WO2015151963A1

WO2015151963A1 - Guidance-information delivery device, method for controlling guidance-information delivery device, guidance-information delivery program, and guidance-information delivery system

Info

Publication number: WO2015151963A1
Application number: PCT/JP2015/059151
Authority: WO
Inventors: 宏典松政; 上田　智; 勇哉久藤; 大田　恭義
Original assignee: 富士フイルム株式会社
Priority date: 2014-03-31
Filing date: 2015-03-25
Publication date: 2015-10-08
Also published as: JP2015197735A

Abstract

The purpose of this invention is to provide a guidance-information delivery device that can deliver guidance information that serves as a reference for general medical staff, a method for controlling said guidance-information delivery device, a guidance-information delivery program, and a guidance-information delivery system. A medical-task-information acquisition unit (41) acquires medical-task information representing the content of a medical act performed by skilled medical staff, and guidance information (34) consisting of the acquired medical-task information is stored in a guidance-information storage unit (33). In response to a request from general medical staff, a delivery unit (42) reads out the guidance information (34) from the guidance-information storage unit (33) and delivers said guidance information (34) to a client terminal for general staff (11A).

Description

GUIDANCE INFORMATION DISTRIBUTION DEVICE, GUIDANCE INFORMATION DISTRIBUTION DEVICE CONTROL METHOD, GUIDANCE INFORMATION DISTRIBUTION PROGRAM, AND GUIDANCE INFORMATION DISTRIBUTION SYSTEM

The present invention relates to a guidance information distribution device that distributes guidance information that is referred to when performing medical work, a control method for the guidance information distribution device, a guidance information distribution program, and a guidance information distribution system.

In the medical field, various medical work is performed by medical staff such as doctors and nurses. Medical work includes medical practices such as medical examination, treatment, and treatment for patients, and medical-related work related to medical practices such as preparation and maintenance of medical instruments and devices. Medical staffs have different skill levels for medical work depending on experience and ability, and can be broadly classified into skilled medical staff skilled in medical work and general medical staff having less skill than skilled medical staff. Skilled medical staff can perform highly difficult medical work alone, while general medical staff do not provide guidance or guidance to skilled medical staff when performing less experienced medical work or difficult medical work. Support may be required.

・ Skilled medical staff are often busy compared to general medical staff, and therefore cannot always support medical work by general medical staff. Therefore, Japanese Patent Laid-Open No. 2005-173737 proposes a medical information management system that supports medical work by general medical staff. The medical information management system includes a client terminal used by a general medical staff, and an information management server that manages guidance information, which is explanatory information such as medical work techniques, procedures, and notes. The general medical staff requests delivery of guidance information from the client terminal to the information management server when performing medical work with little experience or medical work with high difficulty. The information management server distributes the requested guidance information to the client terminal. Since the distributed guidance information is displayed on the display of the client terminal, the general medical staff can perform medical work while referring to the guidance information even when the support of the skilled medical staff is not obtained.

Some medical work has several different methods and procedures. For example, medical work in which new methods and procedures have been developed due to medical progress, and medical work in which methods and procedures differ depending on the types of medical instruments and medical devices used. In order to properly support medical work by general medical staff, guidance information should be prepared for several different methods and procedures, but the types of medical work and the methods and procedures that exist for each medical work must be prepared. Considering the number of variations, it is not realistic to provide guidance information for every medical work method or procedure. Therefore, as disclosed in Japanese Patent Application Laid-Open No. 2005-173737, in a medical information management system provided to a medical facility in a state where guidance information is stored in an information management server, it is widely used as a medical work method and procedure. In many cases, guidance information is recorded in the guidance information.

However, some medical facilities may not use standard methods or procedures due to budgets or frequency of implementation, or may have established their own methods and procedures. . Providing such medical facilities with guidance information in which explanations of standard techniques and procedures are recorded does not serve as a reference for general medical staff, and may even cause confusion.

In order to solve the above-described problems, the present invention provides a guidance information distribution device capable of distributing guidance information for reference to general medical staff, a guidance information distribution device control method, a guidance information distribution program, and guidance information distribution. The purpose is to provide a system.

In order to achieve the above object, the guidance information distribution apparatus of the present invention includes a medical work information acquisition unit, a guidance information storage unit, a reception unit, and a distribution unit. The medical work information acquisition unit acquires medical work information representing the contents of medical work by skilled medical staff skilled in medical work. The guidance information storage unit stores the medical work information acquired by the medical work information acquisition unit as guidance information for explaining a medical work method and procedure. The reception unit receives a distribution request including designation of at least one medical work selected from a plurality of types of medical work from a client terminal used by a general medical staff having a lower skill level than the skilled medical staff. The distribution unit reads guidance information corresponding to the medical work specified by the specified information from the guidance information storage unit, and distributes the guidance information to the client terminal.

