CN103617474A - System and method for managing clinical path variation based on dynamic routing algorithm - Google Patents
System and method for managing clinical path variation based on dynamic routing algorithm Download PDFInfo
- Publication number
- CN103617474A CN103617474A CN201310461055.8A CN201310461055A CN103617474A CN 103617474 A CN103617474 A CN 103617474A CN 201310461055 A CN201310461055 A CN 201310461055A CN 103617474 A CN103617474 A CN 103617474A
- Authority
- CN
- China
- Prior art keywords
- variation
- path
- module
- clinical path
- data
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Images
Landscapes
- Medical Treatment And Welfare Office Work (AREA)
Abstract
The invention provides a clinical pathway variation management system which comprises one or more servers, a data dictionary, one or more operation clients and one or more pathway data acquisition terminals. The management system comprises a path maintenance module, a permission management module, a data acquisition module, a path execution terminal module and a path monitoring module. By implementing the clinical pathway variation management system, random behaviors are effectively avoided, so that the medical working quality is improved, the clinical pathway can be dynamically optimized, and the efficiency of executing the clinical pathway is improved.
Description
Technical field
The present invention relates to information management system, especially medical information management system, particularly, relates to a kind of clinical path variation management system based on information for hospital integrated platform; Also design a kind of therapy, particularly a kind of clinical path variation management method based on dynamic routing algorithm.
Background technology
Increase along with aging population, medical demand, how under the prerequisite of assurance Continual Improvement quality of medical care and work efficiency, effectively to control medical treatment cost, reduce medical expense, avoid doctor's " over-treatment ", become the common target of national governments, Medical Insurance Organizations and medical institutions.The suggestion > > that the < < Central Committee of the Communist Party of China, State Council change apple about in-depth Health System clearly proposes, strengthen medical service quality, improve quality of medical care, reduce medical expense.Clinical path is as a kind of diagnosis and treatment standardized method that has comprised quality assurance, evidence-based medicine EBM, holistic Nursing, CQI, be regarded as in the world one of major transformation of clinical medicine practice since the nineties in 20th century, its object is to look after a kind of management mode of quality for service object provides the best.From clinical path in 1998, from the U.S., introduce China, domestic various places nursery work person has carried out all useful explorations and research in conjunction with self reality of work, has obtained good Social benefit and economic benefit.
Clinical path refers to for a certain disease sets up a set of standardization treatment pattern and treatment procedure, canonical medical behavior, lifting quality of medical care, control medical treatment cost, optimization medical services flow process are played an important role, in hospital management at home and abroad, be widely used.Clinical nursing path is an expectation, the explanation to service program every day.To certain sick kind, with the form of workflow form, by being admitted to hospital to, leave hospital and provide timeliness and effective treatment.It is a kind of clinical service pattern that multi-specialized personnel coact to control quality and expense.The effect that it,, as a kind of management mode that service object is provided to optimal care quality, has " reduce average length of hospitalization, control medical expense, standard diagnosis and treatment behavior, improves medical services and quality ".Realize within the scope of Qi Quan institute and promoting, realize the comprehensive automation for the treatment of, nursing and quality monitoring and just must do basis with a good information for hospital integrated platform.
Clinical path is to be based upon on the evidence-based medicine EBM basis of science, and adopt the mode of information management system to manage, thereby can clinical path be founded, be carried out by computing machine, this have improved work efficiency undoubtedly greatly, also make technological means clinic study of interventional medical science more.But, because each patient's medical record data is different, so clear and definite for diagnosis, the access patient who there is no serious complication, its in Application of clinical pathway process because of individual difference, also can be different to the reaction of medical services, now, clinic path information system just need to dynamically be adjusted according to different patients, to can tackle a patient Different Variation situation.Variation represents that individual difference, any variation are all valuable, are conducive to the improvement of quality of medical care.So the infosystem based on clinical path variation management realizing by means of computer technology is also very valuable, can accumulate numerous case history resources, thereby improve efficiency and the accuracy rate of medical system.
Summary of the invention
For the technological deficiency that in prior art, variation does not manage to clinical path, the object of this invention is to provide a kind of clinical path variation management system and corresponding clinical path variation management control method.
According to an aspect of the present invention, provide a kind of clinical path variation management system, for the variation situation that clinical path implementation is occurred, process, it is characterized in that, comprising:
One or more server, described server is used for clinical path information to store, analyze, data dictionary, one or more operated client, described client is connected by network with described server, for carrying out communication with described server; One or more path data acquisition terminals, described path data acquisition terminal is for gathering by the medical record data of diagnosis and treatment object, and described data are sent to described server, described clinical path variation management system communicates by communication interface and other infosystems, and carries out data sharing and business cooperation.
Preferably, described management system comprises as lower module:
Route maintenance module, at least for setting workflow;
Authority management module, the user right of carrying out for setting and manage described clinical path;
Data acquisition module, for gathering the variation result in each diagnosis and treatment stage in the standard clinical path of case example;
Terminal module is carried out in path, for the mutagen of storing each diagnosis and treatment stage in the standard clinical path of the example of falling ill because of and variation result;
Path monitoring module, at least for generating corresponding information slip and clinical path being carried out to monitoring in real time, storage variation data after implementing in standard clinical path.
