JP4718679B2 - Hospital information system - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a hospital information system, and more particularly, to a hospital information system that transmits medical information input by doctors, nurses, and the like to each implementing department and transmits hospital information accumulated by reusing the input medical information. . The present invention functions as a part of the system for transmitting the above-mentioned instructions. However, if the hospital information system can manage the patient's infectious disease information and hospitalization information, the presence / absence of the instruction transmission function is It doesn't matter.
[0002]
[Prior art]
2. Description of the Related Art Conventionally, there is known a so-called hospital information system that can input information on a hospitalized patient by operating a terminal, accumulate the information, and transmit the information to other departments to use the information.
[0003]
In this hospital information system, patient information related to a patient and infectious disease master information, for example, information related to an infectious disease, are input and held as medical support information for the patient.
[0004]
As shown in the conceptual diagram of the data structure shown in FIG. 29, the patient information and the infectious disease master are correlated with each other, and information such as information update and conversion can be transmitted to each other.
[0005]
[Problems to be solved by the invention]
Since the above-described hospital information system has the above-described data structure, it is possible to identify which patient is infected with which infectious disease on a display screen such as a terminal.
[0006]
However, since it is impossible to identify in the system which patient room in the hospital the patient infected with the infectious disease is, management of the infectious disease patient is necessary.
[0007]
In particular, infectious patients should be physically isolated from other non-infectious patients, or if the patient is later found to be an infectious patient with an infection, in addition to the isolation Infectious disease countermeasures must be taken by cleaning the hospital room where the patient was present, and if the detection of the infectious patient is delayed or the countermeasure for the infectious disease is delayed, in the worst case such as hospital infection There was a risk of a medical accident.
[0008]
In addition, when registering a patient in the hospital information system, it is not possible to identify the room where the infectious disease patient is located. May enter the hospital room (hospitalization) without permission, which may cause infection.
[0009]
On the other hand, when an infectious disease patient enters a normal patient's room, all patients admitted to the same room may be infected.
[0010]
The present invention has been made in view of the above circumstances. The purpose of the present invention is to sort out hospital rooms of patients with infectious diseases so that medical accidents such as nosocomial infections can be obviated without requiring manual management. It is to provide a hospital information system that can be prevented.
[0011]
[Means for Solving the Problems]
In order to solve the above problems, a hospital information system according to an embodiment is a hospital information system that transmits information input by a user terminal to each department through a hospital network by a server, and is connected to the server, and at least Classified the infection With the infectious disease master, Includes infections that have infected the room A database in which medical information including hospital room information is stored, and a hospitalization reception screen of the user terminal that performs patient hospitalization registration, and the server displays the patient from the hospitalization reception screen. Accommodation Based on the operation input of the room information of Search for infectious disease information of the patient from the infectious disease master, and infectious disease information of the patient's accommodation room from the room information related to the database A search means for searching for and whether or not the patient can enter the hospital room that was input during hospitalization registration, Based on the infectious disease information of the patient and the infectious disease information of the hospital room searched by the search means, Determination means for determining, display processing means for displaying a warning screen on the user terminal in the case of disapproval, and Hospital room list screen display processing means for displaying on the user terminal a room list screen that displays a list of different rooms of hospital rooms that contained infectious disease patients and hospital rooms that contained the normal patients, It is characterized by including.
[0012]
A hospital information system according to another embodiment is a hospital information system that transmits information input by a user terminal to each department through a hospital network by a server, and is connected to the server, and at least Classified the infection With the infectious disease master, Represents the patient's infection An update for updating the patient infectious disease information based on the infectious disease information included in the examination result information from the examination system for examining the patient, the database having medical information including patient infectious disease information stored therein Means, and said infectious disease master With reference to the updated patient infection information The determination means for determining whether or not the patient who has been infected without permission is hospitalized in the hospital, and based on the determination result in the determination means, It was deemed unauthorized infection A notification means for notifying the user terminal used by the administrator when the patient is hospitalized; Display processing means for searching the server for infection-presumed patients who have been hospitalized in the same room as the patient and displaying the list as a list on the user terminal when the patient who has been infected with the unauthorized infection is hospitalized in the hospital When, It is characterized by including.
[0013]
A hospital information system according to another embodiment is a hospital information system that transmits information input from a user terminal to each department through a hospital network by a server, and is connected to the server and is at least an infectious disease room master. Including an infectious disease master, Represents the patient's infection A database in which medical information including patient infectious disease information is stored; and an inpatient acceptance screen of the user terminal for performing inpatient registration of the patient, and the server But Based on the operation input of the patient number from the admission reception screen of the user terminal, the patient infection information and the infectious disease room master are searched, and the infectious disease group when the patient is infected is extracted, A specific room usually physically isolated from the patient Select Selection means And a hospital room list screen display processing means for displaying on the user terminal a hospital room list screen displaying a list of different rooms of the hospital room containing the infectious disease patient and a hospital room containing the normal patient in different colors. , The Prepared It is characterized by that.
[0017]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, an example of a preferred embodiment of the present invention will be specifically described with reference to the drawings.
[0018]
[First Embodiment]
(overall structure)
First, prior to description of each embodiment of the present invention, an overall schematic configuration common to each embodiment in the hospital information system of this example will be described with reference to FIG. FIG. 1 is a block diagram showing the overall configuration of the hospital information system of this example.
[0019]
As shown in FIG. 1, the hospital information system 1 of this example includes a plurality of user terminals 2 (only one is shown in FIG. 1 for simplicity) arranged via a network 8, and this user. A server 4 that provides a desired service based on an operation input from the terminal 2, a database 5 that stores various programs and data in cooperation with the server 4, and a system management room, for example, which is disposed in the server 4 in cooperation with the management terminal 3 for managing 4, the hospital information system 1, and the examination system 6 that operates information such as patient examinations and examination results, and the examination system 6 and the server 4 are linked. The inspection system cooperation device 7 is connected and arranged via the network 8.
[0020]
In the user terminal 2, for example, an admission reception screen display means 2b for displaying an admission reception screen, an infectious disease input screen display means 2a for displaying an infectious disease input screen, and a hospital room management screen display means 2c for displaying a hospital room management screen, Etc. are configured.
[0021]
On the other hand, FIG. 2 conceptually shows the flow of data processed in the server 4 and the database 5 of this example. In particular, in the data structure of the database 5, patient information D1, infectious disease master M1, hospital room The server 4 includes information D2, and the server 4 includes a control unit 4a for controlling each piece of information through cooperative processing.
[0022]
For example, the first control program 4a1 of the control unit 4a can link the infectious disease master M1 and the room information D2. Furthermore, the patient information D1 and the infectious disease master M1 can be linked by the second control program 4a2 of the control means 4a. Since the control means 4a includes a plurality of other various control programs, it is shown as an Nth control program 4aN in FIG.
[0023]
In this way, the hospital room information D2 and the infectious disease master M1 are linked to each other, and the infectious disease information D3 is added to the hospital room information D2 to check the infectious disease / hospital room at the time of admission. It is possible to automatically determine the infectious disease information of the hospital and whether the accommodation is permitted or not at the hospital where it is accommodated.
[0024]
(Database)
Next, a more detailed data structure of the database 5 will be described with reference to FIG.
[0025]
The database 5 in this example simply refers to data on a physically arranged data storage device, and is a concept including ordinary files. In this case, the primary key corresponds to the index key of the index file, and the item represents the item of the record.
[0026]
The database 5 is roughly classified into medical information 5a and master information 5b as information related to this example. The database 5 also stores various information such as other order information.
[0027]
The medical information 5a includes patient infectious disease information D1, patient room information D2, and patient room infectious disease information D3.
[0028]
The patient infectious disease information D1 is an information table for managing the infectious disease that the patient has, and includes a patient ID, a synonym, an infectious disease code, and the like. Synonyms can have multiple infections.
[0029]
The hospital information D2 is an information table for managing the accommodation status of patients currently hospitalized in units of hospital rooms, and includes hospital room codes, synonyms, patient IDs, and the like. A plurality of patient IDs accommodated in the hospital room are associated with each other by a synonym. It is also possible to manage synonyms as meaning bed codes.
[0030]
The room infection information D3 is a table for managing infection information for each room, and includes a room code, a synonym, an infection group, an estimated infection date, an infection status, and the like.
[0031]
Here, the infectious disease group is an infectious disease group infected in a hospital room, and the infectious disease group is derived from the infectious disease code.
[0032]
The estimated infection date is the date of hospitalization or the date of registration of an infectious disease patient.
[0033]
Furthermore, the infection status is a flag for managing the countermeasure state when an infection occurs. As this state, when the infection status = infection state (for example, 0), it means that the countermeasure for the infectious disease is not yet completed. On the other hand, when the infection status = infectious disease countermeasure completed (for example, 1), it means that the infectious disease countermeasure has already been completed by, for example, disinfection, cleaning, and air washing.
