CN102354186B - Medical intelligent comprehensive control system of patient bedside information - Google Patents
Medical intelligent comprehensive control system of patient bedside information Download PDFInfo
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- CN102354186B CN102354186B CN 201110247209 CN201110247209A CN102354186B CN 102354186 B CN102354186 B CN 102354186B CN 201110247209 CN201110247209 CN 201110247209 CN 201110247209 A CN201110247209 A CN 201110247209A CN 102354186 B CN102354186 B CN 102354186B
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Abstract
The invention relates to a medical intelligent comprehensive control system of patient bedside information, which comprises a center control unit, a concentrator, a bedside multifunctional controller, a bedside peripheral device and a medical care personal wired/wireless reminding alarm unit, wherein the bedside multifunctional controller is connected with the bedside peripheral device through a network interface or RS232 interface for carrying out information acquisition and control on the bedside peripheral device, the bedside multifunctional controller is also connected with the center control unit through the concentrator for carrying out information transmission, the center control unit is also connected with the medical care personal wired/wireless reminding alarm unit through the network interface, and the medical care personal wired/wireless reminding alarm unit is also connected with an electronic display screen and a medical care personal handheld warless reminding terminal. The medical intelligent comprehensive control system has the advantages of being reasonable in design, furthest improving the accuracy and the timeliness of medical works, furthest assisting the medical care personal to work, increasing the working efficiency, lightening the workload of the medical care personal, increasing the usability of the system and reducing maintenance cost.
Description
Technical field
The invention belongs to automation control area, especially a kind of medical intelligent comprehensive control system of patient bedside information.
Background technology
Hospital clinical arranged beside bed of patient information spinner will comprise the just essential information such as situation of patient vital signs, transfusion situation, the situation of taking medicine, bed situation, two, above-mentioned information is gathered by periodical inspection sick bed and the mode by craft by medical personnel usually, and the information that collects is used for judging patient's change of illness state and provides reference frame for the further diagnosis and treatment of patient.At present, most of hospital patient and nurse's ratio can not reach 2: 1, even if might also be that a nurse is responsible for looking after a plurality of patients simultaneously in the intensive care unit.For guaranteeing to grasp at any time patient's the other information change of bed and change of illness state, just need medical personnel constantly to make an inspection tour sick bed, understand patients condition, nonetheless, the arranged beside bed of patient information that collects also is discontinuous.And patient seek medical personnel can be by oral or by the other pager notification nursing of a bed station office nurse, office nurse in nursing station notifies Night shift and the doctor who is responsible for this patient by the mode of oral or phone again, so just can not guarantee that patient finds the medical personnel that are responsible for oneself in the very first time.Can take by correct time, kind and dosage the oral drugs of doctor's advice regulation in order to guarantee in-patients, the nurse can only send out medicine and continuous tour and remind the patient in time to take medicine by single, this has not only increased nursing work load, has lowered the work efficiency of nursery work, nor can guarantee fully that patient took medicine according to doctor's advice in the correct time.
Summary of the invention
The object of the invention is to overcome the deficiencies in the prior art, provide a kind of reasonable in design, can the automatic monitoring patients condition, reduce nursing work load, improve nursing efficiency and the high medical intelligent comprehensive control system of patient bedside information of automaticity.
The present invention solves its technical matters and takes following technical scheme to realize:
A kind of medical intelligent comprehensive control system of patient bedside information, comprise centralized control unit, hub, head of a bed multifunctional controller, the other peripheral device of bed and medical personnel's wire/wireless prompting alarm unit, head of a bed multifunctional controller is connected for information acquisition and control to the other peripheral device of bed by network interface or RS232 interface with the other peripheral device of bed, head of a bed multifunctional controller also is connected with centralized control unit for the information transmission by hub, centralized control unit also is connected by network interface and medical personnel's wire/wireless prompting alarm unit, medical personnel's wire/wireless prompting alarm unit also with electronic display, medical personnel's hand-hold wireless prompt terminal is connected, and the information of carrying out shows or voice call function.
The other peripheral device of described bed comprises that time control unlatching medicine box, transfusion monitoring the process device, patient are at the other medical monitoring equipment of bed condition monitoring device, patient's voice call answer device and bed.
Described centralized control unit is connected and composed by LAN by centralized control unit server, nurse station computer client, the doctor computer client of standing.
Described head of a bed multifunctional controller comprises information interaction subelement, information processing subelement, communication subelement and power management subelement, the information processing subelement is connected with the communication subelement with the information interaction subelement respectively, the information interaction subelement is connected with the other peripheral device of bed, the communication subelement is connected with hub, and the power management subelement is connected with unit and peripheral device provides the low-voltage safety reference power supply for it.
