Operating room management system

The present invention relates to an operating room management system for effectively using a surgical kit used during surgery in a medical institution such as a hospital, and more specifically, a server computer of a medical device manufacturing company and a plurality of medical institutions such as hospitals. Information on surgical kits associated with surgery is communicated with client computer terminals, and surgical kits are tentatively ordered from a medical device manufacturer at the time of scheduled surgery, and then automatically ordered at the time of surgery. It provides a new operating room management system that enables cost management of operation time management and operation kit contents for each doctor in charge.

To secure an operating room to be used when performing surgery at a conventional medical institution such as a hospital, for example, fill vacant rooms one by one on a blackboard, decide the operating room after the doctor in charge is confirmed, and then each department in charge. The instruments and medicines related to multiple nurses were collected from the management department in the medical institution and prepared as a surgical kit.

In this case, the operating room preparation inventory check is first performed when the operation target is determined. Specifically, the material inventory check, the drug inventory check, and the linen inventory check are performed by the nurse in charge.

When collecting equipment and medicines placed in the warehouse in the hospital, submit the material billing slip, drug billing slip, and linen billing slip to the goods center and take them out from the goods center if they are in stock. The nurse in charge or the staff of the goods center had to create an order slip and process the order.

For this reason, for the nurse in charge, in addition to the nursing work for the sick, which is the original work, the preparation work for the surgical kit at the time of surgery was added, which contributed to the busy schedule.

In addition, since the instruments and medicines used differ depending on the skill of the doctor in charge, it is necessary to confirm the instruments and medicines specified by the doctor in charge in advance when preparing the surgical kit, and it is necessary to recognize the preference of each doctor. It was a burden on the nurses to prepare these.

For this reason, instead of preparing surgical kits directly in the hospital, an external ordering method of ordering surgical kits through a dealer has been adopted, and as a system for such outsourcing. , Japanese Patent Application Laid-Open No. 2002-259778 "Medical Material Management System and Method" states, "In a medical material management system that manages medical materials by a computer system, a fixed number of medical materials consisting of a predetermined type and quantity are delivered. The medical institution terminal used in the medical institution and the distribution center terminal used in the distribution center for delivering medical materials are connected via a communication network, and each of them is configured to be able to communicate with each other. A recording means for recording information input via the institution terminal in association with the medical institution that transmitted the information, and types of consumed medical materials among medical materials delivered via the medical institution terminal. When the delivery information including the number is input, the delivery information is stored in a predetermined area of the storage means, and the medical institution terminal that has transmitted the delivery information is notified of the receipt of the delivery information. , The ordering means for outputting the ordering information for specifying the medical material to be delivered to the medical institution that transmitted the delivery information to the distribution center terminal based on the delivery information stored in the storage means, and the medical institution terminal. When the warehousing information including the type and number of medical materials delivered from the distribution center is input via the warehousing information, it is identified that the warehousing has been completed in the corresponding data of the warehousing information stored in the storage means. Disclosed is a "medical material management system, which is provided with a delivery management means, which is stored in the storage means by adding an identifier to be used."<patcit num="1"><text>Japanese Patent Application Laid-Open No. 2002-259778</text></patcit>

<p> As mentioned above, in the past, instead of preparing the surgical kit directly in the hospital by the nurse or full-time staff, the surgical kit was ordered through the dealer and placed externally. In that case, it took about two weeks from the order placed by the hospital to the final delivery of the surgical kit.</p><p> Therefore, if an order can be placed with the delivery company at the time of reservation of the patient's operating room, the preparation of the medical device manufacturing company on the delivery company side can be dealt with early, and if the formal order is placed when the surgery is officially confirmed, the medical device On the manufacturing company side, it has been desired to develop a new system capable of combining pre-prepared instruments and chemicals as a surgical kit, sterilizing them, and preparing them for shipment.</p>

