WO2020085103A1 - Support device, support method, and recording medium - Google Patents

Support device, support method, and recording medium Download PDF

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Publication number
WO2020085103A1
WO2020085103A1 PCT/JP2019/040020 JP2019040020W WO2020085103A1 WO 2020085103 A1 WO2020085103 A1 WO 2020085103A1 JP 2019040020 W JP2019040020 W JP 2019040020W WO 2020085103 A1 WO2020085103 A1 WO 2020085103A1
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Prior art keywords
patient
coping method
coping
information
support device
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PCT/JP2019/040020
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French (fr)
Japanese (ja)
Inventor
昌洋 林谷
久保　雅洋
利憲 細井
英二 湯本
Original Assignee
日本電気株式会社
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Application filed by 日本電気株式会社 filed Critical 日本電気株式会社
Priority to JP2020553128A priority Critical patent/JP7147864B2/en
Publication of WO2020085103A1 publication Critical patent/WO2020085103A1/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance

Definitions

  • the present invention relates to a support device, a support method, and a recording medium.
  • Patent Document 1 describes that a medical staff's work creates a schedule for medical treatment for a patient on the basis of treatment history data for the patient (see paragraph 0064 and the like).
  • One example of an object of the present invention is to provide a support device, a support method, and a recording medium that solve the above problems.
  • the support device uses a coping method specifying unit that specifies a first coping method for nursing the patient using a specific model that specifies a coping method according to the condition of the patient. And a model updating unit that updates the specific model based on an evaluation of a coping method performed on the patient.
  • the support method identifies the first coping method of nursing for the patient by using the specific model for identifying the coping method according to the condition of the patient, and And updating the specific model based on the evaluation of the coping method performed as described above.
  • the recording medium specifies a first coping method of nursing for the patient by using a specific model for specifying a coping method according to the condition of the patient in the computer, and A program is stored that causes the particular model to be updated based on an assessment of the coping strategy that has been performed on the patient.
  • FIG. 1 is a diagram showing an outline of a support system 100 having a support device according to the present embodiment.
  • the support system 100 according to the present embodiment is installed in a hospital or the like.
  • the support system 100 is configured by communicatively connecting the support device 1 and the terminal 2.
  • a plurality of terminals 2 can be communicatively connected to the support system 100.
  • Each terminal 2 is carried by a medical staff such as a nurse or a doctor.
  • the terminal 2 may be a portable computer such as a smartphone or a desktop computer such as a PC.
  • FIG. 2 is a diagram showing a hardware configuration of the support device 1.
  • the support device 1 is a computer including hardware such as a CPU (Central Processing Unit) 101, a ROM (Read Only Memory) 102, a RAM (Random Access Memory) 103, a database 104, and a communication module 105. is there.
  • a CPU Central Processing Unit
  • ROM Read Only Memory
  • RAM Random Access Memory
  • FIG. 3 is a functional block diagram of the support device 1.
  • the support device 1 executes a support program stored in advance.
  • the support device 1 includes the control unit 11, the acquisition unit 12, the model update unit 13, the estimation unit 14, the coping method identification unit 15, the coping result processing unit 16, the coping evaluation unit 17, and the UI (User Interface) management unit 18.
  • the function becomes executable.
  • the control unit 11 controls other functional units of the support device 1.
  • the acquisition unit 12 acquires information to be processed among the information received by the support device 1.
  • the estimation unit 14 estimates whether or not the patient's condition has changed.
  • the support device 1 does not have to include the estimation unit 14.
  • the coping method identifying unit 15 identifies a first coping method for nursing a patient by using a specific model that identifies a coping method according to the condition of the patient.
  • the first coping method is a coping method for nursing a patient identified by the specific model.
  • the coping result processing unit 16 acquires information on the coping method actually performed for the patient.
  • the coping evaluation unit 17 calculates the evaluation of the coping method based on the execution result of the coping method.
  • the model updating unit 13 updates the specific model based on the evaluation of the coping method performed on the patient.
  • the UI management unit 18 outputs the presentation information of the coping method based on the change in the condition of the patient to the terminal 2, which is used by the
  • the support device 1 identifies the first coping method of nursing for a patient using the above-described specific model, and based on the evaluation of the coping method actually performed for the patient, Update a specific model.
  • the support apparatus 1 provides a technique for outputting information for performing appropriate coping in response to changes in the patient's condition in nursing work.
  • FIG. 4 is a diagram showing an example of a database connected to the support device 1.
  • the support device 1 of the present embodiment is at least communicatively connected to the electronic medical record system 31 and the database of the resource management system 32.
  • nursing information associated with a medical staff ID, a ward number, a floor number, a room number of a ward, a bed number, input information, and the like is registered in association with a patient ID that identifies a patient.
  • the medical staff ID is information for identifying a medical staff who cares for the patient.
  • the ward number is information for identifying the ward in which the patient is hospitalized.
  • the number of floors is information for identifying the floor of the ward.
  • the room number of the patient room is the number of the patient room used by the patient.
  • the bed number is a number for identifying the bed used by the patient.
  • the input information indicates the measured biological information of the patient and other details of nursing.
  • the input information includes information specified by the types of “Subjective (subjective information)”, “Objective (objective information)”, “Assessment (evaluation information)”, and “Plan (plan, treatment information)”. You can be.
  • “Subjective” indicates information obtained directly from the patient.
  • Objective indicates information obtained from a physical examination or examination by a medical staff.
  • “Assessment” indicates information of evaluation by the medical staff based on “Subjective” or “Objective”.
  • “Plan” indicates a plan or treatment to be performed as a result of “Assessment”.
  • the resource management system 32 provides information on resources for nursing patients such as medical staff schedules, doctor schedules, nursing equipment on each floor of each hospital room or ward, medical equipment IDs, and usage schedules of the equipment. Etc. are recorded.
  • the support device 1 uses a specific model as described above.
  • the specific model identifies the coping method of nursing for the patient according to the condition of the patient and its change.
  • the coping method for the patient specified by the specific model may be referred to as a first coping method.
  • coping method specified by the specific model is shown below.
  • “antibiotic administration”, “expectorant administration”, “oral care time increase”, and “respiratory rehabilitation swallowing training” One or more of the methods are shown.
  • “Administration of antibiotics” is a coping method in which medical staff administer antibiotics to patients according to the doctor's diagnosis.
  • “Administration of expectorant” is a method of coping with expectorant administration by a medical staff to a patient according to a doctor's diagnosis.
  • “Increase oral care time” is a coping method that increases the time of oral care for a patient by medical staff.
  • the “breathing rehabilitation swallowing training” is a coping method for performing training on swallowing of a patient by performing rehabilitation related to breathing.
  • the specific model will indicate one or more of the coping strategies such as “antibiotic administration”, “antibacterial administration”, and “hydration”.
  • the particular model indicates one or more of coping strategies such as “antibiotic administration”, “antibacterial administration”, and “alcohol disinfection”.
  • the specific model indicates one or more of coping methods such as “cholecystectomy”, “cholecyst drainage”, “antibiotic administration”, and “diet guidance”.
  • the coping method specified by the specific model may be a part of the above, or may include a coping method other than the above.
  • the particular model may identify how to treat patients with other conditions.
  • the specific model may be recorded in advance in the support device 1 or may be generated by another device that is communicatively connected to the support device 1.
  • the support device 1 may also generate a specific model.
  • the support apparatus 1 deals with the patient's nursing care based on the nursing information acquired from the database of the electronic medical record system 31 and the correct answer label of the coping method information for the change in the condition indicated by the nursing information.
  • Generate a specific model used to identify the method In either case, the specific model is generated in advance.
  • a condition estimation model may be used.
  • the condition estimation model estimates changes in the patient's condition.
  • the patient's condition estimated by the condition estimation model includes whether or not the patient's condition has changed, and the degree to which the condition has changed.
  • the estimated patient condition is not limited to these.
  • the condition estimation model may be recorded in advance in the support device 1 or may be generated by another device that is communicatively connected to the support device 1.
  • the support device 1 may generate a condition estimation model. As an example of this case, the support apparatus 1 estimates the condition based on the nursing information acquired from the database of the electronic medical chart system 31 and the correct answer label of the information indicating that the condition of the patient has changed in the nursing information.
  • a model may be generated.
  • the nursing information refers to information that the medical staff should understand in nursing a patient, such as the patient's condition, the content of the patient's care, and changes in the patient's condition in the nursing work for the patient.
  • the change in the patient's condition may be varied, such as the patient's condition getting worse, the patient's condition improving, the patient's food amount increasing, the patient's food amount decreasing, and the like.
  • the condition estimation model may be a model that can specify the degree of change in the patient's condition divided into a plurality of parts. In any case, the condition estimation model is generated in advance.
  • the specific model may be generated using the nursing information stored in the database of the electronic medical record system 31 and the information stored in the database of the resource management system 32. As a result, the specific model can specify the coping method according to the nursing information of the patient and the situation of the resource for nursing.
  • the resource for nursing refers to a human resource such as working hours of a medical staff who cares for a patient and a facility resource such as medical equipment near the patient.
  • the above-mentioned condition estimation model and specific model of coping method may be generated for each nursing type of the patient or each attribute of the patient.
  • the nursing type is an identifier that identifies a mode of nursing such as bone fracture and stroke.
  • the patient attribute is an identifier that identifies a patient category such as age and sex.
  • the support device 1 records each model in the database 104.
  • the condition estimation model and the specific model of the coping method include parameters such as the weight of the neural network for calculating the output with respect to the input.
  • the condition estimation model and the specific model of the coping method may be models other than the neural network.
  • FIG. 5 is a first diagram showing a processing flow of the support device 1. Next, the details of the processing of the support device 1 will be described with reference to FIG. In the following process flow, it is assumed that the support device 1 includes the estimation unit 14. However, as described above, the support device 1 may not include the estimation unit 14.
  • the database 104 of the support apparatus 1 acquires and stores a patient ID and nursing information from the electronic medical chart system 31 in advance. As information recorded in the database of the electronic medical record system 31, nursing information is added or updated at any time. Therefore, the acquisition unit 12 of the support apparatus 1 communicates with the electronic medical record system 31 at a predetermined time interval, acquires the patient ID and nursing information associated with the patient ID from the database of the electronic medical record system 31, and acquires the database. Record at 104.
