JP2001282931A - System for supporting hand washing management - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a method for predicting the contamination state of fingers and appropriately washing hands because the contamination states of the fingers are different due to various factors, such as the organic matter contamination state and bacteria contamination state of an object to be contacted, the action type of a worker to working material and working time and the state of hand chapping, etc. SOLUTION: This system is provided with a 1st storing means for storing a bacteria contaminant group of bacteria resulting from the object to be contacted, an organic matter contaminant group of actions etc., performed to the object to be contacted by a worker, and a finger contamination basic data group which is obtained by attaching a mark representing a finger contamination degree to a contaminant group composed of a qualitative evaluation factor group representing the significance of bacteria contamination or a quantitative evaluation factor group representing the quantity of actions performed to the object to be contacted by the worker and is related to the fingers contamination due to bacteria and organic matter, and an outputting means for outputting data stored in the 1st storing means to an output device.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a system for supporting a hand washing method for sanitary purposes in a hospital facility, an elderly care facility, a food processing facility, a kitchen, and the like.

[0002]

2. Description of the Related Art Conventionally, in the case of contact or indirect contact with the human body, for example, for nursing care or medical treatment, and when it is necessary to manage fingers in a hygienic manner, the condition of a patient, the condition of a nurse, In many cases, hand disinfectants are always used in spite of various conditions such as low to high hand contamination depending on the type and the like. While the hand disinfectant has a strong disinfecting effect, it has a strong defatting effect, which causes rough hands. Rough skin has strong adhesion to the skin and promotes the presence of MRSA, which is the causative agent of hospital-acquired infection, and causes hand-washing to prevent hospital-acquired infection.

[0003] Also, in a food processing facility, when it is necessary to hygienically control fingers in order to prevent food poisoning caused by Salmonella, Escherichia coli O-157, etc., the state of organic and bacterial contamination of the processed material, the processed material of the actor, etc. Despite the fact that finger contamination is different depending on the type of action, processing time, and hand conditions such as rough hands of the actor, a quick-drying disinfectant containing inverse soap or alcohol must be used at all times. Many. In particular, alcohol-containing quick-drying disinfectants have a strong bactericidal effect, but have a strong defatting effect, which causes rough hands. Rough skin has strong adhesiveness to the skin and promotes the resident of Staphylococcus aureus, which is the causative agent of food poisoning, and causes hand poisoning to prevent food poisoning.

[0004]

In the case of contact or indirect contact with the human body, such as nursing care and medical treatment, the type of nursing care, the contact time, the contact site, the patient's health condition, the patient's rhythm, the patient Of the hands, the presence or absence of nurse gloves, the type of equipment used and the degree of contamination, as well as the health and roughness of the nurses, the presence of dermatitis, and the nurse's colonization status. The contamination status is different, and it does not necessarily mean that the hands are highly contaminated, which means that hand disinfectants are used regularly. Hand contamination is also common. However, there has been no way to predict the contamination state of the fingers and to know a suitable hand washing method.

[0005] In a food processing facility as well, the contamination of fingers due to various factors such as the state of organic or bacterial contamination of the processed material, the type and duration of the act of the actor on the processed material, the hand condition of the actor such as rough hands, etc. The condition is different, and there is not always advanced hand contamination such as always using inverse soap or alcohol-containing quick-drying disinfectant, and hand washing with less soap and running water is easier than it is now. In many cases, increasing the number of times is more effective. However, there has been no way to predict the contamination state of the fingers and to know a suitable hand washing method.
An object of the present invention is to provide a hand-washing management support system that can solve the above-mentioned problems.

[0006]

Means for Solving the Problems and Action / Effect The invention according to the first aspect of the present invention has been made in order to solve the above-mentioned problem. Bacterial contamination factor group consisting of conditions (hereinafter referred to as factor group A), items causing organic contamination due to the action performed by the worker on the contacted object, organic contamination factor group consisting of loading conditions (hereinafter referred to as factor group B), and bacterial contamination And a qualitative evaluation factor group (hereinafter referred to as factor group C) composed of items representing the importance of the load condition, or a quantitative evaluation factor group composed of an item representing the amount of action performed by the worker on a non-contact object (hereinafter referred to as a factor group C). A factor indicating the degree of contamination of the finger for each item and load condition of the pollution factor group consisting of the following factor group D) is added. It is characterized by comprising a first storage means for storing a basic data group, and an output means for outputting data stored in the first storage means to an output device.

[0007] A bacterial contamination factor group (hereinafter referred to as factor group A) consisting of items causing finger contamination by bacteria derived from a contacted object and a loading condition, and items and loads causing organic matter contamination caused by an action performed by a worker on a contacted object. Organic substance pollution factor group consisting of conditions (hereinafter referred to as factor group B) and qualitative evaluation factor group consisting of items indicating the importance of bacterial contamination and loading conditions (hereinafter referred to as factor group C)
Or an item representing the amount of action performed by the worker on the contacted object, a pollution factor group consisting of a quantitative evaluation factor group (hereinafter, factor group D) consisting of load conditions, and each item of the pollution factor group;
Knowing the data stored in the first storage means, which is a hand contamination basic data group related to bacterial and organic contamination of the fingers, loaded with a score representing the degree of contamination of the fingers for each load condition, is a daily routine. It is important for understanding and predicting the current situation of hand contamination.

According to the present invention, since the data stored in these important first storage means is outputted by the output device, the present state of finger contamination in daily work can be known, and the degree of finger contamination can be known. The hand washing can be actively performed, and as a result, hand washing is managed. Further, depending on daily work, hand contamination is small, unnecessary hand washing can be eliminated, and hand roughness can be prevented.

According to a second aspect of the present invention, there is provided a hand-washing management support system, comprising a group of bacterial contaminants (hereinafter referred to as a factor) comprising items causing finger contamination by bacteria derived from a contacted object and load conditions. Group A) and a group of organic matter pollution factors (hereinafter referred to as a group of factors) consisting of items that cause organic matter pollution caused by the actions performed by workers
B) and a qualitative evaluation factor group (hereinafter referred to as factor group C) consisting of items indicating the importance of bacterial contamination and load conditions, or items indicating the amount of actions performed by the worker on the contacted object and load conditions. A contamination factor group consisting of a quantitative evaluation factor group (hereinafter referred to as a factor group D) was added with a score indicating the degree of finger contamination for each item of the contamination factor group and for each load condition. First storage means for storing a related hand contamination basic data group, and hand contamination element selection means for selecting a corresponding item from the contamination factor group;
First inference means for inferring the actual degree of hand contamination received in the actual act of the actor based on the hand contamination basic data group stored in the first storage means and the selected hand contamination element, and the inferred data And output means for outputting the output to an output device.

According to the present invention, a bacterial contamination factor group (hereinafter referred to as a factor group A) comprising items causing finger contamination by bacteria derived from a contacted object and loading conditions, and organic matter derived from an act performed by an operator on the contacted object. Factors causing pollution and organic matter polluting factors (hereinafter referred to as factor group B) consisting of loading conditions, items representing the importance of bacterial contamination, and qualitative evaluation factors consisting of loading conditions (hereinafter referred to as factor group C), or workers The amount of action performed on the contacted object, the contamination factor group consisting of quantitative evaluation factors (hereinafter referred to as factor group D) consisting of the loading conditions, and the contamination of the hands for each item of the pollution factor group and the loading conditions First storage means for storing a basic data group of hand contamination related to contamination of fingers with bacteria or organic matter loaded with a score indicating the degree thereof, and hand contamination for selecting a corresponding item from the group of pollution factors Element selector Step, first inference means for inferring the actual degree of hand contamination received in the actual act of the actor based on the hand contamination basic data group stored in the first storage means and the selected hand contamination element, and the inference An output means for outputting the obtained data to an output device is provided, so that it is possible to know the current state of the hand contamination of the worker, and to know the degree of contamination of the hand, so that the hands can be actively washed. Hand washing is managed. Further, depending on daily work, hand contamination is small, unnecessary hand washing can be eliminated, and hand roughness can be prevented.

