CN105380764A - Novel movable nursing system - Google Patents

Novel movable nursing system Download PDF

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Publication number
CN105380764A
CN105380764A CN201510702703.3A CN201510702703A CN105380764A CN 105380764 A CN105380764 A CN 105380764A CN 201510702703 A CN201510702703 A CN 201510702703A CN 105380764 A CN105380764 A CN 105380764A
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CN
China
Prior art keywords
doctor
patient
advice
collection
novel movable
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
Application number
CN201510702703.3A
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Chinese (zh)
Inventor
陈宇行
王晖
吉亚力
胡呈炜
杨宏桥
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Core Technology (beijing) Co Ltd
306 HOSPITAL OF PLA
Original Assignee
Core Technology (beijing) Co Ltd
306 HOSPITAL OF PLA
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Core Technology (beijing) Co Ltd, 306 HOSPITAL OF PLA filed Critical Core Technology (beijing) Co Ltd
Priority to CN201510702703.3A priority Critical patent/CN105380764A/en
Publication of CN105380764A publication Critical patent/CN105380764A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G12/00Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists

Abstract

The invention relates to the field of medical nursing, in particular to a novel movable nursing system based on functional bar codes and a 24-hour worksheet. The system comprises the functional bar codes and the 24-hour worksheet. The functional bar codes are mainly characterized in that the automatic navigation function is achieved, functional codes, a patient ID and a medical order executing marker are integrated into two-dimensional codes, the medical order executing steps are greatly simplified, workloads of nurses are relieved, errors happening in the medical order executing process are avoided, and non-click operation of medical orders executed beside a bed is achieved; the 24-hour worksheet is used for collecting vital signs of a patient, collected information of the vital signs is differentiated and extracted in advance through a pre-processing mechanism, the vital signs needing to be collected are accurately extracted in front of the bed of the patient, and non-selection operation is achieved when the vital signs are collected. The system has the advantages that the non-selection operation procedure of vital sign collection is achieved, an informatization means avoiding nursing errors is provided, and the overall efficiency is improved.

