WO2002027578A1

WO2002027578A1 - Information processing terminal for sharing surgical operation facility

Info

Publication number: WO2002027578A1
Application number: PCT/JP2000/006637
Authority: WO
Inventors: Yoichi Takada
Original assignee: Kabushiki Kaisha Toshiba
Priority date: 2000-09-27
Filing date: 2000-09-27
Publication date: 2002-04-04
Also published as: JPWO2002027578A1

Abstract

An operation service center (4) organizes the requests of medical institutions (2), acquires information (the names of patients, the names of diseases, the contents of operations, and so forth) necessary for the operation from the medical institutions (2) or requesters, retrieves appropriate candidates of operating places (6) from a database according to the information, and presents andrecommends some of the candidates to the medical institutions (2). The order of a medical institution (2) includes arrangement of an operating place (6), arrangement of resources such as operating equipment necessary for the operation, arrangement of human resources such as specialized operator and nurses. The medical institution (2) selects and determines a desired hospital where the operation is performed, and consequently the reservation is fixed. The operation service center (4) fixes the reservation of the operating place (6) and so forth.

Description

Specification

Information processing terminal for shared use of surgical facilities

Technical field

The present invention resides between a medical institution such as a hospital or a clinic and an operating room or a patient, and is used for information sharing and use of an operating site including an operating room and human resources necessary for the operation. It relates to an information processing terminal that performs processing.

Background art

When performing an operation for therapeutic treatment of a patient at a medical institution such as a hospital or a clinic, a facility for performing a preoperative examination or the like is required before the operation, and during the operation, It requires a surgical site and tools and instruments for relatively advanced and large-scale surgical treatment performed at the operating site, and intraoperative inspection equipment (including various types of monitors). Also, after surgery

In some cases, an ICU (Intensive Care Unit) facility is required, and this ICU also requires a dedicated monitor. In order to perform such surgery, large-scale physical resources (hardware) need to be prepared. What is needed is more than just physical resources. Needless to say, in addition to the doctor who performs the surgery, use physical resources such as intraoperative inspection devices to secure human resources such as nurses and laboratory technicians who support the operative doctor. Is also necessary.

Sufficient funding is needed to secure such physical and human resources and to build the foundation of the surgical environment (surgical facilities). A relatively large medical institution has its own operating theater and much of the hardware described above, and has a large number of surgeons, nurses, laboratory technicians and other human resources. Facilities are substantial.

However, in recent years, modernization (improvement of quality) of surgical facilities has progressed rapidly, but the operating rate (improvement of volume) of surgical facilities has not progressed so much at present. Surgery facilities are not fully utilized.

Therefore, medical institutions that have invested large amounts of money in modern and large-scale surgical facilities have requested that they make effective use of these facilities.

On the other hand, a relatively small medical institution such as a clinic cannot provide adequate surgical facilities due to financial problems. Specialized surgery for unusual diseases is highly dependent on the surgeon's skills, so it is common practice for patients to select a hospital to which the specialist belongs and to enter the hospital. is there. However, there may be specialists, but the hospital may not always have adequate surgical facilities.

Therefore, if a medical institution does not have sufficient surgical facilities, it would like to use a modern surgical facility provided by a large medical institution if possible. Patients also want to be operated by the best physicians at the best surgical facilities.

Disclosure of the invention

The present invention has been made in view of the above circumstances, and is used between a medical institution such as a hospital or a clinic and an operating room or a patient. The purpose of the present invention is to provide an information processing terminal for performing information processing for shared use of an operating facility.

The information processing terminal of the surgical service center according to the present invention includes a database for storing information on medical institutions having an operating theater that can be shared, and a network for requesting a reservation of the operating theater required for the operation. Communication means for receiving from a medical institution via a medical institution, and information searching means for retrieving information on a medical institution provided with an operating site available in response to the request from the database and presenting the information to the requesting medical institution And.

