Information management system, information management method, and information management program

Abstract

To provide an information management system that, with medical personnel carrying out various jobs for protecting the safety of patients every day, increases the efficiency of jobs of confirming the safety and keeping records of medicine and instruments in a medial facility to reduce job burdens, and facilitates creating job records at medical front and managing the preservation of the records.SOLUTION: A server 10 in the information management system comprises: a work acquisition unit for acquiring work content information assigned according to work from a terminal apparatus; an article acquisition unit for acquiring, from the terminal apparatus, article display information assigned to a medical article including medicine, material and surgical instrument; a certification storage unit for checking the work content information and the article display information against each other and storing conformance certification when the article display information conforms to the work content information or storing unacceptable certification when these do not conform to each other; a storage and preservation unit for preserving, as management record information, the work content information, article display information and the stored conformance certification for the case of conformance certification, and the work content information, article display information and the stored unacceptable certification for the case of unacceptable certification; and an output unit for outputting the management record information.SELECTED DRAWING: Figure 2

Description

Technical Field

[0001] The present invention relates to an information management system, an information management method, and an information management program, and more particularly to an information management system, method, and program for streamlining medication management and supply management in a medical institution.

Background Art

[0002] In medical facilities such as hospitals, it is necessary to manage a wide range of items, including prescribing and administering medications to inpatients and outpatients, and preparing and sterilizing surgical instruments and equipment for surgeries and clinical tests. For medications, pharmacists check the medications listed on the prescriptions created by doctors and divide them into small portions for each patient. Also, depending on the content of surgeries and clinical tests, the quantity and type of surgical instruments such as scalpels and forceps, endoscopes, gauze, catheters, washbasins, electrocardiogram monitors, etc. are sequentially confirmed by nurses, clinical laboratory technicians, etc. and transported to the medical site such as the operating room.

[0003] In the case of the above-mentioned confirmation of medications, surgical instruments, equipment, etc., pharmacists, nurses, etc. within the facility sequentially confirmed them visually and recorded the collation results, etc. Therefore, the work of recording the confirmation results in a predetermined document takes time and the burden on on-site work has increased. Today, due to the requirements for safety compliance and proper management in the medical field, more accurate and strict management and supervision are required for the creation and storage of individual work records of medications, surgical instruments, equipment, etc.

[0004] Due to such a trend, systems for dispensing management of prescribed medications based on prescriptions have been proposed (see Patent Document 1, etc.). The system of Patent Document 1 has achieved a certain level of efficiency in terms of collation using barcodes attached to medications.

Prior Art Documents

Patent Documents

[0005]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0006] However, as described above, although the dispensing work based on prescriptions in medical facilities such as hospitals is important, it has not been able to cope with the management, recording of the use of instruments and equipment used in other facilities, and furthermore, the management and recording covering a wide range such as acceptance, delivery, and disposal.

[0007] The present invention has been made in view of the above points, and streamlines the safety confirmation and accounting operations when handling a wide range of items such as prescription of pharmaceuticals, maintenance and sterilization of surgical instruments and equipment in medical facilities such as hospitals, reducing the workload of on-site workers, and providing an information management system, an information management method, and an information management program that facilitate the creation and storage management of work records of pharmaceuticals, surgical instruments, equipment, etc. in the medical field.

Means for Solving the Problems

[0008] That is, the information management system according to the embodiment includes a work acquisition unit that acquires work content information previously assigned according to the work in the medical facility from a terminal device, an article acquisition unit that acquires article display information attached to medical articles including pharmaceutical packaging, materials, and surgical instruments corresponding to the work from the terminal device, a verification storage unit that collates the work content information and the article display information and stores a conformity verification when the article display information conforms to the work content information, and stores a non-conformity verification when the article display information does not conform to the work content information, and a storage and preservation unit that stores the work content information, the article display information, and the storage of the conformity verification in the case of conformity verification, and the work content information, the article display information, and the storage of the non-conformity verification in the case of non-conformity verification as management record information, and an output unit that outputs the management record information.

[0009] Furthermore, the information management system may be provided with a worker acquisition unit that acquires worker information assigned to each worker who executes the work from the terminal device, the verification storage unit stores the worker information when collating the work content information and the article display information, and the storage and preservation unit stores the worker information.

[0010] Furthermore, when authentication fails, the information management system may be provided with a notification unit that notifies the terminal device of a warning that the work content information and the article display information do not match, and notifies the terminal device of medical articles based on the article display information that matches the work content information.

[0011] Furthermore, in the information management system, the worker acquisition unit acquires information on two or more workers, and when the authentication storage unit acquires information on two or more workers corresponding to the work content information, it collates the work content information and the article display information. When the article display information matches the work content information, it stores the conformity authentication. Even when the article display information matches the work content information after collating the work content information and the article display information, if only one worker's information is acquired, it may be stored as non-authenticated.