Description

A kind of Novel movable nursing system
Technical field
The present invention relates to medical care, particularly relate to a kind of Novel movable nursing system based on " function bar code " and " 24 hours job notes ".
Background technology
Based on the Mobile Nursing Station of PDA, object gets through " last 100 meters " distance before from nurse station to patient bed, completes on-the-spot information gathering, identity and the certification etc. of doctor's advice, realize the closed loop of doctor's advice execution.But in the behind that some surface is bright and new, the practical application situation of Mobile nursing is unsatisfactory, and individual other even becomes ornaments.Compared with the computer operation that other application systems are more simple, Mobile nursing systematic difference scene has its particularity, the operation of PDA is the operation of attaching troops to a unit of nursing procedure (such as infuse, gather blood, body temperature collection etc.), feature constantly intersects to carry out, if Mobile nursing system can not agree with the actual requirement of nursing in operating process, or even become burden, nurse will abandon PDA operation under busy state, and then causes abandoning.
Namely Mobile nursing system before has the problem of software design, and selectable mobile terminal and wireless network also have problems simultaneously.Be mainly manifested in three aspects:
1, the software design mainly manually-operated computerization of nurse, brings many operation burdens to nurse;
2, PDA probe aligning and reaction sensitive not, based on scanning operation smooth not;
These question synthesis reaction bother exactly at application, not handy.For the problems referred to above, Mobile nursing system of new generation has carried out overall upgrading, comprises the type selecting of mobile terminal, application software operation BPR.
Summary of the invention
Mobile nursing system of new generation of the present invention follows extremely simple principle, gather these two core business implementing procedures reproduce design round doctor's advice execution, vital sign, object maximizes to realize syndrome numeral and make the rounds of the wards, and hospital's Mobile nursing system Construction provides a kind of reliable and stable solution.
Concrete technical scheme of the present invention is as follows:
A kind of Novel movable nursing system, described system comprises function bar code and 24 hours job notes, it is characterized in that:
Described function bar code comprises function code, patient ID and doctor's advice and performs thing mark; Described function code indicates different doctor's advice types; Described patient ID indicates the doctor's advice of this secondary execution of this patient; Described doctor's advice performs the unique identification that thing is designated this execution thing, distinguishes the frequency to doctor's advice;
Work in described 24 hours is alone in the collection of vital sign patient, and the vital sign acquisition tasks of every day is planned to 24 periods, before zero point every day, according to the definition in collection rule storehouse automatically for patient's next day every generates a collecting work list at times; In described job note, there are three kinds of states each period: " null " represents that this period does not need to gather, and " 1 " represents that this period needs to gather, and " 0 " expression gathers, and when many rules point to the same period of certain index, repeating set can not cause confusion.
Further, described system also comprises a trigger; When the new collection produced when there being new doctor's advice requires, then supplement in real time into 24 hours job notes in modes such as triggers.
Further, described system also comprises an independent acquisition interface, for gathering the collection request requiring to be less than 1 hour, then solves with independent acquisition interface.
Further, the collection rule storehouse of described 24 hours job notes defines in units of index, and indices is also distinguished by training, can to index by different collection rules, match with frequency table, identical index can also be realized and define the different collection frequencys and time by training.
Further, the collection rule storehouse of described 24 hours job notes comprises the self-defined configuration module of different department further, realizes self-defined configuration collection rule and gathers the frequency.
Beneficial effect of the present invention is:
1, proposition of the present invention " function bar code " designs, topmost feature is the function that function bar code has self-navigation, function bar code={ function code+patient ID+ doctor's advice performs thing mark }, on the basis of patient ID, adds function code and doctor's advice and performs thing and identify two elements.Greatly improve the accuracy of doctor's advice execution and the work efficiency of nurse, by the click in past, scan, check, click, the five steps such as scanning merges again becomes scanning, check, scan three steps again, during the doctor's advice execution done completely without clicking operation.This function can be widely used in the implementation of the doctor's advices such as transfusion, oral medicine, chemical examination, directly entering corresponding function, having good autgmentability and the suitability without the need to clicking.
2, " 24 hours job notes " scheme of the present invention's proposition, most important feature have employed pretreatment mechanism to the collection of vital sign, achieve before patient bed the accurate extraction needing the vital sign gathered, what vital sign collection was become is more simple and convenient, when the vital sign done gathers without selecting operation.Simultaneously because have employed the pretreatment mechanism of doctor's advice, the doctor's advice that can realize coming according to Rule Extraction is very consistent with the actual vital sign doctor's advice that will gather.
3, the present invention have also been devised the technical scheme such as trigger, independent acquisition interface simultaneously, can meet the nursing demand that different patient is different, greatly improves overall nursing efficiency and level.
Accompanying drawing explanation
Fig. 1 the present invention is based on " function bar code " doctor's advice of infusing schematic flow sheet.
Fig. 2 the present invention is based on " function bar code " oral medicine doctor's advice schematic flow sheet.
Fig. 3 the present invention is based on " function bar code " to chemically examine doctor's advice schematic flow sheet.
Detailed description of the invention
Below in conjunction with accompanying drawing, technical scheme of the present invention is further elaborated.
A kind of Novel movable nursing system of the present invention, described system comprises function bar code and 24 hours job notes.Wherein, function bar code performs design mainly for doctor's advice.The bar code in past, the id information generally only containing patient, although can be extracted the relevant information of patient by it, is done any operation, obtains what information, also need user to operate step by step, do not possess uniqueness.Bar code homing capability is given in the introducing of " function bar code ", reaches the object simplified the operation." function bar code ", on the basis of patient ID, adds function code and doctor's advice and performs thing and identify two elements.Function bar code is applied in the doctor's advices such as transfusion bag, oral medicated bag, test tube, bedsie card and performs on thing, and wherein function code represents doctor's advice type, and doctor's advice execution thing mark is then distinguished and arrived the doctor's advice frequency, and three unifies, and function bar code has unique directivity.Its effect is, no matter what operation interface PDA is in, and scans this bar code and all directly will be imported into corresponding function interface and the cross-check information of prompting association.Scan patients wrist strap again, system automatic checking patient identity also records doctor's advice execution information, and doctor's advice is complete.Therefore, scanning process design is reduced to, and first sweeps the function bar code of thing, then sweeps the wrist strap of patient.
As shown in Figure 1, be the present invention is based on " function bar code " doctor's advice of infusing schematic flow sheet, idiographic flow is as follows: doctor assigns transfusion doctor's advice at doctor station, after therapeutic room receives above-mentioned doctor's advice, and dosing as requested, and printing function bar code is affixed in transfusion bag.The bar code of nurse in ward scanning transfusion bag, and check order entry, then scan patients wrist strap, check patient information and record, complete the doctor's advice of transfusion.
Fig. 2, Fig. 3 further show and the present invention is based on " function bar code " oral medicine doctor's advice schematic flow sheet and chemical examination doctor's advice schematic flow sheet.
Work in 24 hours of the present invention is alone in the collection of vital sign patient.Need the regular main source of acquisition index to be doctor's advice, nursing grades, operation and routine clinical etc., each training also has difference.Way is in the past that processing rule is accomplished in program, retrieval process is performed before sick bed, but because these rules integrate more complicated, response speed is very slow, so, nurse can only be allowed in design to increase selection and (such as to limit the three days patients that are admitted to hospital, operation seven days patients etc.) to reduce amount of calculation, be exactly only automatically calculate main physical signs index in addition, such as body temperature, blood pressure etc., whether other indexs gather also is carried out selection by nurse and operates, and, when some training has individual requirement to certain index collection time, system is difficult to adapt to.Loaded down with trivial details operation to nurse bring be burden.
The target that " 24 period job note " designs be exactly can before patient bed can intelligence, all indexs that instant this patient of extraction should not gather, do not need nurse think deeply and select.Its design philosophy mainly contains 3 points:
1,24 period job notes
Analysis vital sign being gathered to the frequency shows, the time point overwhelming majority falls on integral point, only gathers once at the same time.New approaches are that the vital sign acquisition tasks of every day is planned to 24 periods, in table 1.Before zero point every day by background program according to the definition in collection rule storehouse automatically for next day every patient generate a collecting work list at times.There are three kinds of states each period: " null " represents that this period does not need to gather, and " 1 " represents that this period needs to gather, and " 0 " expression gathers.When many rules point to the same period of certain index, repeating set can not cause confusion.For the collection requirement that new lower doctor's advice etc. produces, then supplement in real time into job note in modes such as triggers.The pretreatment of " 24 period job note " front-collection rule, realizes the simple rapid extraction that acquisition index is answered on patient bed side.Emergency patients etc. is gathered to the collection requirement requiring to be less than 1 hour, then solve with independent acquisition interface.
Table 1
2, self-defined collection rule storehouse.
Rule base defines in a database, can realize haveing nothing to do with program.The structural design of rule base is in table 2, table 3.Rule base defines in units of index, this addresses the problem the complexity of a process when rule relates to multiple index situation, and can increase arbitrarily or reduce rule.Meanwhile, indices is also distinguished by training, to index by different collection rules, can match, can also realize identical index and define the different collection frequencys and time by training with frequency table.
Table 2
Table 3
Above-mentioned detailed description of the invention is elaborating core concept of the present invention and design, but does not form the restriction to concrete protection domain of the present invention.Concrete protection domain of the present invention should be as the criterion by claims of the present invention.Any change, replacement, extension etc. carried out with design in core concept of the present invention, all belongs to protection scope of the present invention.Under the unwarranted situation of obligee, must not implement without authorization.

