The present invention relates to a determination of patient's treatment order.
In medical facilities such as hospitals, disquiet may occur in patients. Disquiet is the state of confusion associated with the occurrence of delirium or the like that may occur in a patient. Problem behaviors such as self-extubation, overturning, and falling occur when an inpatient becomes disquiet, which increases the risk of delayed treatment and injury. Patent Document 1 proposes a mechanism for estimating countermeasure information by detecting indications of disquiet in advance.
However, in Patent Document 1, when a plurality of patients becomes disquiet, a patient's treatment order, such as from which patient to treat, has not been considered.
It is an object of the present disclosure to provide an information processing device capable of efficiently treating patients by determining a patient's treatment order.
According to an example aspect of the present invention, there is provided an information processing device comprising:
According to another example aspect of the present invention, there is provided an information processing method comprising:
According to still another example aspect of the present invention, there is provided a recording medium recording a program which causes a computer to execute processing of:
According to the present invention, it is possible to efficiently treat patients by determining a patient's treatment order.
[System Configuration]
The server 100 determines medical professionals to treat disquiet patients or patients at risk of being disquiet, and the priority of treatment. Specifically, the server 100 acquires information about patients (hereinafter referred to as the “patient information”), information about the medical professionals (hereinafter referred to as the “medical professional information”), and information about environments (hereinafter referred to as the “environment information”) from the database 115 at each predetermined time. Then, the server 100 decides patients who need to be treated, the medical professionals who treat, and the priority of treatment based on the patient information, the medical professional information, and the environment information. The server 100 generates display data including the patients who need to be treated, the medical professionals who treat, the priority of treatment, and the like. Then, the server 100 transmits the display data to the medical professional terminals 300 and the administrator terminal 400.
Incidentally, the database 115 stores the patient information, the medical professional information, and the environment information, in advance. The server 100 receives biomedical information and location information from the patient terminals 200 and the medical professional terminals 300, and updates the predetermined information in the database 115 at each predetermined time.
The patient terminal 200 is, for example, a wristband type wearable device. The patient terminal 200 acquires the biomedical information and the location information of a patient at each predetermined time and transmits the information to the server 100. The biomedical information of the patient includes, for example, a heart rate, a respiratory rate, blood pressure, a body temperature, and a perspiration amount. Incidentally, the biomedical information of the patient may be acquired from a thermographic camera or the like installed in the hospital room in advance.
The medical professional terminal 300 is a terminal used by a medical professional such as a nurse, and is a smartphone or a tablet terminal, for example. The medical professional terminal 300 acquires the location information and transmits the location information to the server 100 at each predetermined time. In addition, the medical professional terminal 300 displays the display data received from the server 100 on the display. Thus, the medical professional can understand the patients who they should treat and the order of treatment.
The administrator terminal 400 is a terminal used by an administrator such as a doctor or a nurse chief, and is a smartphone, a tablet terminal or the like. The administrator terminal 400 displays the display data received from the server 100 on the display. Thus, the administrator can understand which medical professional treats which patient.
[Server]
The communication unit 111 transmits and receives data to and from external devices. Specifically, the communication unit 111 transmits and receives information to and from the patient terminals 200, the medical professional terminals 300, and the administrator terminal 400.
The processor 112 is a computer, such as a CPU (Central Processing Unit) and controls the entire server 100 by executing a program prepared in advance. The processor 112 may be a GPU (Graphics Processing Unit), a FPGA (Field-Programmable Gate Array), a DSP (Demand-Side Platform), an ASIC (Application Specific Integrated Circuit), or the like.
The memory 113 may be a ROM (Read Only Memory) and a RAM (Random Access Memory). The memory 113 stores various programs executed by the processor 112. The memory 113 is also used as a working memory during various processes performed by the processor 112.
The recording medium 114 is a non-volatile and non-transitory recording medium such as a disk-like recording medium and a semiconductor memory, and is configured to be detachable from the server 100. The recording medium 114 records various programs executed by the processor 112.
