CN113990468B - Mobile nursing system integrating breast milk and blood transfusion closed-loop management - Google Patents
Mobile nursing system integrating breast milk and blood transfusion closed-loop management Download PDFInfo
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Abstract
The invention discloses a mobile nursing system integrating breast milk and blood transfusion closed-loop management, which comprises a mobile nursing terminal and a nursing platform, wherein the mobile nursing terminal is connected with the nursing platform through a network; the mobile nursing terminal comprises a characteristic input module, a nursing medical record module, a nursing patrol module, an information inquiry module, a ward-round execution module, an intelligent reminding module, a voice communication module, a video communication module, a state identification module, a bar code identification module and an emergency automatic alarm module; the nursing platform comprises an affair reminding module, a checking and collecting module, a nursing conventional module, a nursing quality control module, a nursing management module, a background management module, a doctor advice issuing module, a breast milk management module, a blood transfusion management module and a doctor advice executing module. Has the advantages that: the precision and the mobility of clinical care can be realized; an automatic alarm signal can be automatically generated and sent to the nursing platform; closed-loop management of medical advice and performance assessment of nursing quality can be achieved, nursing errors are greatly reduced, and nursing quality and working efficiency are improved.
Description
Technical Field
The invention relates to the technical field of medical care based on the Internet of things, in particular to a mobile care system integrating breast milk and blood transfusion closed-loop management.
Background
The mobile nursing system is formed by connecting various information management servers of a hospital with terminal equipment based on the Internet of things, and a nursing worker inputs, inquires or modifies medical information through the terminal equipment, so that the mobile nursing system has the advantages of convenience and quickness, and the advantages are more prominent under the condition that the terminal equipment is a mobile terminal. The functions assumed by modern mobile care systems mainly include: liquid preparation checking, medical advice execution, specimen examination, physical sign input, nursing records, patient inspection, nursing operation and evaluation and the like. Along with the growth of the population of China and the development of the aging society, more and more sick people are provided, so that the burden of a hospital is heavier and heavier, and particularly in the clinical care field, in the face of numerous patients, much information needs to be known, collected and registered, and the working pressure of doctors and nurses is heavier and heavier.
However, the current medical informatization of China is still in a development stage taking clinic as a center, the service process is still mainly manual, the technical level cannot realize real-time information service, and with the continuous development of hospital department scale, the patient information management operation is more and more complex, and the traditional informatization cannot meet the requirements. In the traditional medical nursing service process, the problems that manual operation efficiency is low, mistakes are easy to occur, mobile office work of doctors and nurses cannot be met, nursing staff need to carry a large amount of data during examination of patients, the whole life cycle of medical advice cannot be tracked, performance management cannot be performed, and errors are caused due to untimely information processing are easily caused are solved. Therefore, the invention provides a mobile nursing system integrating the closed-loop management of breast milk and blood transfusion.
Disclosure of Invention
In view of the problems in the related art, the present invention provides a mobile nursing system integrating the closed-loop management of breast milk and blood transfusion to overcome the above technical problems in the related art.
Therefore, the invention adopts the following specific technical scheme:
a mobile nursing system integrating breast milk and blood transfusion closed-loop management comprises a mobile nursing terminal and a nursing platform, wherein the mobile nursing terminal is connected with the nursing platform through the Internet of things;
the mobile nursing terminal comprises a feature input module, a nursing medical record module, a nursing patrol module, an information query module, a ward-round execution module, an intelligent reminding module, a voice communication module, a video communication module, a state identification module, a bar code identification module and an emergency state automatic alarm module; the characteristic input module is used for an on-duty nurse to input the physical sign information of the patient at the bedside in real time; the nursing medical record module is used for the on-duty nurse to input the nursing form document at the bedside in real time; the nursing patrol module is used for recording the information of the infusion execution process; the information inquiry module is used for providing an advice execution information inquiry function; the ward-round execution module is used for checking the vital signs of the patients by the nurse on duty and executing the relevant treatment scheme by the nurse on duty according to the medical advice; the intelligent reminding module is used for reminding abnormal conditions of the milk bag, carrying out acousto-optic reminding on-duty nurse patrol by the patient after the preset time for starting blood transfusion, and simultaneously carrying out timely alarming reminding when the patient is identified to be in a diseased state; the voice communication module is used for voice communication between the on-duty nurse and the nursing platform or the attending physician; the video communication module is used for video communication between the on-duty nurse and the nursing platform or the attending physician; the state identification module is used for automatically acquiring the body state, facial expression and sound information of the patient when the nurse on duty patrols and rounds the ward, and identifying the concurrent state of the patient by adopting a deep learning mode; the emergency state automatic alarm module is used for judging the action posture of a patient and the change of the state of a sensor arranged on a nursing bed based on the distribution probability of human body parts, comprehensively judging whether the patient needs emergency call, and automatically generating an automatic alarm signal to send to a nursing platform;
the nursing platform comprises an affair reminding module, a checking and collecting module, a nursing conventional module, a nursing quality control module, a nursing management module, a background management module, a doctor advice issuing module, a breast milk management module, a blood transfusion management module and a doctor advice executing module; the affair reminding module is used for executing the medical advice to perform tracking reminding, so that work omission is avoided; the inspection and collection module is used for recording the time for collecting the sample in real time and automatically checking and matching; the nursing routine module is used for recording nursing items daily executed by nurses; the nursing quality control module is used for monitoring the quality of nursing items of nurses and improving the safety and medical quality of patients; the nursing management module is used for flexibly counting, inquiring, monitoring and reminding functions; the background management module is used for managing the related information of the user, the role, the authority and the mobile equipment related to the system, and comprises the operations of adding, modifying, deleting and authorizing all the information; the medical advice issuing module is used for pushing all the execution details to a nurse station after the medical advice of the treating doctor is confirmed and issued, so that a treatment task detail list is formed; the breast milk management module is used for realizing bar code registration, information storage and medical execution management of breast milk; the blood transfusion management module is used for realizing the receiving, signing and use checking management of blood products and is also used for the modification management of a blood transfusion link; the order execution module is used for executing corresponding order operation by scanning the bar code of the milk bag or the blood product.
