Medical service support device, medical service support method, and program

Abstract

Provided are a medical work assistance device, a medical work assistance method, and a program which can assist in the efficient performance of a medical equipment treatment work. This medical work assistance device comprises a processor and memory connected to or embedded in the processor. The processor acquires, for each separable predetermined unit, a cleaning waiting time from when a medical equipment procedure work using medical auxiliary equipment finishes until a cleaner starts to clean the medical auxiliary equipment, the medical auxiliary equipment being detachably connected to a medical management device, and outputs medical work assistance information in which the cleaning waiting time and the predetermined unit are associated with each other.

Description

[Technical Field]

[0001] The technology of the present disclosure relates to a medical service support device, a medical service support method, and a program. [Background technology]

[0002] Patent Document 1 discloses an endoscope management system that manages the cleaning process of an endoscope, and is characterized by comprising: an acquisition unit that acquires time information indicating the start time and end time of manual cleaning; a time derivation unit that derives the duration of manual cleaning from the time information acquired by the acquisition unit; a determination unit that compares the duration of manual cleaning derived by the time derivation unit with a standard manual cleaning time to determine whether manual cleaning has been performed appropriately; and a notification processing unit that issues a specified notification when the determination unit determines that manual cleaning has not been performed appropriately.

[0003] Furthermore, in the endoscope management system described in Patent Document 1, the acquisition unit acquires time information indicating the end time of the examination, the time derivation unit derives the washing waiting time from the end of the examination to the start of manual washing from the time information acquired by the acquisition unit, and the determination unit compares the washing waiting time derived by the time derivation unit with the allowable waiting time from the end of the examination to the start of manual washing to determine whether manual washing has started appropriately.

[0004] Furthermore, in the endoscope management system described in Patent Document 1, the acquisition unit acquires time information indicating the end time of the examination, the time derivation unit derives the cleaning wait time from the end of the examination to the current item from the time information acquired by the acquisition unit, the judgment unit compares the cleaning wait time derived by the time derivation unit with the allowable wait time from the end of the examination to the start of manual cleaning to judge whether the cleaning wait time exceeds the allowable wait time, and if the judgment unit judges that the cleaning wait time exceeds the allowable wait time, the notification processing unit issues a predetermined notification.

[0005] Patent Document 2 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 scopes used in the examination; a cleaning schedule generation unit that generates a cleaning schedule, in accordance with the examination schedule stored in the examination schedule storage unit, for cleaning used scopes that are generated at the end of each examination using a cleaning device that has the cleaning capacity specified by the cleaning capacity information stored in the cleaning capacity 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.

[0006] Patent Document 3 discloses an inspection management device that acquires the operating status of cleaning equipment in real time and executes a simulation at predetermined time intervals to predict whether there will be a shortage of scopes, thereby detecting the need to change the inspection schedule as early as possible and changing the inspection schedule promptly.

[0007] In addition, the inspection management device described in Patent Document 3 is characterized by comprising a standard time storage unit that stores the standard times for each of the multiple processes that make up one inspection according to the inspection time, a time acquisition unit that acquires the start time and end time of each inspection process from at least one device installed in the inspection room where the inspection is being carried out, and a display control unit that displays, on the display unit of a terminal device installed in the inspection room, a first display content that indicates the target progress status of the inspection based on the standard time according to the inspection time, and a second display content that indicates the actual progress status based on the start time and end time of each inspection process acquired by the time acquisition unit. [Prior art documents] [Patent documents]

[0008] [Patent Document 1] Japanese Patent Application Publication No. 2019-005033 [Patent Document 2] Japanese Patent Application Laid-Open No. 2010-039560 [Patent Document 3] International Publication No. 2010 / 047081 Summary of the Invention

[0009] One embodiment of the technique of the present disclosure provides a medical service support device, a medical service support method, and a program that can support the efficient implementation of endoscope handling operations. [Means for solving the problem]

[0010] 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, and the processor acquires a cleaning wait time from the end of an endoscopic procedure using an endoscope until a cleaner starts cleaning the endoscope in divisible predefined units, and outputs medical work support information in which the cleaning wait time is associated with the predefined unit.

[0011] A second aspect of the technology disclosed herein is a medical work support method that includes acquiring a cleaning wait time from the end of an endoscopic procedure using an endoscope until a cleaning machine starts cleaning the endoscope for each divisible predefined unit, and outputting medical work support information in which the cleaning wait time is associated with the predefined unit.

[0012] A third aspect of the technology disclosed herein is a program for causing a computer to execute processing including acquiring, for each divisible predefined unit, the cleaning waiting time from the end of an endoscopic procedure using an endoscope until the cleaner starts cleaning the endoscope, and outputting medical work support information in which the cleaning waiting time is associated with the predefined unit. [Brief explanation of the drawings]

[0013] [Figure 1] 1 is a conceptual diagram showing a schematic configuration of a medical service support system. [Figure 2]10 is a flowchart showing an example of the flow of an endoscope handling business. [Figure 3] 2 is a block diagram showing an example of the hardware configuration of an electrical system of the endoscope department management device. FIG. [Figure 4] 1 is a block diagram showing an example of the functions of a CPU and the contents of storage in the main body of an endoscope department management device. FIG. [Figure 5] FIG. 10 is a conceptual diagram showing an example of the contents of an endoscopic examination management database. [Figure 6] FIG. 2 is a conceptual diagram illustrating an example of the contents of a washer 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 of storage in a support device server. FIG. [Figure 9] FIG. 2 is a block diagram showing an example of the contents stored in a management information storage device. [Figure 10] 10 is a flowchart illustrating an example of the flow of a management device control process. [Figure 11A] 10 is a flowchart showing an example of the flow of medical service support processing according to the embodiment. [Figure 11B] This is a continuation of the flowchart shown in FIG. 11A. [Figure 11C] 11A and 11B. [Figure 12] FIG. 10 is a screen diagram showing an example of a medical service support screen according to the embodiment. [Figure 13] FIG. 10 is a screen diagram showing an example of a medical service support screen according to the embodiment. DETAILED DESCRIPTION OF THE INVENTION

[0014] 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 accompanying drawings.

[0015] 1, a medical service support system 10 includes an endoscopy department management device 12, a plurality of examination room equipment 14, a manual washing device 16, an automatic washing device 18, and a medical service support device 20. Here, the medical service support device 20 is an example of a "medical service support device" according to the technology of the present disclosure.

[0016] The medical work support system 10 is a system that supports endoscope handling work. In this 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 24 (hereinafter also referred to as an "endoscopic examination") in a medical facility (e.g., a hospital). Endoscope handling work includes endoscopic examinations, manual cleaning work, and automatic cleaning work. Endoscopic examinations are an example of "endoscopic procedure work" related to the technology of the present disclosure.

[0017] The medical facility owns a plurality of endoscopes 24, and a type of endoscope 24 corresponding to the examination item is used in each of the plurality of examination room equipment 14. Examples of types of endoscopes 24 include upper gastrointestinal scopes, pancreatic duct scopes, bile duct scopes, duodenal scopes, large intestinal scopes, intracerebral scopes, ENT scopes, and bronchial scopes.

[0018] 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.

[0019] The imaging unit 24B is provided at the tip of the insertion unit 24A. The imaging unit 24B has a CMOS (complementary metal oxide semiconductor) type imaging element. Note that instead of the CMOS type imaging element, a CCD (charge coupled device) type imaging element may also be used.

[0020] The operation unit 24C is connected to the proximal end side of the insertion unit 24A and is held by a doctor to perform various operations. By operating the operation unit 24C, the insertion unit 24A is bent and the imaging unit 24B takes an image.

[0021] The universal cord 24D is connected to the operating unit 24C. The universal cord 24D contains a light guide (not shown), a fluid tube (not shown), and a signal cable (not shown). Connectors 26 and 28 are provided at the ends of the universal cord 24D. The connector 28 branches off from the connector 26.

[0022] A plurality of examination room facilities 14 are provided within 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 within the examination room 30.

[0023] There are a plurality of information processing devices 36, each installed at a plurality of medical sites where endoscope handling work is performed. In this embodiment, one information processing device 36 is assigned to each examination room 30.

[0024] 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 during an endoscopic examination. The information processing device 36 operates each time an endoscopic examination is performed on a subject in each examination room 30. The information processing device 36 operates continuously while an endoscopic examination is being performed on a 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 a subject.

[0025] 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 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 via the light guide and 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. Furthermore, in response to an operation performed on the operation section 24C, water and gas are sprayed toward the observation window from a nozzle (not shown) on the distal end surface of the insertion section 24A. Note that, although an example in which the light source device 31 supplies water and gas to the endoscope 24 has been described above, this is merely an 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.

[0026] 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 24 by supplying a control signal to the endoscope 24 via the signal cable. In addition, the endoscope 24 outputs an image signal obtained by causing the imaging unit 24B to capture an image of the observation site to the endoscope processor device 32 via the signal cable.

[0027] The endoscope processor device 32 generates moving images as images showing the observation site based on the imaging signals input from the endoscope 24. The frame rate of the moving images is, for example, 30 fps (frames per second). The endoscope processor device 32 also generates still images as images showing the observation site in response to operations performed on the operation unit 24C. The endoscope processor device 32 is connected to a display 34, and causes the display 34 to display the images generated based on the imaging signals.

[0028] In this embodiment, the light source device 31 and the endoscope processor device 32 are separate from the information processing device 36, but this is merely an 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.

[0029] 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 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).

[0030] The information processing device main body 38 is provided with an examination start button 38A. The examination start button 38A is an alternate 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 the 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.

[0031] The endoscopy 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 endoscopy 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.

[0032] The endoscope processor device 32 is also connected to the information processing device main body 38. That is, the endoscope 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.

[0033] 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.

[0034] The endoscope 24 is provided with a barcode 42. In the example shown in FIG. 1, the barcode 42 is provided on the operation unit 24C. The barcode 42 is encrypted information of an endoscope ID that can uniquely identify the endoscope 24. The barcode 42 is read by the barcode reader 40 when an endoscopic examination is started. The barcode reader 40 reads the barcode 42 and outputs the endoscope ID obtained to the information processing device main body 38.

