JP6774839B2 - Nurse call system - Google Patents

Description

The present invention relates to a nurse call system having a function of notifying an inpatient who has made an appointment for an examination that an examination time is approaching by a speaker to a ceiling speaker or a nurse call slave unit.

As a system for reserving a laboratory or the like provided in a ward for examining a patient, for example, there is an examination reservation management system disclosed in Patent Document 1. In Patent Document 1, the laboratory and the inspection device are reserved after confirming the unreserved time, and if any change or cancellation occurs thereafter, the registered contents are changed each time to efficiently operate the laboratory or the inspection device. Was made possible.

On the other hand, there is an IMES (Indoor MEssaging System) technology as a technology that makes it possible to apply the GPS positioning technology to indoors where GPS satellite radio waves do not reach. By using this technique, a person to be managed can wear a terminal having a GPS positioning function indoors, so that the position of the person can be grasped indoors (see, for example, Patent Document 2).

Japanese Unexamined Patent Publication No. 2012-93843 Japanese Unexamined Patent Publication No. 2011-145873

Inpatients are regularly inspected in the laboratory, etc., but they may forget the time reserved for the examination or may suddenly leave the hospital room due to a visitor, etc., and may not appear in the examination room at the reserved time. It was. In such a case, the nurse searches for the patient, but even if it is found, the scheduled time has passed and the schedule changes after that, or if it is not found, the appointment is canceled. Therefore, the work of searching for a patient and changing the time has been a burden on the nurse.

Therefore, in view of such a problem, the present invention provides a nurse call system that notifies inpatients who have made a reservation when the examination appointment time approaches or the examination appointment time is reached by using a ceiling speaker or the like. It is an object.

In order to solve the above problem, the invention of claim 1 is for a nurse call slave unit installed for each bed for an inpatient to call a nurse and a nurse responding to a call from the nurse call slave unit. In a nurse call system equipped with a nurse call master unit installed at a nurse station and a corridor light installed in each hospital room to display patient information of the corresponding hospital room and to display the occurrence of a call from a patient, an examination reservation is made. A test reservation storage unit that stores the name of the patient and the appointment date and time, a message generation unit that generates a message to announce to the patient who has reserved the examination based on the information in the examination reservation storage unit, and a patient's examination reservation time and its constant At least one of the speaker of the nurse call slave unit associated with the patient to be scheduled for examination and the ceiling speaker installed in the common area of the hospital at least one time before or after a certain period of time. A notification control device that notifies the arrival of the examination time by sounding the message generated by the message generation unit from the speaker, and is installed at appropriate locations including common areas, corridors, and hospital rooms in the hospital. A position information transmitter that transmits the position information of the patient, a position transmission terminal that generates and transmits its own position information based on the position information of the position information transmitter that the patient wears and receives, and an appropriate position in the hospital. The relationship between the receiver installed at the position and receiving the transmission signal of the position transmission terminal and the patient and the position information transmitter is memorized, and the location of the patient is grasped from the signal of the position transmission terminal received by the receiver. The notification control device has a location information management device for accumulating and a speaker position storage unit for storing installation location information of individual ceiling speakers, while the notification control device acquires the location information of the patient who has reserved the examination from the location information management device. It has an information acquisition unit, and if the patient is in the hospital room, the speaker of the nurse call slave unit is selected from the acquired location information of the patient. If the patient is not in the hospital room, the ceiling speaker is selected based on the information of the speaker position storage unit. Therefore, it is characterized by making a message sound.
According to this configuration, the speaker close to the patient's location is selected from the speakers of the nurse call slave unit and the ceiling speaker of the reserved patient at the time when the examination is reserved or at any time before or after the reserved time. The predetermined message is sounded. Therefore, even if the patient forgets to make an appointment, he / she can recognize it by the message that is sounded, and the examination can be performed without the nurse searching for the patient. Therefore, the nurse does not have to search for the patient.

In addition, in Rukoto is selected speaker close to the patient's whereabouts, call hardly become the noise even frequently.

