JP6042730B2 - Nursing service management system - Google Patents

Description

  The present invention relates to a nursing service management system, and is particularly suitable for use in a system that supports a nurse to perform various scheduled nursing services.

  Generally, in a hospital, nursing work by a nurse occurs based on an instruction from a doctor. A nurse performs a nursing operation based on a predetermined medical practice as an “order” according to a schedule for a patient in charge. The order is an instruction for medical practice at a medical site, and includes, for example, an inspection order, a prescription order, a rehabilitation order, and an injection order.

  Conventionally, there is a system for managing a schedule of nursing work performed by a nurse using a server and displaying a schedule on a terminal used by the nurse (see, for example, Patent Document 1). In the system described in Patent Document 1, a nurse holds a nursing support terminal such as a PDA (Personal Digital Assistant), reads a non-contact tag sticker attached to an order form with a reading unit of the PDA, and reads the non-contact tag sticker. Order information corresponding to the indicated order identification information is read from the nursing support server. The nurse performs order processing according to the order information displayed on the display unit of the PDA.

  In addition, the system described in Patent Document 1 includes a mechanism that immediately notifies the PDA possessed by the nurse in charge by voice, button flashing, vibration, etc. when an order is added or changed. Yes. As a result, when a medical practice change instruction is given from a doctor, the change in the instruction can be accurately communicated to the nurse in charge, and it is possible to prevent human errors in the medical practice in the medical field in advance. .

JP 2006-309300 A

  Nursing duties performed by nurses are diverse and vary from those that can be completed in a relatively short time to those that require a relatively long time. In addition, it is often necessary to prepare the necessary equipment and facilities before performing the treatment itself, and there are also nursing tasks that require a lot of time for the preparation. Furthermore, there are cases where it is necessary to observe the patient for a certain period of time before performing the treatment, and cases where fasting for a certain period of time by the patient is necessary.

  As described above, in the system described in Patent Document 1, when a medical practice change instruction is issued from a doctor, it is possible to accurately convey the contents of the change instruction to the nurse in charge. However, this change instruction may be given without considering time for various nursing tasks as described above.

  For this reason, accepting a change in medical practice without any consideration may cause a situation in which the nurse is forced to perform the nursing operation instructed to change, and may be applied to both the nurse performing the procedure and the patient receiving the procedure. It will put an extra burden. There was also a problem that forced nursing work could lead to an incident.

  The present invention has been made to solve such problems, and it is an object of the present invention to allow a nurse to perform nursing work based on an order without difficulty even when an order change instruction is issued from a doctor. And

  In order to solve the above-described problems, in the present invention, when an instruction to change an order that is scheduled to be performed for nursing work is issued, the difference between the scheduled time for performing nursing action according to the order instructed to be changed and the current time. However, it is determined whether or not it is shorter than the minimum preparation time required to reach the nursing action, and a warning is generated when it is determined to be short.

  According to the present invention configured as described above, when an order change instruction is issued from a doctor, the nursing action is performed before the scheduled time for the nursing action indicated in the changed order. For this reason, a warning is generated when the minimum preparation time required is not secured. For this reason, it is possible to prompt review of order changes, and it is possible to avoid excessive order changes as much as possible. Thereby, even when an order change instruction is issued from a doctor, it is possible to assist the nurse to perform the nursing work based on the order without difficulty. As a result, the burden on nurses and patients can be reduced and the occurrence of incidents can be suppressed.

It is a figure which shows the structural example of the nursing work management system by this embodiment. It is a block diagram which shows the function structural example of the nurse call controller by this embodiment. It is a figure which shows an example of the nursing work schedule information memorize | stored in the schedule memory | storage part of this embodiment. It is a figure which shows an example of the warning message displayed on a screen by the nurse call main | base station of this embodiment. It is a figure which shows an example of the case where a warning message is emitted by the warning generation part of this embodiment. It is a flowchart which shows the operation example of the nurse call control machine by this embodiment.

  Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a diagram illustrating a configuration example of a nursing care management system according to the present embodiment. As shown in FIG. 1, a nursing care management system 100 according to this embodiment includes an ordering device 1, a nurse call control device 2, a nurse call parent device 3, a cordless main device 4, a radio base station 5, and a mobile terminal 6. Yes. The ordering apparatus 1 and the nurse call controller 2 are connected by a hospital network 10.

  The ordering device 1 is for generating an order for nursing work through operation by a doctor or nurse, and is installed in a doctor's examination room, for example. The order of the nursing service includes a nursing action that the nurse should perform as a nursing service, a scheduled execution time of the nursing action, and a patient who is a subject of the nursing action. The order generated by the ordering apparatus 1 is transmitted to the nurse call controller 2 via the hospital network 10.

  The ordering apparatus 1 also changes the order once generated. The order changed by the ordering apparatus 1 is transmitted to the nurse call controller 2 via the hospital network 10 together with an order change instruction. The order related to this change instruction also includes the nursing action to be performed by the nurse, the scheduled execution time of the nursing action, and the patient who is the subject of the nursing action.

  The nurse call controller 2 performs control related to a call related to the nurse call and data transmission / reception. The nurse call controller 2 also performs control related to nursing work management based on orders. As will be described in detail later, when an order change instruction is issued from the ordering apparatus 1, the nurse call controller 2 performs a process of generating a warning message as necessary.

  The nurse call parent device 3 is connected to a nurse call child device (not shown) via a corridor lamp (not shown), and performs processing such as a response to a call from the nurse call child device. The nurse call parent device 3 also performs a process of displaying a warning message generated by the nurse call control device 2 when an order change instruction is issued. The nurse call parent device 3 is installed, for example, in a nurse center.

  The cordless main device 4 performs control related to communication and data transmission / reception with the portable terminal 6 possessed by a doctor or a nurse via a plurality of wireless base stations 5 installed at a plurality of locations in the hospital. The cordless main device 4 is installed in a communication center in a hospital, for example.

  FIG. 2 is a block diagram illustrating a functional configuration example of the nurse call controller 2 illustrated in FIG. 1. As shown in FIG. 2, the nurse call controller 2 includes, as its functional configuration, a schedule generation unit 11, a schedule change unit 12, a schedule storage unit 13, a schedule output unit 14, a preparation time storage unit 15, a time determination unit 16, A warning generation unit 17 and a change rejection notification unit 18 are provided.

  The schedule generation unit 11 inputs an order for nursing work from the ordering apparatus 1 via the in-hospital network 10. Then, the schedule generation unit 11 generates nursing work schedule information that defines the execution schedule of nursing work as an order based on the input order, and stores it in the schedule storage unit 13.

  The schedule change unit 12 inputs an order change instruction from the ordering apparatus 1 via the in-hospital network 10. Then, the schedule changing unit 12 changes the nursing work schedule information stored in the schedule storage unit 13 based on the input order change instruction. However, in the present embodiment, the schedule changing unit 12 does not always change the nursing work schedule information when an order change instruction is input, but changes the nursing work schedule information with a predetermined condition. Details of this will be described later.

  The schedule storage unit 13 stores nursing work schedule information that defines the implementation schedule of nursing work as an order. FIG. 3 is a diagram illustrating an example of nursing work schedule information stored in the schedule storage unit 12. The nursing work schedule information shown in FIG. 3 defines the schedule of the nursing work to be performed by a nurse on a certain day, and includes the target patient, the scheduled nursing action and the scheduled time of the implementation as items. Yes. When there are a plurality of nursing actions scheduled to be performed in one day, the patient, the nursing action scheduled to be performed, and the scheduled execution time are set as one record, and this is stored over a plurality of records.

