MANAGEMENT DEVICE AND REQUEST METHOD
20230094420 · 2023-03-30
Assignee
Inventors
Cpc classification
G16H40/20
PHYSICS
G16H10/40
PHYSICS
G06Q10/0631
PHYSICS
International classification
Abstract
Managing reagent replacement and calibration/quality management processing for analysis devices is performed by a management device configured to manage analysis devices in a clinical laboratory having a cabinet storing a reagent used for measurement by analysis devices or a calibration/quality management sample. The management device includes a reagent detection unit configured to detect a timing to start reagent replacement preparation, based on a remaining amount of in-measurement reagents and a first preparation time required for replacing the reagent. Calibration/quality management processing preparation timing detection units are configured to detect a timing to start calibration/quality management processing preparation, based on the remaining amount of the in-measurement reagent. A notification person-in-charge determination unit notifies a laboratory technician of a request for the reagent replacement preparation or the calibration/quality management processing preparation upon receiving detection of a timing by the detection units.
Claims
1. A management device configured to manage a plurality of analysis devices that analyze a sample in a clinical laboratory provided with the plurality of analysis devices and a cabinet that stores a reagent used for measurement by the plurality of analysis devices or a calibration/quality management sample used for calibration/quality management processing of the reagent, the management device comprising: a storage device configured to store a reagent information management table that manages a remaining amount of each of in-measurement reagents that are respectively installed on the plurality of analysis devices so as to be used for measurement, a reagent replacement preparation time management table that registers a first preparation time required for preparation for replacing the in-measurement reagent with a storage reagent stored in the cabinet and a calibration/quality management processing preparation time management table that registers a second preparation time required for preparation for calibration/quality management processing of the storage reagent; a reagent replacement preparation timing detection unit configured to detect a timing to start reagent replacement preparation, based on the remaining amount of the in-measurement reagent managed in the reagent information management table and the first preparation time registered in the reagent replacement preparation time management table; a calibration/quality management processing preparation timing detection unit configured to detect a timing to start calibration/quality management processing preparation, based on the remaining amount of the in-measurement reagent managed in the reagent information management table and the second preparation time registered in the calibration/quality management processing preparation time management table; and a notification person-in-charge determination unit configured to notify one of laboratory technicians working in the clinical laboratory of a request for the reagent replacement preparation or the calibration/quality management processing preparation upon receiving detection of a timing by the reagent replacement preparation timing detection unit or the calibration/quality management processing preparation timing detection unit.
2. The management device according to claim 1, wherein the storage device stores a person-in-charge schedule management table that registers a schedule of each of the laboratory technicians working in the clinical laboratory, and the notification person-in-charge determination unit is configured to perform prioritization for notifying the request for the reagent replacement preparation or the calibration/quality management processing preparation to the laboratory technicians in the clinical laboratory, based on information on a task currently being performed by each of the laboratory technicians in the clinical laboratory, which is obtained from the person-in-charge schedule management table, and a distance between a position of the cabinet and a current position of the laboratory technician in the clinical laboratory.
3. The management device according to claim 2, wherein the storage device stores a person-in-charge skill level management table that registers a skill level of each of the laboratory technicians working in the clinical laboratory, and the notification person-in-charge determination unit is configured to perform prioritization for notifying the request for the reagent replacement preparation or the calibration/quality management processing preparation to the laboratory technicians in the clinical laboratory, based on information on the task currently being performed by each of the laboratory technicians in the clinical laboratory, which is obtained from the person-in-charge schedule management table, the distance between the position of the cabinet and the current position of the laboratory technician in the clinical laboratory, and the skill level of the laboratory technician in the laboratory obtained from the person-in-charge skill level management table.
4. The management device according to claim 1, further comprising: a recommended replacement reagent determination unit configured to determine a reagent recommended as the storage reagent among the reagents stored in the cabinet, wherein the storage device stores a reagent storage information management table that registers reagent information including a lot number and an expiration date of the reagent stored in the cabinet, and the recommended replacement reagent determination unit determines the reagent recommended as the storage reagent, based on the lot number of each of the in-measurement reagents managed in the reagent information management table, and the lot number and the expiration date of the reagent obtained from the reagent storage information management table.
5. The management device according to claim 4, wherein the calibration/quality management processing includes calibration of the storage reagent, and when the recommended replacement reagent determination unit determines a reagent having the same lot number as one of the in-measurement reagents as the storage reagent, the request for calibration preparation of the storage reagent is unnecessary.
