Method, program, and information processing device

Abstract

To improve techniques that support bed management in medical institutions.SOLUTION: A method, executed by an information processing device 20 that communicates with a terminal device 10, includes the steps of: acquiring first information about a patient; updating second information about the patient daily based on the first information; and causing the terminal device 10 to display a screen 40 by transmitting a display instruction for the screen 40, which includes the second information about the patient, to the terminal device 10 in response to a request from the terminal device 10. The first information includes information indicating a first ward where the patient is hospitalized. The second information includes information regarding a first hospitalization category corresponding to the first ward, and information regarding one or more second hospitalization categories each corresponding to one or more second wards that are candidates of the wards to which the patient is transferred.SELECTED DRAWING: Figure 5

Description

[Technical Field]

[0001] The present disclosure relates to a method, a program, and an information processing device. [Background technology]

[0002] Conventionally, there has been known a technology for supporting bed management in medical institutions such as hospitals. For example, Patent Document 1 discloses a technology for displaying on an electronic terminal a simulation screen including a list of patients scheduled for admission and a bed map showing the overall status of beds, inputting a tentative schedule for admission / transfer of patients to / from wards / beds / discharge from the hospital on the bed map, and performing a simulation up to a certain future date. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Japanese Patent Application Publication No. 2019-179349 Summary of the Invention [Problem to be solved by the invention]

[0004] In hospital bed management, various factors must be considered, including not only the availability of each ward but also the medical fee points for each admission category. In this regard, the conventional technology described above requires users, such as medical professionals, to input tentative schedules for patient admissions and ward transfers in order to perform a simulation. However, for users unfamiliar with hospital bed management, for example, it is cumbersome to input tentative schedules multiple times while changing conditions in order to obtain appropriate simulation results. Therefore, there is room for improvement in technology that supports hospital bed management in medical institutions.

[0005] The purpose of the present disclosure, made in consideration of the above circumstances, is to improve the technology for supporting bed management in medical institutions. [Means for solving the problem]

[0006] According to one embodiment of the present disclosure, a method comprises: A method executed by an information processing device that communicates with a terminal device, obtaining first information about the patient; updating second information of the patient daily based on the first information; In response to a request from the terminal device, a display instruction for a screen including the second information of the patient is sent to the terminal device, thereby causing the terminal device to display the screen; Including, the first information includes information indicating a first ward in which the patient is hospitalized; The second information includes information regarding a first hospitalization category corresponding to the first ward, and information regarding one or more second hospitalization categories each corresponding to one or more second wards that are candidates for transfer destination for the patient.

[0007] A program according to an embodiment of the present disclosure includes: An information processing device that communicates with a terminal device, obtaining first information about the patient; updating second information of the patient daily based on the first information; In response to a request from the terminal device, a display instruction for a screen including the second information of the patient is sent to the terminal device, thereby causing the terminal device to display the screen; A program for executing an operation including: the first information includes information indicating a first ward in which the patient is hospitalized; The second information includes information regarding a first hospitalization category corresponding to the first ward, and information regarding one or more second hospitalization categories each corresponding to one or more second wards that are candidates for transfer destination for the patient.

[0008] An information processing method according to an embodiment of the present disclosure includes: An information processing device including a communication unit that communicates with a terminal device and a control unit, The control unit Obtaining first information about the patient; updating second information of the patient daily based on the first information; In response to a request from the terminal device, a display instruction for a screen including the second information of the patient is transmitted to the terminal device, thereby causing the screen to be displayed on the terminal device; the first information includes information indicating a first ward in which the patient is hospitalized; The second information includes information regarding a first hospitalization category corresponding to the first ward, and information regarding one or more second hospitalization categories each corresponding to one or more second wards that are candidates for transfer destination for the patient. [Effects of the Invention]

[0009] According to one embodiment of the present disclosure, a technique for supporting bed management in a medical institution is improved. [Brief explanation of the drawings]

[0010] [Figure 1] 1 is a block diagram illustrating a schematic configuration of a system according to an embodiment of the present disclosure. [Figure 2] FIG. 1 is a block diagram showing a schematic configuration of an information processing device. [Figure 3] 10 is a flowchart showing a first operation of the information processing device. [Figure 4] 10 is a flowchart showing a second operation of the information processing device. [Figure 5] FIG. 10 is a diagram illustrating an example of a screen displayed on a terminal device. [Figure 6] FIG. 6 is a diagram showing a specific example of the DPC information in FIG. 5. [Figure 7] FIG. 6 is a diagram showing a specific example of history information of nursing need level in FIG. 5. DETAILED DESCRIPTION OF THE INVENTION

[0011] Hereinafter, embodiments of the present disclosure will be described.