The medical work information acquisition unit preferably includes a photographing unit that photographs medical work by skilled medical staff, and a medical work image photographed by the photographing unit is preferably used as the medical work information.

The photographing unit is preferably at least one of a wearable type photographing device worn on the body of a skilled medical staff and a fixed photographing device installed in a room where medical work is performed.

The medical work information acquisition unit acquires browsing history information of medical information by skilled medical staff from a medical information management device that manages medical information including medical information of patients, and based on the browsing history information, the skilled medical staff It is preferable to specify the medical information browsed for the purpose of medical treatment and the browsing order of the medical information.

The medical work information acquisition unit identifies the equipment used in the treatment performed by the skilled medical staff as the medical work based on the medical record information or the work record information that is the medical information in which the contents of the medical work are recorded. It is preferable to obtain it as information.

Stores qualification information storage unit for storing qualification information related to medical qualifications held by general medical staff, and execution permission / rejection information indicating medical work permitted to be performed by medical qualifications and medical work not allowed to be performed A delivery permission information storage unit and a determination unit that determines whether or not the medical staff that has transmitted the delivery request based on the qualification information and the delivery permission information can perform the medical work specified by the designated information. Preferably, the unit distributes the guidance information when it is determined that the determination unit can perform the operation, and stops the distribution of the guidance information when it is determined that the operation cannot be performed.

The medical work information acquisition unit acquires medical work information when a reception request for guidance information including the designation of medical work is received by the reception unit and the medical work specified by the storage request is performed by skilled medical staff. Is preferred.

It is preferable that the medical work information acquisition unit transmits a work start notification request for transmitting a work start notification to the client terminal of the skilled medical staff when the medical work specified in the storage request is performed.

The control method of the guidance information distribution device according to the present invention includes an acquisition step of acquiring medical work information representing the content of medical work by a skilled medical staff skilled in medical work, and medical work information acquired by the medical work information acquisition unit. From the client terminal used by the general medical staff having a lower skill level than the skilled medical staff and the storing step for storing in the guidance information storage unit as the guidance information for explaining the medical work method and procedure A reception step for receiving a delivery request including designation information designating at least one medical task selected from among the medical tasks, and reading guidance information corresponding to the medical task designated by the designation information from the guidance information storage unit, A distribution step of distributing to the client terminal.

The guidance information distribution program of the present invention includes an acquisition step, a storage step, a reception step, and a distribution step.

The guidance information distribution system of the present invention includes a client terminal used by general medical staff, and a guidance information distribution apparatus that distributes guidance information for explaining a medical work technique and procedure to the client terminal. The distribution device includes a medical work information acquisition unit, a guidance information storage unit, a reception unit, and a distribution unit.

According to the present invention, the medical work information acquisition unit acquires medical work information representing the content of medical practice by skilled medical staff, and stores the acquired medical work information as guidance information in the guidance information storage unit. Even if a person does not perform medical work using a standard method or procedure, or performs a medical practice using a method or procedure unique to the medical facility, the method or procedure conforms to that medical facility. Guidance information can be obtained. In addition, guidance information that conforms to the methods and procedures used at the medical facility is distributed in response to requests from general medical staff, so general medical staff should appropriately perform medical work with reference to the guidance information. Can do.

It is a block diagram of a medical information network system. It is explanatory drawing of electronic medical chart information. It is explanatory drawing of browsing history information. It is explanatory drawing of work record information. It is explanatory drawing of guidance information. It is a block diagram which shows the electric constitution of a guidance information delivery apparatus. It is a block diagram which shows the function of CPU of a guidance information delivery apparatus. It is explanatory drawing which shows an example of the display screen of a client terminal. It is explanatory drawing which shows another example of the display screen of a client terminal. It is explanatory drawing which shows another example of the display screen of a client terminal. It is a flowchart which shows the storing procedure of guidance information. It is a flowchart which shows the delivery procedure of guidance information. It is a functional block diagram of the guidance information delivery apparatus of 2nd Embodiment. It is explanatory drawing of a qualification information storage part. It is explanatory drawing of an implementation permission information storage part. It is a flowchart which shows the delivery procedure of the guidance information of 2nd Embodiment.

