WO2014162486A1 - Medical-information management device and medical-information management method - Google Patents

Medical-information management device and medical-information management method Download PDF

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Publication number
WO2014162486A1
WO2014162486A1 PCT/JP2013/059997 JP2013059997W WO2014162486A1 WO 2014162486 A1 WO2014162486 A1 WO 2014162486A1 JP 2013059997 W JP2013059997 W JP 2013059997W WO 2014162486 A1 WO2014162486 A1 WO 2014162486A1
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WIPO (PCT)
Prior art keywords
information
alert
drug
medical
infusion pump
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PCT/JP2013/059997
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French (fr)
Japanese (ja)
Inventor
裕也 塔野岡
慎二 加藤
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テルモ株式会社
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Priority to PCT/JP2013/059997 priority Critical patent/WO2014162486A1/en
Publication of WO2014162486A1 publication Critical patent/WO2014162486A1/en

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/17ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Definitions

  • the present invention relates to a medical information management apparatus and a medical information management method for managing medical information such as drug information used in hospitals, for example.
  • alerts such as various errors
  • the alert pump is always displayed on the display such as the infusion pump in relation to the drug.
  • Etc. are required, forcing the user to perform complicated operations.
  • many alerts such as errors are generated again, and it may be necessary to change again.
  • the present invention provides medical information that can automatically change whether or not to provide a display such as “Clinical Advisory” that is information such as “Awareness” related to drug information, depending on the frequency of occurrence of the alert, etc.
  • An object is to provide a management apparatus and a medical information management method.
  • the object is a medical information management device that provides drug information to a medical device, and can provide alert information related to the drug information in association with the drug information when the drug information is provided.
  • the provision of the alert information is configured to determine whether or not the provision of the alert information is necessary based on the occurrence frequency information of the actually generated warning information regarding the drug. Achieved by the device.
  • reporting information becomes a structure by which the necessity is judged about the said chemical
  • the necessity of providing the alert information is determined based on occurrence frequency information of the warning information generated in the medical device.
  • the generation of warning information such as an alert in the medical device is generated. Based on the frequency, it is possible to determine whether or not it is necessary to provide “warning information”.
  • the occurrence frequency information of the warning information includes time zone information of the occurrence, and the alert information is provided to the medical device when the warning information corresponds to time zone information having a high occurrence frequency of the warning information. It is the structure.
  • the alert information is provided to the medical device when it corresponds to the time zone information with a high occurrence frequency of the alert information, it is possible to provide detailed “notice information”.
  • the occurrence frequency information of the warning information is collected for each medical device, and the alert information is provided to the medical device having a high occurrence frequency. .
  • the occurrence frequency information of the warning information is collected for each medical device, and the alert information is provided to the medical device with the high occurrence frequency, so it is provided to the detailed “attention information” Is possible.
  • the object is a medical information management method for providing drug information to a medical device, and can be provided in association with alert information relating to the drug information when the drug information is provided.
  • the provision of the alert information is configured to determine whether or not the provision of the alert information is necessary based on the occurrence frequency information of the warning information that has actually occurred. Achieved by management method.
  • the presence / absence of display of “clinical advisory” or the like which is information such as “attention” regarding drug information, is automatically determined based on the occurrence frequency of the alert or the like. It is possible to provide a medical information management device and a medical information management method that can be changed to
  • 7 is another schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1.
  • 7 is another schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1.
  • 7 is another schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1.
  • 7 is another schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1.
  • FIG. 1 is a schematic diagram showing a “medicine library system 1” including a “medicine library server 10”, which is a “medical information management apparatus” of the present invention.
  • the “drug library system 1” has a “medical device”, for example, an “infusion pump 70a”, in addition to the “drug library server 10” that stores various information related to drugs. These are communicably connected.
  • These infusion pumps 70a and the like are for administering the drug A and the like to the patient. That is, the infusion pump 70a and the like have a configuration in which a tube (not shown) that feeds a drug solution such as the drug A can be disposed therein, and performs operations such as pressing by pressing the tube. Thus, the flow rate of the chemical solution fed in the tube is controlled.
  • the infusion pump 70a and the like have, for example, an “infusion pump side display 71” that is a display unit that displays various information, and also an “infusion pump side input device 72” that is an input unit that inputs various information. ing.
  • the “infusion pump side input device 72” is a dial, an input button, or the like.
  • the infusion pump displays “medicine library”, which is drug information transmitted from the drug library server 10, on the infusion pump side display 71.
  • the medical staff such as a nurse who operates can easily and definitely administer the medicine.
  • the “drug library” displayed on the “infusion pump-side display 71” includes not only information such as “soft limit” that is restriction information such as prescription of the drug itself, but also at the time of administration.
  • the “warning information (clinical advisory information)” that alerts the user is displayed as necessary. Details will be described later.
  • the infusion pump 70a and the like and the drug library server 10 shown in FIG. 1 have a computer, and the computer has a CPU (Central Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), and the like (not shown). These are connected via a bus.
  • CPU Central Processing Unit
  • RAM Random Access Memory
  • ROM Read Only Memory
  • FIG. 2 is a schematic block diagram showing the infusion pump 70a and the like shown in FIG.
  • the infusion pump 70 a and the like have an “infusion pump control unit 73”.
  • the infusion pump control unit 73 controls the “infusion pump side input device 72” and the “infusion pump side display 71” shown in FIG. 1, and communicates with the “medicine library server 10” in FIG.
  • the “infusion pump main body 75” that performs the original operation of the “pump-side communication device 74”, the infusion pump 70a, and the like is controlled.
  • the “infusion pump control unit 73” is, for example, “alert signal generator 76” or “pump side alert” that generates “alert” that is “warning information” when an error or the like occurs in the infusion pump 70a or the like.
  • the information storage unit 77 "and the like are also controlled.
  • the alert includes, for example, “soft limit” exceeding the restriction information on the administration of medicines, “hard limit” conflicting that is the absolute administration range information on the administration of medicines, and the like.
  • the contents of the “pump-side alert information storage unit 77” will be described later.
  • FIG. 3 is a schematic block diagram showing the drug library server 10 shown in FIG.
  • the drug library server 10 includes a “server control unit 11”.
  • the “server control unit 11” includes a “server-side input device 12” that inputs various information, a “server-side display 13” that displays various information, and the “server-side communication device 14” that communicates with the infusion pump 70a of FIG.
  • the “first various storage units 20”, “second various storage units 30”, and “third various storage units 40” shown in FIG. 4 to 6 are schematic block diagrams showing the contents of “first various information storage unit 20”, “second various information storage unit 30”, and “third various information storage unit 40” in FIG. 3, respectively. . These contents will be described later.
  • FIGS. 7 to 11 are schematic flowcharts showing main operation examples of the “drug library system 1” shown in FIG.
  • the operation and the like will be described according to the flowcharts of FIGS. 7 to 11, and the configuration and the like of FIGS. 1 to 6 will be described.
  • step ST (hereinafter referred to as “ST”) 1 in FIG. 7 the infusion pump 70 a and the like in FIG. 1 is medicine information such as medicine A displayed on the “infusion pump side display 71”.
  • the “medicine library” is displayed, and the liquid feeding operation of the specific medicine A is executed.
  • ST2 it is determined whether or not an alert signal is issued by the “alert signal generator 76” of FIG. 2 such as the infusion pump 70a during the liquid feeding operation. Specifically, the soft limit excess, hard limit conflict, etc. of the drug.
  • the infusion pump 70a and the like transmit “pump-side alert information” in the “pump-side alert information storage unit 77” in FIG. 2 to the drug library server 10 via the “infusion pump-side communication device 74”.
  • the drug library server 10 stores the received “pump-side alert information” as “server-side alert information 21a” of the “server-side alert information storage unit 21” in FIG.
  • the process proceeds to ST6.
  • the “alert occurrence level determination unit (program) 22” of FIG. 4 operates and refers to the “server side alert information storage unit 21” and “alert occurrence level reference information storage unit 23” of FIG.
  • the following reference information is stored.
  • 1) Reference information on the level of alert generation for each infusion pump 70a and the like (information on how much the infusion pump 70a etc. determines to be “high” when an alert is issued in one month).
  • Standard information on the level of occurrence of general alerts by month for each drug (information on how much it is determined to be “high” when an alert is issued per month for each drug A, etc.).
  • the number of alerts per month for the drug is calculated from the information on the number of alerts accumulated in the “server-side alert information 21a” in FIG. 4 and the occurrence date / time information, and the number of alerts and “alert occurrence level reference information storage” are calculated.
  • Section 23 is compared with the monthly general alert occurrence level reference information for each drug, and" alert occurrence level information "of" general alert occurrence count / month “is generated, with” alert occurrence level information "in FIG. It is stored as a part of the “medicine library 24a with alert occurrence height information” in the “medicine library storage unit 24”. Specifically, it is stored as “high / low” information of “general alert occurrence count / month” in “drug library with alert occurrence height information 24a”.
  • the drug name A is determined based on the criteria of the “alert occurrence level reference information storage unit 23” for the number of alerts per month. , “High (alert frequency is high)”.
  • the alert occurrence time zone information can be obtained.
  • the time zone information in the drug library with high and low information 24a is, for example, “number of alerts generated from 6:00 to 12: 00 / month”, “number of alerts generated from 12:00 to 18: 00 / month” and “18:00 to The number of occurrences of the alert for each “24 o'clock alert occurrence / month” is calculated and stored.
  • the number of occurrences / month of alerts for each time period and the “reference information for alert occurrence level for each time of each drug” in the “alert occurrence level reference information storage unit 23” are compared, and “high / low” is determined.
  • “high / low” is determined.
  • drug B since the “number of occurrences of alerts from 6 o'clock to 12 o'clock / month” of drug B is “high”, drug B has a high occurrence of alerts during this time period. .
  • the “drug library with alert occurrence height information” 24a includes information on the above-mentioned alert in the drug information (soft limit information, etc.) of the drug library for each drug A, B, and C.
  • color information such as “red” is also associated with the difference in efficacy and utility of each drug. Therefore, when the drug information is displayed on the “infusion pump side display 71” such as the infusion pump 70a, the color information such as red is also displayed.