[0012] Furthermore, in the information management system, the notification unit may notify the terminal device that, even when the work content information and the article display information are collated and the article display information matches the work content information, only one worker's information has been acquired, as non-authenticated.

[0013] Furthermore, in the information management system, the work content information is a character indicating the name of the work content, a unique barcode assigned according to the work content, or a unique two-dimensional code assigned according to the work content. The article display information is a character of the article name of the medical article, a unique barcode inherent to the medical article, or a unique two-dimensional code inherent to the medical article. The worker information may be a unique barcode assigned according to the worker, a unique two-dimensional code assigned according to the worker, or biometric information of the worker.

[0014] Furthermore, in the information management system, the output unit may cause the terminal device to display attached information explaining the medical article based on the article display information.

Advantages of the Invention

[0015] According to the information management system of the present invention, there are provided: a work acquisition unit that acquires work content information previously assigned according to work in a medical facility from a terminal device; an article acquisition unit that acquires article display information attached to medical articles including pharmaceutical packaging, materials, and surgical instruments corresponding to the work from the terminal device; an authentication storage unit that collates the work content information and the article display information, stores a conformity authentication when the article display information conforms to the work content information, and stores a non-conformity authentication when the article display information does not conform to the work content information; a storage storage unit that stores the work content information, the article display information, and the storage of the conformity authentication in the case of conformity authentication, and the work content information, the article display information, and the storage of the non-conformity authentication in the case of non-conformity authentication as management record information; and an output unit that outputs the management record information. Therefore, when handling a wide range of articles such as prescription of pharmaceuticals, maintenance of surgical instruments and equipment, and sterilization in a medical facility such as a hospital, the bookkeeping work can be streamlined, the workload of on-site workers can be reduced, and it is easy to manage the creation and storage of work records of pharmaceuticals, surgical instruments, equipment, etc. in the medical field. Also, in the information management method and the information management program, the bookkeeping work can be streamlined, the workload of on-site workers can be reduced, and it is easy to manage the creation and storage of work records of pharmaceuticals, surgical instruments, equipment, etc. in the medical field.

Brief Description of Drawings

[0016]

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Modes for Carrying Out the Invention

[0017] The information management system of the embodiment can record and store, through simple operations on a terminal device, information such as the personnel involved in the operations, the operation details, the date and time, and the results regarding various operations on medical supplies handled within medical facilities such as hospitals, dental clinics, prescription pharmacies, nursing facilities, convalescent facilities, and clinical examination facilities, including prescribing, using, bringing in (receiving) and taking out (dispensing) within the facility, and discarding, etc. for patients (inpatients, outpatients, patients receiving home visits). When necessary, the recorded accounting information can be viewed and printed, and can be used for auditing the operation of medical facilities, inspections by public institutions, and investigations, etc.

[0018] As terminal devices, well-known smartphones, tablet terminals, etc. are used for the convenience of carrying by the staff (doctors, nurses, pharmacists, clinical laboratory technicians, various staff, etc.) within the medical facility. As will be described later, models equipped with a camera are preferred due to the need for taking images. By using general-purpose devices, the cost burden for system introduction can be reduced.

[0019] Medical supplies include pharmaceuticals, materials, and surgical instruments. Pharmaceuticals include tablets, ointments, capsules, ampoules, vials, intravenous drips, etc. Materials include gauze, bandages, injection needles, syringes, sphygmomanometers, ventilators, blood test equipment, instruments for PCR, X-ray equipment, etc. Surgical instruments include endoscopes, scalpels, forceps, sutures, etc. "Article display information" is attached to these medical supplies.

[0020] The article display information is, in addition to the name of each medical supply, a unique barcode or two-dimensional code (so-called QR code (registered trademark)). The article display information is, for example, a GTIN (JAN code), a barcode (GS1 Databar, GS1-128) conforming to the "GS1" standard, etc., and is attached to the packaging of pharmaceuticals. Also, for materials, in addition to being attached to the packaging, a barcode (two-dimensional code) unique to the device itself is directly pasted. For surgical instruments, for endoscopes, a barcode etc. is pasted on the main body. In the case of scalpels etc., a number or barcode (two-dimensional code) that can be identified for each item is attached by engraving, laser marking, etc.

[0021] Therefore, by attaching article display information readable by a terminal device to almost all medical articles, the premise for unified management of all medical articles prescribed, used, stored, brought in, taken out, discarded, etc. at various locations within a medical facility is prepared. At the same time, name tags for personal identification of staff (doctors, nurses, pharmacists, clinical laboratory technicians, various staff, etc.) within the medical facility are provided, and "operator information" that identifies the individual staff such as name, department, job type, position, and workplace is printed as a unique barcode (two-dimensional code) on this name tag. Furthermore, a photo for identifying the individual may be attached to the name tag and included in the operator information. By holding the operator information in front of the terminal device, the staff can easily and quickly input the person in charge of the work to be performed or the completed work.

