CN112582050A - Intelligent monitoring system and method - Google Patents
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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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Abstract
The invention provides intelligent monitoring equipment and a method thereof. The intelligent monitoring system may include an automatic troubleshooting module for troubleshooting surgical and/or unscheduled re-surgeries and an automatic daytime troubleshooting module for troubleshooting day-to-day surgical and/or unscheduled surgeries. The automatic investigation module can comprise a patient and operation module for obtaining all operation related conditions and/or personal operation conditions corresponding to the query time, and/or performing investigation on operations and/or unscheduled re-operations according to the operation related information of the patient to obtain required operation related conditions and/or personal operation conditions corresponding to the query time; and a department and surgery module for performing a troubleshooting operation and/or an unscheduled re-operation to obtain a department completion and/or an individual completion.
Description
Technical Field
The invention relates to the field of intelligent monitoring, in particular to an intelligent monitoring system and method for monitoring operation/unscheduled re-operation/doctors and the like.
Background
According to the existing national laws and regulations and relevant operation management systems and standards, daytime operations are advocated in recent years in order to reduce the hospitalization time of patients and lower the medical expenses, and the control and evaluation of the daytime operations are indispensable. In addition, unplanned reoperations are more of a regulatory focus. In the past, a medical department provides more than two operation reports to monitor and verify whether the report is missed or not according to an operating room, but the efficiency is low, the report is inevitably missed, the information management and control are not performed, and the like. Moreover, conventional surgical quality management can only implement post-operative supervision and cannot provide advance warning and in-operative supervision. In addition, traditional surgical management can only achieve final quality control, but cannot achieve link quality control. Furthermore, conventional surgical management can be difficult to monitor for unplanned reoperations.
According to the related operation hierarchical management system, because the operation quality control management nodes are many, doctors with different levels can perform corresponding operations only after authorization through hierarchical management. However, the traditional operation quality management is also difficult to implement the operation quality audit of doctors, perform corresponding operation level authorization, monitor the operation behavior of doctors, and perform operation grading management such as supervision and evaluation.
Disclosure of Invention
It is an object of the present invention to provide an intelligent monitoring system and method that can be used for monitoring of surgery/unscheduled re-surgery, etc.
According to one aspect of the present invention, an intelligent monitoring system is provided, comprising an automatic troubleshooting module for troubleshooting surgical and/or unscheduled re-surgeries, and an automatic daytime troubleshooting module for troubleshooting day-to-day surgical and/or unscheduled surgeries.
The intelligent monitoring system according to the above aspect of the invention, wherein the automatic troubleshooting module comprises a patient and surgery module for performing a troubleshooting on the surgery and/or the unplanned re-surgery to obtain all surgery-related conditions and/or individual surgery conditions corresponding to the query time; and/or performing a surgical and/or unscheduled re-surgery investigation based on the patient's surgery related information to obtain a desired surgery related condition and/or a personal surgery condition corresponding to the query time; and/or the patient and operation module is used for inquiring one or more of a case number, a patient name, an admission time, an discharge time, a sex, an age, a number of hospitalizations, a discharge department, a discharge ward, a resident, an admission department, an admission ward, a main diagnosis, a disease code, other diagnoses, rescue times, an unplanned reoperation, a payment mode, a total cost, an operation treatment cost, a western medicine cost and a Chinese patent medicine cost; and/or the patient procedure related information comprises one or more of an input procedure code, a procedure name, an unplanned, a day procedure, a patient name, a doctor name, a 1-physician, and/or a 2-physician; and/or department and surgery module for troubleshooting surgery and/or unscheduled reoperations to obtain department completion and/or individual completion; and/or the department and operation module is used for inquiring the department, the number of doctors, the number of patients, the number of operation tables, the number of main tools, the number of 1 assisted tables, the number of 2 assisted tables, the primary operation, the secondary operation, the tertiary operation, the quaternary operation, the unscheduled reoperation and the daytime operation, and can be controlled to one or more of each operation department, professional group, doctors and patients.
The intelligent monitoring system according to the above aspect of the present invention, wherein the daytime automatic troubleshooting module is configured to perform daytime troubleshooting on a surgery and/or an unplanned reoperation by troubleshooting by the automatic troubleshooting module, and feed a daytime troubleshooting result to the automatic troubleshooting module; and/or the daytime automatic troubleshooting module periodically and/or aperiodically performs daytime troubleshooting; and/or the day automatic checking module checks the day according to a period of checking once every four hours.
