JP7126904B2 - Medical information input support system and alert program - Google Patents

Description

An embodiment of the present invention relates to a medical information input support system and an alert program.

In recent years, hospital information systems such as electronic medical record systems have been built inside and outside medical institutions. Medical professionals such as doctors, nurses, pharmacists, and laboratory technicians use various types of information terminals to input medical information such as patient information, symptoms, drug information, and examination information.

When a medical worker inputs medical information, processes such as checks of required input items and threshold checks of input numerical values are performed to prevent erroneous input. In addition, the hospital information system has functions to prevent input errors and operation errors, such as copying past input contents and registering frequently input contents in advance so that they can be used at the time of input, and input efficiency. A function is provided to increase the

In addition, when storing medical information, it is necessary to ensure authenticity in accordance with the Ministry of Health, Labor and Welfare's "Guidelines for Safety Management of Medical Information Systems." Therefore, when correcting medical information data input using a hospital information system, it is necessary to leave a correction history, and it is common to enter the reason for correction when correcting.

WO2002/033614

In this way, in order to prevent conventional input errors and operation errors, all the inputs and operations of the medical staff who are the operators are uniformly checked. On the other hand, it is conceivable that this method of checking may not be sufficient for more detailed checking of mistakes for each medical worker.

In other words, for example, input/operation errors such as forgetting to enter optional items or erroneous button clicks differ from person to person in the tendency and frequency of mistakes, and it is not possible to perform optimal checks for each medical worker. In addition, if a mistake is noticed after recording the input data, the medical staff must open the input screen again and make corrections, which is troublesome. Furthermore, if these mistakes are not noticed, there is a possibility that medical care will proceed with incorrect information.

The present invention has been made to solve the above problems, and an object of the present invention is to accumulate information on the history of correction of input/operation errors by medical staff in a database, and to process medical information input by medical staff. To prevent the recurrence of an input/operation error in a patient, timely alerting is performed to assist in inputting medical information.

A medical information input support system according to an embodiment includes an information terminal and a server device. The information terminal is used by medical staff to input medical information for patients. The server device has a database that stores medical information and a control circuit. In addition, the control circuit of the server device has a determination function that determines the timing of alerting associated with the medical information when the medical staff performs the process of inputting medical information. It has a notification function that alerts medical staff.

1 is an overall diagram showing an overall configuration including a medical information input support system according to an embodiment; FIG. 1 is a block diagram showing the internal configuration of an information terminal according to an embodiment; FIG. 2 is a block diagram showing the internal configuration of the server device according to the embodiment; FIG. 4 is a flowchart showing a rough flow of processing in the medical information input support system according to the embodiment; 4 is a flowchart showing in detail the flow of data collection processing according to the embodiment; An example of a screen displayed on the display in the data collection process according to the embodiment. 4 is a flowchart showing in detail the flow of attention calling processing according to the embodiment. 4 is a flowchart showing in detail the flow of attention calling processing according to the embodiment. 10 is a flowchart showing a flow of alerting before input of medical care information by a medical worker in the alerting process according to the embodiment. An example of a screen displayed on the display when calling attention before the medical staff's input. 10 is a flowchart showing a flow of alerting after medical care information is input by a medical worker in the alerting process according to the embodiment. An example of a screen displayed on the display when calling attention after input by a medical worker. 10 is a flowchart showing a flow of attention calling processing in the embodiment when attention is called when input of medical care information by a medical worker is completed and registration is performed. An example of a screen displayed on the display when the input of medical care information by a medical worker is completed and attention is called when registering.

Hereinafter, embodiments will be described in detail with reference to the drawings.

[Overall Configuration of Medical Information Input Support System]
FIG. 1 is an overall diagram showing an overall configuration including a medical information input support system S according to an embodiment. As shown in FIG. 1, the medical information input support system S consists of an information terminal 1 and a server device 2 . Various in-hospital systems 3 and modalities 4 are connected via a medical information input support system S and a communication network N.

The information terminal 1 is a device used by medical staff to input medical information. Examples of the information terminal 1 include a personal computer and a workstation. Moreover, it does not matter whether it is a stationary type or a portable type. Therefore, it may be a smart phone, a tablet, or the like.

FIG. 2 is a block diagram showing the internal configuration of the information terminal 1 according to the embodiment. In the information terminal 1, a terminal control circuit 11, a display 12, an input circuit 13, a storage circuit 14, a terminal communication control circuit 15, and a removable disk 16 are connected via a bus B. FIG.

The terminal control circuit 11 controls each part constituting the information terminal 1 . A specific configuration includes, for example, a CPU (Central Processing Unit), a ROM (Read Only Memory), and a RAM (Random Access Memory), which are not shown in FIG.