Described information processing subelement is become for sending to communication subelement or the order of receiving center control module after all information of collecting the input of information interaction subelement and the conversion processing by single-chip microcomputer or ARM mechanism to be controlled the other peripheral device of bed; Described information interaction subelement is by central processing unit, the medicine box control module, transfusion monitoring the process device control module, patient is at bed condition monitoring control module, the other medical monitoring device control cell of patient's voice call answer device control module and bed connects and composes, central processing unit, the medicine box control module, transfusion monitoring the process device control module, patient is at bed condition monitoring control module, patient's voice call answer device control module all adopts independently single-chip microcomputer, the communication subelement is configured for the information processing subelement by single-chip microcomputer and centralized control unit carries out exchanges data, and this communication subelement has unique hardware address coding in network.
Described time control is opened medicine box and is comprised main ingredient box, Cang Gai, LCDs and the control circuit thereof with independent medicine storehouse, this circuit control section is connected to form by medicine box master controller, each medicine storehouse controller and LCDs, medicine box master controller and each medicine storehouse controller form by single-chip microcomputer, medicine box master controller and each medicine storehouse controller adopt the communication of inner full duplex serial mode, and each medicine storehouse controller also is connected with time showing module, storehouse cover sensor and storehouse lid drive unit and opens judgement and Cang Gai unlatching driving for time showing, Cang Gai.
Described time control is opened medicine box and is comprised that also a hand-held drug putting arranges device, should control circuit that hand handle and inside thereof comprising of device be set hand-held drug putting, this control circuit circuit is connected and composed by central processing unit and RS232 interface, keyboard, storer and display screen, and hand-held drug putting arranges device and by RS232 interface and hand-held drug putting device is set and carries out Communication Control.
Described transfusion monitoring the process device is by dripping number infrared sensor, aneroid infrared sensor, ambient brightness photoelectric sensors, keyboard being set and auxiliary circuit connects and composes.
Described patient is comprised of at bed and bed condition monitoring software humidity sensor, pressure transducer, the patient that is installed in nurse station computer client at bed condition monitoring device, humidity sensor is installed on one's sick bed, and pressure transducer is installed in sick bed bottom forced section.
Described medical personnel's wire/wireless prompting alarm unit is by audio-frequency generator, note amplifier, audio amplifier, video card and display screen and be installed in the wired and wireless alerts alarm software of its inner medical personnel and form, this alarm unit is connected with wireless launcher and realizes and the communication function of medical personnel's hand-hold wireless prompt terminal that this alarm unit is connected for the demonstration of prompting and warning message with the electronic cue screen.
Advantage of the present invention and good effect are:
1, the present invention combines centralized control unit server, hub, head of a bed multifunctional controller, time control unlatching medicine box, transfusion monitoring the process device, patient effectively at the other medical monitoring equipment of bed condition monitoring device, patient's voice call answer device and bed, so that understanding patient vital signs immediately, medical personnel change, patient infusion process situation, patient is in bed situation and patient's berth comfort level situation.The data that unit is collected after centralized control unit is processed and is analyzed to abnormal information produce caution and can by wired and (or) wireless system notifies that corresponding medical personnel in time process in the lesion.Native system can improve accuracy, the promptness of curative activity to greatest extent, and to greatest extent assist personnel work, increases work efficiency, alleviates medical personnel's workload.The function that in the past needed a plurality of systems just can finish that native system is integrated avoids repeating wiring and duplicate construction, and it adopts Digitalization Mode, by the mode of software system is upgraded, and has increased the availability of system and has reduced maintenance cost.
Description of drawings
Fig. 1 is that system of the present invention connects block diagram;
Fig. 2 is the installation site synoptic diagram of native system;
Fig. 3 is the structural representation of CPU (central processing unit) total management system software;
Fig. 4 is the circuit block diagram of the multi-functional processing terminal of the head of a bed;
Fig. 5 is the structural representation that medicine box is opened in time control;
Fig. 6 is the circuit block diagram that medicine box is opened in time control;
Fig. 7 is the circuit block diagram that device is set for the drug putting of opening time control unlatching medicine box;
Fig. 8 is the circuit block diagram of transfusion monitoring the process device;
Fig. 9 is that patient is at the circuit block diagram of bed condition monitoring device;
Figure 10 is patient's voice call answer device connection diagram;
Figure 11 is the circuit block diagram of medical personnel's wire/wireless prompting alarm unit.