The intelligent monitoring system according to the above aspect of the present invention further includes a troubleshooting passing module for sending a notification that the automatic troubleshooting module has passed the troubleshooting to the daytime automatic troubleshooting module and/or notifying the daytime automatic troubleshooting module of the operation and/or the unplanned reoperation of the troubleshooting by the automatic troubleshooting module.
The intelligent monitoring system according to the above aspect of the invention further comprises a summarizing module for summarizing the investigation results of the automatic investigation module and/or the daytime automatic investigation module; the summarizing module is used for summarizing the investigation results of the automatic investigation module and/or the daytime automatic investigation module; and/or a notification rectification module for sending rectification notifications to the relevant doctors/departments with problems; and/or a checking and correcting condition module for checking and correcting relevant doctors/departments and the like; and/or a doctor training/learning module for training/learning the relevant doctor/department; and/or the normative medical record generating module is used for generating normative medical records and transmitting the normative medical records to the hospital information system electronic medical record input module.
According to another aspect of the invention, a method is provided that includes automatically troubleshooting surgical and/or unscheduled re-surgeries and automatically troubleshooting daytime surgical and/or unscheduled surgeries.
The method according to the above aspect of the invention, wherein the automatic investigation comprises patient-to-surgery automatic investigation to investigate the surgery and/or the unplanned reoperation to obtain all surgery-related conditions and/or personal surgery conditions corresponding to the query time, and/or investigation of the surgery and/or the unplanned reoperation according to the patient surgery-related information to obtain desired surgery-related conditions and/or personal surgery conditions corresponding to the query time; and/or the patient and surgery automatic investigation comprises one or more of a query case number, a patient name, an admission time, an discharge time, a gender, an age, a number of hospitalizations, a discharge department, a discharge ward, a resident, an admission department, an admission ward, a main diagnosis, a disease code, other diagnoses, rescue times, unscheduled reoperations, a payment method, a total cost, a surgery treatment cost, a western medicine cost and/or a patent medicine cost; and/or the patient procedure related information comprises one or more of an input procedure code, a procedure name, an unplanned, a day procedure, a patient name, a doctor name, a 1-physician, and/or a 2-physician; and/or automatic investigation of departments and operations to investigate operations and/or unscheduled re-operations to obtain department completion and/or individual completion; and/or the automatic examination of departments and operations comprises inquiring the departments, the number of doctors, the number of patients, the number of operation tables, the number of main tools, the number of 1 assistant tables, the number of 2 assistant tables, the primary operation, the secondary operation, the tertiary operation, the quaternary operation, the unscheduled reoperation and the daytime operation, and can be controlled to one or more of the operation departments, the professional groups, the doctors and/or the patients.
The method according to the above aspect of the invention, wherein the daytime automatic troubleshooting includes performing daytime troubleshooting on an operation and/or an unplanned reoperation by the automatic troubleshooting, and feeding a result of the daytime troubleshooting to perform the automatic troubleshooting; and/or the daytime automatic troubleshooting comprises periodic and/or aperiodic performing daytime troubleshooting; and/or the daytime automatic investigation is carried out according to a period of once every four hours.
The method according to the above aspect of the present invention further comprises sending a notification of the passage of the automatic investigation and/or a surgery and/or an unplanned reoperation by the automatic investigation to perform the automatic investigation during the day, when the automatic investigation passes.
The method according to the above aspect of the present invention further comprises summarizing the automatic investigation and/or the automatic investigation results during the day; and/or sending an alert of the correction to the relevant doctor/department with the problem; and/or to have the relevant doctor/department, etc. perform examination and modification; and/or training/learning the relevant doctor/department; and/or generating and transmitting normative medical records for hospital information system electronic medical record entry.
