WO2024101312A1 - Procédé de commande, programme de commande et système de distribution d'alarme - Google Patents

Procédé de commande, programme de commande et système de distribution d'alarme Download PDF

Info

Publication number
WO2024101312A1
WO2024101312A1 PCT/JP2023/039904 JP2023039904W WO2024101312A1 WO 2024101312 A1 WO2024101312 A1 WO 2024101312A1 JP 2023039904 W JP2023039904 W JP 2023039904W WO 2024101312 A1 WO2024101312 A1 WO 2024101312A1
Authority
WO
WIPO (PCT)
Prior art keywords
patient
alarm
monitor
setting
medical devices
Prior art date
Application number
PCT/JP2023/039904
Other languages
English (en)
Inventor
Rie Muneshima
Kumi Sugiyama
Yukari Sano
Rie Tanaka
Original Assignee
Nihon Kohden Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nihon Kohden Corporation filed Critical Nihon Kohden Corporation
Publication of WO2024101312A1 publication Critical patent/WO2024101312A1/fr

Links

Images

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Definitions

  • the present disclosure relates to a control method, a control program, and an alarm distribution system.
  • a patient In a medical site, a patient’s condition is monitored by a medical worker such as a doctor or a nurse, by using a medical device such as a patient monitor. For example, the medical worker checks physiological information displayed on the medical device, grasps the condition of the patient, and appropriately performs a procedure such as medical intervention when a change in the condition, a disease, or the like is recognized.
  • the patient monitor has a function of setting an appropriate range of the physiological information for each patient in advance and generating an alarm (a physiological alarm) when measured physiological information deviates from the appropriate range.
  • the patient monitor also has a function of generating an alarm (a technical alarm) caused by a system for the patient monitor or by a measurement situation such as a case where an electrode, a sensor, or the like attached to the patient is detached and a case in a low battery of the patient monitor.
  • the medical worker can check the physiological information displayed on a monitor screen of the patient monitor and can more reliably monitor the patient’s condition by paying attention to these patient monitor alarms (hereinafter, also simply referred to as "alarms”) and handling the alarms.
  • the patient monitor alarms play an important role as a tool for supporting the monitoring of the patient’s condition by the medical worker.
  • the alarm handling may be a burden on the medical worker.
  • there is a risk that a quiet environment may be disturbed by an alarm sound for the patient and a family member of the patient, other patients in the same room, or the like. Therefore, in order to maintain a quiet environment for the patient and the family member of the patient and other patients, it is necessary for the medical worker to frequently perform an alarm canceling operation.
  • WO01/99027A2 discloses an information distribution system for notifying that a patient agrees with DNAR.
  • an alarm when an alarm is notified from the patient monitor to a central monitor of a station or the like where a nurse is a resident, or when an alarm is notified to another medical device at a remote location by, for example, branching, transferring the alarm, it is not necessary to operate an alarm of a patient monitor on a patient side.
  • the alarm When the alarm is notified from the patient monitor to another medical device, it is necessary to set an alarm notification method in each medical device, but it is assumed that the setting becomes more complicated as the number of medical devices increases.
  • the alarm plays a role of notifying a state to be handled from the viewpoint of medical safety.
  • the alarm can be individually controlled for each medical device, a state where the alarm is not notified to any medical device can occur according to the setting, and there is a possibility that an original role of the alarm for notifying the state to be handled is not achieved.
  • the present disclosure provides a control method for an alarm distribution system, a control program, and an alarm distribution system by which it is not necessary for a medical worker to perform complicated setting on a patient monitor, it is possible to reliably notify another medical device of a necessary alarm from the patient monitor, and it is possible to reduce the generation of an alarm that does not need to be handled by the medical worker.
  • a first aspect of the disclosure is a control method for an alarm distribution system including a plurality of medical devices, the control method including: a step (a) of outputting an explanation or a question related to a patient management method, in accordance with a workflow corresponding to a state of a patient or a placed situation of the patient, and of receiving a response or an answer to the explanation or the question; a step (b) of performing setting to the plurality of medical devices, in accordance with the response or the answer, the setting being related to alarms associated or linked with each other; and a step (c) of controlling the alarms of the plurality of medical devices in coordination with each other, in accordance with the setting, the plurality of medical devices being simultaneously used for the same patient or the same patient group.
  • a second aspect of the disclosure is an alarm distribution system including a plurality of medical devices, the alarm distribution system including: a management method receiving unit configured to output an explanation or a question related to a patient management method, in accordance with a workflow corresponding to a state of a patient and a placed situation of the patient, and configured to receive a response or an answer to the explanation or the question; an operation setting unit configured to perform setting to the plurality of medical devices, in accordance with the response or the answer, the setting being related to alarms associated or linked with each other; and an operation controller configured to control the alarms of the plurality of medical devices in coordination with each other, in accordance with the setting, the plurality of medical devices being simultaneously used for the same patient or the same patient group.
  • a medical device is configured to output the explanation or the question related to the patient management method, is configured to receive the response or the answer with respect to the explanation or the question, and is configured to perform the operation setting for mutually associating or linking a plurality of medical devices in response to the response or the answer. Then, the alarms of the plurality of the medical devices simultaneously used for the same patient or the patient group are controlled in coordination with each other, in accordance with the operation setting described above. Accordingly, by the medical worker merely responding to or answering the explanation or the question related to the patient management method, the medical device can reduce the occurrence of the alarm that does not need to be handled by the medical worker.
  • FIG. 1 is a schematic block diagram illustrating a configuration of an alarm distribution system according to an embodiment.
  • FIG. 2 is a schematic block diagram illustrating a hardware configuration of a bedside monitor of FIG. 1.
  • FIG. 3 is a functional block diagram illustrating main functions of a controller of FIG. 2.
  • FIG. 4 is a schematic block diagram illustrating a hardware configuration of a transmitter of FIG. 1.
  • FIG. 5 is a schematic block diagram illustrating a hardware configuration of a multiple patient receiver of FIG. 1.
  • FIG. 6 is a schematic block diagram illustrating a hardware configuration of a central monitor of FIG. 1.
  • FIG. 7 illustrates roles and executable functions of each devices of the alarm distribution system.
  • FIG. 8 is a schematic diagram illustrating monitoring of physiological information on a patient by the bedside monitor and the central monitor illustrated in FIG.
  • FIG. 9 is a flowchart illustrating a processing procedure of a control method according to the embodiment.
  • FIG. 10 illustrates questions related to a patient management method.
  • FIG. 11 illustrates setting items of the comfort mode.
  • FIG. 12 illustrates default (initial) setting of the setting items of the comfort mode.
  • FIG. 13 is a schematic diagram illustrating an operation in a case where an alarm operation is set to "Asystole only" at the time of starting the comfort mode and is changed to "patient alarm OFF" halfway.
  • FIG. 14 is a schematic diagram illustrating a screen for setting the alarm operation.
  • FIG. 10 illustrates questions related to a patient management method.
  • FIG. 11 illustrates setting items of the comfort mode.
  • FIG. 12 illustrates default (initial) setting of the setting items of the comfort mode.
  • FIG. 13 is a schematic diagram illustrating an operation in a case where an alarm operation is set to "Asystole only" at the time of starting the comfort mode and is changed to "patient
