JP5456959B2 - Nursing information generation system and nursing necessity check data generation device - Google Patents

Description

  The present invention relates to a nursing information generation system and a nursing necessity check data generation device, and more particularly, to a nursing support system used for providing nursing support to medical staff such as nurses and caregivers in hospitals and care facilities. Is preferred.

  Conventionally, in a nursing support system used to provide nursing support to a doctor, a nurse, or a caregiver (hereinafter simply referred to as “nurse”) in a hospital or a care facility, the nurse is a patient or a cared person. A lot of nursing record information for (hereinafter simply referred to as “patient”) had to be periodically input. For example, in order to understand the health status of hospitalized patients and use them for diagnosis and treatment, nurses input the results of measurements such as body temperature, heart rate, respiratory rate, and blood pressure of hospitalized patients several times a day into the nursing support system. ing. In addition, nurses can obtain records of injections, infusions, tests, treatments, etc. performed on patients, and nurse findings obtained by observing patients and listening to them from the measurement results alone. It is input to the nursing support system as valuable nursing record information that cannot be obtained.

In this type of nursing support system, a technique has been proposed that reduces the effort of operation input for displaying an information input field of a target item to be input according to the patient's condition on the nursing progress input screen (for example, , See Patent Document 1). Specifically, the patient's state is estimated based on nursing observation information that records the patient's daily observation results, and an information input field for items that are estimated to fall under the patient's state is displayed based on the estimated state. Display on the nursing progress input screen. Thereby, on the nursing progress input screen, the nurse can save time and effort to appropriately select and display the information input field to be input according to the patient's condition.
JP 2003-99531 A

  By the way, there is evaluation information on the necessity of nursing as one of the nursing record information input to the nursing support system described above. This nursing need is a numerical value indicating how much the patient needs nursing. The higher the number, the higher the need for nursing, and the lower the number, the lower the need for nursing. . The degree of need for nursing is used as an index for properly arranging nurses in hospitals, wards, etc., or for appropriately arranging patient beds.

  FIG. 6 is a diagram showing an example of an evaluation vote used when the nursing need is digitized. The evaluation vote is roughly divided into A. A plurality of items relating to monitoring and treatment, etc .; And a plurality of items relating to the patient's situation and the like. Each item is determined from the viewpoint of whether or not nursing by a nurse is necessary, and if it falls under that item, one or two points are given. And the numerical value of nursing necessity is calculated | required by adding the score attached | subjected to each item. In order to calculate the degree of nursing need using this evaluation form every day, the nurse inputs a plurality of evaluation items shown in the evaluation form every day in the information input field of the nursing support system.

  However, since there are many items that the nurse should input each time as information necessary for calculating the necessity of nursing, there is a problem that it takes time to input information necessary for calculating the necessity of nursing. Note that the medical support device described in Patent Document 1 saves the trouble of appropriately selecting and displaying an information input field to be input by the nurse according to the patient's condition. It was not meant to reduce the number in the first place.

  The present invention has been made to solve such problems, and it is an object of the present invention to reduce the labor of inputting information necessary for calculating the degree of nursing care.

In order to solve the above-described problems, in the present invention, the nurse call information output unit is output by the warning information regarding abnormality detection by the medical device, which is pseudo-output by the warning information output unit, or by the use release information output unit. The nurse call information is output based on the information on canceling use of the medical device, and the nursing necessity check data generation unit calculates the patient's need for nursing based on the nurse call information output by the nurse call information output unit. The nursing necessity check data used for the purpose is generated. If the nurse call information includes warning information , the nursing necessity check data generation unit regards it as a signal to start using the medical device, and inputs the used value in the item regarding the use of the medical device for the patient. Nursing necessity check data is generated. When the nurse call information includes the use cancellation information, the value indicating no use is input to the item regarding the use of the medical device for the patient to generate the nursing necessity check data.

  According to the present invention configured as described above, based on the nurse call information output by the nurse call information output unit, values are automatically input to items related to the use of the medical device for the patient in the nursing necessity check data. Therefore, the number of items that the nurse should input as information necessary for calculating the necessity of nursing is reduced, and the nurse can reduce the effort of inputting information necessary for calculating the necessity of nursing.

  Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a diagram illustrating a block configuration example of a nursing information generation system 100 according to the present embodiment. Here, the nursing information generation system 100 installed in the hospital will be described as an example. However, the nursing information generation system 100 according to the present embodiment is not limited to the one installed in the hospital, but installed in a care facility or the like. Also good.