[First embodiment]
In FIG. 1, a medical information network system 10 distributes guidance information serving as a reference for medical work to a medical staff terminal device when a medical staff such as a doctor or nurse performs the medical work. System.

Medical work includes medical activities such as examination, treatment, and treatment for patients, and medical-related work such as preparation and maintenance of medical devices and medical devices. The guidance information is explanatory information in which a description of a medical work method, procedure, precautions, and the like is recorded. The medical staff is roughly divided into skilled medical staff skilled in medical work and general medical staff having a lower skill level than skilled medical staff. Skilled medical staff can perform highly difficult medical work alone, while general medical staff do not provide guidance or guidance to skilled medical staff when performing less experienced medical work or difficult medical work. Need support. The guidance information is referred to when a general medical staff performs medical work without guidance or support from skilled medical staff.

The medical information network system 10 includes a client terminal 11, a HIS server 12, a PACS server 13, an imaging unit 14, a guidance information distribution device 15, and a communication network 16 that connects these devices so that they can communicate with each other. The communication network 16 is, for example, a LAN (Local Area Network) or a mobile communication network laid in a medical facility.

The client terminal 11 is a plurality of terminal devices used by medical staff. The medical terminal 18 installed in a medical department such as internal medicine or surgery, and portable information that is taken out from the examination room or examination room and used. Terminal 19. The medical department terminal 18 is a desktop or notebook computer. As the portable information terminal 19, for example, a smartphone, a tablet terminal, a notebook computer, or the like is used. The client terminal 11 is used for referring to guidance information as well as browsing electronic medical records and medical images, inputting medical information to the electronic medical records, inputting various work records such as preparation and maintenance of medical devices and medical devices. The

The HIS server 12 is a hospital information system (HIS) server and is a medical information management device that manages medical information such as electronic medical records. The HIS server 12 includes an electronic medical record storage unit 21 and a medical information storage unit 22. The electronic medical record storage unit 21 stores a plurality of electronic medical record information 23 created for each patient. The electronic medical record information 23 includes basic patient information such as a patient's name, sex, and date of birth, and medical information related to examination, treatment, treatment, and the like given to the patient. The medical information also stores information on the type and name of the instrument used in treatment or surgery.

The medical information storage unit 22 stores browsing history information 25 created for each medical staff, work record information 26 created for each medical device or medical device, and the like. The browsing history information 25 is history information of medical information browsed by the medical staff, and stores the browsed medical information and the browsing date and time. The work record information 26 is information related to work records such as maintenance of medical devices and medical devices, and records the work contents and the types and names of the instruments used for the work.

The HIS server 12 accepts access from the client terminal 11, distributes the electronic medical record information 23 of any patient requested from the client terminal 11, and records the medical information transmitted from the client terminal 11 in the electronic medical record information 23. To do. The HIS server 12 transmits medical information, browsing history information 25 and work record information 26 in response to a request from the guidance information distribution device 15.

The PACS server 13 is a server for a medical image storage communication system (PACS; Picture Archiving and Communication System), and stores a plurality of image data 29 such as radiographic images and endoscopic images in the image storage unit 28. Each image data 29 is associated with the electronic medical record information 23 of the same patient. Therefore, when image data 29 associated with the electronic medical record information 23 being browsed is called from the client terminal 11, the PACS server 13 reads the called image data 29 from the image storage unit 28, and the client Transmit to the terminal 11. The medical image is also a part of the patient's medical information, and the browsing history information 25 described above records the data name and browsing date and time of the image data 29 called from the electronic medical record information 23.

The photographing unit 14 is a plurality of cameras used for photographing medical work by skilled medical staff, and includes a fixed camera 31 and a wearable camera 32. The fixed camera 31 is a fixed photographing device installed in a photographing room, and records a moving image and a sound of medical work by a skilled medical staff as a medical work image. The wearable camera 32 records the medical work image of the skilled medical staff while being worn on the body of the skilled medical staff. The fixed camera 31 and the wearable camera 32 transmit the recorded medical work image to the guidance information distribution device 15 via the communication network 16.

The guidance information distribution device 15 includes a guidance information storage unit 33 in which medical work guidance information 34 is stored. The guidance information storage unit 33 stores in advance guidance information 34 that records descriptions of standard techniques and procedures that are widely used as medical work techniques and procedures. Has a function of storing, as guidance information 34, methods and procedures of medical work uniquely used in medical facilities.

