WO2020008953A1 - Medical material management system and medical material management method - Google Patents

Abstract

This medical material management system comprises: a fitted member that is fitted on a patient and that has a first recording medium on which first patient identifying information that identifies the patient is recorded; a conveying member which accommodates a plurality of types of medical material used in medical treatment, and to which is attached a second recording medium on which is recorded second patient identifying information that identifies a patient receiving the medical treatment; and an information processing terminal that determines whether or not the first patient identifying information and the second patient identifying information coincide.

Description

Medical material management system and medical material management method

The present invention relates to a medical material management system and a medical material management method.

Conventionally, SPD is known as a medical material management system in a hospital. SPD stands for Supply, Processing, and Distribution.By precisely managing the distribution of medical materials according to the needs of the medical site, eliminating dead stock and excess inventory of medical materials It is a system for the purpose of reducing the billing / ordering business and preventing omission of insurance claims.
For example, in a supply management system for medical articles described in Japanese Patent Application Laid-Open No. Hei 6-52201, an article master table that stores data of articles and a regular supply quantity table that stores the number of regular replenishments in the department in use are used. Then, an order card with a bar code, which records the number of regular replenishments for each use section, is printed. An order card is attached to a pack in which a predetermined number of articles are wrapped, and delivered to a parts shelf of a use department.

By the way, when providing medical practice such as surgery to a patient, the number of medical materials used for the patient may become enormous. It may be accommodated and transported. In such a case, it is necessary to ensure that the transport member is used for the intended patient.

Therefore, an object of the present invention is to ensure that medical materials are provided to a target patient.

One embodiment of the present invention includes a mounting member that is mounted on a patient and has a first recording medium on which first patient identification information for identifying the patient is recorded, and a plurality of medical materials used for medical procedures. A transport member on which a second recording medium on which second patient identification information for identifying the patient to whom the medical practice is provided is recorded, and whether the first patient identification information and the second patient identification information match And a data processing terminal for determining whether or not the medical material management system is used.

According to an embodiment of the present invention, it is possible to ensure that medical materials are provided to a target patient.

It is a schematic diagram explaining the work procedure by the conventional medical material management system. It is a schematic diagram explaining the work procedure by the medical material management system of an embodiment. FIG. 6 is a diagram illustrating an example of a label issuing method in the medical material management system according to the first embodiment. FIG. 4 is a diagram illustrating an RFID inlay included in a label. FIG. 6 is a diagram illustrating another example of a label issuing method in the medical material management system according to the first embodiment. It is a block diagram of the medical material management system shown in FIG. FIG. 6 is a diagram illustrating still another example of a label issuing method in the medical material management system according to the first embodiment. FIG. 2 is a diagram illustrating a system configuration when performing master registration, order registration, inspection processing, and collection processing in the medical material management system according to the first embodiment. It is a figure explaining work after inspection processing in the medical material management system of a 1st embodiment. It is a block diagram of the medical material management system shown in FIG. It is a figure showing the example of data composition of an operation set master database. It is a figure showing the example of data composition of an order database. It is a figure showing the example of data composition of an inspection database. 5 is a sequence chart when performing master registration in the medical material management system according to the first embodiment. It is a figure which illustrates the screen transition of the portable terminal at the time of performing master registration in the medical material management system of the first embodiment. It is a sequence chart at the time of order registration in the medical material management system of the first embodiment. It is a figure which illustrates the screen transition of the portable terminal at the time of performing order registration in the medical material management system of the first embodiment. It is a figure which shows the example of a screen of the management device after registering an order in the medical material management system of 1st Embodiment. It is a sequence chart at the time of performing inspection processing in the medical material management system of 1st Embodiment. It is a figure which illustrates the screen transition of the portable terminal at the time of performing inspection processing in the medical material management system of 1st Embodiment. It is a figure which illustrates the screen transition of the portable terminal at the time of performing inspection processing in the medical material management system of 1st Embodiment. It is a figure showing the example of a screen of the management device during inspection processing in the medical material management system of a 1st embodiment. It is a figure showing the example of a screen of a personal digital assistant after inspection processing was completed in the medical material management system of a 1st embodiment. It is a figure showing an example of a picking list. It is a figure showing an example of a picking header. It is a figure showing the example of a screen of the management device after inspection processing was completed in the medical material management system of a 1st embodiment. It is a sequence chart at the time of performing collection processing in the medical material management system of a 1st embodiment. It is a figure which illustrates the screen transition of the portable terminal at the time of performing collection processing in the medical material management system of the first embodiment. It is a figure showing the example of a screen of the management device during collection processing in the medical material management system of a 1st embodiment. It is a figure showing an example of the picking header in the medical material management system of a 2nd embodiment. It is a top view of a wristband used in the medical material management system of a 2nd embodiment. It is a figure showing the system outline of the medical material management system of a 2nd embodiment.

In the present invention, “medical material” means an article such as a medical device, a device, or a medicine necessary for providing a medical practice.
In the present invention, the “RFID inlay” is an IC chip with an antenna for performing wireless communication at a relatively short distance, and is also referred to as an RFID tag or a wireless tag.
In the present invention, "warehouse" means a storage place for storing medical materials.

Hereinafter, a plurality of embodiments of the medical material management system and the medical material management method of the present invention will be described with reference to the drawings.

(1) First Embodiment (1-1) Outline of Medical Material Management System First, differences between a conventional medical material management system and the medical material management system of the present embodiment will be described with reference to FIGS. I do. FIG. 1 is a schematic diagram illustrating an operation procedure by a conventional medical material management system. FIG. 2 is a schematic diagram illustrating an operation procedure by the medical material management system according to the present embodiment.

As shown in FIG. 1, in a conventional medical material management system, medical materials are sequentially delivered from a distribution center to a hospital, and are placed on stock shelves (an example of a warehouse of the present invention) in a warehouse (hospital SPD warehouse) in the hospital. You.
When the operation schedule of the patient is determined in the operating room, an operation schedule is issued in the operating room and distributed to the warehouse (operation S1). The operation schedule includes the scheduled operation date and time, the name of the attending physician, patient information (patient name and patient ID, etc.), surgical procedure, anesthesia method (whole body, local), room (room number for performing the operation, etc.), nursing for each operation This is a form in which information such as a teacher name is described.

The warehouse staff registers the operation schedule on the terminal. One operation corresponds to one order. Next, for example, three days before the operation, a list (picking list) of medical materials required for the operation of the operation described in the operation schedule is created (operation S2). The picking list contains a large amount of medical material, which can amount to hundreds in a single operation. Therefore, in the picking list, a plurality of medical materials to be taken out of the stock shelf are described in units of trays (an example of containers).

For example, two days before the operation, the picking staff performs a picking operation (operation S3) for unloading the medical materials included in the picking list from the inventory shelf, and visually inspects the medical materials in each tray (operation S4). I do. In the inspection work, the expiration date of each medical material on the picking list is confirmed, and it is also confirmed one by one whether or not the number of each medical material has been taken out of the inventory shelf without excess or shortage. This confirmation work is performed, for example, by two people in pairs. One person speaks out the extracted medical materials one point at a time, and the other person writes the check contents in the picking list. In particular, since there is a medical material having the same exterior product but different contents, it is necessary to check and observe one point at a time.
If there is no problem in the inspection work, for example, on the day before the operation, a plurality of trays containing the delivered medical materials are placed on the cart CT (operation S5) and transported to the operating room (operation S6). Depending on the operation, two or more carts CT may be required. The progress of the cart CT is performed by hand using another form.

(4) In the operating room, an operation is performed on the patient using the medical material placed on the cart CT (operation S7). When the operation is completed, the cart CT is transported to the warehouse again (operation S8), and the medical material in each tray is visually collected (operation S9). In this collection operation, all the medical materials remaining in the cart CT are counted one by one, and it is checked whether each medical material is clean. Further, the number used (the number used) for each medical material is manually written in the picking list, and the number used is input to the system via a computer. Information on the number of uses for each medical material is used, for example, for billing / ordering work, insurance claims, and the like. The medical material remaining in the cart CT is returned to the stock shelf (operation S10).

