Automatic analysis system and alarm handling method
By integrating management devices in the automatic analysis system, storing and utilizing alarm information, person-in-charge schedule and stop-over location information, and optimizing the allocation of person-in-charge, the time loss problem during clinical examination room error handling is solved, and more efficient error handling is achieved.
Patent Information
- Application Number
- CN202080055361.X
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Priority Date
- 2019-08-07
- Filing Date
- 2020-03-17
- Publication Date
- 2025-05-30
- Estimated Expiration
- 2040-03-17
AI Technical Summary
When an error occurs in the analysis device or processing device in the clinical examination room, in order to prepare the reagents, etc. or consumables required to eliminate the error, it is necessary to stay in other places such as reagent warehouses, consumable vaults, etc., resulting in time loss.
An automatic analysis system is designed to store alarm information, person-in-charge schedule and stop-over location information through management devices, and optimize the allocation of person-in-charge based on this information to shorten the time for handling errors.
Even if you need to access places other than devices that generate errors, you can effectively optimize the allocation of the person in charge and shorten the time required to deal with errors.
Smart Images

Figure CN114174836B_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to an automatic analysis system including an automatic analyzer and the like, and an alarm handling method. The automatic analyzer analyzes specimens from biological specimens such as blood and urine. Background Art
[0002] Automatic analyzers for analyzing biological samples such as blood and urine are indispensable in current diagnoses due to advantages such as high reproducibility of analysis accuracy and rapid analysis processing. There are various types of automatic analyzers depending on the type of analysis. For example, there are colorimetric analyzers for biochemical analysis, immunoassays that use antigen-antibody reactions to analyze antigens or antibodies in specimens, coagulation analyzers for measuring blood coagulation ability, hematology analyzers for measuring the number of blood cell components in blood, and the like. In addition, a pretreatment device is also used when analyzing specimens using an automatic analyzer. The pretreatment device is used to perform centrifugation of blood, dispense specimens to produce multiple sub-specimens, and the like. In one hospital, testing center, etc., multiple of these automatic analyzers and specimen pretreatment devices are generally used.
[0003] When an error occurs in such an automatic analyzer or specimen pretreatment device, if not promptly handled, the analysis will stagnate and the doctor's diagnosis may be delayed. Errors also include reagent replacement, replacement of consumables such as lamps, and the like. Patent Document 1 discloses the following technique: when an error occurs, an error is notified to the person in charge based on information registering errors that can be handled by the person in charge, and who handled the error is shared. In addition, Patent Document 2 discloses the following technique: when an error occurs, an error is notified to the person in charge based on information registering errors that can be handled by the person in charge, location information of the person in charge and the device where the error occurred, and schedule information of the person in charge for confirming whether the person in charge is within working hours.
[0004] Prior Art Documents
[0005] Patent Documents
[0006] Patent Document 1: International Publication No. 2013 / 065528
[0007] Patent Document 2: Japanese Patent Application Laid-Open No. 2018-160808 Summary of the Invention
[0008] Problems to be Solved by the Invention
[0009] When dealing with an error, before going to the location where the analysis device that generated the error is located, etc., it is sometimes necessary to make a stop at other locations such as a reagent storage or a consumable storage in order to prepare reagents or consumables required to eliminate the error. In particular, if the clinical examination room is a large-scale clinical examination room, the movement of the examination technician responsible for dealing with the error will also cause a time loss.
[0010] However, in the technologies described in Patent Documents 1 and 2, since the situation where it is necessary to visit a location other than the error-occurring device for error handling is not considered, there may be a time loss.
[0011] An object of the present invention is to provide an automatic analysis system that can optimize the assignment of a person in charge of dealing with an error and shorten the time required for error handling even when it is necessary to visit a location other than the device that generated the error in the case of an error occurring in an analysis device or a processing device in a clinical examination room.
[0012] Means for Solving the Problem
[0013] An automatic analysis system according to an embodiment of the present invention includes: a plurality of analysis devices arranged in a clinical examination room that analyze or preprocess a sample; and a management device that manages the plurality of analysis devices. The management device includes: a storage device that stores an alarm information management table, a person-in-charge schedule management table, and an alarm handling stop position management table. The alarm information management table registers information on alarms detected from the plurality of analysis devices or the management device. The person-in-charge schedule management table registers the schedules of examination technicians working in the clinical examination room. The alarm handling stop position management table registers information on stop locations where an examination technician who handles an alarm stops midway before the device that generated the alarm in order to handle an alarm generated from the plurality of analysis devices or the management device; and an information processing device that, based on information on the task currently being executed by an examination technician located in the clinical examination room obtained from the person-in-charge schedule management table and position information based on the distance between a position information reference point determined from the alarm information management table and the alarm handling stop position management table and the current position of the examination technician located in the clinical examination room, assigns a priority for notifying the detection of an alarm that has occurred to the examination technician located in the clinical examination room. The position information reference point represents the position where the examination technician who handles the alarm first stops midway.
[0014] The alarm handling method as another embodiment of the present invention is an alarm handling method in a clinical examination room, where multiple analysis devices for sample analysis or pretreatment are configured, and multiple examination technicians work there. A supervisor schedule management table and an alarm handling stop position management table are pre-stored. The supervisor schedule management table registers the schedules of the examination technicians working in the clinical examination room, and the alarm handling stop position management table registers the information of the stop places where the examination technician handling the alarm stops midway in front of the device that generates the alarm in order to handle the alarm generated from multiple analysis devices or management devices. When an alarm is detected from multiple analysis devices or management devices, the information of the detected alarm is registered in the alarm information management table. Based on the information of the tasks currently being executed by the examination technicians located in the clinical examination room obtained from the supervisor schedule management table, and the position information based on the distance between the position information reference point and the current position of the examination technicians located in the clinical examination room determined from the alarm information management table and the alarm handling stop position management table, a priority order for notifying the detected alarm is assigned to the examination technicians located in the clinical examination room. The above position information reference point represents the position where the examination technician handling the alarm initially stops midway.
[0015] Advantages of the Invention
[0016] When it is necessary to visit other places before the device that generates the alarm, the time required for handling can be shortened.
[0017] According to the description and drawings of this specification, other problems and new features will become clear. Brief Description of the Drawings
[0018] Figure 1 is an example of a clinical examination room.
[0019] Figure 2 is a block diagram showing the schematic structure of an automatic analysis system.
[0020] Figure 3 is an example of an alarm information management table.
[0021] Figure 4 is an example of a supervisor information management table.
[0022] Figure 5 is an example of a supervisor schedule management table.
[0023] Figure 6 is an example of an alarm handling stop position management table.
[0024] Figure 7 is an example of a clinical examination room diagram.
[0025] Figure 8 is an example of an alarm notification screen.
[0026] Figure 9 This is an example of an alarm handling response screen.
[0027] Figure 10 This is an example of a past annotation confirmation screen.
[0028] Figure 11 This is an example of an alarm notification processing logic.
[0029] Figure 12 This is an example of an alarm notification order determination processing logic.
[0030] Figure 13 This is an example of an alarm information management table.
[0031] Figure 14 This is an example of a person - in - charge schedule management table.
[0032] Figure 15 This is an example of an alarm information management table.
[0033] Figure 16 This is an example of a person - in - charge schedule management table.
[0034] Figure 17 This is an example of a person - in - charge schedule management table.
[0035] Figure 18 This is an example of an extended alarm information management table.
[0036] Figure 19 This is an example of a person - in - charge information management table.
[0037] Figure 20 This is an example of an extended alarm handling intermediate stop position management table.
[0038] Figure 21 This is an example of an alarm registration screen that can be responded to.
[0039] Figure 22 This is an example of an alarm registration information management table that can be responded to.
[0040] Figure 23 This is an example of an alarm registration processing logic that can be responded to.
