JP7770697B2 - Information management system, information management method, and information management program - Google Patents

Description

The present invention relates to an information management system, an information management method, and an information management program, and in particular to an information management system, method, and program for improving the efficiency of medication management and material management in medical institutions.

Hospitals and other medical facilities require the management of a wide range of items, including the prescribing and administration of medications to inpatients and outpatients, as well as the maintenance and sterilization of surgical instruments and equipment for surgery and clinical testing. Pharmacists check the medications listed on prescriptions written by doctors and distribute them individually for each patient. Furthermore, nurses and clinical laboratory technicians check the quantities and types of surgical instruments such as scalpels and forceps, endoscopes, gauze, catheters, pus trays, electrocardiogram monitors, etc. required for each surgery or clinical test, and deliver them to the operating room or other medical facility.

When checking the above-mentioned medicines, surgical tools, instruments, etc., pharmacists, nurses, etc. in the facility visually checked each item and recorded the results of the check. As a result, recording the results of the check on the required documents took time, increasing the burden on on-site workers. Today, due to demands for safety and proper management in medical settings, more accurate and strict management and supervision are required for the creation and storage of individual work records for medicines, surgical tools, instruments, etc.

In response to this trend, systems for managing the dispensing of prescription drugs based on prescriptions have been proposed (see Patent Document 1, etc.). The system in Patent Document 1 has achieved a certain level of efficiency in terms of matching using barcodes attached to drugs.

Japanese Patent Application Laid-Open No. 2021-61908

However, as mentioned above, while the dispensing of prescription medications in hospitals and other medical facilities is important, it has not been possible to fully address the wide-ranging management and recording of the use of other equipment and supplies used within the facility, as well as the receipt, dispensing, and disposal of such items.

The present invention has been developed in consideration of the above points, and provides an information management system, information management method, and information management program that streamlines safety confirmation and bookkeeping tasks when handling a wide range of items, such as prescribing medicines, maintaining surgical tools and instruments, and sterilizing them in medical facilities such as hospitals, thereby reducing the workload of on-site workers and facilitating the creation and storage of work records for medicines, surgical tools, instruments, etc. in medical settings.

That is, the information management system of the embodiment is characterized by comprising: a work acquisition unit that acquires, from a terminal device, work content information that has been assigned in advance according to the work being performed within a medical facility; an item acquisition unit that acquires, from the terminal device, item labeling information that is attached to medical items, including pharmaceutical packaging, materials, and surgical tools, that correspond to the work; an authentication memory unit that compares the work content information with the item labeling information and stores a conformance certification if the item labeling information matches the work content information and a non-conformance certification if the item labeling information does not match the work content information; a memory storage unit that saves, as management record information, the work content information, item labeling information, and the storage of the conformance certification in the case of conformance certification, and the storage of the work content information, item labeling information, and the storage of the non-conformance certification in the case of non-conformance certification; and an output unit that outputs the management record information.

Furthermore, the information management system may be equipped with a worker acquisition unit that acquires worker information assigned to each worker performing a task from a terminal device, the authentication memory unit stores the worker information when matching the task content information with the item display information, and the memory storage unit stores the worker information.

Furthermore, the information management system may be equipped with a notification unit that, in the event of unsuccessful authentication, issues a warning to the terminal device that the work content information and item display information do not match, and notifies the terminal device of medical items based on item display information that match the work content information.

Furthermore, in the information management system, the worker acquisition unit acquires information on two or more workers, and the authentication storage unit, when acquiring information on two or more workers corresponding to the work content information, compares the work content information with the item display information and stores a matching authentication if the item display information matches the work content information, and may store a non-authentication if the acquired worker information is for only one worker, even if the work content information matches the item display information after comparing the work content information with the item display information.

Furthermore, in the information management system, the notification unit may compare the work content information with the item display information and notify the terminal device that only one worker's information has been obtained, even if the item display information matches the work content information, as a failure to authenticate.

Furthermore, in the information management system, the work content information may be characters indicating the name of the work content, a unique barcode assigned according to the work content, or a unique two-dimensional code assigned according to the work content; the item display information may be characters indicating the item name of the medical item, a barcode unique to the medical item, or a two-dimensional code unique to the medical item; and the worker information may be a unique barcode assigned according to the worker, a unique two-dimensional code assigned according to the worker, or biometric information of the worker.

Furthermore, in the information management system, the output unit may display additional information describing the medical item on the terminal device based on the item display information.

