Medical business support device and program

Abstract

The medical service support device, medical service support method, and program are provided, which can support the efficient implementation of medical equipment handling operations. The medical service support device includes a processor and a memory connected to or built into the processor. The processor derives a medical equipment availability reference value based on the standard operating time of the medical equipment used in the medical equipment handling operations and the standby time of the medical equipment procedure operations included in the medical equipment handling operations. Medical Devices Medical service support information is output according to the degree of difference between the availability rate and the availability rate reference value.

Description

[Technical field]

[0001] The technology disclosed herein relates to a medical service support device, a medical service support method, and a program. [Background technology]

[0002] Patent Document 1 discloses a medical equipment management support device that includes an examination schedule storage unit that stores an examination schedule including the start and end times of each examination, a cleaning capacity storage unit that stores cleaning capacity information that specifies the cleaning capacity of a cleaning device that cleans the scope used in the examination, a cleaning schedule generation unit that generates a cleaning schedule for cleaning used scopes generated at the end of each examination with a cleaning device having the cleaning capacity specified by the cleaning capacity information stored in the cleaning capacity storage unit, in accordance with the examination schedule stored in the examination schedule storage unit, and a scope determination unit that determines whether there is a shortage of scopes to be used for each examination, in accordance with the examination start time specified by the examination schedule and the cleaning end time specified by the cleaning schedule. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] JP 2010-039560 A Summary of the Invention

[0004] One embodiment of the technique disclosed herein provides a medical service support device, a medical service support method, and a program that can support efficient performance of endoscope handling operations. [Means for solving the problem]

[0005] A first aspect of the technology disclosed herein is a medical work support device that includes a processor and a memory connected to or built into the processor, in which the processor derives a medical equipment operation rate reference value based on a standard operating time for medical equipment used in endoscope handling operations and a waiting time for an endoscopic procedure operation included in the endoscope handling operations, and outputs medical work support information according to the degree of difference between the medical equipment operation rate and the operation rate reference value.

[0006] A second aspect of the technology of the present disclosure is a medical work support method that includes deriving a medical equipment operation rate reference value based on a standard operating time for medical equipment used in endoscope handling operations and a standby time for endoscopic procedure operations included in the endoscope handling operations, and outputting medical work support information according to the degree of difference between the medical equipment operation rate and the operation rate reference value.

[0007] A third aspect of the technology disclosed herein is a program for causing a computer to execute processing including deriving a medical equipment operation rate reference value based on the standard operating time for medical equipment used in endoscope handling operations and the standby time for endoscopic procedure operations included in the endoscope handling operations, and outputting medical operation support information according to the degree of difference between the medical equipment operation rate and the operation rate reference value. [Brief description of the drawings]

[0008] [Figure 1] 1 is a conceptual diagram showing a schematic configuration of a medical service support system. [Diagram 2] 13 is a flowchart showing an example of the flow of an endoscope handling operation. [Diagram 3] 2 is a block diagram showing an example of a hardware configuration of an electrical system of the endoscope department management device. FIG. [Figure 4] 2 is a block diagram showing an example of the functions of a CPU and the contents of a storage device in the main body of the endoscope department management device. FIG. [Diagram 5] FIG. 13 is a conceptual diagram showing an example of the contents of an endoscopic examination management database. [Figure 6] FIG. 2 is a conceptual diagram showing an example of the contents of a cleaning machine management database. [Figure 7] FIG. 2 is a block diagram showing an example of a hardware configuration of an electrical system of the support device server. [Figure 8] 2 is a block diagram showing an example of the functions of a CPU and the contents stored in a storage in the support device server. FIG. [Figure 9] 2 is a block diagram showing an example of the contents stored in a management information storage device; FIG. [Figure 10] 13 is a flowchart showing an example of the flow of a management device control process. [Figure 11] 13 is a flowchart showing an example of the flow of medical service support processing according to the first embodiment. [Figure 12] FIG. 4 is a screen diagram showing an example of a medical service support screen according to the first embodiment. [Figure 13] FIG. 13 is a screen diagram showing a modified example of the medical service support screen according to the first embodiment. [Figure 14] FIG. 13 is a conceptual diagram showing a modified example of the contents of the endoscopic examination management database. [Figure 15] 13 is a flowchart showing an example of the flow of medical service support processing according to the second embodiment. [Figure 16] FIG. 11 is a screen diagram showing an example of a medical service support screen according to the second embodiment. [Figure 17] FIG. 11 is a screen diagram showing a modified example of the medical service support screen according to the second embodiment. [Figure 18] 13 is a flowchart showing an example of the flow of medical service support processing according to the third embodiment. [Figure 19] FIG. 13 is a screen diagram showing an example of a medical service support screen according to the third embodiment. [Figure 20] FIG. 13 is a screen diagram showing a modified example of the medical service support screen according to the third embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0009] An example of an embodiment of a medical service support device, a medical service support method, and a program according to the technology of the present disclosure will be described with reference to the attached drawings.

[0010] [First embodiment] 1, a medical work support system 10 includes an endoscopy department management device 12, a plurality of examination room equipment 14, a manual washing equipment 16, an automatic washing equipment 18, and a medical work support device 20. Here, the medical work support device 20 is an example of the "medical work support device" according to the technology of the present disclosure.

[0011] The medical work support system 10 is a system that supports endoscope handling work. In this first embodiment, endoscope handling work refers to work performed by a person (hereinafter also referred to as an "endoscopic examination worker") who is engaged in examinations using an endoscope scope 24 (hereinafter also referred to as an "endoscopic examination") in a medical facility (e.g., a hospital). Endoscope handling work includes endoscopic examination, manual cleaning work, and automatic cleaning work. Endoscopic examination is an example of an "endoscopic procedure work," a "first endoscopic procedure work," and a "second endoscopic procedure work" related to the technology of the present disclosure, and is performed by a doctor or the like.

[0012] The medical facility owns a plurality of endoscope scopes 24, and a type of endoscope scope 24 corresponding to the examination item is used in each of the plurality of examination room equipment 14. Examples of the types of endoscope scopes 24 include an upper digestive scope, a pancreatic duct scope, a bile duct scope, a duodenal scope, a large intestine scope, an intracerebral scope, an otorhinolaryngological scope, and a bronchial scope.

[0013] The endoscope 24 includes an insertion section 24A, an imaging section 24B, an operation section 24C, and a universal cord 24D. The insertion section 24A is inserted into the subject.

[0014] The imaging section 24B is provided at the tip of the insertion section 24A. The imaging section 24B has a complementary metal oxide semiconductor (CMOS) type imaging element. Note that instead of the CMOS type imaging element, a charge coupled device (CCD) type imaging element may be used.

[0015] The operation section 24C is connected to the base end side of the insertion section 24A and is held by a doctor to perform various operations. By operating the operation section 24C, the insertion section 24A is curved and the imaging section 24B captures an image.

[0016] The universal cord 24D is connected to the operation unit 24C. The universal cord 24D includes a light guide (not shown), a fluid tube (not shown), and a signal cable (not shown). The connectors 26 and 28 are provided at the end of the universal cord 24D. The connector 28 branches off from the connector 26.

[0017] A plurality of examination room facilities 14 are provided in the medical facility, and each of the examination room facilities 14 includes an examination room 30, a light source device 31, an endoscope processor device 32, a display 34, and an information processing device 36. The light source device 31, the endoscope processor device 32, the display 34, and the information processing device 36 are installed in the examination room 30.

[0018] There are a plurality of information processing devices 36, each installed in a plurality of medical sites where endoscope handling operations are performed. In the present first embodiment, one information processing device 36 is assigned to each examination room 30. The examination room 30 is an example of a "medical site" related to the technology of the present disclosure.

[0019] The information processing device 36 is an example of an "information processing device" according to the technology of the present disclosure, and is used together with the endoscope 24 in an endoscopic examination. The information processing device 36 operates every time an endoscopic examination is performed on one subject in each examination room 30. The information processing device 36 operates continuously while an endoscopic examination is being performed on one subject. In other words, the period from when the operation of the information processing device 36 starts to when the operation of the information processing device 36 ends corresponds to the period during which an endoscopic examination is performed on one subject.

[0020] The connector 26 is connected to the light source device 31. When the connector 26 is connected to the light source device 31, the light guide and the fluid tube in the universal cord 24D are inserted into the light source device 31. The light source device 31 supplies illumination light, water, and gas to the endoscope 24 through the light guide and the fluid tube. As a result, illumination light is irradiated toward the observation site from an illumination window (not shown) on the distal end surface of the insertion section 24A. In addition, water and gas are sprayed toward the observation window from a nozzle (not shown) on the distal end surface of the insertion section 24A in response to an operation performed on the operation section 24C. Note that, here, an example in which the light source device 31 supplies water and gas to the endoscope 24 has been described, but this is merely one example, and at least one of the water and the gas may be supplied to the endoscope 24 from a device other than the light source device.

[0021] The connector 28 is connected to the endoscope processor device 32. When the connector 28 is connected to the endoscope processor device 32, the signal cable in the universal cord 24D is electrically connected to the endoscope processor device 32. The endoscope processor device 32 controls the operation of the endoscope scope 24 by supplying a control signal to the endoscope scope 24 via the signal cable. In addition, the endoscope scope 24 outputs an imaging signal obtained by causing the imaging unit 24B to image the observation site to the endoscope processor device 32 via the signal cable.

[0022] The endoscope processor device 32 generates a moving image as an image showing the observed region based on the imaging signal input from the endoscope scope 24. The frame rate of the moving image is, for example, 30 fps (frames per second). The endoscope processor device 32 also generates a still image as an image showing the observed region in response to an operation performed on the operation unit 24C. The endoscope processor device 32 is connected to a display 34, and causes the image generated based on the imaging signal to be displayed on the display 34.

[0023] In this first embodiment, the light source device 31 and the endoscope processor device 32 are separate from the information processing device 36, but this is merely one example, and at least one of the light source device 31 and the endoscope processor device 32 may be integrated with the information processing device 36.

[0024] The information processing device 36 includes an information processing device main body 38 and a barcode reader 40. The information processing device main body 38 includes a computer having a processor and a storage device. The processor may be, for example, a CPU (Central Processing Unit). The storage device may be, for example, a combination of a non-volatile memory such as an EEPROM (Electrically Erasable and Programmable Read Only Memory), an SSD (Solid State Drive), and / or an HDD (Hard Disk Drive), and a volatile memory such as a RAM (Random Access Memory).

[0025] The information processing device main body 38 is provided with an examination start button 38A. The examination start button 38A is an alternate type push button. The examination start button 38A is turned on when an endoscopic examination of one subject is to be started, and is turned off when an endoscopic examination of one subject is to be ended. When the examination start button 38A is turned on, the information processing device main body 38 starts operating, and when the examination start button 38A is turned off, the information processing device main body 38 stops operating.

[0026] The endoscope department management device 12 is connected to the information processing device main body 38. The information processing device main body 38 is assigned an information processing device ID, which is an ID (Identification) that can identify the information processing device main body 38, and the endoscope department management device 12 centrally manages each information processing device main body 38 installed in each examination room 30 using the information processing device ID.

[0027] In addition, the endoscope processor device 32 is connected to the information processing device main body 38. That is, the endoscope scope 24 is connected to the information processing device main body 38 via the endoscope processor device 32. Furthermore, a barcode reader 40 is also connected to the information processing device main body 38.

[0028] The information processing device main body 38 operates under the control of the endoscope department management device 12, and controls the operations of the endoscope processor device 32 and the barcode reader 40. The information processing device main body 38 acquires an image generated by the endoscope processor device 32 based on an imaging signal, and outputs the acquired image to the endoscope department management device 12.

[0029] A barcode 42 is provided on the endoscope 24. In the example shown in Fig. 1, the barcode 42 is provided on the operation unit 24C. The barcode 42 is information in which an endoscope ID capable of uniquely identifying the endoscope 24 is encrypted. The barcode 42 is read by the barcode reader 40 when an endoscopic examination is started. The barcode reader 40 outputs the endoscope ID obtained by reading the barcode 42 to the information processing device main body 38.

[0030] The barcode reader 40 can also read a barcode (not shown) uniquely assigned to the subject. The barcode assigned to the subject (hereinafter also referred to as "subject barcode") is information in which a subject ID capable of uniquely identifying the subject is encrypted, and is attached, for example, to a band (for example, a wristband) attached to the subject's wrist or the like. When the endoscopic examination is started, the subject barcode is read by the barcode reader 40.

[0031] The information processing device main body 38 outputs endoscopic examination information 44 in which various information on the subject identified by the subject ID is associated with the various IDs, to the endoscopy department management device 12. Here, the various IDs refer to an endoscope ID obtained by reading the barcode 42 with the barcode reader 40, and a subject ID obtained by reading the subject barcode with the barcode reader 40. Here, an endoscope ID and a subject ID are exemplified as various IDs, but the technology of the present disclosure is not limited to this, and only an endoscope ID may be used.

[0032] Moreover, here, various information related to the subject includes, for example, the image generated by the endoscope processor device 32, the examination start time, and the examination end time. The information processing device main body 38 has a clock (for example, a real-time clock) and obtains the examination start time and the examination end time from the clock. For example, the examination start time is the time when the examination start button 38A is turned on, and the examination end time is the time when the examination start button 38A is turned off.

[0033] The manual cleaning equipment 16 includes a manual cleaning room 46 and a sink 48. The sink 48 is installed in the manual cleaning room 46, and manual cleaning of the endoscope 24 is performed in the sink 48. Here, manual cleaning refers to the work of an endoscopy worker physically removing dirt from the endoscope 24 by hand using a cleaning agent, a brush, a sponge, and the like.

[0034] The automatic cleaning equipment 18 includes a cleaning machine room 50, a plurality of cleaning machines 52, and a cleaning machine management device 54. The plurality of cleaning machines 52 and the cleaning machine management device 54 are installed in the cleaning machine room 50. The cleaning machines 52 are devices that mechanically clean the endoscopes 24 that have been manually cleaned. The plurality of cleaning machines 52 include a single-scope cleaning machine capable of cleaning only one endoscope 24, and a double-scope cleaning machine capable of cleaning two endoscopes 24 together. The single-scope cleaning machine is also commonly referred to as a single-scope cleaning machine, and the double-scope cleaning machine is also commonly referred to as a double-scope cleaning machine.

[0035] The single-piece washer is provided with only one cleaning tank into which one endoscope 24 is placed, whereas the two-piece washer is provided with a first cleaning tank 56 and a second cleaning tank 58. One endoscope 24 is placed in each of the first cleaning tank 56 and the second cleaning tank 58. Hereinafter, unless there is a need to distinguish between the cleaning tank of the single-piece washer, the first cleaning tank 56, and the second cleaning tank 58, they will be referred to as "cleaning tanks" without reference numerals.

[0036] The cleaner 52 is equipped with a reception device 60. The reception device 60 has a plurality of buttons and dials. The plurality of buttons includes a cleaning start button 60A. The cleaning start button 60A is a button that receives an instruction to the cleaner 52 to start cleaning the endoscope 24 in the cleaning tank. When the cleaning start button 60A is turned on, the cleaner 52 starts operating. When the cleaner 52 starts operating, the cleaner 52 sequentially performs cleaning with a detergent, rinsing, spin-drying, and the like on the endoscope 24 in the cleaning tank in accordance with a predetermined program.

[0037] The cleaning time by the cleaner 52, i.e., the operating time of the cleaner 52, is specified by operating a dial included in the reception device 60. When the time specified by operating the dial has elapsed, the cleaner 52 stops operating.

[0038] The washer management device 54 includes a washer management device main body 62 and a barcode reader 64. The washer management device main body 62 includes a computer having a processor and a storage device. The processor may be, for example, a CPU. The storage device may be a combination of a non-volatile memory such as an EEPROM, SSD, and / or HDD, and a volatile memory such as a RAM.

[0039] A plurality of cleaners 52 are connected to the cleaner management device main body 62, which manages the plurality of cleaners 52 in an integrated manner. For example, the cleaner management device main body 62 has a clock, and obtains the cleaning start time and cleaning end time of each of the plurality of cleaners 52 from the clock. The cleaning start time is the time when the cleaning start button 60A of the cleaner 52 is turned on, and the cleaning end time is the time when the operation of the cleaner 52 stops (for example, the time when cleaning of the endoscope 24 in the cleaning tank is completed).

[0040] In addition, here, an example in which a plurality of cleaning machines 52 are centrally managed by the cleaning machine management device 54 has been described, but this is merely one example, and each of the plurality of cleaning machine management devices 54 may individually manage the plurality of cleaning machines 52, or one cleaning machine management device 54 may centrally manage the plurality of cleaning machines 52. Reason It may be arranged so that

[0041] In addition, the time when the cleaning start button 60A is turned on is exemplified as the cleaning start time here, but this is merely an example, and the cleaning start time may be determined according to an instruction given to a device other than the cleaning machine management device 54, such as the endoscope department management device 12. Furthermore, the time when the operation of the cleaning machine 52 stops is exemplified as the cleaning end time here, but this is merely an example, and the cleaning end time may be the time when the timer that manages the cleaning time ends, or the time when the cleaning start button 60A is turned off.

[0042] Each of the multiple cleaners 52 is assigned a cleaner ID that is an ID capable of identifying the cleaner 52, and the cleaner management device main body 62 centrally manages the multiple cleaners 52 using the cleaner IDs.

[0043] A barcode reader 64 is connected to the washer management device main body 62. The endoscope department management device 12 is connected to the washer management device main body 62, and the washer management device main body 62 operates under the control of the endoscope department management device 12, and controls the operation of the multiple washers 52 and the barcode reader 64.