  • This color information indicates the degree to which the drug has a strong effect and effect and requires attention for administration. For example, “red” is a group of drugs that require the most attention. Therefore, when a nurse or the like refers to the drug library information on the “infusion pump side display 71” such as the infusion pump 70a, the color information such as red is also visually recognized at the same time. It is configured so that it can be easily grasped whether to pay.
  • the process proceeds to ST7.
  • the “alert occurrence level determination unit (program) 22” of FIG. 4 operates, and refers to the pump number (70a etc.) and “alert occurrence date / time information” of “server side alert information 21a” of FIG.
  • the number of alert occurrences / month for each infusion pump 70a is calculated.
  • “high / low” is determined by comparing with “reference information of alert generation high / low for each infusion pump 70a” in “alert generation high / low standard information storage unit 23” of FIG.
  • “per-pump alert occurrence height information 31a” of FIG. 5 is generated and stored in the “pump alert occurrence height information storage unit 31” in association with the “high / low” information together with the “pump number” information and the number of alert occurrences / month.
  • the “drug library 24a with alert occurrence level information” in FIG. 4 stores “high” or “low” information of the alert occurrence frequency for each drug, and the alert for each time zone of each drug. Information on “high” or “low” occurrence frequency is stored. In addition, “high / low” information on the alert occurrence frequency for each pump number of the infusion pump 70a and the like is stored in ““ Alert occurrence level information 31a for each pump ”in FIG.
  • the “communicable pump identification unit (program) 32” in FIG. 5 operates and an infusion pump number (identification information) such as the infusion pump 70a that can communicate with the drug library server 10 in FIG.
  • 70a and the like are stored in the “communicable infusion pump information storage unit 32” as “communicable infusion pump information” in FIG.
  • the “first alert information display availability determination unit (program) 34” operates and refers to the “high / low” information of “general alert occurrence count / month” in the “drug library with alert occurrence height information 24a”. To do.
  • the “high / low” information the high / low information is set to “high” when, for example, XX% is higher than the average of “general alert occurrence count / month”.
  • the “high” information is automatically updated every week or every month.
  • Step13 it is determined whether or not the high / low information of “general alert occurrence count / month” in “drug library with alert occurrence height information 24a” is “high”.
  • the process proceeds to ST14.
  • the drug name for example, A
  • the level information is “high” is associated with “warning information” as the alert frequency is high and attention should be paid, and the “medical drug with first attention information” in FIG.
  • Library information 35a "is generated and stored in” drug library information storage unit 35 with first alert information ".
  • the “second alerting information display availability determination unit (program) 41” in FIG. 6 operates, and “6-12 o'clock occurrence count / month” in the “drug library with alert occurrence level information” in FIG. Refer to the "high and low” information of the time zone information.
  • ST17 it is determined whether or not there is time zone information such as “6-12 o'clock occurrence count / month” where the height information is “high”.
  • time zone information such as “6-12 o'clock occurrence count / month” where the height information is “high”.
  • time zone information such as “6-12 o'clock occurrence count / month” where the height information is “high”.
  • the “warning information” is associated with the drug name B having “time zone information” such as “6-10 o'clock occurrence count / month” whose height information is “high”, Such information is added to the “drug library information 35a, 35b” to generate “drug library information 35a-a, 35b-a with second alert information” in FIG. 6, and “drug library information with second alert information”.
  • the data is stored in the storage unit 42 ”as shown in FIG.
  • drug library information 35a-a with second alert information adds “attention information” of “time zone information” to “drug library information 35a with first alert information” in FIG. It is a thing. Further, “drug library information 35b-a with second alert information” is obtained by adding “notice information” of “time zone information” to “drug library information 35b with first alert information” in FIG. is there.
  • the process proceeds to ST19.
  • the “drug library information 35a, 35b with first alert information” in FIG. 5 is not associated with the “notice information” in the time zone information, and the “drug library information 35a with second alert information” in FIG. -B, 35b-b "is generated and stored in the" drug library information storage unit 42 with second alert information ".
  • the information of “drug library information 35a-a, 35b-a, 35a-b, 35b-b with second alert information” in FIG. 6 is “drug library 24a with alert occurrence height information” in FIG.
  • the “general alert occurrence count / month” “high / low” information and “6-10 o'clock occurrence count / month” etc. “time zone information” “high / low” information are combined as examples.
  • ST20 the “third alerting information display availability determination unit (program) 43” of FIG. 6 operates, and the “per-pump alert occurrence level information storage unit 31” of FIG. Refer to “High / Low” information.
  • ST21 it is determined whether or not “high” “pump number” is included in the high and low information of “per-pump alert occurrence height information 31a” in FIG.
  • Step21 If it is determined in ST21 that the “pump number” of “high” is included in the height information of “alert pump height information 31a” of FIG. 5, the process proceeds to ST22.
  • “warning information” is associated with “pump number (for example, 70c)” whose height information is “high”. Then, with reference to the “library 24a with alert occurrence height information” in FIG. 4, “drug library information with third alert information 44a” as shown in FIG. 6 is generated, and “drug library with third alert information” It memorize
  • the “drug library information 44a with third alerting information” includes the “pump number (70c) whose level information is“ high ”and the“ drug name (A, B) ”of the“ library 24a with alert occurrence level information ”in FIG. , C) "," drug information ",” color information ", and further,” information for alerting ".
  • the “drug library information 44a with the third alert information” includes the drug name, the drug information, the color information, and the alert information that can be handled by the pump number (70c) whose alert occurrence frequency is “high”.
  • the information is associated with “pump number (70c)”.
  • Step23 the “communicable infusion pump information storage unit 33” and the “drug library information storage unit 44 with third alert information” in FIG. 5 are referred to.
  • ST24 does the pump number (70a, 70b, 70c) of the “communicable infusion pump information storage unit 33” match the pump number (70c) of the “drug library information storage unit 44 with third alert information”? Judge whether or not.
  • the process proceeds to ST25.
  • the drug name, the drug information, and the color information are associated with the alert information based on “the drug library information with the third alert information 44a” in the “third drug alert information with the alert information 44” of FIG. It is displayed on the infusion pump 70c and the like.
  • the infusion pump 70c is assumed to be an infusion pump with a high occurrence frequency of alerts. “Awareness” information is displayed in association with all drug names and the like displayed on the display 71 ”, and the nurse or the like is alerted.
  • the pump number of the infusion pump 70 does not match in ST24, the process proceeds to ST26 in FIG.
  • the pump number (70a, 70b, 70c) of the “communicable infusion pump information storage unit 33” and the pump number (70c) of the “drug library information storage unit 44 with third alert information” do not match. It is determined that the infusion pump is not an infusion pump having a high alert frequency, and the “drug library information storage unit 42 with second alert information” in FIG. 6 is referred to.
  • drug library information with second alert information in FIG. 6, for example, “drug library information with a second alert information 35a-a” is “6-12 o'clock” for drug B The information is associated with “warning information”. Therefore, in the case of this example, it is assumed that “attention” information and “time zone information” are associated with each other, and the process proceeds to ST28.
  • ST28 it is determined whether or not the current time corresponds to this “time zone information”, and “6-12 o'clock” in the above example. If it is determined in ST28 that it corresponds, the process proceeds to ST29.
  • the drug name (A, B, C), drug information, and color information shown in “drug library information 35a-a with second alert information” in FIG. 6 are displayed, and drug name A and drug name B are displayed. Since the alert is frequently generated, “alert” information is associated and displayed on the “infusion pump-side display 71” such as the infusion pump 70a.
  • the alert information is not displayed in association with all drug names or the like, but a drug with a high occurrence frequency of an alert and / or a drug has a high occurrence frequency period.
  • Select and display The infusion pump is selected and displayed.
  • the “Warning” information is not displayed for all drug names, etc., and is displayed by selecting the necessary cases. Therefore, effective “cautions” that do not make nurses and other users feel annoying the display. "Arouse" can be displayed.
  • the medicine name (A, B, C), the medicine information, and the color information are displayed, and only the medicine A is displayed in association with the “warning” information.
  • the “notice” information is not displayed. An example.
  • the case where the frequency of occurrence of alerts is high is divided into cases according to the infusion pump, the drug name, the time zone, and the like, and is determined in detail. And when displaying these information on the infusion pump 70a etc., it is set as the structure which performs this display, only when "attention alert” is required, respectively. Therefore, it is possible to accurately “warn” a medical staff such as a nurse who operates the infusion pump 70a and the like, and the nurse or the like is not bothered by an unnecessary display.
  • alert information generated during the operation of the infusion pump 70a, etc. is automatically acquired, and it is necessary to display “warning” based on these alert information. It is the structure which judges a new case and updates. Therefore, even if the alert occurrence frequency is set to be high or low once and the “warning” information is displayed or hidden, it is automatically hidden or displayed depending on the subsequent alert occurrence frequency. The configuration is changed. Thus, in this embodiment, since it is not necessary for a nurse or the like to access the drug library server or the like to change the display or non-display of the “warning” information, the drug library system 1 and the extremely easy to use It has become.
  • the present invention is not limited to the above-described embodiment.
  • the infusion pump 70a and the like have been described as an example of the medical device, but the present invention is not limited to this, and can be suitably applied to other medical devices such as a syringe pump.
  • Information storage unit 34... First alert information display availability determination unit (program), 35... Drug library information storage unit with first alert information, 35 a, 35 b .. Drug with first alert information Library information, 35a-a, 35b-a, 35a-b, 35b-b ... Drug library information with second alert information, 40 ... Third various information storage unit, 41 ... Second alert Information display availability determination unit (program), 42 ... medicine library information storage unit with second alert information, 43 ... third alert information display availability determination unit (program), 44 ... third alert Drug library information storage unit with information, 44a ... Drug library information with third alert information, 70a, 70b, 70c ... Infusion pump, 71 ... Infusion pump side display, 72 ... Infusion pump side input device, 73 ... Infusion pump control unit, 74 ... Infusion pump side communication device, 75 ... Infusion pump body unit, 76 ... Alert signal generator, 77 ... Pump side alert Information storage unit, 77a ... Alert information on the pump side

Abstract

[Problem] To provide a medical-information management device or the like which is capable of automatically changing whether or not to provide a display or the like of a "clinical advisory," which is information such as a "warning" pertaining to drug information, according to the frequency at which such an alert occurs. [Solution] A medical-information management device (10) for providing drug information to a medical device (70a), the medical-information management device (10) being configured so as to be capable of associating and providing warning information pertaining to the drug information when providing said drug information, and being configured so as to determine whether the provision of warning information is necessary or not on the basis of occurrence-frequency information (77a) for the alert information for actual occurrences pertaining to said drug.

