The present application claims priority under 35 U.S.C. § 119 to Japanese Patent Application No., 2019-038837 filed on Mar. 4, 2019. The above application is hereby expressly incorporated by reference, in its entirety, into the present application.
A technique of the present disclosure relates to a rounding imaging management apparatus, a method for operating the rounding imaging management apparatus, a program for operating the rounding imaging management apparatus, a data structure, and a recording apparatus.
In medical sites, rounding imaging for radiographing individual patients while rounding hospital rooms using a mobile radiography apparatus is performed. JP2018-158026A discloses a technique for creating a rounding route in which a movement distance of a mobile radiography apparatus becomes the shortest on the basis of information on hospital rooms where rounding imaging is to be performed, as a piece of content of a rounding plan of rounding imaging.
In actual rounding imaging, for example, a necessary time varies depending on various factors such as the presence or absence of an assistant who assists radiography. For this reason, there is a case where a created rounding plan deviates from an actual situation. In a case where such deviation occurs, there is a concern that adverse effects such as delay in other treatments such as inspection or rehabilitation after rounding imaging may occur.
An object of the technique of the present disclosure is to provide a rounding imaging management apparatus capable of performing rounding imaging based on an actual situation, a method for operating the rounding imaging management apparatus, a program for operating the rounding imaging management apparatus, a data structure, and a recording apparatus.
In order to achieve the above object, according to an aspect of the present disclosure, there is provided a rounding imaging management apparatus that manages rounding imaging for radiographing individual patients while rounding hospital rooms using a mobile radiography apparatus, comprising: a first acquisition unit that acquires imaging order information indicating content of the radiography in the rounding imaging to be performed; a second acquisition unit that acquires, from time results data in which a necessary time in the rounding imaging performed in the past is registered, the necessary time; a creation unit that creates a rounding plan of the rounding imaging on the basis of the imaging order information and the necessary time; and an output controller that performs a control for outputting the rounding plan.
It is preferable that the rounding plan includes a rounding route of the mobile radiography apparatus.
It is preferable that an individual necessary time taken for each past radiography is registered as the necessary time in the time results data, the second acquisition unit acquires the individual necessary time corresponding to the radiography indicated by the imaging order information, and the rounding plan includes a predicted total necessary time that is calculated on the basis of the individual necessary time and predicted to be taken for the entire rounding imaging.
It is preferable that the individual necessary time is at least one of an imaging time of the radiography or a movement time of the mobile radiography apparatus, and the time results data is at least one of imaging time results data in which the imaging time is registered or movement time results data in which the movement time is registered.
It is preferable that the time results data is data in which a time slot and the individual necessary time are registered in association with each other, and the individual necessary time varies according to the time slot, and the creation unit creates a shortest time route where the predicted total necessary time becomes the shortest as the rounding route.
It is preferable that the imaging order information includes hospital room information of the hospital room of the patient for whom the rounding imaging is to be performed, and the creation unit creates a shortest distance route where a movement distance of the mobile radiography apparatus becomes the shortest on the basis of the hospital room information, and then, corrects the shortest distance route in accordance with the individual necessary time to create the shortest time route.
It is preferable that the rounding imaging management apparatus further comprises: a third acquisition unit that acquires patient schedule information in which a schedule of treatment for the patient is registered, and the creation unit creates the shortest time route with reference to the patient schedule information.
It is preferable that the rounding imaging management apparatus further comprises: a fourth acquisition unit that acquires assistant schedule information in which a schedule of an assistant who assists the radiography is registered, and the creation unit creates the shortest time route with reference to the assistant schedule information.
It is preferable that the rounding imaging management apparatus further comprises: a fifth acquisition unit that acquires current status information indicating a current status of information that is a source of creation of the rounding plan during the rounding imaging based on the shortest time route; and an updating unit that updates the shortest time route and sets the updated shortest time route in a case where the current status information includes content which changes the individual necessary time, and the output controller outputs the updated shortest time route.
It is preferable that the current status information is at least one of room occupancy status information indicating a room occupancy status in the hospital room of the patient for whom the rounding imaging is to be performed, treatment status information indicating a status of treatment in the hospital room of the patient for whom the rounding imaging is to be performed, availability status information indicating an availability status of an assistant who assists the radiography, or congestion level information indicating a congestion level of a hospital.
It is preferable that the rounding imaging management apparatus further comprises: a first estimation unit that estimates an absence time of the patient indicated as being absent in the room occupancy status information, and the updating unit updates the shortest time route on the basis of the absence time estimated by the first estimation unit.
It is preferable that the rounding imaging management apparatus further comprises: a second estimation unit that estimates, in a case where the treatment status information indicates that the treatment is performed in the hospital room, a treatment time to be taken for the treatment, and the updating unit updates the shortest time route on the basis of the treatment time estimated by the second estimation unit.
It is preferable that the rounding imaging management apparatus comprises: a reception unit that receives, in a case where an actual total necessary time in a case where the rounding imaging is actually performed in accordance with the rounding plan is delayed by a set time or longer from the predicted total necessary time, delay cause information indicating a cause of the delay of the actual total necessary time; and a recording controller that performs a control for recording the delay cause information in a storage unit.
It is preferable that the output controller performs a control for outputting a scheduled start time of the radiography based on the rounding plan.
