JPWO2020003705A1 - Control program, report output method, and report output device - Google Patents

Abstract

Support the preparation of accident reports that occurred in the facility. The event information of a predetermined event that may lead to an accident, and image data associated with the event, the occurrence of which is determined based on the output of the detection unit that detects the movement of the target person in the observation area. Event information of the event related to the accident from the event information recording the event related to the subject 70 in the observation area and the storage unit 23 accumulating a plurality of image data obtained by photographing the observation area when the event occurs. , And the procedure (a) for acquiring the image data associated with the event, the procedure (b), and the procedure (b) for creating an accident report regarding the event using the acquired event information and the image data. It is a control program for causing a computer to execute a process including the procedure (c) for outputting the accident report created in.

Description

The present invention relates to a control program, a report output method, and a report output device, and relates to a control program, a report output method, and a report output device that assists staff in creating a report on a subject's event.

In Japan, the longevity has become remarkable due to the improvement of living standards, the improvement of sanitary environment, and the improvement of medical standards due to the high economic growth after the war. For this reason, coupled with the decline in the birth rate, the aging society has a high aging rate. In such an aging society, it is expected that the number of long-term care recipients will increase due to illness, injury, and aging.

People requiring long-term care may fall while walking or fall out of bed and get injured in facilities such as hospitals and welfare facilities for the elderly. Generally, such an event is required to be reported as an accident.

In Patent Document 1, when incident (hiyari hat) information is collected by a medical worker by inputting characters in order to prevent a medical accident in a nursing support system, the incident information is collected over time for a busy medical worker. It is troublesome and burdensome to input characters objectively and accurately. In order to solve such a problem, in the nursing support system disclosed in Patent Document 1, the medical worker corrects a part of the character string of the displayed nursing schedule information and inputs the main part of the incident information. In that case, the character string obtained by this correction is recorded in the storage unit as incident information. For example, if a medical worker mistakenly administers "100 mg" instead of "10 mg" at 10:00, the character string "10 mg" in the nursing schedule information is changed to "100 mg". Correct to. Then, in the nursing support system, this is recorded as incident information together with the time lapse information originally described in the nursing schedule information, thereby reducing the trouble of inputting the medical staff.

JP-A-2007-148767

When an accident occurs in a facility such as a hospital or a welfare facility for the elderly, the person in charge such as a manager asks the resident who is the party concerned and the first discoverer such as a caregiver about the situation and prepares an accident report. is doing. However, when confirming the facts, if the resident is an elderly person, the memory is ambiguous and it is not possible to find out the exact situation, or if time has passed since the accident occurred, even the first discoverer is accurate. I don't remember any information. Therefore, there is a problem that it takes time and effort to prepare an accident report because it takes time to confirm the facts and to consider countermeasures based on the inferred facts while the exact facts are unknown.

In the nursing system disclosed in Patent Document 1, the trouble of inputting detailed incident information can be saved by modifying the character string such as the dose of the nursing schedule information created in advance, and the collection of incident information is efficient. It can be done well, but it does not support the preparation of accident reports.

The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a control program that supports the creation of an accident report using the accumulated event information and image data.

The above object of the present invention is solved by the following means.

(1) Occurrence is generated based on the event information of a predetermined event that may lead to an accident and the output of the detection unit that detects the movement of the target person in the observation area, which is the image data associated with the event. An accident occurs from the event information that records the event related to the subject in the determined observation area and the storage unit that stores a plurality of the image data obtained by photographing the observation area when the event occurs. The procedure (a) for acquiring the event information of the related event and the image data associated with the event, and
A procedure (b) for creating an accident report regarding the event using the acquired event information of the event and the image data, and
The procedure (c) for outputting the accident report created in the above procedure (b) and the procedure (c)
A control program that causes a computer to perform processing that includes.

(2) The process further includes step (d) of acquiring one or more formats associated with each of the subject who generated the event.
The control program according to (1) above, wherein in the procedure (b), the accident report is further created using the format acquired in the procedure (d).

(3) The process further includes a procedure (e) for accepting selection of an event related to the accident from the plurality of events.
The control program according to (1) or (2) above, wherein in the procedure (a), event information about the event selected in the procedure (e) and the image data are acquired.

(4) The image data is a moving image obtained by photographing the observation area or a plurality of still images photographed continuously, and the accident report includes the moving image or a plurality of still images generated from the still image. The control program according to any one of (1) to (3) above, which includes the image of.

(5) The process further includes a procedure (f) of displaying the image data acquired in the procedure (a) and accepting the user to edit the accident report.
The control program according to any one of (1) to (4) above, wherein the procedure (c) outputs the accident report edited in the procedure (f).

(6) The above (1) to the above, the information indicating the status of the event, which is input through the terminal by the staff who responds to the target person in response to the occurrence of the event, is included in the event information. The control program according to any one of (5).

