 shows a schematic configuration of a diagnosis support system 1 according to the embodiment. The diagnosis support system 1 is used for guiding a patient in a hospital. The diagnosis support system 1 includes a patient position detection device 10, a personal computer (management device in the present embodiment, abbreviated as “PC” hereinafter) 20, and a display unit 30. Each member is connected to each other by wire or wirelessly.

  The patient position detecting device 10 detects position information of a patient in a hospital. The position information indicates in which area the patient is located in the hospital divided into a plurality of areas. For example, the hospital area may be divided such that each room and passage in the hospital corresponds to one area. In addition, one area may be divided so as to correspond to one of a plurality of adjacent rooms, a plurality of passages, or a combination of a room and a passage.

  Here, FIG. 2 is an example of a layout of an ophthalmic clinic. In the example of FIG. 2, a plurality of rooms such as a reception and waiting room 101, an examination room 102, a treatment room 103, and imaging rooms (or examination rooms) 104 to 106 are provided in the hospital. In each room, medical treatment and procedures are performed according to the purpose and equipment (for example, optometry equipment) of each room. For this reason, the medical treatment performed for each patient can be confirmed based on the position information of the patient.

  The patient position detecting device 10 performs, for example, a plurality of sensors 11 for non-contact detection of a patient in a hospital, a process of specifying the position of the patient, and identifying the patient based on the detection result from each sensor 11. And an apparatus 12. Each sensor 11 processing device 12 is connected by wire or wirelessly, and can transmit data from the sensor 11 to the processing device 12 via a network.

  For example, as shown in FIG. 1, in a hospital, a patient is provided with an identifier (for example, a storage medium such as an RFID tag or a magnetic card), and patient identification information (for example, a patient ID or the like) stored in the identifier is provided. In order to read, a reader that is previously arranged in each area in the hospital may be used as the sensor 11. The reader may be installed, for example, near the entrance of each area. When the identifier is distributed to the patient at the time of reception, a reader may be arranged near the reception. In the detection method in which the patient has the identifier, each time the information stored in the identifier is read by the sensor 11, the sensor identification information and the patient identification information detected by the sensor 11 are associated with each other, and the processing device 12 Sent to The sensor identification information is information for identifying a reader that has read an identifier among a plurality of readers provided in the hospital. The processing device 12 can specify the area where the patient is located and identify the patient based on the sensor identification information and the patient identification information transmitted from the sensor 11 (in this case, the reader). In this case, the processing device 12 may specify the area where the patient is located, for example, with reference to a look-up table in which the area where each sensor 11 is arranged and the sensor identification information are associated in advance. . When the sensor 11 for detecting the patient identification information of a certain patient is switched to one arranged at a different position, it is confirmed that the position of the patient has moved across the area.

  As such a processing device 12, for example, a general-purpose computer can be used. For example, in the present embodiment, the processing device 12 may be shared by the PC 20. A case where the RFID is used as described above as a specific example of the position detection device 10 will be described. The RFID is handed to the patient at the time of reception, for example.

  However, the patient position detecting device 10 is not limited to the above embodiment. For example, the patient may have an indoor GPS terminal as the sensor 11. In this case, the position information of the patient in the hospital may be acquired by the indoor GPS terminal, and the position information may be transmitted from the device to the processing device 12. Further, the patient position detecting apparatus 10 is not limited to a method of detecting the position of a patient using an identifier or a device provided to the patient. For example, a plurality of video cameras provided in advance in each area in the hospital may be used as the sensor 11. In this case, an image obtained by the video camera may be sent to the processing device 12, and the image may be processed by the processing device 12 to detect the patient position. In this case, the position detection of the patient in the hospital and the identification of the patient may be performed using the human recognition technology and the face recognition technology.

  The PC 20 manages the status of medical care items in each patient. It also manages the number of patients in each area. The medical treatment item indicates medical treatment contents and procedures scheduled for one medical treatment. In the present embodiment, the medical care items are determined in advance. Medical treatment items indicating the contents of medical treatment include, for example, items related to any of examination, imaging, and diagnosis. The medical treatment item indicating a procedure indicates, for example, any one of procedures such as reception, accounting, and awarding of a medicine. Of course, the medical treatment items may be subdivided in more detail.

