WO2019216066A1

WO2019216066A1 - System and system control method

Info

Publication number: WO2019216066A1
Application number: PCT/JP2019/014842
Authority: WO
Inventors: 山下　雅宣; 井上　雅之; 海里姫野; 雅史西角
Original assignee: コニカミノルタ株式会社
Priority date: 2018-05-09
Filing date: 2019-04-03
Publication date: 2019-11-14
Also published as: JPWO2019216066A1

Abstract

[Problem] To provide a system that allows care to be provided with confidence, while reducing the load of unnecessary confirmation tasks or similar on care staff responding to an event. [Solution] The present invention has: a detection unit that detects a movement of a subject within each observation region; a determination unit that, on the basis of the output of the detection unit, determines whether an event has occurred in each observation region; a management unit that, when it has been determined that an event has occurred, transmits information relating to the output of the detection unit and information relating to the subject who caused the event; an information manager terminal that receives and displays the information relating to the output of the detection unit and the information relating to the subject, accepts, from an information manager, instructions relating to a response to the subject, and supplements the instructions with the information relating to the subject as supplemental information; and a staff terminal that can receive the supplemental information and the instructions accepted by the information manager terminal.

Description

System and system control method

The present invention relates to a system and a system control method. In particular, the present invention relates to a system for performing care for a subject and a method for controlling the system.

In Japan, the life expectancy has been remarkable due to the improvement of living standards, the improvement of sanitary environment, and the improvement of medical standards accompanying high economic growth after the war. For this reason, coupled with the decline in the birth rate, the aging society has a high aging rate. In such an aging society, an increase in the number of care recipients who need care is expected due to illness, injury, and aging.

要 Caregivers may fall while walking in a facility such as a hospital or a welfare facility for the elderly, or may fall from a bed and be injured. Therefore, in order to make it possible for nurses and caregivers to rush immediately when a person requiring care is in such a state, development of a system for detecting the state of the person requiring care has been advanced. Yes.

In the nurse call system disclosed in Patent Document 1 as such a system, it is determined whether or not the patient is in the state of getting up or getting out of bed from the captured image of the camera installed on the patient's bed. When the user wakes up or leaves, the captured video of the camera is displayed on the nurse call master unit provided in the nurse station.

JP 2014-90913 A

However, there are differences in the skills of the care staff who are the care practitioners. Moreover, the care target person who moves into a facility has various states (degree of care required, degree of support required). On the other hand, when an event such as a care call occurs, all staff members are uniformly notified of the event occurrence. Also, care staffs do not always have enough information to respond to events, and as a result, useless confirmation work occurs, putting unnecessary burden on care staff and losing confidence. A case has arisen. On the other hand, the prior art disclosed in Patent Document 1 cannot cope with such a problem.

In addition, there are some notifications from each target person that need to be dealt with and unnecessary, and all notifications reach all staff terminals. There is a risk of overlooking information. Even in the same type of notification, in the case of an elderly person who needs care, since the physical function and the cognitive function are greatly different for each resident, the notified situation varies. As a result, whether or not a response (care) is necessary or what kind of care is necessary even if necessary is different for each case. It is difficult to accurately determine and deal with them with only limited information from the sensor. On the other hand, care itself is a one-on-one task, and it is highly likely that the individual who responds to the problem will be held responsible, and the staff always receives and responds to many notifications while being exposed to the pressure. , It will be a great mental and physical burden.

The present invention has been made to solve such problems. That is, an object of the present invention is to provide a system and a method for controlling the system, which can reduce the burden caused by unnecessary confirmation work by the care staff corresponding to the event and can perform care with confidence.

The above-mentioned problem of the present invention is solved by the following means.

(1) A detection unit that is provided in each of the plurality of observation regions and detects the movement of the subject in the observation region, and a predetermined event related to the subject in each of the observation regions based on the output of the detection unit When the determination unit determines that the event has occurred, and transmits information regarding the output of the detection unit and information regarding the subject who generated the event Receives and displays a management unit, information related to the output of the detection unit from the management unit, and information related to the target person, and receives an instruction from the information manager regarding the response to the target person, An information manager terminal that adds information about the target person as additional information, and a portable terminal that is carried by a staff member who handles the target person. System with the instruction and received by the information manager terminal, and a staff terminal capable of receiving and appended the additional information on the instruction.