Description

医療情報管理装置及び医療情報管理方法Medical information management apparatus and medical information management method
 本発明は、例えば、病院等で使用する薬剤情報等の医療情報を管理する医療情報管理装置及び医療情報管理方法に関するものである。 The present invention relates to a medical information management apparatus and a medical information management method for managing medical information such as drug information used in hospitals, for example.
 従来より、病院等では、薬剤を患者に適切に投与するために、輸液ポンプ等が用いられている(例えば、特許文献1)。
 また、近年は、このような輸液ポンプ等は、薬剤情報を保持、利用するという高機能を有している。また、このような輸液ポンプでは、当該ポンプが送液等する薬剤について、当該薬剤が、過去において各種エラー等が起きやすい場合、その旨を当該輸液ポンプの使用者に報知し、注意を喚起するという「クリニカルアドバイザリ」機能も利用可能な構成となっている。
 具体的には、輸液ポンプのディスプレイに表示された薬剤と関連付けて「注意喚起」の情報が表示等される。
Conventionally, in hospitals and the like, infusion pumps and the like have been used in order to appropriately administer drugs to patients (for example, Patent Document 1).
In recent years, such infusion pumps and the like have a high function of holding and using drug information. Moreover, in such an infusion pump, when the said drug tends to generate | occur | produce various errors in the past about the chemical | medical agent which the said pump delivers, etc., the fact is alert | reported to the user of the said infusion pump, and attention is drawn. The “clinical advisory” function is also available.
Specifically, information on “attention” is displayed in association with the medicine displayed on the display of the infusion pump.
特開2011-87678号公報JP 2011-87678 A
 しかし、薬剤によっては、その利用が進むにつれ、既に各種エラー等のアラートの発生が減少し、上述の「注意喚起」の表示等が不必要な場合がある。しかし、一旦、注意喚起の情報が登録されると、輸液ポンプ等のディスプレイには薬剤との関連で常に「注意喚起」が表示され、その表示を変更するには、改めて、その登録をし直す等が必要となり、利用者に煩雑な操作を強いていた。
 一方、煩雑な操作をし、登録を変更した後、再び、エラー等のアラートが多く発生するようになり、再変更が必要となる場合もあり、問題となっていた。
However, depending on the medicine, as the use proceeds, the occurrence of alerts such as various errors has already been reduced, and the above-mentioned “warning” display may be unnecessary. However, once the alert information is registered, the alert pump is always displayed on the display such as the infusion pump in relation to the drug. To change the display, re-register it. Etc. are required, forcing the user to perform complicated operations.
On the other hand, after a complicated operation and changing registration, many alerts such as errors are generated again, and it may be necessary to change again.
 そこで、本発明は、薬剤情報に関する「注意喚起」等の情報である「クリニカルアドバイザリ」等の表示等の提供の有無等を、そのアラート等の発生頻度等によって自動的に変更可能な医療情報管理装置及び医療情報管理方法を提供することを目的とする。 Accordingly, the present invention provides medical information that can automatically change whether or not to provide a display such as “Clinical Advisory” that is information such as “Awareness” related to drug information, depending on the frequency of occurrence of the alert, etc. An object is to provide a management apparatus and a medical information management method.
 前記目的は、本発明にあっては、薬剤情報を医療機器に提供する医療情報管理装置であって、前記薬剤情報の提供の際に、当該薬剤情報に関する注意喚起情報を関連付けて提供可能な構成であると共に、前記注意喚起情報の提供は、当該薬剤に関し、実際に発生した警告情報の発生頻度情報に基づいて、その要否が判断される構成となっていることを特徴とする医療情報管理装置により達成される。 In the present invention, the object is a medical information management device that provides drug information to a medical device, and can provide alert information related to the drug information in association with the drug information when the drug information is provided. In addition, the provision of the alert information is configured to determine whether or not the provision of the alert information is necessary based on the occurrence frequency information of the actually generated warning information regarding the drug. Achieved by the device.
 前記構成によれば、注意喚起情報の提供は、当該薬剤に関し、実際に発生した警告情報の発生頻度情報に基づいて、その要否が判断される構成となっている。
 このため、薬剤の利用が進み、既に各種エラー等のアラートの発生が減少し、「注意喚起情報」の提供が不必要な場合は、自動的に、その提供が停止される。
 また、その後、再び各種エラー等のアラームの発生が増加等すると「注意喚起情報」の提供が自動的に開始される。
 したがって、「注意喚起情報」の提供の要否について、利用者に登録及びその変更等という煩雑な操作を強いることがない、使い易い医療情報管理装置となっている。
According to the said structure, provision of alerting | reporting information becomes a structure by which the necessity is judged about the said chemical | medical agent based on the frequency information of the warning information which generate | occur | produced actually.
For this reason, when the use of medicine progresses, the occurrence of alerts such as various errors has already been reduced, and the provision of “warning information” is unnecessary, the provision is automatically stopped.
Thereafter, when the occurrence of alarms such as various errors increases again, provision of “warning information” is automatically started.
Therefore, it is an easy-to-use medical information management apparatus that does not require the user to perform complicated operations such as registration and change as to whether or not the “warning information” needs to be provided.
 好ましくは、前記医療機器で発生した前記警告情報の発生頻度情報に基づいて、前記注意喚起情報の提供の要否が判断される構成となっていることを特徴とする。 Preferably, the necessity of providing the alert information is determined based on occurrence frequency information of the warning information generated in the medical device.
 前記構成によれば、医療機器で発生した警告情報の発生頻度情報に基づいて、注意喚起情報の提供の要否が判断される構成となっているので、医療機器におけるアラート等の警告情報の発生頻度に基づき「注意喚起情報」を提供の要否を判断することができる。 According to the above configuration, since it is determined whether or not it is necessary to provide the alert information based on the frequency information of the warning information generated in the medical device, the generation of warning information such as an alert in the medical device is generated. Based on the frequency, it is possible to determine whether or not it is necessary to provide “warning information”.
 好ましくは、前記警告情報の発生頻度情報は、その発生の時間帯情報を含み、前記警告情報の発生頻度の高い時間帯情報に該当するときに、前記医療機器に前記注意喚起情報が提供される構成となっていることを特徴とする。 Preferably, the occurrence frequency information of the warning information includes time zone information of the occurrence, and the alert information is provided to the medical device when the warning information corresponds to time zone information having a high occurrence frequency of the warning information. It is the structure.
 前記構成によれば、警告情報の発生頻度の高い時間帯情報に該当するときに、医療機器に注意喚起情報が提供されるので、きめ細かい「注意喚起情報」の提供が可能となる。 According to the above configuration, since the alert information is provided to the medical device when it corresponds to the time zone information with a high occurrence frequency of the alert information, it is possible to provide detailed “notice information”.
 好ましくは、前記警告情報の発生頻度情報は、前記医療機器毎に収集され、その発生頻度の高い当該医療機器に対して、前記注意喚起情報が提供される構成となっていることを特徴とする。 Preferably, the occurrence frequency information of the warning information is collected for each medical device, and the alert information is provided to the medical device having a high occurrence frequency. .
 前記構成によれば、警告情報の発生頻度情報は、医療機器毎に収集され、その発生頻度の高い当該医療機器に対して、注意喚起情報が提供されるので、きめ細かい「注意喚起情報」に提供が可能となる。 According to the above configuration, the occurrence frequency information of the warning information is collected for each medical device, and the alert information is provided to the medical device with the high occurrence frequency, so it is provided to the detailed “attention information” Is possible.
 前記目的は、本発明にあっては、薬剤情報を医療機器に提供する医療情報管理方法であって、前記薬剤情報の提供の際に、当該薬剤情報に関する注意喚起情報を関連付けて提供可能な構成であると共に、前記注意喚起情報の提供は、当該薬剤に関し、実際に発生した警告情報の発生頻度情報に基づいて、その提供の要否を判断する構成となっていることを特徴とする医療情報管理方法により達成される。 In the present invention, the object is a medical information management method for providing drug information to a medical device, and can be provided in association with alert information relating to the drug information when the drug information is provided. In addition, the provision of the alert information is configured to determine whether or not the provision of the alert information is necessary based on the occurrence frequency information of the warning information that has actually occurred. Achieved by management method.
 以上説明したように、本発明によれば、薬剤情報に関する「注意喚起」等の情報である「クリニカルアドバイザリ」等の表示等の提供の有無等を、そのアラート等の発生頻度等によって自動的に変更可能な医療情報管理装置及び医療情報管理方法を提供することができる。 As described above, according to the present invention, the presence / absence of display of “clinical advisory” or the like, which is information such as “attention” regarding drug information, is automatically determined based on the occurrence frequency of the alert or the like. It is possible to provide a medical information management device and a medical information management method that can be changed to
本発明の「医療情報管理装置」である例えば、「薬剤ライブラリサーバ」を備える「薬剤ライブラリシステム」を示す概略図である。It is the schematic which shows the "medicine library system" provided with the "medicine library server" which is the "medical information management apparatus" of this invention, for example. 図1に示す輸液ポンプを示す概略ブロック図である。It is a schematic block diagram which shows the infusion pump shown in FIG. 図1に示す薬剤ライブラリサーバを示す概略ブロック図である。It is a schematic block diagram which shows the chemical | medical agent library server shown in FIG. 図3の「第1各種情報記憶部」の内容を示す概略ブロック図である。It is a schematic block diagram which shows the content of the "1st various information storage part" of FIG. 図3の「第2各種情報記憶部」の内容を示す概略ブロック図である。It is a schematic block diagram which shows the content of the "2nd various information storage part" of FIG. 図3の「第3各種情報記憶部」の内容を示す概略ブロック図である。It is a schematic block diagram which shows the content of the "3rd various information storage part" of FIG. 図1に示す「薬剤ライブラリシステム」の主な動作例等を示す概略フローチャートである。3 is a schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1. 図1に示す「薬剤ライブラリシステム」の主な動作例等を示す他の概略フローチャートである。7 is another schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1. 図1に示す「薬剤ライブラリシステム」の主な動作例等を示す他の概略フローチャートである。7 is another schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1. 図1に示す「薬剤ライブラリシステム」の主な動作例等を示す他の概略フローチャートである。7 is another schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1. 図1に示す「薬剤ライブラリシステム」の主な動作例等を示す他の概略フローチャートである。7 is another schematic flowchart showing a main operation example of the “drug library system” shown in FIG. 1.
