JP5397792B2 - Hospital information system and bed control display method - Google Patents

Description

  The present invention relates to bed control, and more particularly to a hospital information system and a bed control display method that can easily determine whether or not an inpatient can be accepted.

  Bed control for inpatients is an important task in medical settings, especially in ward nursing. It is important to place the bed efficiently considering the patient's wishes, medical condition, and treatment plan. So far, computer technology has been introduced for medical examinations, medical treatments and treatments such as electronic medical records, etc., and the work has been improved significantly. In most cases.

  For example, in order to provide a nurse call system that can perform assignment work smoothly for a waiting patient when an empty bed occurs, the waiting patient information in which the waiting information is associated with the patient ID is stored. A bed waiting patient information storage unit, an empty bed information storage unit storing empty bed information, and a display for displaying a list of both are provided in the nurse call master unit, and the nurse call master unit is operated to An invention has been invented in which an empty bed can be allocated (for example, see Patent Document 1).

JP 2006-255104 A

  However, since the condition of hospitalized patients changes every day in the medical field, the planned situation of empty beds changes every day. On the other hand, from the standpoint of inpatients, there are inpatients who have indispensable requirements as hospital bed conditions for treatment and medical treatment. In addition, the patient himself / herself may be asked for bed conditions upon admission. Furthermore, from the viewpoint of the nurse, the necessary conditions must be considered in relation to the implementation of nursing and care. Considering them, for example, it is difficult to properly grasp the status of 400 patients in the hospital and 50 or more patients in the ward. Also, patient wishes and treatment needs do not necessarily match, and there is no standard for which to prioritize. In addition, many patients need to be admitted to the hospital, but there are many matters to be considered regarding hospitalization decisions, such as notification standards such as the necessity of nursing and basic hospitalization fees, and it is impossible to instantly determine the vacant beds that can be admitted.

  The prior art including Patent Document 1 cannot meet such considerations and demands, and development of a device that supports bed control is demanded in the medical field.

  The present invention can easily determine whether or not an inpatient can be accepted in a hospital, and particularly at the time of receiving an emergency hospitalization, confirms the condition of the target patient and provides support for determining whether or not the patient can be accepted. It is an object of the present invention to provide a hospital information system and a bed control display method that can be used.

To achieve the above object, the hospital information system of the present invention includes at least an input unit and a display unit, a registration unit for hospital room attributes / bed attributes, a bed condition setting unit, and a nurse terminal having a bed control control unit, Master management information such as at least ward classification and nurse placement criteria, hospital room attribute setting information for registering hospital room attributes by means of registering the room attributes and bed attributes, and bed attribute setting information for registering hospital bed attributes And bed control information DB in which matters to be considered as conditions for determining hospital beds and patients scheduled to be hospitalized are registered by the bed condition setting means, and bed control information DB in which notification criteria such as basic hospital charges are stored. , comprising a, the bed control control unit, said hospital room attribute setting information from the bed control information DB, the beds attribute set To create bed control information for hospital wards / rooms / beds using the information and the bed condition setting information and display it on the display unit so that it is possible to determine whether or not to accept the emergency hospitalization notification In addition, ward status information obtained by aggregating information stored in the bed control information DB and a determination result as to whether or not the number of nurses meets a notification standard such as the hospitalization basic fee are displayed on the display unit. And

The bed control display method includes at least an input unit and a display unit, a registration unit for hospital room attributes / bed attributes, a bed condition setting unit, and a nurse terminal having bed control control unit, and at least a ward classification / nurse Master management information such as placement criteria, hospital room attribute setting information in which hospital room attributes are registered by the hospital room attribute / bed attribute registering means, hospital bed attribute setting information in which hospital bed attributes are registered, and bed condition setting means Bed of hospital information system having bed condition setting information for registering matters to be considered as conditions for determining the bed of hospitalized patients and patients scheduled to be hospitalized, and bed control information DB storing notification criteria such as basic hospital charges A control display method, wherein the bed control control means receives the bed control information DB from the bed control information DB. Create bed control information for hospital wards / rooms / beds using room attribute setting information, bed attribute setting information, and bed condition setting information, and display it on the display unit. In order to be able to determine whether or not it can be accepted, ward status information obtained by consolidating information stored in the bed control information DB is displayed on the display unit, and the number of nurses is based on a notification standard such as the basic hospitalization fee. The determination result of whether or not it is suitable is displayed in a display column in the ward status information.