The guidance information distribution device 15 receives a storage request for medical work to be stored as guidance information from the client terminals 11 of general medical staff and skilled medical staff. When the medical work requested to be stored is performed by skilled medical staff, the guidance information distribution device 15 acquires medical work information representing the contents of the medical work, and stores the acquired medical work information as guidance information 34. Stored in the unit 33. For the medical work information, medical work images acquired from the fixed camera 31 and wearable camera 32 are used, as well as medical information of the electronic medical record information 23, browsing history information 25, and information acquired from the work record information 26 are also used. The When the guidance information delivery device 15 receives a delivery request for guidance information 34 from the client terminal 11 of a general medical staff, the guidance information delivery device 15 reads the requested guidance information 34 from the guidance information storage unit 33 and delivers it to the client terminal 11. To do.

2, the electronic medical record storage unit 21 stores a plurality of electronic medical record information 23 created for each patient. Each electronic medical record information 23 stores patient basic information 23a and medical information 23b. The basic patient information 23a stores basic information about the patient, such as patient ID, patient name, sex, and date of birth. The patient ID is identification information given at a medical facility to identify each patient. In the medical information 23b, information related to the medical care of the patient, such as the date and time of the medical examination, the department, the name of the disease, the findings of the doctor, the prescription of the medicine and the remarks, is recorded. In the remark 23c, the type and name of the instrument used in the treatment or surgery when the treatment or surgery is performed in the medical care of the patient is recorded. In the illustrated remark 23c, an infusion stand, an infusion bottle, an infusion tube, an infusion tube, a clamp, a vein needle, and the like are recorded as instruments used in the infusion.

In FIG. 3, the medical information storage unit 22 stores a plurality of browsing history information 25 created for each medical staff. Each browsing history information 25 stores a staff ID and a plurality of browsing information 25a. The staff ID is identification information of a medical staff who has browsed medical information. Each browsing information 25a stores the name of the medical information 23b browsed by the medical staff, the browsing date and the browsing time of the medical information 23b. The illustrated browsing information 001 to 003 is a browsing history of medical information browsed for the diagnosis of lung cancer of the patient P1, and includes the latest chest CT (Computed Tomography) image, chest CT image three months ago, The results of the pathological examination of the lungs are viewed in order. In addition, although the name showing the content of the medical information 23b is stored as the medical information name, the file name and the storage destination address of the medical information 23b may be recorded.

4, the medical information storage unit 22 stores a plurality of work record information 26 for each type of work. The illustrated work record information 26 is a work record of an endoscope cleaning operation, and stores a staff ID, an endoscope ID, a work item, a cleaning date, a cleaning time, a remark, and the like. The staff ID is the staff ID of the medical staff who was in charge of the cleaning work. The endoscope ID is identification information of the cleaned endoscope. The work item stores the name of the work item performed for cleaning the endoscope. In the remark 26a, for example, the type or name of the instrument used for cleaning is stored as information related to the cleaning operation. In the illustrated remark 26a, gauze used for cleaning the endoscope, a neutral cleaning agent, a channel cleaning agent, a waterproof cap, and the like are recorded.

In FIG. 5, the guidance information storage unit 33 stores a plurality of guidance information 34 created for each type of medical work. The guidance information 34 stores a guidance ID, a medical work name, a storage date, a storage time, and medical work information. The guidance ID is identification information given to each guidance information. The medical work name is the name of the medical work whose method and procedure are explained by the guidance information. The medical work information 35 stores at least one of medical work images 35a, medical information 23b, browsing history information 25, and medical record information 35b to 35d acquired from the fixed camera 31 and the wearable camera 32. The The medical work information 35b acquired from the medical information 23b is, for example, a drip use instrument recorded in the remarks 23c. Moreover, the medical work information 35c acquired from the browsing history information 25 is, for example, the name and browsing order of medical information browsed by skilled medical staff. The browsing order is specified from the browsing time. Furthermore, the medical work information 35d acquired from the work record information 26 is, for example, an endoscope cleaning use instrument recorded in the remarks 26a.

In FIG. 6, the guidance information distribution device 15 is configured by installing a control program such as an operating system in a computer and an application program (referred to as guidance information distribution program) 15H for causing the computer to function as the guidance information distribution device 15. The In addition to the display 15A, the guidance information distribution apparatus 15 is provided with an input device 15B, a CPU 15C, a memory 15D, a storage device 15E, and a communication I / F 15F, which are connected via a data bus 15G.

The input device 15B is a keyboard, a mouse, a touch panel integrated with the display 15A, or the like. The storage device 15E is a device that stores various types of data, and includes, for example, a hard disk drive. The storage device 15E stores a control program, a guidance information distribution program 15H, and a guidance information storage unit 33.