(7) The control program according to any one of (1) to (6) above, wherein the storage unit stores the event information regarding a fall or a fall event as the event.

(8) Occurrence is generated based on the event information of a predetermined event that may lead to an accident and the output of the detection unit that detects the movement of the target person in the observation area, which is the image data associated with the event. An accident occurs from the event information that records the event related to the subject in the determined observation area and the storage unit that stores a plurality of the image data obtained by photographing the observation area when the event occurs. The procedure (a) for acquiring the event information of the related event and the image data associated with the event, and
A procedure (b) for creating an accident report regarding the event using the acquired event information of the event and the image data, and
The procedure (c) for outputting the accident report created in the above procedure (b) and the procedure (c)
Report output method including.

(9) Occurrence is generated based on the event information of a predetermined event that may lead to an accident and the output of the detection unit that detects the movement of the target person in the observation area, which is the image data associated with the event. An accident occurs from the event information that records the event related to the subject in the determined observation area and the storage unit that stores a plurality of the image data obtained by photographing the observation area when the event occurs. An acquisition unit that acquires the event information of the related event and the image data associated with the event, and
A creation unit that creates an accident report related to the event using the acquired event information of the event and the image data.
An output unit that outputs the accident report created by the preparation unit,
Report output device.

According to the present invention, event information and image data of an event related to an accident are acquired from a storage unit that stores a plurality of event information and image data of a predetermined event that may lead to an accident, and these are used. Create an accident report and output it. This can support the preparation of accident reports.

It is a figure which shows the whole structure of a watching system. It is a figure which shows the example of the detection part installed in the room of a subject. It is a block diagram which shows the schematic structure of the detection part. It is a block diagram which shows the schematic structure of a server. It is a block diagram which shows the schematic structure of the staff terminal. It is a sequence chart which shows the processing procedure of a monitoring system. This is an example of an event list stored in the storage unit. This is an example of an operation screen for checking the event displayed on the staff terminal. This is a modified example in which special notes are described in the event list. It is a flowchart which shows the procedure of output processing of an accident report. It is a figure which shows the example of the created accident report. It is a figure which shows the example of the accident report prepared using another format.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings. In the description of the drawings, the same elements are designated by the same reference numerals, and duplicate description will be omitted. In addition, the dimensional ratios in the drawings are exaggerated for convenience of explanation and may differ from the actual ratios.

(overall structure)
FIG. 1 is a diagram showing an overall configuration of a monitoring system according to the present embodiment, and FIG. 2 is a diagram showing an example of a detection unit installed around a bed in a subject's room.

As shown in FIG. 1, the monitoring system 1 includes a plurality of detection units 10, a server 20, a fixed terminal 30, and one or more staff terminals 40. The server 20 functions as a report output device. These are connected to each other by wire or wirelessly via a network 50 such as a LAN (Local Area Network), a telephone network, or a data communication network so as to be communicable with each other. The network 50 may include repeaters such as repeaters, bridges, routers or cross-connects that relay communication signals. In the example shown in FIG. 1, the staff terminal 40, the detection unit 10, the server 20, and the fixed terminal 30 are connected to each other by a network 50 such as a wireless LAN including an access point 51 (for example, a LAN according to the IEEE 802.11 standard). It is connected so that it can communicate.

The watching system 1 is arranged at an appropriate place according to the target person 70. The target person 70 (also referred to as a person to be watched over or a person to be cared for) is, for example, a patient who needs nursing care due to illness or injury, a care recipient who needs nursing care due to deterioration of physical ability due to old age, or a person living alone. Those who live alone. In particular, from the viewpoint of enabling early detection and early coping, the subject 70 may be a person who needs the detection when a predetermined inconvenient event such as an abnormal state occurs in the person. Therefore, the watching system 1 is suitably arranged in a building such as a hospital, a welfare facility for the elderly, and a dwelling unit according to the type of the subject 70. In the example shown in FIG. 1, the watching system 1 is arranged in a facility including a plurality of rooms (living rooms) in which a plurality of target persons 70 are occupying and a plurality of rooms including a nurse station.

The detection unit 10 is arranged in each living room in the facility, which is the observation area of the subject 70. In the example shown in FIG. 1, four detection units 10 are arranged in the living rooms of Mr. A, Mr. B, Mr. C, and Mr. D, who are the subjects 70, respectively. The observation area of the detection unit 10 includes a bed 60. The staff 80 (also referred to as a care staff or a care staff) who provides nursing care or nursing care to the subject 70 carries a staff terminal 40, which is a mobile terminal, respectively. However, the position, number, and the like of each configuration included in the monitoring system 1 are not limited to the example shown in FIG. For example, the server 20 does not have to be located at the nurse station and may be an external server unit connected to the network 50. Further, the fixed terminal 30 may be omitted, and the server 20 or the staff terminal 40 may carry out the function.