[0041] Figure 24 This is an example of a screen for confirming all alarms. Detailed implementation mode
[0042] The automatic analysis system of this embodiment has the following functions: When an alarm is generated in the device in the clinical examination room, considering information of the examination technician located in the clinical examination room, the schedule of the examination technician, the location of the examination technician, the location of the device where the alarm is generated, the location of the place for a stopover to handle the alarm, etc., it determines the notification order for notifying the alarm to the best examination technician and notifies the alarm to the examination technician judged to be the best.
[0043] Figure 1 This is an example of a clinical examination room. In the area for clinical examination, i.e., clinical examination room 101, various devices, storage vaults, workbenches, etc. are included. Figure 1 In the clinical examination room 101, analysis devices 103 to 107, a pretreatment device 108, reagent storage vaults 109, 110, consumable storage vaults 111, 112, and a workbench 113 are arranged. The analysis device is a device for performing clinical examinations and can include both a device operating independently and a device formed by combining multiple analysis devices to operate together. In Figure 1 this example, the analysis devices 106, 107 operate independently, and the analysis devices 103 to 105 operate in combination. The pretreatment device 108 is a device that automatically performs pretreatment for clinical examinations and is connected to the analysis devices 103 to 105, 107 through a conveying mechanism. The pretreated specimens are conveyed to the analysis devices through the conveying mechanism. The reagent storage vaults 109, 110 are used to store reagents required for analysis in the analysis devices. The consumable storage vaults 111, 112 are used to store consumables used by the analysis devices and the pretreatment device. The workbench 113 provides a space for the examination technician to perform opening operations on the specimens etc. carried into the clinical examination room 101 or other operations. Sometimes, the analysis devices 103 to 105 and the pretreatment device 108 are also referred to as analysis devices in a broad sense.
[0044] In the clinical examination room 101, multiple examination technicians 114 to 117 are working. The examination technician is responsible for preparations for clinical examinations, operations of the analysis devices and the pretreatment device, etc. One examination technician holds one or more terminals. The analysis devices 103 to 107, the pretreatment device 108, the reagent storage vaults 109, 110, the consumable storage vaults 111, 112 have fronts. When the examination technician performs operations for clinical examinations or operations for handling alarms from the devices, etc., they move to their fronts. The front positions of the devices or storage vaults that become the work positions of the examination technician are indicated by triangular marks 118.
[0045] In the clinical examination room 101, a management device 102 is provided, which is connected to the devices, storage vaults arranged in the clinical examination room 101 and the terminals held by the examination technicians through a network, and manages the clinical examination operations in the clinical examination room 101.
[0046] Figure 2 It is a block diagram showing the schematic structure of an automatic analysis system for managing the clinical examination operations in the clinical examination room 101. The terminal 220 is a terminal held by the examination technician working in the clinical examination room 101. In the automatic analysis system, the analysis devices 103 to 107, the pretreatment device 108, the terminal 220 carried by the examination technician, and the position information acquisition device 230 for acquiring the position information of the examination technician in the clinical examination room 101 are connected to the management device 102 via the networks 241 to 244 in a manner capable of transmitting information. The position information acquisition device 230 acquires the location of the examination technician. The means for acquiring the position information is not limited. For example, the terminal carried by the examination technician can be used to grasp the position information, or the position of the examination technician can be grasped through image analysis of the surveillance camera images. For example, GPS (Global Positioning System), Beacon, UWB (Ultra Wide Band), Wi-Fi positioning, acoustic positioning, dead reckoning, IMES (Indoor Messaging System), or a combination thereof can be used.
[0047] The structure of the automatic analysis system depends on the structure of the clinical examination room managed by the management device 102. Therefore, it is not necessary to include all the devices Figure 2 illustrated, and in addition, devices not illustrated may also be included. For example, the management device 102 may also be connected to an information system such as a clinical examination information system (LIS: Clinical Laboratory Information System).
[0048] The management device 102 includes an input device 201, an output device 202, a communication device 203, an information processing device 204, and a storage device 211. The input device 201 is, for example, a keyboard, a mouse, a touch screen of the output device 202, etc., which are devices for the manager or the examination technician to input instructions or information. The output device 202 includes a monitor or a printer for displaying the input information and other result information. The communication device 203 is a communication device for the management device 102 to communicate with other devices or terminals. For example, it is a communication device for connecting to a wired / wireless local area network, a wired / wireless wide area network, a mobile phone network, etc. The information processing device 204 is a computer that executes various applications of the management device 102. The storage device 211 is a storage device that stores programs, data, etc. executed by the information processing device 204. For example, non-volatile memories such as EEPROM and flash memory, HDD, SSD, etc. can be used.
[0049] The functions of the management device 102 are implemented by the information processing device 204 executing a program stored in the storage device 211 and collaborating with other hardware. Sometimes, the program executed by the information processing device 204, its functions, or the units that implement its functions are referred to as "functions", "sections", "modules", etc. The management device 102 can be implemented, for example, by a PC (Personal Computer) or a server.
[0050] The alarm notification section 205, the alarm detection section 206, the alarm notification order determination section 207, the person in charge location information acquisition section 208, the person in charge's response to alarm registration section 209, and the alarm information response acquisition section 210 are functions executed by the information processing device 204. In addition, the storage device 211 stores a program for the information processing device 204 to execute these functions, an alarm information management table 212 as data, a person in charge information management table 213, a person in charge schedule management table 214, an alarm handling intermediate stop location management table 215, and a response to alarm registration information management table 216. Their detailed contents will be described later. As described above, the function of notifying a technician of an alarm generated in a device in the clinical examination room has been illustrated as this embodiment. Of course, the functions that the management device 102 can execute are not limited to this.
[0051] On the other hand, the technician receives a notification of an alarm generated in a device in the clinical examination room via the terminal 220. Specifically, the technician can view the alarm notified from the management device 102 through the terminal 220, can perform alarm handling, and can answer that the alarm handling is completed. The input device 221, the output device 222, the communication device 223, and the information processing device 224 of the terminal 220 each have the same functions as the respective devices of the management device 102. The alarm information response section 225 is a function executed by the information processing device 224 in this embodiment. The terminal 220 is preferably, for example, a mobile terminal or a wearable terminal carried by the technician, but a notebook PC or a desktop PC can also be used. The detailed content of the alarm information response section 225 will be described later.
[0052] Figure 3 This is an example of the alarm information management table 212. Alarms generated in the analysis devices 103 to 107, the pretreatment device 108, or the management device 102 are managed by the alarm information management table 212. When the alarm detection section 206 detects that an alarm has been generated in the management device 102 or receives a notification of an alarm generated from another device via the networks 241 and 242, it registers the information of the generated alarm in the alarm information management table 212.
[0053] Column 302 is the alarm management number, which is the identification number of the alarm generated in the clinical examination room 101. Column 303 is the alarm generation date and time, which is the date and time when the alarm is generated in the clinical examination room 101. Column 304 is the alarm code, which is the identification number of the alarm type. Column 305 is the alarm generation location, which is the identification number indicating the location where the alarm is generated in the clinical examination room 101. Column 306 is the name of the alarm generation device, which at this time becomes the name of any one of the analysis device, pretreatment device, and management device in the clinical examination room 101 where the alarm is generated. Column 307 is the alarm content, which is the content of the alarm generated in the clinical examination room 101. Column 308 is the alarm handling method, which is the method used to handle the generated alarm. When the generation of the alarm is detected or a notification of the generation of the alarm is received, the above information is registered in the alarm information management table 212.
[0054] Column 309 is the alarm handling person in charge, who is the person in charge of handling the alarm. The null value NULL is registered as the initial value. Column 310 is the comment, which is the comment of the alarm handling person in charge. The null value NULL is registered as the initial value. Column 311 is the associated alarm management number, which registers the alarm management number of the associated alarm. In the case of an alarm without an associated alarm such as a newly generated alarm, the null value is registered. Column 312 is the completion flag. When the alarm handling person in charge completes or abandons the alarm handling, 1 indicating the completion of the handling is registered. As the initial value, 0 indicating that the processing is not completed is registered.
