JP7355321B1 - Perioperative nursing recording system, perioperative nursing recording method, client terminal, and computer program - Google Patents

Abstract

[Problem] To provide a perioperative nursing recording system that smoothes the recording work of nurses in the perioperative period, standardizes records, and realizes immediacy of recording without interfering with smooth surgery. [Solution] The computer program includes a client terminal 1 and a computer program 3 provided in cloud computing 2, and the computer program generates a question to be output to a client terminal connected to the cloud computing via a communication network. a step of synthesizing voice data to be output to the client terminal; and a step S1 of causing the client terminal to output a question aloud, voice-recognizing the user's answer obtained by the client terminal, and acquiring patient information before surgery. , a step S2 of acquiring transfer items as confirmation items before surgery, and a step S3 of acquiring nursing records during the operation, and displaying the acquired information on the client terminal. Operative nursing record system. [Selection diagram] Figure 1

Description

Application of Article 30, Paragraph 2 of the Patent Act (1) Publication through exhibition Exhibited at the 4th Medical and Nursing Care Exhibition Tokyo (Medical Japan Tokyo) at Makuhari Messe from October 13th to 15th, 2021 (2) Publication through exhibition Exhibited at the 1st Regional Disaster Prevention EXPO at Tokyo Big Sight from June 29th to July 1st, 2020

The present invention provides a perioperative nursing recording system and a perioperative nursing recording system for recording work related to the nursing process and surgical progress, among a series of processes that operating room nurses are responsible for in the perioperative period (before, during, and after surgery). The present invention relates to a nursing recording method, a client terminal, and a computer program.

The perioperative period refers to the series of periods from the time when the indication for surgery is determined to the completion of the surgery, discharge from the hospital, and the patient's hospital visit, and is the period that combines the three periods: early surgery period, surgery period, and late surgery period. Furthermore, it is necessary to provide safe and secure nursing care to patients in the perioperative period (before, during, and after surgery), especially during surgery. In addition, the current work is to record pre-surgery confirmation items on a record sheet, send the record sheet to the surgery department, and record the treatment status during surgery, drugs used, surgical materials, etc. on the record sheet. .

Conventionally, in the medical field, electronic medical records have been used by medical personnel to record medical records. Electronic medical records display a screen with information items and input fields to be entered on a display interface such as a liquid crystal display, and accept information input from medical personnel via a manual input interface such as a keyboard and mouse. , record the input information in a referenceable state. Electronic medical records play a central role in systems such as medical accounting systems, inspections, and prescriptions, and store medical information on patients' medical conditions and treatment progress.

However, during the perioperative period, it is difficult to use electronic medical records with a manual input interface. Therefore, in order to support recording of autopsy findings in an electronic medical record, Patent Document 1 provides a terminal device having a voice input function and an image display function, and acquires body part information based on voice recognition processing. It is described that body part information is stored.

Japanese Patent Application Publication No. 2016-134127

In the above-mentioned conventional technology, in the perioperative period (before, during, and after surgery), using a voice interface as described in Patent Document 1 simply as a recording task related to the nursing process and surgical progress does not allow for smooth surgery. It is difficult to say that this is a simple and unobstructed recording method, and it has been difficult to reduce the burden on operating room nurses and improve productivity.

The purpose of the present invention is to solve the above-mentioned problems of the prior art, and to provide a perioperative procedure that smoothes the recording work of nurses in the perioperative period without interfering with the smooth operation, and realizes the leveling of records and the immediacy of recording. The goal is to provide a nursing record system. Another object of the present invention is to provide a perioperative nursing recording method, a client terminal, and a program.

The configuration of the present invention to achieve the above object is as follows.

