JP6744200B2 - Information providing system and information providing method - Google Patents

Description

The present invention relates to a technique of providing information to a person who provides medical care or nursing care.

Conventionally, a system has been proposed in which information about a patient who has a specific risk such as a fall and a pressure ulcer is acquired by a sensor, and the information is provided to a medical worker such as a nurse (see, for example, Patent Document 1). ).

JP, 2011-183121, A

However, as the number of patients to be monitored increases as the scale of the facility increases, the amount of information acquired by an input device such as a sensor increases. Therefore, it may be difficult to quickly provide necessary information to the medical staff. Such a problem is not limited to a medical worker in a hospital, but is also a problem common to a person who provides a care service to a care receiver in a nursing facility.

In view of the above circumstances, the present invention has an object of providing a technique capable of promptly providing necessary information to a person who provides medical care or nursing care.

One aspect of the present invention is an information providing system for displaying a device state required for a patient or a cared person according to an attribute of a person who performs medical treatment or care, in which the attribute of the person who performs medical treatment or care is a nurse. , WOC nurse or risk manager, the device in the device status is any one of an air mattress, a side rail, and a bed, and the displayed information is the attribute of the person who performs the medical or nursing care is a nurse. In this case, at least one of the information indicating whether the air mattress of the patient or the care receiver is operating normally, the information indicating the state of the side rails, and the information indicating the state of the bed. Is an information providing system characterized by.

One aspect of the present invention is an information providing method for displaying a device state required for a patient or a cared person according to an attribute of a person who performs medical treatment or care, in which the attribute of the person who performs medical treatment or care is a nurse. , WOC nurse or risk manager, the device in the device status is any one of an air mattress, a side rail, and a bed, and the displayed information is the attribute of the person who performs the medical or nursing care is a nurse. In this case, at least one of the information indicating whether the air mattress of the patient or the care receiver is operating normally, the information indicating the state of the side rails, and the information indicating the state of the bed. Is an information providing method.

According to the present invention, it becomes possible to provide necessary information to a person who provides medical care or nursing care more quickly.

It is a figure which shows the example of a system configuration of the information provision system 1. FIG. 3 is a schematic block diagram showing a functional configuration example of a server 10. It is a figure which shows the specific example of a device state log table. It is a figure which shows the specific example of a user state log table. It is a figure which shows the specific example of a facility user information table. It is a figure which shows the specific example of electronic medical record data. It is a figure which shows the specific example of a provision condition information table. It is a figure which shows the specific example of the first screen displayed based on the provision condition information record 72 of the example 1. It is a figure which shows the specific example of the first screen displayed based on the provision condition information record 72 of the example 2. It is a figure which shows the specific example of the first screen displayed based on the provision condition information record 72 of the example 3. It is a figure which shows the specific example of an employee information table. It is a figure which shows the specific example of an apparatus information table. 6 is a flowchart showing a specific example of the operation of the server 10. It is a schematic block diagram which shows the functional structural example of the nurse shared terminal 20-2. 3 is a schematic block diagram showing a functional configuration example of a mobile terminal 30. FIG.

FIG. 1 is a diagram showing an example of the system configuration of the information providing system 1. The information providing system 1 is provided in a facility where a person who is a target of medical treatment or nursing care (hereinafter referred to as “facility user”), such as a hospital or a nursing facility, stays (including hospitalization) or lives. Facility users include patients and care recipients. The information providing system 1 provides information to employees. An employee is a person who provides medical care or nursing care to facility users.

In the information providing system 1, the facility user P lies on the mattress 52 placed on the bed 50. The bed 50 is provided with the detection device 41a. The detection device 41a is connected to the bedside terminal 40. The detection device 41a may be installed, for example, between the floor portion 51 and the mattress 52 that form the bed 50. The detection device 41a is a specific example of the sensor 41 described later.

The bedside terminal 40 is connected to the detection device 41a, the measurement device 60 (for example, a device such as a thermometer or a blood pressure monitor), or connected to a remote server 70 or the like via a network. Further, by holding the authentication card 65 over the bedside terminal 40, it is possible to realize the authentication process (login process).

The network includes, for example, a server 10, a plurality of shared terminals 20 (e.g. 20-1, 20-2, 20-3) and a plurality of mobile terminals 30 (e.g. 30-1, 30-2, 30-3). And the remote server 70 are connected. The server 10, shared terminal 20, and mobile terminal 30 will be described in detail later. The remote server 70 is a server that provides various services, and is provided outside via the Internet.

The information providing system 1 will be described again. The information providing system 1 includes a server 10, a plurality of shared terminals 20 (20-1, 20-2, 20-3), a plurality of mobile terminals 30 (30-1, 30-2, 30-3), a plurality of terminals. A bedside terminal 40 and a plurality of sensors 41 are provided. The bedside terminal 40 is installed in a living room where the facility user P stays or lives. For example, one bedside terminal 40 is associated with one facility user P. By displaying the information on the display unit of the bedside terminal 40, the information is provided to the facility user P and the employee. Further, the sensor 41 is connected to the bedside terminal 40 directly or via another device (for example, a control box provided in the bed 50). The communication between the bedside terminal 40 and the sensor 41 may be wired communication or wireless communication. The sensor 41 measures the biological information of the facility user P and outputs the measurement result to the bedside terminal 40 directly or via another device. Thereby, the bedside terminal 40 can acquire the biological information of the facility user P in real time.
The server 10 and each of the other devices are communicatively connected by wire communication or wireless communication. A part or all of the communication paths between the server 10 and each of the other devices may be common, or may be independent.

