CN110060748A - A kind of multidisciplinary PICC sets pipe assessment managing device and method - Google Patents
A kind of multidisciplinary PICC sets pipe assessment managing device and method Download PDFInfo
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- CN110060748A CN110060748A CN201910227860.1A CN201910227860A CN110060748A CN 110060748 A CN110060748 A CN 110060748A CN 201910227860 A CN201910227860 A CN 201910227860A CN 110060748 A CN110060748 A CN 110060748A
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
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Abstract
The invention discloses a kind of multidisciplinary PICC to set pipe assessment managing device and method, use the technologies such as the data pick-up of existing maturation, data analysis and weighted calculation, pass through the design of information-based means and hardware device, the automatic existing hospital information system of hospital, laboratory information system, the PICC in electronic medical record system of extracting sets pipe related data, by analysis and handle, automatic assessment PICC sets pipe score value, prompts relevant medical and nursing work personnel, realizes that multidisciplinary PICC sets pipe assessment management function.The PICC that the present invention can be used for hospital medical staff sets pipe assessment management.
Description
Technical field
The invention belongs to medical sanitary technology fields, and in particular to a kind of multidisciplinary PICC set pipe assessment managing device and its
Method.
Background technique
It is to be punctured using conduit from the vein of periphery arm that PICC, which sets pipe, the through big vein close to heart of conduit,
It avoids chemotherapeutics from contacting with the direct of arm vein, belongs to invasive invasive operation, there is uncertain risk.Science is commented
Estimate not only can accurate judgement patient whether properly place PICC, successfully puncture to be subsequent, set pipe and maintenance is laid a solid foundation, and is right
Prevention complication has great significance.Evidence based research shows: the development of PICC conduit correlation thrombosis and patient disease,
Iatrogenic measure, conduit situation are related, and it is also one of the complication of most serious, thrombus that PICC conduit correlation thrombus, which is most common,
It is formed and easily induces pulmonary embolism, and then threat to life, meanwhile, the main reason for thrombosis is also PICC unplanned property tube drawing.But
It is the existing assessment for being confined to set before pipe for setting pipe evaluation studies, does not form dynamic evaluation management mode.And PICC sets pipe
Assessment management is related to multiple subject cooperations of hospital, generally comprises nursing, CT, Cardiological, radiation, the doctor of color ultrasound Deng Duo department
With nurse's integrated management, and not only only it is confined to nurse management.Traditional PICC sets pipe information system and generally tentatively realizes
Basic information management reads and sets automatically pipe situation classification feature, publication number CN201410357090 (authorized announcement date:
2017.07.07 a kind of PICC management system and its application method) are disclosed, the invention with service database server by handing over
Mutually, the doctor's advice information obtained from HIS system and chest film inspection report are obtained, and is automatically reminded to assess before PICC sets pipe, is set
The operation such as maintenance after pipe automatically generates phone sentence and carries out voice answer-back, and automatic transceiving short message is distinguished different using different color blocks
Pipe assessment situation patient is set, prompts nurse is opposite to handle.But the invention only has read part doctor's advice information, shortage pair automatically
The automatic reading of patient electronic medical record's integrated information and analytic function, and it is limited only to nurse management, do not have multidisciplinary
Comprehensive analysis management PICC sets pipe whole process；It, cannot be according to the information of reading and by the way of nurse's manual classification color lump
It automatically analyzes, automatic sort operation further is carried out to patient；The invention is concurrent after pipe using setting the assessment mode before pipe and setting
The record of disease does not form the management mode of overall process dynamic evaluation.
Summary of the invention
The purpose of the present invention is to provide a kind of multidisciplinary PICC to set pipe assessment managing device and method, by integrating PICC
Set pipe assessment management overall process, with improve assessment accuracy, safety, intelligence, working efficiency, and formed nursing, CT,
Cardiological, radiation, the doctor of color ultrasound Deng Duo department and nurse cooperation of multiple sciences management mode, optimization PICC set pipe assessment management
Process.
In order to solve the above technical problems, the present invention uses the data pick-up of existing maturation, data analysis and weighting meter
The technologies such as calculation, it is automatic to extract the existing hospital information system of hospital, laboratory letter by the design of information-based means and hardware device
Breath system, the PICC in electronic medical record system set pipe related data, by analysis and processing, the automatic PICC that assesses set pipe score value,
Relevant medical and nursing work personnel are prompted, realize that multidisciplinary PICC sets pipe assessment management function, specific technical solution is as follows.