The memory 15D is a work memory for the CPU 15C to execute processing. The CPU 15C centrally controls each part of the computer by loading the control program and guidance information distribution program 15H stored in the storage device 15E into the memory 15D and executing processing according to the program. The communication I / F 15F is a communication interface for connecting to the communication network 16 for communication.

7, when the guidance information distribution program 15H is activated, the CPU 15C functions as the reception unit 40, the medical work information acquisition unit 41, and the distribution unit 42 in cooperation with each unit of the computer such as the memory 15D. Of the plurality of client terminals 11, the client terminals used by the general medical staff and the skilled medical staff are shown as a general staff client terminal 11A and a skilled staff client terminal 11B, respectively.

The receiving unit 40 receives a storage request and a distribution request for the guidance information 34 from the general staff client terminal 11A and the skilled staff client terminal 11B. The medical work information acquisition unit 41 acquires medical work information representing the content of medical practice by skilled medical staff. Specifically, the receiving unit 40 receives a request for storing guidance information including designation of medical work, and when the medical work specified by the storage request is performed by skilled medical staff, the medical work information is acquired.

In order to know in advance that the medical work specified by the storage request is performed by the mature medical staff, the medical work information acquisition unit 41 performs the medical work specified by the storage request on the client terminal 11B for the skilled staff. Send a work start notification request to send a work start notification. The medical work information acquisition unit 41 starts acquiring medical work information when a work start notification is received.

The medical work information acquisition unit 41 determines that the medical work specified by the storage request is a medical work that can be referred to by looking at the work scenery where the skilled medical staff is actually working, such as treatment or surgery. The fixed camera 31 and the wearable camera 32 are caused to photograph medical work by skilled medical staff, and the recorded medical work image is acquired as medical work information.

In the case where the medical work specified by the storage request is a treatment or an operation, and the medical work is based on the type of instrument used in the treatment or the operation, the medical work information acquisition unit 41 receives the HIS. The medical information 23b (see FIG. 2) of the electronic medical record information 23 is acquired from the server 12, and the type of instrument used for the treatment or surgery is acquired as medical work information based on the remarks 23c of the medical information 23b.

Furthermore, when the medical work specified by the storage request is a diagnosis based on the browsing of the medical information 23b, the medical work information acquiring unit 41 receives the browsing history information 25 of skilled medical staff from the HIS server 12 (see FIG. 3). ) And the name and browsing order of the medical information 23b browsed by the skilled medical staff are obtained as medical work information.

Further, when the medical work specified by the storage request is a maintenance work of a medical device or a medical device, the medical work information acquisition unit 41 acquires the work record information 26 (see FIG. 4) from the HIS server 12. Then, based on the remarks 26 a of the work record information 26, the type of instrument used for the maintenance work is acquired as medical work information. The medical work information acquired by the medical work information acquisition unit 41 is stored in the guidance information storage unit 33 (see FIG. 5) as medical work guidance information 34.

When the reception unit 40 receives a distribution request for guidance information 34 from the general staff client terminal 11A, the distribution unit 42 reads the guidance information 34 specified in the distribution request from the guidance information storage unit 33 and transmits the distribution request. To the general staff client terminal 11A.

FIG. 8 is an example of a display screen displayed on the display of the general staff client terminal 11A. The display screen 45 includes a main display area 45a in which the electronic medical record information 23 of the patient delivered from the HIS 12 is displayed, and a sub display area 45b provided in the upper right part of the main display area 45a and in which the guidance information 34 is displayed. I have. The illustrated guidance information 34 is a moving image in which a scene where a skilled medical staff performs an injection as a medical work is taken, and a medical work image taken by the fixed camera 31 is used.

As shown in FIG. 9, the sub display area 45c on which the guidance information 34 is displayed may be provided in the entire right end portion of the main display area 45a. The exemplified guidance information 34 is the type of instrument used in the endoscope cleaning operation. Further, when a plurality of videos and character information are prepared as guidance information, one guidance information, for example, a video is displayed in the main display area 45a of the display screen 45 as shown in FIG. Character information may be displayed in 45b.

Operation of the storage of the guidance information 34 and the distribution of the guidance information 34 with the above configuration will be described. In FIG. 11, when general medical staff and skilled medical staff need guidance information for medical work not stored in the guidance information storage unit 33, the general staff client terminal 11A and the skilled staff client terminal 11B A request for storing the guidance information 34 is transmitted to the guidance information distribution device 15 (S10).