According to a third aspect of the present invention, there is provided a hand-washing management support system, comprising a group of bacterial contaminants (hereinafter referred to as a factor) comprising items causing finger contamination by bacteria derived from a contacted object and load conditions. Group A) and a group of organic matter pollution factors (hereinafter referred to as a group of factors) consisting of items that cause organic matter pollution caused by the actions performed by workers
B) and a qualitative evaluation factor group (hereinafter referred to as factor group C) consisting of items indicating the importance of bacterial contamination and load conditions, or items indicating the amount of actions performed by the worker on the contacted object and load conditions. A contamination factor group consisting of a quantitative evaluation factor group (hereinafter referred to as a factor group D) was added with a score indicating the degree of finger contamination for each item of the contamination factor group and for each load condition. A first storage unit for storing a related hand contamination basic data group, a hand washing factor group (hereinafter, referred to as a factor group E) including items representing types of hand washing and disinfection methods, and each of the factor group E; A second item for storing basic data for hand washing and cleaning related to the effect of washing hands, with a score indicating the cleaning effect of bacterial contamination and organic contamination and a score indicating the degree of influence on the skin and the body added to each item.
Storage means, a hand contamination element selecting means for selecting a corresponding item from the pollution factor group, and an actor based on the hand contamination basic data group stored in the first storage means and the selected hand contamination element. First inference means for inferring the degree of actual finger contamination received in the actual action of the user, second inference means for inferring a suitable hand washing method from the actual degree of finger contamination and the basic hand washing basic data group, and the inferred hand washing Output means for outputting data to an output device.

Bacterial contamination factors (hereinafter referred to as factor group A), which consist of items that cause finger contamination by bacteria derived from the contacted object, and loading conditions, and items and loads that cause organic contamination due to the action performed by the worker on the contacted object. Organic substance pollution factor group consisting of conditions (hereinafter referred to as factor group B) and qualitative evaluation factor group consisting of items indicating the importance of bacterial contamination and loading conditions (hereinafter referred to as factor group C)
Or an item representing the amount of action performed by the worker on the contacted object, a pollution factor group consisting of a quantitative evaluation factor group (hereinafter, factor group D) consisting of load conditions, and each item of the pollution factor group;
A first storage means for storing a basic data group of finger contamination related to bacterial or organic contamination of a finger to which a score indicating the degree of contamination of a finger is added for each load condition, and a type of a method for cleaning and disinfecting a finger. A hand washing factor group (hereinafter, referred to as factor group E) including items representing the factors, a score representing the cleaning effect of bacterial contamination and organic contamination for each item of the factor group E, and a score representing the degree of influence on the skin and the body. Added,
A second storage unit for storing a basic group of hand-washing data relating to the hand-washing effect; a hand-contamination factor selection unit for selecting a corresponding item from the contamination factor group; and the hand stored in the first storage unit First inference means for inferring a degree of actual finger contamination received in an actual act of an actor based on the contamination basic data group and the selected hand contamination element, and suitable from the actual finger contamination degree and the hand washing basic data group. By providing the second inference means for inferring the hand washing method and the output means for outputting the inferred hand washing data to the output device, the hand washing is performed according to the hand contamination state, so that unnecessary hand washing is performed. Disappears. As a result, the amount of expensive disinfectant used is reduced, and the hands of the actor are reduced. In addition, there will be no shortage of hand washing, and measures to prevent nosocomial infection and food poisoning will be taken.

According to a fourth aspect of the present invention, there is provided a hand-washing management support system according to any one of the first to third aspects, wherein the factor group A comprises: It is characterized by comprising contacted object information such as a colonization state and a colonization location.

The present inventors have developed a hospital facility, an elderly care facility,
I have observed and analyzed various places where hygienic hand washing is important, such as food processing facilities and kitchens. For example, the analysis of bacterial contamination of fingers after nursing care for nurse patients in hospitals and nursing homes shows that the types of bacteria attached to fingers are almost all of their origin, and the amount of attached bacteria depends on the condition of the patient. I found out. Among them, in particular, the severity of the patient, the presence or absence of the infection and its type, the carrier status of the patient,
It was found that a group of factors derived from patients, such as the colonization site, was strongly involved in the degree of finger contamination. Bacterial species and the amount of bacteria attached to the finger are predicted from these information, and the hand is washed in accordance with the state of contamination of the finger, thereby eliminating unnecessary hand washing.
As a result, the amount of expensive disinfectant used is reduced and the hands of nurses are reduced. In addition, the lack of hand washing is eliminated, and nosocomial infection is prevented. Even in food processing facilities, the amount of expensive disinfectants used is reduced, the hands of workers are reduced, and measures to prevent food poisoning are taken.

According to a fifth aspect of the present invention, there is provided a hand-washing management support system according to any one of the first to fourth aspects, wherein an item constituting the factor group B is provided for a contacted object. It is characterized by the fact that it consists of action information such as the type of action, the contact site, the use of equipment, or the attachment of contaminants by the action.

The present inventors have developed a hospital facility, an elderly care facility,
I have observed and analyzed various places where hygienic hand washing is important, such as food processing facilities and kitchens. For example, an analysis of the contamination of fingers after nursing care for nurse patients in hospitals and nursing homes shows that the type and amount of bacteria attached to the fingers and the degree of contamination by blood, saliva, stool, urine, and other organic substances indicate that care is required. It turned out to depend on. Among them, the type of care for the patient, the contact site, the presence or absence of the equipment used,
It was found that it was strongly related to the group of care actors such as the amount of waste. Based on this information, the type of bacteria and the number of bacteria attached to the fingers of the nurse, and the degree of organic matter contamination are predicted, and the hands are washed according to the contamination status of the hands, so that unnecessary hand washing is eliminated. As a result, the amount of expensive disinfectant used is reduced and the hands of nurses are reduced. In addition, the lack of hand washing is eliminated, and nosocomial infection is prevented. Even in food processing facilities, the amount of expensive disinfectants used is reduced, the hands of workers are reduced, and measures to prevent food poisoning are taken.

According to a sixth aspect of the present invention, there is provided a hand-washing management support system according to any one of the first to fifth aspects, wherein an item constituting the factor group C is an actor's health. It is characterized by comprising actor information such as a state, a carrier state, and a skin state such as rough hands and dermatitis.

The present inventors have developed a hospital facility, an elderly care facility,
I have observed and analyzed various places where hygienic hand washing is important, such as food processing facilities and kitchens. For example, in hospitals and nursing homes, the type and amount of bacteria attached to fingers after patient care is what kind of bacteria the patient is carrying, how many are there, and what kind of care the nurse performs. Predicted by On the other hand, the presence or absence of the carrier of the resistant bacteria of the nurse itself and the health condition of the fingers affect the contamination status of the fingers of the nurse. Nurses with rough hands and atopic dermatitis were found to be more involved in the degree of contamination of the fingers of nurses, such as bacteria being more likely to adhere to the fingers than fingers of healthy people. Since hand washing is performed based on the information in accordance with the state of finger contamination, unnecessary hand washing is eliminated. As a result, the amount of expensive disinfectant used is reduced and the hands of nurses are reduced. In addition, the lack of hand washing is eliminated, and nosocomial infection is prevented. Even in food processing facilities, the amount of expensive disinfectants used is reduced, the hands of workers are reduced, and measures to prevent food poisoning are taken.

