JP2013114664A - Nursing care layout requirement monitoring system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an information system including a roster generation function, satisfaction diagnostic function and supplementation necessity diagnostic function for performing the requirement monitoring of nursing care layout in a hospital.SOLUTION: On the basis of a highly accurate roster for future several months generated in accordance with a genetic algorithm, satisfaction diagnosis showing the excess or shortage status of actual nursing care layout with respect to requirements and supplementation necessity diagnosis for calculating the necessary number of persons to be supplemented under each duty condition following a priority order by a linear calculation method are realized, and the diagnostic results are determined at a glance in accordance with intuitive color coding. Thus, it is possible to achieve highly accurate and efficient requirement monitoring.

Description

  The present invention relates to an information system that implements “nursing placement requirement monitoring” in a hospital.

  At the present time, there is no information system directly aimed at realizing the requirement monitoring of nursing placement. However, the elemental technology, genetic algorithm and linear programming used in developing this are used in various fields.

  The genetic algorithm is used in work table generation systems in various fields. In the present invention, it is also adopted as an algorithm for generating a work table necessary for monitoring the requirements for nursing placement.

  Linear programming is also applied to solve various problems in the real world as a method for finding a solution that maximizes or minimizes an objective function while satisfying various constraints. In the present invention, it is adopted in order to obtain the optimum value of the necessary number of supplements according to the working conditions of the nursing staff to satisfy the nursing placement requirements.

  Nursing placement requirement monitoring is to grasp the situation of excess and deficiency in relation to the nursing placement requirements stipulated by various laws and regulations with respect to the working status of nursing staff in hospitals.

  Laws that determine nursing placement requirements include the Medical Law, Medical Remuneration Facility Standards, Labor Standards Law, etc., and these include nursing placement requirements according to the number of patients and hospital attributes from various scales such as the number of working hours and the number of employees enrolled. It has established. Normally, hospitals monitor requirements by checking the next month's work schedule prepared every month against legal requirements, and if they do not meet the requirements, they respond to work changes or new hires.

  This is because, if the nursing arrangement falls below a certain level, the medical fee will be reduced to a level where it is virtually difficult for the hospital to survive. , If you carry too much, you have a dilemma that puts pressure on labor costs. For this reason, monitoring the requirements for nursing placement in order to keep the nursing placement in excess or deficiency is a very important activity in hospital management.

  However, there is a fact that it is difficult to monitor the requirements for nursing placement with high accuracy due to the following circumstances.

  First, there is a problem that a great deal of labor is required to create a work schedule that is the basis for requirements monitoring.

  The purpose of requirement monitoring is to grasp the situation of excess and deficiency of nursing arrangements in advance and to take necessary measures, so it is desirable to grasp the future nursing arrangements based on the work schedule for several months in the future. Schedules for changing work such as entering and leaving, which have a major impact on nursing placement, and ward composition changes such as changing the number of beds and changing nursing placement requirements, are usually set in the following month, and even if nursing placement requirements were not met. This is because there is a grace period in some cases. Only when these are included, requirements can be monitored with high accuracy.

  However, at present, no future work schedule is prepared for the purpose of requirements monitoring. This is because it takes a lot of labor to create a work schedule for nursing personnel. While there are many people and various working conditions (combinations of qualifications and working styles such as full-time nurses and full-time nursing assistants), considering many restrictions such as work patterns, compatibility, skill levels, Allocating shifts fairly and effortlessly and creating a work schedule so that employees can fulfill their wishes as much as possible is extremely difficult, and the work schedule for the month is full.

  Next, there is a problem that a great amount of labor is required for calculation for requirement monitoring. The calculation related to the requirement monitoring is a calculation related to the satisfaction degree diagnosis whether or not various legal requirements are satisfied, and a calculation related to the replenishment necessity diagnosis that indicates how much replenishment is necessary if the requirements are not satisfied.

  In the sufficiency diagnosis, it is necessary to calculate the number of excesses and deficiencies in light of the standard values of the individual legal requirements and the actual values on the work schedule.

  In the replenishment necessity diagnosis, it is necessary to calculate how much nursing staff should be secured under what working conditions in order to compensate for the shortage or excess calculated by the sufficiency diagnosis.

  Since there are a wide range of legal requirements, a certain amount of calculation is required to perform the sufficiency diagnosis and the replenishment necessity diagnosis, and nursing placement directly affects hospital management, so accuracy is required. Performing calculations one by one manually or with spreadsheet software takes too much time and may cause mistakes.