[0034]
On the other hand, the master information 5b includes an infectious disease master M1, a hospital room master M3, an infectious disease room master M2, and the like.
[0035]
The infectious disease master M1 is a master that defines an infectious disease to be managed in a hospital and registered in a patient, and includes an infectious disease code, an infectious disease name, an infectious disease group, a priority code, and the like.
[0036]
In the infectious disease code, the infectious disease is identified by a number, and for example, the definition of “21” as the code of the infectious disease is made. The name of the infectious disease represents the name of the infectious disease. Furthermore, an infectious disease group means a group number to which the infectious disease belongs in order to group and manage a plurality of infectious diseases.
[0037]
In the priority code, a room containing a patient infected with a high-risk infection depending on the type of infection, for example, grade 5, for a room containing a patient infected with the next highest risk infection For example, grades 4 and so on define codes for identifying priorities from the viewpoint of preferential treatment of infectious diseases as the risk level is higher.
[0038]
The infectious disease room master M2 is a table that defines a specific infectious disease, that is, a room in which patients of the infectious disease group registered here are to be accommodated, and includes an infectious disease group, a room code, and the like.
[0039]
The hospital room master M3 is a master that manages hospital room information that is an inpatient facility in a hospital, and includes a hospital room code, a synonym, a non-permitted infectious disease group, and the like.
[0040]
The room code is a number for identifying a room. The unauthorized infection group refers to an infectious disease group that must not be accommodated in the room. That is, if an infectious disease group to which an infectious disease code that exists in patient information belongs is registered, the patient cannot be accommodated.
[0041]
(About the display screen)
Next, the main display screen displayed on the user terminal 5 of the present example system will be described below.
[0042]
The screen of this example performs a hospitalization process of one function in the hospital information system 1 and is used as a lower layer screen of a doctor input screen (not shown).
[0043]
That is, in the user terminal 2, for example, a doctor input screen that is a menu screen that is usually used by a doctor is formed so that information necessary for diagnosis such as hospitalization information, disease name information, and infectious disease information can be performed in one screen. Then, the infectious disease input screen 10 is transitioned to by pressing the button for infectious diseases in the doctor input screen. On the doctor input screen, the name of the disease, the examination room, etc. can be entered, and infectious diseases can be entered as well as the name of the disease. If the patient has an infectious disease on the infectious disease input screen 10, a number or the like is input and this information is stored in the database 5.
[0044]
On the other hand, in the ward business, the hospitalization procedure is usually performed at the reception desk. At this time, the staff searches for a vacant room using the hospitalization reception screen 20, selects a hospitalized person / hospital room, etc., and is hospitalized.
[0045]
When the process is completed and registered, the registered date and the like are displayed and output on the doctor input screen in a calendar format.
[0046]
Hereinafter, the infectious disease input screen 10, the hospitalization reception screen 20, the hospital room list screen 30, the hospital room management screen 40, the warning screen 50, and the infection estimated patient list screen 60 will be described in this order. FIG. 3 discloses the configuration of the infectious disease input screen 10.
[0047]
As shown in FIG. 3, the infectious disease input screen 10 is a screen for registering infectious disease information, and a patient ID input field 11 for inputting a patient ID and a patient name for displaying the name of the corresponding patient. A display field 12, an infectious disease code input field 13 for inputting the corresponding infection code of the patient, an infectious disease name display field 14 for displaying the name of the infectious disease corresponding to the input infectious disease code, It includes a cancellation operation unit 15 for canceling the input information and a registration operation unit 16 for registering an infectious disease with the input information.
[0048]
FIG. 4 discloses the configuration of the hospitalization reception screen. The hospitalization reception screen 20 is a screen used when a patient is hospitalized.
[0049]
As shown in FIG. 4, this hospitalization acceptance screen 20 includes a patient ID input field 21 for inputting a patient ID of a hospitalized patient, and a patient name display field 22 for displaying a patient name corresponding to the input patient ID. Hospitalization date input field 23 for inputting the date on which the patient is hospitalized, hospital room input field 24 for inputting the code number of the hospital room where the patient enters, and bed number input for inputting the number of the bed used by the patient A column 25, an infectious disease name display column 26 for displaying the name of the infectious disease of the patient, a room information selection operation unit 27 for selecting and displaying room information (a room management screen 40 described later), and a room list screen 30 A hospital room operation unit 28 for displaying, a registration operation unit 29a for registering with the input information, and a cancellation operation unit 29b for canceling the input information are included.
[0050]
FIG. 5 discloses an example of the configuration of a hospital room list screen. The room list screen 30 has a room list display field 31 in which the room numbers of all the rooms are arranged and displayed, and only the room 31b in which an infectious disease patient is hospitalized is colored, and the other rooms 31a are displayed. The colorless display makes it easy to determine and recognize the presence or absence of a hospital room in which an infectious disease patient is entering.
[0051]
FIG. 6 discloses an example of the configuration of a hospital room management screen.
[0052]
In the room management screen 40, as shown in FIG. 6, a room number input field 41 for inputting the room number of the room, a room display field 42 for displaying the room corresponding to the input room number, An infectious disease name display field 43 for displaying the name of the infectious disease in which the hospital room is contaminated, an estimated infection date display field 44 for displaying the date on which this infectious disease is estimated to be infected, Infectious disease ID display field 45 in which ID is displayed, and measures against infectious diseases, for example, whether or not various processes such as removal of bacteria that cause infectious diseases, completion of cleaning, disinfection, etc. have been performed Infectious disease treatment presence / absence display field 46 in which the result content of unprocessed or the like is displayed, a processed operation unit 47 selected when the process has been processed, a confirmation operation unit 48 for performing confirmation, It is comprised including.
[0053]
FIG. 7 discloses an example of the configuration of the warning screen. On this warning screen 50, as shown in FIG. 7, for example, a warning display 51 such as “Patient xx is suffering from an infectious disease. In the warning screen 50, a confirmation operation unit 52 for confirmation is formed.
[0054]
FIG. 8 discloses an example of the configuration of the infection estimated patient list screen. In the estimated infection patient list screen 60, as shown in FIG. 8, a message such as “The following patients may be infected: 〇There may be an infection. Please inspect immediately” is displayed. A message display field 61, a patient possibility field display field 62 that displays the patient number, name, etc. that may be infected with the infection, and a display field 63 that displays the room information of the patient with the possibility of infection. Etc. will be displayed. Further, a confirmation operation unit 64 for confirming is formed.
[0055]
(Features of this example)
FIG. 9 schematically shows the flow of data between the user terminal 2 and the database 5.
[0056]
Medical information 5a including patient infectious disease information D1, hospital room information D2, and hospital room infection information D3 in the database 5, and master information 5b including infectious disease master M1, infectious disease room master M2, and hospital room master M3. Based on this, the infectious disease input screen 10 is displayed on the infectious disease input screen display means 2a of the user terminal 2.
[0057]
Similarly, the hospitalization reception screen 20 is displayed on the hospitalization reception screen display means 2b of the user terminal 2 based on the medical treatment information 5a and the master information 5b.
[0058]
Here, one of the major features of this example is a check of the hospital room to be hospitalized. In this example, the infectious disease group and the room code are included in the master information 5b, and the infectious disease group is set for the patient. Therefore, at the time of entering the room number on the hospitalization reception screen 20, it is possible to automatically check whether or not an infectious disease patient is accommodated in the relevant room, and to accommodate the infectious disease patient who should not be accommodated by mistake. You can refuse in advance.
[0059]
Further, when selecting a hospital room, the patient room cannot be selected unless a bed is available.
[0060]
Hereinafter, a specific configuration for achieving such a function will be described focusing on processing in the server 4.
[0061]
(server)
A detailed configuration of the server in the hospital information system will be described with reference to FIGS. FIG. 11 discloses an example of the configuration of the hospital information system of this example.
[0062]
The user terminal 2 includes an infectious disease input screen display means 2a for displaying an infectious disease input screen 10 (see FIG. 3). The database 5 includes infectious disease input screen data 5c for displaying the infectious disease input screen 10, master information 5b, and medical information 5a.
[0063]
The server 4 includes an infectious disease input screen display processing unit 4b for displaying the infectious disease input screen 10 on the user terminal 2 based on a service start request (screen display request) from the user terminal 2, and an infectious disease input screen. Infection that prompts the infectious disease input screen display means 4b to display the name of the infectious disease using the master information 5b based on the input information such as the patient ID and the infectious disease code entered on the infectious disease input screen 10 of the display means 2a The disease name display processing means 4c, the registration processing means 4d for registering the input information based on the operation input of the registration operation unit on the infectious disease input screen 10, and the medical information of the database 5 based on this registration Patient infectious disease information update means 4e for updating patient infectious disease information using 5a.