 以下、この発明の好適な実施の形態を添付図面等を参照しながら、詳細に説明する。
 尚、以下に述べる実施の形態は、本発明の好適な具体例であるから、技術的に好ましい種々の限定が付されているが、本発明の範囲は、以下の説明において特に本発明を限定する旨の記載がない限り、これらの態様に限られるものではない。
Preferred embodiments of the present invention will be described below in detail with reference to the accompanying drawings.
The embodiments described below are preferred specific examples of the present invention, and thus various technically preferable limitations are given. However, the scope of the present invention is particularly limited in the following description. Unless otherwise stated, the present invention is not limited to these embodiments.
 図1は、本発明の「医療情報管理装置」である例えば、「薬剤ライブラリサーバ10」を備える「薬剤ライブラリシステム1」を示す概略図である。
 図1に示すように「薬剤ライブラリシステム1」は、薬剤に関する各種情報を記憶等している「薬剤ライブラリサーバ10」の他に、「医療機器」である例えば、「輸液ポンプ70a」等を有し、これらが通信可能に接続されている。
FIG. 1 is a schematic diagram showing a “medicine library system 1” including a “medicine library server 10”, which is a “medical information management apparatus” of the present invention.
As shown in FIG. 1, the “drug library system 1” has a “medical device”, for example, an “infusion pump 70a”, in addition to the “drug library server 10” that stores various information related to drugs. These are communicably connected.
 これら輸液ポンプ70a等は、薬剤A等を患者に投与するためのものである。すなわち、輸液ポンプ70a等は、その内部に薬剤A等の薬液を送液する図示しないチューブ等を配置することができる構成となっており、そのチューブを押圧等して、しごく等の動作をすることで、チューブ内の送液される薬液の流量等を制御する構成となっている。 These infusion pumps 70a and the like are for administering the drug A and the like to the patient. That is, the infusion pump 70a and the like have a configuration in which a tube (not shown) that feeds a drug solution such as the drug A can be disposed therein, and performs operations such as pressing by pressing the tube. Thus, the flow rate of the chemical solution fed in the tube is controlled.
 また、輸液ポンプ70a等は、各種情報を表示する表示部である例えば、「輸液ポンプ側ディスプレイ71」を有すると共に、各種情報を入力する入力部である「輸液ポンプ側入力装置72」も有している。
 この「輸液ポンプ側入力装置72」は、具体的には、ダイヤルや入力ボタン等となっている。
In addition, the infusion pump 70a and the like have, for example, an “infusion pump side display 71” that is a display unit that displays various information, and also an “infusion pump side input device 72” that is an input unit that inputs various information. ing.
Specifically, the “infusion pump side input device 72” is a dial, an input button, or the like.
 なお、このような輸液ポンプ70a等を用いて患者に薬剤を投与するとき、輸液ポンプは、薬剤ライブラリサーバ10から送信されてくる薬剤情報である「薬剤ライブラリ」が輸液ポンプ側ディスプレイ71に表示される。
 したがって、操作する看護師等の医療従事者は容易且つ間違いなく薬剤の投与が可能となる構成となっている。
 また、本実施の形態では、この「輸液ポンプ側ディスプレイ71」に表示される「薬剤ライブラリ」には、薬剤自体の処方等の制限情報である「ソフトリミット」等の情報だけでなく、投与時の注意を喚起する「注意喚起情報(クリニカルアドバイザリ情報)」も必要に応じて表示される構成となっている。詳細については、後述する。
When a drug is administered to a patient using such an infusion pump 70a or the like, the infusion pump displays “medicine library”, which is drug information transmitted from the drug library server 10, on the infusion pump side display 71. The
Therefore, the medical staff such as a nurse who operates can easily and definitely administer the medicine.
In the present embodiment, the “drug library” displayed on the “infusion pump-side display 71” includes not only information such as “soft limit” that is restriction information such as prescription of the drug itself, but also at the time of administration. The “warning information (clinical advisory information)” that alerts the user is displayed as necessary. Details will be described later.
 ところで、図1に示す輸液ポンプ70a等及び薬剤ライブラリサーバ10は、コンピュータを有し、コンピュータは、図示しないCPU(Central Processing Unit)、RAM(Random Access Memory)、ROM(Read Only Memory)等を有し、これらは、バスを介して接続されている。 Incidentally, the infusion pump 70a and the like and the drug library server 10 shown in FIG. 1 have a computer, and the computer has a CPU (Central Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), and the like (not shown). These are connected via a bus.
 図2は、図1に示す輸液ポンプ70a等を示す概略ブロック図である。
 図2に示すように、輸液ポンプ70a等は、「輸液ポンプ制御部73」を有している。この輸液ポンプ制御部73は、図1に示す「輸液ポンプ側入力装置72」や「輸液ポンプ側ディスプレイ71」を制御すると共に、図1の「薬剤ライブラリサーバ10」等との通信を行う「輸液ポンプ側通信装置74」や輸液ポンプ70a等の本来の動作を行う「輸液ポンプ本体部75」を制御する。また、「輸液ポンプ制御部73」は、輸液ポンプ70a等で、エラー等が発生したときに「警告情報」である例えば、「アラート」を発生させる「アラート信号発生装置76」や「ポンプ側アラート情報記憶部77」等も制御する。
 アラートとしては、例えば、薬剤等の投与の制限情報である「ソフトリミット」超過や薬剤等の投与の絶対的投与範囲情報である「ハードリミット」抵触等が該当する。
 なお、「ポンプ側アラート情報記憶部77」の内容については、後述する。
FIG. 2 is a schematic block diagram showing the infusion pump 70a and the like shown in FIG.
As shown in FIG. 2, the infusion pump 70 a and the like have an “infusion pump control unit 73”. The infusion pump control unit 73 controls the “infusion pump side input device 72” and the “infusion pump side display 71” shown in FIG. 1, and communicates with the “medicine library server 10” in FIG. The “infusion pump main body 75” that performs the original operation of the “pump-side communication device 74”, the infusion pump 70a, and the like is controlled. Further, the “infusion pump control unit 73” is, for example, “alert signal generator 76” or “pump side alert” that generates “alert” that is “warning information” when an error or the like occurs in the infusion pump 70a or the like. The information storage unit 77 "and the like are also controlled.
The alert includes, for example, “soft limit” exceeding the restriction information on the administration of medicines, “hard limit” conflicting that is the absolute administration range information on the administration of medicines, and the like.
The contents of the “pump-side alert information storage unit 77” will be described later.
 図3は、図1に示す薬剤ライブラリサーバ10を示す概略ブロック図である。
 図3に示すように、薬剤ライブラリサーバ10は、「サーバ制御部11」を有している。この「サーバ制御部11」は、各種情報を入力する「サーバ側入力装置12」、各種情報を表示する「サーバ側ディスプレイ13」及び図1の輸液ポンプ70a等と通信する「サーバ側通信装置14」を制御すると共に、図3に示す「第1各種記憶部20」及び「第2各種記憶部30」及び「第3各種記憶部40」も制御する。
 図4乃至図6は、それぞれ、図3の「第1各種情報記憶部20」、「第2各種情報記憶部30」及び「第3各種情報記憶部40」の内容を示す概略ブロック図である。これらの内容については後述する。
FIG. 3 is a schematic block diagram showing the drug library server 10 shown in FIG.
As illustrated in FIG. 3, the drug library server 10 includes a “server control unit 11”. The “server control unit 11” includes a “server-side input device 12” that inputs various information, a “server-side display 13” that displays various information, and the “server-side communication device 14” that communicates with the infusion pump 70a of FIG. And the “first various storage units 20”, “second various storage units 30”, and “third various storage units 40” shown in FIG.
4 to 6 are schematic block diagrams showing the contents of “first various information storage unit 20”, “second various information storage unit 30”, and “third various information storage unit 40” in FIG. 3, respectively. . These contents will be described later.
 図7乃至図11は、図1に示す「薬剤ライブラリシステム1」の主な動作例等を示す概略フローチャートである。以下、図7乃至図11のフローチャートに従い、その動作等を説明すると共に、図1乃至図6の構成等についても説明する。 7 to 11 are schematic flowcharts showing main operation examples of the “drug library system 1” shown in FIG. Hereinafter, the operation and the like will be described according to the flowcharts of FIGS. 7 to 11, and the configuration and the like of FIGS. 1 to 6 will be described.
 先ず、図7及び図8を用いて、図1の輸液ポンプ70a等が、特定の薬剤A等の投与中に、アラート信号を発したか否か、及びそのアラート信号の頻度が高いか否かを判断する工程を説明する。 First, using FIG. 7 and FIG. 8, whether or not the infusion pump 70a of FIG. 1 has issued an alert signal during administration of a specific medicine A, etc., and whether the frequency of the alert signal is high. The process of determining will be described.
 先ず、図7のステップST(以下「ST」とする。)1では、図1の輸液ポンプ70a等が、その「輸液ポンプ側ディスプレイ71」に表示された、薬剤A等の薬剤情報である「薬剤ライブラリ」を表示し、特定の薬剤Aの送液動作が実行される。 First, in step ST (hereinafter referred to as “ST”) 1 in FIG. 7, the infusion pump 70 a and the like in FIG. 1 is medicine information such as medicine A displayed on the “infusion pump side display 71”. The “medicine library” is displayed, and the liquid feeding operation of the specific medicine A is executed.
