KR101634781B1 - Automatical Reservation Method of Medical Services within Hospital through clinical pathway analysis - Google Patents

Abstract

The present invention relates to a method for automating medical service reservation, comprising the steps of: (a) inputting disease information of a patient using a computer processor; (b) generating a medical service matrix for the patient based on a clinical database and a medical care process database provided by the Central Management Server, the medical service matrix comprising a date a list of expected health care services by date; (c) changing a list of the anticipated medical services or inputting information for new medical service reservation based on disease information and medical care information of a patient provided by the central management server; (d) generating a medical service schedule table using a list of the changed anticipated medical services or new input information of the step (c); (e) performing a reservation according to the medical service schedule; And (f) storing the medical service schedule in a job-specific directory of the central management server and notifying the person in charge of the job. The method of the present invention extracts the check list through analysis of the medical care process, enables the systematic operation of the in-hospital examination through automation of the examination reservation, and enables efficient resource management considering the characteristics of the patient and the emergency situation do.

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical service reservation system,

The present invention relates to a method for automatically scheduling in-hospital medical services through analysis of a medical treatment process.

Currently, the most common method for scheduling diagnostic tests is to visit the hospital directly to adjust the schedule, or to adjust the schedule of the examinations via the Internet. On the other hand, even in the case of a large medical institution, the number of patients that can be treated per specialist doctor is limited. Therefore, the general patient reservation management system of a large medical institution classifies the time available for the medical consultant to be a database, The patients are allocated from the patients who are first reserved at the time of each treatment, and are managed to perform the treatment sequentially. However, in the case of such a patient reservation management system, there is a problem that it is difficult to appropriately and promptly respond to a patient who visited a large medical institution without being able to make a reservation in advance due to a sudden deterioration in health condition. In addition, patients who can not make a reservation in advance and visit a large-scale medical institution have an inconvenience to wait for a long time until the medical treatment of the pre-scheduled patients is completed regardless of the severity of the disease state.

In addition, the conventional reservation method has been unilaterally determined by the patient and does not refer to a medical record by a specialist, so there is a possibility that duplicate inspection is performed or unnecessary inspection is performed. However, although it is natural that the predetermined condition of the patient condition is proceeded by a predetermined method, there is an inconvenience to wait for a long time to judge the natural decision, and anxiety increases while waiting for the patient. It is common that large-sized medical institutions are divided into medical specialty departments and specialized medical doctors are set differently according to detailed medical treatment departments. Since the division of such medical treatment units is complex, it is necessary to wait for a long period of time The patient may be informed that the reservation for the illness is wrong and the patient may have to wait for the reservation and the waiting time again. Therefore, there is a need to develop an improved reservation system in terms of patient specificity, cost, and efficiency.

Numerous papers and patent documents are referenced and cited throughout this specification. The disclosures of the cited papers and patent documents are incorporated herein by reference in their entirety to better understand the state of the art to which the present invention pertains and the content of the present invention.

The inventors of the present invention have made efforts to develop a method of automating reservations for in-hospital medical services (for example, a diagnosis test) through analysis of a medical treatment process, and as a result, developed a method of automating the reservation of inspections for hospitalized and inpatients in consideration of the patient's specificity and emergency situation The method of the present invention constructs a predictive medical care matrix by taking into consideration the characteristics of the medical condition and the diagnostic test through the analysis of the medical care process and at the same time confirms the specificity, duplication test or emergency medical treatment of the patient, The present invention has been completed.

It is therefore an object of the present invention to provide a method for automating medical service reservations.

It is another object of the present invention to provide a recording medium readable by a computer processor for medical service reservation.

It is another object of the present invention to provide a system for medical service automation reservation.

Other objects and advantages of the present invention will become more apparent from the following detailed description of the invention, claims and drawings.