  • the estimation unit 14 identifies the patient ID of the first patient from the database 104 (step S101).
  • the estimation unit 14 acquires the nursing information recorded in the database 104 in association with the identified patient ID.
  • a plurality of pieces of nursing information associated with the patient ID may exist in time series.
  • the estimation unit 14 acquires information indicating the physical condition of the patient from the nursing information (step S102).
  • Information indicating the physical condition of the patient includes information such as body temperature, blood pressure, each item of blood test results, “Subjective (subjective information)”, “Objective (objective information)”, and “Assessment (evaluation information)”. It may be.
  • the estimation unit 14 acquires a condition estimation model (step S103).
  • the estimation unit 14 may identify the nursing type or attribute for the patient indicated by the patient ID, and acquire the condition estimation model from the database 104 according to the nursing type or attribute.
  • the estimation unit 14 inputs information indicating the physical condition of the patient a predetermined time before the current time and information indicating the physical condition at the current time into the condition estimation model, and determines whether the patient's condition has changed. Estimate (step S104). As a result, the estimation unit 14 acquires information on whether or not the estimated condition has changed.
  • the estimation unit 14 compares the information indicating the past physical condition with the information indicating the physical condition at the current time without using the condition estimation model, and based on the difference between the information indicating the physical condition of the patient, The presence or absence of change may be estimated. For example, the estimation unit 14 may estimate that the condition has changed when the difference in body temperature included in each of the acquired pieces of information indicating the physical condition is equal to or more than a predetermined threshold value. Further, for example, the estimation unit 14 estimates that the condition has changed from the acquired information indicating the physical condition when the component value of a certain item of blood identified based on the nursing attribute of the patient is equal to or greater than a predetermined threshold value. You may.
  • the estimation unit 14 determines whether the patient's condition has changed.
  • the present invention is not limited to such an example, and the input of information indicating that the condition of the patient has changed may be received from the medical staff, the patient himself, or the like.
  • the coping method specifying unit 15 specifies the first coping method (step S105). If the estimating unit 14 is not provided, the coping method specifying unit 15 may specify the first coping method in response to a request for specifying a coping method from the medical staff via the terminal 2. Good. As an example of identifying the coping method, the coping method identifying unit 15 identifies a nursing type or attribute for the patient indicated by the patient ID, and acquires a specific model of the handling method from the database 104 according to the nursing type or attribute.
  • the coping method identifying unit 15 inputs information indicating the physical condition of the patient a predetermined time before the current time and information indicating the physical condition at the current time into the coping model, and the first of the results is input.
  • Information on a coping method is acquired (step S106).
  • the first coping method may be output as information such as identification information such as an ID that identifies the first coping method.
  • the coping method specifying unit 15 acquires the identification information that specifies the first coping method
  • the coping method specifying unit 15 outputs the patient ID of the processing target and the specified first coping method to the UI management unit 18.
  • the UI management unit 18 acquires the patient ID and the first coping method, and generates presentation information of the coping method including them (step S107).
  • This presentation information includes the content information of the coping method showing the first coping method in detail to the medical staff.
  • the presentation information includes a presentation ID for identifying the presentation information.
  • the content information corresponding to the first coping method may be stored in the database 104 of the support device 1 in advance.
  • the UI management unit 18 acquires the medical staff ID recorded in the database 104 in association with the patient ID. Further, the UI management unit 18 acquires the terminal ID recorded in the resource management system 32 in association with the medical staff ID. This terminal ID is the terminal 2 used by the medical staff indicated by the medical staff ID specified based on the patient ID.
  • the UI management unit 18 acquires an ID indicating the ward and the number of floors based on the patient ID, and based on the ID, based on the work schedule of the resource management system 32, the ID of the medical staff working at the current time. Identify.
  • the UI management unit 18 may acquire the terminal ID associated with the ID of the caregiver from the resource management system 32.
  • the UI management unit 18 transmits the presentation information to the terminal 2 having the specified terminal ID (step S108).
  • the UI management unit 18 may temporarily record the presentation information in a memory or a storage unit.
  • the terminal 2 that has received the presentation information by the above processing outputs the presentation information indicating at least the patient ID included in the presentation information and the coping method for the change in the patient's condition.
  • the presentation information may be output to another output destination device. Thereby, the medical staff can deal with the patient whose condition has changed based on the information displayed on the terminal 2 by the appropriate coping method.
  • the electronic chart system 31 may automatically record the patient's vital measurement value acquired by a sensor or the like as nursing information.
  • Vital measurements include, but are not limited to, patient temperature, blood pressure, electrocardiogram data, and the like.
  • the sensor or electronic medical chart system 31 Each time the vital measurement value is registered as nursing information, the sensor or electronic medical chart system 31 notifies the support apparatus 1 that the nursing information is registered, and the estimation unit 14 of the support apparatus 1 changes the patient's condition. You may judge whether it did.
  • the vital measurement value of the patient is automatically recorded as nursing information, and based on this record, when the support device 1 determines that the condition has changed based on the change in the condition of the patient, the presentation information of the coping method is generated. By transmitting to the terminal 2, it is possible to take prompt and appropriate measures for the patient.
  • the estimation unit 14 stores the human resources and facility resources available for nursing the patient in the database of the resource management system 32 based on the ward ID, the room ID, the bed ID, etc. specified based on the patient ID.
  • This resource may be input to the specific model along with information indicating the physical condition of the patient.
  • the estimation unit 14 stores information regarding resources as the input information included in the model input / output information described above.
  • the coping method specifying unit 15 specifies the first coping method for the patient based on the change in the physical condition of the patient and the human resource or facility resource.
  • the support apparatus 1 can identify an appropriate coping method for a patient based on the human resources of the medical staff identified based on the work schedule at the current time and the facility resources available for nursing the patient. it can. For example, when the doctor in charge of the patient is absent, there are coping methods that can and cannot be carried out among coping methods for the patient. In addition, depending on the available nursing facilities, there are treatments that can be performed and treatments that cannot be performed among the treatment methods for patients. The support device 1 can specify an appropriate coping method in consideration of such human resources and facility resources.
  • FIG. 6 is a second diagram showing a processing flow of the support device 1.
  • the medical staff refers to the presentation information displayed on the terminal 2 to take care of the patient.
  • the first coping method included in the presentation information may be executed.
  • a coping method different from the first coping method may be executed.
  • the coping method performed on the patient may be hereinafter referred to as a second coping method.
  • the medical staff inputs the content of the treatment to the terminal 2 during or after the treatment for the patient.
  • the first coping method included in the presentation information is input as the coping content.
  • the second coping method different from the coping method of the first coping method is performed, the detailed content thereof is input as the coping content.
  • a user such as a medical staff can input the information of the handling contents into the terminal 2 by voice input or character input.
  • the terminal 2 transmits the coping result including the presentation ID, the patient ID, and the coping contents to the support device 1.
  • Assistance device 1 receives the response result.
  • the acquisition unit 12 of the support device 1 acquires a coping result (step S201).
  • the acquisition unit 12 outputs the coping result to the coping result processing unit 16.
  • the coping result processing unit 16 acquires, from the UI management unit 18, the presentation information transmitted in the past to the terminal 2 that has transmitted the coping result (step S202).
  • the handling result processing unit 16 determines whether the handling method included in the presentation information and the handling content indicated by the handling result match (step S203).
  • the first coping method has been executed.
  • the coping result processing unit 16 records in the database 104 the first coping result including at least the information indicating that the first coping method has been performed, the presentation ID, and the patient ID (step S204).
  • the first coping result is a coping result recorded when the first coping method is performed.
  • the second coping method is executed instead of the first coping method included in the presentation information. It has been done.
  • the coping result processing unit 16 includes information indicating that the second coping method is performed, coping details of the second coping method executed instead of the first coping method, a presentation ID, and a patient ID.
  • the second coping result including at least is recorded in the database 104 (step S205).
  • the second coping result is a coping result that is recorded when the second coping result is performed instead of the first coping method.
  • the support device 1 receives from the terminal 2 the evaluation information of nursing according to the coping method presented to the user by the presentation information.
  • the medical staff registers the evaluation information in the terminal 2 together with the input of the handling content, or one hour after the handling of the handling method is performed.
  • the evaluation information mainly indicates the quality of the first coping method.
  • the evaluation information may be, for example, detailed contents regarding evaluation of a coping method represented by a numerical value, evaluation of a state of a patient after one hour, and the like, but is not limited thereto.
  • the evaluation information may be any information indicating whether the first coping method is good or bad.
  • the evaluation information includes the presentation ID designated by the user and acquired by the terminal 2.
  • the user may input the evaluation information into the terminal 2 by voice input or operation input.
  • the support device 1 acquires the evaluation information (step S206).
  • the acquisition unit 12 of the support device 1 outputs the evaluation information to the handling evaluation unit 17.
  • the coping evaluation unit 17 refers to the evaluation information and determines whether or not the coping method is appropriate (step S207). As an example, a case will be described in which the evaluation information is represented by a numerical value having a larger value when the coping method is appropriate. In this case, the handling evaluation unit 17 determines whether the evaluation included in the evaluation information is less than the threshold value. In this case, when the evaluation is less than the threshold value, the coping evaluation unit 17 determines to transmit a specific model update determination request for the coping method. The handling evaluation unit 17 outputs an update determination request for the specific model including the presentation ID included in the evaluation information to the model updating unit 13. When the evaluation included in the evaluation information is equal to or more than the threshold, the handling evaluation unit 17 determines that the presented processing is appropriate and ends the processing.
  • the model update unit 13 acquires an update determination request.
  • the model updating unit 13 advances the model updating process.
  • the model update unit 13 inputs and acquires the input information input to the acquired model and the output information (information indicating the physical condition of the patient, resource information, etc.) output from the acquired model.
  • the model is updated (step S208).
  • the model updating unit 13 updates the specific model by relearning the second coping method to the specific model.
  • the model updating unit 13 updates the specific model by re-learning that the evaluation of the first coping method is low together with or instead of re-learning of the second coping method. Good.
  • the process of the model updating unit 13 is one mode of the process of updating the specific model when the second coping method performed in place of the first coping method is evaluated to be more appropriate.
