CN105139162A - Clinical diagnosis and treatment information and quality control method and system for managing critical patients - Google Patents

Clinical diagnosis and treatment information and quality control method and system for managing critical patients Download PDF

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CN105139162A
CN105139162A CN201510667463.8A CN201510667463A CN105139162A CN 105139162 A CN105139162 A CN 105139162A CN 201510667463 A CN201510667463 A CN 201510667463A CN 105139162 A CN105139162 A CN 105139162A
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data
module
analysis
patient
control module
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李秀华
范正君
邱泽亮
沈侃
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Shanghai Pudong New Distric Zhoupu Hospital
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Shanghai Pudong New Distric Zhoupu Hospital
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Abstract

The invention discloses a clinical diagnosis and treatment information and quality control method and system for managing critical patients. A human-computer interaction module, a processing control module, a data analysis module, a quality control analysis module, a data classification module, a data acquisition and communication module and a storage module are arranged so that the clinical diagnosis and treatment information and quality control system is established. All the diagnosis and test data of any one patient can be acquired, and the data can be analyzed and a trend chart is drawn so that a user is enabled to perceive change trend of the data intuitively and a situation of whether the data are in normal range. The data obviously exceeding the normal range are prompted and warned, and a latest and authoritative processing method is provided and case data can be derived according to actual requirements so that use of clinical scientific research is facilitated. Besides, an evaluation method for multiple critical patients can also be adopted to evaluate the patients automatically so that workload is reduced and evaluation accuracy is enhanced. Quality control management of the critical patients can also be realized according to the ICU medical quality control requirements.

Description

A kind of manage critical patient clinical information and quality control method and system
Technical field
The present invention relates to diagnostic control system and the method for medical field, be specifically related to a kind of manage critical patient clinical information and quality control method and system.
Background technology
Intensive care unit(ICU) (IntensiveCareUnit, be called for short ICU) be that modern hospital is guarded patient with severe symptoms and the important clinical section office of the curative activity such as treatment, it is the lesion that critical patients is concentrated, because patient with severe symptoms's change of illness state is fast, clinical information amount is huge, clinical information system (ClinicalInformationSystem is called for short CIS) is needed to manage and integrate.
The CIS of severe medical science comprises aspects of contents: physiological compensation effects, record and analysis; Pharmacokinetics, adverse Drug Reaction Monitoring and target controlled infusion; Clinical decision support, clinical path, treatment specification and instruct guide to implement.The use of CIS make the enforcement in severe medical science section's standard clinical path more specification, in order, be expected to reduce patient with severe symptoms's case fatality rate, reduce medical treatment cost, and CIS can optimize ICU case control, and research shows, ICU patient's case fatality rate of CIS is adopted to reduce 26.7%, hospital day shortens 16%, and average hospitalization charge reduces 25%, in addition, utilize CIS to optimize ICU and can improve the utilization of resources and management level, obvious reduction medical treatment cost, simultaneously can specification drug therapy, ensures medical safety.
CIS is improved in the emphasis and the direction that realize the construction of severe medical information at present, namely by all clinical informations of ICU patient and severe medical information system (IntensiveCareInformationSystem, be called for short ICIS) and other subsystems realize seamless link, as laboratory information system (LIS), image archiving and communication system (PACS), electronic health record (EMR), clinical electric doctor's advice (CPOE), Clinical Decision Support Systems (CDSS) and tele-medicine back-up system etc. carry out analytical integration on this basis, Clinical Alert, instruct clinical decision and chimeric clinical path, specification and guide, sequencing ground guiding clinical treatment.
But current CIS also also exists a lot of defects.First, most CIS also rests on the mechanicalness record of every physiological parameter and warning, editor print in medical care file level, can not meet clinical needs, or be only do not record and show patient physiological parameter, assay with making any distinction between, lack the functions such as integrated, the intelligent early-warning of data analysis and clinical support decision-making, the clinical demand of severe medical doctor can not be met.Secondly, current CIS is also in more original state to the display and process that detect data, and data are not through intelligentized screening and analysis.Again, present stage various Medical Instruments and the warning of infosystem be only that the machinery of artificial parameters bound is replied, the warning of clinical diagnosis meaning can not be provided, as the perfusion forewarning index shock of tachycardia, low blood pressure associating exception, associating gas exchanges index of being short of breath obviously worsens early warning respiratory failure, the early warning etc. that whether drug use is safe when patient organ's insufficiency.In addition, CIS does not also play due effect in clinical research, and it is not also well brought into play the storage of data and analytic function.