[0035] The barcode reader 40 can also read a barcode (not shown) that is 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 that can uniquely identify the subject is encrypted, and is attached, for example, to a band (e.g., a wristband) attached to the subject's wrist or the like. When the endoscopic examination starts, the barcode reader 40 reads the subject barcode.

[0036] The information processing device main body 38 outputs endoscopic examination information 44, in which various information about the subject identified by the subject ID is associated with various IDs, to the endoscopy department management device 12. Here, the various IDs refer to the endoscope ID obtained by reading the barcode 42 with the barcode reader 40, and the subject ID obtained by reading the subject barcode with the barcode reader 40. Here, the endoscope ID and the subject ID are exemplified as the various IDs, but the technology of the present disclosure is not limited to this, and only the endoscope ID may be used.

[0037] Here, various types of information related to the subject include, for example, images 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 acquires 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.

[0038] 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 technician physically removing dirt from the endoscope 24 by hand using a cleaning agent, a brush, a sponge, etc.

[0039] The automatic cleaning equipment 18 includes a cleaning machine room 50, multiple cleaning machines 52, and a cleaning machine management device 54. The multiple 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 endoscopes 24 that have been manually cleaned. The multiple cleaning machines 52 include a single-scope cleaning machine that can clean only one endoscope 24, and a double-scope cleaning machine that can clean two endoscopes 24 together. A single-scope cleaning machine is also commonly referred to as a single-scope cleaning machine, and a double-scope cleaning machine is also commonly referred to as a double-scope cleaning machine.

[0040] A single-tube washer is provided with only one cleaning tank into which one endoscope 24 is placed, whereas a two-tube washer is provided with a first cleaning tank 56 and a second cleaning tank 58. One endoscope 24 is placed into each of the first cleaning tank 56 and the second cleaning tank 58. Hereinafter, unless it is necessary to distinguish between the cleaning tank of the single-tube washer, the first cleaning tank 56, and the second cleaning tank 58, they will be referred to as "cleaning tanks" without reference numerals.

[0041] 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 according to a predetermined program.

[0042] 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.

[0043] 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 RAM.

[0044] A plurality of cleaners 52 are connected to the cleaner management device main body 62, which centrally manages the plurality of cleaners 52. For example, the cleaner management device main body 62 has a clock, and acquires from the clock the cleaning start time and cleaning end time of each of the plurality of cleaners 52. 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).

[0045] Here, an example in which a plurality of washer 52 are centrally managed by the washer management device 54 has been described, but this is merely an example, and a plurality of washer management devices 54 may each individually manage a plurality of washer 52, or one washer management device 54 may centrally manage a plurality of washer 52. Reason It may be possible to do so.

[0046] In addition, although the time when the cleaning start button 60A is turned on is exemplified as the cleaning start time, this is merely an example, and the cleaning start time may be determined according to instructions given to a device other than the washer management device 54, such as the endoscope department management device 12. Furthermore, although the time when the operation of the washer 52 stops is exemplified as the cleaning end time, this is merely an example, and the cleaning end time may be the time when timing by a timer that manages the cleaning time ends, or the time when the cleaning start button 60A is turned off.

[0047] Each of the multiple cleaning machines 52 is assigned a cleaning machine ID, which is an ID that can identify the cleaning machine 52, and the cleaning machine management device main body 62 centrally manages the multiple cleaning machines 52 using the cleaning machine ID.

[0048] 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 washer 52 and the barcode reader 64.

[0049] The barcode 42 of the endoscope 24 that has been manually cleaned is read by the barcode reader 64. The barcode reader 64 reads the barcode 42 and outputs the endoscope ID obtained to the washer management device main body 62.

[0050] The washer management device main body 62 outputs cleaning information 66 to the endoscope department management device 12, which associates various information about the washer 52 with the endoscope ID corresponding to the endoscope scope 24 cleaned by the washer 52. Here, examples of the various information about the washer 52 include the washer ID, the cleaning start time, and the cleaning end time.

[0051] Each of the endoscope 24, the information processing device 36, and the cleaning device 52 is an example of "medical equipment used in endoscope handling work, including endoscopic procedure work" according to the technology of the present disclosure. For ease of explanation, the endoscope 24, the information processing device 36, and the cleaning device 52 will be referred to as "medical equipment" without reference numerals when there is no need to distinguish between them.

[0052] The endoscopy department management device 12 is a device that manages a department (endoscopy department) that handles endoscopy 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.

[0053] As will be described in more detail below, the endoscopy department management device main body 68 is a device configured to include a computer. A reception device 70 is connected to the endoscopy department management device main body 68. The reception device 70 has a keyboard, mouse, and / or touch panel, etc., and receives instructions from users of the endoscopy department management device 12, etc. A display 72 is connected to the endoscopy department management device main body 68. The display 72 displays various information under the control of the endoscopy department management device main body 68. Examples of the display 72 include an EL (Electro-Luminescence) display and a liquid crystal display.

[0054] The endoscopic 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. 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 numeral.

[0055] In this embodiment, the endoscopy department management device 12 is connected to the medical service 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 service support device 20 may be integrally formed, and the medical service support device 20 may have at least some of the functions of the endoscopy department management device 12.

[0056] The endoscopy department management device main body 68 exchanges information with the medical service support device 20 via the network 22. The medical service support device 20 is realized by cloud computing. Although cloud computing is exemplified here, this is merely one example, and the medical service support device 20 may be realized by a mainframe, or by network computing such as fog computing, edge computing, or grid computing.

[0057] The medical work support device 20 includes a support device server 74 and a management information storage device 76. The support device server 74 is connected to the management information storage device 76. The support device server 74 is connected to the endoscopy department management device main body 68 via the network 22, performs processing in response to requests from the endoscopy department management device main body 68, and provides the processing results to the endoscopy department management device main body 68.

[0058] 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.

[0059] 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 needed, and executes processing using the acquired information.

[0060] An example of the flow of endoscope handling work performed by an endoscopy technician is shown in Figure 2. For ease of explanation, the following description will be given on the assumption that a usable endoscopy scope 24 (for example, an endoscopy scope 24 that has been cleaned by a cleaner 52) is stored by the endoscopy technician in a storage room (not shown) within the medical facility.

[0061] In the endoscope handling operation shown in FIG. 2, first, in step ST10, an endoscopy technician takes out the endoscope 24 from the storage room and transports it into one of the multiple examination rooms 30.

[0062] 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.

[0063] 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.

[0064] In the next step ST16, the examination start button 38A of the information processing device 36 is turned on. In addition, the endoscope processor device 32 is also provided with an examination start button (not shown), 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 is given in which the processing of step ST14 is performed before the processing of step ST16, 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.

[0065] For convenience of explanation, the following description will be given on the assumption that an 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 examples of an "information processing device" according to the technology of the present disclosure.

[0066] In the next step ST18, a doctor or the like performs an examination using the endoscope 24 (such as capturing an image of the region to be observed by the imaging unit 24B of the endoscope 24). As a result, the information processing device 36 generates an image based on the imaging signal obtained by capturing an image by the imaging unit 24B.

[0067] In the next step ST20, the examination start button 38A of the information processing device 36 is turned off. The examination start button of the endoscope processor device 32 is also 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").

[0068] 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.

[0069] 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 washer room 50 is read by the barcode reader 64. As a result, the endoscope ID of the endoscope 24 is obtained by the washer management device 54.

[0070] 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.

[0071] The time from the endoscopy ...

[0072] 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 specified 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.

[0073] 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 device 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 device 52 (hereinafter also referred to as the "automatic cleaning time").

[0074] In the next step ST34, the endoscope 24 is removed from the cleaner 52 and stored in a storage room.

[0075] In addition, if 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 spent waiting for the endoscopic examination in the specific examination room 30 (hereinafter also referred to as the ``examination waiting time'').

[0076] Furthermore, in the washer room 50, the time required from the end of the Nth cleaning by the washer 52 until the start (restart) of the (N+1)th cleaning by the washer 52 is the time equivalent to the time the washer 52 waits to clean the endoscope 24 (hereinafter also referred to as the "wastewater standby time"). Note that here, the object to be cleaned by the washer 52 is an unspecified endoscope 24. However, this is merely an example, and a specific endoscope 24 may be cleaned by a specific washer 52.

[0077] 3, the endoscopy department management device main body 68 includes a CPU 78, a storage 80, a memory 82, a support device communication I / F (Interface) 84, a plurality of examination room communication I / Fs 86, and a washer communication I / F 88. The CPU 78, the storage 80, the memory 82, the support device communication I / F 84, the plurality of examination room communication I / Fs 86, and the washer communication I / F 88 are connected to a bus 90.

[0078] 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, various parameters, etc. Examples of the storage 80 include an EEPROM, an SSD, and / or an HDD. The memory 82 is a memory that temporarily stores information and is used as a work memory by the CPU 78. Examples of the memory 82 include a RAM.

[0079] 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.

[0080] An 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. The examination room communication I / F 86 also 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.

[0081] 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. The washer communication I / F 88 also acquires cleaning information 66 from the washer management device main body 62 and outputs the acquired cleaning information 66 to the CPU 78.

[0082] 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 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.

[0083] An endoscopic examination management database 94 and a washer 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 washer communication I / F 88 (see FIG. 3), and stores the acquired cleaning information 66 in the washer management database 96. For ease of explanation, the endoscopic examination management database 94 and the washer management database 96 will also be referred to as "medical facility management databases" below when there is no need to distinguish between them.

[0084] 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 multiple 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. In addition, a subject ID is associated with the examination start time or the examination end time (not shown).

[0085] 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, the cleaning start time and cleaning end time are associated with each endoscope ID and each washer ID.

[0086] 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.

[0087] The CPU 98, storage 100, memory 102, and communication I / F 104 are connected to a bus 106. A management information storage device 76 is also 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.

[0088] The CPU 98 controls the entire support device server 74. The storage 100 is a non-volatile storage device that stores various programs, various parameters, etc. Examples of the storage 100 include an EEPROM, an SSD, and / or an HDD. The memory 102 is a memory that temporarily stores information, and is used as a work memory by the CPU 98. Examples of the memory 102 include a RAM.

[0089] 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.

[0090] 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.

