CN105426661B - A kind of unplanned second operation approaches to IM and management system - Google Patents

A kind of unplanned second operation approaches to IM and management system Download PDF

Info

Publication number
CN105426661B
CN105426661B CN201510729329.6A CN201510729329A CN105426661B CN 105426661 B CN105426661 B CN 105426661B CN 201510729329 A CN201510729329 A CN 201510729329A CN 105426661 B CN105426661 B CN 105426661B
Authority
CN
China
Prior art keywords
unplanned
report
time
names
reason
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.)
Active
Application number
CN201510729329.6A
Other languages
Chinese (zh)
Other versions
CN105426661A (en
Inventor
叶霖
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.)
Tongji Medical College of Huazhong University of Science and Technology
Original Assignee
Union Hospital Tongji Medical College Huazhong University of Science and Technology
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 Union Hospital Tongji Medical College Huazhong University of Science and Technology filed Critical Union Hospital Tongji Medical College Huazhong University of Science and Technology
Priority to CN201510729329.6A priority Critical patent/CN105426661B/en
Publication of CN105426661A publication Critical patent/CN105426661A/en
Application granted granted Critical
Publication of CN105426661B publication Critical patent/CN105426661B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • G06F19/325

Landscapes

  • Medical Treatment And Welfare Office Work (AREA)

Abstract

The invention discloses a kind of unplanned second operation approaches to IM and management system, the described method includes:When submitting operation second, judge submit whether made a report on second of operation names during operation for the first time;If submit for the first time during operation and do not make a report on second of operation names, it is determined that should operation be for the second time unplanned second operation;If submitting for the first time during operation and having made a report on second of operation names, second of operation names are read;The operation names made a report on when second of operation is submitted are contrasted with second of the operation names read, if identical, it is inside the plan second operation to be somebody's turn to do second of operation, and otherwise, it is unplanned second operation that should perform the operation for second.By the present invention, inside the plan second operation is belonged to second operation and still falls within unplanned second operation progress automatic decision, statistical analysis, is analyzed instead of existing artificial judgment, is saved the time, improve work efficiency.

