CN102068309A - Clinical path implementation method and medicinal information management system containing clinical path data - Google Patents
Clinical path implementation method and medicinal information management system containing clinical path data Download PDFInfo
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- CN102068309A CN102068309A CN2009102238916A CN200910223891A CN102068309A CN 102068309 A CN102068309 A CN 102068309A CN 2009102238916 A CN2009102238916 A CN 2009102238916A CN 200910223891 A CN200910223891 A CN 200910223891A CN 102068309 A CN102068309 A CN 102068309A
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Abstract
The invention discloses a clinical path implementation method based on a computer network system. The computer network system comprises a user terminal with a display screen, a medicinal information management system stored with clinical path data, and a communication network for connecting the user terminal with the medicinal information management system. The clinical path implementation method comprises: the user terminal transmits specific diagnosis results to the medicinal information management system through the communication network; the medicinal information management system configures corresponding clinical path steps according to the specific diagnosis results; and the medicinal information management system automatically executes the clinical path steps. The method for implementing clinical paths with the aid of the computer network system is greatly convenient for daily work of clinical doctors and nurses, improves the implementation efficiency of the clinical paths, and ensures the implementation reliability of the clinical paths.
Description
Technical field
The present invention relates to a kind of therapy, relate in particular to a kind of clinical path implementation method based on computer network system.
The invention still further relates to a kind of medical system, relate in particular to a kind of medical information management system that comprises the clinical path data.
Background technology
Early stage clinical diagnosis and treatment often all proposes diagnosis and treatment project to patient according to oneself diagnosis and treatment thinking by each doctor, but because each doctor's thinking and experience have nothing in common with each other, the result also can produce different medical effects, thereby is unfavorable for the control of quality of medical care.In addition, for same sick the kind, because each doctor's diagnosis and treatment scheme difference, the expense that causes producing also can be different, so, might produce unnecessary medical expense.For addressing the above problem, people wish to find out a kind of diagnosis and treatment standard mode, make the patient in the while in hospital, receive diagnosis and treatment according to standardized diagnosis and treatment scheme, and can reach desired therapeutic effect.So, quality of medical care can be guaranteed on the one hand, also medical expense can be controlled on the other hand.For this reason, the nineties in last century, take the lead in having proposed at single sick diagnosis and treatment standard mode---clinical path of planting quality and cost management in the U.S..
Clinical path is at certain disease (or operation), with time is transverse axis, with desirable nursing means such as the guidance of being admitted to hospital, diagnosis, inspection, medication, treatment, nursing, diet guide, the plans of educating, leave hospital is the longitudinal axis, formulates standardization treatment nursing flow process (clinical path table).Its function is that the form of utilization chart provides the time, orderly, effectively looks after, and with control of quality and funds, is a kind of whole medical nursing work pattern.Clinical path shortens average time in hospital day by the defining standard hospital day, goes up unnecessary difference to reduce treatment; Simultaneously, can rationally arrange the time and expense, reduce medical treatment cost according to state of an illness needs; And, standard diagnosis and nursing means, the treatment nursing that makes the patient obtain preferred plan is looked after; In addition, also cultivate doctor, nurse's self-disciplining, strengthened the medical care cooperation.
Yet diagnosis and treatment campaign item involved in the clinical path is various, for need contacting many different sick doctor and nurses that plant every day, oneself remembers and manage the project that must carry out these every days if depend alone, is a very thing of difficulty.Because, if miscarriage just might cause omission or mistake to examine, and further may cause malpractice.In view of this, be necessary to provide a kind of supplementary means to implement the clinical path method to address the above problem.
Summary of the invention
The object of the present invention is to provide a kind of clinical path implementation method, this method is implemented based on computer network system, thereby guarantees the reliability implemented, has improved enforcement efficient simultaneously.
Another object of the present invention is to provide a kind of medical information management system, it stores the clinical path data, and automatically performs the clinical path step, thereby guarantees the reliability that clinical path is implemented, and has improved the efficient of implementing.
To achieve these goals, a kind of clinical path implementation method of the present invention based on computer network system, wherein computer network system comprises the user terminal with display screen, the communication network that stores the medical information management system of clinical path data and connect described user terminal and described medical information management system; Described clinical path implementation method comprises the steps:
User terminal is sent to medical information management system with the particular diagnosis result by communication network;
Medical information management system disposes corresponding clinical path step according to described particular diagnosis result;
Medical information management system automatically performs described clinical path step.