[0091] The CPU 98 reads the medical service support processing program 108 from the storage 100 and executes the read medical service support processing program 108 on the memory 102 to perform medical service support processing (see FIGS. 11A to 11C). The medical service 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, a generating unit 98F, and an identifying unit 98G in accordance with the medical service 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, the generating unit 98F, and the identifying unit 98G will be described later with reference to FIGS. 11A to 11C.

[0092] The CPU 98 performs medical service support processing to acquire the cleaning wait time for each predetermined unit into which the cleaning wait time can be divided, and outputs medical service support information in which the cleaning wait time and the predetermined unit are associated. The CPU 98 acquires the cleaning wait time for each of the multiple cleaners 52 installed in the cleaner room 50.

[0093] A first example of a predetermined unit is a medical device unit. A medical device unit refers to, for example, a unit divided by related information that allows a specific medical device to be identified from multiple medical devices. Examples of related information that allows a medical device to be identified include related information about the washer 52. In this embodiment, the related information about the washer 52 refers to the washer ID. The washer ID is, for example, the serial number of the washer 52. The washer ID is merely an example, and the related information about the washer 52 may include, instead of or in addition to the washer ID, information that allows the washer 52 to be identified as a single-bottle washer, information that allows the washer 52 to be identified as a two-bottle washer, information that allows the washer 52 to be identified as a sales series to which the washer 52 belongs, and / or information that allows the washer 52's manufacturer to be identified. In other words, the related information that allows the specific medical device to be identified may be related information that allows the medical devices to be identified as having the same function, medical devices made by the same manufacturer, or medical devices in the same sales series.

[0094] A second example of the predetermined unit is a time period. A time period refers to a unit divided into predetermined time periods. The time period may be limited to a time period during which a medical device is operating or may be operating, such as an examination time period. The examination time period is an example of a "time period" in the technology of the present disclosure. In this embodiment, the examination time period refers to a time period during which an endoscopic examination is performed. An example of an examination time period is a time period 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 period in units of several minutes to several hours within the outpatient clinic hours of a medical facility. In other words, the predetermined time may be a time period in units of several minutes to several hours, and the time period during which medical devices are operating or may be operating may be at least a portion of the examination time period or the outpatient clinic hours of a medical facility.

[0095] As will be described in detail later, the medical service support information is information that includes information that can identify the relationship between the cleaning wait time and the predetermined unit. The medical service support information includes screen information that shows a medical service support screen 114 (see FIG. 12) and a medical service support screen 116 (see FIG. 13) as information that can identify the relationship between the cleaning wait time and the predetermined unit.

[0096] 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.

[0097] The memory control unit 98D acquires 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 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 washer management database 112.

[0098] Next, the operation of the medical service support system will be described.

[0099] 10 shows an example of the flow of management device control processing performed by the CPU 78 of the endoscope department management device 12. Note that in the present embodiment, the following description will be given taking the information processing device 36 as an example of medical equipment.

[0100] In the management device control process shown in Figure 10, first, in step ST100, the receiving unit 78A determines whether the management target information has been received by the laboratory communication I / F 86 (see Figure 3) or the washer communication I / F 88 (see Figure 3). In step ST100, if the management target information has not been received by the laboratory communication I / F 86 or the washer 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 laboratory communication I / F 86 or the washer communication I / F 88, the determination is positive, and the management device control process proceeds to step ST102.

[0101] 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 washer communication I / F 88 in the medical facility 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 washer 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.

[0102] In step ST104, the transmitting 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 processing of step ST104 is executed, the management device control processing proceeds to step ST106.

[0103] In step ST106, the transmission unit 78B determines whether or not a support screen display condition, which is a condition for displaying the medical service support screen 114 (see FIG. 12) and the medical service support screen 116 (see FIG. 13) on the display 72 (see FIGS. 1 and 3), is satisfied. A first example of the support screen display condition is that an instruction to display the medical service support screens 114 and 116 on the display 72 is accepted by the accepting device 70 (see FIGS. 1 and 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 information stored in the medical facility management database has reached a predetermined amount.

[0104] In step ST106, if the support screen display conditions are not satisfied, the determination is negative, and the management device control process proceeds to step ST114. In step ST106, if the support screen display conditions are satisfied, the determination is positive, and the management device control process proceeds to step ST108.

[0105] 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 processing of step ST108 is executed, the management device control processing proceeds to step ST110.

[0106] When the processing of step ST108 is executed, the processing of steps ST206 to ST216 included in the medical work support processing shown in Figure 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.

[0107] In step ST110, the receiving unit 78A determines whether 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). If the medical work support information has not been received by the support device communication I / F 84 in step ST110, the determination is negative and the determination in step ST110 is made again. If the medical work support information has been received by the support device communication I / F 84 in step ST110, the determination is positive and the management device control processing proceeds to step ST112.

[0108] In step ST112, the display control unit 78D S A medical work support screen 114 (see FIG. 12) and a medical work support screen 116 (see FIG. 13) are 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 (see FIG. 12) and the medical work support screen 116 (see FIG. 13) are displayed 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.

[0109] In step ST114, the display control unit 78D determines whether 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).

[0110] In step ST114, if the management device control process termination condition is not satisfied, the determination is negative, and the management device control process proceeds to step ST 100. In step ST114, if the management device control process termination condition is satisfied, the management device control process ends.

[0111] 11A to 11C show an example of the flow of medical service support processing performed by the CPU 98 of the support device server 74. In FIG.

[0112] In the medical service support process shown in Fig. 11A, first, in step ST200, the receiving unit 98A determines 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 determination is negative, and the medical service support process proceeds to step ST246. In step ST200, if the management target information has been received by the communication I / F 104, the determination is positive, and the medical service support process proceeds to step ST202.

[0113] 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.

[0114] In step ST204, the receiving unit 98A determines whether or not a request for transmission of medical work support information has been made from the endoscopic 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 endoscopic department management device 12 in step ST204, the determination is negative, and the medical work support processing proceeds to step ST246. If a request for transmission of medical work support information has been made from the endoscopic department management device 12 in step ST204, the determination is positive, and the medical work support processing proceeds to step ST206.

[0115] In step ST206, the identification unit 98G refers to the endoscopic examination management database 110 (see FIG. 9) to identify the day on which the operating status of the medical equipment is at its peak (hereinafter also referred to as the "peak operating day"). After the processing of step ST206 is executed, the medical service support processing proceeds to step ST208. In this embodiment, the peak operating day of the medical equipment refers to the day on which the operating status of all information processing devices 36 installed in all examination rooms 30 (hereinafter also referred to as "all information processing devices 36") is at its peak. The peak operating day is an example of "a period when the degree of operating of the medical equipment is equal to or greater than a standard degree" according to the technology of the present disclosure.

[0116] Here, the day on which the most endoscopic examinations were performed is considered to be the peak operating day. The day on which the most endoscopic examinations were performed is an example of a "period when the value based on the number of endoscopic procedure tasks is equal to or greater than a reference value" according to the technology of the present disclosure.

[0117] The date on which the endoscopic examination was performed can be identified from the examination start time or 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 endoscopic examinations were performed is identified by the identification unit 98G from the examination start time or examination end time of the endoscopic examination information 44 included in the endoscopic examination management database 110.

[0118] The peak operating days may be specified for 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 (for example, 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.

[0119] In step ST208, the derivation unit 98E refers to the washer management database 112 and calculates the following for the peak operation day identified in step ST206: washing machine After the processing of step ST208 is executed, the medical service support processing proceeds to step ST210.

[0120] In step ST208, the standard washer operation time is the time based on the operation time of the washer 52 on the peak operation day, i.e., the statistical value of the operation time of all the washer 52 on the peak operation day (the washer operation time for all the washer 52). Here, the washer operation time refers to the operation time of the washer 52. Note that the washer operation time is the automatic cleaning time shown in FIG. 2, i.e., the time from when the cleaning start button 60A is turned on in step ST28 shown in FIG. 2 to when cleaning of the endoscope 24 by the washer 52 is completed in step ST32 shown in FIG. 2.

[0121] For example, cleaning landmark The quasi-operation time is the average value of the operation times of all the washer 52 on peak operation days. Here, the average value of the operation times of all the washer 52 is used as the standard washer operation time, but this is merely an example, and the standard washer operation time may be a statistical value such as the median, mode, maximum, minimum, or percentile of the operation times of all the washer 52. Furthermore, the standard washer operation time may be calculated within a time range (for example, a range of about 10 to 50 minutes) that is predetermined by an upper limit value and a lower limit value.

[0122] In step ST210, the derivation unit 98E calculates a cleaning machine availability reference value based on the standard cleaning machine operation time and the shortest standby time calculated in step ST208. After the processing of step ST210 is executed, the medical service support processing proceeds to step ST212. In this step ST210, the shortest standby time refers to the shortest standby time from when the cleaning of the endoscope 24 by the cleaning machine 52 ends until when the cleaning of the endoscope 24 by the cleaning machine 52 starts. Note that the endoscope 24 cleaned by the cleaning machine 52 is an unspecified endoscope 24. However, this is merely an example, and a specific endoscope 24 may be cleaned by a specific cleaning machine 52.

[0123] Here, the shortest waiting time refers to, for example, the shortest waiting time from the end of cleaning by each of all the cleaners 52 until the start of cleaning. Here, as an example of the shortest waiting time, the cleaner cleaning time shown in Fig. 2 is applied, that is, a time (for example, a time specified in advance between 1 minute and 3 minutes) that is the shortest time from the end of cleaning the endoscope 24 by the cleaner 52 (for example, from the end of the processing of step ST32 shown in Fig. 2) until the start of cleaning the endoscope 24 by the cleaner 52 (for example, until the processing of step ST28 shown in Fig. 2 is resumed). The shortest waiting time may be a fixed value or a variable value that is changed according to instructions received by the receiving device 70 or the like.

[0124] In step ST210, the standard value for the washer availability rate is a value based on the ratio of the standard washer operation time to the time including the standard washer operation time and the shortest standby time calculated in step ST208. An example of the standard value for the washer availability rate is a value obtained by multiplying the ratio of the standard washer operation time to the sum of the standard washer operation time and the shortest standby time calculated in step ST208 by an adjustment coefficient. An example of the adjustment coefficient according to this 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. Furthermore, the adjustment coefficient may be a fixed value or a variable value.