  • FIG. 15 is a schematic diagram illustrating an operation in a case where after the alarm operation is set to the "Asystole only" at the time of starting the comfort mode, an alarm notification method is set to "not notify”.
  • FIG. 16 is a schematic diagram illustrating a screen for changing the alarm notification method.
  • FIG. 1 is a schematic block diagram illustrating a configuration of an alarm distribution system 100.
  • the alarm distribution system 100 according to the present embodiment is, for example, an alarm distribution system in a hospital.
  • the alarm distribution system 100 can include bedside monitor 10, transmitter 20, a multiple patient receiver 30, a central monitor 40, a slave monitor 50, an in-hospital access point 60, an in-hospital client terminal (an in-facility client terminal) 70, a gateway server 80, a WiFi access point 81, an out-of-hospital client terminal (an out-of-facility client terminal) 82, a personal computer (PC) 83, and the like.
  • PC personal computer
  • the bedside monitor 10, the multiple patient receiver 30, the central monitor 40, the slave monitor 50, the in-hospital access point 60, the in-hospital client terminal 70, and the gateway server 80 are devices installed in a facility such as a hospital, and the transmitter 20 is a medical device mainly carried by a patient in the hospital.
  • the WiFi access point 81, the out-of-hospital client terminal 82, and the PC 83 are devices installed outside the hospital.
  • One multiple patient receiver 30 and one central monitor 40 may be provided, and one or more bedside monitors 10 and one or more transmitters 20 may be provided.
  • the transmitter 20, the multiple patient receiver 30, the slave monitor 50, the in-hospital access point 60, the in-hospital client terminal 70, the gateway server 80, the WiFi access point 81, the out-of-hospital client terminal 82, and the PC 83 may not be included depending on a system configuration.
  • the alarm distribution system 100 can also include components other than these components.
  • the central monitor 40 and the bedside monitor 10 are mutually and communicably connected via a wired or wireless network. Same or similarly, the central monitor 40 and the multiple patient receiver 30 are mutually and communicably connected via the wired or wireless network. The multiple patient receiver 30 and the transmitter 20 are mutually and communicably connected via a wireless network.
  • Examples of the network include local area network (LAN) and wide area network (WAN).
  • LAN local area network
  • WAN wide area network
  • Ethernet registered trademark
  • Wi-Fi registered trademark
  • Bluetooth registered trademark
  • 5G 5G
  • the gateway server 80, the out-of-hospital client terminal 82, and the PC 83 may be mutually and communicably connected via the Internet or a telephone line.
  • FIG. 2 is a schematic block diagram illustrating a hardware configuration of each bedside monitor 10 of FIG. 1.
  • Each bedside monitor 10 includes a controller 11, a memory 12, a communication unit 13, a sensor 14, an output 15, and an input 16. These components are mutually connected via a bus. Some of the components may be connected to the bus by wireless communication.
  • Each of the bedside monitors 10 is, for example, a patient monitor (a medical device), and may be installed for a bed of a corresponding patient. Regarding the respective patients, each bedside monitor 10 has a function of generating a physiological alarm in a case where an appropriate range of physiological information is preset for each physiological information and measured physiological information deviates from the appropriate range. Examples of the physiological alarm include Tachycardia, Bradycardia, Asystole, SpO2 (arterial oxygen saturation), and respiration rate (RR).
  • the physiological alarm include Tachycardia, Bradycardia, Asystole, SpO2 (arterial oxygen saturation), and respiration rate (RR).
  • Each bedside monitor 10 also has a function of generating a technical alarm caused by a measurement situation or caused by a system for the bedside monitor 10 such as a case where the sensor 14 such as an electrode or a probe attached to the patient is detached and a case in a low battery (not shown) of the bedside monitor.
  • the controller 11 includes, for example, a processor (CPU: central processing unit), a read only memory (ROM), and a random access memory (RAM), which are not illustrated.
  • the controller 11 is configured to control the components of the corresponding bedside monitor 10 and configured to perform various calculations.
  • the controller 11 functions as a computer.
  • the memory 12 is implemented by, for example, an auxiliary storage device such as a solid state drive (SSD).
  • the memory 12 is configured to store various programs such as a control program and various data such as the measured physiological information.
  • the memory 12 is configured to store an operation mode performed by the bedside monitor 10.
  • the operation mode includes a comfort mode, a nighttime mode, and the like.
  • the comfort mode is an operation mode that is set by a medical worker during monitoring of a patient in a terminal stage, and configured to generate only a minimum necessary alarm (for example, a part of physiological alarms and technical alarms) while monitoring of the physiological information on the patient is continued.
  • the nighttime mode which is realized by a change or restriction in an alarm function, is an operation mode suitable for monitoring the physiological information at night.
  • the memory 12 is configured to store setting of the operation mode, an explanation or a question related to a patient management method that can be easily understood by the medical worker, a response or an answer of a user with respect to the explanation or the question, and a history of a start/end/setting change of the comfort mode and the like.
  • the communication unit 13 is an interface configured to communicably connect the bedside monitor 10 and other devices such as the central monitor 40.
  • the communication unit 13 may include, for example, an input terminal, an antenna, and a front-end circuit.
  • the sensor 14 is a device or an element configured to measure the physiological information.
  • the sensor 14 includes, for example, an electrocardiogram measurement electrode and a SpO2 probe.
  • the electrocardiogram measurement electrode is configured to be attached to a chest region, one of extremities, or the like of the patient.
  • the SpO2 probe is attached to a finger or the like of the patient.
  • the output 15 includes a display, an LED lamp 17 (see FIG. 8), a speaker (not shown), and the like.
  • the display is configured to display the measured physiological information, the generated alarm, and the like.
  • the display may include, for example, a liquid crystal display.
  • Light emission (a color, lighting-on/lighting-off/blinking, and the like) of the LED lamp 17 is controlled according to the type of the alarm (the physiological alarm/the technical alarm) and the content of the alarm (Bradycardia, Asystole, and the like).
  • the LED lamp 17 can be lighted in yellow during a physiological alarm of Bradycardia (hereinafter referred to as a "Brady alarm”), and the LED lamp 17 can be lighted in red during a physiological alarm of Asystole (hereinafter referred to as an "Asys alarm").
  • the speaker is configured to output the generated alarm or the like by a sound (an audible alarm).
  • a sound an audible alarm
  • a volume, an interval, a timbre, a melody, and the like of the sound are controlled according to the type of the alarm and the content of the alarm.
  • the input 16 is configured to receive an input operation by the user (the medical worker such as a nurse or a doctor).
  • the input 16 includes, for example, a hardware key and a touch pad arranged to overlap the display.
  • the touch pad and the display configure a touch panel display.
  • the input 16 is used to receive the selection of the operation mode, the response or the answer of the user with respect to the explanation or the question related to the patient management method described above.
  • the setting may be input via the input 16.
  • the input 16 can also include a microphone for inputting a sound.
  • FIG. 3 is a functional block diagram illustrating main functions of the controller 11 of FIG. 2.
  • the controller 11 is configured to function as a measurement unit 111, an obtainer 112, a mode receiving unit 113, a management method receiving unit 114, an operation setting unit 115, and an operation controller 116.
  • the measurement unit 111 is configured to measure (calculate) the physiological information, based on a detection result of the sensor 14, and is configured to control the communication unit 13 to transmit the measured physiological information to the central monitor 40 in association with patient information (information related to the patient).