6. The management device according to claim 4, wherein the storage device stores a person-in-charge schedule management table that registers a schedule of each of the laboratory technicians working in the clinical laboratory, and the notification person-in-charge determination unit is configured to perform prioritization for notifying the request for the reagent replacement preparation to each of the laboratory technicians in the clinical laboratory, based on information on a task currently being performed by the laboratory technician in the clinical laboratory, which is obtained from the person-in-charge schedule management table, and a distance between a position of the cabinet that stores the storage reagent recommended by the recommended replacement reagent determination unit and a current position of the laboratory technician in the clinical laboratory.
7. The management device according to claim 1, further comprising: a recommended calibration/quality management sample determination unit configured to determines a calibration/quality management sample recommended as a calibration/quality management sample to be used for calibration/quality management processing of the storage reagent among calibration/quality management samples stored in the cabinet, wherein the storage device stores a calibration/quality management sample storage information management table that registers calibration/quality management sample information including an expiration date of each of the calibration/quality management samples stored in the cabinet, and the recommended calibration/quality management sample determination unit determines the recommended calibration/quality management sample based on the expiration date of each of the calibration/quality management samples obtained from the calibration/quality management sample storage information management table.
8. The management device according to claim 7, wherein the storage device stores a person-in-charge schedule management table that registers a schedule of each of the laboratory technicians working in the clinical laboratory, and the notification person-in-charge determination unit is configured to perform prioritization for notifying the request for the calibration/quality management processing preparation to the laboratory technicians in the clinical laboratory, based on information on a task currently being performed by each of the laboratory technicians in the clinical laboratory, which is obtained from the person-in-charge schedule management table, and a distance between a position of the cabinet that stores the calibration/quality management sample recommended by the recommended calibration/quality management sample determination unit and a current position of the laboratory technician in the clinical laboratory.
9. The management device according to claim 1, wherein the calibration/quality management processing is calibration of the storage reagent using a calibrator as the calibration/quality management sample, or QC measurement of the storage reagent using a QC sample as the calibration/quality management sample.
10. A request method for reagent replacement preparation or calibration/quality management processing preparation in a clinical laboratory provided with a plurality of analysis devices that analyze a sample and a cabinet that stores a reagent used for measurement by the plurality of analysis devices or a calibration/quality management sample used for calibration/quality management processing of the reagent, the request method comprising: storing, in advance, a reagent information management table that manages a remaining amount of each of in-measurement reagents that are respectively installed on the plurality of analysis devices so as to be used for measurement, a reagent replacement preparation time management table that registers a first preparation time required for preparation for replacing the in-measurement reagent with a storage reagent stored in the cabinet and a calibration/quality management processing preparation time management table that registers a second preparation time required for preparation for calibration/quality management processing of the storage reagent; detecting a first timing to start reagent replacement preparation based on the remaining amount of the in-measurement reagent managed in the reagent information management table and the first preparation time registered in the reagent replacement preparation time management table; detecting a second timing to start calibration/quality management processing preparation based on the remaining amount of the in-measurement reagent managed in the reagent information management table and the second preparation time registered in the calibration/quality management processing preparation time management table; and notifying one of laboratory technicians working in the clinical laboratory of a request for the reagent replacement preparation upon receiving detection of the first timing, and a request for the calibration/quality management processing preparation by receiving detection of the second timing.
11. The request method according to claim 10, comprising: storing, in advance, a person-in-charge schedule management table that registers a schedule of each of the laboratory technicians working in the clinical laboratory; and performing prioritization for notifying the request for the reagent replacement preparation or the calibration/quality management processing preparation to the laboratory technicians in the clinical laboratory, based on information on a task currently being performed by each of the laboratory technicians in the clinical laboratory, which is obtained from the person-in-charge schedule management table, and a distance between a position of the cabinet and a current position of the laboratory technician in the clinical laboratory, and notifying the request to one of the laboratory technicians that has a highest priority.
12. The request method according to claim 11, comprising: storing, in advance, the person-in-charge skill level management table that registers a skill level of each of the laboratory technicians working in the clinical laboratory, and performing the prioritization for notifying the request for the reagent replacement preparation or the calibration/quality management processing preparation to the laboratory technicians in the clinical laboratory based on information on the task currently being performed by each of the laboratory technicians in the clinical laboratory, which is obtained from the person-in-charge schedule management table, the distance between the position of the cabinet and the current position of the laboratory technician in the clinical laboratory, and the skill level of the laboratory technician in the laboratory obtained from the person-in-charge skill level management table, and notifying the request to one of the laboratory technicians that has a highest priority.
