JP2008119042A - Hospital information system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a hospital information system capable of transmitting information to a nurse or the like so as not to be known in the vicinity when an instruction is input from a doctor or when a certain amount of data is accumulated.
A hospital information system having a database server 30 connected to an in-hospital network 10, a doctor terminal device 20, and a nurse terminal device 40, based on an instruction input from the doctor terminal device 20, By moving the movable object 60 directly or indirectly connected to the in-hospital network 10, the instruction input is notified.
[Selection] Figure 1

Description

  The present invention relates to a hospital information system that transmits an instruction from a doctor to a nurse or a pharmacist, for example.

  In medical treatment / examination of outpatients and inpatients in hospitals, the results of medical treatment / examination by the doctor in charge are described in a medical record, and the subsequent treatment is instructed to the nurse. Nurses are also practicing patient treatment under the direction of doctors. However, in conventional electronic medical record order systems, nurse support systems, etc., the contents of instructions input from doctors are displayed on terminal screens such as nurse centers connected to the system and receive instructions. . Therefore, the nurse always needs to look at the screen of the system terminal, and if the nurse keeps an eye on the terminal screen for other work, the instructions from the doctor may accumulate. is there. As a result, treatment was delayed, and the patient was made to wait longer than necessary, which caused discomfort.

In order to avoid this, a doctor calls the nurse directly with a telephone or the like to notify an instruction. However, this imposes a burden on the doctor and does not mean systematization. Also, in response to an instruction input from the doctor, the system side may notify the PDA device owned by the nurse, for example, but the nurse will receive a call in a situation where the nurse cannot receive it. It will increase the mental burden on. Further, notification by a vibrator is also known as a general message transmission method (see, for example, Patent Document 1).
JP 2004-252626 A

  The above-described conventional method places a burden on doctors and nurses and does not accurately transmit accumulated instructions.

  The present invention solves the above-mentioned problems, and provides a hospital information system that can inform nurses when a doctor inputs instructions or when a certain amount of information is accumulated, so that the surrounding people do not know The purpose is to do.

  In order to achieve the above object, a hospital information system of the present invention is a hospital information system having a database server connected to an in-hospital computer system, a terminal device that is input and operated by a doctor and / or a nurse, and a doctor terminal Generation of the instruction input is notified by operating a movable object connected directly or indirectly to the in-hospital computer system based on an instruction input input from a device.

  The hospital information system of the present invention is a hospital information system having a database server connected to an in-hospital computer system, a terminal device operated by a doctor and / or a nurse, and an instruction input input from a doctor terminal device. The generation of the instruction input and the accumulation state of the instruction input are notified by operating a plurality of movable objects directly or indirectly connected to the hospital computer system.

  The hospital information system of the present invention is a hospital information system having a database server connected to an in-hospital computer system, a terminal device operated by a doctor and / or a nurse, and an instruction input input from a doctor terminal device. Based on the above, by operating a plurality of movable objects connected directly or indirectly to the in-hospital computer system, the generation of the instruction input and the elapsed state of the accumulation time of the instruction input are notified.

  The hospital information system of the present invention is a hospital information system having a database server connected to an in-hospital computer system, a terminal device operated by a doctor and / or a nurse, and an instruction input input from a doctor terminal device. The generation of the instruction input and the urgency or importance of the instruction input are notified by operating a plurality of movable objects directly or indirectly connected to the hospital computer system.

  According to the hospital information system of the present invention, it is possible to accurately transmit the instruction input from the doctor to the nurse or the pharmacist, so that the treatment is not delayed and the patient is not kept waiting. . In addition, for example, it is possible to provide a system that does not cause discomfort or annoyance to people around the nurse center. In addition, by operating a plurality of movable objects, along with the notification of the occurrence of the instruction input, if the accumulated number exceeds the predetermined number, if the accumulation time exceeds the predetermined time, the urgent or highly important instruction input is Notification can be made so that the case or the like can be recognized, and the work transfer of the nurse or the pharmacist can be remarkably improved.

  Examples of the present invention will be described below.

  Hereinafter, an embodiment of a hospital information system according to the present invention will be described with reference to the drawings.

  FIG. 1 is a block diagram illustrating a configuration of an instruction receiving communication system according to the embodiment. In the hospital network 10, a doctor terminal device 20, a database server 30, and a nurse terminal device 40 are connected in the nurse center. Furthermore, a movable object 60 is connected to the nurse terminal device 40 via the communication unit 50. The movable object 60 is placed in an easily viewable position in the nurse center, and its shape is not particularly limited as long as it is a movable object such as an electric toy, an electric doll, or an electric figurine. The most suitable one is one that can recognize the movement with a sound that does not interfere even during office work on the desk. In this example, the movable object 60 is connected to the nurse terminal device 40 via the communication unit 50. However, the movable object 60 may be directly connected to the network 10 or the database server 30. In that case, it understands that operation of movable object 60 is controlled by database server 30 instead of terminal device 40 for nurses. Further, although the doctor terminal device 20 and the nurse terminal device 40 are distinguished and displayed in FIG. 1, the doctor and the nurse may perform input operations on a common terminal, and a large number of terminal devices necessary in the hospital. Are connected.