According to another aspect of the present disclosure, there is provided a method for operating a rounding imaging management apparatus that manages rounding imaging for radiographing individual patients while rounding hospital rooms using a mobile radiography apparatus, comprising: acquiring imaging order information indicating content of the radiography in the rounding imaging to be performed; acquiring, from time results data in which a necessary time in the rounding imaging performed in the past is registered, the necessary time; creating a rounding plan of the rounding imaging on the basis of the imaging order information and the necessary time; and performing a control for outputting the rounding plan.
According to still another aspect of the present disclosure, there is provided a program for operating rounding imaging management apparatus that manages rounding imaging for radiographing individual patients while rounding hospital rooms using a mobile radiography apparatus, that causes a computer to function as: a first acquisition unit that acquires imaging order information indicating content of the radiography in the rounding imaging to be performed; a second acquisition unit that acquires, from time results data in which a necessary time in the rounding imaging performed in the past is registered, the necessary time; a creation unit that creates a rounding plan of the rounding imaging on the basis of the imaging order information and the necessary time; and an output controller that performs a control for outputting the rounding plan.
According to still another aspect of the present disclosure, there is provided a data structure in which a necessary time in rounding imaging performed in the past is registered, in order to manage the rounding imaging for radiographing individual patients while rounding hospital rooms using a mobile radiography apparatus.
According to still another aspect of the present disclosure, there is provided a recording apparatus comprising a recording controller that records a necessary time in rounding imaging performed in the past is stored in a storage unit, in order to manage the rounding imaging for radiographing individual patients while rounding hospital rooms using a mobile radiography apparatus.
According to the technique of the present disclosure, it is possible to provide a rounding imaging management apparatus capable of performing rounding imaging based on an actual situation, a method for operating the rounding imaging management apparatus, a program for operating the rounding imaging management apparatus, a data structure, and a recording apparatus.
Exemplary embodiments according to the technique of the present disclosure will be described in detail based on the following figures, wherein:
In
Imaging order information 14 is transmitted to the rounding imaging management apparatus 10 from a radiology information system (hereinafter, simply referred to as an RIS) 13. The imaging order information 14 is information indicating content of radiography in rounding imaging to be performed (see
In addition, a necessary time T in rounding imaging performed in the past is transmitted to the rounding imaging management apparatus 10 from the mobile radiography apparatus 11. The necessary time T is, specifically, an imaging time TS of radiography and a movement time TT of the mobile radiography apparatus 11. The necessary time T is registered in time results data 15 (see
The rounding imaging management apparatus 10 creates a rounding plan 16 of rounding imaging on the basis of the imaging order information 14 and the necessary time T. The rounding imaging management apparatus 10 transmits the created rounding plan 16 to the mobile radiography apparatus 11. An operator OP such as a radiologist who operates the mobile radiography apparatus 11 performs rounding imaging in accordance with the rounding plan 16.
The rounding plan 16 includes a rounding route R of the mobile radiography apparatus 11 and a predicted total necessary time TF predicted to be taken to the entire rounding imaging. The rounding route R is a route in which an operator rounds the hospital rooms 12 of the patients P scheduled for rounding imaging within the shortest distance using a preparation room 17 where the mobile radiography apparatus 11 stands by as a first departure place and a last arrival place. Hereinafter, the rounding route R in which the movement distance of the mobile radiography apparatus 11 is the shortest is expressed as a shortest distance route RSD.
The rounding imaging management apparatus 10 is provided in the preparation room 17, for example. The rounding imaging management apparatus 10, the mobile radiography apparatus 11, and the RIS 13 are connected to each other through a network (not shown) such as an in-hospital wireless local area network (LAN). The rounding imaging management apparatus 10, the mobile radiography apparatus 11, and the RIS 13 transmit and receive various types of information such as the imaging order information 14 or the rounding plan 16 through the network.
Depending on the patients P, in addition to an operator OP, an assistant AS may perform radiography while performing assistance. The assistant AS is, for example, a radiologist or a nurse other than the operator OP. As an example in which assistance of the assistant AS is recommended, there is a case where a medical condition of a patient P is serious and the patient P cannot move by his or her own intention.
As shown in
The hospital room information 20 is specifically a number of the hospital room 12. The imaging technique includes an imaging type such as “simple imaging”, an imaging area such as a “chest front lying position”, an imaging direction, and a posture. The imaging type includes “simple imaging”, “videofluoroscophy”, “energy subtraction imaging”, “tomosynthesis imaging”, and the like. The imaging area includes “chest”, “head”, “abdomen”, “waist”, “thigh”, and the like. The imaging direction includes “front”, “back”, “side”, and the like. The posture includes “lying position”, “side lying position”, “sitting posture”, and the like. In addition to the above exemplified items, items such as an age of a patient P, a gender, a height, a weight, a disease name, a medical condition, or a physician ID of a doctor who issued an imaging order may be added.
As shown in
A clocking start timing and a clocking end timing of the imaging time TS and a clocking start timing and a clocking end timing of the movement time TT are input to the mobile radiography apparatus 11 by the operator OP. For example, an operation of a lock mechanism of which rotational lock is connected to wheels of the mobile radiography apparatus 11 is set as the clocking start timing of the imaging time TS and the clocking end timing of the movement time TT, and release of the lock mechanism is set as the clocking end timing of the imaging time TS and the clocking start timing of the movement time TT. Using a global positioning system (GPS) or a wireless beacon signal, position information of the mobile radiography apparatus 11 in a hospital may be acquired in time series, and a stay time of the mobile radiography apparatus 11 in each hospital room 12 may be set as the imaging time TS and a time between the respective imaging times TS may be set as the movement time TT.