[0022] Furthermore, "work content information" is prepared to simplify the input of various work contents such as prescription, use, storage, bringing in, taking out, and discarding performed at various locations within the medical facility. The work content information is a card, sheet, etc. with the work content printed on it, and the name of the work content and a unique barcode (two-dimensional code) printed according to the work content correspond to it. By holding the work content information in front of the terminal device, the staff can easily and quickly input the work content to be performed or the completed work content.

[0023] Figure 1 is a schematic diagram showing the configuration of the information management system 1 of the embodiment. The information management system 1 is a system introduced into a medical facility such as a hospital, and is wirelessly connected to a terminal device 20 owned (loaned) by a staff member or installed (stationed) at various locations in the medical facility and a server 10 (computer). The connection form may be the Internet or a dedicated intranet within the medical facility. For the convenience of confirming and inputting the display content, a display unit 21 that is a touch panel for input and output such as a liquid crystal display unit is mounted on the terminal device 20.

[0024] Medical facility staff 2 and 3 hold their name tags in front of the terminal device 20, and the operator information 2n and 3n in the name tags is read by the terminal device 20. At the same time, on a sheet 4 (document, sheet, etc.) on which specific work contents such as prescriptions are described, work content information 4m corresponding to each work content is individually printed. Therefore, medical facility staff 2, etc. hold the work content information 4m corresponding to the work content of the sheet 4 on which specific work contents are described in front of the terminal device 20, and the work content information 4m of the sheet 4 is read by the terminal device 20.

[0025] Furthermore, various medical supplies such as pharmaceuticals and materials (pharmaceuticals 5 (its packaging), surgical instruments 6, materials 7) are provided with article display information 5m (printed on the packaging of pharmaceuticals), 6m (printed on the container), 7m (affixed to the device). Therefore, the article display information 5m, 6m, and 7m is read by medical facility staff 2, 3, etc. from the terminal device 20.

[0026] In this way, through the terminal device 20, the input of the work content information 4m corresponding to the work to be executed or the work that has been completed, the input of the operator information 2n and 3n of the responsible medical facility staff 2 and 3, and the input of the article display information 5m, 6m, and 7m of the types of medical supplies (pharmaceuticals 5, surgical instruments 6, materials 7) to be processed (prescription, medication, sterilization, disposal, etc.) can be completed extremely simply by only taking an image. As described above, the work content information, operator information, and article display information are displayed by barcodes (or two-dimensional codes). In addition to this, for the article display information, it may be possible to read the characters and perform character recognition as the characters themselves. Also, the operator information may be the face image of the operator himself / herself, and the biometric information may be used for personal authentication by taking a face image. Also, for biometric information, hand veins, iris of the eye, etc. may also be used for operator information for personal authentication if appropriate.

[0027] The operator information, work content information, and article display information input via the terminal device 20 are aggregated and centrally managed by the server 10 (computer). When the operator information, work content information, and article display information are input from the terminal device 20, the input time (year, month, day, hour, minute, second) is recorded simultaneously. Further, these records are printed as a document 9 based on a predetermined format from the printer 8 connected to the server 10. The document 9 is management record information (see FIG. 5), and the operator information and article display information based on the work content information are summarized in a list. The document 9 is a record document that can be immediately presented for audits (internal audits, external audits) of the operation of medical facilities, inspections by public institutions, investigations, etc. The numbers of the staff, terminal devices, etc. in the figure are appropriate and are not limited to the numbers for illustration convenience.

[0028] FIG. 2 is a block diagram showing the configuration of the server 10 (computer) of the information management system 1. The server 10 (computer) is composed of hardware such as a computer necessary for various operation controls such as signal reception, operation execution, and storage, and implements a control unit 11, a ROM 12, a RAM 13, a storage unit 14, an I / O 15 (input / output interface), etc.

[0029] When each functional unit of the server (computer) 10 is realized by software, the server (computer) 10 is realized by executing the instructions of a program that is software for realizing each function. As the recording medium for storing this program, a "non-transitory tangible medium" such as a CD, a DVD, a semiconductor memory, a programmable logic circuit, etc. can be used. Also, this program may be supplied to the server (computer) 10 of the information management system 1 via any transmission medium (a network line, a communication network, a broadcast wave, etc. not shown) capable of transmitting the program.

[0030] The storage unit 14 of the server (computer) 10 is a known storage device such as an HDD or an SSD. The storage unit 14 stores various data, collation, determination, information management programs, and various data necessary for the execution of the programs. Also, each functional unit that executes operations such as various calculations and arithmetic operations is a control unit 11 having arithmetic elements such as a CPU and a GPU. Information and signals of the terminal device 20 can be input and output from the I / O 15 via the Internet or an intranet line. Note that the server (computer) 10 may be a personal computer (PC), and a keyboard, mouse, display, etc. serving as an operation unit are connected to the I / O 15 (not shown). And the printer 8 is connected to the I / O 15.