  • the physiological information includes, for example, an electrocardiogram (ECG), an arterial oxygen saturation (SpO2), an invasive blood pressure (IBP), a non-invasive blood pressure (NIBP), respiration (RESP), and carbon dioxide (CO2) of expiration and inhalation.
  • the patient information includes, for example, a name, a registration number (ID), a bed number, an age, a gender, the presence or absence of agreement about DNAR, and the like of the patient.
  • the patient information is input to the central monitor 40 by the user.
  • the DNAR means that the medical worker does not perform any further positive life-saving procedure on the patient in the terminal stage.
  • the measurement unit 111 is configured to generate a physiological alarm according to the physiological information.
  • the appropriate range of the physiological information is a range defined by pre-set upper and lower limit values.
  • the upper the lower limit values are stored in the memory 12 in advance, for example.
  • the Brady alarm or the Asys alarm (when the heart rate is 0) is generated.
  • the heart rate may be calculated based on, for example, the ECG.
  • the obtainer 112 is configured to obtain the patient information.
  • the obtainer 112 is configured to obtain the patient information from the central monitor 40.
  • a memory 42 (see FIG. 6) of the central monitor 40 is configured to store patient information on a plurality of patients in the hospital.
  • the mode receiving unit 113 is configured to receive the selection of the operation mode.
  • the user can select any one of a plurality of operation modes including the normal mode, the comfort mode, the nighttime mode, and the like.
  • the operation mode such as the comfort mode and the nighttime mode
  • the patient can be managed in accordance with a workflow for managing the patient according to a state of the patient and a placed situation of the patient.
  • the operation mode such as the comfort mode and the nighttime mode for managing the patient in accordance with the workflow is referred to as a workflow mode.
  • the medical worker selectively uses the patient management method, according to the state of the patient and the placed situation of the patient.
  • a management method in a certain state and a situation is called a workflow.
  • the workflow may be, for example, a procedure of a management procedure for a patient in final stage, a patient having a specific disease, a patient having a specific symptom, a patient requiring a specific care, a patient requiring a specific procedure, a patient in a specific environment, or a patient at night.
  • the specific care includes, for example, life support services necessary for living daily life in the hospital, such as wiping, oral care, transfer assistance, and meal assistance, and environment maintenance and consideration for the patient and the family member of the patient. The above is mainly performed by the nurse.
  • the specific procedure includes medical intervention that occurs at the time of hospitalization for treatment, such as tracheal intubation, securing of a transfusion route, and wound disinfection.
  • the above is mainly performed by the doctor or the nurse.
  • a workflow for managing the patient in final stage is used.
  • the specific environment includes nighttime, the number of beds in a room provided for hospitalization (for example, a private room or a dormitory room), a meeting time, a mealtime, and rehabilitation time. Management procedures and management contents of the workflows corresponding to the respective operation modes are stored in the memory 12 in advance.
  • the selected operation mode is the normal mode or the comfort mode.
  • the operation mode may be automatically set to the comfort mode.
  • the management method receiving unit 114 is configured to cause the display of the output 15 to display (output) the explanation or the question related to the patient management method that can be easily understood by the medical worker, in accordance with the selected operation mode. Further, the management method receiving unit 114 is configured to receive the response or the answer of the user with respect to the explanation or the question described above, via the input 16.
  • the explanation or the question relates to, for example, a method of managing (monitoring) the patient by the alarm distribution system 100 when the patient is in final stage. A specific example of the question will be described later (see FIG. 10).
  • the management method receiving unit 114 is configured to transmit the received response or answer to the operation setting unit 115.
  • the management method receiving unit 114 may be configured to output a sound to the speaker of the output 15, instead of or in addition to displaying the explanation or the question described above. Further, the management method receiving unit 114 can include a sound recognition unit, and can be configured to receive, via the microphone, the answer of the user in the form of sound with respect to the explanation or the question.
  • the operation setting unit 115 is configured to perform operation setting for mutually associating or linking the bedside monitor 10 and the central monitor 40 (the plurality of medical devices).
  • the operation setting differs depending on a use method of the bedside monitor 10 and the central monitor 40, the operation setting has relevance and consistency, and is linked, as one workflow. Further, the operation setting unit 115 may be included in the central monitor 40. Details of the operation setting for the bedside monitor 10 and the central monitor 40 will be described later.
  • the in-hospital client terminal 60 and/or the out-of-hospital client terminal 82 may include the operation setting unit 115.
  • the operation setting unit 115 may perform the operation setting for mutually associating or linking the bedside monitor 10 and the central monitor 40 (the plurality of medical devices).
  • the operation controller 116 is configured to control alarms of the plurality of medical devices that are simultaneously used for the same patient or the same patient group in coordination with each other, in accordance with the operation setting performed by the operation setting unit 115.
  • the plurality of medical devices simultaneously used for the same patient means a plurality of medical devices including the bedside monitor 10 and the central monitor 40 used for one patient.
  • the plurality of medical devices simultaneously used for the patient group means the respective bedside monitors 10 and the central monitor 40 used for different patients.
  • the operation controller 116 is configured to perform an alarm control peculiar to the comfort mode.
  • the alarm control is a control related to at least one of the physiological alarm based on the physiological information on the patient and the technical alarm related to the bedside monitor 10. Details of the alarm control peculiar to the comfort mode will be described later.
  • the operation controller 116 is configured to cause the output 15 to continuously generate the alarm.
  • the operation controller 116 is configured to control to transmit, to the central monitor 40, alarm information together with the physiological information.
  • the alarm information includes the generated alarm (the physiological alarm and/or the technical alarm) and an alarm flag for each of the respective generated alarms.
  • the alarm flag is information indicating that it is necessary to output the alarm information in the central monitor 40, which is a transmission destination of the alarm information.
  • the operation mode is the normal mode
  • the transmission of the physiological information and the alarm information is continuously performed regardless of whether the handling by the medical worker is necessary or not.
  • FIG. 4 is a schematic block diagram illustrating a hardware configuration of the transmitter 20 of FIG. 1.
  • the transmitter 20 is a device that is carried by the patient, that is configured to measure the physiological information on the patient, and that is configured to wirelessly transmit the physiological information to the multiple patient receiver 30.
  • the transmitter 20 can include a controller 21, a memory 22, a communication unit 23, and a sensor 24.
  • Basic configurations of the controller 21, the memory 22, and the sensor 24 of the transmitter 20 are the same as basic configurations of the corresponding components of the bedside monitor 10, and thus the redundant description thereof is omitted.
  • the controller 21 is configured to measure the physiological information based on a detection result obtained by the sensor 24, and configured to cause the communication unit 23 to wirelessly transmit the physiological information to the central monitor 40.
  • the communication unit 23 is an interface for communicably connecting the transmitter 20 and the central monitor 40 via a network such as a wireless LAN.
  • the communication unit 23 may include, for example, an input terminal, an antenna, and a front end circuit.