[0044] The barcode 42 of the endoscope 24 that has been manually cleaned is read by the barcode reader 64. The barcode reader 64 outputs the endoscope ID obtained by reading the barcode 42 to the cleaning machine management device main body 62.

[0045] The cleaner management device main body 62 outputs cleaning information 66, in which various information related to the cleaner 52 is associated with the endoscope ID corresponding to the endoscope scope 24 cleaned by the cleaner 52, to the endoscope department management device 12. Here, examples of the various information related to the cleaner 52 include the cleaner ID, the cleaning start time, and the cleaning end time.

[0046] Each of the endoscope 24, the information processing device 36, and the cleaning machine 52 is an example of "medical equipment used in endoscope handling operations" according to the technology of the present disclosure. In the following, for convenience of explanation, when there is no need to distinguish between the endoscope 24, the information processing device 36, and the cleaning machine 52, they will also be referred to as "medical equipment" without reference numerals.

[0047] The endoscopy department management device 12 is a device that manages a department (endoscopy department) that handles endoscope handling operations within a medical facility. The endoscopy department management device 12 includes an endoscopy department management device main body 68, a reception device 70, and a display 72. The display 72 is an example of a "presentation device" according to the technology of the present disclosure.

[0048] Although details will be described later, the endoscope department management device main body 68 is a device configured to include a computer. A reception device 70 is connected to the endoscope department management device main body 68. The reception device 70 has a keyboard, a mouse, and / or a touch panel, and receives instructions from a user of the endoscope department management device 12. A display 72 is connected to the endoscope department management device main body 68. The display 72 displays various information under the control of the endoscope department management device main body 68. Examples of the display 72 include an EL (Electro-Luminescence) display and a liquid crystal display.

[0049] The endoscopy department management device main body 68 acquires the endoscopic examination information 44 output from the information processing device main body 38 and the cleaning information 66 output from the washer management device main body 62, and executes processing using the acquired endoscopic examination information 44 and cleaning information 66. In the following, for ease of explanation, when there is no need to distinguish between the endoscopic examination information 44 and the cleaning information 66, they will be referred to as "managed information" without being assigned a reference symbol.

[0050] In this first embodiment, the endoscopy department management device 12 is connected to the medical work support device 20 via a network 22. The network 22 is, for example, the Internet. Note that the network 22 is not limited to the Internet, and may be a WAN (Wide Area Network) and / or a LAN (Local Area Network) such as an intranet. Furthermore, the endoscopy department management device 12 and the medical work support device 20 may be integrally formed, and the medical work support device 20 may have at least a portion of the functions of the endoscopy department management device 12.

[0051] The endoscope department management device main body 68 transmits and receives information to and from the medical work support device 20 via the network 22. The medical work support device 20 is realized by cloud computing. Although cloud computing is illustrated here, this is merely one example, and for example, the medical work support device 20 may be realized by a mainframe, or may be realized by network computing such as fog computing, edge computing, or grid computing.

[0052] The medical work support device 20 includes an support device server 74 and a management information storage device 76. The management information storage device 76 is connected to the support device server 74. The support device server 74 is connected to the endoscope department management device main body 68 via the network 22, performs processing in response to requests from the endoscope department management device main body 68, and provides the processing results to the endoscope department management device main body 68.

[0053] The endoscopy department management device main body 68 anonymizes the endoscopic examination information 44, and transmits the anonymized endoscopic examination information 44 and the cleaning information 66 to the support device server 74. Anonymization of the endoscopic examination information 44 means anonymization of the subject identified from the subject ID included in the endoscopic examination information 44.

[0054] The support device server 74 receives the endoscopic examination information 44 and the cleaning information 66, and stores the received endoscopic examination information 44 and cleaning information 66 in the management information storage device 76. The support device server 74 selectively acquires the endoscopic examination information 44 and the cleaning information 66 from the management information storage device 76 as necessary, and executes processing using the acquired information.

[0055] An example of the flow of endoscope handling operations performed by an endoscopy technician is shown in Fig. 2. For ease of explanation, the following description will be given on the assumption that a usable endoscopy scope 24 (e.g., an endoscopy scope 24 that has been cleaned by a cleaner 52) is stored by the endoscopy technician in a storage room (not shown) in a medical facility.

[0056] In the endoscope handling operation shown in FIG. 2, first, in step ST10, an endoscopy worker takes out the endoscope 24 from the storage room and carries it into one of the multiple examination rooms 30.

[0057] In the next step ST12, the endoscope 24 is connected to the information processing device 36 in the examination room 30 via the light source device 31 and the endoscope processor device 32.

[0058] In the next step ST14, the barcode 42 of the endoscope 24 is read by the barcode reader 40 in the examination room 30. As a result, the endoscope ID of the endoscope 24 is acquired by the information processing device 36.

[0059] In the next step ST16, an examination start button 38A of the information processing device 36 is turned on. In addition, an examination start button (not shown) is also provided on the endoscope processor device 32, and the examination start button of the endoscope processor device 32 is turned on. This starts the endoscopic examination. Here, as an example, an embodiment in which the processing of step ST14 is performed before the processing of step ST16 is given, but this is merely an example, and the processing of step ST16 may be performed before the processing of step ST14. In other words, the order of steps ST14 and ST16 may be reversed.

[0060] For convenience of explanation, the following description will be given on the assumption that the endoscopic examination starts when the examination start button 38A is turned on, but the technology of the present disclosure is not limited to this. For example, the endoscope processor device 32 may also have an examination start button similar to the examination start button 38A of the information processing device 36, and the endoscopic examination may start when the examination start button 38A of the information processing device 36 is turned on and the examination start button of the endoscope processor device 32 is also turned on. In this case, the endoscope processor device 32 and the information processing device 36 are an example of an "information processing device" according to the technology of the present disclosure.

[0061] In the next step ST18, a doctor or the like performs an examination using the endoscope 24 (such as capturing an image of the observation site by the imaging unit 24B of the endoscope 24). As a result, the information processing device 36 generates an image based on an imaging signal obtained by capturing an image by the imaging unit 24B.

[0062] In the next step ST20, the examination start button 38A of the information processing device 36 is turned off. Also, the examination start button of the endoscope processor device 32 is turned off. This ends the endoscopic examination. The time during which the information processing device 36 is operating is the time from when the examination start button 38A is turned on in step ST16 to when the examination start button 38A is turned off in step ST20, and corresponds to the time during which the endoscopic examination is being performed (hereinafter also referred to as "examination time").

[0063] For convenience of explanation, the following description will be given on the assumption that the endoscopic examination ends when the examination start button 38A is turned off, but the technology of the present disclosure is not limited to this. For example, the endoscopic examination may end when the examination start button 38A of the information processing device 36 is turned off and the examination start button of the endoscope processor device 32 is also turned off.

[0064] The examination time is an example of the "operating time of the information processing device" according to the technology of the present disclosure, and the time from when the examination start button 38A is turned on in step ST16 to when the examination start button 38A is turned off in step ST20 corresponds to the "time from when the first endoscopic procedure using the information processing device is started to when the first endoscopic procedure is ended" according to the technology of the present disclosure.

[0065] In the next step ST22, manual cleaning is performed on the endoscope 24 used in step ST18. In the next step ST24, the barcode 42 of the endoscope 24 that has been manually cleaned in the cleaner room 50 is read by the barcode reader 64. As a result, the endoscope ID of the endoscope 24 is acquired by the cleaner management device 54.

[0066] In the next step ST26, the endoscope 24 is placed in the cleaning tank of the cleaner 52. In the next step ST28, the cleaning start button 60A is turned on.

[0067] The time from when the test start button 38A is turned off in step ST20 to when the cleaning start button 60A is turned on in step ST28 is the time equivalent to the time during which manual cleaning is performed (hereinafter, also referred to as the "manual cleaning time").

[0068] In the next step ST30, cleaning of the endoscope 24 placed in the cleaning tank in step ST26 is started by the cleaner 52. In the next step ST32, when a designated time has elapsed since the cleaning start button 60A was turned on in step ST28, cleaning of the endoscope 24 placed in the cleaning tank in step ST26 by the cleaner 52 is completed, and one endoscope handling operation is completed.

[0069] The time from when the cleaning start button 60A is turned on in step ST28 to when the cleaning of the endoscope 24 by the cleaning machine 52 is completed in step ST32 is the time equivalent to the time during which the cleaning of the endoscope 24 is performed by the cleaning machine 52 (hereinafter also referred to as the "automatic cleaning time").

[0070] In the next step ST34, the endoscope 24 is removed from the cleaner 52, and the removed endoscope 24 is stored in a storage room.

[0071] In addition, when N is a natural number, the time required from the time when the Nth endoscopic examination is completed in a specific examination room 30 (the time when the examination start button 38A is turned off in step ST20 included in the Nth endoscope handling task) to the time when the N+1th endoscopic examination is started (the time when the examination start button 38A is turned on in step ST16 included in the N+1th endoscope handling task) is the time equivalent to the time waiting for the endoscopic examination in the specific examination room 30 (hereinafter also referred to as "examination waiting time"). In addition, the examination waiting time is an example of the "waiting time" related to the technology of the present disclosure.

[0072] Furthermore, in the cleaner room 50, the time required from when the Nth cleaning by the cleaner 52 ends until the N+1th cleaning by the cleaner 52 starts (restarts) is the time equivalent to the time the cleaner 52 waits to clean the endoscope 24 (hereinafter also referred to as the "cleaner standby time"). Note that here, the object to be cleaned by the cleaner 52 is an unspecified endoscope 24. However, this is merely one example, and a specific endoscope 24 may be cleaned by a specific cleaner 52.

[0073] 3, the endoscope department management device main body 68 includes a CPU 78, a storage 80, a memory 82, an assistance device communication I / F (Interface) 84, a plurality of examination room communication I / Fs 86, and a cleaning machine communication I / F 88. The CPU 78, the storage 80, the memory 82, the assistance device communication I / F 84, the plurality of examination room communication I / Fs 86, and the cleaning machine communication I / F 88 are connected to a bus 90.

[0074] The CPU 78 controls the entire endoscope department management device main body 68. The storage 80 is a non-volatile storage device that stores various programs and various parameters, etc. Examples of the storage 80 include an EEPROM, an SSD, and / or an HDD. The memory 82 is a memory in which information is temporarily stored, and is used as a work memory by the CPU 78. Examples of the memory 82 include a RAM.

[0075] The support device communication I / F 84 is connected to the network 22, and controls the exchange of information between the CPU 78 and the support device server 74. For example, the support device communication I / F 84 transmits information in response to a request from the CPU 78 to the support device server 74 via the network 22, receives information transmitted from the support device server 74, and outputs the received information to the CPU 78.

[0076] The examination room communication I / F 86 is provided for each examination room 30, and is connected to the information processing device main body 38 in the examination room 30. The examination room communication I / F 86 controls the exchange of information between the CPU 78 and the information processing device main body 38. For example, the examination room communication I / F 86 transmits information in response to a request from the CPU 78 to an information processing device main body 38 specified by the CPU 78, among the multiple information processing device main bodies 38. In addition, the examination room communication I / F 86 acquires endoscopic examination information 44 from the information processing device main body 38, and outputs the acquired endoscopic examination information 44 to the CPU 78.

[0077] The washer communication I / F 88 is connected to the washer management device main body 62, and controls the exchange of information between the CPU 78 and the washer management device main body 62. For example, the washer communication I / F 88 transmits information in response to a request from the CPU 78 to the washer management device main body 62. In addition, the washer communication I / F 88 acquires cleaning information 66 from the washer management device main body 62, and outputs the acquired cleaning information 66 to the CPU 78.

[0078] 4 as an example, in the endoscope department management device main body 68, the storage 80 stores a management device control program 92. The CPU 78 reads out the management device control program 92 from the storage 80, and executes the read management device control program 92 on the memory 82 to perform management device control processing (see FIG. 10). The management device control processing is realized by the CPU 78 operating as a receiving unit 78A, a transmitting unit 78B, a memory control unit 78C, and a display control unit 78D in accordance with the management device control program 92. Specific processing contents by the receiving unit 78A, the transmitting unit 78B, the memory control unit 78C, and the display control unit 78D will be described later with reference to FIG. 10.

[0079] An endoscopic examination management database 94 and a cleaning machine management database 96 are constructed in the storage 80. The memory control unit 78C acquires the endoscopic examination information 44 (see FIGS. 1 and 3) via the examination room communication I / F 86 (see FIG. 3), and stores the acquired endoscopic examination information 44 in the endoscopic examination management database 94. The memory control unit 78C also acquires the cleaning information 66 (see FIGS. 1 and 3) via the cleaning machine communication I / F 88 (see FIG. 3), and stores the acquired cleaning information 66 in the cleaning machine management database 96. In the following, for convenience of explanation, when there is no need to distinguish between the endoscopic examination management database 94 and the cleaning machine management database 96, they are also referred to as "medical facility side management databases."

[0080] 5, the endoscopic examination management database 94 stores endoscopic examination information 44 acquired by the storage control unit 78C from each information processing device main body 38 installed in each of the examination rooms 30. In the endoscopic examination management database 94, an examination start time and an examination end time are associated with each endoscope ID and each information processing device ID. Also, a subject ID is associated with the examination start time or the examination end time (not shown).

[0081] 6, the washer management database 96 stores cleaning information 66 acquired by the memory control unit 78C from the washer management device main body 62. In the washer management database 96, a cleaning start time and a cleaning end time are associated with each endoscope ID and each washer ID.

[0082] 7, the support device server 74 includes a CPU 98, a storage 100, a memory 102, and a communication I / F 104. The CPU 98 is an example of a "processor" according to the technology of the present disclosure, and the memory 102 is an example of a "memory" according to the technology of the present disclosure.

[0083] The CPU 98, the storage 100, the memory 102, and the communication I / F 104 are connected to a bus 106. In addition, a management information storage device 76 is connected to the bus 106. Examples of the management information storage device 76 include an EEPROM, an SSD, and / or an HDD. Anonymized management target information is stored in the management information storage device 76.

[0084] The CPU 98 controls the entire support device server 74. The storage 100 is a non-volatile storage device that stores various programs and various parameters. Examples of the storage 100 include an EEPROM, an SSD, and / or an HDD. The memory 102 is a memory in which information is temporarily stored, and is used as a work memory by the CPU 98. Examples of the memory 102 include a RAM.

[0085] The communication I / F 104 is connected to the endoscope department management device main body 68 via the network 22, and controls the exchange of information between the CPU 98 and the endoscope department management device main body 68. For example, the communication I / F 104 receives information transmitted from the endoscope department management device main body 68, and outputs the received information to the CPU 78. The communication I / F 104 also transmits information in response to a request from the CPU 98 to the endoscope department management device main body 68 via the network 22.

[0086] 8, in the support device server 74, the storage 100 stores a medical service support processing program 108. Note that the support device server 74 is an example of a "computer" according to the technology of the present disclosure, and the medical service support processing program 108 is an example of a "program" according to the technology of the present disclosure.

[0087] The CPU 98 reads out the medical work support processing program 108 from the storage 100, and executes the read out medical work support processing program 108 on the memory 102 to perform medical work support processing (see FIG. 11). The medical work support processing is realized by the CPU 98 operating as a receiving unit 98A, a transmitting unit 98B, an acquiring unit 98C, a memory control unit 98D, a derivation unit 98E, and a generating unit 98F in accordance with the medical work support processing program 108. Specific processing contents by the receiving unit 98A, the transmitting unit 98B, the acquiring unit 98C, the memory control unit 98D, the derivation unit 98E, and the generating unit 98F will be described later with reference to FIG. 11.

[0088] The CPU 98 performs medical work support processing to derive a medical equipment availability standard value based on the standard operating time for the medical equipment and the waiting time for endoscopic examination, and outputs medical work support information according to the degree of difference between the medical equipment availability and the availability standard value. Hereinafter, the medical equipment availability is also referred to simply as the "availability" and the medical equipment availability standard value is also referred to simply as the "availability standard value."

[0089] Although details will be described later, the medical work support information includes medical equipment-related information on medical equipment whose operation rate falls within an operation rate range determined according to an operation rate reference value. The medical equipment-related information also includes information on medical equipment whose operation rate falls within the operation rate range during a period when the operation rate of the medical equipment is equal to or higher than a first reference degree. Here, the period when the operation rate of the medical equipment is equal to or higher than the first reference degree refers to a period when a value based on the number of endoscopic examinations is equal to or higher than a preset value. In this first embodiment, the medical work support information includes screen information showing a medical work support screen 114 (see FIG. 12) as the medical equipment-related information.

[0090] 9, an assistance device management database 113 is constructed in the management information storage device 76. The assistance device management database 113 has an endoscopic examination management database 110 and a cleaning machine management database 112. The endoscopic examination management database 110 stores anonymized endoscopic examination information 44, and the cleaning machine management database 112 stores cleaning information 66.

[0091] The memory control unit 98D acquires the anonymized endoscopic examination information 44 from the endoscopic department management device main body 68 via the communication I / F 104 (see FIG. 7), and stores the acquired endoscopic examination information 44 in the endoscopic examination management database 110. The memory control unit 98D acquires the cleaning information 66 (see FIG. 6) from the endoscopic department management device main body 68 via the communication I / F 104 (see FIG. 7), and stores the acquired cleaning information 66 in the cleaning machine management database 112.

[0092] Next, the operation of the medical service support system will be described.

[0093] 10 shows an example of the flow of management device control processing performed by the CPU 78 of the endoscope department management device 12. In the first embodiment, the following description will be given taking the information processing device 36 as an example of medical equipment.