[0012] (Outline of the embodiment) An overview of a system 1 according to an embodiment of the present disclosure will be described with reference to FIG. 1. The system 1 includes one or more terminal devices 10 and an information processing device 20. The terminal devices 10 and the information processing devices 20 can communicate with each other via a network 30 such as the Internet. The system 1 may constitute at least a part of an electronic medical record system and a medical administration system used in a medical institution. Alternatively, the system 1 may be able to cooperate with the electronic medical record system and the medical administration system by communicating with them via the network 30.

[0013] The terminal device 10 is a computer such as a PC (Personal Computer), a mobile phone, a smartphone, a tablet terminal, or a handheld terminal. In this embodiment, the terminal device 10 is used by a medical professional working in a medical institution. The terminal device 10 may exchange information with the information processing device 20 via, for example, a browser or a dedicated application.

[0014] The information processing device 20 includes one or more computers that can communicate with each other. The information processing device 20 may be, for example, a cloud-based or on-premise server. In this embodiment, the information processing device 20 provides information that supports hospital bed management operations in response to a request from the terminal device 10, as will be described later.

[0015] In this embodiment, the medical institution is a hospital with multiple wards, such as a ward covered by the DPC system, a community-based comprehensive care ward, and a rehabilitation ward. However, the present invention is not limited to these examples and may be any medical institution capable of accepting inpatients. In this embodiment, each ward is pre-assigned a single admission category. However, multiple admission categories may be pre-assigned to a single ward. Furthermore, the admission category refers to a category listed in, for example, "Medical Fee Schedule, Appendix 1, Medical Fee Schedule, Chapter 1, Part 2, Hospitalization Fees, etc. (Ministry of Health, Labour and Welfare Notification No. 57 of 2024)," in which medical fee points are assigned for each admission category. For example, the "Acute General Hospitalization Fee 1" admission category is assigned 1,688 points. Also, for example, the "Recovery Rehabilitation Ward Hospitalization Fee 1" admission category is assigned 2,229 points. However, the admission category is not limited to these examples and may be any category for which medical fee points are assigned.

[0016] First, an overview of this embodiment will be described, and details will be provided later. An information processing device 20 according to this embodiment acquires first information of a patient. The information processing device 20 updates second information of the patient daily based on the first information. In response to a request from the terminal device 10, the information processing device 20 transmits a display instruction for a screen including the second information of the patient to the terminal device 10, thereby causing the terminal device 10 to display the screen. Here, the first information includes information indicating a first ward in which the patient is hospitalized. Furthermore, the second information includes information indicating a first hospitalization category corresponding to the first ward and information indicating one or more second hospitalization categories corresponding to one or more second wards that are candidates for patient transfer destinations.

[0017] As described above, according to the present embodiment, second information including information about the first hospitalization category corresponding to the first ward in which the patient is hospitalized and information about the second hospitalization category corresponding to the second ward that is a candidate for transfer is displayed on the screen of the terminal device 10. A user can compare information about the first hospitalization category and the second hospitalization category by visually checking the screen of the terminal device 10. Therefore, for example, if the second hospitalization category has a higher medical fee point rating than the first hospitalization category, the user may consider transferring the patient from the first ward to the second ward. Therefore, according to the present embodiment, even a user who is unfamiliar with bed management tasks can determine whether or not to transfer a patient based on a comparison of information about the first hospitalization category and the second hospitalization category, thereby improving the technology for supporting bed management in medical institutions.

[0018] (Configuration of information processing device) 2, the components of the information processing device 20 will be described. The information processing device 20 includes a communication unit 21, a storage unit 22, and a control unit 23.