[1] A perioperative nursing record system that records records related to the nursing process and surgical progress in the perioperative period in a voice dialogue format, which includes a client terminal with voice input/output functions and a screen display function, and computer resources. a computer program provided in a cloud computing configured by a computer program, the computer program generating a question to be outputted to the client terminal connected to the cloud computing via a communication network; A step S1 of synthesizing voice data to be output to the client terminal, and making the client terminal voice output the above question, voice recognition of the user's answer obtained by the client terminal, and acquiring pre-surgery patient information. ,
Executing step S2 of acquiring items to be submitted as pre-surgery confirmation items and step S3 of acquiring nursing records during surgery, and displaying the acquired information on the client terminal. , Perioperative Nursing Recording System.
[2] The perioperative nursing record system according to [1], wherein the step S1 is performed in a question format, the step S2 is performed in a selection format, and the step S3 is performed in a fixed phrase format.
[3] The above questions are generated based on the patient information, the above confirmation items, and a question list stored in association with a predetermined keyword included in the nursing record, as described in [1] or [2]. Operative nursing record system.
[4] The perioperative nursing record system according to [2], wherein in step S1, the client terminal displays that the step is to acquire the patient information.
[5] In recording the patient information in step S1, the client terminal displays the patient's last name, patient's first name, gender, date of birth, and age as input items, as described in [2]. perioperative nursing record system.
[6] The perioperative nursing record system according to [2], wherein the client terminal displays the result of the voice recognition and a correction button for starting correction thereof.
[7] The perioperative nursing record system according to [6], wherein the correction button is provided corresponding to each of the results and is individually identified by voice input to the client terminal.
[8] In step S3, the client terminal displays that the step is to acquire the nursing record, and that the acquisition is performed in a fill-in-the-blank mode using fixed phrases, as described in [2] perioperative nursing record system.
[9] The perioperative nursing according to [2], wherein the data acquired in step S1, step S2, and step S3 are compiled into a database and can be viewed and modified using a web browser. Recording system.
[10] A perioperative nursing recording method for recording the nursing process and surgical progress in the perioperative period in a voice dialogue format, which requires a client terminal having an audio input/output function and a screen display function, and computer resources. A perioperative nursing record system comprising a computer program provided in a cloud computing configured by the above is used to generate questions to be output to the client terminal connected to the cloud computing via a communication network. and synthesizing voice data to be output to the client terminal, causing the client terminal to output the above question as a voice, and voice-recognizing the user's answers obtained by the client terminal to collect pre-surgery patient information. Executing step S1 of acquiring, step S2 of acquiring transfer matters as confirmation items before surgery, and step S3 of acquiring nursing records during surgery, and displaying the acquired information on the client terminal. and perioperative nursing documentation methods, including.
[11] A client terminal constituting a perioperative nursing record system that records the nursing process and surgical progress in the perioperative period in a voice dialogue format, which has an audio input/output function and a screen display function. , questions generated by a computer program provided in cloud computing connected via a communication network are output as voices synthesized by the computer program, and patient information before surgery and confirmation items before surgery are displayed. A client terminal that accepts input of a user's voice response regarding transfer matters and nursing records during surgery, and displays the voice-recognized response on a screen by the computer program.
[12] Provided on a client terminal having voice input/output function and screen display function, which constitutes a perioperative nursing record system that records records related to the nursing process and surgical progress in the perioperative period in a voice dialogue format. The computer program includes a step of outputting a question generated by cloud computing connected to the client terminal via a communication network as a voice synthesized by the cloud computing, patient information before surgery, and surgery. A step of accepting input of a user's voice response regarding matters to be submitted as previous confirmation items and nursing records during surgery, and a step of displaying the above-mentioned answer voice-recognized by the above-mentioned cloud computing on a screen. computer program.
[13] A computer program provided in cloud computing composed of computer resources constituting a perioperative nursing record system that records records related to the nursing process and surgical progress in the perioperative period in a voice interactive format. , a step of generating a question to be output to a client terminal connected to the cloud computing via a communication network and having an audio input/output function and a screen display function; and a step of synthesizing audio data to be output to the client terminal. Step S1 of causing the client terminal to output the above-mentioned question aloud and voice-recognizing the user's answer obtained by the client terminal to obtain pre-surgery patient information; A computer program that executes step S2 of acquiring and step S3 of acquiring nursing records during surgery, and displays the acquired information on the client terminal.

Another aspect of the present invention is a perioperative nursing recording system in which a nurse performs recording work related to the nursing process and surgical progress during the perioperative period using a voice interface, which has a voice input/output function and a screen interface. a tablet PC equipped with a character image display function, a pen input operation function, and a communication function, a voice service unit that realizes voice synthesis and voice recognition functions for asking questions using voice data, and a voice service unit that generates the questions. Application software that is a program that realizes the functions of a question generation unit and a display determination unit that determines screen display contents of the tablet PC, synthesis data used in the voice synthesis, and synthesis data used in the voice recognition. Step S1 of recording recognition data, a database in which the question list used by the question generation unit is prepared in advance, and patient information before performing surgery, and submitting the information as preoperative confirmation items before surgery. The application software includes a step S2 for recording matters and a step S3 for recording intraoperative nursing records, and the application software outputs the question as voice to the tablet PC in the step S1, the step S2, and the step S3, The recognition result of the nurse's voice response is recorded and displayed on the tablet PC.