  • the transmitter 20 may further include a display (not shown) configured to display the physiological information.
  • FIG. 5 is a schematic block diagram illustrating a hardware configuration of the multiple patient receiver 30.
  • the receiver 30 can include a controller 31, a memory 32, and a communication unit 33. These components are mutually connected via a bus.
  • Basic configurations of the controller 31, the memory 32, and the communication unit 33 of the multiple patient receiver 30 are the same as the basic configurations of the corresponding components of the bedside monitor 10 and the transmitter 20, and thus the redundant description thereof is omitted.
  • the controller 31 is configured to cause the communication unit 33 to receive the physiological information from the respective transmitters 20. In a case where the measured value of the physiological information is out of the appropriate range, the controller 31 is configured to transmit, to the central monitor 40, the alarm information including the physiological alarm together with the physiological information. In a case where an error or the like is detected in the transmitters 20, the controller 31 is configured to cause the communication unit 33 to transmit the alarm information including the technical alarm to the central monitor 40.
  • the communication unit 33 is an interface for communicably connecting the multiple patient receiver 30 to the central monitor 40 and the transmitters 20.
  • the alarm information may be continuously transmitted to the central monitor 40.
  • FIG. 6 is a schematic block diagram illustrating a hardware configuration of the central monitor 40 of FIG. 1.
  • the central monitor 40 is, for example, a medical device installed in a station or the like where the nurse is a resident in the hospital.
  • the central monitor 40 can include a controller 41, the memory 42, a communication unit 43, an output 44, and an input 45. These components are mutually connected via a bus. Basic configurations of these components are the same as the basic configurations of the corresponding components of the bedside monitor 10, and thus the redundant description thereof is omitted.
  • the controller 41 is configured to cause the communication unit 43 to transmit the patient information to the respective bedside monitors 10 and/or the multiple patient receiver 30.
  • the controller 41 is configured to cause the communication unit 43 to receive the physiological information and/or the alarm information from the respective bedside monitors 10 and the multiple patient receiver 30.
  • the controller 41 is configured to cause the output 44 to display the received physiological information on a monitor screen.
  • the controller 41 functions as a computer.
  • the central monitor 40 is configured to operate, for example, in any one of the plurality of operation modes including, for example, the normal mode, the comfort mode, and the nighttime mode for each patient.
  • the patient in the workflow mode, the patient can be managed in accordance with the workflow for managing the patient according to the state of the patient and the placed situation of the patient.
  • the operation mode may be set to the normal mode. Further, in a case where it is determined that the patient is a patient in the terminal stage and agrees with the above DNAR, as will be described later, the operation mode is set to the comfort mode by the user during the monitoring of the patient. In a case where it is determined, based on the patient information, that the patient is a patient in the terminal stage and agrees with the above DNAR, the operation mode may be automatically set to the comfort mode. When the operation mode is set to the comfort mode, the controller 41 is configured to execute the workflow for managing the patient in final stage.
  • the controller 41 determines the operation mode of the central monitor 40 and the determined operation mode is the normal mode, the controller 41 is configured to perform a normal alarm control.
  • the alarm flag is added to the received alarm in the normal alarm control, the alarm is controlled to be generated.
  • the peculiar alarm control is performed.
  • the peculiar alarm control for example, only the minimum necessary alarm (for example, a part of the physiological alarm and the technical alarm) is generated in accordance with the setting of the comfort mode. Details of the setting of the comfort mode will be described later.
  • the memory 42 can include, for example, an auxiliary storage device such as an SSD, and is configured to store various programs such as an alarm control program, various data such as the received physiological information, and the alarm information.
  • the memory 42 is configured to store the patient information on the patient in the hospital, and is configured to store the received physiological information and/or the alarm information in association with a reception time and the patient information.
  • the memory 42 is configured to store the setting of the comfort mode.
  • the memory 42 is configured to store the operation mode performed by the central monitor 40. Further, the memory 42 is configured to store the history of the start/end/setting change of the comfort mode and the like performed on the central monitor 40.
  • the output 44 includes a display, an LED lamp 46 (see FIG. 8), and a speaker (not shown).
  • the display includes, for example, a liquid crystal display, and is configured to display the received physiological information, the alarm, and the like. Same or similar to the LED lamp 17 of the bedside monitor 10, light emission of the LED lamp 46 is controlled according to the type of the alarm and the content of the alarm.
  • the speaker is configured to output the received alarm or the like by a sound (an audible alarm).
  • the input 45 is configured to receive an input operation by the user.
  • the input 45 can includes, for example, a hardware key and a touch pad arranged to overlap the display.
  • the touch pad and the display configures a touch panel display.
  • the input 45 is used to receive, for example, the response or the answer of the user with respect to the explanation or the question described above.
  • the setting may be input via the input 45.
  • the central monitor 40 is capable of setting the comfort mode only when an "operation from central monitor" is permitted among setting items of the comfort mode.
  • the physiological information measured by the bedside monitors 10 and/or the generated alarm can also be displayed (output) on the slave monitor 50, the in-hospital client terminal 70, the out-of-hospital client terminal 82, and the PC 83.
  • a doctor in charge of the patient can check the physiological information on the patient and/or the alarm in real time by the slave monitor 50 and the in-hospital client terminal 70, even in a place other than a hospital room for the patient and the station in the hospital.
  • a medical worker a specialist or the like outside the hospital can check the physiological information on the patient and/or the alarm in real time by the out-of-hospital client terminal 82 and the PC 83.
  • FIG. 7 is a diagram illustrating an application example of the comfort mode in the alarm distribution system 100.
  • each bedside monitor 10 and each transmitter 20 include the sensor 14 and the sensor 24, and correspond to patient devices that measure the physiological information.
  • Each of the bedside monitors 10, the central monitor 40, the slave monitor 50, the in-hospital client terminal 70, the out-of-hospital client terminal 82, and the PC (personal computer) 83 include the corresponding display configured to display the physiological information and/or the alarm, and can operate the comfort mode.
  • each transmitter 20 is a device for transmitting the physiological information on the patient to the central monitor 40, each transmitter 20 cannot operate the comfort mode.
  • FIG. 8 is a schematic diagram illustrating the monitoring of the physiological information on the patient by the bedside monitors 10 and the central monitor 40 of FIG. 1.
  • FIG. 9 is a flowchart illustrating the processing procedure of the control method for the alarm distribution system 100 according to the present embodiment. The process of the control method in FIG. 9 is achieved by the processors of the controller 11 and the controller 41 executing the control programs.
  • FIG. 10 illustrates questions related to the patient management method.
  • FIG. 11 illustrates the setting items of the comfort mode.
  • FIG. 12 illustrates default (initial) setting of the setting items of the comfort mode.
  • the bedside monitor 10 is configured to display physiological information and a physiological alarm on a patient A in the terminal stage who lies on a bed in the hospital room. At this time, an alarm sound corresponding to a content of the physiological alarm may also be output. The LED lamp 17 indicating the generation of the alarm is also lighted on. At this time, the bedside monitor 10 operate in the normal mode.