Description

A kind of unplanned second operation approaches to IM and management system
Technical field
The present invention relates to technical field of data administration, and in particular to a kind of unplanned second operation approaches to IM and pipe Reason system.
Background technology
Unplanned operation again (also known as unplanned second operation):Refer between a same hospital stay, because a variety of causes is led Cause patient need to carry out it is unplanned perform the operation again, including iatrogenic factors, i.e. operation or special diagnosis and treatment operation cause severe complication It must perform a surgical operation again;And non-iatrogenic factors, i.e., since conditions of patients develops or serious postoperative complications occurs and needs To perform the operation again.The unplanned quantity performed the operation again and a reason is that important evaluation metrics of medical safety.
At present, primary data as shown in Figure 1 is typically exported, it is necessary to manual sort, analysis, and will be as shown in Figure 2 Supervise and examine table is sent to corresponding associated department and carries out hand filling, then data are counted, and analyzes.
The content of the invention
The technical problems to be solved by the invention are to provide a kind of unplanned second operation approaches to IM and management system System.
The technical solution that the present invention solves above-mentioned technical problem is as follows:
Based on one aspect of the present invention, there is provided a kind of unplanned second operation approaches to IM, the method bag Include:
S1, when second submits operation, judge submit whether made a report on second of operation names during operation for the first time;
If S2a, submit during operation and do not make a report on second of operation names for the first time, it is determined that it is unplanned to be somebody's turn to do second of operation Second operation;
If S2b, submit during operation and made a report on second of operation names for the first time, second of operation names are read;
S3, the operation names made a report on when second operation is submitted made a report on when performing the operation and submit with the first time read second Secondary operation names are contrasted, if identical, it is inside the plan second operation that should perform the operation for second, otherwise, should operation be for the second time Unplanned second operation.
Based on another aspect of the present invention, there is provided a kind of unplanned second operation information management system, the system Including:
Whether judgment module, made a report on second for when submitting operation second, judging to submit for the first time during operation Operation names;
Determining module, if not making a report on second of operation names when submitting operation for first time, it is determined that second of hand Art is unplanned second operation;
Read module, if having made a report on second of operation names when submitting operation for first time, reads second of hand Art title;
Contrast module, for the operation names made a report on during second of operation submission and the first time read to be performed the operation when submitting Second of the operation names made a report on are contrasted, if identical, determining module determines that second of operation is inside the plan second operation, Otherwise, it determines module determines that second of operation is unplanned second operation.
A kind of unplanned second operation approaches to IM provided by the invention and management system, belong to second operation meter Second operation still falls within unplanned second operation and carries out automatic decision, statistical analysis in drawing, instead of existing artificial judgment point Analysis, saves the time, improves work efficiency.
Brief description of the drawings
Fig. 1 is existing derived initial data;
Fig. 2 is the existing supervise and examine table for needing to be sent to corresponding section office;
Fig. 3 is a kind of unplanned second operation approaches to IM flow chart of the embodiment of the present invention 1;
Fig. 4 is the data form schematic diagram carried out to unplanned second operation after causality classification;
Fig. 5 is according to the tables of data schematic diagram after section office and reason inquiry;
Fig. 6 is the patient information data that inquiry obtains;
Fig. 7 is a kind of unplanned second operation information management system schematic diagram of the embodiment of the present invention 2.
Embodiment
The principle and features of the present invention will be described below with reference to the accompanying drawings, and the given examples are served only to explain the present invention, and It is non-to be used to limit the scope of the present invention.
Embodiment 1, a kind of unplanned second operation approaches to IM.Below in conjunction with Fig. 3-Fig. 6 to the present embodiment provides Method be described in detail.
Referring to Fig. 3, S1, when submitting operation second judges submit whether made a report on second of hand during operation for the first time Art title;
If S2a, submit during operation and do not make a report on second of operation names for the first time, it is determined that it is unplanned to be somebody's turn to do second of operation Second operation;
If S2b, submit during operation and made a report on second of operation names for the first time, second of operation names are read;
S3, the operation names made a report on when second operation is submitted made a report on when performing the operation and submit with the first time read second Secondary operation names are contrasted, if identical, it is inside the plan second operation that should perform the operation for second, otherwise, should operation be for the second time Unplanned second operation.
Specifically, when first time submitting operation, if there are inside the plan second operation, it is necessary to perform the operation for the first time submitting When make a report on second inside the plan of operation names.Therefore, when submitting operation second, can judge to submit for the first time during operation is It is no to have submitted second of operation names, if not filling in, it can determine that second of operation of this time is unplanned second operation.If Second of operation names is fill in when operation is submitted for the first time, then reads second of the hand filled in when submitting operation for the first time first Art title, and when this time operation names for filling in of when submitting second and perform the operation were submitted and performed the operation with the first time read fill in the Second operation title is contrasted, if two operation names are identical, it may be considered that the second operation is inside the plan second operation, If differing, it is unplanned second operation that can determine the second operation.