  • the support device 1 determines whether to end the process (step S209).
  • the support apparatus 1 repeats the above-described steps S201 to S209 each time the coping result is acquired. That is, when the second coping method is more appropriate than the first coping method, re-learning regarding the second coping method is performed for the specific model. As a result, it is possible to improve the accuracy of the specific model that specifies the coping method.
  • the coping evaluation unit 17 determines whether the evaluation of the second coping method performed in place of the first coping method is less than the threshold value based on the evaluation information acquired from the user's terminal 2. is doing. However, the coping evaluation unit 17 replaces the first coping method with the second coping method, which is performed based on the nursing information of the patient registered by the medical staff after the medical staff has dealt with the patient. You may judge whether the evaluation of is more than a threshold value.
  • the coping evaluation unit 17 of the support device 1 detects the elapse of a predetermined time after recording the first coping result in step S204 and recording the second coping result in step S205, and starts the coping evaluation process. To do.
  • the coping evaluation unit 17 acquires the presentation ID and the patient ID included in the first coping result and the second coping result.
  • the coping evaluation unit 17 acquires the nursing information including the presentation ID and the patient ID from the nursing information recorded in the database 104.
  • the coping evaluation unit 17 also acquires, from the database 104, the nursing information of the patient having the patient ID registered for a predetermined time before the registration time of the nursing information including the presentation ID and the patient ID.
  • the medical staff uses the electronic medical chart system 31 as the nursing information including information such as the condition of the patient and the presentation ID and the patient ID after executing the coping method indicated by the presentation information. It is assumed that you have registered.
  • the nursing information registered in the electronic medical chart system 31 by the processing of the support device 1 is copied to the database 104.
  • the coping evaluation unit 17 of the support device 1 calculates an evaluation based on the acquired nursing information. Specifically, the coping evaluation unit 17 acquires predetermined information from the information on the physical condition of the patient included in the acquired nursing information.
  • the predetermined information may be, for example, a body temperature or a consciousness level value.
  • the coping evaluation unit 17 calculates the evaluation of the coping method indicated by the presentation information based on the increase or decrease in the value of the body temperature or the consciousness level included in each acquired time-series nursing information. For example, the coping evaluation unit 17 calculates a low evaluation when the body temperature is rising and the consciousness level is decreasing. Further, the coping evaluation unit 17 calculates a high evaluation when the body temperature is lowered and the consciousness level is increased. This evaluation calculation method is an example, and any calculation method may be used. Then, the support device 1 similarly performs the processing from step S207 onward to update the specific model.
  • the support device 1 can output information for performing appropriate coping in accordance with a change in the condition of the patient in the nursing work. .
  • FIG. 7 is a diagram showing a support device according to another embodiment.
  • the support device 1 includes at least a model updating unit 13 and a coping method identifying unit 15.
  • the coping method identifying unit 15 identifies a first coping method for nursing a patient by using a specific model that identifies a coping method according to the condition of the patient.
  • the model updating unit 13 updates the specific model based on the evaluation of the coping method performed on the patient.
  • the above-mentioned support device 1 has a computer system inside.
  • the process of each process described above is stored in a computer readable recording medium in the form of a program, and the above process is performed by the computer reading and executing the program.
  • the above program may be for realizing some of the functions described above. Further, it may be a so-called difference file (difference program) that can realize the above-mentioned functions in combination with a program already recorded in the computer system.
  • difference file difference program
  • the present invention may be applied to a support device, a support method, and a recording medium.

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  • Engineering & Computer Science (AREA)
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Abstract

This support device is provided with: a handling method specifying unit which specifies a first handling method for carrying out nursing care with respect to a patient, using a specifying model which specifies a handling method corresponding to the condition of the patient; and a model updating unit which updates the specifying model on the basis of an evaluation of the handling method performed with respect to the patient.

Description

支援装置、支援方法、記録媒体Support device, support method, recording medium
　本発明は、支援装置、支援方法、記録媒体に関する。 The present invention relates to a support device, a support method, and a recording medium.
　病院業務全体の最適化に向けて、看護師や医師等の医療スタッフの業務の最適化は不可欠である。そのような医療スタッフの業務を最適化し業務の効率化を行うことが病院の運営にとって不可欠である。特許文献１には医療スタッフの業務において患者に対する処置履歴データに基づいて、患者のための医学的処置について予測的にスケジュールを作成することが記載されている（段落００６４等参照）。 Optimized operations of medical staff such as nurses and doctors are indispensable for optimizing overall hospital operations. It is essential for hospital management to optimize the work of such medical staff and to improve the work efficiency. Patent Document 1 describes that a medical staff's work creates a schedule for medical treatment for a patient on the basis of treatment history data for the patient (see paragraph 0064 and the like).
日本国特開２００７－２２０１１３号公報Japanese Patent Laid-Open No. 2007-220113
　上述のような医療スタッフの業務において、患者の容態の変化に応じた適切な対処を行う技術が求められている。 In the work of medical staff as described above, there is a demand for technology that can respond appropriately to changes in the patient's condition.
　この発明の目的の一例は、上述の課題を解決する支援装置、支援方法、記録媒体を提供することである。 One example of an object of the present invention is to provide a support device, a support method, and a recording medium that solve the above problems.
　本発明の第１の態様によれば、支援装置は、患者の容態に応じた対処方法を特定する特定モデルを用いて、前記患者に対する看護の第一の対処方法を特定する対処方法特定部と、前記患者に対して行われた対処方法についての評価に基づいて、前記特定モデルを更新するモデル更新部と、を備える。 According to the first aspect of the present invention, the support device uses a coping method specifying unit that specifies a first coping method for nursing the patient using a specific model that specifies a coping method according to the condition of the patient. And a model updating unit that updates the specific model based on an evaluation of a coping method performed on the patient.
　本発明の第２の態様によれば、支援方法は、患者の容態に応じた対処方法を特定する特定モデルを用いて、前記患者に対する看護の第一の対処方法を特定し、前記患者に対して行われた対処方法についての評価に基づいて、前記特定モデルを更新することを含む。 According to the second aspect of the present invention, the support method identifies the first coping method of nursing for the patient by using the specific model for identifying the coping method according to the condition of the patient, and And updating the specific model based on the evaluation of the coping method performed as described above.
　本発明の第３の態様によれば、記録媒体は、コンピュータに、患者の容態に応じた対処方法を特定する特定モデルを用いて、前記患者に対する看護の第一の対処方法を特定し、前記患者に対して行われた対処方法についての評価に基づいて、前記特定モデルを更新する、ことを実行させるプログラムを記憶する。 According to a third aspect of the present invention, the recording medium specifies a first coping method of nursing for the patient by using a specific model for specifying a coping method according to the condition of the patient in the computer, and A program is stored that causes the particular model to be updated based on an assessment of the coping strategy that has been performed on the patient.
　本発明の実施形態によれば、医療スタッフの業務において、患者の容態の変化に応じた適切な対処を行うための情報を出力する支援装置の技術を提供することができる。 According to the embodiment of the present invention, it is possible to provide a technique of a support device that outputs information for performing appropriate measures according to changes in the condition of a patient in the work of a medical staff.
本発明の一実施形態による支援装置システムの概要を示す図である。It is a figure which shows the outline | summary of the assistance apparatus system by one Embodiment of this invention. 本発明の一実施形態による支援装置のハードウェア構成図である。It is a hardware block diagram of the assistance apparatus by one Embodiment of this invention. 本発明の一実施形態による支援装置の機能ブロック図である。It is a functional block diagram of the support device by one embodiment of the present invention. 本発明の一実施形態による支援装置に接続するデータベースの例を示す図である。It is a figure which shows the example of the database connected to the assistance apparatus by one Embodiment of this invention. 本発明の一実施形態による支援装置の処理フローを示す第一の図である。It is a 1st figure which shows the process flow of the assistance apparatus by one Embodiment of this invention. 本発明の一実施形態による支援装置の処理フローを示す第二の図である。It is a 2nd figure which shows the process flow of the assistance apparatus by one Embodiment of this invention. 本発明の別の実施形態による支援装置を示す図である。It is a figure which shows the support device by another embodiment of this invention.
　以下、本発明の一実施形態による支援システム１００を、図面を参照して説明する。
　図１は本実施形態による支援装置を有する支援システム１００の概要を示す図である。
　本実施形態による支援システム１００は、病院等に設置される。支援システム１００は支援装置１と端末２とが通信接続することにより構成される。支援システム１００には複数の端末２が通信接続することができる。各端末２は看護師や医師などの医療スタッフが携帯する。端末２はスマートフォンなどの携帯型のコンピュータであってもよいし、ＰＣ等の卓上型のコンピュータであってもよい。 Hereinafter, a support system 100 according to an embodiment of the present invention will be described with reference to the drawings.
FIG. 1 is a diagram showing an outline of a support system 100 having a support device according to the present embodiment.
The support system 100 according to the present embodiment is installed in a hospital or the like. The support system 100 is configured by communicatively connecting the support device 1 and the terminal 2. A plurality of terminals 2 can be communicatively connected to the support system 100. Each terminal 2 is carried by a medical staff such as a nurse or a doctor. The terminal 2 may be a portable computer such as a smartphone or a desktop computer such as a PC.
　図２は支援装置１のハードウェア構成を示す図である。
　図２が示すように支援装置１はＣＰＵ（Central Processing Unit）１０１、ＲＯＭ（Read Only Memory）１０２、ＲＡＭ（Random Access Memory）１０３、データベース１０４、通信モジュール１０５等の各ハードウェアを備えたコンピュータである。 FIG. 2 is a diagram showing a hardware configuration of the support device 1.
As shown in FIG. 2, the support device 1 is a computer including hardware such as a CPU (Central Processing Unit) 101, a ROM (Read Only Memory) 102, a RAM (Random Access Memory) 103, a database 104, and a communication module 105. is there.
　図３は支援装置１の機能ブロック図である。
　支援装置１は予め記憶する支援プログラムを実行する。これにより支援装置１は、制御部１１、取得部１２、モデル更新部１３、推定部１４、対処方法特定部１５、対処結果処理部１６、対処評価部１７、ＵＩ（User Interface）管理部１８の機能が実行可能になる。 FIG. 3 is a functional block diagram of the support device 1.