In
The storage device 30 is a hard disk drive that is provided in the computer that configures the rounding imaging management apparatus 10 or is connected to the computer through a cable or a network. Alternatively, the storage device 30 is a disk array in which a plurality of hard disk drives are connected in series. The storage device 30 stores a control program for an operating system or the like, a variety of application programs, a variety of data associated with these programs, and the like.
The memory 31 is a work memory for the CPU 32 to execute processing. The CPU 32 loads the programs stored in the storage device 30 into the memory 31, and executes processing in accordance with the program to generally control respective units of the computer.
The communication unit 33 is a network interface that controls transmission of a variety of information through a network. The display 34 displays a variety of screens. The computer that configures the rounding imaging management apparatus 10 receives an input of an operating instruction from the input device 35 through the variety of screens. The input device 35 is a keyboard, a mouse, a touch panel, or the like.
In
In a case where the operating program 40 is activated, the CPU 32 of the rounding imaging management apparatus 10 cooperates with the memory 31 or the like to function as a first acquisition unit 50, a creation unit 51, a second acquisition unit 52, a read/write (hereinafter referred to as RW) controller 53, and an output controller 54.
The first acquisition unit 50 acquires imaging order information 14 from the RIS 13. The first acquisition unit 50 outputs the acquired imaging order information 14 to the creation unit 51 and the second acquisition unit 52.
The creation unit 51 creates the rounding plan 16 including a rounding route R (shortest distance route RSD) and a predicted total necessary time TF. The creation unit 51 outputs the created rounding plan 16 to the second acquisition unit 52 and the output controller 54.
The second acquisition unit 52 acquires a necessary time T from the time results data 15. The second acquisition unit 52 outputs the acquired necessary time T to the creation unit 51 and the output controller 54.
The RW controller 53 records the necessary time T from the mobile radiography apparatus 11 in the storage device 30. That is, the RW controller 53 is an example of a “recording controller” according to the technique of the present disclosure. Further, the storage device 30 is an example of a “storage unit” according to the technique of the present disclosure. Further, the rounding imaging management apparatus 10 is an example of a “recording apparatus” according to the technique of the present disclosure.
The RW controller 53 reads out the necessary time T from the time results data 15. More specifically, the RW controller 53 reads out the imaging time TS corresponding to radiography indicated by the imaging order information 14 in accordance with a request from the second acquisition unit 52. Further, in accordance with the request from the second acquisition unit 52, the RW controller 53 reads out the movement time TT corresponding to each route between rooms of the shortest distance route RSD. The RW controller 53 outputs the read-out imaging time TS and movement time TT to the second acquisition unit 52. The output controller 54 performs a control for outputting the rounding plan 16 to the mobile radiography apparatus 11.
In
On the second floor, there are seven hospital rooms 12 such as a room 201 or a room 202, and a preparation room 17. On the third floor, there are eight hospital rooms 12 such as a room 301 or a room 302. Further, a nurse station (indicated as NS in the figure), a treatment room (indicated as TR in the figure), a bathroom (indicated as BR in the figure), and a toilet (indicated as RR in the figure) are commonly provided on the second and third floors.
Further, on the second floor, there are a hallway A2, a hallway B2, an elevator hall (indicated as EVH in the figure) A2, and an elevator hall B2. Similarly, on the third floor, there are a hallway A3, a hallway B3, an elevator hall A3, and an elevator hall B3. The elevator hall A2 and the elevator hall A3 are halls for an elevator (indicated as EV in the figure) A. The elevator hall B2 and the elevator hall B3 are halls for an elevator B.
In
In a case where the same patient P is radiographed a plurality of times with the same imaging technique, the imaging time TS registered in the imaging time results data 60 is a representative value of respective imaging times TS of the plurality of times of radiography. The representative value is at least one of, for example, an average value, a median value, a mode value, a maximum value, or a minimum value. Similarly, in a case where the mobile radiography apparatus 11 has moved the same departure place, transit place, and arrival place a plurality of times, the movement time TT registered in the movement time results data 61 is a representative value of respective movement times TT of the plurality of movements.
The plurality of imaging times TS used for deriving the representative value may be limited to respective imaging times TS of a plurality of times of radiography performed within the last one week, for example, and the imaging time TS of radiography performed before the last one week may be sequentially deleted from the imaging time results data 60. Similarly, with respect to the movement time TT, a plurality of movement times TT used for deriving the representative value may be limited to respective movement times TT of a plurality of movements within the last one week, and the movement time TT of movement before the last one week may be sequentially deleted from the movement time results data 61.
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The rounding route R (shortest distance route RSD) and the predicted total necessary time TF from the creation unit 51, that is, the rounding plan 16, and the imaging time TS and the movement time TT from the second acquisition unit 52 are displayed on the rounding plan display screen 65. Further, a scheduled start time PST and a scheduled end time ET of each radiography, and a scheduled end time TET of entire rounding imaging are displayed on the rounding plan display screen 65. The scheduled start time PST and the scheduled end time ET of each radiography, and the scheduled end time TET of the entire rounding imaging may be obtained from the scheduled start time TST, the imaging time TS, and the movement time TT of the entire rounding imaging.