(Detection unit 10)
FIG. 3 is a block diagram showing a schematic configuration of the detection unit. As shown in the figure, the detection unit 10 includes a control unit 11, a communication unit 12, a camera 13, a nurse call unit 14, and a voice input / output unit 15, which are connected to each other by a bus.

The control unit 11 is composed of a CPU (Central Processing Unit) and a memory such as a RAM (Random Access Memory) and a ROM (Read Only Memory), and controls and performs arithmetic processing of each part of the detection unit 10 according to a program. The control unit 11 may further include an HDD (Hard Disk Drive) as a memory.

The communication unit 12 is an interface circuit (for example, a LAN card) for communicating with other devices such as a server 20, a fixed terminal 30, or a staff terminal 40 via a network 50.

The camera 13 is arranged on the ceiling or the upper part of the wall of the living room, for example, and photographs an area including the bed 60 of the subject 70 directly below as an observation area, and outputs a photographed image (image data). This captured image includes still images and moving images. Although the camera 13 is a near-infrared camera, a visible light camera may be used instead of the near-infrared camera, or these may be used in combination.

The control unit 11 determines (recognizes) the occurrence of a predetermined action of the target person 70 from the captured image taken by the camera 13. The predetermined action to be determined includes "getting up" from the bed 60, "getting out of bed" away from the bed 60, "falling" to fall from the bed 60, and "falling" to fall to the floor surface or the like.

The control unit 11 detects an image silhouette (hereinafter, referred to as “human silhouette”) from a plurality of captured images (moving images). The human silhouette can be detected, for example, by extracting a range of pixels having a relatively large difference by the time difference method for extracting the difference between images whose shooting times are before and after. The human silhouette may be detected by the background subtraction method that extracts the difference between the photographed image and the background image. The distinction between getting up, getting out of bed, falling, and falling is recognized from the detected person silhouette from the posture of the subject 70 (for example, standing, sitting, lying down, etc.) and the position relative to the installation in the living room such as the bed 60. Will be done. These recognitions may be performed by a program processed by the CPU of the control unit 11, or may be performed by a built-in processing circuit. In the following, it will be described that the control unit 11 side determines the type of event and the presence / absence of occurrence. However, the present invention is not limited to this, and the server 20 may perform all or most of these recognition processes, and the control unit 11 may only transmit the captured image to the server 20. When the control unit 11 recognizes any type of event (behavior), the control unit 11 transmits a notification that the event has occurred to the server 20 or the like.

The staff 80 is a person who performs various responses to the target person 70 according to the work. The work may include medical work and long-term care work. Here, when the work of the staff 80 is a long-term care work for the target person 70, the contents of correspondence regarding each event will be described. "Wake-up" is judged as an event, and if the judgment is within a predetermined time (wake-up time set at the facility (for example, 7:00 to 8:00 am)), morning care is performed. This morning care includes face washing, tooth brushing assistance, denture wearing, change of clothes assistance, and the like. In addition, if it is an event of "getting out of bed", wheelchair transfer and walking assistance may be required. In addition, as regular (regular) events other than the event determined by the detection unit 10, there are beverages, meal assistance, excretion assistance, wheelchair transfer, walking assistance, and postural change (pressure ulcer prevention). For these regular events, an alert may be generated at a fixed time by the nurse call unit 14 or the like.

The nurse call unit 14 includes a push button type switch, and detects a nurse call (also referred to as a care call) when the switch is pressed by the subject 70. The nurse call may be detected by a voice microphone instead of the push button type switch. When the switch of the nurse call unit 14 is pressed, that is, when the nurse call is detected, the control unit 11 notifies that there is a nurse call (nurse call notification) via the communication unit 12 and the network 50. Send to server 20 etc.

The voice input / output unit 15 is, for example, a speaker and a microphone, and enables a voice call by transmitting and receiving a voice signal to and from the staff terminal 40 and the like via the communication unit 12. The voice input / output unit 15 may be connected to the detection unit 10 via the communication unit 12 as an external device of the detection unit 10.

Further, the detection unit 10 uses a doppler shift type body motion sensor that transmits and receives microwaves in the direction of the bed 60 to detect the doppler shift of the microwave generated by the body movement (for example, respiratory movement) of the subject 70. , You may prepare further. This body movement sensor detects the body movement of the chest (up and down movement of the chest) accompanying the breathing movement of the subject 70, and the disorder of the cycle in the body movement of the chest and the body movement of the chest that is below a preset threshold value. When the amplitude in is detected, it is recognized as a microbody movement abnormality.