A kind of multidisciplinary PICC sets pipe assessment managing device, characterized by comprising: PICC set pipe assessment management server,
Hospital information system, image archiving and communication system, ultrasonic examination management system, institute sense information system, laboratory information system,
Electronic medical record system, wechat enterprise number server, smart phone；
The PICC set pipe assessment management server respectively with the hospital information system, image archiving and communication system,
Ultrasonic examination management system, institute's sense information system, laboratory information system, electronic medical record system, wechat enterprise number server are logical
Cross hospital LAN connection；
The wechat enterprise number server and the smart phone pass through hospital's wireless network connection.
The hospital information system is used to acquire the name of patient, age, height, weight, diagnosis, Medication order letter
Breath.
The superior vena cava information and patient PICC that the image archiving and communication system is used to acquire patient set pipe situation.
The ultrasonic examination management system is used to acquire the both upper extremities vessel information of patient.
Institute's sense information system is for acquiring patient's topical skin infections information.
The laboratory information system is used to acquire the blood routine of patient, and blood coagulation is conventional, systemic loupus erythematosus, syphilis
Etc. information.
The electronic medical record system is for acquiring patient of hypersensitivity's history information.
The wechat enterprise number server is for providing information push function.
The smart phone is used to receive and show the information of wechat enterprise number server push, and sends related feedback
Information gives wechat enterprise number server.
The PICC sets pipe assessment management server for managing connection hospital information system, image archiving and communication system
Information system, laboratory information system, electronic medical record system, wechat enterprise number service are felt by system, ultrasonic examination management system, institute
Device acquires related data, analyzes and generates patient PICC and set pipe scoring, automatically generate related color lump, management PICC sets the whole of pipe
Body process.
A kind of multidisciplinary PICC sets pipe assessment management method, it is characterised in that the following steps are included:
Step S1, doctor issue PICC and set pipe doctor's advice；
Step S2, PICC, which set pipe assessment management server and extract PICC in hospital information system, sets pipe doctor's advice；
Step S3, PICC, which set pipe assessment management server and extract PICC in hospital information system, sets pipe patient's name, age, body
Height, weight, diagnosis, doctor's advice information；
Step S4, PICC set pipe assessment management server and judges diagnose whether belong to CT examination cancer class, if it is being transferred to S5,
Otherwise it is transferred to S6；
Step S5, PICC set pipe assessment management server and wechat enterprise number server push PICC are called to set pipe patient's related neoplasms
Information gives CT Room doctor, and CT Room doctor is prompted to carry out CT examination to patient according to assessment information；
Step S6, PICC set pipe assessment management server and extract the epicoele that PICC sets pipe patient in image archiving and communication system
Venous information；
Step S7, PICC set pipe assessment management server and judge whether patient has intravascular implanted device doctor's advice information, if it is
It is transferred to S8, is otherwise transferred to S10；
Step S8, PICC set pipe assessment management server and wechat enterprise number server push PICC are called to set pipe assessment information to the heart
Physician prompts Cardiologists to carry out intravascular implanted device inspection to patient according to assessment information；
Pipe assessment management server of step S9, PICC setting extracts PICC in hospital information system sets the blood vessel of pipe patient and is implanted into
Device information；
Step S10, pipe assessment management server of PICC setting extract the local skin that PICC sets pipe patient in institute's sense information system
Infect information；
Step S11, pipe assessment management server of PICC setting extract the inspection letter that PICC sets pipe patient in laboratory information system
Breath；
Step S12, pipe assessment management server of PICC setting extract the allergies letter that PICC sets pipe patient in electronic medical record system
Breath；
Step S13, PICC set pipe assessment management server and call wechat enterprise number server push that PICC is needed to set pipe assessment letter
It ceases to related nurse, nurse completes the information solicitation work of remaining PICC assessment table；
Step S14, PICC are set on the bilateral that pipe assessment management server detects whether patient in ultrasonic examination management system
Otherwise limb vessel information is transferred to S15 if it is S16 is transferred to；