[0031] Each functional unit in the control unit 11 (such as a CPU) of the server (computer) 10 is shown as in the block diagram of FIG. 2. Each functional unit includes a work acquisition unit 110, an article acquisition unit 120, a worker acquisition unit 130, an authentication storage unit 140, a storage and preservation unit 150, a notification unit 160, an output unit 170, etc. The operations and executions of the control unit 11 of the server (computer) 10 are realized software-wise by an information management program or the like loaded into the main memory.

[0032] The work acquisition unit 110 acquires work content information pre-assigned according to the work in the medical facility from the terminal device. As described in the explanation of FIG. 1, a sheet 4 with individual and specific work contents described is prepared, and the work content information 4m corresponding to the work contents in this sheet is read from the terminal device 20. Details are referred to the sheet (sheet) of the work type sheet 40 in FIG. 3.

[0033] The article acquisition unit 120 acquires article display information attached to medical articles including pharmaceutical packages, materials, and surgical instruments corresponding to the work from the terminal device. As described in the explanation of FIG. 1, the article display information 5m (printed on the pharmaceutical package), 6m (printed on the container), 7m (affixed to the device) printed on various medical articles (pharmaceutical 5 (its package), surgical instrument 6, material 7) such as pharmaceuticals and materials is read from the terminal device 20.

[0034] The operator acquisition unit 130 acquires the operator information assigned to each operator who executes the work from the terminal device. As described in the explanation of FIG. 1, for the staff members 2 and 3 of the medical facility who are the operators who execute the work, by holding their name tags in front of the terminal device 20, the operator information 2n and 3n in the name tags are read from the terminal device 20.

[0035] The operator acquisition unit 130 of the embodiment acquires the operator information of two or more (three or more as necessary) operators. According to FIG. 1, it is the operator information 2n and 3n of the staff members 2 and 3 (both operators) of the medical facility. In order to reduce work errors (negligence, mistakes) that occur when entrusting the processing to only one person, in view of the need for confirmation and supervision by others, the operator information of the parties, their witnesses, and supervisors is acquired simultaneously.

[0036] The authentication storage unit 140 collates the work content information 4m, the article display information 5m, etc., and stores the conformity authentication when the article display information 5m, etc. conforms to the work content information 4m, and stores the non - authentication when the article display information 5m, etc. does not conform to the work content information 4m. Furthermore, the authentication storage unit 140 stores the operator information 2n, etc. when collating the work content information 4m and the article display information 5m, etc. This is based on the requirement to identify and store the individual operator who engaged in the work when collating the work content and the article. When work deficiencies or errors occur, the individual is identified and utilized for improving on - site work.

[0037] For example, when the sheet 4 is a prescription form, the types and amounts (volume, number of days) of the drugs to be prescribed are described. Also, when the sheet 4 is issued, the information of the prescription form described on the sheet 4 is stored and accumulated in the server (computer) 10. At this time, the match or mismatch between the work content information 4m printed on the sheet 4 and the article display information 5m printed on the actual drug container and packaging is verified. That is, it is confirmed and verified whether the types and amounts of the read article display information 5m are appropriate, and the types and amounts of the drugs stored and accumulated in the server 10 as the work content information 4m printed on the sheet 4. If the result of the verification is a match, a conformity certification indicating no problem with the verification is stored in the server 10. If the result of the verification does not match, a non-certification indicating a problem with the verification is stored in the server 10. As will be described later, it is possible to retrospectively confirm the storage and history of the conformity certification or non-certification.

[0038] From this process, the prescription work of pharmaceuticals and drugs based on the prescription form and the accompanying confirmation and verification work can be reduced. Of course, it is similarly applicable in the scenarios of sterilizing the surgical instruments 6 used in surgery, preparing the endoscope, and preparing the materials 7 for clinical examinations. In addition, it is similarly applicable in the scenario of discarding the used materials 7 such as catheters and syringes.

[0039] Also, the authentication storage unit 140 stores the operator information when verifying the work content information and the article display information. This is to store the operator who engaged in the work content in accordance with storing the work content and the medical articles that match the work content, thereby clarifying the work responsibility.

[0040] The storage and preservation unit 150 stores the work content information, article display information, and the storage of the conformity certification in the case of conformity certification, and the work content information, article display information, and the storage of the non-certification in the case of non-certification as management record information. The management record information stored in the storage and preservation unit 150 is utilized as evidence for subsequent audits, inspections, and spot checks. FIG. 5 to be described later is a schematic diagram of a display example of the management record information 70.

[0041] In addition, when the memory storage unit 150 acquires information on two or more workers corresponding to the work content information, it collates the work content information with the article display information. When the article display information matches the work content information, it stores a conformity authentication. Even when the article display information matches the work content information after collation, if only one piece of worker information is acquired, it stores it as non-authenticable.