Next, an operation of the above-described configuration will be described with reference to a flowchart shown in
The imaging order information 14 is transmitted from the RIS 13 to the rounding imaging management apparatus 10. The imaging order information 14 is acquired by the first acquisition unit 50 (step ST100). The imaging order information 14 is output to the creation unit 51 and the second acquisition unit 52 from the first acquisition unit 50. Step ST100 is an example of “a first acquisition step” according to the technique of the present disclosure.
As shown in
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In the output controller 54, on the basis of the shortest distance route RSD and the predicted total necessary time TF from the creation unit 51, and the imaging time TS and the movement time TT from the second acquisition unit 52, the rounding plan display screen 65 shown in
The rounding plan display screen 65 is displayed on a display of the mobile radiography apparatus 11, and is provided for browsing of the operator OP. In accordance with the rounding plan 16 displayed on the rounding plan display screen 65, the operator OP performs rounding imaging.
The necessary time T is transmitted from the mobile radiography apparatus 11 to the rounding imaging management apparatus 10. The necessary time T is registered in the time results data 15 of the storage device 30 by the RW controller 53.
As described above, the rounding imaging management apparatus 10 comprises the first acquisition unit 50 that acquires the imaging order information 14 representing content of radiography in rounding imaging to be performed, the second acquisition unit 52 that acquires the necessary time T in the past rounding imaging, the creation unit 51 that creates the rounding plan 16 on the basis of the imaging order information 14 and the necessary time T, and the output controller 54 that controls an output of the rounding plan 16. Thus, it is possible to perform rounding imaging based on an actual situation, compared with a case where the rounding plan 16 is created on the basis of a virtual necessary time instead of the necessary time T in the past rounding imaging.
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An individual necessary time may be at least one of the imaging time TS or the movement time TT. Further, the time results data 15 may be at least one of the imaging time results data 60 or the movement time results data 61.
In a case where an imaging order is added during rounding imaging, the creation unit 51 recreates the rounding plan 16 that takes into account the added imaging order.
The individual necessary time such as the imaging time TS and the movement time TT may vary depending on a skill level of the operator OP. For this reason, it is preferable to provide an item of the operator ID of the operator OP in the time results data 15. Then, it is possible to create the rounding plan 16 according to the skill level of each operator OP.
A plurality of patients P may be accommodated in one hospital room 12. In this case, a movement time between beds of each patient P in the same hospital room 12 may also be registered in the movement time results data 61, and the rounding plan 16 may be created in consideration of the movement time between the beds.
In a second embodiment shown in
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More specifically, the creation unit 51 determines whether there is a route having a shorter movement time TT in the routes between the rooms than in the case of the shortest distance route RSD. In a case where there is the route having the shorter movement time TT, the creation unit 51 replaces the route of the shortest distance route RSD with the route having the shorter movement time TT.
In
Further, the creation unit 51 determines whether or not there is a case where the imaging time TS and/or the movement time TT is shorter than in the case of the shortest distance route RSD in a case where an imaging order of radiography is changed and time slots are shifted. In a case where there is a case where the imaging time TS and/or the movement time TT is shorter, the creation unit 51 changes the imaging order of radiography.
In
The creation unit 51 creates the shortest time route RST in which the predicted total necessary time TF is the shortest as described above. The creation unit 51 outputs the shortest time route RST to the output controller 54 as the rounding route R. Since other processes are the same as in the first embodiment, description thereof will not be repeated. In
As described above, in the second embodiment, the imaging time results data 70 in which a time slot and an imaging time TS are registered in association with each other, and the movement time results data 71 in which a time slot and a movement time TT are registered in association with each other are used. Further, the creation unit 51 creates the shortest time route RST where the predicted total necessary time TF becomes the shortest as the rounding route R. Accordingly, it is possible to complete rounding imaging earlier.
Further, the creation unit 51 creates the shortest distance route RSD and then modifies the shortest distance route RSD in accordance with the imaging time TS and the movement me TT, to thereby create the shortest time route RST. In other words, the creation unit 51 creates the shortest time route RST on the basis of the shortest distance route RSD. Accordingly, compared with a case where the shortest time route RST is derived from the rounding routes R of all patterns that can be considered by the imaging order information 14, it is possible to save much labor for creating the shortest time route RST.
In a third embodiment shown in
In
The patient schedule information 76 is transmitted from a hospital information system (hereinafter, abbreviated as HIS (Hospital Information System)) 77 to the rounding imaging management apparatus 10 in accordance with, for example, a work start timing of a hospital. The patient schedule information 76 is information in which a treatment schedule for the patient P on a specific day is registered. More specifically, the patient schedule information 76 is information in which content of treatment and a scheduled treatment time are registered for each patient ID. The treatment includes general medical examination, ultrasonic examination, magnetic resonance imaging (MRI) examination, rehabilitation, and the like, in addition to body temperature measurement, blood pressure measurement, endoscopic examination, blood collection, and bathing shown in the figure.