  According to the present invention, it is possible to determine at a glance the condition of a bed waiting patient with respect to an empty bed, so that an empty bed can be allocated smoothly. In particular, at the time of receiving an emergency hospitalization notice, it is possible to confirm the condition of the target patient and provide support for accurately determining whether or not to accept.

The block diagram which shows an example of the whole structure of the hospital information system to which this invention is applied. The block diagram which shows the structure of the nurse terminal which implements the bed control which concerns on this invention. The figure which shows an example of the bed control master management information which concerns on the Example of this invention. The figure which shows an example of the input screen of the hospital room attribute setting information which concerns on the Example of this invention. The figure which shows an example of the input screen of the bed attribute setting information which concerns on the Example of this invention. The figure which shows an example of the input screen of the bed condition setting information which concerns on the Example of this invention. The figure which shows an example of the display screen of the bed use / vacancy information which concerns on the Example of this invention. The flowchart which performs the bed control display which concerns on the Example of this invention. The figure which shows an example of the display screen of the hospitalization / discharge / movement of a patient for every ward which concerns on the Example of this invention, the duty information of a doctor / nurse, a receiving patient, and a nursing necessity level.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

(Example)
FIG. 1 is a block diagram showing an example of the overall configuration of a hospital information system to which the present invention is applied. The hospital information system is configured by connecting a plurality of doctor terminals 20, a plurality of nurse terminals 40, a plurality of drug terminals 60, and various databases to a local area network 10. As the database DB, a patient information DB 51, an electronic medical record information DB 53, a work information DB 55 such as a doctor / nurse, a bed control information DB 57, a medicine information DB 59, and the like are connected.

  FIG. 2 is a block diagram showing a detailed configuration of the nurse terminal 40 and the bed control information DB for performing bed control according to the present invention. In FIG. 2, the local area network is omitted. An input unit 401 and a display unit 405 are connected to the nurse terminal 40. The nurse terminal 40 includes a room attribute / bed attribute registering unit 410, a bed condition setting unit 420, and a bed control control unit 430 for executing the bed control of the present invention. These devices can be configured by either software or hardware. In the bed control information DB 57, the bed control master management information 570, the room attribute setting information 572 and the bed attribute setting information 574 created by the room attribute / bed attribute registration means 410, and the bed condition setting means 420 are created. The stored bed condition setting information 576 and the bed use / vacancy information 578 created by the bed control control means 430 are stored. Next, bed control master management information registered in the bed control master management information 570 of the bed control information DB 57 will be described.

  FIG. 3 shows an example of master control information for bed control.

(1) Ward Character Master Manages the elements for defining the ward characteristics with the master. That is, the ward division is divided into, for example, three types of “general”, “high care”, and “rehabilitation”. The notification category is classified into four types, for example, “15”, “13”, “10”, and “7”.

(2) Patient room characteristic master Manages elements for defining patient room characteristics as a master. That is, the sex is divided into, for example, “male room”, “female room”, and “mixed room”. Some hospitals do not have a “mixed room”. The number of beds is divided into, for example, “private room”, “2 beds”, “4 beds”, and “6 beds”. Again, the number of beds varies depending on the hospital. The room charges are divided into, for example, “with room charge discrimination” and “without room charge discrimination”. The distance from the nurse station is divided into three, for example, “near”, “medium”, and “far”. The distance from the toilet is, for example, divided into “close”, “medium”, and “far”. As the quietness, for example, it is divided into “quiet”, “medium”, and “non-target”. These may be further subdivided. In addition, for the person who performs rehabilitation during hospitalization, for example, a setting about “distance from equipment” and “facility status” may be prepared.