Further, in the above-mentioned perioperative nursing record system, it is preferable that step S1 be performed in a question format, step S2 as a selection format, and step S3 as a fixed phrase.

Furthermore, in the above-mentioned perioperative nursing record system, the question generation unit is configured to generate questions based on the question list stored in association with predetermined keywords included in the patient information, the preoperative confirmation items, and the intraoperative nursing record. Preferably, said question is generated.

Further, in the above perioperative nursing record system, it is preferable that the application software and the database are recorded in a cloud that communicates with the tablet PC via a computer network.

Furthermore, in the above-mentioned perioperative nursing recording system, it is preferable that the tablet PC displays that the patient information is being recorded at the start of recording the patient information in step S1.

Further, in the above-mentioned perioperative nursing recording system, in recording the patient information in step S1, the tablet PC displays the patient's last name, patient's first name, gender, date of birth, and age as input items on the screen. It is preferable that

Further, in the above perioperative nursing record system, the recognition result of the nurse's voiced answer is displayed on the tablet PC, and when the recognition result is incorrect, the recognition result is displayed on the tablet PC. It is preferable that cancellation is possible using a correction button.

Further, in the above-mentioned perioperative nursing record system, in the intraoperative nursing record in step S3, the tablet PC may display an explanation that the intraoperative nursing record is the intraoperative nursing record and that it is in a fill-in-the-blank mode for fixed phrases. preferable.

Furthermore, in the above-mentioned perioperative nursing record system, it is preferable that the recorded data in step S1, step S2, and step S3 be made into a database and can be viewed and modified using a web browser.

The present invention also provides a recording method for perioperative nursing in which a nurse's recording work related to the nursing process and surgical progress is performed using a voice interface during the perioperative period, and the method includes a voice input/output function and character images via a screen. A tablet PC equipped with a display function, a pen input operation function, and a communication function, a voice service unit that realizes voice synthesis and voice recognition functions for asking questions using voice data, and a question generation unit that generates the questions. and application software that is a program that realizes the functions of a display determining unit that determines the screen display content of the tablet PC, synthesis data used in the voice synthesis, and recognition data used in the voice recognition. and a database in which a list of questions used by the question generation unit is prepared in advance as a database, a step S1 of recording patient information before performing surgery, and a step S1 of recording patient information before performing surgery, and submitting it as preoperative confirmation items before surgery. In step S2 of recording matters and step S3 of recording an intraoperative nursing record, the question is output as voice to the tablet PC, and the recognition result of the nurse's voice answer is recorded and displayed on the tablet PC. .

The present invention also provides a perioperative nursing recording program for performing recording work by nurses related to the nursing process and surgical progress during the perioperative period using a voice interface using voice synthesis and voice recognition. A function to ask questions, a function to obtain the nurse's voice response to the question as patient information before surgery, record it and display it on the tablet PC, and a function to record and display on the tablet PC the above-mentioned information regarding matters to be submitted as pre-operative confirmation items before surgery. A function for asking questions in a multiple-choice format and obtaining voice responses from the nurse to the questions, recording them and displaying them on the tablet PC, and asking questions regarding intraoperative nursing records in a fill-in-the-blank mode using fixed phrases, This function realizes a function of obtaining a nurse's voice response, recording it, and displaying it on the tablet PC.

According to the present invention, it is possible to provide a perioperative nursing recording system that smoothes the recording work of nurses during the perioperative period without interfering with smooth surgery, and achieves leveling of recording and immediacy of recording. Further, according to the present invention, a perioperative nursing recording method, a client terminal, and a server can be provided.

A block diagram illustrating a perioperative nursing record system according to an embodiment of the present invention. Block diagram explaining detailed functions in Figure 1 Perioperative Nursing Record Flowchart According to One Embodiment Screen showing the recording process using the voice interface in patient information recording (start of patient information recording) Screen showing the recording process using a voice interface in patient information recording (gender information question) Screen showing the recording process using a voice interface in patient information recording (gender answer) Screen showing the recording process using the voice interface in patient information recording (confirmation step) Screen showing the recording process using the audio interface in recording preoperative confirmation items Screen showing the recording process using the voice interface for intraoperative nursing records (input/output method) Screen showing the recording process using the voice interface in intraoperative nursing records (assistance method) Screen showing the recording process using the voice interface in intraoperative nursing records (doctor) Screen showing the recording process using voice interface in intraoperative nursing records (drug name) Screen showing the recording process using the voice interface in intraoperative nursing records (inoculation location) Screen showing the process of recording confirmation of the completion of surgery using a voice interface Screen showing the recording process using a voice interface when leaving the operating room (assistance method) Screen showing the recording process using the audio interface when leaving the operating room (exit method)