The server 10 is configured using an information processing device that can communicate. The server 10 includes a CPU (Central Processor Unit), a memory, and an auxiliary storage device connected by a bus. The server 10 operates by executing a dedicated program. The server 10 stores electronic medical record data. In response to a request from another device, the server 10 transmits the electronic medical record data stored in its own device to the requesting device.

FIG. 2 is a schematic block diagram showing a functional configuration example of the server 10. The server 10 includes a communication unit 11, a storage unit 12, and a control unit 13.
The communication unit 11 is configured using a communication interface device. The communication unit 11 communicates with other devices via wireless communication or wired communication. The communication unit 11 communicates with the shared terminal 20, the mobile terminal 30, and the bedside terminal 40, for example.

The storage unit 12 is configured by using a storage device such as a magnetic hard disk device or a semiconductor storage device. The storage unit 12 includes a device state information storage unit 121, a user state information storage unit 122, a facility user information storage unit 123, an electronic medical record data storage unit 124, a provision condition information storage unit 125, an employee information storage unit 126, and an apparatus. It functions as the information storage unit 127. Part or all of the information stored in the storage unit 12 is readably controlled by the shared terminal 20 or the mobile terminal 30. For example, the information stored in the device state information storage unit 121, the user state information storage unit 122, and the electronic medical record data storage unit 124 may be controlled so that the shared terminal 20 or the mobile terminal 30 can read the information.

The device status information storage unit 121 stores device status information. The equipment status information is information indicating the status of equipment installed in a facility to which the information providing system 1 is applied. The device in which the device status information is recorded is a device used to provide medical care or nursing care to the facility user P. The device status information indicates information that changes in a relatively short time due to a human operation or work, such as a set value of the device and power on/off of the device. The device status information storage unit 121 may store, for example, a device status log table as device status information.

FIG. 3 is a diagram showing a specific example of the device status log table. The device status log table is stored for each facility user P, for example. The device status log table represents a history of values indicating the status of each device detected at a predetermined timing. The information represented by the device status log table is one specific example of the device information. The device information is information about the device used by the facility user P. The device status log table has values such as detection date and time, back angle, air mattress power supply, and bed height. The detection date and time indicates the date and time when each value was detected. In the example of FIG. 3, the time (hold, minute) is represented as the detection date and time, but the date information may be further provided. The back angle indicates a rising angle (angle of the back bottom) in the bed 50 having a structure in which the place where the back portion of the person in bed is located is raised compared to other places. The air mattress power supply indicates whether or not the air mattress power is turned on. The bed height indicates the height of the upper surface of the mattress from the floor. The back angle, the air mattress power supply, and the bed height may be acquired by the bed 50 equipped with a sensor that detects each value. It is desirable that each value in the device status log table be updated at short intervals. For example, each value of the device status log table may be updated at a timing of every 1 minute or every 5 minutes. Further, the update timing of the device status log table may differ depending on the value. For example, the back angle and the bed height may be updated in a shorter cycle than the air mattress power supply. For example, each value in the device status log table may be updated at the timing when the event occurs (in other words, the timing when the value changes). As a specific example, the rising angle (back bottom angle) in the device state log table may be updated at the timing when the back is raised in the bed 50 and the back bottom portion moves.

Returning to the description of FIG. The user status information storage unit 122 stores user status information. The user status information is information indicating the status of the facility user P in the facility to which the information providing system 1 is applied. The user status information is, for example, in a particularly short time of the information related to the facility user P, such as biometric information of the facility user P, information indicating the floor status of the facility user P, and position information of the facility user P. Indicates changing information. The user status information storage unit 122 may store, for example, a user status log table as user status information.

FIG. 4 is a diagram showing a specific example of the user status log table. The user status log table is stored for each facility user P, for example. The user status log table represents a history of values indicating the status of each facility user P detected at a predetermined timing. The user status log table has values such as detection date and time, pulse rate, systolic blood pressure, diastolic blood pressure, body temperature, and bed condition. The detection date and time indicates the date and time when each value was detected. In the example of FIG. 4, the time (hold, minute, second) is represented as the detection date and time, but the date information may be further provided. The pulse rate, systolic blood pressure, diastolic blood pressure, and body temperature indicate measured values of the pulse, systolic blood pressure, diastolic blood pressure, and body temperature of the facility user P, respectively. The in-bed state indicates whether the facility user P is in the in-bed state or in the out-of-bed state. The state of being in bed means being located above the bed 50, and the state of leaving the bed means being away from the bed 50. The pulse rate, systolic blood pressure, diastolic blood pressure, and body temperature may be acquired by a biosensor attached to the facility user P. The in-bed state may be acquired by a sensor (for example, a pressure sensor) provided in the bed 50 used by the facility user P. It is desirable that each value in the user status log table be updated at short intervals. For example, each value of the user status log table may be updated every 5 seconds or every 10 seconds. Also, the update timing of the user status log table may differ depending on the value. For example, the pulse rate and the bed condition may be updated in a cycle shorter than other values. For example, each value in the user status log table may be updated at the timing when the event occurs (in other words, the timing when the value changes). As a specific example, the value of the in-bed state in the user state log table may be updated at the timing when the in-bed state of the facility user P changes.

Returning to the description of FIG. The facility user information storage unit 123 stores facility user information. The facility user information is information about the facility user P that is less frequently changed. The facility user information is not information detected by a sensor or the like, but is registered by the employee. The facility user information storage unit 123 may store, for example, a facility user information table as facility user information. FIG. 5 is a diagram showing a specific example of the facility user information table. The facility user information table has a plurality of facility user information records 71. The facility user information record 71 has respective values of facility user identification information and attribute information.