[0064]
In the hospital information system 1 configured as described above, when a service start request (screen display request) is made from the user terminal 2, the infectious disease input screen display processing means 4b of the server 4 uses the infectious disease input screen data 5c. Then, the infectious disease input screen 10 is displayed on the user terminal 2. Next, when a patient ID and an infectious disease code are input on the infectious disease input screen 10 displayed on the infectious disease input screen display means 2a of the user terminal 2, the infectious disease name display processing means 4c is stored in the database 5. The infectious disease name corresponding to the infectious disease code is displayed on the infectious disease input screen 10 using the master information 5b.
[0065]
When the registration operation unit is operated by clicking on the infectious disease input screen 10 of the user terminal 2, the registration processing unit 4d of the server 4 starts the registration process. For example, the patient infectious disease information update processing unit 4e Thus, the patient infectious disease information update process of the medical information 5a stored in the database 5 is performed.
[0066]
FIG. 12 discloses an example of a configuration in the case of admission reception according to the hospital information system of this example as a functional block diagram.
[0067]
The user terminal 2 includes hospitalization reception screen display means 2b for displaying the hospitalization reception screen 20 (see FIG. 4) and warning screen display means 2d for displaying the warning screen 50 (see FIG. 7). It consists of
[0068]
The database 5 includes hospitalization reception screen data 5d for displaying the hospitalization reception screen 20, medical information 5a, master information 5b, and warning screen data 5e for displaying the warning screen 50. Yes.
[0069]
Based on the service start request (screen display request) from the user terminal 2, the server 4 uses the hospitalization reception screen data 5 d to process the display of the hospitalization reception screen 20 on the user terminal 2. 4f and patient infectious disease information search means (search means) 4g for searching for patient infectious disease information using medical information 5a based on the input information such as patient ID and hospital room code input on the hospitalization reception screen 20 And infectious disease information presence / absence determining means 4h for determining presence / absence of patient infectious disease information based on the searched medical care information 5a, and when it is determined by the infectious disease information presence / absence determining means 4h that there is patient infectious disease information. In addition, it is a case where it is determined that there is no infectious disease information in the hospital room master searching means 4k for searching for the hospital room master using the master information 5b and the infectious disease information presence / absence determining means 4h. When the bed number is input on the hospitalization reception screen 20, the bed number input processing means 4i for inputting the bed number, and the registration processing means 4j for registering the medical information 5a based on the input information, Infectious disease group determination means (determination means) 4l for determining whether or not an infectious disease group is permitted based on the master information 5b searched by the hospital room master search means 4k, and this infectious disease group determination means 4l When the determined determination result is disapproved, a room entry disapproval warning display processing means (means for disallowing) 4m for processing to display the warning screen 50 on the user terminal 2 based on the warning screen data 5e; , Including.
[0070]
In the hospital information system 1 configured as described above, when a service start request (screen display request) is made from the user terminal 2, the hospitalization reception screen display processing means 4f of the server 4 uses the hospitalization reception screen data 5d. Processing is performed so as to display the hospitalization acceptance screen 20 on the user terminal 2. Next, on the hospitalization reception screen 20 displayed on the hospitalization reception screen display means 2b of the user terminal 2, the patient ID and the patient ID are displayed. Hospital room When the code is input, the patient infectious disease information searching means 4g of the server 4 searches for the patient infectious disease information using the medical information 5a stored in the database 5.
[0071]
As a result, based on the retrieved patient infectious disease information, the infectious disease information presence / absence determining unit 4h of the server 4 determines whether there is corresponding patient infectious disease information. As a result of the determination by the infectious disease presence / absence determining means 4h, when it is determined that there is corresponding patient infectious disease information, the hospital master search means 4k of the server 4 stores the master information 5b stored in the database 5 in the master information 5b. To search for the room master corresponding to the patient infectious disease information.
[0072]
On the other hand, as a result of the determination by the infectious disease information presence / absence determining means 4h, when it is determined that there is no corresponding patient infectious disease information, the user terminal 2 enters a standby state waiting for input.
[0073]
Then, when the patient's bed number is input on the hospitalization reception screen 20 of the user terminal 2, the execution of the input process is started by the bed number input processing means 4 i of the server 4. The registration processing means 4j of the server 4 performs registration processing of various information including the bed number.
[0074]
On the other hand, when the room master is searched from the master information 5b by the room master search means 4k, the infectious disease group determination means 4l determines whether the infectious disease group is permitted or not based on the search result. Make a decision.
[0075]
If the result of the determination by the infectious disease group determining means 4l is determined to be disapproved, that is, if the infectious disease group is not permitted, the entry prohibition warning display processing means 4m of the server 4 is stored in the database 5. The warning screen data 5e is used to perform processing for displaying the warning screen 50 on the user terminal 2.
[0076]
On the other hand, if the determination result by the infectious disease group determination means 4l is determined to be permission, that is, if it is a permitted infectious disease group, a normal hospitalization acceptance screen 20 Is processed to display.
[0077]
(About processing procedure)
Next, a processing procedure in the hospital information system configured as described above will be described with reference to FIGS.
[0078]
This example includes the following <infectious disease input flow> and <hospital admission flow>.
[0079]
The portion corresponding to this example belongs to the <hospital admission flow>, but is described because it is premised on the input of infectious disease information by the <infection input flow>.
[0080]
<Infectious disease input flow>
First, when the program is started by the infectious disease input screen display means 2a, the infectious disease input screen 10 is displayed (step, hereinafter "S" 101). The infectious disease input screen 10 includes a field for inputting a patient ID and a field for inputting an infectious disease code.
[0081]
Next, the patient ID to be updated is input to the patient ID input field on the infectious disease input screen 10 (S102). As a result, the patient name of the patient corresponding to the patient ID is displayed, and it is confirmed that the patient is the selected patient.
[0082]
Further, on the infectious disease input screen 10, an infectious disease code is input to the infectious disease code input field for the patient selected in S102 (S103). Here, it is also possible to input a plurality of infectious disease codes at once.
[0083]
Then, the infectious disease master M1 is searched, the infectious disease name corresponding to the infectious disease code input in S103 is displayed on the infectious disease input screen 10, and it is confirmed that there is no erroneous input (S104).
[0084]
Here, in the infectious disease input screen 10, whether to register or cancel the screen information input in S102 to S103 is selected according to the operator's judgment (S105). When registering in S105, the registration operation unit 16 is pressed, and when canceling, the cancellation operation unit 15 is pressed.
[0085]
And the infectious disease input screen display means 2a judges the external input of registration / cancellation, and branches the subsequent processes as follows. In S105, in the case of registration, the process proceeds to S106. On the other hand, in the case of cancellation in S105, the process is moved to S102 or the program is terminated.
[0086]
Next, the patient infectious disease information D1 in the database 5 is updated with the information input in S102 to S103 on the infectious disease input screen 10 (S106).
[0087]
In step S102, the next patient's infectious disease information is input or the program is terminated.
[0088]
<Flow of hospitalization reception>
First, when the program is started by the hospitalization reception screen display means 2b, the hospitalization reception screen 20 is displayed (S201). Here, the hospitalization reception screen 20 includes a patient ID input field 21 for inputting a patient ID and a hospital room input field 24 for inputting a hospital room code.
[0089]
In addition, the hospitalization date input column 23 and the bed number input column 25 of the hospitalization reception screen 20 are not necessarily required in this example.
[0090]
Next, the patient ID of the patient to be hospitalized is input to the patient ID input field 21 on the hospitalization reception screen 20 (S202). Here, the patient name of the patient corresponding to the patient ID is displayed, and the operator confirms that the patient is the selected patient.
[0091]
Further, the hospitalization date is input to the hospitalization date input field 23 on the hospitalization reception screen 20 (S203). This step is not always necessary in this example.
[0092]
Subsequently, the hospital room code of the hospital room where the patient is accommodated is input to the hospitalization date input field 23 on the hospitalization reception screen (G2) (S204).
[0093]
Then, the patient infection information D1 on the database 5 is searched with the patient ID of the patient (S205).
[0094]
Next, the hospitalization acceptance screen display means 2b branches the subsequent processing as follows based on the search result of S205. That is, if no infectious disease code is registered, the process proceeds to S210. On the other hand, if one or more infectious disease codes are registered, the process proceeds to S207.
[0095]
Here, the hospital master M3 on the database 5 is searched by the hospital room code entered in the hospital room input field 24 of the hospitalization reception screen 20 (S207).