  • a staff member for example, a nurse in charge of the patient A
  • who is a medical worker checks a state of the patient A and a condition of the patient A based on the physiological information displayed on the bedside monitor 10 in the hospital room, and handles the alarm of the bedside monitor 10 as necessary.
  • a family member of the patient A watches over the patient A.
  • the central monitor 40 is configured to receive the physiological information and the alarm information from the bedside monitor 10, is configured to display the physiological information and the alarm on the display of the output 44, and is configured to output the alarm sound from the speaker.
  • the LED lamp 46 indicating the generation of the alarm is also lighted on.
  • a leader (for example, a charge nurse) checks the display content, the alarm sound, and the LED lamp 46 of the central monitor 40, and grasps the patient A’s condition. In addition, the leader notifies (a doctor call) the doctor as necessary.
  • bedside monitor 10 monitoring the patient A is illustrated in FIG. 8, for example, bedside monitors monitoring other patients in the hospital may also be connected to the central monitor 40 via a LAN or the like.
  • the physiological information and the alarms of the plurality of patients can be displayed side by side on the display of the output 44 of the central monitor 40.
  • the setting of the operation modes is received (STEP 101).
  • the controller 11 is configured to cause the display of the bedside monitor 10 to display the selectable operation modes.
  • the user selects one of the operation modes displayed on the display by using the input 16.
  • the mode receiving unit 113 receives the setting of the operation mode selected by the user. In a case where none of the operation modes is selected, the operation modes of the bedside monitor 10 and the central monitor 40 may be maintained, for example, in the normal mode.
  • the management method receiving unit 114 is configured to display questions (corresponding to a left portion of a broken line in FIG. 10) related to a patient management method at the time of final stage, in accordance with the workflow for managing the patient in final stage.
  • questions corresponding to a left portion of a broken line in FIG. 10
  • the management method receiving unit 114 is configured to display questions (corresponding to a left portion of a broken line in FIG. 10) related to a patient management method at the time of final stage, in accordance with the workflow for managing the patient in final stage.
  • a question "use comfort mode?” and four questions Q1 to Q4 subsequent to the question are displayed. These questions can be easily understood by the user, and can be easily answered by, for example, "YES" or "NO".
  • the questions are prepared for each workflow and stored in the memory 12 in advance.
  • the questions related to the patient management method at the time of final stage are not limited to the four questions illustrated in FIG. 10, and may be added as necessary. The same applies to questions of other workflows.
  • the operation setting for the bedside monitor 10 and the central monitor 40 is performed (STEP 103).
  • the operation setting unit 115 is configured to set the setting items of the comfort mode including a "use of comfort mode", an "alarm outputting”, an “alarm operation”, and an "operation from central monitor” (corresponding to a right portion of the broken line in FIG. 10).
  • the setting of the "alarm outputting” and the "alarm operation” corresponds to the setting related to the alarm.
  • the operation setting for the bedside monitor 10 and the central monitor 40 can be automatically performed by the user answering a total of five questions related to the method for managing the patient.
  • the alarms of the bedside monitor 10 and the central monitor 40 are controlled in coordination with each other (STEP 104).
  • the operation controller 116 is configured to control the alarms of the bedside monitor 10 and the central monitor 40 in coordination with each other, in accordance with the operation setting performed by the operation setting unit 115.
  • a measurement result of the physiological information measured by the bedside monitor 10 is output in coordination with each other. Since the user can check the measurement result together with the alarms, the state of the patient can be easily grasped.
  • the operation mode is received, and the explanation or the question related to the patient management method is output in accordance with the workflow corresponding to the selected operation mode, and the response or the answer of the question is received.
  • the operation setting for the bedside monitor 10 and the central monitor 40 is performed, and the alarms of the bedside monitor 10 and the central monitor 40 are controlled in coordination with each other, in accordance with the operation setting.
  • the user instead of performing the complicated operation setting for the bedside monitor 10 and the central monitor 40, the user can reliably notify the alarm to the medical device requiring alarm notification by only answering some questions that the user can easily understand and answer.
  • the user can perform operation setting for the alarms associated or linked in the bedside monitor 10 and the central monitor 40 by only answering the five questions.
  • the operations of the bedside monitor 10 and the central monitor 40 in coordination can be collectively set in accordance with the state of the patient and the placed situation (scene) of the patient, and thus a burden on the user is reduced and the above is convenient for the user.
  • the operation setting of the alarm for the plurality of medical devices can be automatically performed by answering the question related to the patient management method, but a part or all of the setting of the comfort mode can be set to be manually performed later by an operator as necessary.
  • the setting of the "use of comfort mode” is setting related to whether to use the comfort mode. As described above, in a case where the "use of comfort mode” is set to "YES”, a start operation/end operation of the comfort mode by the user is set to be permitted. On the other hand, in a case where the "use of comfort mode” is set to "NO”, the start operation/end operation of the comfort mode by the user is set to not be permitted.
  • the setting of the "use of comfort mode” is not linked in the bedside monitor 10 and the central monitor 40. That is, the "use of comfort mode” is individually set for the bedside monitor 10 and the central monitor 40. As illustrated in FIG. 12, both the bedside monitor 10 and the central monitor 40 are set to "not use” by default. This is to prevent the user from using the comfort mode in a state where the user does not correctly understand a function of the comfort mode.
  • Setting of the "color of comfort mode” is setting related to a color used for displaying the physiological information in the comfort mode.
  • a screen display is switched to a dedicated screen display in a case where the operation mode shifts to the comfort mode.
  • the physiological information may be displayed in white or the like in the comfort mode
  • the physiological information may be displayed in green or the like in the normal mode.
  • the setting of the "color of comfort mode” is not linked in the bedside monitor 10 and the central monitor 40. That is, the "color of comfort mode” is individually set for the bedside monitor 10 and the central monitor 40.
  • the setting of the "alarm outputting” is setting related to whether the bedside monitor 10 outputs the alarm information to the network.
  • the operation controller 116 controls such that the alarm to which the alarm flag is added is not output to the network (that is, reduce the alarm). Accordingly, the central monitor 40 does not receive the alarm from the bedside monitor 10, and thus the alarm from the bedside monitor 10 is not generated.
  • the operation controller 116 is configured to reduce the generation of the alarm by the output 15. Accordingly, in this case, no alarm is generated in either the bedside monitor 10 or the central monitor 40. Accordingly, the alarm of the bedside monitor 10 and the alarm of the central monitor 40 can be matched. In the present embodiment, in a case where it is determined that the patient agrees with the above DNAR and the operation mode is set to the comfort mode, the operation controller 116 is configured not to generate the alarm when the "alarm operation" is set to the "patient alarm OFF".
  • the operation controller 116 is configured to output, to the network, the alarm to which the alarm flag is added (that is, not reduced). Accordingly, the generation of the alarm is reduced in the bedside monitor 10.