  For example, a database in which medical items scheduled for medical treatment are registered for each patient may be used for status management of medical items. The storage device that stores the database may be, for example, a non-volatile storage medium such as a hard disk (HDD) provided in the PC 20. Further, for example, the storage device may be a storage device on a server connected to a PC via a network. For example, when a visit is reserved, a doctor or the like operates an input terminal (not shown) to select one or more medical items corresponding to the medical treatment contents at the time of the visit, thereby registering the medical items in the database. May be. As a result, the medical care item is stored in the storage device in association with the patient (for example, in association with the patient ID) for each medical care content and procedure.

  The status (state) of each medical treatment item is switched to at least two types, for example, “before implementation” and “completed”. In addition, a state such as “in progress” may be set as appropriate. Although the details will be described later, the status of the medical care item is performed, for example, when the position information of the patient acquired from the patient position detection device 10 changes. For example, in the case where a medical item “doctor's consultation” is set, the initial value of the status of the medical item is set to “before implementation”. The status of this medical care item is determined, for example, by obtaining position information indicating that the patient is located in the consultation room 102, and further acquiring position information indicating that the patient is located in a position other than the consultation room 102. , "Completed" state. That is, the status of the medical care item is managed based on the patient's access to and from the area corresponding to each medical care item.

  However, the state of some of the medical treatment items set in advance may be manually switched regardless of the position information of the patient. The medical treatment item whose state is manually switched may be, for example, a medical treatment item of a type performed when a patient moves in a plurality of areas. A typical example of such a medical treatment item is, for example, a diagnosis content that the patient needs to wait for a certain time. As a specific example, when mydriasis imaging is performed in an ophthalmology, imaging is performed in the imaging rooms 104 to 106 at intervals of about 10 to 15 minutes after the mydriatic agent is instilled in the treatment room 103 or the like. . As for the waiting time from the instillation to the imaging rooms 104 to 106, for example, it is conceivable that the patient waits in a waiting area such as the waiting room 101. In such a case, for example, it is not desirable that the status of the medical care item be automatically switched to “completed” by detecting the position information of the patient in the standby area. Therefore, the status of some medical care items may be set so that the status can be manually switched regardless of the patient's position information. In this case, the switching of the status of the medical care item may be performed based on an operation on the operation unit of the PC 20 or a terminal (for example, the display unit 30) connected to the PC 20 via a network.

  Further, the PC 20 acquires the patient position information detected by the patient position detection device 10 as needed. Then, the number of patients for each area is totaled in real time. Thus, the number of patients for each area is managed by the PC 20.

  In the present embodiment, the PC 20 counts the waiting time of each patient based on the position information acquired from the patient position detecting device 10. The counting of the waiting time may be started, for example, from the timing when the status of the medical care item was previously switched. Further, for example, the counting may be started from the timing when the area in which the position information is detected is switched. Then, for example, a patient whose elapsed time in the area where the current position is detected is longer than the threshold may be detected. In addition, for example, a ranking may be given from a patient with a long elapsed time. As a result, it is possible to identify a patient to be immediately guided to the next medical treatment.

  As shown in FIG. 3, on the display unit 30, guide information for guiding the movement of a specific patient in the hospital is displayed on the medical items before the implementation for the specific patient managed by the PC 20 and for each area. It is displayed on the screen based at least on the number of patients. In the present embodiment, the display control of the display unit 30 is performed by the PC 20 (more specifically, the control unit of the PC 20). However, the present invention is not necessarily limited to this, and the display unit 30 may be provided with a display control unit.

  The monitor 31 of the PC 20 may be used as the display unit 30. A plurality of monitors 32 arranged in each area may be used as the display unit 30, respectively. Such a monitor may be a touch panel. More specifically, a tablet terminal provided to a nurse or the like in each area may be used.

  The specific patient may be, for example, a patient in which the waiting time exceeds a certain time (threshold) by the PC 20, or, for example, among patients in each area, the elapsed time in each area May be a patient with more patients and the status of the medical care item is “before execution”. Further, the present invention is not necessarily limited to this. When the display unit 30 is a touch panel, a nurse or the like may select a specific patient from the patients in the hospital via the display unit 30.

The guide information is information serving as a reference for causing a specific patient to perform the next medical treatment or procedure.
In the present embodiment, as an example, a hospital map including, for example, each area where a patient is detected is displayed on the monitor 30.
Further, as an example of the guide information, information on the expected waiting time in each area is displayed in association with each area of the hospital map. For example, a graphic indicating the number of patients in each area may be displayed. The graphic may be a number indicating the number of patients, or the number of patients may be indicated by the number of patient icons by individually indicating each patient with an icon. Further, a numerical value indicating the estimated waiting time in each area may be displayed on the display unit 30 as one of the guide information. The expected waiting time of each area is calculated based on, for example, the number of patients waiting in each area, the number of patients who can perform medical care and procedures simultaneously in each area, and the average medical care time in that area. Is also good.