On the other hand, in the medical material management system of the present embodiment, as shown in FIG. 2, the operation S12 is added, and the operations S4a and S9a are replaced with the conventional operations S4 and S9.
First, an operation of attaching an RFID (Radio Frequency Identification) label on which necessary information is recorded is performed for each medical material sequentially delivered from the distribution center to the hospital (operation S12). It is placed on the inventory shelf of the warehouse (in-hospital SPD warehouse).
In the operation S4a, the inspection process is not performed by visual inspection of the medical material in each tray, but is performed by batch scanning using a reader / writer device. Since the RFID label is attached to each medical material, the reader / writer device reads the data recorded on the RFID label, thereby eliminating the troublesome work of visual inspection.
In the operation S9a, the collection process is performed not by the visual collection of the medical material in each tray but by a batch scan using a reader / writer device. By comparing the data read in the collection process and the data read in the inspection process on a computer, information on the number of medical materials used in the operation (use results) can be obtained.

In the following description, a medical material to which an RFID label is attached is referred to as an “item”.
When a plurality of articles are included in one package (bag, box, or the like) as a set, and when the RFID label is attached to the package, the package is one item. When an RFID label is attached to each item, one item corresponds to one item. For example, when one bag contains ten needles, and when ten needles are taken out of the bag and an RFID label is attached to each needle, each needle corresponds to one item. In short, the unit of the medical material to be managed by the RFID label corresponds to one item.

(1-2) Issuance of Label As shown in FIG. 2, in the medical material management system of the present embodiment, an RFID label (hereinafter simply referred to as a “label”) in which necessary information is recorded for each item one by one. Is performed (operation S12 in FIG. 2).
In the following, with reference to FIGS. 3 to 7, the processing when issuing a label in the medical material management system of the present embodiment will be described.
FIG. 3 is a diagram illustrating an example of a label issuing method in the medical material management system according to the present embodiment. FIG. 4 is a diagram illustrating an RFID inlay included in a label. FIG. 5 is a diagram illustrating another example of a label issuing method in the medical material management system according to the present embodiment. FIG. 6 is a block diagram of the medical material management system shown in FIG. FIG. 7 is a diagram illustrating still another example of the label issuing method in the medical material management system according to the present embodiment.

The medical material management system 1A shown in FIG. 3 includes a printer 7 (an example of an information processing device) and a code reader 8.
As shown in FIG. 3, an item label IL is attached to an item IM delivered from a distribution center to a hospital. The item label IL describes information of an item name, a maker, and detailed information of the item (a code number, an item name, an expiration date, a lot number, a serial number, and the like), and code information including these information (for example, , Barcodes, two-dimensional codes, etc.).
FIG. 3 illustrates a case where the label attached to the item includes the item information, but the source of the item information is not limited thereto. When a label is not attached to an item, the item may be directly displayed on the item or the exterior component of the item.
Further, information of each item may be described on the surface of a single package in which a plurality of items are packed, or on a label attached to the package. Therefore, the information on the item can be either packaged (minimum packaging unit), sales packaging unit (medium level packaging unit), or original packaging unit (large level packaging unit such as cardboard) according to the packaging unit of the item. May be obtained from
Alternatively, the information about the item may be obtained from an order card or an order label that serves as a delivery note or an invoice for the item.

In the hospital warehouse, a printer 7 and a code reader 8 are prepared. The printer 7 and the code reader 8 are communicably connected by wiring.
The printer 7 issues a label L containing an RFID inlay. The code reader 8 reads the code information of the item label IL and sends it to the printer 7. The printer 7 writes the code information received from the code reader 8 into the RFID inlay in the label L and issues it. When issuing the label L, the printer 7 may print the information of the item included in the code information on the printing surface of the label L.

FIG. 4 shows an example of the label L attached to the item IM. The label L incorporates an RFID inlay INL. The RFID inlay INL includes an IC chip for storing data and an antenna having a predetermined pattern for performing wireless communication with the RFID reader / writer. In the following description, data written to the RFID inlay INL is appropriately referred to as “item data” (an example of medical material data).
As shown in FIG. 4, an example of the item data includes data of a code number, an item name, a lot number, an expiration date, and the number of times of delivery. The data of the code number, the item name, the lot number, and the expiration date are information obtained from the code information of the item label IL, and are written into the RFID inlay INL by the printer 7. Although the data on the number of times of delivery will be described later, it means the number of times of delivery from the inventory shelf, and is written in the collection process described later.

(5) The medical material management system 1B shown in FIG. 5 shows another configuration example for issuing the label L, and includes a printer 7, a code reader 8, a portable terminal 2, and a server 5. The printer 7 and the code reader 8 are the same as those described in FIG. The mobile terminal 2 is a computer device such as a tablet terminal or a laptop terminal, and is configured to be able to communicate with the printer 7. The server 5 is configured to be able to communicate with the mobile terminal 2 via a network NW such as a local area network (LAN). The communication between the mobile terminal 2 and the printer 7 and the communication between the mobile terminal 2 and the server 5 are preferably wireless communication.

(3) In the configuration shown in FIG. 3, the information recorded on the RFID inlay INL of the label L is generally limited to the contents of the item label IL attached to the item IM. In contrast, in the medical material management system 1B of FIG. 5, the server 5 having a database including more detailed data on the item IM is accessible, so that the printer 7 can perform the RFID inlay of the label L corresponding to the item IM. INL enables detailed data to be written.

As shown in FIG. 6, the printer 7 includes a control unit 71, a storage 72, a motor driving unit 73, a head driving unit 74, a cutter driving unit 75, an RFID reader / writer 76 (an example of a writing unit), and a communication unit 77. (An example of a data acquisition unit). Although not shown, the printer 7 accommodates roll paper in which a strip of continuous paper before being cut into one label L is wound. The continuous paper may be, for example, continuous paper in which a plurality of labels having an adhesive layer are temporarily attached to a mount, or may be a linerless label having no mount.

The control unit 71 includes a microcomputer and a memory (RAM (Random Access Memory), ROM (Read Only Memory)), and controls the operation of the printer 7. The microcomputer reads out and executes the firmware stored in the ROM when the printer 7 is started.
The storage 72 is a storage device such as an SSD (Solid State Drive). The storage 72 may store print format information used when printing item information on each label L.

The motor drive unit 73 drives a stepping motor (not shown) that controls the rotation of a platen roller (not shown) to draw out and transport the continuous paper from the roll paper. The continuous paper is a band-shaped print medium before being cut into labels by a cutter described later.
In response to a transport request from the control unit 21, the motor drive unit 73 transports the continuous paper in the transport direction (forward or reverse direction) and the transport amount specified by the transport request. The specified transfer direction and transfer amount correspond to, for example, the rotation direction and the number of steps of the stepping motor. The motor drive unit 73 drives the stepping motor based on the rotation direction and the number of steps.

The control unit 71 generates print data (drawing data to be printed on the label L) based on the information to be printed, and sequentially sends line data, which is data for each line of the print data, to the head drive unit 74. The head driving unit 74 selectively supplies a current to each heating element of the thermal head having a plurality of heating elements based on the line data. When the heating element generated by the current is pressed against the continuous paper conveyed by the platen roller via, for example, an ink ribbon, information is printed on the continuous paper by coloring the portion of the continuous paper pressed against the heating element. You.

The cutter driving unit 75 includes a cutter, drives the cutter, cuts the printed portion of the continuous paper under the control of the control unit 71, and issues a label L, as shown in FIG. The label L is discharged from the discharge port.

The RFID reader / writer 76 writes the item data corresponding to each label L in the RFID inlay INL corresponding to each label L of the continuous paper.

As illustrated in FIG. 6, the mobile terminal 2 includes a control unit 21, a storage 22, an operation input unit 23, a display unit 24 (an example of an output unit), and a communication unit 25.
The control unit 21 includes a microcomputer and a memory (RAM, ROM), and controls the operation of the mobile terminal 2. A first management application program (hereinafter, simply referred to as “first management application”) is installed in the mobile terminal 2.
The storage 22 is a storage device such as an SSD, for example, and stores the first management application. The control unit 21 reads out and executes the first management application from the storage 22. The control unit 21 displays the execution result of the first management application on the display unit 24.
The operation input unit 23 is an input interface that receives an operation input of a person in charge. When the mobile terminal 2 is a tablet terminal, the touch panel screen included in the operation input unit 23 corresponds to the operation input unit 23. The display unit 24 has, for example, a liquid crystal display panel and a display drive circuit.
The communication unit 25 is a communication interface for communicating with the printer 7 and the server 5.