In the method for providing a surgical service according to the present invention, a reservation request input screen is displayed on an information processing terminal of a medical institution, and a request to input a request for use of an operating theater required for surgery is input in accordance with the reservation request input screen. A step in which the information processing terminal of the medical institution receives the request information input in accordance with the reservation request input screen at the information processing terminal, and the information processing terminal of the surgical service center receives the request information via a network; and A step of retrieving information on the operating theater that can be used in accordance with the information from the database of the surgical service center; and retrieving the information retrieved from the database via the network to the requester of the use reservation. And a step of transmitting to an information processing terminal of a medical institution.

BRIEF DESCRIPTION OF THE FIGURES

Figure 1 shows the relationship between medical institutions such as clinics and hospitals, surgical service centers, and operating rooms and patients.

Figure 2 is a block diagram showing the configuration of information processing terminals installed in medical institutions such as clinics and hospitals. FIG. 3 is a block diagram showing a schematic configuration of an information processing terminal provided in a surgical service center according to the embodiment of the present invention.

FIG. 4 is a diagram showing a flow of information processing regarding reservation of an operating room and human resources by a surgical service center according to the embodiment of the present invention.

FIG. 5 is a diagram showing an example of a menu screen for a medical institution to request a surgical service center to reserve an operating room and human resources according to the embodiment of the present invention.

FIG. 6 is a diagram showing an example of a screen for searching for a hospital in an area according to the embodiment of the present invention.

FIG. 7 is a diagram showing an example of a screen showing search results for recommended hospitals according to the embodiment of the present invention.

FIG. 8 is a diagram showing an example of a hospital reservation result screen according to the embodiment of the present invention.

FIG. 9 is a diagram showing an example of a surgeon's reservation result screen according to the embodiment of the present invention.

BEST MODE FOR CARRYING OUT THE INVENTION

Hereinafter, embodiments of the present invention will be described with reference to the drawings. Figure 1 shows the relationship between medical institutions such as clinics and hospitals, surgical service centers, operating theaters and patients.

In relation to the medical institutions 2 such as clinics and hospitals 2, the surgical service center 4, the operating theater (facilities in other medical institutions (hospitals)) 6, and the patients 8 shown in the same figure, the surgical service center 4 And summarizes the requests (orders) from medical institution 2 and provides the necessary information on the surgery (patient name, patient disease name, operation details, etc.) Obtain from the medical institution 2 (f1). Based on this information, the Surgical Service Center 4 searches the database for suitable surgical site (hospital) 6 candidates and presents and recommends some to the medical institution 2. Orders from the medical institution 2 are not limited to the operating room 6, but also resources such as dedicated equipment and instruments necessary for the operation, and human resources such as specialized surgeons and nurses. Includes reliance on service arrangements.

When the medical institution 2 selects and determines the desired hospital where the operation is to be performed, the appointment is formal, and the surgical service center 4 officially reserves the operating site 6 and the like. At that time, information on the order from the medical institution 2 (surgeon, patient name, operation schedule, operation contents, necessary equipment and diagnostic information) is communicated to the medical institution at the operating site 6 (f 2). Surgery service center 4 also communicates information about the scheduled appointment to patient 8 (f 3). Based on the contact information, the patient 8 goes to the operating room 6 on the day of the operation (f4).

On the day of the operation, a doctor (or surgeon) at medical institution 2 goes to operation site 6 (f 5), and this operation site 6 is provided for doctors and patients 8 at medical institution 2 who made the reservation. (Loaned). In the operating theater 6, medical care before and after surgery (for example, hospitalization and examination) may be performed for the patient 8.

The requesting medical institution 2 pays the fee to the surgical service center 4 according to the contents of the service (f6).

Figure 2 is a block diagram showing the configuration of the information processing terminals installed in medical institutions such as clinics and hospitals. Information processing shown in FIG. The physical terminal 10 is composed of input means 11, display means 12, selection means 13, storage means 14, and data transmission / reception means 15. The information processing terminal 10 is a terminal for requesting a surgical service center 4 from the medical institution to reserve a surgical facility via the network 1.