The facility user identification information is identification information that uniquely indicates the facility user P who is staying or living in the facility where the information providing system 1 is installed. The attribute information includes, for example, the sex of the facility user P, the age of the facility user P, and the address of the facility user P. As the attribute information, the attribute information regarding the facility user P indicated by the facility user identification information of the same facility user information record 71 is given. The facility user information record 71 may be further provided with a value indicating the device used. The device used is a value indicating the device used by the facility user P (for example, an air mattress). In this case, the information represented by the device used in the facility user information record is one specific example of the device information.

Returning to the description of FIG. The electronic medical chart data storage unit 124 stores electronic medical chart data. FIG. 6 is a diagram showing a specific example of electronic medical record data. In the electronic medical record data, the information of the medical record regarding each facility user P is registered for each facility user P. For example, the electronic medical record data includes medical care information 81, caution information 82, and biometric information 83.

The medical care information 81 includes information about the medical care that the facility user P is receiving and information about the facility user P receiving the medical care. For example, the medical care information 81 includes information on facility user identification, name, primary doctor, doctor in charge, receiving nurse, department, room number, and bed number. The medical care information 81 may have information different from the above-mentioned information. For example, the medical care information 81 is information about an illness that the facility user P is suffering from, information about medical treatment or care provided to the facility user P, information about equipment used for the facility user P, a facility Information related to hospitalization of user P (hospitalization date, hospitalization period, scheduled discharge date, etc.), status information of facility user P (in-hospital procedure, hospitalization, surgery, hospitalization procedure, discharged, etc.), facility user It may also include information about the drug administered to P. Note that instead of the medical care information 81, nursing care information may be registered in the electronic medical record data. The care information has the same meaning as the medical care information 81. For example, the care information may include information on the facility user P receiving care (facility user identification information, name, doctor in charge, receiving caregiver, room number, bed number, etc.).

The caution information 82 includes information that needs attention by a person who performs medical treatment or care (hereinafter referred to as “employee”). The caution information 82 includes, for example, information regarding alerting or information regarding risk assessment. Specific examples of information regarding alerts include regular blood sampling (indicating that blood should be collected at a specified time), no snorting (indicating that the act of blowing your nose must be prohibited), and using an air mattress. (Indicates that you need to make sure the air mattress is normal). Specific examples of information on risk assessment include attention to pressure ulcers (pressure ulcer assessment) and attention to falls (fall assessment). The information regarding the pressure ulcer caution may include, for example, information indicating the evaluation result of DESIGN or DESIGN-R. The caution information 82 may be registered as a pictogram. DESIGN and DESIGN-R are both scales for pressure ulcers defined by the Japanese Society of Pressure Ulcers.

The biometric information 83 is biometric information measured for the facility user P. In the example of FIG. 6, the measurement result of each biometric information is registered in association with the measurement date and time. Specific examples of the biometric information include pulse rate, systolic blood pressure, diastolic blood pressure, and body temperature. The biometric information registered in the electronic medical record data does not need to be limited to that shown in FIG. Specific examples of other biological information include blood glucose level, respiratory rate, weight, height, body fat, and the like. The biometric information registered in the electronic medical chart data is not the information measured by a device such as a biometric sensor and automatically registered, but the information registered by the operation of an employee such as a receiving nurse. Therefore, compared with the information registered in the user status information storage unit 122, even the same information is generally updated less frequently and has higher reliability.

Returning to the description of FIG. The provision condition information storage unit 125 stores the provision condition information. The provision condition information indicates, for each attribute of the device, a condition of information output in the device. In the following example, an example in which display is performed as a specific example of output will be described. However, the output of information is not limited to the display mode, and the information may be output by sound, light, or vibration. The provision condition information storage unit 125 may store, for example, a provision condition information table as the provision condition information. FIG. 7 is a diagram showing a specific example of the provision condition information table. The provision condition information table has a plurality of provision condition information records 72. The provision condition information record 72 has values of employee attribute information, device attribute information, a display target, and a display condition.

The employee attribute information is attribute information indicating the role of the employee. Specific examples of the employee attribute information include a nurse, a skin/excretion care certified nurse (hereinafter referred to as "WOC nurse"), and a risk manager (RM). If there is a medical department in charge as the employee attribute information, that information is also included. For example, a nurse in the department of neurology may be registered as "nurse (neurology)" as the employee attribute information. The device attribute information indicates whether the device is a device shared by a plurality of employees (shared) or a device used by a specific employee (occupancy).

The display target indicates the condition of the facility user P who is the display target in the device that satisfies the employee attribute information and the device attribute information. The display target indicates the facility user P who is the target whose information should be preferentially acquired by the employee of that attribute and whose state should be confirmed. The conditions to be displayed include the attribute of the facility user P or the condition based on the information registered in the electronic medical chart. The following information is a more specific example of the display target condition.
Condition a. The medical department registered in the medical care information 81 is a predetermined medical department Condition b. Being a facility user P whose specified information is included in the caution information 82

The display condition indicates a display mode on a device that satisfies the employee attribute information and the device attribute information. Specific examples of display modes include information displayed on the first screen and its mode (information output preferentially), information displayed on the second screen, and its mode.
Hereinafter, a more specific example of the provision condition information record 72 will be shown.

(Example 1)
Employee attribute information: Nurse of A medical department Display target: The item of medical department of medical information is “A medical department”, and caution information includes “scheduled blood sampling”.
Display condition: As the first screen, the time when the latest blood collection was performed for each display target is displayed. If 12 hours or more have passed so far, it is displayed in a manner different from other times (for example, a frame with different colors and line thicknesses). When the confirmation button displayed on the first screen is operated, the second screen displays the current biometric information and the information indicating the in-bed state for each display target.
As the first screen, the back angle information (information indicating the bed status) for each display target, whether the air mattress is operating normally (whether the air mattress is powered off), and the side rail status ( Whether or not it is raised) and at least one of them may be displayed.

