Patient Management Support Program

Abstract

This program provides patient management support that enables physicians and other medical professionals to efficiently manage endoscopic examinations. [Solution] Before the endoscopy examination begins, a bed usage status management screen 25 is displayed on the display unit, which associates the bed ID displayed in the bed ID display field 32 with the patient's name, etc., displayed in the name, etc., display field 31.

Description

Technical Field

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[0001] The present invention relates to a patient management support program for managing patients undergoing endoscopic examinations.

Background Art

[0002] Conventionally, in medical facilities such as endoscopic clinics and hospitals, there are various operations regarding endoscopic examinations (hereinafter simply referred to as "examinations"). For example, the operations are as follows. First, the medical facility confirms the content of the examination requested by the patient and accepts the reservation. On the day of the examination, a doctor or nurse (hereinafter referred to as "doctor etc.") conducts an interview with the patient who has come to the hospital to grasp the physical condition and the presence or absence of allergies, etc. The doctor etc. explains the examination schedule and precautions to the patient and requests the patient to sign the consent form for the examination. Also, the doctor etc. makes the patient change into examination clothes before the examination starts. During the examination, if necessary, after a stabilizer, a sedative, anesthesia, etc. are administered to the patient, the doctor etc. uses a scope such as a gastric camera or a colon camera to conduct the examination for approximately 10 to 30 minutes. After the examination, the patient is transported to the recovery room while lying on the bed used in the examination, and a rest (recovery) of approximately 1 hour is promoted in the recovery room. The doctor etc. checks at an appropriate timing whether the patient has recovered enough to go home, and determines whether to continue the recovery or permit the patient to go home.

[0003] For example, the patient monitor device described in Patent Document 1 below (hereinafter, the invention described in Patent Document 1 is referred to as "Prior Art 1 Invention") discloses a technique that can detect an apnea state at an early stage when the patient falls into an apnea state during the examination, and can prevent the recovery time from being prolonged by taking prompt measures.

Prior Art Documents

Patent Documents

[0004]

Patent Document 1

Summary of the Invention

[0005] As described in prior art, it is appropriate for both medical facilities and patients if examinations and recovery procedures are performed within a limited timeframe. In other words, in many clinics, a limited number of doctors and other medical staff must keep track of and manage the number of beds used and the recovery time for each patient, while patients also want their examinations and recovery procedures to be completed within the necessary time.

[0006] This invention was proposed in view of the above circumstances and aims to provide a patient management support program that enables physicians and other medical professionals to efficiently manage endoscopic examinations. [Means for solving the problem]

[0007] To achieve the above objective, the patient management support program according to the present invention is characterized by causing a computer to execute a patient registration procedure for registering patient identification information for identifying a patient undergoing an endoscopic examination before the endoscopic examination is started, and a bed usage status management procedure for associating bed identification information for identifying the bed to be used by the patient with the patient identification information before the endoscopic examination is started.

[0008] The patient management support program according to the present invention is characterized by following a bed location management procedure after the completion of the endoscopic examination, which associates the bed identification information with bed compartment information that identifies the location of the bed.

[0009] The patient management support program according to the present invention is characterized in that, in the bed position management procedure, a detection device attached to the bed is read by a detection device installed in the location where the bed is located, thereby associating the bed identification information with the bed compartment information.

[0010] The patient management support program according to the present invention is characterized in that, after the patient registration procedure, it goes through a pre-examination risk assessment procedure that determines the risks the patient will face in the endoscopic examination based on the patient's physical and mental medical information and creates risk information.

[0011] The patient management support program according to the present invention includes a recovery time management procedure for controlling and measuring the recovery time of the patient after the endoscopic examination has been completed, wherein the recovery time management procedure includes a procedure for calculating the recovery time of the patient after the endoscopic examination has been completed, and / or calculating the estimated time for the elapsed recovery time, based on the risk information.

[0012] The patient management support program according to the present invention is characterized by following a post-examination risk assessment procedure after the completion of the endoscopic examination, in which, based on the patient's physical and mental medical information, the risks the patient will face during the recovery period after the endoscopic examination are determined and risk information is created.