[0096]
And the hospitalization reception screen display means 2b searches the infectious disease master M1 with the infectious disease code of the patient, and derives the infectious disease group. Based on the infectious disease group and the result searched in S207, the subsequent processing is branched as follows (S208). If the infectious disease group matches any of the non-permitted infectious disease groups 1 to n, the process proceeds to S209. On the other hand, if the infectious disease group does not coincide with any of the non-permitted infectious disease groups 1 to n, it is determined that there is no reason for disallowing accommodation in the hospital room, and the process proceeds to S210.
[0097]
Then, the hospitalization reception screen display means 2b determines that the patient cannot be accommodated in the hospital room, and displays a warning screen (for example, warning screen 50) indicating that the patient cannot enter the room on the hospitalization reception screen 20 ( S209). Thereafter, the process proceeds to S204, and the room code is re-input.
[0098]
On the other hand, the bed number is input to the bed number input field 25 on the hospitalization reception screen 20 (S210).
[0099]
Next, the room information D2 on the database 5 is updated with the information input on the hospitalization reception screen 20 (S211). Thereafter, the process proceeds to S202, and the next patient is input or the program is terminated.
[0100]
Note that when registering a plurality of patients in at least one hospital room, a synonym may be used, or identification by a bed number may be performed.
[0101]
Further, on the warning screen 50, a warning “Please select another room because you have an infection” is displayed. In this warning screen 50, the user may return to the hospitalization reception screen 20 when the “confirmation” 52 is pressed, and the hospital room list screen 30 may be displayed when the “patient room” 28 on the hospitalization reception screen 20 is pressed.
[0102]
Further, the patient room registration may be changed by selecting the patient room in the new hospitalization registration while referring to the patient room list screen 30.
[0103]
As described above, according to the present embodiment, by adding a non-permitted infectious disease group to the item in the hospital room master, it is possible to perform a mutual check with infectious disease information, which is a patient attribute, on the hospitalization reception screen. An automatic check can be performed at the time of entering a room number, and an effect is obtained that it is possible to reject in advance accommodation of an infectious disease patient who should not be accommodated by mistake.
[0104]
In addition, it is possible to manage a plurality of infectious diseases on a group basis by providing an item of infectious disease group in the infectious disease master for handling infectious disease information. Therefore, there is an effect that infectious diseases that should be disallowed can be registered as a group.
[0105]
Furthermore, by giving the bed number to the master information 5b, the bed number can be designated on the hospitalization reception screen 20.
[0106]
In addition, the following are mentioned as a modification of this Embodiment. For example, a configuration in which an infectious disease group is deleted from the infectious disease master M1 and grouping of infectious diseases is omitted is possible. The structure of the master information 5b in that case is as shown in FIG.
[0107]
That is, in this case, the master information 5b includes an infectious disease master M4, an infectious disease room master M5, and a infirmary room master M6, and the infectious disease master M4 includes an infectious disease code and an infectious disease name. The infectious disease room master M5 is provided with an infectious disease code and a room room code, and the inpatient room master M6 has a hospital room code, a synonym, and a non-permitted infectious disease code.
[0108]
As a result, by adding a non-permitted infectious disease code to the room master M6 as a new item, mutual check with the patient attribute, infectious disease information is possible, and accommodation in a room that should not be accommodated by mistake is possible. The effect is that it can be rejected in advance.
[0109]
Moreover, it becomes possible to manage infectious diseases by providing an item of infectious disease codes in the infectious disease master M4. This has the effect of registering infectious diseases that should be disallowed.
[0110]
This modification can also be applied to the following second and third embodiments.
[0111]
Further, as a modification of the first embodiment, for example, a configuration in which a plurality of items that can be set in the medical information 5a and the master information 5b are denormalized and replaced with a structure stored in one record may be used. Good.
[0112]
Specifically, as shown in FIG. 16, in the database 5, patient infectious disease information D4, patient room information D5, and patient room master D5 are configured.
[0113]
The patient infectious disease information D4 includes a patient ID and a plurality of infectious disease codes 1 to m. The room information D5 includes a room code and a plurality of bed 1 patient ID to bed p patient ID so as to have a patient ID for each bed number. The room master M7 includes a room code and a plurality of non-permitted infectious disease groups 1 to n.
[0114]
Thereby, the situation that only one patient can be registered in one record of the database does not occur, and a plurality of patients can be registered in one record.
[0115]
[Second Embodiment]
Next, a second embodiment according to the present invention will be described with reference to FIGS. In the following, description of the substantially similar configuration of the first embodiment will be omitted, and only different parts will be described.
[0116]
FIG. 17 is an explanatory view schematically showing the flow of data between the user terminal 2 and the database 5 in the hospital information system of this example.
[0117]
In the first embodiment, the patient room of the infectious disease patient is checked for a patient who has been registered as an infectious disease in advance, but in this example, a patient who is not infectious disease already hospitalized. This shows a configuration that can cope with a case where it is later found that the patient is infected with an infectious disease by a newly conducted test or the like.
[0118]
As shown in FIG. 17, the database 5 is configured so that examination information such as examination results from other examination systems 6 is sequentially input via the patient information update task 7 a in the examination system cooperation apparatus 7. is doing. Of course, these data processes are performed by the server 4 (not shown in FIG. 17). Further, the above-described inspection system cooperation device 7 may be configured to be installed in the server 4 as inspection system cooperation means.
[0119]
When it is determined from the input examination information that the patient is an infectious disease patient, information on the infectious disease patient is stored in the management terminal 3 used by the system administrator of the hospital information system 1 using the database 5 and the server 4. Notice. In addition, the notification destination may be a direct notification to a person who can give an instruction to isolate an infectious disease patient in a hospital or a terminal used by a doctor who has such authority, such as a hospital director. May be.
[0120]
In order to specify the notification destination, in this example, the master information 5b includes a staff master M14. The staff master M14 constitutes a table in which each identification code number and each mail address are associated with each staff.
[0121]
For example, a mail address A is associated with a doctor with a code number 1, a mail address B is associated with a nurse with a code number 2, and a mail address C with a code number 3 is associated with a system administrator.
[0122]
Thereby, when an infectious disease is found, if a corresponding code number is set, an e-mail or the like is notified to a mail address destination corresponding to the code number.
[0123]
The above is the gist of the present embodiment, and a more detailed description will be given below, focusing on the flow of data processing in the server 4.
[0124]
FIG. 18 discloses a specific configuration in the case where the hospital information system of this example is used in cooperation with an examination system.
[0125]
In the user terminal 2, an infection estimated patient list screen display means 2e for displaying a list of estimated infection patients is used.
[0126]
The database 5 includes infection estimated patient list screen data 5f for displaying the infection estimated patient list screen 60, medical information 5a, and master information 5b.
[0127]
The server 4 is relayed by the inspection system cooperation device 7 which is an inspection system cooperation means for cooperation with the server 4 and the inspection system cooperation device 7 based on the inspection input information such as the inspection result from the inspection system 6. Based on the infectious disease information receiving means 4m for receiving the test result information and the patient infectious disease information received by the patient infectious disease information receiving means 4m, the patient infectious disease information is updated using the medical information 5a. Patient infectious disease information updating means 4o, patient inpatient information searching means 4p for searching patient inpatient information using medical information 5a based on information updated by this patient infectious disease updating means 4o, and this patient Based on the search result of the medical information 5a searched by the hospitalization information search means 4p, whether or not the patient is hospitalized is determined whether or not the patient is hospitalized (determination) Stage) 4q and the room master search means 4r for searching the room room master information using the master information 5b when the determination result determined by the in-hospital presence determination means 4q is determined to be hospitalized. Infectious disease group determination means 4s for determining whether or not an infectious disease group is permitted for the room based on the search result of the master information searched by the hospital room master search means 4r, and this infection When the infectious disease group determination means 4s determines that the infectious disease group is not permitted, a notification means 4t for notifying the management terminal 3 of a warning of danger, and a notification from the notification means 4t Based on the notification execution and the estimated infection patient list screen data 5f of the database 5, the estimated infection patient list processed so as to display the estimated infection patient list screen 60 on the user terminal 2 Is configured to include a, a 4u (round means Shi was displayed as a list) plane display processing means.
[0128]
In the hospital information system 1 having the above-described configuration, first, information such as test results from the test system 6 is linked by, for example, the test system linkage device 7 of the server 4, and the infectious disease information receiving means 4n transmits the infectious disease information. Is received.
[0129]
Then, the patient infectious disease information update unit 4o updates the patient infectious disease information in the medical information 5a of the database 5.
[0130]
Next, the patient inpatient information search means 4 p of the server 4 searches for corresponding patient infectious disease information from the medical information 5 a stored in the database 5.
