201128431 六、發明說明： 【發明所屬之技術領域】 本發明是一種護士行動查房系統，其是與電子病歷與數 位資料處理有關的系統裝置。 【先前技術】 隨著醫療系統的發展與完善，先進的醫療設備為人類 帶來許多福祉，而當人類患病而需住院觀察治療時也能 倚賴醫院裡的醫護人員提供最完善的照護，由此可知，醫 中的4 «I人員疋需隨時待命以提供病患最安全的， 而醫護人員每曰的工作就是需要定技埋# ^ ''° 次』， 卞沈疋需要疋時帶著負責病患的病歷 貝，’並逐—檢核每位病患所需的照護事項並手動登錄於 7資料中’而當護士之間有工作的交接時，各個護士之 :都需倚賴手寫記錄的病晴以得知每位病患的醫療狀 如此:^診的f生也是必須以同樣的方式得知， 此，手寫§己錄的病界咨 帶來更多^上的壓:，且=對已1作繁重的醫護人員 病患資料的需求，如此亦將“法提供醫護人員即時查詢 務，有鑑於此’本發明人^，供病患最優質的照護服 次研發試作後，終於發日月^2並更深人構思，歷經多 【發明内容】 種遵士行動查房系統。 本發明目的在提供一 人員藉由行動裝置進杆5仃動查房系統，其可供醫護 一房’其可減少病歷記錄紙本需求及 201128431 手動抄寫病歷可能造成之人為疏失，提升醫療照護品質並減 少護士的工作量，讓其能專心專職照護住院病患，簡化護士 交接班工作，降低工作壓力。 為達前述目的，本發明提供一種護士行動查房系統，包 含： 一網頁伺服器，包含一網際網路子系統，該網際網路 子系統架構於該網頁伺服器上，該網際網路子系統包含一 • 供醫生、護士、住院病患/家屬、訪客使用的網站，使用 者藉由網站首頁登入該子系統； 一資料庫伺服器，包含一權限選擇系統、一後端資料 庫，該資料伺服器與該網頁伺服器連接，並使該網際網路 . 子系統於使用者登入時，透過資料庫伺服器存取後端資料 庫，把使用者資料傳送至權限選擇系統，藉權限選擇系統 驗證使用者身份，並於使用者身分驗證成功後，完成使用 籲者登入工作，進入網際網路子系統； 一行動裝置，包含一行動裝置子系統，該行動裝置可 以是個人數位助理（PDA, Digital Assistant)、智慧型手 機（Smartphone)或平板電腦（Tablet PC)…等，具有微處 理器及作業系統的可攜式行動裝置。該行動裝置子系統運 行於行動裝置之作業系統下，且該行動裝置子系統與行動 裝置資料庫連接，可存取行動裝置資料庫内的資料；以及 一行動裝置資料庫，内含一複寫單元，該複寫單元可 201128431 藉由行動裝置上的網路通訊模組，以有線或無線網路通訊 連線方式，存取該資料庫伺服器上的後端資料庫。在護士 登入行動裝置子系統後，將採有線或無線網路通訊連線方 式’連接到資料庫伺服器，以後端資料庫複寫至行動裝置 資料庫，更新行動裝置資料庫，在護士完成登出行動裝置 子系統前，亦將採有線或無線網路通訊連線方式，連接到 資料庫伺服器，以行動裝置資料庫複寫至後端資料庫，更 新後端資料庫。 使用行動裝置子系統輔助護士進行查房，可藉由行動 裝置上網路通訊模組’採有線或無線通訊連線方式’連接 到資料庫伺服器，取得住院病患相關資訊，據以進行醫療 照護，紀錄並回報醫療照護與醫囑執行結果，減少病歷記 錄紙本需求及手動抄寫病歷可能造成之人為疏失，降低工 作壓力，提升醫療照護品質。使用該行動裝置子系統’亦 可讓護士交接班時無需記憶住院病患相關資料，只需交接 行動裝置’即可完成交接班工作’減少護士的工作量’讓 其能專心專職照護住院病患，簡化護士交接班工作’提升 工作效能。 使用網際網路子系統，藉由建置網站共享後端資料庫的 方式’讓醫生在診間，可透過網頁新増醫囑或追蹤醫囑執行 狀況；讓護士在護理站，可透過行動裝置及網頁來查詢/處 理住院病患照護之已辦/待辦事項、查詢醫生所新增的醫 201128431 囑，並回報醫囑執行狀況；讓訪客在特別設置的上網位置， 可透過網頁來查詢住院病患之病房資訊；讓住院病患及其家 屬在病房或特別設置的上網位置，可透過網頁來查詢住院病 患的相關資訊。使醫生、護士、訪客、住院病患及其家屬， 得以透過網頁得到其所屬權限許可的住院病患相關資訊， 掌握住院病患的最新訊息。 【實施方式】 為使責審查委員對本發明之目的、特徵及功效能夠有 更進一步之瞭解與認識，以下茲請配合【圖式簡單說明】 祥述如后： 本發明遵士行動查房系統的較佳實施例如第1至3圖 所示，包含： 一網頁伺服器10，包含一網際網路子系統11，網際 、周路子系統11與網頁伺服器10連接，該網際網路子系統 11包含一供醫生、護士、住院病患/家屬、訪客使用的網 站’該網際網路子系統11架構於網頁伺服器10上，使用 者藉由網站首頁登入網際網路子系統11 ; 一資料庫伺服器20，包含一權限選擇系統21連接_ 後端資料庫22，該資料庫伺服器20與該網頁伺服器1〇 連接，使用者由該 網頁伺服器10登入該網際網路子系統 11 ’登入後透過該資料庫伺服器20上的權限選擇系統 21 ’依使用者身份選擇其資料使用權限，而該後端資料庫 201128431 22内存放使用者（包括醫生、護士、病患/家屬及訪客） 相關資料與住院病患相關資料（包括病患基本資料、病 歷、住院病房、醫囑、所需照護事項、手術、檢驗…等資 料），該權限選擇系統21依所屬權限存取存取該後端資料 庫22内其所屬權限許可的資料，再將其所需之已授權資 料回傳至網際網路子系統11供使用者瀏覽； 一行動裝置30,包含一行動裝置子系統31，該行動裝 置30可以是個人數位助理、智慧型手機或平板電腦··· 等，具有微處理器及作業系統的可攜式行動裝置，該行動 裝置子系統31運行於行動裝置30之作業系統下； 一行動裝置資料庫40，内含一複寫單元41，該行動 裝置資料庫40與該行動裝置子系統31連接，該行動裝置 子系統31可存取該行動裝置資料庫4〇内的資料，而該複 寫單元41藉由行動裝置30上的網路通訊模組，以有線戈 無線網路通訊連線方式，存取該資料庫伺服器2〇上的後 端資料庫22内的資料，在護士登入行動裝置子系統31 後’將採有線或無線網路通訊連線方式，連接到資料庫飼 服器20，以後端資料庫22複寫至行動裝置資料庫4〇，更 新行動裝置資料庫40,在護士完成登出行動裝置子系統 31前’亦將採有線或無線網路通訊連線方式，連接到資 料庫伺服器20,以行動裝置資料庫40複寫至後端資料庫 22 ’更新後端資料庫22。 201128431 u上為本發明護士行動查房系統之系統架構當要使 用該系統時，使用者可依需求選擇由該網際網路子系統 11或該行動裝置子系統3G登人，網際網路子系統u的 流程示意圖，如第2圖所示，該網際網路子系统、u可供 使用者藉劉覽系統首頁方式登入網際網路子系統n，當 ^用者登人時，該權限選擇系統21依使用者身分選擇其 身料使用權限’並依使用者所屬權限存取後端資料庫22 •⑽屬權限資料並回傳至網際網路子系統u供使用者劇 覽由於醫生及護士疋進行病患照護工作的主要工作者，因此醫 生及護士得到的權限值能夠存取住院病患的相關醫療上的明細 及資料，以便進行住院病患的照護或問診，且醫生存取的住院病 ‘ 4¥料中之病患Μ會與護士存取的住院病患資料之病患所需 •照4事項相互連結，如此醫生若有交付新的料，就能同步更新 • 至護士存取的住院病患所該護事射，使護士能隨時回報醫生 對住Ptl病患醫翻執行狀況，且醫生對住院病患的料及護士對 住院病患所需的照護事項X可分為待辦部分及已辦部分，藉此供 醫生或4 士織時掌握住院病患的狀況。若是住院病患/家屬登 入’所得到的權限值雌能存取醫生㈣或護士叮相注意事 項。此外，若是訪客登入，訪客得到的權限值則僅能存取住院病 患的病房資訊，查詢住院病患所住的病房，以便訪客探視住院病 患。 右護士選擇制行絲置以行動I置子祕3G登入，使用 201128431 該行動裝置子系統30的％ 攜帶—台行動裝置，藉行二二二，如第3圖所示，護士僅需 31 ’登入後與該行、、統30叙行_置子系統 複寫單元41會進_、、充1連接的行動裝置資料庫4〇的 庫22複寫至行動裝置内的後端資料 * 貝科庫40,使該行動裝置資祖 庫她器20内的後端資料庫2 料庫40與資料 依照該行動裝置資料庫4;:、進：二步’如此護士就能 而當護士對病_ ^ ^進订病患所需之醫療照護， 届患進仃所需之醫麵護後，财在杆叙壯 31内紀錄並回報的醫 、置子系統 動裝置子系統31登出屬^結果’將於護士使用完行 41，將行動别 裝置資料庫40内的複寫單元 仃動裝置貝料庫4〇複寫至資料庫伺服器2〇上的後端資料 庫22，更新後端資料庫22，使後端資铒廑％ At ’ 庫《上的資料保持同步。