As shown in
In
Further, a case where a scheduled start time PST of radiography of the patient P with the patient ID “P0001” in the temporary shortest time route RST_TE is “10:30:00” and a scheduled end time is “10:40:00” is shown. In this case, the endoscopic examination and the radiography of the patient P with the patient ID “P0001” are batting in the temporary shortest time route RST_TE. Accordingly, the creation unit 51 sets a radiography schedule of the patient P with the patient ID “P0001” to a time slot “11:10-11:59” where there is no other treatment schedule (scheduled start time “11:30:00” and scheduled end time “11:40:00”). Instead, a radiography schedule of the patient P with the patient ID “P0003” is changed to a time slot where the patient P with the patient ID “P0001” is originally scheduled to be radiographed, which is a time slot where there is no schedule for treatment of the patient P with the patient ID “P0003” (scheduled start time “10:30:00” and scheduled end time “10:45:00”), which is set as the shortest time route RST.
Thus, in the third embodiment, the third acquisition unit 75 acquires the patient schedule information 76, and the creation unit 51 creates the shortest time route RST with reference to the patient schedule information 76. Accordingly, it is possible to perform rounding imaging based on an actual situation.
In a fourth embodiment shown in
In
The assistant schedule information 81 is transmitted from the HIS 77 to the rounding imaging management apparatus 10 in accordance with, for example, the work start timing of the hospital, similar to the patient schedule information 76 of the third embodiment. The assistant schedule information 81 is information in which the schedule of the assistant AS on a specific day is registered. More specifically, the assistant schedule information 81 is information in which a scheduled time and a floor at which assistance of radiography is possible are registered for each assistant ID for identifying each assistant AS.
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In
Thus, in the fourth embodiment, the fourth acquisition unit 80 acquires the assistant schedule information 81, and the creation unit 51 creates the shortest time route RST with reference to the assistant schedule information 81. Accordingly, it is possible to perform rounding imaging based on an actual situation.
In the rounding route R of the rounding plan display screen 65, the operator OP may be notified of the radiography recommended for assistance by marking or coloring the radiography recommended for assistance.
In the following fifth to eighth embodiments, as outlined in
In the fifth embodiment shown in
A timing for creating the rounding plan 16 is before the rounding imaging is started. For this reason, there may be a case where a sudden treatment is interrupted to the patient P during the rounding imaging and the patient P is not in the hospital room 12 at the time when radiography is scheduled in the rounding plan 16. Further, there may be a case where the patient P occasionally goes to the toilet and is not in the hospital room 12 at the time scheduled in the rounding plan 16. Accordingly, in the fifth embodiment, it is confirmed whether or not the patient P is absent in the hospital room 12 at the time when the radiography is scheduled in the rounding plan 16 on the basis of the room occupancy status information 92.
In
The current status information 91 is transmitted from a current status information collecting device 94 to the rounding imaging management apparatus 10 at a regular timing such as every 5 minutes. The current status information collecting device 94 corresponds to the HIS 77 shown in the third and fourth embodiments, for example, determines whether or not the patient P currently undergoes another treatment in a place other than the hospital room 12, on the basis of the latest patient schedule information 76, and reflects the determination result in the room occupancy status information 92. Alternatively, the current status information collecting device 94 collects position information detected by a GPS function of a portable terminal possessed by the patient P, and determines a room occupancy status of the patient P and the reason in the case of absence (hereinafter, referred to as an absence reason). Further, by analyzing detection results of human sensors installed in major locations in the hospital, such as around beds in the hospital room 12, or videos of monitoring cameras installed in major locations in the hospital, the room occupancy status and absence reason of the patient P may be determined. In addition, the room occupancy status and the absence reason input by the patient P may be collected through the portable terminal possessed by the patient P. With respect to the patient P with a medical condition incapable of leaving the bed, except a case where the patient P undergoes another treatment at a place other than the hospital room 12, it may be determined that the patient P stays in the room.
The first estimation unit 93 estimates the absence time TA of the patient P indicated as being absent in the room occupancy status information 92 from the fifth acquisition unit 90, using the first estimation basis information 95. The first estimation unit 93 outputs the estimated absence time TA to an updating unit 96. The first estimation basis information 95 is stored in the storage device 30.
The updating unit 96 receives the shortest time route RST from the creation unit 51. The updating unit 96 updates the shortest time route RST on the basis of the absence time TA from the first estimation unit 93 to obtain an updated shortest time route RST_UD. The updating unit 96 outputs the updated shortest time route RST_UD to the output controller 54.
The output controller 54 outputs the updated shortest time route RST_UD to the mobile radiography apparatus 11. Specifically, the output controller 54 outputs the rounding plan display screen 65 in which the shortest time route RST is replaced with the updated shortest time route RST_UD to the mobile radiography apparatus 11.
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As described above, in the fifth embodiment, the fifth acquisition unit 90 acquires the room occupancy status information 92 indicating the room occupancy status of the patient P for whom rounding imaging is to be performed in the hospital room 12. The first estimation unit 93 estimates the absence time TA of the patient P indicated as being absent in the room occupancy status information 92. The updating unit 96 updates the shortest time route RST on the basis of the absence time TA to obtain the updated shortest time route RST_UD. The output controller 54 outputs the updated shortest time route RST_UD. Accordingly, a wasteful waiting time such as waiting for the patient P to return to the hospital room 12 does not occur, and thus, it is possible to smoothly advance rounding imaging.
The room occupancy status information 92 may be transmitted from the current status information collecting device 94 to the rounding imaging management apparatus 10 at a timing when the room occupancy status of the patient P is changed. Further, a message for prompting the patient P to return to the room may be output from the output controller 54 to the portable terminal of the patient P indicated as being absent in the room occupancy status information 92.
