JP7406665B2 - Operating method of anesthesia progress record display device, anesthesia progress record display device and program - Google Patents

Description

The present invention relates to an anesthesia progress record display method and program.

Automatic anesthesia recording devices are generally used when performing medical procedures using anesthesia in operating rooms, ICUs (Intensive Care Units), and the like. The automatic anesthesia recording device forms an anesthesia chart representing the time course of anesthesia information and patient's vital information, and displays and records this. The anesthesia information includes, for example, the oxygen flow rate, laughing gas flow rate, and air flow rate of the anesthesia machine. Vital information includes, for example, heart rate, body temperature, blood pressure value, oxygen saturation level, and the like. By looking at this anesthesia chart, medical personnel such as doctors can understand the relationship between anesthesia and the patient's condition, and can perform safe anesthesia management.

Patent Document 1 discloses that by displaying biological information (vital information), anesthesia effect information, and medication information side by side with the time axis aligned, medical personnel can more quickly and comprehensively grasp the patient's condition. A medical display device is disclosed that can perform the following steps.

JP2016-086972A

By the way, a large amount of event information is displayed on the anesthesia chart along with the patient's vital information. Event information is information on medical practices. The event information includes, for example, the above-mentioned anesthesia information, infusion/blood transfusion information, treatment information (cardiopulmonary bypass, one-lung ventilation, tourniquet, etc.), and the like. In order to accurately grasp which event information influences vital information, it is desirable to display as much event information as possible on the anesthesia chart.

However, as the amount of event information displayed on the anesthesia chart increases, the display of the anesthesia chart becomes more complicated. As a result, it is thought that experience and familiarity are required to quickly and accurately visually compare the correspondence between specific event information and vital information. In addition, even for experienced and experienced medical personnel, it is considered to be a great burden to quickly and accurately compare these correspondence relationships during surgery or emergency medical care. This is because if these correspondence relationships are incorrectly recognized, it may lead to serious medical accidents.

The present invention has been made in consideration of the above points, and allows vital information in anesthesia progress records and medical actions (event information) to be combined without imposing a large burden on medical personnel during surgery or emergency medical care. Provided are an anesthesia progress record display method and program that allow the user to understand the correspondence between the following.

One embodiment of the anesthesia progress record display method of the present invention is as follows:
Displaying anesthesia progress records including patient vital graphs and anesthesia information;
Enter the medical practice name and medical practice period information of the medical practice that has been performed on the patient for a certain period,
The background of the anesthesia progress record corresponding to the medical practice period is displayed in a background pattern corresponding to the medical practice name.

According to the present invention, it is possible to grasp the correspondence between vital information recorded in anesthesia progress records and medical actions (event information) without imposing a large burden on medical personnel during surgery or emergency medical care. .

A diagram showing an overview of a hospital information system to which the anesthesia progress record display method according to the embodiment is applied. A diagram showing an example of an anesthesia chart according to an embodiment A diagram showing an example of an anesthesia chart according to another embodiment

Embodiments of the present invention will be described below with reference to the drawings.

<System configuration>
FIG. 1 is a diagram showing an overview of a hospital information system (HIS) to which an anesthesia chart display method according to an embodiment of the present invention is applied. In the hospital information system shown in FIG. 1, a medical accounting system, a radiology system, a central examination system, an ordering system, a logistics management system, and an acute department system 1 are connected online to an electronic medical record system as a host system.

The acute department system 1 has a database server 100. The database server 100 is communicably connected to other systems included in the hospital information system, such as the above-mentioned electronic medical record system and ordering system, via a gateway server 101 serving as a data exchanger.

The database server 100 centrally manages data of an operating room, an intensive care unit (ICU), and an emergency room (ER). In the following, the intensive care unit and the emergency room will be abbreviated as intensive care unit or ICU-ER.

The operating room is equipped with an anesthesia machine 200 and a biological information monitor 210, which are connected online to the database server 100 via a conversion module 220. The ICU-ER is equipped with a ventilator, an aortic balloon pump, a biological information monitor, etc. (not shown), and these are connected online to the database server 100 via a conversion module (not shown).