The support device 1 executes a support program stored in advance. As a result, the support device 1 includes the control unit 11, the acquisition unit 12, the model update unit 13, the estimation unit 14, the coping method identification unit 15, the coping result processing unit 16, the coping evaluation unit 17, and the UI (User Interface) management unit 18. The function becomes executable.
　制御部１１は、支援装置１の他の機能部を制御する。
　取得部１２は、支援装置１が受信した情報のうち処理対象となる情報を取得する。
　推定部１４は、患者の容態の変化の有無を推定する。支援装置１が推定部１４を備えることは必須でなくてもよい。
　対処方法特定部１５は、患者の容態に応じた対処方法を特定する特定モデルを用いて、患者に対する看護の第一の対処方法を特定する。本実施形態において、第一の対処方法は、特定モデルによって特定された、患者に対する看護の対処方法である。
　対処結果処理部１６は、患者に対して実際に行われた対処方法についての情報を取得する。
　対処評価部１７は対処方法の実行結果に基づく対処方法の評価を算出する。
　モデル更新部１３は、患者に対して行われた対処方法についての評価に基づいて、特定モデルを更新する。
　ＵＩ管理部１８は、端末２に患者の容態の変化に基づく対処方法の提示情報を医療スタッフが利用する端末２に出力する。 The control unit 11 controls other functional units of the support device 1.
The acquisition unit 12 acquires information to be processed among the information received by the support device 1.
The estimation unit 14 estimates whether or not the patient's condition has changed. The support device 1 does not have to include the estimation unit 14.
The coping method identifying unit 15 identifies a first coping method for nursing a patient by using a specific model that identifies a coping method according to the condition of the patient. In the present embodiment, the first coping method is a coping method for nursing a patient identified by the specific model.
The coping result processing unit 16 acquires information on the coping method actually performed for the patient.
The coping evaluation unit 17 calculates the evaluation of the coping method based on the execution result of the coping method.
The model updating unit 13 updates the specific model based on the evaluation of the coping method performed on the patient.
The UI management unit 18 outputs the presentation information of the coping method based on the change in the condition of the patient to the terminal 2, which is used by the medical staff.
　すなわち、本実施形態による支援装置１は、上述した特定モデルを用いて、患者に対する看護の第一の対処方法を特定し、患者に対して実際に行われた対処方法についての評価に基づいて、特定モデルを更新する。
　これにより、本実施形態による支援装置１は、看護業務において、患者の容態の変化に応じた適切な対処を行うための情報を出力する技術を提供する。 That is, the support device 1 according to the present embodiment identifies the first coping method of nursing for a patient using the above-described specific model, and based on the evaluation of the coping method actually performed for the patient, Update a specific model.
As a result, the support apparatus 1 according to the present embodiment provides a technique for outputting information for performing appropriate coping in response to changes in the patient's condition in nursing work.
　図４は支援装置１に接続するデータベースの例を示す図である。
　本実施形態の支援装置１は、少なくとも、電子カルテシステム３１と、リソース管理システム３２のデータベースと通信接続されている。電子カルテシステム３１のデータベースには、患者を特定する患者ＩＤに紐づけて、医療スタッフＩＤ、病棟番号、階数、病室の部屋番号、ベッド番号、入力情報、などを紐づけた看護情報が登録される。医療スタッフＩＤは、その患者を看護する医療スタッフを特定するための情報である。病棟番号は、その患者が入院する病棟を特定するための情報である。階数は、その病棟の階を特定するための情報である。病室の部屋番号は、その患者が利用している病室の番号である。ベッド番号は、その患者が利用しているベッドを特定するための番号である。入力情報は、計測した患者の生体情報やその他の看護の詳細な内容を示す。入力情報には、“Ｓｕｂｊｅｃｔｉｖｅ（主観的情報）”、“Ｏｂｊｅｃｔｉｖｅ（客観的情報）”、“Ａｓｓｅｓｓｍｅｎｔ（評価情報）”、“Ｐｌａｎ（計画、治療情報）”の種別でそれぞれ特定される情報が含まれてよい。“Ｓｕｂｊｅｃｔｉｖｅ”は患者から直接得られた情報を示す。“Ｏｂｊｅｃｔｉｖｅ”は医療スタッフによる身体診察や検査から得られた情報を示す。“Ａｓｓｅｓｓｍｅｎｔ”は“Ｓｕｂｊｅｃｔｉｖｅ”や“Ｏｂｊｅｃｔｉｖｅ”に基づく医療スタッフによる評価の情報を示す。“Ｐｌａｎ”は“Ａｓｓｅｓｓｍｅｎｔ”の結果として実施する計画や治療を示す。 FIG. 4 is a diagram showing an example of a database connected to the support device 1.
The support device 1 of the present embodiment is at least communicatively connected to the electronic medical record system 31 and the database of the resource management system 32. In the database of the electronic medical record system 31, nursing information associated with a medical staff ID, a ward number, a floor number, a room number of a ward, a bed number, input information, and the like is registered in association with a patient ID that identifies a patient. It The medical staff ID is information for identifying a medical staff who cares for the patient. The ward number is information for identifying the ward in which the patient is hospitalized. The number of floors is information for identifying the floor of the ward. The room number of the patient room is the number of the patient room used by the patient. The bed number is a number for identifying the bed used by the patient. The input information indicates the measured biological information of the patient and other details of nursing. The input information includes information specified by the types of “Subjective (subjective information)”, “Objective (objective information)”, “Assessment (evaluation information)”, and “Plan (plan, treatment information)”. You can be. "Subjective" indicates information obtained directly from the patient. “Objective” indicates information obtained from a physical examination or examination by a medical staff. “Assessment” indicates information of evaluation by the medical staff based on “Subjective” or “Objective”. “Plan” indicates a plan or treatment to be performed as a result of “Assessment”.
　またリソース管理システム３２には、患者の看護のためのリソースの情報として、医療スタッフのスケジュール、医師のスケジュール、各病室や病棟の階ごとの看護設備、医療設備のＩＤなどやその設備の利用スケジュールなどが記録されている。 In addition, the resource management system 32 provides information on resources for nursing patients such as medical staff schedules, doctor schedules, nursing equipment on each floor of each hospital room or ward, medical equipment IDs, and usage schedules of the equipment. Etc. are recorded.
　支援装置１においては、上述のように、特定モデルが用いられる。特定モデルは、患者の容態やその変化などに応じて、患者に対する看護の対処方法を特定する。以下、特定モデルによって特定された患者に対する対処方法を第一の対処方法と呼ぶ場合がある。 The support device 1 uses a specific model as described above. The specific model identifies the coping method of nursing for the patient according to the condition of the patient and its change. Hereinafter, the coping method for the patient specified by the specific model may be referred to as a first coping method.
　特定モデルによって特定される対処方法の例を以下に示す。誤嚥性肺炎又はその可能性のある患者に対しては、特定モデルにより、例えば「抗生剤投与」、「去痰剤投与」、「口腔ケア時間増」、及び「呼吸リハ嚥下訓練」などの対処方法のうちの一つ以上が示される。「抗生剤投与」は、医療スタッフが医師の診断に応じて患者に抗生剤を投与する対処方法である。「去痰剤投与」、医療スタッフが医師の診断に応じて患者に去痰剤を投与する対処方法である。「口腔ケア時間増」は、医療スタッフによる患者に対する口腔ケアの時間を増やす対処方法である。「呼吸リハ嚥下訓練」は、呼吸に関するリハビリテーションを行うことで、患者の嚥下についての訓練を行う対処方法である。 An example of the coping method specified by the specific model is shown below. For patients with aspiration pneumonia or the possibility thereof, depending on the specific model, for example, "antibiotic administration", "expectorant administration", "oral care time increase", and "respiratory rehabilitation swallowing training" One or more of the methods are shown. "Administration of antibiotics" is a coping method in which medical staff administer antibiotics to patients according to the doctor's diagnosis. "Administration of expectorant" is a method of coping with expectorant administration by a medical staff to a patient according to a doctor's diagnosis. “Increase oral care time” is a coping method that increases the time of oral care for a patient by medical staff. The “breathing rehabilitation swallowing training” is a coping method for performing training on swallowing of a patient by performing rehabilitation related to breathing.
　尿路感染の患者に対しては、特定モデルにより、例えば「抗生剤投与」、「抗菌剤投与」、及び「水分補給」などの対処方法のうちの一つ以上が示される。蜂窩織炎の患者に対しては、特定モデルにより、例えば「抗生剤投与」、「抗菌剤投与」、及び「アルコール消毒」などの対処方法のうちの一つ以上が示される。胆嚢炎の患者に対しては、特定モデルにより、例えば「胆嚢摘出」、「胆嚢ドレナージ」、「抗生剤投与」及び「食事指導」などの対処方法のうちの一つ以上が示される。特定モデルによって特定される対処方法は、上記の一部であってもよいし、上記以外の対処方法が含まれてもよい。特定モデルは、他の症状の患者に対する対処方法を特定してもよい。 For patients with urinary tract infections, the specific model will indicate one or more of the coping strategies such as "antibiotic administration", "antibacterial administration", and "hydration". For patients with cellulitis, the particular model indicates one or more of coping strategies such as “antibiotic administration”, “antibacterial administration”, and “alcohol disinfection”. For patients with cholecystitis, the specific model indicates one or more of coping methods such as “cholecystectomy”, “cholecyst drainage”, “antibiotic administration”, and “diet guidance”. The coping method specified by the specific model may be a part of the above, or may include a coping method other than the above. The particular model may identify how to treat patients with other conditions.
　特定モデルは、予め支援装置１に記録されていてもよいし、支援装置１と通信接続された他の装置が生成してもよい。また、支援装置１は、特定モデルを生成してもよい。支援装置１は、この場合の一例として、電子カルテシステム３１のデータベースから取得した看護情報と、その看護情報が示す容態の変化に対する対処方法の情報の正解ラベルとに基づいて、患者の看護の対処方法を特定するために用いられる特定モデルを生成する。いずれの場合においても、特定モデルは予め生成される。 The specific model may be recorded in advance in the support device 1 or may be generated by another device that is communicatively connected to the support device 1. The support device 1 may also generate a specific model. As an example of this case, the support apparatus 1 deals with the patient's nursing care based on the nursing information acquired from the database of the electronic medical record system 31 and the correct answer label of the coping method information for the change in the condition indicated by the nursing information. Generate a specific model used to identify the method. In either case, the specific model is generated in advance.