13. The request method according to claim 10, comprising: storing, in advance, a reagent storage information management table that registers reagent information including a lot number and an expiration date of the reagent stored in the cabinet, and determining the reagent recommended as the storage reagent among the reagents stored in the cabinet, based on the lot number of each of the in-measurement reagents managed in the reagent information management table, and the lot number and expiration date of the reagent obtained from the reagent storage information management table, and notifying the reagent with the request for the reagent replacement preparation.
14. The request method according to claim 13, wherein the calibration/quality management processing includes calibration of the storage reagent, and when the recommended replacement reagent determination unit determines a reagent having the same lot number as one of the in-measurement reagents as the storage reagent, the request for calibration preparation of the storage reagent is unnecessary.
15. The request method according to claim 10, wherein the calibration/quality management processing is calibration of the storage reagent using a calibrator as the calibration/quality management sample, or QC measurement of the storage reagent using a QC sample as the calibration/quality management sample.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DESCRIPTION OF EMBODIMENTS
First Embodiment
[0034] In a first embodiment, in a situation where the number of times of remaining measurement of a reagent (in-measurement reagent) in an analysis device in a clinical laboratory is small and a reagent replacement time is close, a management device detects a reagent replacement timing at which reagent replacement should be started, a calibration preparation timing at which preparation for performing calibration on the replaced reagent (storage reagent) should be started, or a QC measurement preparation timing at which preparation for performing QC measurement on the replaced reagent (storage reagent) should be started, and notifies a laboratory technician of the reagent replacement timing, the calibration preparation timing, or the QC measurement preparation timing as a task. At this time, tasks are requested in an order of appropriate laboratory technicians in consideration of the tasks and locations currently engaged by the laboratory technicians working in the clinical laboratory.
[0035]
[0036] The management device 102 communicates with the analysis devices 103 to 107, the pre-processing device 108, and terminals of the laboratory technicians via a network, and manages these devices. The analysis devices 103 to 107 are devices for performing the clinical examination, and may be operated independently or may be operated by combining a plurality of analysis devices. In this example, the analysis devices 106 and 107 operate independently, and the analysis devices 103, 104, and 105 operate in combination. The pre-processing device 108 is a device that automatically performs pre-processing for performing the clinical examination, is connected to the analysis devices 103 to 105 and 107, and transports a sample after the pre-processing to the analysis device. The management device 102 manages alarms generated by the analysis devices 103 to 107 and the pre-processing device 108 and alarms generated by the management device 102 itself. The reagent cabinets 109 and 110 store reagents necessary for the analysis device to perform the analysis. The calibrator cabinet 111 and the QC sample cabinet 112 store calibrators and QC samples for performing calibration and QC measurement in the analysis device. The laboratory technicians 114 to 117 are persons in charge who prepare the clinical examination in the clinical laboratory 101, operate the analysis devices, the pre-processing device, and the like, and each of the laboratory technicians 114 to 117 carries one or more terminals connected to the management device 102 via a network. After receiving a reagent replacement preparation notification, a calibration preparation notification, and a QC measurement preparation notification, the laboratory technicians 114 to 117 move to the front sides of the cabinets in order to take out the reagent, the calibrator, and the QC sample for the reagent replacement, the calibration preparation, and the QC measurement preparation. The front sides of the devices or the cabinets in the clinical laboratory 101 where the laboratory technicians work are indicated by triangle marks 118.
[0037]
[0038] The management device 102 includes an input device 202, an output device 203, a communication device 204, an information processing device 205, and a storage device 213. The input device 202 is, for example, a pointing device such as a keyboard or a mouse, and is a device for inputting an instruction from a laboratory technician or an administrator. It is also possible to use a screen touch panel or the like as the output device 203. The output device 203 is a monitor or a printer that displays input information from the input device 202 and other result information. The communication device 204 is a communication device for the management device 102 to communicate with the position information acquisition device 224, the analysis devices/pre-processing device 103 to 108, and the terminal 225 via the networks, and a wired/wireless local area network, a wired/wireless global area network, a mobile phone line network, or a combination thereof can be used.
[0039] The information processing device 205 is a computer for executing various applications of the management device 102. The information processing device 205 includes a reagent replacement preparation timing detection unit 206 which is a logic for detecting a timing at which the reagent is to be replaced, a calibration preparation timing detection unit 207 which is a logic for detecting a timing at which the calibration preparation is to be started, a QC measurement preparation timing detection unit 208 which is a logic for detecting a timing at which the QC measurement preparation is to be started, a notification person-in-charge determination unit 209 which is a logic for determining a person in charge of task notification, a recommended replacement reagent determination unit 210 which is a logic for determining a recommended replacement reagent, a recommended calibrator determination unit 211 which is a logic for determining a recommended calibrator, and a recommended QC sample determination unit 212 which is a logic for determining a recommended QC sample. Details thereof will be described later.