 次いで、ST2へ進む。ST2では、送液動作中に、輸液ポンプ70a等の図2の「アラート信号発生装置76」によりアラート信号が発せられたか否かが判断される。
 具体的には、当該薬剤のソフトリミット超過、ハードリミット抵触等である。
Next, the process proceeds to ST2. In ST2, it is determined whether or not an alert signal is issued by the “alert signal generator 76” of FIG. 2 such as the infusion pump 70a during the liquid feeding operation.
Specifically, the soft limit excess, hard limit conflict, etc. of the drug.
 ST2で「アラート信号」が発せられたときは、ST3へ進む。ST3では、当該輸液ポンプ70aのポンプ番号(例えば、70a)、アラート発生日時、アラート内容(例えば、ソフトリミット超過等)、薬剤名(A)等を図2の「ポンプ側アラート情報記憶部77」に「ポンプ側アラート情報77a」として記憶する。
 この「ポンプ側アラート情報77a」が、「発生頻度情報」の一例となっている。
When an “alert signal” is issued in ST2, the process proceeds to ST3. In ST3, the pump number of the infusion pump 70a (for example, 70a), the date and time when the alert occurred, the alert content (for example, soft limit exceeded, etc.), the medicine name (A), etc. are shown in “Pump-side alert information storage unit 77” in FIG. Is stored as “pump side alert information 77a”.
This “pump-side alert information 77a” is an example of “occurrence frequency information”.
 次いでST4へ進む。ST4では、輸液ポンプ70a等が、「輸液ポンプ側通信装置74」を介して、図2の「ポンプ側アラート情報記憶部77」の「ポンプ側アラート情報」を、薬剤ライブラリサーバ10へ送信する。 Then proceed to ST4. In ST4, the infusion pump 70a and the like transmit “pump-side alert information” in the “pump-side alert information storage unit 77” in FIG. 2 to the drug library server 10 via the “infusion pump-side communication device 74”.
 次いで、ST5へ進む。ST5では、薬剤ライブラリサーバ10が、受信した「ポンプ側アラート情報」を図4の「サーバ側アラート情報記憶部21」の「サーバ側アラート情報21a」として記憶する。 Next, proceed to ST5. In ST5, the drug library server 10 stores the received “pump-side alert information” as “server-side alert information 21a” of the “server-side alert information storage unit 21” in FIG.
 次いで、ST6へ進む。ST6では、図4の「アラート発生高低判断部(プログラム)22」が動作し、図4の「サーバ側アラート情報記憶部21」と「アラート発生高低基準情報記憶部23」を参照する。
 この「アラート発生高低基準情報記憶部23」には、以下の基準情報が記憶されている。
1)輸液ポンプ70a等毎のアラート発生高低の基準情報(輸液ポンプ70a等が1ヶ月にどの程度、アラートを発した場合に「高」と判断するかの情報)。
2)薬剤別の月毎の全般アラート発生高低の基準情報(薬剤A等毎に1ヶ月にどの程度、アラートを発した場合に「高」と判断するかの情報)。
3)薬剤別の時間毎のアラート発生高低の基準情報(薬剤毎及び時間帯(6時~12時等)毎に、1ヶ月にどの程度、アラートを発した場合に「高」と判断するかの情報)。
Next, the process proceeds to ST6. In ST6, the “alert occurrence level determination unit (program) 22” of FIG. 4 operates and refers to the “server side alert information storage unit 21” and “alert occurrence level reference information storage unit 23” of FIG.
In the “alert occurrence level reference information storage unit 23”, the following reference information is stored.
1) Reference information on the level of alert generation for each infusion pump 70a and the like (information on how much the infusion pump 70a etc. determines to be “high” when an alert is issued in one month).
2) Standard information on the level of occurrence of general alerts by month for each drug (information on how much it is determined to be “high” when an alert is issued per month for each drug A, etc.).
3) How often an alert is issued per month for each drug and every time period (6 o'clock to 12 o'clock, etc.) Information).
 そして、図4の「サーバ側アラート情報21a」に累積されたアラートの回数情報と、その発生日時情報から当該薬剤の1ヶ月におけるアラート回数を算出し、このアラート回数と「アラート発生高低基準情報記憶部23」の薬剤別の月毎の全般アラート発生高低の基準情報とを比較し、「全般アラート発生回数/月」の「アラート発生高低情報」を生成し、図4の「アラート発生高低情報付き薬剤ライブラリ記憶部24」の「アラート発生高低情報付き薬剤ライブラリ24a」の一部として記憶される。
 具体的には、「アラート発生高低情報付き薬剤ライブラリ24a」の「全般アラート発生回数/月」の「高低」情報として記憶される。
Then, the number of alerts per month for the drug is calculated from the information on the number of alerts accumulated in the “server-side alert information 21a” in FIG. 4 and the occurrence date / time information, and the number of alerts and “alert occurrence level reference information storage” are calculated. Section 23 "is compared with the monthly general alert occurrence level reference information for each drug, and" alert occurrence level information "of" general alert occurrence count / month "is generated, with" alert occurrence level information "in FIG. It is stored as a part of the “medicine library 24a with alert occurrence height information” in the “medicine library storage unit 24”.
Specifically, it is stored as “high / low” information of “general alert occurrence count / month” in “drug library with alert occurrence height information 24a”.
 本実施の形態では、図4の「アラート発生高低情報付き薬剤ライブラリ24a」で、薬剤名Aは、1ヶ月毎のアラート回数が、「アラート発生高低基準情報記憶部23」の基準から判断して、「高(アラート頻度が高い)」と判断されている。 In the present embodiment, in the “drug library 24a with alert occurrence level information” in FIG. 4, the drug name A is determined based on the criteria of the “alert occurrence level reference information storage unit 23” for the number of alerts per month. , “High (alert frequency is high)”.
 また、ST6では、図4の「サーバ側アラート情報21a」に累積されたアラートの回数情報と、その発生日時情報から、そのアラートの発生の時間帯情報を把握できるので、図4の「アラート発生高低情報付き薬剤ライブラリ24a」内の時間帯情報である例えば、「6時~12時のアラートの発生回数/月」、「12時~18時のアラートの発生回数/月」及び「18時~24時のアラートの発生回数/月」毎のアラートの発生回数を算出し、記憶する。
 そして、これら時間帯毎のアラートの発生回数/月と、「アラート発生高低基準情報記憶部23」の「薬剤別の時間毎のアラート発生高低の基準情報」と比較し、「高低」を判断して、記憶する。
 例えば図4の例では、薬剤Bの「6時~12時のアラートの発生回数/月」が「高」となっているので、薬剤Bは、この時間帯にアラートの発生が高くなっている。
In ST6, since the alert time information accumulated in the “server-side alert information 21a” in FIG. 4 and the occurrence date and time information thereof can be grasped, the alert occurrence time zone information can be obtained. The time zone information in the drug library with high and low information 24a is, for example, “number of alerts generated from 6:00 to 12: 00 / month”, “number of alerts generated from 12:00 to 18: 00 / month” and “18:00 to The number of occurrences of the alert for each “24 o'clock alert occurrence / month” is calculated and stored.
Then, the number of occurrences / month of alerts for each time period and the “reference information for alert occurrence level for each time of each drug” in the “alert occurrence level reference information storage unit 23” are compared, and “high / low” is determined. And remember.
For example, in the example of FIG. 4, since the “number of occurrences of alerts from 6 o'clock to 12 o'clock / month” of drug B is “high”, drug B has a high occurrence of alerts during this time period. .
 なお、「アラート発生高低情報付き薬剤ライブラリ24a」は、図4に示すように、薬剤A、B、C毎の薬剤ライブラリ等の薬剤情報(ソフトリミットの情報等)に、上述のアラートに関する情報が関連付けられているだけでなく、各薬剤の効能、効用等の違いによって、「赤」等の色彩情報も関連付けられている。
 したがって、薬剤情報が輸液ポンプ70a等の「輸液ポンプ側ディスプレイ71」に表示されるときは、この赤等の色彩情報も表示される。
As shown in FIG. 4, the “drug library with alert occurrence height information” 24a includes information on the above-mentioned alert in the drug information (soft limit information, etc.) of the drug library for each drug A, B, and C. In addition to being associated with each other, color information such as “red” is also associated with the difference in efficacy and utility of each drug.
Therefore, when the drug information is displayed on the “infusion pump side display 71” such as the infusion pump 70a, the color information such as red is also displayed.
 この色彩情報は、薬剤の効能、効用等が強く、投与に注意を要する程度を示し、例えば、「赤」は最も注意を要する薬剤のグループとなっている。
 したがって、看護師等が輸液ポンプ70a等の「輸液ポンプ側ディスプレイ71」上の薬剤ライブラリ情報を参照するときは、同時に赤等の色彩情報も視認するので、当該薬剤の投与にどの程度の注意を払うべきかを容易に把握することができる構成となっている。
This color information indicates the degree to which the drug has a strong effect and effect and requires attention for administration. For example, “red” is a group of drugs that require the most attention.
Therefore, when a nurse or the like refers to the drug library information on the “infusion pump side display 71” such as the infusion pump 70a, the color information such as red is also visually recognized at the same time. It is configured so that it can be easily grasped whether to pay.
 次いでST7へ進む。ST7では、図4の「アラート発生高低判断部(プログラム)22」が動作し、図4の「サーバ側アラート情報21a」のポンプ番号(70a等)と「アラート発生日時情報」等を参照し、輸液ポンプ70a毎のアラート発生回数/月を算出する。そして、図4の「アラート発生高低基準情報記憶部23」の「輸液ポンプ70a等毎のアラート発生高低の基準情報」と比較して、その「高低」を判断する。
 その後、図5の「ポンプ毎アラート発生高低情報31a」を生成し「ポンプ毎アラート発生高低情報記憶部31」に「高低」情報と関連付け「ポンプ番号」情報及びアラート発生回数/月と共に記憶する。
Next, the process proceeds to ST7. In ST7, the “alert occurrence level determination unit (program) 22” of FIG. 4 operates, and refers to the pump number (70a etc.) and “alert occurrence date / time information” of “server side alert information 21a” of FIG. The number of alert occurrences / month for each infusion pump 70a is calculated. Then, “high / low” is determined by comparing with “reference information of alert generation high / low for each infusion pump 70a” in “alert generation high / low standard information storage unit 23” of FIG.