(2) The information related to the target person includes a special note in the care record registered in the management unit in a time period from a current time to a time that is a predetermined time, and the information manager terminal as information about the target person Among the displayed special notes, information specified by the information manager is received as the additional information, and the additional information that can be received by the staff terminal is information specified by the information manager, The system according to (1).

(3) The information manager terminal further displays a selection screen for causing the information manager to select the staff who performs the response to the target person when receiving information related to the output of the detection unit, The selection by the information manager is received as the instruction, and the comment by the information manager regarding the response to the target person who has generated the event with respect to the selected staff is further received as the additional information. ) Or the system according to (2).

(4) The system according to any one of (1) to (3), wherein the detection unit detects a nurse call as a movement of the subject, and the predetermined event includes the nurse call.

(5) A control method for a system having a detection unit provided in each of a plurality of observation areas, an information manager terminal, and a staff terminal carried by a staff who handles the target person. And (a) detecting the movement of the subject in each of the observation regions, and determining whether or not a predetermined event related to the subject occurs in each of the observation regions based on the output of the detection unit. If it is determined in step (b) that the predetermined event has occurred in step (b), the information management includes information relating to the output of the detection unit and information relating to the subject who has caused the event. Transmitting to the person terminal, and information relating to the output of the detection unit and information relating to the target person by the information manager terminal. And (d) receiving an instruction from an information manager regarding the response to the subject who has generated the event, and adding information regarding the subject as additional information to the instruction; A control method including the step (e) of transmitting the instruction received in the step (d) and the additional information added to the instruction to the staff terminal.

When the occurrence of an event is determined from the output of the detection unit provided in the observation area of the care target person, information related to the output of the detection part and information related to the care target person are displayed. An information manager terminal that receives an instruction and additional information added to the instruction from the information manager is provided. And the instruction | indication and the said additional information are transmitted to the terminal of the care staff who performs care to the said care subject from an information manager terminal. Thereby, while being able to reduce the burden by the useless confirmation work etc. by the care staff corresponding to an event, care can be performed with confidence.

It is a figure which shows the whole structure of a watching system. It is a figure which shows the example of the detection part installed in the bed periphery of a care subject's room. It is a block diagram which shows schematic structure of a detection part. It is a block diagram which shows schematic structure of a management server. It is a figure which shows the example of an event list. It is a figure which shows the example of a service record. It is a figure which shows the example of the care work diary. It is a block diagram which shows schematic structure of an information manager terminal. It is a block diagram which shows schematic structure of a portable terminal. It is a flowchart which shows operation | movement of a watching system. It is a figure which shows the example of an event display screen. It is a figure which shows the example of a care staff selection screen. It is a figure which shows an additional information input screen. It is a figure which shows the example of the response instruction | indication displayed on the care staff terminal.

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

(overall structure)
FIG. 1 is a diagram illustrating an overall configuration of a monitoring system according to the present embodiment, and FIG. 2 is a diagram illustrating an example of a detection unit installed around a bed in a room of a care target person.

As shown in FIG. 1, the monitoring system 1 includes a plurality of detection units 10, a management server 20, an information manager terminal 30, and one or more care staff terminals (staff terminals) 40. These are connected so as to be able to communicate with each other via a network 50 such as a LAN (Local Area Network), a telephone network, or a data communication network by wired or wireless. The network 50 may include a repeater such as a repeater, bridge, router, or cross-connect that relays communication signals. In the example illustrated in FIG. 1, the care staff terminal 40 includes a network such as a wireless LAN (for example, a LAN according to the IEEE 802.11 standard) including the detection unit 10, the management server 20, the information manager terminal 30, and the access point 51. 50 are connected so that they can communicate with each other.

The watching system 1 is disposed at an appropriate place according to the care target person 70 (target person). The person to be treated 70 (person to be watched over) is, for example, a patient who needs nursing due to illness or injury, a cared person who needs care due to deterioration of physical ability due to aging, or a single person living alone. . In particular, from the viewpoint of enabling early detection and early action, the care target person 70 may be a person who needs the detection when a predetermined adverse event such as an abnormal condition occurs in the person. For this reason, the watching system 1 is suitably arranged in a building such as a hospital, a welfare facility for the elderly, and a dwelling unit according to the type of the person 70 to be treated. In the example illustrated in FIG. 1, the monitoring system 1 is disposed in a building of a facility including a plurality of rooms including a plurality of rooms (living rooms) and a care station (also referred to as a nurse station) in which a plurality of care target persons 70 move. Yes.