<p> As a result of diligent research to solve the above problems, the present inventors, etc., found that the surgical kit to be used includes the instruments specified by the doctor in charge when the patient to be operated on, the operating room and the name of the doctor in charge are determined. Provides a new operating room management system that can be prepared in advance.</p><p> That is, the first aspect of the present invention is that the server computer of the medical device manufacturing company and the client computer terminals of a plurality of hospitals and other medical institutions are connected by a dedicated line, and the server computer of the medical device manufacturing company is input by the client computer terminal. It has a surgical data management means that receives and manages surgical data of any of the patient ID, operating room name, operating time, surgical procedure, and surgical procedure structure, and the client computer terminal of a medical institution such as a hospital accompanies the surgery. It has a surgical data transmission means for inputting surgical data of any of patient ID, operating room name, operating time, surgical procedure, and surgical structure and transmitting it to a server computer of a medical device manufacturing company, and can communicate with each other. It is an operating room management system characterized by the fact that</p><p> The second aspect of the present invention is an operating room management system in which a server computer of a medical device manufacturing company and client computer terminals of a plurality of hospitals and other medical institutions are connected by a communication line. Instruct the surgical data management means that receives and manages the surgical information transmitted from the client computer terminal in the medical institution, and the production factory that produces the corresponding surgical kit from the surgical information and the transport center that transports the surgical information to the medical institution. On the other hand, the client computer terminal in the medical institution has the operating room data input means for inputting the operating room reservation and confirmation data for the patient, and the operating kit used depending on the operation content. It is characterized by having a surgical kit selection management means for selectively managing the surgical kit, an ordering means for ordering the surgical kit from a medical device manufacturing company, and a data management means for managing data for each operation related to general surgery. It is an operating room management system.</p><p> The third aspect of the present invention is that the surgical kit information management means of the server computer has an order confirmation function of receiving a formal order at the time when the operating room is reserved by the client computer terminal of the medical institution and at the time when the confirmation process is performed. The operating room management system according to claim 2, wherein the production of the kit is instructed to the production factory and the transportation is instructed to the transportation center.</p><p> Fourth, the operating room data input means of the client computer terminal in the medical institution has a management function for managing the usage status of the operating room, a reservation function for reserving the operating room, and a reservation confirmation for the operating room. The operating room management system according to claim 2 to 3, wherein the operating room management system is characterized by having a definite function.</p><p> Fifth of the present invention, the surgical kit selection management means of the client computer terminal in the medical institution has a kit management function for managing the basic standard kit contents according to the surgical contents of the patient, and the surgery used by the surgical doctor. The surgery according to claim 2 to 4, wherein the material and the surgical medicine are selected from the material management function used by a doctor of the medical team management means in charge, and have a material management function to be incorporated into the kit management function. It is a room management system.</p><p> Sixth of the present invention, the data management means of the client computer terminal in the medical institution has a counting function for managing the number of operating rooms in operation, the number of operations for each doctor in charge, and the analysis data management of the doctor in charge for managing the contents of operations. The operating room management system according to claim 2 to 5, wherein the operating room management system is characterized by having a function and a surgery management data output function for outputting surgery management data such as the doctor in charge of surgery and the contents of a surgery kit.</p><p> A seventh aspect of the present invention is that the client computer terminal in the medical institution has a medical team management means in charge when necessary, and the medical team management means in charge performs an allocation procedure of a doctor in charge, a doctor in charge of drunkenness, and a nurse. The operating room management system according to claim 2 to 6, which has a function of assigning medical staff, a function of managing surgical materials used by each doctor in charge, and a function of managing materials used by doctors to manage data of surgical medicines. is there.</p>

<p> By using the operating room management system of the present invention, the work of collecting information such as surgical materials collected by the nurses in the department in charge has been eliminated, and the nurses can concentrate on their original nursing work. ..</p><p> By digitizing the operation history such as the operation time of the doctor in charge, it is possible to obtain the average value of the operation time, which has the effect of facilitating the securing of the operating room.</p><p> In addition, since the surgical kit can easily calculate the measurement for each instrument and drug used for each doctor in charge, it is possible to easily manage comparative data for each doctor in charge.</p>

The operating room management system of the present invention will be described in detail below with reference to the drawings, but the present invention is not limited thereto.

FIG. 1 is a schematic diagram illustrating an operating room management system of the present invention. The server computer 1 of the medical equipment manufacturing company that delivers the surgical kit is connected to the client computer terminal 5 installed in each medical office of the medical institution by a dedicated line 7 or the Internet communication network 4, and the personal computer terminal 6 of the production factory 8 is connected. And the personal computer terminal 9 of the transport center 10 is connected by a dedicated line 7.