The information management system of the present invention includes a task acquisition unit that acquires, from a terminal device, task information previously assigned in accordance with the task performed within a medical facility; a task acquisition unit that acquires, from the terminal device, task labeling information attached to medical items, including pharmaceutical packaging, materials, and surgical tools, corresponding to the task; an authentication memory unit that compares the task information with the task labeling information and stores a conformance certification if the task labeling information matches the task information and a non-conformance certification if the task labeling information does not match the task information; a memory storage unit that stores, as management record information, the work task information, task labeling information, and the conformance certification in the case of conformance certification, and the work task information, task labeling information, and the non-conformance certification in the case of non-conformance certification; and an output unit that outputs the management record information. This streamlines bookkeeping operations when handling a wide range of items, such as pharmaceutical prescriptions, surgical tools, equipment maintenance, and sterilization, at medical facilities such as hospitals, thereby reducing the workload of on-site workers and facilitating the creation and storage of work records for pharmaceuticals, surgical tools, equipment, etc. at medical facilities. Additionally, the information management method and program can also streamline bookkeeping, reducing the workload of on-site workers and making it easier to create and store work records for pharmaceuticals, surgical tools, instruments, etc. in medical settings.

1 is a schematic diagram illustrating a configuration of an information management system according to an embodiment. FIG. 2 is a block diagram showing the configuration of a computer of the information management system. FIG. 10 is a first schematic diagram showing a display example of a terminal device. FIG. 2 is a second schematic diagram showing a display example of a terminal device. 10 is a table showing an example of management record information. 1 is a flowchart illustrating an information management method according to an embodiment.

The information management system of this embodiment allows for easy operation on a terminal device to record, record, and save information about the personnel involved, the nature of the work, the date and time, and the results of various tasks, such as prescribing medical supplies to patients (inpatients, outpatients, and patients receiving medical care at home), use, and the delivery (acceptance) of, delivery (dispense) and disposal of medical supplies handled within medical facilities such as hospitals, dental clinics, prescription pharmacies, nursing homes, convalescent homes, and clinical testing facilities.The system also allows for the stored information to be viewed and printed when necessary, making it useful for audits of medical facility operations, inspections and inspections by public institutions, etc.

For convenience of portability for medical facility staff (doctors, nurses, pharmacists, clinical laboratory technicians, and other staff), well-known smartphones, tablet devices, etc. are used as terminal devices. As described below, models equipped with cameras are preferred due to the need to take images. Using general-purpose devices helps reduce the cost of introducing the system.

Medical items include medicines, supplies, and surgical tools. Medicines include tablets, ointments, capsules, ampoules, vials, and infusions. Supplies include gauze, bandages, injection needles, syringes, blood pressure monitors, ventilators, blood testing equipment, PCR equipment, and X-ray equipment. Surgical tools include endoscopes, scalpels, forceps, and sutures. These medical items are labeled with "item labeling information."

Item display information includes the name of each medical item as well as a unique barcode or two-dimensional code (known as a QR code (registered trademark)). For example, item display information may be a GTIN (JAN code) or a barcode conforming to the GS1 standard (GS1 Databar, GS1-128), and is attached to the packaging of pharmaceuticals. In addition to being attached to the packaging of materials, unique barcodes (two-dimensional codes) are also affixed directly to the equipment. For surgical tools, barcodes are affixed to the body of an endoscope. For scalpels and other instruments, an identifiable number or barcode (two-dimensional code) is engraved or laser-burned into the instrument.

By attaching item identification information readable by terminal devices to almost all medical items, the premise is laid for centralized management of all medical items that are prescribed, used, stored, carried in, carried out, disposed of, etc. at various locations within the medical facility. In addition, name tags are attached to individual staff members (doctors, nurses, pharmacists, clinical laboratory technicians, various other staff members, etc.) within the medical facility, and "worker information" identifying each individual staff member, such as name, affiliation, occupation, position, and work location, is printed on these name tags as a unique barcode (two-dimensional code). Furthermore, a photograph identifying the individual may be attached to the name tag and included in the worker information. Staff members can easily and quickly input the name of the person engaged in the work to be performed or the work that has been completed, by holding the worker information over a terminal device.

In addition, "work content information" is provided to simplify the input of various work details, such as prescription, use, storage, delivery, removal, and disposal, carried out at various locations within a medical facility. Work content information is a card or sheet on which the work details are printed, and corresponds to the name of the work details and a unique barcode (two-dimensional code) printed according to the work details. By holding the work content information over a terminal device, staff can easily and quickly input the work details to be performed or the work details that have been completed.