  The schedule output unit 14 outputs the nursing work schedule information stored in the schedule storage unit 13 to the outside. For example, the nursing work schedule information can be displayed on the portable terminal 6 of the nurse by outputting the nursing work schedule information to the portable terminal 6 possessed by the nurse via the cordless main device 4 and the wireless base station 5. It is made. Thereby, the nurse can confirm the nursing work schedule information on the screen of the portable terminal 6.

  The preparation time storage unit 15 stores, as preparation time information, a minimum time required to reach a nursing action performed in nursing work. That is, when preparation of equipment or facilities is necessary before performing a predetermined treatment as a nursing action, the minimum time required for the preparation is stored in the preparation time storage unit 15 as preparation time information. When the patient needs to be observed or fasted before the treatment is performed, the minimum time required for the observation or fasting is stored in the preparation time storage unit 15 as preparation time information.

  When an order change instruction is issued from the ordering device 1 (when the schedule change part 12 inputs an order change instruction), the time determination unit 16 performs the scheduled time of nursing action according to the order instructed to change and the current It is determined whether or not the difference from the time is shorter than the preparation time stored in the preparation time storage unit 15 as preparation time information of the nursing action.

  When the time determination unit 16 determines that the difference between the scheduled operation time of the nursing action according to the order instructed to be changed and the current time is shorter than the minimum preparation time required for the nursing action, the warning generation unit 17 A predetermined warning is generated. For example, the warning generation unit 17 generates a warning message indicating that the preparation time is not secured, and transmits the warning message to the nurse call parent device 3 to display it on the screen of the nurse call parent device 3.

  FIG. 4 is a diagram showing an example of a warning message displayed on the screen of the nurse call parent device 3. The warning message shown in FIG. 4 is displayed as a pop-up screen on the standby screen of the nurse call parent device 3, for example. As shown in FIG. 4, the pop-up screen includes change information 40 indicating the change contents of the order (information indicating which order is to be changed and how) and a standard necessary until the start of implementation of XXX. A warning message 41 such as “Time is not secured” is displayed. The pop-up screen also displays a change confirmation button 42 and a cancel button 43 as an operation interface for determining whether or not to confirm an order change instruction.

  When the above-described schedule change unit 12 is instructed to confirm an order change instruction by operating the change confirmation button 42, the schedule change unit 12 receives a notification to that effect from the nurse call parent device 3 and stores it in the schedule storage unit 13. Change the scheduled nursing work schedule information. That is, the schedule changing unit 12 changes the nursing work schedule information stored in the schedule storage unit 13 in accordance with the order change instruction input from the ordering device 1. Specifically, the scheduled execution time of the nursing action according to the order related to the change instruction is changed.

  For example, even if the difference between the scheduled time for performing a nursing action according to an order instructed to be changed and the current time is shorter than the required preparation time, if the situation is not extremely short, the order can be changed at the discretion of the nurse. It may be acceptable. In such a case, the nurse can confirm the order change instruction by operating the change confirmation button 42. In order to make it easier for the nurse to make this determination, time information indicating how much the difference between the scheduled time of implementation of the nursing action after the change and the current time is shorter than the preparation time is displayed together with the warning message 41. It may be.

  When it is instructed not to confirm the order change instruction by operating the cancel button 43, the change rejection notification unit 18 receives a notification to that effect from the nurse call parent device 3 and is used by the order change instructor. Notify the terminal that the order change has been rejected. The terminal used by the order change instruction person is, for example, the ordering apparatus 1 that is the transmission source of the order change instruction. Or you may make it notify that the order change was rejected with respect to the portable terminal 6 of the doctor who produced | generated the order change instruction.

  When notifying the portable terminal 6 as in the latter case, the nurse call controller 2 stores management table information for managing the ordering device 1 used by the doctor in association with the portable terminal 6 used by the doctor. . When canceling an order change instruction transmitted from an ordering apparatus 1, a rejection notice is sent to the mobile terminal 6 associated with the ordering apparatus 1.