Summary of the invention
The object of the present invention is to provide a kind of manage critical patient clinical information and quality control method and system, by arranging human-computer interaction module, processing and control module, data analysis module, Analysis of quality control module, data categorization module, data acquisition and communication module and memory module sets up clinical information and quality control system; Thus all diagnosis and the check data that gather arbitrary patient can be realized, and to above-mentioned data analysis, draw trend map, user's direct feel is made whether to be in normal range to the variation tendency of data, data, and the data obviously exceeding normal range are reminded and early warning, there is provided method that is up-to-date, authoritative process according to relevant guide, the present invention can derive case-data according to the actual needs of user, thus contributes to the use of clinical research simultaneously; This invention is according to the needs of user simultaneously, establishes multiple points-scoring system, automatically can gather the data of patient, the state of an illness of urgent patient is assessed, for the judgement of clinical worker to the state of an illness provides convenient, and reduce the workload of clinical worker, improve the accuracy of assessment; The present invention can also require to realize quality control management to urgent patient according to ICU medical quality control, simultaneously and Hospital Infection system carry out data communication, for the prevention and control of hospital infection provide support.
In order to achieve the above object, the present invention is achieved through the following technical solutions:
Manage clinical information and the quality control system of critical patient, be characterized in, this clinical information and quality control system comprise:
Human-computer interaction module, for display system result and acquisition user instruction;
Processing and control module, is connected with described human-computer interaction module;
Data analysis module, is connected with described processing and control module;
Analysis of quality control module, is connected with described processing and control module;
Data categorization module, is connected with described processing and control module, described data analysis module respectively;
Data acquisition and communication module, be connected with described data categorization module;
Memory module, is connected with described data categorization module, described data analysis module and described processing and control module respectively.
In the clinical information of described management critical patient and quality control system,
Described data acquisition and communication module for gathering check data, the Monitoring Data of arbitrary patient, and can carry out communication with other clinic diagnosis systems, obtain check data, the Monitoring Data of other clinic diagnosis systems about this patient;
Described data categorization module is for obtaining described data acquisition and communication module about all check data, the Monitoring Data of arbitrary patient, and classify according to check data, Monitoring Data type, and the information that classification completed is sent to described processing and control module;
Described processing and control module controls described data categorization module and sorted data is sent to described data analysis module, and controls this data analysis module and carry out work;
Described data analysis module is analyzed the check data of each patient obtained, Monitoring Data, and by analysis result by described processing and control module display extremely described human-computer interaction module;
Described memory module carries out the analysis result of sorted check data, Monitoring Data and this data analysis module for storing this data categorization module all, and can, according to the control of described processing and control module, the data in this memory module be carried out call, analyze.
In the clinical information of described management critical patient and quality control system,
Described human-computer interaction module obtains check data, the Monitoring Data of each patient, and requires to send different user instructions to described processing and control module according to user;
Described processing and control module obtains and resolves the user instruction of described human-computer interaction module transmission, and data analysis module or described Analysis of quality control module carry out work according to user instruction Type Control;
To user, described Analysis of quality control module requires that the quality objective of carrying out carries out Quality Control Analysis according to severe medical speciality medical instructions control criterion, and analysis result is sent to described human-computer interaction module by described processing and control module shows.