Embodiment
Below in conjunction with accompanying drawing the embodiment of the invention is further described:
A kind of medical intelligent comprehensive control system of patient bedside information, as shown in Figures 1 and 2, comprise centralized control unit, hub, head of a bed multifunctional controller, the other peripheral device of bed and medical personnel's wire/wireless prompting alarm unit, wherein, the other peripheral device of bed comprises that time control unlatching medicine box, transfusion monitoring the process device, patient are at the other medical monitoring equipment of bed condition monitoring device, patient's voice call answer device and bed.Centralized control unit is installed in the nursing station, hub can be installed in the ward outside corridor, head of a bed multifunctional controller is installed in the ward and is one of each sick bed configuration, on the one hand, head of a bed multifunctional controller, medicine box is opened in time control, transfusion monitoring the process device, patient is at bed condition monitoring device, the other medical monitoring equipment of patient's voice call answer device and bed is connected for information acquisition and control by network interface or serial communication interface, on the other hand, head of a bed multifunctional controller sends to centralized control unit by the information that hub is connected with centralized control unit its collection, medicine box is opened in time control in the order that can also the receiving center control module sends and patient's voice call answer device is controlled, and centralized control unit points out alarm unit to be connected by Ethernet with medical personnel's wire/wireless to carry out information interchange with medical personnel.The below describes respectively the each several part in the system:
1, centralized control unit is connected and composed by LAN by centralized control unit server, nurse station computer client, the doctor computer client of standing, network path and centralized control unit that the information exchange of each other peripheral device output is crossed head of a bed multifunctional controller-hub-centralized control unit server carry out exchanges data, related data is stored in the centralized control unit server, and the control module total management system software in the centralized control unit server is automatically immediately classified, analyzes, processes, shown data.This centralized control unit collects, records and integrate the information from other unit by network, and by the variation of screen display patient vital signs, patient infusion process situation, patient in bed situation and patient's berth comfort level situation and the patient information such as situation of taking medicine, to exceeding the delivering caution of preset range, and can by wired with (or) wireless mode notifies the lesion relevant medical personnel.Wherein, the centralized control unit server be used for to be collected the data that the other Medical Devices of each hospital bed are uploaded by network, and data are classified and are stored in associated databases, immediately the data of taxonomic revision is sent to nurse station and the doctor computer client of standing; Receive nurse station and doctor the stand data and the instruction that send and be sent to the other Medical Devices of corresponding bed; Carry out data sharing and exchanges data by interface routine and hospital information management system (HIS); Transfer, storage and process communicating by letter between medical care computer client and the medical personnel's hand-hold wireless prompt terminal.Nurse station computer client is used for receiving center control module server data, by relative program data being carried out the whole screen display patient vital signs that is incorporated in changes, patient infusion process situation, patient is in bed situation and patient's berth comfort level situation, patient's information such as situation of taking medicine, to exceeding the delivering caution of normal range and preset range, by internal processes the other equipment of far-end associated bed is arranged or transmission information, a certain patient or part patient are carried out audio call or reply, the hand-hold wireless prompt terminal of a certain medical personnel in the lesion sends information and prompting, or the electronic cue screen transmission information in the lesion.The doctor stands the computer client for receiving center control module server data, shows in real time the medical equipment informations such as arranged beside bed of patient patient monitor, lung ventilator by the other Medical Devices client software of bed.
The inner control module total management system software of installing of centralized control unit server manages its subordinate's subsystem, the some databases of subordinate is carried out storage administration, the data of synthesis display subordinate's subsystem.As shown in Figure 3, control module total management system software is comprised of at bed and bed condition monitoring subsystem, the other medical monitoring device client of bed terminal system, patient's voice call answer subsystem, medical personnel's wire/wireless prompting warning subsystem, hospital information management system (HIS) interface routine subsystem and corresponding database medication managing subsystem, transfusion monitoring the process and ADMINISTRATION SUBSYSTEM, patient.Wherein:
The medication managing subsystem comprises: prompting medicine box opening time setting program is opened in (1) time control: the nurse arranges each sick bed patient time and control the opening time of opening each medicine storehouse of prompting medicine box and expanding the medicine storehouse in that nurse station computer client is long-range.As accessing hospital information management system (HIS), this program can be opened according to the control of oral drugs doctor's advice Lookup protocol time the opening time in each medicine storehouse of prompting medicine box and expansion medicine storehouse, and institute's drug administration communication to time control can be opened prompting medicine box main ingredient box master electronic display screen displays; (2) take medicine status monitoring and alert program: show the instant situation of taking medicine of each patient of ward in nurse station computer client, if the patient surpasses and subscribes that the period of taking medicine takes medicine not yet, will send caution and remind corresponding nurse to help the patient to take medicine; (3) medicine box medicine storehouse lid remote opening program: in some cases, the unlatching of a certain medicine Cang Yaocang lid of remote controlled certain patient's of nurse medicine box also can arrange the unlatching that certain medicine Cang Yaocang lid is set by the mode of countdown; (4) meal time logging program and survey blood sugar reminder: taking of some drugs is relevant with meal time, this program can also record patient's meal time, and can be set in the fixed time to the automatic speech prompting program transmission request of patient's voice call answer subsystem, this program calculates automatically that according to patient's meal time of meal time logging program record the patient need survey the time of blood sugar, survey blood sugar during the time when arriving, wired and wireless alerts, warning subsystem send prompting to the nurse by medical personnel, measure blood sugar for the patient on time.
Transfusion monitoring the process and ADMINISTRATION SUBSYSTEM comprise: (1) transfusion monitoring the process and alert program: show in real time the transfusion state that the patient is current, drip number such as speed, current residual liquid quantity of infusing is about to be totally lost when number of infusion drops surpasses normal speed or reservation speed, current liquid, infuses and send caution to relevant nurse when abending.(2) transfusion statistical analysis program: the current transfusion fluid of each patient total amount is calculated, transfusion speed is analyzed.