  FIG. 5 is a diagram illustrating an example of a case where a warning message is issued by the warning generation unit 17. As shown in FIG. 5A, it is assumed that an order change instruction is issued from the ordering apparatus 1 at time T1. In addition, it is assumed that the scheduled nursing practice time for the order is T2 by the nursing work schedule information stored in the schedule storage unit 13 for the order related to the change instruction. The scheduled execution time T2 is originally set in consideration of the minimum preparation time necessary for performing the nursing action.

  On the other hand, as shown in FIG. 5B, it is assumed that the scheduled execution time of the nursing action is advanced to T3 by the order change instruction issued from the ordering apparatus 1. Upon receiving this change instruction, the time determination unit 16 stores the difference between the scheduled time T3 and the current time T1 of the nursing action according to the order instructed to change as preparation time information of the nursing action in the preparation time storage unit 15. It is determined whether or not the preparation time T is shorter. FIG. 5B shows an example in which (T3−T1) <T. In this case, the warning generation unit 17 generates a warning message as shown in FIG. 4 and displays it on the screen of the nurse call parent device 3.

  FIG. 6 is a flowchart showing an operation example of the nurse call controller 2 configured as described above. Note that the flowchart shown in FIG. 6 starts when the nurse call controller 2 is powered on. Here, for simplification of explanation, it is assumed that the nursing work schedule information is generated by the schedule generation unit 11 and is already stored in the schedule storage unit 13.

  First, the schedule changing unit 12 determines whether or not an order change instruction is issued from the ordering apparatus 1 (step S1). If no order change instruction has been issued, the determination in step S1 is continued. On the other hand, when an order change instruction is issued, the schedule change unit 12 notifies the time determination unit 16 of the order change instruction.

  As illustrated in FIG. 5, the time determination unit 16 determines that the difference between the scheduled time T3 and the current time T1 of the nursing action according to the order instructed to change is the preparation time information of the nursing action in the preparation time storage unit 15. It is determined whether or not it is shorter than the stored preparation time T (step S2). Here, if (T3−T1) <T does not hold, the preparation time T can be secured between the current time T1 and the scheduled nursing action implementation time T3 even if the order is changed. There is no problem with accepting the change. Therefore, the process transitions to step S5.

  On the other hand, when (T3−T1) <T holds, if the order is changed, the preparation time T cannot be ensured between the current time T1 and the scheduled nursing action implementation time T3. Accordingly, in this case, the warning generation unit 17 generates a warning message indicating that the preparation time is not secured, and transmits the warning message to the nurse call parent device 3 to be displayed on the screen of the nurse call parent device 3 (step S3). ).

  Thereafter, the schedule changing unit 12 receives from the nurse call parent device 3 information indicating whether or not the instruction to change the order has been instructed by operating the change confirmation button 42, that is, information indicating that the change confirmation button 42 has been operated. It is determined whether or not it has been sent (step S4).

  If the schedule change unit 12 determines that the change confirmation button 42 has been operated, the schedule change unit 12 is stored in the schedule storage unit 13 in accordance with the order change instruction input from the ordering apparatus 1 in step S1. The nursing work schedule information being changed is changed (step S5). Then, the process proceeds to step S8.

  On the other hand, if the change confirmation button 42 is not operated, the change rejection notification unit 18 determines whether or not the instruction to change the order change instruction is issued by operating the cancel button 43, that is, the cancel button 43 is operated. Is determined from the nurse call parent device 3 (step S6). If the change rejection notification unit 18 determines that the cancel button 43 has not been operated, the process returns to step S4.

  On the other hand, when the change rejection notification unit 18 determines that the cancel button 43 has been operated, the change rejection notification unit 18 notifies the terminal used by the order change instructor that the order change has been rejected. (Step S7). Thereafter, the nurse call controller 2 determines whether or not the power is turned off (step S8). If not turned off, the process returns to step S1. On the other hand, when the power of the nurse call controller 2 is turned off, the process of the flowchart shown in FIG. 6 ends.