[0125] Here, an example is given in which an adjustment coefficient is multiplied by the ratio of the standard operating time of the washer to the sum of the standard operating time of the washer and the shortest standby time, but this is not limiting. The value obtained by adding or subtracting an adjustment value to the ratio of the standard operating time of the washer to the sum of the standard operating time of the washer and the shortest standby time may also be used as the standard operating rate of the washer.

[0126] In step ST212, the derivation unit 98E calculates the operation rate of each washer 52 for each examination time period on the peak operation day identified in step ST206 by referring to the washer management database 112. After the processing of step ST212 is executed, the medical service support processing proceeds to step ST213.

[0127] The operating rate of the cleaner 52 is calculated by the deriving unit 98E for each inspection time slot on a peak operating day according to the formula "(operating time of the cleaner 52) / {(operating time of the cleaner 52)+(standby time)}." The "standby time" used in the denominator of this formula refers to the cleaner standby time shown in FIG. 2, that is, the time from when the cleaner 52 finishes cleaning the endoscope 24 (for example, when the processing of step ST32 shown in FIG. 2 ends) to when the cleaner 52 starts cleaning the endoscope 24 (for example, when the processing of step ST28 shown in FIG. 2 resumes). The "standby time" used in the denominator of this formula is calculated by the deriving unit 98E from the cleaning information 66 stored in the cleaner management database 112.

[0128] In step ST213, the identification unit 98G refers to the washer management database 112 (see FIG. 9) to identify the examination time period (hereinafter also referred to as the "peak operation time period") during which the operation status of the washer 52 is at its peak on the peak operation day. After the processing of step ST213 is executed, the medical service support processing proceeds to step ST214.

[0129] The peak operating time period refers to the inspection time period during which all cleaning machines 52 are at their peak operating status on a peak operating day. For ease of explanation, the peak operating day and peak operating time period will also be referred to as the "peak operating date and time." The peak operating date and time are an example of a "period during which the operating level of a cleaning machine is equal to or greater than a standard level" according to the technology of the present disclosure. The operating level of a medical device indicates information indicating the operating rate of the medical device that can be acquired by the medical service support device, and is expressed, for example, as 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, if the medical service support device can acquire information on multiple medical devices, the value based on the number of endoscopic examinations indicates the total number of endoscopic examinations performed by the multiple medical devices per predetermined period. The value based on the number of endoscopic examinations may be obtained from the endoscopic examination management database, based on information on the start and end times of each endoscopic examination. The standard level is a reference value. More specifically, the reference value is a reference value for determining periods during which endoscopic examinations are concentrated, such as peak operating days or peak operating hours. The reference value may be a preset fixed value or a variable value that is changed according to user input. The reference value may also be a variable value calculated based on the number of endoscopic examinations performed in the past. The reference 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 a predetermined value to the maximum number. Furthermore, if the degree of operation of a medical device indicates the number of endoscopic examinations per first period (e.g., one day), the reference value may be the largest value among the numbers of endoscopic examinations performed per first period in a second period (e.g., one week) longer than the first period.

[0130] In addition, the peak operating time period is determined as the inspection time period with the longest average operating time of all the washer 52 on the peak operating day. However, this is merely one example, and the peak operating time period may be the inspection time period with the longest average operating rate calculated in step ST212, or the inspection time period with the largest number of operating washer 52, or the inspection time period with the longest median operating time of the washer 52. In this way, it is sufficient for the inspection time period to be selected from values ​​based on the statistics of the number of washer 52 and / or operating times.

[0131] The peak operation date and time obtained in this way is an example of "a period when the value based on the number of times the washer is used is equal to or exceeds the reference value" according to the technology of the present disclosure. In addition, although the peak operation date and peak operation date and time are exemplified here, they are merely examples, and the peak operation date and time are not necessarily the same as the peak operation date and time. day Instead of the peak operation date and time, a date or date designated by a user, etc. may be used. Also, although peak operation dates and times are exemplified here, these are merely examples, and peak operation days may be applied instead of the peak operation dates and times.

[0132] In step ST214, the acquisition unit 98C acquires a washer ID capable of identifying a washer 52 whose operation rate calculated in step ST212 falls within the operation rate range determined according to the washer operation rate reference value calculated in step ST210, from the support device management database 113. After the processing of step ST214 is executed, the medical work support processing proceeds to step ST216.

[0133] In step ST214, the operation rate range determined according to the washer operation rate standard value refers to a range in which the operation rate of the washer 52 is equal to or greater than the washer operation rate standard value. In other words, the washer operation rate standard value is an upper limit guideline operation rate to be compared with the operation rate of the washer 52. Therefore, in step ST214, the acquisition unit 98C identifies the washer 52 having an operation rate equal to or greater than the upper limit guideline.

[0134] In step ST216, the derivation unit 98E refers to the support device management database 113 and calculates the cleaning wait time (see FIG. 2) for each cleaning machine 52 at the peak operation date and time identified in step ST206. After the processing of step ST216 is executed, the medical service support processing proceeds to step ST218 shown in FIG. 11B.

[0135] In step ST216, the cleaning wait time for each cleaner 52 is the time from the examination end time to the cleaning start time for the endoscope 24 to be cleaned by the cleaner 52. The examination end time is identified from the endoscopic examination management database 110, and the cleaning start time is identified from the cleaner management database 112.

[0136] 11B, the generation unit 98F generates first identifiable information that can identify the relationship between the cleaning wait time calculated in step ST216 and the cleaning machine 52 identified from the cleaning machine ID acquired in step ST214. After the processing of step ST218 is executed, the medical service support processing proceeds to step ST220.

[0137] In step ST218, the first identifiable information is, for example, information that includes, for each cleaning machine ID acquired in step ST214, information that associates the cleaning waiting time calculated in step ST216 with the cleaning machine ID acquired in step ST214.

[0138] In step ST220, the generation unit 98F generates first difference information indicating a first difference, which is the difference between the longest cleaning wait time and the first shortest cleaning wait time. Here, the first shortest cleaning wait time is an example of the "reference cleaning wait time" according to the technology of the present disclosure. After the processing of step ST220 is executed, the medical service support processing proceeds to step ST222.

[0139] In step ST220, the longest cleaning wait time is the longest of the cleaning wait times for each washer ID included in the first identifiable information generated in step ST218. The first shortest cleaning wait time is the time selected as the shortest time required from the endoscopy ...

[0140] The first difference is, for example, a value obtained by subtracting the first shortest washing wait time from the longest washing wait time, but this is merely an example, and the first difference may be any value that indicates the degree of deviation between the longest washing wait time and the first shortest washing wait time, such as the ratio of the first shortest washing wait time to the longest washing wait time.

[0141] In step ST222, the generation unit 98F determines whether the first dissimilarity indicated by the first dissimilarity information generated in step ST220 exceeds a first dissimilarity threshold. An example of the first dissimilarity threshold is a value indicating a dissimilarity equivalent to "(the time predetermined as the longest wash wait time) ÷ (the time predetermined as the first shortest wash wait time) = 1.5." Note that "1.5" shown here is merely an example, and other values ​​may be used. Furthermore, the first dissimilarity threshold may be a fixed value, or may be a variable value that is changed in accordance with an instruction given by a user or the like and / or at least one condition that changes depending on the situation.

[0142] In step ST222, if the first dissimilarity indicated by the first dissimilarity information generated in step ST220 does not exceed the first dissimilarity threshold, the determination is negative and the medical service support processing proceeds to step ST224. 2 In step ST220, if the first dissimilarity indicated by the first dissimilarity information generated in step ST220 exceeds the first dissimilarity threshold, the determination is affirmative and the medical service support process proceeds to step ST22. 6Transition to.

[0143] In step ST224, the generation unit 98F generates first notification information to notify that there is a possibility of an overload of manual washing. An overload of manual washing means, for example, that there is a high possibility that there is a shortage of manual washer personnel and / or that there is a high possibility that there is a waiting list for washing in the washer 52 (particularly a two-bottle washer).

[0144] The first notification information also includes first difference information. Information based on the first notification information is visualized and displayed on the medical service support screen 114 (see FIG. 12).

[0145] In step ST226, the generating section 98F generates second identifiable information that can identify the relationship between the cleaning waiting time and the examination time slot. After the process of step ST226 is executed, the medical service support process proceeds to step ST228.

[0146] In step ST226, the generation unit 98F refers to the support device management database 113 for the peak operation day identified in step ST206, and calculates the cleaning wait time for each inspection time slot and for each washer 52. Then, the generation unit 98F generates, as second identifiable information, information including information associating the inspection time slot on the peak operation day identified in step ST206 with the calculated cleaning wait time for each washer 52.

[0147] In step ST228, the generation unit 98F generates second difference information indicating a second difference, which is the difference between the peak time period cleaning wait time and the second shortest cleaning wait time. Here, the second shortest cleaning wait time is an example of the "reference cleaning wait time" according to the technology of the present disclosure. After the processing of step ST228 is executed, the medical service support processing proceeds to step ST230.

[0148] The peak time period washing wait time refers to the average of all washing wait times associated with all washer IDs included in the peak operating time period identified in step ST206, out of all washing wait times included in the second identifiable information generated in step ST226. For example, if the peak operating time period is between 11:00 and 11:00 on Monday, February 10, 20XX, and the second identifiable information includes information associating the washing wait time with the inspection time period for each of the first to fifth washer as multiple washer 52, the average of the washing wait times between 11:00 and 11:00 on Monday, February 10, 20XX for each of the first to fifth washer included in the second identifiable information is used as the peak time period washing wait time.

[0149] The second shortest cleaning wait time is the time selected as the shortest time required from the endoscopy ...

[0150] The second difference is, for example, a value obtained by subtracting the second shortest wash wait time from the peak time period wash wait time. However, this is merely an example, and the second difference may be a value that indicates the degree of deviation between the peak time period wash wait time and the second shortest wash wait time, such as the ratio of the second shortest wash wait time to the peak time period wash wait time.

[0151] In step ST230, the generation unit 98F determines whether the second dissimilarity indicated by the second dissimilarity information generated in step ST228 exceeds a second dissimilarity threshold. An example of the second dissimilarity threshold is a value indicating a dissimilarity equivalent to "(a time predetermined as the peak time period cleaning wait time) ÷ (a time predetermined as the second cleaning minimum wait time) = 1.5." Note that "1.5" used here is merely an example, and other values ​​may be used. The second dissimilarity threshold may be a fixed value, or may be a variable value that is changed in accordance with an instruction given by a user or the like and / or at least one condition that changes depending on the situation.