  • the operation controller 116 is configured to output the alarm to which the alarm flag is added to the network, and thus in the central monitor 40, the alarm is received and the alarm is generated (a case where an alarm notification method described later is set to "notify”). In this way, according to the setting of the "alarm outputting", it is possible to control such that the generation of the alarm in the bedside monitor 10 and the central monitor 40 is different. Accordingly, the alarm of the central monitor 40 can be managed separately from the alarm of the bedside monitor 10.
  • the "alarm outputting" can be set only for the bedside monitor 10. By default, the “alarm outputting” is set to "not reduced”.
  • the setting of the "alarm operation” is setting related to the selection of the alarm operation (a level at which the alarm is reduced) in the comfort mode.
  • the "alarm operation” is set to "selectable”
  • the user can select the alarm operation. More specifically, the user can select, as the alarm operation, one of two-stage operations including (1) the generation of only the Asys alarm, that is, turning off of the physiological alarms except for Asystole, and (2) OFF setting of the patient alarm, that is, turning off of all physiological alarms.
  • the physiological alarms except for Asystole are turned off, and thus the medical worker and the family member of the patient can understand that the patient is in an Asystole state.
  • the user selects "(2) OFF setting of the patient alarm” all of the physiological alarms can be turned off, and thus it is possible to prevent the medical worker and the family member from being disturbed by an unnecessary alarm in a case where the medical worker and the family member watch over the patient A in the hospital room.
  • the user cannot select the alarm operation.
  • the physiological alarm is automatically turned off in the bedside monitor 10.
  • a system alarm may occur regardless of the setting of the alarm operation.
  • the setting of the "alarm operation" is linked in the bedside monitor 10 and the central monitor 40. That is, according to the "alarm operation", the content set in one of the bedside monitor 10 and the central monitor 40 is also applied to the other.
  • the setting of the "operation from central monitor” is setting related to whether to permit the setting of the comfort mode (the start operation/end operation (/level setting) of the comfort mode) from the central monitor 40.
  • the setting is set to "permit”
  • the setting (change) from the central monitor 40 is permitted. Accordingly, the user can set (change) the comfort mode from both the bedside monitor 10 and the central monitor 40 (or other medical devices).
  • the setting (change) of the comfort mode from the central monitor 40 is not permitted. Accordingly, the comfort mode can be set (changed) from only the bedside monitor 10.
  • the "operation from central monitor” can be set from only the bedside monitor 10, and is set to "prohibit” by default. This is to prevent an operation for setting the comfort mode from the central monitor 40 from being performed in a state where the user does not sufficiently understand the comfort mode.
  • Setting of the "alarm notification change permission” is setting related to a change in the alarm notification in the central monitor 40.
  • the setting is set to the "permit”
  • the change in the alarm notification from the central monitor 40 is permitted.
  • a soft key for changing the alarm notification is displayed on the monitor screen of the central monitor 40 (see FIG. 16).
  • "notify” or “not notify” can be selected, and the "notify” is set by default. Accordingly, the user can freely set the presence or absence of the alarm notification in the central monitor 40.
  • the setting is set to the "prohibit"
  • the change in the alarm notification is prohibited.
  • the soft key for changing the alarm notification is not displayed on the monitor screen of the central monitor 40.
  • the "alarm notification change permission" can be set from only the central monitor 40, and is set to the "prohibit” by default.
  • the setting of the "alarm notification change permission” does not change a default setting of the "alarm outputting" in the bedside monitor 10.
  • the medical devices in which operation setting can be changed is limited.
  • FIG. 13 is a schematic diagram illustrating an operation in a case where the alarm operation is set to "Asystole only" at the time of starting the comfort mode and is changed to the "patient alarm OFF" halfway.
  • monitor screens 201 to 205 are monitor screens of the bedside monitor 10
  • monitor screens 206 to 210 are monitor screens of the central monitor 40.
  • FIG. 14 is a schematic diagram illustrating a screen for setting the alarm operation.
  • the monitor screen 201 is, for example, a monitor screen of the bedside monitor 10 operating in the normal mode.
  • a heart rate (HR) of 50 (/min) of the patient A and the Brady alarm are displayed.
  • the monitor screen 206 is a monitor screen of the central monitor 40 at the same time as the monitor screen 201.
  • the central monitor 40 also operates in the normal mode.
  • the bedside monitor 10 is configured to transmit, to the central monitor 40, the physiological information including the heart rate of 50 (/min) of the patient A and the alarm information including the alarm flag and the Brady alarm.
  • the central monitor 40 is configured to receive the physiological information and the alarm information, and is configured to display the heart rate of 50 and the Brady alarm on the monitor screen 206.
  • the user selects the "Asystole only” (touches the "Asystole only” and the "YES") on a setting screen 301 displayed subsequent to a setting screen for setting the comfort mode. Therefore, the alarm operation is set to the "Asystole only”.
  • the monitor screen 202 is from the bedside monitor 10 operating in the comfort mode. Although the heart rate of 50 (/min) of the patient A is displayed, since the alarm operation is set to the "Asystole only", the display of the Brady alarm is turned off.
  • the monitor screen 207 is a monitor screen of the central monitor 40 at the same time as the monitor screen 202. The central monitor 40 also operates in the comfort mode.
  • the bedside monitor 10 is configured to transmit, to the central monitor 40, the physiological information including the heart rate of 50 (/min) of the patient A and the alarm information including the alarm flag and the Brady alarm due to the setting "not reduced" of the "alarm outputting".
  • the central monitor 40 is configured to receive the physiological information and the alarm information, and is configured to display the heart rate of 50 and the Brady alarm on the monitor screen 207. Accordingly, for example, in a case where the staff member directly cares the patient A while checking the heart rate displayed on the bedside monitor 10, the Brady alarm is not required since the staff member grasps that the patient A is in a Bradycardia, but it is also possible to satisfy a demand of the leader in the station that the Brady alarm is notified so as to grasp the condition of the patient.
  • the monitor screen 203 is from the bedside monitor 10 operating in the comfort mode.
  • the heart rate of 50 (/min) of the patient A and a technical alarm for warning the low battery (hereinafter also referred to as a "low battery alarm") are displayed.
  • the monitor screen 208 is from the central monitor 40 at the same time as the monitor screen 203.
  • the central monitor 40 also operates in the comfort mode.
  • the bedside monitor 10 is configured to transmit, to the central monitor 40, the physiological information including the heart rate of 50 (/min) of the patient A and the alarm information including the alarm flag and the low battery alarm.
  • the central monitor 40 is configured to receive the physiological information and the alarm information, and is configured to display the heart rate of 50 and the low battery alarm on the monitor screen 206.
  • the staff member receives the notification of the low battery alarm, and takes measures to continue a monitoring function of the bedside monitor 10, and thus the low battery alarm of the bedside monitor 10 and the central monitor 40 is turned off.
  • the monitor screen 204 is a from the bedside monitor 10 operating in the comfort mode. A heart rate of 0 (/min) of the patient A and the Asys alarm are displayed. On the other hand, the monitor screen 209 is from the central monitor 40 at the same time as the monitor screen 204. The central monitor 40 also operates in the comfort mode.
  • the bedside monitor 10 is configured to transmit, to the central monitor 40, the physiological information including the heart rate of 0 (/min) of the patient A and the alarm information including the alarm flag and the Asys alarm.
  • the central monitor 40 is configured to receive the physiological information and the alarm information, and is configured to display the heart rate of 0 and the Asys alarm on the monitor screen 209.
  • the monitor screen 205 is from the bedside monitor 10 operating in the comfort mode. Although the heart rate of 0 (/min) of the patient A is displayed, since the alarm operation is changed to the "patient alarm OFF", the Asys alarm is not generated. Accordingly, the family member of the patient A can watch over the patient A in a quiet environment where the alarm sound is turned off.