According to one aspect of the present invention, the present invention provides a method of automating a medical service reservation comprising the steps of:

(a) inputting disease information of a patient using a computer processor;

(b) generating a medical service matrix for the patient based on a clinical database and a medical care process database provided by the Central Management Server, the medical service matrix comprising a date and a list of expected health care services by date,

(c) changing a list of the anticipated medical services or inputting information for new medical service reservation based on disease information and medical care information of a patient provided by the central management server;

(d) generating a medical service schedule table using a list of the changed anticipated medical services or new input information of the step (c);

(e) performing a reservation according to the medical service schedule; And

(f) storing the medical service schedule in a job-specific directory of the central management server and notifying the person in charge of the job.

The present inventors have tried to develop a method for automatically scheduling in-home medical services through analysis of a medical treatment process. As a result, a method of automating medical service reservation for hospitalized patients and admitted patients was developed in consideration of the specificity and the emergency situation of the patient. The method of the present invention is based on the analysis of the medical treatment process, We have confirmed that the matrix can be constructed and at the same time, duplicate inspection or emergency medical treatment can be confirmed and the limited use of laboratory resources can be efficiently used.

It is an object of the present invention to provide a medical service reservation and processing system that analyzes a medical care process to automatically generate a medical service list for hospitalized and inpatient patients, and takes into account specific conditions such as a patient's condition and specificity and emergency situation.

 The present invention is a method for automating the appointment and diagnosis of a patient in a hospital by analyzing a medical treatment process. The method of the present invention automatically generates a checklist for hospitalization and an inpatient, but in order to efficiently operate the in- And a manual reservation support step for considering variables such as specificity and emergency situation. For example, in the case of a manual reservation support step requiring an emergency test, the operator can proceed with the emergency test reservation process according to the patient's disease name using the computer processor.

In the present specification, the term " manual reservation support " is a process carried out by an operator. The operator may omit some reservation steps depending on whether an emergency is present or not, Or a new check list or patient information.

The inventors of the present invention have focused on the fact that there are still various medical service proceeding methods for the medical treatment of the hospitalized and inpatient patients but there is still room for duplication test or emergency test and the patient's specificity is not taken into consideration, The inventors have made efforts to develop a method for automating inspection scheduling through process analysis, and as a result, the method of the present invention has been designed.

As used herein, the term " medical service " includes all the medical care performed in the hospital, and is mainly used for a reservation system of medical care activities for providing quick and efficient services because there are many visitors or reservations.

According to the present invention, the medical service is a diagnostic test, and besides the diagnostic test, it can be used for a general medical treatment or a surgery reservation.

Hereinafter, the method of automating the medical service reservation according to the present invention will be described in detail.

Step (a): Enter patient's disease information

First, the operator inputs disease information of the patient through the network connected to the central management server. Basically, since the types of diseases are indexed and databaseized, the operator can input the disease names or symptoms to be inputted through the stored index list.

According to the present invention, it is possible to further include a step of inputting whether the emergency medical service is provided before the step (a). (A-1) If the emergency medical service is not performed, the steps (a) to (f) are sequentially performed. (c) is not carried out and the reservation of the step (d) and the reservation of the step (e) are executed immediately.

In addition, the step (a-2) may further include a step of performing a check of the entire inspection state (inspection reservation and use situation) provided by the central management server before the creation of the medical service schedule, May be further included.

The emergency level is classified into immediate examination request, two-hour examination request and on-the-spot examination request, and the examination room is assigned according to the degree of emergency.

Step (b): Medical services matrix (matrix) created

Then, a medical service matrix (e.g., a diagnostic test matrix) for the patient is generated based on a clinical database and a medical care process database provided by the Central Management Server.

The health care metrics are generated to include a list of expected health care services by date. For example, the matrix generation is performed by collecting evidence-based data and substituting characteristics of each test (CT, x-ray MRI, PET, US, ECG, etc.) On the other hand, in a special situation (when there is insufficient data on the patient), the medical staff can directly see the condition of the patient and judge it, and can input each characteristic into the program and generate the test matrix.