[0094] In the management device control process shown in FIG. 10, first, in step ST100, the receiving unit 78A determines whether the management target information has been received by the examination room communication I / F 86 (see FIG. 3) or the cleaning machine communication I / F 88 (see FIG. 3). In step ST100, if the management target information has not been received by the examination room communication I / F 86 or the cleaning machine communication I / F 88, the determination is negative and the management device control process proceeds to step ST114. In step ST100, if the management target information has been received by the examination room communication I / F 86 or the cleaning machine communication I / F 88, the determination is positive and the management device control process proceeds to step ST102.

[0095] In step ST102, the storage control unit 78C stores the management object information received in step ST100 by the examination room communication I / F 86 or the cleaning machine communication I / F 88 in the medical facility side management database. That is, the endoscopic examination information 44 is stored in the endoscopic examination management database 94 (see Figs. 4 and 5), and the cleaning information 66 is stored in the cleaning machine management database 96 (see Figs. 4 and 6). After the processing of step ST102 is executed, the management device control processing proceeds to step ST104.

[0096] In step ST104, the transmission unit 78B transmits the management target information received in step ST100 to the support device server 74 via the support device communication I / F 84 (see FIG. 3). After the process of step ST104 is executed, the management device control process proceeds to step ST106.

[0097] In step ST106, the transmission unit 78B judges whether or not a support screen display condition, which is a condition for displaying the medical work support screen 114 (see FIG. 12) on the display 72 (see FIG. 1 and FIG. 3), is satisfied. A first example of the support screen display condition is that an instruction to display the medical work support screen 114 on the display 72 is accepted by the accepting device 70 (see FIG. 1 and FIG. 3). A second example of the support screen display condition is that a pre-specified time (e.g., 10 p.m.) has arrived. A further example of the support screen display condition is that the amount of managed object information stored in the medical facility management database has reached a predetermined amount of information.

[0098] In step ST106, if the support screen display condition is not satisfied, the determination is negative, and the management device control process proceeds to step ST114. In step ST106, if the support screen display condition is satisfied, the determination is positive, and the management device control process proceeds to step ST108.

[0099] In step ST108, the transmission unit 78B requests the support device server 74 to transmit medical work support information via the support device communication I / F 84 (see FIG. 3). After the process of step ST108 is executed, the management device control process proceeds to step ST110.

[0100] When the processing of step ST108 is executed, the processing of steps ST206 to ST216 included in the medical work support processing shown in FIG. 11 is executed by the support device server 74, and by executing step ST216, medical work support information is transmitted from the support device server 74 to the endoscopic department management device 12 via the network 22.

[0101] In step ST110, the receiving unit 78A judges whether or not the medical work support information transmitted from the support device server 74 has been received by the support device communication I / F 84 (see FIG. 3). In step ST110, if the medical work support information has not been received by the support device communication I / F 84, the judgment is negative and the judgment of step ST110 is performed again. In step ST110, if the medical work support information has been received by the support device communication I / F 84, the judgment is positive and the management device control process proceeds to step ST112.

[0102] In step ST112, the display control unit 78D S A medical work support screen 114 (see FIG. 12) is generated using the medical work support information received by the support device communication I / F 84 in T110, and the medical work support screen 114 is displayed (see FIG. 12) on the display 72 (see FIGS. 1 and 3). After the processing of step ST112 is executed, the management device control processing proceeds to step ST114.

[0103] In step ST114, the display control unit 78D determines whether or not a condition for terminating the management device control process (hereinafter referred to as a "management device control process termination condition") is satisfied. An example of the management device control process termination condition is that an instruction to terminate the management device control process is accepted by the accepting device 70 (see FIGS. 1 and 3).

[0104] In step ST114, if the management device control process end condition is not satisfied, the determination is negative, and the management device control process proceeds to step ST100. In step ST114, if the management device control process end condition is satisfied, the management device control process ends.

[0105] FIG. 11 shows an example of the flow of medical service support processing performed by the CPU 98 of the support device server 74.

[0106] In the medical service support process shown in Fig. 11, first, in step ST200, the receiving unit 98A judges whether or not the management target information transmitted by executing the process of step ST100 included in the management device control process shown in Fig. 10 has been received by the communication I / F 104 (see Fig. 7). In step ST200, if the management target information has not been received by the communication I / F 104, the judgment is negative, and the medical service support process proceeds to step ST218. In step ST200, if the management target information has been received by the communication I / F 104, the judgment is positive, and the medical service support process proceeds to step ST202.

[0107] In step ST202, the storage control unit 98D stores the management target information received by the communication I / F 104 in step ST200 in the support device management database 113. That is, the endoscopic examination information 44 is stored in the endoscopic examination management database 110 (see FIG. 9), and the cleaning information 66 is stored in the cleaning machine management database 112 (see FIG. 9). After the processing of step ST202 is executed, the medical work support processing proceeds to step ST204.

[0108] In step ST204, the receiving unit 98A judges whether or not a request for transmission of medical work support information has been made from the endoscopy department management device 12 by executing the processing of step ST108 included in the management device control processing shown in Fig. 10. If a request for transmission of medical work support information has not been made from the endoscopy department management device 12 in step ST204, the judgment is negative and the medical work support processing proceeds to step ST218. If a request for transmission of medical work support information has been made from the endoscopy department management device 12 in step ST204, the judgment is positive and the medical work support processing proceeds to step ST206.

[0109] In step ST206, the derivation unit 98E refers to the endoscopic examination management database 110 (see FIG. 9) to identify the day when the operation status of the medical equipment is at its peak (hereinafter, also referred to as the "peak operation day"). In the first embodiment, the peak operation day of the medical equipment refers to the day when the operation status of all information processing devices 36 installed in all examination rooms 30 (hereinafter, also referred to as "all information processing devices 36"). The peak operation day is an example of "the period when the operation level of the medical equipment is equal to or higher than the first reference level" and "the period when the operation level of the medical equipment is equal to or higher than the second reference level" according to the technology of the present disclosure. The operation level of the medical equipment indicates information indicating the operation rate of the medical equipment that can be acquired by the medical service support device, and is indicated by, for example, a value based on the number of endoscopic examinations. The value based on the number of endoscopic examinations indicates, for example, the number of endoscopic examinations per predetermined period such as per day or per hour. Furthermore, when there are multiple medical devices that the medical service support device can acquire, the value based on the number of endoscopic examinations indicates the total number of endoscopic examinations performed by the multiple medical devices for each predetermined period. The value based on the number of endoscopic examinations may be obtained from information on the start time and end time of each endoscopic examination by referring to the endoscopic examination management database. The first standard degree or the second standard degree is a default value. More specifically, it is a default value for determining a period during which endoscopic examinations are performed intensively, such as a peak operating day or peak operating time. The default value may be a fixed value set in advance, or a variable value that is changed according to a user's input. The default value may be a variable value calculated based on the number of endoscopic examinations performed in the past. The default value may be, for example, the average number of endoscopic examinations performed in the past, the maximum number of endoscopic examinations performed in the past, or a value obtained by adding or multiplying the maximum number by a predetermined value. Furthermore, in the case where the degree of operation of a medical device indicates the number of endoscopic examinations per first period (e.g., one day), the largest value among the number of endoscopic examinations per first period in a second period (e.g., one week) that is longer than the first period may be set as the prescribed value. Note that the default value indicating the second standard degree may be the same value as the default value indicating the first standard degree, or may be a different value.

[0110] Here, the day on which the most endoscopic examinations were performed is regarded as the peak operation day. The day on which the most endoscopic examinations were performed is an example of "a period when a value based on the number of endoscopic procedure tasks is equal to or greater than a predetermined value" according to the technology of the present disclosure.

[0111] The date on which the endoscopic examination was performed can be identified from the examination start time or the examination end time of the endoscopic examination information 44 stored in the endoscopic examination management database 110. Therefore, in this step ST206, the date on which the most number of endoscopic examinations were performed is identified by the derivation unit 98E from the examination start time or the examination end time of the endoscopic examination information 44 included in the endoscopic examination management database 110.

[0112] The peak operation days may be specified from all periods that can be specified from the endoscopic examination information 44 stored in the endoscopic examination management database 110, or may be a period (e.g., a specified number of years, a specified number of months, or a specified number of days) specified from the endoscopic examination information 44 stored in the endoscopic examination management database 110. The period is specified by a user or the like via the reception device 70 (see Figs. 1 and 3) of the endoscopy department management apparatus 12, for example.

[0113] In the next step ST208, the derivation unit 98E refers to the endoscopic examination management database 110 (see FIG. 9) and calculates the standard operating time of the information processing device for the peak operating day derived in step ST206. After the processing of step ST208 is executed, the medical service support processing proceeds to step ST210.

[0114] In step ST208, the standard operating time of the information processing device is a time based on the operating time of the information processing device 36 on a peak operating day, i.e., a statistical value of the operating times of all information processing devices 36 on a peak operating day (the operating times of all information processing devices 36, i.e., the examination times for endoscopic examinations performed in all examination rooms 30 (see FIG. 2)). For example, the standard operating time of the information processing device is the average value of the operating times of all information processing devices 36 on a peak operating day. The operating time of the information processing device 36 is identified from the examination start time and examination end time of the endoscopic examination information 44 stored in the endoscopic examination management database 110.

[0115] Note that, although the information processing device standard operation time is exemplified here as the average operation time of all the information processing devices 36, this is merely an example and may be a statistical value such as the median, mode, maximum, minimum, or percentile of the operation time of all the information processing devices 36. Also, the information processing device standard operation time may be calculated within a time range (for example, within a range of about 1 to 10 minutes) that is predetermined by an upper limit value and a lower limit value.

[0116] In step ST210, the derivation unit 98E calculates an information processing device availability reference value based on the information processing device standard operation time calculated in step ST208 and the shortest examination waiting time (for example, a time designated in advance between 1 minute and 3 minutes). After the process of step ST210 is executed, the medical service support process proceeds to step ST212.

[0117] In step ST210, the shortest test waiting time refers to the shortest test waiting time before the information processing device 36 is used. The shortest test waiting time is, for example, a time that is predetermined as the shortest test waiting time shown in Fig. 2. The shortest test waiting time may be a fixed value or a variable value that is changed according to an instruction or the like accepted by the accepting device 70 or the like.

[0118] The information processing device operation rate reference value is a value based on the ratio of the standard operation time of the information processing device to the time including the standard operation time of the information processing device and the shortest inspection wait time calculated in step ST208. An example of the information processing device operation rate reference value is a value obtained by multiplying an adjustment coefficient by the ratio of the standard operation time of the information processing device to the sum of the standard operation time of the information processing device and the shortest inspection wait time calculated in step ST208. An example of the adjustment coefficient is 0.8. The adjustment coefficient "0.8" is merely an example, and the adjustment coefficient may be another decimal number less than 1. The adjustment coefficient may be a fixed value or a variable value.

[0119] Note that, although an example is given here in which an adjustment coefficient is multiplied to the ratio of the standard operation time of the information processing device to the sum of the standard operation time of the information processing device and the shortest waiting time for inspection, the present invention is not limited to this, and a value obtained by adding or subtracting an adjustment value to the ratio of the standard operation time of the information processing device to the sum of the standard operation time of the information processing device and the shortest waiting time for inspection may be used as the information processing device operation rate standard value.

[0120] In step ST212, the derivation unit 98E derives the operation rate of each information processing device 36 for each examination time period on the peak operation day derived in step ST206, by referring to the endoscopic examination management database 110. After the processing of step ST212 is executed, the medical work support processing proceeds to step ST214.

[0121] Here, the examination time slot on the peak operating day refers to the time slot during which the endoscopic examination was performed on the peak operating day, in one-hour increments from 9:00 to 16:00. The one-hour increments from 9:00 to 16:00 are merely an example, and may be, for example, a time slot in units of several minutes to several hours within the outpatient treatment hours of a medical facility. Furthermore, the examination time slot on the peak operating day may be a fixed value, or may be a variable value that is changed according to instructions received by the reception device 70 or the like.

[0122] The operation rate of the information processing device 36 is calculated by the derivation unit 98E for each inspection time period on the peak operation day according to the formula "(operation time of the information processing device 36) / {(operation time of the information processing device 36)+(inspection standby time)}".

[0123] In step ST214, the generating unit 98F generates medical work support information according to the degree of difference between the operation rate of each information processing device 36 for each examination time period on the peak operation day (the operation rate calculated in step ST212) and the information processing device operation rate reference value calculated in step ST210. After the processing of step ST214 is executed, the medical work support processing proceeds to step ST216.

[0124] The medical work support information is information that can be expressed as comments, figures, and the like by a presentation device (here, as an example, the display 72), and includes screen information showing a medical work support screen 114 (see FIG. 12). Note that, although an example in which the screen information is generated by the medical work support device 20 is given here, this is merely an example, and for example, the screen information may be generated by another device such as the endoscopy department management device 12.

[0125] Although details will be described later, the medical work support screen 114 includes graphs and comments that visualize the difference between the operation rate of each information processing device 36 for each examination time period on a peak operation day and the information processing device operation rate standard value. The difference between the operation rate of the information processing device 36 and the information processing device operation rate standard value indicates the degree to which the operation rate of the information processing device 36 deviates from the information processing device operation rate standard value, and corresponds to, for example, the value obtained by subtracting the operation rate of the information processing device 36 from the information processing device operation rate standard value, or the ratio of the operation rate of the information processing device 36 to the information processing device operation rate standard value.

[0126] In addition, the medical service support information includes an operating rate range determined according to the information processing device operating rate standard value. Operating rateThe information processing device related information of the information processing device 36 whose operation rate falls within the information processing device operation rate reference value or more is included as screen information. The information processing device related information is an example of "medical device related information" according to the technology of the present disclosure. In the first embodiment, an operation rate range equal to or greater than the information processing device operation rate reference value is applied as an example of an operation rate range determined according to the information processing device operation rate reference value. In the first embodiment, an information processing device ID is applied as an example of information processing device related information. As will be described in detail later, the medical work support screen 114 visually displays information processing devices 36 whose operation rate falls within the operation rate range equal to or greater than the information processing device operation rate reference value in an identifiable manner.

[0127] The information processing device related information also includes information processing device number specification information (an example of medical device number specification information) that can specify the number of information processing devices 36 whose operation rates fall within an operation rate range equal to or greater than the information processing device operation rate reference value. As will be described in detail later, the medical work support screen 114 visually displays the number of information processing devices 36 whose operation rates fall within an operation rate range equal to or greater than the information processing device operation rate reference value in an identifiable manner.

[0128] In step ST216, the transmission unit 98B transmits the medical work support information generated in step ST214 to the endoscope department management device main body 68 via the communication I / F 104 (see FIG. 7). After the processing of step ST216 is executed, the medical work support processing proceeds to step ST218.

[0129] In step ST218, the transmission unit 98B judges whether or not a condition for terminating the medical service support process (hereinafter referred to as a "medical service support process termination condition") is satisfied. An example of the medical service support process termination condition is that an instruction to terminate the medical service support process is received by a receiving device (not shown).

[0130] In step ST218, if the medical service support processing end condition is not satisfied, the determination is negative and the medical service support processing proceeds to step ST200. In step ST218, if the medical service support processing end condition is satisfied, the determination is positive and the medical service support processing ends.

[0131] When the medical work support information is transmitted by executing the process of step ST216, as described above, the medical work support information is received by the support device communication I / F 84 of the endoscopy department management device 12 (see step ST110 shown in Fig. 10). Then, as shown in step ST112 shown in Fig. 10, the display control unit 78D of the endoscopy department management device 12 generates a medical work support screen 114 based on the medical work support information, and the generated medical work support screen 114 is displayed on the display 72 (Figs. 1 and 3) (see Fig. 12).

[0132] In the first embodiment, for convenience of explanation, a case will be described in which the operating status of each information processing device 36 installed in each of the four examination rooms 30 is presented to a user or the like as a medical service support screen 114 via the display 72. The four examination rooms 30 are a first examination room, a second examination room, a third examination room, and a fourth examination room. For convenience of explanation, the information processing device 36 installed in the first examination room will be referred to as the first information processing device, the information processing device 36 installed in the second examination room will be referred to as the second information processing device, the information processing device 36 installed in the third examination room will be referred to as the third information processing device, and the information processing device 36 installed in the fourth examination room will be referred to as the fourth information processing device.

[0133] As an example, as shown in FIG. 12, a medical work support screen 114 displays a screen title display field 114A, an availability calculation date display field 114B, an excess number display field 114C, a legend display field 114D, an examination support graph 114E, an examination support comment display field 114F, and an information comment display field 114G.

[0134] The screen title display field 114A displays a title that enables recognition that this is a screen showing the operating status of the information processing device 36. In the example shown in Fig. 12, "Operating Status of Information Processing Device" is displayed in the screen title display field 114A. Note that since the period during which the information processing device 36 is operating can be considered as the period during which the examination room 30 is used for endoscopic examination, the screen title display field 114A may display a title such as "Usage Status of Examination Room" or "Operating Status of Information Processing Device (Usage Status of Examination Room)".

[0135] The availability calculation date display field 114B displays the dates that are subject to the calculation of the availability in step ST212 included in the medical service support process shown in Fig. 11, that is, the peak operating dates derived in step ST206 included in the medical service support process shown in Fig. 11. In the example shown in Fig. 12, the peak operating dates are expressed as the year, month, date, and day of the week.

[0136] The excess number display field 114C displays the number of information processing devices 36 whose operation rates exceed the upper limit guideline. In the example shown in Fig. 12, the excess number display field 114C displays a comment "Number of devices exceeding the upper limit guideline: 1 / 4" as information that enables recognition that one information processing device 36 out of four information processing devices 36 exceeds the upper limit guideline. Note that the upper limit guideline here refers to the information processing device operation rate standard value calculated by executing the process of step ST210 included in the medical service support process shown in Fig. 11. The upper limit guideline is not limited to this, and may be, for example, a value obtained by finely adjusting the information processing device operation rate standard value.