The detection unit 10 is disposed in each room that is an observation area of the care subject 70. In the example illustrated in FIG. 1, four detection units 10 are arranged in the rooms of A, B, C, and D, who are care subjects 70. The observation area of the detection unit 10 includes a bed 60. A care staff (staff) 80 who performs care (care) such as nursing or care for the care target person 70 carries a care staff terminal 40 that is a portable terminal. However, the position, the number, and the like of each component included in the watching system 1 are not limited to the example illustrated in FIG. For example, the management server 20 may not be arranged in the care station but may be an external server unit connected to the network 50. Further, the information manager terminal 30 may be omitted, and the management server 20 or the care staff terminal 40 may be responsible for the function.

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

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

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

The camera 13 is arranged, for example, on the ceiling of the living room or on the upper part of the wall, images the bed 60 of the care target 70 as an observation area, and outputs a captured image (image data). Hereinafter, an image captured by the camera 13 is also simply referred to as a “captured image”. The captured image includes an image including the care target person 70. The captured image includes a still image and a moving image. Although the camera 13 is a near-infrared camera, a visible light camera may be used instead, or these may be used in combination.

The control unit 11 recognizes the action of the care target person 70 from the captured image captured by the camera 13. The action to be recognized includes “getting up” getting up from the bed 60, “getting out” getting away from the bed 60, and “falling” falling down on the floor or the like.

The control unit 11 detects an image silhouette (hereinafter referred to as “human silhouette”) from a plurality of captured images (moving images). The human silhouette can be detected by, for example, extracting a pixel range having a relatively large difference based on a time difference in which images having different shooting times are added. The person silhouette may be detected by a background subtraction method that subtracts the background image from the captured image. The recognition of getting up, getting out of bed, and falling is performed from the detected person silhouette based on the posture of the care target person 70 (for example, standing, sitting, lying down, etc.) and the relative position with the installation in the room such as the bed 60, Recognize the difference between getting out of bed and falling (falling). These recognitions may be performed by a program processed by the CPU of the control unit 11 or may be performed by a built-in processing circuit. Further, the present invention is not limited to this, and all or most of these recognition processes may be performed on the management server 20 side, and the control unit 11 may only transmit a captured image to the management server 20. When recognizing any action, the control unit 11 transmits a notification that the action has occurred to the management server 20 or the like.

Here, when the work of the care staff 80 is a care work for the care target person 70, the contents of correspondence regarding each event will be described. “Wake up” is determined as an event, and if the determination is within a predetermined time (wake time set in the facility (for example, 7 to 8 am)), morning care is performed. This morning care includes face washing, brushing assistance, denture wearing, changing clothes assistance, and the like. In the case of an event “getting out of bed”, wheelchair transfer and walking assistance may be required. Moreover, there are beverage and meal assistance, excretion assistance, wheelchair transfer, walking assistance, and posture change (preventing pressure ulcer) as a regular (regular) event other than the event determined by the detection unit 10. These periodic events may be alerted when the regular time is reached by the care call unit 14 or the like.

The care call unit 14 includes a push button type switch, and detects a care call (nurse call) when the switch is pressed by the care target person 70. Instead of a push button switch, a care call may be detected by a voice microphone. When the switch of the care call unit 14 is pressed, that is, when a care call is detected, the control unit 11 sends a notification (care call notification) that there is a care call via the communication unit 12 and the network 50, etc. Send to.

The voice input / output unit 15 is, for example, a speaker and a microphone, and enables voice calls by transmitting / receiving voice signals to / from the information manager terminal 30 via the communication unit 12. The voice input / output unit 15 may be connected to the detection unit 10 via the communication unit 12 as an external device of the detection unit 10.

The detection unit 10 transmits and receives microwaves to and from the bed 60 to detect a Doppler shift type body motion sensor that detects a microwave Doppler shift caused by a body motion (for example, respiratory motion) of the care subject 70, Further, it may be provided. By this body motion sensor, the body motion of the chest (vertical motion of the chest) associated with the breathing motion of the care subject 70 is detected, and the period of the body motion of the chest is disturbed or less than a preset threshold value. When the amplitude in the body movement is detected, it is recognized that the body movement is abnormal.