[0019] The communication unit 21 includes one or more communication interfaces that connect to the network 30. The communication interfaces correspond to mobile communication standards such as 4G (4th Generation) or 5G (5th Generation), wired LAN (Local Area Network) standards, or wireless LAN standards, but are not limited to these and may correspond to any communication standard.

[0020] The storage unit 22 includes one or more memories. The memories may be, for example, semiconductor memories, magnetic memories, optical memories, or the like, but are not limited to these. Each memory included in the storage unit 22 may function as, for example, a main storage device, an auxiliary storage device, or a cache memory. The storage unit 22 stores any information used in the operation of the information processing device 20. For example, the storage unit 22 may store system programs, application programs, embedded software, databases, and the like.

[0021] The control unit 23 includes one or more processors, one or more programmable circuits, one or more dedicated circuits, or a combination thereof. The processor may be, for example, a general-purpose processor such as a CPU (Central Processing Unit) or a GPU (Graphics Processing Unit), or a dedicated processor specialized for a specific process, but is not limited to these. The programmable circuit may be, for example, but is not limited to, an FPGA (Field-Programmable Gate Array). The dedicated circuit may be, for example, but is not limited to, an ASIC (Application Specific Integrated Circuit). The control unit 23 controls the overall operation of the information processing device 20.

[0022] (Operation of information processing device) 3 and 4, a first operation and a second operation of the information processing device 20 will be described. The first operation and the second operation may be executed in parallel.

[0023] 3 is, in outline, an operation for acquiring first information about a patient and updating second information about the patient. The first operation is performed for each patient admitted to the medical institution.

[0024] Step S100: The control unit 23 of the information processing device 20 determines whether or not first information about the patient has been input. If it is determined that the first information has been input (step S100—Yes), the process proceeds to step S101. On the other hand, if it is determined that the first information has not been input (step S100—No), the process proceeds to step S102.

[0025] The "first information" is any information used to update the second information of a patient, which will be described later. Typically, the first information is information about a patient to be registered in the system 1, and registration or modification of the first information in the system 1 requires input operations by a medical professional. Specifically, the first information includes, but is not limited to, information such as the patient's ID, name, age, sex, date of birth, presence or absence of related family members, level of care required, date of last hospital visit, date of last insurance confirmation, date of hospitalization, date of last hospitalization, ward, room, department, and attending physician. For example, the first information may include information indicating a diagnosis group classification based on the name of the disease, condition, treatment content, or a combination thereof, and information indicating medical procedures performed on the patient on the day or the previous day and criteria selected according to the patient's condition.

[0026] Any method can be used to acquire the first information. For example, when a user inputs the first information about a patient into the terminal device 10, the terminal device 10 may transmit the first information to the information processing device 20. The first information may be transmitted to the information processing device 20 via an electronic medical record system or a medical administration system used in the medical institution. Then, upon receiving the first information about the patient, the control unit 23 of the information processing device 20 may determine that the first information has been input. Alternatively, the control unit 23 may receive the first information from the electronic medical record system and / or the medical administration system used in the medical institution.

[0027] Step S101: If it is determined in step S100 that the first information has been input (step S100-Yes), the control unit 23 acquires the first information.

[0028] Specifically, the control unit 23 receives and acquires the first information from the terminal device 10, the electronic medical record system, or the medical administration system, and stores it in the storage unit 22.

[0029] Step S102: The control unit 23 determines whether one day (24 hours) has passed. If it is determined that one day has passed (step S102-Yes), the process proceeds to step S103. On the other hand, if it is determined that one day has not passed (step S102-No), the process returns to step S100.

[0030] Specifically, the control unit 23 determines that one day has passed at a predetermined time. The predetermined time is, for example, midnight, but is not limited to this and may be arbitrarily determined by the medical institution.

[0031] Step S103: If it is determined in step S102 that one day has passed (step S102-Yes), the control unit 23 updates the second information of the patient, and then the process returns to step S100.