  In FIG. 1, reference numeral 120 denotes a medical device, which is used by being attached to a patient in a hospital room, for example. The medical device 120 outputs warning information when an abnormality of a patient or an abnormality of the medical device 120 itself is detected. In this embodiment, the medical device 120 is a ventilator or an electrocardiogram monitor.

  Reference numeral 140 denotes a central monitor that outputs warning information output from the medical device 120 to a monitor (not shown) attached thereto and also to the nurse call controller 160. The central monitor 140 includes an operation input unit 300, a test function unit 320, a warning information output unit 340, and a use cancellation information output unit 360.

  As an example of the patient identification information of the present invention, the operation input unit 300 includes bed information about a bed assigned to a patient whose use of the medical device 120 is started (in this embodiment, “room number”, “bed number”). ). In addition, the operation input unit 300 receives input of medical device specifying information for specifying the type of the medical device 120 used in the patient (in this embodiment, “respirator” or “electrocardiogram monitor”). In addition, the operation input unit 300 accepts an operation for artificially generating warning information for the medical device 120 or an operation for setting the use cancellation of the medical device 120.

  The test function unit 320 simulates warning information that is output when an abnormality is detected in the medical device 120 used for a patient when an operation for generating warning information of the medical device 120 is performed by the operation input unit 300. Generated. The warning information generated in a pseudo manner is used for confirming whether the nurse call is normally performed based on the warning information output from the medical device 120. More specifically, the central monitor 140 outputs pseudo warning information to the nurse call controller 160. Then, the nurse call controller 160 generates nurse call information including the warning information output by the central monitor 140 and outputs the nurse call information to the nurse call parent device 180. Then, the nurse call master device 180 outputs the nurse call information output by the nurse call control device 160 to the attached display. By confirming that the above operation is normally performed, it is possible to confirm whether or not the nurse call is called based on the warning information output from the medical device 120.

  In the present embodiment, the warning information generated in a pseudo manner is used as a cue to start using the medical device 120 for the patient. When it is decided to start using the medical device 120 for the patient during the day, the nurse performs an operation for generating warning information of the medical device 120 on the operation input unit 300 and executes a test function by the test function unit 320. . The warning information output unit 340 outputs the bed information received by the operation input unit 300 and the medical device identification information to the nurse call controller 160 together with the warning information generated by the test function unit 320.

  When the operation input unit 300 performs an operation for setting the use release of the medical device 120, the use release information output unit 360 generates use release information indicating the use release of the medical device 120 for the patient. Then, the use cancellation information output unit 360 outputs the bed information and the medical device identification information received by the operation input unit 300 to the nurse call controller 160 together with the usage cancellation information. When it is decided to cancel the use of the medical device 120 for the patient during the day, the nurse inputs the bed information and the medical device identification information, and performs an operation for setting the release of the medical device 120. .

  The nurse call controller 160 corresponds to the nurse call information output unit of the present invention. The nurse call controller 160 includes a warning information input unit 380, a use cancellation information input unit 400, and a nurse call information output unit 420. The warning information input unit 380 inputs the warning information, bed information, and medical device identification information output by the warning information output unit 340. The usage cancellation information input unit 400 inputs the usage cancellation information, the bed information, and the medical device identification information output by the usage cancellation information output unit 360.

  The nurse call information output unit 420 generates nurse call information including the warning information, bed information, and medical device identification information input by the warning information input unit 380, and outputs the nurse call information to the nurse call parent device 180. In addition, the nurse call information output unit 420 generates nurse call information including use cancellation information, bed information, and medical device identification information input by the use cancellation information input unit 400 and outputs the nurse call information to the nurse call parent device 180.

  The nurse call parent device 180 is installed in, for example, a nurse station, and includes a nurse call information input unit 440, a date / time information detection unit 460, and a nurse call history information storage control unit 480. The nurse call information input unit 440 inputs the nurse call information output by the nurse call information output unit 420. The date / time information detection unit 460 detects the date / time (year / month / hour / minute) when the nurse call information is input by the nurse call information input unit 440 as date / time information.