Based on the input signal from the input circuit 13 , the CPU reads and executes a boot program for starting the information terminal 1 from the ROM, and reads various operating systems stored in the storage circuit 14 . The terminal control circuit 11 also controls various devices based on input signals from other external devices (not shown in FIG. 2) via the input circuit 13 .

The CPU also reads programs and data stored in the RAM, the storage circuit 14, etc., and loads them into the RAM. Then, the CPU performs control when inputting medical information about a patient into, for example, an electronic medical chart via the hospital information system, and performs control regarding input support when correcting errors in the input medical information.

Further, the CPU acquires information for calling attention from the server device 2 (to be described later) based on, for example, commands of the program read from the RAM, registers it as display data, and controls the display 12 to display it.

The display 12 is, for example, a liquid crystal display or an organic EL (Electroluminescence) display. This display 12 receives an output signal from the terminal control circuit 11 via the bus B, for example, when a medical worker inputs medical information, display to support the input or processing of the terminal control circuit 11 Results, operation screens (for example, GUI (Graphical User Interface) for receiving various instructions from medical staff), etc. are displayed.

The input circuit 13 receives various input operations by a medical worker who is a user of the information terminal 1 . The input circuit 13 creates an input signal based on the operation of the medical staff, and the input signal is transmitted to the terminal control circuit 11 via the bus B. FIG. As the input circuit 13, for example, a GUI or an input device such as a button, a keyboard, a trackball, or a touch panel displayed on the display 12 can be adopted.

The memory circuit 14 is composed of, for example, a semiconductor, a magnetic disk, or the like. The storage circuit 14 stores programs and data to be executed by the terminal control circuit 11 . For example, a program related to electronic medical charts used by medical staff to enter medical information is stored.

The terminal communication control circuit 15 is a means such as a LAN card or a modem, and is a means for connecting the information terminal 1 to the above-described communication network N such as the Internet or LAN. Data transmitted/received between, for example, a server device 2 (to be described later) via the communication network N and the terminal communication control circuit 15 is transmitted/received to/from the terminal control circuit 11 via the bus B as an input signal or an output signal.

The removable disk 16 is an optical disk or a flexible disk. Note that the removable disk 16 may be configured not to be included in the information terminal 1 .

The server device 2 constitutes a medical information input support system S together with the information terminal 1, and stores medical information input via the information terminal 1 and information on input/operation errors by medical staff. In addition, input support is provided when a medical worker inputs medical information.

FIG. 3 is a block diagram showing the internal configuration of the server device 2 according to the embodiment. In the server device 2, a medical database 21, an input/operation error database 22, a storage circuit 23, a communication control circuit 24, and a control circuit 25 are connected via a bus B. FIG.

The medical care database 21 stores patient's medical care information input by the medical staff via the information terminal 1 . The input/operation error database 22 also stores information when the medical staff corrects medical information.

The information stored in the input/operation error database 22 includes, for example, information related to the medical staff who performed the correction process, corrected items, details, reasons, and all information related to correction. Further, the correction contents may be stored, for example, for each medical worker, each corrected document, or the like. Information relating to the timing of alerting, which is notified when the medical staff inputs the medical information, is also stored in association with each medical information, each correction item, and the like. By storing such information in the input/operation error database 22, it becomes possible to support the input of medical information using the later-described correction history.

Here, any structure such as a table format can be adopted for the structure of the medical care database 21 and the input/operation error database 22 . Further, here, an example in which the medical database 21 and the input/operation error database 22 are provided in the server device 2 will be described. It may be provided in the hospital system 3 . Alternatively, the medical care database 21 and the input/operation error database 22 may be directly connected to the communication network N independently of various systems.

The memory circuit 23 is composed of, for example, a semiconductor or a magnetic disk. The memory circuit 23 stores, for example, a warning program for displaying a warning on the display 12 of the information terminal 1 when a medical worker inputs medical information. In addition, various programs for executing various processes performed in the server device 2 may be stored.

By implementing the attention calling program in the control circuit 25, when the medical care information input processing is performed by the medical care worker, the attention calling process of calling attention to the medical care worker at an appropriate timing is performed by the server device. 2 becomes executable. Also, for example, the alert program may be stored in a removable disk not shown in FIG. In this case, the program is installed in the server device 2 by reading the alert program from the removable disk.

The communication control circuit 24 is a means such as a LAN card or a modem, and is means for connecting the server apparatus 2 to a communication network N such as the Internet or LAN. Data transmitted/received between, for example, the information terminal 1 via the communication network N and the communication control circuit 24 is transmitted/received to/from the control circuit 25 via the bus B as an input signal or an output signal.

The control circuit 25 controls each part that configures the server device 2 . A specific configuration includes, for example, a CPU (Central Processing Unit), a ROM (Read Only Memory), and a RAM (Random Access Memory), which are not shown in FIG. Each function executed by the control circuit 25 will be described later.