[0040] The storage device 213 is a storage device that stores programs, data, and the like executed by the information processing device 205, and can use, for example, a non-volatile memory such as an EEPROM or a flash memory, an HDD, or an SSD. The storage device 213 is mounted on the analysis devices 103 to 107, and includes a reagent information management table 214 for managing information on reagents used for performing the clinical examination, a reagent replacement preparation time management table 215 for managing a time required for the reagent replacement preparation for each reagent, a calibration preparation time management table 216 for managing a time required for the calibration preparation for each reagent, a QC measurement preparation time management table 217 for managing a time required for the QC measurement preparation for each reagent, a person-in-charge schedule management table 218 for managing tasks of each laboratory technician, a person-in-charge position information management table 219 for managing position information on each laboratory technician in the clinical laboratory 101 acquired by the position information acquisition device 224, a reagent storage information management table 220 for managing stock information on the reagents, a calibrator storage information management table 221 for managing stock information on the calibrators, a QC sample storage information management table 222 for managing stock information on the QC samples, and a person-in-charge skill level management table 223 for managing a skill level of each laboratory technician. Details thereof will be described later.
[0041] When various applications of the management device 102 are implemented by executing programs by the information processing device 205, programs corresponding to the logics executed by the information processing device 205 are stored in the storage device 213, and functions of the detection units 206 to 208 or the determination units 209 to 212 are implemented by the information processing device 205 reading and executing the programs.
[0042] For example, the position information acquisition device 224 may grasp the position information by using the terminal 225 carried by the laboratory technician, or may grasp the position information on the laboratory technician by image analysis of a surveillance camera image installed in the clinical laboratory 101. For example, global positioning system (GPS), Beacon, ultra wide band (UWB), Wi-Fi positioning, sonic positioning, dead reckoning, indoor messaging system (IMES), or a combination thereof can be used.
[0043] The laboratory technician browses, by using the terminal 225, the notification sent from the management device 102, responds to processing, and responds to completion of the processing. An input device 226, an output device 227, and a communication device 228 in the terminal 225 have the same functions as those of the management device 102. A notification response device 229 has a function of responding to the notification from the management device 102. The terminal 225 is preferably a mobile terminal or a wearable terminal carried by the laboratory technician, and a notebook or desktop PC or the like may be used.
[0044]
[0045] Column 302 is a mounted reagent management number, and is a number for identifying a reagent mounted on the analysis device. Column 303 is a reagent name. Column 304 is a reagent lot No. (reagent lot number), and the reagent lot No. is given when the reagent is manufactured by a reagent manufacturer. At the time of the reagent replacement, when the reagents before and after the replacement have the same reagent lot No., a calibration result can be taken over. That is, when the reagent to be replaced has the same reagent lot No., it is not necessary to perform the calibration at the time of the reagent replacement. Column 305 is a reagent mounting device position, and represents a position of the device on which the reagent is mounted. In this example, identification numbers defined in a clinical laboratory map to be described later are displayed. Column 306 is an expiration date of the reagent. A reagent that has passed the expiration date needs to be replaced. Column 307 is a remaining amount of the reagent. The analysis device may measure the remaining amount or may calculate the remaining amount based on the number of clinical examinations in the analysis device. Column 308 is the number of time of remaining measurement of the reagent, and can be calculated based on the remaining amount of the reagent in column 307. Column 309 is a reagent out prediction time point, and stores a time point predicted as a reagent out timing. The reagent out prediction time point can be predicted from the remaining amount of the reagent and an analysis frequency of the analysis device on the current day. For example, the number of time of remaining measurement in column 308 can be calculated by dividing the amount of reagent used per measurement from the remaining amount of reagent in column 307, and a reagent out time point in column 309 can be predicted from the analysis frequency of the analysis device on the current day. In the prediction of the reagent out time point, prediction quality is lowered when the remaining amount of the reagent is sufficient, and therefore, when the number of time of remaining measurement of the reagent exceeds 10, the reagent out prediction time point in column 309 is set to NULL.
[0046] Column 310 is a reagent replacement preparation start notification flag, in which zero is registered as an initial value, and the value becomes 1 at a timing when the reagent replacement preparation is to be started. Column 311 is a calibration preparation start notification flag, in which zero is registered as an initial value, and the value is set to 1 at a timing at which the calibration preparation is to be started. Column 312 is a QC measurement preparation start notification flag, in which zero is registered as an initial value, and the value becomes 1 at a timing when the QC measurement preparation is to be started. Hereinafter, a logic for setting these flags to 1 will be described. These flags are updated by the reagent replacement preparation timing detection unit 206, the calibration preparation timing detection unit 207, and the QC measurement preparation timing detection unit 208, respectively.