[0042] In a medical facility, work is, in principle, required to be confirmed by two people (it may also be two or more people) except in highly urgent situations from the viewpoints of ensuring safety and preventing human errors. Even if formally there is no problem (conformity authentication) in the collation between the work content and medical articles, there is a high probability of violating the safety management and service regulations within the facility. Therefore, it is necessary to record that only one worker was engaged in the work. Thus, the memory storage unit 150 stores non-authentication triggered by the fact that only one piece of worker information is acquired (the fact that only one piece of worker information was acquired).

[0043] When the authentication memory unit 140 stores it as non-authenticable, the notification unit 160 notifies the terminal device 20 of a warning that the work content information and the article display information do not match, and notifies the terminal device 20 of the medical articles based on the article display information that matches the work content information.

[0044] As the role of the notification unit 160, appropriate article display information 5m etc. to be properly processed is associated with the work content information 4m (its barcode, two-dimensional code) acquired from the terminal device 20. Therefore, the article display information read next to the work content information 4m must be an appropriate article that matches the work content information. If there is an error in the medical article from the article display information of the read medical article, the work must not be continued as it is. For this reason, the notification unit 160 executes a process of issuing a warning from the terminal device 20 to prompt the worker to confirm. As the mode of the warning from the terminal device 20, it is a process of blinking the screen (display unit 21) of the terminal device 20 or emitting a buzzer sound from the speaker.

[0045] If a warning is issued, the worker in the middle of the operation can immediately become aware of the operation error and proceed with the operation after changing to appropriate medical supplies. However, there are situations where it is difficult to identify appropriate medical supplies. In that case, the notification unit 160 notifies the terminal device 20 of medical supplies based on the article display information that conforms to the operation content information 4m. Thus, the worker can recognize what the correct medical supplies are.

[0046] For example, when the operation content is the prescription of oral medications for in-hospital inpatients based on a prescription written by a doctor, and when the prescribed drug is an antidiarrheal drug (name K), if the article display information of a headache drug (name L) is read from the terminal device 20 by mistake, the terminal device 20 will be immediately issued. Then, the antidiarrheal drug (its name K, packaging, manufacturer, etc.) as the appropriate prescription drug is displayed on the display unit 21 of the terminal device 20. Thus, the worker can instantly grasp what the next operation should be. Of course, in addition to the prescription of pharmaceuticals based on a prescription, it is also similarly utilized in the presentation of types such as endoscopes, catheters, surgical instruments, etc.

[0047] In addition, as non-authenticatable, the notification unit 160 notifies the terminal device 20 that even when the operation content information and the article display information are collated and the article display information conforms to the operation content information, the acquisition of worker information is for one person only. The mode of notification from the terminal device 20 is the blinking of the screen (display unit 21) of the terminal device 20, the sounding of a buzzer sound from the speaker, the character display such as "Let's work with two people", voice reading, etc. The meaning of this notification is a reminder to assign another person for the confirmation of the operation content to the worker engaged in the operation.

[0048] The output unit 170 performs control to output the management record information 70 (see FIG. 5). For example, it is processing such as printing based on a predetermined format from a printer 8 connected to the server 10, and processing such as external transmission. By printing the management record information 70 as a document 9, quick confirmation during audits and inspections becomes possible.

[0049] Furthermore, the output unit 170 causes the terminal device 20 to display attached information for explaining the medical article based on the article display information. The attached information for explaining the medical article includes, in the case of pharmaceuticals, the medical pharmaceutical package insert, the pharmaceutical explanatory document (IF: interview form), and in the case of medical devices, the instruction manual, the operation manual, the list of alternatives, the work procedures within the medical facility, the know-how and other materials, and various documented information such as attention-calling matters.

[0050] When the attached information is displayed on the terminal device 20, for example, an operator (pharmacist) engaged in prescription work can confirm the contraindications of pharmaceuticals on the terminal device 20 in parallel with the work. Also, an operator handling medical waste can utilize it for confirming, when collecting medical waste, the presence or absence of injection needles, catheters, etc. used by infected patients such as hepatitis virus and HIV patients.

[0051] FIG. 3 and FIG. 4 are schematic diagrams showing an overview of display examples of the display unit 21 of the terminal device 20. Using this figure, the usage status and the like of the information management system according to the embodiment will be described.

[0052] On the display unit 21 of the schematic diagram in FIG. 3, an operation screen related to work is displayed from above. In the illustration, there are buttons (icons) for inputting work settings 22, start 23, end 24, history 25, and settings 26. Below that, a screen display 27 for selecting the work type and a screen display 28 for changing the start conditions are displayed. Further in order, various contents are displayed, including the user input display 30, and as attached information, the display 31 of the staff ID, the display 32 of the order No., the display 33 of the sub ID, the display 34 of the recorded evidence, and the display 35 of the work status such as the work location and the person in charge. In the illustration, since it is a scene where the work content will be input from now on, the operation starts with the pressing of the button (icon) of the work settings 22.