FIG. 1 is a block diagram illustrating a perioperative nursing record system according to one embodiment of the present invention. Perioperative nursing is the process from when the patient and family decide to have surgery, to entering the operating room 20, preparing for the surgery, during the surgery, finishing the surgery, leaving the operating room 20, and recovering from the surgical invasion. This is nursing related to Nurses need to provide safe and secure nursing care to patients in the perioperative period, mainly during surgery. FIG. 2 is a block diagram illustrating detailed functions of the application software 3 (program) in FIG. 1. As shown in FIG. The perioperative nursing recording system according to the present invention is a system that makes the recording work related to the nursing process and surgical progress, among a series of processes carried out by operating room nurses in the perioperative period, hands-free in a voice interactive format.

Outpatient/Ward 10 provides patient decision-making support, pre-operative patient assessment (survey/evaluation), and individualized nursing care plans during surgery before surgery, that is, during the surgical preparation period from decision-making to admission to the operating room. Planning is doing. The tablet PC 1 is one of the client terminals and is used as an input/output interface. The tablet PC 1 is equipped with a voice input/output function for a voice interface, a character image display function via a screen, a touch panel or pen input operation function, a communication function, and the like.

The operating room 20 provides care based on the nursing plan during the surgery, from entering the operating room to the start and end of the surgery until leaving the operating room 20, and evaluation of care planned and modified according to the progress of the surgery. , performs patient assessment and evaluation immediately after surgery, and reports to the nurse who will be returning to the room. The tablet PC 21 is one of the client terminals, and may be the same as the tablet PC 1 brought into the operating room 20, or may be a different one, but one with similar functions may be used as an input/output interface. Ru.

The management center 30 collaborates with ward and outpatient nurses to provide nursing care to promote recovery from the surgical invasion after the surgery, that is, after leaving the operating room 20 and until recovery from the surgical invasion, and to monitor complications, etc. Continued nursing care including follow-up observation. The PC 31 is a personal computer that serves as an interface for viewing information recorded by the perioperative nursing record system using a web browser.

Tablet PC1, tablet PC21, and PC31, which are client terminals, are connected to cloud 2 via a communication network. The cloud 2 is cloud computing configured by computer resources such as a single or multiple computers (hardware) and various software. The cloud 2 is provided with application software 3, a database 4, and a virtual network 5.

The application software 3 is a voice service that realizes functions such as voice synthesis for asking questions using voice data using the tablet PC 1 and tablet PC 21, which are client terminals capable of voice input and output, and voice recognition for answers using voice data. Functions such as a question generation section 3-2 that generates questions, a response section 3-3 that generates response contents for the tablet PC 1 and tablet PC 21, and a display determination section 3-4 that determines screen display contents. The program that realizes this is recorded in cloud 2. The voice service unit 3-1 is a program that uses a voice recognition unit, a natural language understanding unit, and a voice synthesis unit to realize functions such as voice recognition, natural language understanding, and voice synthesis for asking questions using voice data.

The virtual network 5 is a virtual private network constructed within the cloud 2, and many services such as a virtual web server are activated. Each service creates a database of recorded information through operations such as inserting data into the database management system 6 in the virtual network 5 and performing searches. Allows viewing and modification.

Since the virtual network 5 is a virtual private network, the PC 31 can search the Internet, browse the Web, and use web mail and local mail while looking at the screen, but the Internet is separated and the information is not recorded by the perioperative nursing record system. information can be prevented from being leaked through the Internet.

In FIG. 2, a nurse 11 who is a user uses a tablet PC 1 as a voice interface. The question generation unit 3-2 generates questions based on a question list 4-1 stored in association with predetermined keywords included in patient information, preoperative confirmation items, and intraoperative nursing records. The response unit 3-3 has a function of determining a response when there is a free speech from the tablet PC1 or the tablet PC21. A response to the free speech of the nurse 11 is made by speaking on the tablet PC 1 or tablet PC 21 or by displaying the result determined by the display determining unit 3-4 on the screen of the tablet PC 1 or tablet PC 21.

The database 4 includes speech service data used by the speech service section 3-1, recognition data 4-2 used by the speech recognition section, language data 4-3 used by the natural language understanding section, and speech data 4-3 used by the speech synthesis section. The synthesis data 4-4 used and the question list 4-1 used by the question generation section 3-2 are prepared in advance as a database. The question list 4-1 lists question data for patient information, question data for preoperative confirmation items, question data for intraoperative nursing records, and the like.