[0152] In step ST230, if the second dissimilarity indicated by the second dissimilarity information generated in step ST228 does not exceed the second dissimilarity threshold, the determination is negative, and the medical service support processing proceeds to step ST234 shown in Fig. 11C. In step ST230, if the second dissimilarity indicated by the second dissimilarity information generated in step ST228 exceeds the second dissimilarity threshold, the determination is positive, and the medical service support processing proceeds to step ST232.

[0153] In step ST232, the generation unit 98F generates second notification information that notifies the user that manual washing may be overloaded. The second notification information also includes second dissimilarity information. Information based on the second notification information is visualized and displayed on the medical service support screen 116 (see FIG. 13).

[0154] 11C, the derivation unit 98E determines whether or not a two-bottle washer was used on each of the peak operation days and peak operation dates and times identified in step ST206, by referring to the washer management database 112. Here, "a two-bottle washer was used" means that the derivation unit 98E determines whether or not a two-bottle washer was operated, regardless of whether two endoscopes 24 were simultaneously cleaned by one two-bottle washer.

[0155] If a two-tube washer has not been used in step ST234, the determination is negative, and the medical work support process proceeds to step ST242. If a two-tube washer has been used in step ST234, the determination is positive, and the medical work support process proceeds to step ST236. Note that if the determination is negative in step ST238, i.e., if a two-tube washer has been used, this is an example of "when endoscopes are cleaned by a washer in units of multiple tubes" according to the technology of the present disclosure.

[0156] In step ST236, the derivation unit 98E calculates the degree of difference between the washing waiting times divided by the predetermined unit (hereinafter also referred to as "degree of difference between washing waiting times"). After the processing of step ST236 is executed, the medical service support processing proceeds to step ST238.

[0157] Here, the degree of difference between the washing waiting times is, for example, the absolute value of the difference between the washing waiting times. However, this is merely an example, and the degree of difference between one washing waiting time and another washing waiting time, such as the ratio of one washing waiting time to the other washing waiting time, may also be used. Wait Any value that indicates the degree of deviation from time may be used.

[0158] The difference between cleaning wait times is classified into a first difference between cleaning wait times, which is the difference between cleaning wait times divided by the cleaning machine ID as a predetermined unit, and a second difference between cleaning wait times, which is the difference between cleaning wait times divided by the inspection time period as a predetermined unit.

[0159] The first wash waiting time difference is, for example, the difference between wash waiting times classified by washer ID at the peak operation date and time (for example, 11:00 on Monday, February 10, 20XX). In this case, the derivation unit 98E calculates the first wash waiting time difference by referring to the first identifiable information generated in step ST218.

[0160] Here, the washer ID is used as an example of the default unit, but this is not limited to this. As described above, related information about the washer 52, such as information that can identify it as a single-bottle washer, information that can identify it as a two-bottle washer, information that can identify which sales series the washer 52 belongs to, or information that can identify the manufacturer of the washer 52, may also be used as the default unit.

[0161] The second inter-cleaning wait time difference is, for example, the difference between cleaning wait times categorized by inspection time slot on a peak operating day (e.g., Monday, February 10, 20XX). Here, the difference between cleaning wait times categorized by inspection time slot refers to, for example, the difference between the average cleaning wait time for all the cleaners 52 in one of the two inspection time slots being compared and the average cleaning wait time for all the cleaners 52 in the other inspection time slot. In this case, the derivation unit 98E calculates the second inter-cleaning wait time difference by referring to the second identifiable information generated in step ST226.

[0162] In step ST238, the generation unit 98F determines whether the inter-cleaning waiting time disparity generated in step ST236 exceeds a third disparity threshold. An example of the third disparity threshold is the same value as the first disparity threshold or the second disparity threshold. The third disparity threshold may be a fixed value or a variable value that is changed in accordance with an instruction given by a user or the like and / or at least one condition that changes depending on the situation.

[0163] In step ST238, if the difference between cleaning wait times generated in step ST236 does not exceed the third difference threshold, the determination is negative, and the medical service support processing proceeds to step ST242. In step ST238, if the difference between cleaning wait times generated in step ST236 exceeds the third difference threshold, the determination is positive, and the medical service support processing proceeds to step ST240.

[0164] In step ST240, the generation unit 98F generates causal relationship information indicating the causal relationship between the cleaning wait time difference calculated in step ST236 and the fact that the endoscope 24 was cleaned by the two-scope washer. After the processing of step ST240 is executed, the medical work support processing proceeds to step ST242.

[0165] Here, the causal relationship refers to, for example, a relationship between the degree of difference between cleaning wait times and the fact that the endoscope 24 has been cleaned by a two-tube washer, in which there is a possibility that the cleaning of the endoscope 24 has been delayed due to the endoscope 24 having been cleaned by a two-tube washer. The causal relationship information generated by the generation unit 98F is visualized and displayed on the medical service support screen 114 (see FIG. 12) and the medical service support screen 116 (see FIG. 13).

[0166] In step ST242, the generating section 98F generates medical service support information according to the various information. After the processing of step ST242 is executed, the medical service support processing proceeds to step ST244.

[0167] In step ST242, the various information refers to peak operation days, peak operation dates and times, first identifiable information, second identifiable information, first notification information, second notification information, causal relationship information, etc. The medical service support information includes peak operation days, peak operation dates and times, first identifiable information, and second identifiable information. The medical service support information also selectively includes the first notification information, second notification information, and causal relationship information. That is, if the first notification information is generated in step ST224, the medical service support information includes the first notification information; if the second notification information is generated in step ST232, the medical service support information includes the second notification information; and if the causal relationship information is generated in step ST240, the medical service support information includes the causal relationship information.

[0168] The medical service support information is information that can be presented as comments, diagrams, etc. by a presentation device (here, as an example, the display 72), and includes screen information showing a medical service support screen 114 (see FIG. 12) and a medical service support screen 116 (see FIG. 13). Note that, although an example in which the screen information is generated by the medical service support device 20 is given here, this is merely an example, and the screen information may also be generated by another device, such as the endoscopy department management device 12, for example.

[0169] As will be described in more detail later, the medical service support screen 114 includes, as medical service support information, graphs and comments that visualize information associating cleaning wait times on peak operating days with washer IDs. The medical service support screen 116 also includes, as medical service support information, graphs and comments that visualize information associating cleaning wait times on peak operating days with examination time periods.

[0170] In step ST244, the transmission unit 98B transmits the medical service support information generated in step ST242 to the endoscope department management device main body 68 via the communication I / F 104 (see FIG. 7). After the processing of step ST244 is executed, the medical service support processing proceeds to step ST246.

[0171] In step ST246, the transmission unit 98B determines whether or not a condition for terminating the medical service support process (hereinafter referred to as a "medical service support process termination condition") has been satisfied. An example of the medical service support process termination condition is that an instruction to terminate the medical service support process has been accepted by a accepting device (not shown).

[0172] In step ST246, if the medical service support processing termination condition is not satisfied, the determination is negative and the medical service support processing proceeds to step ST200 shown in Fig. 11A. In step ST246, if the medical service support processing termination condition is satisfied, the determination is positive and the medical service support processing ends.

[0173] When the medical work support information is transmitted by executing the processing of step ST244, the medical work support information is received by the support device communication I / F 84 of the endoscopy department management device 12, as described above (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 (see Fig. 12) and a medical work support screen 116 (see Fig. 13) based on the medical work support information, and the generated medical work support screens 114 and 116 are displayed on the display 72 (see Figs. 1 and 3) (see Figs. 12 and 13).

[0174] As an example, as shown in FIG. 12, the medical service support screen 114 displays a screen title display field 114A, a cleaning wait time calculation target date display field 114B, an examination support graph 114C, an examination support comment display field 114D, and a guidance comment display field 114E.

[0175] The screen title display field 114A displays a title that enables the user to recognize that the medical service support screen 114 is a screen that displays the washing wait time for each washer 52, i.e., the variation in manual washing time. In the example shown in Fig. 12, the screen title display field 114A displays "Variation in washing wait time (manual washing time) for each washer." Note that, because the washing wait time for the washer 52 can be considered as manual washing time, the screen title display field 114A may display a title such as "Variation in manual washing time for each washer" or "Variation in manual washing time."

[0176] The cleaning wait time calculation target date display field 114B displays the peak operation date and time identified in step ST206 shown in Fig. 11A. In the example shown in Fig. 12, the peak operation date and time is expressed as the year, month, date, day of the week, and time period, such as "Target date: 20XX / 2 / 10 (Mon) 11:00 AM".

[0177] The inspection support graph 114C is an example of a "diagram" according to the technology of the present disclosure. The inspection support graph 114C is a graph created by the display control unit 78D based on the first identifiable information, the first notification information, and the like, and shows the cleaning wait time for each washer 52 at the peak operating date and time. The horizontal axis of the inspection support graph 114C is a washer ID that can identify each washer 52, and the vertical axis of the inspection support graph 114C is the cleaning wait time. Note that while the example shown in FIG. 12 illustrates a bar graph, the technology of the present disclosure is not limited to this and may be other graphs such as a line graph, a pie chart, or a bar graph, or may be a diagram other than a graph such as a bubble chart.

[0178] In the example shown in FIG. 12, the washer IDs A-1, A-2, A-3, A-4, and A-5 are arranged on the horizontal axis. Of these washer IDs, the washer ID A-4 has the shortest cleaning wait time, and the washer ID A-3 has the longest cleaning wait time. The cleaning wait time for the washer ID A-3 is 1.5 times the cleaning wait time for the washer ID A-4. In the inspection support graph 114C, a background 114C1 from the cleaning wait time for the washer ID A-4, which is 6.6 minutes, to the cleaning wait time for the washer ID A-3, which is 10 minutes, is displayed in a manner that can be distinguished from other areas (in the example shown in FIG. 12, diagonal hatching). In addition, the background 114C1 is labeled with the word "1.5 times" for the range of cleaning wait times from 6.6 minutes to 10 minutes, and the inspection support graph 114C visualizes the extent of the first dissimilarity.