(3) Bed characteristics master Manages elements for defining bed characteristics with the master. That is, the bed position is divided into, for example, “window side”, “passage side”, and “middle”. The pillow positions are divided into, for example, “right” and “left”. The walking equipment installation is divided into, for example, “impossible”, “right side”, and “left side”. In addition, settings for “facility” and “usable device” may be prepared.

(4) Conditions for determining the bed The matters to be considered as conditions for determining the bed of the patient are managed with the master. That is, the necessary conditions for treatment / treatment are divided into, for example, “right hand unusable”, “visit restriction”, and “dark room treatment”. The patient's desire is divided into, for example, “private room”, “window side”, and “close to hot water supply room”. The requirements for carrying out nursing / care are divided into, for example, “use of wheelchair”, “bed bath”, and “with dementia”.

(5) Necessary elements for bed determination conditions Manage necessary room / bed conditions with the master for matters to be considered as patient bed determination conditions. For example, it is necessary to set two conditions, for example, “bed position-window side” and “pillow position-right” for a patient who cannot use the right hand. For the patient in the “dark room treatment”, for example, it is necessary to set two conditions of “number of beds-private room” and “quiet-medium”. In addition, for a patient with “dementia”, it is necessary to set two conditions of “distance to nurse station—close” and “bed position-passage side”. If these conditions have strength (for example, it must be △ ○, △ ○ is better if possible), it may be defined as a score.

  The master information is an example, and is set to be optimal or appropriate in each hospital or sanatorium.

  Next, setting of “hospital room attribute information” will be described with reference to FIG.

  The registration of the room attribute information is executed by the room attribute / bed attribute registration means 410 by an input operation from the nurse terminal 40. When an instruction to register room attribute information is executed from the input unit 401, the room attribute / bed attribute registration unit 410 reads the room attribute setting information 572 from the bed control information DB 57. Thereby, the hospital room attribute setting screen 100 of FIG. 4 is displayed on the display unit 405.

  In FIG. 4, the setting of 6th floor south ward room 612 is illustrated. When the down button 100a for selecting a hospital room is down, a previously registered hospital room is displayed. As the patient room attribute, an item to be selected in “(2) Patient room characteristic master” of FIG. 3 is set. By pressing down buttons 100b to 100i on the room attribute setting screen 100, the registered contents of each item can be selected. When the registration button 100j is clicked when the setting of the room attribute is completed, the room attribute / bed attribute registration means 410 registers the setting contents in the room attribute setting information 572 of the bed control information DB 57.

  Next, the setting of “bed attribute information” will be described with reference to FIG.

  Registration of the bed attribute information is also performed by the room attribute / bed attribute registration means 410 by an input operation from the nurse terminal 40. When a hospital bed attribute information registration instruction is executed from the input unit 401, the room attribute / bed attribute registration means 410 reads the bed attribute setting information 574 from the bed control information DB 57. Thereby, the bed attribute setting screen 200 of FIG. 5 is displayed on the display unit 405.

  In FIG. 5, the setting of 2 floors of the 6th floor south ward room 612 is illustrated. When the down button 200a for selecting a bed is down, a previously registered bed is displayed. As the bed attributes, items to be selected in “(3) Bed characteristic master” of FIG. 3 are set. By pressing down buttons 200b to 200i on the room attribute setting screen 200, the registered content of each item can be selected. When the setting of the bed attribute is completed, when the registration button 200j is clicked, the room attribute / bed attribute registration means 410 registers the setting contents in the bed attribute setting information 574 of the bed control information DB 57. Each bed shall inherit the attributes of the room to which it belongs, and it is not necessary to reset the room.

  Next, setting of “bed condition information” indicating bed allocation conditions for each patient will be described with reference to FIG.

  The setting of this bed condition information shall take the following items into consideration. (B) The allocation conditions for each patient shall be defined for each hospitalization. (B) The definition may be before hospitalization. (C) Patient information and hospitalization purpose can refer to the DB. (D) It is possible to simultaneously refer to the treatment plan held on the hospital information system side. (E) Information at the time of previous hospitalization can be reused at the time of this hospitalization. (F) The definition can be changed at any time even while hospitalized.