[0131]
As a result, based on the patient infectious disease information retrieved from the medical care information 5a, whether or not the patient is in the hospital is determined by the in-hospital presence / absence determining means 4q of the server 4.
[0132]
When it is determined that the determination result by the in-hospital presence determination means 4q is hospitalized, the hospital room master search means 4r of the server 4 uses the master information stored in the database 5 to correspond to the in-hospital Search the room master corresponding to the patient.
[0133]
On the other hand, when it is determined that the determination result in the hospitalization presence / absence determination means 4q is not hospitalized, the process returns to the infectious disease information reception means 4m, and the process relating to the next reception information is performed.
[0134]
On the other hand, the server 4 Hospital room In the master information 5b of the database 5 in the master search means 4r Hospital room Based on the search result of the master, the infectious disease group determining means 4s of the server 4 extracts an infectious disease group corresponding to the hospital room master, and determines whether or not this infectious disease group is an unauthorized infectious disease group. Do.
[0135]
When the determination result by the infectious disease group determining means 4r is determined to be a non-permitted infectious disease group, the notification means 4t of the server 4 indicates that there is an infectious disease patient toward the management terminal 3. Announcement will be made.
[0136]
In addition, after the notification by the notification means 4t, the infection estimated patient list screen display processing means 4u of the server 4 uses the infection estimated patient list screen data 5f of the database 5 to infect the infectious disease patient of the user terminal 2. Processing is performed so as to display the infectious disease patient list screen 60 of the list screen display means 2e.
[0137]
18, the case where the inspection system cooperation device 7 is configured in the server 4 has been described as an example, but a configuration in which a dedicated device is provided outside the server 4 may be employed.
[0138]
(Processing procedure)
Next, the process of the patient information update task when cooperating with the examination system will be described with reference to FIG.
[0139]
First, the patient information update task in the examination system cooperation device 7 communicates with the examination system 6 and is in a waiting state for receiving examination results transmitted from the examination system 6 (S301).
[0140]
Next, when the patient information update task receives an examination result from the examination system 6, it performs the next process of S303 (S302).
[0141]
If the infectious disease information is included in the data received from the inspection system 6, the patient infectious disease information D1 on the database 5 is updated (S303).
[0142]
Then, it is determined whether or not the received patient is currently hospitalized by searching the room information D2 on the database 5 (S304).
[0143]
Further, the subsequent processing is branched as follows according to the determination result of S304 (S305). In S305, when hospitalized (if included in any hospital bed), the process proceeds to S306. On the other hand, if the patient is not hospitalized (not included in any bed), the process proceeds to S302 and waits for the next reception.
[0144]
Next, the hospital room master M3 on the database 5 is searched by the room code of the hospital room in which the patient is accommodated (S306).
[0145]
Furthermore, the infectious disease master M1 is searched with the infectious disease code of the patient, and an infectious disease group is derived. Based on the result of searching for this infectious disease group in S306, the subsequent processing is branched as follows (S307). If the infectious disease group matches any of the non-permitted infectious disease groups 1 to n, the process proceeds to S308. On the other hand, if the infectious disease group does not match any of the non-permitted infectious disease groups 1 to n, it is determined that there is no reason for disallowing accommodation in the room even though the infectious disease information has been updated. , The process proceeds to S302 and waits for the next reception.
[0146]
Next, the patient information update task determines that continuation of accommodation of the patient in the hospital room is impossible, and issues a notification to the effect of the inability to enter the room to the system administrator (S308). As a means for this notification, it is preferable to perform e-mail, message display on the screen, report issuance in writing, report by voice information in addition to e-mail, or warning only by voice. For example, as an example of notification, “Infectious disease: XX is registered in patient: XX. Hospital: △△ is hospitalized, but there is a risk of infecting patients in the same room. Please notify ".
[0147]
Here, the system administrator means an operator who is specially registered as a manager on the system.
[0148]
Finally, the infection estimated patient list screen 60 is displayed (S309). Here, the patient displayed on this screen is performed by searching for a patient in a hospital room that has accommodated an infectious disease patient registered in the previous process.
[0149]
In this way, when it is found out from the system information that the currently hospitalized patient is an infectious disease, it is searched whether or not the patient is hospitalized. And if the patient with the infectious disease is allowed to stay in the room, if not, the administrator is automatically notified and the estimated infection patient list screen 60 is displayed. To do.
[0150]
Here, since a patient who was in a hospital room with a patient who was found to have an infectious disease may have been infected in the meantime, on this estimated infection patient list screen 60, it may be considered that he / she has an infectious disease. List all people in the same room.
[0151]
In addition, it is good also as a structure which sends an e-mail directly to a doctor's place even if it is the structure which sends an electronic mail to a doctor from a system administrator. Furthermore, it is preferable to pop up by e-mail from the viewpoint of speeding up discovery. This is because the one-way notification has a higher recognition level.
[0152]
As described above, in this embodiment, the patient infectious disease information is updated based on the infectious disease information transmitted from the inspection system, but at the same time, the infectious disease mutual check with the currently hospitalized room can be performed. It becomes possible.
[0153]
As a result, even if it is determined that the patient is hospitalized and is later infected with an infectious disease, the notification is immediately transmitted to the administrator, so that necessary measures can be taken quickly. The necessary measure in this case is to move the patient to another room, but in that case, it can be easily realized by applying a third embodiment described later.
[0154]
In addition, it is possible to search and display patients in infected rooms from information on infectious diseases in the rooms (infection-presumed patients), and to quickly conduct measures such as examining the displayed patients. Can be prevented.
[0155]
As a modification of the second embodiment, an infectious disease is input on the infectious disease input screen 10 of the infectious disease input screen display means 2a by manual operation instead of updating the infectious disease information by the test result. In such a case, a similar mutual check is performed and a notification is transmitted to the administrator.
[0156]
[Third Embodiment]
Next, a third embodiment according to the present invention will be described with reference to FIGS. FIG. 20 is an explanatory diagram schematically showing the flow of data between the user terminal 2 and the database 5 in the hospital information system of this example.
[0157]
In this example, when a patient to whom infectious disease information has already been input is hospitalized, a hospital room can be automatically set in order to physically isolate it from other patients.
[0158]
That is, in the above-described embodiment, the hospital room code number is configured to be input by ten-input on the hospitalization reception screen. However, in this example, when the patient number is input on the hospitalization reception screen, the destination of the person with infectious disease is automatically generated. (Hospital room) is searched and the room code is set. If it is not an infectious disease, ten input is performed.
[0159]
For example, a tuberculosis patient automatically enters a hospital room 3304 in advance. For this reason, room assignments are made in advance according to the name of the disease of the infectious disease.
[0160]
As shown in FIG. 20, based on the infectious disease group and the room code in the infectious disease room master M2 in the master information 5b, it is possible to set a room for a patient with a certain infectious disease to enter.
[0161]
In the hospital room list screen 30, the hospital room (3F-304) 31 with an infectious disease is displayed in color. This colored portion is a button, and when this button is pressed, an infection estimated patient list screen 60 on which the name of the infection is displayed appears. Thus, when the detailed browsing of an infectious disease patient is desired, the infectious disease name etc. are also displayed and can be confirmed. Furthermore, since there is no infectious disease indefinitely, when measures against infectious diseases such as disinfection are taken, the colored rooms can be brought into a normal state by canceling them.
[0162]
(Processing procedure)
Next, the process for making it above-mentioned is demonstrated using FIG.
[0163]
First, when the program is started by the hospitalization reception screen display means 2b, the hospitalization reception screen 20 is displayed (S401). The hospitalization reception screen 20 includes a patient ID input field 21 for inputting a patient ID and a hospital room input field 24 for inputting a hospital room code.
[0164]
Note that the patient ID input field 21 and the bed number input field 25 on the hospitalization reception screen 20 are not necessarily required in this example.
[0165]
Next, the patient ID to be hospitalized is input to the patient ID input field 21 on the hospitalization reception screen 20 (S402). Here, the patient name of the patient corresponding to the patient ID is displayed, and the operator confirms that the patient is the selected patient.
[0166]
Further, the hospitalization date is entered into the hospitalization date input field 23 on the hospitalization reception screen 20 (S403).
[0167]
Then, the patient infectious disease information D1 on the database 5 is searched with the patient ID of the patient (S404).
[0168]
Next, based on the search result of S304, the subsequent processing is branched as follows (S405). That is, when there is infectious disease information (when the patient ID is included in the patient infectious disease information D1), the process proceeds to S406. On the other hand, when there is no infectious disease information (when the patient ID is not included in the patient infectious disease information D1), the process proceeds to S408.
[0169]
That is, the infectious disease master M1 is searched with the infectious disease code of the patient infectious disease information D1 in S405, and an infectious disease group corresponding to the infectious disease code is derived. The infectious disease room master M2 on the database 5 is searched in the derived infectious disease group, and the room code is derived (S406). This room code represents a room where a patient having the corresponding infectious disease should be hospitalized.