The rounding imaging management apparatus 10 may perform the functions of the current status information collecting device 94. This is similarly applied to the following sixth to eighth embodiments.
In the sixth embodiment shown in
Similar to the fifth embodiment, a case where a sudden treatment is interrupted to the patient P in the middle of rounding imaging and the patient P is treated in the hospital room 12 at a timing when radiography is scheduled in the rounding plan 16 may be considered. Accordingly, in the sixth embodiment, at the timing when the radiography is scheduled in the rounding plan 16, it is confirmed whether or not the patient P is treated in the hospital room 12 from the treatment status information 100.
In
The second estimation unit 101 estimates the treatment time TM to be taken for treatment using the second estimation basis information 102 in a case where the treatment status information 100 from the fifth acquisition unit 90 represents that the treatment is being performed in the hospital room 12. The second estimation unit 101 outputs the estimated treatment time TM to the updating unit 96. The second estimation basis information 102 is stored in the storage device 30.
The updating unit 96 updates the shortest time route RST from the creation unit 51 on the basis of the treatment time TM from the second estimation unit 101 to obtain an updated shortest time route RST_UD. Since subsequent processes are the same as in the fifth embodiment, description thereof will not be repeated.
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As described above, in the sixth embodiment, the fifth acquisition unit 90 acquires the treatment status information 100 representing the treatment status in the hospital room 12 for the patient P for whom rounding imaging is to be performed. The second estimation unit 101 estimates the treatment time TM to be taken for treatment in a case where the treatment status information 100 indicates that treatment is being performed in the hospital room 12. The updating unit 96 updates the shortest time route RST on the basis of the treatment time TM to obtain the updated shortest time route RST_UD. The output controller 54 outputs the updated shortest time route RST_UD. Accordingly, it is possible to smoothly advance rounding imaging without generating a wasteful waiting time such as waiting for the end of the treatment of the patient P in the hospital room 12.
The treatment status information 100 may be transmitted from the current status information collecting device 94 to the rounding imaging management apparatus 10 at a timing when the treatment status of the patient P is changed.
In the seventh embodiment shown in
The availability status of the assistant AS is flexible in a similar way to the room occupancy status and the treatment status of the patient P. Accordingly, in creation of the rounding plan 16, there may be a case where the assistant AS cannot perform assistance due to a sudden change in a schedule in performing radiography scheduled to be assisted by the assistant AS. Accordingly, in the seventh embodiment, at the time of radiography scheduled to be assisted by the assistant AS in the rounding plan 16, it is confirmed whether or not the assistant AS can actually perform assistance from the availability status information 110.
In
The updating unit 96 updates the shortest time route RST from the creation unit 51 on the basis of the availability status information 110 from the fifth acquisition unit 90 to obtain the updated shortest time route RST_UD. Since subsequent processes are the same as in the fifth and sixth embodiments, description thereof will not be repeated.
As shown in
As described above, in the seventh embodiment, the fifth acquisition unit 90 acquires the availability status information 110 indicating the availability status of the assistant AS. The updating unit 96 updates the shortest time route RST on the basis of the availability status information 110 to obtain the updated shortest time route RST_UD. The output controller 54 outputs the updated shortest time route RST_UD. Thus, a wasteful waiting time such as waiting for the assistant AS capable of performing assistance does not occur, and thus, it is possible to perform radiography without help from the assistant AS, to thereby prevent the imaging time TS from being prolonged. Accordingly, it is possible to smoothly advance rounding imaging.
The availability status information 110 may be transmitted from the current status information collecting device 94 to the rounding imaging management apparatus 10 at a timing when the availability status of the assistant AS is changed.
In a case where the scheduled assistant AS is not able to perform assistance, a message asking for assistance may be output from the output controller 54 to a portable terminal of another assistant AS. In this case, another assistant AS in a setting area centering around the hospital room 12 where radiography is recommended for assistance is determined from the position information detected by the GPS function of a portable terminal of the assistant AS, and a message may be output limitedly to the portable terminal of the determined assistant AS.
In an eighth embodiment shown in
The congestion level of the hospital also changes from moment to moment, in a similar way to the room occupancy status of the patient P, the treatment status, and the availability status of the assistant AS. Accordingly, in the eighth embodiment, the congestion level of the current hospital is confirmed by the congestion level information 115.
In
The updating unit 96 updates the shortest time route RST from the creation unit 51 on the basis of the congestion level information 115 from the fifth acquisition unit 90 to obtain the updated shortest time route RST_UD. Since subsequent processes are the same as in the fifth to seventh embodiments, description thereof will not be repeated.
As shown in
As described above, in the eighth embodiment, the fifth acquisition unit 90 acquires the congestion level information 115 indicating the congestion level of the hospital. The updating unit 96 updates the shortest time route RST on the basis of the congestion level information 115 to obtain the updated shortest time route RST_UD. The output controller 54 outputs the updated shortest time route RST_UD. Accordingly, it is possible to smoothly advance rounding imaging without prolonging the movement time TT due to congestion at a place where the congestion level is “high” at present.
The congestion level information 115 may be transmitted from the current status information collecting device 94 to the rounding imaging management apparatus 10 at a timing when the congestion level of the hospital is changed.