The method may further include a step of confirming existence of a database for the disease before preparation of the expected medical care service list in the step (b), and inputting the corresponding data.

Step (c): Modification of the medical service list

Based on the patient's disease information and treatment information provided by the central management server, changes the list of expected medical care services generated in the step (b), or inputs information for new medical care service reservation.

The disease information and medical information of the patient provided by the central management server of (c) includes the main symptom of the patient, current medical history, past medical history, past diagnostic test list, immunization status, medication information, allergy symptoms, Status, family history, psychosocial observations, and personal details.

According to the present invention, an existing medical care process is analyzed for in-hospital and in-patient patients in a hospital, and a predicted medical care matrix is extracted by considering the characteristics of each medical examination, examination (CT, x-ray MRI, PET, US, ECG, etc.) If you have received the relevant test or if the patient's situation is special, you should go through the procedure to add, delete and check the schedule and correct the diagnosis checklist. In other words, if you have already received the test, or if you have problems receiving the test because of the patient's specificity, you will be given a procedure to get confirmation about the predicted care matrix.

If the test is an exclusion test, remove the test from the TLN and perform additional work if the test due to the specificity can be added. As a result, the list of day-by-day inspections (TLn) for the change history is modified.

Step (d): Medical service schedule table creation

A medical service schedule table is generated using the list of the changed anticipated medical services or the new input information of the step (c).

After the step (d), further comprising the step of determining the emergency level of the medical service list based on the patient's specificity based on the patient's disease information and medical care information provided by the central management server and correcting the medical service schedule .

Step (e): Execution of reservation

And makes a reservation according to the medical service schedule provided in the step (d). The reservation is made through a network connected to the central management server, and is reserved in a reservation order considering the emergency level and the patient's specificity.

Step (f): Notification by job

Finally, the schedule of the diagnostic test is stored in the job-specific directory of the central management server and notified to the person in charge of the job.

As described above, the method of automating the medical service reservation according to the present invention is described as performing the notification by job after the reservation is made through the network, but this is for the convenience of description, and the method of the present invention includes: i) It is not excluded to carry out the notification per job and perform the reservation, and ii) to simultaneously perform the reservation and the job-specific notification.

The medical service in which the method of the present invention can be used includes all the medical care provided in the hospital, and can be used for a test reservation having a large number of visitors and reservations, and can be utilized in a reservation system in a medium or large medical institution.

The diagnostic test of step (a) may be performed by computed tomography, X-ray, magnetic resonance imaging, positron emission tomography (PET), ultrasound (US) diagnosis, single photon emission computed tomography (SPECT), and electrocardiography (ECG).

According to still another aspect of the present invention, there is provided a recording medium readable by a computer processor, characterized in that a program for executing the medical service automation reservation of the present invention described above is recorded.

According to another aspect of the present invention, the present invention provides a system for medical service automation reservation comprising:

(a) a computer processor; And

(b) readable on the computer processor coupled to the processor.

The recording medium and the system of the present invention are for carrying out the method of the present invention described above, and the description common to both is omitted in order to avoid the excessive complexity of the present specification.

The recording medium of the present invention is not particularly limited and may be a variety of storage media known in the art such as CD-R, CD-ROM, DVD, data signals embedded in carrier waves, flash memory, floppy disks, hard drives, But are not limited to, magnetic tape, MINIDISC, nonvolatile memory cards, EEPROM, optical disks, optical storage media, RAM, ROM, system memory and web servers.

The system of the present invention can be constructed in various ways. For example, the system of the present invention may be implemented as a multi-processor computer array, a web server, and a multi-user / interactive system.

The features and advantages of the present invention are summarized as follows:

(a) The present invention relates to a method for automating medical service reservations.

(b) The method of the present invention extracts a check list through analysis of a medical treatment process, enables systematic operation of the hospital examination through automation of examination appointments, Enabling operation.