According to a seventh aspect of the present invention, there is provided a hand-washing management support system according to any one of the first to sixth aspects, wherein the items constituting the factor group D include an actor and a subject. It is characterized by comprising quantitative information such as presence / absence of a contact object, contact time, number of contacts, and the like.

The present inventors have developed a hospital facility, a nursing care facility,
I have observed and analyzed various places where hygienic hand washing is important, such as food processing facilities and kitchens. For example, the type and amount of bacteria attached to a finger after patient care in a hospital or nursing home, for example, what kind of bacteria the patient carries, and how many, Predicted by what kind of care the nurse performed. On the other hand, the time and number of times that a nurse contacts a patient affects the state of finger contamination. Even if care is taken to touch a place where the amount of bacteria in the patient is low, the contact time between the nurse and the patient, such as the fact that bacteria tend to adhere to the fingers as the contact time increases, such as the contact time, the number of contacts, etc. It turned out to be strongly involved in the degree of pollution. Since hand washing is performed based on the information in accordance with the state of finger contamination, unnecessary hand washing is eliminated. As a result, the amount of expensive disinfectant used is reduced and the hands of nurses are reduced. In addition, the lack of hand washing is eliminated, and nosocomial infection is prevented. Even in food processing facilities, the amount of expensive disinfectants used is reduced, the hands of workers are reduced, and measures to prevent food poisoning are taken.

According to a further aspect of the present invention, there is provided a hand-washing management support system, wherein a hand-washing factor group (hereinafter, referred to as a factor group E) includes items representing types of hand washing and disinfection methods. And a score representing the cleaning effect of bacterial contamination and organic contamination and a score representing the degree of effect on the skin and the body were added for each item of the factor group E.
It is characterized by comprising a second storage means for storing a basic group of hand washing and cleaning data relating to the effect of hand washing, and an output means for outputting the data stored in the second storage means to an output device.

A hand washing factor group (hereinafter, referred to as a factor group E) comprising items representing types of hand washing and disinfection methods, and a score representing the cleaning effect of bacterial or organic contamination for each item of the factor group E. It is important to know basic hand-washing data on hand-washing effects, with scores indicating the degree of effect on the skin and the body, in order to understand and predict daily hand-washing effects. According to the present invention, since the data stored in these important second storage means is output by the output device, it is possible to know the daily hand-washing effect, and to know the degree of the hand-washing effect, actively wash the hands. Hand washing can be managed as a result. In addition, unnecessary hand washing can be eliminated, and rough hands can be prevented.

According to a ninth aspect of the present invention, there is provided a hand-washing management support system according to any one of the first to eighth aspects, wherein the factor group E comprises a hand disinfectant. It is characterized by comprising hand washing effect information such as the type of such as, the concentration used, the contact time with a chemical, etc., the type of washing water, and the washing time.

The present inventors examined the effect of hand washing under various bacterial and organic contamination conditions, and found that the type of hand disinfectant, the concentration used, the contact time with chemicals, the type of washing water, the washing time, and the like. It was found that such factors strongly influence the hand washing effect. For example, in hospitals and nursing homes, the actual degree of finger contamination after care is determined by the factor group A, the factor group B, the factor group C, and the corresponding items from the factor group D and the load conditions. A hand washing method having an appropriate hand washing effect is determined according to the determined degree of contamination.

Since hand washing is performed based on the information in accordance with the state of finger contamination, unnecessary hand washing is eliminated.
As a result, the amount of expensive disinfectant used is reduced and the hands of nurses are reduced. In addition, the lack of hand washing is eliminated, and nosocomial infection is prevented. Even in food processing facilities, the amount of expensive disinfectants used is reduced, the hands of workers are reduced, and measures to prevent food poisoning are taken.

According to a tenth aspect of the present invention, there is provided a storage medium including a hand-washing support system according to any one of the first to ninth aspects.

Since the hand-washing support system according to any one of the above items 1 to 9 is incorporated in a storage medium such as a floppy (registered trademark) disk, the system is suitable for each nurse by being used for, for example, hospital infection control education. Hand washing method can be grasped and hospital infection can be prevented in advance.

According to an eleventh aspect of the present invention, there is provided a hand washing apparatus, wherein the hand washing supporting system according to any one of the first to ninth aspects is incorporated.

Since the hand-washing support system according to any one of the above items 1 to 9 is incorporated in the hand-washing device, it is possible to perform hand washing according to the degree of contamination of the hand every hand washing, and unnecessary hand washing is eliminated. As a result, the amount of expensive disinfectant used is reduced and the hands of nurses are reduced. In addition, the lack of hand washing is eliminated, and nosocomial infection is prevented. Even in food processing facilities, the amount of expensive disinfectants used is reduced, the hands of workers are reduced, and measures to prevent food poisoning are taken.

According to a twelfth aspect of the present invention, there is provided a hand-washing apparatus according to the eleventh aspect, wherein a part or all of items related to an actor of the hand-contamination-element selecting means are: It is characterized by being input by a signal transmitted from an IC card carried by an actor, a remote controller, or the like.

A storage means for storing the factor group E as an ID number is provided. The ID number transmitted from a remote controller or the like carried by the actor is received and accepted, and the hand can be washed according to the actor. No cleaning. As a result, the amount of expensive disinfectant used is reduced and the hands of nurses are reduced. In addition, the lack of hand washing is eliminated, and nosocomial infection is prevented. Even in food processing facilities, the amount of expensive disinfectants used is reduced, the hands of workers are reduced, and measures to prevent food poisoning are taken.

[0032]

Embodiments of the present invention will be described below in detail with reference to the drawings. Here, a description will be given of hand-washing management when performing nursing care work in a hospital or a welfare facility. However, the present invention is not limited to this case and can be applied to hand-washing management in a food processing facility.

FIGS. 1 to 3 are general flowcharts showing an embodiment of the present invention. FIG. 1 shows a flow chart of the first storage means for storing a basic data set of hand-washing contamination concerning bacteria and organic matter contamination of fingers. First, when patient information is input from the input means (S101) (S102), the inference means (S103) transmits the bacterial contaminant factor data file (S10).
4) An element corresponding to the patient is selected from the factor group of the organic substance pollution factor group data file (S105), a data group of patient information is created (S106), and stored as a patient information data group (S107). Next, when the information of the nurse is input from the input means (S108) (S109), the inference means (S110) determines the element corresponding to the nurse from the factor group of the qualitative evaluation factor group data file (S111). Is selected, a data group of nurse information is created (S112), and stored as a nurse information data group (S112).
113). Next, when the care action information for the patient is input from the input means (S114) (S115), the inference means (S116) outputs the bacterial pollutant group data file (S104), the organic pollutant group data file (S105), Patient information data group (S107) created from the pollution factor group data file (S104) and the organic matter pollution factor group data file (S105),
From the factor group of the quantitative evaluation factor group data file (S117), an element corresponding to the patient and the action is selected, a data group of action information for the patient is created (S118), and stored as a group of action information data for the patient ( S119).