Patient comprises at bed and bed condition monitoring subsystem: (1) patient is in bed and bed condition monitoring and alert program: show in real time patient in the bed situation, the patient that need to lie in bed when the doctor's advice regulation leaves berth and surpasses certain hour and do not return yet the backward relevant nurse of berth and send caution and remind the nurse to check patients condition; When the part stool, urine can not from reason patient's sick bed degree of comfort decreased the time send caution to relevant nurse, in time help the patient to change bed clothes.(2) patient body weight scan statistics program: subscribing the period night every day scans all patient's berth weight and calculates weight in patients according to an empty bed weighing scale, statistics patient body weight every day (berth general assembly (TW)-sky weight during sickbed patients body weight=bedridden patient) is sent caution when weight in patients generation significant change in many days.
The other medical monitoring device client of bed terminal system comprises: the other medical monitoring device databases of (1) bed interface routine: provide interface between all other medical monitoring equipment of standard industry Ethernet interface bed that can access native system and the centralized control unit database, thereby realize that data store.(2) the other medical monitoring device clients of bed shows and the analysis interface program: provide interface between the medical monitoring device clients demonstration that provides for the other medical monitoring equipment of bed manufacturer and routine analyzer and the centralized control unit database.
Patient's voice call answer subsystem comprises: (1) patient's voice call answer program: the nurse of nurse station answers patient's voice call, understand patients ' demand, individual calling or group busy the lesion patient, in the mode of voice simultaneously and one or more patients conversation or broadcast.(2) the automatic call forwarding program of nonreply: when nobody replys above certain hour when the patient calling nurse station, this program automatically will be called out by the reservation order or transfer simultaneously other to and be subscribed the place, such as therapeutic room, liquor room, nurse rest room etc., until there is the people to reply; This program also can be set to call request is converted to online medical personnel's hand-hold wireless prompt terminal that the code that comprises patient's bed label is sent to appointment, and medical personnel can answer patient's calling or directly arrive patient's sick bed understanding patients ' demand by nearest conversation point like this.(3) reply the situation analysis program: but record patient and medical personnel's voice call content, the analysis medical personnel answer speed and the unresponsive situation of replying, and promoting medical personnel to improve constantly is patient service consciousness and quality.Statistics patient's the number of calls, medical personnel are by analyzing the deficiency to existing in the more Finding case curative activity of the number of calls, thereby provide more thorough service for the patient.(4) patient's automatic speech prompting program: this program is accepted the request of other subsystem program, sends the voice suggestion of prerecording from the trend patient.
Wired and the wireless alerts warning subsystem of medical personnel comprises: (1) prompting, warning message electronic cue screen display is shown program: this program is sent to respective regions electronic cue screen with the information warning of unit or the generation of default unit according to priority and the rear mode with literal of urgency level queuing automatically, change the liquid prompting such as patient, the prompting of patient infusion velocity sag, the information such as patient's urgent call, the relevant nurse of prompting be correlated with to the ward and makes an inspection tour and process, and can mark finish by nurse station computer client to stop the relevant information demonstration after the task of information is finished dealing with.(2) prompting warning message medical personnel hand-hold wireless prompt terminal sends program: the mode with literal this program is lined up the information warning of unit or the generation of default unit automatically according to priority and urgency level after is sent to medical personnel's hand-hold wireless prompt terminal.
Hospital information management system (HIS) interface routine subsystem: carry out data sharing and exchanges data by interface routine and hospital information management system (HIS).
2, head of a bed multifunctional controller, as shown in Figure 4, be comprised of information interaction subelement, information processing subelement, communication subelement and power management subelement, each head of a bed multifunctional controller has unique hardware address and encodes to distinguish different bed labels in network.Head of a bed multifunctional controller can be supported plurality of devices numeral and speech ciphering equipment access, and will carry out information interaction with numeral side between access device and the centralized control unit.Wherein: the information processing subelement is become by single-chip microcomputer or ARM mechanism, this subelement is collected all information of information interaction subelement input, and analog signal conversion that will be wherein is digital signal, to all information classify process and coding after send to the communication subelement; The information processing subelement can be decoded the instruction, the information that are sent to the communication subelement by centralized control unit and is transferred to peripheral device on the corresponding port of information interaction subelement after the classification, and the DAB of transmission is carried out transferring to patient's voice call answer device after the digital-to-analogue conversion.The information interaction subelement is as the communication interface of head of a bed multifunctional controller and external unit, mainly by central processing unit, the medicine box control module, transfusion monitoring the process device control module, patient is at bed condition monitoring control module, the other medical monitoring device control cell of patient's voice call answer device control module and bed connects and composes, central processing unit, the medicine box control module, transfusion monitoring the process device control module, patient is at bed condition monitoring control module, patient's voice call answer device control module all adopts independently single-chip microcomputer, central processing unit is connected with information process unit, other control modules are connected with separately communication interface (Ethernet interface or RS232 serial communication interface) provides access interface for the other peripheral device of bed, collect from time control unlatching prompting medicine box, transfusion monitoring the process device, patient is at the bed monitoring device and have the data message that the other medical monitoring equipment of standard industry Ethernet interface bed is uploaded, can also access simultaneously the call information of patient's voice call answer device, and by the information processing subelement audio frequency-numeral transforms and numeral reduction audio-frequency function is conversed with the two-way high-quality of nursing station nurse's client realization digital transmission.In addition, the peripheral device that the information that the information interaction subelement also can send centralized control unit and instruction pass to some two-way communications is opened the equipment such as prompting medicine box such as time control.The communication subelement is made of single-chip microcomputer, main responsible information processing subelement and centralized control unit carry out exchanges data, itself and external communication are to adopt Ethernet interface, internal communication control function is finished by single-chip microcomputer in inside, and the communication subelement has unique hardware address and encodes to distinguish different bed labels in network.The power management subelement realizes that as a kind of power supply change-over device mains supply transfers low-voltage dc power supply to, can be head of a bed multifunctional controller self circuit supply, and can be related access equipment the low-voltage safety reference power supply is provided, open medicine box, transfusion monitoring the process device, patient's voice call answer device etc. such as time control.