In the present embodiment, the nurse call by the nurse call unit 14 and the change in the state recognized by the detection unit 10 regarding the subject 70 are the changes in the state recognized by the staff 80 such as getting up, getting out of bed, falling, falling, and abnormal physical movement. An event that should be issued (notified) is called an event. The detection unit 10 transmits (outputs) information on the event that has occurred and a captured image to the server 20.

(Server 20)
FIG. 4 is a block diagram showing a schematic configuration of the server. The server 20 includes a control unit 21, a communication unit 22, and a storage unit 23. The server 20 and the storage unit 23 may be integrally arranged in the same housing, or may be separately arranged. One or both of the server 20 and the storage unit 23 may be provided in the same building as the living room for the subject 70, or may be provided in a remote location and connectable via a network. For example, the server 20 may be a cloud server virtually constructed by a plurality of servers arranged on a network such as the Internet. Each configuration is communicatively connected to each other by a bus. The storage unit 23 functions as a database and stores various information about the event list, the target person 70, and the staff 80. The control unit 21 functions as an acquisition unit that acquires event information of an event related to an accident and image data associated with the event by cooperating with the communication unit 22. Further, the control unit 21 functions as a creation unit for creating an accident report from these acquired data. The control unit 21 also functions as an output unit that outputs the created accident report by cooperating with the communication unit 22. Since the other control unit 21 and the communication unit 22 have the same functions as the respective configurations of the detection unit 10, detailed description thereof will be omitted.

Further, the storage unit 23 stores a predetermined format for the accident report. There are multiple formats for each destination of the accident report, for example, (1) the address of the resident's card of the person involved in the accident (target person 70), and (2) the city of the location of the facility where the accident occurred. Formats for submission to wards, towns and villages (local public organizations), and (3) formats for submission to the parent company that manages the facility, etc. are included. Each of the plurality of formats is associated with the ID of the target person 70. Of these, the format of (1) differs for each target person 70, and the other formats (2) and (3) are common to each target person 70.

Further, the storage unit 23 stores the target person information of the target person 70. This target person information includes personal information such as insured person number, address, age, degree of care required, family name, family contact information, and the like.

Since the other control unit 21 and the communication unit 22 have the same functions as the respective configurations of the detection unit 10, detailed description thereof will be omitted. As will be described later, this event list contains information on various events including predetermined events that may lead to an accident (for example, a fall or a fall event). A certain event that may lead to this accident is also called a hiyari hat, and if this condition continues, it may lead to an accident.

The server 20 determines (identifies) which target person 70 the event such as nurse call, getting up, getting out of bed, falling, falling, etc. detected by the detection unit 10 is related to. In this determination, the target person 70 (that is, the resident of the room) associated with the room number in which the detection unit 10 that has detected the event is installed is determined. Then, the determined event type and the target person 70 are associated with each other and added to the event list of the storage unit 23. In the present embodiment, when the target person 70 carries an IC tag, the determination of the target person 70 may be made by reading the IC tag with an RFID reader provided in each room. .. When a plurality of target persons 70 exist in one room in a shared room or the like, the target person 70 may be determined by arranging the detection unit 10 for each bed 60. Further, in connection with this, the staff terminal 40 carried by the staff 80 may be brought close to the RFID reader to detect the entry of each staff 80 into the room.

(Fixed terminal 30)
The fixed terminal 30 is a so-called PC (Personal Computer), and includes a control unit, a communication unit, a display unit, an input unit, and an audio input / output unit composed of a CPU, a RAM, and the like. The fixed terminal 30 is arranged in, for example, a nurse station. In addition, when outputting a report (accident report, etc., which will be described later), by inputting instructions from the user (staff 80, manager who manages this staff 80, etc.), a report that visualizes the analysis results in a chart or the like is displayed on the display unit. Display or output to paper from an external printer (not shown). Further, in this report, as will be described later, the user may accept the editing work of the report from the input unit while referring to the captured image displayed on the display unit (display) of the fixed terminal 30.

Further, when the detection unit 10 is attached to each room (living room) through the fixed terminal 30, the staff 80 or the technical staff or the like can associate the room number with the detection unit 10 or in the living room such as the bed 60. The position information of the installation object, that is, the contour information of the upward view by the camera 13 on the ceiling is calibrated and designated. In addition, identification information such as the name and ID number of the subject 70 who is hospitalized or occupying is associated with each room number.