[0179] The inspection support comment display field 114D displays comments that contribute to eliminating variations in the cleaning wait time, i.e., the manual cleaning time, for each washer 52. The comments in the inspection support comment display field 114D are comments created by the display control unit 78D based on the peak operation date and time, the first notification information, the causal relationship information, etc.

[0180] The inspection support comment display field 114D displays a comment informing users that the cleaning wait time at peak operating times, i.e., the manual cleaning time, is shown in the inspection support graph 114C (in the example shown in Figure 12, the comment reads, "This shows the cleaning wait time (manual cleaning time) at 11:00, when the operating rate of the cleaning machine is the highest.").

[0181] In addition, in the inspection support comment display field 114D, a comment indicating the first difference shown in step ST220 shown in FIG. 11B is displayed as a comment to notify that manual cleaning may be overloaded, that is, a comment indicating the degree of difference between the longest cleaning wait time and the first shortest cleaning wait time (see step ST220 in FIG. 11B) (in the example shown in FIG. 12, the comment reads, "There is a 1.5-fold difference between the shortest cleaning wait time and the longest cleaning wait time.").

[0182] Furthermore, in the inspection support comment display field 114D, a comment (hereinafter also referred to as the "first warning comment") is displayed, which is information that visualizes the causal relationship information generated in step ST240: "Please check whether there is a waiting period for cleaning in the two-bottle washer."

[0183] The first warning comment may be displayed when a specific condition is satisfied even if no causal relationship information is generated in step ST240 shown in Fig. 11C. For example, the specific condition refers to a condition in which the first dissimilarity exceeds a first dissimilarity threshold (when the determination in step ST222 shown in Fig. 11B is affirmative).

[0184] Furthermore, the first warning comment may be, for example, a comment that clarifies the peak operating date and time and the fact that the two-bottle washer was used, such as, "The two-bottle washer was used around 11:00 on Monday, February 11, 20XX. Please check to see if there are any waiting times for the two-bottle washer to be cleaned."

[0185] In the example shown in FIG. 12, the comment "There is a 1.5-fold difference between the shortest and longest waiting times for cleaning" is displayed in the inspection support comment display field 114D to warn that manual cleaning may be overloaded, but this is merely one example, and instead of or together with this comment, comments such as "Manual cleaning may be overloaded" and / or "There may be a shortage of manual cleaners" may be displayed in the inspection support comment display field 114D.

[0186] A guidance comment is displayed in the guidance comment display field 114E. In the example shown in Fig. 12, the guidance comment display field 114E displays a comment indicating that the cleaning wait time for each examination time period can be checked on the next page as a comment providing guidance to the medical service support screen 116 (see Fig. 13).

[0187] As an example, as shown in FIG. 13, the medical service support screen 116 displays a screen title display field 116A, a cleaning wait time calculation target date display field 116B, an examination support graph 116C, an examination support comment display field 116D, and a guidance comment display field 116E.

[0188] The screen title display field 116A displays a title that allows users to recognize that the medical service support screen 116 is a screen that displays the washing waiting time for each examination time period, i.e., the variation in manual washing time. In the example shown in FIG. 13, the screen title display field 116A displays "Variation in washing waiting time (manual washing time) for each examination time period." Note that the washing waiting time for the washer 52 can be considered as the manual washing time, so the screen title display field 116A displays "Variation in washing waiting time (manual washing time) for each examination time period." 6 A may be displayed with a title such as "Variation in manual washing time for each examination time period" or "Variation in manual washing time."

[0189] The cleaning wait time calculation target date display field 116B displays the peak operation date identified in step ST206 shown in Fig. 11A. In the example shown in Fig. 13, the peak operation date is expressed as the year, month, date, and day of the week, such as "Target date: 20XX / 2 / 10 (Monday)".

[0190] The inspection support graph 116C is an example of a "diagram" according to the technology of the present disclosure. The inspection support graph 116C is a graph created by the display control unit 78D based on the second identifiable information and the second notification information, etc., and shows the cleaning waiting time for each inspection time period on peak operating days. The horizontal axis of the inspection support graph 116C represents the inspection time period, and the horizontal axis of the inspection support graph 116C represents the time period. 6 The vertical axis of C is the cleaning wait time. Note that, although a bar graph is illustrated in the example shown in Fig. 12, the technology of the present disclosure is not limited to this, and other graphs such as a line graph, a pie chart, or a bar graph may be used, or diagrams other than graphs such as a bubble chart may be used.

[0191] In the example shown in Figure 13, the inspection time periods are listed on the horizontal axis as 9:00, 10:00, 11:00, 12:00, 13:00, 14:00, 15:00, and 16:00. The cleaning wait time for each inspection time period is represented by a bar graph. The cleaning wait time corresponding to the inspection time period is the average cleaning wait time for all cleaners 52 during the inspection time period.

[0192] In addition, in the inspection support graph 116C, the background 116C1 of the peak operating time and date (11:00 in the example shown in FIG. 13) is displayed in a manner that makes it distinguishable from other areas (hatched with diagonal lines in the example shown in FIG. 12).

[0193] Furthermore, in the inspection support graph 116C, the washing wait time in the 9 o'clock hour is the shortest among all the inspection time periods from 9 o'clock to 16 o'clock. Furthermore, the washing wait time in the 11 o'clock hour during peak operating hours is 2.0 times the washing wait time in the 9 o'clock hour. In the inspection support graph 116C, the background 116C2 from the 10 minute washing wait time in the 9 o'clock hour to the 20 minute washing wait time in the 11 o'clock hour is displayed in a manner that can be distinguished from other areas (in the example shown in FIG. 13, dotted hatching). Furthermore, the background 116C2 has 9 The range from 10 minutes, which is the waiting time for cleaning in the 10 o'clock hour, to 20 minutes, which is the waiting time for cleaning in the 11 o'clock hour, is marked with the word "2.0 times," and the extent of the second difference described above is visualized and expressed in inspection support graph 116C.

[0194] The inspection support comment display field 116D displays comments that contribute to eliminating variations in the cleaning wait time for each washer 52 between inspection time periods on peak operating days, i.e., variations in manual cleaning time. The comments in the inspection support comment display field 116D are comments created by the display control unit 78D based on the peak operating date and time, the second notification information, the causal relationship information, etc.

[0195] The examination support comment display field 116D displays a comment informing the user that the examination support graph 116C shows the change in the waiting time for cleaning on peak operating days, i.e., the change in the manual cleaning time (in the example shown in Figure 13, the comment reads, "The change in the waiting time for cleaning on the peak day for endoscopic examinations (Monday, February 10, 20XX) is shown.").

[0196] In addition, the examination support comment display field 116D displays a comment indicating the second difference shown in step ST228 in FIG. 11B, that is, a comment indicating the degree of difference between the peak time period cleaning wait time and the second shortest cleaning wait time (in the example shown in FIG. 13, the comment reads, "There is a 2.0-fold difference between the cleaning wait time during the peak time period for endoscopic examinations (around 11 a.m.) and the shortest cleaning wait time.") as a comment to alert users that manual cleaning may be overloaded.

[0197] Furthermore, in the inspection support comment display field 116D, a comment (hereinafter also referred to as the "second warning comment") is displayed, which is a visualization of the causal relationship information generated in step ST240: "Please check whether there are any waiting times for cleaning in the two-bottle washer during peak hours (around 11:00)."

[0198] The second warning comment may be displayed when a specific condition is satisfied even if no causal relationship information is generated in step ST240 shown in Fig. 11C. For example, the specific condition refers to a condition in which the second dissimilarity exceeds a second dissimilarity threshold (when the determination in step ST230 shown in Fig. 11B is affirmative).

[0199] In the example shown in FIG. 13, the comment "There is a 2.0-fold difference between the waiting time for cleaning and the shortest waiting time for cleaning during the peak hours (between 11:00 and 11:00) for endoscopic examinations" is displayed in the examination support comment display field 116D to notify the user that manual cleaning may be overloaded. However, this is merely an example, and instead of or together with this comment, comments such as "There may be an overload of manual cleaning" and / or "There may be a shortage of manual cleaners" may be displayed in the examination support comment display field 116D. 6 It may be displayed in D.

[0200] A guidance comment is displayed in guidance comment display field 116E. In the example shown in Fig. 13, a comment indicating that the cleaning wait time for each washer 52 can be checked on the previous page is displayed in guidance comment display field 116E as a comment providing guidance to medical service support screen 114 (see Fig. 12).

[0201] As described above, in the medical service support device 20 according to this embodiment, the cleaning wait time from the endoscopy endoscopy endurance test completion time until the cleaner 52 starts cleaning the endoscope 24 is acquired for each cleaner 52 (see step ST218 shown in FIG. 11B). Then, the medical service support device 20 transmits medical service support information in which the cleaning wait time and the cleaner 52 are associated with each other to the endoscopy department management device 12 (see step ST244 shown in FIG. 11C).

[0202] Furthermore, the medical service support device 20 acquires the cleaning wait time from the endoscopy examination completion until the cleaner 52 starts cleaning the endoscope 24 for each examination time period (see step ST226 shown in FIG. 11B).Then, the medical service support device 20 transmits medical service support information in which the cleaning wait time and the examination time period are associated with each other to the endoscopy department management device 12 (see step ST244 shown in FIG. 11C).

[0203] In the endoscopy department management device 12, medical work support screens 114 and 116 are generated based on the medical work support information and displayed on the display 72 (see step ST112 shown in FIG. 10). The medical work support information is presented to the user, etc. in a visualized form on the medical work support screens 114 and 116, so the user, etc. can understand how tight the endoscope handling work is by comparing the cleaning wait times between the cleaners 52 or between examination time slots. Therefore, this configuration can support the efficient implementation of endoscope handling work.

[0204] Furthermore, the medical service support device 20 acquires the cleaning wait time on the peak operating date and time for each washer 52. Then, the endoscopy department management device 12 displays the cleaning wait time for each washer 52 on the peak operating date and time on the medical service support screen 114. Therefore, this configuration allows the user or the like to know the cleaning wait time for each washer on the peak operating date and time.

[0205] Furthermore, the medical service support device 20 acquires the washing wait time for each examination time slot on peak operating days. Then, the endoscopy department management device 12 displays the washing wait time for each examination time slot on peak operating days on the medical service support screen 114. Therefore, this configuration allows users to understand the washing wait time for each examination time slot on peak operating days.