According to the invention of claim 2 , in the configuration of claim 1 , a mobile terminal for a nurse to answer a call from a patient is provided, and a base station for communicating with the mobile terminal is installed at an appropriate position in the hospital. The position information transmitter transmits its own position signal as an IMES signal, and its own position information signal transmitted by the position transmitting terminal in response to the IMES signal is an IMES-based GPS positioning signal of the mobile terminal. It is characterized in that it transmits with a signal common to communication radio waves and the receiver is a base station.
According to this configuration, the position of the position transmitting terminal, that is, the location of the patient can be specified by using the communication network of the mobile terminal constructed in the hospital, so that it is not necessary to separately provide the communication network with the position transmitting terminal.

According to the invention of claim 3 , in the configuration according to claim 1 or 2 , a notification control device is installed in a treatment room or an examination room to obtain an inspection reservation status from an inspection reservation storage unit and display the inspection reservation display terminal. The inspection reservation display terminal is characterized by having a sound notification stop button for prohibiting the sound of the message.
According to this configuration, if the patient appears in the treatment room or the examination room by the time when the message is sounded, it is not necessary to sound the message. Therefore, the sound stop button can be operated to generate unnecessary sound. Can be prevented.

According to the present invention, a predetermined message is transmitted from at least one of the speaker of the nurse call slave unit and the ceiling speaker of the reserved patient at the time when the examination is reserved or at any time before or after the reserved time. Is reported. Therefore, even if the patient forgets to make an appointment, he / she can recognize it by the message that is sounded, and the examination can be performed without the nurse searching for the patient. Therefore, the nurse does not have to search for the patient.

It is a block diagram which shows an example of the nurse call system which concerns on this invention. It is a ward layout explanatory drawing which shows the arrangement of the IMES transmitter. It is a functional block diagram of the IMES management apparatus. It is a functional block diagram of a control device. It is a functional block diagram of the inspection reservation display terminal. It is explanatory drawing which displayed the patient who reserved the examination by the examination reservation display terminal.

Hereinafter, embodiments embodying the present invention will be described in detail with reference to the drawings. FIG. 1 is a configuration diagram showing an example of a nurse call system according to the present invention, in which 1 is a nurse call slave unit installed in each bed for a patient to call a nurse, and 2 is installed in each hospital room for patient information. Is displayed and the call occurrence is notified, and the corridor light 3 that relays the call signal is installed in the nurse station to notify the call by the nurse call slave unit 1 and the nurse call for the nurse to answer the call. The master unit 4 is a mobile terminal consisting of, for example, a smartphone carried by an individual nurse to answer a call from the nurse call slave unit 1, 5 is a control device for controlling communication between devices, 6 is a mobile terminal 4 and A base station such as an access point that communicates with the position transmission terminal 10 described later, and 7 controls communication between the mobile terminal 4 and the base station 6, and communication between the position transmission terminal 10 and the base station 6 described later. 8 is a switch made of IP-PBX that manages the above, 8 is a ceiling speaker installed at an appropriate position in a common area such as a corridor or a toilet, 13 is a management PC that manages a nurse call system, and 14 is installed in an examination room or a treatment room. The examination reservation display terminal for confirming the examination reservation status of the patient, 15 is an ordering device for managing patient medical information such as patient medication information and hospitalization / discharge information, as well as reservations for examination rooms and treatment rooms.

Further, 9 is an IMES transmitter as a position information transmitter that transmits an IMES signal which is its own position signal by applying IMES technology, and 10 is an IMES transmitter worn by a patient to receive an IMES signal from the IMES transmitter 9. The position transmission terminal 11 for transmitting its own position information is an IMES management device as a position information management device that manages the transmission signal of each IMES transmitter 9 and manages the position of the position transmission terminal 10, and transmits IMES. The machine 9, the position transmitting terminal 10, the IMES management device 11, and the base station 6 constitute a position specifying system for specifying the whereabouts of the patient. The position transmission terminal 10 is configured to transmit its own position information (GPS positioning signal) by a signal that can be received by the base station 6, that is, a communication radio wave common to the mobile terminal 4.

FIG. 2 is a ward layout diagram showing an arrangement example of the IMES transmitter 9, and as shown in FIG. 2, the IMES transmitter 9 is an individual hospital room E1, a staff station E2 which is a nurse station, and a corridor E3 as appropriate. It is installed in a place, a bathroom E4, a toilet E5, an operating room E6, an examination room E7, a common area, a waiting room, etc., and is arranged so that the position transmitting terminal 10 can transmit its own detailed position information. Although FIG. 2 shows the arrangement in the ward, the IMES transmitter 9 is arranged in the entire hospital including other wards.