The application software 3 associates the uttered answers of the nurse 11 to the question data of the question list 4-1 with the question list 4-1 as a result of voice recognition by the voice service unit 3-1, and creates recording data 4-5. It is recorded in the database 4 as . With each of the above functions, the client terminals Tablet PC 1 and Tablet PC 21 output questions audibly at each step of patient information record, preoperative confirmation item record, and intraoperative nursing record, and the result of recognition of the nurse 11's voice answer. Display on the screen, read out the displayed content, and display it. That is, the application software 3 is a program that realizes a function of asking questions using voice data using the tablet PC 1 and the tablet PC 21.

The nurse 11 then confirms that the recognition result of the answer is correct. Further, a number is assigned to each recognition result on the screen of the tablet PC 1 and the tablet PC 21, and when the number is input by voice, the question is read out again and corrections are possible.

FIG. 3 shows a perioperative nursing record flowchart by the perioperative nursing record system. Before the surgery, pre-operative tests are conducted at the outpatient clinic, and the treatment plan is explained and the surgical decision is made and explained by the day before the surgery. Periodic surgical nursing requires preparations such as preoperative evaluation, nursing planning, instruction related to surgery, support for decision making, and confirmation of consent forms for surgery and anesthesia. In particular, recording patient information is important, and patient information is asked and recorded (obtained) before surgery in the form of questions. (Step S1)
In step S1, the application software 3 realizes a function of obtaining the nurse's voice response to the question, recording it, and displaying it on the tablet PC as patient information before performing surgery.

During surgery, from the time the patient enters the operating room until the start of the surgery, it is necessary to record pre-operative confirmation items, and pre-operative notifications, etc. are mainly performed and recorded in a multiple-choice format. (Step S2)
In step S2, the application software 3 asks the question regarding the transfer matters in a selective format as confirmation items before surgery, obtains the nurse's voice response to the question, records it, and displays it on the tablet PC. Achieve functionality.

During surgery, it is necessary to perform intraoperative observation, record nursing care, post-operative evaluation, and hand over to the outpatient department and ward 10.Nursing records during surgery (intraoperatively) are recorded in fixed phrases or free words. . (Step S3)
In step S3, the application software 3 performs a function of asking at least the question regarding the intraoperative nursing record in a fill-in-the-blank mode using fixed phrases, obtaining a voice response from the nurse to the question, recording it, and displaying it on the tablet PC.

After surgery, there is a post-operative recovery period, which requires outpatient treatment, continuous nursing care, and post-operative evaluation.In order to easily and conveniently refer to the recorded data in Step S1, Step S2, and Step S3, it is necessary to use the recorded information. The data will be converted into a database and can be viewed and modified using a web browser. (Step S4)

4, 5, 6, and 7 are plan views of screens showing an example of the recording process using the voice interface using the tablet PC 1 in recording patient information in step S1. As shown in FIG. 4, at the start of patient information recording, the tablet PC 1 displays a menu display 1-1 to indicate that the patient information is being recorded, and a voice data response 1-4 based on a question list 4-1 to display "patient information". ”, prompting the nurse 11 who will be the user to start inputting. Input items 1-2 include at least the patient's last name, patient's first name, gender, date of birth, and age displayed on the screen as keywords and items to be recorded.
Note that the above screen display on the tablet PC 1 is realized by a program built into the tablet PC 1, but is not limited to this, and may be realized by a web system that operates on a web browser executed on the tablet PC 1. . The same applies to the following displays.

FIG. 5 shows a state in which the patient's last name and patient's first name have already been input, and the gender information question is being asked. At this point, the tablet PC 1 responds to the nurse 11 acting as the user, ``What is your gender?'' as a voice data response 1-4 using voice data based on the question list 4-1. At the same time, in input item 1-2, the gender item is highlighted in bold. The nurse 11 performs a pen input operation on the display of the speech start button 1-3.

FIG. 6 shows a state in which the nurse 11 answers the gender by speaking voice data answer 1-6 "male" after the pen input operation. The result of recognizing the nurse's 11 voice response is displayed in the input item 1-2, and the displayed content is read out. At this time, if a mistake is made in the input or the recognition result is incorrect, the nurse 11 operates the correction button 1-5 to input with a pen. As a result, the incorrect input is canceled and the user again responds to the nurse 11 asking, "What is your gender?"