To achieve these goals, a kind of medical information management system of the present invention, can transmit information by communication network and user terminal, this medical information management system comprises processing module and memory module, wherein store the clinical path data in the memory module and carry out a kind of software of method by processing module, this method comprises:
Reception is from the particular diagnosis result of user terminal;
Dispose corresponding clinical path step according to described particular diagnosis result;
Automatically perform described clinical path step.
As a further improvement on the present invention, described particular diagnosis result comprises the personal information and the sick kind information of given patient.
As a further improvement on the present invention, the personal information of described given patient comprises the name or the medical record number of given patient.
As a further improvement on the present invention, the disease kind information of described given patient comprise disease plant title or with the relevant checkup item of this disease kind title.
As a further improvement on the present invention, described medical information management system disposes corresponding clinical path step and comprises:
After receiving diagnostic result, diagnostic result and described clinical path data are mated;
The clinical path step that will be complementary with diagnostic result and the personal information of described given patient are related.
As a further improvement on the present invention, this method also comprises: medical information management system is presented at the clinical path step on the display screen of user terminal by communication network.
As a further improvement on the present invention, described clinical path data comprise and the different sick corresponding some clinical path steps of planting.
As a further improvement on the present invention, described clinical path step comprises the some time interval of arranging in certain sequence, and the corresponding diagnosis and treatment campaign item in the corresponding interval.
As a further improvement on the present invention, described medical information management system automatically performs the clinical path step and comprises: judge according to described order whether corresponding diagnosis and treatment campaign item is carried out in time corresponding at interval.
As a further improvement on the present invention, this method also comprises: if corresponding diagnosis and treatment campaign item is not carried out in the time corresponding interval, medical information management system is by communication network display alarm information on the display screen of user terminal.
As a further improvement on the present invention, this method also comprises: when user terminal receives the execution information of corresponding diagnosis and treatment campaign item, the executing state of automatically synchronous this project of medical information management system, and by communication network executed information of display items display on the display screen of user terminal.
As a further improvement on the present invention, the clinical path data also comprise the required expense reference value of the corresponding diagnosis and treatment campaign item of execution; Implementation method also comprises:
Medical information management system receives the actual cost value that the corresponding diagnosis and treatment campaign item of execution come from user terminal is produced by communication network;
Whether there are differences between medical information management system comparison actual cost value and the corresponding cost reference value;
As variant, then medical information management system shows the information of described expense variance on the display screen of user terminal by communication network.
As a further improvement on the present invention, this method also comprises: medical information management system receives the clinical data that comes from user terminal by communication network.
As a further improvement on the present invention, this method also comprises: medical information management system shows described clinical data according to the query requests of user terminal by communication network on the display screen of user terminal.
As a further improvement on the present invention, described clinical data comprises audit report, MAR or progress note.
Compared with prior art, the invention has the beneficial effects as follows: owing to implement the clinical path method and manage the clinical path execution in step by medical information management system by computer network system, greatly facilitate clinician and nurse's routine work, improve the efficient that clinical path is implemented, and guaranteed the reliability that clinical path is implemented.
Description of drawings
Fig. 1 is used for the auxiliary schematic block diagram of implementing the computer network system of clinical path method;
Fig. 2 is the FB(flow block) of clinical path implementation method of the present invention;
Fig. 3 A is the sick clinical path table of planting of a concrete example to Fig. 3 C;
Fig. 4 A is to the part screenshot capture of Fig. 4 C user terminal that is Fig. 3 A in the clinical path implementation process of the disease kind shown in Fig. 3 C.
The specific embodiment
Clinical path implementation method of the present invention is based on computer network system shown in Figure 1 and assists and realize.As shown in Figure 1, computer network system 100 comprises medical information management system 10, some user terminals 30 and the communication network 20 of realizing communication between medical information management system 10 and user terminal 30.Well-known to those skilled in the artly be the software that medical information management system 10 and user terminal 30 generally include computer hardware and can carry out by these hardware.Wherein hardware comprises processing module and memory module, and processing module can (Central Processing Unit CPU), be used for executing instruction and working procedure for CPU; Memory module can comprise hard disk, read only memory (Read Only Memory, ROM) and random access memory (Random Access Memory RAM), is used for storing chronically or provisionally data and software.