Step S15, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Ultrasonography doctor prompts Ultrasonography doctor according to assessment information screening patient both upper extremities blood vessel；
Step S16, PICC set pipe assessment management server and extract the bilateral that PICC sets pipe patient in ultrasonic examination management system
Upper limb vessel information；
Step S17, PICC set pipe assessment management server and set pipe patient scoring to PICC automatically, draw the trend of point value of evaluation
Figure；
Step S18 judges that PICC sets pipe scoring and whether is greater than and sets pipe scoring threshold value and if it is S19 is transferred to otherwise be transferred to S20；
Step S19, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Pipe bed doctor, each specialist and vein treatment clinical nurse specialism carry out the multidisciplinary consultation of doctors of network；
Step S20 judges whether to set pipe for the first time, if it is S21 is transferred to, is otherwise transferred to S27；
Step S21, the result that judges to hold a consultation, if it is S23 is transferred to, are otherwise transferred to S22 if appropriate for pipe is set；
Step S22, pipe bed doctor stop PICC and set pipe doctor's advice, are transferred to S30；
Step S23, PICC set pipe assessment management server and indicate color lump automatically according to patient evaluation score value, and PICC sets pipe assessment pipe
Reason server calls wechat enterprise number server push PICC sets pipe assessment information and manages and protects scholar to setting, and nurse is prompted to be believed according to assessment
Breath carries out setting pipe operation；
Step S24, nurse sets PICC pipe, and fills in correlation and set pipe information；
Step S25, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Radiologist prompts radiologist to check that patient PICC sets pipe situation according to assessment information；
Step S26, PICC, which set pipe assessment management server and extract patient PICC in image archiving and communication system, sets pipe situation；
Step S27, nurse set pipe patient according to PICC and score, and indicate the tendency chart of color lump and point value of evaluation, implement to patient
Relevant treatment and care operation；
Step S28 judges whether there is tube drawing doctor's advice, if it is S29 is transferred to, is otherwise transferred to S30；
Step S29 sets and manages and protects scholar's tube drawing；
Step S30, PICC, which sets pipe evaluation process, to be terminated.
The present invention has beneficial effect.The present invention by PICC set pipe assess management server group hospital it is multidisciplinary, it is whole
The overall process that PICC sets pipe assessment management is closed.PICC set pipe assessment management server can extract automatically hospital information system,
Ultrasonic examination management system, institute's sense information system, laboratory information system, electronic medical record system patient PICC to set pipe correlation comprehensive
Data are closed, further analysis and processing, automatically generate point value of evaluation, reduce the workload of artificial information's typing and analysis, comprehensive
The index of conjunction property can assess PICC in all directions and set pipe, improve the accuracy of assessment；If score value is more than certain threshold value, can mention
Related doctor of waking up cancels PICC and sets pipe doctor's advice, improves the safety that PICC sets pipe；Genealogical classification operation further is carried out to patient,
Automatically different color lumps is indicated, intelligence is increased, reduces workload, is improved work efficiency；In order to consider patient disease
Development, iatrogenic measure, conduit be lost equicorrelated case, in addition to being assessed before setting pipe, PICC set pipe assessment management server adopt
With overall process dynamic evaluation way to manage, the design of pipe assessment managing device and method is set using PICC, is improved traditional
The mode for pertaining only to nurse management forms nursing, CT, Cardiological, radiation, more of the doctor and nurse of color ultrasound Deng Duo department
Section's cooperative control mode optimizes PICC and sets pipe assessment management process.
Detailed description of the invention
Fig. 1 is the general structure schematic diagram of apparatus of the present invention.
Fig. 2 is the flow chart of management process of the invention.
Fig. 3 is that multidisciplinary PICC sets the tendency chart of pipe point value of evaluation to stomach malignancy patient for the first time.
Fig. 4 is the tendency chart that the multidisciplinary PICC of malignant lymphoma of colon patient's third time sets pipe point value of evaluation.
In figure: 1-PICC sets pipe assessment management server, 2- hospital information system, 3- image archiving and communication system, 4-
Information system, 6- laboratory information system, 7- electronic medical record system, 8- wechat enterprise number are felt by ultrasonic examination management system, 5- institute
Server, 9- smart phone.
Specific embodiment
Present invention will be explained in further detail with reference to the accompanying drawings and detailed description.