The in-hospital system 3 is various systems built in a medical institution. As the in-hospital system 3, for example, various management systems such as a hospital information management system (HIS: Hospital Information System), a radiological department information management system (RIS: Radiological Information System), and a medical image management system (PACS: Picture Archiving Communication System). Applicable.

As described above, the medical information input support system S may be configured as an independent system itself, but may be configured as all or part of the in-hospital system 3. Also good.

The modality 4 is a medical image acquisition (imaging) device that acquires internal information by imaging a patient. The modality 4 includes, for example, an X-ray CT apparatus (computed tomography), a magnetic resonance imaging (MRI), or an ultrasonic diagnostic apparatus.

Note that FIG. 1 shows a state in which one information terminal 1 and one server device 2 are connected to the communication network N as the medical information input support system S. As shown in FIG. However, the numbers of the information terminals 1 and the server devices 2 constituting the medical information input support system S can be arbitrarily set.

Similarly, the medical information input support system S, the in-hospital system 3, and the modality 4 connected to the communication network N can be connected in multiple numbers instead of one each.

The communication network N connects the medical information input support system S (the information terminal 1 and the server device 2), the hospital system 3, and the modality 4, respectively. etc., to enable the exchange of various types of information. Examples of the communication network N include the Internet, and other networks such as LANs (Local Area Networks). The standard for information exchanged via this communication network N may be any standard such as DICOM (Digital Imaging and Communications in Medicine). Also, the connection with a communication network or the like may be wired or wireless.

Next, each function executed by the control circuit 25 of the server device 2 will be described below.

The control circuit 25 performs a registration function, a discrimination function, and a notification function. Among these functions, the registration function registers the medical information input by the medical staff in the medical database 21 . Further, when the medical care information is corrected, the information related to the correction input by the medical staff is registered in the input/operation error database 22 .

The control circuit 25 executes each process of the “data collection process” and the “attention calling process” executed by the server device 2 . Data collection processing is processing for collecting information on input/operation errors by medical staff. Information collected by the collection process is stored in the input/operation error database 22 . The data collection process is executed by the control circuit 25 using the registration function and the determination function, as described above.

On the other hand, the alerting process is a process that is executed to support the input of medical care information by the medical staff. Therefore, the attention calling process is performed using the information on the correction history for each medical information (input item) collected by the data collection process and stored in the input/operation error database 22 . The entered medical information is stored in the medical database 21 . This alerting process is executed using the notification function and determination function of the control circuit 25 .

The data collection process is first started by accepting a login process to the information terminal 1 by the medical staff. In other words, the medical staff uses the information terminal 1 to correct input errors and operation errors.

When the login process by the medical staff is successful, the terminal control circuit 11 causes the display 12 to display the main screen of the information terminal 1 . Then, when the medical staff selects a correction screen to perform correction processing, the terminal control circuit 11 performs display control of the display 12 to change the screen from the main screen to the correction screen.

It then accepts the reason for correction by the medical practitioner. There are various reasons for correcting medical information entered in an electronic medical record or the like. For example, simple input errors or operation errors by medical staff can be considered. On the other hand, for example, correction due to a change in the patient's condition is also conceivable.

Among these, the data collection processing here is to collect information on input/operation errors by medical staff. On the other hand, corrections due to changes in the patient's condition are not subject to data collection processing because the corrections are not caused by the medical staff.

The medical staff selects the reason for the correction and makes the correction. In the case of correction due to a change in the patient's condition, the server apparatus 2 accepts the correction process, and the control circuit 25 registers the correction contents in the medical database 21 using the registration function.

If the correction is due to an input/operation error by the medical staff, the server device 2 accepts the content of the correction. Then, the control circuit 25 registers the correction content in the medical database 21 using the registration function. At the same time, the control circuit 25 grasps contents such as information related to the medical staff who performed the correction process and items of the corrected medical information, among correction contents related to the input/operation error.

The control circuit 25 uses a determination function to determine the timing of alerting the medical staff based on the grasped correction content, and associates the timing information with the correction content (medical information). In this way, since the timing of alerting is set by the discrimination function of the control circuit 25, when the medical staff inputs the medical information, the alerting is performed at the set timing. This provides an input aid for medical personnel.

When medical care information is input by a medical staff, the control circuit 25 also uses the determination function to determine whether the input medical information is appropriate. If the medical care information input here is determined to be inappropriate, a warning is issued to the medical staff.

Also, the correction content associated with the set timing information is registered in the input/operation error database 22 . The registration completes the data collection process.

Next, attention calling processing will be described. When the medical staff inputs medical information, the control circuit 25 notifies the medical staff using the notification function in order to support the input process so that input errors and operation errors do not occur. The processing by the control circuit 25 is the alerting processing.