Further, the information query module comprises an attending physician query module, a nurse chief query module and an on-duty nurse query module; the main doctor inquiry module is used for inquiring the relevant information of the execution content, the execution time, the executed items, the non-executed items and the special explanation of the medical orders by the main doctor according to the patient number; the nurse master query module is used for querying the execution content, the execution time, the executed items, the non-executed items, the special description and the executor information of the medical advice by the nurse master according to the patient number and querying the information of the executed medical advice and the to-be-executed medical advice according to the nurse number; and the on-duty nurse inquiry module is used for inquiring the information of the executed medical orders and the related content of the information of the medical orders to be executed by the on-duty nurse according to the patient number.
Furthermore, the state identification module comprises a data sample acquisition module, an identification sample construction module, a state analysis and calculation module, a result analysis and comparison module and an analysis result output module; the data sample acquisition module is used for acquiring the daily physical state, facial expression and sound signals of the patient; the identification sample construction module is used for constructing a patient basic information sample set according to the collected data of the daily body state, the facial expression and the sound signal of the patient; the state analysis and calculation module is used for analyzing, calculating and identifying the illness state of the patient by adopting a normal distribution method; the result analysis and comparison module is used for analyzing and comparing the normal distribution result obtained by calculation with the normal curve in the basic information sample set, and if the difference value between the result obtained by calculation and the normal curve in the basic information sample set exceeds a preset value, judging that a disease occurrence state occurs; the analysis result output module is used for outputting an analysis result and determining whether the patient belongs to a disease state.
Further, the state analysis calculation module performs calculation by using normal distribution when performing state analysis calculation, wherein a calculation formula of the normal distribution is as follows:
in the formula, σ j Is the standard deviation, x is the input patient feature set, x j For the jth feature data in x, μ j Is the mean value.
Furthermore, by arranging the emergency state automatic alarm module, the action posture of the patient and the change of the state of a sensor arranged on the nursing bed can be judged according to the distribution probability of the human body part, and whether the patient needs emergency call or not is comprehensively judged;
further, the nursing management module comprises a vital sign query module and an advice execution recording module; the vital sign inquiring module is used for checking vital signs of patients according to routine work content of on-duty nurses, wherein checking information comprises body temperature, blood pressure and pulse information; the medical advice execution recording module is used for executing related treatment schemes including medication, infusion, liquid guiding, oxygen delivery and collection of laboratory samples according to medical advice when a nurse on duty works.
Further, the medical advice issuing module comprises a breast milk medical advice issuing module and a blood transfusion medical advice issuing module; the order execution module comprises a breast milk order execution module and a blood transfusion order execution module.
Further, the breast milk medical advice execution module comprises an execution plan generation module, an execution bar code label printing module, an execution record increasing module and a checking and configuring operation module; the execution plan generation module is used for automatically acquiring breast milk medical advice from a third-party interface and automatically generating an execution plan according to the execution frequency of the breast milk medical advice; the execution bar code label printing module is used for printing an execution bar code label according to the generated execution plan; the execution record adding module is used for manually adding execution records according to the medical orders, and the execution records can manually fill in basic information required by the medical orders; the checking and configuring operation module is used for carrying out system checking according to the milk bag information and the execution label to finish configuring operation and playing a reminding function for the abnormality of the milk bag.
Furthermore, the breast milk management module comprises a bar code registration module, a storage management module and a dictionary management module; the bar code registration module is used for selecting a medical advice to carry out breast milk registration and generating a bar code, and is also used for inquiring the medical advice information according to the medical advice time range, the medical advice department, the patient hospitalization number and the patient bed number on a breast milk registration interface; the storage management module is used for recording the processes of registering, printing, unfreezing and invalidating the bar codes, and can select and repeat the bar codes during unfreezing, and the information of the bar code numbers is not changed; the system is also used for recording and checking each bar code flow and judging whether to prompt in the validity period or not according to the validity period when unfreezing; meanwhile, the breast milk storage bag is used for discarding management of breast milk storage bags; the dictionary management module is used for setting normal temperature, cold storage and freezing storage modes and corresponding valid periods.
Further, the medical advice information comprises the name, sex, age, bed number, name, frequency, order department, order doctor and order time of the patient; the bar code content comprises the name, sex, age, department, hospital number, bed number, bar code number, generation serial number, breast milk content, breast milk collection time, order opening time and frequency of the patient, and the bar code can be selected to be displayed in the information area.
Further, the blood transfusion management module comprises a blood product receiving module, a blood product signing module, a blood product use checking module and a blood transfusion link modifying module; the blood product receiving module is used for scanning the blood box and delivering a patient by a clinical nurse when the blood box is delivered to a department, and registering the temperature information of the blood box through the PDA to finish delivery management of the blood box; when the blood product signing module is used for blood product usage, a clinical nurse scans a blood product bar code, registers blood box temperature information through a PDA, and completes blood product signing processing; when the blood product use checking module is used at the bedside, a clinical nurse scans a blood product bar code and a patient wrist strap to complete matching work of the patient and the blood product, and scans the identity information of another checking nurse to complete double checking work before infusion; and the blood transfusion link modification module is used for patrolling the function of inputting vital signs additionally required by the module.