The database server 100 collects online data from anesthesia machines 200, biological information monitors 210, ventilators (not shown), blood gas analyzers (not shown), etc. installed in operating rooms and ICU-ERs. centrally managed. Further, the database server 100 is capable of acquiring data such as patient attributes, various test data, drug orders, surgery orders, etc. from an electronic medical record system, an ordering system, a central testing system, etc. via the gateway server 101. Furthermore, it is also possible to transmit data from the acute department system 1 to other systems included in the hospital information system.

The database server 100 can centrally manage the perioperative period, from preoperative surgical reservations to scheduling and postoperative anesthesia record summaries.

Further, the database server 100 is connected to an operating room terminal 103 and an ICU-ER terminal 104. The terminals 103 and 104 have a function of receiving data from the database server 100 and creating an anesthesia chart. Specifically, the terminals 103 and 104 have a ROM (Read Only Memory), a RAM (Random Access Memory), a CPU (Central Processing Unit), etc., and when the CPU executes a program stored in the ROM, Form and display an anesthesia chart.

Specifically, the terminals 103 and 104 receive information such as various online data, process events from room entry, anesthesia machine information, vital information, drug information, and infusion information from the database server 100, and create an anesthesia chart based on this information. form and display. Furthermore, the terminals 103 and 104 are capable of registering information such as the start/end of anesthesia in the anesthesia chart.

Additionally, the anesthesia charts formed by the terminals 103 and 104 are recorded by the database server 100. Further, this anesthesia chart can also be referred to on a terminal within the hospital or outside via the web server 102.

<Anesthesia chart>
Next, the anesthesia chart (which may also be referred to as automatic anesthesia record) formed and displayed according to this embodiment will be explained using FIG. 2.

FIG. 2 is a display example of the anesthesia chart 10 of this embodiment. Anesthesia chart 10 is generated and displayed by terminals 103, 104.

The anesthesia chart 10 of this embodiment includes a patient information area 11, an anesthesia machine information area 12, a vital graph area 13, a drug area 14, an infusion area 15, an equipment data area 16, an event icon area 17, and a balance area 18. It will be done. The anesthesia chart 10 also includes a progress list display area 20.

In the vital graph area 13, a vital graph of a patient undergoing surgery or treatment is displayed. In the anesthesia machine information area 12, drug area 14, and infusion area 15, the status of the anesthesia machine, the administration status of medicine, and the administration information of infusion over time are displayed using a Gantt chart and numbers, respectively. In the device data area 16, event icon area 17, and balance area 18, IN/OUT balances such as device data, presence/absence of events, start/end, etc. over time are displayed using numbers and symbols, respectively. In the progress list display area 20, the start time and end time of an action are displayed in time and characters.

In addition, in the anesthesia chart 10 of this embodiment, the background color of the anesthesia chart corresponding to the medical practice period of a specific medical practice is displayed in a color-coded manner according to the name of the medical practice. ing.

In the example of FIG. 2, the background colors of periods during which specific medical procedures 1 to 3 are performed are displayed in different colors. In FIG. 2, for convenience, the backgrounds of the periods in which medical actions 1 to 3 are performed are shown with different hatching patterns. Specifically, the medical procedure 1 is, for example, cardiopulmonary bypass, the medical procedure 2 is, for example, one-lung ventilation, and the medical procedure 3 is, for example, tourniquet. That is, in the anesthesia chart 10 of the present embodiment, the background color during the period when cardiopulmonary bypass is performed, the background color during the period when one-lung ventilation is performed, and the background color during the period when tourniquet is performed. are displayed in different colors.