(Staff terminal 40)
FIG. 5 is a block diagram showing a schematic configuration of the staff terminal 40. The staff terminal 40 includes a control unit 41, a wireless communication unit 42, a display unit 43, an input unit 44, and a voice input / output unit 45, which are connected to each other by a bus. The control unit 41 includes a CPU, RAM, ROM, and the like as the same configuration as the control unit 11 of the detection unit 10. The wireless communication unit 42 enables wireless communication using standards such as Wi-Fi and Bluetooth (registered trademark), and wirelessly communicates with each device via the access point 51 or directly. The display unit 43 and the input unit 44 are touch panels, and a touch sensor as the input unit 44 is superimposed on the display surface of the display unit 43 composed of a liquid crystal or the like. The display unit 43 and the input unit 44 display to the staff 80 various operation screens displaying a list of a plurality of events included in the event list, and accept various operations through the operation screens. The voice input / output unit 45 is, for example, a speaker and a microphone, and enables voice communication by the staff 80 with another staff terminal 40 via the wireless communication unit 42. The staff terminal 40 is a device that functions as a user interface of the watching system 1, and can be configured by a portable communication terminal device such as a tablet computer, a smartphone, or a mobile phone.

At the start of business, the staff 80 performs a login authentication process through the assigned staff terminal 40. The staff 80 inputs the staff ID and password through the touch panel (display unit 43, input unit 44) of the staff terminal 40. The staff terminal 40 transmits this to the server 20. The server 20 collates the authentication information stored in the storage unit 23 and transmits the authentication result according to the authority of the staff 80 to the staff terminal 40 to complete the login authentication.

(Procedure for monitoring system processing)
Next, the event information and image data accumulation processing performed in the entire monitoring system 1 will be described with reference to FIG. FIG. 6 is a sequence chart showing the processing procedure of the watching system.

(Step S110)
As shown in FIG. 6, the detection unit 10 detects the movement of the subject 70 in the observation area or the event of the nurse call by the subject 70. Then, the detection unit 10 determines whether or not another event such as a fall or a fall has occurred based on the movement of the target person 70.

(Steps S120, S130)
Then, when it is determined that an event has occurred, the event information is transmitted to the server 20. Further, the detection unit 10 transmits the image data obtained by photographing the observation area when the event occurs. In this case, if the type of event that occurred is a specific type, for example, a fall or a fall, a moving image for a predetermined time (for example, several seconds to several tens of seconds) including the time of occurrence, or a plurality of still images taken continuously is displayed. It may be transmitted, and if it is another type of event, a still image at the time of occurrence may be transmitted. As another example, the detection unit 10 continuously transmits the captured image to the server 20, and the server 20 stores the captured image in the temporary storage unit for a predetermined time (for example, a few minutes in the past). Then, when an event occurs and the event information is received from the detection unit 10, the server 20 may read a still image or a moving image at the time of occurrence from the temporary storage unit and save the event in association with the event.

(Step S140)
The server 20 updates the event list. FIG. 7 is an example of an event list stored in the storage unit 23. The events included in the event list include getting up, getting out of bed, falling, falling, and a nurse call as described above. The latest event transmitted in step S120 is added to the end of the event list.

As shown in FIG. 7, each event includes event ID, room number, target person, event type, occurrence date / time (time), image data, and correspondence status information, which are automatically assigned primary keys. Is done. As described above, the image data is still image or moving image data obtained by being photographed by the detection unit 10 when an event occurs. Response status includes status, response staff, and response date (time). The correspondence status will be described later.

In the example shown in FIG. 7, the event of event ID 010 is a fall, and the events of event IDs 011 and 012 are nurse calls. Event IDs 013 to 015 are, in order, getting up, getting out of bed, and falling. The status of the response status related to the event of event IDs 010 to 012 has already been supported, and event IDs 013 to 015 are not supported.

(Step S150)
When a new event is detected and added, or the event status is changed, the server 20 updates the event list, and the updated event list is added to all logged-in staff terminals. Deliver to 40. The delivery destination at this time may be delivered only to the staff terminal 40 used by the staff 80 who is in charge of the target person 70 who generated the event. Each staff terminal 40 that has received the event list returns a receipt confirmation command in response to receiving the event list from the server 20 (not shown). The event list may be transmitted from the server 20 only by transmitting the difference data. For example, only the part that has changed from the event list transmitted immediately before, that is, the event that has been added or updated is transmitted as an event list to all staff terminals 40.

(Step S160)
Each staff terminal 40 updates the display content of the display unit 43 in response to receiving the event list from the server 20.

FIG. 8 is an example of operation screens 431 and 432 for inputting a policy for responding to a nurse call displayed on the display unit 43 of the staff terminal 40. The operation screen 431 shown in the figure is a screen on which the event list is displayed in a list. The event to be displayed can be scrolled up and down by flicking.

The areas a11 and a12 of the operation screen 431 correspond to the event IDs 011 and 012 in the event list of FIG. 7, respectively. In the areas a11 and a12, an icon indicating that the call is a nurse call and that the correspondence has been completed are displayed. The area a13 corresponds to the event IDs 013 to 015 surrounded by the broken line frame in FIG. 7. Since these are related to the same subject 70 (Mr. B), they are displayed together in the same area. Further, since it is not supported, a thumbnail image (image i015) related to the latest event (ID015) is displayed in the area a13. By operating the area a14, text messages can be exchanged with other staff members 80 who are logged in. The staff 80 transitions to the operation screen 432 for content confirmation by clicking and operating the area a13 on the operation screen 431.