[0032] The "second information" is any information that is updated based on the above-mentioned first information. Note that "updating" is not limited to automatically overwriting old information with new information, but may also include automatically storing new information while leaving the old information, or automatically calculating, determining, or identifying information. Specifically, the second information may include, for example, but is not limited to, the following information: Information about the first hospitalization category corresponding to the first ward in which the patient is hospitalized Information on one or more second wards that are candidates for transfer from the first ward, and one or more second hospitalization categories that correspond to each of the one or more second wards Daily nursing needs calculated based on the medical procedures performed on the patient and the criteria selected according to the patient's condition - Historical information showing whether the level of nursing care required is above the standard value for each day in the past specified period DPC information indicating the medical fee points, deadline, remaining days until the deadline, or a combination of these, corresponding to each of multiple hospitalization stages according to the patient's diagnosis group classification The number of days since the patient was admitted to Ward 1, and information indicating whether the number of days is less than or equal to a threshold (e.g., 7 days).

[0033] 4 is, in outline, an operation of causing the terminal device 10 to display a screen including the second information of the patient in response to a request from the terminal device 10. In the present embodiment, the screen includes both the first information and the second information of the patient, as will be described later.

[0034] Step S200: The control unit 23 of the information processing device 20 determines whether or not a request has been received from the terminal device 10. If it is determined that a request has been received (step S200-Yes), the process proceeds to step S201. On the other hand, if it is determined that a request has not been received (step S200-No), the process repeats step S200 and waits for a request from the terminal device 10.

[0035] For example, when a user uses the terminal device 10 to input the ID of a patient whose information he or she wishes to view, the terminal device 10 transmits a request to acquire information about the patient to the information processing device 20. The control unit 23 of the information processing device 20 then receives the request.

[0036] Step S201: If it is determined in step S200 that a request has been received (step S200-Yes), the control unit 23 causes the terminal device 10 to display a screen including the patient's second information by sending the screen a display instruction to the terminal device 10.

[0037] Here, a specific example of the screen 40 displayed on the terminal device 10 will be described with reference to FIGS.

[0038] The screen 40 shown in FIG. 5 includes a patient information display area 41, an admission information display area 42, and an admission history display area 43.

[0039] The patient information display area 41 mainly displays first information about the patient. In the example shown in Fig. 5, the patient information display area 41 displays the patient's name, age, sex, date of birth, whether or not they have any related family members, level of care, date of last hospital visit, and date of last insurance confirmation. This information is included in the first information described above.

[0040] The patient information display area 41 may also display a label 411. The label 411 displays the medical treatment status, admission date, previous admission date, hospital room, medical department, and attending physician. Of these pieces of information, information other than the medical treatment status is included in the first information described above. The medical treatment status includes, for example, information indicating the ward in which the patient is hospitalized or information indicating that the patient is receiving outpatient treatment, but is not limited to these. For example, the medical treatment status may further include, among the second information described above, "information indicating the number of days elapsed since the patient was admitted to the first ward and whether the number of days elapsed is equal to or less than a threshold value (e.g., 7 days)." Here, the control unit 23 of the information processing device 20 may display the label 411 in a different form (e.g., color, shape, size) for each medical treatment status.

[0041] The hospitalization information display area 42 mainly displays the second information of the patient. In the example shown in FIG. 5, the hospitalization information display area 42 displays, among the second information described above, "information related to the first hospitalization category corresponding to the first ward in which the patient is hospitalized" (corresponding to the "patient's current hospitalization category" in the figure), and "information related to one or more second hospitalization categories corresponding to one or more second wards that are candidates for transfer from the first ward" (corresponding to the "candidate hospitalization category for transfer" in the figure). Note that the "information related to the hospitalization category" may include the name of the hospitalization category, medical fee points, the number of days elapsed, the number of days remaining until the maximum number of days for admission, or a combination of these. In one example, when the first hospitalization category is any category corresponding to the acute general hospitalization basic fee (for example, "acute general hospitalization fee 1"), the control unit 23 of the information processing device 20 may specify, as the second hospitalization category, any category corresponding to the regional general hospitalization basic fee (for example, "regional general hospitalization fee 1") and / or any category corresponding to the convalescent rehabilitation ward hospitalization fee (for example, "convalescent rehabilitation ward hospitalization fee 1"). However, the determination of the second ward (and second hospitalization category) is not limited to this example, and any method can be adopted.