[0053] For example, when an operator in the facility is about to start work, the two-dimensional code (QR code (registered trademark)) of the target work item is acquired from the work type sheet 40 shown on the right side of the display unit 21 via the camera (not shown) of the terminal device 20. In the illustration, items such as incoming inspection 41, ward replenishment 42, admixture confirmation 43, patient payout 44, completion (YES) 45, cancellation (NO) 46, and the two-dimensional codes (work content information) corresponding to these items are printed. Therefore, the two-dimensional code corresponding to the work to be started is acquired from the camera of the terminal device 20. The work item of the acquired two-dimensional code is displayed on the screen display 27 for selecting the work type (not shown).

[0054] Next, two operators are assigned to perform the work in the illustration. The two-dimensional codes (operator information) in each of the staff ID cards 50 (the first staff ID card 51 and the second staff ID card 52) of each operator are acquired from the camera of the terminal device 20. In the illustration, the name of the first staff ID card 51 is displayed in the column of the staff ID display 31 as the main person in charge, and the name of the second staff ID card 52 is displayed in the column of the sub ID display 33 as the person in charge of confirmation.

[0055] Then, the barcode (article display information) of the content of the process printed on the process card 48 is acquired from the camera of the terminal device 20. In the illustration, the barcode of the incoming inspection and its order No. are shown, and the corresponding content is displayed in the order No. display 32 of the display unit 21 in conjunction.

[0056] In the embodiment of FIG. 3, a time storage and preservation function is provided, and the time at the time of acquisition of each of the work content information, operator information, and article display information, or the time at the time of pressing (touching) the button (icon) of start 23 is transmitted from the terminal device 20 to the server 10.

[0057] The following schematic diagram of Fig. 4 shows a prescription scene in a medical facility. From the pressing (touching) of the start button (icon) 23, the two-dimensional code (work content information) of the content of the process printed on the work card 49 is acquired from the camera of the terminal device 20. In the illustrated example, the work type 60 and the start time 61 are displayed in sequence. Then, a reading instruction 62 is displayed. In accordance with the reading instruction 62, the operator reads the barcode (article display information) printed on the package (label) of the medical article 55 that matches the work with the camera of the terminal device 20, and the article display information of the medical article 55 is acquired. When identifying the medical article 55, it may be a GS1 barcode or the character reading of the name of the medical article 55. After the reading, for confirmation, an image 63 at the time of reading is displayed, and furthermore, the attached information 64 such as the code, product name, and manufacturer name of the medical article 55 is displayed in conjunction.

[0058] The display examples in Figs. 3 and 4 are only a part and an example of the usage scene, and there are naturally displays, modes, scenes, etc. other than those shown. The operations and their records in a series of medical facilities are stored as management record information. The schematic diagram of Fig. 5 is an example of the management record information 70. The management record information 70 is a document that lists "when, what, how much, what was done, where, who, to whom, what was done, how much (required time)". As described above, by simply holding the barcode (two-dimensional code) in front of the terminal device 20, it is possible to collect information such as the work content, the worker, the content of the article, and the time and assemble it into a list. Previously, for all operations, it was possible to reduce the workload of the operator writing and editing sequentially on-site. In addition, since the input of information of multiple workers is simple, the burden of double-checking between the main person in charge and the confirmation person in charge of the work is reduced. Furthermore, since the time (year, month, day, time) can be recorded sequentially, the burden of real-time record creation is eliminated. In the management record information 70 of Fig. 5, the time is displayed as "month / day, time". For example, "A / a PQ:ab" represents "month / day hour:minute" with the year omitted, and the others are the same.

[0059] The format of the management record information 70 can be reorganized at any time according to the formats such as reports and formats for audits. The output format may be printed on paper as document 9 as shown in FIG. 1, or may be the output (such as CSV format) of spreadsheet software. In addition to being held by the operator in one hand for reading operations, the terminal device 20 may be installed on a workbench. Since the operator's both hands are free, the work efficiency is improved.

[0060] Workers in medical facilities, so-called medical staff, always work with the safety of patients in mind at the medical site. However, it is also a fact that major accidents have occurred due to mistakes and mix-ups in drug administration due to heavy workloads. The information management system of the embodiment can easily record and store the operations of the workers in medical facilities themselves, and based on the evidence (records, proofs), it is possible to protect the workers themselves from negligence, disputes, etc.

[0061] As other scenarios for using the information management system of the embodiment, (1) the information management system is used for the installation of medical devices in medical facilities and the asset management of equipment. For example, uses such as installation records of which devices were moved to where, cooperation with asset management ledgers, and tracking of lending of portable devices to wards can be mentioned.

[0062] (2) The information management system is used for the inspection history of medical devices and the asset management of devices. For example, which devices were inspected when is linked with the maintenance inspection records and the asset management ledger. The barcode of the article display information is added with the display of the asset number such as a leased property.

