CN102999698A - System and method for managing potential critical diseases - Google Patents
System and method for managing potential critical diseases Download PDFInfo
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- CN102999698A CN102999698A CN2012104752395A CN201210475239A CN102999698A CN 102999698 A CN102999698 A CN 102999698A CN 2012104752395 A CN2012104752395 A CN 2012104752395A CN 201210475239 A CN201210475239 A CN 201210475239A CN 102999698 A CN102999698 A CN 102999698A
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Abstract
The invention discloses a system and method for managing potential critical diseases. The system comprises a data acquisition module, an import module, a data processing module, a data output module and a warning module. The method comprises the following steps of: acquiring information of each monitored item of a patient by adopting the data acquisition module; importing the information of each monitored item of the patient by adopting the import module to form an electronic medical history sheet; automatically matching data with the electronic medical history sheet by adopting the data processing module, summarizing, calculating, and when the information of each monitored item of the patient reaches a set threshold, outputting a calculation result to the warning module through the data output module by the data processing module; and otherwise, not carrying out action. The system and the method have a capacity of differentiating disease evaluations; and compared with a general inpatient group, after a 'potential critical disease' group is hospitalized, the illness state early warning time is obviously shortened (P is less than 0.01), and patients can be examined by doctors of a higher level in a shorter time, so that the safety of the patients can be effectively ensured.
Description
Technical field
The present invention relates to a kind of potential critical illness management system, belong to the technical field of medical sufferer Real Time Monitoring.
Background technology
Perinatal medical safety is one of most important problem in obstetric quality field always.The patient of obstetrics' " potential critical illness ", subjective demand is not strong when referring to be admitted to hospital, outwardly without the third trimester pregnant women of the clear grounds of certain organs depletion, if untimelyly effectively intervene processing, might be after a few hours or a couple of days the state of an illness sharply fast-developing, be evolved to critical illness, even jeopardize female youngster's safety.
Because lack " Score index " Real-time Collection, gather simultaneously, mark synchronously and the information-based means of warning, such patient is subject to ignore, even incurs loss through delay the severe rescue opportunity.Jiang Xuecheng etc. utilize Visual Foxpri 5.0 Database Systems to make " Chinese edition " critical illness points-scoring system " computer software (National Copyright Administration of the People's Republic of China's Copyright in Computer Software registration number 990144) ", but unrealized information system management.Present Domestic there is no the report that the relevant information management platform is succeeded in developing outward.
Summary of the invention
The present invention seeks to provides a kind of potential critical illness management system and method for the defective that prior art exists.
The present invention adopts following technical scheme for achieving the above object:
The potential critical illness management system of the present invention, comprise data acquisition module, import module, data processing module, data outputting module and alarm module, each monitoring project information of data collecting module collected patient wherein, import module and import each monitoring project information formation electronic health record table of described patient, data processing module exports alarm module to by data outputting module after described electronic health record table is analyzed contrast.
Described data processing module is by data analysis module serial connection Data Comparison module composition.
The management method of potential critical illness management system is as follows:
Adopt each monitoring project information of data collecting module collected patient;
Adopt the importing module to import each monitoring project information of described patient and form electronic health record table;
Adopt data processing module to described electronic health record table Automatic Adaptation Data, and gather calculating, when each monitoring project information of patient reached the limit value of setting, data processing module exported result of calculation to alarm module by data outputting module; Otherwise be failure to actuate.
Assessment has more distinguishing ability to the state of an illness in the present invention, to common Inpatient Admissions, after " potential critical illness " group was admitted to hospital, state of an illness pre-warning time obviously shortened (P＜0.01), the patient can obtain higher level doctor's indagation within the shorter time, thus the effective guarantee patient safety.
Description of drawings
Fig. 1: system construction drawing of the present invention;
Fig. 2: " potential critical illness " reminds the interface;
Fig. 3: higher level doctor's " affirmation " interface;
Fig. 4: " potential critical illness " scoring ROC curve map.