The database (DB) 115 stores the patient information, the medical professional information, the environment information, or the like. The DB 115 may include an external storage device, such as a hard disk, connected to or built in the server 100, and may include a storage medium, such as a detachable flash memory. Instead of providing the server 100 with the DB 115, the DB 115 may be provided in an external server or the like so that the server 100 can acquire the patient information, the medical professional information, the environment information, or the like from the external server by communication.
The server 100 may include an input device such as a keyboard or a mouse, and a display unit such as a liquid crystal display, for allowing a user to perform instructions or inputs.
[Patient Terminal]
The communication unit 211 transmits and receives data to and from external devices. Specifically, the communication unit 211 transmits and receives information to and from the server 100. The communication unit 211 may communicate with beacons installed in the hospital by Bluetooth (registered trademark).
The processor 212 is a computer such as a CPU and controls the entire patient terminal 200 by executing a program prepared in advance. The processor 212 may be a GPU, a FPGA, a DSP, an ASIC, or the like.
The memory 213 may be a ROM and a RAM. The memory 213 stores various programs executed by the processor 212. The memory 213 is also used as a working memory during various processes performed by the processor 212.
The wearable sensor 214 includes a heart rate sensor, a temperature sensor, a perspiration sensor, and the like. The heart rate sensor measures a patient's heart rate. The temperature sensor measures a patient's body temperature. The perspiration sensor measures the perspiration amount of the patient. Note that the sensor is not limited to the above sensors, as long as it is a sensor capable of acquiring biomedical information of a patient.
The patient terminal 200 may include a GPS (Global Positioning System) receiver or the like to transmit the location information to the server 100.
[Medical Professional Terminal]
The communication unit 311 transmits and receives data to and from the external devices. The communication unit 311 transmits and receives information to and from the server 100. The communication unit 311 may communicate with the beacons installed in the hospital by Bluetooth (registered trademark).
The processor 312 is a computer such as a CPU and controls the entire medical professional terminal 300 by executing a program prepared in advance. The processor 312 may be a GPU, a FPGA, a DSP, an ASIC, or the like.
The memory 313 may be a ROM and a RAM. The memory 313 is also used as a working memory during various processes performed by the processor 312.
The touch panel 314 displays information received by the medical professional terminal 300. The touch panel 314 also functions as an input device for a medical professional.
The medical professional terminal 300 may include a GPS receiver or the like to transmit the location information to the server 100.
[Function Configuration]
In the patient information storage unit 411, the patient information is stored. The server 100 updates the patient information each time the biomedical information of the patient is received from the patient terminal 200 or the thermographic camera installed in the hospital room.
In the medical professional information storage unit 412, the medical professional information is stored.
The cost conversion unit 413 acquires the patient information from the patient information storage unit 411. Then, the cost conversion unit 413 converts the patient information into costs.
First, the cost conversion unit 413 converts the information of each item included in the patient information, such as the biomedical information, the disquiet score, and the behavior of the patient, into a unified value based on a common criterion. For example, the cost conversion unit 413 uses a level as the common criterion, and sets the level higher as the patient's state becomes apart from the normal state. Specifically, when the patient's heart rate is within the range of the normal value, the cost conversion unit 413 sets the level to “0”. On the other hand, when the patient's heart rate is outside the normal range, the cost conversion unit 413 sets the level higher than “0” based on the difference between the patient's heart rate and the normal value.
Next, the cost conversion unit 413 converts the patient information into the cost by referring to a predetermined cost conversion table or the like. For example, the cost conversion unit 413 converts the patient information into the cost by referring to the cost conversion table or the like associating a combination of levels of each item of the patient information with a cost for the combination. The method of converting the patient information into the cost is not limited to the method using the cost conversion table, and the cost conversion unit 413 may acquire the cost by adding the values of each item of the patient information that is unified based on a common criterion. The cost conversion unit 413 outputs the cost converted from the patient information (hereinafter, referred to as the “patient cost”) to the total cost calculation unit 416.
