JP7097679B2 - Central monitor and monitoring history creation method - Google Patents

Description

The present invention relates to a central monitor and a monitoring history creation method.

In medical settings such as hospitals, it is necessary to collect, analyze, and display the biological information of each patient (for example, electrocardiogram, blood pressure, respiratory rate, pulse rate, etc.) at any time. In addition, since the patient will be transferred to a hospital room, a laboratory, an operating room, etc., it is necessary to collect the biological information of the patient together with the transfer of the patient. Small medical portable monitor systems (see, for example, Patent Documents 1 and 2) are widely used.

Some systems of this type allow a portable transport monitor to be connected (specifically dockable and removable) to a stationary bedside monitor. This kind of bedside monitor can also be called a host monitor as opposed to a transport monitor.

The transport monitor has a terminal to which electrodes for electrocardiogram measurement are connected, a small display, a data storage device, a battery, etc., and continuously acquires biological information even while the patient is being transported, and displays and records it. be able to. The biometric information recorded on the transport monitor during patient transfer is transferred to the bedside monitor when the transport monitor is docked to the bedside monitor. The biometric information transferred to the bedside monitor is also sent to the central monitor connected to the bedside monitor.

By using a system having such a transport monitor, it is possible to easily acquire the biological information of the patient in transit. In addition, by configuring the transport monitor to be docked to the bedside monitor, the transformer can be used without reconnecting the electrodes for acquiring biological information attached to the patient between the bedside monitor and the transport monitor. Biometric information can be continued by simply inserting and removing the port monitor from the bedside monitor.

Special Table No. 8-504345 Gazette Special Table No. 8-504531 Gazette

By the way, in the conventional biometric information monitoring system, a patient ID is associated with each biometric information in order to make it possible to know which patient's biometric information is acquired. Then, in the upper server device that aggregates the biological information acquired by each bedside monitor and each transport monitor, the biological information corresponding to the patient ID is collected and connected in the time direction, so that the physical progress of each patient It is possible to display so that you can understand.

However, in the conventional monitoring of biological information, sufficient consideration is not given to the patient moving to the floor, and the display is performed so that the physical progress of the patient who has moved to the floor can be comprehensively judged. It was still inadequate.

The present invention has been made in consideration of the above points, and provides a central monitor and a monitoring history creation method capable of displaying a patient who has moved to the floor and can comprehensively judge the physical progress of the patient.

One aspect of the central monitor of the present invention is
The central monitor used in a system having at least a transport monitor or a bedside monitor as a monitor device for acquiring biometric information and a central monitor having a central monitor that aggregates and displays the biometric information acquired by the monitor device. hand,
An input unit for inputting biological information, a patient ID of a patient who has acquired the biological information, an acquisition date and time of the biological information, and acquisition location specifying information capable of specifying the acquisition location of the biological information from the monitoring device .
An acquisition history list forming unit that forms an acquisition history list of biometric information of each patient so that when and where the biometric information of each patient is acquired by the monitor device can be known.
A display unit that displays the biological information and the acquisition history list, and
Equipped with.

One aspect of the monitoring history creation method of the present invention is
Monitoring used in the central monitor of a system having at least a transport monitor or a bedside monitor as a monitor device for acquiring biometric information and a central monitor having a central monitor that aggregates and displays the biometric information acquired by the monitor device. It ’s a history creation method.
A step of inputting the patient ID of the patient who acquired the biological information, the acquisition date and time of the biological information, and the acquisition location specifying information capable of specifying the acquisition location of the biological information from the monitoring device .
A step of forming a list of acquisition history of biometric information of each patient so that it can be known when and where the biometric information of each patient was acquired by the monitor device .
The step to output the acquisition history list and
including.

According to the present invention, since a list of acquisition history of biometric information of each patient is created so that it is possible to know when and where the biometric information of each patient was acquired, the physical course of the patient who has moved to the floor can be comprehensively determined. It is possible to make a possible display.