Preferably, described path monitoring module also comprises following submodule:
Path monitoring sub module stored, for storing variation data and the result in each standard clinical path of carrying out case example.
Preferably, described path monitoring sub module stored by described variation data and result store to example implementation database.
Preferably, described management system also comprises statistical analysis module, and described statistical analysis module comprises following submodule:
Analyze data acquisition module, the variation data of implementing for obtaining standard clinical path example;
Statistical module, for processing above-mentioned variation data, statistical treatment;
Expert decision-making module, modifies to the configuration parameter in corresponding standard clinical path for determining whether based on above-mentioned statistics.
Preferably, described statistical analysis module also comprises following submodule: general analyzes module, for above-mentioned variation data, statistics are analyzed, and generates the improvement data for clinical path.
Preferably, described general analyzes module comprises following submodule: analysis confirmation submodule, the clinical path for definitive variation rate over first threshold; Analyze to explore submodule, for determining that the described aberration rate of impact surpasses the element that the clinical path of first threshold morphs; Analyze and generate submodule, for surpass the improvement data of the clinical path of first threshold for described aberration rate based on described Element generation.
Preferably, described statistical analysis module also comprises following submodule:
Analytical statement module, it is for generating statistical forms based on above-mentioned variation data, statistics, wherein, described statistical forms at least comprises path screening table, path execution list, crucial inspection record list, crucial MAR list, critical event record, variation record, Quality Control record and investigation table of satisfaction degree.
Preferably, be also provided with dynamic routing module in described server, described dynamic routing module adopts dynamic routing algorithm and based on by the medical record data of diagnosis and treatment object, clinical path being adjusted.
Preferably, there is variation and the record exiting in the patient that described dynamic routing module enters clinical path management by analysis, utilizes dynapath algorithm dynamically to determine to adjust, change and even exit clinical path according to its medical record data for the patient of needs variation.
Preferably, described dynamic routing module adopts Comprehensive Multi-level to close fuzzy evaluation model, when clinical path enters footpath, can be according to described medical record data select target path in many alternative paths dynamically, and after entering clinical path, according to medical record data, dynamically determine to adjust, change even exit path, wherein, described dynamic routing module has self-learning capability.
Preferably, described dynamic routing algorithm performing step is as described below: the first step, reads the information such as patient medical record, doctor's advice, sign data, check check result; Second step, according to the multi-level variable index system of setting up, the comprehensive fuzzy evaluation value of every alternative clinical path of cycle calculations; The 3rd step, sorts to the judge value in second step, and finishing screen is selected the path of fuzzy evaluation value maximum as prefered path, instructs doctor to enter footpath.
Preferably, described dynamic routing module also comprises self-correction submodule, described self-correction submodule in clinical path implementation, occur variation after for revising routing rule.
According to another aspect of the present invention, also provide a kind of in above-mentioned clinical path variation management system the control method of the clinical path variation management based on dynamic routing algorithm, it is characterized in that, described control method comprises the steps:
Path data acquisition terminal is sent to hospital information system by variation cause and effect by hospital network;
Path monitoring module is monitored in real time to path implementation status, records variation situation;
Statistical analysis module is used for medical data information to analyze, and described clinical path variation is processed.
Preferably, described mutagen is because comprising controlled variation and uncontrollable variation.
Preferably, described controlled variation comprises the variation relevant to particular system data and the variation relevant with medical care data.
Preferably, described uncontrollable variation comprise the variation relevant to specified disease data itself and with the variation of being correlated with by diagnosis and treatment object.
According to a further aspect of the invention, provide a kind of clinical path variation management control module, for clinical path information is processed, described control module comprises:
Data acquisition memory module and statistical analysis module, described data acquisition memory module is connected with described statistical analysis module,
Wherein, described data acquisition memory module is at least for being connected with acquisition terminal, and reception is from the medical data information of described acquisition terminal;
Described statistical analysis module is used for medical data information to analyze, and described clinical path variation is processed.
Preferably, described data acquisition memory module comprises as lower module:
Route maintenance module, at least for setting workflow;
Authority management module, the user right of carrying out for setting and manage described clinical path;
Data acquisition module, for gathering the variation result in each diagnosis and treatment stage in the standard clinical path of case example;
Terminal module is carried out in path, for the mutagen of storing each diagnosis and treatment stage in the standard clinical path of case example because of and variation result;
Path monitoring module, at least for generating corresponding information slip and clinical path being carried out to monitoring in real time, storage variation data after implementing in standard clinical path.
Preferably, described path monitoring module also comprises following submodule: path monitoring sub module stored, and for storing variation data and the result in each standard clinical path of carrying out case example.
Preferably, described path monitoring sub module stored by described variation data and result store to example implementation database.
Preferably, described statistical analysis module comprises as lower module: analyze data acquisition module, the variation data of implementing for obtaining standard clinical path example; Statistical module, for carrying out statistical treatment to above-mentioned variation data; Expert decision-making module, modifies to the configuration parameter in corresponding standard clinical path for determining whether based on above-mentioned statistics.