That is, the notification function is a function of notifying the medical staff of various timings when medical information is input by the medical staff. The alert to the medical staff is performed by displaying characters on the display 12 of the information terminal 1, for example. In addition to the display on the display 12, the information may be notified so as to appeal to the five senses of the medical staff.

When the medical staff inputs the medical information, it is necessary to first log in to the information terminal 1 as in the case of correcting the input medical information.

When the login process by the medical staff is successful, the terminal control circuit 11 causes the display 12 to display the main screen of the information terminal 1 . Then, when the medical staff selects an input screen to perform input processing and a document to be input is specified, the terminal control circuit 11 performs display control of the display 12 and changes the main screen to the input screen. and transition the screen.

The terminal control circuit 11 refers to the input/operation error database 22 when the medical staff starts inputting medical information. This is to confirm what corrections have been registered so far in order to alert the medical staff at the appropriate timing when entering medical information. At the same time, it also grasps and specifies the timing of alerting that is stored in association with the content of correction (medical information).

In the embodiment of the present invention, three timings are set as the timing of alerting, before input, after input, and at registration. However, the number of times of timing can be arbitrarily set as long as the medical staff is appropriately alerted. Moreover, it is good also as performing the same alerting over several timings.

Therefore, the control circuit 25 calls the attention of the medical staff at the timing specified for each correction content. First, it is checked whether or not the target document to which the medical staff is about to enter the medical information has correction contents that need to be alerted before the medical staff enters the medical information. As a result, if there is an item that requires attention before input, the attention is alerted before the medical staff starts inputting the item.

The timing of alerting should be before the medical staff starts inputting the relevant items. Therefore, all relevant items in the document to be input displayed on the display 12 may be alerted at once. Alternatively, for example, a cursor may be placed on the relevant item, and the attention may be called only for the relevant item that is clearly to be input from now on. In this case, attention is called every time an item requiring attention before input is entered.

As a method of calling attention before input, for example, default values may already be set as input contents in the medical information input by the medical staff. For example, this is the case for an item that is not originally blank, such as a date item, but is displayed as "2017/1/1". When the medical staff inputs for this item, the input is performed by changing the default value.

If there are many corrections to such default values, a warning for the item can be displayed as described above. Alternatively, by erasing the displayed default values and setting them as mandatory input items, it is possible to prompt the medical staff to input appropriate content. That is, it is possible to change the method of alerting for each item to be alerted.

Next, if there are no items that require attention before input by the medical staff, whether or not there are any items that require attention after input is associated with the correction content and stored. Confirm based on information. For example, if there is an item that requires attention after input, the attention is issued after the medical staff has entered the item.

For example, when "medicine dose" is provided as an input item, it is not possible to determine whether the input is appropriate unless the dose is actually entered. In addition, it may be necessary to determine whether or not the dosage is appropriate in relation to the separately input "drug name". Regarding such medical information, it is considered to be more effective to call attention based on judgment of suitability based on the input medical information than to call attention before input. Therefore, for such items, attention is called after input.

The control circuit 25 of the server device 2 receives the input medical information and determines whether or not the input content is appropriate. Specifically, the control circuit 25 uses a determination function to determine the appropriateness based on the input item and the input content. Alternatively, the input content in the relevant item may be referred to as a parameter for the determination.

As a result, if the input content is not appropriate, a warning is issued. It also confirms whether or not the medical staff has corrected the input content.

Furthermore, if there are no items that require attention before and after the input of medical information by medical staff, next, whether there are any items that require attention when registering the input medical information confirmation is made.

If there is an item that needs to be called attention at the time of registration, first, the determination circuit 25 waits until the medical staff completes the input processing of the target item. This is because the medical staff cannot be alerted unless the input contents for the target item are confirmed. When the input processing of the target items by the medical staff is completed and the input contents are determined, the control circuit 25 uses the determination function to determine the propriety based on the input items and the input contents. As a result, if the input content is not appropriate, the display 12 shows a warning display.

Various modes can be set as the display mode of alerting. For example, it may be possible to simply ask the medical staff whether or not the entered content can be registered. Alternatively, even when the registration process is performed, a plurality of processing modes may be employed, such as dividing the process into the process of registering the input contents as they are and the process of correcting and then registering them. . Further, when correcting the registered contents, the medical staff may be prompted to re-input, or the server device 2 may automatically execute the correction process.

This completes the warning to the medical staff before, after, and at the time of registration, and also completes the input of the medical information by the medical staff. Therefore, the control circuit 25 uses the registration function to register the medical care information in the inputted medical care database 21 . Furthermore, it is confirmed whether or not all the input processing by the medical staff has been completed, and if the input processing is continued, it returns to the processing for specifying the document to be input again and the input processing is performed in the flow described above. is done. On the other hand, if no subsequent input processing is performed, the input processing is completed here.