Figure 1 shows a flow chart of an embodiment according to the method of the present invention.
Figure 2 shows a flowchart of another embodiment according to the method of the present invention.

Hereinafter, the present invention will be described in more detail with reference to Examples. It is to be understood by those skilled in the art that these embodiments are only for describing the present invention in more detail and that the scope of the present invention is not limited by these embodiments in accordance with the gist of the present invention .

Example

An embodiment of a method for automating the diagnosis test reservation according to the present invention will be described in detail with reference to FIG.

FIG. 1 is a flowchart illustrating a method of automatically applying a medical service (diagnostic test) reservation method according to the present invention to a patient admitted to and visiting a hospital.

The worker (the medical person) is connected to the central management server and prepares to receive the examination reservation service for the patient. If the patient's situation requires an urgent test, you can check the situation immediately and make a reservation immediately.

On the other hand, when the situation of the patient does not require an urgent test, the patient's medical name (disease name) is inputted using a computer processor. A medical care process analysis stored in the central management server is performed based on the input information, and an examination reservation matrix is generated according to the analysis. Subsequently, the generated matrix is checked to see whether duplicate tests or diagnostic tests that do not match the patient's condition are included, thereby excluding some tests. In this case, the inspection schedule can be automatically modified, added or deleted by using a computer processor, or may be generated as an operator input. The inspection schedule is finally created using the modified inspection list. The created schedule is scheduled through the network connected to the central management server.

FIG. 2 is a flowchart illustrating a method of automatically applying a medical service (inspection) reservation method according to the present invention to a patient admitted to and visiting a hospital.

The worker (the medical person) is connected to the central management server and prepares to receive the examination reservation service for the patient. If the patient's situation requires an urgent test, you can check the situation immediately and make a reservation immediately. In this case, the process of inputting the emergency degree of the patient is performed, and the reservation order is determined according to the emergency level. Thereafter, the laboratory schedule is notified to the person in charge of the job.

The following shows a programming example for use in the emergency inspection process.

if (TRn is Empty) {

    switch (P1's EL) {

        case EL1:

            Scheduled schedule in the assignment table of TRn check

            If the test room is empty at that time point, you can schedule the test after insertion

            Emergency level If the emergency level such as EL1 or EL2 is fixed,

            For patients who have been diagnosed with HIV, and the elapsed time of other emergency levels, such as EL2,

            Emergency Level (EL) adjustment by patient

        case EL2 .... n:

            After calculating the range of inspection time that can be pushed, the current level is raised until the emergency unit

            Adjustment of EL rating over time

        case ELD:

            Fill in my schedule only on the day

    }

}

On the other hand, if the patient's situation does not require an emergency exam, enter the patient's disease name using a computer processor. Based on the input information, a clinical database and a clinical process database stored in the central management server are analyzed, and an examination reservation matrix is generated according to the analysis. If there is no database for the disease name, the process of inputting the data may be additionally performed.

For patients admitted with disease A, the predicted care matrix is shown in Table 1.

division On the day of admission (H0) Day 1 (H1) Day 2 (H2) Day 3 (H3) General inspection WBC - - - - ECG - - radiation Chest AP - - - PET - - - OP - OP - - .... - - - -

Based on the basic information of the patient (Pi) at the time of admission to the patient, the target checklist is generated (TLd) for each target from the prepared predictive care matrix.

TL0: WBC, Chest AP, PET

TL1: ECG

Subsequently, the generated matrix is checked to see whether duplicate tests or diagnostic tests that do not match the patient's condition are included, thereby excluding some tests. In this case, the inspection schedule can be automatically modified, added or deleted by using a computer processor, or may be generated as an operator input. If the inspection is to be excluded, the relevant inspection shall be removed from the TLN and additional work such as addition of inspection due to the specificity shall be carried out. In some cases, the operator may also support the manual addition of day-by-day checks (TLn) for the change history.