3, time control unlatching medicine box is to carry out work under the control of centralized control unit medication managing subsystem, it opens prompting medicine box opening time setting program by time control, the nurse is long-range to be arranged each sick bed patient time and controls the opening time of opening each medicine storehouse of prompting medicine box and expansion medicine storehouse, by status monitoring and the alert program of taking medicine, nurse station computer client can show the situation of taking medicine that each patient of ward is instant, and the patient is late for taking medicine sends caution to the nurse.The structure of medicine box is opened in time control, and as shown in Figure 5, in the drawings, (1) comprises four independently medicine storehouses for the main ingredient box; (2) be medicine cup: adopt medicine cup at present commonly used; (3) point out electrical screen medicine time for subscribing; (4) be the medicine storehouse; (5) be the medicine glass groove, in the medicine cup detector is arranged, whether detectable medicine cup puts into medicine glass groove or no being removed; (6) transparent medicine Cang Gai is opened in time control automatically; (7) be main ingredient box master electronic display, can show patient's bed label, name, medicine time information, when medicine box networking work, can show the information such as the nomenclature of drug of taking, dosage, medicine introduction, can also receive the warm tip of nursing station transmission etc., this display screen can be pressed longitudinal axis rotation, is convenient to the patient and watches; (8) for duty display lamp and enforced opening button when this medicine Cang Gai not to the opening time, when medicine Cang Gai does not open, be shown as amber light; After medicine Cang Gai opened by the fixed time, after patient took this medicine storehouse medicine glass for oral administration at the appointed time away, display lamp became green; When patient did not take out this medicine storehouse medicine glass for oral administration yet after medicine Cang Gai opens above certain hour, display lamp transferred red light to and sounds prompting; When medicine storehouse lid can not be opened on time automatically, but press this button enforced opening medicine Cang Gai; (9) expansion medicine box (storehouse lid opening): this medicine box can be incorporated the main ingredient box into by the mode of pegging graft; (10) cover coupling shaft for medicine storehouse and storehouse: in spring is arranged, medicine Cang Gai upsprings under spring action automatically when medicine storehouse Electromagnetic bolt is opened; (11) expansion medicine box spliced eye: comprise PORT COM in the spliced eye.This time control is opened medicine box and is comprised four independent medicine storehouses and be reserved with expansion slot, and the medicine storehouse can be expanded by the mode of pegging graft; Each medicine storehouse is equipped with the electromagnetic lock of time control, each medicine storehouse can automatically be opened electromagnetic lock according to the default time and be opened medicine Cang Gai and remind patient to take medicine on time by modes such as acousto-optics, patient can't open the medicine storehouse beyond the schedule time, during special circumstances, the nurse can pass through key operated medicine storehouse.When the nurse sends out medicine, patient's required oral medicine in a day can be put into respectively different medicine cups by medicine time, and put into time control and open the corresponding medicine of prompting medicine box storehouse, and set each medicine storehouse opening time.When the time, the prompting medicine box access network was opened in control, the opening time in each medicine storehouse can be by carrying out long-range setting by centralized control unit medication managing subsystem, when without network, this medicine box can work independently, and can be set the device setup times control unlatching prompting medicine box medicine storehouse opening time by hand-held drug putting.After drug putting finishes, the time control that sets can be opened prompting medicine box and deliver to arranged beside bed of patient.Take medicine control and Tip element of patient can work independently, and time control is opened prompting medicine box and is reserved with data transmission port, can link to each other by cable network the situation thereby monitor patients is taken medicine with centralized control unit.Time control is opened the prompting medicine box power supply and is provided by head of a bed multifunctional controller, also can be by independent power transformer power supply, and the inner built-in rechargeable battery of main ingredient box still can be kept one period normal working hours after losing external power source.The circuit control section that medicine box is opened in this time control is mainly connected to form by medicine box master controller, each medicine storehouse controller and LCDs, as shown in Figure 6, medicine box master controller and each medicine storehouse controller form by single-chip microcomputer, medicine box master controller and each medicine storehouse controller adopt the communication of inner full duplex serial mode, and each medicine storehouse controller also is connected with time showing module, storehouse cover sensor and storehouse lid drive unit and opens judgement and Cang Gai unlatching driving for time showing, Cang Gai.Medicine storehouse quantity can increase and decrease arbitrarily, there are an input and an output interface in each medicine storehouse, only the serial communication interface in medicine storehouse need to be inserted the output interface in a upper medicine storehouse during increase and just can finish new drug storehouse of increase, its principle of work is: the medicine box master controller arrives corresponding medicine storehouse controller according to command word with task assignment after the order that receives centralized control unit, and information is presented on the main display, corresponding medicine storehouse controller pins Cang Gai according to order, start regularly, and showing the screen display countdown time; After timing finishes, open Cang Gai, send prompt tone.The storehouse cover sensor can be opened Cang Gai situation and the patient information such as situation of whether getting it filled and upload to the medicine box master controller.