In the present embodiment, a change in the state recognized by the detection unit 10 related to the care target person 70, and an event that should be reported (notified) to the care staff 80 such as getting up, getting out of bed, falling, abnormal movement of the minute body, etc. Is called an event. This event includes a care call by the care call unit 14. That is, the detection unit 10 may detect a care call by the subject 70 as the motion of the subject 70 in the observation region. The detection unit 10 transmits (outputs) information about the event that has occurred and the captured image to the management server 20.

(Management server 20)
FIG. 4 is a block diagram illustrating a schematic configuration of the management server. The management server 20 functions as a management unit and includes a control unit 21, a communication unit 22, and a database 23. The management server 20 may be provided in the same building as the room for the care target person 70, or may be provided in a remote place and connectable via a network. For example, the management server 20 may be a cloud server that is virtually constructed by a plurality of servers arranged on a network such as the Internet. Each component is communicably connected to each other via a bus. The database 23 functions as a storage unit, and stores an event list, a photographed image, and various other information regarding the care target person 70 and the care staff 80. Since the other control part 21 and the communication part 22 have the same function as each structure of the detection part 10, detailed description is abbreviate | omitted.

The management server 20 functions as a determination unit by itself or in cooperation with the detection unit 10, and the events such as getting up, getting out of bed, falling, care call, etc. recognized by the detection unit 10 are related to which care target person 70. Is determined (identified). This determination is based on the room number in which the detection unit 10 that has recognized the event is installed, and determines the care target person 70 (that is, the resident of the room) associated therewith. Then, the determined event type and the care target person 70 are associated and added to the event list of the database 23. In the present embodiment, the care target 70 is determined by reading the IC tag with an RFID reader provided in each room when the care target 70 carries the IC tag. Also good. In addition, when there are a plurality of care target persons 70 in one room such as a shared room, the care target person 70 may be determined by arranging the detection unit 10 for each bed 60.

The management server 20 transmits to the information manager terminal 30 an event notification including the type of event and the basic information of the care target person 70 who generated the event. The management server 20 can further transmit the captured image to the information manager terminal 30. The event notification constitutes information related to the output of the detection unit 10. The information regarding the output of the detection unit 10 may include a captured image.

FIG. 5 is a diagram showing an example of an event list.

The event list includes event information and tagged images for each event that occurred.

The event information includes an event ID, a room number, a care target, an event type, and an occurrence date (event detection time). Although the name is described in the column of the care target person as identification information (basic information) for specifying the care target person 70, the ID or room number of the care target person may be used. A tagged image is a captured image associated with an event, for example, a captured image in which an event is detected. The management server 20 can retain the tagged image without erasing it until there is an erasure instruction.

The management server 20 records the service record and the nursing care diary in the database 23. Service records and nursing care diaries make up nursing records.

FIG. 6 is a diagram showing an example of service records. The service record records all the contents that the care staff 80 cares for each care target person 70, and the daily state of the care target person 70 can be seen from the service record. As will be described later, the service record is input from the care staff terminal 40 by the care staff 80. The service records respectively input to the care staff terminal 40 are transmitted to the management server 20, and are collected as daily service records for each care target person 70 and recorded in the database 23.

In the service record, the name of the care target 70, the date of care, the service record classification, the time of care, the contents of the record, the recordr, and special designation are recorded. The service record classification is a classification of the type of care, and includes, for example, a care record and a support record. The recorded content includes a wide range of content related to care, and includes, for example, the content of the care, the response and state of the care target 70 with respect to the care, and the result of the vital check.

In the service record, a check box is provided in the special note column for checking a record to be a special note for each recorded item. The record specified as the special note by checking the check box is reflected as the description content of the special note in the nursing care diary. The special notes can be specified for a record to be shared by all the care staff members 80, for example, the point where the care target person 70 has changed normally. In the example of FIG. 6, the record that Mr. 101 of A was absent from recreation and the result of body temperature measurement at 15:15 was 36.8 ° C., which was slightly higher than usual, was designated as a special note. ing. The special note constitutes information on the target person.

FIG. 7 is a diagram showing an example of a nursing care diary. The nursing care diary is a record that allows an overview of the entire day of the facility, and includes special notes on care. In the example of FIG. 7, the fields other than those relating to the recording of the special remarks are blank, but this is for the sake of simplification of description, and all the contents to be recorded are recorded. In addition, as for the recording of the special remarks, a larger number of records can be actually made. However, the example of FIG. 7 shows a part of the recording of the special remarks.