[0055] Figure 4 This is an example of the person in charge information management table 213. The person in charge information management table 213 manages the names, attendance statuses, and alarm codes of the inspection technicians who work in the clinical examination room 101, and can determine the inspection technicians who can handle the alarms generated in the clinical examination room 101.
[0056] Column 402 is the person in charge management number, which is the identification number of the inspection technician who works in the clinical examination room 101. Column 403 is the name of the person in charge, which is the name of the inspection technician who works in the clinical examination room 101. Column 404 is the attendance status, which is used to identify whether the inspection technician who works in the clinical examination room 101 has attended. In this example, if it is the attendance status, 1 is registered. If it is the absence status, 0 is registered, and the initial value is 0. The management device 102 obtains the attendance information of the inspection technician by detecting, for example, the login / logout of the terminal when the inspection technician attends or by other means, and updates the attendance status in column 404. Column 405 is the alarms that can be handled, which lists the alarm codes that the inspection technician can handle.
[0057] Figure 5This is an example of the person-in-charge schedule management table 214. The person-in-charge schedule management table 214 manages the tasks in the clinical examination room 101 and their task difficulty levels, and is used to grasp the tasks engaged by each examination technician including the difficulty level when an alarm is generated. Column 502 is the task ID, which is the identification number of the task in the clinical examination room 101. Column 503 is the person-in-charge management number, which is the identification number of the examination technician who executes the task. Column 504 is the operation content, that is, the content of the task. Column 505 is the operation difficulty level. In this example, the more time is required to complete the operation, the higher the difficulty level, and the shorter the time it can be completed, the lower the difficulty level. For example, the difficulty level is evaluated in 5 levels from 5 to 1, and the higher the score, the higher the difficulty level. Column 506 is the task start time, which registers the time when the examination technician starts the task. When a new task is registered in the person-in-charge schedule management table 214, a null value is registered as the initial value, but when the management device 102 detects the task start time according to the notification from the terminal held by the examination technician or by other methods, the task start time in column 506 is updated. Column 507 is the completion flag, which manages whether the examination technician has completed the task. A 0 indicating that the task is not completed is registered as the initial value, but when the management device 102 detects the completion of the task according to the notification from the terminal held by the examination technician or by other methods, a 1 indicating that the task is completed is registered.
[0058] Figure 6 This is an example of the alarm handling intermediate stop position management table 215. The alarm handling intermediate stop position management table 215 manages the place where the examination technician handling the alarm stops midway in front of the device where the alarm is generated for handling the alarm. Column 602 is the alarm code, which is the identification number of the alarm. Column 603 is the alarm description, which is the content of the alarm. Column 604 is the alarm handling method, which is the method used to handle the alarm. Column 605 is the alarm handling intermediate stop position, which registers the place where the stop is made for handling the alarm. When there is a place for intermediate stop for handling the alarm, the identification number indicating the position in the clinical examination room 101 is registered, and when there is no place for intermediate stop for handling the alarm, a null value is registered. Column 606 is the alarm handling intermediate stop position name, which registers the name of the corresponding place when the identification number is registered in the alarm handling intermediate stop position in column 605.
[0059] Figure 7This is an example of the clinical examination room diagram 701. The position within the clinical examination room 101 is determined based on the identification number defined on the clinical examination room diagram. The clinical examination room diagram 701 is a map of the clinical examination room 101. In this example, the clinical examination room 101 is divided into blocks, and the position within the clinical examination room 101 is determined based on the identification number composed of the X coordinate and Y coordinate of the block. The X coordinates of the clinical examination room diagram 701 are sequentially defined by numerical values from 1 to 11 from left to right, and the Y coordinates are sequentially defined by letters from A to E from top to bottom. For example, since the X coordinate of the current position of the examination technician 117 is 9 and the Y coordinate is E, it is represented as the identification number 9E.
[0060] In the clinical examination room diagram 701, areas represented by shaded blocks 702 are configured with devices / vaults / workbenches, etc., and the examination technician cannot move on them. In addition, the triangular mark 703 becomes the working position of the examination technician. Therefore, the end point when the examination technician moves to a device, etc. for work is the block marked with the triangular mark 703. For example, the route for the examination technician 116 to move to the pretreatment device 108 is 4C, 4D, 4E, 3E, 2E, 1E, 1D, 1C. At this time, the path needs to move 7 blocks, so it is set to 7. On the other hand, for a workbench without a specified triangular mark 703 (working position), the end point is set to the position of this shaded block. And when the shaded block is connected to multiple blocks, any one of the shaded blocks is designated as the end point. For example, the block with the smallest numerical value of the X coordinate and the letter of the Y coordinate closest to A can be designated. The blocks configured with the management device 102 and the workbench 113 are equivalent to blocks without a specified working position.
[0061] Next, Figure 11 the alarm notification processing logic 1101 shown below will be described. In the alarm detection step 1103, the alarm detection unit 206 detects the generation of an alarm or receives a notification of the generation of an alarm, and registers the information of the generated alarm in the alarm information management table 212 (columns 302 to 308). Triggered by this registration, the alarm notification order determination unit 207 executes the following steps.
[0062] In the list acquisition step 1104 of the alarm-disposable person in charge, a list of examination technicians who can handle the alarm newly registered in the alarm information management table 212 is obtained. From the person-in-charge information in the person-in-charge information management table 213 where the attendance status (column 404) is 1, using the alarm code (column 304) in the alarm information management table 212 as the keyword, the alarms that can be responded to (column 405) are retrieved, and thus a list of the persons in charge who can respond to the alarm is obtained.
[0063] In the alarm notification order determination step 1105, the notification priority is calculated for each examination technician in the list of alarm-disposable persons in charge generated in step 1104. The details of this will be described later.
[0064] In the responsible person candidate determination step 1106, for the list of disposable alarm responsible persons with notification priorities attached, check whether there is an examining technician who can be a responsible person candidate, and branch the process according to the result. When there is "no" responsible person candidate, the alarm notification order determination unit 207 causes the alarm notification unit 205 to notify the manager of the clinical examination room 101 of the occurrence of the alarm (step 1115). At this time, it is preferable to attach a list of the present examining technicians.
[0065] The manager notification step 1115 is a process of notifying the manager who has the decision-making power over the business of the clinical examination room that there is no examining technician who can handle the alarm. The manager can forcibly determine the alarm handling responsible person and update the alarm handling responsible person (column 309) in the alarm information management table 212 at the same time. In addition, when the manager determines that the examining technicians in the clinical examination room cannot handle it, the manager can also contact external support. The location where the manager is located has nothing to do with inside or outside the clinical examination room.
[0066] On the other hand, when there is a "yes" responsible person candidate, the alarm notification unit 205 notifies the examining technician with the highest notification priority of the occurrence of the alarm (step 1107).
[0067] In the alarm notification step 1107, the alarm notification unit 205 notifies the examining technician with the highest priority in the list of disposable alarm responsible persons of the alarm. The communication device 203 is used to notify the alarm to the terminal 220 held by the examining technician with the highest priority via the network 244.
[0068] Figure 8 This is the alarm notification screen 801 displayed on the terminal 220 held by the examining technician notified of the occurrence of the alarm by the alarm information answering unit 225. The alarm notification unit 205 notifies the examining technician's terminal 220 of the information related to the alarm according to the information registered in the alarm information management table 212 (refer to Figure 3 ), the alarm handling intermediate stop position management table 215 (refer to Figure 6 ). In the alarm notification screen 801, the content of the alarm, the handling method, the alarm generation device, the intermediate stop position of the handling, and the information related to the handling responsible person are displayed. At the stage of step 1107, the responsible person for handling the alarm has not been determined, so it is not displayed.