　また、支援装置１においては、容態推定モデルが用いられてもよい。容態推定モデルは、患者の容態の変化を推定する。容態推定モデルによって推定される患者の容態は、患者の容態の変化の有無や、容態の変化がある場合の程度が含まれる。推定される患者の容態は、これらには限られない。容態推定モデルは予め支援装置１に記録さていてもよいし、支援装置１と通信接続された他の装置が生成してもよい。また、支援装置１は、容態推定モデルを生成してもよい。支援装置１は、この場合の一例として、電子カルテシステム３１のデータベースから取得した看護情報と、その看護情報において患者の容態の変化があったことを示す情報の正解ラベルとに基づいて、容態推定モデルを生成してよい。ここで看護情報とは、患者に対する看護業務の中で、患者の状態や患者への看護内容、患者の状態の変化など、患者を看護する上で、医療スタッフが把握すべき情報を示す。患者の容態の変化は、患者の容態の悪化、患者の容態の改善、患者の食事の量の増加、患者の食事の量の減少、など様々であってよい。容態推定モデルは複数に区分された患者の容態の変化の度合の大きさを特定できるモデルであってよい。いずれの場合においても、容態推定モデルは予め生成される。 In addition, in the support device 1, a condition estimation model may be used. The condition estimation model estimates changes in the patient's condition. The patient's condition estimated by the condition estimation model includes whether or not the patient's condition has changed, and the degree to which the condition has changed. The estimated patient condition is not limited to these. The condition estimation model may be recorded in advance in the support device 1 or may be generated by another device that is communicatively connected to the support device 1. In addition, the support device 1 may generate a condition estimation model. As an example of this case, the support apparatus 1 estimates the condition based on the nursing information acquired from the database of the electronic medical chart system 31 and the correct answer label of the information indicating that the condition of the patient has changed in the nursing information. A model may be generated. Here, the nursing information refers to information that the medical staff should understand in nursing a patient, such as the patient's condition, the content of the patient's care, and changes in the patient's condition in the nursing work for the patient. The change in the patient's condition may be varied, such as the patient's condition getting worse, the patient's condition improving, the patient's food amount increasing, the patient's food amount decreasing, and the like. The condition estimation model may be a model that can specify the degree of change in the patient's condition divided into a plurality of parts. In any case, the condition estimation model is generated in advance.
　特定モデルは、電子カルテシステム３１のデータベースが記憶する看護情報と、リソース管理システム３２のデータベースが記憶する情報とを用いて生成されてもよい。これにより、特定モデルは、患者の看護情報と、看護のためのリソースの状況とに応じた対処方法を特定することが可能となる。看護のためのリソースとは、患者を看護する医療スタッフの勤務時間などの人的リソースや、患者の近くにある医療設備などの設備的リソースなどを示す。 The specific model may be generated using the nursing information stored in the database of the electronic medical record system 31 and the information stored in the database of the resource management system 32. As a result, the specific model can specify the coping method according to the nursing information of the patient and the situation of the resource for nursing. The resource for nursing refers to a human resource such as working hours of a medical staff who cares for a patient and a facility resource such as medical equipment near the patient.
　上述の容態推定モデルや対処方法の特定モデルは、患者の看護種別や患者の属性ごとに生成されてもよい。例えば看護種別は、骨折、脳卒中などの看護の態様を特定する識別子である。患者の属性は年齢、性別などの患者のカテゴリを特定する識別子である。支援装置１は、各モデルをデータベース１０４に記録する。容態推定モデルおよび対処方法の特定モデルは、入力に対する出力を算出するためのニューラルネットワークの重み等のパラメータを含む。容態推定モデルおよび対処方法の特定モデルは、ニューラルネットワーク以外のモデルであってもよい。 The above-mentioned condition estimation model and specific model of coping method may be generated for each nursing type of the patient or each attribute of the patient. For example, the nursing type is an identifier that identifies a mode of nursing such as bone fracture and stroke. The patient attribute is an identifier that identifies a patient category such as age and sex. The support device 1 records each model in the database 104. The condition estimation model and the specific model of the coping method include parameters such as the weight of the neural network for calculating the output with respect to the input. The condition estimation model and the specific model of the coping method may be models other than the neural network.
　図５は支援装置１の処理フローを示す第一の図である。
　次に図５を参照して支援装置１の処理の詳細について説明する。
　以下の処理フローでは、支援装置１が推定部１４を備える場合を想定している。しかしながら、上述のように、支援装置１は推定部１４を備えなくてもよい。 FIG. 5 is a first diagram showing a processing flow of the support device 1.
Next, the details of the processing of the support device 1 will be described with reference to FIG.
In the following process flow, it is assumed that the support device 1 includes the estimation unit 14. However, as described above, the support device 1 may not include the estimation unit 14.
　支援装置１のデータベース１０４は、予め電子カルテシステム３１から患者ＩＤや看護情報を取得して記憶する。電子カルテシステム３１のデータベースに記録される情報として、随時、看護情報が追加、更新される。そのため、支援装置１の取得部１２は、例えば所定の時間間隔で電子カルテシステム３１に通信接続し、電子カルテシステム３１のデータベースから患者ＩＤとその患者ＩＤに紐づく看護情報を取得して、データベース１０４に記録する。 The database 104 of the support apparatus 1 acquires and stores a patient ID and nursing information from the electronic medical chart system 31 in advance. As information recorded in the database of the electronic medical record system 31, nursing information is added or updated at any time. Therefore, the acquisition unit 12 of the support apparatus 1 communicates with the electronic medical record system 31 at a predetermined time interval, acquires the patient ID and nursing information associated with the patient ID from the database of the electronic medical record system 31, and acquires the database. Record at 104.
　そして、推定部１４は、データベース１０４から一人目の患者の患者ＩＤを特定する（ステップＳ１０１）。推定部１４は特定した患者ＩＤに紐づいてデータベース１０４に記録されている看護情報を取得する。その患者ＩＤに紐づく複数の看護情報が時系列に存在してよい。推定部１４は、それら看護情報から、患者の身体的容態を示す情報を取得する（ステップＳ１０２）。患者の身体的容態を示す情報は、体温、血圧、血液検査結果の各項目、“Ｓｕｂｊｅｃｔｉｖｅ（主観的情報）”、“Ｏｂｊｅｃｔｉｖｅ（客観的情報）”、“Ａｓｓｅｓｓｍｅｎｔ（評価情報）”などの情報であってもよい。 Then, the estimation unit 14 identifies the patient ID of the first patient from the database 104 (step S101). The estimation unit 14 acquires the nursing information recorded in the database 104 in association with the identified patient ID. A plurality of pieces of nursing information associated with the patient ID may exist in time series. The estimation unit 14 acquires information indicating the physical condition of the patient from the nursing information (step S102). Information indicating the physical condition of the patient includes information such as body temperature, blood pressure, each item of blood test results, “Subjective (subjective information)”, “Objective (objective information)”, and “Assessment (evaluation information)”. It may be.
　推定部１４は容態推定モデルを取得する（ステップＳ１０３）。推定部１４は、患者ＩＤが示す患者に対する看護種別や属性を特定し、その看護種別や属性に応じて容態推定モデルをデータベース１０４から取得してよい。推定部１４は、容態推定モデルに現在の時刻よりも所定時間前の患者の身体的容態を示す情報と、現在の時刻の身体的容態を示す情報とを入力し患者の容態の変化の有無を推定する（ステップＳ１０４）。その結果、推定部１４は、推定された容態の変化の有無の情報を取得する。なお、推定部１４は、容態推定モデルを用いずに、過去の身体的容態を示す情報と、現在の時刻の身体的容態を示す情報とを比較して、その差に基づいて患者の容態の変化の有無を推定してもよい。例えば、推定部１４は、それら取得した身体的容態を示す情報各々に含まれる体温の差が所定閾値以上である場合には、容態が変化したと推定してもよい。また例えば推定部１４は、それら取得した身体的容態を示す情報から、患者の看護属性に基づいて特定した血液のある項目の成分値が所定閾値以上である場合には、容態が変化したと推定してもよい。患者の容態の変化の具体例は、患者の容態の悪化、患者の容態の改善、患者の食事の量の増加、患者の食事の量の減少、を含んでもよい。なお上述の例においては推定部１４が患者の容態の変化の有無を判定している。しかしながら、このような例に限定されず、医療スタッフ、患者自身などから、その患者の容態の変化があったこと示す情報の入力を受け付けてもよい。 The estimation unit 14 acquires a condition estimation model (step S103). The estimation unit 14 may identify the nursing type or attribute for the patient indicated by the patient ID, and acquire the condition estimation model from the database 104 according to the nursing type or attribute. The estimation unit 14 inputs information indicating the physical condition of the patient a predetermined time before the current time and information indicating the physical condition at the current time into the condition estimation model, and determines whether the patient's condition has changed. Estimate (step S104). As a result, the estimation unit 14 acquires information on whether or not the estimated condition has changed. The estimation unit 14 compares the information indicating the past physical condition with the information indicating the physical condition at the current time without using the condition estimation model, and based on the difference between the information indicating the physical condition of the patient, The presence or absence of change may be estimated. For example, the estimation unit 14 may estimate that the condition has changed when the difference in body temperature included in each of the acquired pieces of information indicating the physical condition is equal to or more than a predetermined threshold value. Further, for example, the estimation unit 14 estimates that the condition has changed from the acquired information indicating the physical condition when the component value of a certain item of blood identified based on the nursing attribute of the patient is equal to or greater than a predetermined threshold value. You may. Specific examples of changes in the patient's condition may include deterioration of the patient's condition, improvement of the patient's condition, increase of the patient's dietary amount, decrease of the patient's dietary amount. In the above example, the estimation unit 14 determines whether the patient's condition has changed. However, the present invention is not limited to such an example, and the input of information indicating that the condition of the patient has changed may be received from the medical staff, the patient himself, or the like.