A kind of multidisciplinary PICC as shown in Figure 1 sets the general structure schematic diagram of pipe assessment managing device it is found that it includes
PICC sets pipe assessment management server 1, hospital information system 2, ultrasonic examination management system 3, institute sense information system 4, laboratory
Information system 5, electronic medical record system 6, wechat enterprise number server 7, smart phone 8；
The PICC sets pipe assessment management server 1 and is connect with the hospital information system 2 by hospital LAN；
The PICC sets pipe assessment management server 1 and is connect with the image archiving and communication system 3 by hospital LAN；
The PICC sets pipe assessment management server 1 and is connect with the ultrasonic examination management system 4 by hospital LAN；
The PICC sets pipe assessment management server 1 and is connect with institute's sense information system 5 by hospital LAN；
The PICC sets pipe assessment management server 1 and is connect with the laboratory information system 6 by hospital LAN；
The PICC sets pipe assessment management server 1 and is connect with the electronic medical record system 7 by hospital LAN；
The PICC sets pipe assessment management server 1 and is connect with the wechat enterprise number server 8 by hospital LAN；
The wechat enterprise number server 8 and the smart phone 9 pass through hospital's wireless network connection；
In the use of the present invention, the function of each component is described as follows.
The hospital information system 2 is used to acquire the name of patient, age, height, weight, diagnosis, Medication order letter
Breath.
The superior vena cava information and patient PICC that the image archiving and communication system 3 is used to acquire patient set Guan Qing
Condition.
The ultrasonic examination management system 4 is used to acquire the both upper extremities vessel information of patient.
Institute's sense information system 5 is for acquiring patient's topical skin infections information.
The laboratory information system 6 is used to acquire the blood routine of patient, and blood coagulation is conventional, systemic loupus erythematosus, plum
The information such as poison.
The electronic medical record system 7 is for acquiring patient of hypersensitivity's history information.
The wechat enterprise number server 8 is for providing information push function.
The smart phone 9 is used to receive and show the information of wechat enterprise number server push, and sends related return
Feedforward information is to wechat enterprise number server 8.
The PICC sets pipe assessment management server 1 for managing connection hospital information system 2, image archiving and communication
Information system 5, laboratory information system 6, electronic medical record system 7, wechat enterprise are felt by system 3, ultrasonic examination management system 4, institute
Number server 8 acquires related data, analyzes and generates patient PICC and set pipe scoring, automatically generate related color lump, management PICC is set
The overall flow of pipe.
A kind of multidisciplinary PICC as shown in Figure 1 sets each portion in the general structure schematic diagram of pipe assessment managing device
Part, the flow chart that multidisciplinary PICC as shown in connection with fig. 2 sets pipe evaluation process are described as follows:
Step S1, doctor issue PICC and set pipe doctor's advice；
Step S2, PICC, which set pipe assessment management server 1 and extract PICC in hospital information system 2, sets pipe doctor's advice；
Pipe assessment management server 1 of step S3, PICC setting extracts PICC in hospital information system 2 and sets pipe patient's name, the age,
Height, weight, diagnosis, doctor's advice information；
Step S4, PICC set pipe assessment management server 1 and judges diagnose whether belong to CT examination cancer class, if it is being transferred to
Otherwise S5 is transferred to S6；
Step S5, PICC set pipe assessment management server 1 call wechat enterprise number server 8 to push PICC to set pipe patient's correlation swollen
Tumor information gives CT Room doctor, and CT Room doctor is prompted to carry out CT examination to patient according to assessment information；
Step S6, PICC, which set pipe assessment management server 1 and extract PICC in image archiving and communication system 3, sets the upper of pipe patient
Vena cave information；
Step S7, PICC set pipe assessment management server 1 and judge whether patient has intravascular implanted device doctor's advice information, if it is