As described above, the fifth to eighth embodiments have been described as the embodiments for updating the shortest time route according to the current status information 91, but the fifth to eighth embodiments may be executed in combination.
Next, in a case where the treatment status information 100 indicates that the patient P for whom rounding imaging is to be performed is treated in the hospital room 12 (YES in step ST540), the treatment time TM to be taken for the treatment in a case where the treatment status information 100 indicates that the patient P is treated in the hospital room 12 is estimated by the second estimation unit 101 (step ST550). Then, the updating unit 96 sets the shortest time route RST as the updated shortest time route RST_UD on the basis of the treatment time TM (step ST560).
Subsequently, in a case where in radiography recommended for assistance, the availability status information 110 indicates that the assistant AS scheduled to perform assistance is indicated as being unable to perform assistance (YES in step ST570, and NO in step ST580), the updating unit 96 sets the shortest time route RST as the updated shortest time route RST_UD on the basis of the availability status information 110 (step ST590).
Further, in a case where there is a place where the congestion level is “high” in the congestion level information 115 and there is a route passing through the place where the congestion level is “high” in the shortest time route RST (YES in step ST600), the updating unit 96 sets the shortest time route RST as the updated shortest time route RST_UD on the basis of the congestion level information 115 (step ST610). As described above, in a case where the fifth to eighth embodiments are executed in combination, it is possible to more smoothly advance rounding imaging.
In a ninth embodiment shown in
In
The output controller 54 performs a control for outputting a delay cause input screen 125 shown in
On the delay cause input screen 125, a message 126 for prompting the operator OP to input the delay cause information 121, a pull-down menu 127 for selecting a main cause, a pull-down menu 128 for selecting an occurrence location, and a pull-down menu 129 for selecting an occurrence time slot, or the like, are displayed. Options for main causes include facility construction, device malfunction, and the like. In a case where the device malfunction is selected, a pull-down menu for selecting a device causing the malfunction appears on the delay cause input screen 125. Options of the occurrence location include the entire floors such as the second floor and the third floor, in addition to individual places such as the preparation room 17 and the hallway A2 shown in the figure. Options of the occurrence time slot include morning, afternoon, all day, and the like, in addition to time slots shown in the figure.
In a case where the main cause, the occurrence location, the occurrence time slot, and the like are selected in the pull-down menus 127 to 129, or the like and an OK button 130 is selected, the reception unit 120 receives the delay cause information 121 including the main cause, the occurrence location, the occurrence time slot, and the like selected in the pull-down menus 127 to 129.
As described above, in the ninth embodiment, in a case where the actual total necessary time in a case where rounding imaging is actually performed according to the rounding plan 16 is delayed by the set time or longer from the predicted total necessary time TF, the reception unit 120 receives the delay cause information 121 indicating the cause of delay of the actual total necessary time. The RW controller 53 records the delay cause information 121 in the storage device 30. Accordingly, the delay cause information 121 may be reflected in creation of the rounding route R.
For example, as shown in
Further, for example, as shown in
The delay cause information 121 is erased from the storage unit by an hand of the operator OP or the like in a case where the cause is removed due to completion of a facility work or repair of an electronic cassette, for example.
Specific examples of the device malfunction include malfunction of the electronic cassette due to strong magnetic field noise generated from an MRI examination room, disruption of wireless communication between the electronic cassette and the mobile radiography apparatus 11 due to time-dependent radio interference, destabilization of console software of the mobile radiography apparatus 11, or the like. It is preferable that a device in which the malfunction has occurred is not used from the next rounding imaging and manufacturer's maintenance service is requested for repair.
The necessary time T in the rounding imaging in a case where the delay cause information 121 is received by the reception unit 120 may not be registered in the time results data 15 as an irregular value. Further, the delay cause input screen 125 may be displayed on the display 34 of the rounding imaging management apparatus 10, and the delay cause information 121 may be input through the input device 35.
In a tenth embodiment shown in
As shown in
A scheduled start time display screen 150A shown in
On the other hand, a scheduled start time display screen 150B shown in
As described above, in the tenth embodiment, the output controller 54 performs a control for outputting the scheduled start time PST of radiography according to the rounding plan 16. Accordingly, it is possible to prevent in advance a situation that prevents the progress of rounding imaging such as absence of the patient P in the hospital room 12 at the scheduled start time PST, or non-arrival of the assistant AS at the hospital room 12 at the scheduled start time PST of radiography recommended for assistance. As a result, it is possible to smoothly perform rounding imaging.
A timing at which the scheduled start time display screen 150 is output is preferably closer to the scheduled start time PST, such as 10 minutes before the scheduled start time PST, since a reminder effect is high.
It is sufficient if the rounding plan 16 includes any one of the rounding route R and the predicted total necessary time TF. Further, an output form of the rounding plan 16 by the output controller 54 is not limited to the exemplified rounding plan display screen 65. The rounding plan 16 may be printed out, or may be output as a file. This is similarly applied to an output form of the scheduled start time PST.
In a case where there is radiography that needs a jig such as a radiation marker or a positioning aid, a message indicating that the jig is necessary may be displayed on the rounding route R on the rounding plan display screen 65.