Manage clinical information and the quality control method of critical patient, be characterized in, this clinical information and quality control method comprise:
S1, data acquisition and communication module obtain all check data, the Monitoring Data of each patient, and above-mentioned data are sent to data categorization module carry out Data classification; The above-mentioned data of described data categorization module to all patients are classified, and classification is completed information deliver to processing and control module;
S2, described processing and control module obtain described data categorization module send Data classification complete information after, control this data categorization module sorted data to be sent to data analysis module and to test anomaly analysis, and analysis result is sent to human-computer interaction module by this processing and control module shows;
S3, user sends data idsplay order by described human-computer interaction module or instruction is derived in diagnosis, and described processing and control module obtains and resolves above-mentioned instruction, and controls corresponding module, according to instruction, user is required that data display is to this human-computer interaction module;
S4, when user needs the state of an illness dynamic evaluation result obtaining arbitrary patient, after check data in memory module, Monitoring Data are analyzed according to the methods of marking that user requires by described data analysis module, by analysis result display to described human-computer interaction module;
S5, when user needs the quality management &control situation obtaining current urgent patient, to user, described Analysis of quality control module requires that arbitrary quality objective carries out Quality Control Analysis according to severe medical speciality medical instructions control criterion, and analysis result is sent to described human-computer interaction module by described processing and control module shows.
Described step S1 comprises:
S1.1, described data acquisition and communication module can carry out communication according to other clinic diagnosis systems, obtain a part of check data of each patient, a part of Monitoring Data; Described data acquisition and communication module can obtain another part check data, another part Monitoring Data of each patient by Real-time Collection; By above-mentioned two class modes, this data acquisition and communication module can obtain all check data of each patient, all Monitoring Data;
S1.2, described data categorization module obtains all check data, all Monitoring Data of described all patients, and classifies and process of recombinating according to the above-mentioned data of requirement to each patient of client, and the information after process is sent to processing and control module;
S1.3, described memory module obtains and stores all data of described data acquisition and communication module transmission.
Described step S2 comprises:
S2.1, described processing and control module controls described data categorization module and sorted data is sent to described data analysis module;
S2.2, described data analysis module comprises the test stone value range of every check data, when after the Data classification information obtaining the transmission of described data categorization module, this data analysis module judges whether to exceed corresponding test stone value range to every check data in every class according to class categories;
When exceeding, send alarm signal to described human-computer interaction module by described processing and control module;
When not exceeding, send the display of this check data to described human-computer interaction module by described processing and control module;
S2.3, after described data analysis module analysis judges, the described human-computer interaction module all check data with alarm signal of display and the check data be in range of normal value;
Meanwhile, described memory module obtains and stores all analysis results analyzed through described data analysis module.
Described step S3 comprises:
User sends diagnosis by described human-computer interaction module and derives instruction to described processing and control module, after this processing and control module resolves this instruction, control described data categorization module and will require that deriving the display of corresponding Monitoring Data uses for clinical research to this human-computer interaction module according to user;
User sends historical data idsplay order to described processing and control module by described human-computer interaction module; This processing and control module resolves the data category of this command request display, the screening of these data requires and shows the mode of these data; This processing and control module resolves all data obtaining and require the check data shown in memory module, and carry out corresponding screening according to screening requirement, draw trend map simultaneously to gathered data, display is to described human-computer interaction module.
Described step S4 comprises:
When user select to adopt in multiple severe methods of marking, any one method carries out dynamic evaluation to the state of an illness of arbitrary patient time, user sends corresponding assessment instruction to described processing and control module by described human-computer interaction module, this processing and control module controls described data analysis module and extracts corresponding check data, Monitoring Data in described memory module, and adopt corresponding evaluation method carry out evaluates calculation, and by assessment result by the display of this processing and control module to described human-computer interaction module.
Described step S5 comprises:
Described Analysis of quality control module calls the data in described memory module by described processing and control module, carry out ICU patient and accept rate for medical treatment and ICU patient accepts a rate per diem for medical treatment, acute physiology and chronic healthy >=15 points of patients that mark accept rate for medical treatment, infectious shock 3 hours bundling treatment completion rates, infectious shock 6 hours bundling treatment completion rates, aetology censorship rate before ICU antibacterial drug therapy, ICU DVT prevention rate, ICU patient estimates case fatality rate, marking of ICU patient is died of illness index, the computational analysis of intubate rate again in 48 hours after the unplanned extubation of tracheal intubation rate of ICU and ICU extubation of tracheal intubation,
User selects above-mentioned any quality control index as required by described human-computer interaction module, controls to show this human-computer interaction module after described Analysis of quality control module carries out analytical calculation.