Thereafter, “per-pump alert occurrence height information 31a” of FIG. 5 is generated and stored in the “pump alert occurrence height information storage unit 31” in association with the “high / low” information together with the “pump number” information and the number of alert occurrences / month.
 以上の工程で、図4の「アラート発生高低情報付き薬剤ライブラリ24a」には、薬剤毎のアラート発生頻度の「高」又は「低」情報が記憶され、また、各薬剤の時間帯毎のアラート発生頻度の「高」又は「低」情報が記憶される。
 また、図5の「「ポンプ毎アラート発生高低情報31a」には、輸液ポンプ70a等のポンプ番号毎のアラート発生頻度の「高」又は「低」情報が記憶される。
In the above process, the “drug library 24a with alert occurrence level information” in FIG. 4 stores “high” or “low” information of the alert occurrence frequency for each drug, and the alert for each time zone of each drug. Information on “high” or “low” occurrence frequency is stored.
In addition, “high / low” information on the alert occurrence frequency for each pump number of the infusion pump 70a and the like is stored in ““ Alert occurrence level information 31a for each pump ”in FIG.
 これらの情報に基づいて、次の工程で、輸液ポンプ70a等の「輸液ポンプ側ディスプレイ71」に薬剤ライブラリが表示されるとき、同時に「注意喚起」情報を表示するか否かを判断することになる。 Based on these information, in the next step, when the drug library is displayed on the “infusion pump side display 71” such as the infusion pump 70a, it is determined whether or not the “warning” information is displayed at the same time. Become.
 ところで、ST7の次は、図8のST8へ進み、輸液ポンプ70a等の送液動作が終了したか否かが判断される。 By the way, after ST7, the process proceeds to ST8 in FIG. 8, and it is determined whether or not the liquid feeding operation of the infusion pump 70a and the like is completed.
 次いで、図9乃至図11を用いて「注意喚起」情報の表示/非表示等について詳細に説明する。
 先ず、図9のST11では、図5の「通信可能ポンプ特定部(プログラム)32」が動作し、図1の薬剤ライブラリサーバ10と通信可能な輸液ポンプ70a等の輸液ポンプ番号(識別情報)、例えば、70a等を、図5の「通信可能輸液ポンプ情報」として「通信可能輸液ポンプ情報記憶部32」に記憶する。
Next, display / non-display of the “calling attention” information will be described in detail with reference to FIGS. 9 to 11.
First, in ST11 in FIG. 9, the “communicable pump identification unit (program) 32” in FIG. 5 operates and an infusion pump number (identification information) such as the infusion pump 70a that can communicate with the drug library server 10 in FIG. For example, 70a and the like are stored in the “communicable infusion pump information storage unit 32” as “communicable infusion pump information” in FIG.
 そして,当該輸液ポンプ70a等に、薬剤ライブラリ等の薬剤情報を送信する前に、以下の工程で「注意喚起」情報を「輸液ポンプ側ディスプレイ71」に表示するか否かを判断する。
 すなわち、ST12では、「第1注意喚起情報表示可否判断部(プログラム)34」が動作し、「アラート発生高低情報付き薬剤ライブラリ24a」の「全般アラート発生回数/月」の「高低」情報を参照する。「高低」情報としては、「全般アラート発生回数/月」の平均と比べて、例えば○○%高い場合を、高低情報を「高」とする。また、好ましくは、この「高」の情報は、毎週又は毎月自動更新するようにする。
Then, before sending the drug information such as the drug library to the infusion pump 70a or the like, it is determined whether or not “warning” information is displayed on the “infusion pump side display 71” in the following steps.
That is, in ST12, the “first alert information display availability determination unit (program) 34” operates and refers to the “high / low” information of “general alert occurrence count / month” in the “drug library with alert occurrence height information 24a”. To do. As the “high / low” information, the high / low information is set to “high” when, for example, XX% is higher than the average of “general alert occurrence count / month”. Preferably, the “high” information is automatically updated every week or every month.
 次いで、ST13へ進む。ST13では、「アラート発生高低情報付き薬剤ライブラリ24a」の「全般アラート発生回数/月」の高低情報が「高」であるか否かを判断する。
 ST13で、高低情報が「高」の薬剤名、例えば、Aが存在するときは、ST14へ進む。
 ST14では、高低情報が「高」である薬剤名(例えば、A)に、アラートの頻度が高く、注意をすべきとして「注意喚起情報」を関連付け、図5の「第1注意喚起情報付き薬剤ライブラリ情報35a」を生成し、「第1注意喚起情報付き薬剤ライブラリ情報記憶部35」に記憶させる。
Next, the process proceeds to ST13. In ST13, it is determined whether or not the high / low information of “general alert occurrence count / month” in “drug library with alert occurrence height information 24a” is “high”.
In ST13, when there is a drug name whose height information is “high”, for example, A, the process proceeds to ST14.
In ST14, the drug name (for example, A) whose level information is “high” is associated with “warning information” as the alert frequency is high and attention should be paid, and the “medical drug with first attention information” in FIG. Library information 35a "is generated and stored in" drug library information storage unit 35 with first alert information ".
 一方、ST13で、高低情報が「高」の薬剤名が存在しないときは、ST15へ進む。
 ST15では、薬剤名A等と「注意喚起情報」は関連付けずに、図5に示す「第1注意喚起情報付き薬剤ライブラリ情報35b」を生成し、「第1注意喚起情報付き薬剤ライブラリ情報記憶部35」に記憶させる。
On the other hand, in ST13, when there is no drug name having high / low information of “high”, the process proceeds to ST15.
In ST15, “drug library information 35b with first alert information” shown in FIG. 5 is generated without associating the drug name A and the like with “notice information”, and “drug library information storage unit with first alert information” is generated. 35 ".
 次いで、ST16に進む。ST16では、図6の「第2注意喚起情報表示可否判断部(プログラム)41」が動作し、図4の「アラート発生高低情報付き薬剤ライブラリ24a」の「6―12時発生回数/月」等の時間帯情報の「高低」情報を参照する。 Next, proceed to ST16. In ST16, the “second alerting information display availability determination unit (program) 41” in FIG. 6 operates, and “6-12 o'clock occurrence count / month” in the “drug library with alert occurrence level information” in FIG. Refer to the "high and low" information of the time zone information.
 そして、ST17で、高低情報が「高」の「6―12時発生回数/月」等の時間帯情報があるか否かを判断する。
 ST17で、高低情報が「高」の時間帯情報が存在するとき、例えば、図4の「アラート発生高低情報付き薬剤ライブラリ24a」では、薬剤名Bの「6―12時発生回数/月」等の時間帯情報が「高」となり、存在している。
Then, in ST17, it is determined whether or not there is time zone information such as “6-12 o'clock occurrence count / month” where the height information is “high”.
In ST17, when there is time zone information whose height information is “high”, for example, in the “drug library with alert occurrence height information 24a” in FIG. The time zone information of is “high” and exists.
 この場合、高低情報が「高」である「6-10時発生回数/月」等の「時間帯情報」を有する薬剤名Bに「注意喚起情報」を関連付けて、「第1注意喚起情報付き薬剤ライブラリ情報35a、35b」に、かかる情報を付加し、図6の「第2注意喚起情報付き薬剤ライブラリ情報35a―a、35b―a」を生成し、「第2注意喚起情報付き薬剤ライブラリ情報記憶部42」に、図6に示すように記憶する。 In this case, the “warning information” is associated with the drug name B having “time zone information” such as “6-10 o'clock occurrence count / month” whose height information is “high”, Such information is added to the “drug library information 35a, 35b” to generate “drug library information 35a-a, 35b-a with second alert information” in FIG. 6, and “drug library information with second alert information”. The data is stored in the storage unit 42 ”as shown in FIG.
 すなわち、図6の「第2注意喚起情報付き薬剤ライブラリ情報35a―a」は、図5の「第1注意喚起情報付き薬剤ライブラリ情報35a」に「時間帯情報」の「注意喚起情報」を付加したものである。また、「第2注意喚起情報付き薬剤ライブラリ情報35b―a」は、図5の「第1注意喚起情報付き薬剤ライブラリ情報35b」に「時間帯情報」の「注意喚起情報」を付加したものである。 That is, “drug library information 35a-a with second alert information” in FIG. 6 adds “attention information” of “time zone information” to “drug library information 35a with first alert information” in FIG. It is a thing. Further, “drug library information 35b-a with second alert information” is obtained by adding “notice information” of “time zone information” to “drug library information 35b with first alert information” in FIG. is there.
 一方、ST17で、高低情報の「高」の時間帯情報がないと判断されたときは、ST19へ進む。ST19では、図5の「第1注意喚起情報付き薬剤ライブラリ情報35a、35b」に、時間帯情報の「注意喚起情報」を関連付けないで、図6の「第2注意喚起情報付き薬剤ライブラリ情報35a―b、35b―b」を生成し、「第2注意喚起情報付き薬剤ライブラリ情報記憶部42」に記憶する。 On the other hand, if it is determined in ST17 that there is no “high” time zone information of the height information, the process proceeds to ST19. In ST19, the “drug library information 35a, 35b with first alert information” in FIG. 5 is not associated with the “notice information” in the time zone information, and the “drug library information 35a with second alert information” in FIG. -B, 35b-b "is generated and stored in the" drug library information storage unit 42 with second alert information ".