  As described above in detail, in the present embodiment, when an order change instruction that is scheduled to be performed by a nursing service is issued from the ordering apparatus 1, the scheduled operation time and the current time of the nursing action according to the order instructed to be changed. The time determination unit 16 of the nurse call controller 2 determines whether or not the difference is shorter than the minimum preparation time necessary for reaching the nursing action. If it is determined that the difference is shorter, a warning is generated. A warning message is generated by the unit 17 and displayed on the screen of the nurse call parent device 3.

  According to the nursing operation management system 100 of the present embodiment configured as described above, when an order change instruction is issued from a doctor, the nursing action instructed in the order after the change is performed until the scheduled execution time of the nursing action. When the minimum necessary preparation time for performing the nursing action cannot be secured, a warning message is generated and displayed on the nurse call master unit 3 on the screen.

  By this warning message, it is possible to prompt the review of the order change, and the excessive order change can be avoided as much as possible. For example, when the nurse operates the cancel button 43, the order change instruction by the doctor can be canceled. Accordingly, even when an order change instruction is issued from a doctor, it is possible for the nurse to perform the nursing work based on the order without difficulty. As a result, the burden on nurses and patients can be reduced and the occurrence of incidents can be suppressed.

  In the above embodiment, an example has been described in which a warning message generated by the nurse call control device 2 is transmitted to the nurse call parent device 3 and displayed on the screen, but the present invention is not limited to this. For example, a warning message generated by the nurse call controller 2 may be transmitted to the ordering apparatus 1 that is the transmission source of the order change instruction and displayed on the screen, or may be associated with the ordering apparatus 1 that is the transmission source. It may be transmitted to the portable terminal 6 and displayed on the screen. In this way, a warning message can be sent directly to the doctor who has given the order change instruction, and the doctor can be urged to review the order change.

  Moreover, although the said embodiment demonstrated the example with which the nurse call controller 2 is provided with each function structure shown in FIG. 2, this invention is not limited to this. For example, the ordering apparatus 1 may be provided with each functional configuration shown in FIG. Alternatively, a part of each functional configuration shown in FIG. 2 may be provided in the ordering apparatus 1 and the remaining part may be provided in the nurse call controller 2.

  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.

DESCRIPTION OF SYMBOLS 1 Ordering apparatus 2 Nurse call control machine 3 Nurse call main | base station 6 Portable terminal 11 Schedule production | generation part 12 Schedule change part 13 Schedule memory | storage part 15 Preparation time memory | storage part 16 Time determination part 17 Warning generation part 18 Change rejection notification part

Claims (4)

A schedule storage unit for storing nursing work schedule information that defines a nursing work schedule as an order;
A preparation time storage unit for storing, as preparation time information, a minimum amount of time required for a nursing action to be performed in the nursing operation;
When the order change instruction is issued, the difference between the scheduled time for performing the nursing action according to the order instructed to change and the current time is stored as the preparation time information for the nursing action in the preparation time storage unit. A time determination unit for determining whether or not the preparation time is shorter,
A nursing work management system comprising: a warning generation unit that generates a warning when the time determination unit determines that the difference between the scheduled execution time and the current time is shorter than the preparation time. The warning generation unit displays a message that the preparation time is not secured, and displays an operation interface as to whether or not to confirm the order change instruction.
A schedule change unit for changing the nursing work schedule information stored in the schedule storage unit when the instruction to change the order is instructed by an operation of the operation interface; The nursing care management system according to claim 1.   A change rejection notification unit for notifying the terminal used by the order change instructor that the order change has been rejected when it is instructed not to confirm the order change instruction by the operation of the operation interface; The nursing work management system according to claim 2, further comprising: The warning generation unit displays, together with the message, time information indicating how much the difference between the scheduled time of performing a nursing action according to the order instructed to change and the current time is shorter than the preparation time. The nursing care management system according to claim 2.

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