FIG. 8 is a diagram showing a specific example of the first screen displayed based on the provision condition information record 72 of Example 1. That is, the screen shown in FIG. 8 is a screen displayed on the device operated by the nurse of the department A. On the screen, a plurality of display areas 84 showing the information of the facility user P whose medical care information item is “A medical care department” and whose caution information includes “scheduled blood sampling” are displayed. In the display area 84, information indicating the room of the facility user P who satisfies the above conditions (for example, room 101), the name of the facility user P (for example, “Mr. A”), and the time when the latest blood collection was performed. (For example, 14:30) is displayed. The display area 84 is displayed for each facility user P who satisfies the above conditions. For Mr. EE in room 305, since 12 hours or more have passed since the latest blood collection, the frame line showing the display area 84 is shown by a thicker frame line than the other display areas 84. A confirmation button 85 is displayed in the lower center of the screen. When the confirmation button 85 is operated, the second screen is displayed.

(Example 2)
Employee attribute information: WOC nurse Display target: "Attention of pressure ulcer" is included in the attention information. (It does not depend on the department or ward)
Display conditions: As the first screen, the back angle information (information indicating the bed state) for each display target, the schedule and implementation status of body posture change, and whether the air mattress is operating normally (power off the air mattress) Display whether or not). Among them, the display target satisfying the predetermined condition (alarm condition) is displayed in a mode different from other display targets. When the button indicating the individual display target (facility user P) displayed on the first screen is operated, the evaluation information (eg, DESIGN or DESIGN-R) regarding the pressure ulcer of the operation target facility user P is displayed.
The predetermined condition is a condition that indicates the facility user P whose state should be confirmed by the WOC nurse in preference to other facility users P to be displayed. Predetermined conditions include, for example, that the body posture has not changed for a predetermined period of time, the mattress has been changed, the back angle has exceeded the threshold for a predetermined period of time, and the pressure ulcer assessment results have changed. Or the power of the air mattress has been cut off for a predetermined time or longer.

FIG. 9 is a diagram showing a specific example of the first screen displayed based on the provision condition information record 72 of Example 2. That is, the screen shown in FIG. 9 is a screen displayed on the device operated by the WOC nurse. On the screen, a plurality of display areas 86 showing the information of the facility user P whose attention information includes “pressure sore attention” are displayed. In the display area 86, information indicating the room of the facility user P who satisfies the above conditions (for example, room 101), the name of the facility user P (for example, “Mr. A”), and the current back angle value (for example, 30 degrees), the scheduled time for the next posture change (for example, "14:30"), and information indicating whether the air mattress is operating normally are displayed. The display area 86 is displayed for each facility user P who satisfies the above conditions. Regarding Mr. EE in room 305, a predetermined time (for example, 1 hour) or more has elapsed while the back angle exceeds a predetermined threshold (for example, 30 degrees). Therefore, the frame line showing the display area 86 is shown with a thicker frame line than the other display areas 86.

(Example 3)
Employee attribute information: Risk manager Display target: Attention information includes "falling down attention". (It does not depend on the department or ward)
Display condition: As the first screen, the height of the bed 50, the state of being in bed, the state of the side rail (whether or not it is raised), and the round schedule and implementation status are displayed for each display target. Among them, the display target satisfying the predetermined condition is displayed in a mode different from other display targets. When the button indicating the individual display target (facility user P) displayed on the first screen is operated, the evaluation information regarding the fall and fall of the operation target facility user P is displayed.
The predetermined condition is a condition indicating the facility user P whose state should be confirmed by the risk manager in preference to other facility users P to be displayed. The predetermined condition is, for example, that the height of the bed 50 exceeds a threshold for a predetermined time or more, and that the height of the bed 50 exceeds the threshold during a predetermined time zone (for example, a time zone determined as bedtime). Presence, that the fall and fall assessment results have changed, that the status of being in bed has changed from being awake to being out of bed during a prescribed time slot (for example, the time zone determined as bedtime), and the state of the side rails is It is either that the state is lowered for more than a time, or that the sensor for detecting the in-bed state is turned off for a predetermined time.

FIG. 10 is a diagram showing a specific example of the first screen displayed based on the provision condition information record 72 of Example 3. That is, the screen shown in FIG. 10 is a screen displayed on the device operated by the risk manager. On the screen, a plurality of display areas 87 indicating the information of the facility user P whose attention information includes “falling down attention” are displayed. In the display area 87, information indicating the room of the facility user P who satisfies the above conditions (for example, room 101), the name of the facility user P (for example, “Mr. A”), and the current height of the bed 50 are displayed. A value (for example, 30 cm), a value indicating a state of being in bed (for example, “present” indicating that the person is in bed), and a value indicating a state of the side rail (for example, “up” indicating that the person is up), The scheduled time of the next round (for example, "14:30") is displayed. The display area 87 is displayed for each facility user P who satisfies the above conditions. Regarding Mr. EE in room 305, a predetermined time (for example, 1 hour) or more has elapsed while the height of the bed 50 exceeds a predetermined threshold (for example, 100 cm). Therefore, the frame line showing the display area 87 is shown with a thicker frame line than the other display areas 87.

Next, the difference between the case where the device attribute information is shared and the case where the device attribute information is occupied will be described. When the device attribute information is shared, all facility users set as display targets are displayed according to the display conditions. On the other hand, when the device attribute information is occupied, only the facility user who is in charge of the employee who occupies the device is displayed among the facility users set as display targets. When the device attribute information is occupied, at least the first screen is displayed only for the facility user who is in charge of the employee, and on the subsequent screens, it is displayed for all the facility users who are to be displayed as in the case of sharing. May be done.