As illustrated in FIG. 6, the server 5 is a network server including a control unit 51, a storage 52 (an example of a storage unit and a storage device), and a communication unit 53.
The control unit 51 includes a microcomputer and memories (RAM, ROM) and controls the operation of the server 5. The storage 52 is a large-capacity storage device such as a hard disk drive (HDD), and stores various databases. The various databases include an item database (not shown) in which detailed data of the item is described in association with the item number of each item.
The control unit 51 accesses the storage 52 in response to a request from the mobile terminal 2, stores data in the item database, or reads data from the item database and transmits the data to the mobile terminal 2.

When the code information of the item label IL does not include the serial number of the item IM, the control unit 51 may generate a serial number of the item and transmit the generated serial number to the mobile terminal 2. The printer 7 acquires the serial number of the generated item from the portable terminal 2 and writes the serial number of the item in the RFID inlay. In this case, in the item database, the unique ID of the RFID inlay (for example, UID (Unique @ ID), TID (Tag @ ID), etc.) is associated with the serial number of the item to which the RFID inlay is attached. Is preferred.

The detailed data of the items included in the item database includes, but is not limited to, for example, data of at least a part of the following items.
・ Material category: For example, “Medical materials”, “Pharmaceuticals”
・ Pharmaceutical Affairs Law Approval Number: Approval number and permission number of medical devices according to the Pharmaceutical Affairs Law ・ Classification name (major category): For example, “treatment equipment”, “diagnosis and test description”
・ Classification name (middle classification): For example, “Drain and drainage set”, “Contrast equipment”
・ Category name (small category): For example, "Drainage set for abdomen", "Guide wire for angiography"
・ Characteristics / Applications: For example, “pancreatic intestine anastomosis tube”, “guide wire”
・ Material: For example, "polyvinyl chloride", "aluminum", "alloy", "polyurethane"
・ Taxation category: “Taxation”, “Tax-free”
・ Medical device class classification: For example, “Class II,“ Class IV ”
-Biological products: For example, "normal products", "biological products"
・ Price ・ Redemption price (Price set by the government)
・ Insurance claim category: For example, “condition redemption”, “redemption price”
・ Storage bin (for example, location data indicating an arrangement area in a stock shelf)
・ Specific equipment code (also referred to as “Receiver computer code” or “Payment fund code”)
・ UID (serial number)
・ Patient ID
・ Order registration person in charge ID (ID of person in charge of order registration)
・ Picking charge ID (ID of person in charge of inspection processing)
・ Transfer charge ID (ID of person in charge of transfer processing)
Collection ID (ID of the person in charge of collection)
・ Reporter ID (ID of the person in charge of the report)
・ Work date and time ・ Immobility days (the number of continuous days of being stagnant on the inventory shelf)
・ Immediate deadline (expiration date set in the specified month or before the specified date)
-Expiration date-Number of dispatches-Lot number-Location ID (for example, global location number (GLN))
・ Code number ・ Item name ・ Manufacturer name

In the medical material management system 1B shown in FIGS. 5 and 6, after receiving the code information from the code reader 8, the control unit 71 of the printer 7 requests detailed data using the code number included in the code information as a key. A request message is transmitted to the mobile terminal 2. The request message includes a code number related to the request.
The mobile terminal 2 that has received the request message transmits the request message to the server 5. The server 5 searches the item database using the code number included in the request message as a key, and reads out detailed data corresponding to the code number. The server 5 transmits the read detailed data of the item to the mobile terminal 2. The mobile terminal 2 transmits the received detailed data of the item to the printer 7.
The control unit 71 of the printer 7 transmits at least a part of the detailed data acquired from the server 5 in addition to the information (code number, item name, expiration date, lot number, serial number, etc.) read from the item label of the item. The RFID reader / writer 76 is controlled so that the RFID reader / writer 76 writes the data in the RFID inlay INL of the label L.

医療 The medical material management system 1C shown in FIG. 7 shows still another configuration example for issuing a label L, and includes a printer 7, a code reader 8, and a server 5. The printer 7, the code reader 8, and the server 5 are the same as those described in FIG. The difference from the medical material management system 1B of FIG. 5 is that the printer 7 acquires detailed data of an item directly from the server 5 without passing through the mobile terminal 2. In this case, a request message requesting detailed data is transmitted from the printer 7 to the server 5, and the printer 7 receives the detailed data from the server 5 in response to the request message.

The printer 7 writes the information read from the item label and, if necessary, the information obtained from the server 5 as item data in the RFID inlay INL, and issues the label L. The worker attaches the corresponding label L to each item, and places (stores) each item to which the label L is attached on the inventory shelf.

As described above, regardless of the configuration of FIG. 5 or FIG. 7, the printer 7 transmits at least a part of the detailed data of the items included in the item database from the server 5 via the mobile terminal 2 or directly. It is configured to receive and write the received data to the RFID inlay INL. For example, the printer 7 requests detailed data via the mobile terminal 2 or directly to the server 5 based on the code number or the item name obtained from the code reader 8, and the server 5 responds to the request with the code number. Alternatively, a part of the detailed data corresponding to the item name (for example, data of a biological product, insurance claim category, location ID, etc.) is received. The printer 7 writes a part of the received detailed data to the RFID inlay INL together with the information read from the item label.
By writing various data related to the item into the RFID inlay INL and attaching the label L including the RFID inlay INL to the item, data necessary for various medical practices or medical affairs in the hospital can be collected in a timely manner. It becomes possible.

(1-3) Master registration, order registration, inspection processing, and collection processing Next, a medical material management system 1D that executes each processing (process) of master registration, order registration, inspection processing, and collection processing will be described with reference to FIGS. 13 will be described.
FIG. 8 is a diagram showing a system configuration when performing master registration, order registration, inspection processing, and collection processing in the medical material management system 1D of the present embodiment. FIG. 9 is a diagram for explaining the work after the inspection processing in the medical material management system 1D of the present embodiment. FIG. 10 is a block diagram of the medical material management system 1D shown in FIG. FIG. 11 is a diagram illustrating a data configuration example of the surgery set master database. FIG. 12 is a diagram illustrating a data configuration example of the order database. FIG. 13 is a diagram illustrating a data configuration example of the inspection database.

Master registration refers to registering (recording) a plurality of items (surgical set) required for each surgical procedure in a surgical set master database (see FIG. 11) in advance. The operation set master database is stored in the storage 52 of the server 5.
As shown in FIG. 11, in the surgery set master database, for each surgical procedure ID (an example of method identification information) for identifying a surgical procedure, a medical department, a surgical procedure, and each tray (T1, T2,...) Are provided. The data of each field of the item to be included and its quantity are described. In the following description, the data of each record (data for each surgical procedure ID) of the surgery set master database is referred to as “master data”. As will be described later, the master registration for each surgical procedure set is performed by scanning a plurality of items necessary for a specific surgical procedure for each tray and reading the item data.
The master data for a specific surgical procedure is used as a reference when performing inspection processing for an order of the same surgical procedure. Once the master data for a specific surgical procedure is created, the same master data can be referred to in the inspection process for the order of the same surgical procedure thereafter. The master data can be edited or deleted at any time.
In the present embodiment, the case where the master registration is performed for each tray is exemplified, but the present invention is not limited to this.

Order registration refers to registering (recording) an order for each operation in an order database (see FIG. 12) based on an operation schedule distributed from an operating room. The order database is stored in the storage 52 of the server 5. Order registration is a process performed in operation S2 of FIG.
As shown in FIG. 12, the order database stores, for each order number (order No.) specifying an operation, the scheduled date and time of operation (example of provision date and time), the medical department, the room (room number where the operation is performed), and the patient. Data of each field of a patient ID to be identified, a doctor ID for identifying a treating physician, an operation ID, and a process status are described. In the following description, the data of each record in the order database is referred to as “order data” (an example of order information).