[0013] The patient management support program according to the present invention is characterized by including a procedure for storing the results of the patient's recovery. [Effects of the Invention]

[0014] The patient management support program according to the present invention causes a computer to execute a patient registration procedure to register patient identification information for identifying patients undergoing endoscopic examinations before the endoscopic examination begins, and a bed usage status management procedure to associate bed identification information, which identifies the bed to be used by the patient, with the patient identification information before the endoscopic examination begins. Therefore, it is predetermined and managed which patient will use which bed. Thus, doctors and other medical professionals can efficiently manage endoscopic examinations.

[0015] The patient management support program according to the present invention follows a bed location management procedure after the completion of an endoscopic examination, which associates bed identification information with bed compartment information that identifies the location of the bed. Therefore, the location of the patient and the bed within the medical facility is managed. Thus, doctors and other medical personnel can efficiently manage patients after endoscopic examinations.

[0016] In the patient management support program according to the present invention, in the bed location management procedure, a detection device attached to the bed is read by a detection device installed in the location where the bed is located, thereby associating bed identification information with bed compartment information. Therefore, bed compartment information is automatically created. As a result, doctors and other medical personnel can easily grasp the location of the patient and the bed, and efficiently manage patients after endoscopic examinations.

[0017] Incidentally, a patient's medical history and allergies can have various effects on endoscopic examinations. In particular, since anesthetics and sedatives are administered during endoscopic examinations, there is a risk of adverse reactions. Therefore, the patient management support program according to the present invention goes through a pre-examination risk assessment procedure that, after the patient registration procedure, determines the risks the patient will face during the endoscopic examination based on the patient's physical and mental medical information and creates risk information. As a result, physicians and other medical professionals can perform endoscopic examinations appropriately according to the patient's circumstances.

[0018] The patient management support program according to the present invention includes a recovery time management procedure that controls and measures the recovery time of patients who have completed an endoscopic examination. This recovery time management procedure includes a step to calculate the recovery time of patients who have completed an endoscopic examination based on risk information, and / or calculate the estimated time until the recovery time is complete. Therefore, doctors and other medical professionals can know when to check on the patient's condition by understanding the recovery time. Thus, doctors and other medical professionals can efficiently manage patients after endoscopic examinations.

[0019] Incidentally, the influence of a patient's medical history, allergies, etc. affects not only during the endoscopy but also various aspects during the recovery process. Therefore, the patient management support program according to the present invention, after the endoscopy is completed, goes through a post-examination risk judgment procedure that determines the risks borne by the patient during the recovery period of the patient who has completed the endoscopy based on the medical information regarding the patient's physical and mental condition and creates risk information. Accordingly, a doctor or the like can perform an appropriate recovery according to the various circumstances of the patient.

[0020] The patient management support program according to the present invention goes through a procedure for memorizing the results of the patient's recovery. Therefore, it can be recorded as part of the patient's medical history. Also, for example, by linking with an electronic medical record, a personal health record (PHR), etc., it can be widely utilized as one of the cases.

Brief Description of the Drawings

[0021] [Figure 1] Figure 1 is a simplified block diagram of the patient management support program according to an embodiment of the present invention. [Figure 2] Figure 2 is a schematic diagram of a bed and sensors used together with the patient management support program according to an embodiment of the present invention. [Figure 3] Figure 3 is a first image diagram of a screen displayed on a display unit used together with the patient management support program according to an embodiment of the present invention. [Figure 4] Figure 4 is a second image diagram of a screen displayed on a display unit used together with the patient management support program according to an embodiment of the present invention. [Figure 5] Figure 5 is a first operation flowchart in the patient management support program according to an embodiment of the present invention. [Figure 6] Figure 6 is a second operation flowchart in the patient management support program according to an embodiment of the present invention.

Modes for Carrying Out the Invention

[0022] The following is a description of a patient management support program according to an embodiment of the present invention. Figure 1 shows a schematic configuration of a patient management support device 100 that implements the patient management support program according to this embodiment. Figure 2 shows a schematic of the equipment used in the patient management support device 100 and the patient management support program.