Returning to the description of FIG. The employee information storage unit 126 stores the employee information. The employee information is information about the employee. The employee information stores information about each employee's attribute (employer attribute information). The employee information storage unit 126 may store, for example, an employee information table as employee information. FIG. 11 is a diagram showing a specific example of the employee information table. The employee information table has a plurality of employee information records 73. The employee information record 73 has respective values of employee identification information and employee attribute information.

The employee identification information is identification information that uniquely indicates an employee of the facility where the information providing system 1 is installed. The employee attribute information is given to the employee attribute information regarding the employee indicated by the employee-specific information of the same employee information record 73.

Returning to the description of FIG. The device information storage unit 127 stores device information. The device information is information about devices (for example, the shared terminal 20 and the mobile terminal 30) used by the employee. The device information storage unit 127 may store, for example, a device information table as device information. FIG. 12 is a diagram showing a specific example of the device information table. The device information table has a plurality of device information records 74. The device information record 74 has values of device identification information, address information, and employee identification information.

The device identification information is identification information uniquely indicating each device connected to the information providing system 1. The address information is information indicating an address used when transmitting data to each device. As the address information, for example, a MAC address or an IP address may be used. The employee identification information is the employee identification information of the employee who uses each device.

Returning to the description of FIG. The control unit 13 is configured by using a CPU. The control unit 13 functions as the information acquisition unit 131, the determination unit 132, the information providing unit 133, and the electronic medical record control unit 134 by executing the dedicated program.

The information acquisition unit 131 acquires each information recorded in the storage unit 12. The information acquisition unit 131 may acquire each information by any means. For example, the information acquisition unit 131 may acquire information input via an input device such as a keyboard connected to its own device (server 10). For example, the information acquisition unit 131 may receive information from another information processing device via the network. For example, the information acquisition unit 131 may read information recorded in an external storage device such as a USB (Universal Serial Bus) memory or a recording medium such as a CD-ROM. The information acquisition unit 131 records the acquired information in each storage unit installed in the storage unit 12 according to the attribute of the value. For example, when the information included in the device status information is acquired, the information acquisition unit 131 records the acquired information in the device status information storage unit 121.

The determination unit 132 determines the information to be provided for each device connected to the information providing system 1 from the information recorded in the storage unit 12. The information provision destination determined by the determination unit 132 is a device used by the employee. Specifically, the information is provided to the shared terminal 20 and the mobile terminal 30. The determination unit 132 determines the information provided to each device according to the attribute of the person who uses each device. The determination unit 132 determines the information provided to each device by the following processing, for example.

The determination unit 132 acquires the attribute of the user of the device to which the information is provided. The attribute of the user is, for example, a value of nurse, WOC nurse, risk manager, or the like. The determination unit 132 may acquire the attribute of the user of the device to which the information is provided by referring to, for example, the employee information storage unit 126 and the device information storage unit 127. The determination unit 132 refers to the provision condition information storage unit 125 and determines the display target and the display condition associated with the acquired attribute. The determination unit 132 determines the information to be transmitted to the device to which the information is provided, based on the determined display target and display condition.

The information providing unit 133 reads the information determined by the determination unit 132 from the storage unit 12. Then, the information providing unit 133 uses the address information stored in the device information storage unit 127 to transmit the read information to the device that is the information providing destination.

The electronic medical chart control unit 134 executes processing necessary for the server 10 to function as an electronic medical chart server. When the electronic medical record control unit 134 acquires information about the facility user P from another device, the electronic medical record control unit 134 updates the electronic medical record data based on the acquired information. When receiving a request for information registered in the electronic medical record data from another device, the electronic medical record control unit 134 reads the information from the electronic medical record data storage unit 124 in response to the request. Then, the electronic medical chart control unit 134 transmits the read information to the request source device.

Next, the shared terminal 20 will be described. The shared terminal 20 is configured by using an information processing device that can communicate. The shared terminal 20 can communicate with the server 10 via a communication path. The shared terminal 20 includes a CPU, a memory, and an auxiliary storage device connected by a bus. The shared terminal 20 operates by executing the shared terminal program. The shared terminal 20 is installed in a place where one or more assistants stand by, such as a nurse station or a waiting room for a WOC nurse. The shared terminal 20 is mainly used jointly by a plurality of employees having specific attributes. For example, the WOC shared terminal 20-1 is mainly used jointly by a plurality of WOC nurses. For example, the shared nurse terminal 20-2 is commonly used by a plurality of nurses who mainly work in a specific ward. For example, the RM shared terminal 20-3 is mainly used jointly by a plurality of risk managers. Of the shared terminals 20, the nurse shared terminal 20-2 will be described in particular. The WOC shared terminal 20-1 and the RM shared terminal 20-3 are the same as the mobile terminal 30 described later, except that they are installed at a specific place and shared by a plurality of persons. May be configured as.

The shared nurse terminal 20-2 is a place where at least one employee who is mainly in charge of the facility user P of the living room located on a predetermined area (for example, the same floor and the same ward) stands by, such as a nurse station. Is installed in. The shared nurse terminal 20-2 displays information about the facility user P and equipment installed in a predetermined area. By operating the shared terminal 20, the nurse can obtain information about the facility user P, facility information, or facility user P in a predetermined area that is mainly in charge of an employee who is waiting at the place where the shared terminal 20 is installed. The electronic medical record data of can be acquired.