The invention has the beneficial effects that:
1) The mobile nursing terminal and the nursing platform are arranged, so that the precision and the mobility of clinical nursing can be realized by adopting a handheld microcomputer terminal and combining a patient wrist strap and a bar code identification technology; in addition, three-checking eight-pair requirements on nursing work and real-time acquisition and input of nursing information can be realized, closed-loop management of medical advice and performance assessment of nursing quality are realized, and therefore nursing quality and working efficiency can be effectively improved.
2) The voice communication module and the video communication module are arranged, so that a doctor or a nurse can interact with a patient at any time and any place; by arranging the breast milk management module and the blood transfusion management module, the closed-loop management of breast milk and blood products can be realized at the same time; execute the module and blood transfusion doctor's advice execution module through being provided with breast milk doctor's advice to not only can realize the execution to breast milk doctor's advice, but also can realize the execution of blood transfusion doctor's advice, thereby can satisfy the demand of high quality mobile nursing better.
3) The mobile nursing terminal can automatically acquire the body state, facial expressions and voice signals of a patient in the process of polling ward by following an on-duty nurse by the aid of the state identification module, the illness state of the patient can be identified by the aid of a normal distribution method, a normal distribution result obtained by calculation is analyzed and compared with a normal curve concentrated by a basic information sample, the illness state of the patient is judged, and accordingly the effect of assisting medical workers in polling ward can be achieved.
4) Through setting up emergency state automatic alarm module, the accessible judges the change of the sensor state of patient action gesture and the setting on the nursing bed based on the distribution probability of human position, whether comprehensive judgement patient needs emergency call for help to automatic generation automatic alarm signal sends the nursing platform, has avoided the difficult problem that the patient can't seek help under unmanned on duty or the untimely condition of nurse, thereby ensures patient's in time seeking help, has promoted the safety guarantee.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required in the embodiments will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic diagram of a mobile care system integrating closed-loop management of breast milk and blood transfusion according to an embodiment of the present invention;
FIG. 2 is a schematic diagram of an information query module in a mobile nursing system integrating breast milk and blood transfusion closed-loop management according to an embodiment of the present invention;
FIG. 3 is a schematic diagram of a status identification module in a mobile nursing system integrating closed-loop management of breast milk and blood transfusion according to an embodiment of the present invention;
FIG. 4 is a schematic structural diagram of a nursing management module in a mobile nursing system integrating the closed-loop management of breast milk and blood transfusion according to an embodiment of the present invention;
FIG. 5 is a schematic diagram of an order issuing module in a mobile nursing system integrating breast milk and blood transfusion closed-loop management according to an embodiment of the invention;
FIG. 6 is a schematic diagram of the structure of an order execution module in a mobile nursing system integrating the closed-loop management of breast milk and blood transfusion according to the embodiment of the invention;
FIG. 7 is a schematic diagram of a breast milk order execution module in a mobile nursing system integrating breast milk and transfusion closed-loop management according to an embodiment of the present invention;
FIG. 8 is a schematic diagram of the structure of a breast milk management module in a mobile nursing system integrating breast milk and transfusion closed-loop management according to an embodiment of the present invention;
fig. 9 is a schematic structural diagram of a transfusion management module in a mobile nursing system integrating breast milk and transfusion closed-loop management according to an embodiment of the invention.
In the figure:
1. a mobile nursing terminal; 101. a characteristic input module; 102. a nursing medical record module; 103. a nursing patrol module; 104. an information query module; 1041. an attending physician query module; 1042. a nurse master query module; 1043. a on-duty nurse query module; 105. a ward-round execution module; 106. an intelligent reminding module; 107. a voice communication module; 108. a video communication module; 109. a state identification module; 110. a bar code identification module; 111. an emergency state automatic alarm module; 1091. a data sample acquisition module; 1092. identifying a sample construction module; 1093. a state analysis calculation module; 1094. a result analysis and comparison module; 1095. an analysis result output module; 110. a bar code identification module; 2. a care platform; 201. a transaction reminding module; 202. a detection and collection module; 203. a care routine module; 204. a nursing quality control module; 205. a nursing management module; 2051. a vital sign query module; 2052. a medical advice execution recording module; 206. a background management module; 207. a medical advice issuing module; 2071. a breast milk medical advice issuing module; 2072. a blood transfusion doctor advice issuing module; 208. a breast milk management module; 2081. a barcode registration module; 2082. a storage management module; 2083. a dictionary management module; 209. a blood transfusion management module; 2091. a blood product receiving module; 2092. a blood product signoff module; 2093. a blood product use check module; 2094. a blood transfusion link modification module; 210. an advice execution module; 2101. a breast milk doctor advice execution module; 21011. an execution plan generation module; 21012. executing a bar code label printing module; 21013. executing a record adding module; 21014. a configuration checking operation module; 2102. a blood transfusion order execution module.
Detailed Description
For further explanation of the various embodiments, the drawings which form a part of the disclosure and which are incorporated in and constitute a part of this specification, illustrate embodiments and, together with the description, serve to explain the principles of operation of the embodiments, and to enable one skilled in the art to understand the embodiments and advantages of the disclosure for reference and without scale, wherein elements are not shown in the drawings and like reference numerals are used to refer to like elements generally.
According to an embodiment of the present invention, a mobile care system integrating breast milk and transfusion closed-loop management is provided.