[0137] In the legend display field 114D, a legend related to the examination support graph 114E is displayed. In the example shown in Fig. 12, the legend display field 114D displays a legend for a first information processing device installed in a first examination room, a legend for a second information processing device installed in a second examination room, a legend for a third information processing device installed in a third examination room, and a legend for a fourth information processing device installed in a fourth examination room. 3 Legend for the information processing device and the No. 4 device installed in the No. 4 examination room 412, an upward arrow indicating that the operation rate of the second information processing device exceeds the upper limit target is also displayed in the legend display field 114D.

[0138] The examination support graph 114E is an example of a "diagram" according to the technology of the present disclosure. The examination support graph 114E is a graph showing the change over time in the operating rate calculated by executing the process of step ST212 included in the medical service support process shown in Fig. 11. The horizontal axis of the examination support graph 114E is the examination time period on the peak operating day, and the vertical axis of the examination support graph 114E is the operating rate of the information processing device 36.

[0139] The examination support graph 114E shows that the operation rate of the second information processing device during the endoscopic examination in the 11:00 hour exceeds the information processing device operation rate reference value as an upper limit guideline, and that the operation rates of the first to fourth information processing devices do not reach the information processing device operation rate reference value during other time periods. Also, the examination support graph 114E visualizes and shows the degree of difference between the operation rates of the first to fourth information processing devices and the information processing device operation rate reference value for each examination time period.

[0140] In addition, in the inspection support graph 114E, the operation rate range exceeding the upper limit target of the operation rate, i.e., the operation rate range equal to or higher than the information processing device operation rate reference value, is displayed in a manner that can be distinguished from other regions. Furthermore, in the inspection support graph 114E, the range indicating the peak time period is displayed in a manner that can be distinguished from other regions. The peak time period refers to the inspection time period during which the average value of the operation rate of the information processing device 36 is the highest among the inspection time periods. In the example shown in FIG. 12, the 11:00 a.m. time period is displayed in a manner that can be distinguished from other regions (in the example shown in FIG. 12, a dashed frame) as the peak time period.

[0141] The examination support comment display field 114F displays comments that contribute to the implementation of endoscopic examinations. Specifically, the examination support comment display field 114F displays a comment indicating a correlation between the number of information processing devices 36 whose operation rates are within an operation rate range equal to or higher than the information processing device operation rate reference value as an upper limit guideline, and the number of examinations (for example, the number of times that an endoscopic examination can be performed). In the example shown in FIG. 12, the examination support comment display field 114F displays a comment saying, "Because less than half of the information processing devices have operation rates exceeding the upper limit guideline, it is possible to increase the number of examinations." Note that the comment displayed in the examination support comment display field 114F is an example of a "comment" according to the technology of the present disclosure.

[0142] A guidance comment is displayed in the guidance comment display field 114G. In the example shown in Fig. 12, a comment indicating that the operation status of the endoscope 24 can be confirmed on the next page of the medical work support screen 114 is displayed in the guidance comment display field 114G. Note that, although a comment indicating that the operation status of the endoscope 24 can be confirmed on the next page of the medical work support screen 114 is illustrated here, the present invention is not limited to this, and may be a comment indicating on which page of the medical work support screen 114 the operation status of which medical device can be confirmed.

[0143] As described above, in the medical work support device 20 according to the first embodiment, the information processing device operation rate standard value is derived based on the standard operation time during which the information processing device 36 used in the endoscope handling work operates and the examination waiting time. Then, in the medical work support device 20, medical work support information according to the difference between the operation rate of the information processing device 36 and the information processing device operation rate standard value is transmitted to the endoscope department management device 12. In the endoscope department management device 12, a medical work support screen 114 is generated based on the medical work support information and displayed on the display 72. Since the medical work support information is presented to the user, etc. in a visualized state on the medical work support screen 114, the user, etc. can grasp the difference between the operation rate of the information processing device 36 and the information processing device operation rate standard value. Therefore, according to this configuration, it is possible to support efficient implementation of the endoscope handling work.

[0144] The medical work support information also includes information about the information processing device 36 whose operation rate falls within the operation rate range equal to or greater than the information processing device operation rate reference value. In the endoscope department management device 12, a medical work support screen 114 is generated based on the medical work support information and displayed on the display 72. On the medical work support screen 114, information about the information processing device 36 whose operation rate falls within the operation rate range equal to or greater than the information processing device operation rate reference value (for example, the examination support graph 114E) is presented to the user or the like in a visualized state, so that the user or the like can grasp the information about the information processing device 36 whose operation rate falls within the operation rate range equal to or greater than the information processing device operation rate reference value. Therefore, according to this configuration, compared to a case in which the medical work support information is composed of only the operation rate of the information processing device 36, the user or the like can accurately grasp the information about the information processing device 36 whose operation rate falls within the operation rate range equal to or greater than the information processing device operation rate reference value.

[0145] The medical work support information also includes information about the information processing device 36 whose operation rate falls within the operation rate range equal to or more than the information processing device operation rate reference value on the peak operation day. Then, in the endoscope department management device 12, a medical work support screen 114 is generated based on the medical work support information and displayed on the display 72. On the medical work support screen 114, information about the information processing device 36 whose operation rate falls within the operation rate range equal to or more than the information processing device operation rate reference value on the peak operation day (for example, the examination support graph 114E) is presented to the user or the like in a visualized state, so that the user or the like can grasp information about the information processing device 36 whose operation rate falls within the operation rate range equal to or more than the information processing device operation rate reference value on the peak operation day. Therefore, according to this configuration, compared to a case in which the medical work support information is composed only of the operation rate of the information processing device 36, the user or the like can accurately grasp information about the information processing device 36 whose operation rate falls within the operation rate range equal to or more than the information processing device operation rate reference value on the peak operation day.

[0146] Furthermore, the peak operation day is the day on which the greatest number of endoscopic examinations were performed. Therefore, according to this configuration, compared to a case in which the medical work support information is composed only of the operation rate of the information processing device 36, it is possible for a user or the like to accurately grasp information about the information processing device 36 whose operation rate falls within an operation rate range equal to or greater than the information processing device operation rate reference value on the day on which the greatest number of endoscopic examinations were performed.

[0147] Furthermore, the medical work support information includes, as information on the information processing devices 36, information processing device number specification information that can specify the number of information processing devices 36 whose operation rates fall within an operation rate range equal to or greater than the information processing device operation rate reference value. On the medical work support screen 114, the number of information processing devices 36 whose operation rates fall within an operation rate range equal to or greater than the information processing device operation rate reference value is visually displayed so as to be identifiable. Therefore, according to this configuration, the user or the like can know the number of information processing devices 36 whose operation rates fall within an operation rate range equal to or greater than the information processing device operation rate reference value.

[0148] Furthermore, the standard operating time during which the information processing device 36 used in the endoscope handling business operates is a time based on the operating times of all the information processing devices 36 on peak operating days. In the medical service support device 20, the information processing device operating rate reference value is derived based on the standard operating time during which the information processing device 36 operates and the examination waiting time. Therefore, according to this configuration, a highly reliable value can be obtained as the information processing device operating rate reference value on peak operating days, compared to when the standard operating time during which the information processing device 36 used in the endoscope handling business operates is set to a time based on the operating times of all the information processing devices 36 during periods other than peak operating days.

[0149] Moreover, the information processing device availability standard value is a value based on the ratio of the standard operation time of the information processing device to the sum of the minimum inspection wait time, which is set as the shortest time for inspection wait time, and the standard operation time of the information processing device. Therefore, according to this configuration, the information processing device availability standard value against which the availability of the information processing device 36 is compared can be made higher than when the ratio of the standard operation time of the information processing device to the sum of a time longer than the minimum inspection wait time and the standard operation time of the information processing device is used as the information processing device availability standard value.

[0150] The information processing device availability standard value is a value obtained by multiplying an adjustment coefficient by the ratio of the standard operation time of the information processing device to the sum of the shortest examination waiting time, which is determined as the shortest examination waiting time, and the standard operation time of the information processing device. For example, the adjustment coefficient is determined according to an external factor (e.g., a break time of an endoscopy worker and / or a predictable trouble) that affects at least one of the shortest examination waiting time and the standard operation time of the information processing device. Therefore, according to this configuration, compared to a case where only the ratio of the standard operation time of the information processing device to the sum of the shortest examination waiting time and the standard operation time of the information processing device is used as the information processing device availability standard value, even if there is an external factor that affects at least one of the shortest examination waiting time and the standard operation time of the information processing device, it is possible to obtain an appropriate value as the information processing device availability standard value to be compared with the availability of the information processing device 36.

[0151] Furthermore, the operating rate of the information processing device 36 is calculated based on the examination waiting time (see FIG. 2) and the operating time of the information processing device 36. The operating time of the information processing device 36 is the time from the start of an endoscopic examination to the end of the endoscopic examination. In other words, the operating rate of the information processing device 36 represents the degree of pressure on the performance of the endoscopic examination. Therefore, according to this configuration, the user, etc. can refer to the operating rate of the information processing device 36 to estimate the pressure on the performance of the endoscopic examination.

[0152] Furthermore, the standard operating time during which the information processing device 36 used in the endoscope handling business operates is the average operating time of all the information processing devices 36 on the peak operating day. Therefore, according to this configuration, it is possible to calculate an information processing device operating rate reference value that is appropriate for comparison with the operating rates of all the information processing devices 36, compared to the case where the standard operating time is calculated using only the operating time of one information processing device 36 on the peak operating day.

[0153] Moreover, the medical service support information is information that can be expressed by comments and figures (for example, the examination support graph 114E) on the display 72. Therefore, according to this configuration, the medical service support information can be visually grasped by the user or the like.

[0154] In the above first embodiment, an example was described in which the medical work support information includes information processing device number identification information (hereinafter also referred to as "first number identification information") capable of identifying the number of information processing devices 36 whose operation rate falls within the operation rate range equal to or greater than the information processing device operation rate reference value, but the technology of the present disclosure is not limited to this. For example, the medical work support information may include notification information that notifies that the operation status of the information processing devices 36 is tight, together with or instead of the first number identification information.

[0155] For example, the notification information includes a time period during which the operating status of the information processing devices 36 is tight (here, as an example, an examination time period), and second number identification information. The second number identification information refers to information that can identify the number of information processing devices 36 operating during the time period during which the operating status is tight. When the notification information includes the notification information, the time period during which the operating status of the information processing devices 36 is tight and the second number identification information are presented by the presentation device in a comparable state.

[0156] 13, for example, the examination support graph 114E of the medical service support screen 114 displays the time periods during which pressure is imposed and the number of devices specified by the second number specifying information, i.e., the number of information processing devices 36 operating during the time periods during which pressure is imposed, in a manner that allows comparison. The time periods during which pressure is imposed are displayed in a manner that allows distinction from other areas within the examination support graph 114E. Furthermore, the examination support graph 114E plots three marks in the time periods during which pressure is imposed, indicating the first to third information processing devices whose operation rates exceed the information processing device operation rate reference value.

[0157] In addition, in the excess number display field 114C of the medical work support screen 114 shown in FIG. 13, a comment is displayed indicating that the number of information processing devices 36 whose operation rates exceed the information processing device operation rate reference value as the upper limit guideline is three out of four. In addition, in the examination support comment display field 114F of the medical work support screen 114 shown in FIG. 13, a comment is displayed indicating the tightness of the operation status of the information processing devices 36. Specifically, a comment indicating the tight time period and the degree of the tightness of the endoscopic examination is displayed in the examination support comment display field 114F. In the example shown in FIG. 13, a comment is displayed in the examination support comment display field 114F saying, "Because the ratio of the number of information processing devices whose operation rates exceed the upper limit guideline is 75% or more in the 11:00 hour, the implementation status of the examination may be tight."

[0158] In this way, by including in the medical work support information notification information notifying that the operating status of the information processing device 36 is under pressure, it is possible to make the user, etc., aware that the operating status of the information processing device 36 is under pressure. In addition, the notification information is information including the pressure time period and the second number specifying information, and the pressure time period and the second number specifying information are presented by the presentation device in a comparable state, so that the user, etc., can be made aware of the relationship between the pressure time period and the number of information processing devices 36 operating during the pressure time period.

[0159] In the above first embodiment, an example was described in which an information processing device availability standard value is derived regardless of the type of endoscopic examination, and medical work support information is output regardless of the type of endoscopic examination, but the technology of the present disclosure is not limited to this. For example, the CPU 98 of the support device server 74 may derive an information processing device availability standard value for each type of endoscopic examination, and output medical work support information for each type of endoscopic examination.

[0160] To achieve this, as shown in Fig. 14 as an example, the endoscopic examination information 44 stored in the endoscopic examination management databases 94 and 110 further includes the name of the endoscopic examination. Specifically, the name of the endoscopic examination is associated with the examination start time and the examination end time. Similarly, in the cleaning machine management databases 96 and 112, the name of the endoscopic examination is associated with the examination start time and the examination end time.

[0161] Each process of steps ST206 to ST216 of the medical work support process shown in Fig. 11 is performed for each endoscopic examination name based on the endoscopic examination management database 110 shown in Fig. 14. Then, on the display 72, a medical work support screen 114 (see Figs. 12 and 13) is displayed in a manner that allows distinction for each endoscopic examination name. For example, the name of the endoscopic examination is displayed on the medical work support screen 114. This makes it possible to specify which type of endoscopic examination the medical work support screen 114 displayed on the display 72 relates to.

[0162] Thus, in this example, medical work support information for each type of endoscopic examination is transmitted from the medical work support device 20 to the endoscopy department management device 12, and a medical work support screen 114 based on the medical work support information is displayed for each type of endoscopic examination on the display 72. Therefore, according to this example, it is possible to support the efficient implementation of endoscope handling operations for each type of endoscopic examination.

[0163] In the above first embodiment, an example is given in which the day on which the most number of endoscopic examinations were performed is set as the peak operation day, but the technology of the present disclosure is not limited to this. For example, the peak operation day may be a day on which the number of times that the examination waiting time falls below a threshold (e.g., 3 minutes) is equal to or greater than a reference number. In this case, even if the number of times that the endoscopic examinations were performed cannot be grasped, the peak operation day can be identified. In other words, the degree of operation of the medical device may be indicated by a value based on the number of times that the examination waiting time falls below the threshold, and the first reference degree may be indicated by the reference number. The number of times that the waiting time falls below the threshold indicates, for example, the number of times that the waiting time falls below the threshold for each predetermined period, such as each day or each hour. In addition, the number of times that the waiting time falls below the threshold indicates the total number of times that the waiting time of the multiple medical devices falls below the threshold when there are multiple medical devices that the medical service support device can acquire. Note that the threshold corresponds to the preparation period required between the end of an endoscopic examination and the start of the next endoscopic examination in a medical facility, and may be a fixed value or a variable value that is set or changed by a user, etc. The threshold may also be a fluctuation value calculated based on the waiting time of endoscopic procedure tasks performed in the past. For example, the threshold may be the average value of waiting times for endoscopic procedure tasks performed in the past, the minimum value of waiting times for endoscopic procedure tasks performed in the past, or a value obtained by adding or multiplying the minimum value by a predetermined value. The reference number of times corresponding to the first reference degree is a default value. More specifically, it is a default value for determining periods during which endoscopic examinations are intensively performed, such as peak days or peak hours. The default value may be a fixed value set in advance, or a variable value that is changed according to user input. The default value may also be a fluctuation value calculated based on the number of times the waiting time in the past fell below the threshold. For example, the default value may be the average value of the number of times the waiting time in the past fell below the threshold, or a fluctuation value calculated based on the number of times the waiting time in the past fell below the threshold, for example, the average value of the number of times the waiting time in the past fell below the threshold. WaitingThe specified value may be the maximum number of times that the standby time fell below the threshold, or a value obtained by adding or multiplying the maximum number of times that the standby time fell below the threshold. Furthermore, in a case where the degree of operation of a medical device indicates the number of times that the standby time fell below the threshold for each first period (e.g., one day), the specified value may be the largest value among the number of times that the standby time fell below the threshold for each first period in a second period (e.g., one week) that is longer than the first period.

[0164] In the above first embodiment, the peak operation day is exemplified, but the technology of the present disclosure is not limited to this, and the day on which the number of endoscopic examinations performed exceeds a preset number may be applied. The preset number (preset value) may be a fixed value, or may be a variable value that is changed according to instructions received by the receiving device 70, etc.

[0165] In the above first embodiment, peak operation days are used as an example, but the technology of the present disclosure is not limited to this, and the peak operation period may be defined in other time units other than days, such as a peak operation month or a peak operation year.

[0166] In the above first embodiment, a line graph was used as an example of the inspection support graph 114E, but the technology of the present disclosure is not limited to this and may be other graphs such as bar graphs, pie charts, or band graphs, or may be figures other than graphs such as bubble charts.

[0167] In the above first embodiment, the case where the medical work support information is information that can be expressed by the examination support graph 114E and comments has been described, but the technology of the present disclosure is not limited to this, and the medical work support information may be information that can be expressed by a table. In other words, the medical work support information may be information that can be expressed by at least one of a diagram, a comment, and a table.

[0168] In the above-described first embodiment, an operating rate range equal to or greater than the information processing device operating rate reference value is exemplified, but the technology of the present disclosure is not limited thereto, and for example, an operating rate range equal to or less than the information processing device operating rate reference value may be applied, as long as it is an operating rate range determined according to the information processing device operating rate reference value. In this case, as in the above-described first embodiment, the relationship between the operating rate range determined according to the information processing device operating rate reference value and the operating rate of the information processing device 36 may be visualized using at least one of a graph, a comment, and a table via the display 72 and presented to the user, etc.