FIG. 13 is a flowchart showing a specific example of the operation of the server 10. When the predetermined timing arrives, the determination unit 132 determines the information to be provided to the device to which the information is provided (step S101). After that, the information providing unit 133 transmits the information determined by the determination unit 132 to the device of the provision destination via the communication unit 11 (step S102). By repeatedly executing such processing, information corresponding to the attributes of the employee who uses the device is provided to each device of the shared terminal 20 and the mobile terminal 30.

The predetermined timing at which the flowchart shown in FIG. 13 is executed may be the timing at which a predetermined cycle arrives. The predetermined timing may be the timing at which a request for information is received from the shared terminal 20 or the mobile terminal 30, for example. In this case, the shared terminal 20 and the mobile terminal 30 may transmit a request for information to the server 10 in response to, for example, an operation of instructing display by an employee who is a user. The predetermined timing may be a timing at which information that satisfies the alarm condition is newly determined. In this case, the determination unit 132 periodically performs determination processing regarding the presence/absence of information that satisfies the alarm condition.

FIG. 14 is a schematic block diagram showing a functional configuration example of the nurse shared terminal 20-2. The shared nurse terminal 20-2 includes a communication unit 21, an operation unit 22, a display unit 23, a notification unit 24, a storage unit 25, and a control unit 26.

The communication unit 21 is configured by using a communication interface device. The communication unit 21 communicates with other devices via wireless communication or wired communication. The communication unit 21 communicates with the server 10, for example.

The operation unit 22 is configured by using an existing input device such as a keyboard, pointing device (mouse, tablet, etc.), button, touch panel and the like. The operation unit 22 is operated by the user when inputting an instruction from the user (mainly a nurse) to the shared nurse terminal 20-2. The operation unit 22 may be an interface for connecting the input device to the shared nurse terminal 20-2. In this case, the operation unit 22 inputs the input signal generated by the input device according to the user's input to the shared nurse terminal 20-2. The operation unit 22 may be configured as a touch panel integrated with the display unit 23.

The display unit 23 is an image display device such as a CRT (Cathode Ray Tube) display, a liquid crystal display, and an organic EL (Electro Luminescence) display. The display unit 23 displays images and characters. The display unit 23 may be an interface for connecting the image display device to the shared nurse terminal 20-2. In this case, the display unit 23 generates a video signal for displaying an image or a character and outputs the video signal to the image display device connected to itself.

The notification unit 24 operates when notifying the person located near the nurse shared terminal 20-2 of some information. The notification unit 24 functions as the sound notification unit 241 and the light notification unit 242.

The sound notification unit 241 is configured using a speaker. The sound notification unit 241 emits a sound under the control of the control unit 26. The sound notification unit 241 notifies the person located in the vicinity that the event to be noted occurs by, for example, issuing a predetermined alarm sound.

The light notification unit 242 is configured using a light emitting device. The light notification unit 242 emits light under the control of the control unit 26. The light notification unit 242 may be turned on, may be blinked at a predetermined cycle, or may be emitted in another manner. The light notification unit 242, for example, emits light in a predetermined manner to notify a person located in the vicinity of the occurrence of the event to be noted.
The sound notification unit 241 and the light notification unit 242 are merely specific examples of the notification unit 24. The notification unit 24 may have other notification means. For example, the notification unit 24 may include a vibrator that causes vibration. In this case, the vibrator notifies the person located in the vicinity of the occurrence of the phenomenon to be noted by causing vibration.

The storage unit 25 is configured using a storage device such as a magnetic hard disk device or a semiconductor storage device. The storage unit 25 functions as a device state information storage unit 251 and a user state information storage unit 252.

The device status information storage unit 251 stores device status information regarding devices installed in a predetermined area targeted by the device itself.
The user status information storage unit 252 stores user status information about the facility user P of the living room located in a predetermined area targeted by the own device.

The control unit 26 is configured by using a CPU. The control unit 26 functions as the information acquisition unit 261, the information transmission unit 262, and the display control unit 263 by executing the dedicated program.

The information acquisition unit 261 includes device state information regarding devices installed in a predetermined area targeted by the own device and facility user status information regarding facility user P in a living room located in the predetermined region targeted by the own device. And get. The information acquisition unit 261 may acquire the device status information by receiving via the communication unit 21 the device status information transmitted at a predetermined timing from each device installed in the predetermined area. The information acquisition unit 261 may acquire the user state information by receiving the biometric information from, for example, a sensor that acquires the biometric information of the facility user P in the living room located in a predetermined area.

The information transmission unit 262 includes equipment state information regarding equipment installed in a predetermined area targeted by the own apparatus, and facility user status information regarding facility user P in a living room located in the predetermined area targeted by the own apparatus. Is transmitted to the server 10. The information transmission unit 262 preferably performs a transmission process at a short cycle, but may have any timing. The shorter the cycle at which the transmission process is performed, the tighter the band of the communication path between the server 10 and the shared nurse terminal 20-2, but the device status information and the user status recorded in the server 10 Information becomes newer information.

The display control unit 263 receives the information transmitted from the server 10 via the communication unit 21. The display control unit 263 causes the display unit 23 to display the received information. When the operation of the employee is input through the operation unit 22, the display control unit 263 changes the screen displayed on the display unit 23 according to the input operation. For example, when an operation indicating the display of the first screen is performed, the display control unit 263 requests the server 10 for information indicating the display content of the first screen. The display control unit 263 causes the display unit 23 to display the first screen based on the information transmitted from the server 10 in response to the request. For example, when an operation indicating moving from the first screen to the second screen received from the server 10 is performed, the display control unit 263 requests the server 10 for information indicating the display content of the second screen. .. The display control unit 263 causes the display unit 23 to display the second screen based on the information transmitted from the server 10 in response to the request.