　推定部１４が患者の容態の変化が有ると推定した場合、対処方法特定部１５は、第一の対処方法を特定する（ステップＳ１０５）。なお、推定部１４が備えられていない場合には、対処方法特定部１５は、端末２を介した医療スタッフからの対処方法の特定要求などに応じて、第一の対処方法を特定してもよい。対処方法の特定の一例として、対処方法特定部１５は、患者ＩＤが示す患者に対する看護種別や属性を特定し、その看護種別や属性に応じて対処方法の特定モデルをデータベース１０４から取得する。対処方法特定部１５は、対処モデルに現在の時刻よりも所定時間前の患者の身体的容態を示す情報と、現在の時刻の身体的容態を示す情報とを入力し、その結果の第一の対処方法の情報を取得する（ステップＳ１０６）。第一の対処方法は、例えば第一の対処方法を特定するＩＤなどの識別情報などの情報として出力されてもよい。対処方法特定部１５は、第一の対処方法を特定する識別情報を取得すると、処理の対象とした患者ＩＤと、特定された第一の対処方法とをＵＩ管理部１８へ出力する。 When the estimation unit 14 estimates that there is a change in the patient's condition, the coping method specifying unit 15 specifies the first coping method (step S105). If the estimating unit 14 is not provided, the coping method specifying unit 15 may specify the first coping method in response to a request for specifying a coping method from the medical staff via the terminal 2. Good. As an example of identifying the coping method, the coping method identifying unit 15 identifies a nursing type or attribute for the patient indicated by the patient ID, and acquires a specific model of the handling method from the database 104 according to the nursing type or attribute. The coping method identifying unit 15 inputs information indicating the physical condition of the patient a predetermined time before the current time and information indicating the physical condition at the current time into the coping model, and the first of the results is input. Information on a coping method is acquired (step S106). The first coping method may be output as information such as identification information such as an ID that identifies the first coping method. When the coping method specifying unit 15 acquires the identification information that specifies the first coping method, the coping method specifying unit 15 outputs the patient ID of the processing target and the specified first coping method to the UI management unit 18.
　ＵＩ管理部１８は患者ＩＤと第一の対処方法とを取得し、それらを含む対処方法の提示情報を生成する（ステップＳ１０７）。この提示情報には第一の対処方法を詳細に医療スタッフに示す対処方法の内容情報が含まれる。また提示情報には提示情報を特定するための提示ＩＤが含まれている。第一の対処方法に対応するその内容情報は、予め支援装置１のデータベース１０４が記憶してよい。ＵＩ管理部１８は、患者ＩＤに紐づいてデータベース１０４に記録される医療スタッフＩＤを取得する。またＵＩ管理部１８は医療スタッフＩＤに紐づいてリソース管理システム３２に記録される端末ＩＤを取得する。この端末ＩＤは、患者ＩＤに基づいて特定した医療スタッフＩＤの示す医療スタッフが利用する端末２である。ＵＩ管理部１８は、患者ＩＤに基づいて、病棟や階数を示すＩＤを取得し、そのＩＤに基づいてリソース管理システム３２の勤務スケジュールに基づいて、現在時刻において勤務している医療スタッフのＩＤを特定する。ＵＩ管理部１８はその看護者のＩＤに紐づく端末ＩＤをリソース管理システム３２から取得してよい。ＵＩ管理部１８は特定した端末ＩＤを示す端末２へ提示情報を送信する（ステップＳ１０８）。ＵＩ管理部１８は提示情報を一時的にメモリや記憶部に記録してよい。 The UI management unit 18 acquires the patient ID and the first coping method, and generates presentation information of the coping method including them (step S107). This presentation information includes the content information of the coping method showing the first coping method in detail to the medical staff. The presentation information includes a presentation ID for identifying the presentation information. The content information corresponding to the first coping method may be stored in the database 104 of the support device 1 in advance. The UI management unit 18 acquires the medical staff ID recorded in the database 104 in association with the patient ID. Further, the UI management unit 18 acquires the terminal ID recorded in the resource management system 32 in association with the medical staff ID. This terminal ID is the terminal 2 used by the medical staff indicated by the medical staff ID specified based on the patient ID. The UI management unit 18 acquires an ID indicating the ward and the number of floors based on the patient ID, and based on the ID, based on the work schedule of the resource management system 32, the ID of the medical staff working at the current time. Identify. The UI management unit 18 may acquire the terminal ID associated with the ID of the caregiver from the resource management system 32. The UI management unit 18 transmits the presentation information to the terminal 2 having the specified terminal ID (step S108). The UI management unit 18 may temporarily record the presentation information in a memory or a storage unit.
　以上の処理により提示情報を受信した端末２は提示情報に少なくとも含まれる患者ＩＤや患者の容態変化に対する対処方法を示す提示情報を出力する。なお提示情報は他の出力先の装置に出力してよい。これにより医療スタッフは、端末２に表示された情報に基づいて、容態の変化のあった患者に対して適切な対処方法による看護対処を行うことができる。 The terminal 2 that has received the presentation information by the above processing outputs the presentation information indicating at least the patient ID included in the presentation information and the coping method for the change in the patient's condition. Note that the presentation information may be output to another output destination device. Thereby, the medical staff can deal with the patient whose condition has changed based on the information displayed on the terminal 2 by the appropriate coping method.
　上述の処理において電子カルテシステム３１には自動的にセンサ等により取得した患者のバイタル測定値が看護情報として記録されてよい。バイタル測定値は、患者の体温、血圧、心電図データなどが含まれるが、これらの測定値に限られない。バイタル測定値が看護情報として登録されるたびに、センサまたは電子カルテシステム３１がその看護情報が登録されたことを支援装置１に通知し、支援装置１の推定部１４が、患者の容態が変化したかを判定してもよい。自動的に患者のバイタル測定値を看護情報として記録され、この記録に基づいて支援装置１が患者の容態の変化に基づいて容態が変化したと判定した場合に対処方法の提示情報を生成して端末２に送信することで、患者に対する迅速で適切な対処を行うことができる。 In the above processing, the electronic chart system 31 may automatically record the patient's vital measurement value acquired by a sensor or the like as nursing information. Vital measurements include, but are not limited to, patient temperature, blood pressure, electrocardiogram data, and the like. Each time the vital measurement value is registered as nursing information, the sensor or electronic medical chart system 31 notifies the support apparatus 1 that the nursing information is registered, and the estimation unit 14 of the support apparatus 1 changes the patient's condition. You may judge whether it did. The vital measurement value of the patient is automatically recorded as nursing information, and based on this record, when the support device 1 determines that the condition has changed based on the change in the condition of the patient, the presentation information of the coping method is generated. By transmitting to the terminal 2, it is possible to take prompt and appropriate measures for the patient.
　上述の処理において、推定部１４は、患者ＩＤに基づいて特定した病棟ＩＤ、病室ＩＤ、ベッドＩＤ等に基づいて、患者の看護に利用できる人的リソースや設備的リソースをリソース管理システム３２のデータベースから取得して、このリソースを患者の身体的容態を示す情報とともに特定モデルに入力してもよい。この場合、推定部１４は上述のモデル入出力情報に含まれる入力情報としてリソースに関する情報を格納する。そして、対処方法特定部１５は、患者の身体的容態の変化と人的リソースや設備的リソースに基づいて、その患者に対する第一の対処方法を特定する。これにより、支援装置１は、現在時刻における勤務スケジュール等に基づいて特定した医療スタッフの人的リソースと、患者の看護に利用できる設備的リソースに基づく、患者に対する適切な対処方法を特定することができる。例えば患者を担当する医師が不在な場合には、患者に対する対処方法のうち、実施できる対処と実施できない対処がある。また利用できる看護設備に応じて、患者に対する対処方法のうち、実施できる対処と実施できない対処がある。支援装置１は、このような人的リソースと、設備的リソースを考慮した適切な対処方法を特定することができる。 In the above-mentioned processing, the estimation unit 14 stores the human resources and facility resources available for nursing the patient in the database of the resource management system 32 based on the ward ID, the room ID, the bed ID, etc. specified based on the patient ID. This resource may be input to the specific model along with information indicating the physical condition of the patient. In this case, the estimation unit 14 stores information regarding resources as the input information included in the model input / output information described above. Then, the coping method specifying unit 15 specifies the first coping method for the patient based on the change in the physical condition of the patient and the human resource or facility resource. As a result, the support apparatus 1 can identify an appropriate coping method for a patient based on the human resources of the medical staff identified based on the work schedule at the current time and the facility resources available for nursing the patient. it can. For example, when the doctor in charge of the patient is absent, there are coping methods that can and cannot be carried out among coping methods for the patient. In addition, depending on the available nursing facilities, there are treatments that can be performed and treatments that cannot be performed among the treatment methods for patients. The support device 1 can specify an appropriate coping method in consideration of such human resources and facility resources.
　図６は支援装置１の処理フローを示す第二の図である。
　医療スタッフは、端末２に表示された提示情報を参照して患者の看護の対処を行う。この場合に提示情報に含まれる第一の対処方法が実行される場合がある。また、医療スタッフが、第一の対処方法が適切ではないか、他により適切な対処方法があると判断した場合などには、第一の対処方法とは異なる対処方法が実行される場合がある。第一の対処方法とは異なり、患者に対して行われた対処方法を、以下、第二の対処方法と呼ぶ場合がある。 FIG. 6 is a second diagram showing a processing flow of the support device 1.
The medical staff refers to the presentation information displayed on the terminal 2 to take care of the patient. In this case, the first coping method included in the presentation information may be executed. Also, when the medical staff determines that the first coping method is not appropriate or there is a more appropriate coping method, a coping method different from the first coping method may be executed. . Unlike the first coping method, the coping method performed on the patient may be hereinafter referred to as a second coping method.