Preferably, described statistical analysis module also comprises as lower module: general analyzes module, for above-mentioned variation data, statistics are analyzed, and generates the improvement data for clinical path.
Preferably, described general analyzes module comprises following submodule: analysis confirmation submodule, the clinical path for definitive variation rate over first threshold; Analyze to explore submodule, for determining that the described aberration rate of impact surpasses the element that the clinical path of first threshold morphs; Analyze and generate submodule, for surpass the improvement data of the clinical path of first threshold for described aberration rate based on described Element generation.
Preferably, described statistical analysis module also comprises as lower module: analytical statement module, it is for generating statistical forms based on above-mentioned variation data, statistics, wherein, described statistical forms at least comprises path screening table, path execution list, crucial inspection record list, crucial MAR list, critical event record, variation record, Quality Control record and investigation table of satisfaction degree.
Preferably, in above-mentioned clinical path variation management system, be provided with above-mentioned clinical path variation management control module.Further preferably, in the server of above-mentioned clinical path variation management system, be provided with above-mentioned clinical path variation management control module.
By implementing clinical path variation management system of the present invention, there is following beneficial effect: by each medical care terminal of each section office in whole hospital, database and path management terminal communicate connection by hospital information network, the all normalized clinical paths of unified storage in database, when specific section office carry out diagnosis and treatment to actual case, by the diagnosis and treatment data of medical care terminal Gather and input, thereby by these diagnosis and treatment data, determine the disease kind of this actual case, corresponding clinical path can be imported to this medical care terminal thus and guide diagnosis and treatment, realization is implemented the example of this clinical path, in guiding diagnosis and treatment process, available various normalized clinical path document, important content and link that prompting medical personnel can not omit in diagnosis and treatment activity.This clinic path information system is to various medical treatment and nursing titles, term and form, and the order of curative activity flow process carries out unified standard, effectively avoided voluntary behavior, reduced the mistake causing thus, thereby has been conducive to improve quality of medical work.Simultaneously in guiding diagnosis and treatment process, can be by real time record performance and result of implementation, thus capable of dynamic determine the diagnosis and treatment scheme to this actual case, can be when there is variation or particular disorder, this actual case can be derived to this clinical path, realize the optimization treatment to this actual case.Every level of control of clinical path can be counted at any time, the various information of Application of clinical pathway can be inquired.By arrange path management terminal can be by management and supervision the links through Application of clinical pathway, dynamically grasp the situation of change of clinical path, implement the dynamic dispatching management of overall process, find in time the problem of each link of Application of clinical pathway process Shen and take corresponding control measures, becoming management is afterwards real-time management.Further, can carry out dynamic optimization to clinical path, along with the example of clinical path is implemented, can record a large amount of example implementation data in database, these example implementation data provide very important foundation for the improvement of the standard flow process of clinical path.The example implementation data of clinical path be can add up and arrange, efficiency, modified flow and raising implementation quality that clinical path is carried out improved.
Accompanying drawing explanation
By reading the detailed description of non-limiting example being done with reference to the following drawings, it is more obvious that other features, objects and advantages of the present invention will become:
Fig. 1 illustrates according to a specific embodiment of the present invention, the configuration diagram of clinical path variation management system;
Fig. 2 illustrates according to the first embodiment of the present invention, the network topological diagram of clinical path variation management system;
Fig. 3 illustrates according to the first embodiment of the present invention, the composition structural representation of clinical path variation management system;
Fig. 4 illustrates according to a second embodiment of the present invention, the composition structural representation of clinical path variation management system;
Fig. 5 illustrates according to the first embodiment of the present invention, the process flow diagram of the control method based on clinical path variation management system;
Fig. 6 illustrates according to a second embodiment of the present invention, the process flow diagram of the control method based on clinical path variation management system; And
Fig. 7 illustrates according to another embodiment of the present invention, the structural representation of clinical path variation management system.
Embodiment
Fig. 1 illustrates according to a specific embodiment of the present invention, the configuration diagram of clinical path variation management system.Particularly, Fig. 1 shows the system architecture diagram of the clinical path variation management that the present invention is based on dynamic routing algorithm, and native system design is divided into three parts: information integrated platform, knowledge base system and clinical path administration module.Information integrated platform comprises: WebService middleware, SQLServer database, Windows operating system and relevant server network hardware device; Knowledge base system comprises: the services such as regulation engine, anatomy, coupling and statistical study; Described clinical management module comprises: path formulation, access, execution, monitoring and assessment.
It will be appreciated by those skilled in the art that described information integrated platform can move as the whole clinical path variation management system of a carriage posture on the basis of computer processing system.Described knowledge base system coordinates with data dictionary etc. provides the strategy of analyzing for clinical path, functions such as the strategy of expert decision system and statistical study.Described clinical management module is specifically carried out functions such as the selection of clinical path and statistics, improvement.
More specifically, information integrated platform shown in Fig. 1 can carry out distributed deployment, combination and use by network to loosely-coupled coarseness application component according to demand in view of SOA framework model, and service layer is the basis of SOA, can directly be called, thus effectively in control system with the mutual artificial dependence of ageng.Therefore, this clinical path variation management system adopts SOA Open architecture, by information for hospital integrated platform, can effectively solve the problem with hospital's heterogeneous system information interaction.