[0069] The inspection technician who has been notified of the alarm generation answers the intention to handle the alarm through the alarm notification screen 801. Button 802 is the "Yes" button, which notifies the management device 102 of the intention to be responsible for handling the alarm. Button 803 is the "No" button, which notifies the management device 102 of the intention not to be responsible for handling the alarm. Button 804 is the "View Note" button and is used to migrate to the past note confirmation screen 1001. As will be described in detail later, in this embodiment, when the alarm is started to be handled by another person in charge but not completed normally, a note is left for such a situation. When judging whether to handle the alarm, the inspection technician can refer to this note. The inputs to buttons 802 to 804 are transmitted from the alarm information answering unit 225 of the terminal 220 to the alarm information answering acquisition unit 210 of the management device 102 via the network, and corresponding processing is performed according to the input content.
[0070] Return to the description of the alarm notification processing logic 1101. In the timeout determination step 1108, it is determined whether the communication from the management device 102 to the terminal 220 times out, and the processing branches. When the communication is normal, the communication device 203 obtains a notification of normal communication completion from the terminal 220. In the case where the communication device 203 does not obtain a notification of normal communication completion from the terminal 220 even after a certain period of time, it is regarded as a timeout. When the result of the timeout determination 1108 is "timeout", the notifier is excluded from the list of responsible persons who can handle the alarm (step 1114). On the other hand, when the result of the timeout determination 1108 is "not timed out", the responsible person notification answer acquisition process is performed (step 1109).
[0071] In the responsible person notification answer acquisition step 1109, the alarm notification order determination unit 207 obtains the answer of the inspection technician who has been notified of the alarm about the intention to handle the alarm from the alarm information answering acquisition unit 210, and thus the processing branches. If the answer is that it can be handled, the processing of updating the alarm information management table (alarm handling responsible person) 1110 is performed. On the other hand, if the answer is that it cannot be handled, the notifier is excluded from the list of responsible persons who can handle the alarm (step 1114).
[0072] In the alarm information management table update (alarm handling responsible person) step 1110, the alarm notification order determination unit 207 registers the inspection technician who has answered the intention to handle the notified alarm in the alarm handling responsible person (column 309) of the alarm information management table 212. After that, it waits until there is contact from the handling responsible person.
[0073] Figure 9This is the alarm handling response screen 901 displayed on the terminal 220 held by the inspection technician who is the alarm responsible person in the alarm information response unit 225. When the inspection technician has completed the handling of the alarm, the alarm handling response is answered to the management device 102 through the alarm handling response screen 901. The comment column 902 is a comment box where the inspection technician handling the alarm leaves comments. The input of comments is optional, and comments can be input in either of the cases of completed handling or unable to handle. The button 903 is the "Yes" button, which notifies the management device 102 that the handling of the alarm has been completed. The button 904 is the "No" button, which notifies the management device 102 of the intention to abandon the alarm handling (unable to handle). The button 905 is the "View Comments" button and is also a button for migrating to the past comment confirmation screen 1001. The inputs to the buttons 903 to 905 are transmitted from the alarm information response unit 225 of the terminal 220 to the alarm information response acquisition unit 210 of the management device 102 via the network, and corresponding processing is performed according to the input content.
[0074] In the responsible person handling response acquisition step 1111, the alarm notification order determination unit 207 receives the response to the completion of the alarm handling from the inspection technician who is the alarm handling responsible person from the alarm information response acquisition unit 210, and thus branches the processing. If the response is that the handling is completed, the processing of the alarm information management table update (completion flag) step 1112 is performed. On the other hand, if the response is unable to handle (abandon), the processing of the alarm information management table update (new alarm registration) step 1113 is performed.
[0075] In the alarm information management table update (completion flag) step 1112, the alarm notification order determination unit 207 updates the completion flag (column 312) of the alarm information management table 212 to 1 indicating that the handling is completed. In addition, when there is a comment recorded in the comment column 902 of the alarm handling response screen 901, the recorded comment is registered in the comment (column 310) in the alarm information management table 212, and the handling of the alarm is completed.
[0076] The update of the alarm information management table (new alarm registration), step 1113, is a process performed when the person in charge of disposal gives up alarm disposal in the acquisition of the person in charge of disposal's response 1111. The alarm notification order determination unit 207 registers the comment entered in the comment column 902 of the alarm disposal response screen 901 in the comment (column 310) of the alarm information management table 212. In addition, a 1 indicating the completion of disposal is registered in the completion flag (column 312) of the alarm information management table 212. Then, the alarm that cannot be disposed of is attached again as a new alarm with a new alarm management number (column 302), and the alarm information is registered in the alarm information management table 212. The registration contents of the re-registered alarm information in columns 303 to 308 of the alarm information management table 212 are the same as those of the alarm information that could not be disposed of (abandoned). In addition, the alarm management number of the alarm information that could not be disposed of is registered in the associated alarm management number (column 311). Thus, the re-registered alarm information is associated with the case where the alarm information that could not be disposed of is the same information. After that, the process of excluding the notifier 1114 is performed from the list of responsible persons for disposable alarms.
[0077] The notifier exclusion step 1114 is a process of excluding the currently notified inspection technician from the list of responsible persons for disposable alarms. That is, the inspection technician with the highest notification priority is excluded from the list of responsible persons for disposable alarms in the order of notification priority. This step is executed when the alarm notification times out, when the notifier gives an answer that cannot be disposed of, or when the person in charge of disposal gives an answer that cannot be disposed of. The notifier is excluded from the list of responsible persons for disposable alarms, and the process is transferred back to the alarm notification order determination step 1105.
[0078] Figure 12 This is the alarm notification order determination processing logic 1201 executed by the alarm notification order determination unit 207. The alarm notification order determination processing logic 1201 is a flowchart showing an example of the alarm notification order determination step 1105 in the alarm notification processing logic 1101 ( Figure 11 )
[0079] In the step 1203 of checking for the existence of a responsible person for disposable alarms, it is checked whether there is an inspection technician in the list of responsible persons for disposable alarms, and the process branches accordingly. If there is no responsible person for disposable alarms, the process ends. If there is a responsible person for disposable alarms, the process of calculating the schedule score of the responsible person 1204 is performed.
[0080] In the step 1204 of calculating the schedule score of the responsible person, for each inspection technician in the list of responsible persons for disposable alarms, using the responsible person management number as the key, from the responsible person schedule management table 214 ( Figure 5)Obtain the tasks in the current job and their difficulty levels, and calculate the supervisor schedule score s. Regarding a task being in the current job, it can be determined by the task start time (column 506) being non-null and the completion flag (column 507) registering 0 indicating that the task is not completed. Additionally, the job difficulty level is obtained from column 505. The value of the job difficulty level is directly used as the supervisor schedule score s. Therefore, the higher the job difficulty, that is, the more time required to complete the task, the higher the score. Additionally, when there are no tasks in the job, it is set to 0 points.
[0081] In the supervisor location information score calculation step 1205, for each inspection technician in the list of alert-disposable supervisors, calculate the supervisor location information score p based on their current location information. Regarding the location information of the inspection technician, the supervisor location information acquisition unit 208 obtains the identification number shown in the clinical examination room diagram 701 from the location information acquisition device 230. Next, using the alert code of the currently generated alert as a keyword, search the alert handling intermediate stop location management table 215 ( Figure 6 ) and obtain the alert handling intermediate stop location registered in column 605 as the location information reference point. When the alert handling intermediate stop location (column 605) is null, obtain the location of the device where the alert occurred (the alert generation location in column 305 of the alert information management table 212 ( Figure 3 )) as the location information reference point. Next, based on the obtained location information reference point and the current location information of the inspection technician, calculate the shortest path for the inspection technician to reach the location information reference point. The number of blocks through which the inspection technician moves from the currently located block to the block where the location information reference point is located is used as the supervisor location information score p.
[0082] The alert-disposable supervisor priority score calculation step 1206 is the following process: Using the supervisor schedule score s and the supervisor location information score p as inputs, perform a notification priority score calculation for each inspection technician in the list of alert-disposable supervisors to determine the alert notification priority. For example, the notification priority score Pr is given by the following formula.
[0083] Pr = m 1 ·s + m 2 ·p ··· (Equation 1)
[0084] Here, m 1 is the weight for the supervisor schedule score s represented by a positive constant, and m 2 is the weight for the supervisor location information score represented by a positive constant. In this case, the smaller the notification priority score Pr, the higher the priority, and the larger the notification priority score Pr, the lower the priority.