  The nurse call history information storage control unit 480 uses the values of the bed information items “room number” and “bed number” included in the nurse call information input by the nurse call information input unit 440 as search keys to perform DB (DataBase). ) The corresponding patient information is searched from the patient information storage unit 500 of the server 200. The patient information storage unit 500 stores patient information regarding a patient currently hospitalized. In this embodiment, the patient information stored in the patient information storage unit 500 includes, as item information, a “personal ID” for identifying the patient, a “name” of the patient, and a “room number” of the hospital room assigned to the patient. ", The" bed number "of the bed assigned to the patient in the room. Instead of inputting bed information in the operation input unit 300, the “personal ID” or the “name” of the patient shown here may be input as patient identification information.

  The nurse call history information storage control unit 480 is included in the date information detected by the date information detection unit 460, patient information retrieved from the patient information storage unit 500, and nurse call information input by the nurse call information input unit 440. The character string information replaced with the character string “use start” (or “use end”) corresponding to the warning information (or use cancellation information) and the nurse call information input by the nurse call information input unit 440 are included. Nurse call history information is generated based on the medical device identification information. Then, the nurse call history information storage control unit 480 stores the generated nurse call history information in the nurse call history information storage unit 520 of the DB server 200.

  The DB server 200 is installed in a server room, for example, and includes a patient information storage unit 500, a nurse call history information storage unit 520, and a nursing necessity check data storage unit 540. The patient information storage unit 500 is as described above, and the nurse call history information storage unit 520 stores the nurse call history information generated by the nurse call history information storage control unit 480. In the present embodiment, the nurse call history information storage unit 520 controls the nurse call controller 160 when a patient calls a nurse call from a corridor lamp, a wall-embedded handset, a hand-type handset or the like (not shown). The nurse call information notified to the nurse call parent device 180 is also stored as nurse call history information. However, unlike the nurse call history information generated by the nurse call history information storage control unit 480, the nurse call history information does not include an item “medical device usage information” described later. The nursing necessity level check data storage unit 540 stores nursing necessity level check data that is generated by a nursing necessity level check data generation unit 580, which will be described later, and is used to calculate the patient's degree of nursing necessity.

  FIG. 2 is a diagram illustrating an example of nurse call history information stored in the nurse call history information storage unit 520. As shown in FIG. 2, nurse call history information storage unit 520 stores nurse call history information (# 1 to # 9) in chronological order. The nurse call history information includes “date and time”, “room number”, “bed number”, “personal ID”, “name”, and “medical device usage information” as item information. In the item “date and time”, the date and time information detected by the date and time information detection unit 460 is stored. In the item “room number”, item “bed number”, item “personal ID”, and item “name”, the value of each item of the patient information retrieved from the patient information storage unit 500 is stored.

  The item “medical device usage information” stores information on the usage state of the medical device 120 for the patient. Specifically, when warning information is included in the nurse call information input by the nurse call information input unit 440, the nurse call history information storage control unit 480 signals the warning information to start using the medical device 120. Therefore, a character string is stored in the data format of “medical device 120 (respirator or electrocardiogram monitor): start of use” in the item “medical device usage information” of the nurse call history information. When the nurse call information input by the nurse call information input unit 440 includes the use release information, the nurse call history information storage control unit 480 displays the item “medical device use information” in the item “medical device use information” as “ A character string is stored in a data format of “medical device 120 (respirator or electrocardiogram monitor): end of use”.

  As shown in FIG. 2, the nurse call history information of item number 1 indicates that the use of the medical device “respirator” is started for the patient “Saka ○ Yoko” as of August 7. . In addition, the nurse call history information of item No. 2 is as of August 7, from one of the patients “○ I △ people” to corridor lights, wall-embedded handsets, hand-type handsets, etc. This indicates that a nurse call has been made via. The nurse call history information of item number 5 indicates that the use of the medical device “electrocardiogram monitor” is started for the patient “Yamamoto △” as of August 7. In addition, the nurse call history information of No. 9 indicates that the medical device “Yoko Saka ○” who started using the medical device “respirator” as of August 7, It shows that the use of "respirator" is released.

  Returning to the description of the block configuration example of the nursing information generation system 100 in FIG. 1, reference numeral 220 denotes a nursing support client, which includes an operation input unit 560, a nursing necessity check data generation unit 580, and a screen output unit 600. . The operation input unit 560 receives a start operation of a nursing necessity check data input screen by a nurse and an input operation for each item of the started nursing necessity check data input screen. In addition, the operation input unit 560 accepts an input operation of a personal ID for identifying a target patient for generating nursing necessity check data when a nurse performs a nursing necessity check data input screen activation operation. This personal ID corresponds to the item “personal ID” of the patient information stored in the patient information storage unit 500.