[0170]
Next, the hospital room code derived in S406 is set in the hospital room code input field of the hospitalization reception screen 20, and the code is displayed (S407). As a result, the operator does not need to select and input the room code by himself / herself, and at the same time, the patient having an infectious disease can be physically isolated from other general patients.
[0171]
On the other hand, the hospital room code which is the accommodation place of the patient is input in the hospital room code input field of the hospitalization reception screen 20 (S408). Here, the difference between this step and S407 is that the operator selects a room and inputs a code.
[0172]
Next, a bed number is input to the bed number input field 25 on the hospitalization reception screen 20 (S409).
[0173]
Then, the room information D2 on the database 5 is updated with the information input on the hospitalization reception screen 20 (S410).
[0174]
Thereafter, the process proceeds to S402, and the next patient is input or the program is terminated.
[0175]
In addition, the selection means of this invention can be comprised by comprising the means to process above-mentioned S402-S408.
[0176]
As described above, according to the present embodiment, there is provided a mechanism for using an infectious disease room master and deriving a room code from an infectious disease group.
[0177]
This makes it possible to select a specific hospital room when hospitalizing a patient who has already received an infectious disease. As a result, it can be physically isolated from other patients to prevent nosocomial infections. In other words, a hospital room is automatically selected on the hospitalization reception screen 20, and a hospital room for tuberculosis, for example, is automatically set. Thereby, for example, patients with tuberculosis infection or the like can be easily and quickly isolated.
[0178]
In addition, as a modification of the third embodiment, disease name information may be added in addition to infectious disease information, and a mutual check between a disease name and a hospital room may be performed.
[0179]
Specifically, for example, as shown in FIG. 22, in addition to the above-described various information, the patient's disease name information D11, the room information D12, and the room name information D13 are included in the medical care information 5a of the database 5. Further, the master information 5b of the database 5 includes a disease name master M11, a disease name room master M12, and a room room master M13 in addition to the above-described various information.
[0180]
The patient disease name information D11 includes a patient ID, a synonym, a disease name code, and the like, and the room disease name information D13 includes a room code, a synonym, a disease name group, an estimated date, a disease name status, and the like.
[0181]
The disease name master M11 has a disease name code, a disease name name, a disease name group, a priority, and the like. The disease name room master M12 has a disease name group, a room code, and the like. The hospital room master M13 has a room code, a synonym. Have non-permitted disease name groups.
[0182]
By adopting such a configuration, it is possible to check a hospital room by the name of a disease in addition to the infectious disease.
[0183]
In this example, the disease name information and the infectious disease information are managed as independent information, but the infectious disease is also managed only by the disease name information from the viewpoint that the infectious disease is a part of the disease name. It may be a data structure.
[0184]
[Fourth Embodiment]
Next, a fourth embodiment according to the present invention will be described with reference to FIGS. FIG. 23 is an explanatory diagram schematically showing the flow of data between the user terminal 2 and the database 5 in the hospital information system of this example.
[0185]
In this example, infectious disease status information is added to the room information, the infectious disease status is updated when the patient enters or exits the patient's room, and in-hospital infection measures such as checking entrance and moving patients who are in the room are operated efficiently. It is configured to do.
[0186]
No, if an infectious disease is cured or newly discovered and isolated, etc., it will be moved to a different room, but the room where the patient was is empty and infectious disease countermeasures have not been completed Can be considered. In such a case, the present embodiment is configured to display the infectious disease state for each hospital room on the hospital room list screen 30. If no countermeasures are taken against the infectious disease room, the display is colored.
[0187]
23, medical information 5a including patient infectious disease information D1, hospital room information D2, and hospital room infectious disease information D3 in the database 5, and a master including infectious disease master M1, infectious disease room master M2, and hospital room master M3. Based on the information 5b, the infectious disease input screen is displayed on the infectious disease input screen display means 2a of the user terminal 2.
[0188]
Similarly, the hospitalization reception screen 20 is displayed on the hospitalization reception screen display means 2b of the user terminal 2 based on the medical treatment information 5a and the master information 5b. Further, based on the medical care information 5a and the master information 5b, the hospital room management screen 40 is displayed on the hospital room management screen display means 2c of the user terminal 2.
[0189]
(server)
FIG. 24 discloses an example of a configuration when an infectious disease is input in the hospital information system 1 of the present example in the form of a functional block diagram.
[0190]
In the user terminal 2, an infectious disease input screen display means 2a on which the infectious disease input screen 10 is displayed is used.
[0191]
The database 5 includes infectious disease input screen data 5c for displaying the infectious disease input screen 10, master information 5b, and medical information 5a.
[0192]
Based on the service start request (screen display request) from the user terminal 2, the server 4 uses the infectious disease input screen data 5c to process the infectious disease input screen to be displayed on the user terminal 2. Infectious disease code infection for converting an infectious disease group using the master information 5b from the infectious disease input screen 10 displayed on the display processing means 4b and the infectious disease input screen displaying means 4b Based on the infectious disease group converted by the infectious disease code infectious disease code converting unit 4w, the patient infectious disease information updating unit 4x for updating the patient infectious disease information using the medical information 5a. And room information search means for searching for room information using the medical information 5a based on the medical information 5a updated by the patient infectious disease information updating means 4x. y and a room infection information update means 4z for updating room infection information using the medical information 5a based on the search result of the medical information 5a searched by the room information search means 4y. Composed.
[0193]
In the hospital information system 1 configured as described above, when a service start request (screen display request) is made from the user terminal 2, the infectious disease input screen display processing means 4b of the server 4 uses the infectious disease input screen data 5c. Then, the infectious disease input screen 10 is displayed on the user terminal 2. Next, when the patient ID and the infectious disease code are input on the infectious disease input screen 10 displayed on the infectious disease input screen display unit 2a of the user terminal 2, the infectious disease code infectious disease group converting unit 4w of the server 4 Using the master information 5b stored in the database 5, the infectious disease code is converted into a corresponding infectious disease group.
[0194]
Based on the converted infectious disease group, the patient infectious disease information update unit 4x of the server 4 performs processing so as to update the patient infectious disease information in the medical information 5a of the database 5.
[0195]
Next, the room information retrieval unit 4y of the server 4 retrieves the room information corresponding to the patient infectious disease information from the medical information 5a of the database 5. Based on the room information extracted from the search result, the room infection information update unit 4z performs a process of updating the corresponding room infection information in the medical information 5a of the database 5.
[0196]
(Processing procedure)
In this example, when an infectious disease is input later in a hospitalized patient, the infectious disease is registered on the infectious disease input screen 10. If it does so, while infectious disease information of a patient will be set, infectious disease information will be set to a hospital room.
[0197]
Hereinafter, a processing procedure in the case of inputting an infectious disease will be described with reference to FIG.
[0198]
<Input flow for infectious diseases>
First, when the program is started by the infectious disease input screen display means 2a, the infectious disease input screen 10 is displayed (S501). Here, the infectious disease input screen 10 includes a patient ID input field 11 for inputting a patient ID and an infectious disease code input field 13 for inputting an infectious disease code.
[0199]
Next, the patient ID of the patient to be updated is input to the patient ID input field 11 on the infectious disease input screen 10 (S502). Here, the patient name of the patient corresponding to the patient ID is displayed, and it is confirmed that the patient is the selected patient.
[0200]
Further, an infectious disease code is input to the infectious disease code input field 13 for the patient selected in S502 on the infectious disease input screen 10 (S503). It is also possible to input a plurality of infectious disease codes at once.
[0201]
Next, the infectious disease master M1 is searched, and an infectious disease group corresponding to the infectious disease code input in S503 is derived (S504).
[0202]
Then, the infectious disease group derived in S504 is registered in the patient infectious disease information D1 (S505).
[0203]
Next, the room information D2 is searched using the patient ID as a key, and the room containing the patient is derived (S506).
[0204]
Further, the room infection information D3 is searched using the room code derived in S506, and the infection group, the estimated infection date, and the infection status are updated as follows (S507). In other words, the infectious disease group is updated to the infectious disease group derived in S504. In addition, the estimated infection date is updated to the hospitalization date or system date of the patient. In addition, the infection status is updated to the infection status.
[0205]
Finally, the process proceeds to S502, and the infectious disease information of the next patient is input or the program is terminated. Thereby, an infectious disease patient can be registered.
[0206]
Next, the processing procedure when hospitalization is accepted after registration will be described with reference to FIG.