According to the aspects of the invention, according to the requirements of laws and regulations such as national medical quality management method, medical technology clinical application management method, medical institution operation grading management method and the like, according to eighteen medical quality safety core systems, operation grading management system, unscheduled reoperation management system, operating physician qualification admission approval management system and other relevant operation management systems of hospitals and/or the standard of 2015 edition operation grading catalogue library in a determined area and the like, the operation grading real-time monitoring is automatically inquired and carried out by a computer to generate data, and meanwhile, the unscheduled reoperation is also intelligently monitored, so that the operation complication is reduced, the medical safety is ensured, and the operation supervision capability and the informatization management level can be improved. In addition, the invention can also be used for automatically extracting management and control data, automatically checking at regular time, generating reports, managing and controlling all hospitalized operations in the whole hospital, managing and controlling to departments, doctors and each operation, and realizing traceability, thereby preventing the condition that the clinical departments do not report or give a report. Moreover, the department can inquire the hierarchical management condition of the hospitalization operation in the department, the operation amount, whether the override operation exists or not through authorization, and self control is realized.
Furthermore, according to the above aspect of the present invention, data acquisition may not depend on a processing manner of a Hospital Information System (HIS) system data interface. The method can use an Extract-Transform-load (ETL) technology of the big data independent of a data interface to build a big data hardware service framework in a hospital intranet and support an infinite expansion configuration cluster mode, thereby realizing the automatic extraction, conversion and display of the used data.
Moreover, according to the aspects of the invention, the invention is very convenient and fast, and can pointedly prompt the operation and/or the unplanned reoperation and the doctor with problems, and then the telephone communication supervises and urges the improvement, thereby reducing the workload of manual examination and improving the coverage rate of the timely examination of the medical records to full coverage. In addition, the invention can directly carry out precise quality control and promote education work, the examination can be mastered by management departments, and the information of automatic examination can be opened to the chief and the doctor of each department, thereby facilitating self examination and improvement, facilitating the information collection, statistics, analysis, comparison and feedback of the operation management conditions of each medical institution, carrying out scientific, reasonable and fair evaluation on the operation grading management of each medical institution, and promoting the management and performance evaluation of each medical institution on the operation quality. In addition, the relevant data can be automatically queried periodically/aperiodically to update the examined surgical situation in real time. Moreover, the invention has high management and control efficiency, can avoid the condition of reporting and failing to report, can not only carry out after-the-fact supervision, but also provide the reminding in advance and in-the-fact supervision. In addition, the invention can realize not only the final quality control but also the link quality control.
Drawings
FIG. 1 schematically illustrates one example of an intelligent monitoring system architecture in accordance with one embodiment of the invention.
Fig. 2 schematically shows a flow chart of an example of a method according to an embodiment of the invention.
Fig. 3 schematically shows a flow chart of an example of a method according to an embodiment of the invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
Although the following description sets forth various implementations that may be shown, for example, in a system architecture, implementations of the techniques and/or arrangements described herein are not limited to a particular system architecture and/or computing system and may be implemented by any architecture and/or computing system for similar purposes. For example, various architectures and/or various computing devices and/or electronic devices employing, for example, one or more integrated circuit chips and/or packages, may implement the techniques and/or arrangements described herein. Furthermore, although the following description may set forth numerous specific details (e.g., logical implementations, types and interrelationships of system components, logical partitioning/integration choices, etc.), claimed subject matter may be practiced without these specific details. In other instances, some materials (e.g., control structures and complete software instruction sequences) may not be shown in detail in order not to obscure the material disclosed herein. The materials disclosed herein may be implemented in hardware, firmware, software, or any combination thereof.
The materials disclosed herein may also be implemented as instructions stored on a machine-readable medium or memory that may be read and executed by one or more processors. A computer-readable medium may include any medium and/or mechanism for storing or transmitting information in a form readable by a machine (e.g., a computing device). For example, a machine-readable medium may include Read Only Memory (ROM), Random Access Memory (RAM), magnetic disk storage media; an optical storage medium; a flash memory device; and/or other media. In another form, a non-transitory article (e.g., a non-transitory computer readable medium) can be used for any of the above-mentioned examples or other examples, including such elements (e.g., RAM, etc.) that can temporarily store data in a "transient" manner.
FIG. 1 illustrates one example of an architecture of an intelligent monitoring system 100 in accordance with one embodiment of the invention. As shown in fig. 1, the intelligent monitoring system 100 can be used for hierarchical management of operations for different levels of physicians, management and evaluation of daytime operations/unscheduled reoperations, management of unscheduled reoperations, and the like. Among them, the unplanned reoperation may include reoperation which is not mentioned in the reoperation plan and plan, and a special diagnosis and treatment operation which requires a surgical treatment when, for example, an endoscope or the like causes a serious complication (such as perforation, bleeding, etc.), and the like may be regarded as the unplanned reoperation.