It is a figure which shows the state of the docking (connection) of the bedside monitor and the transport monitor which concerns on embodiment, FIG. 1A is a figure which shows the state of removing a transport monitor from a bedside monitor, and FIG. A diagram showing how the port monitor is moved, FIG. 1C is a diagram showing how the transport monitor is docked to the bedside monitor. The figure which shows the schematic structure of the in-hospital system to which the bedside monitor and the transport monitor of an embodiment are connected. Block diagram showing the configuration of the bedside monitor of the embodiment Diagram showing the screen displayed on the touch panel when the transport monitor is removed from the bedside monitor. Diagram showing the patient selection screen displayed on the touch panel when the transport monitor is connected to the bedside monitor The figure which shows the example of the movement of the transport monitor and the transmission and reception of biometric information accompanying it. The figure which shows the history display by embodiment Block diagram showing the configuration of the central monitor of the embodiment

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

<1> Overall configuration First, the overall configuration and the premise configuration of the embodiment will be described.

FIG. 1 is a diagram showing a state of docking (connection) of the bedside monitors 11 and 12 and the transport monitor 20. Here, although not shown, the transport monitor 20 is connected to a biometric information detection unit for acquiring patient biometric information such as an electrocardiogram measurement electrode.

When the patient is transferred from the place where the bedside monitor 11 is placed to the place where the bedside monitor 12 is placed, a medical worker such as a doctor or a nurse removes the transport monitor 20 from the bedside monitor 11. (FIG. 1A), after moving the transport monitor with the patient (FIG. 1B), the transport monitor 20 is docked to the bedside monitor 12 (FIG. 1C). By doing so, the biological information of the patient can be acquired by the transport monitor 20 even during the transfer of the patient.

Here, the bottom surface and side surfaces of the transport monitor 20 and the corresponding surfaces of the bedside monitors 11 and 12 are provided with connector portions that are electrically connected to each other when docked, whereby the transformer is provided. The port monitor 20 and the bedside monitors 11 and 12 can send and receive information such as biometric information and setting information to and from each other via the connector portion.

The features of each device when the bedside monitors 11 and 12 and the transport monitor 20 are compared with each other are as follows.

Bedside monitor:
-It is supposed to be installed stationary on the bedside and is heavier than the transport monitor.
-The number of biological information parameters that can be displayed is larger than that of the transport monitor.
-The number of external devices that can be connected is larger than that of the transport monitor.
-The display is larger than the transport monitor, and an extended display can also be connected.
-It is assumed that the central monitor is connected to the network.

Transport monitor:
-It is supposed to be carried around, and is smaller and lighter than a bedside monitor.
-The number of biological information parameters that can be displayed is smaller than that of the bedside monitor.
-The number of external devices that can be connected is less than that of a bedside monitor.
-The display is smaller than the bedside monitor.
-Has a memory that can record the patient's biological information while moving. This memory has a capacity for recording biometric information for, for example, 10 days.

The bedside monitor and the transport monitor do not necessarily have all of the above-mentioned features, but at least the transport monitor is smaller and lighter than the bedside monitor and is portable.

FIG. 2 is a diagram showing a schematic configuration of an in-hospital system (hereinafter referred to as “in-hospital system”) 10 to which the bedside monitor and the transport monitor of the present embodiment are connected. In the in-hospital system 10, one or more bedside monitors 11A to 11X are installed in the operating room, one or more bedside monitors 12A to 12X are installed in the ICU (Intensive Care Unit), and one or more bedside monitors 12A to 12X are installed in the ward. Bedside monitors 13A to 13X are installed. The "ward" described in the present specification is a so-called "general ward" excluding a special treatment room such as an operating room or an ICU.

The bedside monitors 11A to 11X in the operating room are connected to the central monitor 31, the bedside monitors 12A to 12X in the ICU are connected to the central monitor 32, and the bedside monitors 13A to 13X in the ward are connected to the central monitor 33. It is connected.