　そして、医療スタッフは、患者に対して対処を実行している最中や実行した後に、対処内容を端末２に入力する。第一の対処方法が行われた場合には、対処内容として、提示情報に含まれる第一の対処方法が入力される。また、第一の対処方法の対処とは異なる第二の対処方法が行われた場合には、その詳細内容が対処内容として入力される。医療スタッフ等のユーザは、それら対処内容の情報を音声入力や文字入力などにより端末２に入力することができる。端末２は、提示ＩＤと、患者ＩＤと、対処内容とを含む対処結果を支援装置１へ送信する。 Then, the medical staff inputs the content of the treatment to the terminal 2 during or after the treatment for the patient. When the first coping method is performed, the first coping method included in the presentation information is input as the coping content. Further, when the second coping method different from the coping method of the first coping method is performed, the detailed content thereof is input as the coping content. A user such as a medical staff can input the information of the handling contents into the terminal 2 by voice input or character input. The terminal 2 transmits the coping result including the presentation ID, the patient ID, and the coping contents to the support device 1.
　支援装置１は対処結果を受信する。支援装置１の取得部１２は対処結果を取得する（ステップＳ２０１）。取得部１２は対処結果を対処結果処理部１６へ出力する。対処結果処理部１６は、対処結果を送信した端末２に対して過去に送信した提示情報をＵＩ管理部１８から取得する（ステップＳ２０２）。対処結果処理部１６は、提示情報に含まれる対処方法と、対処結果の示す対処内容が一致するかを判定する（ステップＳ２０３）。 Assistance device 1 receives the response result. The acquisition unit 12 of the support device 1 acquires a coping result (step S201). The acquisition unit 12 outputs the coping result to the coping result processing unit 16. The coping result processing unit 16 acquires, from the UI management unit 18, the presentation information transmitted in the past to the terminal 2 that has transmitted the coping result (step S202). The handling result processing unit 16 determines whether the handling method included in the presentation information and the handling content indicated by the handling result match (step S203).
　提示情報に含まれる対処方法と対処結果の示す対処内容が一致する場合（ステップＳ２０３がＹｅｓ）には、第一の対処方法が実行されたこととなる。対処結果処理部１６は、第一の対処方法が行われたことを示す情報と、提示ＩＤと、患者ＩＤとを少なくとも含む第一の対処結果をデータベース１０４に記録する（ステップＳ２０４）。第一の対処結果は、第一の対処方法が行われた場合に記録される対処結果である。
　提示情報に含まれる対処方法と対処結果の示す対処内容が一致しない場合（ステップＳ２０３がＮｏ）には、提示情報に含まれていた第一の対処方法に代えて、第二の対処方法が実行されたこととなる。対処結果処理部１６は、第二の対処方法が行われたことを示す情報と、第一の対処方法の代わりに実行された第二の対処方法の対処内容と、提示ＩＤと、患者ＩＤとを少なくとも含む第二の対処結果をデータベース１０４に記録する（ステップＳ２０５）。第二の対処結果は、第一の対処方法に代えて第二の対処結果が行われた場合に記録される対処結果である。 When the coping method included in the presentation information and the coping content indicated by the coping result match (Yes in step S203), the first coping method has been executed. The coping result processing unit 16 records in the database 104 the first coping result including at least the information indicating that the first coping method has been performed, the presentation ID, and the patient ID (step S204). The first coping result is a coping result recorded when the first coping method is performed.
When the coping method included in the presentation information and the coping content indicated by the coping result do not match (No in step S203), the second coping method is executed instead of the first coping method included in the presentation information. It has been done. The coping result processing unit 16 includes information indicating that the second coping method is performed, coping details of the second coping method executed instead of the first coping method, a presentation ID, and a patient ID. The second coping result including at least is recorded in the database 104 (step S205). The second coping result is a coping result that is recorded when the second coping result is performed instead of the first coping method.
　そして支援装置１は、提示情報によりユーザに提示した対処方法による看護の評価情報を端末２から受信する。例えば、医療スタッフは、対処内容の入力と併せて、または対処方法の対処を施した１時間後などに、評価情報を端末２に登録する。評価情報は、主に第一の対処方法の良否を表す。評価情報は、例えば数値で表される対処方法についての評価、１時間後の患者の様子などの評価に関する詳細な内容であってよいが、これらに限られない。評価情報は、第一の対処方法に関する良し悪しを表す情報であればよい。 Then, the support device 1 receives from the terminal 2 the evaluation information of nursing according to the coping method presented to the user by the presentation information. For example, the medical staff registers the evaluation information in the terminal 2 together with the input of the handling content, or one hour after the handling of the handling method is performed. The evaluation information mainly indicates the quality of the first coping method. The evaluation information may be, for example, detailed contents regarding evaluation of a coping method represented by a numerical value, evaluation of a state of a patient after one hour, and the like, but is not limited thereto. The evaluation information may be any information indicating whether the first coping method is good or bad.
　評価情報には、ユーザにより指定され端末２が取得した提示ＩＤが含まれる。ユーザは端末２に音声入力や操作入力により評価情報を入力してよい。支援装置１は評価情報を取得する（ステップＳ２０６）。支援装置１の取得部１２は評価情報を対処評価部１７へ出力する。 The evaluation information includes the presentation ID designated by the user and acquired by the terminal 2. The user may input the evaluation information into the terminal 2 by voice input or operation input. The support device 1 acquires the evaluation information (step S206). The acquisition unit 12 of the support device 1 outputs the evaluation information to the handling evaluation unit 17.
　対処評価部１７は、評価情報を参照して、対処方法が適切であるか否かを判定する（ステップＳ２０７）。一例として、評価情報が、対処方法が適切である場合により大きな値となるような数値で表されている場合について説明する。この場合、対処評価部１７は、評価情報に含まれる評価が閾値未満かを判定する。この場合に、対処評価部１７は評価が閾値未満である場合には対処方法の特定モデルの更新判定要求を送信すると決定する。対処評価部１７は、評価情報に含まれる提示ＩＤを含む特定モデルの更新判定要求を、モデル更新部１３へ出力する。対処評価部１７は評価情報に含まれる評価が閾値以上である場合には、提示された処理が適切であったとして処理を終了する。 The coping evaluation unit 17 refers to the evaluation information and determines whether or not the coping method is appropriate (step S207). As an example, a case will be described in which the evaluation information is represented by a numerical value having a larger value when the coping method is appropriate. In this case, the handling evaluation unit 17 determines whether the evaluation included in the evaluation information is less than the threshold value. In this case, when the evaluation is less than the threshold value, the coping evaluation unit 17 determines to transmit a specific model update determination request for the coping method. The handling evaluation unit 17 outputs an update determination request for the specific model including the presentation ID included in the evaluation information to the model updating unit 13. When the evaluation included in the evaluation information is equal to or more than the threshold, the handling evaluation unit 17 determines that the presented processing is appropriate and ends the processing.
　モデル更新部１３は更新判定要求を取得する。取得した対処結果に含まれる対処方法が第二の対処方法が行われたことを示す情報を含む場合、特定モデルによって特定された対処方法は患者に対して適切な対処方法ではない、又は第二の対処方法がより適切である可能性があることが推定される。そこで、モデル更新部１３は、モデル更新処理を進める。この場合、モデル更新部１３は、取得したモデル対して入力された入力情報および取得したモデルから出力された出力情報（患者の身体的容態を示す情報や、リソース情報など）の入力と、取得した対処結果に含まれる第二の対処方法との関係を加えて、その入力情報と同様の情報を特定モデルに入力した場合にその出力情報と同様の情報が出力される特定モデルとなるよう、特定モデルを更新する（ステップＳ２０８）。つまり、モデル更新部１３は、第二の対処方法を特定モデルに再学習させることで特定モデルを更新する。モデル更新部１３は、第二の対処方法の再学習と共に、又はその再学習に代えて、第一の対処方法の評価が低いことを特定モデルに再学習させることで、特定モデルを更新してもよい。 The model update unit 13 acquires an update determination request. When the coping method included in the acquired coping result includes information indicating that the second coping method is performed, the coping method specified by the specific model is not an appropriate coping method for the patient, or It is inferred that the coping method of may be more appropriate. Therefore, the model updating unit 13 advances the model updating process. In this case, the model update unit 13 inputs and acquires the input information input to the acquired model and the output information (information indicating the physical condition of the patient, resource information, etc.) output from the acquired model. In addition to the relationship with the second coping method included in the coping result, when the same information as the input information is input to the particular model, it is specified so that the same information as the output information is output The model is updated (step S208). That is, the model updating unit 13 updates the specific model by relearning the second coping method to the specific model. The model updating unit 13 updates the specific model by re-learning that the evaluation of the first coping method is low together with or instead of re-learning of the second coping method. Good.
　このモデル更新部１３の処理は、第一の対処方法に代えて行われた第二の対処方法がより適切であると評価された場合に特定モデルを更新する処理の一態様である。支援装置１は処理を終了するかを判定する（ステップＳ２０９）。支援装置１は、対処結果を取得する度に、上述のステップＳ２０１～ステップＳ２０９の処理を繰り返し行う。
　すなわち、第二の対処方法が第一の対処方法と比較してより適切であった場合に、特定モデルについて、第二の対処方法に関する再学習が行われる。これにより、対処方法の特定を行う特定モデルの精度を向上させることができる。 The process of the model updating unit 13 is one mode of the process of updating the specific model when the second coping method performed in place of the first coping method is evaluated to be more appropriate. The support device 1 determines whether to end the process (step S209). The support apparatus 1 repeats the above-described steps S201 to S209 each time the coping result is acquired.
That is, when the second coping method is more appropriate than the first coping method, re-learning regarding the second coping method is performed for the specific model. As a result, it is possible to improve the accuracy of the specific model that specifies the coping method.
　なお上述の処理においては、対処評価部１７は、ユーザの端末２から取得した評価情報に基づいて、第一の対処方法に代えて行われた第二の対処方法の評価が閾値未満かを判定している。しかしながら、対処評価部１７は、医療スタッフによって患者に対する対処が行われた後に、医療スタッフによって登録された患者の看護情報に基づいて、第一の対処方法に代えて行われた第二の対処方法の評価が閾値以上かを判定してもよい。 In the processing described above, the coping evaluation unit 17 determines whether the evaluation of the second coping method performed in place of the first coping method is less than the threshold value based on the evaluation information acquired from the user's terminal 2. is doing. However, the coping evaluation unit 17 replaces the first coping method with the second coping method, which is performed based on the nursing information of the patient registered by the medical staff after the medical staff has dealt with the patient. You may judge whether the evaluation of is more than a threshold value.