Figure 1 is a schematic diagram showing the configuration of an information management system 1 according to an embodiment. The information management system 1 is a system installed in a medical facility such as a hospital, and is wirelessly connected to a server 10 (computer) and terminal devices 20 owned (loaned) by staff or installed (fixed) at various locations in the medical facility. The connection may be via the Internet or a dedicated intranet within the medical facility. The terminal devices 20 are equipped with a display unit 21 that serves as an input/output touch panel, such as an LCD display, for the convenience of checking and inputting displayed content.

When medical facility staff 2, 3 hold their name tags over terminal device 20, the worker information 2n, 3n on the name tags is read by terminal device 20. At the same time, work content information 4m corresponding to each individual work content is printed individually on forms 4 (documents, sheets, etc.) on which specific work content such as prescriptions is written. Therefore, when medical facility staff 2, etc. hold the work content information 4m corresponding to the work content on the form 4 on which the specific work content is written over terminal device 20, the work content information 4m on the form 4 is read by terminal device 20.

Furthermore, various medical items such as medicines and supplies (medicine 5 (its packaging), surgical tools 6, and supplies 7) are affixed with product display information 5m (printed on the medicine packaging), 6m (printed on the container), and 7m (attached to the equipment). Therefore, product display information 5m, 6m, and 7m are read from terminal device 20 by medical facility staff 2, 3, etc.

In this way, input of work content information 4m corresponding to the work to be performed or completed, input of worker information 2n, 3n of the medical facility staff 2, 3 in charge, and input of item display information 5m, 6m, 7m of the type of medical item (drugs 5, surgical tools 6, materials 7) to be processed (prescribed, administered, sterilized, disposed of, etc.) via terminal device 20 can be completed extremely simply by capturing an image. As mentioned above, work content information, worker information, and item display information are displayed using barcodes (or two-dimensional codes). In addition, item display information may be displayed as text itself using character reading and character recognition. Furthermore, worker information may be an image of the worker's face itself, and biometric information may be used for identity authentication by photographing the face. Biometric information such as hand veins and eye irises may also be used as worker information for identity authentication.

The worker information, work content information, and item display information entered via terminal devices 20 are aggregated and centrally managed on server 10 (computer). When worker information, work content information, and item display information are entered from terminal devices 20, the time of entry (year, month, day, hour, minute, second) is simultaneously recorded. Furthermore, these records are printed as document 9 in a predetermined format from printer 8 connected to server 10. Document 9 is management record information (see Figure 5), and worker information and item display information based on work content information are compiled in a list. Document 9 is a record document that can be immediately presented for audits of medical facility operations (internal audits, external audits), inspections and inspections by public institutions, etc. The number of staff, terminal devices, etc. in the diagram is appropriate and is not limited to the numbers shown for convenience.

Figure 2 is a block diagram showing the configuration of the server 10 (computer) of the information management system 1. The server 10 (computer) is composed of hardware such as a computer required for various operational control functions such as signal reception, calculation execution, and storage, and is equipped with a control unit 11, ROM 12, RAM 13, storage unit 14, I/O 15 (input/output interface), etc.

When each functional unit of the server (computer) 10 is implemented by software, the server (computer) 10 is implemented by executing the instructions of a program, which is software that implements each function. The recording medium that stores this program can be a "non-transitory tangible medium," such as a CD, DVD, semiconductor memory, or programmable logic circuit. The program may also be supplied to the server (computer) 10 of the information management system 1 via any transmission medium capable of transmitting the program (such as a network line, communications network, or broadcast wave, not shown).

The memory unit 14 of the server (computer) 10 is a well-known storage device such as an HDD or SSD. The memory unit 14 stores various data, collation, judgment, and information management programs, as well as various data required to run these programs. Each functional unit that performs various calculations and operations is a control unit 11 having a CPU, GPU, or other computing element. Information and signals from the terminal device 20 can be input and output from the I/O 15 via the Internet or an intranet line. The server (computer) 10 may also be a personal computer (PC), with the operating units such as a keyboard, mouse, and display connected to the I/O 15 (not shown). The printer 8 is also connected to the I/O 15.

The functional units in the control unit 11 (CPU, etc.) of the server (computer) 10 are shown in the block diagram of Figure 2. Each functional unit includes a task acquisition unit 110, an item acquisition unit 120, a worker acquisition unit 130, an authentication memory unit 140, a memory storage unit 150, a notification unit 160, an output unit 170, etc. The operation and execution of the control unit 11 of the server (computer) 10 is realized in software terms by an information management program, etc., loaded into the main memory.

The task acquisition unit 110 acquires task content information that has been assigned in advance according to the tasks performed within the medical facility from the terminal device. As explained in Figure 1, this process involves preparing a form 4 on which specific task content is written, and reading task content information 4m corresponding to the task content on this form from the terminal device 20. For details, see the task type sheet 40 in Figure 3.