  The nursing necessity check data generation unit 580 displays the nursing necessity check data of the patient corresponding to the inputted personal ID when the operation input unit 560 performs a start operation of the nursing necessity check data input screen by the nurse. Generate. Specifically, the nursing necessity check data generated by the nursing necessity check data generation unit 580 is similar to the example of the evaluation form used when the nursing necessity is digitized in FIG. A plurality of items relating to monitoring and treatment, etc .; And a plurality of items relating to the patient's situation and the like. The nursing necessity check data generation unit 580 sets “0 points” as a default value for the scores of these items.

  After setting a default value for the score of each item of the nursing necessity check data, the nursing necessity check data generation unit 580 sets items related to the use of the medical device 120 for the patient in the nursing necessity check data (this embodiment Then, enter values in the item “7 ECG monitor” and item “12 wearing a ventilator”). For example, if “respirator: start of use” is set in the value of the item “medical device usage information” of the nurse call history information, the nursing necessity check data generation unit 580 sets the A. Enter “1 point (present)” instead of the default value “0 point (none)” in the value of the item “12 wearing a ventilator” regarding monitoring and treatment. For example, as shown in FIG. 2, when the nurse call history information of item number 1 is stored in the nurse call history information storage unit 520, the nursing necessity check data generation unit 580 displays 8 of the patient “Saka ○ Yoko”. When generating nursing necessity check data for the seventh day of the month, A. Instead of the default value of “0 point (none)” as the value of the item “12 wearing a ventilator” regarding monitoring and treatment, etc., “1 point (present)” is input as of August 7.

  Further, if “ECG monitor: start of use” is set in the value of the item “medical device usage information” of the nurse call history information, the nursing necessity check data generation unit 580 displays the A.N. Enter "1 point (present)" instead of the default value "0 point (none)" as the value of the item "7 ECG monitor" regarding monitoring and treatment. For example, as illustrated in FIG. 2, when the nurse call history information of item number 5 is stored in the nurse call history information storage unit 520, the nursing necessity check data generation unit 580 displays 8 of the patient “Yamamoto △ Nana”. When generating nursing necessity check data for the seventh day of the month, A. Enter “1 point (present)” as the value of “7 ECG monitor” for monitoring and treatment, etc. instead of the default value “0 point (none)” as of August 7th.

  On the other hand, if “respirator: end of use” is set in the value of the item “medical device usage information” of the nurse call history information, the nursing necessity check data generation unit 580 displays the A.N. Enter the default value of “0 points (none)” instead of “1 point (yes)” as the value of the item “12 wearing a ventilator” regarding monitoring and treatment. If “ECG monitor: end of use” is set in the value of the item “medical device usage information” of the nurse call history information, the nursing necessity check data generation unit 580 displays the A.N. Enter the default value of “0 point (none)” instead of “1 point (yes)” as the value of the item “7 ECG monitor” regarding monitoring and treatment.

  For example, as illustrated in FIG. 2, when the nurse call history information of item number 9 is stored in the nurse call history information storage unit 520, the nursing necessity check data generation unit 580 displays the 8 of the patient “Saka ○ Yoko”. When generating nursing necessity check data for the 8th of a month, A. Instead of “1 point (yes)”, the default value “0 point (none)” is entered as the value of the item “12 wearing a ventilator” regarding monitoring, treatment, etc. as of August 8. As described above, the nursing necessity check data generation unit 580 has a plurality of nurse call history information including medical device usage information related to the same type of medical device stored in the nurse call history information storage unit 520 in the same patient. Based on the medical device usage information included in the latest nurse call history information, a value is input to an item related to the use of the medical device 120 for the patient in the nursing necessity check data.

  The timing at which the nursing necessity check data generation unit 580 generates the nursing necessity check data is not limited to when the nursing necessity check data input screen is activated. For example, the nursing necessity check data generation unit 580 stores the nurse call history information (including the item “medical device usage information”) generated by the nurse call history information storage control unit 480 in the nurse call history information storage unit 520. The nursing necessity level check data may be generated at the timing. In this case, it is preferable to provide the nursing necessity check data generation unit 580 not only in the nursing support client 220 but also in the nurse call parent device 180 from the flow before and after the generation process of the nursing necessity check data.