When the medical staff inputs the medical information, it is possible to greatly reduce input errors and operation errors by the medical staff by appropriately calling attention at a plurality of timings as described above.

As described above, the control circuit 25 appropriately determines and sets the timing of alerting according to the medical care information input items by the medical staff. However, the alert may be executed over a plurality of timings instead of being executed only at one timing. For example, in the case of the dose of a drug, before the input by the medical staff (e.g. "Please be careful of the wrong dose"), after the input (e.g. It is possible to call attention at a plurality of timings such as at the time of registration (for example, "This is an item with many input errors. Please reconfirm.").

That is, it is possible to set one to a plurality of timings for calling attention for each input item. In making the setting, it is also possible to refer to the degree of importance or the like that is set in advance for each input item. Also, the frequency of input errors may be used as a reference. For example, in addition to informing the medical staff of the number of mistakes made in a certain period, for example, processing may be performed to increase the timing of calling attention based on the frequency of mistakes.

Furthermore, the timing of alerting may be set to differ depending on whether the input item is a mandatory input item or an optional input item. For example, in the case of a mandatory input item, it is possible to set to call attention twice, once before input, once after input, and once at the time of registration.

On the other hand, for an arbitrary input item, conversely, the attention may be called only once before or after the input without calling attention at the time of registration. Further, for arbitrary input items, it is also possible to obtain information about mistakes in forgetting to input from the input/operation error database 22 and collectively call attention at the time of registration.

Here, for example, the registration function, discrimination function, and notification function of the control circuit 25 are realized by causing the processor to execute a program such as a warning program stored in a predetermined memory, storage circuit 23, or the like. is also possible. Here, the term "processor" in this specification refers to, for example, a dedicated or general-purpose CPU (Central Processing Unit), an arithmetic circuit (circuitry), or an Application Specific Integrated Circuit (ASIC), a programmable logic device (eg, Simple Programmable Logic Device (SPLD), Complex Programmable Logic Device (CPLD), and Field Programmable Gate Array (FPGA)).

The processor realizes its functions by reading and executing a program stored, for example, in the memory circuit 23 or directly incorporated in the circuit of the processor. The recording circuit that stores the program may be provided individually for each processor, or may be stored in the medical care database 21 or the input/operation error database 22 in FIG. may employ the configuration of the storage circuit 23 shown in FIG. For the configuration of the memory circuit, for example, a memory device such as a general RAM (Random Access Memory) such as a semiconductor or a magnetic disk or a HDD (Hard Disc Drive) is applied.

[motion]
Next, processing in the medical information input support system will be described with reference to FIGS. 4 to 14. FIG. Here, FIG. 4 is a flowchart showing a rough flow of processing in the medical information input support system S according to the embodiment. As shown in FIG. 4, the processing in the medical information input support system S roughly includes two types of processing: “data collection processing” and “attention calling processing”. Therefore, first, the "data collection process" will be described with reference to FIGS. 5 and 6. FIG.

FIG. 5 is a flowchart showing in detail the flow of data collection processing according to the embodiment. Also, FIG. 6 shows an example of a screen displayed on the display 12 in the data collection process according to the embodiment.

First, the terminal control circuit 11 of the information terminal 1 displays a login screen on the display 12 and prompts the medical staff to log in to the information terminal 1 . The terminal control circuit 11 is in a standby state while the medical staff performs the login process. The standby state continues until the login process is performed by the medical staff, and when the login process is completed, the main screen is displayed on the display 12 next. Up to this point, there is no change from control in a normal terminal.

The description here relates to the data collection process in which the medical staff corrects input errors and operation errors and registers the corrected contents in the input/operation error database 22 . Therefore, here, the terminal control circuit 11 receives a signal indicating that the medical staff has selected the correction screen (ST11). Based on this signal, the terminal control circuit 11 causes the display 12 to display a correction screen and identifies the document to be corrected (ST12).

An example of the screen displayed on the display 12 at this time is the example of the screen shown in FIG. In the screen example shown in FIG. 6, columns of "correction instructor" and "correction reason" are provided. In the "correction instructor" column, the name or ID of the medical worker who logged in to the information terminal 1 is usually displayed. Alternatively, by appropriately selecting "correction instructor" from the pull-down menu, it is possible to differentiate between the medical staff who logged in and the medical staff who instructed the correction.

On the other hand, two reasons are shown here for the "correction reason". In other words, "correction due to entry error" indicates that the correction is due to an entry error by a medical professional, and "condition correction" is used when it becomes necessary to correct medical information due to a change in the patient's condition. Amendment by Change”. Terminal control circuit 11 accepts which reason is selected and the reason for correction (ST13).

Then, the terminal control circuit 11 further confirms whether or not the input of the correction contents by the medical staff is due to an error (ST14). If the reason for correction is "correction due to entry error" (YES in ST14), the correction process is accepted (ST15), and the content of correction is registered in the medical database 21 of the server device 2 (ST16).