Next, the mobile terminal 30 will be described. The mobile terminal 30 is configured using an information processing device that is portable and capable of communication. The mobile terminal 30 may be configured using a device such as a smartphone, a mobile phone, a tablet terminal, and a portable dedicated terminal. The mobile terminal 30 can communicate with the server 10 via a communication path. The mobile terminal 30 includes a CPU, a memory, and an auxiliary storage device connected by a bus. The mobile terminal 30 is carried by an employee, for example. By operating the mobile terminal 30, the employee can acquire the information about the facility user P, the information about the facility, or the electronic medical chart data of the facility user P that he or she mainly takes charge of.

FIG. 15 is a schematic block diagram showing a functional configuration example of the mobile terminal 30. The mobile terminal 30 includes a communication unit 31, an operation unit 32, a display unit 33, a notification unit 34, and a control unit 35.

The communication unit 31 is configured by using a communication interface device. The communication unit 31 communicates with another device via wireless communication or wired communication. The communication unit 31 communicates with the server 10, for example.

The configurations of the operation unit 32, the display unit 33, and the notification unit 34 are the same as the configurations of the operation unit 22, the display unit 23, and the notification unit 24 in the shared nurse terminal 20-2, respectively. Therefore, the description is omitted.

The control unit 35 is configured by using a CPU. The control unit 35 functions as the display control unit 351 by executing the dedicated program.
The display control unit 351 receives the information transmitted from the server 10 via the communication unit 31. The display control unit 351 causes the display unit 33 to display the received information. When the operation of the employee is input through the operation unit 32, the display control unit 351 changes the screen displayed on the display unit 33 according to the input operation. For example, when an operation indicating the display of the first screen is performed, the display control unit 351 requests the server 10 for information indicating the display content of the first screen. The display control unit 351 causes the display unit 33 to display the first screen based on the information transmitted from the server 10 in response to the request. For example, when an operation indicating moving from the first screen to the second screen received from the server 10 is performed, the display control unit 351 requests the server 10 for information indicating the display content of the second screen. .. The display control unit 351 causes the display unit 33 to display the second screen based on the information transmitted from the server 10 in response to the request.

In the information providing system 1 configured as described above, it becomes possible to more quickly provide necessary information to a person (employee) who provides medical care or nursing care. Details are as follows.

In the information providing system 1, different information is provided to a terminal device operated by an employee according to the attribute of the employee. The information provided to each employee is the information that the employee of that attribute should preferentially acquire and confirm. Therefore, the operation for obtaining the information to be acquired and confirmed preferentially according to the attribute of the employee of each attribute is reduced, and the information can be acquired more easily and quickly. Therefore, it becomes possible to deal with the situation more promptly.

In the information providing system 1, it becomes possible to quickly acquire the user status information acquired by the biometric sensor or the like at a position away from the ward. Further, in the information providing system 1, it becomes possible to quickly acquire the device status information at a position away from the ward. Therefore, it becomes possible for an employee such as a WOC nurse who does not always reside in a predetermined ward to more quickly obtain the user status information and the equipment status information regarding each facility user P from a distant position. Therefore, it becomes possible to deal with the situation more promptly. For example, the employee can quickly obtain information from a distant position whether or not the air mattress of the facility user P who has a high risk of pressure ulcer is operating normally. Therefore, in the unlikely event that the air mattress does not operate normally, it is possible to quickly take measures so that the air mattress operates normally.

(Modification)
The number of servers 10 included in the information providing system 1 is not limited to one. A plurality of servers 10 may be provided.
The server 10 may be implemented by dividing its function into a plurality of devices. For example, the electronic medical record data storage unit 124 and the electronic medical record control unit 134 may be implemented as another electronic medical record server in another device.

The notification unit 24 may include a notification unit that is different from the sound notification unit 241 and the light notification unit 242. For example, an alerting unit that alerts by generating vibration may be provided, or an alerting unit that alerts by moving the movable unit may be provided. Further, the notification unit 24 does not necessarily have to include both the sound notification unit 241 and the light notification unit 242. The notification unit 24 may include only one of the sound notification unit 241 and the light notification unit 242.

The determination unit 132 of the server 10 may be provided in another device. For example, the determination unit 132 may be installed in the control unit 26 of the shared terminal 20 that wants to receive the provision of information. For example, the determination unit 132 may be installed in the control unit 35 of the mobile terminal 30 that wants to receive the information. In this case, the control unit 26 or the control unit 35 requests the server 10 for information according to the determination result. The information providing unit 133 of the server 10 reads information corresponding to the determination result from the storage unit 12 in response to this request. The information providing unit 133 of the server 10 transmits the read information to the request source device (shared terminal 20 or mobile terminal 30).

In the present embodiment, the bedside terminal 40 is installed in the living room where the facility user P stays or lives, and one bedside terminal 40 is associated with one facility user P. The bedside terminal 40 of the table may be shared by a plurality of facility users P, or may be installed in a passage such as a corridor.
All or part of each function provided in each device described above may be realized by using hardware such as ASIC (Application Specific Integrated Circuit), PLD (Programmable Logic Device), and FPGA (Field Programmable Gate Array). The program executed by each device described above may be recorded in a computer-readable recording medium. The computer-readable recording medium is, for example, a portable medium such as a flexible disk, a magneto-optical disk, a ROM, a CD-ROM, or a storage device such as a hard disk built in a computer system. Each program may be transmitted via a telecommunication line.