When being determined that current secondary operation is unplanned second operation, it is necessary to fill in the original of the unplanned second operation Cause.Referring to Fig. 4, according to the reason for the unplanned second operation filled in, the reason for according to imposing a condition to unplanned second operation Classify, and the unplanned second operation corresponding informance after progress causality classification is stored in database.Wherein, according to not Unplanned second operation corresponding informance is stored in during data go out with section office and different classes of reason.Wherein, the present embodiment will Unplanned second operation reason is classified as three major types:Complication class, extension class and other classes.Complication class is mainly patient due to each Perform the operation for second caused by kind postoperative complication;Extension class is mainly a variety of causes, including medical treatment, patient are in itself and environment Operation for the first time is caused not done etc. factor, and second of the operation submitted;Other classes be mainly used to complication, delay or it The reason for outer, is collected.
For example complication subclass includes:
1. postoperative hemorrhage (including operative site, previous anastomotic, again blood vessel, bleeding etc.);
2. postoperative leakage (including the leakage of previous anastomotic, intestines, pancreas leakage, courage leakage etc.);
3. postoperative infection (including operative site, infection of incisional wound, wound dehiscence, liquefied fat, No operation position, secrete Urinary system, lung etc. are postoperative to be infected);
4. postoperative obstruction (intestinal obstruction caused by postoperative);
5. other complication, please fill out specific name.
Extension subclass includes:
1. flu, cough, fever;
2. official holiday;
3. Liver and kidney function is not complete;
4. patient base's disease (including blood pressure, blood glucose are unstable, blood potassium is abnormal, and room morning room early takes place frequently);
5. anesthesia method changes;
6. patient, family members require (including having different opinions) such as extensions;
7. economic factor;
8. other reasons are delayed, concrete reason please be fill out;
9. operating time is too late;
10. because the reasons such as instrument, equipment cause to delay.
Referring to Fig. 5 and Fig. 6, user can by querying condition, such as, according to different department, different time sections, different lesiones And different classes of reason inquiry meets the quantity of the unplanned second operation of condition and per the unplanned second operation pair of an example The patient information answered, convenience is paid close attention to by associated patient and the supervision of clinical position.
Embodiment 2, a kind of unplanned second operation information management system.Below in conjunction with Fig. 7 to system provided in this embodiment System is described in detail.
Referring to Fig. 7, management system provided in this embodiment includes judgment module 21, determining module 22, read module 23, right Module 25, sort module 26, memory module 27 and enquiry module 28 are filled in than module 24, reason.
Wherein, whether judgment module 21, make a report on for when submitting operation second, judging to submit for the first time during operation Second of operation names.
Determining module 22, if not making a report on second of operation names when submitting operation for first time, it is determined that should be second Perform the operation as unplanned second operation.
Read module 23, if having made a report on second of operation names when submitting operation for first time, reading should be second Operation names.
Contrast module 24, for the operation names made a report on during second of operation submission and the first time read to be performed the operation and submitted When second of operation names making a report on contrasted, if identical, determining module 22 determine should second of operation be inside the plan secondary Operation, otherwise, it determines module 22 determines that it is unplanned second operation that should perform the operation for second.
Reason fills in module 25, for if it is determined that module 22 determines that current second of operation is unplanned second operation, The reason for then filling in the unplanned second operation.
Sort module 26, the reason for for filling in the unplanned second operation that module 25 is made a report on according to reason, according to setting Condition classifies the reason for unplanned second operation.
Memory module 27, for the unplanned second operation corresponding informance after progress causality classification to be stored in database In.
Wherein, memory module 27, specifically for according to different department and different classes of reason by unplanned second operation Corresponding informance is stored in database.
Enquiry module 28, for passing through database, inquiry different department, different time sections, different lesiones and inhomogeneity The unplanned second operation quantity of other reason and the corresponding patient information of the unplanned second operation of every an example.
A kind of unplanned second operation approaches to IM provided by the invention and management system, belong to second operation meter Second operation still falls within unplanned second operation and carries out automatic decision, statistical analysis in drawing, instead of existing artificial judgment point Analysis, saves the time, improves work efficiency;Classified automatically according to operation reason to unplanned second operation, and according to Different department is stored, and can understand the operation reason of unplanned second operation in each section room in time.User can also inquire about not Same section office, different time sections, different lesiones and different classes of reason unplanned second operation quantity and corresponding trouble Person's information, convenience is paid close attention to by associated patient and the supervision of clinical position.
In the description of this specification, reference term " embodiment one ", " example ", " specific example " or " some examples " Deng description mean to combine specific method, device or feature that the embodiment or example describe and be contained at least the one of the present invention In a embodiment or example.In the present specification, schematic expression of the above terms is necessarily directed to identical implementation Example or example.Moreover, specific features, method, apparatus or the feature of description can be in any one or more embodiments or examples In combine in an appropriate manner.In addition, without conflicting with each other, those skilled in the art can be by this specification The different embodiments or example of description and different embodiments or exemplary feature are combined and combine.
The foregoing is merely presently preferred embodiments of the present invention, is not intended to limit the invention, it is all the present invention spirit and Within principle, any modification, equivalent replacement, improvement and so on, should all be included in the protection scope of the present invention.