It is transferred to S8, is otherwise transferred to S10；
Step S8, PICC set pipe assessment management server 1 call wechat enterprise number server 8 push PICC set pipe assessment information to
Cardiologists prompt Cardiologists to carry out intravascular implanted device inspection to patient according to assessment information；
Step S9, PICC set pipe assessment management server 1 and extract the blood vessel interplantation that PICC sets pipe patient in hospital information system 2
Enter device information；
Step S10, pipe assessment management server 1 of PICC setting extract the local skin that PICC sets pipe patient in institute's sense information system 5
Skin infects information；
Step S11, PICC set pipe assessment management server 1 and extract the inspection that PICC sets pipe patient in laboratory information system 6
Information；
Step S12, PICC set pipe assessment management server 1 and extract the allergies that PICC sets pipe patient in electronic medical record system 7
Information；
Step S13, PICC set pipe assessment management server 1 and call the push of wechat enterprise number server 8 that PICC is needed to set pipe assessment
Information gives related nurse, and nurse completes the information solicitation work of remaining PICC assessment table；
Step S14, PICC set the bilateral that pipe assessment management server 1 detects whether patient in ultrasonic examination management system 4
Otherwise upper limb vessel information is transferred to S15 if it is S16 is transferred to；
Step S15, PICC set pipe assessment management server 1 call wechat enterprise number server push PICC set pipe assessment information to
Ultrasonography doctor prompts Ultrasonography doctor according to assessment information screening patient both upper extremities blood vessel；
Step S16, PICC set pipe assessment management server 1 and extract the bilateral that PICC sets pipe patient in ultrasonic examination management system
Upper limb vessel information；
Step S17, PICC set pipe assessment management server 1 and set pipe patient scoring to PICC automatically, draw the trend of point value of evaluation
Figure；
Step S18 judges that PICC sets pipe scoring and whether is greater than and sets pipe scoring threshold value and if it is S20 is transferred to otherwise be transferred to S21；
Step S19, PICC set pipe assessment management server 1 and the push of wechat enterprise number server 8 PICC are called to set pipe assessment information
The multidisciplinary consultation of doctors of network is carried out to pipe bed doctor, each specialist and vein treatment clinical nurse specialism；
Step S20 judges whether to set pipe for the first time, if it is S21 is transferred to, is otherwise transferred to S27；
Step S21, the result that judges to hold a consultation, if it is S23 is transferred to, are otherwise transferred to S22 if appropriate for pipe is set；
Step S22, pipe bed doctor stop PICC and set pipe doctor's advice, are transferred to S30；
Step S23, PICC set pipe assessment management server 1 and indicate color lump automatically according to patient evaluation score value, and PICC sets pipe assessment
Management server 1 calls wechat enterprise number server 8 to push PICC and set pipe assessment information and manages and protects scholar to setting, and prompts nurse according to commenting
Estimate information to carry out setting pipe operation；
Step S24, nurse sets PICC pipe, and fills in correlation and set pipe information；
Step S25, PICC set pipe assessment management server 1 and the push of wechat enterprise number server 8 PICC are called to set pipe assessment information
To radiologist, radiologist is prompted to check that patient PICC sets pipe situation according to assessment information；
Step S26, PICC, which set pipe assessment management server 1 and extract patient PICC in image archiving and communication system 3, sets Guan Qing
Condition；
Step S27, nurse set pipe patient according to PICC and score, and indicate the tendency chart of color lump and point value of evaluation, implement to patient
Relevant treatment and care operation；
Step S28 judges whether there is tube drawing doctor's advice, if it is S29 is transferred to, is otherwise transferred to S30；
Step S29 sets and manages and protects scholar's tube drawing；
Step S30, PICC, which sets pipe evaluation process, to be terminated.
It is the embodiment that inventor provides below.
Embodiment 1: as shown in figure 3, multidisciplinary PICC sets the citing of pipe evaluation process to stomach malignancy patient for the first time.