Fig. 2 illustrates according to the first embodiment of the present invention, the network topological diagram of clinical path variation management system.Particularly; according to the present embodiment; described clinical path variation management system comprises one or more server 81,82; described server is for storing, analyze clinical path information; data dictionary (not shown); one or more operated client 61,62, described client is connected by network with described server, for carrying out communication with described server; One or more path data acquisition terminals 51,52, described path data acquisition terminal is for gathering by the medical record data of diagnosis and treatment object, and described data are sent to described server, wherein, described clinical path variation management system communicates by communication interface and other infosystems 9, and carries out data sharing and business cooperation.
Particularly, those skilled in the art are with reference to embodiment illustrated in fig. 2 being appreciated that, described data collection station can be by connecting after client and described server communication again, also can be directly by wireless communication networks and described server communication, and this does not affect the essence of content of the present invention.Particularly, in the present embodiment, adopted above-mentioned two kinds of modes, and simultaneously in some change examples, can adopt any in above-mentioned two kinds of modes yet, this does not affect content of the present invention, does not repeat them here.
In embodiment illustrated in fig. 2, described server 81 is connected with other infosystems by network and communication.Preferably, described other infosystems 9 can be hospital's essential information disposal systems, can be also other infosystems.By with the docking of these systems, clinical path management system provided by the present invention can effectively be obtained patient's medical record data and correspondingly optimal clinical routing information be fed back to hospital's essential information disposal system etc., does not repeat them here.
Fig. 3 illustrates according to the first embodiment of the present invention, the composition structural representation of clinical path variation management system.Particularly, in the present embodiment, described clinical path variation management system specifically comprises as lower module: route maintenance module 71, at least for setting workflow; Authority management module 72, the user right of carrying out for setting and manage described clinical path; Data acquisition module 73, for gathering the variation result in each diagnosis and treatment stage in the standard clinical path of case example; Terminal module 74 is carried out in path, for the mutagen of storing each diagnosis and treatment stage in the standard clinical path of case example because of and variation result; Path monitoring module 75, at least for generating corresponding information slip and clinical path being carried out to monitoring in real time, storage variation data after implementing in standard clinical path.
It will be appreciated by those skilled in the art that terminal module 74 is carried out at least above-mentioned data acquisition module 73, path, path monitoring module 75 is carried out communication each other.Wherein, described path carry out terminal module 74 be used for the variation result that gathers based on described data acquisition module 73 and store these results and corresponding mutagen because of, described path monitoring module 75 is at least for generating corresponding information slip and clinical path being carried out to monitoring in real time, storage variation data after implementing in standard clinical path.
In principle, by the cooperation of above-mentioned five modules, can realize object of the present invention, the medical record data of clinical path be carried out to Real-time Collection, and determine new clinical path after calculating based on medical record data.
Fig. 4 illustrates according to a second embodiment of the present invention, the composition structural representation of clinical path variation management system.Fig. 4, on above-mentioned basis embodiment illustrated in fig. 3, has described the composition structure of clinical path variation management system provided by the present invention further.On the basis of Fig. 3, described clinical path variation management system has increased statistical analysis module 76, and described statistical analysis module is at least for medical data information is analyzed, and described clinical path variation is processed.Further preferably, described statistical analysis module comprises following submodule: analyze data acquisition module 761, the variation data of implementing for obtaining standard clinical path example; Statistical module 762, for processing above-mentioned variation data, statistical treatment; Expert decision-making module 763, modifies to the configuration parameter in corresponding standard clinical path for determining whether based on above-mentioned statistics.
Further, in the present embodiment, described path monitoring sub module stored 751, for storing variation data and the result in each standard clinical path of carrying out case example.Preferably, described path monitoring sub module stored by described variation data and result store to example implementation database.
With reference to above-mentioned Fig. 2 to Fig. 4 embodiment of institute, at one, change in example, described statistical analysis module 71 also comprises general analyzes module (not shown), for above-mentioned variation data, statistics are analyzed, and generates the improvement data for clinical path.Further, preferably, in another embodiment, path variation management system, is characterized in that, described general analyzes module comprises following submodule: analysis confirmation submodule, the clinical path for definitive variation rate over first threshold; Analyze to explore submodule, for determining that the described aberration rate of impact surpasses the element that the clinical path of first threshold morphs; Analyze and generate submodule, for surpass the improvement data of the clinical path of first threshold for described aberration rate based on described Element generation.
Again further, at another, change in example, described statistical analysis module 71 also comprises following submodule: analytical statement module, it is for generating statistical forms based on above-mentioned variation data, statistics, wherein, described statistical forms at least comprises path screening table, path execution list, crucial inspection record list, crucial MAR list, critical event record, variation record, Quality Control record and investigation table of satisfaction degree.
Extremely embodiment illustrated in fig. 4 referring again to above-mentioned Fig. 2, those skilled in the art understand, described clinical path management system also comprises dynamic routing chopsticks piece, and described dynamic routing module adopts dynamic routing algorithm and based on by the medical record data of diagnosis and treatment object, clinical path being adjusted.Preferably, there is variation and the record exiting in the patient that described dynamic routing module enters clinical path management by analysis, utilizes dynapath algorithm dynamically to determine to adjust, change and even exit clinical path according to its medical record data for the patient of needs variation.