The item acquisition unit 120 acquires from the terminal device item display information attached to medical items, including pharmaceutical packaging, materials, and surgical tools, corresponding to the work. As explained in Figure 1, this process involves reading from the terminal device 20 the item display information 5m (printed on the pharmaceutical packaging), 6m (printed on the container), and 7m (attached to the equipment) printed on various medical items, such as pharmaceuticals and materials (pharmaceuticals 5 (their packaging), surgical tools 6, and materials 7).

The worker acquisition unit 130 acquires worker information assigned to each worker performing a task from a terminal device. As explained in Figure 1, this process involves medical facility staff members 2 and 3, who will be performing the task, holding their name tags over the terminal device 20, and the worker information 2n and 3n on their name tags is read by the terminal device 20.

In this embodiment, the worker acquisition unit 130 acquires worker information for two or more people (three or more people if necessary). According to Figure 1, this is worker information 2n, 3n for medical facility staff members 2 and 3 (both workers). In order to reduce work errors (negligence, mistakes) that occur when processing is left to just one person, and in light of the need for confirmation and supervision by others, worker information for the parties involved, their witnesses, and supervisors is acquired simultaneously.

The authentication storage unit 140 compares the work content information 4m with the item display information 5m, etc., and stores a match authentication if the item display information 5m, etc. matches the work content information 4m, and stores a non-match authentication if the item display information 5m, etc. does not match the work content information 4m. Furthermore, the authentication storage unit 140 stores worker information 2n, etc., when comparing the work content information 4m with the item display information 5m, etc. This is based on a request to identify, store, and save the individual worker engaged in the work when comparing the work content and the item. When a work defect or error occurs, the individual can be identified and used to improve on-site work.

For example, if form 4 is a prescription, it contains the type and amount (volume, number of days) of the prescribed medication. When form 4 is issued, the prescription information written on form 4 is stored and accumulated in server (computer) 10. At this time, the work content information 4m printed on form 4 is compared with the item display information 5m printed on the actual medication container or packaging to determine whether they match. That is, the read item display information 5m is checked to see if it is appropriate, and compared with the type and amount of medication stored and accumulated in server 10 as work content information 4m printed on form 4. If the comparison results in a match, a conformance certification indicating that there is no problem with the comparison is stored in server 10. If the comparison results in a mismatch, a failure certification indicating that there is a problem with the comparison is stored in server 10. As described below, the storage and history of conformance certification or failure certification can be retroactively verified.

This process reduces the work of prescribing medicines and medications based on prescriptions, as well as the associated confirmation and verification work. Naturally, the same applies to the sterilization of surgical instruments 6 used in surgery, the preparation of endoscopes, and the preparation of materials 7 for clinical testing. Additionally, the same applies to the disposal of materials 7 such as used catheters and syringes.

The authentication storage unit 140 also stores worker information when matching the work content information with the item display information. This stores the work content and the medical items that match the work content, as well as the worker who performed the work content, thereby clarifying work responsibility.

The memory storage unit 150 stores, as management record information, the work content information, item display information, and the memory of the conformance certification in the case of conformance certification, and the work content information, item display information, and the memory of the non-conformance certification in the case of non-conformance certification. The management record information stored in the memory storage unit 150 is used as evidence for subsequent audits, inspections, and inspections. Figure 5, described below, is a schematic diagram of an example display of management record information 70.

In addition, when the memory storage unit 150 acquires information on two or more workers corresponding to the work content information, it compares the work content information with the item display information, and stores a matching certification if the item display information matches the work content information. Even if the work content information and the item display information are compared and the item display information matches the work content information, if only one worker's information is acquired, it stores a non-certification.

In order to ensure safety and prevent human error, work within medical facilities is required to be confirmed by two people (although there may be cases where there are more than two people) as a general rule, except in highly urgent situations. Even in situations where there is no technical problem in matching the work content with the medical item (certified compliance), there is a high probability that the work violates the safety management and service regulations within the facility. For this reason, it is necessary to record that only one worker was involved in the work. Therefore, the memory retention unit 150 records that authentication was not possible when worker information for one person has been obtained (the fact that worker information for only one person has been obtained).

When authentication is not possible and is stored in the authentication storage unit 140, the notification unit 160 issues a warning to the terminal device 20 that the work content information and the item display information do not match, and notifies the terminal device 20 of medical items based on the item display information that matches the work content information.