The corridor light 2, the nurse call master unit 3, the control device 5, the management PC 13, and the inspection reservation display terminal 14 are connected to each other by the LAN wiring L1 via the HUB 12. Further, the nurse call slave unit 1 is connected to the corridor light 2 via the transmission line L2 for each hospital room. On the other hand, the IMES transmitter 9 and the IMES management device 11 are connected by a communication line L4, and the management PC 13 and the IMES management device 11 are connected by a communication line L5 and are configured to cooperate with each other.
Further, the ceiling speaker 8 is connected to the control device 5 via the corridor light 2, a speaker control unit (not shown) is provided in the corridor light 2, and the LAN wiring is shared with the corridor light 2.
Although the communication line L4 is arranged independently of the LAN wiring L1 to which the nurse call master unit 3 is connected, the communication line L4 can also be integrated with the LAN wiring L1 using a LAN. Is.

Hereinafter, the main devices will be described in order. The nurse call slave unit 1 is composed of a call grip button 1a arranged on the bed and a plate slave unit 1b installed on the wall surface to which the call grip button 1a is connected, and the plate slave unit 1b is used for a call. A microphone and a speaker 1c are incorporated.
Further, the nurse call master unit 3 includes a first display unit 3a for displaying various information including a list of patient information, a second display unit 3b for displaying caller information, a handset 3c for answering a call, and the like. There is.

The IMES transmitter 9 constituting the position identification system constantly transmits an IMES signal (position signal) in a signal form common to a position information signal transmitted from a GPS satellite under the control of the IMES management device 11.
On the other hand, the position transmission terminal 10 has a function of receiving GPS satellite radio waves and transmitting its own position information. Specifically, it has a built-in GPS communication unit that receives GPS radio waves, identifies its own position, adds its own ID to the specified position information, and transmits it. With this function, the position information signal emitted by the IMES transmitter 9 is received indoors, and its own position information is transmitted based on this signal. The position transmission terminal 10 has a shape that can be worn on an arm like a wristwatch, a pendant shape that can be hung on the neck, or a shape that is easy for a patient to wear.

Further, the IMES management device 11 is configured as shown in the functional block diagram of FIG. As shown in FIG. 3, the position transmission terminal position storage unit 111 that stores the position information transmitted by the position transmission terminal 10, the location storage unit 112 that stores the association between the position information and the location in the ward, and the location transmission terminal 10 It includes a position transmission terminal table storage unit 113 that stores the relationship with the patient, an IMES management device CPU 114 that controls the IMES management device 11, an IMES management device IF 115 that communicates with the IMES transmitter 9 and the management PC 13.
Then, the IMES management device CPU 114 obtains the location information signal of the position transmission terminal 10 received by the base station 6 via the management PC 13, manages the position of each position transmission terminal 10, and transmits the IMES transmitter 9. Manage signals.

FIG. 4 is a functional block diagram of the control device 5. The control device 5 includes a patient information storage unit 51 that stores patient information including the relationship between the patient and the nurse call slave unit (bed), a speaker position storage unit 52 that stores the positions of individual ceiling speakers 8, a corridor light 2, and the like. It includes a nurse call master unit 3, an exchange 7, a management PC 13, a control device communication IF 53 that communicates with the inspection reservation display terminal 14, a control device CPU 54 that controls the control device 5 in addition to controlling communication between the devices, and the like.

FIG. 5 shows a functional block diagram of the inspection reservation display terminal 14. As shown in FIG. 5, the inspection reservation display terminal 14 includes a display unit 14a composed of a liquid crystal screen for displaying various information, an operation unit 141 composed of a touch panel provided on the display unit 14a, and a message generation for generating a message to be sounded. The reservation information storage unit 143 that periodically obtains and stores the examination reservation information of the inpatient from the unit 142 and the ordering device 15, obtains the location information of the patient who has reserved the examination from the IEMS management device 11, and displays the examination reservation display terminal 14. It includes an inspection reservation display terminal CPU 144 to be controlled, an inspection reservation display terminal communication IF 145 that communicates with the control device 5, and the like.
The patient's examination reservation is made in the ordering device, and the examination reservation information is stored in the examination reservation storage unit 15a of the ordering device 15.