The cost conversion unit 413 acquires the medical professional information from the medical professional information storage unit 412. In the same manner as described above, first, the cost conversion unit 413 converts the information of each item, such as the length of service, the skill level, and the patients in charge, which are included in the medical professional information, into a unified value based on a common criterion. Next, the cost conversion unit 413 converts the medical professional information into the cost by referring to a conversion table or the like that defines the relationship between the medical professional information and the costs in advance. The cost conversion unit 413 outputs the cost converted from the medical professional information (hereinafter, referred to as the “medical professional cost”) to the total cost calculation unit 416.
In the environment information storage unit 414, the environment information is stored.
The weight calculation unit 415 acquires the environment information from the environment information storage unit 414. Then, the weight calculation unit 415 calculates weights based on the environment information. The weight calculation unit 415 calculates the weights from the environment information by referring to a weight conversion table that defines the relationship between the environment information and the weights. For example, the weight conversion table is set so that the weight becomes the largest when the type of room is the ICU, and the weight becomes smaller than the ICU when the type of room is the HCU or the general ward. In addition, the weight conversion table is set so that the closer the distance between the patient and the medical professional, the greater the weight. The weight calculation unit 415 may reduce the weight determined from the distance between the patient and the medical professional, when the location information of the patient terminal 200 and the medical professional terminal 300 cannot be accurately acquired due to a network failure or the like. The weight calculation unit 415 outputs the weights calculated from the type of room (hereinafter, also referred to as the “weight of the hospital room”) and the weights calculated from the distance between the patient and the medical professional (hereinafter, also referred to as the “weight of the distance”) to the total cost calculation unit 416.
The total cost calculation unit 416 acquires the patient cost and the medical professional cost from the cost conversion unit 413. The total cost calculation unit 416 acquires the weight of the hospital room and the weight of the distance from the weight calculation unit 415. The total cost calculation unit 416 calculates the total cost (ct) based on the patient cost (c1), the medical professional cost (c2), the weight of the hospital room (w1), and the weight of the distance (w2). Here, the total cost (ct) is calculated by one of the following equations, for example.
(ct)=(c1+c2)×(w1+w2) (1)
(ct)=(c1+c2)×(w1×w2) (2)
(ct)=(c1×w1)+(c2×w2) (3)
The total cost calculation unit 416 calculates the total costs and temporarily stores them in the memory 113.
The total cost calculation unit 416 determines whether or not the patient needs to be treated based on the total cost of the patient. For example, the total cost calculation unit 416 determines that a patient whose total cost is equal to or larger than a predetermined threshold value is a patient who needs to be treated. Specifically, in
The total cost calculation unit 416 also determines which medical professional should treat which patient. For example, the total cost calculation unit 416 compares the total costs of the medical professionals for the patient who needs to be treated, and determines the medical professional who should treat the patient. Specifically, in
In addition, when the medical professional treats a plurality of patients, the total cost calculation unit 416 determines the order of treatment. The total cost calculation unit 416 assigns the order of treatment from the patient having the higher total cost. Specifically, in
The display data generation unit 417 acquires the patients who need to be treated, the medical professionals who treat, and the order of treatment from the total cost calculation unit 416. The display data generation unit 417 generates display data including the patients who need to be treated, the medical professionals who treat, and the order of treatment. At this time, the display data generation unit 417 generates the display data for the medical professionals and the display data for the administrator. The display data for the medical professionals are generated for each medical professional. The display data generation unit 417 transmits the generated display data to the medical professional terminals 300 and the administrator terminal 400.
In the above-described configuration, the cost conversion unit 413 is an example of an information acquisition means. The cost conversion unit 413, the weight calculation unit 415, and the total cost calculation unit 416 are examples of a treatment order determination means. The display data generation unit 417 is an example of an information output means.
[Display Example]
Next, a display example by the medical professional terminal 300 and the administrator terminal 400 will be described.