Special notes are specified in the service record as described above. Note that the special note can be added from an input unit (not shown) of the management server 20. The care diary can be added and corrected from the input unit of the management server 20.

In the example of FIG. 7, the result of the body temperature measurement at 15:15 at the time of 15:15 when 101 A who was designated as a special note in the service record shown in FIG. The record that it is a little higher is reflected in the nursing care diary.

In the care diary, special notes about the care target person 70 in the facility other than 101 A are also recorded. The care work diary includes main contents shared when the care staff 80 takes over.

(Information manager terminal 30)
FIG. 8 is a block diagram showing a schematic configuration of the information manager terminal. The information manager terminal 30 is a so-called PC (Personal Computer) and includes a control unit 31, a communication unit 32, a display unit 33, an input unit 34, and a voice input / output unit 35, which are connected to each other by a bus. . The control unit 31 includes a CPU, a RAM, a ROM, and the like as the same configuration as the control unit 11 of the detection unit 10.

The communication unit 32 is an interface for various local connections such as a wired communication network interface based on a standard such as Ethernet (registered trademark), a wireless communication interface based on a standard such as Bluetooth (registered trademark), IEEE 802.11, or the like. 50 communicates with each terminal connected to 50.

The display unit 33 is a liquid crystal display, for example, and displays various types of information including event notifications and captured images.

The input unit 34 includes a keyboard, a numeric keypad, a mouse, etc., and inputs various information.

The voice input / output unit 35 is a headset including a speaker and a microphone, for example. The voice input / output unit 35 acquires (detects) the voice of the information manager 90 with a microphone, and transmits the acquired voice signal to the detection unit 10. The audio input / output unit 35 outputs the audio signal received from the detection unit 10 through a speaker.

In the present embodiment, the information manager terminal 30 is used as a terminal for the information manager 90, displays various information in the facility to the information manager 90, and accepts inputs such as instructions. Here, the information manager 90 is a manager who supervises a plurality of care staffs 80. The information manager 90 may manage the care staff 80 working at a plurality of facilities as well as one facility. The information manager 90 can also be called a care director.

Also, the display unit 33 and the input unit 34 display event notifications and captured images received from the management server 20, or display various operation screens and accept various operations through the operation screens. The operation screen includes an event display screen, a staff selection screen, and an additional information input screen, which will be described later. The various operations include an instruction as to whether the care staff 80 cares for the event, an instruction for selecting the care staff 80 who cares for the event, and an instruction for adding additional information.

Further, the care staff 80 or the technical staff associates the room number with the detection unit 10 when the detection unit 10 is attached to each room (living room) through the information manager terminal 30, or the bed 60 or the like. The position information of the installed object in the living room, that is, the outline information of the upper view by the camera 13 on the ceiling is calibrated and designated. In addition, the identification information such as the name and ID number of the care target person 70 who is hospitalized or occupies is associated with each room number.

(Care staff terminal 40)
FIG. 9 is a block diagram illustrating a schematic configuration of the mobile terminal. The care staff terminal 40 includes a control unit 41, a wireless communication unit 42, a display unit 43, an input unit 44, and a voice input / output unit 45, which are connected to each other via a bus. The control unit 41 includes a CPU, a RAM, a ROM, and the like as the same configuration as the control unit 11 of the detection unit 10. The wireless communication unit 42 can perform wireless communication using a standard such as Wi-Fi or Bluetooth (registered trademark), and performs wireless communication with each device via the access point 51 or directly. The display unit 43 and the input unit 44 are touch panels, in which a touch sensor as the input unit 44 is superimposed on the display surface of the display unit 43 configured by liquid crystal or the like. Various instructions are displayed to the care staff 80 by the display unit 43 and the input unit 44. The display unit 43 and the input unit 44 display various operation screens that list a plurality of events included in the event list, and accept various operations through the operation screens. The voice input / output unit 45 is, for example, a speaker and a microphone, and enables a voice call by the care staff 80 with another care staff terminal 40 via the wireless communication unit 42. The voice input / output unit 45 can enable a voice call between the care staff 80 and the information manager 90 with the information manager terminal 30. The care staff terminal 40 is a device that functions as a user interface of the watching system 1, and can be configured by a portable communication terminal device such as a tablet computer, a smartphone, or a mobile phone.

The detection unit 10, the management server 20, the information manager terminal 30, and the care staff terminal 40 may include components other than the above-described components, or may not include some of the above-described components. Also good.

Explain the operation of the watch system.