(Step S170)
The staff 80 confirms the content of the event on the operation screen 432 displayed on the staff terminal 40. On the operation screen 432, the name of the target person (Mr. B) who generated (determined) the event and the name of the staff (Staff A) who uses the staff terminal 40 are displayed in the area a21. In the area a22, the elapsed time from the time when the event occurred is displayed. As shown in the broken line frame in FIG. 7, for the subject 70 (Mr. B), the occurrence of wake-up, wake-up, and fall events is continuously determined, and both are unsupported statuses. On a22, icons representing "wake-up" and "get-away" events other than the latest event are shown. The elapsed time (“elapsed 0 minutes”) shown in the area a22 is the elapsed time (rounded down to the nearest minute) after determining the occurrence of the latest event. In the area a23, a character and an icon indicating "fall" are shown. Further, in the area a24, a thumbnail image of the captured image at the time of the fall determination is displayed. The staff 80 operates the "speak" button and the "view" button at the bottom when the thumbnail image is insufficient as information and he / she wants to confirm the situation of the subject 70 who has caused the fall. By operating the "speak" button, it is possible to talk with the target person 70 (Mr. B) through the voice input / output unit 15. By operating the "view" button, the live video captured by the camera 13 can be viewed by streaming playback.

The staff 80 (staff A) decides to take the initiative in taking charge of the fall (ID015) displayed by operating the "corresponding" button in the area a25. If it does not correspond, the event list screen is returned by operating the back button (triangle icon) in the area a26. While a certain staff 80 displays the operation screen 432 shown in FIG. 8 and confirms the state of an event such as a fall, the server 20 controls the prohibition processing to the other staff 80. .. For example, even if one staff member 80 is checking the event status of the target person 70 (Mr. B) and another staff member 80 selects the same event (ID013 to 015), the operation screen 431 of the other staff member 80 Is displayed with the words "Checking status" and the "Corresponding" button is not displayed or cannot be selected.

(Steps S180, S190)
The staff terminal 40 sends a response request regarding the selected event to the server 20 in response to the operation of the "correspondence" button, and the server 20 returns an approval notification in response.

(Step S200)
The server 20 updates the event list according to the process of step S180. Specifically, the status of the event list (ID013 to 015: fall, etc.) is changed to supported. In the present embodiment, the event is changed to "corresponding" in response to the operation of the above-mentioned "corresponding" button for the event selected by the staff 80 and displayed on the operation screen 432. That is, by operating the "correspondence" button, the correspondence status of "corresponding", which is information indicating that the confirmation has been made, is input, and the correspondence date and time is recorded assuming that the correspondence has been performed. More specifically, in the event list of FIG. 7, the time when the processing of steps S180 and S190 is performed is recorded in the corresponding date and time column. The response date and time is not limited to this, and the response date and time may be recorded in the response date and time column when the staff 80 enters the room of the target person 70 who has caused an event such as a fall, a fall, or a nurse call. The correspondence may be made by inputting the correspondence result on the operation screen of, and the input time may be recorded in the correspondence date and time column. In addition, the server 20 transmits the updated event list to all logged-in staff 80 in response to updating the event list.

The determination of a predetermined event that may lead to an accident for which the detection unit 10 has determined the occurrence, that is, a fall or fall event, includes an erroneous determination. If the judgment criteria are strict, there is a risk of omission of judgment when a fall or a fall actually occurs. On the other hand, if the criteria for determination are too loose, in reality, when a fall or a fall has not occurred, an erroneous determination such as determining the occurrence of a fall or a fall event is likely to occur.

In the present embodiment, since the judgment criteria are not strict so as to eliminate the judgment omission as much as possible, erroneous judgment is included to some extent. The staff 80 determines whether or not this erroneous determination has actually occurred by confirming the situation using the staff terminal 40. Specifically, the staff 80 can confirm that it is not necessary to actually go to the living room in the case of an erroneous determination by confirming the situation of the target person 70 by a telephone call or an image taken. In addition, even if a fall or a fall actually occurs, there may be cases where no injury or the like occurs and no particular action is required. In this case as well, by confirming that it is safe by calling the target person 70 or the like. , You can omit the correspondence to go to the living room.

On the other hand, as a result of checking the contents, if it is determined that an accident requiring special measures has occurred, information indicating the status of the event, when dealing with the target person 70, or after the fact, That is, a special note indicating that it is an accident may be added to this event. This special note may be input by the staff 80 through the staff terminal 40, or may be input by the staff 80 or the administrator through the fixed terminal 30. FIG. 9 is a modified example of the event list to which special notes are added. In event ID 015, since it was an accident, a comment indicating that it was an "accident" was added to the special notes. It should be noted that the status column may be changed from "corresponding" to "accident" by the operation input through the staff terminal 40 of the staff 80 instead of the special notes column. Further, the situation of the accident by the witness (first discoverer) such as the staff 80 may be recorded in the special notes column.