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[0051] As will be described later, the reagent replacement preparation, the calibration preparation, and the QC measurement preparation are notified, and when the laboratory technician responds an intention to process, each is registered as a new task in the person-in-charge schedule management table 218. The work difficulty registered in the reagent replacement preparation time management table 215, the calibration preparation time management table 216, and the QC measurement preparation time management table 217 is registered as the work difficulty at this time.
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[0054] In the clinical laboratory map 901, the clinical laboratory is divided into blocks, and the identification number is defined by an X coordinate and a Y coordinate of the block. The X coordinate is defined by integers from 1 to 11 in order from a left side to a right side, and the Y coordinate is defined by letters from A to E from the top to the bottom. For example, the position of the laboratory technician 917 is represented as 9E since the X coordinate is 9 and the Y coordinate is E. As described above, the shaded blocks in the clinical laboratory map 901 are blocks in which the devices/cabinets/work table are disposed, and thus the laboratory technicians cannot move on the shaded blocks. Triangular marks 918 represent front sides of the devices or the cabinets, and when the laboratory technician moves to the device or the cabinet for working, the laboratory technician moves to a block having the triangular mark 918. For example, when the laboratory technician 916 moves to the pre-processing device 908, a path order is 4C, 4D, 4E, 3E, 2E, 1E, 1D, and 1C, and a distance at that time is 7 because movement of the laboratory technician is 7 blocks.
[0055] On the other hand, with respect to a management device or work table for which the front side 918 is not designated, calculation is performed assuming that the laboratory technician moves to the corresponding block. When a plurality of shaded blocks are connected, the calculation is performed assuming movement to a position of a block at which the numerical value of the X coordinate is the smallest and the letter of the Y coordinate is closest to A.
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[0060] The flag confirmation 1303 is processing of confirming whether the management device 102 needs any one of the reagent replacement preparation notification, the calibration preparation notification, and the QC measurement preparation notification. Therefore, the management device 102 confirms the reagent replacement preparation start notification flag (column 310), the calibration preparation start notification flag (column 311), and the QC measurement preparation start notification flag (column 312) in the reagent information management table 214.
[0061] When the reagent replacement preparation start notification flag (column 310) is 1 representing that the reagent replacement preparation notification is necessary, processing of person-in-charge schedule score calculation 1304 is executed. On the other hand, when the reagent replacement preparation start notification flag (column 310) is 0 representing that the reagent replacement preparation notification is unnecessary, if there is no other record in which the reagent replacement preparation start notification flag is 1, the processing proceeds to the end 1308.
[0062] The person-in-charge schedule score calculation 1304 refers to the person-in-charge schedule management table 218 (see
[0063] The person-in-charge position information score calculation 1305 calculates a person-in-charge position information score based on the position information on all the laboratory technicians currently in the clinical laboratory 101. The position information on the laboratory technicians is acquired from the position information acquisition device 224 as the identification number in the clinical laboratory map 901. Next, in the case of the reagent replacement preparation notification, the position information on the reagent cabinets 109 and 110 is acquired as a position information reference point. In the case of the calibration preparation notification, the position information on the calibrator cabinet 111 is acquired as a position information reference point, and in the case of the QC measurement preparation notification, the position information on the QC sample cabinet 112 is acquired as a position information reference point. In order to execute the task, the person in charge moves to the position information reference point and then moves to the analysis device or the work table, whereas the movement after the position information reference point is the same regardless of the person in charge. Therefore, in the person-in-charge position information score calculation 1305, the shortest distance until each laboratory technician reaches the position information reference point is calculated based on the acquired position information reference point and the position information on the laboratory technician. Specifically, the person-in-charge position information score is calculated as the shortest distance for reaching the front side 918 of the cabinet which is the position information reference point based on the clinical laboratory map 901. As a result, a person-in-charge position information score p for each laboratory technician is output. When there are a plurality of position information reference points, the shortest distance may be calculated for each of the plurality of position information reference points, and an average value thereof may be set as the person-in-charge position information score p.
[0064] Notification possible person-in-charge priority score calculation 1306 is processing of performing notification priority score calculation for determining a priority to be notified to the laboratory technicians in the clinical laboratory 101 by using the person-in-charge schedule score and the person-in-charge position information score calculated in the person-in-charge schedule score calculation 1304 and the person-in-charge position information score calculation 1305 as input. For example, a notification priority score Pr is given by the following (Formula 1).