  The registration of the bed condition information is executed by the bed condition setting means 420 by an input operation from the nurse terminal 40. When an instruction to register the bed condition information is executed from the input unit 401, the bed condition setting unit 420 reads the bed condition setting information 576 from the bed control information DB 57. Thereby, the bed condition setting screen 300 of FIG. 6 is displayed on the display unit 405.

  FIG. 6 illustrates the patient name “Sakura”. Display of absolute “treatment and medical considerations” according to the medical condition / symptoms of hospitalized patients, “patient's wishes” as patient requests, “nursing considerations” for nurses' nursing work, etc. It has come to be. As the bed conditions, the items defined in “(4) Bed determination conditions” in FIG. 3 are set. By pressing down buttons 300a to 300i on the bed condition setting screen 300, the registered contents of each item can be selected. When the setting of the bed condition is completed, when the registration button 300j is clicked, the bed condition setting means 420 registers the setting contents in the bed condition setting information 576 of the bed control information DB 57.

  Thus, by registering “bed condition information” indicating bed allocation conditions for hospitalized patients and patients scheduled to be hospitalized, bed control can be easily performed. When determining the bed of an inpatient, the “treatment / treatment consideration 1” to “treatment / treatment consideration 3” set by the down buttons 300a to 300c are the most important factors of the determination condition. As checked. In addition, “patient's hope 1” to “patient's hope 3”, which are set by the down buttons 300d to 300f, are checked as the next important elements (if possible). Further, “nursing consideration 1” to “nursing consideration 3” as requests from the nurse set by the down buttons 300g to 300i are checked as the lowest element (preferably).

  Then, the bed control control means 430 of the nurse terminal 40 refers to the information registered in the room attribute setting information 572, the bed attribute setting information 574, and the bed condition setting information 576 of the bed control information DB 57, so that FIG. Is generated and displayed on the display unit 405.

  In creating the bed control information 400, the bed control control means 430 performs creation processing according to the following items. (A) A list of hospital wards / rooms / beds is displayed. (B) In the room information row, the attributes of the room are displayed in an abbreviated form. (C) In the bed information row, bed attributes are displayed in an abbreviated form. (D) The patient's bed situation is displayed on the history day.

FIG. 7 illustrates the sixth floor south ward “room 621”, “room 622”, and “room 623”. For example, “Room 621” is a “bed / A / Ns near” display, indicating that “bedroom” is “private room”, “room charge difference category ... A”, and “close to nurse station”. I can understand. Then, the presence of an inpatient “patient 01” and the scheduled hospitalization period of the patient are displayed.

  “Room No. 622” can be understood at a glance from the indication of “4 beds / Ns near / static” as “4 beds”, “Nurse station is close” and “quiet”. There are the names of four hospitalized patients (“Patient 02”, “Patient 03”, “Patient 04”, “Patient 05”) and bed attributes (bed passage side: “communication” ”, Bed position window side:“ window ”, pillow position:“ right ”, pillow position:“ left ”), and the hospitalization schedule period of each inpatient is displayed.

  “Room No. 623” can be understood at a glance from the indication of “4 beds / Ns far” as “4 beds” and “far from the nurse station”. There are the names of four hospitalized patients ("Patient 06", "Patient 07", "Patient 08", "Patient 09") and bed attributes (bed passage side: ”, Bed position window side:“ window ”, pillow position:“ right ”, pillow position:“ left ”), and the hospitalization schedule period of each inpatient is displayed. In addition, although the characteristic of the bed is displayed with an abbreviation, it may be displayed with a mark.

  Next, bed control allocation control by the bed control control means 430 will be described. In the lowest level 400a of the bed control information 400, hospitalized patients are displayed. The flowchart of FIG. 8 shows the operation of the bed control control means 430 when one of the patients scheduled to be hospitalized (for example, patient A) is designated and the bed control assignment control is executed.