Further, the central monitors 31, 32, 33 are connected to the server device 40. As a result, the biological information acquired by the bedside monitors 11A to 11X is aggregated in the central monitor 31 for display and recording, and the biological information acquired by the bedside monitors 12A to 12X is aggregated in the central monitor 32. The display and recording are performed, and the biometric information acquired by the bedside monitors 13A to 13X is aggregated in the central monitor 33 and displayed and recorded. Further, the biological information acquired by the central monitors 31, 32, and 33 is aggregated and recorded in the server device 40. The server device 40, for example, responds to the request of the central monitors 31, 32, 33 and the bedside monitors 11A to 11X, 12A to 12X, 13A to 13X, and records the recorded biological information on the central monitors 31, 32, 33 and the bedside monitor. It can be sent to 11A to 11X, 12A to 12X, and 13A to 13X.

The transport monitor 20 can be docked (connected) to each bedside monitor 11A-11X, 12A-12X, 13A-13X, travels with the patient, and the bedside monitor 11A-11X to which the patient is transferred. , 12A-12X, 13A-13X docked (connected).

Although the in-hospital system 10 is shown in FIG. 2, the transport monitor 20 can be docked (connected) to, for example, a bedside monitor provided in an ambulance.

<2> Configuration of Bedside Monitor FIG. 3 is a block diagram showing the configuration of the bedside monitor 100 according to the present embodiment. The bedside monitor 100 is used as the bedside monitors 11A to 11X, 12A to 12X, and 13A to 13X of FIGS. 1 and 2.

The bedside monitor 100 has connector portions 101, 102, 103.

The connector unit 101 is a connector for connecting the biological information detection unit attached to the patient to the bedside monitor 100. The connector portion 101 has an electrocardiogram measurement electrode 201 for detecting an electrocardiogram, a blood pressure measuring cuff 202 for detecting blood pressure, a body temperature sensor 203 for detecting body temperature, and a SpO ₂ sensor for detecting SpO ₂ . A biometric information detection unit such as 204 and a heart rate output sensor 205 for detecting the heart rate output is connected.

A transport monitor 20 is connected to the connector portion 102. The central monitor 30 is connected to the connector unit 103.

By executing a predetermined measurement process, the measurement processing unit 104 performs a biological information detection unit (electrocardiogram measurement electrode 201, blood pressure measurement cuff 202, body temperature sensor 203, SpO ₂ sensor 204, and heart) connected to the connector unit 101. The biological information of the patient is measured using the pumping amount sensor 205). As for the method of measuring various biological information using the biological information detection unit, a conventionally known method can be applied, and therefore detailed description thereof will be omitted here. The biological information obtained by the measurement processing unit 104 is stored in the storage unit 105 and displayed on the touch panel 109.

On the other hand, the biological information acquired by the transport monitor 20 is stored in the storage unit 105 via the connector unit 102 and the transmission / reception processing unit 106. Incidentally, the biometric information acquired by the transport monitor 20 while the transport monitor 20 is moving is temporarily stored in the storage unit (not shown) of the transport monitor, and when connected to the bedside monitor 100, the connector unit is used. It is transferred and stored in the storage unit 105 of the bedside monitor 100 via the transmission / reception processing unit 106.

The biological information stored in the storage unit 105 is sent to the central monitor 30 via the transmission / reception processing unit 106 and the connector unit 103. As a result, the central monitor 30 can display and record the biological information acquired by the bedside monitor 100 and the transport monitor 20.

The control unit 110 controls the measurement processing unit 104, the transmission / reception processing unit 106, the display control unit 107, and the alarm indicator 108.

The touch panel 109 is controlled by the display control unit 107 and displays biological information in the form of measured values or waveforms. Further, the touch panel 109 not only has a display function for displaying biological information, but also has a function as an operation input unit for receiving an input operation by an operator. Specifically, information indicating the user's touch operation on the touch panel 109 is sent from the touch panel 109 to the control unit 110, and the control unit 110 changes the display on the touch panel 109 and the mode of the bedside monitor 100 according to the touch operation. Performs various registration processes.

The alarm indicator 108 is provided on the upper part of the housing of the bedside monitor 100, and emits light, for example, red when the control unit 110 determines that an abnormality has occurred in the biological information.