  • the monitor screen 210 is from the central monitor 40 at the same time as the monitor screen 205.
  • the central monitor 40 also operates in the comfort mode.
  • the bedside monitor 10 is configured to transmits, to the central monitor 40, the physiological information including the heart rate of 0 (/min) of the patient A and the alarm information including the alarm flag and the Asys alarm.
  • the central monitor 40 is configured to receive the physiological information and the alarm information, and is configured to display the heart rate of 0 and the Asys alarm on the monitor screen 206.
  • the alarm generated by the bedside monitor 10 can be limited to only the Asys alarm and the important system alarm, and the generation of the Asys alarm and the generation of the system alarm can be matched between the bedside monitor 10 and the central monitor 40.
  • the staff member since the staff member constantly checks the condition of the patient A in the hospital room, it is possible to reduce the frequent occurrence of the alarm by setting the alarm operation to the "patient alarm OFF" when it is not necessary to generate the alarm of the bedside monitor 10.
  • the alarm generated in the bedside monitor 10 in the hospital room can be shared with the leader and other staff members in the station.
  • FIG. 15 is a schematic diagram illustrating an operation in a case where after the alarm operation is set to the "Asystole only" at the time of starting the comfort mode, the alarm notification method is set to the "not notify" in the central monitor.
  • monitor screens 219 and 220 are from the bedside monitor 10
  • monitor screens 221 and 222 are from the central monitor 40.
  • FIG. 16 is a schematic diagram illustrating a screen for changing the alarm notification.
  • the bedside monitor 10 operates in the comfort mode. Although the heart rate of 0 (/min) of the patient A is displayed, since the operation mode is set to the "patient alarm OFF", the Asys alarm is not generated.
  • the monitor screen 221 is from the central monitor 40 at the same time as the monitor screen 219.
  • the central monitor 40 also operates in the comfort mode.
  • the bedside monitor 10 is configured to transmits, to the central monitor 40, the physiological information including the heart rate of 0 (/min) of the patient A and the alarm information including the alarm flag and the Asys alarm.
  • the central monitor 40 is configured to receive the physiological information and the alarm information, and is configured to display the heart rate of 0 and the Asys alarm on the monitor screen 221.
  • the user selects the "not notify” (touches the "not notify” and the "YES") on a setting screen 320 for changing the alarm notification method. Accordingly, the setting of the alarm notification is changed from the “notify” to the "not notify”.
  • the monitor screen 220 is from the bedside monitor 10 operating in the comfort mode. Although the heart rate of 0 (/min) of the patient A is displayed, since the operation mode is set to the "patient alarm OFF", the Asys alarm is not generated.
  • the monitor screen 222 is from the central monitor 40 at the same time as the monitor screen 220.
  • the central monitor 40 also operates in the comfort mode.
  • the bedside monitor 10 is configured to transmit, to the central monitor 40, the physiological information including the heart rate of 0 (/min) of the patient A and the alarm information including the alarm flag and the Asys alarm. Although the central monitor 40 is configured to receive the physiological information and is configured to display the heart rate of 0 on the monitor screen 222, since the alarm notification method is set to the "not notify", the Asys alarm is not displayed.
  • control method the control program, and the alarm distribution system according to the present embodiment described above obtain the following effects.
  • the bedside monitor 10 (the central monitor 40) is configured to output the explanation or the question related to the patient management method that can be easily understood by the medical worker, is configured to receive the response or the answer with respect to the explanation or the question, and is configured to perform the operation setting for mutually associating or linking the bedside monitor 10 and the central monitor 40 in response to the response or the answer. Then, the alarms of the bedside monitor 10 and the central monitor 40 simultaneously used for the same patient or the patient group are controlled in coordination with each other, in accordance with the operation setting described above.
  • the bedside monitor 10 (the central monitor 40) can reduce the occurrence of the alarm that does not need to be handled by the medical worker. Therefore, it is possible to reduce time and effort for the medical worker to perform the operation setting of the bedside monitor 10 (the central monitor 40) and the burden for performing the handling with respect to the alarm that does not need to be handled by the medical worker. In addition, since the generation of the alarm sound is reduced, the patient and the family member of the patient in the hospital room can live daily life in a quiet environment.
  • the user may desire to match the occurrence of the alarm in the bedside monitor 10 in the hospital room and the central monitor 40 in the station, and the user may desire to individually control the occurrence of the alarm therein.
  • the control method, the control program, and the alarm distribution system according to the present embodiment can cope with various operations in such a medical site.
  • the central monitor 40 can have the functions that can be set in the bedside monitor 10.
  • the display color of the physiological information in the comfort mode is set to be different from that in the other modes is described, but the presently disclosed subject matter is not limited thereto, and a message, an icon, or the like indicating that the operation is performed in the comfort mode may be displayed on the monitor screen in the comfort mode.
  • the comfort mode is performed in the bedside monitor 10 and the central monitor 40 is mainly described, but the presently disclosed subject matter is not limited thereto. It is also possible to perform the comfort mode in the bedside monitor 10 and other devices (for example, the slave monitor 50, the in-hospital client terminal 70, and the like) capable of operating the comfort mode.
  • a notification unit or the like in a case where the alarm is not appropriately transmitted to a notification destination may be designated for the entire alarm distribution system 100.
  • the notification is performed at night, or a control range of the alarms is designated.
  • the explanation or the question related to the patient management method that can be easily understood by the medical worker is presented in accordance with an actual state of the patient and the placed situation (scene) of the patient, and thus the user can easily image a setting method of the used medical device. The user can perform the operation setting of the medical device in accordance with an actual operation workflow.
  • a part or all of the functions achieved by the program in the embodiment described above may be achieved by hardware such as a circuit.
  • a part of the steps may be omitted, and other steps may be added.
  • a part of each step may be executed simultaneously, and one step may be divided into a plurality of steps and executed.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Business, Economics & Management (AREA)
  • Biomedical Technology (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne un procédé de commande pour un système de distribution d'alarme comprenant une pluralité de dispositifs médicaux. Le procédé de commande comprend une étape (a) consistant à fournir en sortie une explication ou une question associée à un procédé de gestion de patient, en fonction d'un flux de travail correspondant à un état d'un patient ou d'une situation placée du patient, et à recevoir une réponse ou une solution à l'explication ou à la question, une étape (b) consistant à réaliser un réglage à la pluralité de dispositifs médicaux, en fonction de la réponse ou de la solution, le réglage étant associé à des alarmes associées ou liées les unes aux autres, et une étape (c) consistant à commander les alarmes de la pluralité de dispositifs médicaux en coordination les unes avec les autres, selon le réglage, la pluralité de dispositifs médicaux étant simultanément utilisés pour le même patient ou le même groupe de patients.
PCT/JP2023/039904 2022-11-09 2023-11-06 Procédé de commande, programme de commande et système de distribution d'alarme WO2024101312A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2022179305A JP2024068742A (ja) 2022-11-09 2022-11-09 制御方法、制御プログラム、およびアラーム配信システム
JP2022-179305 2022-11-09