Note that the pen input operation to the correction button 1-5 is not limited to this, and the nurse 11 utters a voice response, and the voice service department 3-1 recognizes the voice and asks the user again, "What is your gender?" It is also possible to respond to the nurse 11. In other words, it is desirable that the application software 3 has a mode that not only recognizes questions based on voice data and records responses, but also recognizes free speech and records responses.

Specifically, specify by voice the correction button 1-5 corresponding to the item that needs correction (for example, "Modify 1"), and then specify the correction details for the corresponding item (for example, "Suzuki" as the patient's last name). ) can be said. With this configuration, recorded matters can be corrected hands-free.

FIG. 7 shows the step of final confirmation of input item 1-2, and at this point, tablet PC 1 responds to nurse 11, who is the user, saying "Are you sure?" as voice data response 1-4. The nurse 11 displays the speech start button 1-3 using a pen input operation (or designates it using the voice "start speech"), and answers "yes." Thereby, the patient information is recorded in the database 4 as recording data 4-5 corresponding to the question list 4-1. Modification buttons 1-5 are provided such as modification 1, modification 2, modification 3, modification 4, and modification 5, corresponding to each input item 1-2. By specifying these names by voice, operations similar to pen operations can be realized.

FIG. 8 is a plan view of a screen showing an example of the recording process using the voice interface using the tablet PC 1 in recording the preoperative confirmation items in step S2. As shown in FIG. 8, the tablet PC 1 clearly indicates that it is a patient information record in the menu display 1-1 when recording preoperative confirmation items. Questions in the patient information record are in the form of questions in which input items 1-2 are asked in order and answers are obtained, whereas questions in the pre-operative confirmation item record are in the form of a selection prompting the user to select option items 1-7. It is.

Therefore, the screen shown in FIG. 8 prompts the nurse 11 to start inputting "Please select" using the voice data response 1-4 based on the question list 4-1. For the selection items 1-7, selection buttons 1-8 are added to each item, and the nurse 11 inputs the selection buttons 1-8 using a pen. Note that the pen input operation to the selection button 1-8 is not limited to this, and the nurse 11 may utter, for example, "select 1" or "selection 1" as a voice response, and the voice service department 3-8 1 may recognize the voice and respond. In addition, in the case of the selection format, since the selection item 1-7 is determined in advance, it is possible to reduce the burden on the voice recognition section of the voice service section 3-1 and reduce recognition errors.

9, 10, 11, 12, 13, and 14 are plan views of screens showing an example of the recording process using the voice interface using the tablet PC 21 in the intraoperative nursing record in step S3. 9 and 10 show that items related to the method of entering and leaving the operating room 20 and the method of assistance are recorded. As shown in Figure 9, at the start of the intraoperative nursing record, the menu display 21-1 clearly indicates that it is an intraoperative nursing record, and the explanation display 21-7 indicates that it is a fixed text, and explains the entry and exit methods and assistance methods using fixed text. This indicates that you are asking a question in fill-in-the-blank mode.
Note that the above screen display on the tablet PC 21 is realized by a program built into the tablet PC 21, but is not limited to this, and may be realized by a web system running on a web browser executed on the tablet PC 21. . The same applies to the following displays.

FIG. 9 shows a state in which the operating room 20 has already been input as the first operating room. The tablet PC 21 responds to the nurse 22 serving as the user, ``How do I enter the room?'' as a voice data response 21-4 using voice data based on the question list 4-1. At the same time, in the input item 21-2, the entry method item is highlighted in bold. The nurse 22 enters the display of the speech start button 21-3 with a pen, and utters "stretcher" as the voice data response 21-6.

In FIG. 10, following on from FIG. 9, a response to the nurse 22 is "What is the assistance method?", and at the same time, in the input item 21-2, the assistance method item is highlighted in bold. FIG. 10 shows a state in which the nurse 22 utters the voice data response 21-6 "all assistance" in the same way as in FIG. The correction button 21-5 has the same function as the correction button 1-5 already described in FIG. 6, and the input result is recorded in the database 4.

11, 12, and 13 are plan views of screens showing an example of a recording process showing recording of items related to doctor, drug name, and dosage. In Figure 11, the menu display 21-1 clearly indicates that it is an intraoperative nursing record, the explanatory display 21-7 indicates that it is a fixed phrase, the "doctor" uses "drug name" and "dosage", and the blink This indicates that the question is asked in a fixed-text fill-in-the-blank mode, such as administering anesthesia. The fill-in-the-blank blanks are ``doctor,'' ``drug name,'' and ``dosage.''