Referring to the drawings and the detailed description, the invention is further explained, as shown in fig. 1, a mobile nursing system integrating breast milk and blood transfusion closed-loop management according to an embodiment of the invention includes a mobile nursing terminal 1 and a nursing platform 2, and the mobile nursing terminal 1 and the nursing platform 2 are connected through a communication network;
as shown in fig. 1, the mobile nursing terminal 1 includes a feature entry module 101, a nursing medical record module 102, a nursing patrol module 103, an information query module 104, a ward-round execution module 105, an intelligent reminding module 106, a voice communication module 107, a video communication module 108, a state identification module 109, a barcode identification module 110, and an emergency state automatic alarm module; the characteristic input module 101 is used for an on-duty nurse to input patient sign information in real time at the bedside; the nursing medical record module 102 is used for an on-duty nurse to enter nursing form documents at the bedside in real time; the nursing patrol module 103 is used for recording information of the infusion execution process; the information query module 104 is used for providing a medical order execution information query function; the ward-round execution module 105 is used for checking the vital signs of the patients by the nurse on duty and executing the relevant treatment scheme by the nurse on duty according to the medical advice; the intelligent reminding module 106 is used for reminding abnormal conditions of the milk bag, carrying out acousto-optic reminding on-duty nurse patrol after the preset time (15 minutes, 60 minutes, 120 minutes and the like) for the start of blood transfusion for the patient, and simultaneously carrying out timely alarm reminding when the patient is identified to be in a disease state; the voice communication module 107 is used for voice communication between the on-duty nurse and the nursing platform or the attending physician; the video communication module 108 is used for video communication between the nurse on duty and the nursing platform or the attending physician; the state identification module 109 is used for automatically acquiring the body state, facial expression and sound information of a patient when an on-duty nurse patrols and rounds a ward, and identifying the concurrent state of the patient by adopting a deep learning mode; the bar code identification module 110 is used for scanning and identifying a bar code on the milk bag or the blood product;
as shown in fig. 1, the nursing platform 2 includes a transaction reminding module 201, an inspection collecting module 202, a nursing routine module 203, a nursing quality control module 204, a nursing management module 205, a background management module 206, an order issuing module 207, a breast milk management module 208, a blood transfusion management module 209 and an order executing module 210; the affair reminding module 201 is used for executing medical advice to track and remind, and avoiding work omission; the inspection and collection module 202 is used for recording the time for collecting the sample in real time and automatically checking and matching; the nursing routine module 203 is used for recording nursing items daily executed by nurses; the nursing quality control module 204 is used for monitoring the quality of nursing items of nurses and improving the safety and medical quality of patients; the nursing management module 205 is used for flexible statistical query and supervision reminding functions; the background management module 206 is configured to manage information related to a user, a role, a permission, and a mobile device related to the system, including operations of adding, modifying, deleting, and authorizing all the above information; the medical advice issuing module 207 is configured to push all the execution details to the nurse station to form a treatment task detail list after the medical advice of the attending physician is confirmed and issued, where the detail list displays information of all the execution items (including the medical advice information details, specific execution item names, contents, execution time, execution duration, dosage, special description, and the like). The nurse on duty can check the doctor's advice execution task and the relevant details through the handheld mobile device; the breast milk management module 208 is used for realizing barcode registration, information storage and medical execution management of breast milk; the blood transfusion management module 209 is used for realizing the receiving, signing and use checking management of blood products and also used for the modification management of blood transfusion links; the order executing module 210 is used for executing corresponding order operation by scanning the bar code of the milk bag or the blood product.
In one embodiment, as shown in fig. 3, the information query module 104 includes an attending physician query module 1041, a nurse manager query module 1042 and an on-duty nurse query module 1043; the main physician query module 1041 is used for the main physician to query the relevant information of the execution content, the execution time, the executed items, the non-executed items and the special descriptions of the medical orders according to the patient numbers; the nurse master query module 1042 is used for querying the execution content, execution time, executed items, non-executed items, special description and executive information of the medical orders of the nurse master according to the patient number, and querying the information of the executed medical orders and the medical orders to be executed according to the nurse master number; the nurse on duty query module 1043 is configured to query, by a nurse on duty, the information of the executed medical orders and the relevant content of the information of the medical orders to be executed according to the patient number.
In one embodiment, as shown in fig. 4, the state identification module 109 includes a data sample collection module 1091, an identification sample construction module 1092, a state analysis calculation module 1093, a result analysis comparison module 1094, and an analysis result output module 1095; the data sample acquisition module 1091 is used for acquiring the daily physical state, facial expression and sound signals of the patient; the identification sample construction module 1092 is configured to construct a patient basic information sample set according to the collected data of the daily physical state, the facial expression and the voice signal of the patient; the state analysis and calculation module 1093 is configured to analyze, calculate and identify the diseased state of the patient by using a normal distribution method; the result analyzing and comparing module 1094 is configured to analyze and compare the calculated normal distribution result with the normal curve in the basic information sample set, and determine that a diseased state occurs if a difference between the calculated result and the normal curve in the basic information sample set exceeds a preset value; the analysis result output module 1095 is used for outputting the analysis result to determine whether the patient belongs to the disease state.
In one embodiment, the state analysis calculating module 1093 performs the calculation using normal distribution, wherein the normal distribution is calculated by:
in the formula, σ j Is the standard deviation, x is the input patient feature set, x j For the jth feature data in x, μ j Is the mean value.