22能與行動裝置資料 綜上所述，本發明護士行動查房系統的後端資料庫22斑行動 裝置資料庫40的資料同步，使網際網路子系統π與行動裝置子 系統3〇能同步連結更新’而行動裝置子系統30則讓護士能僅需 攜帶行動裝置就能即時查詢病患狀況與所錢護事項，因此不需 耗時費力地進行書©病歷資料撰寫，得以將病患醫療照護資料數 位化，並透過資料縣統合併複寫的方式_#料的及時同步更 新的效果，藉此大幅降低護士的行政工作，使護士能專心照護病 患，提供住院病患更優良的醫療照護品質。 201128431 【圖式簡單說明】 第1圖 4本發明護士行動查房系統的系統架構圖。 第2圖林發明護士行動查房系統中網際網路子系統的運作 流程圖。 =護士行動查房系統中行動裝置蝴的運作 第3圖 【主要元件符號說明】201128431 VI. Description of the Invention: [Technical Field of the Invention] The present invention is a nurse action ward round system, which is a system device related to electronic medical record and digital data processing. [Prior Art] With the development and improvement of medical systems, advanced medical equipment has brought many benefits to human beings. When human beings are sick and need to be hospitalized for observation and treatment, they can rely on the medical staff in the hospital to provide the most complete care. It can be seen that the 4 «I personnel in medical treatment need to be on standby to provide the safest patient, and the work of the medical staff needs to be fixed every time. #^ ''° times, Responsible for the patient's medical record, 'and check the care items required for each patient and manually log in 7 data' and when there is a job handover between nurses, each nurse needs to rely on handwritten records The morbidity of the disease to know the medical condition of each patient is the same: the diagnosis of the birth must also be learned in the same way, this, handwritten § recorded by the medical community to bring more pressure on the ^: = The need for a heavy medical staff patient's data, so "the law will provide medical staff with instant enquiry, in view of this, the inventor ^, for the patient's best quality care service after the development of the test, finally Sending the sun and the moon ^2 and deeper people conceived SUMMARY OF THE INVENTION The present invention aims to provide a person to use the mobile device to move the ward round system 5, which can be used for medical treatment of a room, which can reduce the need for medical record paper and 201128431 manual Copying medical records may cause human error, improve the quality of medical care and reduce the workload of nurses, so that they can concentrate on full-time care of inpatients, simplify the work of nurses and reduce the pressure on work. To achieve the above purposes, the present invention provides a nurse action The rounds system comprises: a web server comprising an internet subsystem, the internet subsystem is structured on the web server, the internet subsystem comprises: a doctor, a nurse, a hospitalized patient/family, The website used by the visitor, the user logs in to the subsystem through the homepage of the website; a database server includes a permission selection system and a back-end database, and the data server is connected to the web server, and the network is connected to the web server The sub-system accesses the back-end database through the database server when the user logs in, and the user data is accessed. Send to the permission selection system, use the permission selection system to verify the identity of the user, and after the user identity verification is successful, complete the use of the caller login work, enter the Internet subsystem; a mobile device, including a mobile device subsystem, the action The device may be a personal digital assistant (PDA, Digital Assistant), a smart phone or a tablet