  When examining a patient, the doctor accesses the database server 30 from the doctor terminal device 20 via the network 10, reads an electronic medical record (not shown) registered in the database server 30, The patient is examined while checking the symptoms and treatment. The medical examination result of the doctor is additionally recorded in the electronic medical record of the database server 30, and an instruction (order) related to treatment from the doctor is input and recorded as instruction data. Upon receiving the instruction data, the database server 30 displays the instruction data on the nurse terminal device 40.

  FIG. 2 is a flowchart showing an operation on the nurse center side including the nurse terminal device 40.

  When receiving the instruction input from the doctor (step S10), the nurse terminal device 40 displays the instruction generation on the terminal screen as in the conventional case (step S11). When a nurse who is available receives the doctor's instructions (instructions) immediately and transcribes them on the worksheet, and the treatment is performed according to the instructions by looking at the worksheet, the completion of treatment is input to the instructions. Delete from the instruction list (step S12). In addition, the nurse said here includes a nurse apprentice or a nursing assistant.

  In addition, the nurse terminal device 40 checks whether or not a predetermined number of instructions from the doctor have accumulated (step S13), and when the instructions have accumulated, the power of the movable object 60 is turned on via the communication unit 50. The movable object 60 is moved for a predetermined time (step S14). For example, the doll's hand dressed as a doctor is moved up and down for a predetermined time. At this time, a small voice or melody may be simultaneously generated from the nurse terminal device 40. When the nurse recognizes from the movement of the movable object 60 that the instructions from the doctor are accumulated, the nurse immediately receives the doctor instructions (instructions) and transcribes them on the worksheet. Treatment is performed on a patient-by-patient basis (for example, by multiple nurses as needed). And when those treatments are completed, the completion of treatment is input from the terminal device for nurse 40, and the completed treatment is deleted from the instruction list (step S15). Note that the number of instructions for performing the determination in step S13 can be set to an arbitrary number of 1 or more.

  Then, in step S16, it is checked whether or not all the instructions have been dealt with. If all the instructions have been dealt with, the nurse terminal device 40 completely turns off the movable object 60 and performs the next operation. Wait for instruction input (step S17). On the other hand, if the instruction remains, the process returns to step S13 to repeatedly execute the same operation.

  Therefore, according to the present invention, it is possible to recognize that instructions from the doctor have accumulated from the movement of the movable object 60 placed nearby without looking at the screen of the terminal device 40 for the nurse. Instructions can be notified without burdening the nurse. Therefore, the nurse can be immersed in other work until the movable object 60 moves, and workability is improved. Since the movement of the movable object 60 is a natural movement that does not cause inconvenience or discomfort to nurses or patients in the vicinity, a healing effect can be expected.

  3 and 4 show connection examples of the communication unit 50 and the movable object 60. FIG. For example, as shown in FIG. 3, when configured to be connected to the nurse terminal device 40 or the serial port 50a of the database server 30, it is connected to the two movable objects 60a and 60b via the photocouplers 51a and 51b. Thus, the two movable objects 60a and 60b can be moved simultaneously. Further, relays may be connected instead of the photocouplers 51a and 51b.

  Here, an application example when a plurality of movable objects are used will be described.

  FIG. 4 is a diagram illustrating an example of a control table for managing ON (movable) and OFF (stop) of two movable objects 60a and 60b. This control table may be provided in the nurse terminal device 40 in the doctor terminal device 20, the database server 30, or the nurse center, or may be provided in the installation plate of the movable objects 60a and 60b.

  For example, FIG. 4A is used when notifying the occurrence of an instruction input and the number of accumulated cases. When there is no instruction input, the commands to the two movable objects 60a and 60b are both “OFF” and stopped. If a command input is generated and the accumulated number is within 1 to 5, for example, the command for one movable object is “ON”, and the movable object 60a is operated, for example. Further, if the accumulated number is, for example, 6 or more, the command to both the movable objects 60a and 60b is “ON”, and both the movable objects are operated.

  Next, in FIG.4 (b), it is used when notifying generation | occurrence | production of instruction | indication input and the elapsed time of the accumulate | stored instruction | indication input. If a command input is generated and the accumulation time is, for example, less than ˜30 minutes, the command for one movable object is “ON”, and the movable object 60a is operated, for example. Furthermore, if the accumulation time is, for example, 30 minutes or more, the command to both the movable objects 60a and 60b is “ON”, and both the movable objects are operated.

  Next, in FIG.4 (c), it is used when notifying the generation | occurrence | production of instruction | indication input, and the urgency or importance of instruction | indication input. For example, in the treatment of a patient, it is necessary to understand and deal with the urgency or importance of a command input from a doctor. For example, when “injection” is instructed for the order type, it is necessary to treat it as an important treatment. Therefore, when an “injection” order is input from the doctor terminal device 20, the command for both the movable objects 60a and 60b is “ON”, and both the movable objects are operated. Be able to recognize that treatment has been ordered. On the other hand, when an instruction other than “injection” is instructed, for example, the command for the movable object 60a is “ON” to operate one movable object.