In the example of FIG. 2, medical procedure 1 (for example, cardiopulmonary bypass) starts at 9:07 and ends at 9:50, so the background color for this period is set as the first color. Medical action 2 (for example, one-lung ventilation) starts at 9:19 and ends at 10:19, so the background color for this period is set as the second color. Since medical procedure 3 (for example, tourniquet) starts at 9:58 and ends at 10:10, the background color for this period is set as the third color. Incidentally, in the example of FIG. 2, only the background colors corresponding to medical practice 1 and medical practice 2 are identifiably displayed, and the background color corresponding to medical practice 3 is not identifiably displayed. In this manner, in this embodiment, a medical worker can select which medical practice's background color is to be displayed in a distinguishable manner using a mouse or a keyboard.

In the example of FIG. 2, the background colors of areas other than the vital graph area 13 are also color-coded according to the period of medical treatment, but only the background color of the vital graph area 13 may be color-coded according to the period of medical treatment. .

Such creation and display processing of the anesthesia chart 10 is based on the premise that an anesthesia chart including the patient's vital graph and anesthesia information is to be displayed (that is, areas including the vital graph and anesthesia information such as areas 12 to 18). This is achieved by color-coded display of the background color of the period of medical practice set by medical personnel such as doctors and nurses.

In reality, the medical worker uses the operation keys of the terminals 103 and 104 to set and select the medical practice for which the background color is to be colored. Next, the medical worker uses the operation keys of the terminals 103 and 104 to input the fact that the medical practice has started and finished. Through such operations, the terminals 103 and 104 receive the medical practice name and medical practice period information of the medical practice being performed on the patient by the medical worker's operation. Then, as shown in FIG. 2, the terminals 103 and 104 display the background colors of the anesthesia chart 10 corresponding to the medical practice periods in different colors according to the medical practice names.

<Effect>
As explained above, according to the present embodiment, (i) an anesthesia chart including a patient's vital graph and anesthesia information is displayed, and (ii) a medical treatment that has a period of time performed on the patient. The name of the practice and the information on the period of the medical practice are input, and (iii) the background color of the anesthesia chart corresponding to the medical practice period is displayed in a color-coded manner according to the name of the medical practice. By doing this, it is possible to understand the correspondence between vital information in the anesthesia chart and medical procedures (event information) without imposing a large burden on medical personnel during surgery or emergency medical care. Become.

In particular, in anesthesia charts, information regarding anesthesia administration and other information is displayed in addition to vital graphs, so a large amount of information is displayed on one screen, resulting in a very complex display. . Therefore, it may not be easy to understand the correlation between vital graphs and medical procedures. The anesthesia chart display method of this embodiment avoids such inconveniences and makes it possible to easily understand the correspondence between vital information and medical actions (event information) having a period.

In particular, since the background color of the vital graph area 13 in which the vital graph is displayed is color-coded according to the name of the medical practice, the correspondence between vital information and medical practice (event information) can be clearly understood. In addition, especially when the background is filled in according to the period of medical practice as in this embodiment, medical personnel can clearly recognize the period in which the medical practice overlaps.

In addition, a list of correspondences between medical practice names and background colors ("action legend") is displayed in an area other than the area where the background colors are displayed in different colors (for example, the leftmost area of the vital graph area 13 in FIG. 2). By doing this, medical personnel can easily recognize which background color corresponds to which medical procedure, and therefore can easily understand which medical procedure was performed in which period.

By the way, in the conventional anesthesia chart display, for example, when a doctor finds a position (point in time) in which blood pressure is abnormally low on a vital graph, he or she tries to find the cause of it, and what kind of medical treatment was performed at that point. This requires complicated work such as comparing the vital graph with the Gantt display of the medical procedure or the medical procedure record sheet (start/end times of the medical procedure displayed in the progress list display area 20). On the other hand, in this embodiment, since the background color corresponding to the medical practice is added to the vital graph, the correlation between the vital graph and the medical practice can be grasped at a glance.

<Other embodiments>
The embodiments described above are merely examples of implementation of the present invention, and the technical scope of the present invention should not be construed as limited by these embodiments. That is, the present invention can be implemented in various forms without departing from its gist or main features.