Further preferably, the described the Lushui River module of dynamically selecting adopts Comprehensive Multi-level to close fuzzy evaluation model, when clinical path enters footpath, can be according to described medical record data select target path in many alternative paths dynamically, and after entering clinical path, according to medical record data, dynamically determine to adjust, change even exit path, wherein, described dynamic routing module has self-learning capability.
Further, it will be appreciated by those skilled in the art that described dynamic routing module also comprises self-correction submodule, described self-correction submodule in clinical path implementation, occur variation after for revising routing rule.
Fig. 5 illustrates according to the first embodiment of the present invention, the process flow diagram of the control method based on clinical path variation management system.First, execution step S220, path data acquisition terminal is sent to hospital information system by variation cause and effect by hospital network; Then enter step S221, path monitoring module is monitored in real time to path implementation status, records variation situation; Finally, execution step S222, statistical analysis module is used for medical data information to analyze, and described clinical path variation is processed.It will be appreciated by those skilled in the art that preferably, described mutagen is because comprising controlled variation and uncontrollable variation, and wherein, described controlled variation at least comprises the variation relevant to particular system data and the variation relevant with medical care data; Described uncontrollable variation at least comprise the variation relevant to specified disease data itself and with the variation of being correlated with by diagnosis and treatment object.
Fig. 6 illustrates according to a second embodiment of the present invention, the process flow diagram of the control method based on clinical path variation management system.Particularly, the variation management of clinical path shown in Fig. 6 system is different from conventional medical treatment, and it is the routine medical treatment through standardization, by conventional diagnosis and treatment process refinement is analyzed, take time time-histories as transverse axis, take diagnosis and treatment process as the longitudinal axis.Time time-histories can simply be divided into the first day of being admitted to hospital, second day ..., diagnosis and treatment process can be divided into nursing, treatment, inspection, preoperative discussion, meals, propaganda and education etc.According to the variation of time-histories, carry out the standard diagnosis and treatment class doctor's advice in this time-histories, in the situation that not morphing, doctor and nurse are as gone to carry out doctor's advice according to standard doctor's advice (according to the good doctor's advice of disease kind predefined), and patient is inevitable to leave hospital at standard hospital day the same day.If morphed, just need analysis and summary mutagen because of, determine whether to adjust standard doctor's advice.Each time-histories is finished the expection result for the treatment of to patient in time-histories is carried out to analysis and evaluation, reaches expection result for the treatment of and will continue next time-histories execution route, does not reach expection result for the treatment of and will jump out path.Because do not reach the result for the treatment of of expection, be that variation has occurred certainly, as a complication set in, infect, transfer from one hospital to another, the situation such as dead, can not by original path, go to carry out again.
Fig. 7 illustrates according to another embodiment of the present invention, the structural representation of clinical path variation management system.Particularly, the mode that the implementation method of the variation management of clinical path shown in Fig. 7 system combines by fixed index and variable index solves the many as far as possible sick level index systems of planting of covering.At ground floor, adopt four key components of fixing clinical path as index system, the second layer adopts variable index system, different sick kinds, different clinical path are defined to different index systems by the clinical treatment personnel of relevant speciality according to its professional standing and experience, and using it as Regulation G, be placed in system convention storehouse, when calculating clinical path, by system, according to different clinical paths, from system convention storehouse, called different index systems and complete calculating.
Further, according to this system employs principles of fuzzy mathematics shown in Fig. 7, solved the fuzzy problem during clinical path calculates, based on dynamic routing algorithm, search more quickly and retrieve patient's correlation variation data, monitoring hospital day, medical expense and medical act etc., to reduce or to avoid the generation of variation.
Further, extremely embodiment illustrated in fig. 7 with reference to above-mentioned Fig. 1, those skilled in the art understand, the variation management of variation management system provided by the present invention mainly comprises two aspects: the monitoring of (1) doctor's advice implementation: the message interface by HIS program embeds in HIS doctor workstation, and the doctor's advice to deflection path when doctor preserves doctor's advice is pointed out accordingly.(2) for entering the inquiry of clinical path patient doctor's advice and monitoring: system arranges disease by clinical path and plants classification, search all doctor's advices that enter this disease clinical path patient, monitor it and meet or depart from situation, become variation and initiatively point out reason and select more suitably path.
Further, those skilled in the art understand, by the clinical path variation management system relevant Data Collection that makes to make a variation, become simple, standardized recording mode makes medical care department can assess easily the quality of whole medical institutions, thereby whether reasonable, and can adjust in time if can integrally hold the configuration of medical personnel and medical resource from macroscopic view.
Refer again to above-mentioned Fig. 1 to embodiment illustrated in fig. 7, those skilled in the art understand, the present invention also aims to provide a kind of clinical path variation management method, the method is based on dynamic routing algorithm, when patient enters footpath and variation and occurs, some new situation that can occur according to patient is dynamically adjusted path, reduces the human factor in the mutation process of path.