As described above, the first storage means stores a basic data set of hand-washing contamination necessary for inferring bacterial or organic matter contamination of a finger after actually performing a care operation, a patient who actually performs a care operation, and A data group of nurses performing actions is stored.

FIG. 2 shows a flowchart of the second storage means for storing a basic data set for hand washing and cleaning related to the effect of hand washing. When an executable hand-washing means is input from the input means (S201) (S202), the inference means (S203) selects an element corresponding to the hand-washing means from the group of factors of the hand-washing basic data file (S204). Then, a data group of hand washing information is created (S206) and stored as a hand washing information data group (S207).

FIG. 3 is a flowchart for inferring a hand washing method suitable for the predicted value of actual finger contamination. In order to predict the actual contamination degree of the finger of the nurse, information for predicting the actual contamination of the finger is input from the input means (S301) (S30).
2) and the inference means (S303) include a patient information data group (S107) stored in the first storage means and a nurse information data group.
(S113), selecting an element for predicting actual contamination of the finger from the group of action information data for the patient (S119), based on the input information for predicting actual contamination of the finger and the selected element. Infer the predicted value of actual hand contamination (S30
4) The data group is stored as the finger contamination degree prediction value data group (S305). Next, the inference means (S306) performs the hand contamination degree prediction in order to predict a hand washing method candidate suitable for removing the hand contamination specified by the predicted hand contamination degree prediction value data group (S305). Value data group (S305)
And a hand washing method candidate is inferred from the hand washing information data group (S207) stored in the second storage device (S307), and a hand washing method candidate suitable for removing hand contamination is stored (S30).
8) Then, output from the output means (S309).

As described above, according to the present embodiment, it is possible to predict the state of finger contamination caused by the patient, the nurse, and the act, and to perform the hand washing according to the predicted finger contamination state. As a result, the amount of expensive disinfectant used is reduced and the nursing care of the nurse is reduced. In addition, there is no shortage of hand washing, and measures to prevent hospital-acquired infections are taken. Similarly, in food processing facilities, the amount of expensive disinfectants used is reduced, the hands of workers are reduced, and prevention of food poisoning is taken.

FIG. 4 is a diagram showing an embodiment of a bacterial contamination factor group data file. The bacterial contamination factor group data file contains the items that cause hand contamination by the bacteria from the patient, the hand contamination factor consisting of the load conditions for adding a score that indicates the degree of hand contamination to the item, and the score that indicates the degree of contamination for the load conditions. It consists of the data group shown. Items that cause hand contamination by bacteria from patients include:
For example, the patient's pathology, colonization status, colonization location, type of care received from the nurse, the part of the patient that the nurse's finger contacts,
Includes the type of patient waste. Each of the above items has a load condition for estimating the degree of causing finger contamination.

For example, finger contamination after care is affected by the patient's condition and colonization. For example, if the patient has symptoms of infectious disease, such as pimples on the skin,
The infection symptoms depend on the patient's systemic symptoms. Also, what kind of bacterial species are present in the infected part and to what extent depends not only on the symptoms of the infected part but also on the systemic symptoms of the patient. In addition, for the cleaning and disinfecting of the congestion area, disinfectants are often used at all times, and therefore, pathogenic resistant bacteria are often carried. Therefore, when caring for such a patient with deglutition, resistant bacteria often adhere to the fingers after care. Therefore, as a load condition for adding a score indicating the degree of hand contamination to the patient's morbidity, systemic symptoms of the patient such as severe, moderate, mild, etc., the presence or absence of infectious disease, the location and state of the symptoms, etc. Is set.

For example, when caring for a patient who has a bacterial infection on the skin, it is highly possible that pathogens are attached to the fingers of the nurse after the care, and thus the degree of contamination for this load condition is shown. The score is set high. In addition, the type and amount of adherent bacteria after care depends on the state of carriage as well as the patient's diseased body. For example, patients who have developed an infection often carry resistant bacteria. After such patient care, many resistant bacteria attach to the fingers, often causing hospital-acquired infections. Therefore, for the carriage status item, resistant bacteria such as Staphylococcus aureus and pneumococcus that may or may cause the patient to develop infectious disease, and currently resistant but may be resistant Load conditions are set such as where the patient is carrying pathogenic bacteria such as Staphylococcus aureus and Pseudomonas aeruginosa and opportunistic infectious bacteria.

For example, when a patient carrying a resistant bacterium is cared for, there is a high possibility that the pathogen is attached to the finger of the nurse after the care, so that the score indicating the degree of contamination for this load condition is set high. Have been. On the other hand, when care is given to patients who do not carry the resistant bacteria, there is little possibility that the pathogens are attached to the hands of nurses after care.
The score indicating the degree of contamination for this additional condition is set low. Items that cause hand contamination by bacteria derived from the patient include the type of care, the part of the patient contacting the finger of the nurse, the type of patient waste, and the like. Adherent bacteria after care of the nurse are from the patient. Comes out is a difference in the degree of contamination of the hands and fingers by or conducted any act of for its patients.

For example, the type and amount of adherent bacteria after patient care depends on which part of the patient is touched. The closer to the patient's body, the greater the amount of adherent bacteria, and the further away, the less the amount of adherent bacteria. . The presence or absence of bodily fluids such as sputum, blood and saliva, and excretions such as stool and urine, which certainly contain a large amount of adherent bacteria, directly affects the state of contamination of fingers. Therefore, as a load condition for adding a score indicating the degree of finger contamination of each item, for example, for the type of care, wiping, shampoo, partial bath of limbs, washing face, oral care, diaper changing, secretion suction, Loading conditions such as postural change, sheet exchange, bandage exchange, pulse measurement, body temperature measurement, dietary assistance, administration of suppositories, and for the contact site, hair, mucous membrane, skin, clothing, sheets,
Load conditions such as equipment and environment are set, and for types of waste, types of waste such as urine, stool, saliva, and blood are set.

For example, in the type of care, in oral care, the saliva of the patient is likely to be sprayed unintentionally by the nurse and adhered to the fingers. Is set. On the other hand, the pulse measurement or the like has a very low possibility of touching the dirt, so that the score indicating the degree of contamination under this load condition is set low.

As described above, according to the present embodiment, the items and the load conditions that cause finger contamination by the bacteria derived from the patient are set, and a score indicating the degree of finger contamination is added to each load condition, whereby the patient can be treated. It is possible to predict the contamination status of the hand of origin.

FIG. 5 is a diagram showing an embodiment of an organic pollutant factor group data file derived from an action performed by a nurse on a patient. The organic matter pollution factor group data file indicates hand contamination factors including items that cause hand contamination by organic matter derived from actions performed by nurses on patients, hand contamination factors including load conditions for adding a score indicating the degree of hand contamination, and the degree of contamination with respect thereto. It consists of a data group including points.

Items that cause hand contamination by the organic matter derived from the actions performed by the nurse on the patient include, for example, the type of care performed by the nurse on the patient, the part of the patient that the finger of the nurse comes into contact with at the time of care, and the waste of the patient. Includes the use of type appliances.

Each of the above items has a load condition for applying a score in order to predict the degree of finger contamination. For example, organic contamination that attaches after care of a nurse is of patient origin. Comes out is a difference in the degree of contamination of the hands and fingers by or conducted any act of for its patients.
The type and amount of organic matter after patient care depends on what kind of action was performed on the patient and on which part of the body was touched.