FIG. 10 is a flowchart showing the operation of the watching system. In order to simplify the explanation, in the example of FIG. 10, a flowchart in the case where the event is a care call is shown.

The detection unit 10 captures a captured image (S1) and transmits it to the management server 20 (S2). When detecting the care call (S3), the detection unit 10 transmits a care call notification to the management server 20 (S4).

The management server 20 determines that an event has occurred by receiving the received care call notification (S5). That is, the management server 20 determines that an event has occurred by recognizing the occurrence of a care call event and the care subject 70 in which the event has occurred based on the care call notification.

If the management server 20 determines that an event has occurred, the management server 20 extracts to the information manager terminal 30 not only the event notification, but also a special note regarding the care target person 70 who generated the event from the care work diary recorded in the database 23. (S6).

When the information manager terminal 30 receives the event notification and the special note from the management server 20 (S6), the information manager terminal 30 displays the event notification and the special note on the event display screen (S7).

FIG. 11 is a diagram showing an example of an event display screen.

In the example of the event display screen in FIG. 11, “Care Call for Mr. A” is displayed, so that “Care Call” is the type of event and “ “Mr. A” is displayed. Also, a special note regarding Mr. A is displayed. In the example of FIG. 11, a captured image of the room of Mr. A who is the care target person 70 who generated the event is also displayed on the event display screen. The captured image is transmitted from the management server 20 to the information manager terminal 30.

On the event display screen, a button for selecting whether or not the information manager 90 instructs the care staff 80 to care for the care subject 70 (corresponding to the care subject 70) may be displayed. When it is determined that the information manager 90 instructs the care staff 80 to care for the care target 70 based on the photographed image or the like, the information manager 90 selects the “instruct” button and further selects the “OK” button. . When the information manager 90 determines that care for the care target 70 is not particularly necessary for the care call, the “do not instruct” button may be selected, and the “OK” button may be selected.

Note that an event list (see FIG. 5) may be further displayed on the event display screen. The information manager terminal 30 can acquire the event list from the database 23 of the management server 20 and display the event list on the event display screen.

When the care target person 70 is an elderly person who needs care, the physical function and the cognitive function are greatly different for each care target person 70. Since it is such a situation, even if the event type notified by the detection unit 10 is the same, whether the care is necessary or not is determined in consideration of the situation of the care target person 70. There is a need. Under such circumstances, it is difficult to accurately determine and deal with only limited information from the detection unit 10, that is, information on the type of event, and even for an event that is not actually necessary, The response of care staff 80 was required.

Also, the care staff 80 who provides care has different skills and experiences (years of work experience), has many job changes, and even veterans require time to get used to the new workplace and environment. Furthermore, physical strength and energy (mind) change depending on the elapsed time from the day's work. Under such circumstances, the care staff 80 itself has processed the uniform notification (response request) accompanying the occurrence of the event with its own judgment. Under such circumstances, depending on the situation of the skill and the like of the individual care staff 80, there is a risk that correspondence may vary or leak.

In the present embodiment, in view of such a situation, the information manager 90 displays the event information (event notification) in which the situation of the care target person 70 can be recognized and the photographed image on the information manager terminal 30. Appropriate judgment can be made, and it is possible to prevent variation in response to care and leakage.

When the “Instruct” button is selected and the “OK” button is selected on the event display screen, the information manager terminal 30 designates the care staff 80 who performs care for the care target person 70 as the information manager 90. A care staff selection screen for making the user select is displayed (S8).

The information manager terminal 30 accepts selection of the care staff 80 for performing care of the care target person 70 by the information manager 90 on the care staff selection screen (S9).

FIG. 12 is a diagram showing an example of a care staff selection screen.

On the selection screen, buttons for selecting each care staff 80 are displayed, and the information manager 90 selects one of the buttons, and further selects the “OK” button. An instruction to select the care staff 80 to perform is input. The selection instruction of the care staff 80 is an instruction to respond to the event to the selected care staff 80 (hereinafter referred to as “response instruction”), and constitutes an instruction regarding the response to the subject.

When the information manager terminal 30 receives the selection of the care staff 80 on the selection screen (S9), the information manager terminal 30 displays the additional information input screen (S10).

FIG. 13 is a diagram showing an additional information input screen.