Another object of the present invention is to provide a kind of clinical path variation management system, this system is based on information for hospital integrated platform and dynapath algorithm, thereby guarantees reliability and the high efficiency of path variation management, and realizes Continual Improvement.
To achieve these goals, the method for a kind of clinical path variation management based on dynamic routing algorithm of the present invention, comprises server, database, data dictionary and interface and communication network, and described clinical path variation management method comprises the steps:
Path is carried out terminal variation cause and effect is sent to hospital information system by hospital network;
Path monitoring module is monitored in real time to path implementation status, records variation situation;
Statistical analysis module gathers variation situation, Continual Improvement path.
To achieve these goals, the system of a kind of clinical path variation management based on dynamic routing algorithm of the present invention, can be by hospital network and clinical use terminal transmission information, this system comprises data acquisition memory module and statistical analysis module, in wherein data acquisition memory module, pass through acquisition terminal user's relevant information, store clinical pathway database into, by statistical analysis module, come analytical variance reason, Continual Improvement.Described in it, specific data acquisition memory module comprises:
Route maintenance module, for setting and managing in described system for content and workflow;
Authority management module, for setting and manage the user right of path implementation;
Terminal is carried out in path, and the mutagen in each diagnosis and treatment stage in the standard clinical path of implementing for record instance is because arriving database with variation result;
Path monitoring module; for monitoring and record variation situation and the result store in each standard clinical path of carrying out example enforcement, to example, implement storehouse; and after implementing in standard clinical path, generate corresponding information slip path implementation status is monitored in real time, record variation situation;
In clinical path variation management system of the present invention, described particular data statistical analysis module comprises:
For the variation information of obtaining and statistical standard clinical path example is implemented, determine whether the configuration parameter in corresponding standard clinical path to modify, or adjust the diagnosis and treatment stage relevant in standard clinical path check, inspection, medication and the activity of emphasis doctor's advice at least one of them.
Statistical analysis module gathers variation situation, in conjunction with hospital's actual conditions, the higher reason of aberration rate is analyzed, and finds out and affects the reason that aberration rate is high, constantly clinical path is carried out to Improvement and perfection.
As a further improvement on the present invention, described particular system adopts dynamic routing algorithm, according to patient's change of illness state, adjusts in time path.
As a further improvement on the present invention, after variation appears in described dynamic routing algorithm in the implementation of path, section revises routing rule in time.
As a further improvement on the present invention, described statistical forms comprises path screening table, path execution list, crucial inspection record list, crucial MAR list, critical event record, variation record, Quality Control record and investigation table of satisfaction degree etc.
As a further improvement on the present invention, described system when patient enters clinical path, according to the relevant fox message providing, based on dynamic routing algorithm can be in many alternative paths select target path.
As a further improvement on the present invention, described system, after access path management of patient, according to patient's change of illness state, can dynamically be adjusted path based on dynamic road strength algorithm.
As a further improvement on the present invention, the method also comprises: infotech is processed and combined with medical treatment variation, shortens hospital day and reduces medical expense.
Clinical path variation management system is by hospital's communication network record, Collection and analysis variation data;
System is carried out detailed, multimode record by infotech to variation, can record more static state or dynamic image, also comprises speech data;
System guarantees the safety of variation data and protection patient's privacy by infotech, also can guarantee that these data can not revised easily;
System is searched and is retrieved patient's correlation variation data more quickly by infotech, monitoring hospital day, medical expense and medical act etc., to reduce or to avoid the generation of variation;
As a further improvement on the present invention, described system can make medical and nursing work person from the variation data of magnanimity, search out required data in the short period of time, makes the magnanimity variation data that records and store in system serve better clinical.
As a further improvement on the present invention, in described system, clinical data comprises check check result, doctor's advice prescription, electronic health record and medical image.
Above specific embodiments of the invention are described.It will be appreciated that, the present invention is not limited to above-mentioned specific implementations, and those skilled in the art can make various distortion or modification in the model of claim is consolidated, and this does not affect flesh and blood of the present invention.
Claims (16)
1. a clinical path variation management system, processes for the variation situation that clinical path implementation is occurred, it is characterized in that, comprising:
One or more server, described server is used for clinical path information to store, analyze,
Data dictionary,
One or more operated client, described client is connected by network with described server, for carrying out communication with described server;
One or more path data acquisition terminals, described path data acquisition terminal is used for gathering by the medical record data of diagnosis and treatment object, and described data are sent to described server,
Described clinical path variation management system communicates by communication interface and other infosystems, and carries out data sharing and business cooperation.
2. according to the clinical path variation management method described in claim work, it is characterized in that, described management system comprises as lower module:
Route maintenance module, at least for setting workflow;
Authority management module, the user right of carrying out for setting and manage described clinical path;
Data acquisition module, for gathering the variation result in each diagnosis and treatment stage in the standard clinical path of case example;
Terminal module is carried out in path, for the mutagen of storing each diagnosis and treatment stage in the standard clinical path of case example because of and variation result;
Path monitoring module, at least for generating corresponding information slip and clinical path being carried out to monitoring in real time, storage variation data after implementing in standard clinical path.