[0063] (3) The information management system is used for nurses and others to refer to medical device manuals. When the barcode of a medical article such as a medical device is acquired from the terminal device 20, the attachment document reference destination (URL), the manufacturer's emergency contact information, and the simple operation manual of the medical article accumulated on the server 10 side related to the barcode of the medical article are displayed on the terminal device 20 side. For example, it is useful for reference purposes when there are few staff such as at night or on holidays.

[0064] (4) The information management system is used to manage the usage records of in vitro diagnostics. When managing the usage history of in vitro diagnostics, records of receipt of the in vitro diagnostics are generated, along with records of which devices they were used in and confirmation of the attached documentation.

[0065] (5) The information management system is used to manage the records of sterilization and cleaning. In managing the cleaning history of medical items that require sterilization, such as surgical instruments and endoscopes, the barcodes (two-dimensional codes) of the medical items to be sterilized are obtained from the terminal device 20. Then, records of sterilization and cleaning are added, and a tracing record of the cleaning is created and saved.

[0066] (6) The information management system is used to manage the incoming inspection records of medicines and medical supplies. The barcodes (two-dimensional codes) of the incoming inspection objects (medical supplies) are acquired from the terminal device 20. Then, the incoming inspection records are generated and linked to the inventory management system in the facility.

[0067] (7) The information management system is used to manage dispensing records from the pharmacy in the hospital to the wards. When a fixed amount of medicines (medical supplies) is dispensed or an extra amount is dispensed to a hospitalized patient, the barcode (two-dimensional code) of the dispensed item (medical supplies) transported to the ward is acquired from the terminal device 20. A dispensing record is then generated and linked to the inventory management system in the facility.

[0068] (8) The information management system is used to manage records of drug usage and disposal. After a drug is used in a hospital ward or outpatient clinic, the barcode (two-dimensional code) of the used drug (medical item) is acquired from the terminal device 20. A usage record is then generated and linked to the inventory management system within the facility.

[0069] (9) The information management system is used to manage records of mixing work (medicinal mixing work) in the ward. When mixing work is performed in the ward, the barcode (two-dimensional code) of the medicine (medical item) to be mixed is obtained from the terminal device 20. Then, a mixing record is generated. In addition, multiple nurses on site can mutually confirm the information by inputting the worker information.

[0070] (10) The information management system is used for creating and managing the search records of the drugs brought in by outpatients and inpatients. Usually, the drugs brought in are visually confirmed by nurses, and drug searches are conducted. Therefore, the barcode (two-dimensional code) of the drugs (medical supplies) brought in is obtained from the terminal device 20, the drugs brought in are identified from this, and the Ministry of Health, Labour and Welfare attached document of the drug is confirmed. In addition, mutual confirmation by multiple nurses becomes possible from the input of operator information.

[0071] (11) The information management system is used for managing incident records. From the perspective of crisis management within a medical facility, records of accidents, mistakes, cautions, etc. regarding medical supplies such as drugs and medical equipment are left, and operators are thoroughly informed and alerted. The barcode (two-dimensional code) of the problematic medical supplies and related medical supplies is obtained from the terminal device 20, and an incident record is generated. In addition, confirmation of harmful event searches by supervisory authorities, etc., and information accumulation in the facility's safety management system are carried out.

[0072] Hereafter, using the flowchart of FIG. 6, both the information management method and the information management program in the information management system 1 of the embodiment will be described. The information management method is executed by the control unit 11 of the server (computer) 10 based on the information management program. The information management program causes the server (computer) 10 in FIGS. 1 and 2 to execute functions such as a work acquisition function, an article acquisition function, an operator acquisition function, an authentication storage function, a storage preservation function, a notification function, and an output function. Since each function overlaps with the description of the information management system 1 above, the details are omitted.

[0073] From the flowchart of FIG. 6, the processing of the server (computer) 10 includes various steps such as a work acquisition step (S110), an article acquisition step (S120), an operator acquisition step (S130), an authentication storage step (S140), a storage preservation step (S150), a notification step (S160), and an output step (S170). Of course, various steps necessary for the operation of the server (computer) 10 itself are naturally included.

[0074] The operation acquisition function acquires work content information pre-assigned according to operations in the medical facility from the terminal device 20 (S110; operation acquisition step). The article acquisition function acquires article display information attached to medical articles including pharmaceutical packaging, materials, and surgical instruments corresponding to the operation from the terminal device 20 (S120; article acquisition step). The worker acquisition function acquires worker information assigned to each worker who executes the operation from the terminal device 20 (S130; worker acquisition step). The authentication storage function collates the work content information and the article display information, stores the conformity authentication when the article display information conforms to the work content information, and stores the non-authentication when the article display information does not conform to the work content information (S140; authentication storage step).

[0075] The memory storage function stores the work content information, the article display information, and the memory of the conformity authentication in the case of conformity authentication, and the work content information, the article display information, and the memory of the non-authentication in the case of non-authentication as management record information (S150; memory storage step). The notification function notifies the terminal device 20 of a warning that the work content information and the article display information do not conform in the case of non-authentication, and notifies the terminal device 20 of medical articles based on the article display information conforming to the work content information (S160; notification step). The output function outputs the management record information (S170; output step).