Further, the bedside monitor 100 has a connection detection unit 111 and an ID identification unit 112. The connection detection unit 111 detects whether or not the transport monitor 20 is connected to the connector unit 102, and sends the detection result to the control unit 110. The ID identification unit 112 inputs the patient ID set in the transport monitor 20 connected to the connector unit 102 via the connector unit 102, and the patient ID of the transport monitor 20 to which this patient ID is previously connected is input. It is identified whether or not it is the same as, and the identification result is sent to the control unit 110.

When the transport monitor 20 is removed from the bedside monitor 100, this is detected by the connection detection unit 111, and the touch panel 109 displays the screen shown in FIG. When the "monitor interruption" button is touched by the user (medical worker), the bedside monitor 100 enters the monitoring interruption mode and interrupts the monitoring of biological information. On the other hand, when the user touches the "get out of bed" button, the bedside monitor 100 performs the out of bed process.

When the transport monitor 20 is connected to the bedside monitor 100, this is detected by the connection detection unit 111, and the touch panel 109 displays the patient selection screen shown in FIG. On this screen, the user can use the patient information associated with the patient ID set in the transport monitor 20 and the patient associated with the patient ID set in the device (bedside monitor 100). You can select either a mode that uses information or a mode that newly inputs patient information and starts monitoring.

<3> History display according to the embodiment Next, the monitoring history list display according to the present embodiment will be described.

FIG. 6 is a diagram showing an example of movement of the transport monitor 20 and accompanying transmission / reception of biological information.

First, the transport monitor 20 is docked to the bedside monitor 12A of the ICU, and the biological information X is acquired in that state. Next, the transport monitor 20 is removed from the bedside monitor 12A, and while moving with the patient, the moving biological information Y is acquired.

Next, the transport monitor 20 is docked to the bedside monitor 13A in the ward. The bedside monitor 13A receives biological information X and Y from the transport monitor 20. Further, the bedside monitor 13A obtains biological information Z in a state of being docked with the transport monitor 20.

The central monitor 33 in the ward receives the biological information Y and Z from the bedside monitor 13A. Further, the central monitor 33 can also receive the biological information X as a reference from the central monitor 32 of the ICU. Incidentally, the central monitor 33 can also receive the biological information X from the bedside monitor 13A, but in this way, the travel time of the transport monitor 20 and the biological information from the transport monitor 20 to the bedside monitor 13A. Since the delay is caused by the transfer time of X, it can be received earlier by receiving from the central monitor 32.

Biological information X, Y, Z is collected in the server device 40. As a result, the server device 40 can collect the biological information X, Y, Z with the patient ID and the acquisition time.

FIG. 7 is a diagram showing a history display according to the present embodiment. The feature of the history display of the present embodiment is to display a list of acquisition history of biometric information of each patient so that it is possible to know when and where the biometric information of each patient was acquired.

The history display of FIG. 7 is performed by the central monitor. Hereinafter, a case where the central monitor 33 displays the history will be described as an example. The central monitor 33 inputs the patient ID of the patient who acquired the biological information, the acquisition date and time of the biological information, and the acquisition location specifying information which can specify the acquisition location of the biological information, and as shown in FIG. 7, each A list of acquisition history of each patient's biometric information is displayed so that it is possible to know when and where the patient's biometric information was acquired.

The medical staff can recognize the following from the monitoring history display in FIG. 7.

Biological information was acquired on the bedside monitor of the emergency room "ER-001" during the period from time points t1 to t2. Biometric information was acquired on the bedside monitor of the ICU "ICU-001" during the period from time points t3 to t4. Incidentally, the biometric information in the period from t3 to t4 at this time is the biometric information acquired in the state where the transport monitor is docked to the bedside monitor of the ICU. During the period from time points t4 to t5, biometric information was acquired while traveling on the transport monitor. At time point t4, the transport monitor was removed from the bedside monitor of the ICU, and the operation of leaving the bed was performed.

Biological information was acquired on the bedside monitor of the ward "BED-001" during the period from t5 to t6. At time point t5, the transport monitor was docked to the bedside monitor in the ward, and the bed-entry operation was performed.

During the period from time points t6 to t7, biometric information was acquired while traveling on the transport monitor. At time t6, the transport monitor was removed from the bedside monitor in the ward, and the interruption operation was performed.