[0023] As shown in Figure 1, the patient management support device 100 includes at least a control unit (CPU 1), a storage unit 2, an input unit 6, and an output unit. The storage unit 2 consists of ROM 3, RAM 4, an HDD (or SSD in some cases) 5, etc. The input unit 6 consists of, for example, a keyboard, mouse, touch panel, voice recognition system, etc., and the output unit is, for example, a display unit 7 such as a liquid crystal display or organic EL display, a speaker 8, a printer, etc. The CPU 1 controls the patient registration unit 11, the pre-examination risk judgment unit 12, the bed usage status management unit 13, the recovery time management unit 14, the biological information management unit 15, the bed position management unit 16, the post-examination risk judgment unit 17, and the image generation unit 18 according to the OS program and application program.

[0024] The patient management support device 100 can be implemented using hardware configuration, DSP, MPU, and software. For example, when implemented using software, it is actually configured with a computer CPU1, MPU, ROM3, RAM4, etc., and is implemented by the operation of programs stored in ROM3 and RAM4.

[0025] Therefore, a patient management support program that causes the computer to operate the functions of the patient registration unit 11, the pre-examination risk assessment unit 12, the bed usage status management unit 13, the recovery time management unit 14, the biological information management unit 15, the bed position management unit 16, the post-examination risk assessment unit 17, and the image generation unit 18 as a patient registration procedure, a pre-examination risk assessment procedure, a bed usage status management procedure, a recovery time management procedure, a biological information management procedure, a bed position management procedure, a post-examination risk assessment procedure, and an image generation procedure can be recorded on a recording medium such as a CD-ROM and loaded into the computer. In addition to CD-ROMs, other recording media such as hard disks, flexible disks, optical disks, magnetic tapes, magneto-optical disks, non-volatile memory cards, and DVDs can be used.

[0026] The patient management support device 100 may function as an ASP (Application Service Provider), or it can be implemented by downloading a patient management support program to a computer via a network such as the Internet. Furthermore, these hardware and software resources can also be provided in a form such as a cloud accessible via a network.

[0027] The patient management support device 100 according to this embodiment is realized by installing a patient management support program on a PC terminal (not shown). The patient management support device 100 is used together with the PC terminal on which the patient management support program is installed, a first sensor 20 (see Figure 2) attached to the bed 19 used by the patient, a second sensor (not shown) directly attached to the patient, and communication equipment such as a router (not shown) that enables communication between the PC terminal and each sensor.

[0028] PC terminals include, for example, personal computers, workstations, tablet devices, as well as smartphones, television terminals and game terminals that can connect to communication networks.

[0029] Bed 19 is portable and equipped with casters, and has a battery. As shown in Figure 2, bed 19 is fitted with a motion sensor as the first sensor 20. The motion sensor consists of a transmitter 21 and a sensor body 22 connected by a tube 23. The motion sensor is built into bed 19. The motion sensor is, for example, an air vibration sensor, and detects vibrations caused by the heartbeat and respiration of a patient lying on bed 19, as well as the patient's body movements. The detected patient bio-detection signal is transmitted from the transmitter 21 to a communication device via a communication network. The PC terminal that receives the bio-detection signal analyzes the signal to create bio-information such as heartbeat intervals and vibration waveforms, and further predicts the patient's status information (wakefulness, sleep, body movement, getting out of bed, turning over, etc.). Bed 19 is assigned an identification number (bed ID), which is bed identification information, as an identification mark to distinguish a specific bed 19 from among multiple beds 19, and is displayed at an appropriate location on bed 19.

[0030] The pulse oximeter, acting as the second sensor, measures functional oxygen saturation (SpO2) in the arteries through the skin and transmits this biological information to the transmitter 21 of the first sensor 20 via a communication network. The use of the pulse oximeter is optional. Furthermore, the biological information detected by the pulse oximeter can also be transmitted directly to the communication device without going through the transmitter 21.

[0031] Communication networks include, for example, the internet, networks connected by dedicated lines, corporate LANs, inter-company LANs, and WANs. Communication line types include, for example, wired communication, wireless communication, and satellite communication. Specifically, Wi-Fi and Bluetooth (both registered trademarks) are used.

[0032] Next, the patient registration unit 11, the pre-examination risk assessment unit 12, the bed usage status management unit 13, the recovery time management unit 14, the vital signs management unit 15, the bed position management unit 16, the post-examination risk assessment unit 17, and the image generation unit 18 will be explained.