PC, etc., a portable mobile device having a microprocessor and an operating system. Under the operating system of the mobile device, the mobile device subsystem is connected to the mobile device database to access the data in the mobile device database; and a mobile device database includes a replication unit, which can be borrowed from 201128431 The network communication module on the mobile device accesses the back-end database on the database server by wired or wireless network communication. After the nurse logs into the mobile device subsystem, the wired or wireless network communication connection method is connected to the database server, the later database is rewritten to the mobile device database, the mobile device database is updated, and the nurse completes the logout. Before the mobile device subsystem, the wired or wireless network communication connection mode is also connected to the database server, and the mobile device database is rewritten to the back-end database to update the back-end database. Using the mobile device subsystem to assist the nurses in ward rounds, the mobile communication module on the mobile device can be connected to the database server by wired or wireless communication connection to obtain information about the hospitalized patients, and medical care is provided accordingly. Record and report the results of medical care and medical orders, reduce the need for medical records on paper records and manually copy the medical records may cause human error, reduce work pressure and improve the quality of medical care. The use of the mobile device subsystem can also allow nurses to hand over the shift without having to memorize the patient-related information. Simply hand over the mobile device to complete the handover work and reduce the workload of the nurses so that they can concentrate on the full-time care of the hospitalized patients. To simplify the work of nurses to transfer jobs to improve work efficiency. Using the Internet Subsystem, by building a website to share the back-end database, 'allowing doctors to visit the clinic, you can use the web page to find new doctors or track the execution status of the doctor's office; let the nurses at the nursing station, through mobile devices and web pages. Inquire/handle the in-patient/to-do list of inpatient care, check the doctor's new doctor 201128431 嘱, and report the doctor's execution status; let the visitor in the specially set online location, you can check the inpatient ward through the webpage Information; let inpatients and their families in the ward or specially set up online location, you can use the webpage to find information about inpatients. Enable doctors, nurses, visitors, hospitalized patients and their families to obtain information on inpatients with permission from their websites and keep up to date with the latest information on inpatients. [Embodiment] In order to enable the reviewing committee to have a better understanding and understanding of the purpose, features and effects of the present invention, please refer to the following [simplified description of the schema] as follows: The invention complies with the action ward rounding system The preferred embodiment, as shown in Figures 1 to 3, comprises: a web server 10 comprising an internet subsystem 11, the internet, peripheral subsystem 11 being connected to the web server 10, the internet subsystem 11 comprising a The website used by the doctor, the nurse, the hospitalized patient/family, and