As shown in FIG. 1, the system 100 can include a HIS electronic medical record entry module 102. The electronic medical record entry module 102 can be used to store medical record related information, such as, but not limited to, surgical code, surgical name, unplanned surgical information, daytime surgical information, medical record number, patient name, medical record, physician name, physician's job number, physician's assistant 1, physician's assistant 2, surgical/reoperation information, surgery related examination items, and the like. In another embodiment, the HIS electronic medical record entry module 102 can be a module external to the system 100, but the invention is not so limited.
In one embodiment, the system 100 can be used for realizing functional department inquiry and/or department inquiry, and doctors can also perform personal inquiry through department passwords so as to manage the operation quality in real time. As shown in FIG. 1, the electronic medical record extraction module 104 can extract the corresponding electronic medical record from the HIS electronic medical record entry module 102 according to the query content, and transmit the electronic medical record to the automatic review module 106. In one embodiment, a login module for login and account management is provided for each department, and the user can log in by inputting a password so as to perform automatic investigation.
For example, the automated review module 106 may include a department and surgery module. The department and surgery module may be used to query information about department, number of doctors, number of patients, number of surgeries, number of main surgeries, number of assisted surgeries, number of primary surgeries, secondary surgeries, tertiary surgeries, quaternary surgeries, unscheduled re-surgeries and/or day-to-day surgeries, and may be managed and controlled for each of the departments, groups of professionals, doctors and patients (e.g., as shown in fig. 3, but the invention is not limited thereto).
The automated review module 106 may also include a patient and surgery module. The patient and surgery module may be used to query a patient case number, a patient name, an admission time, an discharge time, a gender, an age, a number of hospital stays, a discharge department, a discharge ward, a resident, an admission department, an admission ward, a main diagnosis, a disease code, other diagnoses, a number of rescues, an unscheduled re-operation, a payment method, a total fee, a surgery treatment fee, a western medicine fee, and/or a patent medicine fee, etc., so as to achieve full-coverage management of all the admitted surgery patients (for example, as shown in fig. 2, but the invention is not limited thereto).
As shown in fig. 1, the system 100 may further include an automatic daytime troubleshooting module 108 for performing an automatic daytime troubleshooting on the operation and/or the unplanned reoperation checked by the automatic troubleshooting module 106 to update the checked operation condition in real time, and may feed the troubleshooting result to the automatic troubleshooting module 106. In one embodiment, the automated daily review module 108 can perform periodic review, such as checking medical record operation-related examination items every 4 hours during the day (e.g., all hospitalized surgical patients), which are 8 am, 12 pm, 4 pm and/or 8 pm (full coverage) each day, respectively, to check the medical record operation-related content, such as the completion timeliness of the medical records. In other embodiments, the daytime automatic review module may review at other periods or may perform aperiodic reviews, although the invention is not limited in this respect.
As shown in FIG. 1, the system 100 also includes a troubleshooting pass module 112. In one embodiment, the review pass module 112 is coupled to the daytime automatic review module 108 for notifying the daytime automatic review module 108 of the reviewed/unscheduled reoperation condition of the automatic review module 106 to cause the daytime automatic review module 108 to perform a daytime automatic review. If the automatic troubleshooting module 106 fails the check, the suspected problem module 114 may generate a suspected problem for manual confirmation (120). After the problem is manually confirmed, an rectification notification can be sent to the relevant doctor/department, etc. having the problem via the rectification notification module 122, so that the relevant doctor/department, etc. can perform the examination rectification through the examination rectification condition module 124 and perform the training/learning through the doctor training/learning module 126, and/or can generate a normative medical record through the normative medical record generating module 128 and transmit the normative medical record to the HIS electronic medical record entry module 102. In another embodiment, the system 100 may not include one or more of the rectification notification module 124, the examination rectification module 124, the physician training/learning module 126, and/or the normative medical record generation module 128.