At the same time, the terminal control circuit 11 notifies the control circuit 25 of the server device 2 that the correction processing has been performed (ST17). Here, the transmission of the correction contents to the medical database 21 and the transmission to the control circuit 25 are described as separate processes, but the information indicating the correction contents includes information indicating that the correction process has been performed. The control circuit 25 may be also notified when the correction contents are registered in the medical database 21 .

The control circuit 25 of the server device 2 uses the determination function to determine the timing for calling attention for each correction content (ST18). Then, the information about the timing is registered in the input/operation error database 22 in association with the correction contents (medical care information) (ST19).

On the other hand, if the selection of the reason for correction by the medical staff is not "correction due to entry error" but "correction due to condition change" (NO in ST14), the terminal control circuit 11 performs correction processing by the medical staff. is received (ST20), and the corrected content is registered in the medical database 21 (ST21). This completes the correction reason data collection process.

Next, a description will be given of an alerting process for alerting a medical staff at a timing suitable for an input item when medical care information is entered. 7 and 8 are flow charts showing in detail the flow of attention calling processing according to the embodiment. It is assumed that the medical staff has already logged into the information terminal 1 in order to input the medical information.

Terminal control circuit 11 of information terminal 1 receives a signal indicating that an input screen for inputting medical information has been selected by the medical staff (ST31). Furthermore, the document to which the medical information is to be input is specified, and information on the specified input target document is transmitted to the control circuit 25 of the server device 2 (ST32). With the identification, the terminal control circuit 11 causes the display 12 to display an input screen (ST33).

Note that the document to which the medical information specified here is to be input may be, for example, an input target page or an input target column of an electronic medical record.

On the other hand, the control circuit 25 refers to the input/operation error database 22 (ST34) based on the information about the specified document to be input, and specifies the timing of attention calling processing for each correction content corresponding to the input medical information. (ST35). Items for alerting medical staff before input processing of target items is performed The processing up to this point is performed before the medical staff starts inputting.

Since the timing of alerting differs for each item to be input as described above, attention is alerted at an appropriate timing for each item to be input.

First, the control circuit 25 confirms whether or not the specified timing is for an item requiring attention before input (ST36). As a result, if the item for which the medical staff is about to enter the medical information requires attention before input (YES in ST36), attention is called before input (ST37). FIG. 9 is a flow chart showing the flow of the alerting process in the embodiment when alerting is performed before medical care information is input by the medical staff.

In this case, the control circuit 25 uses the notification function to display an alert on the screen when the medical staff places the cursor on the corresponding input item, for example (ST371). Further, when the timing for calling attention is specified, it is possible to display a warning for items that require attention before input.

Furthermore, it is confirmed whether or not default values are provided for the items requiring attention before input (ST372). Here, the default value is a description, value, or the like that is input in advance depending on the item. If the item has a default value (YES in ST372), the default value is first erased from the display 12 and designated as an essential input item and displayed (ST373).

FIG. 10 is an example of a screen displayed on the display 12 when calling attention before the medical staff's input. FIG. 10 shows three screen examples, and downward arrows are shown between the upper screen example and the middle screen example, and between the middle screen example and the lower screen example. 12 shows screen transitions in FIG. Note that the screen example in the middle may be superimposed and displayed on the screen example shown in the top, for example.

In the screen example shown in FIG. 10, seven items are shown in the input area for medical information. That is, "procedure", "drug name", "dose", "unit", "usage", "implementation date", and "comment". In the screen example in FIG. 10, it is assumed that among these items, the "implementation date and time" is the default value.

As shown in the upper screen example, the date "2017/1/1" is displayed as the default value in the "execution date". When the medical staff who is inputting the medical information corrects this “implementation date and time”, the control circuit 25 displays the Display to that effect on the label to alert healthcare professionals.

In the example of the screen in the middle part, there is a wording that calls for caution, "The implementation date and time are frequently corrected due to input errors." within months") and the number of corrections ("N times or more" in FIG. 10) are also displayed.

When the medical staff confirms the alert information shown in the middle screen example and clicks the "OK" button, the screen transitions to the lower screen example. In the screen example shown in the lower part, the date "2017/1/1" displayed in the item "Implementation date and time" is deleted, and the field is displayed so as to be surrounded by a dashed line.

Since the entry entered in advance on the display 12 has been erased in this way, the entry column becomes a mandatory entry item. In addition, the highlighted display enables the medical staff who enters the implementation date and time to enter the medical information more carefully.

In FIG. 10, the column is highlighted by enclosing it with a dashed line, but it may be highlighted by changing the color of the column, for example. Also, if there is no item for which the default value is indicated as an object to be alerted to the medical staff before input (NO in ST372), the processing described so far is not executed.