The information processing terminal 10 communicates with the information processing terminal provided in the surgical service center 4 via the data transmitting / receiving means 15 connected to the network 1. At this time, it is also possible to contact the LAN in the hospital once and then communicate outside the hospital.

In the service input screen displayed on the display means 12, various information (described later) relating to the reservation of the operating facility is input via the input means 11. The input information is transmitted to the operation service center 4 via the data transmission / reception means 15 and a reservation request is made.

Also, a response to the request for the reservation of the surgical facility is received from the surgical service center 14 via the data transmitting / receiving means 15 and displayed on the display means 12. The response consists of suggesting and recommending some of the appropriate operating theaters 6 retrieved by the surgical service center 4 based on the appointment request.

Here, a desired operation site is selected by the selection means 13. Reservation request information, provisional reservation information, official reservation information, etc. are stored in the storage means 14.

Figure 3 is a block diagram showing the schematic configuration of the information processing terminal provided at the surgery service center. The information processing terminal 20 shown in the figure includes a display unit 21, order monitoring means 22, Means 23, information counting means 24, information retrieval means 29, operating room DB 25, nurse registration DB 26, doctor registration DB 27, and data transmission / reception means 28 .

The operating room DB 25 stores information such as the idle time of the operating room, the status of facilities in the operating room, and facilities. The Nurse Registration DB 26 stores information mainly related to nurses participating in surgery, such as the number of surgical nurses at each hospital and the number of years of experience. In addition to the basic information of each physician, the doctor's registration DB 27 contains information on his or her specialty (cardiac surgery, neurosurgery, gastrointestinal surgery, etc.), such as skills and years of experience (carrier). Which information is stored.

Order monitor display means _{2 2} holds the information showing a series of reservation status, and displays it to the list this. In addition, the information amount attaching means 24 creates an operation information amount as a basis for the operation billing information based on the reservation result. The billing means 23 creates billing information based on the amount of surgery information created by the information amount counting means 24.

In the following, the flow of information processing for the operation room and the reservation of human resources by the operation service center will be described with reference to Fig. 4.

In the information processing terminal 10 of the medical institution 2 such as a clinic or a hospital, first, a menu screen as shown in FIG. 5 is displayed by the display means 12. This menu screen is used to make reservations for operating theaters and human resources (operating theater service input screen). From this screen, for example, search for operating hospitals 3 2, reservation status Confirmation 34, resource reservation 36, and reservation cancel 38 can be specified. These are provided by the surgical service center 4 and provide a list of services available to the medical institution 2 (step S1).

First, when the operation hospital search 32 is selected, a search screen as shown in FIG. 6 is displayed on the information processing terminal 10 of the medical institution 2. This search screen is supplied from the Surgical Service Center 4. The search screen shows the region, the details of the operation, the desired date, the desired time zone (here, three, for example), and whether there is a request (dispatch) by a surgeon. The user is prompted to enter items such as whether or not the nurse wishes to do so (step S2). When the search button 42 is pressed, a request for use reservation is transmitted to the surgery service center 4.

As the operation content, for example, in the case of abdominal gall bladder removal surgery, a keyword such as “cholecystectomy” is input. In the case of laparoscopic surgery, enter a keyword such as “Laparo”. If the doctor who makes the appointment does not wish to request the surgeon, select “No surgeon's request” or “Own's own operation”. On the other hand, when requesting a surgeon to a third party, select and enter "hope". In addition, as to whether or not the nurse wishes to request, select the request as in the case of the doctor and, in addition, enter the required number of nurses (step S3).

The information processing terminal 20 installed at the surgery service center 4 ・ Information such as `` area, operation content, desired date, desired time zone, surgeon's wish, nurse's wish, etc. '' To Search for the best medical institution (hospital) based on this. In this search, when searching for information on the operating theater, the operating room DB25 in which information on the hospital performing the surgery and its infrastructure is registered is used. In addition, to search for information on registered physicians, relevant information on the physicians' specialties (cardiac surgery, neurosurgery, gastrointestinal surgery, etc.) and the surgeon's skills such as the number of experience so far are registered. Use the registered doctor DB27. In addition, we use the nurse registration DB 26 in which the years of experience and experience value information of nurses are registered.