  First, it is checked whether or not there is an empty bed (step S10). When there are vacant beds, it is checked whether or not all the vacant beds are beds corresponding to all the conditions of the patient A (step S20). All the conditions referred to here are those that all match the conditions of “considerations for treatment / medical treatment”, “patient wishes”, and “considerations for nursing” defined in FIG. If they all match, the bed (bed) is displayed as “white”, and the processing of the bed is terminated (step S30).

  It is checked whether the remaining vacant beds or beds that do not correspond to step S20 are beds that satisfy the second condition of patient A (step S40). The second condition mentioned here is the same as the “treatment and medical considerations” defined in FIG. 6, but some of the “patient wishes” or “nursing considerations” are inconsistent. Say something. If it is such a bed, the bed (bed) is displayed in “blue” and the processing of the bed is terminated (step S50).

  It is checked whether or not the remaining vacant beds or beds that do not correspond to step S40 are beds that satisfy the third condition of patient A (step S60). The third condition mentioned here matches all of the “care / care considerations” defined in FIG. 6, but some of the “patient wishes” and “nursing considerations” do not match. Say things. If it is such a bed, the hospital bed (bed) is displayed in “yellow” and the processing of the bed is terminated (step S70).

  It is checked whether the remaining vacant beds or beds that do not correspond to step S60 are beds that satisfy the fourth condition of patient A (step S80). The fourth condition mentioned here is inconsistent with some of the “Considerations for Treatment / Treatment” defined in FIG. 6, but “Patients’ Desires ”and“ Considerations for Nursing ”are the same Say what you want. If it is such a bed, the bed (bed) is displayed in “green” and the processing of the bed is terminated (step S90). Others (no vacant bed suitable for patient A) are displayed in “gray” and the processing of the bed is terminated (step S100).

  The color display of the degree of coincidence shown here is an example, and an optimal color display may be set according to the operation of each hospital information system.

  Next, the display of “ward status information” will be described with reference to FIG.

  The bed control control means 430 of the nurse's terminal 40 holds it in the hospital information system in order to confirm the condition of the target patient at the time of emergency hospitalization notification and to determine the acceptance ward and the receiving ward instantly and accurately. The information on the ward is gathered and the ward status information is displayed.

  In creating the ward status information 500, the bed control control means 430 performs creation processing according to the following items. (F) A list of hospital ward information is displayed in real time. (G) Collecting and displaying the status of patient movement held by the hospital information system. (H) The status of the employee is displayed from the DB 55 that manages the employee duty information in the hospital information system. (I) Based on the above two types of information and the ward categories managed by the master and nurse placement criteria, the number of nurses placed is calculated according to the criteria for notification of basic hospitalization fees, etc. It is determined whether or not it conforms, and it is displayed as ◯ when it conforms and × when it does not conform. (J) Collect and display information about the patient's need for nursing care held by the hospital information system, and display whether or not the standard has been reached (○ if the standard has been reached, the standard has been reached) X) if not. (K) The above information can be displayed by gender.

  In the ward, the number of nurses is set as a standard for reporting the basic hospitalization fee, etc. with respect to the number of hospitalized patients according to the number of beds in the hospital bed. This report standard of hospitalization basic charges etc. is originally used as a judgment standard at the time of monthly aggregation as an operation evaluation of hospitalized beds. In this embodiment, using the notification standard such as the basic hospitalization fee, the judgment result is set to ○ (conforming) and × (nonconforming) from the use state of the bed at the time when the display request of the ward state information 500 is received. Are displayed. Similarly, information on the need for nursing care (number of critically ill patients in each bed) is also determined from the use status of the bed at the time when a request for display of the ward status information 500 is received using the notification standard such as the basic hospitalization fee. The results are displayed as ○ (conforming) and × (nonconforming). In order to realize this, a report standard such as a basic hospitalization fee for each ward is stored in, for example, the bed control information DB 57.