[0206] Furthermore, a peak operation day is a day when the operation status of all information processing devices 36 is at its peak, and a peak operation time period is an inspection time period when the operation status of all cleaning devices 52 is at its peak. Therefore, with this configuration, it is possible to grasp the cleaning wait time during the inspection time period when the operation status of all cleaning devices 52 is at its peak on a day when the operation status of all information processing devices 36 is at its peak.

[0207] Furthermore, the peak operating day is the day on which the most endoscopic examinations were performed. Therefore, with this configuration, compared to when the medical work support information is composed only of the cleaning wait time, the user can accurately grasp the cleaning wait time on the day on which the most number of uses of the washer 52 were made.

[0208] Furthermore, the medical service support device 20 generates, as medical service support information (see step ST242 shown in FIG. 11C), information including information that can identify the relationship between the cleaning wait time and the washer 52 (see step ST218 shown in FIG. 11B). Therefore, with this configuration, it is possible to easily present a comparison of the cleaning wait time between the washer 52, compared to when the medical service support information is information that cannot identify the relationship between the cleaning wait time and the washer 52, i.e., the relationship between the cleaning wait time and the washer ID.

[0209] Furthermore, the medical service support device 20 generates information including information that allows identification of the relationship between the cleaning wait time and the examination time slot (see step ST226 shown in FIG. 11B) as medical service support information (see step ST242 shown in FIG. 11C). Therefore, with this configuration, it is possible to easily realize a presentation that allows comparison of cleaning wait times between examination time slots, compared to when the medical service support information does not allow identification of the relationship between the cleaning wait time and the examination time slot.

[0210] Furthermore, the medical service support device 20 generates, as medical service support information (see step ST242 shown in FIG. 11C), information including first difference degree information (see step ST220 shown in FIG. 11B) indicating a first difference degree between the longest washing wait time and the first shortest washing wait time. Therefore, according to this configuration, the user or the like can know how much the longest washing wait time and the first shortest washing wait time differ.

[0211] Furthermore, the medical service support device 20 generates, as medical service support information (see step ST242 in FIG. 11C), information including second difference degree information (see step ST228 in FIG. 11B) indicating a second difference degree between the peak time period washing wait time and the second shortest washing wait time. Therefore, this configuration allows the user or the like to understand the degree of difference between the peak time period washing wait time and the second shortest washing wait time.

[0212] Furthermore, in the medical service support device 20, when the first dissimilarity indicated by the first dissimilarity information exceeds the first dissimilarity threshold (when the determination is affirmative in step ST222 shown in FIG. 11B), information including first notification information (see step ST224 shown in FIG. 11B) notifying that manual washing may be overloaded is generated as medical service support information (see step ST242 shown in FIG. 11C). When the second dissimilarity indicated by the second dissimilarity information exceeds the second dissimilarity threshold (when the determination is affirmative in step ST230 shown in FIG. 11B), information including second notification information (see step ST232 shown in FIG. 11B) notifying that manual washing may be overloaded is generated as medical service support information (see step ST242 shown in FIG. 11C). Therefore, this configuration allows the user or the like to understand that manual washing may be overloaded.

[0213] Furthermore, when a two-bottle washer is used, medical service support device 20 generates, as medical service support information (see step ST242 in FIG. 11C), information including causal relationship information (see step ST240 in FIG. 11C) that indicates the causal relationship between the difference in washing wait time and the fact that a two-bottle washer was used. Therefore, with this configuration, it is possible to suggest to the user that the cause of the washing wait of washer 52 may be due to the use of a two-bottle washer.

[0214] Furthermore, the medical service support information is information that can be expressed as comments and figures (for example, examination support graphs 114C and 116C) on the display 72. Therefore, this configuration allows users and the like to visually grasp the medical service support information.

[0215] In the above embodiment, the first difference between the longest cleaning wait time and the first shortest cleaning wait time is exemplified, but the technology of the present disclosure is not limited to this, and another reference cleaning wait time may be applied instead of the first shortest cleaning wait time. Examples of reference cleaning wait times other than the first shortest cleaning wait time include a statistical value (average value, median value, mode, maximum value, minimum value, etc.) of cleaning wait times in an inspection time slot specified by a user or the like, or a statistical value (average value, median value, mode, maximum value, minimum value, etc.) of cleaning wait times for the washer 52 specified by a user or the like.

[0216] In the medical service support process according to the embodiment described above (see FIG. 11A), the peak operation day is identified by executing the process of step ST206. However, the technology of the present disclosure is not limited to this. For example, the identifying unit 98G may refer to the washer management database 112 (see FIG. 9) and derive the day on which the operation status of the washer 52 is at its peak as the peak operation day. 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 pre-specified period (e.g., a period specified by a user, etc.). An example of a peak operation day in this case is the day on which the most number of times the washer 52 was used. The day on which the washer 52 was used can be identified from the cleaning start time or cleaning end time in the cleaning information 66 stored in the washer management database 112. Another example of a peak operation day is the day on which the number of times the washer standby time (see FIG. 2) falls below a standby time threshold (e.g., 50 minutes) is equal to or exceeds a reference number. In other words, the operating level of a medical device may be indicated by a value based on the number of times the examination waiting time falls below the waiting time threshold, and the reference level may be indicated by a reference number. The number of times the examination waiting time falls below the waiting time threshold refers to the number of times the waiting time falls below the waiting time threshold per predetermined period, such as per day or per hour. Furthermore, if the medical service support device can acquire data on multiple medical devices, the number of times the examination waiting time falls below the waiting time threshold refers to the total number of times the examination waiting time for the multiple medical devices falls below the waiting time threshold. The waiting time threshold corresponds to the preparation period required between the end of an endoscopic examination and the start of the next endoscopic examination at a medical facility, and may be a fixed value or a variable value set or changed by a user, etc. Furthermore, the waiting time threshold may be a variable value calculated based on the examination waiting time for endoscopic procedure tasks performed in the past. For example, the waiting time threshold may be the average waiting time for examinations performed in the past, the minimum waiting time for examinations performed in the past, or a value obtained by adding or multiplying a predetermined value to the minimum value. The reference number of times corresponding to the reference degree is a preset value, more specifically, a preset value for determining a period when endoscopic examinations are concentrated, such as a peak day or peak time.The default value may be a fixed value set in advance, or a variable value that can be changed according to user input. The default value may also be a variable value calculated based on the number of times that the past waiting time for an examination fell below the waiting time threshold. For example, the default value may be the average value of the number of times that the past waiting time for an examination fell below the waiting time threshold, or a variable value calculated based on the number of times that the past waiting time for an examination fell below the waiting time threshold, such as the maximum number of times that the past waiting time for an examination fell below the waiting time threshold, or a value obtained by adding or multiplying the maximum value by a predetermined value. Furthermore, if the degree of operation of a medical device indicates the number of times that the waiting time for an examination fell below the waiting time threshold for each first period (e.g., one day), the default value may be the largest value among the number of times that the waiting time for an examination fell below the waiting time threshold for each first period in a second period (e.g., one week) longer than the first period.

[0217] Furthermore, for example, a peak operating day may be a day on which the number of times that the examination waiting time (see FIG. 2) falls below a waiting time threshold (e.g., 3 minutes) is equal to or exceeds a reference number. In this case, it is possible to identify a peak operating day even if it is not possible to determine the number of endoscopic examinations performed. The waiting time threshold and the reference number may be fixed values ​​or may be variable values ​​that can be changed by the user, etc.

[0218] Furthermore, for example, the identification unit 98G may refer to the support device management database 113 (see FIG. 9 ) to identify the day on which the operation status of the endoscope 24 is at its peak as the peak operation day. 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 pre-specified period (e.g., a period specified by a user, etc.). An example of a peak operation day in this case is the day on which the endoscope 24 is used the most. The day on which the endoscope 24 is used can be identified from the examination start time, examination end time, cleaning start time, or cleaning end time stored in the support device management database 113. Another example of a peak operation day is the day on which the number of times the scope standby time falls below a standby time threshold (e.g., 50 minutes) is equal to or greater than a reference number. The scope standby time refers to the time from when the endoscope 24 is cleaned by the cleaner 52 until the endoscopic examination begins.

[0219] In the above embodiment, an example was described in which causal relationship information was generated on the condition that a two-tube washer was used, regardless of whether one endoscope 24 or two endoscopes 24 were cleaned using the two-tube washer. However, the technology of the present disclosure is not limited to this. For example, causal relationship information may be generated on the condition that it is confirmed that two endoscopes 24 have been cleaned using a two-tube washer. Note that the fact that two endoscopes 24 have been cleaned using a two-tube washer is confirmed when the CPU 98 identifies from the washer management database 112 that the two endoscopes 24 started cleaning at the same time using the two-tube washer identified by the washer ID related to the two-tube washer.

[0220] In the above embodiment, peak operation days are used as an example, but the technology of the present disclosure is not limited to this, and peak operation periods may be defined in time units other than days, such as peak operation months or peak operation years.

[0221] In the above embodiment, the case where the medical service support information is information that can be expressed by the examination support graph 114C and comments has been described, but the technology of the present disclosure is not limited to this, and the medical service support information may be information that can be expressed by a table. In other words, the medical service support information may be information that can be expressed by at least one of a diagram, a comment, and a table.

[0222] In the above embodiment, multiple cleaners 52 including at least one two-scope cleaner are illustrated, but the technology of the present disclosure is not limited to this. Instead of or in addition to the two-scope cleaner, cleaners 52 for cleaning endoscopes 24 in multiple units of three or more scopes may be used.

[0223] In the above embodiment, an example has been described in which the operation of the information processing device 36 is started when the inspection start button 38A is turned on and stopped when the inspection start button 38A is turned off, but the technology of the present disclosure is not limited to this. The operation of the information processing device 36 may be started on the 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 the condition that the barcode 42 is read again by the barcode reader 40. The same can be said for starting and stopping the operation of the cleaning device 52.