The reception unit 40 of the guidance information distribution device 15 inputs the storage request received from the client terminal 11 to the medical work information acquisition unit 41. The medical work information acquisition unit 41 transmits a work start notification request for requesting to transmit a work start notification when the medical work specified in the storage request is performed to the skilled staff client terminal 11B (S11). When performing the medical work specified by the work start notification request, the skilled staff client terminal 11B transmits a work start notice to the guidance information distribution device 15 (YES in S12). Upon receiving the work start notification, the medical work information acquisition unit 41 starts acquiring medical work information (S13).

When the medical work specified by the storage request is a medical work that is helpful when looking at the work scenery where a skilled medical staff is actually working, such as treatment or surgery, the medical work information acquisition unit 41 is fixed. The camera 31 and the wearable camera 32 photograph medical work by skilled medical staff, and the recorded medical work image is acquired as medical work information. Further, in the case where the medical work specified by the storage request is a procedure or an operation and the type of instrument used in the procedure or the operation is a reference, the medical information 23b ( 2), and the type of instrument used for the treatment or operation is acquired as medical work information based on the remarks 23c of the medical information 23b.

Furthermore, when the medical work specified by the storage request is a diagnosis based on the browsing of the medical information 23b, the medical work information acquiring unit 41 acquires the browsing history information 25 (see FIG. 3) of the skilled medical staff. The name and browsing order of the medical information 23b browsed by skilled medical staff are acquired as medical work information. Further, when the medical work specified by the storage request is a maintenance work of a medical device or a medical device, the work record information 26 (see FIG. 4) is acquired and based on the remarks 26a of the work record information 26. The type of instrument used for the maintenance work is acquired as medical work information.

The medical work information acquisition unit 41 uses the medical work information acquired from the imaging unit 14, medical information 23b, browsing history information 25, work record information 26, etc. as guidance information 34 for medical work, as a guidance information storage unit 33 (see FIG. 5). (S14).

In FIG. 12, the general medical staff transmits a distribution request for guidance information 34 from the general staff client terminal 11 </ b> A to the guidance information distribution device 15 when performing a medical operation with little experience or a high degree of difficulty. (S20). The reception unit 40 of the guidance information distribution device 15 inputs the distribution request received from the general staff client terminal 11 </ b> A to the distribution unit 42. The distribution unit 42 reads the medical work guidance information 34 designated by the distribution request from the guidance information storage unit 33 (S21), and distributes it to the client terminal 11A for general staff that has transmitted the distribution request (S22).

8, the guidance information 34 distributed to the general staff client terminal 11A is displayed in a sub display area 45b provided in the upper right part of the display screen 45 of the display. The general medical staff can refer to the guidance information 34 displayed in the sub display area 45b even if the medical work is less experienced or difficult, so that medical care can be performed without the support of skilled medical staff. Work can be done.

Further, since the guidance information 34 is displayed on a part of the display screen 45, the electronic medical record information 23 can be confirmed at the same time. Furthermore, since the guidance information 34 is displayed in a small size in the sub display area 45b, it is possible to make it difficult for the patient to see the guidance information 34. When the patient learns that the medical staff is performing medical work while referring to the guidance information 34, the patient may have doubts about the skill of the medical staff and may feel anxious, so the patient can see the guidance information 34. The difficulty is also useful to avoid anxiety to the patient.

As described above, the medical work information acquisition unit 41 acquires medical work information representing the content of medical practice by skilled medical staff, and stores the acquired medical work information as guidance information 34 in the guidance information storage unit 33. Therefore, even if the medical facility does not perform medical work using the standard methods and procedures, or even if the medical facility conducts medical practices using its own methods and procedures, Guidance information 34 suitable for the procedure can be obtained. In addition, since the guidance information 34 conforming to the method and procedure used in the medical facility is distributed in response to a request from the general medical staff, the general medical staff appropriately performs medical work with reference to the guidance information 34. It can be carried out.

In addition, the guidance information 34 stores videos of medical practices of skilled medical staff, types and order of medical information viewed by skilled medical staff, instruments used in procedures, surgery, maintenance work, etc. Guidance information 34 can be created for the entire medical work performed at the facility.

The guidance information distribution device 15 receives a request for storing the guidance information 34, and acquires the medical work information when the medical work specified by the storage request is performed by a skilled medical staff. Can be created appropriately. In addition, a work start notification request for transmitting a work start notification is transmitted to the skilled staff client terminal 11B when a medical work specified by the storage request is performed, and a medical work is performed when the work start notification is received. Since information is acquired, the acquisition timing of medical work information is not missed.