DESCRIPTION OF SYMBOLS 1... Information providing system, 10... Server, 11... Communication part, 12... Storage part, 121... Equipment state information storage part, 122... User state information storage part, 123... Facility user information storage part, 124... Electronic medical record Data storage unit, 125... Provision condition information storage unit, 126... Employee information storage unit, 127... Device information storage unit, 13... Control unit, 131... Information acquisition unit, 132... Judgment unit, 133... Information providing unit, 134 ... electronic chart control unit, 20... shared terminal, 20-1... WOC shared terminal, 20-2... nurse shared terminal, 20-3... RM shared terminal, 21... communication unit, 22... operation unit, 23... display unit , 24... Notification section, 241... Sound notification section, 242... Optical notification section, 25... Storage section, 251... Device status information storage section, 252... User status information storage section, 26... Control section, 261... Information acquisition section , 262... Information transmitting section, 263... Display control section, 30... Mobile terminal, 31... Communication section, 32... Operation section, 33... Display section, 34... Notification section, 341... Sound notification section, 342... Optical notification section, 35... Control part, 351... Display control part, 41... Sensor, 50... Bed, 51... Floor part, 52... Mattress, 60... Measuring device, 65... Authentication card, 70... Remote server, P... Facility user

Claims (6)

Employee attribute information indicating the attributes of the person who performs medical treatment or care for the device state required for the patient or care recipient, and device attribute indicating whether or not the device is occupied by the person performing the specific medical treatment or care. Equipped with a display device that displays according to information ,
The employee attribute information is one of a nurse, a WOC nurse, and a risk manager,
The equipment in the equipment state is an air mattress, a side rail, or a bed,
When the device attribute information is occupied by a person who performs the specific medical care or care, the display device indicates the device status of only the patient or the care receiver who is in charge of the person performing the specific medical care or care. Display,
If the device attribute information is not occupied by a person who performs the specific medical care or care, the display device displays the device status of all the patients or cared persons,
If before Symbol employee attribute information is nurse, the display device, information indicating whether said patient or air mattress of the care person is operating normally, information indicating the state of the side rails, the bed An information providing system that displays at least one piece of information indicating the state of. If prior Symbol medical or person attributes Take Care is WOC nurse, the display device, information indicating whether the patient or air mattress of the care person is operating normally, or, bed Display at least one of the information indicating the status ,
The patient or cared person includes a first subject and a second subject,
When the condition of the first subject person to be displayed satisfies the first condition, the display device sets the display form of the first subject person to a mode different from the display form of the second subject person,
The first condition is that the posture of the patient or the cared person has not changed for a predetermined time or more, the air mattress has been changed, and the back angle exceeds a threshold value for a predetermined time or more. to have it, the pressure ulcer assessment result is changed, it is one of the power of the air mattress has expired more than a predetermined time, according to claim 1 Symbol placement information providing system. If prior Symbol medical or person attributes Take Care is risk manager, the display device displays the information indicating the state of the patient or the care of the side rails,
When the condition of the first subject person to be displayed satisfies the second condition, the display device sets the display form of the first subject person to a mode different from the display form of the second subject person,
The second condition is that the height of the bed exceeds a threshold for a predetermined time or more, the height of the bed exceeds the threshold during a predetermined time period, that the assessment result of falls has changed, a predetermined During that time, the in-bed status changed from being out of bed to leaving the bed, the side rail was left in a state of falling for more than a specified time, and the sensor that detects the in-bed status was turned off for a specified time. and is any one thing has, claim 2 Symbol placement information providing system. Medical療又in response to device attribute information indicating whether occupied by a person is employee attribute information and device indicating the attribute of a person who performs care perform certain of the medical or care, needed by the patient or the caregiver an information providing method Ru is displayed on the display device a device condition to be,
The employee attribute information is one of a nurse, a WOC nurse, and a risk manager,
The equipment in the equipment state is an air mattress, a side rail, or a bed,
When the device attribute information is occupied by a person who performs the specific medical care or care, the device state of only the patient or the care receiver who is in charge of the person performing the specific medical care or care is displayed on the display device. Let
If the device attribute information is not occupied by a person who performs the specific medical treatment or care, the display device displays the device status of all the patients or cared persons,
The information displayed is
When the employee attribute information is a nurse, the display device displays information indicating whether the air mattress of the patient or the care receiver is operating normally, information indicating the state of side rails, and bed information. An information providing method for displaying at least one of information indicating a state. If prior Symbol medical or person attributes Take Care is WOC nurse, information indicating whether the patient or the care of the air mattress on the display device is operating normally or, bed state Display at least one of the information indicating
The patient or cared person includes a first subject and a second subject,
When the condition of the first subject person to be displayed satisfies the first condition, the display form of the first subject person is set to a mode different from the display form of the second subject person,
The first condition is that the posture of the patient or the cared person has not changed for a predetermined time or more, the air mattress has been changed, and the back angle exceeds a threshold value for a predetermined time or more. to have it, the pressure ulcer assessment result is changed, it is one of the power of the air mattress has expired more than a predetermined time, according to claim 4 Symbol mounting the information providing method. If prior Symbol medical or person attributes Take Care is risk manager is to display the information indicating the state of the patient or the care of the side rails on the display device,
When the condition of the first subject person to be displayed satisfies the second condition, the display form of the first subject person is set to a mode different from the display form of the second subject person,
The second condition is that the height of the bed exceeds a threshold for a predetermined time or more, the height of the bed exceeds the threshold during a predetermined time period, that the assessment result of falls has changed, a predetermined During that time, the in-bed status changed from being out of bed to leaving the bed, the side rail was left in a state of falling for more than a specified time, and the sensor that detects the in-bed status was turned off for a specified time. and is any one thing has, claim 5 Symbol mounting the information providing method.

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