In this way, an alert is issued before the medical staff enters the medical information, and the medical staff starts inputting the medical information with reference to the alert. The control circuit 25 confirms whether or not the input of medical care information from the medical staff has started (ST374), and waits until the input starts (NO in ST374).

On the other hand, when the input start signal is received (YES in ST374), control circuit 25 accepts input processing (ST375). This completes the pre-input alerting process for the medical staff.

Then, the content of the input medical information is registered in the medical database 21 (ST38 in FIG. 8). The control circuit 25 confirms whether medical information has been input for all input items (ST39), and if input items still remain (NO in ST39), the process returns to step ST36 shown in FIG. In this case, alerting is executed according to the timing of alerting for each input item of medical information.

Next, a case will be described in which the alerting process is executed after the input of the medical information by the medical staff is completed. Among the input items, for items that do not require attention before input, it is determined whether or not attention is required after input (ST40 in FIG. 7). As a result, if it is determined by the determination function of the control circuit 25 that attention needs to be given after the input, the item is alerted after the input by the medical staff is completed (ST41).

FIG. 11 is a flow chart showing the flow of attention calling processing in the embodiment when attention is called after input of medical care information by a medical worker. First, the input processing by the medical staff is accepted (ST411). Then, it is confirmed whether or not the medical staff has confirmed the content of the input (ST412). If the input contents are not confirmed (NO in ST412), the control circuit 25 continues the standby process.

On the other hand, if the input content is confirmed, for example, if the control circuit 25 receives a signal indicating that the enter key is pressed by the medical staff (YES in ST412), the control circuit 25 checks the input content. (ST413). The control circuit 25 uses a discrimination function to discriminate whether or not the input item and the contents to be entered in the input item have been entered by the medical staff (ST414).

As a result, when it is determined that the input content is not appropriate (NO in ST414), a process of alerting the medical staff is executed. Here, FIG. 12 is an example of a screen displayed on the display 12 when calling attention after input by the medical staff. In FIG. 12, screen examples are shown in the upper and lower stages, respectively, and a downward arrow is shown between them. That is, it is shown that the screen transitions from the upper screen example to the lower screen example.

Here, attention is drawn to the content described in the item "Plan" in the screen example at the top. In other words, the screen example at the bottom is a warning that if the character for "prescription" is written in kanji, the "prescription" should be written as "sen" in hiragana. indicated by a speech bubble. In addition, in the speech balloon, a cautionary note stating that "corrections are being made frequently" is also displayed.

The medical staff confirms his or her entry contents by the alert and corrects the entry contents (ST416). The control circuit 25 waits until the correction process is executed by the medical staff (NO in ST416), and when the correction is executed (YES in ST416), registers the input content in the medical database 21 (see FIG. 8). ST38). Then, it is confirmed whether or not further input processing is to be executed (ST39).

Next, the flow of the attention calling process at the time of registration after the determination regarding the attention calling before and after the input to the medical staff is completed will be described with reference to FIGS. 13 and 14. FIG. FIG. 13 is a flow chart showing the flow of the attention calling process in the embodiment when the attention is called when the input of the medical information by the medical staff is completed and the medical care information is registered.

First, the control circuit 25 accepts input processing by the medical staff (ST431). Then, the control circuit 25 confirms whether or not the input contents have been confirmed (ST432), and if not (NO in ST432), it waits.

On the other hand, if the input content is confirmed (YES in ST432), the control circuit 25 checks the input content (ST433) and determines whether or not the input content is appropriate (ST434). If it is determined that the input content is not appropriate for the input item (NO in ST434), the medical staff is alerted (ST435). Note that the processing for calling the attention of the medical staff from here on will be described using the screen example shown in FIG. 14 .

FIG. 14 is an example of a screen displayed on the display 12 when a medical care worker completes input of medical care information and calls for attention at the time of registration. The screen example shown in FIG. 14 is also divided into three stages, upper, middle, and lower, and the screen transitions from the upper stage to the middle stage and then to the lower stage. The screen example shown in the upper part shows the display of the display 12 immediately after the medical care information is input by the medical staff. That is, it is an example of the screen when the input contents are confirmed by the medical staff, as described above.

Here, medical care information is input by the medical staff for the same seven items as those shown in FIG. In this state, the control circuit 25 determines whether the input contents are appropriate or not, as described above. As a result, if inappropriate content is entered, the middle screen example is displayed on the display 12 to alert the medical staff.

In the screen example shown in the middle, it says, "50% glucose injection (20ml/A) is frequently corrected to 10% glucose injection (10ml/A). Duration: Within 1 month, Number of times: N times or more." The main text is described, and below it, an inquiry to the medical staff is described, "Would you like to correct and register?"