The automatic emergency state alarm module (111) specifically works as follows: firstly, carrying out gray processing on a human body image obtained by a camera to obtain a human body gray image, and carrying out template matching on the human body gray image and a template in a human body standard template library, thereby effectively classifying all parts of a human body, further positioning bone joints, and further identifying the action posture of the human body, wherein when judging and testing the action posture of a common human body in the human body standard template library, a large number of posture images are collected for training, actions with obvious changes are generally selected as samples to generate gray images corresponding to different shapes and sizes of the human body, when carrying out human body identification, the gray images are firstly divided into a set of mark points of randomly distributed body parts, then all parts of the human body estimated by a system are re-projected to world coordinates to determine the spatial distribution of each part, and accurate judgment is provided for the three-dimensional position positioned by each bone joint;
assuming that pixel x is classified in image I, each confidence P at t t (cI, x) (T ∈ 1, \ 8230; T)) has been obtained, and the final confidence average is P (cI,x)
further weights ω corresponding to the available pixels i ；
Wherein d is I (x i ) Is x i The coordinate variance in image I;
distribution probability of each human body part
Wherein x is a three-dimensional space coordinate, N is the number of pixels in the image, and omega i Is the weight corresponding to the pixel (the closer to the center of the image, the larger the weight value), x i For a given grey scale d I (x i ) Remapping the pixels of the time image to coordinates in the world coordinate system, b c The number of pixels of each known part is known, so that the action posture of a patient and the change of the state of a sensor arranged on a nursing bed are judged based on the distribution probability of human body parts, for example, a weight sensor is arranged on the nursing bed, a position sensor comprises an emergency button switch sensor, signals such as whether an emergency button switch is pressed are assisted by the change of the weight sensor on the nursing bed and the position measurement of the position sensor, the specific state of the patient (such as whether the patient stands up and presses the emergency button or falls off and stretches hands to call for help) can be assisted to judge, so that whether the patient needs emergency call is comprehensively judged, and an automatic alarm signal is automatically generated and sent to a nursing platform (2);
in one embodiment, as shown in fig. 4, the care management module 205 includes a vital signs query module 2051 and an order execution log module 2052; the vital sign inquiry module 2051 is used for performing vital sign check on a patient according to routine work content of an on-duty nurse, wherein check information comprises information such as body temperature, blood pressure and pulse; the nurse can record relevant information such as the examination result, the examination time, the special instructions and the like of each patient through the mobile device for the attending physician to view; the medical advice execution recording module 2052 is used for executing relevant treatment schemes including medication, infusion, drainage, oxygen therapy, collection of laboratory samples and the like according to medical advice when a nurse on duty works, and relevant information such as execution time, examination results, special instructions and the like of each patient can be recorded by the mobile device when the nurse executes the medical advice, so that the nurse can check the information.
In one embodiment, as shown in fig. 5, order issuance module 207 includes breast milk order issuance module 2071 and blood transfusion order issuance module 2072; the order execution module 210 includes a breast milk order execution module 2101 and a transfusion order execution module 2102.
In one embodiment, as shown in fig. 6, the breast milk order execution module 2101 includes an execution plan generation module 21011, an execution barcode label printing module 21012, an execution record addition module 21013, and a reconciliation configuration operation module 21014; the execution plan generation module 21011 is used for automatically acquiring breast milk medical advice from a third-party interface and automatically generating an execution plan according to the execution frequency of the breast milk medical advice; the execution barcode label printing module 21012 is configured to print an execution barcode label according to the generated execution plan, where the content of the barcode label is defined as follows: MR | bar code | hospitalization number (including hospitalization times and principal flag 0) | name | department | bed number | bar code sequence number | medical advice number | execution date | effective date time; the execution record adding module 21013 is configured to manually add an execution record according to the medical order, where the execution record may manually fill in basic information required for executing the medical order; the configuration checking operation module 21014 is configured to perform system checking according to the milk bag information and the execution tag to complete configuration operation, and perform a reminding function for an abnormal milk bag, such as overdue milk.
In specific application, the checking process of breast milk or formula milk is as follows:
1) The identity is checked through the wrist strap of the patient and the executive bar code;
2) Confirming the starting execution and ending execution time through the system;
3) If the execution process has special conditions, the execution operation can be suspended and cancelled, and the suspended execution can be resumed.
In one embodiment, as shown in fig. 7, the breastmilk management module 208 includes a barcode registration module 2081, a storage management module 2082, and a dictionary management module 2083; the bar code registration module 2081 is used for selecting an advice to carry out breast milk registration and generating a bar code, and is also used for inquiring the advice information according to the advice time range, the advice department, the patient hospitalization number and the patient bed number on a breast milk registration interface; the storage management module 2082 is used for recording the processes of registering, printing, unfreezing and canceling bar codes, and can check and repeat bar codes during unfreezing, and the information of the bar code number is not changed; the system is also used for recording and checking each bar code flow and judging whether to prompt in the validity period or not according to the validity period when unfreezing; meanwhile, the breast milk storage bag is used for discarding management of breast milk storage bags; the dictionary management module 2083 is used for setting normal temperature, cold storage and freezing storage modes and corresponding validity periods.
In one embodiment, as shown in fig. 8, the barcode registration module 2081 may also generate a fixed format for use in execution through a two-dimensional code, where the format is: MR | barcode number | hospitalization number | name | department | bed number | sequence number | medical advice number | acquisition date | effective date time; the bar CODEs (CODE 128 bar CODEs and two-dimensional CODEs) can be printed, flow control is carried out, and the bar CODEs can be deleted under the states of generating the bar CODEs and printing the bar CODEs; the contents can be modified and reprinted before thawing; the effective date and time, particularly the time, can be calculated by collecting the time.