The presence or absence of bodily fluids such as sputum, blood and saliva, and excretions such as stool and urine directly affects the state of organic matter contamination of fingers. Therefore, as a load condition for adding a score indicating the degree of finger contamination of each item, for example, for the type of care, wiping, shampoo, partial bath of limbs, washing face, oral care, diaper changing, secretion suction, Posture change, sheet exchange,
Load conditions such as bandage change, pulse measurement, body temperature measurement, meal assistance, administration of suppositories, and load conditions such as hair, mucous membrane, skin, clothing, sheets, equipment, environment, etc. for the contact site,
In addition, load conditions such as use or non-use are set for instruments, and load conditions for urine, stool, saliva, blood, etc. are set for types of waste. Therefore, for example, in the type of care, the oral care has a high score indicating the degree of contamination for this load condition because the saliva of the patient splatters unconsciously of the nurse and the saliva is likely to adhere to the fingers. Is set. On the other hand, the pulse measurement or the like has a very low possibility of touching the dirt, so that the score indicating the degree of contamination under this load condition is set low.

As described above, according to the present embodiment, items and load conditions that cause finger contamination due to organic matter contamination caused by an action performed by a nurse on a patient are set, and a score indicating the degree of finger contamination for each load condition is set. By adding
It is possible to predict the state of organic contamination caused by the actions performed by nurses on patients. By predicting the bacterial contamination from the patient described above and the organic matter contamination due to the action performed by the nurse on the patient, the contamination state of the finger after care can be predicted from multiple perspectives.

FIG. 6 is a view showing an embodiment of a qualitative evaluation factor group data file representing the importance of bacterial contamination. The qualitative evaluation factor group data file contains the items that cause hand contamination from nurses who are contaminated with hands due to patient care, the hand contamination factor consisting of load conditions for adding a score indicating the degree of hand contamination, and the contamination for it. It is made up of a data group including scores indicating the degree.

Items that cause hand contamination from the nurse include, for example, the health condition of the nurse, the condition of the underlying disease, the condition of the skin disease, the colonization status, the colonization location, the skin condition, and the like. Each of the above items has a load condition for adding a score in order to predict the degree of finger contamination. For example, bacterial contamination that adheres to a finger after care of a nurse is derived from the patient, and the amount of the contamination depends not only on the type of care and the contact site, but also on the condition of the finger of the nurse.

For example, a hand with a rough hand is more likely to adhere to a nosocomial infection-causing bacterium such as Staphylococcus aureus and is less likely to fall off than a hand without a rough hand. Also, people with atopic dermatitis as a skin disease tend to dry their fingers,
Nosocomial infection-causing bacteria, including Staphylococcus aureus, are easy to adhere to and are hard to fall off. Also, people with atopic dermatitis as a skin disease may have resident Staphylococcus aureus on their fingers, causing the resident Staphylococcus aureus to adhere to patients at the time of care and causing Staphylococcus aureus. Care should be taken when washing hands before and after care, as it can cause infections.

[0053] Skin symptoms such as atopic dermatitis depend on the general state of health. If the state of health is good, the symptoms of dermatitis have subsided, but if the state of health deteriorates due to colds, fatigue, etc., skin irritations will appear, and Staphylococcus aureus will easily adhere to the fingers. Therefore, as a load condition for adding a score indicating the degree of finger contamination of each item, for example, a load condition such as health, coldness, etc. for a whole body health condition of a nurse, and a load condition for a basic disease state. Is the presence or absence of the underlying disease, allergies and other loading conditions, and the presence of atopic dermatitis for the condition of the underlying skin disease,
Depending on the loading conditions such as treatment history, and the carrier status and location, resistant bacteria such as Staphylococcus aureus, which may cause infectious disease in patients, and yellow that is not resistant but may be resistant Load conditions such as where the pathogenic bacteria such as staphylococcus and Pseudomonas aeruginosa and opportunistic infectious bacteria are carried, and the condition of the skin, such as the presence or absence of rough hands and the amount of moisture that is an indicator of rough hands, etc. Is set.

Therefore, for example, in the item of basic skin diseases of nurses, nurses who are currently treated for atopic dermatitis and who are currently undergoing treatment are more likely to adhere to the fingers of hospital-causing bacteria such as Staphylococcus aureus. Therefore, the score indicating the degree of contamination for this load condition is set high.

As described above, according to the present embodiment, items and load conditions that cause finger contamination originating from a nurse who receives finger contamination due to patient care are set, and the degree of finger contamination is indicated for each load condition. By adding the score, the situation of hand contamination at the time of care given to a nurse patient can be predicted.
By predicting the bacterial contamination from the patient described above, the organic matter contamination from the action performed by the nurse on the patient, and the qualitative factors of the nurse receiving them, the situation of finger contamination after care can be predicted from multiple perspectives.

FIG. 7 is a diagram showing an embodiment of a quantitative evaluation factor group data file representing the amount of care given to a patient by a nurse. The quantitative evaluation factor group data file is composed of a data group that includes items that cause hand contamination due to patient care, hand contamination elements consisting of load conditions for adding points that indicate the degree of hand contamination, and points that indicate the degree of contamination. Has become. The degree of finger contamination when a nurse cares for a patient depends on the time and frequency of contact with the patient. The longer the time of care, the higher the degree of finger contamination. In addition, the degree of finger contamination when a nurse cares for a patient depends on the presence or absence of gloves. Therefore, for example, even if a nurse performs an act that is likely to touch filth, such as changing diapers, it is predicted that the degree of contamination of fingers in care for gloves is low, so the degree of contamination with respect to load conditions Is set low.

As described above, according to the present embodiment, the amount of finger contamination caused by the care of the patient,
By setting additional conditions and adding a score indicating the degree of finger contamination for each additional condition, it is possible to predict the state of finger contamination at the time of care for a nurse patient. By predicting the bacterial contamination from the patient described above, the organic matter contamination from the actions performed by the nurse on the patient, and the qualitative and quantitative factors of the nurse receiving them, the contamination status of the hands after care is diversified. Can be predicted.

FIG. 8 is a diagram showing an embodiment of a hand washing basic factor group data file. The hand washing basic factor group data file contains an element representing the hand washing effect and a load condition for adding a score indicating the degree of the hand washing effect. A data group that includes a score indicating the degree of the effect and a score indicating the degree of the cleaning effect of the organic matter contamination, and an item indicating the cleaning effect of the finger and the effect on the skin of the load condition for adding the score indicating the degree of the cleaning effect to the skin It consists of a data group containing scores representing degrees.

Items representing the effect of washing the fingers include:
For example, it includes the type of disinfectant, the type of cleaning agent, the type of cleaning water, the time for fir washing, the time for rinsing, and the like. Each of the above items has a load condition for adding a score for estimating the degree of the hand washing effect. For example, the hand cleaning effect depends on the disinfectant or cleaning agent used, the type of cleaning water, the fir-washing time, and the rinsing time. The disinfectant has a higher germicidal effect than a hand cleanser such as soap.

However, depending on the type of disinfectant, some are effective depending on the type of bacteria, some are less effective, and others are not effective at all. For example, chlorhexidine gluconate for 4% hand-washing is effective against general gram-positive bacteria, but has no effect on spores, and is weak against MRSA, which is a nosocomial infection-causing bacterium. . It is also effective against general gram-negative bacteria, but weak against Pseudomonas aeruginosa, which can cause nosocomial infections, and is known to have no effect against tuberculosis bacteria .

On the other hand, 7.5% surgical isodine solution is less effective against the above bacteria against spores, but 4% chlorhexidine gluconate for hand washing is less effective against MRSA, Pseudomonas aeruginosa,
High eradication effect against tubercle bacillus is seen. On the other hand, a cleaning agent such as soap has a lower germicidal effect than a disinfectant, but shows a high cleaning effect against organic contamination because it contains a surfactant. For example, a quick-drying hand disinfectant containing a disinfectant shows a high disinfecting effect, but when organic dirt is attached to the finger, the disinfecting component reacts with the organic matter, so the disinfecting effect may not be seen. . For such organic-rich stains, a soap containing a surfactant or a medicated soap further containing a bactericidal component may be more effective in removing stains than a quick-drying disinfectant having a high sanitizing effect.

Also, recently, in some facilities such as hospitals, hypochlorous acid-containing water obtained by electrolyzing a liquid obtained by adding an electrolytic aid such as salt to tap water is used for hand washing water. Can be seen. Hypochlorous acid-containing water may be able to disinfect a finger without using a hand disinfectant due to the disinfecting effect of hypochlorous acid. In addition, by using it instead of tap water as washing water for rinsing when washing with organic material for soap, etc., it is possible to satisfy the washing effect of both organic matter contamination and bacterial contamination, and it is expensive and handy. It can be an alternative to easy-to-use hand sanitizers. In some cases, the longer the fir-washing time, the rinsing time, and the time, the slightly higher the cleaning effect.

Therefore, as a load condition for adding a score indicating the degree of the cleaning effect to each item representing the cleaning effect of the finger, for example, for the type of the disinfectant, the actual type of the hand cleaning agent And the load condition showing the germicidal effect on various bacteria, and the load condition showing the cleaning effect of soap and medicated soap for the type of detergent,
In addition, for the type of washing water, load conditions that show washing effects such as tap water, hot water, and hypochlorous acid-containing water are also included. The load condition is set, and points indicating the degree of the cleaning effect with respect to the load condition are set.

For the element that indicates the effect of cleaning the fingers set as described above, the higher the cleaning effect is, the higher the score is set. On the other hand, when the effect of cleaning the fingers is high,
Often the skin is more irritating. Frequent hand washing using a disinfectant with a high hand washing effect to prevent hospital-acquired infection often causes hand washing. As described above, a rough hand is more likely to adhere to hospital-acquiring bacteria such as Staphylococcus aureus and less likely to fall off than a hand without a rough hand. This may cause the staphylococcus aureus to be resident on the fingers, causing the resident staphylococcus aureus to adhere to the patient at the time of care and causing an infection caused by the staphylococcus aureus . Hand washing for the prevention of hospital-acquired infection rather causes hospital-acquired infection, which is counterproductive.

Therefore, scores indicating the degree of influence such as the intensity of irritation on the skin are set for the elements representing the effect of washing the fingers. For example, the detergent is less irritating to the skin than the disinfectant, so that the degree of influence on the skin is set to be low. The shorter the fir time and the shorter the rinsing time, the lower the effect on the skin and the higher the score.

As described above, according to the present embodiment, an item representing the effect of washing a finger and a load condition are set, and a score representing the effect of washing a finger is added for each load condition.
Furthermore, by adding the degree of effect on the skin to each of the elements that show the effect of cleaning the fingers, it is possible to predict a hand washing method that is less irritating to the skin and that is suitable for the situation of the degree of bacterial contamination and the degree of organic contamination of the fingers A hand washing method suitable for the later hand contamination situation can be predicted from multiple perspectives.

Hereinafter, embodiments of the input and output screens of the present invention will be described in detail. 9 and 10 show input screens showing the embodiment of the present invention. For example, a hand-washing management system is stored in a floppy disk or a storage device in a personal computer. The initial screen of the personal computer display is an input information selection screen as shown in FIG. 9 and displays "patient information", "nurse information", "action information", and "information on the type of hand washing method". A personal computer terminal (keyboard) can be used for the input. For example, an input screen may be displayed on a display having a touch panel function, and the corresponding portion on the screen may be specified by using a pen or the like.

For example, when it is desired to input nurse information, "nurse information" on the display is designated.
A nurse information input screen as shown in Fig. 7 is displayed, and information can be input. For example, as input items for nurse information,
Information about the nurse, such as the name, age, and sex of the nurse, as well as information on the whole body, such as the state of the underlying disease, the condition of the skin disease, the condition of the skin, and whether or not the drug is taken.
The input person can input the nurse information by inputting or specifying the corresponding item of the input items of the nurse information displayed on the screen.

For example, when it is desired to input patient information, when "patient information" on the screen of FIG. 9 is designated, a patient information input screen (not shown) is displayed, and information can be input. For example, input items for patient information include information related to the patient, such as the patient's name, age, past medical history, type of drug used, systemic symptoms, presence / absence of infection, type of infection, and carrier status of resistant bacteria. Can be The input user can input the patient information by inputting or specifying the corresponding item of the input item of the patient information displayed on the screen.

For example, when it is desired to input information on an act, when "act information" on the screen of FIG. 9 is designated, an act information input screen (not shown) is displayed, and information can be input. For example, the input items of the action information include the type of care, the contact site, the number of times of contact, the equipment used, the presence or absence of gloves, and information on filth. The input user can input the information of the act by inputting or specifying the corresponding item of the input item of the information of the act displayed on the screen.

For example, when it is desired to input information on the type of hand washing method, when "information on the type of hand washing method" on the screen of FIG. 9 is designated, a hand washing information input screen (not shown) is displayed, and information input is performed. Becomes possible. For example, the input items of the information on the type of hand washing method include the type of disinfectant that can be used or is currently being used, the type of cleaning agent, and the type of cleaning water. The input user can input the information of the type of the hand-washing method by inputting or specifying the corresponding item of the input item of the hand-washing information displayed on the screen.

As described above, according to this embodiment, by inputting "patient information", "nurse information" and "act information" on the personal computer display, these input information and the first storage in the personal computer are stored. Based on the basic data set of hand contamination related to bacterial and organic contamination of fingers stored in the means,
It is possible to create a data group necessary for predicting the actual degree of finger contamination received by an actual action in the inference means.

By inputting "information on the type of hand washing method", the input information and the hand washing basic data group relating to the hand washing effect stored in the second storage means in the personal computer are used to obtain the second information. It is possible to create a data group necessary for inferring a hand washing method suitable for the predicted value of the actual degree of finger contamination received in an actual action by the inference means.

FIG. 11 shows an input screen showing another embodiment of the present invention. The hand washing management system is stored in a floppy disk or a storage device in a personal computer. The initial screen of the personal computer display is an input information selection screen as shown in FIG. The patient name or patient
The screens of “ID number”, “name or nurse ID number of nurse”, “type of care performed”, and “special notes” are displayed, and information can be input. A PC terminal can be used for input. For example, by setting input keys such as numbers 1 to 0, alphabets, and katakana on the input screen (not shown) on a display having a touch panel function, the screen is displayed. The input may be made by designating the above corresponding portion with a pen or the like.

As described above, according to this embodiment, for example, FIG.
Patient information, nurse information, action information, etc.
Information such as the type of hand washing type is input in advance, and the data necessary for estimating the degree of actual finger contamination received by the actual action by the first inference means and the estimation of the degree of actual finger contamination received by the actual action Second hand washing method suitable for value
When the data groups required for inference by the inference means are stored in the first storage means and the second storage means, respectively, a specific "patient name or patient ID" as shown in FIG.
Number ", a specific"nurse's name or nurse ID number ",
By inputting the corresponding items in the “special notes” information such as “type of care performed” and presence / absence of filth adherence, these input information and the actual information stored in the first storage means in the personal computer are entered. The first set of data required for predicting the degree of actual finger contamination received by the act in the first inference means,
The inference means can predict the actual degree of finger contamination received in an actual action.