The present invention compared with prior art has the following advantages:
Disclosed by the invention a kind of manage critical patient clinical information and quality control method and system, by arranging human-computer interaction module, processing and control module, data analysis module, Analysis of quality control module, data categorization module, data acquisition and communication module and memory module sets up clinical information and quality control system.The present invention can gather all diagnosis and the check data of arbitrary patient automatically by system, and to above-mentioned data analysis, after system process, make user whether can be in normal range to the variation tendency of data, data by direct feel, be convenient to doctor and diagnoses and treatment is accurately carried out to the situation of patient.Case-data can be derived according to actual needs simultaneously, contribute to the use of clinical research; And the appraisal procedure of multiple urgent patient can be adopted automatically to assess patient, reduce working doctor amount, improve the accuracy of assessment; The present invention can also require to realize the quality control management etc. to urgent patient according to ICU medical quality control.
Accompanying drawing explanation
To be that the present invention is a kind of manage the clinical information of critical patient and the one-piece construction schematic diagram of quality control system to Fig. 1.
To be that the present invention is a kind of manage one of the clinical information of critical patient and the embodiment schematic diagram of quality control method to Fig. 2.
To be that the present invention is a kind of manage the clinical information of critical patient and the embodiment schematic diagram two of quality control method to Fig. 3.
To be that the present invention is a kind of manage the clinical information of critical patient and the embodiment schematic diagram three of quality control method to Fig. 4.
To be that the present invention is a kind of manage the clinical information of critical patient and the embodiment schematic diagram four of quality control method to Fig. 5.
To be that the present invention is a kind of manage the clinical information of critical patient and the embodiment schematic diagram five of quality control method to Fig. 6.
To be that the present invention is a kind of manage the clinical information of critical patient and the embodiment schematic diagram six of quality control method to Fig. 7.
Embodiment
Below in conjunction with accompanying drawing, by describing a preferably specific embodiment in detail, the present invention is further elaborated.
As shown in Figure 1, manage clinical information and the quality control system of critical patient, this clinical information and quality control system comprise: human-computer interaction module 1, processing and control module 2, data analysis module 3, Analysis of quality control module 4, data categorization module 5, data acquisition and communication module 6 and memory module 7.
Wherein, human-computer interaction module 1 is for display system result and acquisition user instruction; Processing and control module 2 is connected with human-computer interaction module 1, data analysis module 3, Analysis of quality control module 4, data categorization module 5 and memory module 7 respectively.Data categorization module 5 is connected with data analysis module 3, data acquisition and communication module 6 respectively; Memory module 7 is connected with data categorization module 5, data analysis module 3 respectively.
In the present invention, data acquisition and communication module 6 for gathering check data, the Monitoring Data of arbitrary patient, and can carry out communication with other clinic diagnosis systems, obtain check data, the Monitoring Data of other clinic diagnosis systems about this patient.Data categorization module 5 for obtaining data acquisition and communication module 6 about all check data, the Monitoring Data of arbitrary patient, and is classified according to check data, Monitoring Data type, and the information that classification completed is sent to processing and control module 2.
Sorted data are sent to data analysis module 3 by processing and control module 2 control data sort module 5, and control this data analysis module 3 and carry out work.Data analysis module 3 is analyzed the check data of each patient obtained, Monitoring Data, and is shown to human-computer interaction module 1 by processing and control module 2 by analysis result.Memory module 7 carries out the analysis result of sorted check data, Monitoring Data and this data analysis module 3 for storing this data categorization module 5 all, and can, according to the control of processing and control module 2, the data in this memory module 7 be carried out calling, analyzing.
Human-computer interaction module 1 obtains check data, the Monitoring Data of each patient, and requires to send different user instructions to processing and control module 2 according to user.Processing and control module 2 obtains and resolves the user instruction of human-computer interaction module 1 transmission, and carries out work according to user instruction type control data analysis module 3 or Analysis of quality control module 4.
To user, Analysis of quality control module 4 requires that the quality objective of carrying out carries out Quality Control Analysis according to severe medical speciality medical instructions control criterion, and analysis result is sent to human-computer interaction module 1 by processing and control module 2 shows.