[0033] The patient registration unit 11 stores patient identification information, which is information for identifying patients undergoing endoscopic examinations, in the storage unit 2. Patient identification information is unique information for identifying a patient, such as the patient's name and age (hereinafter referred to as "name, etc."). Patient identification information may also include gender, an identification number assigned to the patient by the medical facility (patient ID), the patient's address, a contact telephone number or mobile device number, My Number, etc., and this information can also be read from other files.

[0034] The patient registration unit 11 can also store medical information, which is information about the patient's physical and mental condition, in the memory unit 2. Medical information includes, for example, the patient's name, age, gender, height, weight, blood pressure, medical history, chronic illnesses, allergies, etc.

[0035] Patient identification information and medical information are entered directly into PC terminals at medical facilities, and are also acquired as a result of the PC terminals linking with existing reservation management software, electronic medical records, personal health records, etc., and stored in storage unit 2.

[0036] The pre-examination risk assessment unit 12, before the endoscopic examination, assesses the risks the patient will face during the endoscopic examination based on the patient's medical information and creates risk information. Since anesthetics and sedatives are administered during endoscopic examinations, risks such as adverse reactions and complications can be considered in relation to the patient's medical history and allergies. Risk information may include, for example, bradycardia or respiratory depression.

[0037] The bed usage status management unit 13 creates a table by associating bed identification information and / or biodetection signals with patient identification information and stores it in the storage unit 2. That is, in the first embodiment of the bed usage status management unit 13, bed identification information is associated with patient identification information; in the second embodiment of the bed usage status management unit 13, biodetection signals are associated with patient identification information; and in the third embodiment of the bed usage status management unit 13, bed identification information and biodetection signals are associated with patient identification information. The bed usage status management unit 13 can take any of these forms.

[0038] The recovery time management unit 14 controls and measures the recovery time of patients after an endoscopic examination. The recovery time is predetermined, for example, one hour. The recovery time can be set arbitrarily, as it varies depending on the type and amount of medication administered to the patient during the endoscopic examination and the patient's condition after the examination. The recovery time management unit 14 notifies the patient of the elapsed recovery time and / or the elapsed recovery time by activating an output unit when the recovery time has elapsed and / or a predetermined time before the recovery time has elapsed. The recovery time management unit 14 also manages extensions and resets of the recovery time.

[0039] The recovery time management unit 14 can also calculate the recovery time and / or the estimated time for the elapsed recovery time based on various conditions, and change the preset recovery time and / or estimated time. In other words, in the first mode of time modification by the recovery time management unit 14, the recovery time and / or the estimated time for the elapsed recovery time are calculated based on biological information, and the preset recovery time and / or estimated time are changed. For example, if the biological information is not within the normal range, the recovery time and estimated time are changed to a relatively longer time.

[0040] In the second mode of time modification of the recovery time management unit 14, the recovery time is calculated based on medical information and risk information, and / or the estimated time for the elapsed recovery time is calculated, and the preset recovery time and / or estimated time is changed.

[0041] In the third mode of time modification of the recovery time management unit 14, the recovery time is calculated based on environmental information such as the number of patients undergoing endoscopic examinations, the time slot during which the endoscopic examinations are performed, the number of available beds, and the location where the beds are located. The estimated time before the recovery time elapses is also calculated, and the preset recovery time and / or estimated time are modified accordingly.

[0042] The biological information management unit 15 detects abnormalities in the patient's biological information. For example, if the biological information is not within the normal range, the biological information management unit 15 activates the output unit to notify the system of the abnormality in the biological information, even before the recovery time or notification time has elapsed.

[0043] The bed location management unit 16 creates a table by associating bed identification information and / or biometric information with bed compartment information that identifies the location of the bed 19, and stores it in the storage unit 2. The bed compartment information indicates the room or location where the bed 19 is located, and can be set to any name such as "recovery room" or "rest room". The bed location management unit 16 operates in a manual mode operated by the input unit 6, as well as in an automatic mode.