the visitor's network subsystem 11 is configured on the web server 10, and the user logs into the Internet subsystem 11 through the homepage of the website; a database server 20, including A permission selection system 21 is connected to the backend database 22, and the database server 20 is connected to the web server 1〇, and the user logs in to the internet subsystem 11 by the web server 10' The permission selection system 21' on the server 20 selects its data usage rights according to the user identity, and the backend database 201128431 22 stores users (including doctors, Nurses, patients/families and visitors) Relevant information and information about hospitalized patients (including basic patient information, medical records, inpatient wards, medical orders, required care items, surgery, inspections, etc.), the authority selection system 21 The privilege accesses and accesses the data in the backend database 22 to which the privilege is permitted, and then returns the required authorized data to the Internet subsystem 11 for browsing by the user; a mobile device 30 includes an action The device subsystem 31, the mobile device 30 may be a personal digital assistant, a smart phone or a tablet, etc., a portable mobile device having a microprocessor and an operating system, the mobile device subsystem 31 running on the mobile device Under the operating system 30, a mobile device database 40 includes a replication unit 41, and the mobile device database 40 is connected to the mobile device subsystem 31, and the mobile device subsystem 31 can access the mobile device database 4 The data in the network, and the replication unit 41 accesses the database by means of a network communication module on the mobile device 30 in a wired wireless network communication connection manner. The data in the backend database 22 on the device 2 is connected to the database feed device 20 and the rear database 22 after the nurse logs into the mobile device subsystem 31. Rewriting to the mobile device database 4, updating the mobile device database 40, and before the nurse completes the logout mobile device subsystem 31, the wired or wireless network communication connection mode is also connected to the database server 20 to The mobile device repository 40 is overwritten to the backend repository 22' to update the backend repository 22. 201128431 u is the system architecture of the nurses' ward rounding system of the present invention. When the system is to be used, the user can select the Internet subsystem 11 or the mobile device subsystem 3G to be selected according to the needs, the Internet subsystem u The flow diagram, as shown in Figure 2, the Internet subsystem, u can be used by the user to log in to the Internet subsystem n by means of the Liuguan system homepage. When the user logs in, the permission selection system 21 depends on the user. The identity selects the user's right to use 'and accesses the back-end database according to the user's own permissions. 