[0042] Furthermore, in the hospitalization information display area 42, DPC information 421 and history information 422 of nursing need level may be displayed.

[0043] The DPC information 421 is displayed when the DPC system is applied (specifically, when the patient's diagnosis group classification is subject to the DPC system and the first ward where the patient is hospitalized is a ward subject to the DPC system). The DPC information 421 corresponds to the "DPC information indicating the medical fee points, deadline, number of days remaining until the deadline, or a combination thereof, corresponding to each of multiple hospitalization stages according to the patient's diagnosis group classification" among the second information described above. In the example shown in FIG. 6, the DPC information 421 is displayed in a table format, with each row indicating a hospitalization stage ("Hospitalization Period I," "Hospitalization Period II," and "Hospitalization Period III") and each column indicating the medical fee points, deadline, and number of days remaining until the deadline. Here, the control unit 23 of the information processing device 20 may highlight the row indicating the hospitalization stage to which the patient currently belongs, compared to the other rows. The control unit 23 may also display information indicating that the DPC system is applied and the medical fee points in a position on the screen 40 different from the DPC information 421 displayed in table format. However, the display format of the DPC information 421 is not limited to this example and can be determined arbitrarily.

[0044] The nursing need level history information 422 shown in FIG. 5 corresponds to the "history information indicating whether the nursing need level is equal to or greater than a reference value for each day in a predetermined period in the past" of the second information described above. In the example shown in FIG. 7, the nursing need level history information 422 is displayed in a table format, with the first to third rows indicating items ("Item A," "Item B," and "Item C"), the fourth row indicating whether the nursing need level is equal to or greater than the reference value ("Target" in the figure) or not ("Not Target" in the figure), and each column indicating the nursing need level for each day in the last five days. Here, the control unit 23 of the information processing device 20 may highlight columns in which the nursing need level is less than the reference value (columns in which the fourth row in the figure indicates "Not Target") compared to other columns. However, the display mode of the nursing need level history information 422 is not limited to this example and can be determined arbitrarily. Furthermore, with regard to the three items A to C mentioned above, for example, the scores for items A and C are determined according to the "medical procedures performed on the patient" indicated in the first information, and the score for item B is determined according to the "criteria selected according to the patient's condition" indicated in the first information, but the method for calculating the scores for each item is not limited to this example.

[0045] The hospitalization history display area 43 shown in Fig. 5 displays a list of the patient's past hospitalization history. In the example shown in Fig. 5, the hospitalization history display area 43 displays the name of the ward where the patient was previously hospitalized, the name of the hospitalization category, the length of hospitalization, the number of days of hospitalization, the DPC hospitalization history (e.g., the end date of each hospitalization stage), and the name of the main illness. However, the information displayed in the hospitalization history display area 43 and its display format are not limited to this example and can be determined arbitrarily.

[0046] As described above, the information processing device 20 according to this embodiment acquires first information about a patient. The information processing device 20 updates the second information about the patient daily based on the first information. In response to a request from the terminal device 10, the information processing device 20 transmits a display instruction to the terminal device 10 to display a screen including the second information about the patient, thereby causing the terminal device 10 to display the screen. Here, the first information includes information indicating a first ward in which the patient is hospitalized. The second information also includes information indicating a first hospitalization category corresponding to the first ward and information indicating one or more second hospitalization categories corresponding to one or more second wards that are candidates for patient transfer destinations.

[0047] With this configuration, the user can compare information regarding the first hospitalization category and the second hospitalization category by visually checking the screen of the terminal device 10. Therefore, for example, if the medical fee points for the second hospitalization category are higher than those for the first hospitalization category, the user may consider transferring the patient from the first ward to the second ward. Therefore, according to this embodiment, even a user who is unfamiliar with bed management work can determine whether or not to transfer a patient based on a comparison of information regarding the first hospitalization category and the second hospitalization category, thereby improving the technology for supporting bed management in medical institutions.