Hereinafter, a second embodiment of the present invention will be described. In addition, the same code | symbol is used about the same structure as 1st Embodiment, and detailed description is abbreviate | omitted.

[Second Embodiment]
In recent years, with the advancement of medical care and aging, it is expected that the burden on the medical field will increase, so the movement to introduce the qualification as a specific nurse who can engage in advanced medical work than conventional nurses There is. In order to solve the shortage of human resources of anesthesiologists, it is also considered to introduce a qualification as a nurse anesthesia so that nurses with high ability and practical experience can perform anesthesia. In this way, when the medical qualification as a nurse increases and the medical work carried out by the medical qualification is different, the medical work guidance information that can be performed only by medical staff with an arbitrary medical qualification There is a possibility of delivery to the staff. If guidance information for medical work without qualification is distributed to medical staff who do not have medical qualification, it may cause medical malpractice. In the present embodiment, whether or not the guidance information is permitted to be distributed is determined according to the qualifications of medical staff.
To be able to come out.

As shown in FIG. 13, the guidance information distribution device 50 of this embodiment includes a qualification information storage unit 51, an implementation permission / rejection information storage unit 52, and a determination unit 53. As shown in FIG. 14, the qualification information storage unit 51 stores a staff ID of a medical staff and a medical qualification held by the medical staff. The illustrated medical staff N0001 to N0003 have the qualifications of a nurse, a specific nurse, and a nursing anesthesia respectively.

As shown in FIG. 15, the enforcement permission / inhibition information storage unit 52 registers the medical actions that the nurse, the specific nurse, and the nurse anesthesia are not permitted or permitted. Medical activities that are permitted to be performed are registered as “OK”, and medical activities that are not permitted to be performed are registered as “NG”. For example, conventional nurses are not allowed for all of “diagnosis of initial symptoms”, “prescription”, “medication”, “administration of anesthetics”, “nerve block” and “tracheal intubation”. On the other hand, the specific nurse is permitted to “diagnose initial symptoms”, “prescription”, and “medication”. In addition, a nurse anesthesia is permitted “administration of anesthetic”, “neural block”, and “tracheal intubation”.

As shown in FIG. 16, when receiving a distribution request from the general staff client terminal 11A (S10), the determination unit 53 confirms the medical qualification of the general medical staff who transmitted the distribution request based on the qualification information (S30). ), Whether or not the medical work specified in the distribution request is permitted by the general medical staff who has transmitted the distribution request is determined based on the execution permission / denial information (S31). The determination result of the determination unit 53 is input to the distribution unit 42. When it is determined that the determination unit 53 can execute the distribution (YES in S31), the distribution unit 42 reads the guidance information 34 from the guidance information storage unit 33 (S11), and distributes it to the general staff client terminal 11A (S12). ). If the determination unit 53 determines that the implementation is not possible (NO in S31), the distribution of the guidance information 34 is stopped.

According to the present embodiment, when the general medical staff does not have the qualification that can be performed for the medical work requested to be distributed, the distribution of the guidance information 34 is stopped. In addition, it is possible to prevent delivery of guidance information on medical work that cannot be performed, and to prevent occurrence of medical errors in advance. In addition, since the system regarding the specific nurse and the nurse anesthesia illustrated is not introduced in the country at present, it can be applied after the introduction. In addition, nurses were explained as an example of medical staff, but it can also be applied to medical qualifications such as doctors and radiographers, where medical qualifications are subdivided and the medical work that can be performed differs for each subdivided qualification. is there.

In each of the above embodiments, guidance information for medical work requested to be stored by the medical staff is created. However, when any skilled medical staff performs medical work or medical work that is not stored in the guidance information storage unit When the above is implemented, guidance information may be created. Moreover, although the portable information terminal 19 was illustrated as the client terminal 11, for example, a wearable terminal having a shape such as glasses or goggles may be used as the client terminal 11.

Furthermore, in the above embodiment, the guidance information distribution device 15 is provided individually, but the function of the guidance information distribution device 15 may be provided in the HIS server 12 or the PACS server 13. Further, although the guidance information storage unit 33 is provided in the guidance information distribution device 15, it may be provided in another server inside or outside the medical facility. In addition, although the medical information 23b, the browsing history information 25, and the work record information 26 are illustrated as information from which the medical work information is acquired, the medical work information may be acquired based on other various medical information.