In one embodiment, quality control management personnel may monitor the procedure in real time via the system 100 (e.g., the automated review module 106 and/or the daytime automated review module 108). For example, the medical quality can be randomly extracted and monitored in real time, the qualification, the operation level, the number of operation tables, the day operation and the like of each operation doctor can be monitored, unscheduled re-operations can be preliminarily screened and manually confirmed, and therefore advance reminding, in-process supervision and after-examination can be achieved, and the medical quality can be improved. For example, the surgical real-time monitoring may be from a monitoring subject, a monitoring mode, and/or a monitoring time.
The monitoring subject may include surgical content monitoring, unscheduled re-surgery monitoring, and/or daytime surgery monitoring. For example, the automatic troubleshooting module 106 and/or the daytime automatic troubleshooting module 108 may be used to monitor the operation-related contents of departments, doctors, patients, operation tables, main tools, 1-assisted operations, 2-assisted operations, primary operations, secondary operations, tertiary operations, quaternary operations, unscheduled re-operations and/or daytime operations, so as to comply with the existing national laws and regulations and the related operation management systems and standards, but the present invention is not limited thereto.
The monitoring means may include automatic monitoring and/or manual monitoring. For example, the operative/unscheduled reoperation may be automatically monitored, manually confirmed for problems found, and informed to the physician for correction by an information platform of the system 100 (e.g., the automated review module 106 and/or the day automated review module 108).
The monitoring time may include a prior reminder, an in-process supervision, and/or a post assessment. For example, through the use of electronic medical records, the automated review module 106 and/or the day automated review module 108 may be utilized to implement pre-reminders, in-process and post-procedural oversight of surgical quality management, as well as to implement joint quality control of surgical management.
In one embodiment, the automatic review module 106 and/or the daytime automatic review module 108 may perform time limit monitoring. For example, the auto-review module 106 and/or the day auto-review module 108 may count the day-to-day surgery related events against a standard according to a threshold. In one embodiment, the monitoring time limit may be determined according to the various daytime surgical definitions.
In another embodiment, the automatic review module 106 and/or the daytime automatic review module 108 may also perform content monitoring. For example, physician qualification, procedure level, unscheduled reoperations and/or day time procedures may be monitored according to relevant criteria and/or qualification regimes, while various surgical departments, professional groups, physicians and patients may be administered to discover problems and notify the parties and/or physicians in a timely manner.
In yet another embodiment, the monitoring criteria of the automated review module 106 and/or the day automated review module 108 may include physician orders and/or surgical records.
According to one embodiment, the automatic troubleshooting module 106 and/or the daytime automatic troubleshooting module 108 may monitor according to content monitoring principles. For example, the automatic review module 106 and/or the day automatic review module 108 may implement one or more of the content monitoring principles, e.g., the qualification of the physician and/or the surgical level criteria should be updated in time; and/or the surgical record must be completed within 24 hours of the surgery or the monitoring is inaccurate.
FIG. 1 shows only one example of an intelligent monitoring system according to one embodiment of the invention, and in other embodiments, the intelligent monitoring system 100 may include one or more of the modules shown in FIG. 1. In another embodiment, although not shown in fig. 1, the intelligent monitoring system 100 may further include a summarizing module for summarizing the investigation results of the automatic investigation module 106 and/or the daytime automatic investigation module 108, for example, the percentage of completed departments may be displayed, the departments may be opened, that is, a specific physician may see, the surgery may be queried, and finally, the surgery quality control loop node may be determined. But the invention is not limited thereto. In yet another embodiment, the intelligent monitoring system 100 may be implemented using software, hardware, firmware, and/or various combinations thereof.
Fig. 2 schematically shows a flow chart of an example of a method according to an embodiment of the invention. In one embodiment, the method can be used for monitoring the patient and the operation, and the loopholes existing in the operation management can be found through inquiry, so that the operation management and control quality can be improved. In one embodiment, the system 100 in fig. 1 (e.g., the automated review module 106 and/or the daytime automated review module 108) may utilize the method to perform automated review to manage the quality of the procedure in real-time. According to one aspect of the invention, the method can be used to achieve full-coverage management of all hospitalized surgical patients.
As shown in fig. 2, at block 202, the intelligent management system may be logged in via a login account number and password assigned to each department, etc. for account management (block 204) and/or to the patient and surgery module (block 206) for troubleshooting. For example, the query can be divided into a functional department query and/or a department query, and the physician can also perform personal query through a department password.