In the present embodiment, medical information management system 10 can be the webserver, by communication network 20 realize with some user terminals 30 between communicate by letter.Store the clinical path data in its memory module, these data comprise corresponding different sick some clinical path steps of planting.Can cooperate with reference to Fig. 3 A to the clinical path table shown in the 3C, the clinical path step comprises the some time interval of arranging in certain sequence, a series of intervals that time sequencing after basis shown in first trip is admitted to hospital is arranged, the unit of this interval can be minute, hour, day or even the week or the moon, specifically decides on different sick kinds.The clinical path step also comprises the corresponding diagnosis and treatment campaign item in the corresponding interval, shown in file among the figure, comprises main diagnosis and treatment campaign item, emphasis doctor's advice, care project etc.Clinical data also comprises different sick clinical expertises of planting, the inspection survey report of corresponding given patient, MAR, progress note, and the required expense reference value of corresponding diagnosis and treatment campaign item etc.The user of user terminal 30 is generally clinician, nurse or other related personnel, it can be personal computer or other subsidiary terminals that display screen is arranged, as smart mobile phone, personal digital assistant (Personal Digital Assistant, PDA) etc., so that user carries out visualized operation.In addition, user terminal 30 also comprises operating equipment, as keyboard, mouse or trace ball etc., the person's of being easy to use input information.Communication network 20 can be LAN, wide area network; The Internet of hospital internal or the Internet; By the cable network of cable connection or the wireless network of communicating by letter with medical information management system 10 by wave point and user terminal 30.
Is that example illustrates clinical path implementation method of the present invention below in conjunction with Fig. 2 to Fig. 4 with sick kind of acute myocardial infarction.
As shown in Figure 3A, in the specific time interval after arriving hospital emergency department, the doctor of emergency department can make corresponding diagnosis for acute myocardial infarction patients rapidly, and judges whether to do emergency operation, and does which kind of operation etc.The doctor of emergency department can be with diagnostic result by user terminal 30 inputs, and medical information management system 10 receives diagnostic result (step 41) by communication network 20 subsequently.This diagnostic result comprises patient's personal information and sick kind information.Wherein patient's personal information comprises patient's name or medical record number, and other some relevant informations (as shown in the tabulation of Fig. 4 A); Diagnostic result then comprise disease plant title or with the relevant checkup item of disease kind title.
Medical information management system 10 disposes corresponding clinical path step (step 42) for patient then.Medical information management system 10 at first mates diagnostic result and clinical path data, promptly inquiry is planted or the corresponding corresponding clinical path step of checkup item with sick in its memory module, after finding, this clinical path step and patient's personal information is associated.So, user can be inquired about corresponding clinical path data according to patient's personal information at user terminal.Shown in Fig. 4 A, during above-mentioned acute myocardial infarction patients hospitalization, the clinician can be by selected this patient of the patient's personal list of information among the figure for understanding its patient's condition, and user terminal 30 sends to medical information management system 10 with query requests by communication network 20 subsequently; Medical information management system 10 inquires this patient's information in its memory module, and related with it clinical path step is presented on the display screen of user terminal 30 by communication network 20.Shown in the sectional drawing of Fig. 4 B, what the first half of screen showed is the clinical path step of this disease kind, promptly corresponding diagram 3A to the clinical path heading of 3B capable in the order interval of arranging.User wants to check concrete step, just can click corresponding path node, shows the specifying information of this step subsequently in the latter half of screen, its correspondence be the required diagnosis and treatment campaign item of finishing in the corresponding interval in the clinical path table.
Next, medical information management system 10 automatically performs selected clinical path step (step 43).Medical information management system 10 can judge whether the interior at interval corresponding diagnosis and treatment campaign item of time corresponding is carried out according to predetermined order.If there is corresponding project not carry out in the official hour interval, then medical information management system 10 is by communication network 20 display alarm information on the display screen of user terminal 30.Shown in Fig. 4 C,, can show to beat and collude the expression executed, and uncompleted project is then left a blank to show prompting for the project of having finished; Preferably, also can deepen or different colours the font of finished item not.In case project is finished, user can be chosen corresponding project by user terminal, and the executing state of 10 automatically synchronous these projects of medical information management system shows executed information by communication network 20 subsequently on the display screen of user terminal 30.Right side field among Fig. 4 A also shows the link of audit report, MAR and progress note in the memory module of having finished and be kept at medical information management system 10.User can be clicked as required and consult, and medical information management system 10 can show corresponding clinical data by communication network 20 according to the query requests of user terminal on the display screen of user terminal.