[0207]
<Flow of infectious diseases at the time of admission>
First, when the program is started by the hospitalization reception screen display processing means 2b, the hospitalization reception screen 20 is displayed (S601). Here, the hospitalization reception screen 20 includes a patient ID input field 21 for inputting a patient ID and a hospital room input field 24 for inputting a hospital room code.
[0208]
Next, the patient ID of the patient to be hospitalized is input to the patient ID input field 21 on the hospitalization reception screen 20 (S602). Here, the patient name of the patient corresponding to the patient ID is displayed, and the operator confirms that the patient is the selected patient.
[0209]
Further, the hospitalization date is entered in the hospitalization date input field 23 on the hospitalization reception screen 20 (S603).
[0210]
Next, the hospital room list screen 30 is displayed to input the room on the hospitalization reception screen 20, and the operator determines which room can be hospitalized (S604). In this screen, the contents of the infectious disease information D3 are reflected, the current infectious disease group is set, and the color is changed and displayed when the infection status is unprocessed (infected state).
[0211]
Then, the hospital room to be hospitalized is selected on the hospital room list screen 30 (S605). Here, if an attempt is made to select a hospital room whose infection status is not yet processed, an error is made to that effect and the room cannot be selected.
[0212]
Next, hospitalization in the hospital room selected in S605 is enabled, and the hospital room information D2 on the database 5 is updated with the information input on the hospitalization reception screen 20 (S606).
[0213]
Finally, the program ends or returns to S602 to input the next patient.
[0214]
In this way, the hospitalization date is entered on the hospitalization reception screen 20, the hospital room operation unit 28 is pressed, and the hospital room list screen 30 is displayed. Then, since the color is known in advance, it is possible to confirm the room so as not to be admitted to a room suspected of having an infection.
[0215]
As described above, according to the present embodiment, hospital room infection information is used, hospital rooms whose infections are estimated from the fact that patients with infectious diseases were hospitalized are displayed in a list, and the hospitals are identified by identifying colors. It provides a mechanism for visually confirming what cannot be done.
[0216]
[Fifth Embodiment]
Next, a fifth embodiment according to the present invention will be described with reference to FIGS. FIG. 27 is a functional block diagram showing a schematic configuration of the hospital information system of this example.
[0217]
In this example, infectious disease status information is given to the hospital room information, the infectious disease status is updated when the patient enters / exits the patient's room, and hospital infection countermeasures such as cleaning are efficiently operated.
[0218]
No, if an infectious disease is cured or newly discovered and isolated, etc., it will be moved to a different room, but the room where the patient was is empty and infectious disease countermeasures have not been completed Can be considered. In such a case, in this example, the state of the infectious disease is displayed for each room on the room list screen 30 and the state can be changed when processing for infectious diseases such as disinfection is performed. It is a configuration. Further, the state of each room can be managed on the room management screen 40.
[0219]
When an infectious disease countermeasure is taken for an infectious disease room and processing is completed, when the processed operation unit 47 is pressed on the hospital room management screen 40, the colored display of the inpatient room disappears.
[0220]
In the fourth embodiment, in the hospitalization reception process, the hospital room list screen 30 is displayed by the hospital room operation unit 28 of the hospitalization reception screen 20 to select an uncolored place. Then, it is set as the structure which acquires detailed information by selecting the color part.
[0221]
(Constitution)
In the user terminal 2, a hospital room reception screen display means 2 b for displaying the hospitalization reception screen 20, a hospital room list screen display means 2 g for displaying the hospital room list screen 30, and a hospital room management screen display for displaying the hospital room management screen 40. Means 2h are used.
[0222]
In the database 5, hospitalization reception screen data 5d for displaying the hospitalization reception screen 20, master information 5b, medical information 5a, hospital room list screen data 5h for displaying the hospital room list screen 30, and hospital room management screen And room room management screen data 5i for displaying 40.
[0223]
Based on the service start request (screen display request) from the user terminal 2, the server 4 uses the hospitalization reception screen data 5d to process the hospitalization reception screen display processing means to display the hospitalization reception screen 20 on the user terminal 2. 4f and based on the operation input such as the patient ID and the room code on the hospitalization reception screen 20, the room list of the room list screen display means 3g of the user terminal 2 using the room list data 5h and the master information 5b of the database 5 Corresponding information for the patient room selected on the patient room list screen 30 displayed by the patient room list screen display processing means 4α and the patient room list screen display means 4α for processing so as to display the screen. Color display selection processing means 4β that performs processing to extract from the corresponding information, correspondence information extraction means 4γ that extracts correspondence information, and correspondence information extraction means 4γ. On the basis of the correspondence information, the room management screen display processing means 4δ for processing the room management screen 40 to be displayed on the user terminal 2 using the room management screen data 5i and the room management screen 40 of the user terminal 2 Processed data reset for controlling the data of the medical information 5a so as to reset the information on the infectious disease related to this room (to disconnect the relation between the room and the infectious disease) when the processed operation unit 47 is operated by clicking or the like And means 4ε.
[0224]
In the hospital information system 1 configured as described above, when a service start request (screen display request) is made from the user terminal 2, the hospitalization reception screen display processing means 4f of the server 4 uses the hospitalization reception screen data 5d. Processing is performed so as to display the hospitalization acceptance screen 20 on the user terminal 2. Next, when the patient ID and the infectious disease code are input on the hospitalization reception screen 20 displayed on the hospitalization reception screen display means 2b of the user terminal 2, the hospital room list screen display processing means 4α stores the hospital rooms stored in the database 5. Using the list screen data 5h and the master information 5b, processing is performed so as to display the room list screen 30 of the room list screen display means 2g of the user terminal 2.
[0225]
In this hospital room list screen 30, when a selection operation is performed by an operation such as clicking on one of the hospital rooms in which an infectious disease patient has entered, the color display selection processing means 4β of the server 5 Corresponding information corresponding to the hospital room selected from the medical information 5a is found, and the corresponding information extracting means 4γ extracts the found correspondence information and supplies it to the hospital room management screen display processing means 2h.
[0226]
The room management screen display processing means 4δ of the server 4 performs processing so as to display the room management screen 40 of the room management screen display means 2c of the user terminal 2 using the room management screen data 5i of the database 5 based on the correspondence information. To do.
[0227]
In the hospital room management screen 40, when the processed operation unit 47, which means that cleaning or the like has been completed, is operated by clicking or the like, the processed data reset means 4ε of the server 4 resets the data in the medical information 5a of the database 5. The colored room in the hospital room list screen 30 is changed to a non-colored room.
[0228]
(Processing procedure)
In this example, when an infectious disease is input later in a hospitalized patient, the infectious disease is registered on the infectious disease input screen 10, and at that time, the hospital room list screen 30 is displayed and colored. Make a place. If it does so, while infectious disease information of a patient will be set, infectious disease information will be set to a hospital room.
[0229]
Below, the process sequence in the case of accepting hospitalization is demonstrated using FIG.
[0230]
First, when the program is started by the hospitalization reception screen display processing means 2b, the hospitalization reception screen 20 is displayed (S701). Here, the hospitalization reception screen 20 includes a patient ID input field 21 for inputting a patient ID and a hospital room input field 24 for inputting a hospital room code.
[0231]
Next, the patient ID of the patient to be hospitalized is input to the patient ID input field 21 on the hospitalization reception screen 20 (S702). Here, the patient name of the patient corresponding to the patient ID is displayed, and the operator confirms that the patient is the selected patient.
[0232]
Further, the hospitalization date is entered into the hospitalization date input field 23 on the hospitalization reception screen 20 (S703).
[0233]
Next, the hospital room list screen 30 is displayed to input a room on the hospitalization reception screen 20, and the operator determines which room can be hospitalized (S704). In this screen, the contents of the infectious disease information D3 are reflected, the current infectious disease group is set, and the color is changed and displayed when the infection status is unprocessed (infected state).
[0234]
Then, a predetermined room is selected in order to check the details of the condition of the room on the room list screen 30 (S705).
[0235]
Next, information corresponding to the hospital room selected in the hospital room infection information is set (S706). Then, the room management screen 40 corresponding to the selected room is displayed (S707).
[0236]
Further, referring to the room management screen 40 corresponding to the selected room, the user determines whether or not the current room has been processed for infectious diseases such as cleaning (S708). If the countermeasure processing has not been completed, the screen returns to the hospital room management screen 40. On the other hand, if the treatment for infectious diseases has been completed, the processed operation unit 47 formed on the hospital room management screen 40 is pressed.
[0237]
Thereby, the infectious disease information in the medical care information 5a corresponding to the hospital room is reset (S709), and the hospital room is in a processed state.
[0238]
That is, in this state, on the hospital room list screen 30, the hospital room that was initially colored is changed to a state that is not colored.