Manage clinical information and the quality control method of critical patient, this clinical information and quality control method comprise:
S1, data acquisition and communication module 6 obtain all check data, the Monitoring Data of each patient, and above-mentioned data are sent to data categorization module 5 and carry out Data classification; The above-mentioned data of data categorization module 5 to all patients are classified, and the information that classification completed delivers to processing and control module 2.This step S1 comprises:
S1.1, data acquisition and communication module 6 can carry out communication according to other clinic diagnosis systems, obtain a part of check data of each patient, a part of Monitoring Data; Data acquisition and communication module 6 can obtain another part check data, another part Monitoring Data of each patient by Real-time Collection; By above-mentioned two class modes, this data acquisition and communication module 6 can obtain all check data of each patient, all Monitoring Data.
In the present invention, check data, Monitoring Data comprise docks the other system of hospital, as LIS, PACS, electronic health record (EMR), CPOE, dedside monitoring system, real-time test (POCT) as data such as blood gas analyzers,
As shown in Figure 5, in the present embodiment, data acquisition and communication module 6 establish the link with existing PACS system, thus a part of Monitoring Data of this patient are collected in data acquisition and communication module 6.
S1.2, data categorization module 5 obtains all check data of all patients, all Monitoring Data, and classifies and process of recombinating according to the above-mentioned data of requirement to each patient of user, and the information after process is sent to processing and control module 2.
In the present invention, the check data that data categorization module 5 collects data acquisition and communication module 6 according to the order that routine blood test, liver function, renal function, myocardial enzymes etc. are conventional, Monitoring Data are classified.
S1.3, memory module 7 obtains and stores all data of data acquisition and communication module 6 transmission.
S2, processing and control module 2 obtain data categorization module 5 send Data classification complete information after, control this data categorization module 5 sorted data to be sent to data analysis module 3 and to test anomaly analysis, and analysis result is sent to human-computer interaction module 1 by this processing and control module 2 shows.This step S2 comprises:
S2.1, sorted data are sent to data analysis module 3 by processing and control module 2 control data sort module 5.
S2.2, data analysis module 3 comprises the test stone value range of every check data, when after the Data classification information obtaining data categorization module 5 transmission, this data analysis module 3 judges whether to exceed corresponding test stone value range to every check data in every class according to class categories.
When exceeding, send alarm signal to human-computer interaction module 1 by processing and control module 2; When not exceeding, send the display of this check data to human-computer interaction module 1 by processing and control module 2.
As shown in Figure 4, in the present embodiment, when a certain check data exceedes corresponding test stone value range, human-computer interaction module 1 adopts dark color to show.
S2.3, after data analysis module 3 analysis judges, the check data that human-computer interaction module 1 shows all check data with alarm signal and is in range of normal value; Meanwhile, memory module 7 obtains and stores all analysis results analyzed through data analysis module 3.
As shown in Figure 2 and Figure 3, in the present embodiment, human-computer interaction module 1 can show the essential information of arbitrary patient, comprise sick bed number, name, admission time, in institute's time; The check data that display of simultaneously also can classifying is different classes of, and detailed assay can be provided, whether exceed range of normal value and relevant diagnostic result for every class check data.
S3, user sends data idsplay order by human-computer interaction module 1 or instruction is derived in diagnosis, and processing and control module 2 obtains and resolves above-mentioned instruction, and controls corresponding module and user required data show to this human-computer interaction module 1 according to instruction.This step S3 comprises:
User sends diagnosis by human-computer interaction module 1 and derives instruction to processing and control module 2, after this processing and control module 2 resolves this instruction, user is required that deriving the display of corresponding Monitoring Data uses to this human-computer interaction module 1 for clinical research by control data sort module 5.
As shown in Figure 6, in the present embodiment, user inserts the hospitalization information of corresponding requirements on the interface shown by this human-computer interaction module 1, patient information is inquired about, thus can be derived corresponding Monitoring Data, for carrying out clinical research use.
User sends historical data idsplay order to processing and control module 2 by human-computer interaction module 1; This processing and control module 2 resolves the data category of this command request display, the screening of these data requires and shows the mode of these data; This processing and control module 2 resolves all data obtaining and require the check data shown in memory module 7, carries out corresponding screening, draw trend map simultaneously, show to human-computer interaction module 1 gathered data according to screening requirement.