Biological information was acquired on the bedside monitor of the ward "BED-001" during the period from t7 to t8. At time point t7, the transport monitor was docked to the bedside monitor in the ward, and the continuation (restart) operation was performed.

During the period from time points t8 to t9, biometric information was acquired while traveling on the transport monitor. At time point t8, the transport monitor was removed from the bedside monitor in the ward, and the interruption operation was performed.

Biological information was acquired on the bedside monitor of the ward "BED-001" during the period from t9 to t10. At time point t9, the transport monitor was docked to the bedside monitor in the ward, and the continuation (restart) operation was performed.

By displaying the monitoring history as shown in FIG. 7 by the central monitor 33, the medical staff can obtain the patient's biological information in which place (ward, operating room, intensive care unit, emergency room). You can know the history of acquisition.

Further, in the present embodiment, when any one of the biometric information sections in FIG. 7 is selected, the biometric information of the selected biometric information section is displayed on another screen. For example, when the biological information section (bar graph) indicated by the symbol A1 in FIG. 7 is selected using a mouse or the like, the biological information (electrocardiogram, ECG,) acquired by the transport monitor from 13:00 to 14:00 on July 5th. SpO ₂ etc.) is displayed on a separate screen.

<4> Central Monitor Configuration FIG. 8 shows a configuration example of the central monitor 30 (31, 32, 33) for realizing the monitoring history display as shown in FIG. 7. Biological information from the bedside monitor is input to the external input / output unit 41 of the central monitor 30 via, for example, a hospital LAN (Local Area Network). At this time, the external input / output unit 41 identifies the patient ID of the patient who acquired the biometric information, the date and time when the biometric information was acquired, and the acquisition location where the biometric information acquisition location can be specified. Information is entered. Even if the acquisition location itself is not input as the acquisition location specific information, for example, if the device number of the biometric information monitor that acquired the biometric information is input, the location where the device with that device number is installed is registered in advance. By setting it, the place where the biometric information is acquired can be specified by looking up the table from the device number.

The information input to the external input / output unit 41 is sent to the display control unit 42 and the processing unit 43. The processing unit 43 has a storage unit 44 and an alarm determination unit 45. The alarm determination unit 45 determines the threshold value of the biological information, and outputs an alarm output instruction signal to the display control unit 42 when the biological information is out of the threshold range.

The display control unit 42 functions as an acquisition history list forming unit, creates a monitoring history as shown in FIG. 7 for the same patient based on the patient ID, acquisition date and time, and acquisition location identification information, and displays this as a liquid crystal display. It is displayed on the display unit 46 made of such as.

Further, when any biometric information section (bar graph) in FIG. 7 is selected by the operation unit 47 composed of a mouse, a keyboard, or the like, the biometric information corresponding to the biometric information section is stored in the storage unit 44 by the display control unit 42. It is read out and this biological information is displayed on the display unit 46.

<5> Summary As described above, according to the present embodiment, the central monitor 30 determines the biometric information, the patient ID of the patient who acquired the biometric information, the date and time when the biometric information was acquired, and the date and time when the biometric information was acquired. External input / output unit 41 for inputting acquisition location identification information that can specify the acquisition location of biometric information, and a list of acquisition history of biometric information of each patient so that when and where the biometric information of each patient was acquired can be known (Fig.) It has a display unit 46 for displaying 7). As a result, it becomes possible to perform a display that can comprehensively judge the physical progress of the patient who has moved to the floor. In other words, compared to the case where the biological information of each patient is simply collected and arranged and displayed in chronological order, the biological information is acquired in which place (ward, operating room, intensive care unit, emergency lifesaving room). It is possible to grasp whether it was acquired and what kind of place it was obtained through.

For example, even if it is diagnosed that the condition is not good only by looking at the biological information, if the medical worker knows that the biological information was acquired in the operating room or ICU, the biological information changes. Can be diagnosed as being due to the effects of surgery or drugs. Further, for example, even if it is diagnosed that the condition is not good only by looking at the biological information, if the medical staff knows that the biological information was acquired during or immediately after the transfer, the living body Diagnosis can be made by determining that changes in information are due to the effects of transfer.