The role of the notification unit 160 is to link the work content information 4m (its barcode, 2D code) acquired from the terminal device 20 with item display information 5m, etc., that should be processed appropriately. Therefore, the item display information read after the work content information 4m must be for an appropriate item that matches the work content information. If the item display information for the medical item that has been read indicates an error in the medical item, the work should not continue. For this reason, the notification unit 160 executes processing to issue a warning from the terminal device 20 to prompt the worker to check. The warning from the terminal device 20 can take the form of processing such as flashing the screen (display unit 21) of the terminal device 20 or emitting a buzzer sound from the speaker.

When a warning is issued, the worker in the middle of work immediately recognizes the mistake and can switch to the appropriate medical item and continue the work. However, there are times when it is difficult to determine the appropriate medical item. In such cases, the notification unit 160 notifies the terminal device 20 of the medical item based on the item display information that matches the work content information 4m. This allows the worker to recognize which medical item is correct.

For example, if the work involves prescribing oral medication for an inpatient in a hospital based on a prescription written by a doctor, and the medication being prescribed is an antidiarrheal (name K), but the item display information for a headache medication (name L) is mistakenly read from terminal device 20, terminal device 20 will immediately issue a notification. Then, the antidiarrheal medication (name K, packaging, manufacturer, etc.) will be displayed on display unit 21 of terminal device 20 as the correct prescribed medication. This allows the worker to instantly understand the next task to be performed. Of course, in addition to prescribing medicines based on prescriptions, this can also be used to display the types of endoscopes, catheters, surgical tools, etc.

In addition, the notification unit 160 compares the work content information with the item display information and notifies the terminal device 20 that only one worker's information has been obtained, even if the item display information matches the work content information, as a failure to authenticate. The notification from the terminal device 20 may be a flashing screen (display unit 21) of the terminal device 20, a buzzer sound from the speaker, a text display such as "Work with two people," or a voice readout. The purpose of this notification is to alert the worker engaged in the work to allocate another person to confirm the work content.

The output unit 170 controls the output of management record information 70 (see Figure 5). For example, this includes printing the information as a document 9 in a predetermined format from a printer 8 connected to the server 10, or transmitting the information to an external party. Printing the management record information 70 as a document 9 enables quick confirmation during audits and inspections.

Furthermore, the output unit 170 causes the terminal device 20 to display additional information describing the medical item based on the item display information. The additional information describing the medical item is a wide range of documented information, such as prescription drug package inserts and drug guides (IF: interview forms) in the case of pharmaceuticals, instruction manuals, work manuals, lists of substitute products, work procedures within medical facilities, materials such as know-how, and warnings in the case of medical equipment.

By displaying the additional information on the terminal device 20, for example, a worker (pharmacist) engaged in prescribing work can check the contraindications for a drug on the terminal device 20 while working. Furthermore, medical waste workers can use this information when collecting medical waste to check for the presence or absence of needles or catheters used on patients infected with hepatitis virus, HIV, etc.

Figures 3 and 4 are schematic diagrams showing an example of the display on the display unit 21 of the terminal device 20. The usage status of the information management system according to the embodiment will be explained using these figures.

In the schematic diagram of Figure 3, the display unit 21 displays a screen for work-related operations from the top. In the illustration, these are buttons (icons) for inputting work settings 22, start 23, end 24, history 25, and settings 26. Below these are displayed a screen display 27 for selecting the work type and a screen display 28 for changing the start conditions. Furthermore, various information is displayed, in order, including a user input display 30, and additional information such as a staff ID display 31, order number display 32, sub-ID display 33, record evidence display 34, and work status display 35, including work location and person in charge. In the illustration, the work content is about to be input, so operation begins by pressing the work settings 22 button (icon).

For example, when a worker in the facility is about to begin work, the two-dimensional code (QR code (registered trademark)) of the target work item is obtained via the camera (not shown) of the terminal device 20 from the work type sheet 40 shown on the right side of the display unit 21. In the illustration, the following items are printed: incoming inspection 41, ward replenishment 42, mixed injection confirmation 43, patient delivery 44, completed (YES) 45, and canceled (NO) 46, along with the two-dimensional codes (work content information) corresponding to these items. The two-dimensional code corresponding to the work to be undertaken is then obtained via the camera of the terminal device 20. The work item of the obtained two-dimensional code is displayed on the screen display 27 for work type selection (not shown).

Next, in the illustration, two people are assigned as workers engaged in the task. The two-dimensional codes (worker information) on each worker's staff ID card 50 (first staff ID card 51, second staff ID card 52) are acquired by the camera of the terminal device 20. In the illustration, the first staff member ID card 51 is the main person in charge, and their name is displayed in the staff ID display 31 field, while the second staff member ID card 52 is the person in charge of verification, and their name is displayed in the sub-ID display 33 field.