The medical advice information comprises the name, sex, age, bed number, medical advice name, frequency, order department, order doctor and order time of a patient; the bar code content comprises the name, sex, age, department, hospital number, bed number, bar code number, generation serial number, breast milk content, breast milk collection time, order opening time and frequency of the patient, and the bar code can be selected to be displayed in the information area.
In one embodiment, as shown in fig. 9, the blood transfusion management module 209 includes a blood product receiving module 2091, a blood product signing module 2092, a blood product use check module 2093, and a transfusion link modification module 2094; the blood product receiving module 2091 is used for the clinical nurse to scan the blood box and send the blood box to a person when the blood box is sent to a department, and the temperature information of the blood box is registered through the PDA, so that the blood box sending management is completed; the blood product signing module 2092 is used for scanning a blood product bar code by a clinical nurse when the blood product is used, registering blood box temperature information through a PDA, and completing blood product signing processing; when the blood product use checking module 2093 is used at bedside, a clinical nurse scans a blood product bar code and a patient wrist strap to complete matching work of the patient and the blood product, and scans the identity information of another checking nurse to complete double checking work before infusion; the transfusion link modification module 2094 is used for patrolling the functions of the module, which need to add the input of the vital signs.
The invention has the following advantages:
1) The doctor-patient communication is direct and convenient: the system can realize the interaction between doctors/nurses and patients at any time and any place, especially in the ward round process of doctors.
2) The existing information resources are utilized, and the investment cost is low: the system fully utilizes the existing information resources (HIS system and the like) of the hospital, effectively utilizes the existing patient diagnosis and treatment information in the database of the hospital, does not need to be developed by a large-scale application system, and has lower investment cost.
3) Information sharing and differentiation between medical care: the nurse can enter the issued medical advice in real time through the data terminal and the wireless network to better execute the medical advice, and the nurse and the doctor can share the real-time state information of the patient, so that the medical nursing ward-round basically finishes the semi-manual era of operation.
4) Strengthen hospital's managerial efficiency and dynamics: the system uses an efficient, real-time and mobile information processing mode to record medical information, medical treatment and charging processes of all the links of the hospital in real time, and a hospital manager can conveniently and accurately master all the information of the hospital in time, so that a management layer can make decision judgment in real time according to conditions, an examination system of the hospital is perfected, and the management efficiency and the management strength of the hospital are improved.
5) Alleviate medical personnel's working strength, improve medical personnel's work efficiency: medical personnel can obtain and handle the information that patients diagnose and treat anytime and anywhere, has alleviateed medical personnel's working strength and operating pressure greatly, has also comprehensively improved medical personnel's each item work efficiency simultaneously.
6) The hospital management idea of taking the patient as the center is realized: the diagnosis and treatment information of the patient can be acquired and processed in real time, the patient can be ensured to be properly diagnosed and treated at the first time, and the response time of the disease condition is shortened.
In conclusion, by means of the technical scheme, the mobile nursing terminal 1 and the nursing platform 2 are arranged, so that the clinical nursing system can realize the accuracy and the mobility of clinical nursing by adopting a handheld microcomputer terminal in combination with a patient wrist strap and a bar code identification technology; in addition, three-checking eight-pair requirements on nursing work can be realized, nursing information can be acquired and input in real time, closed-loop management of medical advice and performance assessment of nursing quality can be realized, and therefore nursing quality and working efficiency can be effectively improved.
In addition, the voice communication module 107 and the video communication module 108 are arranged, so that a doctor or a nurse can interact with a patient at any time and any place; by arranging the breast milk management module 208 and the blood transfusion management module 209, the closed-loop management of breast milk and blood products can be realized at the same time; through being provided with breast milk doctor's advice execution module 2101 and blood transfusion doctor's advice execution module 2102 to not only can realize the execution to breast milk doctor's advice, but also can realize the execution of blood transfusion doctor's advice, thereby can satisfy the demand in removing the nursing better.
In addition, through being provided with state identification module 109 for mobile nursing terminal 1 can follow nurse on duty and patrol and examine the data of the in-process automatic acquisition patient's health state, facial expression and sound signal of making a rounds of wards, and can utilize the method of normal distribution to discern the sick state of patient, adopt the normal distribution result that obtains of calculation and the concentrated normal curve of basic information sample to carry out the analysis and comparison, thereby can realize judging the sick state of making a round of sick of patient, and then can play the effect that supplementary medical personnel patrolled and examined the wards.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and should not be taken as limiting the scope of the present invention, which is intended to cover any modifications, equivalents, improvements, etc. within the spirit and scope of the present invention.