A second hand washing method suitable for the predicted actual finger contamination degree and the predicted value of the actual finger contamination degree received by the actual action stored in the second storage means in the personal computer is described in the second one.
Based on the data group necessary for inference by the inference means, it is possible to infer the hand washing method suitable for the predicted value of the actual degree of finger contamination received in the actual action in the second inference means.

As described above, according to the present embodiment, a data group created to predict the actual degree of contamination of a finger and the predicted actual finger based on patient information, nurse information, action information, and hand washing method information in advance. If a data group created to infer a suitable hand washing method for the degree of contamination is stored in the storage means, simply input the patient's or nurse's ID number or specific action information, etc. The actual contamination degree can be predicted from various angles, and a hand washing method suitable for the predicted actual contamination degree of the finger can be inferred. For example, in a ward, for example, by inputting patient and nurse information and care information in advance, the contamination status of fingers and the predicted contamination status after each type of care for each patient by each nurse It is possible to predict the hand washing method according to the condition, and it is possible to manage the hand washing not only of the entire ward but also of the patient or nurse on an individual basis.

FIG. 12 shows an output screen showing the embodiment of the present invention. According to the embodiment of FIG. 9, 10, or FIG.
When information for estimating the degree of actual finger contamination is input from the input screen, a basic data group of finger contamination related to bacteria and organic matter contamination of fingers stored in the first storage means in the personal computer and the inputted information. Thus, the first inference means creates a data group necessary for estimating the actual degree of finger contamination received in an actual act, and infers a predicted value of the actual degree of finger contamination in an actual act.

Then, based on the previously input “information on the type of hand washing method” and the basic data of hand washing relating to the hand washing effect stored in the second storage means in the personal computer, the actual action in the second inference means is performed. The data group created for inferring the hand washing method suitable for the predicted value of the actual degree of hand contamination received by the above and the predicted value inferred from the above, the actual degree of hand contamination received by the actual act in the second inference means. When the hand cleaning method suitable for the predicted value of the above is inferred, the predicted value of the degree of hand contamination or the estimated value of the hand cleaning method suitable for the predicted value of the actual degree of finger contamination is output on a personal computer display as shown in FIG. Is done.

As described above, according to the present embodiment, information such as the target patient name, the target nurse name, and the type of action input for predicting the degree of actual finger contamination, and the bacterial origin scored by the input information Or, by outputting the predicted value of the pollution degree derived from organic matter on a personal computer display, it is possible to quantitatively and quantitatively determine the degree of contamination derived from bacteria or organic matter after various cares that could not be quantitatively predicted based on experience alone. You can know visually. As a result, the current state of hand contamination in daily work can be grasped, and by knowing the degree of finger contamination, awareness of hand washing can be increased. For example, in a ward, motivation to actively perform hand washing can be provided.

In addition, according to the present embodiment, several cleaning methods inferred to be suitable for the predicted value of the actual degree of finger contamination are output on a personal computer display, so that the methods are suitable for the degree of bacterial and organic matter contamination of the fingers, and It is possible to know a hand washing method suitable for the condition of the finger of the nurse, and it is no longer necessary to use the hand sanitizer unnecessarily irrespective of the degree of contamination of the hand as in the past. It also reduces the use of expensive disinfectants and reduces the mess of the actor. In addition, there will be no shortage of hand washing, and measures to prevent nosocomial infection and food poisoning will be taken.

FIGS. 13 and 14 show views of a hospital ward showing an embodiment of the present invention. Nurse Center 130
1 is a computer 1310 for a hand-washing management support system.
Is installed. FIG. 14 is a functional block diagram of the hand-washing management system. A control power is supplied from a power supply circuit 1412 to a microprocessor 1411 built in a computer 1310 for a hand-washing management support system installed in a nurse center.

The microprocessor 1411 has a memory 1413 storing a hand-washing management support system.
Is connected, and a switch operation unit 1415 for inputting information and the like necessary for the hand-washing management support system is connected via a switch circuit 1414. The switch operating unit 1415 is formed of, for example, a liquid crystal panel, and outputs the hand-washing management information. A display 1416 is connected.

The microprocessor 1411 has an IC
When a card rewriting device 1420 is connected and, for example, an instruction to store personal information in the IC card 1345 is input from the switch operation unit 1415, the microprocessor 1411 sets the IC card rewriting device 142
0 is controlled, and the nurse information (ID number) stored in the memory 1413 is stored in the IC card 1345.

On the other hand, the nurse center hand wash basin 131
5 and an IC card 1 carried by a nurse 1340 in a hand basin 1330 in each hospital room 1320 of the hospital ward.
345 reads the ID number stored, and reads the read ID
A function of calculating and displaying a hand washing method according to the number is added. The microprocessor 1441 incorporated in the hand basin 1330 has a power supply circuit 1442.
Supplies the control power.

The microprocessor 1441 is connected to a memory 1443 for storing patient, action, hand-washing information and the like in each hospital room 1320.
The ID number reading device 1444 stored in the IC card 1345 carried by 0 is connected.

A display 1445 composed of, for example, a liquid crystal panel is connected to the microprocessor 1441 for displaying the calculated hand washing method, and a discharge function 1446 for realizing the calculated hand washing method is provided. It is connected. The nurse 1340 carries an IC card 1345 containing personal information, performs patient care in each hospital room 1320, and then performs a hand wash basin 1330.
Standing in front of you, IC card 1 carried by nurse 1340
The ID number stored in 345 is an ID number reading device 144
4 is read.

Then, the microprocessor 1441 calculates a hand washing method suitable for the nurse 1340 and the patient based on the read ID number and the information on the nurse, the act, and the hand washing stored in the memory 1443. The microprocessor 1441 displays the calculated hand-washing method on the display 1445 and controls the ejection function 1446 to realize hand-washing by hand-washing means suitable for a nurse.

According to this embodiment, the nurse information is
Since it is registered in the IC card, it is possible to perform hand washing according to the nurse, the patient, and the action to be performed at the nursing site, and unnecessary hand washing is eliminated. In addition, since the personal information of the nurse can be managed by the ID information, it is possible to grasp the state of the hand washing of the nurse and to manage the hand washing of the ward.

The present invention is not limited to the embodiment. Only the input and output relating to the first storage means shown in FIG. 1 may be used. By knowing the data stored in the first storage means, it is possible to grasp the current state of hand contamination in daily work, and to know the degree of finger contamination, so that hand washing can be actively performed.As a result, hand washing is controlled. You. Further, depending on daily work, hand contamination is small, unnecessary hand washing can be eliminated, and hand roughness can be prevented.

Only the input and output relating to the predicted value of finger contamination (S305) shown in FIG. 3 may be used. It is possible to know the current state of hand contamination of the worker, and to know the degree of contamination of the hands, so that hand washing can be actively performed, and as a result, hand washing is managed. Also, depending on the daily work, hand contamination is low,
Unnecessary hand washing can be eliminated, and rough hands can be prevented.

Only the inputs and outputs related to the inference of the hand washing method shown in FIG. 2 may be used. Daily hand washing effect can be known, and by knowing the degree of hand washing effect, hand washing can be actively performed, and as a result, hand washing is managed. In addition, unnecessary hand washing can be eliminated, and rough hands can be prevented.