Claims (5)

1. a Novel movable nursing system, described system comprises function bar code and 24 hours job notes, it is characterized in that:
Described function bar code comprises function code, patient ID and doctor's advice and performs thing mark; Described function code indicates different doctor's advice types; Described patient ID indicates the doctor's advice of this secondary execution of this patient; Described doctor's advice performs the unique identification that thing is designated this execution thing, distinguishes the frequency to doctor's advice;
Work in described 24 hours is alone in the collection of vital sign patient, and the vital sign acquisition tasks of every day is planned to 24 periods, before zero point every day, according to the definition in collection rule storehouse automatically for patient's next day every generates a collecting work list at times; In described job note, there are three kinds of states each period: " null " represents that this period does not need to gather, and " 1 " represents that this period needs to gather, and " 0 " expression gathers, when many rules point to the same period of certain index, then repeat set and can not cause confusion.
2. a kind of Novel movable nursing system according to claim 1, is characterized in that:
Described system also comprises a trigger; When the new collection produced when there being new doctor's advice requires, then supplement in real time into 24 hours job notes in modes such as triggers.
3. a kind of Novel movable nursing system according to claim 1, is characterized in that:
Described system also comprises an independent acquisition interface, for gathering the collection request requiring to be less than 1 hour, solves with independent acquisition interface.
4. a kind of Novel movable nursing system according to claim 1, it is characterized in that: the collection rule storehouse of described 24 hours job notes defines in units of index, indices is distinguished by training, to index by different collection rules, match with frequency table, identical index can also be realized and define the different collection frequencys and time by training.
5. a kind of Novel movable nursing system according to claim 4, is characterized in that: the collection rule storehouse of described 24 hours job notes comprises the self-defined configuration module of different department further, realizes self-defined configuration collection rule and gathers the frequency.
CN201510702703.3A 2015-10-26 2015-10-26 Novel movable nursing system Pending CN105380764A (en)

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