The above-described embodiment is merely an example of the embodiment of the present invention, and the technical scope of the present invention should not be construed in a limited manner by these. That is, the present invention can be implemented in various forms without departing from its gist or its main features.

In the above-described embodiment, as shown in FIG. 7, the biometric information acquisition locations are sequentially arranged in the order of the biometric information acquisition time in the vertical direction, and the biometric information acquisition time is set in the horizontal direction of the acquisition location in the bar graph. Although it is arranged in a format, the format of the acquisition history list is not limited to this, and the point is that the biometric information of each patient may be known when and where it was acquired. That is, it suffices if both the place where the biological information is acquired (ward, operating room, intensive care unit, emergency lifesaving room) and the acquisition time are displayed in a list.

Further, in the above-described embodiment, the ward, the operating room, the intensive care unit, and the emergency life-saving room are taken as an example of the place where the biometric information is acquired, that is, the place where the bedside monitor is installed. The present invention is not limited to this, and may be, for example, an operating room, an outpatient examination room, a delivery room, an ambulance, or the like.

Further, in the above-described embodiment, the case where the acquisition history list of each patient's biometric information is created and displayed on the central monitor is described, but the biometric information acquisition history list is created and displayed on the bedside monitor. You may do so.

Further, in the above-described embodiment, the case where the created biometric information acquisition history list is displayed on the display unit 46 has been described, but the created biometric information acquisition history list may be output to a printer or a central monitor. It may be output to other displays connected to or a bedside monitor.

The present invention is suitable for application to, for example, a central monitor capable of displaying the history of biological information of each patient.

11, 11A to 11X, 12, 12A to 12X, 13A to 13X, 100 Bedside monitor 20 Transport monitor 30, 31, 32, 33 Central monitor 41 External input / output unit 42 Display control unit 43 Processing unit 46 Display unit 47 Operation Department

Claims (4)

The central monitor used in a system having at least a transport monitor or a bedside monitor as a monitor device for acquiring biometric information and a central monitor having a central monitor that aggregates and displays the biometric information acquired by the monitor device. hand,
An input unit for inputting biological information, a patient ID of a patient who has acquired the biological information, an acquisition date and time of the biological information, and acquisition location specifying information capable of specifying the acquisition location of the biological information from the monitoring device.
An acquisition history list forming unit that forms an acquisition history list of biometric information of each patient so that when and where the biometric information of each patient is acquired by the monitor device can be known.
A display unit that displays the biological information and the acquisition history list, and
Equipped with
The acquisition history list is
For each patient
The biometric information acquisition locations are sequentially arranged in the vertical direction in the order of the biometric information acquisition time, and the biometric information acquisition time is shown in the form of a bar graph in the horizontal direction of the acquisition location.
Central monitor. The acquisition location includes any one of a ward, an operating room, an intensive care unit, an emergency lifesaving room, an examination room, an outpatient examination room, a delivery room, and an ambulance.
The central monitor according to claim 1 . Further equipped with an operation unit,
The acquisition history list is displayed on the display unit.
The display unit displays biological information corresponding to the selected bar graph when the position of the bar graph is selected by the operation unit.
The central monitor according to claim 1 . Monitoring used in the central monitor of a system having at least a transport monitor or a bedside monitor as a monitor device for acquiring biometric information and a central monitor having a central monitor that aggregates and displays the biometric information acquired by the monitor device. It ’s a history creation method.
A step of inputting the patient ID of the patient who acquired the biological information, the acquisition date and time of the biological information, and the acquisition location specifying information capable of specifying the acquisition location of the biological information from the monitoring device.
A step of forming a list of acquisition history of biometric information of each patient so that it can be known when and where the biometric information of each patient was acquired by the monitor device.
The step to output the acquisition history list and
Including
The acquisition history list is
For each patient
The biometric information acquisition locations are sequentially arranged in the vertical direction in the order of the biometric information acquisition time, and the biometric information acquisition time is shown in the form of a bar graph in the horizontal direction of the acquisition location.
How to create monitoring history.

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