[0093]

As described above, in the case of contact or indirect contact with the human body such as nursing care and medical treatment, the type and time of the nursing care, the contact site with the patient, the patient's health condition, the patient's living body Various factors such as the rhythm, the patient's colonization status, the presence or absence of gloves of the nurse, the type of equipment used and the degree of contamination, as well as the health and roughness of the nurse, the presence of dermatitis, and the nurse's colonization Thus, the hand contamination status is different, and by predicting the hand contamination status based on each factor, it is possible to provide a hand washing method according to each hand contamination status.

[Brief description of the drawings]

FIG. 1 is a flowchart of a first storage means for storing a basic data set of hand-washing contamination relating to bacterial or organic contamination of a finger according to the present invention.

FIG. 2 is a flowchart of a second storage unit for storing a basic data set for hand washing and cleaning related to the effect of washing hands according to the present invention.

FIG. 3 is a flowchart for inferring a hand washing method suitable for a predicted value of actual finger contamination degree according to the present invention.

FIG. 4 relates to a bacterial contamination factor group data file according to the present invention.

FIG. 5 relates to an organic pollutant factor group data file according to the present invention.

FIG. 6 relates to a qualitative evaluation factor group data file according to the present invention.

FIG. 7 relates to a quantitative evaluation factor group data file according to the present invention.

FIG. 8 relates to a hand washing basic factor group data file according to the present invention.

FIG. 9 relates to an input screen according to the present invention.

FIG. 10 relates to an input screen according to the present invention.

FIG. 11 relates to another input screen according to the present invention.

FIG. 12 relates to an output screen according to the present invention.

FIG. 13 relates to an embodiment of a hand-washing management system in a ward according to the present invention.

FIG. 14 relates to an embodiment of a hand-washing management system in a ward according to the present invention.

[Explanation of symbols]

 1301: Nurse center 1310: Computer for hand washing management support system 1315: Nurse center hand wash basin 1320: Hospital room 1330: Hand wash basin 1340: Nurse 1345: IC card 1411: Microprocessor 1412: Power supply circuit 1413: Memory 1414: Switch circuit 1415: Switch operation unit 1416: Display 1420: IC card rewriting device 1441: Microprocessor 1442: Power supply circuit 1443: Memory 1444: Device for reading ID number 1445: Display 1446: Discharge function

Claims (12)

[Claims] 1. An item causing finger contamination by bacteria derived from a contacted object, a bacterial contamination factor group (hereinafter referred to as a factor group A) comprising load conditions, and an item causing organic matter contamination caused by an act performed by an operator on a contacted object. , Organic matter pollution factor group consisting of loading conditions (hereinafter referred to as factor group B), and items indicating the importance of bacterial contamination, and qualitative evaluation factor group consisting of loading conditions (hereinafter referred to as factor group C)
Or an item representing the amount of action performed by the worker on the contacted object, a pollution factor group consisting of a quantitative evaluation factor group (hereinafter, factor group D) consisting of load conditions, and each item of the pollution factor group;
First storage means for storing a basic data group of finger contamination related to contamination of fingers with bacteria or organic matter, to which a score indicating the degree of contamination of the finger is added for each load condition; and A hand washing management support system, comprising: output means for outputting the collected data to an output device. 2. An item causing finger contamination by bacteria derived from a contacted object, a bacterial contamination factor group (hereinafter referred to as a factor group A) comprising load conditions, and an item causing organic contamination caused by an action performed by a worker on a contacted object. , Organic matter pollution factor group consisting of loading conditions (hereinafter referred to as factor group B), and items indicating the importance of bacterial contamination, and qualitative evaluation factor group consisting of loading conditions (hereinafter referred to as factor group C)
Or an item representing the amount of action performed by the worker on the contacted object, a pollution factor group consisting of a quantitative evaluation factor group (hereinafter, factor group D) consisting of load conditions, and each item of the pollution factor group;
A first storage means for storing a basic data group of finger contamination related to bacterial or organic contamination of a finger, to which a score indicating the degree of finger contamination is added for each load condition; Hand contamination element selecting means for selecting an item to be performed, and inferring the actual degree of hand contamination received in the actual act of the actor based on the hand contamination basic data group stored in the first storage means and the selected hand contamination element. And a first inference means for performing the inference, and an output means for outputting data inferred by the first inference means to an output device. 3. An item causing finger contamination by bacteria derived from a contacted object, a bacterial contamination factor group (hereinafter referred to as a factor group A) comprising load conditions, and an item causing organic contamination due to an act performed by an operator on the contacted object. , Organic matter pollution factor group consisting of loading conditions (hereinafter referred to as factor group B), and items indicating the importance of bacterial contamination, and qualitative evaluation factor group consisting of loading conditions (hereinafter referred to as factor group C)
Or an item representing the amount of action performed by the worker on the contacted object, a pollution factor group consisting of a quantitative evaluation factor group (hereinafter, factor group D) consisting of load conditions, and each item of the pollution factor group;
First storage means for storing a basic data group of hand contamination related to contamination of fingers with bacteria or organic substances, to which a score indicating the degree of finger contamination is added for each load condition, and types of hand washing and disinfection methods Hand washing factor group (hereinafter referred to as factor group E) comprising items representing the following factors: a score representing the cleaning effect of bacterial contamination and organic contamination for each item of the factor group E; and a score representing the degree of influence on the skin and the body. ,
A second storage unit for storing a basic group of hand-washing data relating to the hand-washing effect; a hand-contamination factor selection unit for selecting a corresponding item from the contamination factor group; First inference means for inferring the actual degree of hand contamination received in the actual act of the actor based on the hand contamination basic data group and the selected hand contamination element, and suitable from the actual finger contamination degree and the hand washing basic data group A second inference means for inferring the hand washing method, and an output means for outputting the hand washing data inferred by the second inference means to an output device. 4. The hand-washing management support according to claim 1, wherein the items constituting the factor group A include contacted object information such as a state of colonization of a contacted object and a place of colonization. system. 5. The method according to claim 1, wherein the items constituting the factor group B comprise action information such as the type of action on the contacted object, the contact site, the presence or absence of use of an instrument, or the attachment of contaminants by the action. Item 5. A hand-washing management support system according to any one of Items 1 to 4. 6. The method according to claim 1, wherein the items constituting the factor group C include actor information such as the actor's health condition, carrier status, and skin condition such as rough hands and dermatitis. The hand-washing management support system according to any of the above. 7. The method according to claim 1, wherein the items constituting the factor group D include quantitative information such as presence / absence of a contact between an actor and a contacted object, a contact time, and the number of contacts. Or hand washing management support system described. 8. A hand washing factor group (hereinafter, referred to as a factor group E) comprising items representing types of hand washing and disinfection methods, and a cleaning effect of bacterial contamination and organic matter contamination for each item of the factor group E. A second storage means for storing a basic data set for hand-washing related to the hand-washing effect, to which points and a score representing the degree of influence on the skin and the body are added, and the data stored in the second storage means are output. An output means for outputting to a device, a hand-washing management support system characterized by comprising: 9. An item constituting the factor group E comprises hand washing effect information such as a kind of a finger disinfectant, a use concentration, a contact time with a medicine and the like, a kind of washing water, and a washing time. The hand-washing management support system according to any one of claims 1 to 8. 10. A recording medium incorporating the hand-washing support system according to claim 1. 11. A hand washing apparatus incorporating the hand washing support system according to claim 1. 12. A part or all of the items related to the actor of the hand contamination element selecting means are inputted by a signal transmitted from an IC card carried by the actor or a remote controller. The hand washing device according to claim 11.