22 · (10) belongs to the authority data and returns to the Internet subsystem u for the user's drama. Doctors and nurses perform patient care work. The main worker, so the doctor and nurse get the permission value to access the relevant medical details and information of the hospitalized patient, in order to carry out the care or consultation of the hospitalized patient, and the doctor's access to the hospitalized disease The patient will be connected to the patient's data accessed by the nurse and connected to the patient's information. If the doctor delivers new materials, they can be updated simultaneously. The inpatient hospital will take care of the incident, so that the nurse can return the doctor to the Ptl patient's medical treatment at any time, and the doctor's information on the hospitalized patient and the nurse's care items for the hospitalized patient can be divided into pending. Part and part of the work, so that the doctor or the 4th weaver can grasp the condition of the hospitalized patients. If the patient/family is admitted to the hospital, the female can access the doctor (4) or the nurse's attention. In addition, if the visitor logs in, the visitor's permission value can only access the inpatient ward information and check the inpatient ward's ward so that the visitor can visit the hospitalized patient. The right nurse chooses the line to set up the action to set up the 3G login, using the 201128431. The mobile device subsystem 30 carries the mobile device, borrowing 222, as shown in Figure 3, the nurse only needs 31 ' After logging in, the library 22 of the mobile device database 4 that is connected to the line, the system, and the system is rewritten to the back end data in the mobile device. * Bekoku 40 So that the mobile device is vested in the back-end database 2 in the library 20 and the data is in accordance with the mobile device database 4;:, into: two steps 'so nurse can be a nurse to the disease _ ^ ^ In order to enter the medical care required by the patient, after the medical treatment required for the patient, the doctor and the subsystem of the medical device and the sub-system are listed in the report. After the nurse finishes using the operation 41, the replication unit of the mobile device database 40 is rewritten to the backend database 22 on the database server 2, and the backend database 22 is updated. The data on the backend asset % At 'Library' is kept in sync. 22 can be combined with the mobile device data, the data of the back-end database 22 of the nurse action ward round system of the present invention is synchronized, so that the Internet subsystem π and the mobile device subsystem 3 can be synchronized. Update 'and the mobile device subsystem 30 allows the nurse to instantly check the patient's condition and the money protection items with only the mobile device, so it is not necessary to take time and effort to write the book medical record data, so that the patient can be medically cared for The data is digitized, and the effect of timely synchronization of the materials in the county is combined with the data, so as to greatly reduce the administrative work of the nurses, so that the nurses can concentrate on caring for the patients and provide better medical care quality for the hospitalized patients. . 201128431 [Simple description of the diagram] Figure 1 is a system architecture diagram of the nurses' ward rounding system of the present invention. Figure 2: Flow chart of the operation of the Internet subsystem in the inventor's mobile ward round system. = Operation of the mobile device butterfly in the nurses' ward round system. Figure 3 [Main component symbol description]
網頁伺服器10 資料庫伺服器20 後端資料庫22 行動裝置子系統31 複寫單元41 網際網路子系統1 1 權限選擇系統21 行動裝置30 行動裝置資料庫4〇Web server 10 database server 20 back-end database 22 mobile device subsystem 31 replication unit 41 internet subsystem 1 1 permission selection system 21 mobile device 30 mobile device database 4〇
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