[0169] In the above first embodiment, the information processing device operation rate reference value is exemplified as an upper limit guideline, but the technology of the present disclosure is not limited to this. For example, the information processing device operation rate reference value may be the average operation rate or the median of the operation rates of a plurality of information processing devices 36 (for example, all information processing devices 36) in a period specified by a user or the like. This makes it possible for the user or the like to grasp the correlation between the average operation rate or the median of the operation rates and the operation rates of each information processing device 36. Note that the information processing device operation rate reference value is not limited to the average value and the median, and may be other statistical values ​​such as the maximum value, the minimum value, or the mode value.

[0170] In the above first embodiment, an example of a form in which a comment "Because less than half of the information processing devices have an operating rate exceeding the upper limit, the number of tests may be increased" is displayed in the inspection support comment display field 114F has been described, but the technology of the present disclosure is not limited to this. For example, when the operating rates of all the information processing devices 36 exceed the upper limit, a message such as "There is no room for operation of the information processing devices" (a message suggesting that there is a tight situation) may be displayed in the inspection support comment display field 114F, or when the operating rate of at least one information processing device 36 is equal to or lower than the upper limit, a message such as "There is room for operation of the information processing devices" (a message suggesting that there is no tight situation) may be displayed in the inspection support comment display field 114F.

[0171] Furthermore, the medical service support screen 114 may display symbol marks for the first to fourth information processing devices, as well as marks such as "o", "△" and "x" selectively assigned to each symbol mark. The "o" mark indicates that the information processing device 36 has ample room to operate, the "△" mark indicates that the information processing device 36 has some room to operate, and the "x" mark indicates that the information processing device 36 does not have ample room to operate. No. The degree of pressure may be visualized by highlighting the symbol marks of the first to fourth information processing devices by changing the display mode such as color and / or font.

[0172] In the above first embodiment, an example has been described in which the operation of the information processing device 36 is started by turning on the inspection start button 38A and the operation of the information processing device 36 is stopped by turning off the inspection start button 38A, but the technology of the present disclosure is not limited to this. The operation of the information processing device 36 may be started on condition that the barcode 42 is read by the barcode reader 40, and the operation of the information processing device 36 may be stopped on condition that the barcode 42 is read again by the barcode reader 40. The same can be said about the start and stop of the operation of the cleaning machine 52.

[0173] Although the case where the information processing device 36 is started and stopped by pressing the test start button 38A has been illustrated, this is merely an example. The test start button 38A is not limited to a physical button, and may be configured to start or stop the operation of the information processing device 36 by detecting the proximity of at least one soft key displayed on a touch panel, such as a touch panel display. The start and stop of the operation of the information processing device 36 may be controlled by voice input and / or gesture input. Furthermore, a non-contact type human sensor may be provided in a predetermined area of ​​the examination room 30 or in the information processing device 36, etc., and the operation of the information processing device 36 may be started or stopped by detecting a human body by the non-contact type human sensor. The same can be said about the control of the start and stop of the operation by the cleaning start button 60A of the cleaner 52.

[0174] [Second embodiment] In the above first embodiment, an example of a form in which the implementation of endoscope handling work is supported using medical work support information based on the operating rate of an information processing device 36, which is an example of a "medical device" according to the technology of the present disclosure, is given, but in this second embodiment, a case in which the implementation of endoscope handling work is supported using medical work support information based on the operating rate of an endoscope scope 24 is described. Note that in this second embodiment, components similar to those in the above first embodiment are given the same reference numerals, their explanation is omitted, and only the parts different from the above first embodiment are described.

[0175] FIG. 15 shows an example of the flow of medical service support processing according to the second embodiment.

[0176] The flowchart shown in Fig. 15 differs from the flowchart shown in Fig. 11 in that it has steps ST300 to ST308 instead of steps ST208 to ST216. Therefore, in the following, the same steps in the flowchart shown in Fig. 15 as those in the flowchart shown in Fig. 11 are given the same step numbers and their explanation is omitted, and only steps different from those in the flowchart shown in Fig. 11 are explained.

[0177] 15, in step ST300, the derivation unit 98E refers to the support device management database 113 and calculates the scope standard operating time for the peak operating day derived in step ST206. After the process of step ST300 is executed, the medical service support process proceeds to step ST302.

[0178] In step ST300, the standard scope operation time is a time based on the operation time of the endoscope 24 on a peak operation day, i.e., a statistical value of the operation times of all endoscopes 24 on a peak operation day (the endoscope operation times for all endoscopes 24). Here, the endoscope operation time refers to the operation time of the endoscope 24. Note that the endoscope operation time is an example of the "endoscope operation time" according to the technology of the present disclosure, and is the time from when the examination start button 38A is turned on in step ST16 shown in FIG. 2 to when cleaning of the endoscope 24 by the cleaner 52 is completed in step ST32 shown in FIG. 2.

[0179] For example, the standard endoscope operating time is the average operating time on a peak operating day of all the endoscopes 24. The operating time of the endoscope 24 is identified from the examination start time of the endoscopic examination information 44 stored in the endoscopic examination management database 110 and the cleaning end time of the cleaning information 66 stored in the cleaning machine management database 112.

[0180] Note that, although the standard endoscope operating time is exemplified here as the average operating time of all the endoscopes 24, this is merely one example and may be a statistical value such as the median, mode, maximum, minimum, or percentile of the operating time of all the endoscopes 24. Furthermore, the standard endoscope operating time may be calculated within a time range (for example, within a range of about 5 to 120 minutes) that is predetermined by an upper limit value and a lower limit value.

[0181] In step ST302, the derivation unit 98E calculates a scope operation rate reference value based on the standard scope operation time and the shortest scope standby time calculated in step ST300. After the process of step ST302 is executed, the medical work support process proceeds to step ST304. In this step ST302, the shortest scope standby time refers to the shortest standby time until the endoscope 24 cleaned by the cleaner 52 is used in an endoscopic examination. In the medical work support process according to the second embodiment, the shortest scope standby time refers to the shortest of the standby times from the endoscope 24 cleaning by the cleaner 52 to the start of an endoscopic examination. Here, as an example of the shortest scope standby time, a time (e.g., a time designated in advance between 1 minute and 3 minutes) is applied as the shortest time from the endoscope 24 cleaning by the cleaner 52 to the endoscope start button 38A being turned on when an endoscopic examination is performed using the cleaned endoscope 24 (e.g., until the process of step ST16 shown in FIG. 2 is performed). The minimum scope standby time may be a fixed value, or may be a variable value that is changed according to an instruction or the like received by the receiving device 70 or the like.

[0182] In step ST302, the scope availability standard value is a value based on the ratio of the scope standard availability time to the time including the scope standard availability time and the shortest scope standby time calculated in step ST300. An example of the scope availability standard value is a value obtained by multiplying the ratio of the scope standard availability time to the sum of the scope standard availability time and the shortest scope standby time calculated in step ST300 by an adjustment coefficient. An example of the adjustment coefficient according to the second embodiment is 0.9. The adjustment coefficient "0.9" is merely an example, and the adjustment coefficient may be another decimal number less than 1. The adjustment coefficient may be a fixed value or a variable value.

[0183] Note that, although an example is given here in which an adjustment coefficient is multiplied to the ratio of the scope standard operating time to the sum of the scope standard operating time and the shortest scope standby time, the present invention is not limited to this, and a value obtained by adding or subtracting an adjustment value to the ratio of the scope standard operating time to the sum of the scope standard operating time and the shortest scope standby time may be used as the scope operating rate reference value.

[0184] In step ST304, the derivation unit 98E derives the operating rate of each endoscope 24 for each examination time period on the peak operating day derived in step ST206 by referring to the support device management database 113. After the processing of step ST304 is executed, the medical work support processing proceeds to step ST306.

[0185] The utilization rate of the endoscope 24 is calculated by the derivation unit 98E for each examination time period on the peak operating day according to the formula "(operation time of the endoscope 24) / {(operation time of the endoscope 24)+(scope standby time)}". In this formula, the scope standby time refers to the time from when cleaning of the endoscope 24 by the cleaner 52 is completed to when the endoscopic examination begins. The scope standby time is an example of a "standby time" according to the technology of the present disclosure.

[0186] In step ST306, the generation unit 98F generates medical work support information according to the degree of difference between the operation rate of each endoscope 24 for each examination time period on the peak operation day (the operation rate calculated in step ST304) and the scope operation rate reference value calculated in step ST302. After the processing of step ST306 is executed, the medical work support processing proceeds to step ST308.

[0187] The medical work support information is information that can be presented as comments, figures, and the like by a presentation device (here, the display 72 as an example), and includes screen information showing a medical work support screen 116 (see FIG. 16). As will be described in detail later, the medical work support screen 116 includes graphs and comments that visualize the difference between the availability rate of each endoscope 24 for each examination time period on a peak operating day and the scope availability standard value. The difference between the availability rate of the endoscope 24 and the scope availability standard value indicates the degree to which the availability rate of the endoscope 24 deviates from the scope availability standard value, and corresponds to, for example, the value obtained by subtracting the availability rate of the endoscope 24 from the scope availability standard value, or the ratio of the availability rate of the endoscope 24 to the scope availability standard value.

[0188] In addition, the medical business support information includes the availability range determined according to the scope availability standard value. Operating rate The screen information includes endoscope-related information about the endoscope 24 in which the operating rate falls within the range of the scope operating rate reference value. The endoscope-related information is an example of "medical device-related information" according to the technology of the present disclosure. In the second embodiment, an operating rate range equal to or greater than the scope operating rate reference value is applied as an example of an operating rate range determined according to the scope operating rate reference value. In the second embodiment, an endoscope ID is applied as an example of endoscope-related information. As will be described in detail later, the medical work support screen 116 visualizes and displays the endoscope 24 in which the operating rate falls within the operating rate range equal to or greater than the scope operating rate reference value in an identifiable manner.

[0189] In addition, the endoscope-related information may include information on the number of endoscopes 24 whose operation rates are within a range equal to or higher than the scope operation rate reference value. Number The medical equipment number specification information (an example of medical equipment number specification information) is included. As will be described in detail later, the medical operation support screen 116 visually displays the number of endoscope scopes 24 whose operation rate falls within the operation rate range equal to or greater than the scope operation rate reference value in an identifiable manner.

[0190] In step ST308, the transmission unit 98B transmits the medical work support information generated in step ST306 to the endoscope department management device main body 68 via the communication I / F 104 (see FIG. 7). After the processing of step ST308 is executed, the medical work support processing proceeds to step ST218.

[0191] When the medical work support information is transmitted by executing the process of step ST308, as described above, the medical work support information is received by the support device communication I / F 84 of the endoscopy department management device 12 (see step ST110 shown in Fig. 10). Then, as shown in step ST112 shown in Fig. 10, the display control unit 78D of the endoscopy department management device 12 generates a medical work support screen 116 based on the medical work support information, and the generated medical work support screen 116 is displayed on the display 72 (Figs. 1 and 3) (see Fig. 12).

[0192] In the second embodiment, for ease of explanation, a case will be described in which the operating status of the four endoscope scopes 24, namely the first endoscope scope, the second endoscope scope, the third endoscope scope, and the fourth endoscope scope, is presented to a user, etc., via the display 72 as a medical work support screen 116.

[0193] As an example, as shown in FIG. 16, a medical work support screen 116 displays a screen title display field 116A, an availability calculation date display field 116B, an excess number display field 116C, a legend display field 116D, an examination support graph 116E, an examination support comment display field 116F, and an information comment display field 116G.

[0194] The screen title display field 116A displays a title that enables recognition that the screen shows the operating status of the endoscope 24. In the example shown in Fig. 16, "Operating Status of Endoscope" is displayed in the screen title display field 116A.

[0195] The availability calculation date display field 116B displays the dates that are subject to the calculation of the availability in step ST304 included in the medical service support process shown in Fig. 15, that is, the peak operating dates derived in step ST206 included in the medical service support process shown in Fig. 15. In the example shown in Fig. 16, the peak operating dates are expressed as the year, month, date, and day of the week.

[0196] The number of endoscopes 24 whose operating rate exceeds the upper limit guideline is displayed in the excess number display field 116C. In the example shown in Fig. 16, the excess number display field 116C displays a comment "Number of endoscopes exceeding the upper limit guideline: 1 / 4" as information that enables a user to recognize that one of the four endoscopes 24 exceeds the upper limit guideline. Note that the upper limit guideline here refers to a scope operating rate standard value calculated by executing the process of step ST302 included in the medical service support process shown in Fig. 15. The upper limit guideline is not limited to this, and may be, for example, a value obtained by finely adjusting the scope operating rate standard value.

[0197] The legend display field 116D displays a legend related to the inspection support graph 116E. In the example shown in Fig. 16, the legend display field 116D displays a legend for the first endoscope, a legend for the second endoscope, a legend for the third endoscope, and a legend for the fourth endoscope. In the example shown in Fig. 16, the legend display field 116D also displays an upward arrow indicating that the availability rate of the second endoscope exceeds the upper limit guideline.

[0198] The examination support graph 116E is an example of a "diagram" according to the technology of the present disclosure. The examination support graph 116E is a graph showing the change over time in the operating rate calculated by executing the process of step ST304 included in the medical service support process shown in Fig. 15. The horizontal axis of the examination support graph 116E is the examination time period on the peak operating day, and the vertical axis of the examination support graph 116E is the operating rate of the endoscope 24.

[0199] The examination support graph 116E shows that the operation rate of the second endoscope in the 11:00 hour exceeds the scope operation rate reference value as an upper limit guideline, and that the operation rates of none of the first to fourth endoscopes reach the scope operation rate reference value in other time periods. Also, the examination support graph 116E visualizes and shows the degree of difference between each operation rate of the first to fourth endoscopes and the scope operation rate reference value for each examination time period.

[0200] In addition, in the examination support graph 116E, the operating rate range exceeding the upper limit target of the operating rate, i.e., the operating rate range equal to or higher than the scope operating rate reference value, is displayed in a manner that is distinguishable from other regions. Furthermore, in the examination support graph 116E, the range indicating the peak time period is displayed in a manner that is distinguishable from other regions. The peak time period refers to the examination time period during which the average value of the operating rate of the endoscope 24 is the highest among the examination time periods. In the example shown in FIG. 16, the 11:00 a.m. time period is displayed in a manner that is distinguishable from other regions (in the example shown in FIG. 16, a dashed frame) as the peak time period.

[0201] The examination support comment display field 116F displays comments that contribute to the implementation of endoscopic examinations. Specifically, the examination support comment display field 116F displays a comment indicating a correlation between the number of endoscopes 24 whose operation rates are within an operation rate range equal to or greater than a scope operation rate reference value as an upper limit guideline, and the number of examinations (for example, the number of times that endoscopic examinations can be performed). In the example shown in FIG. 16, the examination support comment display field 116F displays a comment saying, "Because less than half of the endoscope scopes have operation rates that exceed the upper limit guideline, it is possible to increase the number of examinations." The comment displayed in the examination support comment display field 116F is an example of a "comment" according to the technology of the present disclosure.

[0202] A guidance comment is displayed in the guidance comment display field 116G. In the example shown in Fig. 16, a comment indicating that the operation status of the cleaning machine 52 can be confirmed on the next page of the medical work support screen 116 is displayed in the guidance comment display field 116G. Note that, although a comment indicating that the operation status of the cleaning machine 52 can be confirmed on the next page of the medical work support screen 116 is illustrated here, the present invention is not limited to this, and may be a comment indicating on which page of the medical work support screen 116 the operation status of which medical device can be confirmed.

[0203] As described above, in the medical work support device 20 according to the second embodiment, a scope operating rate standard value is derived based on the standard operating time during which the endoscope scope 24 used in the endoscope handling work operates and the scope standby time. Then, in the medical work support device 20, medical work support information according to the degree of difference between the operating rate of the endoscope scope 24 and the scope operating rate standard value is transmitted to the endoscope department management device 12. In the endoscope department management device 12, a medical work support screen 116 is generated based on the medical work support information and displayed on the display 72. Since the medical work support information is presented to the user, etc. in a visualized state on the medical work support screen 116, the user, etc. can grasp the degree of difference between the operating rate of the endoscope scope 24 and the scope operating rate standard value. Therefore, according to this configuration, it is possible to support efficient implementation of endoscope handling work.

[0204] The medical work support information also includes information about the endoscope scope 24 whose operating rate falls within the operating rate range equal to or greater than the scope operating rate reference value. In the endoscope department management device 12, a medical work support screen 116 is generated based on the medical work support information and displayed on the display 72. On the medical work support screen 116, information about the endoscope scope 24 whose operating rate falls within the operating rate range equal to or greater than the scope operating rate reference value (for example, the examination support graph 116E) is presented to the user or the like in a visualized state, so that the user or the like can grasp information about the endoscope scope 24 whose operating rate falls within the operating rate range equal to or greater than the scope operating rate reference value. Therefore, according to this configuration, compared to a case in which the medical work support information is composed of only the operating rate of the endoscope scope 24, the user or the like can accurately grasp information about the endoscope scope 24 whose operating rate falls within the operating rate range equal to or greater than the scope operating rate reference value.