The process status is data indicating the status of the process for the order of the corresponding order number, and indicates one of the following “preparation”, “inspection”, “transport”, “collection”, and “report”.
"Preparation": state before the start of inspection processing before surgery (that is, before medical treatment is provided to the patient) (example of first order state)
・ "Inspection": state after the start of inspection processing before operation (example of second order state)
-"Transport": state after completion of pre-operation inspection processing, but before starting collection processing for items not used for surgery after operation (example of third order state)
・ "Recovery": State after the start of post-operative recovery processing (example of fourth order state)
・ "Report": Post-operative collection has been completed and a medical report has been submitted

The inspection process (operation S4a in FIG. 2) is a process in which a picking person inspects an item picked from a stock shelf based on a picking list. In the medical material management system 1D of the present embodiment, unlike the conventional visual inspection work, the inspection is performed by information processing based on the scan result by the reader / writer device 3, so that the person in charge of the conventional visual inspection work is complicated. Be released from. The inspection processing according to the present embodiment will be described later.
In the medical material management system 1D according to the present embodiment, the scan result by the reader / writer device 3 is stored in the inspection database in the server 5.

As shown in FIG. 13, the inspection database describes scan results (that is, item data of each item) and item status data of each tray (T1, T2,...) For each order number specifying an operation. I have. The inspection database is stored in the storage 52 of the server 5. In the following description, the data of each record in the inspection database is referred to as “inspection data”.

The item status is data indicating the status of the item, and indicates one of the following “expired”, “imminent expiration”, “excessive delivery”, “excess”, “out of stock”, and “normal”.
"Expired" (example of the first state): a state in which the expiration date of the item has elapsed based on the current time. "Expiration" (example of the second state): the expiration date of the item based on the current time. Close (that is, the time until the expiration date is less than or equal to the predetermined time based on the current time) • "Excessive delivery" (example of the third state): The number of times of delivery from the inventory shelf (number of deliveries) is equal to or more than the predetermined value -"Excess" (example of the fourth state): The number of items obtained in the scan result is larger (excessive) than the number of items described by the master data (that is, the required number of items). Status or status in which another item that should not be picked is included. "Skip" (example of fifth status): An item obtained in the scan result rather than the item quantity described by the master data. The number of items is small (insufficient), or the item has not been inspected.-"Normal" (example of the sixth state): A condition that does not correspond to any of the above conditions and there is no problem with the item

The collection process (operation S9a in FIG. 2) is a process for checking the number of items used in the operation after the operation is completed. In the medical material management system 1D of the present embodiment, unlike the conventional visual collection work, the collection is performed by information processing based on the scan result by the reader / writer device 3, so that the person in charge of the conventional visual collection work is complicated. Be released from. The inspection collection processing of the present embodiment will be described later.

As shown in FIG. 8, the medical material management system 1D includes a mobile terminal 2, a reader / writer device 3, a management device 4, and a server 5. The portable terminal 2 and the server 5 are the same as those shown in FIG.
The mobile terminal 2, the reader / writer device 3, and the management device 4 can communicate with the server 5 via a network NW such as a local area network (LAN).

The reader / writer device 3 is a device that collectively scans a plurality of items arranged on a tray. That is, the reader / writer device 3 uses the read / write unit 32 to read the item data stored in the respective RFID inlays of the plurality of items arranged on the tray. The reader / writer device 3 can also write data to the RFID inlay of each item by the read / write unit 32.
In the medical material management system 1D, the picking person picks up a plurality of items described in units of trays in the picking list from the inventory shelf (takes out) and arranges the items for each tray specified in the picking list. I do. Inspection processing is performed using the reader / writer device 3 for each tray. After the inspection processing, as shown in FIG. 9, the plurality of trays T1 to T5 are placed on the cart CT and transported to the operating room.
In the medical material management system 1D, the collection technician uses the reader / writer device 3 to perform collection processing on each tray included in the cart CT returned from the operating room. The specific contents of the inspection processing will be described later.

The mobile terminal 2 is a terminal that is owned by each person in charge and used when order registration, inspection processing, transport processing, and collection processing are performed. On the other hand, the management device 4 is a device that is disposed on a wall of a warehouse in a hospital (in-hospital SPD warehouse) or the like, and has a large display panel so that all personnel can visually check the progress of orders.
The management device 4 is configured to display the order content, the process status, and the item status of one or more orders whose scheduled operation date and time are close to the current date so that they can be seen at a glance.

In the medical material management system 1D shown in FIG. 10, the overall configuration of the mobile terminal 2 and the server 5 is the same as that shown in FIG.
In the medical material management system 1D, the storage 52 of the server 5 stores a surgery set master database, an order database, and an inspection database.

As shown in FIG. 10, the reader / writer device 3 includes a control unit 31, a read / write unit 32, and a communication unit 33. The reader / writer device 3 performs a batch scan of items for each tray for master registration, and performs a batch scan of items prepared in the tray by a picking staff in the inspection process.
The control unit 31 includes a microcomputer and memories (RAM, ROM), and controls the operation of the reader / writer device 3.
The read / write unit 32 (an example of a reading unit and a writing unit) performs an RFID inlay of a label attached to an item stored in the storage unit 3h (see FIG. 8) under the control of the control unit 31 when performing the inspection process. Read. A tray in which a plurality of items are arranged is arranged in the accommodation unit 3h. The read / write unit 32 collectively reads the item data from the RFID inlay corresponding to the items in the tray.
The communication unit 33 is a communication interface for communicating with the server 5. The communication unit 33 transmits a scan result (read result) by the read / write unit 32 to the server 5.

As illustrated in FIG. 10, the management device 4 includes a control unit 41, a storage 42, an operation input unit 43, a display unit 44, and a communication unit 45.
The control unit 41 includes a microcomputer and memories (RAM, ROM), and controls the operation of the management device 4. A second management application program (hereinafter, simply referred to as “second management application”) is installed in the management device 4. The second management application and the first management application installed on the mobile terminal 2 refer to each database of the server 5 to store information of each order, a process status of each order, and an item status of each order. Although the display is common, the display mode is different as described later.

The storage 42 is a storage device such as an SSD, for example, and stores the second management application. The control unit 41 reads out the second management application from the storage 42 and executes it. The control unit 41 displays the execution result of the second management application on the display unit 44.
The operation input unit 43 is an input interface that receives an operation input of a person in charge. For example, an operation input such as a button operation for starting the management device 4 or an operation for reading the second management application is received. The display unit 44 has, for example, a liquid crystal display panel and a display drive circuit.
The communication unit 45 is a communication interface for communicating with the server 5.

In the medical material management system 1D, the control unit 51 (an example of the determination unit) of the server 5 determines that the item is “expired”, “imminent due date”, “excessive delivery” based on the result of scanning the item by the reader / writer device 3. , “Excess”, “out of stock”, or “normal” is determined. That is, the control unit 51 of the server 5 determines whether or not the use of the corresponding item is appropriate based on the item data read by the reader / writer device 3. The item status as the determination result is written in the “item status” field of the inspection database.
Further, the control unit 51 (an example of the second determination unit) of the server 5 determines whether each order recorded in the order database is in one of the processes of “preparation”, “inspection”, “transport”, “collection”, and “report”. Determine whether it is status. The process status as the determination result is written in the “process status” field of the order database.
When the scan result transmitted from the reader / writer device 3 is performed in the master registration, the control unit 51 of the server 5 writes the scan result in the operation set master database in association with the surgical operation ID. When the scan result transmitted from the reader / writer device 3 is performed in the inspection processing, the control unit 51 of the server 5 writes the scan result in the inspection database in association with the order number.

(1-4) Processing Flow and Display Mode in Each Process Next, the processing flow and display mode in each process in the medical material management system 1D of the present embodiment will be described with reference to FIGS. 14 to 29.

(1-4-1) Master registration (FIGS. 14 and 15)
Hereinafter, the master registration process will be described with reference to FIG. 14 and FIG. FIG. 14 is a sequence chart when performing master registration in the medical material management system of the present embodiment. FIG. 15 is a diagram illustrating a screen transition of the mobile terminal when performing master registration in the medical material management system of the present embodiment.

When the portable terminal 2 executes the first management application based on the operation of the person in charge, a master registration / edit screen is displayed as shown in a screen g1 in FIG. The screen g1 includes an input unit i1 for inputting a surgical procedure name, a tray ID, and the like, a button b1 ("clear"), and a button b2 ("scan"). The input unit i1 is configured so that, for example, each of a medical department, a surgical procedure name, and a tray can be selected from a pull-down menu. In the example of FIG. 15, “gastrointestinal surgery” is selected as the medical department, “total gastrectomy set” is selected as the surgical procedure name, and “T1” is selected and input as the tray ID (step S20 in FIG. 14). The button b1 (“clear”) is a button for changing the selection state of the input unit i1 to a default value.
Note that the input unit i1 may be configured to allow location data (information relating to a location in a warehouse such as a shelf number) for each tray to be input. In that case, the master data includes the location data of each tray.