The present invention can image data show the trend map of data variation on human-computer interaction module 1, contribute to clinician to data analysis, exceptional value is marked, and have prompting and alarm function, doctor is reminded to process exceptional value, simultaneously and large data or relevant guide be linked, provide alternative measure, assistance clinician processes critical value.
As shown in Figure 4, when user needs human-computer interaction module 1 to show the data of certain patient's creatinine data from 4.26 to 5.3, and when showing with the form of trend map, processing and control module 2 requires according to screening: creatinine data, the data 4.26 to 5.3, the form with trend map show, obtain the corresponding data of respective patient in memory module 7, and adopt the form of trend map to show.
The invention is not restricted to the display format of above-mentioned trend map, can, according to user's actual needs, adopt different forms to show, thus the differentiation of user to the state of an illness can be contributed to make and judging intuitively.
S4, when user needs the state of an illness dynamic evaluation result obtaining arbitrary patient, after the check data in memory module 7, Monitoring Data are analyzed according to the methods of marking that user requires by data analysis module 3, by analysis result display to human-computer interaction module 1.This step S4 comprises:
When user select to adopt in multiple severe methods of marking, any one method carries out dynamic evaluation to the state of an illness of arbitrary patient time, user sends corresponding assessment instruction to processing and control module 2 by human-computer interaction module 1, this processing and control module 2 control data analysis module 5 extracts corresponding check data, Monitoring Data in memory module 7, and adopt corresponding evaluation method carry out evaluates calculation, and by assessment result by the display of this processing and control module to described human-computer interaction module.
Such as: Results is marked, APACHE Ⅱ score, simplifies Acute Physiology Score, acute myocardial infarction AMI Killip classification, Acute lung injury scale, liver function is marked, and acute injury of kidney is marked, and acute pancreatitis is marked, clinical lung Sepsis Score, Coma Score, sedation score, the multiple severe methods of marking such as multiple organ dysfunction scoring.
In the present embodiment, when user require adopt acute physiology and chronic health assessment II(APACHE II) method dynamic evaluation is carried out to the state of an illness of arbitrary patient time, user sends corresponding assessment instruction to processing and control module 2 by human-computer interaction module 1, this processing and control module 2 control data analysis module 3 extracts corresponding check data, Monitoring Data in memory module 7, and adopt acute physiology and chronic health assessment II method carry out evaluates calculation, and assessment result to be shown to human-computer interaction module 1 by this processing and control module 2.
As shown in Figure 7, in the present embodiment, user adopts the patient of APACHE II to whole severe section office to carry out net assessment, draws corresponding statistics.
In the present embodiment, when user requires to adopt sequential Organ Failure Assessment (SOFA) method to carry out dynamic evaluation to the state of an illness of arbitrary patient, user sends corresponding assessment instruction to processing and control module 2 by human-computer interaction module 1, this processing and control module 2 control data analysis module 3 extracts corresponding check data, Monitoring Data in memory module 7, and adopt sequential Organ Failure Assessment's method carry out evaluates calculation, and assessment result to be shown to human-computer interaction module 1 by this processing and control module 2.
In the present embodiment, when user requires to adopt Marshall assessment (Marshall) method to carry out dynamic evaluation to the state of an illness of arbitrary patient, user sends corresponding assessment instruction to processing and control module 2 by human-computer interaction module 1, this processing and control module 2 control data analysis module 3 extracts corresponding check data, Monitoring Data in memory module 7, and adopt Marshall appraisal procedure carry out evaluates calculation, and assessment result to be shown to human-computer interaction module 1 by this processing and control module 2.
S5, when user needs the quality management &control situation obtaining current urgent patient, to user, Analysis of quality control module 4 requires that the quality objective of carrying out carries out Quality Control Analysis according to severe medical speciality medical instructions control criterion, and analysis result is sent to human-computer interaction module 1 by processing and control module 2 shows.This step S5 comprises:
Analysis of quality control module 4 calls the data in memory module 7 by processing and control module 2, carry out ICU patient and accept rate for medical treatment and ICU patient accepts a rate per diem for medical treatment, acute physiology and chronic healthy >=15 points of patients that mark accept rate for medical treatment, infectious shock 3 hours bundling treatment completion rates, infectious shock 6 hours bundling treatment completion rates, aetology censorship rate before ICU antibacterial drug therapy, ICU DVT prevention rate, ICU patient estimates case fatality rate, marking of ICU patient is died of illness index, the computational analysis of intubate rate again in 48 hours after the unplanned extubation of tracheal intubation rate of ICU and ICU extubation of tracheal intubation.