Be the control medical expense, the expense state of medical information management system 10 in can also dynamic monitoring clinical path implementation.When user is carried out the expense that corresponding diagnosis and treatment campaign item is produced by user terminal 30 inputs, medical information management system 10 is this information synchronously, and this actual cost value and within it corresponding expense reference value of storage compared, as variant, then medical information management system 10 shows the information of this expense variance on the display screen of user terminal by communication network 20, so that user is analyzed the difference place, and when being arranged, problem can in time correct.
Owing to implement the clinical path method and manage the clinical path execution in step by medical information management system by computer network system, greatly facilitate clinician and nurse's routine work, improve the efficient that clinical path is implemented, and guaranteed the reliability that clinical path is implemented.
Claims (10)
1. clinical path implementation method based on computer network system, wherein computer network system comprises the user terminal with display screen, the communication network that stores the medical information management system of clinical path data and connect described user terminal and described medical information management system; It is characterized in that described clinical path implementation method comprises the steps:
User terminal is sent to medical information management system with the particular diagnosis result by communication network;
Medical information management system disposes corresponding clinical path step according to described particular diagnosis result;
Medical information management system automatically performs described clinical path step.
2. clinical path implementation method as claimed in claim 1 is characterized in that, described particular diagnosis result comprises the personal information and the sick kind information of given patient.
3. clinical path implementation method as claimed in claim 2 is characterized in that, the personal information of described given patient comprises the name or the medical record number of given patient.
4. clinical path implementation method as claimed in claim 2 is characterized in that, the disease kind information of described given patient comprise disease plant title or with the relevant checkup item of this disease kind title.
5. medical information management system, can transmit information by communication network and user terminal, it is characterized in that, medical information management system comprises processing module and memory module, wherein store the clinical path data in the memory module and carry out a kind of software of method by processing module, this method comprises:
Reception is from the particular diagnosis result of user terminal;
Dispose corresponding clinical path step according to described particular diagnosis result;
Automatically perform described clinical path step.
6. medical information management system as claimed in claim 5 is characterized in that, described particular diagnosis result comprises the personal information and the sick kind information of given patient.
7. medical information management system as claimed in claim 6 is characterized in that, the corresponding clinical path step of described configuration comprises:
After receiving diagnostic result, diagnostic result and described clinical path data are mated;
The clinical path step that will be complementary with diagnostic result and the personal information of described given patient are related.
8. as claim 5 or 7 described medical information management systems, it is characterized in that described clinical path data comprise and the different sick corresponding some clinical path steps of planting.
9. medical information management system as claimed in claim 8 is characterized in that, described clinical path step comprises the some time interval of arranging in certain sequence, and the corresponding diagnosis and treatment campaign item in the corresponding interval.
10. medical information management system as claimed in claim 9 is characterized in that, the described clinical path step that automatically performs comprises: judge according to described order whether the interior at interval corresponding diagnosis and treatment campaign item of time corresponding is carried out.