When the button b2 (“scan”) is operated in a state where the input to the input unit i1 has been performed, the mobile terminal 2 transmits a scan instruction to the server 5 (step S21). Next, the server 5 transmits a scan instruction to the reader / writer device 3 (Step S22). The scan instruction includes data (medical department, operative name, tray ID data) input to the input unit i1.

The operator places all the items to be placed on the tray T1 in the total gastrectomy set on the tray T1, and then places the tray T1 in the storage section 3h of the reader / writer device 3. Then, automatically or in response to an operation on a predetermined reader / writer device 3, the reader / writer device 3 executes batch reading of all items in the tray T1 (step S23), and sends a response of the scan result to the server 5. Return (step S24). Next, the server 5 transmits the scan result to the mobile terminal 2 (Step S25).
Upon receiving the scan result, the mobile terminal 2 displays the scan result, for example, as shown in a screen g2 in FIG. 15 (step S26). The screen g2 includes a first display area A11 for displaying an input result to the input unit i1, a second display area A12 for displaying a button b3 ("register") for accepting a registration instruction, and a third display area for displaying a scan result. A13.
When the button b3 (“registration”) is operated on the screen g2 (step S27: YES), the mobile terminal 2 transmits a registration request (an example of a first request) to the server 5 (step S28).
In response to the registration request, the server 5 records the scan result received in step S24 in the surgery set master database in association with the clinical department, operative name, and tray ID data included in the scan instruction received in step S21. (Step S27). At this time, a new surgical ID is set for an unregistered surgical name, and a record including a medical department, a surgical name, a tray ID, and a scan result is recorded as master data in association with the surgical ID. (In the example of FIG. 11, the surgical procedure ID is “HC-2”).
When the recording of the master data is completed, the server 5 returns a response of the registration result to the mobile terminal 2 (Step S30).

処理 The processing of steps S20 to S27 in FIG. 14 is repeatedly performed for each of a plurality of trays required for the same surgical procedure name. Thereby, the operation set master database is sequentially recorded in tray units, and master data corresponding to the operation ID or the operation name is created. The created master data is referred to in the inspection processing.

(1-4-2) Order registration (Figs. 16 to 18)
Next, an order registration process will be described with reference to FIGS. FIG. 16 is a sequence chart when order registration is performed in the medical material management system 1D of the present embodiment. FIG. 17 is a diagram illustrating a screen transition of the portable terminal when order registration is performed in the medical material management system 1D of the present embodiment. FIG. 18 is a diagram illustrating an example of a screen of the management apparatus after order registration is performed in the medical material management system 1D of the present embodiment.

When the operation schedule is distributed from the operating room, the person who performs order registration inputs necessary items of the order on the first management application of the portable terminal 2 based on the operation schedule (step in FIG. 16). S32). An example of the order input screen is the screen g3 in FIG. The screen g3 includes an input unit i2 for inputting necessary items of the order, a button b4 ("clear"), and a button b5 ("register"). The button b4 (“clear”) is a button for changing the selection state of the input unit i2 to a default value. The order number (order No.) for specifying the operation is assigned in advance by, for example, the server 5 so as to be a unique number.

When the button b5 (“Registration”) is operated after inputting necessary items of the order on the screen g3, the mobile terminal 2 transmits an order registration request (an example of the second request) to the server 5 (Step S34). . The order registration request includes input data of necessary items to the input unit i2.
The server 5 having received the order registration request adds a new record to the order database (order DB) based on the input data included in the order registration request (step S36). In the order database of FIG. 12, an example is shown in which a record with the order number “Q12” is added. At the stage of order registration, the corresponding operation is in a state before the start of inspection, so “preparation” is written in the “process status” field in the new record.

The server 5 transmits the order data added in step S36 to the mobile terminal 2 and the management device 4 (steps S38 and S42).
The mobile terminal 2 displays the received order data in a display mode shown in a screen g4 in FIG. 17 (Step S40). The screen g4 is a basic screen that displays a list of orders currently being processed, and includes a date display unit td and an order display unit 100a.
The order display unit 100a has a process status display unit 101a and a detail display unit 102a. The process status display section 101a displays the process status of the newly registered order. The details of the newly registered order are displayed on the detail display section 102a.
The date display section td displays the current date as an initial value, but the date can be changed by the arrow buttons dc1 and dc2. By changing the date, orders with different dates can be displayed.

The management device 4 displays information on one or more orders based on the received order data in a display mode shown on a screen G1 in FIG. 18 (step S44).
The display screen of the management device 4 displays a plurality of orders currently being processed based on the current date displayed on the date display unit TD so that a plurality of persons in the warehouse can check the current progress. Is displayed.
The left part LA (an example of the second part) of the screen is a part that displays one or more orders in which, for example, the previous day (an example within a predetermined second period) is the scheduled date and time of operation based on the current time. That is, the post-operative order is displayed in the left portion LA of the screen. The left portion LA includes a percentage display P2 of the progress of one or more orders after the operation. The percentage display P2 indicates the percentage of orders for which processing has been completed among all orders after the operation.
The right part RA (an example of the first part) of the screen is a part that displays one or a plurality of orders whose scheduled operation date and time, for example, two days later (an example within a predetermined first period) based on the current time. That is, the order before the operation is displayed in the right part RA of the screen. The predetermined date can be set arbitrarily. The right part RA includes a percentage display P1 of the progress of one or more orders before the operation. The percentage display P1 indicates the percentage of orders for which processing has been completed among all orders before the operation.
The first period and the second period can be set to arbitrary values.

In the example shown on the screen G1 in FIG. 18, an order display section 100A for the order registered in FIG. 17 as an order before the operation and an order display section 100B for the order after the operation are displayed. For example, the order display unit 100A has a process status display unit 101A, a detail display unit 102A, and an item status display unit 103A. The process status display part 101A is a part that displays the process status of the corresponding order. The detail display part 102A is a part for displaying the order number, the operative name, and the operative ID of the corresponding order. The item status display section 103A is a section for displaying the item status of the corresponding order. At the time when the screen G1 is displayed, the order with the order number “Q12” has not yet started inspection, and thus the item status is the initial value “normal”.

In the example illustrated in FIG. 16, a case has been described in which new order data is created in response to an order registration request. However, each order data already included in the order database is stored in response to a request from the mobile terminal 2. It may be updated (edited) or deleted.

(1-4-3) Inspection processing (FIGS. 19 to 22)
Next, the inspection process will be described with reference to FIGS. FIG. 19 is a sequence chart when an inspection process is performed in the medical material management system 1D of the present embodiment. FIG. 20 is a diagram illustrating a screen transition of the mobile terminal when performing the inspection process in the medical material management system 1D of the present embodiment. FIG. 21 is a diagram illustrating a screen transition of the portable terminal when performing the inspection process in the medical material management system 1D of the present embodiment. FIG. 22 is a diagram illustrating an example of a screen of the management device during the inspection process in the medical material management system 1D of the present embodiment.

When the order display unit to be inspected is selected and operated on the first management application executed by the mobile terminal 2, a tray list is displayed as shown in a screen g5 in FIG. The screen g5 includes an input unit i3 for selecting and inputting any one of a plurality of trays required for the operation having the operative name of the corresponding order. Here, for example, when the tray T1 is selected, a screen g6 of FIG. 20 is displayed.
The screen g6 includes a first display area A21 for displaying a button b6 (“scan start”) together with the operation name and the selected tray, a second display area A22 for displaying the number of items for each item status, and A third display area A23 for displaying an item list to be included in the tray.

The third display area A23 displays the master data of the corresponding surgical name. Here, in the column of “quantity”, the denominator is a numerical value based on the master data, and the numerator is a numerical value based on the scan result. At the time when the screen g6 is displayed, since the scanning has not been started yet, the number of recognized items is zero, and the value of the numerator in the “quantity” column of all items in the item list becomes zero. I have.
In order to display the item list, the mobile terminal 2 may access a surgery set master database of the server 5.
When the location ID is recorded in the item data of each item, or when the location data (such as a shelf number) of the tray in which each item is arranged is recorded, the location ID and the location data are stored. It may be displayed in association with each item.