Embodiment
As shown in Figure 1, the potential critical illness management system of the present invention, comprise data acquisition module, import module, data processing module, data outputting module and alarm module, each monitoring project information of data collecting module collected patient wherein, import module and import each monitoring project information formation electronic health record table of described patient, data processing module exports alarm module to by data outputting module after described electronic health record table is analyzed contrast.
Described data processing module is by data analysis module serial connection Data Comparison module composition.
The management method of potential critical illness management system is as follows:
Adopt each monitoring project information of data collecting module collected patient;
Adopt the importing module to import each monitoring project information of described patient and form electronic health record table;
Adopt data processing module to described electronic health record table Automatic Adaptation Data, and gather calculating, when each monitoring project information of patient reached the limit value of setting, data processing module exported result of calculation to alarm module by data outputting module; Otherwise be failure to actuate.
Embodiment:
Select year January in October, 2011 to 2012 obstetrics of Wuxi City healthcare hospital for women ﹠ children to give birth in hospital pregnant woman's 3269 examples as research object, in 39.06 ± 5.7 weeks of AGA, critical case 137 examples wherein are through " potential critical " case 314 examples of infosystem identification.The pregnant woman is admitted to hospital and all disposes routinely afterwards: ⑴ marks in 8 hours being admitted to hospital according to obstetrics' " potential critical illness " point system; Respectively record scoring and patient's prognosis; ⑵ choose at random 314 examples " common Inpatient Admissions " case, (patient is admitted to hospital and constantly counts to make state of an illness pre-warning time with " potential critical illness " group, apart from higher level doctor's indagation patient's time period) analyze, the latter finishes data statistics by " potential critical illness " management platform.
Carry out according to it " seriously disease standard " of 2010 editions Ministry of Public Health " national clinical Pivot Subjects obstetrics standards of grading ".
Each monitoring project information of data collecting module collected patient (standards of grading and code of points) is as shown in table 2:
Table 2
When individual event or accumulative total scoring 〉=3 minutes person " assessment " is " potential critical illness ".
Import module standards of grading and appraisal result are embedded the operation of " electronic health record " system.When part symptom, sign unconspicuous " critical " patient are admitted to hospital, be able to quick identification by infosystem, and " triggering " dialog box, " prompting " medical worker disposes, reports immediately lesion director or duty director early according to the corresponding state of an illness in real time.
" potential critical illness " patient is admitted to hospital; after electronic medical record system starts; Automatic Adaptation Data; and gather calculating; when the unconspicuous critically ill patient of some symptom and signs " scoring " arrives certain value, meeting " triggering " dialog box ejection (see figure 2), " prompting " the timely medical intervention of doctor of seeing and treating patients; the medical worker need only read the dialog box content, clicks " affirmation " and gets final product.The pent while of this dialog box, trigger higher level doctor and confirm the interface (see figure 3), " promptings " doctor that sees and treat patients reports higher level doctor, behind higher level doctor's indagation patient, clicks dialog box, the grasp of " affirmation " state of an illness.
After confirming as " potential critical illness ", the doctor that sees and treat patients should do preliminary medical treatment immediately, reports simultaneously higher level doctor (diagnosis and treatment group leader, lesion director or assistant), and watch time is reported duty director's (night be first on duty) or second on duty.Receive report after in time indagation of higher level doctor patient, work out the diagnosis and treatment scheme, preside over treatment and doctor patient communication, and in " higher level doctor confirms the state of an illness " dialog box timely confirmation.If be dangerously ill, report in accordance with regulations the upper level head of the department, report in case of necessity business department or always on duty, the consultation of doctors or discussion that tissue is necessary.
President, professional vice-president, business department set up " office terminal ", realize full institute relevant information Real Time Monitoring.
Effect assessment of the present invention: (1) building database, calculate with SPSS l6.0 statistical software.(2) measurement data is with mean ± standard deviation
The independent sample t check is relatively adopted in expression between two groups, there is statistical significance P＜0.01 for difference.