In this case, the client computer terminal 5 of the medical institution has an operating room data input means for inputting operating room reservation and confirmation data for the patient, a surgical kit management means for managing the operating kit to be used depending on the surgical content, and a surgical kit management means. Although it has an ordering means for ordering the surgical kit from a medical device manufacturing company, due to the obligation of data confidentiality of patients and medical institutions, the server computer of the medical device manufacturing company has the relevant data regarding the production and transportation of the surgical kit. It is possible to control only the transmission of.

More specifically, the operating room data input means has a management function for managing the usage status of the operating room, a reservation function for reserving the operating room for the patient, and a confirmation for confirming the operating room for the patient. By having a function, it is possible to secure the operating efficiency of the operating room.

Further, the surgical kit selection management means has a kit management function for managing the basic standard kit contents according to the surgical contents of the patient, and a doctor-use material management function for the surgical materials used by the surgical team management means. By having a second kit management function to be incorporated into the kit management function by selecting from the above, the surgical target, the doctor in charge, and the operating room are tentatively reserved, and after the reservation is confirmed, the surgical kit is manufactured by the medical device manufacturing company. I am trying to contact you.

Further, the data management means has a counting function for managing the number of operating rooms in operation, a number of operations for each doctor in charge, and a data management mechanism for the doctor in charge for managing the contents of the operations, so that various counting processes for each operation can be performed. It is supposed to be.

In addition, if necessary, the client computer terminal has a medical team management means in charge, and this medical team management means is used by the medical worker assignment function for managing the doctor in charge, the doctor in charge of anesthesia, and the nurse, and for each doctor in charge. By having a material management function used by a doctor who manages materials, it is possible to select in advance a designated instrument that the doctor in charge usually uses.

As a specific processing means of the system of the present invention, the person in charge of surgery management on the medical institution side first opens the main menu, which is the basic screen as shown in FIG. 2, and inputs the basic information input shown in FIG. 3 from the operation menu. , Patient ID, operation appointment date and time, operation method, operation structure, operation place, etc. can be selected and entered individually to select room information, anesthesia information, device information, material information, personnel information required for each operation. It is made up of.

After inputting these necessary information, it is possible to reserve an operating room as shown in Fig. 4. At this point, the reservation status for each operating room is known in sequence, and the patient ID is entered for the vacant room to enter the room. Make a tentative reservation.

Next, as shown in Fig. 5, when the main surgery reservation is confirmed on the confirmation screen, the surgical kit is also officially ordered, and the surgical kit that has been officially produced at the medical kit production factory and sterilized is directly or transferred to the transportation center. It is delivered to the medical institution side via.

In addition, as shown in the ordering information input screen of Fig. 6, the order status list for each order date is simply displayed, and as shown in the master maintenance screen of Fig. 7, patient information, hospital information, allergy information, and agents. If you enter information, equipment information, standard set information, equipment information, name information, staff information, etc. for each master, the operation time is totaled, analyzed, and the material amount is totaled, and the number of operations for each doctor in charge is calculated from these data. , Display of material cost used, various data such as hourly implementation status can be aggregated individually, which greatly contributes to the management of medical institutions.

FIG. 8 is a flow sheet diagram showing an operating room securing process by a terminal of a medical office according to the present invention, and FIG. 9 is a flow sheet diagram illustrating a flow of surgery according to the system of the present invention. The feature of the system of the present invention is that when the operating room is reserved by the client computer terminal 5 of the medical institution, the room is first tentatively reserved, and then the surgical kit is officially ordered by the definite input.

<figref num="1">It is a schematic diagram explaining the operating room management system of this invention.</figref><figref num="2">It is explanatory drawing which displays the main menu screen.</figref><figref num="3">It is explanatory drawing which shows the reservation screen in FIG.</figref><figref num="4">It is explanatory drawing which shows the confirmation screen in FIG.</figref><figref num="5">It is explanatory drawing which shows the individual confirmation in the confirmation screen.</figref><figref num="6">It is explanatory drawing which shows the order processing.</figref><figref num="7">It is explanatory drawing of the master management input screen.</figref><figref num="8">It is a flow sheet figure which shows the operating room securing processing by the terminal of the medical office which concerns on this invention.</figref><figref num="9">It is a flow sheet diagram explaining the flow of the operation which concerns on the system of this invention.</figref>

Code description

1 Server computer 2 Database 3 PC terminal of medical equipment manufacturer 4 Internet communication network 5 Client computer terminal 6 PC terminal for production factory 7 Dedicated Line 8 Surgical kit production factory 9 Computer terminal for transport center 10 Transport center