When the button b6 (“scan start”) is operated on the screen g6, the mobile terminal 2 transmits a scan instruction (an example of a third request) to the server 5 (step S50 in FIG. 19). The scan instruction includes at least data of the order number and the tray ID. Next, the server 5 transmits a scan instruction to the reader / writer device 3 (Step S52).
The operator places all the items to be placed on the tray T1 in the total gastrectomy set on the tray T1, and then places the tray T1 in the storage section 3h of the reader / writer device 3. Then, automatically or in response to an operation on a predetermined reader / writer device 3, the reader / writer device 3 performs batch reading of all items in the tray T1 (step S54), and returns a scan result to the server 5 (step S54). Step S56). In step S54, data may be written to each item as needed. For example, in a third embodiment described later, a patient ID is written in each item.

The server 5 checks the scan result received in step S56 with the master data of the surgical procedure ID corresponding to the order number (step S58). Further, the server 5 adds a new record to the inspection database (inspection DB) based on the received scan result (step S60).
Further, the server 5 updates the order database (order DB) by rewriting the value of the “process status” field of the record of the order number in the order database from “preparation” to “inspection” (step S61). The process status is updated when the inspection processing for the first tray is started.

The collation performed in step S58 is performed by comparing the item data read by the reader / writer device 3 with the master data read from the surgery set master database based on the operation ID notified by the communication unit 25. is there.
Specifically, in step S58, the server 5 transmits the item data (code number, item name, quantity) to be included in the corresponding tray among the master data and the item data (code number, (Item name, quantity) to determine whether there is an excess or deficiency of the items included in the scan result. Further, the server 5 determines the item status based on the presence / absence of the excess / deficiency and the values of the expiration date and the number of times of delivery of each item included in the scan result. The item status is one of “normal”, “expired”, “imminent expiration”, “excess”, “out of stock”, and “excess inventory”.
The server 5 writes the data of each item included in the received scan result and the item status of each item determined in step S58 in the record newly added in step S60.

The server 5 transmits the inspection result (comparison result with the master data, the item status of each item, the process status, and the like) obtained in step S58 to the mobile terminal 2 and the management device 4 (steps S62 and S66).
The mobile terminal 2 displays the received inspection result in a display mode shown in a screen g7 of FIG. 21 (Step S64). The screen g7 has the same display mode as the screen g6.
The second display area A22 of the screen g7 includes the number of items for each item status based on the received inspection result.
In the third display area A23 of the screen g7, a scan result of an item included in the selected tray is displayed based on the received inspection result. In the column of “quantity” in the third display area A23, the numerator is a numerical value based on the scan result. In the example shown in the screen g7, for the displayed items, the quantity in the master data matches the quantity based on the scan result, and the displayed items are included in the tray T1 without excess or shortage. I understand.
In the second display area A22, the quantity of each item status is preferably displayed in the order of the item status priority.

Preferably, the third display area A23 is configured to highlight an item whose item status is not “normal”. For example, the item with the item name “syringe 50 ml” has the number of deliveries equal to or more than a predetermined value (for example, 3), so the item status is “excessive deliveries” and is highlighted. When the item status is “excessive delivery”, the user is alerted because the cleanliness of the item may be low. Since the expiration date of the item whose item name is “round needle” is near, the item status of the item is “expiring” and is highlighted. If the item is about to expire, the item is not prohibited, but preferably not used.
Highlighting is an example of a warning output and an example of a different display mode depending on the item status. For example, a different color, pattern, or brightness is associated with each item status, and a line of an item whose item status is not “normal” in the item list of the third display area A23 is set to a color associated with the item status, It may be displayed in a pattern or brightness.

ア イ テ ム You can scan items in trays as many times as you want. For example, when an item is excessive, or when the item is out of stock, an unnecessary item is taken out of the tray, or an insufficient item is added, and the button b6 (“scan start”) on the screen g6 is operated. Scan again. Alternatively, it is preferable that an item whose item status is “excessive delivery” be replaced with a new item and then scanned again.

The screen g8 in FIG. 21 is a basic screen that displays a list of orders currently being processed. As shown in screen g8, when inspection is performed on even one tray, the process status display unit 101a of the order display unit 100a switches from “preparation” to “inspection”, and all the inspected items are “normal”. If not, an item status other than "normal" is displayed. In the example illustrated in the screen g8, it is assumed that the “excessive outgoing” state has been resolved as a result of replacing the item in the “excessive outgoing” state highlighted on the screen g7 with an item in the “normal” state. ing. In this case, the character "imminent" indicating that the item whose item status is "imminent" is in the tray is displayed.
The screen g8 includes a button b7 (“transport”). The button b7 (“transport”) is a button that is operated when all the trays have been scanned and the inspection processing has been completed.

The management device 4 displays the received inspection result in a display mode shown in a screen G2 of FIG. 22 (Step S68). On the screen G2, the process status display unit 101A of the order display unit 100A switches from "preparation" to "inspection" with respect to the screen G1, and the item status display unit 103A displays that the item status is "imminent". You. In addition, in the detailed display unit 102A, the progress of inspection is displayed in a bar shape ("inspection (2/5)" in the example of FIG. 22). The progress of inspection is represented, for example, by the number of scanned trays with respect to the total number of trays to be scanned.
The screen G2 exemplifies, as other orders, an order display unit 100B for a post-operative order and an order display unit 100C for a pre-operative order.

処理 The processing of steps S50 to S68 in FIG. 19 is repeatedly performed for each of a plurality of trays required for the same surgical procedure name. As a result, the scan results are sequentially recorded and updated in the inspection database for each tray.

In the sequence chart of FIG. 19, the reader / writer device 3 may return the scan result to the server 5 via the mobile terminal 2. In that case, the mobile terminal 2 may determine whether or not the use of the specific item is appropriate based on the received scan result, and display the determination result. For example, regarding whether or not the status is “expired”, “imminent expiration”, or “excessive delivery”, even if the scan result is not received from the server 5, the item data of each item included in the scan result is determined. Can be determined immediately based on the

(1-4-4) Transport processing (FIGS. 23 to 26)
Next, the transport process will be described with reference to FIGS. FIG. 23 is a diagram illustrating an example of a screen of the mobile terminal after the inspection process is completed in the medical material management system 1D of the present embodiment. FIG. 24 is a diagram illustrating an example of the picking list. FIG. 25 is a diagram illustrating an example of the picking header. FIG. 26 is a diagram illustrating an example of a screen of the management device after the inspection processing is completed in the medical material management system 1D of the present embodiment.

When the inspection of all trays is completed and the button b7 (“transport”) is operated on the screen g8 of the mobile terminal 2 in FIG. 21, a screen g9 (basic screen) in FIG. Sends a request to change the process status to the server 5. In response to the change request, the server 5 rewrites the value of the “process status” field of the order database from “inspection” to “transport” and notifies the management device 4 of the change in the process status.

On the screen g9 of the mobile terminal 2, the process status is switched from “inspection” to “transport” on the process status display unit 101a of the order display unit 100a with respect to the screen g8. The screen g9 includes buttons b8 and b9.
The button b8 is a button for outputting a picking list. By operating the button b8 with the portable terminal 2 connected to a printer (not shown), the picking list is printed out from the printer. As illustrated in FIG. 24, in the picking list, a list of items included in each of the trays T1, T2,. The picking list is a form submitted to the operating room before the operation. The picking list illustrated in FIG. 24 is an example in which a row number and an expiration date of an item are displayed on one line corresponding to each item, but the present invention is not limited thereto. The same item (that is, the item having the same code number) may be collectively displayed on one line, and the quantity may be displayed instead of the lot number and the expiration date.
The button b9 is a button for outputting a picking header. By operating the button b9 with the portable terminal 2 connected to a printer (not shown), the picking header illustrated in FIG. 25 is printed out from the printer. The picking header is attached by an operator to a cart CT (see FIG. 9) containing the tray. By affixing the picking header to the cart CT, it is possible to recognize which operation the cart CT transported in the hospital contains items used for.