[0044] In other words, in the first automatic mode of the bed position management unit 16, for example, an IC tag or the like (not shown) is attached to the bed 19 as a device to be detected, and a reader or the like (not shown) is installed as a detection device in the place where the bed 19 is located (hereinafter referred to as the recovery room). When the bed 19 is located in the recovery room, the reader reads the IC tag, and the reader transmits a bed compartment signal to the communication device. Since the bed usage status management unit 13 has already associated the bed identification information and / or biometric detection signal with the patient identification information, the patient management support device 100 creates a table based on the received bed compartment signal, associating the bed compartment information with the bed identification information and / or biometric detection signal (biometric information), and stores it in the storage unit 2. Therefore, the bed identification information and / or biometric information are automatically associated with the bed compartment information.

[0045] Furthermore, in the second automatic mode of the bed position management unit 16, for example, a step is provided on the floor of the recovery room. When bed 19 is accommodated, the vibration caused by bed 19 crossing the step is detected by the first sensor 20, and the transmission unit 21 transmits a bed compartment signal to the communication device. Since the step is different for each recovery room, a unique bed compartment signal is transmitted for each recovery room. Based on the received bed compartment signal, the patient management support device 100 creates a table associating the bed compartment information with bed identification information and / or biometric detection signals (biometric information), and stores it in the storage unit 2. Therefore, bed identification information and / or biometric information are automatically associated with bed compartment information.

[0046] The post-examination risk assessment unit 17, after the endoscopic examination is completed, determines the risks the patient will face during the recovery period based on the patient's biological and / or medical information and creates risk information. The risk information may include, for example, bradycardia or respiratory depression.

[0047] The decisions made by the post-examination risk assessment unit 17 and the pre-examination risk assessment unit 12 are based, for example, on AI-based machine learning or deep learning. Each risk assessment unit 12 and 17 generates a judgment model by performing machine learning using the patient's biometric information and / or medical information stored in the memory unit 2 and the risk information as training data. The judgment model takes the patient's biometric information and / or medical information as input and outputs the risk information if the patient undergoes (or has undergone) an endoscopic examination. The judgment model is generated using, for example, a machine learning algorithm such as a convolutional neural network (CNN). The machine learning is supervised machine learning in which the relationship between the patient's biometric information and / or medical information and the risk information if the patient undergoes (or has undergone) an endoscopic examination is learned as training data. The risk assessment unit uses the judgment model to determine the expected risk if the patient undergoes (or has undergone) an endoscopic examination.

[0048] The image generation unit 18 generates at least a registration screen 24, a bed usage status management screen 25, and a recovery management screen 26, and displays each of these screens 24, 25, and 26 on the display unit 7. Here, each of the screens 24, 25, and 26 will be explained based on the drawings. Figures 3 and 4 show images of the screens displayed on the display unit 7. In Figure 3, the right column shows a calendar 27, a display field 28 showing the number of patients scheduled to undergo endoscopic examinations, assignment buttons 29, etc., the middle column shows the registration screen 24, and the left column shows the bed usage status management screen 25. In Figure 4, the right column shows the recovery management screen 26, and the left column shows the bed usage status management screen 25.

[0049] As shown in Figure 3, the registration screen 24 is for prompting the registration of patient identification information. The registration screen 24 displays a blank field 30 ("No name"). When the patient's name or other patient identification information is entered into the blank field 30, the blank field 30 changes to a name display field 31, and a list of patients undergoing endoscopic examination is created. Note that patient identification information can also be registered on the bed usage status management screen 25. Therefore, the bed usage status management screen 25 also functions as the registration screen 24.

[0050] The bed usage status management screen 25 receives a biometric detection signal transmitted from the first sensor 20 and displays bed identification information in association with patient identification information.

[0051] Patient identification information on the bed usage status management screen 25 can be entered using a keyboard or other means, or by using a mouse. When using a mouse for input, for example, by clicking on the patient identification information displayed in the name, etc. display field 31 on the registration screen 24 and the bed identification information ("A", "B", etc.) displayed in the bed ID display field 32 on the bed usage status management screen 25, and then clicking the assign button 29, the patient's name, etc. and bed ID will be displayed on the bed usage status management screen 25.