  The screen output unit 600 includes items related to the use of the medical device 120 for the patient (in this embodiment, the item “7 ECG monitor” and the items “7” in the nursing necessity level check data generated by the nursing level check data generation unit 580). 12) A nursing necessity check data input screen for the nurse to input item values for items other than “12 Ventilator installation”) is displayed on the display 620. FIG. 3 is a diagram showing an example of the nursing necessity check data input screen 700. 3 is displayed based on the nurse call history information of item number 1 (see FIG. 2) stored in the nurse call history information storage unit 520. It is.

  As shown in FIG. 3, the nursing necessity check data input screen 700 displays a display area 710 for displaying information on a target patient for which nursing necessity check data is generated, and a target date for generating nursing necessity check data. A display area 720, a display area 740 for displaying information on the total value of points assigned to each item of the nursing necessity check data, and an A. of nursing necessity check data. A display area 760 for displaying information regarding items related to monitoring and treatment is displayed. In addition, in FIG. Items related to monitoring, treatment, and the like are displayed in the display area 760. By clicking on the tab 780 (B. Patient status, etc.) via the operation input unit 560, the display area 760 has the B.B. Items related to the patient's situation are displayed.

  As shown in FIG. 3, in the display area 710, when the activation operation of the nursing necessity check data input screen is performed, the value of the personal ID (0029 in this embodiment) input by the operation input unit 560. "Room" indicating the room number of the hospital room, "bed" indicating the bed number in the hospital room, "personal ID" for identifying the patient, and "personal name" indicating the patient's name Is displayed. In this embodiment, the item “room”, the item “bed”, and the item “individual name” include values “310”, “4”, and “slope” of each item of patient information corresponding to the individual ID (0029). “Yoko” is displayed.

  Also, in the display area 720, “date” indicating a target date for generating nursing necessity check data is displayed. In FIG. 3, the item “Date” displays “August 7, 2007”, which is the date when the start operation of the nursing necessity check data input screen is performed. In the display area 740, A.N. “A score” indicating the sum of points assigned to each item regarding monitoring and treatment, etc., and B. A “B score” indicating a value obtained by adding the scores given to the respective items related to the patient's situation or the like is displayed. Here, in the nursing necessity check data input screen shown in FIG. 3, since “2. Yes” (one point) is input (selection pressed) only in the item “12 Wear ventilator”, the item “A” “1 (Point)” is displayed in “Points”. In the present embodiment, B.I. A default value of “0 point” is set for each item related to the patient's condition and the like. Therefore, “0 (points)” is displayed in the item “number of B points”.

  In the display area 760, A.N. Items related to monitoring, treatment, etc. are displayed, but “1. None (0 times)” is entered for items other than the item “12 Attaching a ventilator” (in FIG. 3, this is indicated by a shaded display). Status). In the item “7 ECG monitor”, “1. None” has already been input (selection pressed) by the nursing necessity check data generation unit 580, and in this embodiment, the mask is set so that the nurse cannot change the item value. It is processed and displayed on the display 620 (in FIG. 3, the whole item is shown in a shaded manner). In addition, “2. Yes” has already been input (selected and pressed) by the nursing necessity check data generation unit 580 in the item “12 Ventilator installation”, and in this embodiment, the nurse changes the item value. Masking is performed so that it cannot be displayed on the display 620 (in FIG. 3, the entire item is shaded). In other words, the nurse performs A.N of the nursing necessity check data displayed in the display area 760. Among items related to monitoring and treatment, etc., values other than items related to the use of the medical device 120 for the patient (in the example of FIG. 3, the item “7 ECG monitor” and the item “12 ventilator”) (The button corresponding to the appropriate value is selected and pressed).

  In this embodiment, the screen output unit 600 corresponds to items related to the use of the medical device 120 for the patient (item “7 ECG monitor” and item “12 ventilator”) in the nursing necessity check data. Although an example in which the mask process is performed so that the value cannot be changed and the display is performed on the display 620 has been described, the method for displaying items related to the use of the medical device 120 for the patient is not limited thereto. For example, the screen output unit 600 may display on the display 620 only items other than the items whose values are input by the nursing necessity check data generation unit 580 among the nursing necessity check data. Further, the screen output unit 600 may highlight the item whose value is input by the nursing necessity check data generation unit 580 out of the nursing necessity check data with a color scheme different from the other items.

