WO2014162486A1 - Dispositif et procédé de gestion d'informations médicales - Google Patents
Dispositif et procédé de gestion d'informations médicales Download PDFInfo
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- 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)
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- information
- alert
- drug
- medical
- infusion pump
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT 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
- G16H20/17—ICT 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
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT 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
- G16H40/60—ICT 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
- G16H40/67—ICT 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
L'invention vise à proposer un dispositif de gestion d'informations médicales ou similaire capable de changer automatiquement s'il faut ou non fournir un affichage ou similaire d'un "avis clinique", constitué d'informations de type "mise en garde" relatives à des informations de médicaments, en fonction de la fréquence à laquelle cette alerte survient. La présente invention vise un dispositif de gestion d'informations médicales (10) servant à fournir des informations de médicaments à un dispositif médical (70a), le dispositif de gestion d'informations médicales (10) étant configuré de manière à pouvoir associer et fournir des informations de mise en garde relatives aux informations de médicaments au moment de fournir lesdites informations de médicaments, et étant configuré de manière à déterminer si la fourniture d'informations de mise en garde est nécessaire ou non sur la base d'informations de fréquence d'occurrence (77a) pour les informations d'alerte concernant les occurrences réelles relatives audit médicament.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2018128824A (ja) * | 2017-02-08 | 2018-08-16 | ニプロ株式会社 | 輸液装置の管理システム、輸液装置の管理装置、および、プログラム |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2005063269A (ja) * | 2003-08-18 | 2005-03-10 | Minolta Co Ltd | 医療支援システム |
JP2006059054A (ja) * | 2004-08-19 | 2006-03-02 | Advanced Telecommunication Research Institute International | 看護事故警告システム |
JP2006302197A (ja) * | 2005-04-25 | 2006-11-02 | Hitachi Medical Corp | 医療過誤防止システム |
JP2006323620A (ja) * | 2005-05-19 | 2006-11-30 | Hitachi Ltd | 医療事故防止支援システム |
JP2007148768A (ja) * | 2005-11-28 | 2007-06-14 | Keakomu:Kk | 看護支援システム |
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2013
- 2013-04-01 WO PCT/JP2013/059997 patent/WO2014162486A1/fr active Application Filing
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2005063269A (ja) * | 2003-08-18 | 2005-03-10 | Minolta Co Ltd | 医療支援システム |
JP2006059054A (ja) * | 2004-08-19 | 2006-03-02 | Advanced Telecommunication Research Institute International | 看護事故警告システム |
JP2006302197A (ja) * | 2005-04-25 | 2006-11-02 | Hitachi Medical Corp | 医療過誤防止システム |
JP2006323620A (ja) * | 2005-05-19 | 2006-11-30 | Hitachi Ltd | 医療事故防止支援システム |
JP2007148768A (ja) * | 2005-11-28 | 2007-06-14 | Keakomu:Kk | 看護支援システム |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2018128824A (ja) * | 2017-02-08 | 2018-08-16 | ニプロ株式会社 | 輸液装置の管理システム、輸液装置の管理装置、および、プログラム |
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