Instead of or in addition to the movement time TT, a movement speed of the mobile radiography apparatus 11 may also be recorded. As a method for calculating the movement speed, for example, the amount of rotation of a motor that moves the mobile radiography apparatus 11 is measured by a rotary encoder, and a movement distance of the mobile radiography apparatus 11 is obtained from the measurement result. Then, the obtained movement distance is divided by the movement time TT. In a case where the movement speed is recorded, the congestion level of the hospital may be derived from the movement speed, such as “low” in a place where the movement speed is relatively fast and “high” in a place where the movement speed is relatively slow.
Various modifications may be made to a hardware configuration of a computer that configures the rounding imaging management apparatus 10. For example, the rounding imaging management apparatus 10 may be configured by a plurality of computers separated as hardware for the purpose of improving processing capability or reliability. Specifically, the functions of the first acquisition unit 50 and the creation unit 51, the functions of the second acquisition unit 52 and the output controller 54, and the function of the RW controller 53 may be distributed to three computers. In this case, the rounding imaging management apparatus 10 is configured by three computers.
As described above, the hardware configuration of the computer may be appropriately changed according to necessary performance such as processing capability, safety, and reliability. Further, not only the hardware but also an application program such as the operating program 40 may be duplicated, or may be dividedly stored in a plurality of storage devices for the purpose of securing safety or reliability.
In each of the above embodiments, the rounding imaging management apparatus 10 has been described as an example of an “recording apparatus” according to the technique of the present disclosure, but the functions of the recording apparatus may be performed by another apparatus other than the rounding imaging management apparatus 10. Further, the mobile radiography apparatus 11 may serve as the functions of the rounding imaging management apparatus 10 and the recording apparatus.
In the above embodiments, for example, as a hardware structure of processing units that executes a variety of processes, such as the first acquisition unit 50, the creation unit 51, the second acquisition unit 52, the RW controller 53, the output controller 54, the third acquisition unit 75, the fourth acquisition unit 80, the fifth acquisition unit 90, the first estimation unit 93, the updating unit 96, the second estimation unit 101, and the reception unit 120, the following various processors may be used. The various processors may include a CPU that is a general-purpose processor that executes software and functions as a variety of processing units, a programmable logic device (PLD) of which a circuit configuration is changeable after manufacturing, such as a field-programmable gate array (FPGA), a dedicated electric circuit that is a processor having a circuit configuration that is exclusively designed to execute a specific process, such as an application specific integrated circuit (ASIC), or the like.
Further, one processing unit may be configured by one processor among the variety of processors described above, or may be configured by a combination of two or more processors of the same type or different types (for example, a combination of a plurality of FPGAs or a combination of a CPU and an FPGA). In addition, a plurality of processing units may be configured by one processor.
As an example in which a plurality of processing units are configured by one processor, first, as represented by a computer such as a client or a server, a configuration in which a combination of one or more CPUs and software forms one processor and this processor functions as a plurality of processing units may be employed. Second, as represented by a system on chip (SoC) or the like, a configuration in which a processor for realizing entire functions of a system including a plurality of processing units using one integrated circuit (IC) chip is used may be employed. In this way, the variety of processing units may be configured by using one or more of the variety of processors as the hardware structure.
Further, the hardware structure of the variety of processors is, more specifically, electric circuitry in which circuit elements such as semiconductors are combined.
From the above description, the invention disclosed in the following appendix 1 may be understood.
[Appendix 1] A rounding imaging management apparatus that manages rounding imaging for radiographing individual patients while rounding hospital rooms using a mobile radiography apparatus, comprising: a first acquiring processor that acquires imaging order information indicating content of the radiography in the rounding imaging to be performed; a second acquiring processor that acquires, from time results data in which a necessary time in the rounding imaging performed in the past is registered, the necessary time; a creating processor that creates a rounding plan of the rounding imaging on the basis of the imaging order information and the necessary time; and an output controlling processor that performs a control for outputting the rounding plan.
The technique of the present disclosure may be made by appropriately combining the above-described various embodiments and various modification examples. Further, the invention is not limited to the above embodiments, and various configurations may be employed without departing from the concept of the present invention. In addition, the technique of the present disclosure extends to a storage medium that non-temporarily stores a program, in addition to the program.
The above-described content and the above-illustrated content are detailed descriptions of partial examples related to the technique of the present disclosure, which are merely examples of the technique of the present disclosure. For example, the above description related to the configurations, functions, operations, and effects is an explanation related to an example of the configurations, functions, operations, and effects of partial examples according to the technique of the present disclosure. Accordingly, it is needless to say that an unnecessary portion may be deleted, or a new element may be added or replaced with respect to the above-described content and the above-illustrated content without departing from the scope of the technique of the present disclosure. In addition, in order to avoid complication and facilitate understanding of partial examples related to the technique of the present disclosure, in the above-described content and the above-illustrated content, explanation about technical common sense that does not need any particular explanation is omitted.
In this specification, “A and/or B” is synonymous with “at least one of A or B”. That is, “A and/or B” includes three cases of only A, only B, and a combination of A and B. Further, in this specification, the same concept as “A and/or B” is also applied to a case where three or more things are expressed by connecting them with “and/or”.
All documents, patent applications, and technical standards disclosed in this specification are incorporated by reference in this specification to the same extent as if each individual document, patent application and technical standard were specifically and individually stated to be incorporated by reference.
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JP2019-038837 | Mar 2019 | JP | national |
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Number | Date | Country | |
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20200281547 A1 | Sep 2020 | US |