Claims (9)
1. A mobile nursing system integrating breast milk and blood transfusion closed-loop management is characterized by comprising a mobile nursing terminal (1) and a nursing platform (2), wherein the mobile nursing terminal (1) is connected with the nursing platform (2) through the Internet of things;
the mobile nursing terminal (1) comprises a feature entry module (101), a nursing medical record module (102), a nursing patrol module (103), an information query module (104), a ward-round execution module (105), an intelligent reminding module (106), a voice communication module (107), a video communication module (108), a state identification module (109), a bar code identification module (110) and an emergency state automatic alarm module (111);
the characteristic input module (101) is used for an on-duty nurse to input the physical sign information of the patient at the bedside in real time;
the nursing medical record module (102) is used for an on-duty nurse to input a nursing form document at the bedside in real time;
the nursing patrol module (103) is used for recording information of an infusion execution process;
the information inquiry module (104) is used for providing an order execution information inquiry function;
the ward-round execution module (105) is used for checking the vital signs of the patients by the nurse on duty and executing the relevant treatment scheme by the nurse on duty according to the medical advice;
the intelligent reminding module (106) is used for reminding abnormal conditions of the milk bag, carrying out acousto-optic reminding on-duty nurse patrol after the preset time for starting blood transfusion for a patient, and simultaneously carrying out timely alarming and reminding when the patient is identified to be in a disease state;
the voice communication module (107) is used for voice communication between an on-duty nurse and a nursing platform or an attending physician;
the video communication module (108) is used for video communication between an on-duty nurse and a nursing platform or an attending physician;
the state identification module (109) is used for automatically acquiring the body state, facial expression and sound information of a patient when an on-duty nurse patrols and rounds a ward, and identifying the concurrent state of the patient by adopting a deep learning mode; the state identification module (109) comprises a data sample acquisition module (1091), an identification sample construction module (1092), a state analysis calculation module (1093), a result analysis comparison module (1094) and an analysis result output module (1095);
the data sample acquisition module (1091) is used for acquiring daily physical state, facial expression and sound signals of a patient;
the identification sample construction module (1092) is used for constructing a patient basic information sample set according to the collected data of the daily physical state, the facial expression and the sound signal of the patient;
the state analysis and calculation module (1093) is used for analyzing, calculating and identifying the disease state of the patient by adopting a normal distribution method;
the result analyzing and comparing module (1094) is used for analyzing and comparing the normal distribution result obtained by calculation with the normal curve in the basic information sample set, and if the difference value between the result obtained by calculation and the normal curve in the basic information sample set exceeds a preset value, the occurrence of a disease state is judged;
the analysis result output module (1095) is used for outputting the analysis result and determining whether the patient belongs to the disease state;
the state analysis calculation module (1093) performs calculation by adopting normal distribution when performing state analysis calculation, wherein the calculation formula of the normal distribution is as follows:
in the formula, σ j Is the standard deviation, x is the input patient feature set, x j For the jth feature data in x, μ j Is an average value;
the bar code identification module (110) is used for scanning and identifying a bar code on the milk bag or the blood product;
the emergency state automatic alarm module (111) is used for judging the action posture of the patient and the change of the state of a sensor arranged on the nursing bed based on the distribution probability of the human body part, comprehensively judging whether the patient needs emergency call, and automatically generating an automatic alarm signal to be sent to the nursing platform (2);
the nursing platform (2) comprises an affair reminding module (201), an inspection acquisition module (202), a nursing routine module (203), a nursing quality control module (204), a nursing management module (205), a background management module (206), an order issuing module (207), a breast milk management module (208), a blood transfusion management module (209) and an order execution module (210);
the affair reminding module (201) is used for executing medical advice to track and remind, and avoiding work omission;
the inspection and collection module (202) is used for recording the time for collecting the samples in real time and automatically checking and matching;
the nursing routine module (203) is used for recording nursing items daily executed by nurses;
the nursing quality control module (204) is used for monitoring the quality of nursing items of nurses and improving the safety and medical quality of patients;
the care management module (205) is used for flexible statistical query and supervision reminding functions;
the background management module (206) is used for managing the related information of the user, the role, the authority and the mobile equipment related to the system, including the operations of adding, modifying, deleting and authorizing all the information;
the medical advice issuing module (207) is used for pushing all the execution details to a nurse station to form a treatment task detail list after the medical advice of the attending physician is confirmed and issued;
the breast milk management module (208) is used for realizing bar code registration, information storage and medical execution management of breast milk;
the blood transfusion management module (209) is used for realizing the check management of receiving, signing and using blood products and the modification management of a blood transfusion link;
the order execution module (210) is used for executing corresponding order operation by scanning the bar code of the milk bag or the blood product.
2. The mobile nursing system integrating breast milk and blood transfusion closed-loop management as claimed in claim 1, wherein the information query module (104) comprises an attending physician query module (1041), a nurse chief query module (1042) and an on-duty nurse query module (1043);
the main physician query module (1041) is used for the main physician to query the relevant information of the execution content, the execution time, the executed items, the non-executed items and the special description of the medical orders according to the patient number;
the nurse chief inquiry module (1042) is used for inquiring the execution content, execution time, executed items, non-executed items, special descriptions and executive information of medical orders by the nurse chief according to the patient numbers, and inquiring the information of the executed medical orders and the medical orders to be executed according to the nurse numbers;
the nurse on duty inquiry module (1043) is used for inquiring the information of the executed medical orders and the related content of the information of the medical orders to be executed by the nurse on duty according to the patient number.
3. The mobile nursing system integrating the closed-loop management of human milk and blood transfusion as claimed in claim 1, wherein the automatic emergency alarm module (111) specifically operates as follows: firstly, carrying out gray level processing on a human body image of a patient obtained by a camera to obtain a human body gray level image, carrying out template matching on the human body gray level image and a template in a human body standard template library, thereby effectively classifying all parts of a human body, further positioning bone joints, and further identifying the action posture of the human body, wherein when judging and testing the common action posture of the human body in the human body standard template library, a large number of posture images are collected for training, actions with obvious changes are generally selected as samples to generate gray level images corresponding to different shapes and sizes of the human body, when carrying out human body identification, the gray level image is firstly divided into a set of randomly distributed mark points of the body part, then all parts of the human body estimated by a system are re-projected to world coordinates to determine the spatial distribution of each part, and accurate judgment is provided for the three-dimensional position positioned by each bone joint;
assuming that pixel x is classified in image I, each confidence P at t t (C | I, x) (T ∈ 1, \ 8230; T)) has been obtained, and the final confidence average is P (C | I, x)
Further weights ω corresponding to the available pixels i ；
Wherein d is I (x i ) Is x i The variance of coordinates in image I;
distribution probability of each human body part
Wherein x is a three-dimensional space coordinate, N is the number of pixels in the image, and omega i Is the weight corresponding to the pixel, and the closer to the center of the image, the larger the weight value, x i For a given grey scale d I (x i ) Remapping the pixels of the time image to coordinates in the world coordinate system, b c The number of pixels of each part is known, so that the action posture of the patient and the change of the state of a sensor arranged on a nursing bed are judged based on the distribution probability of the human body part, whether the patient needs emergency call or not is comprehensively judged, and an automatic alarm signal is automatically generated and sent to a nursing platform (2).