Step S1, stomach malignancy patient need chemotherapeutic treatment, and doctor issues PICC and sets pipe doctor's advice；
Step S2, PICC, which set pipe assessment management server 1 and extract PICC in hospital information system 2, sets pipe doctor's advice；
Pipe assessment management server 1 of step S3, PICC setting extracts PICC in hospital information system 2 sets pipe patient's name and " opens
Certain ", gender " female ", the age " 47 ", height " 1.58m ", weight " 46kg ", diagnosis " stomach malignancy ", intravascular implanted device
With drug doctor's advice information；
Step S4, PICC set pipe assessment management server 1 and judge that " stomach malignancy " diagnosis belongs to CT examination cancer class, are transferred to
S5；
Step S5, PICC set pipe assessment management server 1 and the push of wechat enterprise number server 8 PICC are called to set pipe assessment information
" chemotherapy section Zhang, admission number XXX, stomach malignancy need PICC to set pipe assessment, the row's of wishing good health CT examination " gives CT Room doctor, mentions
Show that CT Room doctor carries out CT examination to patient according to assessment information；
Step S6, PICC, which set pipe assessment management server 1 and extract PICC in image archiving and communication system 3, sets the upper of pipe patient
Vena cave information, mark superior vena cava are normal；
Step S7, PICC set pipe assessment management server 1 and judge that patient does not have intravascular implanted device doctor's advice information, are transferred to S10；
Step S10, pipe assessment management server 1 of PICC setting extract the local skin that PICC sets pipe patient in institute's sense information system 5
Skin infects information, marks without topical skin infections；
Step S11, pipe assessment management server of PICC setting extract the inspection letter that PICC sets pipe patient in laboratory information system
Breath；
Step S12, PICC set pipe assessment management server 1 and extract the allergies that PICC sets pipe patient in electronic medical record system 7
Information is marked without allergies；
Step S13, PICC set pipe assessment management server 1 and call the push of wechat enterprise number server 8 that PICC is needed to set pipe assessment
For information " chemotherapy section, Zhang, admission number XXX need PICC to set pipe assessment " to related nurse, nurse completes remaining PICC assessment table
Information solicitation work；
Step S14, PICC set the both upper extremities that pipe assessment management server detects not patient in ultrasonic examination management system
Vessel information is transferred to S15；
Step S15, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Ultrasonography doctor prompts Ultrasonography doctor according to assessment information screening patient both upper extremities blood vessel；
Step S16, PICC set pipe assessment management server and extract the bilateral that PICC sets pipe patient in ultrasonic examination management system
Upper limb vessel information；
Step S17, PICC set pipe assessment management server and set pipe patient scoring to PICC automatically, draw the trend of point value of evaluation
Figure；
Step S18 judges that PICC sets pipe scoring greater than pipe scoring threshold value is set, is transferred to S20；
Step S19, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Pipe bed doctor, each specialist and vein treatment clinical nurse specialism carry out the multidisciplinary consultation of doctors of network；
Step S20, judgement are to set pipe for the first time, are transferred to S21；
Step S21 judges that consultation of doctors result is suitble to set pipe, is transferred to S23；
Step S23, PICC set pipe assessment management server and indicate color lump automatically according to patient evaluation score value, and PICC sets pipe assessment pipe
Reason server calls wechat enterprise number server push PICC sets pipe assessment information and manages and protects scholar to setting, and nurse is prompted to be believed according to assessment
Breath carries out setting pipe operation；
Step S24, nurse sets PICC pipe, and fills in correlation and set pipe information；
Step S25, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Radiologist prompts radiologist to check that patient PICC sets pipe situation according to assessment information；
Step S26, PICC, which set pipe assessment management server and extract patient PICC in image archiving and communication system, sets pipe situation；
Step S27, nurse set pipe patient according to PICC and score, and indicate the tendency chart of color lump and point value of evaluation, implement to patient
Relevant treatment and care operation；
Step S28, judgement do not have tube drawing doctor's advice, are transferred to S30；
Step S30, PICC, which sets pipe evaluation process, to be terminated.
Embodiment 2: as shown in figure 4, the multidisciplinary PICC of malignant lymphoma of colon patient's third time sets the citing of pipe evaluation process.