FIG. 11 shows a state in which the voice data response 21-4 is a response to the nurse 22 serving as the user, ``What about the doctor?''. At the same time, in the input item 21-2, the doctor item is highlighted in bold. The nurse 22 inputs the speech start button 21-3 with a pen, and utters "Hanako Tanaka" as the voice data response 21-6.

In FIG. 12, following FIG. 11, a response is sent to the nurse 22 asking, "What is the name of the drug?" At the same time, in the input item 21-2, the drug name item is highlighted in bold. FIG. 12 shows a state in which the nurse 22 utters the voice data answer 21-6 "Xylocaine 2%" in the same manner as in FIG. The correction button 21-5 has the same function as the correction button 1-5 already described in FIG. 6, and the input result is recorded in the database 4.

In FIG. 13, following on from FIG. 12, the nurse 22 is asked, "Where is the vaccination site?" and at the same time, in the input item 21-2, the item indicating the vaccination site is highlighted in bold. FIG. 13 shows a state in which the nurse 22 utters the voice data answer 21-6 "Tenon's lower" in the same way as in FIG. The correction button 21-5 has the same function as the correction button 1-5 already described, and the input result is recorded in the database 4.

Furthermore, it is desirable to record not only the input results through the voice interface, but also the time at which the data was recorded, for example, the time at which the drug was inoculated, so that the data can be viewed in chronological order later. Furthermore, it is preferable that the application software 3 determines whether the drug name and amount are appropriate, whether there are restrictions on use, etc. It is preferable that the database 4 has correct/incorrect data for this determination.

FIG. 14 is a plan view of a screen showing an example of a recording process using a voice interface using the tablet PC 21 to confirm the completion of surgery. "The surgery is over, right?" is the response to the nurse 22, and at the same time, in the input item 21-2, the item "Surgery over" is highlighted in bold. FIG. 14 shows a state in which the nurse 22 utters "Yes" in the voice data response 21-6. The correction button 21-5 has the same function as the correction button 1-5 already described, and the input result is recorded in the database 4 as data required during the surgery.

15 and 16 are plan views of screens showing an example of the recording process using the voice interface using the tablet PC 21 when the patient leaves the operating room 20 after finishing the surgery in perioperative nursing. In FIGS. 15 and 16, the explanation display 21-7 indicates that the assistance method and exit method are asked in fill-in-the-blank mode using fixed phrases. The fill-in-the-blank sections indicate ``assistance method'' and ``exit method.'' FIG. 15 shows a state in which the voice data response 21-4 is a response to the nurse 22 serving as the user, asking, "How do you provide assistance?" At the same time, in the input item 21-2, the assistance method item is highlighted in bold.

FIG. 15 shows a state in which the nurse 22 operates the display of the speech start button 21-3 by pen input (or voice input) and utters "partial assistance" as the voice data response 21-6. The correction button 21-5 has the same function as the correction button 1-5 already described in FIG. 6, and the input result is recorded in the database 4.

FIG. 16 shows a state in which the voice data response 21-4 is a response to the nurse 22 who is the user, ``How do I leave?''. At the same time, in the input item 21-2, the exit method item is highlighted in bold. The nurse 22 operates the display of the speech start button 21-3 by pen input (or voice input), and utters "wheelchair" as the voice data response 21-6. The correction button 21-5 has the same function as the correction button 1-5 already described in FIG. 6, and the input result is recorded in the database 4.

This embodiment uses a non-contact VUI (Voice User Interface) specialized for nurses' recording work in perioperative nursing to realize a recording method that does not interfere with smooth work, and is effective in preventing infection during the recent coronavirus pandemic. is also effective. In addition, the perioperative nursing records of this embodiment allow hands-free input and confirmation work, so even if both hands are occupied during surgery and cannot be taken apart, operations are not hindered, and records are leveled. It is possible to improve the immediacy of recording, reduce the burden, and improve productivity.

In particular, the perioperative nursing record of this embodiment defines a question format, a multiple choice format, and a fill-in-the-blank mode for fixed sentences in each step of recording patient information and recording preoperative confirmation items. Therefore, it is possible to realize accurate voice recognition and automatic reflection in the prescribed format, avoid omissions, promote standardization of records, and perform safe and secure perioperative nursing. In addition, the input information is immediately reflected in the database 4 and can be viewed and modified using a web browser, allowing for unified management and smooth information sharing among related parties.

Although the above explanation has focused specifically on perioperative nursing, the present invention is not limited thereto, and facilitates online coordination of hospital information systems such as accounting systems, ordering systems, clinical testing systems, and drug systems. . Furthermore, it will be possible to link and utilize it for physical condition management at welfare facilities and hospitals, childcare diaries at childcare facilities, etc.