  In addition, when the scheduled execution date is designated as “today”, it is a hurry to perform today. Therefore, when an order designated as “today” is input from the doctor terminal device 20, the command for both of the movable objects 60 a and 60 b is “ON” and both the movable objects are operated. Thus, it is possible to recognize that an instruction for urgent execution has been issued. On the other hand, when an order designated as “future date” is input, for example, the command to the movable object 60a is “ON” to operate one movable object. In addition, implementation said here means the therapeutic action with respect to a patient.

  In addition, when “modification / cancellation” is designated as a change in the implementation content, it is necessary to deal with the change content immediately. For this reason, when an order designated as “correction / cancellation” is input from the doctor terminal device 20 as a change in the execution content, the commands for both the movable objects 60a and 60b are “ON”, and both By operating the movable object, it is possible to recognize that the urgent execution (change) has been instructed. On the other hand, when an order designated as “new” is input, for example, the command to the movable object 60a is “ON” to operate one movable object.

  As a connection method of the movable object 60, as shown in FIG. 5A, a parallel port 50c-relay 52c-movable object 60c may be connected. Further, as shown in FIG. 5B, a connection configuration of USB port 50d-PIO53d-relay 52d-movable object 60d may be used.

  FIG. 6 shows another example of the movable object, in which a message is displayed on the guide plate along with the movement of the hand.

  In addition, this invention is not limited to the said embodiment, You may comprise combining the form of a movable object, operation | movement, alerting means (sound, screen display), etc. freely.

  Further, in addition to instructions to nurses, the present invention may be applied to notifications indicating that doctors have issued instructions to the pharmaceutical department or instructions from the pharmaceutical department to the accounting department.

1 is a block diagram of an embodiment of a hospital information system according to the present invention. The flowchart which shows operation | movement of the hospital information system which concerns on embodiment. The figure which shows the connection structure of the communication part which concerns on embodiment, and a movable object. The figure which shows an example of the control table which manages ON (movable) and OFF (stop) of two movable objects which concern on embodiment. The figure which shows the connection structure of the communication part and movable object which concern on other embodiment. The figure which shows the other structural example of a movable object.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 ... Hospital network 20 ... Doctor's terminal device 30 ... Database server 40 ... Nurse's terminal device 50 ... Communication part 60, 60c, 60d ... Moving object 50a ... Serial port 50b ... Parallel port 50c ... USB port

Claims (11)

A hospital information system having a database server connected to an in-hospital computer system, a terminal device input by a doctor and / or a nurse,
Hospital information characterized by notifying the occurrence of the instruction input by operating a movable object connected directly or indirectly to the in-hospital computer system based on the instruction input input from the doctor terminal device system. A hospital information system having a database server connected to an in-hospital computer system, a terminal device input by a doctor and / or a nurse,
Based on the instruction input input from the doctor terminal device, by operating a plurality of movable objects connected directly or indirectly to the in-hospital computer system, the generation of the instruction input and the accumulation state of the instruction input are determined. A hospital information system characterized by notification.   One of the plurality of movable objects is operated when the number of stored instruction inputs is a predetermined number or less, and the plurality of movable objects are operated simultaneously when the number of stored instruction inputs exceeds a predetermined number. The hospital information system according to claim 2. A hospital information system having a database server connected to an in-hospital computer system, a terminal device input by a doctor and / or a nurse,
By operating a plurality of movable objects directly or indirectly connected to the in-hospital computer system based on the instruction input input from the doctor terminal device, the generation of the instruction input and the accumulation time of the instruction input A hospital information system characterized by notifying a progress state.   When the accumulation time of the instruction input is within a predetermined time, one of the plurality of movable objects is operated, and when the accumulation time of the instruction input exceeds a predetermined time, the plurality of movable objects are operated simultaneously. The hospital information system according to claim 4, wherein the system is a hospital information system. A hospital information system having a database server connected to an in-hospital computer system, a terminal device input by a doctor and / or a nurse,
By generating a plurality of movable objects connected directly or indirectly to the in-hospital computer system based on the instruction input input from the doctor terminal device, the generation of the instruction input and the urgency of the instruction input or A hospital information system characterized by notifying importance.   When the instruction input is a normal instruction, one of the plurality of movable objects is operated, and when the instruction input is an important instruction or an urgent instruction, the plurality of movable objects are operated simultaneously. The hospital information system according to claim 6, wherein the system is a hospital information system.   The hospital information system according to claim 1, 2, 4, or 6, wherein the input instruction content is displayed on a screen of a receiving terminal device simultaneously with the operation of the movable object. .   The said database server displays the said input instruction content on a receiving terminal device simultaneously with operating the said movable thing, The claim 1 or Claim 2 or Claim 4 or Claim 6 characterized by the above-mentioned. Hospital information system.   The hospital information system according to any one of claims 1 to 9, wherein the instruction input is an instruction for medical use or an instruction for a department.   The hospital information system according to any one of claims 1 to 9, wherein the movable object is an electric toy, an electric doll, or an electric figurine.

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