Publications (1)

Publication Number Publication Date
WO2024101312A1 true WO2024101312A1 (fr) 2024-05-16

Family

ID=88839521

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2023/039904 WO2024101312A1 (fr) 2022-11-09 2023-11-06 Procédé de commande, programme de commande et système de distribution d'alarme

Country Status (2)

Country Link
JP (1) JP2024068742A (fr)
WO (1) WO2024101312A1 (fr)

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001099027A2 (fr) 2000-06-20 2001-12-27 Freeman Mark B Systeme de distribution d'informations a utiliser lorsque le facteur temps est essentiel
US20120277633A1 (en) * 2006-05-24 2012-11-01 Yun Seok Yang Control System for Childbirth and Method Thereof
CN102714524B (zh) * 2009-11-13 2016-08-03 Zoll医疗公司 基于社区的响应系统及方法
US20160224763A1 (en) * 2015-01-18 2016-08-04 Discharge IQ, Inc. Method and system for remote patient monitoring, communications and notifications to reduce readmissions
JP6764596B2 (ja) * 2013-01-11 2020-10-07 ゾール メディカル コーポレイションＺＯＬＬ Ｍｅｄｉｃａｌ Ｃｏｒｐｏｒａｔｉｏｎ システム
JP6942698B2 (ja) * 2015-10-07 2021-09-29 スミス アンド ネフュー インコーポレイテッド 減圧療法を施すためのシステムおよび方法
GB2603250A (en) * 2015-08-14 2022-08-03 Baxter Int Medical device data integration apparatus and methods
JP2022179305A (ja) 2021-05-19 2022-12-02 株式会社島津製作所 イオン分析装置

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001099027A2 (fr) 2000-06-20 2001-12-27 Freeman Mark B Systeme de distribution d'informations a utiliser lorsque le facteur temps est essentiel
US20120277633A1 (en) * 2006-05-24 2012-11-01 Yun Seok Yang Control System for Childbirth and Method Thereof
CN102714524B (zh) * 2009-11-13 2016-08-03 Zoll医疗公司 基于社区的响应系统及方法
JP6764596B2 (ja) * 2013-01-11 2020-10-07 ゾール メディカル コーポレイションＺＯＬＬ Ｍｅｄｉｃａｌ Ｃｏｒｐｏｒａｔｉｏｎ システム
US20160224763A1 (en) * 2015-01-18 2016-08-04 Discharge IQ, Inc. Method and system for remote patient monitoring, communications and notifications to reduce readmissions
GB2603250A (en) * 2015-08-14 2022-08-03 Baxter Int Medical device data integration apparatus and methods
JP6942698B2 (ja) * 2015-10-07 2021-09-29 スミス アンド ネフュー インコーポレイテッド 減圧療法を施すためのシステムおよび方法
JP2022179305A (ja) 2021-05-19 2022-12-02 株式会社島津製作所 イオン分析装置

Also Published As

Publication number Publication date
JP2024068742A (ja) 2024-05-21

Similar Documents

Publication Publication Date Title
US11508469B2 (en) Hospital bed having wireless network connectivity
US9861321B2 (en) Bed alarm communication system
US10165950B2 (en) Vital signs monitor
US7991625B2 (en) System for providing expert care to a basic care medical facility from a remote location
US7315825B2 (en) Rules-based patient care system for use in healthcare locations
JP2520047B2 (ja) 患者監視システム
US20100298718A1 (en) Multiple Mode, Portable Patient Monitoring System
JP2007510504A (ja) 保健医療処理装置および表示システム
US9826931B2 (en) Medical workstation with integrated support of process steps
JP2007519431A (ja) 処理装置および表示システム
TW201817407A (zh) 智慧床頭卡及其控制管理系統
US20230380769A1 (en) Bed system
JP2020057082A (ja) リハビリ支援システム、ユーザ機器および情報端末装置
JP6243651B2 (ja) クリティカルコールシステム及び生体情報モニタ
US20220005571A1 (en) Medication administration status management device, method, and non-transitory recording medium that records program
US20220133243A1 (en) Terminal device, information providing system, and computer program
WO2024101312A1 (fr) Procédé de commande, programme de commande et système de distribution d'alarme
JP6744706B2 (ja) 見守り支援システム
WO2023019525A1 (fr) Appareil médical de ventilation
JP6560037B2 (ja) 生体情報計測装置およびその制御方法
JP2018084933A (ja) 端末装置、情報提供方法及びコンピュータプログラム
CN114376512A (zh) 一种报警处理方法、中央显示设备、监测或治疗的设备
US20200260955A1 (en) Virtual assistant in pulse oximeter for patient surveys
WO2024087302A1 (fr) Procédé d'affichage d'informations de surveillance, système de surveillance et dispositif associé
WO2024122279A1 (fr) Programme, système de gestion de teneur en eau corporelle, procédé de gestion de teneur en eau corporelle et support de stockage