The operation of the nurse call system configured as described above is as follows. However, since the call from the patient and the response operation thereof are the same as those in the conventional case, the description thereof will be omitted. Here, the location identification of the patient by the IMES management device 11 and the operation of the examination reservation display terminal 14 will be mainly described.
When the position transmission terminal 10 receives the IMES signal from the IMES transmitter 9, it transmits a location information signal to which its own ID is added, and the nearest base station 6 receives the signal. The base station 6 that has received the location information signal transmitted by the position transmission terminal 10 transmits the location information of the position transmission terminal 10 received to the control device 5 via the exchange 7, and the control device 5 transmits the location information of the position transmission terminal 10 that has been received to the control device 5 via the management PC 13. Transfer to the management device 11.

In the IMES management device 11 that has received the location information of the position transmission terminal 10, the IMES management device CPU 114 determines the current position of each position transmission terminal 10 with reference to the location storage unit 112, and causes the position transmission terminal position storage unit 111 to determine the current position. save. Further, based on the ID information included in the location information signal, the patient wearing the position transmission terminal 10 is read from the position transmission terminal table storage unit 113 and stored in the position transmission terminal position storage unit 111. In this way, the patient's whereabouts information is stored in the position transmission terminal position storage unit 111. Specifically, if the position information received from the position transmission terminal 10 matches the location of the bathroom, for example, it is determined that the position transmission terminal 10 is currently in the bathroom, and the name information of the patient wearing it is used. It will be remembered together.

Under the control of the examination reservation display terminal CPU 144, the examination reservation display terminal 14 periodically obtains the patient's examination reservation information from the examination reservation storage unit 15a of the ordering device 15 and stores it in the reservation information storage unit 143.
Then, when the operation unit 141 is operated to receive a predetermined display operation for displaying the location of the reserved patient, the location information of the patient registered in the reservation information storage unit 143 is stored in the position transmission terminal position storage unit of the IMES management device 11. Obtained from 111 and displayed on the display unit 14a.

FIG. 6 shows a list of the patients (patients scheduled to be examined) on the day of the examination appointment displayed in this way. FIG. 6 shows the whereabouts of the reserved patient at 9:50 am, and Mr. Abemotohiro, who has made a reservation at 10 o'clock, is currently in his own hospital room, and Mr. Harahiro Tsugu, who has made a reservation at 11 o'clock, is in the lounge. Shows that you are in.
Patients who have made reservations after 13:00 have not obtained location information because the reservation time is not yet approaching. Moreover, not only the list of the day but also the list of the reserved date and time is displayed by a predetermined operation (not shown).

The inspection reservation display terminal CPU 144 further operates as follows. If the patient's whereabouts information is in his / her room at a certain time before the appointment time, a message will be generated to announce that the appointment time is coming soon to the nurse associated with the patient bed. Sound is emitted from the speaker 1c of the call slave unit 1.
Specifically, if it is recognized that the patient who is making the reservation is in his / her own hospital room, for example, 5 minutes before the appointment time, "Mr. Abemotohiro, it is time for the examination. Please prepare. Generate a message such as "I will do it" and make a sound. However, since the patient has already appeared in the examination room a certain time ago, the nurse in charge operates the sound stop button (not shown) in the operation unit 141 of the examination reservation display terminal 14 to stop the announcement. If you do, the message will not be heard.

If the patient's whereabouts information obtained from the position transmission terminal position storage unit 111 of the IMES management device 11 is a common area such as a discourse room at a certain time before the reservation time, the area is used. The arranged ceiling speaker 8 is selected from the speaker position storage unit 52 of the control device 5, and one or a plurality of selected ceiling speakers 8 broadcast a message similar to the sound from the nurse call slave unit 1. ..

In this way, when the time reserved for the examination approaches, a predetermined message is sounded from the speaker 1c of the nurse call slave unit 1 of the reserved patient or the speaker of the ceiling speaker 8, so that the corresponding patient makes a reservation. Even if it is forgotten, it can be recognized by the message that is reported, and the examination can be performed without the nurse searching for the patient. Therefore, the nurse does not have to search for the patient.
In addition, since a speaker close to the patient's location is selected and a message is sounded from that speaker, noise is unlikely to occur even if calls are frequent, and the communication network of the mobile terminal 4 constructed in the hospital is used. Since the position of the position transmission terminal 10, that is, the location of the patient can be specified, it is not necessary to separately provide a communication network with the position transmission terminal 10.
Further, if the patient appears in the treatment room or the examination room by the time when the message is sounded, a sound stop button that does not sound the message is provided, so that unnecessary sounding can be prevented.