  Next, operation | movement of the nursing information generation system 100 in this embodiment is demonstrated. FIG. 4 is a flowchart showing an example of a storage operation of nurse call history information in the nursing information generation system 100 according to the present embodiment. FIG. 5 is a flowchart showing an example of the operation of generating the necessity check data for nursing in the nursing information generating system 100 according to the present embodiment. First, the flowchart shown in FIG. 4 will be described. Each process in FIG. 4 shows the processing contents of the nursing information generation system 100 in the case where nurse call history information is generated and stored in the nurse call history information storage unit 520 based on warning information regarding the use of the medical device 120 for the patient. For example, the process of step S100 starts when the nurse decides to start or stop using the medical device 120 for the patient.

  First, the operation input unit 300 accepts input of bed information (in the present embodiment, “room number” and “bed number”) related to a bed assigned to a patient whose use of the medical device 120 is started or canceled ( Step S100). Next, the operation input unit 300 inputs medical device specifying information for specifying the type of the medical device 120 to be used or released for the patient (in this embodiment, “respirator” or “electrocardiogram monitor”). Is received (step S120). Next, the operation input unit 300 receives an operation for generating warning information of the medical device 120 or an operation for setting the use cancellation of the medical device 120 (step S140).

  If the setting operation received in step S140 is an operation for generating warning information of the medical device 120 (YES in step S160), the test function unit 320 determines that the medical device 120 used for the patient is abnormal. Warning information to be output when it is detected is generated in a pseudo manner (step S180). Next, the warning information output unit 340 outputs the bed information and the medical device identification information input through the operation of the operation input unit 300 by the nurse to the nurse call controller 160 together with the warning information generated by the test function unit 320. (Step S200). Next, the nurse call information output unit 420 generates nurse call information including the warning information, bed information, and medical device identification information output by the warning information output unit 340 as item information, and outputs the nurse call information to the nurse call parent device 180. (Step S220).

  On the other hand, when the setting operation received in step S140 is a setting operation for canceling the use of medical device 120 (NO in step S160), use cancellation information output unit 360 cancels the use indicating that the medical device 120 is not used for the patient. Information is generated (step S240). Next, the use cancellation information output unit 360 outputs the bed information and the medical device identification information input through the operation of the operation input unit 300 by the nurse to the nurse call controller 160 together with the use cancellation information (step S260). Next, the nurse call information output unit 420 generates nurse call information including item cancellation information, bed information, and medical device identification information output by the usage cancellation information output unit 360 as item information. Output (step S280).

  As a process subsequent to step S220 or step S280, the nurse call history information storage control unit 480 generates nurse call history information based on the nurse call information output by the nurse call information output unit 420 (step S300). Finally, the nurse call history information storage control unit 480 stores the nurse call history information generated in step S300 in the nurse call history information storage unit 520 of the DB server 200 (step S320), and in the nursing information generation system 100 The nurse call history information storing operation process ends.

  Next, the flowchart shown in FIG. 5 will be described. Each process in FIG. 5 shows the processing contents of the nursing information generation system 100 when generating the nursing necessity check data. For example, the process of step S400 starts when the nurse performs an activation operation of the nursing necessity check data input screen on the operation input unit 560 of the nursing support client 220.

  First, the operation input unit 560 accepts an input operation of a personal ID for identifying a target patient for generating nursing necessity check data (step S400). Next, the nursing necessity check data generation unit 580 determines whether or not the patient information corresponding to the personal ID received in step S400 is stored in the patient information storage unit 500 of the DB server 200 (step S420). ). If patient information corresponding to the personal ID is not stored in the patient information storage unit 500 in the nursing necessity check data generation unit 580 (NO in step S420), the process transitions to step S400, and the operation The input unit 560 accepts again an input operation of a personal ID for identifying a target patient for generating nursing necessity check data.

  On the other hand, when the nursing necessity check data generation unit 580 determines that the patient information corresponding to the personal ID is stored in the patient information storage unit 500 (YES in step S420), the nursing necessity check data generation unit 580 The patient's nursing necessity check data corresponding to the personal ID is generated (step S440). The nursing necessity check data generated here is A.1. Items related to monitoring and treatment, etc. This is data in which “0 points” is set as a default value with respect to the score of each item of items relating to the patient's situation and the like.