　例えば支援装置１の対処評価部１７は、ステップＳ２０４の第一の対処結果の記録や、ステップＳ２０５の第二の対処結果の記録の後の所定時間の経過を検出し、対処評価の処理を開始する。対処評価部１７は、第一の対処結果や第二の対処結果に含まれる提示ＩＤと患者ＩＤを取得する。対処評価部１７は、データベース１０４に記録される看護情報のうち、提示ＩＤと患者ＩＤを含む看護情報を取得する。また対処評価部１７は、提示ＩＤと患者ＩＤを含む看護情報の登録時刻よりも所定時間前から登録されているその患者ＩＤの患者の看護情報をデータベース１０４から取得する。なお医療スタッフは看護情報の電子カルテシステムへの登録において、提示情報が示す対処方法による対処の実行後に、患者の容態などの情報と、提示ＩＤや患者ＩＤとを看護情報として電子カルテシステム３１に登録していることを前提とする。支援装置１の処理によりこの電子カルテシステム３１に登録された看護情報がデータベース１０４にコピーされている。 For example, the coping evaluation unit 17 of the support device 1 detects the elapse of a predetermined time after recording the first coping result in step S204 and recording the second coping result in step S205, and starts the coping evaluation process. To do. The coping evaluation unit 17 acquires the presentation ID and the patient ID included in the first coping result and the second coping result. The coping evaluation unit 17 acquires the nursing information including the presentation ID and the patient ID from the nursing information recorded in the database 104. The coping evaluation unit 17 also acquires, from the database 104, the nursing information of the patient having the patient ID registered for a predetermined time before the registration time of the nursing information including the presentation ID and the patient ID. In addition, in the registration of nursing information to the electronic medical chart system, the medical staff uses the electronic medical chart system 31 as the nursing information including information such as the condition of the patient and the presentation ID and the patient ID after executing the coping method indicated by the presentation information. It is assumed that you have registered. The nursing information registered in the electronic medical chart system 31 by the processing of the support device 1 is copied to the database 104.
　支援装置１の対処評価部１７は、取得した看護情報に基づいて評価を算出する。具体的には、対処評価部１７は、取得した看護情報に含まれる患者の身体的容態の情報の中から所定の情報を取得する。所定の情報とは、例えば体温や、意識レベルの値であってよい。対処評価部１７は、取得した時系列の各看護情報に含まれる体温や意識レベルの値の増減に基づいて、提示情報が示す対処方法の評価を算出する。例えば対処評価部１７は、体温が上昇し、かつ意識レベルが減少している場合には、低い評価を算出する。また対処評価部１７は、体温が低下し、かつ意識レベルが増加している場合には、高い評価を算出する。この評価の算出手法は一例であって、どのような算出手法であってもよい。そして支援装置１はステップＳ２０７以降の処理を同様に行い、特定モデルを更新する。 The coping evaluation unit 17 of the support device 1 calculates an evaluation based on the acquired nursing information. Specifically, the coping evaluation unit 17 acquires predetermined information from the information on the physical condition of the patient included in the acquired nursing information. The predetermined information may be, for example, a body temperature or a consciousness level value. The coping evaluation unit 17 calculates the evaluation of the coping method indicated by the presentation information based on the increase or decrease in the value of the body temperature or the consciousness level included in each acquired time-series nursing information. For example, the coping evaluation unit 17 calculates a low evaluation when the body temperature is rising and the consciousness level is decreasing. Further, the coping evaluation unit 17 calculates a high evaluation when the body temperature is lowered and the consciousness level is increased. This evaluation calculation method is an example, and any calculation method may be used. Then, the support device 1 similarly performs the processing from step S207 onward to update the specific model.
　以上、本発明の実施形態について説明したが、上述の処理によれば、支援装置１は、看護業務において、患者の容態の変化に応じた適切な対処を行うための情報を出力することができる。 Although the embodiment of the present invention has been described above, according to the above-described processing, the support device 1 can output information for performing appropriate coping in accordance with a change in the condition of the patient in the nursing work. .
　図７は別の実施形態に係る支援装置を示す図である。
　図７が示すように支援装置１は、少なくとも、モデル更新部１３、対処方法特定部１５を備える。
　対処方法特定部１５は、患者の容態に応じた対処方法を特定する特定モデルを用いて、患者に対する看護の第一の対処方法を特定する。
　モデル更新部１３は、患者に対して行われた対処方法についての評価に基づいて、特定モデルを更新する。 FIG. 7 is a diagram showing a support device according to another embodiment.
As shown in FIG. 7, the support device 1 includes at least a model updating unit 13 and a coping method identifying unit 15.
The coping method identifying unit 15 identifies a first coping method for nursing a patient by using a specific model that identifies a coping method according to the condition of the patient.
The model updating unit 13 updates the specific model based on the evaluation of the coping method performed on the patient.
　上述の支援装置１は内部に、コンピュータシステムを有している。そして、上述した各処理の過程は、プログラムの形式でコンピュータ読み取り可能な記録媒体に記憶されており、このプログラムをコンピュータが読み出して実行することによって、上記処理が行われる。 The above-mentioned support device 1 has a computer system inside. The process of each process described above is stored in a computer readable recording medium in the form of a program, and the above process is performed by the computer reading and executing the program.
　上記プログラムは、前述した機能の一部を実現するためのものであってもよい。さらに、前述した機能をコンピュータシステムにすでに記録されているプログラムとの組み合わせで実現できるもの、いわゆる差分ファイル（差分プログラム）であってもよい。 The above program may be for realizing some of the functions described above. Further, it may be a so-called difference file (difference program) that can realize the above-mentioned functions in combination with a program already recorded in the computer system.
　この出願は、２０１８年１０月２４日に出願された日本国特願２０１８－２０００３４を基礎とする優先権を主張し、その開示の全てをここに取り込む。 This application claims priority based on Japanese Patent Application No. 2018-200034 filed on October 24, 2018, and incorporates all the disclosure thereof.
　本発明は、支援装置、支援方法、記録媒体に適用してもよい。 The present invention may be applied to a support device, a support method, and a recording medium.
１・・・支援装置
２・・・端末
１１・・・制御部
１２・・・取得部
１３・・・モデル更新部
１４・・・推定部
１５・・・対処方法特定部
１６・・・対処結果処理部
１７・・・対処評価部
１８・・・ＵＩ管理部 1 ... Supporting device 2 ... Terminal 11 ... Control part 12 ... Acquisition part 13 ... Model updating part 14 ... Estimating part 15 ... Coping method specifying part 16 ... Coping result Processing unit 17 ... Coping evaluation unit 18 ... UI management unit

Claims (10)

  1. 　患者の容態に応じた対処方法を特定する特定モデルを用いて、前記患者に対する看護の第一の対処方法を特定する対処方法特定部と、
    　前記患者に対して行われた対処方法についての評価に基づいて、前記特定モデルを更新するモデル更新部と、
    　を備える支援装置。     A coping method specifying unit that specifies a first coping method for nursing the patient using a specific model that specifies a coping method according to the condition of the patient,
    A model update unit that updates the specific model based on an evaluation of a coping method performed on the patient,
    Supporting device.
  2. 　前記モデル更新部は、前記第一の対処方法の評価が低いことを前記特定モデルに学習させることで、前記特定モデルを更新する
    　請求項１に記載の支援装置。     The support device according to claim 1, wherein the model update unit updates the specific model by causing the specific model to learn that the evaluation of the first coping method is low.
  3. 　前記モデル更新部は、特定された前記第一の対処方法とは異なる第二の対処方法に対する評価に基づいて、前記特定モデルを更新する
    　請求項１または請求項２に記載の支援装置。     The support device according to claim 1 or 2, wherein the model updating unit updates the specific model based on an evaluation of a second coping method different from the specified first coping method.
  4. 　前記モデル更新部は、前記第二の対処方法を前記特定モデルに学習させることで、前記特定モデルを更新する
    　請求項３に記載の支援装置。     The support device according to claim 3, wherein the model updating unit updates the specific model by causing the specific model to learn the second coping method.
  5. 　前記第二の対処方法は、前記患者に対して実際に行われた対処方法である、請求項３又は請求項４に記載の支援装置。 The support device according to claim 3 or 4, wherein the second coping method is a coping method actually performed for the patient.
  6. 　前記対処方法の実行結果に基づいて前記評価を算出する対処評価部と、
    　をさらに備える請求項１から請求項５の何れか一項に記載の支援装置。     A coping evaluation unit that calculates the evaluation based on an execution result of the coping method;
    The support device according to any one of claims 1 to 5, further comprising:
  7. 　前記モデル更新部は、前記対処方法の実行に必要となったリソースの有無の情報を用いて前記特定モデルを更新する
    　請求項１から請求項６の何れか一項に記載の支援装置。     The support device according to any one of claims 1 to 6, wherein the model updating unit updates the specific model using information on the presence / absence of a resource necessary for executing the coping method.
  8. 　前記対処方法特定部は、前記対処方法の実行に必要なリソースの有無の情報を用いて前記第一の対処方法を特定する
    　請求項１から請求項７の何れか一項に記載の支援装置。     The support device according to any one of claims 1 to 7, wherein the coping method identifying unit identifies the first coping method by using information on the presence / absence of a resource required to execute the coping method.
  9. 　患者の容態に応じた対処方法を特定する特定モデルを用いて、前記患者に対する看護の第一の対処方法を特定し、
    　前記患者に対して行われた対処方法についての評価に基づいて、前記特定モデルを更新する
    　ことを含む支援方法。     Using a specific model that specifies a coping method according to the condition of the patient, a first coping method for nursing the patient is specified,
    Updating the specific model based on an evaluation of a coping strategy performed on the patient.
  10. 　コンピュータに、
    　患者の容態に応じた対処方法を特定する特定モデルを用いて、前記患者に対する看護の第一の対処方法を特定し、
    　前記患者に対して行われた対処方法についての評価に基づいて、前記特定モデルを更新する、
    　ことを実行させるプログラムを記憶した記録媒体。     On the computer,
    Using a specific model that specifies a coping method according to the condition of the patient, a first coping method for nursing the patient is specified,
    Updating the particular model based on an assessment of what to do with the patient;
    A recording medium storing a program for executing the above.
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