Referring to fig. 2, in response to entering the patient and procedure module, based on the entered query time (block 208), an automatic query may be made corresponding to the entered time (block 210) and/or based on patient procedure related information corresponding to the entered time (block 216). For example, the query time range may be by year, season, month, day.
Referring to fig. 2, through an automatic query 210, all procedure-related conditions (e.g., including procedures and/or unplanned reoperations, etc.) corresponding to the input query time may be obtained at block 212. At block 214, individual surgical conditions corresponding to all of the surgeries within the input time may further be obtained.
As shown in fig. 2, a query may be made at block 218 based on the entered patient procedure-related information. For example, through the operation code, the name of the operation, the unplanned operation, the day operation, the name of the patient, the name of the doctor, the doctor 1, the doctor 2, and the like, which are input at the block 216, the relevant condition of the operation required corresponding to the relevant information of the patient within the input time, such as the case number, the name of the patient, the time of admission, the time of discharge, the sex, the age, the number of days of admission, the department of discharge, the ward of discharge, the number of times of rescue, the unplanned reoperation, the payment method, the total charge, the operation charge, the western medicine charge, the Chinese patent medicine charge, and the like, may be queried.
Although not shown in fig. 2, in one embodiment, the method further comprises summarizing the automatic troubleshooting and/or the automatic troubleshooting during the day in a query time range, presenting a summary report for statistics and public use, and also being used for department quality assessment and performance assessment. The related management station accounts can also be electronized, so that further statistical analysis is facilitated. Although not shown in FIG. 2, in one embodiment, the method may further include sending an alert of the rectification to the relevant doctor/department with the problem; and/or to have the relevant doctor/department, etc. perform examination and modification; and/or training/learning the relevant doctor/department; and/or generating and transmitting normative medical records for HIS electronic medical record entry.
Fig. 3 schematically shows a flow chart of an example of a method according to an embodiment of the invention. In one embodiment, the method can be used for realizing department and operation monitoring, and bugs existing in operation management can be found through query, so that operation management and control quality can be improved. In one embodiment, the system 100 of fig. 1 (e.g., the automated review module 106 and/or the daytime automated review module 108) may utilize the method to perform automated review to manage the quality of the procedure in real-time. According to one aspect of the invention, the method may be used to achieve full coverage management for departments and physicians.
As shown in fig. 3, at block 302, the intelligent management system may be logged in via a login account number and password assigned to each department, etc. for account management (block 304) and/or to the patient and surgery module (block 306) for troubleshooting. For example, the query may be divided into a functional department query and/or a department query, and the physician may also perform the personal query by using the department password.
Referring to fig. 3, in response to entering the department and surgery module, an automatic query may be made (block 310) corresponding to the input time based on the input query time (block 308). Similar to that described in FIG. 2, the query time range may be by year, season, month, day.
Referring to fig. 3, in block 310, an automatic query may be performed, such as a query of a department, a number of doctors, a number of patients, a number of operating stations, a number of main operating stations, a number of 1-level assistance stations, a number of 2-level assistance stations, a primary operation, a secondary operation, a tertiary operation, a quaternary operation, an unscheduled reoperation, and a daytime operation, while various operating departments, professional groups, doctors, patients, and the like may be managed, but the present invention is not limited thereto. At block 312, department completion corresponding to the input query time may be obtained. At block 314, the personal accomplishment of the physician corresponding to the input time may be further obtained.
Although not shown in fig. 3, in one embodiment, the method further comprises summarizing the automatic troubleshooting and/or the automatic troubleshooting during the day in a query time range, presenting a summary report for statistics and public use, and also being used for department quality assessment and performance assessment. For example, the summary may be displayed, the percentage of department completion is displayed, the department is clicked, i.e., a specific physician can be seen, the procedure can be queried, and the procedure quality control loop node is finally determined. The related management station accounts can also be electronized, so that further statistical analysis is facilitated. In another embodiment, the method further comprises inquiring the hierarchical management condition of the hospitalized operation in the department, the operation amount, whether the override operation exists and the like through department authorization, so as to realize self management and control. Although not shown in FIG. 3, in one embodiment, the method may further include sending an alert of the rectification to the relevant doctor/department with the problem; and/or to have the relevant doctor/department, etc. perform examination and modification; and/or training/learning the relevant doctor/department; and/or generating and transmitting normative medical records for HIS electronic medical record entry.