[0085] The sorting 1207 of the list of responsible persons for disposable alerts is a process of sorting the list of responsible persons for disposable alerts in the order of notification priority. When using the notification priority score Pr as the notification priority of the responsible person for disposable alerts, the lower the score, the higher the priority, and the higher the score, the lower the priority. Therefore, the list of responsible persons for disposable alerts is sorted in ascending order of the notification priority score Pr.
[0086] Hereinafter, assuming several specific scenarios, the usage examples of the automatic analysis system of this embodiment will be described.
[0087] (Example of alarm notification when there is no intermediate stop during alarm handling)
[0088] Taking the handling situation of the pre-analysis preparation failure alarm generated in the analysis device 103 as an example, the usage examples of the automatic analysis system of this embodiment will be described.
[0089] Figure 13 It is the alarm information 1301 of the alarm information management table 212 indicating that a pre-analysis failure alarm has been generated in the analysis device 103. Figure 14 The responsible person schedule management table 214 at this time is shown. The responsible person management number registered in column 503 corresponds to Figure 1 the inspection technicians shown. Let P001 be inspection technician 114, P002 be inspection technician 115, P003 be inspection technician 116, and P004 be inspection technician 117. The same applies to the following examples.
[0090] The analysis device 103 starts the analysis operation by receiving an instruction to start the analysis from the operation screen of the analysis device 103 or the management device 102. When the analysis operation starts, the analysis device 103 performs a reset operation. If an abnormality is detected during the reset operation, the analysis device 103 notifies the management device 102 of the pre-analysis preparation failure alarm via the network 241. The management device 102 receives the alarm from the analysis device 103 and registers it in the alarm information management table 212. The inspection technician who becomes the alarm handling responsible person needs to move to the analysis device 103 to handle the alarm in order to determine the cause of the reset operation failure.
[0091] The management device 102 uses the alarm code "1101" (column 304) registered in the alarm information 1301 as a keyword to obtain the list of responsible persons in the responsible person information management table 213 ( Figure 4 ) whose alarm codes match in the disposable alarms (column 405). In this example, the responsible persons who can handle the pre-analysis preparation failure alarm are the inspection technicians with the responsible person management numbers P001, P002, and P003.
[0092] The management device 102 calculates the supervisor schedule score s of the inspection technician who can handle the pre - analysis preparation failure alarm. According to the difficulty level of the tasks in the current operation grasped from the supervisor schedule management table 214( Figure 14 ), the supervisor schedule scores s of the inspection technicians with supervisor management numbers P001, P002, and P003 are 5 points, 5 points, and 2 points respectively.]
[0093] Next, the supervisor location information score p of the inspection technician who can handle the pre - analysis preparation failure alarm is calculated. When retrieving the alarm handling intermediate stop position management table 215( Figure 6 ) through the alarm code "1101", since the alarm handling intermediate stop position is a null value, the location information reference point is the front position of the analysis device 103 where the alarm is generated, that is, 3C (refer to Figure 7 ). According to the clinical examination room diagram 701, the current positions of the inspection technicians (114, 115, 116) with supervisor management numbers P001, P002, and P003 in the clinical examination room are 10C, 8C, and 4C respectively. Therefore, the supervisor location information scores p of the supervisor management numbers P001, P002, and P003 are 7 points, 5 points, and 1 point respectively.
[0094] The notification priority score Pr is given by (Equation 1). When m 1 and m 2 are set to 1 respectively, the alarm notification priority scores Pr of the inspection technicians with supervisor management numbers P001, P002, and P003 are 12 points, 10 points, and 3 points respectively. Since the lower the notification priority score Pr, the higher the priority of the alarm notification is judged, the pre - analysis preparation failure alarm is notified to the inspection technician 116 with supervisor management number P003.
[0095] (Example of alarm notification when there is an intermediate stop during alarm handling)
[0096] Taking the handling situation of the alarm that the ALB reagent remaining amount in the analysis device 107 is zero as an example, the usage example of the automatic analysis system of this embodiment will be described.
[0097] Figure 15 It is the alarm information 1501 of the alarm information management table 212 indicating that an alarm that the ALB reagent remaining amount in the analysis device 107 is zero has occurred. Figure 16 The supervisor schedule management table 214 at this time is shown.
[0098] The analysis device 107 starts the analysis operation upon receiving an instruction to start the analysis from the operation screen of the analysis device 107 or the management device 102. When the remaining amount of the reagent required for the analysis is low or zero, an alarm indicating that the reagent remaining amount is zero is generated. For example, when the remaining amount of the ALB reagent is zero, an alarm indicating that the remaining amount of the ALB reagent is zero is generated, and the analysis device 107 notifies the management device 102 via the network 241 of the alarm indicating that the remaining amount of the ALB reagent is zero. The management device 102 receives the alarm from the analysis device 107 and registers it in the alarm information management table 212. The inspection technician who is the person in charge of alarm handling needs to take out a new ALB reagent from the reagent storage vaults 109 and 110 and put it into the analysis device 107.
[0099] The management device 102 uses the alarm code "1201" (column 304) registered in the alarm information 1501 as a keyword to obtain a list of persons in charge in the person-in-charge information management table 213 ( Figure 4 ) whose alarm codes match in the alarms that can be handled (column 405). In this example, the inspection technicians with person-in-charge management numbers P001, P002, and P003 are the persons in charge who can handle the alarm indicating that the remaining amount of the ALB reagent is zero.
[0100] The management device 102 calculates the person-in-charge schedule score s of the inspection technicians who can handle the alarm indicating that the remaining amount of the ALB reagent is zero. According to the difficulty level of the tasks in progress grasped from the person-in-charge schedule management table 214 ( Figure 16 ), the person-in-charge schedule scores s of the inspection technicians with person-in-charge management numbers P001, P002, and P003 are 5 points, 2 points, and 2 points respectively.
[0101] Next, the person-in-charge location information score p of the inspection technicians who can handle the alarm indicating that the remaining amount of the ALB reagent is zero is calculated. When retrieving the alarm handling stop position management table 215 ( Figure 6 ) through the alarm code "1201", since the alarm handling stop position (column 605) is 7B, the location information reference point is the front position of the reagent storage vault 109, which is 7C (refer to Figure 7 ). According to the clinical examination room diagram 701, the current positions of the inspection technicians (114, 115, 116) with person-in-charge management numbers P001, P002, and P003 in the clinical examination room are 10C, 8C, and 4C respectively. Therefore, the person-in-charge location information scores p of the person-in-charge management numbers P001, P002, and P003 are 3 points, 1 point, and 3 points respectively.
[0102] The notification priority score Pr is given by (Equation 1). When setting it as m 1 m 2When they are 1 respectively, the alarm notification priority scores Pr of the inspection technicians with supervisor management numbers P001, P002, and P003 are 8 points, 3 points, and 5 points respectively. Since the lower the notification priority score Pr, the higher the priority of the alarm notification is judged, an alarm that the remaining amount of the ALB reagent is zero is notified to the inspection technician 115 with supervisor management number P002.
[0103] (Example when the alarm handling person in charge abandons alarm handling)
[0104] The following example is described: The inspection technician 116 becomes the alarm handling person in charge of handling the alarm of unreadable barcodes generated in the pretreatment device 108, and the inspection technician 116 abandons the handling of the alarm.
[0105] Figure 17 This is the person-in-charge schedule management table 214 when the inspection technician 116 (supervisor management number P003) is in charge of handling the alarm of unreadable barcodes. The task ID017 is a task that started before the inspection technician 116 became the alarm handling person in charge. By answering to the management device 102 that the inspection technician 116 becomes the alarm handling person in charge, 2 indicating interruption is registered in the completion flag (column 507) in the record 1701, and the record 1702 indicating the alarm handling task of task ID032 is newly registered as in progress.