 このように、図6の「第2注意喚起情報付き薬剤ライブラリ情報35a-a、35b-a、35a―b、35b―b」の情報は、図4の「アラート発生高低情報付き薬剤ライブラリ24a」の「全般アラート発生回数/月」の「高低」情報と「6-10時発生回数/月」等の「時間帯情報」の「高低」情報を組み合わせた情報の複数の例となっている。 As described above, the information of “drug library information 35a-a, 35b-a, 35a-b, 35b-b with second alert information” in FIG. 6 is “drug library 24a with alert occurrence height information” in FIG. The “general alert occurrence count / month” “high / low” information and “6-10 o'clock occurrence count / month” etc. “time zone information” “high / low” information are combined as examples.
 次いで、ST20へ進む。ST20では、図6の「第3注意喚起情報表示可否判断部(プログラム)43」が動作し、図5の「ポンプ毎アラート発生高低情報記憶部31」の「ポンプ毎アラート発生高低情報31a」の「高低」情報を参照する。 Next, proceed to ST20. In ST20, the “third alerting information display availability determination unit (program) 43” of FIG. 6 operates, and the “per-pump alert occurrence level information storage unit 31” of FIG. Refer to “High / Low” information.
 次いで、ST21へ進む。ST21では、図5の「ポンプ毎アラート発生高低情報31a」の高低情報に、「高」の「ポンプ番号」があるか否かを判断する。 Next, proceed to ST21. In ST21, it is determined whether or not “high” “pump number” is included in the high and low information of “per-pump alert occurrence height information 31a” in FIG.
 ST21で、図5の「ポンプ毎アラート発生高低情報31a」の高低情報に、「高」の「ポンプ番号」があると判断したときは、ST22へ進む。
 ST22では、高低情報が「高」である「ポンプ番号(例えば、70c)」に「注意喚起情報」を関連付ける。そして、図4の「アラート発生高低情報付きライブラリ24a」を参照して、図6に示すような「第3注意喚起情報付き薬剤ライブラリ情報44a」を生成し、「第3注意喚起情報付き薬剤ライブラリ情報記憶部44」に記憶する。
If it is determined in ST21 that the “pump number” of “high” is included in the height information of “alert pump height information 31a” of FIG. 5, the process proceeds to ST22.
In ST22, “warning information” is associated with “pump number (for example, 70c)” whose height information is “high”. Then, with reference to the “library 24a with alert occurrence height information” in FIG. 4, “drug library information with third alert information 44a” as shown in FIG. 6 is generated, and “drug library with third alert information” It memorize | stores in the information storage part 44 ".
 この「第3注意喚起情報付き薬剤ライブラリ情報44a」は、高低情報が「高」の「ポンプ番号(70c)に、図4の「アラート発生高低情報付きライブラリ24a」の「薬剤名(A、B、C)」、「薬剤情報」「色彩情報」を組合せ、さらに、「注意喚起情報」を組み合わせた情報である。 The “drug library information 44a with third alerting information” includes the “pump number (70c) whose level information is“ high ”and the“ drug name (A, B) ”of the“ library 24a with alert occurrence level information ”in FIG. , C) "," drug information "," color information ", and further," information for alerting ".
 すなわち、「第3注意喚起情報付き薬剤ライブラリ情報44a」は、アラートの発生頻度が「高」であるポンプ番号(70c)が取り扱う可能性のある薬剤名、薬剤情報、色彩情報及び注意喚起情報を「ポンプ番号(70c)」と関連付けた情報となる。 That is, the “drug library information 44a with the third alert information” includes the drug name, the drug information, the color information, and the alert information that can be handled by the pump number (70c) whose alert occurrence frequency is “high”. The information is associated with “pump number (70c)”.
 次いで、ST23へ進む。ST23では、図5の「通信可能輸液ポンプ情報記憶部33」と「第3注意喚起情報付き薬剤ライブラリ情報記憶部44」とを参照する。
 そして、ST24で、「通信可能輸液ポンプ情報記憶部33」のポンプ番号(70a、70b、70c)と「第3注意喚起情報付き薬剤ライブラリ情報記憶部44」のポンプ番号(70c)が一致するか否かを判断する。
Next, the process proceeds to ST23. In ST23, the “communicable infusion pump information storage unit 33” and the “drug library information storage unit 44 with third alert information” in FIG. 5 are referred to.
In ST24, does the pump number (70a, 70b, 70c) of the “communicable infusion pump information storage unit 33” match the pump number (70c) of the “drug library information storage unit 44 with third alert information”? Judge whether or not.
 ST24で、ポンプ番号が一致したときは、ST25へ進む。ST25では、図6の「第3注意喚起情報付き薬剤ライブラリ情報44」の「第3注意喚起情報付き薬剤ライブラリ情報44a」に基づき、薬剤名、薬剤情報及び色彩情報が注意喚起情報と関連付けられて輸液ポンプ70c等に表示される。 When the pump numbers match in ST24, the process proceeds to ST25. In ST25, the drug name, the drug information, and the color information are associated with the alert information based on “the drug library information with the third alert information 44a” in the “third drug alert information with the alert information 44” of FIG. It is displayed on the infusion pump 70c and the like.
 すなわち、「第3注意喚起情報付き薬剤ライブラリ情報44a」に該当する場合、本実施の形態では、輸液ポンプ70cは、アラートの発生頻度が高い輸液ポンプであるとして、輸液ポンプ70cの「輸液ポンプ側ディスプレイ71」に表示された全ての薬剤名等と関連つけて「注意喚起」情報が表示され、看護師等の注意を促す構成となっている。 In other words, in the present embodiment, when the “third drug alert information-added drug library information 44a” is applicable, the infusion pump 70c is assumed to be an infusion pump with a high occurrence frequency of alerts. “Awareness” information is displayed in association with all drug names and the like displayed on the display 71 ”, and the nurse or the like is alerted.
 一方、ST24で、輸液ポンプ70のポンプ番号が一致しないときは、図11のST26へ進む。ST26では、「通信可能輸液ポンプ情報記憶部33」のポンプ番号(70a、70b、70c)と「第3注意喚起情報付き薬剤ライブラリ情報記憶部44」のポンプ番号(70c)が一致しないので、当該輸液ポンプがアラートの発生頻度の高い輸液ポンプでないと判断し、図6の「第2注意喚起情報付き薬剤ライブラリ情報記憶部42」を参照する。 On the other hand, when the pump number of the infusion pump 70 does not match in ST24, the process proceeds to ST26 in FIG. In ST26, the pump number (70a, 70b, 70c) of the “communicable infusion pump information storage unit 33” and the pump number (70c) of the “drug library information storage unit 44 with third alert information” do not match. It is determined that the infusion pump is not an infusion pump having a high alert frequency, and the “drug library information storage unit 42 with second alert information” in FIG. 6 is referred to.
 次いで、ST27へ進む。ST27では、「第2注意喚起情報付き薬剤ライブラリ情報記憶部42」の「第2注意喚起情報付き薬剤ライブラリ情報」に「注意喚起」情報と関連付けられた「時間帯情報」が指定されているか否かを判断する。 Next, proceed to ST27. In ST27, whether or not “time zone information” associated with the “warning information” is specified in “drug library information with second alert information” in “second drug alert information storage section with second alert information” 42. Determine whether.
 図6の「第2注意喚起情報付き薬剤ライブラリ情報」の例示のうち、例えば、「第2注意喚起情報付き薬剤ライブラリ情報35a―a」は、薬剤Bについては「6-12時」の
時間帯情報と「注意喚起情報」が関連付けられている。
 したがって、この例の場合は、「注意喚起」情報と「時間帯情報」が関連付けられているとして、ST28へ進む。
In the example of “drug library information with second alert information” in FIG. 6, for example, “drug library information with a second alert information 35a-a” is “6-12 o'clock” for drug B The information is associated with “warning information”.
Therefore, in the case of this example, it is assumed that “attention” information and “time zone information” are associated with each other, and the process proceeds to ST28.
 ST28では、現在時刻が、この「時間帯情報」、上記の例では「6-12時」に該当するか否かを判断する。
 ST28で、該当していると判断されたときは、ST29へ進む。ST29では、図6の「第2注意喚起情報付き薬剤ライブラリ情報35a―a」に示す薬剤名(A、B、C)、薬剤情報、色彩情報を表示すると共に、薬剤名A及び薬剤名Bについては、そのアラートの発生頻度が高いことから「注意喚起」情報が関連付けられて、輸液ポンプ70a等の「輸液ポンプ側ディスプレイ71」に表示される。
In ST28, it is determined whether or not the current time corresponds to this “time zone information”, and “6-12 o'clock” in the above example.
If it is determined in ST28 that it corresponds, the process proceeds to ST29. In ST29, the drug name (A, B, C), drug information, and color information shown in “drug library information 35a-a with second alert information” in FIG. 6 are displayed, and drug name A and drug name B are displayed. Since the alert is frequently generated, “alert” information is associated and displayed on the “infusion pump-side display 71” such as the infusion pump 70a.
 このように本実施の形態では、注意喚起情報は、すべての薬剤名等との関連で表示されるのではなく、アラートの発生頻度の高い薬剤及び/又は薬剤でも、発生頻度の高い時間帯を選択して、表示される。また、輸液ポンプを選択して表示される。
 このため、すべての薬剤名等について「注意喚起」情報が表示されず、必要な場合を選択して表示されるので、看護師等の利用者に表示の煩わしさを感じさせない効果的な「注意喚起」表示が可能となる。
As described above, in the present embodiment, the alert information is not displayed in association with all drug names or the like, but a drug with a high occurrence frequency of an alert and / or a drug has a high occurrence frequency period. Select and display. The infusion pump is selected and displayed.
For this reason, the “Warning” information is not displayed for all drug names, etc., and is displayed by selecting the necessary cases. Therefore, effective “cautions” that do not make nurses and other users feel annoying the display. "Arouse" can be displayed.
 一方、ST27で、「第2注意喚起情報付き薬剤ライブラリ情報」で「注意喚起」情報と関連付けられた「時間帯情報」が指定されていない場合、図6の例の「第2注意喚起情報付き薬剤ライブラリ情報35a-b」の場合は、当該情報のとおりに、輸液ポンプ70a等の「輸液ポンプ側ディスプレイ71」に表示される(ST30)。 On the other hand, in ST27, when “time zone information” associated with “warning information” is not specified in “medical drug library information with second alert information”, “with second alert information” in the example of FIG. In the case of the “drug library information 35a-b”, it is displayed on the “infusion pump side display 71” such as the infusion pump 70a as per the information (ST30).