[0205] The medical work support information also includes information about the endoscope scopes 24 whose operating rates are within an operating rate range equal to or greater than the scope operating rate reference value on the peak operating day. The endoscope department management device 12 generates a medical work support screen 116 based on the medical work support information and displays it on the display 72. The medical work support screen 116 presents information about the endoscope scopes 24 whose operating rates are within an operating rate range equal to or greater than the scope operating rate reference value on the peak operating day (for example, the examination support graph 116E) in a visualized state to the user, etc., so that the user, etc. can grasp information about the endoscope scopes 24 whose operating rates are within an operating rate range equal to or greater than the scope operating rate reference value on the peak operating day. Therefore, according to this configuration, the user, etc. can accurately grasp information about the endoscope scopes 24 whose operating rates are within an operating rate range equal to or greater than the scope operating rate reference value on the peak operating day, compared to when the medical work support information is composed of only the operating rates of the endoscope scopes 24.

[0206] Furthermore, the peak operating day is the day on which the greatest number of endoscopic examinations were performed. Therefore, with this configuration, compared to a case in which the medical work support information is composed only of the operating rate of the endoscope 24, it is possible for the user or the like to accurately grasp information about the endoscope 24 whose operating rate is within the operating rate range equal to or greater than the scope operating rate reference value on the day on which the greatest number of endoscopic examinations were performed.

[0207] The medical work support information also includes endoscope number identification information that can identify the number of endoscope scopes 24 whose operating rates fall within an operating rate range equal to or greater than the scope operating rate reference value, as information related to the endoscope scopes 24. On the medical work support screen 116, the number of endoscope scopes 24 whose operating rates fall within an operating rate range equal to or greater than the scope operating rate reference value is displayed in an identifiable manner. Therefore, according to this configuration, the user or the like can know the number of endoscope scopes 24 whose operating rates fall within an operating rate range equal to or greater than the scope operating rate reference value.

[0208] Furthermore, the standard operating time during which the endoscope scope 24 used in endoscope handling operations operates is a time based on the operating times of all the endoscope scopes 24 on peak operating days. In the medical work support device 20, a scope operating rate standard value is derived based on the standard operating time during which the endoscope scope 24 operates and the scope standby time. Therefore, according to this configuration, a highly reliable value can be obtained as the scope operating rate standard value on peak operating days, compared to when the standard operating time during which the endoscope scope 24 used in endoscope handling operations operates is a time based on the operating times of all the endoscope scopes 24 on periods other than peak operating days.

[0209] Furthermore, the scope availability standard value is a value based on the ratio of the standard scope operation time to the sum of the minimum scope standby time, which is defined as the shortest scope standby time, and the standard scope operation time. Therefore, according to this configuration, the scope availability standard value against which the operation rate of the endoscope 24 is compared can be made higher than when the ratio of the standard scope operation time to the sum of a time longer than the minimum scope standby time and the standard scope operation time is used as the scope availability standard value.

[0210] The scope availability standard value is a value obtained by multiplying an adjustment coefficient by the ratio of the standard scope operation time to the sum of the minimum scope standby time, which is determined as the shortest scope standby time, and the standard scope operation time. For example, the adjustment coefficient is determined according to external factors (e.g., rest time of an endoscopy worker and / or a predictable problem) that affect at least one of the minimum scope standby time and the standard scope operation time. Therefore, according to this configuration, even if there is an external factor that affects at least one of the minimum scope standby time and the standard scope operation time, it is possible to obtain an appropriate value as the scope availability standard value to be compared with the availability of the endoscope 24, compared with a case in which only the ratio of the standard scope operation time to the sum of the minimum scope standby time and the standard scope operation time is used as the scope availability standard value.

[0211] The availability rate of the endoscope 24 is calculated based on the scope standby time and the operation time of the endoscope 24. The operation time of the endoscope 24 is the time from the start of an endoscopic examination to the endoscopy 24 being cleaned by the cleaner 52. In other words, the availability rate of the endoscope 24 represents the degree of pressure on the performance of endoscope handling tasks from the start of an endoscopic examination to the endoscopy 24 being cleaned by the cleaner 52. Therefore, according to this configuration, by allowing a user or the like to refer to the availability rate of the endoscope 24, the user can infer the pressure on the performance of endoscope handling tasks from the start of an endoscopic examination to the endoscopy 24 being cleaned by the cleaner 52.

[0212] Furthermore, the standard operating time for the endoscope 24 used in the endoscope handling business is the average operating time of all the endoscopes 24 on the peak operating day. Therefore, according to this configuration, it is possible to calculate a scope operating rate standard value that is appropriate for comparison with the operating rates of all the endoscopes 24, compared to the case where the standard operating time is calculated using only the operating time of one endoscope 24 on the peak operating day.

[0213] In the above second embodiment, an example was described in which the medical work support information includes scope number identification information (hereinafter also referred to as "first number identification information") capable of identifying the number of endoscopes 24 whose operation rate falls within the operation rate range equal to or greater than the scope operation rate reference value, but the technology of the present disclosure is not limited to this. For example, the medical work support information may include notification information that notifies that the operation status of the endoscopes 24 is tight, together with or instead of the first number identification information.

[0214] For example, the notification information includes a time period during which the operation of the endoscopes 24 is tight (here, as an example, an examination time period), and second number identification information. The second number identification information refers to information that can identify the number of endoscopes 24 operating during the time period during which the operation is tight. When the notification information includes the notification information, the time period during which the endoscopes 24 are tight and the second number identification information are presented by the presentation device in a comparable state.

[0215] 17, for example, the examination support graph 116E of the medical service support screen 116 displays the tight time period and the number specified by the second number specifying information, that is, the number of endoscopes 24 operating during the tight time period in a comparable manner. The tight time period is displayed in a manner that can be distinguished from other areas in the examination support graph 116E. Furthermore, the examination support graph 116E plots three marks in the tight time period, indicating the first to third endoscope scopes whose operating rates exceed the scope operating rate reference value.

[0216] In addition, the excess number display field 116C of the medical work support screen 116 shown in FIG. 17 displays a comment indicating that the number of endoscope scopes 24 whose operation rates exceed the scope operation rate reference value as the upper limit guideline is three out of four. In addition, the examination support comment display field 116F of the medical work support screen 116 shown in FIG. 17 displays a comment indicating the tightness of the operation status of the endoscope scopes 24. Specifically, the examination support comment display field 116F displays a comment indicating the tight time period and the degree of the tightness of the endoscopic examination. In the example shown in FIG. 17, the examination support comment display field 116F displays a comment saying, "Because the ratio of the number of endoscope scopes whose operation rates exceed the upper limit guideline is 75% or more during the 11:00 a.m. time slot, the examination implementation status may be tight."

[0217] In this way, by including in the medical work support information notification information notifying that the operating status of the endoscope 24 is tight, it is possible to make the user, etc., aware that the operating status of the endoscope 24 is tight. In addition, the notification information is information including the tight time period and the second number specifying information, and the tight time period and the second number specifying information are presented by the presentation device in a comparable state, so that the user, etc., can be made aware of the relationship between the tight time period and the number of endoscopes 24 operating in the tight time period.

[0218] In the above second embodiment, an example was described in which a scope availability reference value is derived regardless of the type of endoscopic examination, and medical work support information is output regardless of the type of endoscopic examination, but the technology of the present disclosure is not limited to this. For example, the CPU 98 of the support device server 74 may derive a scope availability reference value for each type of endoscopic examination, and output medical work support information for each type of endoscopic examination.

[0219] In this case, each process of steps ST206 to ST308 of the medical work support process shown in Fig. 15 is performed for each endoscopic examination name based on the support device management database 113 in which the endoscopic examination name is associated with the examination start time, examination end time, cleaning start time, and cleaning end time. Then, on the display 72, a medical work support screen 116 (see Figs. 16 and 17) is displayed in a manner that allows distinction for each endoscopic examination name. For example, the name of the endoscopic examination is displayed on the medical work support screen 116. This makes it possible to specify which type of endoscopic examination the medical work support screen 116 displayed on the display 72 relates to.

[0220] Thus, in this example, medical work support information for each type of endoscopic examination is transmitted from the medical work support device 20 to the endoscopy department management device 12, and a medical work support screen 116 based on the medical work support information is displayed for each type of endoscopic examination on the display 72. Therefore, according to this example, it is possible to support the efficient implementation of endoscope handling work for each type of endoscopic examination.

[0221] In the above second embodiment, a line graph was used as an example of the inspection support graph 116E, but the technology of the present disclosure is not limited to this and may be other graphs such as bar graphs, pie charts, or band graphs, or may be figures other than graphs such as bubble charts.

[0222] In the above-described second embodiment, an availability range equal to or greater than the scope availability reference value is exemplified, but the technology of the present disclosure is not limited thereto, and for example, an availability range equal to or less than the scope availability reference value may be applied as long as it is an availability range determined according to the scope availability reference value. In this case, as in the above-described second embodiment, the relationship between the availability range determined according to the scope availability reference value and the availability of the endoscope 24 may be visualized using at least one of a graph, a comment, and a table via the display 72 and presented to the user, etc.

[0223] In the above second embodiment, the scope operation rate reference value is exemplified as an upper limit guideline, but the technology of the present disclosure is not limited to this. For example, the scope operation rate reference value may be the average operation rate of a plurality of endoscopes 24 (for example, all endoscope scopes 24) in a period specified by a user or the like, or the median of the operation rates. This makes it possible for the user or the like to grasp the correlation between the average operation rate or the median of the operation rates and the operation rates of each endoscope scope 24. Note that the scope operation rate reference value is not limited to the average value and the median value, and may be other statistical values ​​such as the maximum value, minimum value, or mode.

[0224] In the above second embodiment, an example in which a comment "Because less than half of the endoscopes have an operating rate exceeding the upper limit guideline, the number of examinations may be increased" is displayed in the examination support comment display field 116F has been described, but the technology of the present disclosure is not limited to this. For example, when the operating rates of all the endoscopes 24 exceed the upper limit guideline, a message such as "There is no room for operating the endoscopes" (a message suggesting that there is a shortage) may be displayed in the examination support comment display field 116F, or when the operating rate of at least one endoscope 24 is equal to or lower than the upper limit guideline, a message such as "There is room for operating the endoscopes" (a message suggesting that there is no shortage) may be displayed in the examination support comment display field 116F.

[0225] Also, the medical work support screen 116 may display each symbol mark of the first to fourth endoscopes, and marks such as "o", "△" and "x" selectively assigned to each symbol mark. The "o" mark indicates that there is ample room for operation of the endoscope 24, the "△" mark indicates that there is some ample room for operation of the endoscope 24, and the "x" mark indicates that there is no room for operation of the endoscope 24. Also, the display mode such as the color and / or font of each symbol mark of the first to fourth endoscopes may be changed to highlight the mark, thereby visualizing the degree of pressure.

[0226] In the medical service support process according to the second embodiment (see FIG. 15), the peak operation day is derived by executing the process of step ST206, but the technology of the present disclosure is not limited to this. For example, the derivation unit 98E may derive the day on which the operation status of the endoscope 24 is at its peak as the peak operation day by referring to the support device management database 113 (see FIG. 9). In this case, the peak operation day refers to the day on which the operation status of the endoscope 24 is at its peak within a period specified in advance (for example, a period specified by a user, etc.). An example of the peak operation day in this case is the day on which the endoscope 24 was used the most. The day on which the endoscope 24 was used can be specified from the examination start time, examination end time, cleaning start time, or cleaning end time stored in the support device management database 113. In addition, another example of the peak operation day is the day on which the number of times the scope standby time falls below a threshold value (for example, 50 minutes) is equal to or greater than a reference number.

[0227] [Third embodiment] In the above first embodiment, an example of supporting the implementation of endoscope handling work using medical work support information based on the operation rate of an information processing device 36, which is an example of a "medical device" according to the technology of the present disclosure, was given, but in this third embodiment, a case will be described in which the implementation of endoscope handling work is supported using medical work support information based on the operation rate of a cleaning machine 52. Note that in this third embodiment, the same components as in the above first embodiment are given the same reference numerals, their explanation will be omitted, and only the parts that differ from the above first embodiment will be explained.

[0228] FIG. 18 shows an example of the flow of medical service support processing according to the third embodiment.

[0229] The flowchart shown in Fig. 18 differs from the flowchart shown in Fig. 11 in that it has steps ST400 to ST408 instead of steps ST208 to ST216. Therefore, in the following, the same steps in the flowchart shown in Fig. 18 as those in the flowchart shown in Fig. 11 are given the same step numbers and their explanation is omitted, and only steps different from those in the flowchart shown in Fig. 11 are explained.

[0230] 18, in step ST400, the derivation unit 98E refers to the washer management database 112 and calculates the standard washer operation time for the peak operation day derived in step ST206. After the process of step ST400 is executed, the medical work support process proceeds to step ST402.

[0231] In step ST400, the standard cleaner operation time is a time based on the operation time of the cleaner 52 on a peak operation day, i.e., a statistical value of the operation times of all cleaners 52 on a peak operation day (cleaner operation times for all cleaners 52). Here, the cleaner operation time refers to the operation time of the cleaner 52. Note that the cleaner operation time is an example of the "cleaner operation time" according to the technology of the present disclosure, and is the time from when the cleaning start button 60A is turned on in step ST28 shown in FIG. 2 until cleaning of the endoscope 24 by the cleaner 52 is completed in step ST32 shown in FIG. 2.

[0232] For example, the standard operation time of the washer is the average operation time of all the washer 52 on the peak operation day. End of Purification It is determined from the completion time.

[0233] Note that, although the standard washer operation time is exemplified here as the average value of the operation times of all the washer 52, this is merely an example and may be a statistical value such as the median, mode, maximum, minimum, or percentile of the operation times of all the washer 52. The standard washer operation time may be calculated within a time range (for example, within a range of about 10 to 50 minutes) that is previously determined by an upper limit value and a lower limit value.

[0234] In step ST402, the derivation unit 98E calculates a cleaning machine availability reference value based on the standard cleaning machine operation time and the shortest cleaning machine standby time calculated in step ST400. After the processing of step ST402 is executed, the medical work support processing proceeds to step ST404. In this step ST402, the shortest cleaning machine standby time refers to the shortest standby time from the end of cleaning of the endoscope 24 by the cleaning machine 52 to the start of cleaning of the endoscope 24 by the cleaning machine 52. Here, the shortest standby time refers to, for example, the shortest time among the standby times from the end of cleaning by each of all the cleaning machines 52 to the start of cleaning. 2, that is, a time (e.g., a time designated in advance between 1 minute and 3 minutes) that is the shortest time from when cleaning of the endoscope 24 by the cleaner 52 ends (e.g., from when the processing of step ST32 shown in FIG. 2 ends) to when cleaning of the endoscope 24 by the cleaner 52 starts (e.g., until the processing of step ST28 shown in FIG. 2 is resumed) is applied as an example of the shortest standby time. The shortest standby time for the cleaner may be a fixed value or may be a variable value that is changed according to instructions received by the receiving device 70, etc.

[0235] In step ST402, the standard value of the cleaning machine operation rate is a value based on the ratio of the standard cleaning machine operation time to the time including the standard cleaning machine operation time and the shortest cleaning machine standby time calculated in step ST400. An example of the standard value of the cleaning machine operation rate is a value obtained by multiplying the ratio of the standard cleaning machine operation time to the sum of the standard cleaning machine operation time and the shortest cleaning machine standby time calculated in step ST400 by an adjustment coefficient. An example of the adjustment coefficient according to the third embodiment is 0.9. The adjustment coefficient "0.9" is merely an example, and the adjustment coefficient may be another decimal number less than 1. The adjustment coefficient may be a fixed value or a variable value.

[0236] Note that, in this embodiment, an adjustment coefficient is multiplied to the ratio of the standard operation time of the washer to the sum of the standard operation time of the washer and the shortest standby time of the washer. However, the invention is not limited to this. The value obtained by adding or subtracting an adjustment value to the ratio of the standard operation time of the washer to the sum of the standard operation time of the washer and the shortest standby time of the washer may be used as the standard value for the washer operation rate.

[0237] In step ST404, the derivation unit 98E derives the operation rate of each washer 52 for each examination time period on the peak operation day derived in step ST206 by referring to the washer management database 112. After the process of step ST404 is executed, the medical work support process proceeds to step ST406.

[0238] The operation rate of the cleaner 52 is calculated by the derivation unit 98E according to the formula "(operation time of the cleaner 52) / {(operation time of the cleaner 52)+(cleaner standby time)}" for each inspection time period on the peak operation day. Note that the cleaner standby time included in this formula is an example of the "standby time" according to the technology of the present disclosure.

[0239] In step ST406, the generating unit 98F generates medical work support information according to the degree of difference between the operation rate of each washer 52 for each examination time period on the peak operation day (the operation rate calculated in step ST404) and the washer operation rate reference value calculated in step ST402. After the processing of step ST406 is executed, the medical work support processing proceeds to step ST408.

[0240] The medical work support information is information that can be presented as comments, figures, and the like by a presentation device (here, display 72 as an example), and includes screen information showing a medical work support screen 118 (see FIG. 19). As will be described in detail later, the medical work support screen 118 includes comments and the like that visualize the difference between the operation rate of each washer 52 for each examination time period on a peak operation day and the washer operation rate standard value. The difference between the operation rate of the washer 52 and the washer operation rate standard value indicates the degree to which the operation rate of the washer 52 deviates from the washer operation rate standard value, and corresponds to, for example, the value obtained by subtracting the operation rate of the washer 52 from the washer operation rate standard value, or the ratio of the operation rate of the washer 52 to the washer operation rate standard value.

[0241] In addition, the medical business support information includes the operating rate range determined according to the standard value of the cleaning machine operating rate. Operating rate The screen information includes washer-related information about the washer 52 whose operation rate falls within the operation rate range equal to or greater than the washer operation rate reference value. The washer-related information is an example of "medical device-related information" according to the technology of the present disclosure. In the third embodiment, an operation rate range equal to or greater than the washer operation rate reference value is applied as an example of an operation rate range determined according to the washer operation rate reference value. In the third embodiment, an endoscope ID is applied as an example of endoscope-related information. As will be described in detail later, the medical work support screen 118 visually displays the washer 52 whose operation rate falls within the operation rate range equal to or greater than the washer operation rate reference value in an identifiable manner.