Then, the barcode (item display information) of the processing details printed on the processing card 48 is acquired by the camera of the terminal device 20. In the illustration, the barcodes for the incoming inspection and its order number are shown, and the corresponding details are displayed in the order number display 32 on the display unit 21 in conjunction with the barcode.

In the embodiment of Figure 3, a time storage function is provided, and the time when the work content information, worker information, and item display information are acquired, or the time when the Start 23 button (icon) is pressed (touched), is transmitted from the terminal device 20 to the server 10.

The following schematic diagram, Figure 4, depicts a prescription scene in a medical facility. When the Start button (icon) 23 is pressed (touched), a two-dimensional code (task content information) of the processing details printed on the task card 49 is acquired by the camera of the terminal device 20. In the illustrated example, the task type 60 and start time 61 are displayed in that order. Then, a reading instruction 62 is displayed. Following the reading instruction 62, the worker uses the camera of the terminal device 20 to read the barcode (item display information) printed on the packaging (label) of the medical item 55 that matches the task, and the item display information of the medical item 55 is acquired. The medical item 55 may be identified using either a GS1 barcode or by reading the character name of the medical item 55. After the reading, an image 63 of the read is displayed for confirmation, and additional information 64, such as the code, product name, and manufacturer name of the medical item 55, is also displayed in conjunction with the barcode.

The display examples in Figures 3 and 4 are only a partial example of a usage scenario; naturally, displays, modes, and situations other than those shown exist. A series of tasks performed within a medical facility and their records are stored as management record information. The schematic diagram in Figure 5 is an example of management record information 70. Management record information 70 is a document that displays a list of "when, what, how much, how, where, who, to whom, how, and how much (required time)." As mentioned above, simply holding a barcode (two-dimensional code) over terminal device 20 enables the compilation of comprehensive information such as task content, worker, item content, and time into a list. This reduces the workload of workers who previously had to write and edit each task on-site. Furthermore, the ease of entering information about multiple workers reduces the burden of double-checking between the main task manager and the person responsible for confirming the task. Furthermore, the ability to record time (date, time) sequentially eliminates the burden of creating real-time records. In the management record information 70 in Figure 5, the time is displayed as "month, date, time." For example, "A/a PQ:ab" omits the year and represents "month/day hour:minute," and similarly for others.

The format of the management record information 70 can be rearranged at any time to suit the format of reports, audits, etc. The output format can be printed on paper as document 9 as shown in Figure 1, or it can be output from spreadsheet software (CSV format, etc.). The terminal device 20 can be held in one hand by the worker for reading operations, or it can be installed as a stationary device on a workbench. Freeing up both hands of the worker improves work efficiency.

Workers at medical facilities, or so-called medical professionals, always keep patient safety in mind when working in the medical field. However, it is also true that serious accidents occur due to medication administration errors, mix-ups, and other issues caused by busy schedules. The information management system of this embodiment allows medical facility workers to easily record and store their own work, and this evidence (records, proof) can protect the workers themselves from negligence, disputes, and other issues.

Other use cases for the information management system of the embodiment include: (1) the information management system being used for installing medical equipment within a medical facility and managing the assets of such equipment. Examples of uses include recording the installation of which equipment has been brought in where, linking with asset management ledgers, and tracking the lending of portable equipment to hospital wards.

(2) The information management system will be used to manage medical equipment inspection history and equipment assets. For example, it will link maintenance inspection records, such as which equipment was inspected and when, with the asset management ledger. The asset number of leased property, etc. will be added to the barcode of the item display information.

(3) The information management system is used by nurses and others to refer to medical equipment manuals. By obtaining the barcode of a medical item such as a medical device from the terminal device 20, the terminal device 20 displays the attached document reference (URL), manufacturer emergency contact information, and simple instruction manual for that medical item, which are stored on the server 10 in association with the medical item's barcode. This is useful for reference purposes when there are few staff members, such as during night shifts or on holidays.

(4) The information management system is used to manage the usage records of in vitro diagnostic reagents. When managing the usage history of in vitro diagnostic reagents, records of receipt of the in vitro diagnostic reagents are generated, along with records of which devices they were used in and confirmation of the package inserts.

(5) The information management system is used to manage sterilization and cleaning records. When managing the cleaning history of medical items that require sterilization, such as surgical instruments and endoscopes, the barcodes (two-dimensional codes) of the medical items to be sterilized are obtained from the terminal device 20. Sterilization and cleaning records are then added, and a cleaning tracking record is created and saved.