Pr=m.sub.1.Math.s+m.sub.2.Math.p (Formula 1)
[0065] Here, m.sub.1 is a weight for the person-in-charge schedule score s represented by a positive constant, and m is a weight for the person-in-charge position information score p represented by a positive constant. The smaller the notification priority score Pr, the higher the priority, and the larger the notification priority score Pr, the lower the priority. As a result, the notification priority score Pr is output to all the laboratory technicians in the clinical laboratory 101.
[0066] Notification 1307 is processing of transmitting a notification to the terminal 225 carried by the laboratory technician having the highest priority based on a result in the notification possible person-in-charge priority score calculation 1306 and acquiring a response from the laboratory technician at a transmission target. When a response of not being able to be the person in charge is received from the laboratory technician, the laboratory technician is excluded until a certain period of time elapses, the person-in-charge schedule score calculation 1304, the person-in-charge position information score calculation 1305, and the notification possible person-in-charge priority score calculation 1306 are performed again, and a notification is transmitted to the next notification target until the person in charge is determined. When the response of not being able to be the person in charge is received from all the laboratory technicians in the clinical laboratory 101, a notification is transmitted to the administrator who collects the tasks of the laboratory technicians in the clinical laboratory 101.
[0067] A specific example of processing in the clinical laboratory according to the first embodiment will be described. Here, a case where a remaining amount of an AFP reagent is small in the analysis device 106 (reagent mounting device position 5D) and the reagent replacement is necessary will be described.
[0068] After the reagent replacement preparation timing detection unit 206 updates the reagent replacement preparation start notification flag, the notification person-in-charge determination unit 209 performs the processing of the flag confirmation 1303. The reagent information management table 214 at this time is shown in
[0069] Subsequently, the notification person-in-charge determination unit 209 performs the processing of the person-in-charge position information score calculation 1305. Locations of the laboratory technicians at this time are as shown in the clinical laboratory map 901 in
[0070] Subsequently, the notification person-in-charge determination unit 209 performs the notification possible person-in-charge priority score calculation 1306 to calculate the notification priority score Pr. At this time, if the notification priority score Pr is calculated using (Formula 1) in which the weight m.sub.1 is 1 and the weight m.sub.2 is 1, the notification priority scores Pr of the laboratory technicians 114 to 117 are 3.5 points, 5.5 points, 5.5 points, and 4.5 points, respectively.
[0071] As a result, the notification person-in-charge determination unit 209 transmits the reagent replacement preparation notification (see
[0072] The processing for the reagent replacement preparation notification is described above, and a flow of the processing is the same for the calibration preparation notification and the QC measurement preparation notification.
Second Embodiment
[0073] In a second embodiment, in addition to the first embodiment, the management device specifies and presents a recommended target (replacement reagent, calibrator, QC sample) at the time of a task request to a laboratory technician.
[0074] In the present embodiment, it is assumed stocks of the reagents, the calibrators, and the QC samples are stored in the reagent cabinets 109 and 110, the calibrator cabinet 111, and the QC sample cabinet 112, respectively. Stock information on the reagents, the calibrators, and the QC samples is managed by the management device 102. The stock information on the reagents, the calibrators, and the QC samples is registered by reading the information on a barcode, a two-dimensional barcode, or an RFID attached to each container thereof. Specifically, when a person in charge of purchasing stores the reagents, the calibrators, and the QC samples in the reagent cabinets 109 and 110, the calibrator cabinet 111, and the QC sample cabinet 112, such stock information is registered in the management device 102. Instead of the person in charge of purchasing, a laboratory technician working in the clinical laboratory 101 may be registered.
[0075] The stock information on the reagents, the calibrators, and the QC samples is managed by the reagent storage information management table 220, the calibrator storage information management table 221, and the QC sample storage information management table 222 (see
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[0081] Processing 1803 is processing of lot No. score calculation, and is executed when the replacement target is a reagent. That is, when the lot Nos. are the same in the reagent replacement preparation notification, 1 is output as a lot No. score 1. On the other hand, at the time of the calibration preparation notification and the QC measurement preparation notification, 0 is always output as the lot No. score 1.
[0082] Processing 1804 is processing of expiration date score calculation, and is processing of determining whether a recommended target is superior depending on whether the expiration date is close. For example, a difference between a current date and a due date is output as an expiration date score d. For example, when the current date is 2019/09/24 and the due date is 2019/09/28, 5 is output as the expiration date score d.