[0239]
In addition, since there are various types of infectious diseases, some are low risk and others are high risk. For example, the infectious disease type and the infectious disease data may be ranked and ranked, and for example, the hospital room list screen 30 may be configured to display hospital rooms in different colors depending on the degree of risk.
[0240]
In this case, for example, a table or data describing the ranking for each infectious disease data is prepared.
[0241]
For example, it can be managed by giving priority meaning to the infectious disease group in the infectious disease master M1 of the master information 5b. In the control judgment program, low-risk infections are assigned to low-risk infection groups (names), and high-risk infections are defined as high-risk infection groups. The group can be checked.
[0242]
Or it can comprise by using the priority code in the master information 5b. Thereby, it can form so that a color display may be changed according to a priority. The color display may be changed by changing the color for each infectious disease group, for example, or by color-displaying a predetermined grade or higher.
[0243]
Thereby, when selecting a hospital room, it is possible to confirm which hospital room is safe by displaying the hospital room list screen 30 and the like from the hospitalization reception screen 20.
[0244]
As described above, according to the present embodiment, it is possible to use a hospital room infection information to grasp a list of implementation statuses of infection release devices such as cleaning and disinfection, and to prevent the spread of nosocomial infections. it can.
[0245]
Although the apparatus and method according to the present invention have been described according to some specific embodiments thereof, those skilled in the art will recognize the embodiments described in the text of the present invention without departing from the spirit and scope of the present invention. Various modifications are possible. For example, in each of the above-described embodiments, various screens such as the infectious disease input screen are used as a lower-level screen of the doctor screen. However, the screen is formed by an independent menu different from the doctor screen. There may be.
[0246]
Furthermore, the order in which these screens are displayed is not limited to the above-described example, and the order does not matter. The layout of each screen is not limited to the above example, and includes various layouts as long as it has at least the above-described function.
[0247]
Further, the configuration of each means described above is not limited to processing by software alone, and may include processing by a combination of various software and hardware.
[0248]
Further, it goes without saying that examples including combinations of the above-described embodiments or any of them and modifications are also included.
[0249]
【The invention's effect】
As described above, according to the present invention, a search unit searches for a room that is not permitted to enter, and determines whether or not the patient can be admitted to the hospital by using a determination unit by comparing with the room information input on the hospitalization reception screen. it can. Thereby, the effect that the accommodation to the hospital room which should not be accommodated accidentally can be refused beforehand is produced.
[0250]
In addition, patient infectious disease information is updated based on the infectious disease information in the test result information transmitted from the inspection system, but it is possible to simultaneously perform an infectious disease mutual check with the currently hospitalized room by the judging means. . As a result, even if it is found that the patient is hospitalized and is later infected with an infectious disease, the notification is immediately communicated to the administrator by the notification means, so that necessary measures can be performed quickly and hospital infections etc. can be quickly performed. There is an effect that it can be prevented.
[Brief description of the drawings]
FIG. 1 is a functional block diagram showing a configuration of a hospital information system of the present invention.
FIG. 2 is an explanatory diagram for illustrating the concept of the hospital information system of the present invention.
FIG. 3 is an explanatory diagram showing an example of an infectious disease input screen of the hospital information system of the present invention.
FIG. 4 is an explanatory diagram showing an example of a reception hospitalization screen of the hospital information system of the present invention.
FIG. 5 is an explanatory diagram showing an example of a hospital room list screen of the hospital information system of the present invention.
FIG. 6 is an explanatory diagram showing an example of a hospital room management screen of the hospital information system of the present invention.
FIG. 7 is an explanatory diagram showing an example of a warning screen of the hospital information system of the present invention.
FIG. 8 is an explanatory diagram showing an example of an infection estimated patient list screen of the hospital information system of the present invention.
FIG. 9 is an explanatory diagram showing an example of an embodiment of a configuration of a hospital information system according to the present invention.
FIG. 10 is an explanatory diagram showing an example of a database configuration of the hospital information system of the present invention.
FIG. 11 is a functional block diagram showing an example of an embodiment of a configuration of a hospital information system according to the present invention.
FIG. 12 is a functional block diagram showing an example of an embodiment of a configuration of a hospital information system according to the present invention.
FIG. 13 is a flowchart showing an infectious disease input processing procedure of the hospital information system of the present invention.
FIG. 14 is a flowchart showing a hospital admission process procedure of the hospital information system of the present invention.
FIG. 15 is an explanatory diagram showing an example of a configuration of master information in a database of the hospital information system of the present invention.
FIG. 16 is an explanatory diagram showing an example in which medical care information and master information in a database of the hospital information system of the present invention are denormalized.
FIG. 17 is an explanatory diagram showing an example of another embodiment of the configuration of the hospital information system of the present invention.
FIG. 18 is a functional block diagram showing an example of another embodiment of the configuration of the hospital information system of the present invention.
FIG. 19 is a flowchart showing a processing procedure of a patient information update task of the hospital information system of FIG.
FIG. 20 is an explanatory diagram showing an example of another embodiment of the configuration of the hospital information system of the present invention.
FIG. 21 is a flowchart showing a processing procedure of the hospital information system of FIG. 20;
FIG. 22 is an explanatory diagram showing an example of a database configuration of the hospital information system of the present invention.
FIG. 23 is an explanatory diagram showing an example of another embodiment of the configuration of the hospital information system of the present invention.
FIG. 24 is a functional block diagram showing an example of another embodiment of the configuration of the hospital information system of the present invention.
FIG. 25 is a flowchart showing an infectious disease input processing procedure of the hospital information system of FIG. 23;
26 is a flowchart showing an infectious disease management processing procedure at the time of admission reception of the hospital information system of FIG.
FIG. 27 is a functional block diagram showing an example of another embodiment of the configuration of the hospital information system of the present invention.
FIG. 28 is a flowchart showing a processing procedure of an example of another embodiment of the hospital information system of the present invention.
FIG. 29 is an explanatory diagram for explaining the concept of a conventional hospital information system.
[Explanation of symbols]
1 Hospital information system
2 User terminal
4 server
5 Database
5a Medical information
5b Master information
6 Inspection system
10 Infectious disease input screen
20 Hospitalization reception screen
30 Hospital room list screen
40 Patient room management screen
50 Warning screen
60 List of patients with estimated infection

Claims (3)

A hospital information system that transmits information input from a user terminal to each department through a hospital network using a server.
A database connected to the server and storing medical information including at least an infectious disease master classified as an infectious disease, and hospital room information including an infectious disease infected in a hospital room;
A hospitalization reception screen of the user terminal for performing patient hospitalization registration, and
The server
The hospital based the patient from the receiving screen on the operation input of the accommodating hospital room information, searches the infection information of the patient from the infectious disease master, infection from patient room information relating to the database's room of the patient's receiving destination Search means for searching for symptom information ;
Whether the patient entry into hospitalization registered during the operation entered the hospital room, found by the search means, based on the infection information infections information and patient room of the patient, determining means,
Display processing means for displaying a warning screen on the user terminal in the case of disapproval;
Hospital room list screen display processing means for displaying on the user terminal a room list screen that displays a list of different rooms of hospital rooms that contained infectious disease patients and hospital rooms that contained the normal patients,
A hospital information system characterized by including: A hospital information system that transmits information input from a user terminal to each department through a hospital network using a server.
An infectious disease master that is connected to the server and classifies at least infectious diseases, and has a database that stores medical information including patient infectious disease information that represents the infectious disease of the patient;
The server
Updating means for updating the patient infectious disease information based on the infectious disease information included in the test result information from the test system for examining the patient;
With reference to the infectious disease master and the updated patient infectious disease information , a determination means for determining whether or not a patient who has been infected without permission is hospitalized in the hospital,
Based on the determination result in the determination means, when the patient who has been admitted infection is hospitalized in the hospital, a notification means to notify the user terminal used by the administrator,
Display processing means for searching the server for infection-presumed patients who have been hospitalized in the same room as the patient and displaying the list as a list on the user terminal when the patient who has been infected with the unauthorized infection is hospitalized in the hospital When,
A hospital information system characterized by including: A hospital information system that transmits information input from a user terminal to each department through a hospital network using a server.
An infectious disease master connected to the server and including at least an infectious disease room master, and a database storing medical information including patient infectious disease information representing an infectious disease of the patient;
A hospitalization reception screen of the user terminal for performing patient hospitalization registration, and
The server is
Based on the operation input of the patient number from the hospitalization reception screen of the user terminal, the patient infection information and the infectious disease room master are searched, the infectious disease group when the patient is infected, A selection means for selecting a particular room physically isolated from the patient ;
A room list screen display processing means for displaying on the user terminal a room list screen displaying a list of different rooms of the hospital room containing the infectious disease patient and a hospital room containing the normal patient in different colors; hospital information system characterized by comprising.

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