Claims

A medical work information acquisition unit for acquiring medical work information representing the contents of the medical work by skilled medical staff skilled in medical work;
A guidance information storage unit for storing the medical work information acquired by the medical work information acquisition unit as guidance information for explaining a method and procedure of the medical work;
A receiving unit that receives a delivery request including designation of at least one medical work selected from a plurality of types of the medical work from a client terminal used by a general medical staff having a lower skill level than the skilled medical staff; ,
A distribution unit that reads the guidance information corresponding to the medical work specified by the specified information from the guidance information storage unit and distributes the guidance information to the client terminal;
A guidance information distribution device comprising:
The guidance information distribution according to claim 1, wherein the medical work information acquisition unit includes a photographing unit that photographs the medical work performed by the skilled medical staff, and uses the medical work image photographed by the photographing unit as the medical work information. apparatus.
The said imaging | photography part is at least 1 of the wearable imaging device with which the said expert medical staff is mounted | worn, and the fixed imaging device installed in the room where the said medical operation is performed. Guidance information distribution device.
The medical work information acquisition unit acquires browsing history information of the medical information by the skilled medical staff from a medical information management device that manages medical information including medical information of a patient, and based on the browsing history information, The guidance information distribution device according to claim 1, wherein the medical information browsed by the expert medical staff for the purpose of medical treatment of the patient and the browsing order of the medical information are specified.
The medical work information acquisition unit is a device used in the treatment performed by the skilled medical staff as the medical work based on the medical care information or work record information that is medical information in which the contents of the medical work are recorded. The guidance information distribution device according to claim 4, wherein the guidance information distribution device is specified and acquired as the medical work information.
A qualification information storage unit for storing qualification information about the medical qualification held by the general medical staff;
An implementation permission / rejection information storage unit that stores implementation permission / rejection information indicating medical work that is permitted by the medical qualification and medical work that is not permitted to be performed;
Based on the qualification information and the implementation permission / prohibition information, the general medical staff who has transmitted the delivery request determines whether or not the medical work designated by the designation information can be performed,
With
2. The distribution unit according to claim 1, wherein the distribution unit distributes the guidance information when the determination unit determines that implementation is possible, and stops the distribution of the guidance information when it is determined that implementation is impossible. Guidance information distribution device.
When the medical work information acquisition unit receives a request for storing the guidance information including the designation of the medical work in the receiving unit, and the medical work specified by the storage request is performed by the skilled medical staff, The guidance information distribution apparatus according to claim 1, wherein the medical work information is acquired.
The medical work information acquisition unit transmits a work start notification request for transmitting a work start notification to the client terminal of the skilled medical staff when the medical work specified in the storage request is performed. 8. The guidance information distribution device according to 7.
An acquisition step of acquiring medical work information representing the contents of the medical work by skilled medical staff skilled in medical work;
A storage step of storing the medical work information acquired by the medical work information acquisition unit in a guidance information storage unit as guidance information for explaining the method and procedure of the medical work;
An accepting step of receiving a distribution request including designation of at least one medical work selected from a plurality of types of the medical work from a client terminal used by a general medical staff having a lower skill level than the skilled medical staff; ,
A delivery step of reading the guidance information corresponding to the medical work designated by the designation information from the guidance information storage unit and delivering it to the client terminal;
A control method for a guidance information distribution apparatus comprising:
An acquisition step of acquiring medical work information representing the contents of the medical work by skilled medical staff skilled in medical work;
A storage step of storing the medical work information acquired by the medical work information acquisition unit in a guidance information storage unit as guidance information for explaining the method and procedure of the medical work;
An accepting step of receiving a distribution request including designation of at least one medical work selected from a plurality of types of the medical work from a client terminal used by a general medical staff having a lower skill level than the skilled medical staff; ,
A delivery step of reading the guidance information corresponding to the medical work designated by the designation information from the guidance information storage unit and delivering it to the client terminal;
Guidance information distribution program that causes a computer to execute.
A client terminal used by a general medical staff who is less skilled than a skilled medical staff skilled in medical work, and a guidance information distribution device for delivering guidance information for explaining the medical work method and procedure to the client terminal; In a guidance information distribution system comprising
The guidance information distribution device
A medical work information acquisition unit for acquiring medical work information representing the content of the medical work by the skilled medical staff;
A guidance information storage unit that stores the medical work information acquired by the medical work information acquisition unit as the guidance information;
A receiving unit that receives a delivery request including designation of at least one medical work selected from a plurality of types of the medical work from the client terminal of the general medical staff;
A distribution unit that reads the guidance information corresponding to the medical work specified by the specified information from the guidance information storage unit and distributes the guidance information to the client terminal;
A guidance information distribution system.