3. clinical path variation management system according to claim 2, is characterized in that, described path monitoring module also comprises following submodule:
Path monitoring sub module stored, for storing variation data and the result in each standard clinical path of carrying out case example.
4. clinical path variation management system according to claim 3, is characterized in that, described path monitoring sub module stored by described variation data and result store to example implementation database.
5. according to the clinical path variation management system described in any one in claim 1 to 4, it is characterized in that, described management system comprises statistical analysis module, and described statistical analysis module comprises following submodule:
Analyze data acquisition module, the variation data of implementing for obtaining standard clinical path example;
Statistical module, for processing above-mentioned variation data, statistical treatment;
Expert decision-making module, modifies to the configuration parameter in corresponding standard clinical path for determining whether based on above-mentioned statistics.
6. clinical path variation management system according to claim 5, is characterized in that, described statistical analysis module also comprises following submodule:
General analyzes module, for above-mentioned variation data, statistics are analyzed, and generates the improvement data for clinical path.
7. clinical path variation management system according to claim 6, is characterized in that, described general analyzes module comprises following submodule:
Analysis confirmation submodule, the clinical path for definitive variation rate over first threshold;
Analyze to explore submodule, for determining that the described aberration rate of impact surpasses the element that the clinical path of first threshold morphs;
Analyze and generate submodule, for surpass the improvement data of the clinical path of first threshold for described aberration rate based on described Element generation.
8. according to the clinical path variation management system described in claim 6 or 7, it is characterized in that, described statistical analysis module also comprises following submodule:
Analytical statement module, it is for generating statistical forms based on above-mentioned variation data, statistics, wherein, described statistical forms at least comprises path screening table, path execution list, crucial inspection record list, crucial MAR list, critical event record, variation record, Quality Control record and investigation table of satisfaction degree.
9. management system according to claim 8, is characterized in that, is also provided with dynamic routing module in described server, and described dynamic routing module adopts dynamic routing algorithm and based on by the medical record data of diagnosis and treatment object, clinical path being adjusted.
10. management system according to claim 9, it is characterized in that, there is variation and the record exiting in the patient that described dynamic routing module enters clinical path management by analysis, utilizes dynapath algorithm dynamically to determine to adjust, change and even exit clinical path according to its medical record data for the patient of needs variation.
11. according to the management system described in claim 9 or 10, it is characterized in that, described dynamic routing module adopts Comprehensive Multi-level to close fuzzy evaluation model, when clinical path enters footpath, can be according to described medical record data select target path in many alternative paths dynamically, and after entering clinical path, according to medical record data, dynamically determine to adjust, change even exit path, wherein, described dynamic routing module has self-learning capability.
12. according to the management system described in any one in claim 9 to 11, it is characterized in that, described dynamic routing module also comprises self-correction submodule, described self-correction submodule in clinical path implementation, occur variation after for revising routing rule.
13. 1 kinds according to the control method of the clinical path variation management based on dynamic routing algorithm in the clinical path variation management system described in any one in claim 1 to 12, it is characterized in that, described control method comprises the steps:
Path data acquisition terminal is sent to hospital information system by variation cause and effect by hospital network;
Path monitoring module is monitored in real time to path implementation status, records variation situation;
Statistical analysis module is used for medical data information to analyze, and described clinical path variation is processed.
14. control methods according to claim 13, is characterized in that, described mutagen is because comprising controlled variation and uncontrollable variation, and wherein, described controlled variation at least comprises the variation relevant to particular system data and the variation relevant with medical care data; Described uncontrollable variation at least comprise the variation relevant to specified disease data itself and with the variation of being correlated with by diagnosis and treatment object.
15. 1 kinds of clinical path variation management control modules, for clinical path information is processed, described control module comprises:
Data acquisition memory module and statistical analysis module, described data acquisition memory module is electrically connected to described statistical analysis module,
Wherein, described data acquisition memory module is at least for being connected with acquisition terminal, and reception is from the medical data information of described acquisition terminal;
Described statistical analysis module is used for medical data information to analyze, and described clinical path variation is processed.