In the example of FIG. 13, additional information is displayed to the information manager 90 by displaying “Please select additional information to be transmitted to staff A who cares for Mr. A” on the additional information input screen. Prompt for input. The additional information is information that is added to the response instruction and transmitted to the care staff terminal 40. The additional information may include special notes recorded in the care work diary and comments by the information manager 90 in responding to the event. As will be described later, the additional information is added to the response instruction and transmitted to the care staff terminal 40 of the care staff 80 selected on the care staff selection screen. As a result, information that is not necessarily sufficient only for information included in the event notification and is effective for responding to the event can be provided to the care staff 80 as additional information.

The special information recorded in the nursing care diary is displayed on the additional information input screen. The special remarks to be displayed may be special remarks in the nursing care diary registered in the database 23 of the management server 20 in a time period from the present to a time that is a predetermined time back. The predetermined time may be any time from 24 hours to 48 hours, for example. In addition, a check box for selecting the additional information to be added to the corresponding instruction as additional information is displayed. The information manager 90 checks a check box of a special item to be selected as additional information, and selects an OK button. As a result, the special note whose check box is checked is accepted as additional information. In the example of FIG. 13, all the special notes recorded in the nursing care diary are selected as additional information.

Note that the information manager terminal 30 can use all of the special notes received from the management server 20 as additional information even when the special instructions added as additional information are not selected by the information manager 90. In this case, when a special note is displayed on the additional information input screen, a check box for selecting what is added to the corresponding instruction as additional information is not displayed.

The additional information input screen is provided with an additional information input field for receiving comments by the information manager 90 in response to the event as additional information. In the example of FIG. 13, in the additional information input field, a comment “Mr. A has an old wound on the right foot, so be careful when transferring.” Is entered by the information manager 90. When a comment is input in the additional information input field and the OK button is selected, the comment input in the additional information input field is accepted as additional information.

It should be noted that matters to be noted according to the personality and physical characteristics of each care target person 70 and the care procedure according to each care target person 70 are registered in advance in the database 23 of the management server 20. Then, on the additional information input screen, the matter to be noted and the care procedure may be displayed together with a check box capable of selecting whether to add to the handling instruction as additional information. At this time, a check box may be displayed so that the matter to be noted and a part of the care procedure can be selected as additional information.

The information manager terminal 30 adds the additional information received on the additional information input screen to the corresponding instruction (S11) and transmits it to the management server 20 (S12).

The management server 20 transmits a response instruction to the care staff terminal A of the selected care staff 80 (S13). As a result, a response instruction is received by the care staff terminal A, and the additional information is displayed at the care staff terminal A together with an instruction to respond to the event for the selected care staff 80 included in the response instruction. As a result, the care staff 80 carrying the care staff terminal A recognizes the instruction to respond to the event and the additional information. The care staff 80 who has recognized the response instruction enters the room of the care target person 70 and performs care according to the instruction. Note that no response instruction is transmitted to the care staff terminal B of the care staff 80 that is not selected on the selection screen.

FIG. 14 is a diagram showing an example of the response instruction displayed on the care staff terminal.

In the example of FIG. 14, the care staff 80 is instructed to respond to the event by displaying “There was a care call from Mr. A in room 101. Please respond.” Further, special information selected by the information manager 90 is displayed as additional information. Further, a comment by the information manager 90 in response to the event is displayed as additional information.

This embodiment has the following effects.

Furthermore, special information in the care record registered in the management department in the time zone from the present to a time that is a predetermined time back is included in the information about the target person. The information manager terminal further accepts, as additional information, information specified by the information manager among the special instructions displayed as information about the target person. The additional information that can be received by the staff terminal is set as information specified by the information manager. Thereby, it is possible to cause the staff corresponding to the target person to recognize additional information reflecting useful information including the latest state of the target person and to perform the response of the target person.

Furthermore, when the information manager terminal receives information related to the output of the detection unit, the information manager terminal further displays a selection screen for causing the information manager to select a staff member who will handle the target person. Then, selection by the information manager is accepted as an instruction, and a comment by the information manager regarding the response to the target person with respect to the selected staff is further accepted as additional information. As a result, the information manager can appropriately advise the care staff.

Furthermore, a care call is detected as a predetermined event. Thereby, while being able to reduce the burden by the useless confirmation work etc. by the care staff corresponding to a care call, care can be performed with confidence.

The configuration of the monitoring system described above is the main configuration for describing the features of the above-described embodiment, and is not limited to the above-described configuration, and can be variously modified within the scope of the claims. Moreover, the structure with which a general watching system is provided is not excluded.