Step S1, the patient that malignant lymphoma of colon brings PICC into need chemotherapeutic treatment, and doctor issues that " PICC, which is set, to be managed and protected
Reason " doctor's advice；
Step S2, PICC, which set pipe assessment management server 1 and extract PICC in hospital information system 2 and set, manages and protects reason doctor's advice；
Step S3, PICC, which set pipe assessment management server 1 and extract PICC in hospital information system 2, sets pipe patient's name " Gong
Certain ", gender " female ", at the age " 38 ", height " 1.60m ", weight " 52kg ", diagnosis " malignant lymphoma of colon ", blood vessel is implanted into
Device and drug doctor's advice information；
Step S4, PICC set pipe assessment management server 1 and judge that " malignant lymphoma of colon " diagnosis belongs to cancer class, but do not belong to
In the CT examinations classification such as central type carcinoma of lung, non-Hodgkin lymphoma, malignant thymoma, cancer of the esophagus, it is transferred to S6；
Step S6, PICC, which set pipe assessment management server 1 and extract PICC in image archiving and communication system 3, sets the upper of pipe patient
Vena cave information；
Step S7, PICC set pipe assessment management server 1 and judge that patient does not have intravascular implanted device doctor's advice information, are transferred to S10；
Step S10, pipe assessment management server 1 of PICC setting extract the local skin that PICC sets pipe patient in institute's sense information system 5
Skin infects information, marks without topical skin infections；
Step S11, pipe assessment management server of PICC setting extract the inspection letter that PICC sets pipe patient in laboratory information system
Breath；
Step S12, PICC set pipe assessment management server 1 and extract the allergies that PICC sets pipe patient in electronic medical record system 7
Information is marked without allergies；
Step S13, PICC, which set pipe assessment management server 1 and call the push of wechat enterprise number server 8 that PICC is needed to set, manages and protects reason
Information " two section of chemotherapy, Gong, admission number XXX need PICC to set pipe Nursing evaluation " is assessed to related nurse, nurse completes remaining
PICC assesses the information solicitation work of table；
Step S14, PICC set pipe assessment management server 1 and detect the both upper extremities for having patient in ultrasonic examination management system 4
Vessel information is transferred to S16；
Step S16, PICC set pipe assessment management server 1 and extract the bilateral that PICC sets pipe patient in ultrasonic examination management system
Upper limb vessel information；
Step S17, PICC set pipe assessment management server 1 and set pipe patient scoring to PICC automatically, draw the trend of point value of evaluation
Figure；
Step S18 judges that PICC sets pipe scoring greater than pipe scoring threshold value is set, is transferred to S20；
Step S20, judgement is not to set pipe for the first time, is transferred to S27；
Step S27, nurse set pipe patient according to PICC and score, and indicate the tendency chart of color lump and point value of evaluation, implement to patient
Relevant treatment and care operation；
Step S28, judgement have tube drawing doctor's advice, are transferred to S29；
Step S29 sets and manages and protects scholar's tube drawing；
Step S30, PICC, which sets pipe evaluation process, to be terminated.
Claims (3)
1. a kind of multidisciplinary PICC sets pipe assessment managing device, characterized by comprising: PICC sets pipe assessment management server, doctor
Information system, laboratory information system, electricity are felt by institute's information system, image archiving and communication system, ultrasonic examination management system, institute
Sub- medical records system, wechat enterprise number server, smart phone；
The PICC set pipe assessment management server respectively with the hospital information system, image archiving and communication system,
Ultrasonic examination management system, institute's sense information system, laboratory information system, electronic medical record system, wechat enterprise number server are logical
Cross hospital LAN connection；
The wechat enterprise number server and the smart phone pass through hospital's wireless network connection.
2. a kind of multidisciplinary PICC according to claim 1 sets pipe assessment managing device, it is characterised in that:
The hospital information system is used to acquire the name of patient, age, height, weight, diagnosis, Medication order information；
The superior vena cava information and patient PICC that the image archiving and communication system is used to acquire patient set pipe situation；
The ultrasonic examination management system is used to acquire the both upper extremities vessel information of patient；
Institute's sense information system is for acquiring patient's topical skin infections information；
The laboratory information system is used to acquire the blood routine of patient, and blood coagulation is conventional, systemic loupus erythematosus, the letter such as syphilis
Breath；
The electronic medical record system is for acquiring patient of hypersensitivity's history information；
The wechat enterprise number server is for providing information push function；
The smart phone is used to receive and show the information of wechat enterprise number server push, and sends related feedback information
Give wechat enterprise number server；
The PICC set pipe assessment management server for manage connection hospital information system, image archiving and communication system,
Information system, laboratory information system, electronic medical record system, wechat enterprise number server are felt by ultrasonic examination management system, institute, adopt
Collect related data, analyzes and generate patient PICC and set pipe scoring, automatically generate related color lump, management PICC sets the bulk flow of pipe
Journey.