[0052] As shown in Figure 4, the recovery management screen 26 associates patient identification information of patients who have completed endoscopic examinations with bed section information, thereby displaying vital signs, patient recovery time, bed identification information, and bed section information in association with patient identification information. On the recovery management screen 26, the bed section name ("ROOM1", "ROOM2", "Vacant", etc.) is displayed in the bed section display field 35 as bed section information. If patient identification information has already been associated with bed section information, all the information is aggregated and displayed under "ROOM1", such as "ROOM1". Therefore, "ROOM1" aggregates the patient's name etc. displayed in the name etc. display field 31, the bed ID "A" displayed in the bed ID display field 32, vital signs displayed in the vital signs display field 33 (graph showing body movement over a specified period, heart rate, respiratory rate, and functional oxygen saturation, etc.), status information displayed in the status display field 36 (awake, sleep, body movement, getting out of bed, and turning over, etc.), and the recovery time displayed in the recovery time display field 34. If patient identification information has not yet been associated with bed section information, "Vacant" will be displayed, as in "ROOM5". When "Vacant" is selected, a screen for selecting the bed ID (see "ROOM6") will appear, allowing you to select a bed ID.

[0053] As described above, the patient management support device 100 is configured as shown. Next, the user's operation flow of the patient management support device 100 will be explained based on the diagrams, along with the effects of the patient management support device 100. Figure 5 shows the operation flow that the user performs mainly the day before the endoscopic examination, or at the latest before the endoscopic examination begins, and Figure 6 shows the operation flow that the user performs from the time the patient arrives at the hospital until the recovery monitoring is completed.

[0054] In Figure 5, the patient registration procedure in the patient registration unit is executed by following the flow from step S1-1 to step S1-6. In step S1-1, the PC terminal is started and the login screen of the patient management support program is displayed on the display unit 7. When a password is entered on the login screen, the bed usage status management screen 25 and the recovery management screen 26 are displayed on the display unit 7 as the main view, as shown in Figure 4. Initially, the bed usage status management screen 25 does not display patient identification information, and a blank field 30 is displayed. Also, the recovery management screen 26 does not display recovery time, and "vacant room" is displayed. In step S1-2, in Figure 4, when the patient list display button 37 on the bed usage status management screen 25 is pressed, the bed usage status management screen 25, registration screen 24, calendar 27, scheduled number of people display field 28, assignment button 29, etc. are displayed on the display unit 7. In step S1-3, the reservation date is selected from the calendar 27. In step S1-4, the number of patients to be tested is set in the planned number display field 28. In step S1-5, on the registration screen 24, the patient's name and other patient identification information are entered in the blank field 30, and a patient list is created. In step S1-6, when the save button 38 is pressed, the various input information is stored in the storage unit 2.

[0055] Here, the pre-examination risk assessment procedure in the pre-examination risk assessment unit 12 can be executed. By going through the pre-examination risk assessment procedure, the risks faced by the patient undergoing the endoscopic examination are determined, and the risk information is stored in the storage unit 2 in association with the patient identification information. Therefore, an appropriate endoscopic examination can be performed according to the patient's circumstances.

[0056] In Figure 6, the flow from step S2-1 to step S2-14 executes the bed usage status management procedure in the bed usage status management unit 13, the recovery time management procedure in the recovery time management unit 14, the biological information management procedure in the biological information management unit 15, and the bed position management procedure in the bed position management unit 16. Steps S2-1 to S2-3 mainly represent the operations performed by the user from the time the patient arrives at the hospital until the endoscopy begins, while steps S2-4 to S2-14 mainly represent the operations performed by the user from the time the endoscopy is completed until the recovery monitoring is finished.

[0057] On the day of the endoscopic examination, patients who arrive at the hospital change their clothes and lie down on bed 19 before the examination begins. When the first sensor 20 detects the patient, a bio-detection signal is sent to the communication device. Therefore, it becomes possible to know that the patient is lying on bed 19. In other words, since it is predetermined and managed which patient will use which bed 19, endoscopic examinations can be managed efficiently.

[0058] Here, bed identification information can be associated with patient identification information without relying on vital signs detection signals, or both vital signs detection signals and bed identification information can be associated with patient identification information. In either case, it is possible to manage which patient uses which bed 19. Therefore, post-endoscopic management can be carried out efficiently.