[0083] Processing 1805 is recommended target score calculation, and is processing of calculating a priority as the recommended target based on a result of the lot No. score calculation in the processing 1803 and a result of the expiration date score calculation in the processing 1804. For example, a recommended target score Av is given by the following (Formula 2).
Av=m.sub.3.Math.1+m.sub.4.Math.d (Formula 2)
[0084] Here, m.sub.3 is a weight with respect to the lot No. score 1 represented by a positive constant, and m.sub.4 is a weight with respect to the expiration date score d represented by a negative constant. The larger the recommended target score Av, the higher the priority, and the smaller the recommended score Av, the lower the priority. As a result, the recommended target score Av with respect to a total stock of the reagents, the calibrators, and the QC samples in the clinical laboratory 101 is output.
[0085] A specific example of processing in the clinical laboratory according to the second embodiment will be described. As in the first embodiment, a case where a remaining amount of an AFP reagent is small in the analysis device 106 (reagent mounting device position 5D) and the reagent replacement is necessary will be described.
[0086] After the reagent replacement preparation timing detection unit 206 updates the reagent replacement preparation start notification flag, the notification person-in-charge determination unit 209 performs the processing of the flag confirmation 1303. The processing of the flag confirmation 1303 is performed. From the reagent information management table 214 (see
[0087] The recommended replacement reagent determination unit 210 executes the recommended target determination logic 1801 for the stock of the AFP reagents which are the replacement target reagents. The reagent storage information management table 220 at this time is shown in
[0088] The lot No. score 1 is calculated for the AFP reagents whose storage reagent management numbers are 0002 and 0003 (lot No. score calculation 1803). Since the lot No. of the reagent requiring the replacement is “20190725-004” (see
[0089] Next, the expiration date score d is calculated for the AFP reagents whose storage reagent management numbers are 0002 and 0003 (expiration date score calculation 1804). When the current date is 2019/09/24, the expiration date score d of the storage reagent management number 002 is 9 and the expiration date score d of the storage reagent management number 003 is 8, based on each expiration date (see
[0090] Subsequently, the recommended replacement reagent determination unit 210 performs the recommended target score calculation 1805 to calculate the recommended target score Av. At this time, if the recommended target score Av is calculated using (Formula 2) in which the weight m.sub.3 is 3 and the weight m.sub.4 is −1, the recommended target scores Av of the AFP reagents whose storage reagent management numbers are 0002 and 0003 are −6 points and −8 points, respectively.
[0091] As a result, the storage reagent management number 0002 is specified as the recommended reagent and displayed on the reagent replacement preparation notification screen 1701 (see
[0092] Although the example in which the recommended replacement reagent is determined in the determination of the person in charge of the reagent replacement preparation is shown here, it is considered that the calibration preparation often precedes the reagent replacement preparation. Therefore, it is desirable to determine the recommended replacement reagent in the determination of the person in charge of the calibration preparation. At this time, when the reagents having the same lot No. are specified as the replacement targets, the notification of the calibration preparation is withheld. After that, upon receiving the completion of the reagent replacement of the reagents having the same lot No. as the replacement target, the calibration preparation start notification flag is updated to 0.
Third Embodiment
[0093] In a third embodiment, in addition to the first embodiment, the management device considers a skill level of a laboratory technician when determining an order of task requests to the laboratory technician.
[0094] For a laboratory technician who is unfamiliar with a work, such as a newcomer, a time required for reagent replacement, calibration preparation, and QC measurement preparation may be longer than a time required for a skilled laboratory technician. In the third embodiment, a priority of notification is set to be higher for a laboratory technician having a low skill level that requires time for the work. Accordingly, task allocation is executed earlier to a person in charge who may take time for processing, and influence of delay of the processing due to unfamiliarity of the laboratory technician can be reduced.
[0095]
[0096] The management device 102 changes the predicted work average deviation time (column 1905) in the person-in-charge skill level management table 223 such that the person-in-charge skill level (column 1904) is brought close to 3 in an average case, brought close to 1 in a case where much time is required, and brought close to 5 in a case where no time is required, as compared with an average of the laboratory technicians working in the clinical laboratory. For example, assuming that the predicted work deviation time follows a normal distribution, the distribution is divided into 20%, 40%, 60%, 80%, and 100% from a lower side, the skill level of the laboratory technician distributed in 0% to 20% is changed to 1, the skill level of the laboratory technician distributed in 20% to 40% is changed to 2, the skill level of the laboratory technician distributed in 40% to 60% is changed to 3, the skill level of the laboratory technician distributed in 60% to 80% is changed to 4, and the skill level of the laboratory technician distributed in 80% to 100% is changed to 5.