16. control modules according to claim 15, is characterized in that, described data acquisition memory module comprises as lower module:
Route maintenance module, at least for setting workflow;
Authority management module, the user right of carrying out for setting and manage described clinical path;
Data acquisition module, for gathering the variation result in each diagnosis and treatment stage in the standard clinical path of case example;
Terminal module is carried out in path, for the mutagen of storing each diagnosis and treatment stage in the standard clinical path of case example because of and variation result;
Path monitoring module, at least for generating corresponding information slip and clinical path being carried out to monitoring in real time, storage variation data after implementing in standard clinical path.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310461055.8A CN103617474A (en) | 2013-09-30 | 2013-09-30 | System and method for managing clinical path variation based on dynamic routing algorithm |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310461055.8A CN103617474A (en) | 2013-09-30 | 2013-09-30 | System and method for managing clinical path variation based on dynamic routing algorithm |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN103617474A true CN103617474A (en) | 2014-03-05 |
Family
ID=50168178
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310461055.8A Pending CN103617474A (en) | 2013-09-30 | 2013-09-30 | System and method for managing clinical path variation based on dynamic routing algorithm |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103617474A (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109785916A (en) * | 2019-01-24 | 2019-05-21 | 柳州市工人医院 | A kind of clinical path system based on information for hospital platform |
| CN113539504A (en) * | 2021-06-29 | 2021-10-22 | 兰州大学第一医院 | Clinical path information management system and method based on big data |
| CN114743660A (en) * | 2022-05-20 | 2022-07-12 | 北京嘉和美康信息技术有限公司 | Clinical path maintenance method and device, electronic equipment and storage medium |
| CN114842929A (en) * | 2021-02-02 | 2022-08-02 | 北京金山云网络技术有限公司 | Construction method and device of clinical path, electronic equipment and storage medium |
| CN116189910A (en) * | 2023-03-15 | 2023-05-30 | 中国人民解放军总医院 | Disease diagnosis and treatment quality management system based on big data technology |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102098322A (en) * | 2009-12-15 | 2011-06-15 | 成澄 | Medical information management system |
| CN102567607A (en) * | 2010-12-28 | 2012-07-11 | 广州中医药大学第二附属医院 | Clinic path information system |
| CN102708528A (en) * | 2012-05-06 | 2012-10-03 | 复旦大学 | Digitalized medical service analyzing system |
-
2013
- 2013-09-30 CN CN201310461055.8A patent/CN103617474A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102098322A (en) * | 2009-12-15 | 2011-06-15 | 成澄 | Medical information management system |
| CN102567607A (en) * | 2010-12-28 | 2012-07-11 | 广州中医药大学第二附属医院 | Clinic path information system |
| CN102708528A (en) * | 2012-05-06 | 2012-10-03 | 复旦大学 | Digitalized medical service analyzing system |
Non-Patent Citations (2)
| Title |
|---|
| 王世宝 等: "基于多层次可变指标模糊综合评判的", 《中国数字医学》 * |
| 魏晓琼: "临床路径变异分析研究现状", 《中国护理管理》, vol. 11, no. 7, 15 July 2011 (2011-07-15), pages 15 - 17 * |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109785916A (en) * | 2019-01-24 | 2019-05-21 | 柳州市工人医院 | A kind of clinical path system based on information for hospital platform |
| CN114842929A (en) * | 2021-02-02 | 2022-08-02 | 北京金山云网络技术有限公司 | Construction method and device of clinical path, electronic equipment and storage medium |
| CN113539504A (en) * | 2021-06-29 | 2021-10-22 | 兰州大学第一医院 | Clinical path information management system and method based on big data |
| CN114743660A (en) * | 2022-05-20 | 2022-07-12 | 北京嘉和美康信息技术有限公司 | Clinical path maintenance method and device, electronic equipment and storage medium |
| CN116189910A (en) * | 2023-03-15 | 2023-05-30 | 中国人民解放军总医院 | Disease diagnosis and treatment quality management system based on big data technology |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN103679393B (en) | Clinical pathway management evaluation index system and method based on analytic hierarchy process | |
| Abbas et al. | A cloud based health insurance plan recommendation system: A user centered approach | |
| Cabrerizo et al. | Fuzzy decision making and consensus: challenges | |
| Tang et al. | An IoMT-based geriatric care management system for achieving smart health in nursing homes | |
| CN109935319A (en) | Chronic disease systematic management system | |
| CN103617474A (en) | System and method for managing clinical path variation based on dynamic routing algorithm | |
| Huang et al. | Internet of things in health management systems: A review | |
| US10795795B1 (en) | Intermediate check points and controllable parameters for addressing process deficiencies | |
| CN108597605A (en) | A kind of life big data acquisition of personal health and analysis system | |
| CN110215189A (en) | A kind of big data size intelligent healthcare system based on cloud platform | |
| Van der Löwe et al. | Relational emotions and social networks | |
| CN107145723A (en) | Hospital process management system based on artificial neural network | |
| Thangaraj et al. | Agent based semantic internet of things (IoT) in smart health care | |
| Mohammed et al. | Impact of Artificial Intelligence on the Automation of Digital Health System | |
| Khovrichev et al. | Intelligent approach for heterogeneous data integration: Information processes analysis engine in clinical remote monitoring systems | |
| Buldakova et al. | Network services for interaction of the telemedicine system users | |
| Seitinger et al. | An Arden-Syntax-Based Clinical Decision Support Framework for Medical Guidelines-Lyme Borreliosis as an Example. | |
| Binaghi et al. | An integrated fuzzy logic and web-based framework for active protocol support | |
| Vilas-Boas et al. | Distributed and real time data mining in the intensive care unit | |
| Wang et al. | Imbalanced learning for hospital readmission prediction using national readmission database | |
| CN113284589A (en) | Big data statistical system and statistical method based on regional block chain | |
| Fan et al. | Clinical decision support systems for comorbidity: Architecture, algorithms, and applications | |
| Hongqiao et al. | Multi-agent based modeling and simulation of complex system in hospital | |
| Borisov et al. | FHIR data model for intelligent multimodal interface | |
| CN113782140B (en) | Diagnosis and treatment strategy determining method, device, equipment and medium based on machine learning |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20140305 |
|
| RJ01 | Rejection of invention patent application after publication |