For example, a medical worker may be able to specify any one of a plurality of medical acts 1 to 3, and the background color of the specified medical acts 1 to 3 may be highlighted. In this way, it becomes easier for medical personnel to understand the relationship between the medical practice they want to focus on and the vital graph. This will be explained in detail using FIG. 3. The medical worker uses the mouse or the like on the terminals 103 and 104 to move the pointer to one of the medical practice names or background colors in the response list (the response list displayed at the left end of the vital graph area 13). Specify the medical practice name or background color by selecting it. Then, the terminals 103 and 104 highlight the background color of the anesthesia chart 10 that corresponds to the specified medical practice name or background color. In the example of FIG. 3, medical practice 3 is designated by a medical worker, and the background color corresponding to medical practice 3 is highlighted. Note that highlighting may include, for example, making the background color darker, enclosing an area with a background color in a frame, or increasing the brightness. In this case, only the background color of medical practice 3 may be left, and the background colors corresponding to medical practices 1 and 2 that were not specified may be erased.

Further, for example, a medical worker may be able to specify any one of a plurality of pieces of vital information included in the vital graph, and the graph of the specified vital information may be highlighted. In this way, it becomes easier for medical personnel to grasp the relationship between the medical practice they want to focus on and vital information. For example, a medical worker uses a mouse or the like on the terminals 103 and 104 to move the pointer to any vital information in the response list (the response list displayed at the left end of the vital graph area 13) and performs a selection operation. Specify vital information by Then, the terminals 103 and 104 highlight the vital graph corresponding to the selected vital information. For example, when HR (heart rate) is specified by a medical worker, the HR vital graph is highlighted (eg, blinking). In this case, only the HR vital graph may be left and the unspecified vital graphs may be deleted.

Furthermore, in the display process of the anesthesia chart 10 of the present invention, by setting the vital graph and numerical data and the background color as different layers, it is possible to suppress the visibility of the vital graph and numerical data from decreasing due to the background color. is preferred.

Furthermore, in areas where two or more background colors overlap, it is preferable to change the brightness, saturation, and luminance of the vital graph and numerical data to prevent the visibility of the vital graph and numerical data from decreasing.

Furthermore, among the regions 12 to 18, the medical worker may be able to select which region is to be colored with a background color corresponding to the period of medical treatment. In other words, it may be possible to select whether or not to add a background color corresponding to the medical treatment period to each of the regions 12 to 18. For example, the background colors of only the anesthesia machine information area 12, the vital graph area 13, and the drug area 14 may be colored according to the period of medical treatment, and the background colors of the other areas 15 to 18 may be left as they are.

In the above-described embodiment, a case has been described in which the creation and display processing of the anesthesia chart according to the present invention is performed by the terminals 103 and 104. However, the present invention is not limited to this. For example, the creation processing of the anesthesia chart 10 is performed by the database server 100. may be performed, and display processing of the created anesthesia chart 10 may be performed on the terminals 103, 104, etc.

In the above-described embodiment, a case has been described in which the background color of the anesthesia chart corresponding to the medical procedure period is displayed in a color-coded manner according to the name of the medical procedure, but the present invention provides, in addition to or in place of this, A background color may be added to correspond to the expected period of effectiveness or contraindication of the drug. In this way, the relationship between the vital graph and the drug effect period and contraindication period can be grasped at a glance, allowing the doctor to consider some other treatment.

In the embodiment described above, the background color of the anesthesia chart corresponding to the medical practice period is displayed in the background color corresponding to the medical practice name. By displaying the background of the anesthesia chart in a background pattern corresponding to the name of the medical practice, the same effects as in the above-described embodiment can be obtained. Examples of this background pattern include color, pattern, and brightness. In other words, the "background color" in the above-described embodiments can be replaced with "background pattern".

In the above-described embodiment, the case where an anesthesia chart for an operating room is mainly formed and displayed is described, but the present invention is not limited to this, but can also be applied to a progress chart for an ICU-ER. It is widely applicable to displaying anesthesia progress records including graphs and anesthesia information. That is, the present invention can also be implemented by replacing the "anesthesia chart" in the above embodiment with "anesthesia progress record."

One feature of the anesthesia progress record according to the above-described embodiment is that the medical practice that has a period of time performed on a patient includes at least the first and second medical practice, and the medical practice period of the first medical practice is Regarding the medical practice period, the medical practice period of the second medical practice is displayed in a Gantt display, and the background of the anesthesia progress record corresponding to the medical practice period is displayed in a background pattern corresponding to the medical practice name. By doing this, the display of the anesthesia progress record is not complicated compared to the case where the period of all medical actions is expressed in Gantt display, and furthermore, the vital information in the anesthesia progress record and the medical action are This has the advantage of being able to display the correspondence relationships in an easy-to-understand manner.

In the embodiment described above, the first medical action includes, as an example, the action of administering anesthesia, the action of administering an infusion fluid, etc. shown in the anesthesia machine information area 12, the drug area 14, and the infusion area 15. Furthermore, examples of second medical procedures include cardiopulmonary bypass, single-lung ventilation, and tourniquets. Here, the medical act displayed in Gantt, that is, the first medical act, is the medical act related to anesthesia administration, and the medical acts displayed in the background pattern are surgery, body position, one-lung ventilation, pneumoperitoneum, tourniquet, and heart-lung machine (pump ON/OFF). , aortic occlusion, brain separation), hypothermia, and medical procedures involving clips. This is because in conventional anesthesia progress records, the period of medical treatment related to anesthesia administration is generally displayed in Gantt format, and medical professionals are accustomed to this type of display, so it is better not to change the display to avoid confusion. This is because it is conceivable. However, the present invention is not limited to this.

INDUSTRIAL APPLICABILITY The present invention is useful as an apparatus for displaying an anesthesia chart and a program for displaying an anesthesia chart.

1 Acute department system 10 Anesthesia chart 12 Anesthesia machine information area 13 Vital graph area 14 Drug area 15 Infusion area 100 Database server 101 Gateway server 102 Web server 103, 104 Terminal 200 Anesthesia machine 210 Biological information monitor 220 Conversion module

Claims (6)

An operating method of an anesthesia progress record display device having a display section for displaying an anesthesia progress record including a patient's vital graph and anesthesia information, the method comprising:
Enter information on the drug's effective period and/or contraindication period from the input section,
Displaying an anesthesia progress record in a background color based on the effect period and/or contraindication period on the display unit;
How to operate the anesthesia progress record display device. moreover,
From the input section, input the medical practice name and medical practice period information of the medical practice that has been performed on the patient for a period of time;
displaying, on the display unit, a background of the anesthesia progress record corresponding to the medical practice period in a background pattern corresponding to the medical practice name;
A method for operating the anesthesia progress record display device according to claim 1. An anesthesia progress record display device that displays an anesthesia progress record including a patient's vital graph and anesthesia information,
an input section for inputting information on the effective period and/or contraindication period of the drug;
a display section that displays an anesthesia progress record in a background color based on the effective period and/or contraindication period;
Anesthesia progress record display device. The input unit further inputs a medical practice name and medical practice period information of a medical practice that has a period of time for which the medical practice is performed on the patient,
The display unit further displays a background of the anesthesia progress record corresponding to the medical practice period in a background pattern corresponding to the medical practice name.
The anesthesia progress record display device according to claim 3. to the computer,
a process for displaying an anesthesia progress record including a patient's vital graph and anesthesia information;
a process of inputting information on the effective period and/or contraindication period of the drug;
Displaying an anesthesia progress record having a background color based on the effective period and/or contraindication period;
A program to run. to the computer;
moreover,
a process of inputting the medical practice name and medical practice period information of the medical practice that has been performed on the patient for a period;
a process of displaying a background of the anesthesia progress record corresponding to the medical practice period in a background pattern corresponding to the medical practice name;
The program according to claim 5, which causes the program to execute.

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