The prompting medicine box work of both can having networked is opened in time control, also can work independently.When working alone, need to use drug putting that device is set and for it be set the opening time.The circuit structure that this hand-held drug putting arranges device is connected and composed by central processing unit and RS232 interface, keyboard, storer and display screen, as shown in Figure 7, the staff crosses the respective patient information exchange of taking medicine the RS232 interface and is transferred to hand-held drug putting device is set by centralized control unit (nursing station) software, perhaps directly by keyboard with patient's input information of taking medicine, and be stored in hand-held drug putting and arrange in the storer of device.The nurse opens prompting medicine box to the control of time of corresponding patient's head of a bed again and will hand drug putting and device is set will takes medicine input information in the medicine box master controller by the RS232 interface, and opens the control of medicine box time.This equipment can and be stored in this equipment by manual typing one day medicine time of each patient of doctor's advice, when the special-purpose receiving port of prompting medicine box is opened in this equipment output end mouth insertion time control, this equipment will be identified the bed label of each medicine box automatically, and automatically be directed into this medicine box medicine time that will be corresponding with this bed label.
4, transfusion monitoring the process device, as shown in Figure 8, by dripping number infrared sensor, aneroid infrared sensor, ambient brightness photoelectric sensors, keyboard being set and auxiliary circuit connects and composes, wherein, infrared sensor is comprised of infrared transmitting tube and the photoelectrical coupler corresponding with it.Transfusion monitoring the process device can be placed on the Infusion support, upper fluted, the infusion segment pipe of Murphy type burette and connection Murphy type burette upper end and lower end can be pressed into wherein, in groove, reach the sensors that the photoelectrical coupler corresponding with it forms by many groups by infrared transmitting tube, sensor is surveyed the liquid in the woven hose that snaps in transparent Murphy type burette and Murphy type burette upper end in its tank circuit, when liquid being arranged in the woven hose and not having liquid, photoelectrical coupler has different refraction coefficients and produces varying level the infrared ray of its input end infrared transmitting tube emission, auxiliary circuit can be judged according to the level signal that different sensors is returned the liquid level that drips remaining liq in number and the infusion bottle of the Murphy type burette drop of flowing through, and to corresponding abnormal signal generation sound and light alarm, as dripping a fast abnormal alarm, the transfusion warning that abends, aneroid is reported to the police.This equipment has the upstream data port, and the information that can sensor be collected by this port and various warning message are sent to head of a bed multifunctional controller and then transfer to the centralized control unit server.This equipment can be powered by internal battery, also can be by head of a bed multifunctional controller feeder ear confession electricity.
Transfusion monitoring the process and alert program, transfusion statistical analysis program are installed in nurse station computer client, can show in real time the transfusion state that the patient is current from far-end, drip number such as speed, current residual liquid quantity of infusing, be about to be totally lost when number of infusion drops surpasses normal speed or reservation speed, current liquid, infuse and send caution to relevant nurse when abending, the current transfusion fluid of each patient total amount is calculated, transfusion speed is analyzed.
5, patient is at bed condition monitoring device, as shown in Figure 9, is comprised of in bed and bed condition monitoring and alert program, patient body weight scan statistics program humidity sensor, pressure transducer, the patient that is installed in nurse station computer client.Humidity sensor, pressure transducer are connected by head of a bed multifunctional controller.Part patient's state of an illness is unsuitable for too early Go to ground activity, but some patient may allow voluntarily Go to ground activity without the doctor, this device can be surveyed by being placed in pressure transducer under patient's sick bed head of a bed side cabinet base the variation of sick bed weight, sends corresponding caution at bed and bed condition monitoring and alert program software analysis patient in the bed situation and to the nurse by the far-end patient; Part patient's stool, urine can not be taken care of oneself, and this device is laid humidity sensor under patient's sheet, real-time detection patient sick bed comfort level, once Discover the patients is when the stool, urine incontinence occurring, it is that the patient changes bed clothes that system will notify the paramedic in the very first time.Patient body weight scan statistics program will be subscribed the period at night every day and be scanned all patient's berth weight and calculate weight in patients according to an empty bed weighing scale, and statistics patient body weight every day is sent caution when weight in patients generation significant change in many days.