[0224] While the example illustrates a case in which the information processing device 36 is started and stopped by pressing the test start button 38A, this is merely an example. The test start button 38A is not limited to a physical button. It may also be configured, as in a touch panel display, to start or stop the operation of the information processing device 36 by detecting proximity to at least one soft key displayed on the touch panel. The start and stop of the operation of the information processing device 36 may also be controlled by voice input and / or gesture input. Furthermore, a non-contact human presence sensor may be provided in a predetermined area of ​​the examination room 30 or in the information processing device 36, so that the operation of the information processing device 36 is started or stopped by detecting a human body. The same applies to the control of the start and stop of the operation of the cleaner 52 using the cleaning start button 60A.

[0225] In the above embodiment, an example of a form in which medical work support information is generated based on the cleaning waiting time and a predetermined unit (e.g., a washer ID and an examination time period) for an endoscopy department has been described, but the technology disclosed herein is not limited to this, and medical work support information may also be generated based on the cleaning waiting time and a predetermined unit (e.g., a washer ID and an examination time period) when an endoscopic examination is performed by a department (e.g., an internal medicine department or a surgery department) or a medical institution (e.g., a clinic or a general hospital).

[0226] In the above embodiment, the examination room 30 is exemplified, but it does not necessarily have to be one room, and may be a space obtained by dividing one room with curtains and / or partitions or the like.

[0227] In the above embodiment, the endoscope processor device 32 and the information processing device 36 are separate entities, 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. 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.

[0228] In the above embodiment, an example has been described in which the medical service support information is visualized and presented to the user by displaying the medical service support screens 114 and 116 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 described above, the medical service support information may be output as audio by an audio playback device, or the medical service support information may be printed on a recording medium (e.g., paper) and output by a printer.

[0229] In the above embodiment, an endoscope handling operation including endoscopic examinations has been described as an example of an "endoscopic procedure operation" according to the technology of the present disclosure. However, the technology of the present disclosure is not limited to this and may also include medical device handling operations including medical device procedure operations other than endoscopic examinations. For example, the endoscopic procedure operation may include endoscopic surgery and / or endoscopic treatment. Examples of 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 endoscopy and / or treatment, surgery and / or treatment using a vascular endoscope, and surgery and / or treatment using an epidural endoscope.

[0230] In the above embodiment, the endoscope 24, the information processing device 36, and the washer 52 are given as examples of medical devices, but the technology of the present disclosure is not limited to this, and the medical devices may be medical devices other than the endoscope 24, the information processing device 36, and the washer 52. Examples of medical devices other than the endoscope 24, the information processing device 36, and the washer 52 include a medical management device (e.g., a device having a processor and memory) equivalent to the information processing device 36, medical accessories (e.g., a replaceable ultrasound probe and / or a replaceable treatment tool used in dental treatment) that are 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 washer that cleans medical accessories in the same way as the washer 52 that cleans the endoscope 24.

[0231] In the above embodiment, 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 contactless storage medium using RFID (Radio Frequency Identification) technology. In this case, a device capable of recognizing the two-dimensional code and / or the contactless storage medium to obtain information that can identify the endoscope 24 or the subject may be applied instead of the barcode readers 40 and 64.

[0232] In the above embodiment, the medical service support device 20 is exemplified, but instead of the medical service support device 20, the medical service support processing program 108 (see FIG. 8) may be executed by a computer used on-premise together with the endoscopy department management device 12. In addition, the management information storage device 76 may also be used on-premise together with the endoscopy department management device 12.

[0233] Furthermore, in the above embodiment, an example was given in which the medical service support processing program 108 is stored in the storage 100, but the medical service 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 service support processing program 108 may be stored in a non-transitory storage medium. The medical service support processing program 108 stored in a non-transitory storage medium is installed in, for example, the support device server 74.

[0234] In addition, in the above embodiment, an assistance device server 74 including a CPU 98, storage 100, and 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 instead of or together with the assistance device server 74.

[0235] The hardware resources for executing the medical service support processing described in the above embodiments can be various processors, as listed below. Examples of processors include 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. Examples of processors include dedicated electrical circuits, such as FPGAs, PLDs, or ASICs, which are processors with circuit configurations designed specifically for executing specific processing. Each processor has built-in or connected memory, and each processor uses the memory to execute terminal-side processing.

[0236] The hardware resource that executes the medical service support processing may be configured with one of these various processors, or may be configured with 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 that executes the medical service support processing may be a single processor.

[0237] As an example of a system configured with a single 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 system that uses a processor 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.

[0238] Furthermore, the hardware structure of these various processors can be, more specifically, an electric circuit that combines circuit elements such as semiconductor devices. 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 rearranged, without departing from the spirit of the invention.

[0239] The above-described description and illustrations are a detailed explanation 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, functions, actions, and effects is an explanation of an example of the configuration, functions, actions, and effects 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-described description and illustrations within the scope of the gist of the technology of the present disclosure. Furthermore, to avoid confusion and facilitate understanding of the parts related to the technology of the present disclosure, the above-described description and illustrations omit explanations of common technical knowledge that do not require particular explanation to enable the implementation of the technology of the present disclosure.

[0240] 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. Furthermore, in this specification, the same concept as "A and / or B" is also applied when three or more things are expressed connected by "and / or."

[0241] All publications, patent applications, and technical standards mentioned in this specification are herein incorporated by reference to the same extent as if each individual publication, patent application, or technical standard was specifically and individually indicated to be incorporated by reference.

[0242] The following additional notes are provided regarding the above-described embodiments.

[0243] (Appendix 1) a processor; a memory connected to or embedded in the processor; The processor: acquiring a cleaning waiting time for each divisible predetermined unit from the end of a medical device procedure using a medical accessory device that is detachably connected to the medical management device until a cleaning machine starts cleaning the medical accessory device; and outputting medical service support information in which the cleaning waiting time and the predetermined unit are associated with each other. Medical business support equipment.

[0244] According to the configuration described in Supplementary Note 1, it is possible to support the efficient implementation of medical equipment handling operations.

[0245] (Appendix 2) The medical support device according to claim 1, wherein the predetermined unit is related information relating to the cleaning machine.

[0246] (Appendix 3) 2. The medical service support device according to claim 1, wherein the predetermined unit is a time period. [Explanation of symbols]

[0247] 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 Control unit 24D Universal Code 26,28 Connector 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 washing machine 54 Washing machine control device 56 First cleaning tank 58 Second cleaning tank 60,70 Reception device 60A Cleaning start button 62 Washing machine control 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 receiving section 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 Washer communication I / F 90,106 buses 92 Management Device Control Program 94,110 Endoscopy Management Database 96,112 Washing Machine Management Database 98C Acquisition Department 98E Lead-out section 98F generation section 98G Specific part 104 Communication I / F 108 Medical Business Support Processing Program 113 Assistive Device Management Database 114,116 Medical business support screen 114A, 116A Screen title display field 114B, 116B Cleaning waiting time calculation target date display field 114C,116C Inspection support graph 114D, 116D Examination support comment display field 114E, 116E Guide comment display field

Claims

1. a processor; a memory connected to or embedded in the processor; The processor: For periods when the degree of operation of medical devices used in endoscope handling work, including endoscope procedure work using an endoscope, is equal to or greater than a standard degree, the cleaning waiting time from the endoscope procedure work completion to the start of the cleaning of the endoscope by a cleaning machine is acquired in divisible predetermined units, and outputting medical service support information in which the cleaning waiting time and the predetermined unit are associated with each other. Medical business support equipment.

2. There are a plurality of the cleaning machines, The medical service support device according to claim 1 , wherein the processor acquires the cleaning wait time for each of the plurality of cleaning machines.

3. 3. The medical service support device according to claim 1, wherein the medical service support information includes information that enables identification of a relationship between the cleaning wait time and the predetermined unit.

4. 4. The medical service support device according to claim 1, wherein the medical service support information includes difference information indicating a difference between the cleaning wait time and a reference cleaning wait time.

5. 5. The medical service support device according to claim 4, wherein the standard cleaning wait time is a time selected as the shortest time required from the endoscopy procedure completion until the cleaning machine starts the cleaning.

6. The cleaning waiting time includes a manual cleaning time in which the endoscope is manually cleaned, A medical service support device as described in claim 4 or claim 5, wherein when the dissimilarity indicated by the dissimilarity information exceeds a dissimilarity threshold, the medical service support information includes notification information that notifies that the manual cleaning may be overloaded.

7. There are a plurality of the cleaning machines, at least one of the plurality of cleaners is capable of cleaning a plurality of the endoscopes at a time, A medical work support device as described in any one of claims 1 to 6, wherein when the endoscopes are cleaned by the cleaner in units of multiple scopes, the medical work support information includes causal relationship information indicating the causal relationship between the degree of difference between the cleaning waiting times divided by the predetermined units and the fact that the endoscopes were cleaned by the cleaner in units of multiple scopes.

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

9. The medical service support device according to claim 1 , wherein the predetermined unit is related information relating to the cleaning machine.

10. The medical service support device according to claim 1 , wherein the predetermined unit is a time period.

11. The medical service support device according to claim 1 , wherein the period when the degree of operation of the medical device is equal to or greater than the reference degree is a period when a value based on the number of endoscopic procedure operations is equal to or greater than a reference value.

12. 12. The medical service support device according to claim 1, wherein the period when the degree of operation of the medical equipment is equal to or greater than the reference degree is a period when the number of times the waiting time of the endoscopic procedure work falls below the waiting time threshold is equal to or greater than the reference number.

13. The medical service support device according to claim 1 , wherein the medical device is at least one of an information processing device used together with the endoscope and the cleaning machine.

14. A medical service support method executed by a computer, comprising: The computer For periods when the degree of operation of medical equipment used in endoscope handling work, including endoscope procedure work using an endoscope, is equal to or greater than a standard degree, the cleaning waiting time from the endoscope procedure work is completed until the cleaner starts cleaning the endoscope is acquired in divisible predetermined units; and and outputting medical service support information in which the cleaning wait time and the predetermined unit are associated with each other. Medical business support methods.

15. On the computer, For periods when the degree of operation of medical equipment used in endoscope handling work, including endoscope procedure work using an endoscope, is equal to or greater than a standard degree, the cleaning waiting time from the endoscope procedure work is completed until the cleaner starts cleaning the endoscope is acquired in divisible predetermined units; and A program for executing a process including outputting medical service support information in which the cleaning wait time and the predetermined unit are associated with each other.

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