As described above, the intelligent monitoring system and method of the invention can automatically inquire and monitor the operation grade in real time by a computer according to the requirements of laws and regulations such as national medical quality management method, medical technology clinical application management method, medical institution operation grading management method and the like, and according to related operation management systems such as eighteen medical quality safety core systems, operation grading management system, unplanned reoperation management system, operating doctor qualification admission approval management system and the like in hospitals and/or the standard of operation grading catalogue library of 2015 edition in a determined area and the like, generate data, and simultaneously perform intelligent monitoring on the unplanned reoperation, reduce operation complications, ensure medical safety and improve operation supervision capability and informatization management level. In addition, the invention can also be used for automatically extracting management and control data, automatically checking at regular time, generating reports, managing and controlling all hospitalized operations in the whole hospital, managing and controlling to departments, doctors and each operation, and realizing traceability, thereby preventing the condition that the clinical departments do not report or give a report. Moreover, the department can inquire the hierarchical management condition of the hospitalization operation in the department, the operation amount, whether the override operation exists or not through authorization, and self control is realized.
In addition, according to the invention, the data acquisition can be independent of the processing mode of the HIS system data interface. The method can use an Extract-Transform-load (ETL) technology of the big data independent of a data interface to build a big data hardware service framework in a hospital intranet and support an infinite expansion configuration cluster mode, thereby realizing the automatic extraction, conversion and display of the used data.
Moreover, the invention is very convenient and fast, can pointedly prompt the operation and the doctor with problems, and then supervises, urges and improves through telephone communication, thereby reducing the workload of manual examination and improving the timely examination coverage rate of the medical record to full coverage. In addition, the invention can directly carry out precise quality control and promote education work, the examination can be mastered by management departments, and the information of automatic examination can be opened to the chief and the doctor of each department, thereby facilitating self examination and improvement, facilitating the information collection, statistics, analysis, comparison and feedback of the operation management conditions of each medical institution, carrying out scientific, reasonable and fair evaluation on the operation grading management of each medical institution, and promoting the management and performance evaluation of each medical institution on the operation quality. In addition, the relevant data can be automatically queried periodically/aperiodically to update the examined surgical situation in real time. In addition, the invention has high management and control efficiency, can avoid the condition of reporting and reporting under the control, can not only carry out after-the-fact supervision, but also provide the warning and in-the-fact supervision in advance. In addition, the invention can realize not only the final quality control but also the link quality control.
The foregoing shows and describes the general principles and features of the present invention, together with the advantages thereof. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed.
Claims (10)
1. An intelligent monitoring system, comprising:
an automatic review module for reviewing surgery and/or unplanned reoperations, and
a day automatic investigation module for investigating a day surgery operation and/or an unplanned operation.
2. The intelligent monitoring system of claim 1, wherein the automatic troubleshooting module comprises:
a patient and surgery module for screening for surgery and/or unscheduled re-surgeries to obtain all surgery-related and/or personal surgery conditions corresponding to the query time; and/or performing a surgical and/or unscheduled re-surgery investigation based on the patient's surgery related information to obtain a desired surgery related condition and/or a personal surgery condition corresponding to the query time; and/or the patient and operation module is used for inquiring one or more of a case number, a patient name, an admission time, an discharge time, a sex, an age, a number of hospitalizations, a discharge department, a discharge ward, a resident, an admission department, an admission ward, a main diagnosis, a disease code, other diagnoses, rescue times, an unplanned reoperation, a payment mode, a total cost, an operation treatment cost, a western medicine cost and a Chinese patent medicine cost; and/or the patient procedure related information comprises one or more of an input procedure code, a procedure name, an unplanned, a day procedure, a patient name, a doctor name, a 1-physician, and/or a 2-physician; and/or
The department and operation module is used for checking operations and/or unplanned reoperations to obtain the completion condition of the department and/or the completion condition of individuals; and/or the department and operation module is used for inquiring the department, the number of doctors, the number of patients, the number of operation tables, the number of main tools, the number of 1 assisted tables, the number of 2 assisted tables, the primary operation, the secondary operation, the tertiary operation, the quaternary operation, the unscheduled reoperation and the daytime operation, and can be controlled to one or more of each operation department, professional group, doctors and patients.