  Further, as one of the guide information, a medical item “before implementation” of a specific patient is displayed. By confirming on the screen the contents of the displayed medical item and either the number of patients in the area where the medical item is to be implemented or the expected waiting time, the nurse etc. Among the medical treatment items, items having a relatively short waiting time can be grasped. As a result, a specific patient can be guided to an area where medical treatment or procedures can be performed with less waiting time.

  Further, when there are a plurality of areas corresponding to the medical care items before the implementation in the specific patient, the area to which the patient should be preferentially guided may be directly indicated as one of the guide information. For example, a graphic such as an arrow leading from the reception of FIG. 3 to the second imaging room 105 may be used. The area indicated in this case is selected, for example, based on the number of patients in each of a plurality of areas corresponding to the medical item “before implementation”. Further, for example, a display indicating an area with the least number of patients or an area with the shortest waiting time among the areas corresponding to the medical item “before implementation” may be performed. Alternatively, a display indicating an area where the number of patients is equal to or less than the threshold or the waiting time is equal to or less than the threshold may be performed.

  Based on the guide information displayed on the display unit 30, the nurse or the like guides the specific patient, so that the medical treatment or procedure of each patient can be smoothly performed.

  As described above, the description has been given based on the embodiment. However, the present disclosure is not necessarily limited to the above embodiment, and various modifications are possible. For example, in the above embodiment, a case where guide information for guiding the movement of a specific patient in a hospital is displayed on the display unit 30 based on the unexecuted medical treatment items and the number of patients in each area. Although described, the display may be further displayed on the display unit 30 based on the number of patients for each device in addition to or instead of the number of patients for each area. For example, even in the case where medical treatments for a plurality of persons are performed simultaneously in one area, it is conceivable that medical treatment cannot be efficiently advanced due to batting between devices used by patients. On the other hand, since the guide information is displayed on the display unit 30 based on the number of patients for each device, medical treatment for each patient can be performed smoothly. In this case, the medical treatment items are set in association with the devices. When the device is used, a signal for automatically or manually switching the status of the medical care item from “before” to “completed” is transmitted from the device to the PC 20. Based on this signal, the PC 20 can manage the status of the medical care item.

10 Patient position detecting device 20 Personal computer 30 Display unit

Claims (3)

A detection device that detect the position information of the patient in the hospital, and detects positional information indicating one of whether a patient is positioned among the plurality of areas obtained by dividing the inside of a hospital,
While managing the number of patients for each area based on position information for each patient detected by the detection device,
Medical treatment items scheduled in one medical treatment, based on medical treatment items stored in a storage device in advance in association with a patient for each medical treatment content and each procedure, and position information for each patient detected by the detection device. A management device for managing the status of the medical treatment item of each patient,
A hospital map including the plurality of areas and a patient icon indicating a patient detected in each area in association with each area of the hospital map are simultaneously displayed on the screen of the tablet terminal, and the user is in the hospital. When there are a plurality of areas corresponding to the pre-implementation medical treatment items for a specific patient , a graphic indicating the area with the least number of patients or the area with the shortest wait time among the plurality of areas is displayed as the specific area. as guide information for guiding the movement of the patient, the particular said medical items unexecuted in a patient, and, based at least on the number of patients for each of the areas to be managed in the management system to be managed in the management system And a display control device that further displays the information on the screen . The medical treatment support system according to claim 1, wherein the display control device displays the graphic for guiding the patient icon indicating the specific patient to an area where the number of patients is the least or an area where the waiting time is the shortest. A detection apparatus for detecting the position information of the patient in the hospital, a detection device for detecting position information indicating position the patient in any of the plurality of areas obtained by dividing the inside of a hospital,
While managing the number of patients for each area based on position information for each patient detected by the detection device,
Medical treatment items scheduled in one medical treatment, based on medical treatment items stored in a storage device in advance in association with a patient for each medical treatment content and each procedure, and position information for each patient detected by the detection device. A management device for managing the status of the medical treatment item of each patient ,
A medical care support system comprising: a management device that switches the status of an examination item based on an operation on an operation terminal, for a type of medical item performed by a patient moving in a plurality of areas among the medical items .