4. A mobile care system integrating breast milk and blood transfusion closed-loop management according to claim 1, wherein the care management module (205) comprises a vital signs query module (2051) and an order execution record module (2052);
the vital sign query module (2051) is used for performing vital sign examination on a patient according to routine work content of an on-duty nurse, wherein examination information comprises body temperature, blood pressure and pulse information;
the medical advice execution recording module (2052) is used for executing related treatment schemes including medication, transfusion, liquid guiding, oxygen therapy and collection of laboratory samples according to medical advice when a nurse on duty works.
5. A mobile care system integrating breast milk and transfusion closed-loop management according to claim 1, wherein said order issuing module (207) comprises a breast milk order issuing module (2071) and a transfusion order issuing module (2072); the order execution module (210) comprises a breast milk order execution module (2101) and a transfusion order execution module (2102).
6. A mobile nursing system integrating breast milk and transfusion closed-loop management as claimed in claim 5, wherein said breast milk order execution module (2101) comprises an execution plan generation module (21011), an execution barcode label printing module (21012), an execution record addition module (21013) and a check configuration operation module (21014);
the execution plan generation module (21011) is used for automatically acquiring breast milk medical advice from a third-party interface and automatically generating an execution plan according to the execution frequency of the breast milk medical advice;
the execution bar code label printing module (21012) is used for printing an execution bar code label according to the generated execution plan;
the execution record adding module (21013) is used for manually adding the execution records according to the medical orders, and the execution records can manually fill basic information required by the medical orders;
the checking and configuring operation module (21014) is used for performing system checking according to the milk bag information and the execution label to complete configuring operation and has a function of reminding abnormality of the milk bag.
7. The mobile nursing system integrating breast milk and transfusion closed-loop management as claimed in claim 1, wherein the breast milk management module (208) comprises a barcode registration module (2081), a storage management module (2082) and a dictionary management module (2083);
the bar code registration module (2081) is used for selecting a medical advice to carry out breast milk registration and generating a bar code, and is also used for inquiring the medical advice information according to the medical advice time range, the medical advice department, the patient hospitalization number and the patient bed number on the breast milk registration interface;
the storage management module (2082) is used for recording the processes of registering, printing, unfreezing and canceling bar codes, and the bar codes can be selected and re-printed during unfreezing, and the information of the bar code numbers is not changed; the system is also used for recording and checking each bar code flow and judging whether to prompt in the validity period or not according to the validity period when unfreezing; meanwhile, the breast milk storage bag is used for discarding management of breast milk storage bags;
the dictionary management module (2083) is used for setting normal temperature, refrigeration and freezing storage modes and corresponding validity periods.
8. The system of claim 7, wherein the medical information includes patient name, sex, age, bed number, medical name, frequency, order department, order doctor, order time;
the bar code content comprises the name, sex, age, department, hospital number, bed number, bar code number, generation serial number, breast milk content, breast milk acquisition time, order opening time and frequency of the patient, and the bar code content can be displayed in an information area by selecting the bar code.
9. The system of claim 1, wherein the blood transfusion management module (209) comprises a blood product receiving module (2091), a blood product signing module (2092), a blood product use checking module (2093), and a blood transfusion link modifying module (2094);
the blood product receiving module (2091) is used for scanning the blood box and sending the blood box to a person when the blood box is sent to a department, registering the temperature information of the blood box through the PDA and finishing the sending management of the blood box;
the blood product signing module (2092) is used for scanning a blood product bar code by a clinical nurse when the blood product is used, and registering blood box temperature information through the PDA to finish blood product signing processing;
when the blood product use checking module (2093) is used at the bedside, a clinical nurse scans the blood product bar code and the patient wrist strap to complete the matching work of the patient and the blood product, scans the identity information of another checking nurse and complete the double-person checking work before infusion;
the transfusion link modification module (2094) is used for patrolling the function of the module, which needs to add the input of the vital signs.
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| CN105117613B (en) * | 2015-09-25 | 2018-01-26 | 河南群智信息技术有限公司 | A kind of medical care system based on handheld terminal |
| CN106780229A (en) * | 2016-12-01 | 2017-05-31 | 淮海工学院 | A kind of wireless mobile nursing round system and its application method |
| CN208388918U (en) * | 2017-08-25 | 2019-01-18 | 山东万里红信息技术有限公司 | Portable movable care platform based on Intellisense |
| CN109259727A (en) * | 2018-08-28 | 2019-01-25 | 苏州德品医疗科技股份有限公司 | A kind of intelligent nursing system based on Mobile nursing |
| CN110970132B (en) * | 2019-11-01 | 2023-06-16 | 广东炬海科技股份有限公司 | Illness state early warning system based on mobile nursing |
| CN112037896A (en) * | 2020-08-12 | 2020-12-04 | 中南大学 | An intelligent cloud nurse assistant system for hemodialysis |
| CN113160953A (en) * | 2021-04-06 | 2021-07-23 | 广东博钧医疗信息科技有限公司 | PDA closed-loop management device based on off-line mode and use method |
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