(6) The information management system is used to manage incoming inspection records of pharmaceuticals and medical supplies. The barcodes (two-dimensional codes) of incoming inspection items (medical supplies) are acquired from terminal device 20. An incoming inspection record is then generated and linked to the facility's inventory management system.

(7) The information management system is used to manage ward dispensing records from the hospital's pharmacy department. When a fixed amount of medicines (medical supplies) is dispensed or an ad hoc dispensing is made to a hospitalized patient, the barcode (two-dimensional code) of the dispensed item (medical supply) transported to the ward is acquired from the terminal device 20. A dispensing record is then generated and linked to the facility's inventory management system.

(8) The information management system is used to manage records of pharmaceutical usage and disposal. After a pharmaceutical is used in a hospital ward or outpatient clinic, the barcode (two-dimensional code) of the used pharmaceutical (medical item) is obtained from the terminal device 20. A usage record is then generated and linked to the facility's inventory management system.

(9) The information management system is used to manage records of mixing work (drug mixing work) in hospital wards. When mixing work is carried out in hospital wards, the barcodes (two-dimensional codes) of the pharmaceuticals (medical items) to be mixed are obtained from terminal device 20. A mixing record is then generated. In addition, multiple nurses on site can mutually confirm the information by entering worker information.

(10) The information management system is used to create and manage search records for medications brought in by outpatients and inpatients. Typically, nurses visually check the medications brought in and perform a drug search. The barcode (two-dimensional code) of the medication (medical item) brought in is obtained from the terminal device 20, and the medication is identified from this, and the Ministry of Health, Labor and Welfare package insert for the medication is checked. Additionally, multiple nurses can mutually check the medication by entering worker information.

(11) The information management system is used to manage incident records. From the perspective of crisis management within the medical facility, records are kept of accidents, errors, cautions, etc. related to medical items such as pharmaceuticals and medical devices, and workers are thoroughly informed and warned. Barcodes (two-dimensional codes) of problematic medical items and related medical items are obtained from the terminal device 20, and an incident record is created. In addition, adverse event searches by supervisory authorities and other organizations are confirmed, and information is stored in the facility's safety management system.

Now, using the flowchart in Figure 6, we will explain both the information management method and information management program in the information management system 1 of this embodiment. The information management method is executed by the control unit 11 of the server (computer) 10 based on the information management program. The information management program causes the server (computer) 10 in Figures 1 and 2 to perform functions such as task acquisition, item acquisition, worker acquisition, authentication storage, storage and saving, notification, and output. Each function overlaps with the description of the information management system 1 described above, so details will be omitted.

As can be seen from the flowchart in Figure 6, the processing of the server (computer) 10 includes various steps, such as a task acquisition step (S110), an item acquisition step (S120), a worker acquisition step (S130), an authentication storage step (S140), a storage step (S150), a notification step (S160), and an output step (S170). Naturally, the various steps necessary for the operation of the server (computer) 10 itself are also included.

The task acquisition function acquires from the terminal device 20 task content information previously assigned in accordance with the task to be performed within the medical facility (S110; task acquisition step). The item acquisition function acquires from the terminal device 20 item display information attached to medical items corresponding to the task, including pharmaceutical packaging, materials, and surgical tools (S120; item acquisition step). The worker acquisition function acquires from the terminal device 20 worker information assigned to each worker performing the task (S130; worker acquisition step). The authentication storage function compares the task content information with the item display information, and stores a matching authentication if the item display information matches the task content information, and stores a non-matching authentication if the item display information does not match the task content information (S140; authentication storage step).

The memory storage function stores the work content information, item display information, and the corresponding certification in the case of a conformance certification, and the work content information, item display information, and the corresponding certification in the case of a failure certification, as management record information (S150; memory storage step). In the case of a failure certification, the notification function issues a warning to the terminal device 20 that the work content information and item display information do not match, and notifies the terminal device 20 of medical items based on the item display information that match the work content information (S160; notification step). The output function outputs the management record information (S170; output step).

The computer program of the present invention described above may be recorded on a processor-readable recording medium, and the recording medium may be a "non-transitory tangible medium" such as a tape, disk, card, semiconductor memory, or programmable logic circuit.

The above computer program can be implemented using, for example, scripting languages such as ActionScript and JavaScript (registered trademark), object-oriented programming languages such as Objective-C and Java (registered trademark), and markup languages such as HTML5.