 すなわち、薬剤名(A、B、C)、薬剤情報、色彩情報を表示すると共に、薬剤Aにのみ「注意喚起」情報を関連付けて表示させる。
 なお、図6の「第2注意喚起情報付き薬剤ライブラリ情報記憶部42」の例のうち、「第2注意喚起情報付き薬剤ライブラリ情報35b-b」の場合は、「注意喚起」情報が表示されない例となる。
That is, the medicine name (A, B, C), the medicine information, and the color information are displayed, and only the medicine A is displayed in association with the “warning” information.
In the case of “drug library information 35b-b with second alert information” in the example of “drug library information storage unit 42 with second alert information” in FIG. 6, the “notice” information is not displayed. An example.
 このように、本実施の形態では、アラートの発生頻度の高い場合を、輸液ポンプ、薬剤名、時間帯等に場合分けして,細かく判断している。そして、これらの情報を輸液ポンプ70a等に表示する際は、それぞれ、「注意喚起」を必要とする場合に限り、かかる表示を行う構成としている。
 したがって、輸液ポンプ70a等を操作する看護師等の医療従事者に的確に「注意喚起」をすることができ、不要な表示で、看護師等を煩わせることがない。
As described above, in the present embodiment, the case where the frequency of occurrence of alerts is high is divided into cases according to the infusion pump, the drug name, the time zone, and the like, and is determined in detail. And when displaying these information on the infusion pump 70a etc., it is set as the structure which performs this display, only when "attention alert" is required, respectively.
Therefore, it is possible to accurately “warn” a medical staff such as a nurse who operates the infusion pump 70a and the like, and the nurse or the like is not bothered by an unnecessary display.
 また、本実施の形態では、図7及び図8等に示すように、輸液ポンプ70a等の動作中に発生するアラート情報を自動的に取得し、これらに基づいて「注意喚起」の表示が必要な場合を判断し、更新する構成となっている。
 したがって、一旦、アラートの発生頻度が高い、又は低いと設定され、「注意喚起」情報を表示又は非表示とされた場合でも、その後のアラートの発生頻度によっては、自動的に非表示又は表示に変更される構成となっている。
 このように、本実施の形態では、看護師等が薬剤ライブラリサーバ等にアクセスして、「注意喚起」情報の表示又は非表示を変更等する必要がないので、極めて使い易い薬剤ライブラリシステム1となっている。
Further, in the present embodiment, as shown in FIGS. 7 and 8, etc., alert information generated during the operation of the infusion pump 70a, etc. is automatically acquired, and it is necessary to display “warning” based on these alert information. It is the structure which judges a new case and updates.
Therefore, even if the alert occurrence frequency is set to be high or low once and the “warning” information is displayed or hidden, it is automatically hidden or displayed depending on the subsequent alert occurrence frequency. The configuration is changed.
Thus, in this embodiment, since it is not necessary for a nurse or the like to access the drug library server or the like to change the display or non-display of the “warning” information, the drug library system 1 and the extremely easy to use It has become.
 ところで、本発明は、上述の実施の形態に限定されない。本実施の形態では、医療機器として輸液ポンプ70a等を例に説明したが、本発明は、これに限らず、シリンジポンプ等の他の医療機器等でも好適に適用することができる。 By the way, the present invention is not limited to the above-described embodiment. In the present embodiment, the infusion pump 70a and the like have been described as an example of the medical device, but the present invention is not limited to this, and can be suitably applied to other medical devices such as a syringe pump.
 1・・・薬剤ライブラリシステム、10・・・薬剤ライブラリサーバ、11・・・サーバ制御部、12・・・サーバ側入力装置、13・・・サーバ側ディスプレイ、14・・・サーバ側通信装置、20・・・第1各種情報記憶部、21・・・サーバ側アラート情報記憶部、21a・・・サーバ側アラート情報、22・・・アラート発生高低判断部(プログラム)、23・・・アラート発生高低基準情報記憶部、24・・・アラート発生高低情報付き薬剤ライブラリ記憶部、24a・・・アラート発生高低情報付き薬剤ライブラリ、30・・・第2各種記憶部、31・・・ポンプ毎アラート発生高低情報記憶部、31a・・・ポンプ毎アラート発生高低情報、32・・・通信可能ポンプ特定部(プログラム)、33・・・通信可能輸液ポンプ情報記憶部、34・・・第1注意喚起情報表示可否判断部(プログラム)、35・・・第1注意喚起情報付き薬剤ライブラリ情報記憶部、35a、35b・・・第1注意喚起情報付き薬剤ライブラリ情報、35a-a、35b-a、35a-b、35b-b・・・第2注意喚起情報付き薬剤ライブラリ情報、40・・・第3各種情報記憶部、41・・・第2注意喚起情報表示可否判断部(プログラム)、42・・・第2注意喚起情報付き薬剤ライブラリ情報記憶部、43・・・第3注意喚起情報表示可否判断部(プログラム)、44・・・第3注意喚起情報付き薬剤ライブラリ情報記憶部、44a・・・第3注意喚起情報付き薬剤ライブラリ情報、70a、70b、70c・・・輸液ポンプ、71・・・輸液ポンプ側ディスプレイ、72・・・輸液ポンプ側入力装置、73・・・輸液ポンプ制御部、74・・・輸液ポンプ側通信装置、75・・・輸液ポンプ本体部、76・・・アラート信号発生装置、77・・・ポンプ側アラート情報記憶部、77a・・・ポンプ側アラート情報 DESCRIPTION OF SYMBOLS 1 ... Drug library system, 10 ... Drug library server, 11 ... Server control part, 12 ... Server side input device, 13 ... Server side display, 14 ... Server side communication apparatus, DESCRIPTION OF SYMBOLS 20 ... 1st various information storage part, 21 ... Server side alert information storage part, 21a ... Server side alert information, 22 ... Alert generation level judgment part (program), 23 ... Alert generation High and low reference information storage unit, 24... Alert generating drug information storage unit with high and low information, 24 a... Alert generating chemical library with high and low information, 30... Second various storage units, 31. Height information storage unit, 31a... Alert generation level information for each pump, 32... Communicable pump identification unit (program), 33. Information storage unit, 34... First alert information display availability determination unit (program), 35... Drug library information storage unit with first alert information, 35 a, 35 b .. Drug with first alert information Library information, 35a-a, 35b-a, 35a-b, 35b-b ... Drug library information with second alert information, 40 ... Third various information storage unit, 41 ... Second alert Information display availability determination unit (program), 42 ... medicine library information storage unit with second alert information, 43 ... third alert information display availability determination unit (program), 44 ... third alert Drug library information storage unit with information, 44a ... Drug library information with third alert information, 70a, 70b, 70c ... Infusion pump, 71 ... Infusion pump side display, 72 ... Infusion pump side input device, 73 ... Infusion pump control unit, 74 ... Infusion pump side communication device, 75 ... Infusion pump body unit, 76 ... Alert signal generator, 77 ... Pump side alert Information storage unit, 77a ... Alert information on the pump side

Claims (5)

  1.  薬剤情報を医療機器に提供する医療情報管理装置であって、
     前記薬剤情報の提供の際に、当該薬剤情報に関する注意喚起情報を関連付けて提供可能な構成であると共に、
     前記注意喚起情報の提供は、当該薬剤に関し、実際に発生した警告情報の発生頻度情報に基づいて、その要否が判断される構成となっていることを特徴とする医療情報管理装置。
    A medical information management device for providing drug information to a medical device,
    When providing the drug information, the alert information regarding the drug information can be provided in association with the drug information,
    The medical information management apparatus according to claim 1, wherein the provision of the alert information is configured to determine whether or not it is necessary based on occurrence frequency information of warning information that has actually occurred regarding the medicine.
  2.  前記医療機器で発生した前記警告情報の発生頻度情報に基づいて、前記注意喚起情報の提供の要否が判断される構成となっていることを特徴とする請求項1に記載の医療情報管理装置。 The medical information management apparatus according to claim 1, wherein whether or not it is necessary to provide the alert information is determined based on occurrence frequency information of the warning information generated in the medical device. .
  3.  前記警告情報の発生頻度情報は、その発生の時間帯情報を含み、前記警告情報の発生頻度の高い時間帯情報に該当するときに、前記医療機器に前記注意喚起情報が提供される構成となっていることを特徴とする請求項1又は請求項2に記載の医療情報管理装置。 The occurrence frequency information of the warning information includes the time zone information of the occurrence, and the alert information is provided to the medical device when it corresponds to the time zone information with the high occurrence frequency of the warning information. The medical information management apparatus according to claim 1, wherein the medical information management apparatus is a medical information management apparatus.
  4.  前記警告情報の発生頻度情報は、前記医療機器毎に収集され、その発生頻度の高い当該医療機器に対して、前記注意喚起情報が提供される構成となっていることを特徴とする請求項1乃至請求項3のいずれか1項に記載の医療情報管理装置。 The occurrence frequency information of the warning information is collected for each medical device, and the alert information is provided to the medical device having a high occurrence frequency. The medical information management apparatus according to any one of claims 3 to 3.
  5.  薬剤情報を医療機器に提供する医療情報管理方法であって、
     前記薬剤情報の提供の際に、当該薬剤情報に関する注意喚起情報を関連付けて提供可能な構成であると共に、
     前記注意喚起情報の提供は、当該薬剤に関し、実際に発生した警告情報の発生頻度情報に基づいて、その提供の要否を判断する構成となっていることを特徴とする医療情報管理方法。
    A medical information management method for providing drug information to a medical device,
    When providing the drug information, the alert information regarding the drug information can be provided in association with the drug information,
    The provision of the alert information is configured to determine whether or not the provision of the alert information is necessary based on the occurrence frequency information of the warning information that has actually occurred.
PCT/JP2013/059997 2013-04-01 2013-04-01 Medical-information management device and medical-information management method WO2014162486A1 (en)

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