3. The intelligent monitoring system according to claim 1 or 2, wherein the automatic daytime troubleshooting module is used for conducting daytime troubleshooting on operation and/or unplanned reoperation of troubleshooting by the automatic troubleshooting module and feeding a daytime troubleshooting result to the automatic troubleshooting module; and/or the daytime automatic troubleshooting module periodically and/or aperiodically performs daytime troubleshooting; and/or the day automatic checking module checks the day according to a period of checking once every four hours.
4. The intelligent monitoring system according to claim 1 or 2, further comprising:
and the examination passing module is used for sending the notification that the automatic examination module passes the examination to the automatic daytime examination module and/or notifying the automatic daytime examination module of the operation and/or the unplanned reoperation of the examination passing the automatic examination module.
5. The intelligent monitoring system according to claim 1 or 2, further comprising a summarizing module for summarizing the troubleshooting results of the automatic troubleshooting module and/or the daytime automatic troubleshooting module; the summarizing module is used for summarizing the investigation results of the automatic investigation module and/or the daytime automatic investigation module; and/or a notification rectification module for sending rectification notifications to the relevant doctors/departments with problems; and/or a checking and correcting condition module for checking and correcting relevant doctors/departments and the like; and/or a doctor training/learning module for training/learning the relevant doctor/department; and/or the normative medical record generating module is used for generating normative medical records and transmitting the normative medical records to the hospital information system electronic medical record input module.
6. A method, characterized by comprising:
automatic investigation of operative and/or unplanned reoperations, and
performing automatic daytime examination on the daytime operation and/or the unplanned operation.
7. The method of claim 6, wherein the automatically troubleshooting comprises:
automatically examining the patient and the operation to obtain all operation-related conditions and/or personal operation conditions corresponding to the query time, and/or examining the operation and/or the unplanned reoperation according to the operation-related information of the patient to obtain required operation-related conditions and/or personal operation conditions corresponding to the query time; and/or the patient and surgery automatic investigation comprises one or more of a query case number, a patient name, an admission time, an discharge time, a gender, an age, a number of hospitalizations, a discharge department, a discharge ward, a resident, an admission department, an admission ward, a main diagnosis, a disease code, other diagnoses, rescue times, unscheduled reoperations, a payment method, a total cost, a surgery treatment cost, a western medicine cost and/or a patent medicine cost; and/or the patient procedure related information comprises one or more of an input procedure code, a procedure name, an unplanned, a day procedure, a patient name, a doctor name, a 1-physician, and/or a 2-physician; and/or
The department and the operation are automatically checked to check the operation and/or the unplanned reoperation so as to obtain the completion condition of the department and/or the personal completion condition; and/or the automatic examination of departments and operations comprises inquiring the departments, the number of doctors, the number of patients, the number of operation tables, the number of main tools, the number of 1 assistant tables, the number of 2 assistant tables, the primary operation, the secondary operation, the tertiary operation, the quaternary operation, the unscheduled reoperation and the daytime operation, and can be controlled to one or more of the operation departments, the professional groups, the doctors and/or the patients.
8. The method according to claim 6 or 7, characterized in that the automatic daytime examination includes performing daytime examination on a surgery and/or an unplanned reoperation by the automatic examination and feeding a result of the daytime examination to perform automatic examination; and/or the daytime automatic troubleshooting comprises periodic and/or aperiodic performing daytime troubleshooting; and/or the daytime automatic investigation is carried out according to a period of once every four hours.
9. The method according to claim 6 or 7, further comprising sending a notification of the passage of automatic investigation and/or a surgery and/or an unplanned reoperation by the automatic investigation for the automatic investigation during the day, upon passage of automatic investigation.
10. The method according to claim 6 or 7, further comprising aggregating the automatic troubleshooting and/or the automated daytime troubleshooting results; and/or sending an alert of the correction to the relevant doctor/department with the problem; and/or to have the relevant doctor/department, etc. perform examination and modification; and/or training/learning the relevant doctor/department; and/or generating and transmitting normative medical records for hospital information system electronic medical record entry.
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