  Next, the nursing necessity check data generation unit 580 includes “medical device usage information” as item information in the nurse call history information storage unit 520, and the nurse call corresponding to the personal ID received by the operation input unit 560. It is determined whether or not history information is stored (step S460). If the nurse call history information storage unit 520 includes “medical device usage information” as item information and the nurse call history information corresponding to the personal ID received by the operation input unit 560 is stored, If the check data generation unit 580 determines (YES in step S460), the nursing necessity check data generation unit 580 includes the item “medical device usage information” and sets the personal ID received by the operation input unit 560. The corresponding latest nurse call history information is read from the nurse call history information storage unit 520 (step S480). Next, the nursing necessity check data generation unit 560 checks whether or not the medical device usage information included in the nurse call history information read in step S480 includes the character string “start of use” (step S500). ).

  If the medical device usage information includes the character string “use start” (YES in step S500), the nursing necessity check data generation unit 580 responds according to the type of the medical device 120 included in the medical device usage information. A. of nursing necessity check data Instead of the default value “0 point (none)”, “1 point (present)” is input as the value of the item relating to monitoring, treatment, etc. (step S520). On the other hand, when the medical device usage information includes the character string “use end” (NO in step S500), the nursing necessity check data generation unit 580 responds to the type of the medical device 120 included in the medical device usage information. A. of nursing necessity check data Instead of “1 point (present)”, the default value “0 point (none)” is input as the value of the item relating to monitoring, treatment, etc. (step S540).

  In step S460 (NO in step S460), step S520 or step S560 subsequent to step S540, the screen output unit 600 performs the medical care for the patient among the nursing necessity check data generated by the nursing necessity check data generation unit 580. A nursing necessity check data input screen for the nurse to input for items other than the items related to the use of the device 120 (in this embodiment, the item “7 ECG monitor” and the item “12 wearing a ventilator”) The screen is output to the display 620 (step S560). Finally, the operation input unit 560 accepts an input operation for each item on the nursing necessity check data input screen (step S580). Then, after the input operation of the nursing necessity check data by the nurse is completed, the generation processing of the nursing necessity check data in the nursing information generation system 100 ends.

  As described above in detail, in the present embodiment, the nurse call information output unit 420 performs pseudo warning output by the warning information output unit 340 or usage cancellation information output by the usage cancellation information output unit 360. The nurse call information is output based on the nursing call necessity check data generation unit 580, and based on the nurse call information output by the nurse call information output unit 420, a value is input to the item regarding the use of the medical device 120 for the patient. The nursing necessity check data is generated.

  In this way, based on the nurse call information output by the nurse call information output unit 420, a value is automatically input to the item regarding the use of the medical device 120 for the patient in the nursing necessity check data. The number of items to be input by the nurse as information necessary for calculating the necessity of nursing is reduced, and the nurse can reduce the effort of inputting information necessary for calculating the necessity of nursing.

  In the present embodiment, an example in which the medical device 120 is a ventilator or an electrocardiogram monitor has been described, but the medical device 120 is not limited to this. For example, the medical device 120 has the A.N. It may be an “infusion pump”, a “syringe pump”, or the like listed in the items relating to monitoring and treatment.

  In the present embodiment, the nurse call master unit 180 is notified via the nurse call control unit 160 when a patient calls a nurse call from a corridor lamp, a wall-embedded slave unit, a hand-type slave unit, or the like. In addition to the nurse call information, an example in which nurse call information output by the nurse call information output unit 420 based on information from the central monitor 140 is also stored in the nurse call history information storage unit 520 has been described. The nurse call information output by the nurse call information output unit 420 based on the above information may be stored in a dedicated storage unit (not shown) different from the nurse call history information storage unit 520.

  In the present embodiment, the nurse call control device 160 and the nurse call parent device 180 are separately configured. However, the nurse call control device 160 and the nurse call parent device 180 are not separated and are combined into one. May be configured.

  In addition, each of the above-described embodiments is merely an example of implementation in carrying out the present invention, and the technical scope of the present invention should not be construed in a limited manner. In other words, the present invention can be implemented in various forms without departing from the spirit or main features thereof.

It is a figure which shows the block structural example of the nursing information generation system by this embodiment. It is a figure which shows the example of the nurse call history information memorize | stored in the nurse call history information storage part by this embodiment. It is a figure which shows an example of the nursing necessity check data input screen by this embodiment. It is a flowchart which shows the operation example of the nursing information generation system by this embodiment. It is a flowchart which shows the operation example of the nursing information generation system by this embodiment. It is a figure which shows the example of the evaluation vote used when digitizing a nursing necessity degree.