User selects above-mentioned any quality control index as required by human-computer interaction module 1, controls to show this human-computer interaction module 1 after Analysis of quality control module carries out analytical calculation.
Although content of the present invention has done detailed introduction by above preferred embodiment, will be appreciated that above-mentioned description should not be considered to limitation of the present invention.After those skilled in the art have read foregoing, for multiple amendment of the present invention and substitute will be all apparent.Therefore, protection scope of the present invention should be limited to the appended claims.

Claims (9)

1. manage clinical information and the quality control system of critical patient, it is characterized in that, this clinical information and quality control system comprise:
Human-computer interaction module, for display system result and acquisition user instruction;
Processing and control module, is connected with described human-computer interaction module;
Data analysis module, is connected with described processing and control module;
Analysis of quality control module, is connected with described processing and control module;
Data categorization module, is connected with described processing and control module, described data analysis module respectively;
Data acquisition and communication module, be connected with described data categorization module;
Memory module, is connected with described data categorization module, described data analysis module and described processing and control module respectively.
2. clinical information and the quality control system managing critical patient as claimed in claim 1, is characterized in that,
Described data acquisition and communication module for gathering check data, the Monitoring Data of arbitrary patient, and can carry out communication with other clinic diagnosis systems, obtain check data, the Monitoring Data of other clinic diagnosis systems about this patient;
Described data categorization module is for obtaining described data acquisition and communication module about all check data, the Monitoring Data of arbitrary patient, and classify according to check data, Monitoring Data type, and the information that classification completed is sent to described processing and control module;
Described processing and control module controls described data categorization module and sorted data is sent to described data analysis module, and controls this data analysis module and carry out work;
Described data analysis module is analyzed the check data of each patient obtained, Monitoring Data, and by analysis result by described processing and control module display extremely described human-computer interaction module;
Described memory module carries out the analysis result of sorted check data, Monitoring Data and this data analysis module for storing this data categorization module all, and can, according to the control of described processing and control module, the data in this memory module be carried out call, analyze.
3. clinical information and the quality control system managing critical patient as claimed in claim 1, is characterized in that,
Described human-computer interaction module obtains check data, the Monitoring Data of each patient, and requires to send different user instructions to described processing and control module according to user;
Described processing and control module obtains and resolves the user instruction of described human-computer interaction module transmission, and data analysis module or described Analysis of quality control module carry out work according to user instruction Type Control;
To user, described Analysis of quality control module requires that the quality objective of carrying out carries out Quality Control Analysis according to severe medical speciality medical instructions control criterion, and analysis result is sent to described human-computer interaction module by described processing and control module shows.
4. manage clinical information and the quality control method of critical patient, it is characterized in that, this clinical information and quality control method comprise:
S1, data acquisition and communication module obtain all check data, the Monitoring Data of each patient, and above-mentioned data are sent to data categorization module carry out Data classification; The above-mentioned data of described data categorization module to all patients are classified, and classification is completed information deliver to processing and control module;
S2, described processing and control module obtain described data categorization module send Data classification complete information after, control this data categorization module sorted data to be sent to data analysis module and to test anomaly analysis, and analysis result is sent to human-computer interaction module by this processing and control module shows;
S3, user sends data idsplay order by described human-computer interaction module or instruction is derived in diagnosis, and described processing and control module obtains and resolves above-mentioned instruction, and controls corresponding module, according to instruction, user is required that data display is to this human-computer interaction module;
S4, when user needs the state of an illness dynamic evaluation result obtaining arbitrary patient, after check data in memory module, Monitoring Data are analyzed according to the methods of marking that user requires by described data analysis module, by analysis result display to described human-computer interaction module;
S5, when user needs the quality management &control situation obtaining current urgent patient, to user, described Analysis of quality control module requires that arbitrary quality objective carries out Quality Control Analysis according to severe medical speciality medical instructions control criterion, and analysis result is sent to described human-computer interaction module by described processing and control module shows.