Here, the "accident" referred to in the present specification is an injury and fatal accident of the subject 70 that occurred in the facility, particularly a fall, a fracture due to a fall, a bleeding, etc., and is treated at a medical institution (in the facility). Including medical treatment in.) Or hospitalized. However, relatively light injuries such as abrasions and bruises are excluded.

As described above, when it is determined that an event such as a fall or a fall has occurred, the event information including the response status to the event and the image obtained by photographing the observation area when this event occurs. Accumulate data. In the present embodiment, when an accident occurs, an accident report is created and output by utilizing these data continuously accumulated in the storage unit 23 by such a monitoring system.

(Accident report output processing)
FIG. 10 is a flowchart showing a procedure for outputting an accident report executed by the monitoring system 1 according to the first embodiment. The process of FIG. 10 is mainly performed by the control unit 21 of the server 20 executing the program stored in the storage unit 23 or the like.

(Step S310)
The control unit 21 of the server 20 accumulates (adds) event information of the event determined to occur in the event list of the storage unit 23. This accumulation process is performed by the above-mentioned process (FIG. 6).

(Step S320)
The control unit 21 acquires the event list stored in the storage unit 23. This is started, for example, by a request from a user (staff 80, an administrator who manages the staff 80, etc.) through the fixed terminal 30.

(Step S330)
The control unit 21 displays a list of event information in the event list, and accepts the user's selection of an event related to the accident. For example, the user selects an event related to the accident from the event information listed on the display of the fixed terminal 30. If the user knows the date and time of the accident and the information of the target person 70 in advance, the matching event is selected from the event list. In the example of FIG. 9, the selection of the event ID 015 is accepted. Alternatively, the user may search for and select the "accident" described in the special notes. In addition, this selection should be accumulated in the event list in such a manner that it can be searched as an accident event by describing "accident" in the special notes column as in the modified example of FIG. For example, the control unit 21 may automatically extract and display accident events by searching.

(Step S340)
The control unit 21 acquires image data (moving image) associated with the event selected in step S330 from the storage unit 23.

(Step S350)
The control unit 21 refers to the event information of the event selected in step S330 from the storage unit 23, and the insured number, address, and the insured number and address of the target person 70 who generated the event, that is, the target person 70 who is a party to the accident. Acquire target person information such as age and degree of care required.

(Step S360)
The control unit 21 refers to the event information of the event selected in step S330 from the storage unit 23, and the accident report associated with the target person 70 who generated the event, that is, the target person 70 who is a party to the accident. Get the format of. As described above, this format includes, for example, the address of the resident's card of the target person 70, the format for the municipality where the facility is located, and the format for submission to the parent company.

(Step S370)
The control unit 21 creates an accident report using the event information acquired in step S320, the image data acquired in steps S340 to S360, the target person information, and the format. 11 and 12 are examples of the accident report prepared in step S370. If there are multiple formats, multiple accident reports will be created using that format. The created accident report includes a plurality of images generated from the images (moving images) taken when the accident occurred. In the example of the figure, thumbnail images created from four consecutive images at 1-second intervals are pasted in the report.

(Step S380)
Here, the control unit 21 accepts the user to edit the accident report created in step S370. For example, the user edits the accident report through the fixed terminal 30 while referring to the accident report displayed on the display of the fixed terminal 30. At this time, the moving image (several seconds) acquired in step S340 may be displayed on the display instead of the thumbnail image. Further, if there is a special note regarding the accident occurrence situation by the witness (first discoverer) such as the staff 80, it may be displayed on the display. The user edits the accident report while referring to this information. At this time, the user can refer to the image displayed on the display and special notes, and take measures against the accident, for example, the position of the floor mat is incorrect or the fixing is insufficient, based on this information. Once you know, you can enter a workaround.

(Step S390)
The control unit 21 outputs an accident report by displaying it on the display of the fixed terminal 30, printing it on paper from a printer, or transmitting report data to a destination address in response to a request.

As described above, in the present embodiment, the event information and the image data of the event related to the accident are acquired from the storage unit which has accumulated a plurality of the event information and the image data of the predetermined event which may lead to the accident, and these are obtained. Create an accident report using it and output it. This can support the preparation of accident reports. In particular, in the present embodiment, since the detection unit 10 records the situation when an accident occurs in the storage unit 23 by a captured image or the like, objective fact information can be extracted. In particular, since the situation at the time of an accident can be explained by referring to image data instead of text data, it is effective in supporting the creation of accident reports and specific measures can be considered. Further, since a plurality of accident reports are simultaneously created by using a plurality of formats associated with the target person 70, the time required for the creation can be shortened and the labor can be saved.