  As described above, according to the present invention, in terms of treatment and medical treatment of inpatients, the indispensable indispensable bed environment conditions for hospitalization, the patient's own bed desire upon hospitalization, and the implementation of nursing / care from the nurse side Bed control can be performed in consideration of necessary conditions. In particular, at the time of receiving an emergency hospitalization notice, it is possible to confirm the condition of the target patient and provide support for accurately determining whether or not to accept. In addition, the condition of the bed waiting patient with respect to the empty bed can be determined at a glance, so that the empty bed can be allocated smoothly.

  The present invention is not limited to the above-described embodiment, and can be appropriately changed in design without departing from the gist of the present invention. Moreover, you may combine each embodiment suitably.

DESCRIPTION OF SYMBOLS 10 ... Local area network, 20 ... Doctor terminal, 40 ... Nurse terminal, 60 ... Pharmacist terminal, 51 ... Patient information DB, 53 ... Electronic medical record information DB, 55 ... Work information DB, 57 ... Bed control information DB 59, drug information DB, 401, input unit, 405, display unit, 410, registration unit for hospital room attributes / bed attributes, 420, bed condition setting unit, 430, bed control control unit, 570, bed control master management information, 572 ... Patient room attribute setting information, 574 ... Hospital bed attribute setting information, 576 ... Hospital bed condition setting information, 578 ... Bed use / vacancy information

Claims (6)

A terminal for a nurse having at least an input unit and a display unit, registration means for hospital room attributes / bed attributes, bed condition setting means, and bed control control means;
Master management information such as at least ward classification and nurse placement criteria, hospital room attribute setting information for registering hospital room attributes by means of registering the room attributes and bed attributes, and bed attribute setting information for registering hospital bed attributes And bed control information DB in which matters to be considered as conditions for determining hospital beds and patients scheduled to be hospitalized are registered by the bed condition setting means, and bed control information DB in which notification criteria such as basic hospital charges are stored. ,
Comprising
The bed control control means includes:
The bed control information of hospital wards / rooms / beds is created and displayed on the display unit using the room attribute setting information, the bed attribute setting information, and the bed condition setting information from the bed control information DB. And
In order to be able to determine whether or not to accept when urgent hospitalization is received, the ward status information and the number of nurses that aggregate information stored in the bed control information DB conform to the notification criteria such as the basic hospitalization fee The hospital information system characterized by displaying the determination result of whether or not on the display unit. The bed control control means displays on the display section information indicating whether the degree of nursing needs conforms to a notification standard such as the hospitalization basic fee as the determination result at the time of emergency hospitalization notification. The hospital information system according to claim 1.   The bed control control means displays the number of patients accepted within the conforming range on the display unit when the reporting standard such as the basic hospitalization fee is met. The hospital information system described. A terminal for a nurse having at least an input unit and a display unit, registration means for hospital room attributes / bed attributes, bed condition setting means, and bed control control means;
Master management information such as at least ward classification and nurse placement criteria, hospital room attribute setting information for registering hospital room attributes by means of registering the room attributes and bed attributes, and bed attribute setting information for registering hospital bed attributes And bed control information DB in which matters to be considered as conditions for determining hospital beds and patients scheduled to be hospitalized are registered by the bed condition setting means, and bed control information DB in which notification criteria such as basic hospital charges are stored. ,
A bed control display method for a hospital information system comprising:
The bed control control means includes:
The bed control information of hospital wards / rooms / beds is created and displayed on the display unit using the room attribute setting information, the bed attribute setting information, and the bed condition setting information from the bed control information DB. And
In order to be able to determine whether or not to accept the emergency hospitalization notification, the ward status information obtained by collecting the information stored in the bed control information DB is displayed on the display unit, and the number of nurses is determined based on the basic hospitalization. The bed control display method characterized by displaying the judgment result of whether it meets the notification standards, such as a fee, in the display column in the said ward status information. The bed control control means
As a result of the determination contact receiving at the emergency hospital, according to claim 4, nursing required degree and displaying information indicating whether or not to meet the notification criteria such the hospitalization basic charges on the display unit Bed control display method. The bed control control means includes:
If the meet the notification criteria such the hospitalization base rate, bed control display method according to claim 4 or claim 5 and displaying the accepted number of patients at that fits a range on the display unit.

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