5. clinical information and the quality control method managing critical patient as claimed in claim 4, it is characterized in that, described step S1 comprises:
S1.1, described data acquisition and communication module can carry out communication according to other clinic diagnosis systems, obtain a part of check data of each patient, a part of Monitoring Data; Described data acquisition and communication module can obtain another part check data, another part Monitoring Data of each patient by Real-time Collection; By above-mentioned two class modes, this data acquisition and communication module can obtain all check data of each patient, all Monitoring Data;
S1.2, described data categorization module obtains all check data, all Monitoring Data of described all patients, and classifies and process of recombinating according to the above-mentioned data of requirement to each patient of client, and the information after process is sent to processing and control module;
S1.3, described memory module obtains and stores all data of described data acquisition and communication module transmission.
6. clinical information and the quality control method managing critical patient as claimed in claim 4, it is characterized in that, described step S2 comprises:
S2.1, described processing and control module controls described data categorization module and sorted data is sent to described data analysis module;
S2.2, described data analysis module comprises the test stone value range of every check data, when after the Data classification information obtaining the transmission of described data categorization module, this data analysis module judges whether to exceed corresponding test stone value range to every check data in every class according to class categories;
When exceeding, send alarm signal to described human-computer interaction module by described processing and control module;
When not exceeding, send the display of this check data to described human-computer interaction module by described processing and control module;
S2.3, after described data analysis module analysis judges, the described human-computer interaction module all check data with alarm signal of display and the check data be in range of normal value;
Meanwhile, described memory module obtains and stores all analysis results analyzed through described data analysis module.
7. clinical information and the quality control method managing critical patient as claimed in claim 4, it is characterized in that, described step S3 comprises:
User sends diagnosis by described human-computer interaction module and derives instruction to described processing and control module, after this processing and control module resolves this instruction, control described data categorization module and will require that deriving the display of corresponding Monitoring Data uses for clinical research to this human-computer interaction module according to user;
User sends historical data idsplay order to described processing and control module by described human-computer interaction module; This processing and control module resolves the data category of this command request display, the screening of these data requires and shows the mode of these data; This processing and control module resolves all data obtaining and require the check data shown in memory module, and carry out corresponding screening according to screening requirement, draw trend map simultaneously to gathered data, display is to described human-computer interaction module.
8. clinical information and the quality control method managing critical patient as claimed in claim 4, it is characterized in that, described step S4 comprises:
When user select to adopt in multiple severe methods of marking, any one method carries out dynamic evaluation to the state of an illness of arbitrary patient time, user sends corresponding assessment instruction to described processing and control module by described human-computer interaction module, this processing and control module controls described data analysis module and extracts corresponding check data, Monitoring Data in described memory module, and adopt corresponding evaluation method carry out evaluates calculation, and by assessment result by the display of this processing and control module to described human-computer interaction module.
9. clinical information and the quality control method managing critical patient as claimed in claim 4, it is characterized in that, described step S5 comprises:
Described Analysis of quality control module calls the data in described memory module by described processing and control module, carry out ICU patient and accept rate for medical treatment and ICU patient accepts a rate per diem for medical treatment, acute physiology and chronic healthy >=15 points of patients that mark accept rate for medical treatment, infectious shock 3 hours bundling treatment completion rates, infectious shock 6 hours bundling treatment completion rates, aetology censorship rate before ICU antibacterial drug therapy, ICU DVT prevention rate, ICU patient estimates case fatality rate, marking of ICU patient is died of illness index, the computational analysis of intubate rate again in 48 hours after the unplanned extubation of tracheal intubation rate of ICU and ICU extubation of tracheal intubation,
User selects above-mentioned any quality control index as required by described human-computer interaction module, controls to show this human-computer interaction module after described Analysis of quality control module carries out analytical calculation.
CN201510667463.8A 2015-10-16 2015-10-16 Clinical diagnosis and treatment information and quality control method and system for managing critical patients Pending CN105139162A (en)

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Application publication date: 20151209