In the above embodiment, the notification is given 5 minutes before the reserved inspection time, but it may be notified when the reserved time is reached, or after a certain time has passed from the reserved time. You may. Of course, if the patient does not appear in the laboratory or the like, the sound may be given at all three timings.
Further, although the configuration in which the IMES technology is applied and the announcement is made using the speaker close to the place where the patient is located has been described, the sound may be constantly reported from the speaker 1c of the nurse call slave unit 1 without applying the IMES technology. In addition, the ceiling speaker 8 of the entire ward may be used to make a sound.
Further, the inspection reservation display terminal 14 obtains the inspection reservation information from the ordering device 15, but if the inspection reservation is managed by another device such as the nurse call master unit 3, it will be obtained from that device. ..
The patient is in the hospital room

1 ... Nurse call slave unit, 2 ... Corridor light, 3 ... Nurse call master unit, 4 ... Mobile terminal, 5 ... Control device, 6 ... Base station (receiver), 7 ... Exchange, 8・ ・ Ceiling speaker, 9 ・ ・ IMES transmitter (position information transmitter), 10 ・ ・ location transmission terminal, 11 ・ ・ IMES management device (position information management device), 14 ・ ・ inspection reservation display terminal (notification control device) , 15 ... Ordering device, 15a ... Examination reservation storage unit, 51 ... Patient information storage unit, 54 ... Control device CPU, 52 ... Speaker position storage unit, 141 ... Operation unit (sound stop button), 142 ... Message generation unit, 144 ... Examination reservation display terminal CPU (patient location information acquisition unit).

Claims (3)

A nurse call slave unit installed in each bed for inpatients to call a nurse, a nurse call master unit installed in a nurse station for a nurse to answer a call from a nurse call slave unit, and a hospital room In a nurse call system that is installed in the hospital and has a corridor light that displays patient information of the corresponding hospital room and also displays the occurrence of a call from a patient.
An examination appointment storage unit that stores the name of the patient who made an examination appointment and the appointment date and time,
A message generation unit that generates a message to be announced to a patient who has reserved an examination based on the information in the examination reservation storage unit, and a message generation unit.
At least one of the patient's examination appointment time, a certain time before, and after a certain time, the speaker of the nurse call slave unit associated with the patient to be examined and the ceiling installed in the common area of the hospital. A notification control device that notifies the inspection time has come by sounding a message generated by the message generation unit from at least one of the speakers .
A location information transmitter that is installed in appropriate locations including common areas, corridors, and hospital rooms in hospitals to transmit location information of the installation location.
A position transmission terminal that the patient wears and generates and transmits its own position information based on the position information of the position information transmitter received.
A receiver installed at an appropriate position in the hospital to receive the transmission signal of the position transmission terminal,
A location information management device that stores the relationship between the patient and the location information transmitter, grasps the patient's whereabouts from the signal of the location transmission terminal received by the receiver, and stores the patient's location.
While having a speaker position storage unit that stores the installation location information of each ceiling speaker,
The notification control device has a patient location information acquisition unit that acquires the location information of the patient who has reserved the examination from the location information management device, and a nurse call when the patient is in the hospital room from the acquired location information of the patient. A nurse call system characterized in that a message is sounded from the speaker of a slave unit, or from a ceiling speaker selected based on the information of the speaker position storage unit when not in the hospital room . It has a mobile terminal for the nurse to answer the call from the patient, and a base station that communicates with the mobile terminal is installed at an appropriate position in the hospital.
The position information transmitter transmits its own position signal as an IMES signal,
The position information signal of itself transmitted by the position transmitting terminal in response to the IMES signal is a GPS positioning signal based on IMES, and is transmitted as a signal common to the communication radio wave of the mobile terminal.
Nurse call system of claim 1, wherein the receiver is the base station. The notification control device is an inspection reservation display terminal installed in a treatment room or an examination room to obtain and display an inspection reservation status from the inspection reservation storage unit.
The nurse call system according to claim 1 or 2, wherein the inspection reservation display terminal has a sound notification stop button for prohibiting the sound of the message.

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