[0097]
[0098] The processing 2006 is processing of person-in-charge skill level score calculation. The management device 102 checks the person-in-charge attendance status (column 1903) in the person-in-charge skill level management table 223 (see
[0099] The processing 2007 is processing of performing notification priority score calculation for determining a priority to be notified to the laboratory technician in the clinical laboratory 101. For example, a notification priority score Pr is given by the following (Formula 3).
Pr=m.sub.1.Math.s+m.sub.2.Math.p+m.sub.3.Math.k (Formula 3)
[0100] Here, m.sub.1 is a weight for the person-in-charge schedule score s represented by a positive constant, m.sub.2 is a weight for the person-in-charge position information score p represented by a positive constant, and m.sub.3 is a weight for the person-in-charge skill level score k represented by a negative constant. The smaller the notification priority score Pr, the higher the priority, and the larger the notification priority score Pr, the lower the priority. As a result, the notification priority score Pr is output to all the laboratory technicians in the clinical laboratory 101.
[0101] A specific example of processing in the clinical laboratory according to the third embodiment will be described. As in the first and second embodiments, a case where a remaining amount of an AFP reagent is small in the analysis device 106 (reagent mounting device position 5D) and the reagent replacement is necessary will be described.
[0102] After the reagent replacement preparation timing detection unit 206 updates the reagent replacement preparation start notification flag, the notification person-in-charge determination unit 209 performs the processing of the flag confirmation 1303. From the reagent information management table 214 (see
[0103] The notification person-in-charge determination unit 209 first performs the processing of person-in-charge schedule score calculation 2004. Since the details are the same as those of the first embodiment, the description thereof will be omitted, and the person-in-charge schedule score s of the laboratory technicians 114 to 117 are 1 point, 5 points, 2 points, and 1 point, respectively.
[0104] Subsequently, the processing of the person-in-charge position information score calculation 2005 is performed. Since the details are the same as those of the first embodiment, the person-in-charge position information scores p of the laboratory technicians 114 to 117 are 2.5 points, 0.5 points, 3.5 points, and 3.5 points, respectively. When the recommended target is specified as in the second embodiment, since the position information reference point is uniquely specified, the value of the score p is different from the above.
[0105] Next, the notification person-in-charge determination unit 209 performs the processing of the person-in-charge skill level score calculation 2006. The person-in-charge skill level management table 223 at this time is shown in
[0106] Subsequently, the notification person-in-charge determination unit 209 performs the notification possible person-in-charge priority score calculation 2007 to calculate the notification priority score Pr. At this time, if the notification priority score Pr is calculated using (Formula 3) in which the weight m.sub.1 is 1, the weight m.sub.2 is 1, and the weight ma is −1, the notification priority scores Pr of the laboratory technicians 114 to 117 are 0.5 points, 3.5 points, 1.5 points, and 3.5 points, respectively.
[0107] As a result, the management device 102 transmits the reagent replacement preparation notification (see
REFERENCE SIGNS LIST
[0108] 101: clinical laboratory [0109] 102: management device [0110] 103, 104, 105, 106, 107: analysis device [0111] 108: pre-processing device [0112] 109, 110: reagent cabinet [0113] 111: calibrator cabinet [0114] 112: QC sample cabinet [0115] 113: work table [0116] 114, 115, 116, 117: laboratory technician [0117] 202: input device [0118] 203: output device [0119] 204: communication device [0120] 205: information processing device [0121] 206: reagent replacement preparation timing detection unit [0122] 207: calibration preparation timing detection unit [0123] 208: QC measurement preparation timing detection unit [0124] 209: notification person-in-charge determination unit [0125] 210: recommended replacement reagent determination unit [0126] 211: recommended calibrator determination unit [0127] 212: recommended QC sample determination unit [0128] 213: storage device [0129] 214: reagent information management table [0130] 215: reagent replacement preparation time management table [0131] 216: calibration preparation time management table [0132] 217: QC measurement preparation time management table [0133] 218: person-in-charge schedule management table [0134] 219: person-in-charge position information management table [0135] 220: reagent storage information management table [0136] 221: calibrator storage information management table [0137] 222: QC sample storage information management table [0138] 223: person-in-charge skill level management table [0139] 224: position information acquisition device [0140] 225: terminal [0141] 226: input device [0142] 227: output device [0143] 228: communication device [0144] 229: notification response device [0145] 901: clinical laboratory map [0146] 1001, 1701: reagent replacement preparation notification screen [0147] 1101: calibration preparation notification screen [0148] 1201: QC measurement preparation notification screen