For example, in the present embodiment, the management server 20 of the monitoring system 1 functions as a determination unit, and the management server 20 includes the database 23. However, the management server 20, the database is omitted, and the information manager terminal 30 or Any of the detection units 10 may function as a determination unit or may include a database.

In the above-described embodiment, the detection unit 10, the management server 20, the information manager terminal 30, and the care staff terminal 40 are each described as one device. However, the present embodiment is not limited to this. For example, for each configuration, an information processing device that executes various types of determination processing and a device that executes other processing may be configured separately. In this case, the information processing apparatus and the apparatus that executes other processes are connected via a wired or wireless connection.

Further, the processing in the monitoring system 1 according to the above-described embodiment may include steps other than the steps of the above-described flowchart, or may not include a part of the above-described steps. Further, the order of steps is not limited to the above-described embodiment. Furthermore, each step may be combined with other steps and executed as a single step, included in another step, executed, or divided into a plurality of steps.

In addition, in the database 23, the situation of the care target person 70 (age, physical function, and cognitive function index), the experience value of the care staff 80 (work experience years, workplace experience years), the duty elapsed time (from the duty work) Time) may be stored and displayed on the information manager terminal 30 together with the event notification. As a result, the information manager 90 can more appropriately determine the response to the event and appropriately instruct the care staff 80.

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

This application is based on a Japanese patent application (Japanese Patent Application No. 2018-090754) filed on May 9, 2018, the disclosure of which is referred to and incorporated as a whole.

1 watching system,
10 detector,
11 Control unit,
12 Communication Department,
13 Camera,
14 Care Call Department,
15 Voice input / output unit,
20 management server,
21 control unit,
22 Communication Department,
23 database,
30 Information manager terminal,
31 control unit,
32 communication department,
33 display section,
34 Input section,
35 Voice input / output unit,
40 Care staff terminal,
41 control unit,
42 wireless communication unit,
43 Display section,
44 Input section,
45 Voice input / output unit,
50 network,
51 access points,
60 beds,
70 Persons to care for,
80 Care staff,
90 Information manager.

Claims

A detection unit that is provided in each of the plurality of observation regions and detects the movement of the subject in the observation region;
A determination unit that determines presence or absence of occurrence of a predetermined event related to the subject in each of the observation regions based on the output of the detection unit;
When the determination unit determines that the event has occurred, a management unit that transmits information related to the output of the detection unit and information related to the subject who generated the event;
The information on the output of the detection unit and the information on the target person are received and displayed from the management unit, and an instruction from the information manager about the correspondence to the target person is received, and the instruction is related to the target person. An information manager terminal for adding information as additional information;
A portable terminal carried by a staff member who handles the target person, the staff terminal capable of receiving the instruction received by the information manager terminal and the additional information added to the instruction;
Having a system.
The information on the subject includes a special note in a care record registered in the management unit in a time zone from a present time to a time that is a predetermined time back,
The information manager terminal receives, as the additional information, information specified by the information manager among the special notes displayed as information on the target person,
The system according to claim 1, wherein the additional information that can be received by the staff terminal is information designated by the information manager.
The information manager terminal further displays a selection screen for causing the information manager to select the staff who performs the response to the target person when receiving information related to the output of the detection unit, and the information management terminal The selection by the person is received as the instruction, and the comment by the information manager regarding the response to the target person who has generated the event for the selected staff is further received as the additional information. The system described.
The detection unit detects a nurse call as the movement of the subject,
The system according to any one of claims 1 to 3, wherein the predetermined event includes the nurse call.
A control method of a system having a detection unit provided in each of a plurality of observation areas, an information manager terminal, and a staff terminal carried by a staff who performs correspondence to a target person,
Detecting the movement of the subject in each of the observation regions by the detection unit (a);
A step (b) of determining whether or not a predetermined event related to the subject occurs in each of the observation regions based on the output of the detection unit;
If it is determined in step (b) that the predetermined event has occurred, transmitting information relating to the output of the detection unit and information relating to the subject who has caused the event to the information manager terminal (C),
The information manager terminal receives and displays information related to the output of the detection unit and information related to the target person, and accepts instructions from the information manager regarding the response to the target person who generated the event. A step (d) of adding information on the subject as additional information to the instruction;
(E) transmitting the instruction received in the step (d) and the additional information added to the instruction to the staff terminal;
Control method.