[Determination Processing]
First, the cost conversion unit 413 acquires the patient information from the patient information storage unit 411 (step S11). The cost conversion unit 413 acquires the medical professional information from the medical professional information storage unit 412 (step S12). Then, the cost conversion unit 413 converts the patient information and the medical professional information into the costs, respectively (step S13). The cost conversion unit 413 converts the patient information and the medical professional information into the patient costs and the medical professional costs, respectively, by referring to the predetermined cost conversion tables or the like. Next, the weight calculation unit 415 acquires the environment information from the environment information storage unit 414 (step S14). Then, the weight calculation unit 415 calculates the weights based on the environment information (step S15). The weight calculation unit 415 calculates the weights from the environment information by referring to a predetermined weight conversion table or the like.
Next, the total cost calculation unit 416 acquires the patient costs and the medical professional costs from the cost conversion unit 413. The total cost calculation unit 416 acquires the weights from the weight calculation unit 415. Then, the total cost calculation unit 416 calculates the total costs based on the patient costs, the medical professional costs, and the weights (step S16). Then, the total cost calculation unit 416 compares the total costs with a predetermined threshold value (step S17), and the total cost calculation unit 416 determines that a patient whose total cost is equal to or larger than the predetermined threshold value is a patient who needs to be treated. Next, the total cost calculation unit 416 determines the medical professionals who treat and the order of treatment for the patients who need to be treated, and outputs those information to the display data generation unit 417. The display data generation unit 417 generates the display data including the patients who need to be treated, the medical professionals who treat, and the order of treatment. The display data generation unit 417 transmits the display data to the medical professional terminal 300 and the administrator terminal 400. The medical professional terminal 300 and the administrator terminal 400 display the received display data on the display (step S18). Then, the processing ends.
[Modification]
Next, a modification of the first example embodiment will be described. The following modification can be applied to the first example embodiment.
In the above example embodiment, as shown in
In addition, the administrator taps the “NG” button when there is a problem in the contents of the display data. At this time, the administrator may give an instruction to the medical professional individually or may correct the order of treatment and transmit the instruction to the server 100. The server 100 transmits display data reflecting the instruction contents of the administrator to the medical professional terminal 300.
According to the information processing device 50 of the second example embodiment, it is possible to efficiently treat patients.
A part or all of the example embodiments described above may also be described as the following supplementary notes, but not limited thereto.
(Supplementary Note 1)
An information processing device comprising:
(Supplementary Note 2)
The information processing device according to Supplementary note 1, further comprising an information output means configured to output the order of treatment of the patients to a terminal device of the medical professional.
(Supplementary Note 3)
The information processing device according to Supplementary note 1, wherein the environment information includes hospital room information.
(Supplementary Note 4)
The information processing device according to Supplementary note 1, wherein the environment information includes access information between the patients and the medical professionals.
(Supplementary Note 5)
The information processing device according to Supplementary note 1, wherein the treatment order determination means calculates costs based on the patient information and the medical professional information, calculates weights based on the environment information, and determines the order of treatment of the patients for each medical professional based on the costs and the weights.
(Supplementary Note 6)
The information processing device according to Supplementary note 2, wherein the information output means outputs the order of treatment of the patients for each medical professional.
(Supplementary Note 7)
The information processing device according to Supplementary note 6, wherein the information output means outputs the order of treatment of the patients who will be treated by another medical professional.
(Supplementary Note 8)
The information processing device according to Supplementary note 2, wherein the information output means outputs the order of treatment of the patients who will be treated by the medical professionals to a terminal device of an administrator.
(Supplementary Note 9)
An information processing method comprising:
(Supplementary Note 10)
A recording medium recording a program which causes a computer to execute processing of:
While the present disclosure has been described with reference to the example embodiments and examples, the present disclosure is not limited to the above example embodiments and examples. Various changes which can be understood by those skilled in the art within the scope of the present disclosure can be made in the configuration and details of the present disclosure.
This application is based upon and claims the benefit of priority from Japanese Patent Application 2022-121637, filed on Jul. 29, 2022, the disclosure of which is incorporated herein in its entirety by reference.
Number | Date | Country | Kind |
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2022-121637 | Jul 2022 | JP | national |