[0048] Although the present disclosure has been described based on the drawings and examples, it should be noted that those skilled in the art may make various modifications and alterations based on the present disclosure. Therefore, it should be noted that these modifications and alterations are included in the scope of the present disclosure. For example, the functions included in each component or step can be rearranged so as not to be logically inconsistent, and multiple components or steps can be combined or divided into one.

[0049] For example, in the above-described embodiment, the configuration and operation of the information processing device 20 may be distributed among a plurality of computers that can communicate with each other.

[0050] Also, for example, an embodiment is possible in which a general-purpose computer functions as the information processing device 20 according to the above-described embodiment. Specifically, a program describing the processing content for realizing each function of the information processing device 20 according to the above-described embodiment is stored in the memory of the general-purpose computer, and the program is read and executed by a processor. Therefore, the present disclosure can also be realized as a program executable by a processor, or a non-transitory computer-readable medium storing the program. [Explanation of symbols]

[0051] 1 System 10 Terminal Equipment 20 Information processing equipment 21 Communications Department 22 Memory section 23 Control Unit 30 Network 40 screens 41 Patient information display area 411 Label 42 Hospitalization information display area 421 DPC Information 422 Nursing Needs History Information 43 Hospitalization history display area

Claims

1. A method executed by an information processing device that communicates with a terminal device, obtaining first information about the patient; updating second information about the patient daily based on the first information; In response to a request from the terminal device, a display instruction for a screen including the second information of the patient is transmitted to the terminal device, thereby causing the terminal device to display the screen; Including, the first information includes information indicating a first ward in which the patient is hospitalized; A method in which the second information includes information regarding a first hospitalization section corresponding to the first ward and information regarding one or more second hospitalization sections each corresponding to one or more second wards that are candidates for transfer of the patient.

2. 10. The method of claim 1, The method, wherein the information regarding the hospitalization category includes information indicating the name of the hospitalization category, medical fee points, number of days elapsed, number of days remaining until the maximum number of days for admission, or a combination thereof.

3. 10. The method of claim 1, the first information includes information indicating a medical procedure performed on the patient on the day on which the first information is acquired or the day before, and a criterion selected according to the condition of the patient; The method, wherein the second information includes a nursing need level calculated based on medical procedures performed on the patient and criteria selected according to the patient's condition, and historical information indicating whether the nursing need level is above a standard value for each day in a specified past period.

4. 10. The method of claim 1, the first information includes information indicating a diagnosis group classification based on the name of the disease, the condition, the treatment content, or a combination thereof of the patient; A method in which, when the diagnosis group classification is subject to the DPC system and the first ward is a ward subject to the DPC system, the second information includes DPC information indicating medical fee points, deadlines, the number of days remaining until the deadline, or a combination thereof corresponding to each of multiple hospitalization stages according to the diagnosis group classification of the patient.

5. 10. The method of claim 1, the first information includes information indicating the date on which the patient was admitted to the first ward; The method, wherein the second information includes information indicating whether the number of days since the patient was admitted to the first ward is less than or equal to a threshold.

6. An information processing device that communicates with a terminal device, obtaining first information about the patient; updating second information about the patient daily based on the first information; In response to a request from the terminal device, a display instruction for a screen including the second information of the patient is transmitted to the terminal device, thereby causing the terminal device to display the screen; A program for executing an operation including: the first information includes information indicating a first ward in which the patient is hospitalized; The second information includes information regarding a first hospitalization category corresponding to the first ward and information regarding one or more second hospitalization categories each corresponding to one or more second wards that are candidates for transfer destination of the patient.

7. An information processing device including a communication unit that communicates with a terminal device and a control unit, The control unit obtaining first information about the patient; updating second information of the patient daily based on the first information; In response to a request from the terminal device, a display instruction for a screen including the second information of the patient is transmitted to the terminal device, thereby causing the screen to be displayed on the terminal device; the first information includes information indicating a first ward in which the patient is hospitalized; An information processing device wherein the second information includes information regarding a first hospitalization category corresponding to the first ward and information regarding one or more second hospitalization categories each corresponding to one or more second wards that are candidates for the patient's transfer destination.

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