(Modification example)
In the above-described embodiment, the detection unit 10, the server 20, the fixed terminal 30, and the staff terminal 40 have been described as independent and separate devices. However, the present invention is not limited to this, and some configurations may be integrated. For example, the functions of the server 20 may be integrated in the fixed terminal 30.

Further, the process in the monitoring system 1 according to the above-described embodiment may include steps other than the steps of the sequence chart or the flowchart described above, or may not include a part of the steps described above. Further, the order of the steps is not limited to the above-described embodiment. Further, each step may be executed as one step in combination with other steps, may be executed by being included in other steps, or may be executed by being divided into a plurality of steps.

Further, the means and methods for performing various processes in the monitoring system 1 according to the above-described embodiment can be realized by either a dedicated hardware circuit or a programmed computer. The program may be provided by a computer-readable recording medium such as a USB memory or a DVD (Digital Versail Disc) -ROM, or may be provided online via a network such as the Internet. In this case, the program recorded on the computer-readable recording medium is usually transferred and stored in a storage unit such as a hard disk. Further, the above program may be provided as a single application software, or may be incorporated into the software of a device such as a detection unit as one function.

This application is based on a Japanese patent application (Japanese Patent Application No. 2018-120824) filed on June 26, 2018, the disclosure of which is referenced and incorporated as a whole.

1 Watching system 10 Detection unit 11 Control unit 12 Communication unit 13 Camera 14 Nurse call unit 15 Voice input / output unit 20 Server 21 Control unit 22 Communication unit 23 Storage unit 30 Fixed terminal 40 Staff terminal 41 Control unit 42 Wireless communication unit 43 Display unit 44 Input unit 45 Voice input / output unit 50 Network 51 Access point 60 Bed 70 Target person (care recipient)
80 staff (caregiver)

Claims (9)

The event information of a predetermined event that may lead to an accident, and image data associated with the event, the occurrence of which is determined based on the output of the detection unit that detects the movement of the target person in the observation area. The event information related to the accident from the event information recording the event related to the subject in the observation area and the storage unit accumulating a plurality of the image data obtained by photographing the observation area when the event occurs. The procedure (a) for acquiring the event information of the event and the image data associated with the event, and
A procedure (b) for creating an accident report regarding the event using the acquired event information of the event and the image data, and
The procedure (c) for outputting the accident report created in the above procedure (b) and the procedure (c)
A control program that causes a computer to perform processing that includes. The process further comprises step (d) of acquiring one or more formats associated with each of the subject who caused the event.
The control program according to claim 1, wherein in the procedure (b), the accident report is further created using the format acquired in the procedure (d). The process further includes a procedure (e) for accepting selection of an event related to the accident from the plurality of events.
The control program according to claim 1 or 2, wherein in the procedure (a), event information related to the event selected in the procedure (e) and the image data are acquired. The image data is a moving image obtained by photographing the observation area or a plurality of still images photographed continuously, and the accident report includes the moving image or a plurality of images generated from the still image. The control program according to any one of claims 1 to 3, which is included. The process further includes a procedure (f) of displaying the image data acquired in the procedure (a) and accepting the user to edit the accident report.
The control program according to any one of claims 1 to 4, wherein the procedure (c) outputs the accident report edited in the procedure (f). Any of claims 1 to 5, wherein the information indicating the status of the event, which is input through the terminal by the staff who responds to the target person in response to the occurrence of the event, is included in the event information. The control program described in the event. The control program according to any one of claims 1 to 6, wherein the event information regarding a fall or a fall event is stored in the storage unit as the event. The event information of a predetermined event that may lead to an accident, and image data associated with the event, the occurrence of which is determined based on the output of the detection unit that detects the movement of the target person in the observation area. The event information related to the accident from the event information recording the event related to the subject in the observation area and the storage unit accumulating a plurality of the image data obtained by photographing the observation area when the event occurs. The procedure (a) for acquiring the event information of the event and the image data associated with the event, and
A procedure (b) for creating an accident report regarding the event using the acquired event information of the event and the image data, and
The procedure (c) for outputting the accident report created in the above procedure (b) and the procedure (c)
Report output method including. The event information of a predetermined event that may lead to an accident, and image data associated with the event, the occurrence of which is determined based on the output of the detection unit that detects the movement of the target person in the observation area. The event information related to the accident from the event information recording the event related to the subject in the observation area and the storage unit accumulating a plurality of the image data obtained by photographing the observation area when the event occurs. An acquisition unit that acquires the event information of the event and the image data associated with the event, and
A creation unit that creates an accident report related to the event using the acquired event information of the event and the image data.
An output unit that outputs the accident report created by the preparation unit,
Report output device.

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