Next, the inspection schedule is created using the modified inspection list.

Create in-house laboratory schedule table division TR1
(PET laboratory) TR2
(CT Laboratory) TR3
(X-ray Laboratory) TR4
(US laboratory) 09:00 P1 (patient 1) - - - 10:00 - P1 (patient 1) - - 11:00 - - P1 (patient 1) - 12:00 - - - P1 (patient 1) ... - - - -

Scheduling of inpatient appointments is scheduled for the inpatient (Pi) who is scheduled to undergo surgery on the schedule Tij based on the differentiated TLd list.

The following is a programming example for use in the scan reservation scheduling.

for (d is inpatient day) {

    for (TLd) {

        for (TLd in TRn) {

            for (FT in TRn Time) {

                if (TRn is Empty at FT) Reserve in TRn;

            }

        }

}

The created schedule is scheduled through the network connected to the central management server, and the job schedule is notified to the person in charge of the job.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the same is by way of illustration and example only and is not to be construed as limiting the scope of the present invention. Accordingly, the actual scope of the present invention will be defined by the appended claims and their equivalents.

Claims (12)

A method of automating a medical service reservation in a medical service reservation system, comprising the steps of:
(a) determining a medical service reservation order according to whether an emergency medical service provided by a user is provided using a computer processor, the method comprising the steps of: (a-1) (b) to (d) without performing the steps (a-2) and (d) in the case of performing the emergency medical service, Wherein the step (a-2) comprises inputting the degree of urgency of the patient before the generation of the medical service schedule, wherein the degree of urgency is classified into the immediate request, the two-hour in-demand and the on- Features;
(b) transmitting disease information of a patient received from a user to a Central Management Server using a computer processor;
(c) generating a medical service matrix using disease information for the patient based on a clinical database and a medical care process database provided by the Central Management Server using a computer processor; Wherein the medical service matrix is generated to include a list of expected health care services by date by generating a list of health care services on a date by assigning characteristics of each health care service to data normalized by date, ;
(d) modifying a list of the anticipated medical services or generating information for a new medical service reservation based on disease information and medical care information of a patient provided by the central management server using a computer processor, Eliminate the health care service if the list of anticipated health care services overlaps with the past medical care information;
(e) generating a medical service schedule table using a list of changed expected medical services or new input information of step (d) using a computer processor;
(f) modifying the medical service schedule by determining the emergency level of the list of the medical services based on the patient's specificity based on the patient's disease information and medical care information provided by the central management server using the computer processor;
(g) performing a reservation according to the medical service schedule using a computer processor; And
(h) storing the medical service schedule in a job-specific directory of the central management server using a computer processor and providing the medical service schedule to a person in charge of the job;
delete 2. The method according to claim 1, wherein the step (a-2) further comprises the step of confirming the reservation and use status of the medical service providing place provided by the central management server before the generation of the medical service schedule .
delete delete The method according to claim 1, further comprising the step of confirming whether a database of the disease is present before the preparation of the expected medical service list in the step (c).
2. The method according to claim 1, wherein the disease management information and the treatment information provided by the central management server in (d) includes at least one of the main symptoms of the patient, the current medical history, past medical history, immunization status, medication information, Exercise status, family history, psychosocial observations, or personal information.
delete The method of claim 1, wherein the medical service is a diagnostic test.
10. The method of claim 9, wherein the diagnostic test is a computed tomography, X-ray, Magnetic Resonance Imaging, positron emission tomography (PET), ultrasound ), A single photon emission computed tomography (SPECT), or an electrocardiography (ECG).
A computer-readable recording medium having stored thereon a program for executing the method according to any one of claims 1, 3, 6, 7, 9 and 10.
A system for scheduling medical services automation, including:
(a) a computer processor; And
(b) a recording medium readable by the computer processor of claim 11.

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