[0076] The computer program of the present invention described above may be recorded on a processor-readable recording medium. As the recording medium, a "non-transitory tangible medium" such as a tape, a disk, a card, a semiconductor memory, a programmable logic circuit, etc. can be used.

[0077] Note that the computer program can be implemented using, for example, a script language such as ActionScript or JavaScript (registered trademark), an object-oriented programming language such as Objective-C or Java (registered trademark), a markup language such as HTML5, etc.

Explanation of Signs

[0078] 1 Information management system 2,3 Staff members (operators) of medical facilities 2n,3n Operator information 4 Sheets with work content described 4m Work content information 5,6,7 Medical supplies 5m,6m,7m Item display information 9 Documents 10 Server (computer) 11 Control unit 14 Memory unit 20 Terminal device 21 Display unit 70 Management record information 110 Work acquisition unit 120 Item acquisition unit 130 Operator acquisition unit 140 Authentication memory unit 150 Memory storage unit 160 Notification unit 170 Output unit

Claims

1. An operation acquisition unit that acquires operation content information previously assigned according to operations in a medical facility from a terminal device, An article acquisition unit that acquires article display information attached to medical articles including pharmaceutical packages, materials, and surgical instruments corresponding to the operation from the terminal device, An authentication storage unit that collates the operation content information and the article display information, stores a conformity authentication when the article display information conforms to the operation content information, and stores a non-conformity authentication when the article display information does not conform to the operation content information, A storage storage unit that stores the operation content information, the article display information, and the storage of the conformity authentication in the case of the conformity authentication, and the operation content information, the article display information, and the storage of the non-conformity authentication in the case of the non-conformity authentication as management record information, An output unit that outputs the management record information, An information management system characterized by the above.

2. It is provided with an operator acquisition unit that acquires operator information assigned to each operator who executes the operation from the terminal device, The authentication storage unit stores the operator information when collating the operation content information and the article display information, The information management system according to claim 1, wherein the storage storage unit stores the operator information.

3. In the case of non-conformity authentication, a notification unit that notifies the terminal device of a warning that the operation content information and the article display information do not match, and notifies the terminal device of the medical article based on the article display information that conforms to the operation content information is provided. The information management system according to claim 2.

4. The operator acquisition unit acquires information of two or more of the operators, The authentication storage unit collates the operation content information and the article display information when acquiring information of two or more of the operators corresponding to the operation content information, and stores a conformity authentication when the article display information conforms to the operation content information. The information management system according to claim 3, wherein even when the article display information conforms to the operation content information, it is stored as non-conformity authentication when the acquisition of the operator information is for one person.

5. The notification unit notifies the terminal device that the acquisition of the operator information is for one person even when the article display information conforms to the operation content information as the non-conformity authentication. The information management system according to claim 4.

6. The operation content information is characters indicating the name of the operation content, a unique barcode assigned according to the operation content, or a unique two-dimensional code assigned according to the operation content, The article display information is characters of the article name of the medical article, a barcode unique to the medical article, or a two-dimensional code unique to the medical article, The operator information is a unique barcode assigned according to the operator, or a unique two-dimensional code assigned according to the operator, and biometric information of the operator. The information management system according to claim 2.

7. The output unit causes the terminal device to display attached information for explaining the medical article based on the article display information. The information management system according to claim 1.

8. A computer An operation acquisition step of acquiring operation content information pre-assigned according to an operation in a medical facility from a terminal device, An article acquisition step of acquiring article display information attached to a medical article including a pharmaceutical package, materials, and surgical instruments corresponding to the operation from the terminal device, An authentication storage step of collating the operation content information and the article display information, storing a conformity authentication when the article display information conforms to the operation content information, and storing a non-conformity authentication when the article display information does not conform to the operation content information, A storage storage step of storing the operation content information, the article display information, and the storage of the conformity authentication in the case of the conformity authentication, and the operation content information, the article display information, and the storage of the non-conformity authentication in the case of the non-conformity authentication as management record information, An output step of outputting the management record information, and executing An information management method characterized by the above.

9. In a computer, An operation acquisition function of acquiring operation content information pre-assigned according to an operation in a medical facility from a terminal device, An article acquisition function of acquiring article display information attached to a medical article including a pharmaceutical package, materials, and surgical instruments corresponding to the operation from the terminal device, An authentication storage function of collating the operation content information and the article display information, storing a conformity authentication when the article display information conforms to the operation content information, and storing a non-conformity authentication when the article display information does not conform to the operation content information, A storage function that stores, as management record information, the work content information, the article display information, and the storage of the conformity certification in the case of the conformity certification, and the work content information, the article display information, and the storage of the non-certification in the case of the non-certification. An output function that outputs the management record information, is realized. An information management program characterized by the above.

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