The output of the picking list and the picking header may be automatically performed when the process status is switched to “transport”, or may be manually performed as illustrated in FIG. 23 (that is, in response to an operation on a button). ) May be performed.

When the management device 4 is notified of the change of the process status from the server 5, the management device 4 updates the screen as shown in a screen G3 in FIG. On the screen G3, the process status display section 101A of the order display section 100A is switched from "inspection" to "transport" with respect to the screen G2.

(1-4-5) Collection process (FIGS. 27 to 29)
Next, the collection process will be described with reference to FIGS. FIG. 27 is a sequence chart when the collection process is performed in the medical material management system 1D of the present embodiment. FIG. 28 is a diagram illustrating a screen transition of the portable terminal when performing the collection process in the medical material management system 1D of the present embodiment. FIG. 29 is a diagram illustrating an example of a screen of the management device during the collection process in the medical material management system 1D of the present embodiment.

In the recovery process, the post-operative cart CT transported from the operating room is targeted. In the collection process, similarly to the inspection process, the process is performed for each tray in the cart CT.
When the order display unit to be collected is selected and operated on the first management application executed by the mobile terminal 2, a tray list is displayed as shown in a screen g10 in FIG. The screen g10 includes an input unit i4 for selecting and inputting any one of a plurality of trays required for the operation having the operative name of the corresponding order. Here, for example, when the tray T1 is selected, a screen g11 is displayed.
The screen g11 includes a button b10 (“start scan”) together with the operation name and the selected tray.

When the button b10 (“scan start”) is operated on the screen g11, the mobile terminal 2 transmits a scan instruction to the server 5 (Step S70 in FIG. 27). The scan instruction includes at least data of the order number and the tray ID. Next, the server 5 transmits a scan instruction to the reader / writer device 3 (Step S72).
The operator takes out the tray T1 from the cart CT transported from the operating room and places it in the storage section 3h of the reader / writer device 3. Then, automatically or in response to an operation on a predetermined reader / writer device 3, the reader / writer device 3 performs batch reading of all items in the tray T1 and writes each item (step S74). Writing to each item is a process of increasing the value of the “number of times of leaving” by one in the item data of each item (see FIG. 4). That is, since the item returned from the operating room is an item that is not used in the operation and is returned to the inventory shelf (re-entered again), the number of times of exit from the inventory shelf (the number of exits) is increased by one.

Next, the reader / writer device 3 returns a response of the scan result to the server 5 (Step S76).
The server 5 checks the scan result received in step S76 with the inspection data corresponding to the order number (step S78), and specifies an item (use record) used in the operating room (step S80). Further, the server 5 updates the order database (order DB) by rewriting the value of the "process status" field of the record of the order number in the order database from "transport" to "collection" (step S82). The process status is updated when the collection process for the first tray is started.

The server 5 transmits the collection result (comparison result with the inspection data, the item status of each item, the process status, and the like) to the mobile terminal 2 and the management device 4 (Steps S84 and S88).
The portable terminal 2 displays the received collection result in a display mode shown on a screen g12 in FIG. 28 (Step S86). The screen g12 has the same display mode as the screen g7 at the time of inspection. In the second display area A32 of the screen g12, a scan result of the item included in the selected tray is displayed based on the received collection result. In the second display area A32, it is preferable to display the quantity of each item status in the order of the priority of the item status.
The third display area A33 displays a scan result for each item in the item list corresponding to the selected tray. The third display area A33 includes values of the expiration date and the number of times of leaving of each item. In the column of “quantity” in the third display area A33, the denominator is a numerical value based on the inspection data, and the numerator is a numerical value based on the scan result.

In the example shown in the screen g12, for example, for the item with the code number “6903”, two items are picked, and the number of items read by the reader / writer device 3 is 0 (referred to as “0/2”). This indicates that all of them have been used up in the operating room. Further, the item with the code number “3450” is picked ten, and the number of items read by the reader / writer device 3 is four (displayed as “4/10”). It turns out that six were used.
The display mode of each line may be changed based on the content of the “quantity” column. For example, the screen g12 shows an example in which a line corresponding to at least one item read by the reader / writer device 3 is highlighted.
As another method of changing the display mode of each line based on the content of the “quantity” column, a line corresponding to at least one item read by the reader / writer device 3 corresponds to an item that has not been read at all. There is a method of giving a different color, pattern, or luminance as compared with the row.

(4) The management device 4 updates the display screen as shown in the screen G4 based on the received collection result (step S90).

Since the collection process is a post-operative process, the order display unit 100A corresponding to the order with the order number “Q12” is included in the left part LA of the screen G4.
On the screen G4, the process status display unit 101A of the order display unit 100A is switched from “transport” to “collection” with respect to the screen G3. In addition, in the detail display unit 102A, the progress of collection is displayed in a bar shape ("collecting (4/5)" in the example of FIG. 29). The progress of the collection is represented, for example, by the number of trays that have been scanned with respect to the total number of trays to be scanned.

The processing of steps S70 to S90 in FIG. 27 is repeatedly performed for each of all the trays. As a result, the track record is sequentially specified for each tray. It is preferable that the specified use result data is recorded in the server 5 in association with the order number in order to perform a medical report statement preparation operation, a balance analysis, and the like.
Finally, by performing the operation of returning the items on all the trays to the inventory shelf (operation S10 in FIG. 2), the management of the items for one operation is completed. When the item data of the item includes the location ID and the location data, it is preferable to display the location ID and the location data in association with each item on the screen g12 in FIG. Thereby, the item can be smoothly returned to the location in the warehouse specified by the location ID and the location data.

As described above, according to the medical material management system of the present embodiment, the management device 4 having a large display panel disposed on a wall or the like of a warehouse in a hospital, etc. , The process status of each order, and the item status of each order. Therefore, each person in charge of the in-hospital SPD can immediately recognize the progress of each order and the propriety of use of the item related to each order (that is, whether the item is normal).
According to the medical material management system of the present embodiment, a plurality of item data required for the operation is recorded in the server 5 as master data for each operation ID of the operation. Therefore, once the master data is created, the same master data can be referred to in the inspection processing for the order of the same surgical procedure thereafter, so that the labor of the inspection processing is significantly reduced compared to the conventional art. .
According to the medical material management system of the present embodiment, the inspection data is stored in the server 5, and the result of batch scan of the remaining items after the operation is compared with the inspection data, so that the use result of the item is information. It can be identified immediately by processing. Therefore, the labor of the collection process is significantly reduced as compared with the related art.

(2) Second Embodiment Next, a second embodiment will be described with reference to FIGS. FIG. 30 is a diagram illustrating an example of the picking header in the medical material management system according to the present embodiment. FIG. 31 is a plan view of a wristband used in the medical material management system of the present embodiment. FIG. 32 is a diagram showing a system outline of the medical material management system of the present embodiment.

As described in the first embodiment, after the process status is switched from “inspection” to “transport”, the picking header is attached to the cart. In other words, at the time the picking header is attached, the inspection has been completed, it has been determined that there are no excess or insufficient items to be transported to the operating room, and no expired items are included in the cart. Have been determined to be suitable for use in surgery. Therefore, if it can be ensured that the items in the cart are used for medical treatment for the intended patient, a medical accident can be reliably prevented.
For this purpose, the medical material management system according to the present embodiment is configured to collate the picking header attached to the cart with the patient before the operation.

In the present embodiment, when the button b9 in FIG. 23 is operated, the portable terminal 2 connected to the printer controls the printer to output a picking header 500 in the format shown in FIG. 30 to the printer. Note that, as described in the first embodiment, the output of the picking header may be automatically performed when the process status is switched to “transport”, or may be manually performed as illustrated in FIG. (I.e., in response to an operation on a button).
The picking header 500 (an example of a second recording medium) shown in FIG. 30 differs from that shown in FIG. 25 in that a barcode bc1 is added. The information indicated by the barcode bc1 includes at least a patient ID (an example of the second patient identification information), but may include other information such as an order number, a room, a surgical ID, and a doctor ID. The picking header 500 of FIG. 30 is attached to the cart CT and transported to the operating room.