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Cited By (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102509000A (en) * | 2011-10-14 | 2012-06-20 | 广东巨龙信息技术有限公司 | Method and system for displaying clinical pathway integrated data transmission |
| CN103617355A (en) * | 2013-11-25 | 2014-03-05 | 方正国际软件有限公司 | Device and method for generating clinical pathways |
| CN103679393A (en) * | 2013-12-27 | 2014-03-26 | 上海市东方医院（同济大学附属东方医院） | Clinical pathway management evaluation index system and method based on analytic hierarchy process |
| CN105373704A (en) * | 2015-12-02 | 2016-03-02 | 济南市儿童医院 | Clinical pathway management system and method based on cloud computing |
| CN106777895A (en) * | 2016-11-23 | 2017-05-31 | 北京汉博信息技术有限公司 | Standardization surgical procedure data creation method |
| CN107038344A (en) * | 2017-04-24 | 2017-08-11 | 大连诺道认知医学技术有限公司 | A kind of disease actual clinical path and standard clinical route comparing method and device |
| CN107196993A (en) * | 2017-04-17 | 2017-09-22 | 新乡医学院 | Electronic clinical nursing path management system and method |
| WO2018049832A1 (en) * | 2016-09-14 | 2018-03-22 | 深圳市前海安测信息技术有限公司 | Quality control system and method for medical practice |
| CN109165968A (en) * | 2018-07-20 | 2019-01-08 | 广东医睦科技有限公司 | A kind of medical expense information processing method, system, device and storage medium |
| CN109448865A (en) * | 2018-11-01 | 2019-03-08 | 唐杨烽 | ICU Clinical Decision Support Systems |
| CN111126831A (en) * | 2019-12-20 | 2020-05-08 | 卫宁健康科技集团股份有限公司 | Medical quality management system standardized execution method and device and computer terminal |
| CN112652405A (en) * | 2020-12-24 | 2021-04-13 | 平安科技（深圳）有限公司 | Method, device and equipment for mining clinical path and storage medium |
| CN115312205A (en) * | 2022-10-11 | 2022-11-08 | 四川省医学科学院·四川省人民医院 | Single-disease clinical path management system |
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2009
- 2009-11-25 CN CN2009102238916A patent/CN102068309A/en active Pending
Cited By (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102509000A (en) * | 2011-10-14 | 2012-06-20 | 广东巨龙信息技术有限公司 | Method and system for displaying clinical pathway integrated data transmission |
| CN103617355A (en) * | 2013-11-25 | 2014-03-05 | 方正国际软件有限公司 | Device and method for generating clinical pathways |
| CN103679393A (en) * | 2013-12-27 | 2014-03-26 | 上海市东方医院（同济大学附属东方医院） | Clinical pathway management evaluation index system and method based on analytic hierarchy process |
| CN103679393B (en) * | 2013-12-27 | 2017-01-25 | 上海市东方医院（同济大学附属东方医院） | Clinical pathway management evaluation index system and method based on analytic hierarchy process |
| CN105373704A (en) * | 2015-12-02 | 2016-03-02 | 济南市儿童医院 | Clinical pathway management system and method based on cloud computing |
| CN105373704B (en) * | 2015-12-02 | 2018-04-17 | 济南市儿童医院 | A kind of clinical path management system and its method based on cloud computing |
| WO2018049832A1 (en) * | 2016-09-14 | 2018-03-22 | 深圳市前海安测信息技术有限公司 | Quality control system and method for medical practice |
| CN106777895A (en) * | 2016-11-23 | 2017-05-31 | 北京汉博信息技术有限公司 | Standardization surgical procedure data creation method |
| CN107196993A (en) * | 2017-04-17 | 2017-09-22 | 新乡医学院 | Electronic clinical nursing path management system and method |
| CN107196993B (en) * | 2017-04-17 | 2020-01-24 | 新乡医学院 | Electronic clinical nursing path management system and method |
| CN107038344A (en) * | 2017-04-24 | 2017-08-11 | 大连诺道认知医学技术有限公司 | A kind of disease actual clinical path and standard clinical route comparing method and device |
| CN109165968A (en) * | 2018-07-20 | 2019-01-08 | 广东医睦科技有限公司 | A kind of medical expense information processing method, system, device and storage medium |
| CN109448865A (en) * | 2018-11-01 | 2019-03-08 | 唐杨烽 | ICU Clinical Decision Support Systems |
| CN111126831A (en) * | 2019-12-20 | 2020-05-08 | 卫宁健康科技集团股份有限公司 | Medical quality management system standardized execution method and device and computer terminal |
| CN112652405A (en) * | 2020-12-24 | 2021-04-13 | 平安科技（深圳）有限公司 | Method, device and equipment for mining clinical path and storage medium |
| CN115312205A (en) * | 2022-10-11 | 2022-11-08 | 四川省医学科学院·四川省人民医院 | Single-disease clinical path management system |
| CN115312205B (en) * | 2022-10-11 | 2022-12-20 | 四川省医学科学院·四川省人民医院 | Single-disease clinical path management system |
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Application publication date: 20110525 |