[0242] The washer-related information also includes washer number identification information (an example of medical device number identification information) that can identify the number of washer whose operation rate falls within an operation rate range equal to or greater than the washer operation rate reference value. As will be described in detail later, the medical work support screen 118 visually displays the number of washer 52 whose operation rate falls within an operation rate range equal to or greater than the washer operation rate reference value in an identifiable manner.

[0243] In step ST408, the transmission unit 98B transmits the medical work support information generated in step ST406 to the endoscope department management device main body 68 via the communication I / F 104 (see FIG. 7). After the processing of step ST408 is executed, the medical work support processing proceeds to step ST218.

[0244] When the medical work support information is transmitted by executing the process of step ST408, as described above, the medical work support information is received by the support device communication I / F 84 of the endoscopy department management device 12 (see step ST110 shown in Fig. 10). Then, as shown in step ST112 shown in Fig. 10, the display control unit 78D of the endoscopy department management device 12 generates a medical work support screen 118 based on the medical work support information, and the generated medical work support screen 118 is displayed on the display 72 (Figs. 1 and 3) (see Fig. 19).

[0245] In the third embodiment, for ease of explanation, the following describes a case in which the operating status of four cleaning machines 52, namely, a first cleaning machine, a second cleaning machine, a third cleaning machine, and a fourth cleaning machine, is presented to a user, etc., via the display 72 as a medical work support screen 118.

[0246] As an example, as shown in FIG. 19, a medical work support screen 118 displays a screen title display field 118A, an availability calculation date display field 118B, an excess number display field 118C, a legend display field 118D, an examination support graph 118E, an examination support comment display field 118F, and an information comment display field 118G.

[0247] The screen title display field 118A displays a title that enables the user to recognize that the screen shows the operational status of the cleaner 52. In the example shown in Fig. 19, "Operational Status of Cleaner" is displayed in the screen title display field 118A.

[0248] The availability calculation date display field 118B displays the dates that are subject to the calculation of the availability in step ST404 included in the medical service support process shown in Fig. 18, that is, the peak operating dates derived in step ST206 included in the medical service support process shown in Fig. 18. In the example shown in Fig. 19, the peak operating dates are expressed as the year, month, date, and day of the week.

[0249] The number of cleaners 52 whose operation rates exceed the upper limit guideline is displayed in the excess number display field 118C. In the example shown in Fig. 19, the excess number display field 118C displays a comment "Number of cleaners exceeding the upper limit guideline: 1 / 4" as information that enables the user to recognize that one cleaner 52 out of four cleaners 52 exceeds the upper limit guideline. Note that the upper limit guideline here refers to the cleaner operation rate standard value calculated by executing the process of step ST402 included in the medical service support process shown in Fig. 18. The upper limit guideline is not limited to this, and may be, for example, a value obtained by finely adjusting the cleaner operation rate standard value.

[0250] The legend display field 118D displays a legend related to the inspection support graph 118E. In the example shown in Fig. 19, the legend display field 118D displays a legend for the first cleaning machine, a legend for the second cleaning machine, a legend for the third cleaning machine, and a legend for the fourth cleaning machine. In the example shown in Fig. 19, the legend display field 118D also displays an upward arrow indicating that the operating rate of the second cleaning machine exceeds the upper limit target.

[0251] The examination support graph 118E is an example of a "diagram" according to the technology of the present disclosure. The examination support graph 118E is a graph showing the change over time in the operating rate calculated by executing the process of step ST404 included in the medical service support process shown in Fig. 18. The horizontal axis of the examination support graph 118E is the examination time period on the peak operating day, and the vertical axis of the examination support graph 118E is the operating rate of the cleaning machine 52.

[0252] Inspection support graph 118E shows that the operation rate of the second washer in the 11:00 hour exceeds the standard value of the washer operation rate as an upper limit guideline, and that the operation rates of the first to fourth washer do not reach the standard value in other time periods. In addition, inspection support graph 118E visualizes the degree of difference between the operation rates of the first to fourth washer and the standard value of the washer operation rate for each inspection time period.

[0253] In addition, in the inspection support graph 118E, the operation rate range exceeding the upper limit target of the operation rate, i.e., the operation rate range equal to or higher than the standard value of the washer operation rate, is displayed in a manner that is distinguishable from other regions. Furthermore, in the inspection support graph 118E, the range indicating the peak time period is displayed in a manner that is distinguishable from other regions. The peak time period refers to the inspection time period during which the average value of the operation rate of the washer 52 is the highest among the inspection time periods. In the example shown in FIG. 19, the 11:00 a.m. time period is displayed in a manner that is distinguishable from other regions (in the example shown in FIG. 19, a dashed frame) as the peak time period.

[0254] The examination support comment display field 118F displays comments that contribute to the implementation of endoscopic examinations. Specifically, the examination support comment display field 118F displays a comment indicating a correlation between the number of cleaners 52 whose operation rates are within an operation rate range equal to or higher than the cleaning machine operation rate reference value as an upper limit guideline, and the number of examinations (for example, the number of times that endoscopic examinations can be performed). In the example shown in FIG. 19, the examination support comment display field 118F displays a comment saying, "Because less than half of the cleaners have operation rates exceeding the upper limit guideline, it is possible to increase the number of examinations." The comment displayed in the examination support comment display field 118F is an example of a "comment" according to the technology of the present disclosure.

[0255] A guidance comment is displayed in the guidance comment display field 118G. In the example shown in Fig. 19, a comment indicating that the operation status of the endoscope 24 can be confirmed on the previous page of the medical work support screen 118 is displayed in the guidance comment display field 118G. Note that, although a comment indicating that the operation status of the endoscope 24 can be confirmed on the previous page of the medical work support screen 118 is illustrated here, the present invention is not limited to this, and may be a comment indicating on which page of the medical work support screen 118 the operation status of which medical device can be confirmed.

[0256] As described above, in the medical work support device 20 according to the third embodiment, a cleaning machine operation rate standard value is derived based on the standard operation time during which the cleaning machine 52 used in the endoscope handling work operates and the cleaning machine standby time. Then, in the medical work support device 20, medical work support information according to the degree of difference between the operation rate of the cleaning machine 52 and the cleaning machine operation rate standard value is transmitted to the endoscope department management device 12. In the endoscope department management device 12, a medical work support screen 118 is generated based on the medical work support information and displayed on the display 72. On the medical work support screen 118, the medical work support information is presented to the user or the like in a visualized state, so that the user or the like can grasp the degree of difference between the operation rate of the cleaning machine 52 and the cleaning machine operation rate standard value. Therefore, according to this configuration, it is possible to support efficient implementation of endoscope handling work.

[0257] The medical work support information also includes information about the cleaner 52 whose operation rate falls within an operation rate range equal to or greater than the cleaning machine operation rate reference value. In the endoscope department management device 12, a medical work support screen 118 is generated based on the medical work support information and displayed on the display 72. On the medical work support screen 118, information about the cleaner 52 whose operation rate falls within an operation rate range equal to or greater than the cleaning machine operation rate reference value (for example, the examination support graph 118E) is presented to the user or the like in a visualized state, so that the user or the like can grasp information about the cleaner 52 whose operation rate falls within an operation rate range equal to or greater than the cleaning machine operation rate reference value. Therefore, according to this configuration, compared to a case in which the medical work support information is composed of only the operation rate of the cleaner 52, the user or the like can accurately grasp information about the cleaner 52 whose operation rate falls within an operation rate range equal to or greater than the cleaning machine operation rate reference value.

[0258] The medical work support information also includes information about the cleaner 52 whose operation rate falls within an operation rate range equal to or greater than the cleaning machine operation rate reference value on the peak operation day. The endoscope department management device 12 generates a medical work support screen 118 based on the medical work support information and displays it on the display 72. The medical work support screen 118 presents to the user, etc., information about the cleaner 52 whose operation rate falls within an operation rate range equal to or greater than the cleaning machine operation rate reference value on the peak operation day (for example, the examination support graph 118E) in a visualized state, so that the user, etc. can grasp information about the cleaner 52 whose operation rate falls within an operation rate range equal to or greater than the cleaning machine operation rate reference value on the peak operation day. Therefore, according to this configuration, the user, etc. can accurately grasp information about the cleaner 52 whose operation rate falls within an operation rate range equal to or greater than the cleaning machine operation rate reference value on the peak operation day, compared to when the medical work support information is composed of only the operation rate of the cleaner 52.

[0259] Furthermore, the peak operation day is the day on which the largest number of endoscopic examinations were performed. Therefore, according to this configuration, compared to a case in which the medical work support information is composed only of the operation rate of the cleaner 52, it is possible for the user, etc., to accurately grasp information about the cleaner 52 whose operation rate is within the operation rate range equal to or greater than the cleaner operation rate reference value on the day on which the largest number of endoscopic examinations were performed.

[0260] The medical work support information also includes, as information related to the cleaners 52, washer number identification information that can identify the number of cleaners 52 whose operation rates fall within an operation rate range equal to or greater than the cleaner operation rate reference value. On the medical work support screen 118, the number of cleaners 52 whose operation rates fall within an operation rate range equal to or greater than the cleaner operation rate reference value is displayed in an identifiable manner. Therefore, according to this configuration, the user or the like can know the number of cleaners 52 whose operation rates fall within an operation rate range equal to or greater than the cleaner operation rate reference value.

[0261] Furthermore, the standard operating time during which the cleaners 52 used in endoscope handling operations operate is a time based on the operating times of all cleaners 52 on peak operating days. In the medical work support device 20, a cleaner operating rate standard value is derived based on the standard operating time during which the cleaners 52 operate and the cleaner standby time. Therefore, with this configuration, a more reliable value can be obtained as the cleaner operating rate standard value on peak operating days, compared to when the standard operating time during which the cleaners 52 used in endoscope handling operations operate is set to a time based on the operating times of all cleaners 52 during periods other than peak operating days.

[0262] The standard value of the washer operation rate is a value based on the ratio of the standard operation time of the washer to the sum of the minimum washer standby time, which is set as the shortest time for the washer standby time, and the standard operation time of the washer. Therefore, according to this configuration, the standard value of the washer operation rate against which the operation rate of the washer 52 is compared can be made higher than when the standard value of the washer operation rate is a ratio of the standard operation time of the washer to the sum of a time longer than the minimum washer standby time and the standard operation time of the washer.

[0263] The standard value of the washer availability is a value obtained by multiplying an adjustment coefficient by the ratio of the standard washer operation time to the sum of the minimum washer standby time, which is determined as the shortest washer standby time, and the standard washer operation time. For example, the adjustment coefficient is determined according to external factors (e.g., rest time of endoscopy workers and / or anticipated troubles) that affect at least one of the minimum washer standby time and the standard washer operation time. Therefore, according to this configuration, even if there is an external factor that affects at least one of the minimum washer standby time and the standard washer operation time, it is possible to obtain an appropriate value as the standard value of the washer availability against which the operation rate of the washer 52 is compared, compared to a case in which only the ratio of the standard washer operation time to the sum of the minimum washer standby time and the standard washer operation time is used as the standard value of the washer availability.

[0264] The operating rate of the cleaner 52 is calculated based on the cleaner standby time (see FIG. 2) and the operating time of the cleaner 52. The operating time of the cleaner 52 is the time from when the cleaner 52 starts cleaning the endoscope 24 to when it finishes. In other words, the operating time of the cleaner 52 represents the degree of pressure on the performance of the endoscope handling task from when the cleaner 52 starts cleaning the endoscope 24 to when it finishes (for example, the pressure on the operation of the cleaner 52). Therefore, according to this configuration, by having the user refer to the operating rate of the cleaner 52, the user can infer the pressure on the performance of the endoscope handling task from when the cleaner 52 starts cleaning the endoscope 24 to when it finishes (for example, the pressure on the operation of the cleaner 52).

[0265] Furthermore, the standard operating time for the cleaners 52 used in endoscope handling operations is the average operating time of all cleaners 52 on peak operating days. Therefore, according to this configuration, it is possible to calculate a cleaner operating rate standard value that is appropriate for comparison with the operating rates of all cleaners 52, compared to the case where the standard operating time is calculated using only the operating time of one cleaner 52 on peak operating days.

[0266] In the above third embodiment, an example has been described in which the medical work support information includes washer number identification information (hereinafter also referred to as "third number identification information") capable of identifying the number of washer 52 whose operation rate falls within the operation rate range equal to or higher than the washer operation rate reference value, but the technology of the present disclosure is not limited to this. For example, the medical work support information may include notification information that notifies that the operation status of the washer 52 is tight, together with or instead of the third number identification information.

[0267] For example, the notification information includes a time period during which the operating status of the cleaners 52 is tight (here, as an example, an examination time period), and fourth number-specific information. The fourth number-specific information refers to information that can identify the number of cleaners 52 operating during the time period during which the operating status is tight. When the medical work support information includes the notification information, the time period during which the cleaners 52 are tight and the fourth number-specific information are presented by the presentation device in a comparable state.

[0268] For example, as shown in Fig. 20, the inspection support graph 118E of the medical service support screen 118 displays the tight time period and the number specified by the fourth number specifying information, that is, the number of cleaning machines 52 operating during the tight time period, in a manner that allows comparison. The tight time period is displayed in a manner that allows distinction from other areas within the inspection support graph 118E. Furthermore, the inspection support graph 118E plots three marks in the tight time period, indicating the first to third cleaning machines whose operation rates exceed the cleaning machine operation rate reference value.

[0269] Also, in the excess number display field 118C of the medical work support screen 118 shown in FIG. 20, a comment is displayed indicating that the number of cleaners 52 whose operation rate exceeds the cleaner operation rate reference value as the upper limit guideline is three out of four. Also, in the examination support comment display field 118F of the medical work support screen 118 shown in FIG. 20, a comment is displayed indicating the tightness of the operation status of the cleaners 52. Specifically, a comment indicating the tight time period and the degree of the tightness of the endoscopic examination is displayed in the examination support comment display field 118F. In the example shown in FIG. 20, a comment is displayed in the examination support comment display field 118F saying, "Because the ratio of the number of cleaners whose operation rate exceeds the upper limit guideline is 75% or more during the 11:00 a.m. time slot, the examination implementation status may be tight."

[0270] In this way, by including in the medical work support information the notification information notifying that the operating status of the washer 52 is under pressure, the user or the like can be made to recognize that the operating status of the washer 52 is under pressure. In addition, the notification information is information including the pressure time period and the fourth number specifying information, and the pressure time period and the fourth number specifying information are presented by the presentation device in a comparable state, so that the user or the like can be made to recognize the relationship between the pressure time period and the number of washer 52 operating during the pressure time period.

[0271] In addition, since the multiple cleaners 52 include a single-scope cleaner and a double-scope cleaner, it is possible that the performance of endoscopic examinations is strained due to the fact that the double-scope cleaner is not being used to its full potential. For example, cleaning by the double-scope cleaner does not start until two endoscopes 24 are placed in the double-scope cleaner, or conversely, even though it is time to simultaneously place two endoscopes 24, only one endoscope 24 is cleaned by the double-scope cleaner while the other endoscope 24 is waiting to be cleaned, which is considered to be the reason for the strained performance of endoscopic examinations.

[0272] Such a situation is identified by the CPU 98 of the support device server 74 from the cleaning information 66 stored in the washer management database 112. If there is a possibility that the implementation of the endoscopic examination is under pressure due to inability to fully utilize the two-bottle washer, the notification information may include information notifying that the implementation of the endoscopic examination is under pressure due to the two-bottle washer. In this case, for example, instead of or together with the above-mentioned comment, a message indicating that the implementation of the endoscopic examination is under pressure due to inability to fully utilize the two-bottle washer may be displayed in the examination support comment display field 118F.

[0273] In the above third embodiment, an example was described in which a washer availability standard value is derived regardless of the type of endoscopic examination, and medical work support information is output regardless of the type of endoscopic examination, but the technology of the present disclosure is not limited to this. For example, the CPU 98 of the support device server 74 may derive a washer availability standard value for each type of endoscopic examination, and output medical work support information for each type of endoscopic examination.

[0274] In this case, each process of steps ST206 to ST408 of the medical work support process shown in Fig. 18 is performed for each endoscopic examination name based on the support device management database 113 in which the endoscopic examination name is associated with the examination start time, examination end time, cleaning start time, and cleaning end time. Then, on the display 72, a medical work support screen 118 (see Figs. 19 and 20) is displayed in a manner that allows distinction for each endoscopic examination name. For example, the name of the endoscopic examination is displayed on the medical work support screen 118. This makes it possible to specify which type of endoscopic examination the medical work support screen 118 displayed on the display 72 relates to.

[0275] Thus, in this example, medical work support information for each type of endoscopic examination is transmitted from the medical work support device 20 to the endoscopy department management device 12, and a medical work support screen 118 based on the medical work support information is displayed for each type of endoscopic examination on the display 72. Therefore, according to this example, it is possible to support the efficient implementation of endoscope handling work for each type of endoscopic examination.

[0276] In the above third embodiment, a line graph was used as an example of the inspection support graph 118E, but the technology of the present disclosure is not limited to this and may be other graphs such as bar graphs, pie charts, or band graphs, or may be figures other than graphs such as bubble charts.