[0059] In step S2-1, the login screen for the patient management support program is displayed on the display unit 7. When a password is entered on the login screen, the bed usage status management screen 25 and the recovery management screen 26 are displayed on the display unit 7 as the main view, as shown in Figure 4. In step S2-2, the patient list display button 37 on the bed usage status management screen 25 is pressed, and the bed usage status management screen 25 and the registration screen 24 are displayed on the display unit 7, as shown in Figure 3. The name of the patient who has come to the hospital is selected from the patient list on the registration screen 24. In step S2-3, a blank field 30 is selected from the bed usage status management screen 25. Finally, the assignment button 29 is pressed. This associates the patient's name with the bed ID, and these are displayed together on the bed usage status management screen 25. Therefore, it becomes possible to understand which patient is using which bed 19.

[0060] After the above preparations are complete, the patient is transported to the examination room along with bed 19, where the endoscopic examination is performed. After the endoscopic examination is completed, the patient is transported to the recovery room while still lying on bed 19, where recovery is facilitated.

[0061] In steps S2-4 and S2-5, as shown in Figure 4, when an empty room is selected from the recovery management screen 26, a screen for selecting the bed ID, which is bed identification information, is displayed, and the bed ID is selected. Therefore, the display unit 7 can determine which recovery room (or which section of the recovery room) the patient and bed 19 are in within the medical facility, and which recovery rooms are empty. Thus, management can be performed efficiently.

[0062] In the bed position management procedure in the bed position management unit 16, the procedure can be performed in both manual and automatic modes. In automatic mode, when bed 19 is transported to the recovery room, the bed ID, which is bed identification information, is automatically displayed in the vacant room section of the recovery management screen 26. Therefore, doctors and other personnel can easily grasp the location of the patient and bed 19 and manage them efficiently.

[0063] In step S2-6, the recovery time is set. If the recovery time is pre-set, the set time (for example, 1 hour) is displayed as the recovery time in the recovery time display field 34. In step S2-7, the start button 39 is pressed, and the measurement of the recovery time begins. Therefore, doctors and other medical professionals can understand the timing to check the patient's condition by looking at the vital signs and recovery time for each patient from the display unit 7. Thus, regarding recovery after endoscopic examination, the patient's condition can be appropriately judged and managed efficiently. Furthermore, since the vital signs are based on detection by the first sensor 20 (and the second sensor), the patient's vital signs can be appropriately understood.

[0064] Here, recovery time can also be modified based on biological information. Therefore, doctors and other medical professionals can determine the appropriate recovery time according to the patient's condition. This allows for accurate assessment of the patient's condition and efficient management. Furthermore, recovery time can also be modified based on environmental information. Therefore, an appropriate recovery time can be set according to the environment.

[0065] In step S2-8, it is determined whether to continue monitoring the patient's recovery. Before the recovery time elapses, a doctor or other medical professional determines whether the patient has recovered enough to go home. If it is determined that the patient has not recovered, monitoring continues. On the other hand, if it is determined that the patient has recovered, step S2-14 is performed. In step S2-14, the monitoring of the patient's recovery ends when the empty room button 40 is pressed.

[0066] In step S2-9, when the estimated recovery time has elapsed, a notification of the elapsed recovery time is sent via the output unit (see Figure 4 "ROOM3"). In step S2-10, it is determined again whether to continue monitoring the recovery. If it is determined that recovery has not been achieved, the recovery monitoring continues. On the other hand, if it is determined that recovery has been achieved, step S2-14 is executed and the recovery monitoring ends.

[0067] In step S2-11, when the recovery time arrives, the elapsed time is notified via the output unit. In step S2-12, it is determined again whether to continue monitoring the recovery. If it is determined that recovery has not been achieved, step S2-13 is executed and the recovery time is reset. If the recovery time is reset and extended, the display unit 7 displays it with different colors, sizes, etc. On the other hand, if it is determined that recovery has been achieved, step S2-14 is executed and the recovery monitoring ends.