6, patient's voice call answer device as shown in figure 10, is comprised of the arranged beside bed of patient audio call intercom of access head of a bed multifunctional controller and the patient's voice call answer subsystem program that is installed in the nurse station computer client.This audio call intercom is provided with calling/cancellation call button, flash appeal button, microphone and loudspeaker.The patient's voice call answer subsystem program that is installed in the nurse station computer client comprises: (1) patient's voice call answer program: the nurse of nurse station answers patient's voice call, understand patients ' demand, individual calling or group busy the lesion patient, in the mode of voice simultaneously and one or more patients conversation or broadcast.(2) the automatic call forwarding program of nonreply: centralized control unit server internal modem (modem), the hospital internal telephone line is by the RJ11 interface of the built-in modulator-demodular unit (modem) of RJ11 joint access centralized control unit server, when nobody replys above certain hour when the patient calling nurse station, this program is automatically by the built-in outwards dialing of modulator-demodular unit (modem) of centralized control unit server, to call out by the reservation order or transfer simultaneously other to and subscribe the place, such as therapeutic room, the liquor room, nurse rest rooies etc. are until there is the people to reply; This program also can be set to call request is converted to online medical personnel's hand-hold wireless prompt terminal that the code that comprises patient's bed label is sent to appointment, and medical personnel can answer patient's calling or directly arrive patient's sick bed understanding patients ' demand by nearest conversation point like this.(3) reply the situation analysis program: but record patient and medical personnel's voice call content, the analysis medical personnel answer speed and the unresponsive situation of replying, and promoting medical personnel to improve constantly is patient service consciousness and quality.Statistics patient's the number of calls, medical personnel are by analyzing the deficiency to existing in the more Finding case curative activity of the number of calls, thereby provide more thorough service for the patient.(4) patient's automatic speech prompting program: this program is accepted the request of other subsystem program, sends the voice suggestion of prerecording from the trend patient.Its course of work is: when client need is sought medical personnel, can send call signal by the other calling set of bed, call signal is transmitted through the network to centralized control unit, and the office nurse can exchange with patient by the mode of voice and understand patients ' demand and notify the associated care personnel.Centralized control unit can be set to automatic transfer, by wired and (or) wireless mode notice lesion medical personnel, medical personnel can reach up to arranged beside bed of patient and understand patients ' demand.
7, medical personnel's wire/wireless prompting alarm unit, as shown in figure 11, mainly by audio-frequency generator, note amplifier, audio amplifier, video card and display screen and be installed in the wired and wireless alerts warning subsystem program of its inner medical personnel and connect and compose, this alarm unit is connected with wireless launcher and realizes and the communication function of medical personnel's hand-hold wireless prompt terminal that this alarm unit is connected for the demonstration of prompting and warning message with the electronic cue screen.Wherein, wireless launcher is used for the customizing messages that centralized control unit sends is sent to medical personnel's hand-hold wireless prompt terminal wirelessly.Medical personnel's hand-hold wireless prompt terminal is carried by medical personnel relevant in the lesion, every alarm terminal has unique ID address in network, but wireless alerts and warning message that wireless receiving sends from centralized control unit, but the content of terminal display reminding or warning, medical personnel receive can manually send to system by the confirmation of receipt button after the information and receive affirmation, centralized control unit can stop to send the caution prompting after receiving and returning affirmation, and record recipient ID.The electronic cue screen can be installed in the lesion zones of different as required, such as corridor, lesion, liquor room, doctor Office Area etc., in order to show relevant information.Wired and the wireless alerts warning subsystem program of medical personnel: comprise that prompting, warning message electronic cue screen display show program: the information warning that this program produces unit or default unit automatically is sent to respective regions electronic cue screen according to the mode with literal successively and after the urgency level queuing, change the information such as liquid prompting, the prompting of patient infusion velocity sag, patient's urgent call such as patient, the relevant nurse of prompting is correlated with to the ward and makes an inspection tour and process.After the task of information is finished dealing with, can finish by nurse station computer client mark and stop the relevant information demonstration; Prompting, warning message medical personnel hand-hold wireless prompt terminal send program: the mode with literal this program is lined up the information warning of unit or the generation of default unit automatically according to priority and urgency level after is sent to medical personnel's hand-hold wireless prompt terminal.