[0277] In the third embodiment, the operation rate range equal to or greater than the standard value of the cleaning machine operation rate is exemplified, but the technology of the present disclosure is not limited thereto, and for example, the operation rate range equal to or less than the standard value of the cleaning machine operation rate may be applied as long as it is an operation rate range determined according to the standard value of the cleaning machine operation rate. In this case, as in the first embodiment, the relationship between the operation rate range determined according to the standard value of the cleaning machine operation rate and the operation rate of the cleaning machine 52 may be visualized using at least one of a graph, a comment, and a table via the display 72 and presented to the user, etc.

[0278] In the medical service support process according to the third embodiment (see FIG. 18), the peak operation day is derived by executing the process of step ST206, but the technology of the present disclosure is not limited to this. For example, the derivation unit 98E may derive the day on which the operation status of the washer 52 is at its peak as the peak operation day by referring to the washer management database 112 (see FIG. 9). In this case, the peak operation day refers to the day on which the operation status of all the washer 52 installed in the washer room 50 is at its peak within a period specified in advance (for example, a period specified by a user, etc.). An example of the peak operation day in this case is the day on which the washer 52 was used the most. The day on which the washer 52 was used can be specified from the cleaning start time or cleaning end time of the cleaning information 66 stored in the washer management database 112. In addition, another example of the peak operation day is the day on which the number of times the washer standby time (see FIG. 2) falls below a threshold value (for example, 50 minutes) is equal to or greater than a reference number.

[0279] In the above third embodiment, the cleaning machine operation rate standard value is exemplified as an upper limit guideline, but the technology of the present disclosure is not limited to this. For example, the cleaning machine operation rate standard value may be the average operation rate of a plurality of cleaning machines 52 (for example, all cleaning machines 52) in a period specified by a user or the like, or the median of the operation rates. This allows the user or the like to grasp the correlation between the average operation rate or the median of the operation rates and the operation rates of each cleaning machine 52. Note that the cleaning machine operation rate standard value is not limited to the average value and the median value, and may be other statistical values ​​such as the maximum value, minimum value, or mode value.

[0280] In the above third embodiment, an example in which a comment "Because less than half of the cleaning machines have an operating rate exceeding the upper limit guideline, the number of inspections may be increased" is displayed in the inspection support comment display field 118F has been described, but the technology of the present disclosure is not limited to this. For example, when the operating rates of all cleaning machines 52 exceed the upper limit guideline, a message such as "There is no room for cleaning machine operation" (a message suggesting that there is a tight situation) may be displayed in the inspection support comment display field 114F, or when the operating rate of at least one cleaning machine 52 is equal to or lower than the upper limit guideline, a message such as "There is room for cleaning machine operation" (a message suggesting that there is no tight situation) may be displayed in the inspection support comment display field 118F.

[0281] Also, the medical work support screen 118 may display the symbol marks of the first to fourth cleaners, and marks such as "o", "△" and "x" selectively assigned to each symbol mark. The "o" mark indicates that there is a margin for operation of the cleaner 52, the "△" mark indicates that there is some margin for operation of the cleaner 52, and the "x" mark indicates that there is no margin for operation of the cleaner 52. Also, the display mode such as the color and / or font of each of the symbol marks of the first to fourth cleaners may be changed to highlight the mark, thereby visualizing the degree of pressure.

[0282] In each of the above embodiments, an example of a form in which whether or not the availability rate of a medical device exceeds the availability rate reference value is presented to a user or the like by a presentation device (e.g., the display 72) has been described, but the technology of the present disclosure is not limited to this. For example, information on medical devices whose availability rate is below the availability rate reference value (e.g., the number of medical devices and / or IDs of the medical devices), information on medical devices whose availability rate matches the availability rate reference value, and / or information that allows the user to grasp how much the availability rate deviates from the availability rate reference value (e.g., the difference between the availability rate and the availability rate reference value and / or the ratio of the availability rate to the availability rate reference value), etc. may be visualized and / or audibly presented by the presentation device.

[0283] In each of the above embodiments, examples have been given in which information capable of identifying a medical device (e.g., a legend) is displayed on the medical work support screens 114, 116, and 118, but the technology of the present disclosure is not limited to this, and other information related to the medical device, such as the manufacturing date of the medical device and / or the cumulative number of times the medical device has been used, may be displayed on the medical work support screens 114, 116, and 118 instead of or together with the information capable of identifying the medical device.

[0284] In each of the above embodiments, an example was given in which medical work support information is generated based on the operating time, waiting time, and operating rate when endoscopic examinations are performed on an examination room 30 basis. However, the technology disclosed herein is not limited to this, and medical work support information may be generated based on the operating time, waiting time, and operating rate when endoscopic examinations are performed on a department (e.g., internal medicine or surgery) or medical institution (e.g., clinic or general hospital) basis.

[0285] In each of the above embodiments, the examination room 30 is exemplified, but it does not necessarily have to be one room, and may be a space obtained by dividing a single room with a curtain and / or a partition or the like.

[0286] In each of the above embodiments, the endoscope processor device 32 and the information processing device 36 are separate, but the technology of the present disclosure is not limited to this, and the endoscope processor device 32 and the information processing device 36 may be integrated together. In this case, for example, a device equivalent to the information processing device 36 may be incorporated into the endoscope processor device 32, or a device equivalent to the endoscope processor device 32 may be incorporated into the information processing device main body 38.

[0287] In each of the above embodiments, the medical work support information is visualized and presented to the user by displaying the medical work support screens 114, 116, and 118 on the display 72, but the technology of the present disclosure is not limited to this. For example, instead of or in addition to the visual presentation on the display 72, the medical work support information may be output as audio by an audio playback device, or the medical work support information may be printed on a recording medium (e.g., paper) by a printer and output.

[0288] In the above embodiments, an endoscope handling operation including an endoscopic examination has been described as an example of an "endoscopic procedure operation" according to the technology of the present disclosure, but the technology of the present disclosure is not limited thereto, and may be a medical device handling operation including a medical device procedure operation other than an endoscopic examination. For example, the endoscopic procedure operation may be an operation including an endoscopic surgery and / or an endoscopic treatment. Examples of the endoscopic surgery include surgery and / or treatment using a laparoscope, surgery and / or treatment using a thoracoscope, surgery and / or treatment using a cystoscope, surgery and / or treatment using a cholangioscope, spinal endoscope and / or treatment, surgery and / or treatment using a vascular endoscope, and surgery and / or treatment using an epidural endoscope.

[0289] In the above-described embodiments, the endoscope 24, the information processing device 36, and the cleaner 52 are given as examples of medical devices, but the technology of the present disclosure is not limited thereto, and the medical devices may be medical devices other than the endoscope 24, the information processing device 36, and the cleaner 52. Examples of medical devices other than the endoscope 24, the information processing device 36, and the cleaner 52 include a medical management device (e.g., a device having a processor and a memory) corresponding to the information processing device 36, a medical accessory device (e.g., an exchangeable ultrasonic probe and / or an exchangeable treatment tool used in dental treatment, etc.) that is detachably connected to the medical management device in the same way that the endoscope 24 is detachably connected to the information processing device 36, and a cleaner that cleans the medical accessory device in the same way as the cleaner 52 that cleans the endoscope 24.

[0290] In the above embodiments, the barcode 42 and the subject barcode are exemplified, but at least one of the barcode 42 and the subject barcode may be replaced with another two-dimensional code such as a QR (Quick Response) code (registered trademark), or a non-contact type storage medium using RFID (Radio Frequency Identification) technology. In this case, instead of the barcode readers 40 and 64, a device capable of acquiring information capable of identifying the endoscope 24 or the subject by recognizing the two-dimensional code and / or the non-contact type storage medium may be applied.

[0291] In each of the above embodiments, the medical service support device 20 is exemplified, but instead of the medical service support device 20, a computer used on-premise together with the endoscopy department management device 12 may be configured to execute the medical service support processing program 108 (see FIG. 8 ). In addition, the management information storage device 76 may also be used on-premise together with the endoscopy department management device 12.

[0292] In addition, in each of the above embodiments, the medical work support processing program 108 is stored in the storage 100, but the medical work support processing program 108 may be stored in any portable storage medium such as an SSD or a USB (Universal Serial Bus) memory, and the medical work support processing program 108 may be stored in a non-transient storage medium. The medical work support processing program 108 stored in the non-transient storage medium is installed in, for example, the support device server 74.

[0293] In addition, in each of the above embodiments, an assistance device server 74 including a CPU 98, a storage 100, and a memory 102 is exemplified, but the technology of the present disclosure is not limited to this, and a device including an ASIC (Application Specific Integrated Circuit), an FPGA (Field-Programmable Gate Array), and / or a PLD (Programmable Logic Device) may be applied in place of or together with the assistance device server 74.

[0294] The hardware resources for executing the medical service support processing described in each of the above embodiments can be various processors as shown below. An example of a processor is a CPU, which is a general-purpose processor that functions as a hardware resource for executing medical service support processing by executing software, i.e., a program. Another example of a processor is a dedicated electrical circuit, which is a processor having a circuit configuration designed specifically for executing specific processing, such as an FPGA, PLD, or ASIC. Each processor has a built-in or connected memory, and each processor uses the memory to execute terminal-side processing.

[0295] The hardware resource for executing the medical service support processing may be one of these various processors, or may be a combination of two or more processors of the same or different types (for example, a combination of multiple FPGAs, or a combination of a CPU and an FPGA). Also, the hardware resource for executing the medical service support processing may be a single processor.

[0296] As an example of a configuration using one processor, first, one processor is configured by combining one or more CPUs and software, and this processor functions as a hardware resource that executes medical service support processing. Second, there is a configuration in which a processor is used that realizes the functions of the entire system including multiple hardware resources that execute medical service support processing on a single IC chip, as typified by SoC (System-on-a-chip). In this way, medical service support processing is realized using one or more of the above-mentioned various processors as hardware resources.

[0297] Furthermore, the hardware structure of these various processors can be, more specifically, an electric circuit that combines circuit elements such as semiconductor elements. Also, the above terminal side processing is merely an example. Therefore, it goes without saying that unnecessary steps may be deleted, new steps may be added, or the processing order may be changed within the scope of the gist.

[0298] The above description and illustrations are detailed descriptions of the parts related to the technology of the present disclosure, and are merely an example of the technology of the present disclosure. For example, the above description of the configuration, function, action, and effect is an example of the configuration, function, action, and effect of the parts related to the technology of the present disclosure. Therefore, it goes without saying that unnecessary parts may be deleted, new elements may be added, or replacements may be made to the above description and illustrations, within the scope of the gist of the technology of the present disclosure. In addition, in order to avoid confusion and to facilitate understanding of the parts related to the technology of the present disclosure, the above description and illustrations omit explanations of technical common sense that do not require explanation in order to enable the implementation of the technology of the present disclosure.

[0299] In this specification, "A and / or B" is synonymous with "at least one of A and B." In other words, "A and / or B" means that it may be only A, only B, or a combination of A and B. In addition, in this specification, the same idea as "A and / or B" is also applied when three or more things are expressed by connecting them with "and / or."

[0300] All publications, patent applications, and standards mentioned in this specification are herein incorporated by reference to the same extent as if each individual publication, patent application, or standard was specifically and individually indicated to be incorporated by reference.

[0301] The following supplementary notes are further disclosed regarding the above embodiment.

[0302] (Appendix 1) A processor; A memory connected to or embedded in the processor, The processor, Derive an operating rate reference value for the medical equipment based on a standard operating time during which the medical equipment used in the medical equipment handling business is operated and a waiting time for a medical equipment procedure business included in the medical equipment handling business; The above Medical Devices Outputting medical service support information according to the degree of difference between the availability rate and the availability rate reference value Medical business support equipment.

[0303] According to the configuration described in Supplementary Note 1, it is possible to support the efficient implementation of medical equipment handling operations.

[0304] (Appendix 2) The medical equipment is at least one of a medical management device used in the medical equipment procedure work, a medical accessory device that is detachably connected to the medical management device, and a cleaning machine that cleans the medical accessory device. [Explanation of symbols]

[0305] 10 Medical business support system 12 Endoscopy department management device 14 Examination room facilities 16 Manual washing facilities 18 Automatic cleaning equipment 20 Medical business support equipment 22 Network 24 Endoscope 24A Insertion section 24B Imaging unit 24C Operation section 24D Universal Code 26,28 Connectors 30 Examination Room 31 Light source device 32 Endoscope processor device 34,72 Display 36 Information processing equipment 38 Information processing device main body 38A Test start button 40 Barcode Reader 42 Barcode 44 Endoscopy Information 46 Manual cleaning room 48 Sink 50 Washing Machine Room 52 Cleaning Machine 54 Cleaning machine management device 56 First cleaning tank 58 Second cleaning tank 60,70 Reception device 60A Cleaning start button 62 Cleaning machine management device main body 64 Barcode Reader 66 Cleaning Information 68 Endoscopy department management device main unit 74 Support Device Server 76 Management information storage device 78,98 CPU 78A, 98A Receiver 78B,98B Transmitter 78C, 98D Memory control unit 78D Display control unit 80,100 Storage 82,102 Memory 84 Communication I / F for support equipment 86 Inspection communication I / F 88 Communication I / F for cleaning machine 90,106 Bus 92 Management Device Control Program 94 Endoscopy Management Database 96 Cleaning Machine Management Database 98C Acquisition Department 98E Lead-out section 98F generation section 104 Communication I / F 108 Medical Business Support Processing Program 113 Assistive Device Management Database 114,116,118 Medical business support screen 114A, 116A, 118A Screen title display area 114B, 116B, 118B Utilization rate calculation date display field 114C,118C Excess number display field 114D, 116D, 118D Legend display column 114E, 116E, 118E Inspection support graph 114F, 116F, 118F Inspection support comment display column 114G, 116G, 118G Guidance comment display column 116 C Excess quantity display column

Claims

1. A processor; A memory connected to or embedded in the processor, The processor, Derive an operating rate reference value for the medical equipment based on a standard operating time for the medical equipment used in the endoscope handling task and a standby time for an endoscope procedure task included in the endoscope handling task; Outputting medical service support information according to the degree of difference between the availability rate of the medical device and the availability rate reference value. Medical business support equipment.

2. The medical service support device according to claim 1 , wherein the medical service support information includes medical equipment-related information on the medical equipment whose operating rate falls within an operating rate range determined according to the operating rate reference value.

3. The medical support device according to claim 2 , wherein the medical equipment-related information includes information regarding the medical equipment whose operation rate falls within the operation rate range during a period when the operation level of the medical equipment is equal to or higher than a first reference level.

4. The medical service support device according to claim 3 , wherein the period during which the degree of operation of the medical equipment is equal to or greater than the first reference degree is a period during which a value based on the number of endoscopic procedure tasks is equal to or greater than a preset value.

5. 5. The medical service support device according to claim 3, wherein the period during which the operation level of the medical device is equal to or higher than the first reference level is a period during which the number of times the standby time falls below a threshold is equal to or higher than a reference number.

6. 6. The medical equipment-related information according to claim 2, wherein the medical equipment-related information includes medical equipment number-specific information that can specify the number of the medical equipment whose operating rate falls within the operating rate range.

13. A medical service support device as described in claim 1.

7. The medical service support device according to claim 1 , wherein the standard operation time is a time based on an operation time of the medical device during a period when the operation level of the medical device is equal to or higher than a second reference level.

8. 8. The medical support device according to claim 1, wherein the operation rate reference value is a value based on a ratio of the standard operation time to a time including a minimum wait time defined as the shortest time of the wait time and the standard operation time.

9. The medical service support device according to claim 8 , wherein the operation rate reference value is a value obtained by multiplying the ratio by an adjustment coefficient.

10. the medical device is an information processing device used together with an endoscope in the endoscopic procedure work, A medical support device according to any one of claims 1 to 9, wherein the operating time of the information processing device is the time from when a first endoscopic procedure task using the information processing device is started to when the first endoscopic procedure task is ended.

11. the medical device is an endoscope, The medical support device according to any one of claims 1 to 9, wherein the operating time of the endoscope scope is the time from when a second endoscopic procedure task using the endoscope scope is started to when cleaning of the endoscope scope used in the second endoscopic procedure task by a cleaning machine is completed.

12. the medical device is a cleaner for cleaning an endoscope, 10. The medical support device according to claim 1, wherein the operation time of the cleaner is a time from when the cleaner starts to when it finishes cleaning the endoscope.

13. There are a plurality of the medical devices, The medical service support device according to claim 1 , wherein the standard operation time is a time based on a statistical value using operation times of each of the plurality of medical devices.

14. the medical device is provided in each of a plurality of medical sites where the endoscope handling business is performed, The medical service support device according to claim 13 , wherein the statistical value is a value derived using operation time of each of the medical devices used in the plurality of medical sites.

15. The medical service support device according to claim 1 , wherein the medical service support information includes notification information that notifies that the operating status of the medical equipment is under pressure.

16. The notification information includes a time period during which the operating status of the medical device is tight and medical device number identification information that can identify the number of the medical devices operating during the time period, The medical service support device according to claim 15 , wherein the time period and the medical equipment number identification information are presented by a presentation device in a comparative state.

17. The processor, Deriving the operation rate reference value for each type of endoscopic procedure work; The medical service support device according to claim 1 , wherein the medical service support information is output for each type of endoscopic procedure service.

18. The medical service support device according to claim 1 , wherein the medical service support information is information that can be expressed by at least one of a comment, a figure, and a table by a presentation device.

19. On the computer, Deriving an operating rate reference value for the medical equipment based on a standard operating time during which the medical equipment used in the endoscope handling work is operated and a standby time for an endoscope procedure work included in the endoscope handling work; and A program for executing a process including outputting medical work support information according to the degree of difference between the operating rate of the medical device and the operating rate reference value.

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