3. a kind of multidisciplinary PICC according to claim 1 or 2 sets the management method of pipe assessment managing device,
Be characterized in that the following steps are included:
Step S1, doctor issue PICC and set pipe doctor's advice；
Step S2, PICC, which set pipe assessment management server and extract PICC in hospital information system, sets pipe doctor's advice；
Step S3, PICC, which set pipe assessment management server and extract PICC in hospital information system, sets pipe patient's name, age, body
Height, weight, diagnosis, doctor's advice information；
Step S4, PICC set pipe assessment management server and judges diagnose whether belong to CT examination cancer class, if it is being transferred to S5,
Otherwise it is transferred to S6；
Step S5, PICC set pipe assessment management server and wechat enterprise number server push PICC are called to set pipe patient's related neoplasms
Information gives CT Room doctor, and CT Room doctor is prompted to carry out CT examination to patient according to assessment information；
Step S6, PICC set pipe assessment management server and extract the epicoele that PICC sets pipe patient in image archiving and communication system
Venous information；
Step S7, PICC set pipe assessment management server and judge whether patient has intravascular implanted device doctor's advice information, if it is
It is transferred to S8, is otherwise transferred to S10；
Step S8, PICC set pipe assessment management server and wechat enterprise number server push PICC are called to set pipe assessment information to the heart
Physician prompts Cardiologists to carry out intravascular implanted device inspection to patient according to assessment information；
Pipe assessment management server of step S9, PICC setting extracts PICC in hospital information system sets the blood vessel of pipe patient and is implanted into
Device information；
Step S10, pipe assessment management server of PICC setting extract the local skin that PICC sets pipe patient in institute's sense information system
Infect information；
Step S11, pipe assessment management server of PICC setting extract the inspection letter that PICC sets pipe patient in laboratory information system
Breath；
Step S12, pipe assessment management server of PICC setting extract the allergies letter that PICC sets pipe patient in electronic medical record system
Breath；
Step S13, PICC set pipe assessment management server and call wechat enterprise number server push that PICC is needed to set pipe assessment letter
It ceases to related nurse, nurse completes the information solicitation work of remaining PICC assessment table；
Step S14, PICC are set on the bilateral that pipe assessment management server detects whether patient in ultrasonic examination management system
Otherwise limb vessel information is transferred to S15 if it is S16 is transferred to；
Step S15, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Ultrasonography doctor prompts Ultrasonography doctor according to assessment information screening patient both upper extremities blood vessel；
Step S16, PICC set pipe assessment management server and extract the bilateral that PICC sets pipe patient in ultrasonic examination management system
Upper limb vessel information；
Step S17, PICC set pipe assessment management server and set pipe patient scoring to PICC automatically, draw the trend of point value of evaluation
Figure；
Step S18 judges that PICC sets pipe scoring and whether is greater than and sets pipe scoring threshold value and if it is S19 is transferred to otherwise be transferred to S20；
Step S19, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Pipe bed doctor, each specialist and vein treatment clinical nurse specialism carry out the multidisciplinary consultation of doctors of network；
Step S20 judges whether to set pipe for the first time, if it is S21 is transferred to, is otherwise transferred to S27；
Step S21, the result that judges to hold a consultation, if it is S23 is transferred to, are otherwise transferred to S22 if appropriate for pipe is set；
Step S22, pipe bed doctor stop PICC and set pipe doctor's advice, are transferred to S30；
Step S23, PICC set pipe assessment management server and indicate color lump automatically according to patient evaluation score value, and PICC sets pipe assessment pipe
Reason server calls wechat enterprise number server push PICC sets pipe assessment information and manages and protects scholar to setting, and nurse is prompted to be believed according to assessment
Breath carries out setting pipe operation；
Step S24, nurse sets PICC pipe, and fills in correlation and set pipe information；
Step S25, PICC set pipe assessment management server call wechat enterprise number server push PICC set pipe assessment information to
Radiologist prompts radiologist to check that patient PICC sets pipe situation according to assessment information；
Step S26, PICC, which set pipe assessment management server and extract patient PICC in image archiving and communication system, sets pipe situation；
Step S27, nurse set pipe patient according to PICC and score, and indicate the tendency chart of color lump and point value of evaluation, implement to patient
Relevant treatment and care operation；
Step S28 judges whether there is tube drawing doctor's advice, if it is S29 is transferred to, is otherwise transferred to S30；
Step S29 sets and manages and protects scholar's tube drawing；
Step S30, PICC, which sets pipe evaluation process, to be terminated.
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| CN201910227860.1A CN110060748A (en) | 2019-03-25 | 2019-03-25 | A kind of multidisciplinary PICC sets pipe assessment managing device and method |
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| CN110992799A (en) * | 2019-12-20 | 2020-04-10 | 首都医科大学宣武医院 | Auxiliary insertion device and method for PICC (peripherally inserted Central catheter) |
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