[0106] The alarm of unreadable barcodes is generated when the pasting position of the barcode pasted on the test tube containing the specimen is defective, or the barcode has dirt or scratches, etc., so that the pretreatment device or the analysis device cannot read it. In the case of a barcode reading error, the specimen with a defective barcode will not be analyzed and will be discharged to the specimen receiving section of the device. In the case where the specimen analysis is not performed, it is related to the delay of the doctor's diagnosis. Therefore, the inspection technician who becomes the alarm handling person in charge needs to move to the device where the alarm is generated, confirm the specimen with unreadable barcodes, and perform operations such as re-pasting the barcode or reissuing the barcode.
[0107] At this time, assume that the inspection technician 116 with supervisor management number P003, who is the alarm handling person in charge of the alarm of unreadable barcodes, cannot complete the handling of the alarm. For example, it is judged that a barcode needs to be reissued to handle the alarm, but the method of using the barcode issuing device is not known. In this case, the inspection technician 116 presses the button 904 on the alarm handling response screen 901 of the terminal 220 to notify the management device 102 of abandoning the alarm handling (see Figure 9 ). At this time, in order for the person who will become the alarm handling person in charge later, a note can be left in the note column 902.
[0108] The management device 102 receives a notice of waiver of alarm handling from the inspection technician with the person-in-charge management number P003 and updates the alarm information management table 212. Figure 3 The alarm information management table 212 is a table in a state where alarm updates have been completed. As shown in the alarm information 321, in the comment (column 310), the comment of the inspection technician 116 is registered, and in the completion flag (column 312), 1 indicating the completion of alarm handling is registered. After that, the management device 102 newly adds an alarm of unreadable barcode in the alarm information management table 212. In the associated alarm management number (column 311) of the newly added alarm information 322, the alarm management number of the alarm information 321 is registered.
[0109] The management device 102 uses the alarm code "2101" (column 304) registered in the alarm information 322 as a keyword to obtain a list of persons-in-charge in the person-in-charge information management table 213 ( Figure 4 ) whose alarm codes match in the alarms that can be handled (column 405). In this example, the inspection technicians with the person-in-charge management numbers P001, P003, and P004 can handle the alarm of unreadable barcode. Next, tracing the associated alarm management number (column 311) registered in the alarm information 322, the past alarm handling persons-in-charge are excluded. Therefore, the inspection technicians who can handle the alarm of unreadable barcode are the inspection technicians with the person-in-charge management numbers P001 and P004.
[0110] Therefore, the management device 102 calculates the person-in-charge scheduling score s, the person-in-charge location information score p, and the person-in-charge priority order score Pr for the inspection technicians with the person-in-charge management numbers P001 and P004, determines the inspection technician to be notified of the alarm of unreadable barcode, and notifies the alarm.
[0111] The inspection technician notified of the alarm views the alarm notification screen 801 through the terminal 220. The inspection technician can arbitrarily press the "View Comment" button of the button 804 to view the past comment confirmation screen 1001.
[0112] Figure 10 An example of the past comment confirmation screen 1001 is shown. It is possible to view the comment left by the past alarm handling person-in-charge (in this example, the inspection technician with the person-in-charge management number P003) for the notified alarm. By pressing the "Return" button 1002, it migrates back to the alarm notification screen 801 again.
[0113] It is possible to ( Figure 8 ) from the alarm notification screen 801, Figure 9 and the alarm handling response screen 901 ( Figure 9) to any one of the screens is migrated to the past annotation confirmation screen 1001. When the "Return" button 1002 is pressed, it migrates to the screen before the migration. In addition, the annotation displayed on the past annotation confirmation screen 1001 is the annotation registered in the annotation (column 310) of the alarm information management table 212 and the annotation (column 310) of the alarm information registered as an associated alarm. Therefore, in this case, during the alarm handling process of the alarm information 322, the alarm information 321 and the annotation (column 310) registered in the annotation of the alarm information 322 can be displayed on the past annotation confirmation screen 1001. More specifically, in the alarm information management table 212, for the associated alarm information obtained by tracing the alarm information with the current associated alarm management number (column 311) of the alarm information as the key until the associated alarm management number (column 311) becomes a null value, all the registered annotations (column 310) can be displayed on the past annotation confirmation screen 1001.
[0114] (Example of alarm notification when notifying multiple responsible persons)
[0115] Describe an example of notification of an alarm that the analyzed specimen in the analysis device 107 is full.
[0116] In the above example, an example where one inspection technician is the person in charge of handling the alarm is specifically described. However, in order to handle the alarm quickly, it is sometimes preferable for multiple inspection technicians to respond. In this example, the case where the alarm handling operation number information is included in the alarm information is described. Figure 18 This is the extended alarm information management table 1801. The extended alarm information management table 1801 plays the same role as the alarm information management table 212, but has an alarm sub-code (column 1804) for registering an identification number indicating that the number of alarm handling operations is multiple. In the extended alarm information management table 1801, when the alarm information has one person for the handling operation, a null value is registered. On the other hand, in the case where the number of alarm handling operations is multiple, the multiple alarm information is registered. For example, the alarm information 1810 and the alarm information 1811 have the same alarm management number (column 302) and are alarm information caused by the same alarm. However, this alarm requires two people for the alarm handling operation. The alarm information 1810 with the alarm sub-code 01 and the alarm information 1811 with the alarm sub-code 02 are registered. The alarm information 1810 and the alarm information 1811 are processed as independent and different alarm information.
[0117] Figure 19This is the person-in-charge information management table 213 in this example. In this example, for alarms with alarm sub-codes in the "Alarms that can be responded to" column (column 405), a code combining the alarm code and the alarm sub-code is registered. For example, for an alarm with an alarm code of "1401" and an alarm sub-code of "01", it is registered as alarm "1401 - 01" in column 405. Separately registering the alarms that can be responded to for each sub-alarm is because when there are multiple alarm handling operators, the skills required of the handling person-in-charge are different. For example, it can be considered a situation where one person is an inspection technician familiar with the alarm and one person is an operation assistant to handle the alarm.
[0118] Figure 20 This is the extended alarm handling in-process stop position management table 2001. The extended alarm handling in-process stop position management table 2001 serves the same purpose as the alarm handling in-process stop position management table 215, but has an alarm sub-code column (column 2002) and an alarm handling operator number column (column 2003) for registering the number of operators required to handle the alarm. When the number of alarm handling operators is 1, a null value is stored in the alarm sub-code, and when the number of alarm handling operators is multiple, the alarm sub-codes corresponding to the number of people are stored. In addition, when the number of alarm handling operators is multiple, the in-process stop positions (columns 605 and 606) can be set separately for each alarm sub-code.
[0119] When the analysis of the clinical examination is completed, the analyzer temporarily stores the analyzed specimen in the specimen storage section inside the device. However, the number of analyzed specimens that can be temporarily stored is limited, so when it is full, the analyzer generates an alarm indicating that the analyzed specimens are full. When the alarm indicating that the analyzed specimens are full is generated, the inspection technician removes the analyzed specimens from the analyzer and transports the analyzed specimens to the workbench. Therefore, in order to place the analyzed specimens transported from the analyzer, the workbench needs to be tidied up, and the analyzed specimens need to be sorted after they arrive at the workbench. Therefore, in this example, in order to efficiently handle the alarm indicating that the analyzed specimens are full, the alarm handling is divided between the inspection technician who removes the analyzed specimens from the analyzer and the inspection technician who tidies up the workbench and sorts the analyzed specimens, so that the number of alarm handling person-in-charges is set to 2.
[0120] When an alarm indicating that the post - analysis specimen is full is generated in the analysis device 107, the analysis device 107 notifies the management device 102 of the alarm (alarm code "1401") indicating that the post - analysis specimen is full via the network 241. The management device 102 receives the alarm from the analysis device 107 and registers it in the extended alarm information management table 1801. In the extended alarm handling intermediate stop position management table 2001, since the number of personnel for the alarm handling operation of alarm code 1401 (column 2003) is 2, two alarm messages 1810 and 1811, namely alarm sub - code 01 and alarm sub - code 02, are registered in the extended alarm information management table 1801. Since alarms with different alarm sub - codes are managed as different alarms, it is necessary to notify the two inspection technicians who are the alarm handling responsible persons of the alarms.