Regarding the inquiry, both the contents of "before correction" and the contents of "after correction" are displayed here so that the medical staff can check them. Moreover, if it is made clear that the corrections will be made in the same manner as the medical staff has done so far, there is no particular need to display such a display.

Below these texts and inquiries, there are three buttons from left to right: "Register without correction", "Register without correction", and "Cancel", showing a plurality of processing modes. When the medical staff clicks the "correct and register" button, the control circuit 25 automatically corrects the content before correction to the content after correction displayed.

"Register without modification" is a process of registering in the medical database 21 exactly as entered by the medical staff. Also, the "cancel" button is a button used when the medical staff makes corrections by himself/herself.

That is, when the medical staff presses the cancel button, the control circuit 25 assumes that the medical staff will re-input the medical information (ST437), and returns to step ST431 to accept the input processing.

On the other hand, if the medical staff presses a button other than the cancel button (YES in ST436), the control circuit 25 determines whether or not to register the medical information input by pressing the button (ST438). ). That is, when the "correct and register" button is pressed (NO in ST438), the server apparatus 2 automatically executes the correction process (ST439).

This is shown in the middle and lower screen examples of FIG. In the screen example in the middle row, since an arrow is displayed in the portion of the "correct and register" button, it can be understood that the medical staff selects the "correct and register" button. When the button is pressed, the screen transitions to the lower screen example, and the screen after automatic correction by the control circuit 25 is displayed. Here, the drug name has been corrected.

On the other hand, if the "correct and register" button is not pushed but the "register as is" button is pushed (YES in ST438), unlike the screen example shown in the lower part of FIG. Not executed. After the attention calling process as described above is executed, it is registered in the medical care database 21 (ST38 in FIG. 8). After that, it is determined whether or not there is medical information that has not been input (ST39), as described above.

According to at least one embodiment described above, information on correction history of input/operation errors by medical staff is stored in a database to prevent recurrence of input/operation errors in medical information input processing by medical staff. In order to do so, it is possible to alert the patient in a timely manner and assist in inputting medical information.

In addition to directly alerting medical staff as described above, for example, based on the information stored in the input / operation error database 22, statistics of mistakes for each medical staff and By calculating the proficiency level using the number of mistakes, or by providing information to all medical staff who handle medical information by combining other information in the hospital system 3, we aim to raise the awareness of medical staff, It can also be applied to system operation education.

While several embodiments of the invention have been described, these embodiments have been presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and modifications can be made without departing from the scope of the invention. These embodiments and their modifications are included in the scope and spirit of the invention, as well as the scope of the invention described in the claims and equivalents thereof.

1 information terminal 2 server device 3 hospital system 4 modality 21 clinical database 22 input/operation error database 23 storage circuit 24 communication control circuit 25 control circuit

Claims (10)

an information terminal used by medical staff to enter medical information for patients;
a server device having a database that stores the medical information and a control circuit;
The control circuit of the server device,
a discrimination function that discriminates the timing of alerting associated with the medical information when the medical staff performs the process of inputting the medical information;
A notification function that alerts the medical staff via the information terminal at each timing;
A medical information input support system comprising: 2. The medical information input support system according to claim 1, wherein a plurality of said timings are provided for each medical information when said medical staff performs processing for inputting said medical information. The timing is at least one of timing before the medical staff inputs the medical care information, after the input, and at the time of registration for registering the input contents in the database. Item 2. The medical information input support system according to item 2. The control circuit deletes the default value of the medical information for which a default value is specified when the alert is issued before the medical staff inputs the medical information, and the default value is set to 4. The medical care information input support system according to claim 3, wherein the attention is called to the medical staff by clearly stating that the information has been deleted. The control circuit determines whether or not the input medical information is appropriate when the medical information is input by the medical staff, and if the content of the input medical information is not appropriate, the medical 5. The medical information input support system according to claim 3 or 4, wherein the attention is called to the worker. The control circuit presents a plurality of processing modes to the medical staff after the alert when the medical staff is alerted when the input medical information is registered in the database. 6. The medical information input support system according to any one of claims 3 to 5, characterized in that: 7. The medical information input support system according to any one of claims 1 to 6, wherein said control circuit further comprises a registration function for registering said medical information in said database. to the server device,
a step of registering information on input/operation errors by medical staff for each medical information;
determining the timing of alerting associated with the medical information when registering the input/operation error information;
a step of determining the timing when the medical staff performs the process of inputting the medical information, and notifying the medical staff of the alert via an information terminal at each timing;
A warning program characterized by executing a process including. 9. The alerting program according to claim 8 , wherein a plurality of timings for informing the alerting are provided for each medical information when the medical staff performs a process of inputting the medical information. 3. The timing is at least one of before the medical staff inputs the medical information, after the input, and at the time of registration for registering the input contents in a database. 9. Reminder program according to 9.

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