Figure 7 shows an example of search results for recommended hospitals.

As a result of the search to the DBs 25, 26, and 27, the names of some recommended hospitals, the recommendation rate, the reservation status, the available time zone, and the like are displayed (step S5). If there is a desired hospital, select the hospital name here and register formally. Formal registration is carried out with necessary information attached, such as the registered doctor's name, hospital name, patient name, patient's insurance number (step S6).

Figure 8 shows the confirmation screen of the official reservation result of the hospital. The surgery service center 4 notifies the temporary registration (temporary reservation) information according to the information registered and confirmed at the information processing terminal 10 of the medical institution (step S9).

At the same time, contact the hospital with the temporarily registered operating room to secure and reserve an operating room, secure resources such as intraoperative inspection equipment and nurses, and secure a surgeon and make a temporary reservation. (Steps S7 and S8). Figure 9 shows the screen showing the official appointment result of the surgeon. For example, if the desired operation is not available at the hospital where the surgical facility was reserved, another hospital will dispatch an appropriate surgeon. At that time, the reservation information of the doctor who made the reservation is notified to the doctor who made the reservation input (request) (Step S ll).

After confirming the completion of the appointment at the medical institution (Step S11), a formal appointment notification is made to the patient 8 and the operating facility 6 (Steps S12, S13). At this time, the information amount is counted by the information amount counting means 24 according to the operation information such as the occupation time of the operating room, the number of nurses, and the years of experience of the surgeon. The result is transferred to the charging means 23, and the charging information is notified to the doctor of the medical institution 2 who made the reservation.

According to the above-described embodiment, the information processing terminal 20 of the surgical service center 4 is provided between the medical institution 2 such as a hospital and a clinic and the operating room 6 or the patient 8. Since the information processing terminal 20 provides an information processing service for arranging the operating theater 6 and resources, it is possible to realize the shared use of the operating facility (industrial applicability).

INDUSTRIAL APPLICABILITY The present invention is suitable for group medical care and regional medical care composed of small clinics, and can realize shared use of facilities such as operating theaters.

Claims

The scope of the claims

1. A database that stores information about medical institutions with operating theaters that can be shared,

A communication means for receiving, via a network, a request for a reservation for use of an operating theater required for an operation from a medical institution;

Information search means for searching the database for information on a medical institution having an available operating site in response to the request, and presenting the information to the requesting medical institution;

An information processing terminal of a surgical service center equipped with:

2. It has a second database that stores information about doctors who can perform surgery or nurses who can participate in the surgery, etc.

The request includes, in addition to the request for reservation of use of the operating room, a request for dispatch of a doctor or a nurse who participates in the operation related to the reservation,

The information processing terminal according to claim 1, wherein the information search unit searches the second database for information on doctors and nurses that can be dispatched in response to the request, and presents the information to the requesting medical institution. .

3. The information processing terminal according to claim 1, further comprising an order monitor display unit that displays a series of reservation statuses based on the request received by the communication unit.

4. An information amount counting means for creating an operation information amount serving as a basis for billing information on the operation related to the use reservation in accordance with a contract of use reservation based on a request from the medical institution,

Based on the amount of surgical information created by the information amount creating means Billing means for creating billing information by

The information processing terminal according to claim 1, further comprising:

5. A reservation request input screen is displayed on the information processing terminal of the medical institution, and a step of prompting the user to input a request for a reservation for use at the operating theater for the operation in accordance with the reservation request input screen;

A step in which the information processing terminal of the surgical service center receives request information input according to the reservation request input screen in the information processing terminal of the medical institution via a network;

A step of searching for information on an available operating site according to the received request information from the database of the surgical service center;

Transmitting the information retrieved from the database to the information processing terminal of the medical institution requesting the use reservation via the network.