[0121] The management device 102 uses the code combining the alarm code "1401" (column 304) registered in the alarm information 1810 and the alarm sub - code "01" (column 1802) as a keyword to obtain the list of responsible persons in the responsible person information management table 213( Figure 19 ) who have a matching alarm code in the alarms that can be handled (column 405). In this example, the inspection technicians with responsible person management numbers P001, P002, and P003 can handle alarm 1401 - 01. Next, in the same steps as above (the example of alarm notification when there is no intermediate stop in alarm handling), the inspection technician to be notified of the alarm is determined and the alarm is notified.
[0122] Next, a list of responsible persons with a matching alarm code for alarm 1401 - 02 is obtained. In this example, the inspection technicians with responsible person management numbers P001, P003, and P004 can handle alarm 1401 - 02. Next, in the same steps as above (the example of alarm notification when there is an intermediate stop in alarm handling), the inspection technician to be notified of the alarm is determined and the alarm is notified.
[0123] (Registration method of alarms that inspection technicians can handle)
[0124] Use Figures 21 to 23 the attached drawings to illustrate the method for an inspection technician working in a clinical examination room to register the alarms that can be handled. As a method for registering the alarms that an inspection technician can handle, in addition to the method of the administrator registering alarms for each inspection technician, the method of this example can also be used.
[0125] Figure 21This is the response-alert registration screen 2101 displayed on the terminal 220 of the inspection technician. The inspection technician working in the clinical examination room 101 answers the questions from the management device 102, and based on this answer, registers the alerts that the inspection technician can handle in the response alerts (column 405) in the person-in-charge information management table 213. Figure 21 An example of the question from the management device 102 is shown in []. The inspection technician who answers the question answers the question by selecting any one of the radio buttons 2102 to 2104. The button 2105 is the "Next" button, and notifies the management device 102 of the question number and its answer through the alert information answering unit 225 of the terminal 220. Then, the next question is displayed on the response-alert registration screen 2101. The inspection technician repeats the answering according to the number of questions from the management device 102. When the "Back" button 2106 is pressed, the previous question is displayed, and the answer to the previous question can be corrected.
[0126] Figure 22 This is the response-alert registration information management table 216. The management device 102 updates the alerts that the inspection technician can handle based on the response-alert registration information management table 2201. Column 2202 is the question number, which is the identification number of the question. Column 2203 is the question content, which is the content of the question. Column 2204 is the answer ID, which is the identification number of the option for answering the question. Column 2205 is the answer content, which is the answer to the question. Column 2206 is the response alerts, which is a list of the alerts registered in the response alerts (column 405) of the person-in-charge information management table 213.
[0127] Figure 23 This is the response-alert registration processing logic 2301. The response-alert registration processing logic 2301 is a flowchart executed by the person-in-charge response-alert registration unit 209 of the management device 102.
[0128] In the response-alert registration start step 2303, the inspection technician starts registering the response alerts through the terminal 220. The inspection technician notifies the management device 102 from the terminal 220 to start registering the response alerts, and the person-in-charge response-alert registration unit 209 starts sending questions for registering the response alerts to the terminal 220.
[0129] In the question existence step 2304, it is checked whether there is a sent question, and the process branches accordingly. When there is no question, the process ends. When there is a question, the question is displayed on the terminal 220 (step 2305).
[0130] In the question display step 2305, the response-alert registration screen 2101 is displayed on the terminal 220. The inspection technician answers the question through the displayed response-alert registration screen 2101.
[0131] In the step 2306 of obtaining the answers to the questions by the person in charge, the answers from the examination technician are obtained. The answers to the questions from the terminal 220 include the question No and the answer ID indicating the answer.
[0132] In the update of the person in charge information management table (capable of handling alarms) 2307, the person in charge alarm handling registration section 209, based on the question No and the answer ID received from the terminal 220, refers to the alarm handling registration information management table 216 and registers the alarms that can be handled in the alarms that can be handled (column 405) of the person in charge information management table 213. When an alarm has already been registered in the alarms that can be handled (column 405), the logical sum of the already registered alarms that can be handled and the alarms that can be handled obtained from the alarm handling registration information management table 216 is obtained for registration.
[0133] Transfer to the next question (step 2308), and repeat the above process. If there is no next question, end (step 2309).
[0134] (Method for the examination technician to confirm any alarm in the examination room)
[0135] In the automatic analysis system of the present embodiment, the examination technician working in the clinical examination room can confirm the alarms generated in the clinical examination room 101 through his own terminal.
[0136] Figure 24 It is the entire alarm confirmation screen 2401 displayed on the terminal 220 possessed by the examination technician. The examination technician in the clinical examination room 101 can confirm the status of the alarms generated in the examination room through the list display on the entire alarm confirmation screen 2401. Elements 2402 to 2405 are respectively the elements representing the list of alarms, and record the alarm content, the name of the alarm generation device, the alarm handling status, and the alarm generation time. Regarding the alarm handling status of elements 2402 to 2405, the name of the alarm handling person in charge is displayed. When a new alarm is generated, the element representing the alarm is added to the entire alarm confirmation screen 2401, and when the handling of the alarm is completed, the corresponding alarm element is deleted from the entire alarm confirmation screen. Since the status of the alarms changes at all times, the entire alarm confirmation screen 2401 is updated at regular intervals during the period when the examination technician displays the entire alarm confirmation screen 2401.
[0137] In addition, the examination technician can confirm the detailed situation by clicking on the element of the alarm for which he wants to confirm the detailed situation. When the alarm clicked by the examination technician is an alarm for which the handling person in charge has been determined, such as elements 2402 and 2403, it migrates to the alarm handling answer screen 901 as the detailed alarm confirmation screen ( Figure 9)。However, when the inspection technician who opens the alarm handling response screen 901 from the all-alarm confirmation screen 2401 is not the person in charge of handling, the screen operation cannot be performed. In order to indicate that the screen cannot be operated, processing such as fading the color of buttons or not displaying buttons can be performed. During the period when the inspection technician confirms the details of the alarm through the alarm handling response screen 901, when the person in charge of alarm handling has completed the handling of the alarm, the management device 102 notifies the inspection technician who is confirming the details of the alarm that the alarm handling has been completed, and migrates the screen of the terminal 220 to the all-alarm confirmation screen 2401.
[0138] When the alarm clicked by the inspection technician is an alarm for which the person in charge of handling has not been determined, such as in elements 2404 and 2405, it migrates to the alarm notification screen 801 as the detailed confirmation screen of the alarm ( Figure 8 ). The inspection technician can perform screen operations on the alarm notification screen 801. When the "Yes" button 802 is pressed, the management device 102 registers this inspection technician as the person in charge of alarm handling, and migrates the screen of the terminal 220 to the alarm handling response screen 901. At this time, in the management device 102, when Figure 11 the alarm notification processing logic 1101 is being executed, an interrupt processing to end the series of processes for notifying the alarm is performed, and the processing of the person-in-charge handling response acquisition step 1111 is started. Additionally, when in the process of the person-in-charge notification response acquisition step 1109, the inspection technician who has been notified of the alarm is notified that the person in charge of handling has been determined.
[0139] When the inspection technician presses the "No" button 803, the screen of the terminal 220 migrates to the all-alarm confirmation screen 2401. When the "View Note" button 804 is pressed, the screen of the terminal 220 migrates to the past note confirmation screen 1001 ( Figure 10 ). During the period when the inspection technician confirms the details of the alarm through the alarm notification screen 801, when the person in charge of alarm handling is determined, the management device 102 notifies the inspection technician who is confirming the details of the alarm that the person in charge of alarm handling has been determined, and transfers the screen of the terminal 220 to the all-alarm confirmation screen 2401.