1. Information management system 2. 3. Medical facility staff (workers)
2n, 3n Worker information 4 Paper on which work content is described 4m Work content information 5, 6, 7 Medical items 5m, 6m, 7m Item display information 9 Documents 10 Server (computer)
REFERENCE SIGNS LIST 11 control unit 14 storage unit 20 terminal device 21 display unit 70 management record information 110 work acquisition unit 120 item acquisition unit 130 worker acquisition unit 140 authentication storage unit 150 storage and preservation unit 160 notification unit 170 output unit

Claims (7)

a task acquisition unit that acquires task content information that has been assigned in advance according to tasks in a medical facility from a terminal device;
an item acquisition unit that acquires, from the terminal device, item display information attached to medical items including pharmaceutical packaging, materials, and surgical tools corresponding to the work;
a worker acquisition unit that acquires worker information assigned to each worker who performs the work from the terminal device;
an authentication storage unit that compares the work content information with the item display information, and stores a matching authentication when the item display information matches the work content information, and stores a non-matching authentication when the item display information does not match the work content information;
a storage unit that stores the worker information and stores, as management record information, the work content information, the product display information, and the conformance certification in the case of conformance certification, and the work content information, the product display information, and the conformance certification in the case of non-certification;
an output unit that outputs the management record information ,
the worker acquisition unit acquires the worker information of two or more workers,
The authentication storage unit compares the work content information with the item display information when acquiring information on two or more workers corresponding to the work content information, and stores a matching authentication if the item display information matches the work content information, and stores a matching authentication if the work content information matches the item display information when acquiring information on only one worker.
An information management system characterized by: 2. The information management system of claim 1, further comprising an alarm unit that, in the event of authentication failure, issues a warning to the terminal device that the work content information and the item display information do not match, and notifies the terminal device of the medical item based on the item display information that matches the work content information. The information management system of claim 2, wherein the notification unit compares the work content information with the item display information and notifies the terminal device that the worker information obtained is for one person, even if the item display information matches the work content information, as the authentication failure. The work content information is a character indicating the name of the work content, a unique barcode assigned according to the work content, or a unique two-dimensional code assigned according to the work content,
The product display information is the name of the medical product in letters, a barcode unique to the medical product, or a two-dimensional code unique to the medical product;
2. The information management system according to claim 1 , wherein the worker information is a unique barcode assigned to the worker, a unique two-dimensional code assigned to the worker, or biometric information of the worker. The information management system described in claim 1, wherein the output unit displays additional information describing the medical item on the terminal device based on the item display information. The computer
a task acquisition step of acquiring task content information assigned in advance according to tasks to be performed in the medical facility from a terminal device;
an item acquisition step of acquiring, from the terminal device, item display information attached to medical items including pharmaceutical packaging, materials, and surgical tools corresponding to the work;
a worker acquisition step of acquiring worker information assigned to each worker who performs the work from the terminal device;
an authentication storage step of comparing the work content information with the item display information, and storing a matching authentication when the item display information matches the work content information, and storing a non-matching authentication when the item display information does not match the work content information;
a storage step of storing the worker information and storing, as management record information, the work content information, the product display information, and the conformance certification in the case of conformance certification, and the work content information, the product display information, and the conformance certification in the case of non-certification;
an output step of outputting the management record information ,
the worker acquisition step acquires information on two or more workers,
The authentication storage step compares the work content information with the item display information when the information of two or more workers corresponding to the work content information is acquired, and stores a matching authentication when the item display information matches the work content information, and stores a matching authentication when the information of only one worker is acquired even if the work content information matches the item display information when the information of the two or more workers corresponding to the work content information is acquired.
An information management method comprising: On the computer,
a task acquisition function that acquires task content information that has been assigned in advance according to tasks within a medical facility from a terminal device;
an item acquisition function that acquires from the terminal device item display information attached to medical items including pharmaceutical packaging, materials, and surgical tools corresponding to the work;
a worker acquisition function that acquires, from the terminal device, worker information assigned to each worker who performs the work;
an authentication storage function that compares the work content information with the item display information, and stores a conformance authentication when the item display information matches the work content information, and stores a non-conformance authentication when the item display information does not match the work content information;
a storage function for storing the worker information and storing, as management record information, the work content information, the product display information, and the storage of the conformity certification in the case of conformity certification, and the work content information, the product display information, and the storage of the conformity certification in the case of non-certification;
an output function for outputting the management record information ;
the worker acquisition function acquires information on two or more workers,
The authentication storage function compares the work content information with the item display information when acquiring information on two or more workers corresponding to the work content information, and stores a matching authentication if the item display information matches the work content information, and stores a matching authentication if the work content information is matched with the item display information when acquiring information on only one worker.
An information management program characterized by: