JPH1011516A - Ward nursing support device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To easily add the management of the vital sign information to an existing intra-hospital information management system. SOLUTION: In this device, the patient basic information and the doctor instruction information on an intra-hospital information management system are downloaded at a fixed time to an information storage part 7 of a local information management part 5 of a ward nursing support device from a main storage 2 via a time information transmission part 6 and a local network 3. At the same time, the vital sign information on the ward nursing support device is uploaded to the part 7. Then the information stored in the part 7 is downloaded to a portable nursing terminal equipment 9 as necessary. In such a constitution, the nursing support is attained.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION The present invention relates to a terminal device for a main computer connected to a main network connected to a local network (hereinafter abbreviated as "LAN" as appropriate) to a main storage device which is controlled to be written and read by a main computer. A ward nursing support device applied to an in-hospital information management system configured to receive doctor-instruction information, and in particular, vital sign information in addition to information management of patient basic information and doctor-instruction information by the in-hospital information management system The technology relates to a technology that can easily incorporate information management.

[0002]

2. Description of the Related Art In a hospital having a hospital ward, an information management system using a computer has recently become commonplace. A conventional in-hospital information management system generally includes an LA installed in a hospital in a main storage device that is controlled to be written and read by a main computer.
The basic computer terminal information such as the patient's name and ID number and the doctor's instruction information such as a medication instruction (medication order) and an examination instruction (examination order) are input from a main computer terminal connected to the N. ing. Recently, if management of vital sign information such as blood pressure and body temperature for each patient in a ward can be incorporated into the management of patient basic information and doctor-instruction information, great support for nursing patients who are in hospital Therefore, the situation is under study.

[0003]

However, in a hospital where an in-hospital information management system is already operating, it is desired to complete the incorporation of vital sign information management by expanding and modifying the system. In practice, it is very difficult to change to a system that can manage vital sign information in addition to managing basic patient information and doctor-instruction information by expanding and modifying the system.

[0004] The vital sign information mainly collected at the nursing site is compared with the patient basic information and the doctor's instruction information.
Because information collection locations, information collectors, and the nature of the information themselves often differ, incorporating the vital sign information into the routine of an existing hospital information management system requires a substantial expansion and rework of the system. Come out. In addition, depending on the control program of the existing in-hospital information management system, the software information necessary for building the additional program is often not completely disclosed. If the manufacturer of the additional program is different, it is not easy to develop an additional program that involves a significant expansion and rework of the system.

[0005] In view of the above problems, an object of the present invention is to provide a ward nursing support device that can easily and additionally incorporate management of vital sign information into an existing hospital information management system.

[0006]

In order to solve the above-mentioned problems, a ward nursing support apparatus according to the present invention comprises a main computer, a main storage device which is controlled to be written and read by the main computer, and a local network. In-hospital information management system including a main computer terminal connected to a network, wherein the basic patient information and the doctor's instruction information are input from the main computer terminal to a main storage device via a local network. A ward nursing support device applied to the ward, the information storage means being connected to the local network and storing the patient basic information, doctor instruction information, and vital sign information for each patient in the ward. Local information management means having the information pipe in the hospital An information transmission unit for transmitting patient basic information and doctor's instruction information from a main storage device of the system to an information storage unit of the local information management unit, and storing the vital sign information in the information storage unit; Information input / output means for reading basic patient information, doctor's instruction information, and vital sign information; and communication capable of collecting and holding the vital sign information and capable of transmitting / receiving information to / from the information storage means via the information input / output means. And a portable nursing terminal device having a function.

[0007]

Next, the operation of the ward nursing support device according to the present invention for information management will be described. The basic patient information and the doctor's instruction information to be managed by the in-hospital information management system are input and stored from a main computer terminal connected to a local network to a main storage device that is controlled to be written and read by the main computer. You. The basic patient information and the doctor's instruction information stored in the main storage device are transmitted from the main storage device of the in-hospital information management system to the information of the local information management device of the ward nursing support device via the local network by the information transmission means. It is transmitted (downloaded) to the storage means. On the other hand, the vital sign information added as an information management target by the ward nursing support device is obtained by the collection and holding function of the portable nursing terminal device, and then is stored in the information storage for the local information management means via the information input / output means by the communication function. Sent to the means (uploaded). The basic patient information, the doctor's instruction information, and the vital sign information stored in the local information management means are sent (downloaded) to the portable nursing terminal device via the information input / output means as required by the communication function. At the same time, it is held in the nursing terminal device by the function of the collection and holding function.

From the viewpoint of the information flow, the patient basic information and the doctor's instruction information are simply downloaded from the hospital information management system to the ward nursing support device, and the vital signs are obtained. As for the information, only the upload to the information storage means of the local information management means and the upload to the main storage device of the in-hospital information management system is a simple flow, and the in-hospital information management system side and the ward nursing support device side The flow of information between and is very concise.

[0009]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the ward nursing support device of the present invention will be described below with reference to the drawings. FIG.
It is a block diagram showing signs that a ward nursing support device concerning an example was applied to an in-hospital information management system.

As shown in FIG. 1, the in-hospital information management system includes a main computer 1, a main memory 2 and a local network (LAN) 3 which are controlled to be written and read by the main computer 1. A main computer terminal device 4 with a connected monitor 4a is provided. The local network 3 is provided around the wards A and B, and a plurality of main computer terminals 4 are installed in each of the wards A and B.

The basic patient information and the doctor's instruction information input by the clerk or doctor from each main computer terminal device 4 are sent to the main storage device 2 via the local network 3 and stored therein. Of course, the main computer terminal device 4 can read information from the main storage device 2 and display it on the monitor 4a as well as input information. The patient basic information stored in the main storage device 2 includes a patient name, an ID number, a ward, a bed number, a bed transfer, and the like. The doctor instruction information includes examination instructions (examination order) such as CT and MRI, There are, but are not limited to, medication instructions (medication order) such as the type and dosage of the drug.

On the other hand, the ward nursing support device applied to the in-hospital information management system is, as shown in FIG. 1, a local information management device (local information management means) 5 with a monitor 5a connected to the local network 3. And a periodic information transmission unit (information transmission means) 6 for downloading basic patient information and doctor instruction information from the main storage device 2 to each local information management device 5. Although a plurality of local information management devices (portable terminal servers) 5 are installed in each of the wards A and B, there may be a case where only one local information management device 5 is used in the entire ward nursing support device. The periodic information transmission unit 6 has a control program of the main computer 1 as a main component, and can be realized by a simple additional program for transmitting necessary information on a regular basis. In addition, each local information management device 5 has an information storage unit (information storage means) 7 for storing basic patient information, doctor's instruction information, and vital sign information for each patient in the ward. As shown in FIG. 2, the basic patient information and the doctor instruction information are configured to be downloaded to the information storage unit 7 at a regular time (for example, once per hour) by the regular information transmission unit 6. .

The ward nursing support device stores vital sign information in the information storage unit 7 of the local information management unit 5, and stores basic patient information, doctor's instruction information, and vital information from the information storage unit 7 of the local information management unit 5. It has an information input / output device (information input / output means) 8 with a monitor 8a for reading out signature information, has a function of collecting and holding vital sign information, and exchanges information with the information storage unit 7 via the information input / output device 8. It has a portable nursing terminal device 9 having a communication function to perform. The portable nursing terminal device 9 with a monitor 9a carried by a nurse or the like performing a nursing operation is connected to a portable patient monitor 10 worn by a hospitalized patient by a collection and holding function, and the patient's blood pressure, body temperature, etc. After collecting and holding so-called vital sign information such as a heart rate and a pulse, the portable nursing terminal device 9 is connected to the information input / output device 8, and the communication function of the portable nursing terminal device 9 (for example, an optical communication function or a wired communication function). The stored vital sign information is uploaded to the information storage unit 7 of the local information management unit 5 as shown in FIG. The collected vital sign information is not uploaded to the main storage device 2.

Further, in the ward nursing support device of the embodiment,
As shown in FIG. 3 and the like, necessary information such as vital sign information can be exchanged between the local information management unit 5 of the ward A and the local information management unit 5 of the ward B.
For example, an instruction to transfer from ward A to ward B (bed information)
Is downloaded to the information storage unit 7 of the local information management unit 5 of the ward A, the vital sign information of the patient corresponding to the bed transfer instruction stored in the information storage unit 7 is transferred to the ward A. The vital sign information transfer control function for transferring the information to the information storage unit 7 of the local information management unit 5 of B is provided. The transfer of the vital sign information may be performed by an access from the information input / output device 8 accompanied by an automatic or manual operation at a stage before the bed transfer,
The transfer may be performed by an access from the information input / output device 8 accompanied by an automatic or manual operation at the stage of completion of the transfer.

On the other hand, as shown in FIG. 4, the portable nursing terminal device 9 conversely collects vital sign information and the latest patient basic information from the information storage unit 7 via the information input / output device 8 by the collection and holding function. Required information such as the latest doctor's instruction information and the like, is read out from the information storage unit 7 and held,
a. The data held in the portable nursing terminal device 9 include, in addition to essential vital sign information, the results of a simple urinalysis according to a nurse-level instruction, a postural change schedule for a bedridden patient, a specific medication schedule, and the like. Can be The information input / output device 8 of the embodiment, which is installed in a nurse station or the like, can input necessary information such as vital sign information by key input operation, reads out the information in the information storage unit 7, and displays the information on the monitor 8a. It is also possible to
As shown in the figure, it also has a chart creation function.

The present invention is not limited to the above embodiment, but can be variously modified. (1) In the above embodiment, the local information management unit 5 and the information input / output device 8 are separate components.
The information input / output device 8 and the information input / output device 8 may be integrated as a modified embodiment.

(2) In the above embodiment, the information downloaded from the in-hospital information management system to the ward nursing support apparatus is the patient basic information and the doctor's instruction information. However, other information may be downloaded. Needless to say, it may be.

(3) In the above embodiment, the basic information of the patient and the doctor's instruction information are downloaded to the information storage unit 7 at a regular time by the regular information transmission unit 6, but each of the above information is transmitted at an arbitrary time. For example, it may be configured to transmit as appropriate.

[0019]

According to the ward nursing support device of the present invention, the information management of vital sign information is incorporated in the information management of the patient basic information and the doctor's instruction information by the in-hospital information management system, so that effective nursing support is provided. In addition to the realization, the basic patient information and the doctor's instruction information are only downloaded from the hospital information management system to the ward nursing support device, and the vital sign information is stored in the local information management means. Since the flow of information between the hospital information management system and the ward nursing support device is very simple, the hospital information management system is used to apply the ward nursing support device. As a result, the information management of vital sign information can be easily incorporated.

[Brief description of the drawings]

FIG. 1 is a block diagram illustrating a state in which a ward nursing support device according to an embodiment is applied to an in-hospital information management system.

FIG. 2 is a block diagram illustrating a flow of information between a main storage device and a local information management device in the embodiment.

FIG. 3 is a block diagram illustrating transfer of information between local information management devices according to the embodiment.

FIG. 4 is a block diagram showing a flow of information between the local information management device and the portable nursing terminal device in the embodiment.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Main computer 2 ... Main storage device 3 ... Local network 4 ... Terminal device for main computer 5 ... Local information management device 6 ... Scheduled information transmission part 7 ... Information storage part 8 ... Information input / output device 9 ... Portable nursing terminal device

Claims (1)

[Claims] An information processing apparatus comprising: a main computer; a main storage device that is controlled to be written and read by the main computer; and a local network, and further includes a main computer terminal device connected to the local network. A ward nursing support device applied to an in-hospital information management system configured to input basic patient information and doctor instruction information to a main storage device via a local network, the device being connected to the local network. Local information management means having information storage means for storing the patient basic information, doctor's instruction information, and vital sign information for each patient in the ward; and the local storage device from the main storage device of the in-hospital information management system. Basic information to the information storage means of the information management means Information transmitting means for transmitting information and physician instruction information, and information input / output means for reading patient basic information, physician instruction information and vital sign information from the information storage means while storing the vital sign information in the information storage means. And a portable nursing terminal device having a function of collecting and holding the vital sign information and a communication function capable of transmitting and receiving information to and from the information storage means via the information input / output means. Support equipment.