[0068] During the recovery period, the biological information management procedure in the biological information management unit 15 is executed, detecting abnormalities in biological information. Even before the recovery period or the notification period has elapsed, the abnormality in biological information is notified via the output unit. Therefore, doctors and other medical professionals can appropriately assess the patient's condition based on the abnormality in biological information, regardless of the recovery period.

[0069] After the endoscopic examination is completed, the post-examination risk assessment procedure in the post-examination risk assessment unit 17 can be executed. By going through the post-examination risk assessment procedure, the risks the patient will face during the recovery period after the endoscopic examination are determined. Therefore, appropriate recovery can be carried out according to the patient's circumstances.

[0070] The recovery results are stored in memory unit 2. The recovery results include all measured information, such as biological information and patient status information during recovery, and can also include external information such as medical examinations and judgments by doctors. Therefore, it can be recorded as the patient's medical history. Furthermore, by linking it with, for example, electronic medical records or personal health records, it can be used universally as one of several case studies.

[0071] In other embodiments of the present invention, the types of the first and second sensors are arbitrary. That is, in this embodiment, the patient's getting out of bed, waking up, heart rate, etc., are determined using some kind of sensor. In another embodiment, the patient's movements such as getting out of bed, waking up, or turning over in bed can be predicted from their heart rate. In another embodiment, the patient's movements such as getting out of bed, waking up, or turning over are predicted based on signals from a motion sensor and analysis of the heart rate, respiratory rate, etc., derived from those signals.

[0072] Although embodiments of the present invention have been described in detail above, the present invention is not limited to the above embodiments. Furthermore, various design modifications can be made to the present invention without departing from the matters described in the claims. [Explanation of symbols]

[0073] 1 CPU 2 Storage section 3 ROM 4 RAM 5 HDD 6 Input section 7 Display section 8 speakers 9. First sensor 10 Second sensor 11. Patient Registration Department 12. Pre-examination risk assessment department 13. Bed Usage Status Management Department 14. Recovery Time Management Department 15. Biological Information Management Department 16. Bed Location Management Department 17 Post-Inspection Risk Assessment Department 18 Image generation unit 19 beds 20 First Sensor 21 Transmitter 22 Sensor body 23 tubes 24 Registration screen 25. Bed Usage Status Management Screen 26 Recovery Management Screen 27 Calendar 28. Expected number of attendees display field 29 Assignable Buttons 30 Blank 31. Name and other information display field 32 Bed ID display field 33. Biometric Information Display Section 34. Recovery time display field 35 Bed section display area 36 Status display area 37. Patient List Display Button 38 Save button 39 Start button 40 Vacant Room Button 100 Patient management support equipment

Claims

1. A patient registration procedure for registering patient identification information to identify the patient undergoing the endoscopic examination before the examination begins, Before the endoscopic examination begins, the computer is instructed to execute a bed usage status management procedure that associates bed identification information, which identifies the bed used by the patient, with the patient identification information. A patient management support program characterized by the following features.

2. After the endoscopic examination is completed, a bed location management procedure is performed to associate the bed identification information with bed section information that identifies the location of the bed. A patient management support program as described in feature 1.

3. In the aforementioned bed position management procedure, The detection device attached to the bed is read by a detection device installed in the location where the bed is located, thereby associating the bed identification information with the bed compartment information. A patient management support program as described in feature 2.

4. Following the patient registration procedure, a pre-examination risk assessment procedure is performed to determine the risks the patient will face during the endoscopic examination and to create risk information based on the patient's physical and mental medical information. A patient management support program as described in any one of claims 1 to 3.

5. This procedure involves controlling and measuring the recovery time of the patient after the endoscopic examination has been completed, The recovery time management procedure includes a procedure for calculating the recovery time of the patient after the endoscopic examination has been completed, and / or calculating the estimated time for the elapsed recovery time, based on the risk information. A patient management support program as described in feature 4.

6. After the endoscopic examination is completed, a post-examination risk assessment procedure is performed to determine the risks the patient will face during the recovery period following the endoscopic examination, based on the patient's physical and mental medical information, and to create risk information. A patient management support program as described in claim 1 or 4.

7. The procedure involves recording the recovery results of the aforementioned patient. A patient management support program as described in any one of claims 1 to 3.

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