8, sick other medical monitoring equipment adopts conventional equipment, by its with RS232 interface or network interface be connected with head of a bed multifunctional controller, realize the monitoring function to bed side medical monitoring equipment.The present invention can also be to the upgrading of the expansion of head of a bed multifunctional controller port hardware and port drivers, the other equipment of the more bed of access, be used for collecting patient temperature data electric body-temperature sensor and some with the other medical examination of the bed of data output function or therapeutic equipment etc. such as accessible, centralized control unit is realized the said equipment is monitored and management function by corresponding software extensions.
It is emphasized that; embodiment of the present invention is illustrative; rather than determinate; therefore the present invention is not limited to the embodiment described in the embodiment; every other embodiments that drawn by those skilled in the art's technical scheme according to the present invention belong to the scope of protection of the invention equally.
Claims (5)
1. medical intelligent comprehensive control system of patient bedside information, it is characterized in that: comprise centralized control unit, hub, head of a bed multifunctional controller, the other peripheral device of bed and medical personnel's wire/wireless prompting alarm unit, head of a bed multifunctional controller is connected for information acquisition and control to the other peripheral device of bed by network interface with the other peripheral device of bed, head of a bed multifunctional controller also is connected with centralized control unit for the information transmission by hub, centralized control unit also is connected by network interface and medical personnel's wire/wireless prompting alarm unit, medical personnel's wire/wireless prompting alarm unit also with electronic display, medical personnel's hand-hold wireless prompt terminal is connected, and the information of carrying out shows or voice call function;
The other peripheral device of described bed comprises that time control unlatching medicine box, transfusion monitoring the process device, patient are at the other medical monitoring equipment of bed condition monitoring device, patient's voice call answer device and bed;
Described head of a bed multifunctional controller comprises information interaction subelement, information processing subelement, communication subelement and power management subelement, the information processing subelement is connected with the communication subelement with the information interaction subelement respectively, the information interaction subelement is connected with the other peripheral device of bed, the communication subelement is connected with hub, and the power management subelement is connected with unit and peripheral device provides the low-voltage safety reference power supply for it;
Described information processing subelement is become for sending to communication subelement or the order of receiving center control module after all information of collecting the input of information interaction subelement and the conversion processing by single-chip microcomputer or ARM mechanism to be controlled the other peripheral device of bed; Described information interaction subelement is by central processing unit, the medicine box control module, transfusion monitoring the process device control module, patient is at bed condition monitoring control module, the other medical monitoring device control cell of patient's voice call answer device control module and bed connects and composes, central processing unit, the medicine box control module, transfusion monitoring the process device control module, patient is at bed condition monitoring control module, patient's voice call answer device control module all adopts independently single-chip microcomputer, the communication subelement is configured for the information processing subelement by single-chip microcomputer and centralized control unit carries out exchanges data, and this communication subelement has unique hardware address coding in network;
Described time control is opened medicine box and is comprised main ingredient box, Cang Gai, LCDs and the control circuit thereof with independent medicine storehouse, this circuit control section is connected to form by medicine box master controller, each medicine storehouse controller and LCDs, medicine box master controller and each medicine storehouse controller form by single-chip microcomputer, medicine box master controller and each medicine storehouse controller adopt the communication of inner full duplex serial mode, and each medicine storehouse controller also is connected with time showing module, storehouse cover sensor and storehouse lid drive unit and opens judgement and Cang Gai unlatching driving for time showing, Cang Gai;
Described time control is opened medicine box and is comprised that also a hand-held drug putting arranges device, should the control circuit that device comprises hand-held handle and inside thereof be set hand-held drug putting, this control circuit is connected and composed by central processing unit and RS232 interface, keyboard, storer and display screen, hand-held drug putting arranges device will take medicine input information in the medicine box master controller by the RS232 interface, and open the control of medicine box time.
2. medical intelligent comprehensive control system of patient bedside information according to claim 1 is characterized in that: described centralized control unit is connected and composed by LAN by centralized control unit server, nurse station computer client, the doctor computer client of standing.
3. medical intelligent comprehensive control system of patient bedside information according to claim 1 is characterized in that: described transfusion monitoring the process device is by dripping number infrared sensor, aneroid infrared sensor, ambient brightness photoelectric sensors, keyboard being set and auxiliary circuit connects and composes.
4. medical intelligent comprehensive control system of patient bedside information according to claim 1, it is characterized in that: described patient is comprised of at bed and bed condition monitoring software humidity sensor, pressure transducer, the patient that is installed in nurse station computer client at bed condition monitoring device, humidity sensor is installed on one's sick bed, and pressure transducer is installed in sick bed bottom forced section.
5. medical intelligent comprehensive control system of patient bedside information according to claim 1, it is characterized in that: described medical personnel's wire/wireless prompting alarm unit is by audio-frequency generator, note amplifier, audio amplifier, video card and display screen and be installed in the wired and wireless alerts alarm software of its inner medical personnel and form, this alarm unit is connected with wireless launcher and realizes and the communication function of medical personnel's hand-hold wireless prompt terminal that this alarm unit is connected for the demonstration of prompting and warning message with the electronic cue screen.
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