On the other hand, the medical material management system of the present embodiment is configured such that the wristband 9 (an example of a mounting member) in FIG. 31 is mounted on a patient.
As shown in FIG. 31, the main body 91 of the wristband 9 (an example of a first recording medium) includes patient information 91a such as a patient name and a patient ID, and a bar code 91b that is code information including the patient information. And are printed. The wristband 9 is configured to be worn on the patient's wrist by inserting (setting) any two of the plurality of projections 92 into the holes 93.
The barcode 91b includes at least a patient ID (first patient identification information), but may include other information such as an order number, a room, an operation ID, and a doctor ID.

As shown in FIG. 32, the medical material management system 1E according to the present embodiment includes a wristband 9 attached to a patient PA, a picking header 500 attached to a cart CT (an example of a transport member), and a nurse or the like. And a mobile terminal 2 carried by a medical worker.
In the present embodiment, the mobile terminal 2 includes a barcode reader in addition to the configuration shown in FIG. The barcode reader is configured to scan the barcode bc1 included in the picking header 500 and the barcode 91b included in the wristband 9 and read out the patient ID from each code.
In the medical material management system 1E of this embodiment, when the cart CT to which the picking header 500 is attached is transported to the operating room, the matching with the patient PA is performed. Specifically, when the patient ID obtained from the barcode bc1 matches the patient ID obtained from the barcode 91b, the control unit 21 of the mobile terminal 2 determines that the comparison result is OK, If they do not match, it is determined that the collation result is NG, and a warning is output to the display unit 24 (an example of an output unit).

According to the medical material management system 1E of the present embodiment, the items prepared for the operation of the patient PA are used for the patient in order to perform collation between the cart CT transported to the operating room and the patient. That can be assured.
In the example shown in FIG. 32, an example in which the picking header 500 and the barcode provided on the wristband 9 are compared with each other is shown. It may be. As another recording medium, a recording medium using short-range wireless communication such as BLE (Bluetooth (registered trademark) Low Energy), RFID, and NFC (Near Field Communication) may be used. In this case, a recording medium using short-range wireless communication is attached to each of the picking header and the wristband, and the patient ID is recorded on the recording medium. Then, by performing wireless communication between the portable terminal 2 and a recording medium attached to each of the picking header and the wristband, the portable terminal 2 can collate the patient ID between the picking header and the wristband. Constitute.

(3) Third Embodiment Hereinafter, a third embodiment will be described.
In the medical material management system according to the present embodiment, the patient who undergoes the operation and the items used for the operation are linked from the pre-operation inspection process to the post-operative collection process, so that any patient in the hospital can be linked. It is possible to easily recognize whether the item is intended for, and to ensure traceability in the hospital. In addition, since the patient ID corresponding to each item can be recognized in the collection process, it is possible to prevent the billing amount and the insurance claim amount from being erroneously calculated.
For this purpose, first, in the inspection process, the reader / writer device 3 performs batch reading of items in the tray and writes a patient ID for each item. That is, the item data as the medical material data includes the patient ID as patient identification information for identifying a patient to whom a medical practice using the medical material is provided.

When the button b6 (“scan start”) in FIG. 20 is operated, the mobile terminal 2 requests the server 5 for a patient ID corresponding to the order number. The server 5 specifies the patient ID included in the record corresponding to the requested order number in the order database and returns the patient ID to the mobile terminal 2.
Upon receiving the patient ID, the portable terminal 2 transmits a scan instruction including writing the patient ID to the RFID inlay of the label attached to each item to the server 5, for example, in step S50 in FIG. The server 5 transmits the scan instruction to the reader / writer 3, and the reader / writer 3 writes the patient ID into the RFID inlay in response to the scan instruction.

(4) The item returned from the operating room after the operation is returned to the inventory shelf, but since it can be used for another patient later, the patient ID written in the RFID inlay of the item is deleted in the collection process. Specifically, in the medical material management system according to the present embodiment, in step S72 of FIG. 27, the reader / writer device 3 deletes the patient ID stored in the RFID inlay of each item in the tray (that is, from the item data. (A process of deleting the patient ID).

Note that the data recorded in the RFID inlay of the item between the inspection processing and the collection processing is not limited to the patient ID. An order number may be recorded instead of or together with the patient ID. That is, the order number may be written into the RFID inlay in the inspection processing, and the order number may be deleted from the RFID inlay in the collection processing. Since the order number is linked to the patient ID in the order database, the item can be associated with the patient ID by recording the order number in the RFID inlay.

(4) Fourth Embodiment Hereinafter, a fourth embodiment will be described.
After transporting the item to the operating room using the cart CT, if the item is unusable due to misopening or damage in the operating room, or if the item is contaminated with blood or chemicals in the operating room As a result, the item may become unusable. If such an item is placed on a tray and returned and the collection process is performed, the amount charged to the patient or the amount charged to the insurance may not be appropriate. Therefore, the medical material management system according to the present embodiment is characterized in that items that are returned to the tray in order to perform post-operative collection processing and items that have become unusable are processed separately.

Items that are unused and reusable in the operation are returned to the tray that was being transported to the operating room, the tray is placed on a cart, and transported to an inspection processing place outside the operating room.
On the other hand, any of the following processes (i) and (ii) is performed on items that are not used in surgery and cannot be reused.

(i) Non-reusable items are scanned in the operating room by an RFID reader / writer (not shown), and the scan result is transmitted to the mobile terminal 2 or the server 5.
(ii) Non-reusable items are placed on a tray for special management, and the reader / writer device 3 scans the tray at once outside the operating room (collectively reads). Then, the reader / writer device 3 transmits the scan result to the portable terminal 2 or the server 5.

In any of the processes (i) and (ii), the portable terminal 2 sends the scan result to the server 5 even if the scan result is sent to the portable terminal 2. The server 5 specifies the item use record in step S80 of FIG. 27 in the collection process, but excludes the items included in the scan result (i) or (ii) received from the mobile terminal 2 from the use record. (It is assumed that the item is not used). As a result, it is possible to calculate a proper billing amount and a proper insurance claim amount for the patient.

As described above, the embodiments of the medical material management system and the medical material management method of the present invention have been described in detail, but the present invention is not limited to the above embodiments. Further, the above-described embodiment can be variously improved and changed without departing from the gist of the present invention.
For example, in each of the embodiments described above, the case where the medical practice is an operation has been described. However, the present invention is also applicable to other medical procedures that do not involve an operation.
In the above-described embodiment, an example has been described in which the item list is displayed for each tray as shown in the screen g5 of FIG. 20 and the screen g10 of FIG. 28, but the present invention is not limited thereto. When processing is not performed for each tray, there is no need to perform processing for selecting a tray.
The scan result transmitted to the server 5 during the inspection process (step S56 in FIG. 19) and the scan result transmitted to the server 5 in the collection process (step S76 in FIG. 27) include a unique ID of the RFID inlay of each item ( For example, UID (Unique ID), TID (Tag ID), etc.) may be included. In that case, the unique ID of the RFID inlay is recorded in the inspection database in association with each item.

Claims (5)

1. A mounting member that is mounted on a patient and has a first recording medium on which first patient identification information for identifying the patient is recorded;
   A transport member that contains a plurality of medical materials used for the medical practice and is attached with a second recording medium on which second patient identification information that identifies a patient to whom the medical practice is provided is recorded.
   An information processing terminal that determines whether or not the first patient identification information and the second patient identification information match;
   Medical material management system equipped with.
2. Each of the plurality of medical materials is attached with an RFID inlay that stores medical material data that is data on the medical material,
   The medical material management system includes a reader / writer device that reads medical material data corresponding to each of the plurality of medical materials stored in the transport member,
   When the plurality of medical materials are determined to be suitable for use in the medical practice based on the medical material data read by the reader / writer device, the second recording medium is attached to the transport member,
   The medical material management system according to claim 1.
3. When the plurality of medical materials match with a plurality of medical materials necessary and sufficient for the medical practice based on the medical material data read by the reader / writer device, the second recording medium is attached to the transport member. Can be
   The medical material management system according to claim 1.
4. The information processing terminal includes an output unit that outputs a warning when the first patient identification information does not match the second patient identification information.
   The medical material management system according to claim 1.
5. A mounting member having a first recording medium on which first patient identification information for identifying a patient is recorded is mounted on a patient,
   Attach a second recording medium on which a second patient identification information for identifying a patient to whom the medical practice is provided is attached to a transport member containing a plurality of medical materials used for the medical practice,
   An information processing terminal that determines whether the first patient identification information and the second patient identification information match,
   Medical material management method.

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