  In particular, regarding the need for supplementation, it is necessary to convert the shortage of various requirements into the number of supplements according to the working conditions, and this calculation requires specialized knowledge and is in the hands of general hospital staff. I can't afford it.

  Therefore, the hospital avoids interruption of nursing placement requirements by making a rough standard on the basis of the number of enrollment, which will meet all the standards, and securing a large number of staff. This is a problem because there is a risk of unnecessarily squeezing hospital labor costs and may spur the recent shortage of nurses.

The present invention is an information system that realizes the following functions for performing nursing placement requirement monitoring with high accuracy and efficiency.
1. 1. Work schedule generation function 2. Satisfaction degree diagnosis function Replenishment necessity diagnosis function

  The work schedule generation function is a function that automatically generates a nursing staff work schedule as a basis for requirement monitoring by a genetic algorithm. This function makes it possible to generate a work table that can be used in practice based on various work schedule generation rules and the individual nurse's desire to work, and by generating a work table for the next few months as well as for the next month. It is possible to obtain a high-accuracy work schedule that is the basis for high-accuracy requirement monitoring.

  The sufficiency diagnosis function is a function that automatically calculates the excess / shortage situation of the actual nursing arrangement in light of the reference values of various legal requirements and the actual values calculated from the generated work schedule. The determination result is displayed in an easy-to-understand manner by color coding together with the excess and deficiency values, and it is possible to determine at a glance requirements that are not satisfied.

  The replenishment necessity degree diagnosis function is a function for automatically calculating the replenishment necessary number and deadline for each working condition in accordance with a priority specified in advance in order to satisfy unsatisfied requirements by linear programming. The results are displayed in an easy-to-understand manner by color coding, making it possible to determine at a glance the required number of supplements and the due date according to working conditions.

  By using the present invention, the sufficiency of nursing arrangement and the necessity of replenishment are automatically calculated based on the automatically generated high-accuracy work schedule, and the result can be immediately confirmed by an intuitive view.

  As a result, nurses can monitor the requirements for nursing placement with high accuracy and efficiency, and make a decision on changing work or newly hiring after properly grasping the sufficiency of nursing placement and the need for supplementation. Will be able to.

  In addition, this alleviates the need to secure a large number of personnel for compliance with nursing placement requirements, avoids unnecessary labor costs in hospital management, and makes efficient use of limited valuable medical resources as nurses. Is expected to contribute to alleviating nurse shortages.

Screen image after the next month's work schedule is automatically generated. After making the necessary corrections, the work schedule is automatically generated from the following month. Satisfaction diagnosis screen image. The number of excesses and deficiencies in light of the standard values for various legal requirements and the actual values calculated from the work schedule are displayed in a color-coded manner. Replenishment necessity diagnosis screen image. The number of people who need to be replenished according to the working conditions and the deadline are displayed in easy-to-understand colors.

  This invention is used when preparing the nursing staff work schedule for the next month of the month. It is a flow of creating a work schedule for the next several months together with a work schedule for the next month, and diagnosing the degree of sufficiency and the degree of necessity for replenishment based on that.

  First, the work for the next month is created. In this case, a work schedule generation rule, a work change schedule such as nursing staff entry / exit or transfer, and a ward configuration change schedule such as a change in bed or a change in nursing placement requirements are input in advance. After that, a work schedule is automatically generated based on the work demand of the nursing staff in the following month. Since it is assumed that the next month's work schedule is actually used, the generated work schedule is manually corrected if necessary.

  After this, work schedules for the following months are automatically generated. The next month's work schedule is created after the next month's work schedule is created in order to take into account the connection of work when straddling the month. Because there is a possibility of affecting. In addition, since the work schedule for the following month is used only for requirement monitoring, correction after automatic generation is not assumed.

  With regard to the sufficiency diagnosis, when the work schedule is ready, confirmation can be made in units where nursing placement requirements are imposed, such as hospital, bed type, ward group, ward. Intuitively, the diagnosis result is green if there is no problem, yellow if attention is required, red if it does not meet the requirements, etc. Discrimination is possible.

  With regard to replenishment necessity diagnosis, it is possible to confirm in units such as hospital, bed type, ward group, ward, etc. by setting replenishment priority according to work conditions at the same timing as fulfillment degree diagnosis Yes. The diagnosis result can also be intuitively discriminated such that the number is displayed in yellow if replenishment is necessary.

Claims (1)

An information system that enables the monitoring of nursing placement requirements in hospitals, with an automatic work schedule generation function, a sufficiency diagnosis function, and a replenishment necessity diagnosis function