Obstetrics " potential critical " scorings sees Table 3 and Fig. 4 to pregnant woman's state of an illness distinguishing ability:
The state of an illness distinguishing ability of table 3. obstetrics " potential critical " scoring
As shown in Table 3, " the potential critical illness " of critical case group scoring is higher than common Inpatient Admissions (P＜0.01), and assessment possesses distinguishing ability to the state of an illness to point out this point system.Its best truncation points is 3 minutes (susceptibility 73.72%, specificity 92.21%).As shown in Figure 4, obstetrics' " potential critical illness " mark at ROC area under curve 0.926(greater than 0.9), point out its diagnostic accuracy higher.
Different patient higher level doctors contrast and see Table 4 the time of seeing and treating patients.
Table 4. " potential critical illness " group and the contrast of control group state of an illness pre-warning time
State of an illness pre-warning time: the patient is admitted to hospital and constantly counts, apart from higher level doctor's indagation patient's time period.
As shown in Table 4, relatively common Inpatient Admissions, after " potential critical illness " group was admitted to hospital, state of an illness pre-warning time obviously shortened (P＜0.01), and the patient can obtain higher level doctor's indagation within the shorter time, thus the effective guarantee patient safety.
The above only is the preferred embodiments of the present invention of the present invention, be not limited to of the present invention, although with reference to previous embodiment invention is had been described in detail, for a person skilled in the art, it still can be made amendment to the technical scheme that aforementioned each embodiment puts down in writing, and perhaps part technical characterictic wherein is equal to replacement.Within the spirit and principles in the present invention all, any modification of doing, be equal to replacement, improvement etc., all should be included within protection scope of the present invention.
Claims (3)
1. potential critical illness management system, it is characterized in that comprising data acquisition module, import module, data processing module, data outputting module and alarm module, each monitoring project information of data collecting module collected patient wherein, import module and import each monitoring project information formation electronic health record table of described patient, data processing module exports alarm module to by data outputting module after described electronic health record table is analyzed contrast.
2. potential critical illness management system according to claim 1 is characterized in that described data processing module is by data analysis module serial connection Data Comparison module composition.
3. the management method of a potential critical illness management system as claimed in claim 1 is characterized in that described method is as follows:
Adopt each monitoring project information of data collecting module collected patient;
Adopt the importing module to import each monitoring project information of described patient and form electronic health record table;
Adopt data processing module to described electronic health record table Automatic Adaptation Data, and gather calculating, when each monitoring project information of patient reached the limit value of setting, data processing module exported result of calculation to alarm module by data outputting module; Otherwise be failure to actuate.
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| CN105139162A (en) * | 2015-10-16 | 2015-12-09 | 上海市浦东新区周浦医院 | Clinical diagnosis and treatment information and quality control method and system for managing critical patients |
| CN105468931A (en) * | 2016-01-06 | 2016-04-06 | 广东省人民医院 | Electronic early warning system for acute kidney injury |
| CN105608325A (en) * | 2013-07-17 | 2016-05-25 | 中国中医科学院 | Novel clinical case data acquisition system and acquisition method |
| CN106650210A (en) * | 2016-10-02 | 2017-05-10 | 张家港市锦丰镇人民医院 | Comprehensive nursing risk assessment system |
| CN107145709A (en) * | 2017-04-06 | 2017-09-08 | 广州慧扬信息系统科技有限公司 | Age of onset fractional analysis system |
| CN116504415A (en) * | 2023-06-20 | 2023-07-28 | 中国人民解放军总医院 | Medical information processing system and method based on data analysis |
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| CN106650210A (en) * | 2016-10-02 | 2017-05-10 | 张家港市锦丰镇人民医院 | Comprehensive nursing risk assessment system |
| CN107145709A (en) * | 2017-04-06 | 2017-09-08 | 广州慧扬信息系统科技有限公司 | Age of onset fractional analysis system |
| CN116504415A (en) * | 2023-06-20 | 2023-07-28 | 中国人民解放军总医院 | Medical information processing system and method based on data analysis |
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Application publication date: 20130327 |