[0140] As described above, the present invention has been described according to the embodiments, but the present invention is not limited to the above embodiments and includes various modification examples. The embodiments are examples described in a manner that is easy to understand the present invention and are not limited to having all the structures described. Additionally, a part of the structure of a certain embodiment can be replaced with the structure of another embodiment, and also, the structure of another embodiment can be added to the structure of a certain embodiment. Further, for a part of the structure of each embodiment, addition, deletion, and replacement of other structures can be performed.
[0141] Explanation of Reference Numerals
[0142] 101: Clinical examination room, 102: Management device, 103, 104, 105, 106, 107: Analysis device, 108: Pretreatment device, 109, 110: Reagent storage, 111, 112: Consumable storage, 113: Workbench, 114, 115, 116, 117: Examination technician, 118: Front position, 201, 221: Input device, 202, 222: Output device, 203, 223: Communication device, 204, 224: Information processing device, 205: Alarm notification unit, 206: Alarm detection unit, 207: Alarm notification sequence determination unit, 208: Person in charge position information acquisition unit, 209: Person in charge's available alarm registration unit, 210: Alarm information response acquisition unit, 211: Storage device, 212: Alarm information management table, 213: Person in charge information management table, 214: Person in charge schedule management table, 215: Alarm handling intermediate stop position management table, 216: Available alarm registration information management table, 220: Terminal, 225: Alarm information response unit, 230: Position information acquisition device, 241, 242, 243, 244: Network, 701: Clinical examination room diagram, 801: Alarm notification screen, 901: Alarm handling response screen, 1001: Past annotation confirmation screen, 1101: Alarm notification processing logic, 1201: Alarm notification sequence determination processing logic, 1801: Extended alarm information management table, 2001: Extended alarm handling intermediate stop position management table, 2101: Available alarm registration screen, 2301: Available alarm registration processing logic, 2401: All alarm confirmation screen.
Claims
1. An automatic analysis device, characterized in that, it has: A plurality of analysis devices arranged in the clinical examination room, which perform analysis or pretreatment of samples; A location information acquisition device that acquires the location of the examination technician; and A management device that manages the plurality of analysis devices, The management device includes: A storage device that stores an alarm information management table, a person in charge schedule management table, and an alarm handling stop position management table. The alarm information management table registers information on alarms detected from the plurality of analysis devices or the management device. The person in charge schedule management table registers the schedules of examination technicians working in the clinical examination room. The alarm handling stop position management table registers information on the stop positions where the examination technician handling the alarm stops midway before the device where the alarm occurred in order to handle the alarm detected from the plurality of analysis devices or the management device; And An information processing device that assigns a priority for notifying the detected alarm to the examination technician in the clinical examination room based on the difficulty information of the task currently being performed by the examination technician in the clinical examination room obtained from the person in charge schedule management table and the position information based on the distance between the position information reference point and the current position of the examination technician in the clinical examination room obtained by the position information acquisition device, and determined from the alarm information management table and the alarm handling stop position management table. The above position information reference point represents the position where the examination technician handling the alarm first stops midway.
2. The automatic analysis device according to claim 1, characterized in that, The storage device stores a person in charge information management table, which registers the alarms that the examination technicians working in the clinical examination room can handle, The information processing device screens the examination technicians who are candidates for notifying the detected alarm based on the alarm information management table and the person in charge information management table among the examination technicians in the clinical examination room.
3. The automatic analysis device according to claim 1, characterized in that, The examination technicians working in the clinical examination room hold terminals, The information processing device notifies the terminal of the examination technician with the highest priority assigned by the priority to detect the detected alarm.
4. The automatic analysis device according to claim 3, characterized in that, The information processing device receives a notification of the intention to be responsible for handling the alarm from the terminal of the examination technician notified of the alarm, and registers the examination technician notified of the alarm as the person in charge of handling the alarm in the alarm information management table stored in the storage device.
5. The automatic analysis device according to claim 4, characterized in that, The examination technician who is the person in charge of handling the alarm can input a note related to the handling of the alarm to the terminal, The information processing device accepts the input of the note of the examination technician who is the person in charge of handling the alarm, and registers the note in the alarm information management table stored in the storage device.
6. The automatic analysis device according to claim 5, wherein, the information processing device receives a notice of the intention to abandon the handling of the alarm from the terminal of the inspection technician who is the person in charge of handling the alarm, registers the alarm that the person in charge of handling the alarm has abandoned as a new alarm in the alarm information management table stored in the storage device, and registers, as an associated alarm of the new alarm, the alarm that the person in charge of handling the alarm has abandoned.
7. The automatic analysis device according to claim 2, wherein, when it is detected that the generated alarm is an alarm that requires n persons in charge of handling, the information processing device registers the information of the detected generated alarm as n alarms in the alarm information management table, and assigns a priority order for notifying the alarm to the inspection technicians located in the clinical examination room for each of the n alarms.
8. The automatic analysis device according to claim 7, wherein, when the alarm from the plurality of analysis devices or the management device is an alarm that requires n persons in charge of handling, in the person in charge information management table, for each of the n alarms registered in the alarm information management table, it is registered whether it is an alarm that can be handled.
9. An alarm handling method in a clinical examination room, where a plurality of analysis devices for sample analysis or pretreatment are arranged in the clinical examination room, and a plurality of inspection technicians work there, wherein, a person in charge schedule management table and an alarm handling midway stop position management table are pre-stored, the person in charge schedule management table registers the schedules of the inspection technicians working in the clinical examination room, and the alarm handling midway stop position management table registers the information of the midway stop places where the inspection technician handling the alarm makes a midway stop before the device where the alarm occurs in order to handle the alarm generated from the plurality of analysis devices, an alarm occurrence is detected from the plurality of analysis devices, and the information of the detected generated alarm is registered in the alarm information management table, the location of the inspection technician is obtained by a location information acquisition device, based on the difficulty information of the task currently being executed by the inspection technician located in the clinical examination room obtained from the person in charge schedule management table, and the location information based on the distance between the location information reference point determined from the alarm information management table and the alarm handling midway stop position management table and the current position of the inspection technician located in the clinical examination room obtained by the location information acquisition device, a priority order for notifying the detected alarm occurrence is assigned to the inspection technicians located in the clinical examination room, and the above location information reference point represents the position where the inspection technician handling the alarm first makes a midway stop.
10. The alarm handling method according to claim 9, wherein, a person in charge information management table is pre-stored, and the alarm that the inspection technician working in the clinical examination room can handle is registered in the person in charge information management table, the inspection technicians who are candidates for notification of the detected alarm occurrence are screened from the alarm information management table and the person in charge information management table.
11. The alarm handling method according to claim 9, wherein, the examination technician working in the clinical examination room holds a terminal, and the terminal of the examination technician who is set to the highest priority by assigning the priority order is notified of the detected alarm.
12. The alarm handling method according to claim 11, wherein, a notification of the intention to be responsible for handling the alarm is received from the terminal of the examination technician notified of the alarm, and the examination technician notified of the alarm is registered as the person in charge of handling the alarm in the alarm information management table.
13. The alarm handling method according to claim 12, wherein, a notification of the intention to abandon handling the alarm is received from the terminal of the examination technician who is the person in charge of handling the alarm, the alarm that the person in charge of handling the alarm has abandoned is registered as a new alarm in the alarm information management table, and the alarm that the person in charge of handling the alarm has abandoned is registered as an associated alarm of the new alarm.
14. The alarm handling method according to claim 10, wherein, an alarm that requires n persons in charge of handling is detected from the plurality of analysis devices, and the information of the detected alarm is registered as n alarms in the alarm information management table, and for each of the n alarms, a priority order for notifying the alarm is assigned to the examination technician located in the clinical examination room.
15. The alarm handling method according to claim 14, wherein, in the case where the alarm from the plurality of analysis devices is an alarm that requires n persons in charge of handling, in the person in charge information management table, for each of the n alarms registered in the alarm information management table, it is registered whether it is an alarm that can be handled.
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