The above-described embodiments are merely examples, and the present invention may be implemented with appropriate modifications within the scope of the invention. Furthermore, the processing described as being executed by the input interface (tablet PC1, tablet P21) and the cloud 2, that is, executed by multiple devices, is executed by one device (for example, tablet PC1, tablet P21). I don't care if it happens.

The perioperative nursing record system is a computer system, and the hardware configuration (server configuration) that implements each function can be flexibly changed. The present invention can also be realized by supplying a computer program implementing the functions described in the above embodiments to a computer, and having one or more processors of the computer read and execute the program.

For example, the perioperative nursing record system uses the voice recognition unit, natural language understanding unit, and voice synthesis unit of the voice service unit 3-1 of Cloud 2 to perform voice recognition, natural language understanding, and voice synthesis for asking questions using voice data. Functions such as a program that realizes the functions of , a question generation unit 3-2 that generates questions, a response unit 3-3 that generates question content for the tablet PC 1 and tablet PC 21, a display determination unit 3-4 that determines screen display content, etc. A program for realizing this may be provided in the input interface (tablet PC1, tablet P21).

1, 21...Tablet PC
1-1, 21-1...Menu display 1-2, 21-2...Input items 1-3, 21-3...Speech start button 1-4, 21-4...Voice data response 1-5, 21-5... Edit button 1-6, 21-6...Voice data response 1-7...Selection item 1-8...Selection button 2...Cloud 3...Application software 3-1...Voice service section 3-3...Response section 3-2...Question Generation section 3-3...Response section 3-4...Display determining section 4...Database 4-1...Question list 4-2...Data for recognition 4-3...Language data 4-4...Data for synthesis 4-5...For recording Data 5...Virtual network 6...Database management system 10...Outpatient/ward 11, 22...Nurse 20...Operating room 21-7...Explanation display 22...Nurse 30...Management center 31...PC

Claims (7)

A perioperative nursing record system that records records related to the nursing process and surgical progress in the perioperative period in a voice dialogue format,
A client terminal having an audio input/output function and a screen display function,
cloud computing configured with computer resources and controlling the client terminal;
The cloud computing includes a question generation unit that generates a question to be output to the client terminal connected via a communication network;
a voice service unit that synthesizes the voice data of the question, causes the client terminal to output the voice data, and voice-recognizes the user's answer obtained by the client terminal;
a display determining unit that causes the client terminal to display the voice recognition result and a correction button for starting correction thereof, corresponding to each of the results;
The answer includes at least one selected from the group consisting of patient information before surgery, matters to be submitted as confirmation items before surgery, and nursing records during surgery,
In the perioperative nursing record system, the correction buttons are individually identified by specifying the name of each correction button to the client terminal by voice input. The perioperative nursing record system according to claim 1, wherein the questions are generated based on the patient information, the confirmation items, or a question list stored in association with a predetermined keyword included in the nursing record. . The perioperative nursing record system according to claim 1, wherein the cloud computing causes the client terminal to display a message that the patient information will be acquired when acquiring the patient information. The perioperative nursing according to claim 3, wherein when acquiring the patient information, the patient's last name, patient's first name, gender, date of birth, and age are displayed as input items on the client terminal. Recording system. The perioperative nursing record system according to claim 1, wherein the cloud computing causes the client terminal to display a fixed phrase that can be filled in the blanks when acquiring the nursing record. Furthermore, it has a viewing terminal,
The cloud computing converts the answers into a database,
The perioperative nursing record system according to claim 1, wherein viewing and modifying the answers are accepted using a web browser included in the viewing terminal. A perioperative nursing recording method for recording the nursing process and surgical progress in the perioperative period in an audio dialogue format, the method comprising:
A client terminal having an audio input/output function and a screen display function,
Using a perioperative nursing record system comprising cloud computing configured by computer resources and controlling the client terminal,
generating a question to be output to the client terminal connected to the cloud computing via a communication network;
Synthesizing the voice data of the question;
causing the client terminal to output the audio data;
voice recognition of the user's answer obtained by the client terminal;
Displaying, on the client terminal, the results of the voice recognition and a modification button for starting modification thereof, corresponding to each of the results,
The answer includes at least one selected from the group consisting of patient information before surgery, matters to be submitted as confirmation items before surgery, and nursing records during surgery,
In the perioperative nursing recording method, the correction buttons are individually identified by specifying the name of each correction button to the client terminal by voice input.

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