Explanation of symbols

DESCRIPTION OF SYMBOLS 120 Medical equipment 140 Central monitor 160 Nurse call control machine 180 Nurse call parent machine 200 DB server 220 Nursing support client 300 Operation input part 320 Test function part 340 Warning information output part 360 Use cancellation information output part 420 Nurse call information output part 460 Date and time Information detection unit 480 Nurse call history information storage control unit 500 Patient information storage unit 520 Nurse call history information storage unit 540 Nursing necessity check data storage unit 560 Operation input unit 580 Nursing necessity check data generation unit 600 Screen output unit 620 Display

Claims (7)

A warning information output unit that generates and outputs warning information in a pseudo manner when a medical device used for a patient detects an abnormality; and
A nurse call information output unit for outputting nurse call information including the warning information output by the warning information output unit;
A nursing necessity check data generating unit that generates nursing necessity check data used to calculate the necessity of nursing for the patient based on the nurse call information output by the nurse call information output unit;

When the warning information is included in the nurse call information, the nursing necessity check data generation unit regards the medical device for the patient in the nursing necessity check data as a signal to start using the medical device. A nursing information generation system, wherein a value with use is input to an item regarding use of the device. The nursing information generation system according to claim 1,
The warning information output unit outputs patient identification information for identifying the patient together with the warning information,
The nurse call information output unit outputs the nurse call information based on the warning information and the patient identification information output by the warning information output unit,
The nursing necessity check data generation unit generates patient nursing necessity check data corresponding to the patient identification information based on the nurse call information output by the nurse call information output unit. Nursing information generation system. A use cancellation information output unit that outputs use cancellation information indicating release of use of the medical device for the patient;
A nurse call information output unit for outputting nurse call information including the use cancellation information output by the use cancellation information output unit;
A nursing necessity check data generating unit that generates nursing necessity check data used to calculate the necessity of nursing for the patient based on the nurse call information output by the nurse call information output unit;
When the nurse call information includes the use cancellation information , the nursing necessity check data generation unit sets a value of no use to an item related to the use of the medical device for the patient in the nursing necessity check data. Nursing information generation system characterized by input. The nursing information generation system according to claim 3,
The use cancellation information output unit outputs patient identification information for identifying the patient together with the use cancellation information,
The nurse call information output unit outputs the nurse call information based on the use cancellation information and the patient identification information output by the use cancellation information output unit,
The nursing necessity check data generation unit generates patient nursing necessity check data corresponding to the patient identification information based on the nurse call information output by the nurse call information output unit. Nursing information generation system. In the nursing information generation system according to any one of claims 1 to 4,
A nurse call history information storage unit for storing the nurse call information output by the nurse call information output unit as nurse call history information;
The nursing necessity check data generation unit reads the nurse call history information from the nurse call history information storage unit, and generates the nursing necessity check data based on the read nurse call history information. Nursing information generation system. A warning information output unit that generates and outputs warning information to be output when a medical device used for a patient detects an abnormality, and a nurse including the warning information output by the warning information output unit A nursing necessity check data generation device in a nursing information generation system comprising a nurse call information output unit for outputting call information,
Based on the nurse call information output by the nurse call information output unit, comprising a nursing necessity check data generating unit that generates nursing necessity check data used to calculate the nursing necessity of the patient,
When the warning information is included in the nurse call information, the nursing necessity check data generation unit regards the medical device for the patient in the nursing necessity check data as a signal to start using the medical device. A nursing necessity check data generation device, wherein a value with use is input to an item regarding use of a device. A usage cancellation information output unit that outputs usage cancellation information indicating the usage cancellation of the medical device for the patient; a nurse call information output unit that outputs nurse call information including the usage cancellation information output by the usage cancellation information output unit; A nursing necessity check data generation device in a nursing information generation system comprising:
Based on the nurse call information output by the nurse call information output unit, comprising a nursing necessity check data generating unit that generates nursing necessity check data used to calculate the nursing necessity of the patient,
When the nurse call information includes the use cancellation information , the nursing necessity check data generation unit sets a value of no use to an item related to the use of the medical device for the patient in the nursing necessity check data. A nursing necessity check data generating device characterized by inputting.