Claims (10)

  1. A kind of 1. unplanned second operation approaches to IM, it is characterised in that the described method includes:
    S1, when second submits operation, judge submit whether made a report on second of operation names during operation for the first time;
    If S2a, submit during operation and do not make a report on second of operation names for the first time, it is determined that it is unplanned secondary to be somebody's turn to do second of operation Operation;
    If S2b, submit during operation and made a report on second of operation names for the first time, second of operation names are read;
    Second of hand that S3, the operation names made a report on when second operation is submitted are made a report on when performing the operation and submit with the first time read Art title is contrasted, if identical, it is inside the plan second operation that should perform the operation for second, should operation be for the second time non-meter otherwise Draw second operation.
  2. 2. unplanned second operation approaches to IM as claimed in claim 1, it is characterised in that if judging current second The reason for secondary operation is unplanned second operation, then fills in the unplanned second operation.
  3. 3. unplanned second operation approaches to IM as claimed in claim 2, it is characterised in that the method further includes:
    According to the reason for the unplanned second operation made a report on, the reason for unplanned second operation, is divided according to imposing a condition Class, and the unplanned second operation corresponding informance after progress causality classification is stored in database.
  4. 4. unplanned second operation approaches to IM as claimed in claim 3, it is characterised in that described to carry out reason point Unplanned second operation corresponding informance after class, which is stored in database, to be specifically included:
    Unplanned second operation corresponding informance is stored in database according to different department and different classes of reason.
  5. 5. unplanned second operation approaches to IM as claimed in claim 4, it is characterised in that the method further includes:
    By database, inquiry different department, different time sections, the unplanned secondary hand of different lesiones and different classes of reason Art quantity and the corresponding patient information of the unplanned second operation of every an example.
  6. A kind of 6. unplanned second operation information management system, it is characterised in that the system comprises:
    Judgment module, for when submitting operation second, judging that whether having made a report on second during submission operation for the first time performs the operation Title;
    Determining module, if not making a report on second of operation names when submitting operation for first time, it is determined that should operation be for the second time Unplanned second operation;
    Read module, if having made a report on second of operation names when submitting operation for first time, reading should second of operation name Claim;
    Contrast module, the operation names that for second operation to be submitted when makes a report on read first time operation submission when make a report on Second of operation names contrasted, if identical, the determining module determines that second to perform the operation be inside the plan second operation for this, Otherwise, the determining module determines that second of operation is unplanned second operation.
  7. 7. unplanned second operation information management system as claimed in claim 6, it is characterised in that the system also includes:
    Reason fills in module, if determining that current second of operation is unplanned second operation for the determining module, fills out The reason for writing the unplanned second operation.
  8. 8. unplanned second operation information management system as claimed in claim 7, it is characterised in that the system also includes:
    Sort module, for according to make a report on unplanned second operation the reason for, according to impose a condition to unplanned second operation The reason for classify;
    Memory module, for the unplanned second operation corresponding informance after progress causality classification to be stored in database.
  9. 9. unplanned second operation information management system as claimed in claim 8, it is characterised in that the memory module, tool Body is used for:
    Unplanned second operation corresponding informance is stored in database according to different department and different classes of reason.
  10. 10. unplanned second operation information management system as claimed in claim 9, it is characterised in that the system also includes:
    Enquiry module, for passing through database, inquiry different department, different time sections, different lesiones and different classes of reason Unplanned second operation quantity and the corresponding patient information per an example unplanned second operation.
CN201510729329.6A 2015-12-21 2015-12-21 A kind of unplanned second operation approaches to IM and management system Active CN105426661B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201510729329.6A CN105426661B (en) 2015-12-21 2015-12-21 A kind of unplanned second operation approaches to IM and management system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201510729329.6A CN105426661B (en) 2015-12-21 2015-12-21 A kind of unplanned second operation approaches to IM and management system

Publications (2)

Publication Number Publication Date
CN105426661A CN105426661A (en) 2016-03-23
CN105426661B true CN105426661B (en) 2018-05-04

Family

ID=55504869

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201510729329.6A Active CN105426661B (en) 2015-12-21 2015-12-21 A kind of unplanned second operation approaches to IM and management system

Country Status (1)

Country Link
CN (1) CN105426661B (en)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102474540A (en) * 2009-08-04 2012-05-23 高通股份有限公司 Systems and methods for disambiguating entries in a contacts list database implemented on a mobile device
CN103916509A (en) * 2012-12-31 2014-07-09 北京新媒传信科技有限公司 Method and apparatus for restoring phone contacts
CN104615904A (en) * 2015-02-28 2015-05-13 领智控股有限公司 Antibacterial medicament clinical application decision support system and constructing method thereof

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10316298A1 (en) * 2003-04-08 2004-11-04 Mohr, Volker, Dr. Process and arrangement for the automatic preparation and evaluation of medical data

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102474540A (en) * 2009-08-04 2012-05-23 高通股份有限公司 Systems and methods for disambiguating entries in a contacts list database implemented on a mobile device
CN103916509A (en) * 2012-12-31 2014-07-09 北京新媒传信科技有限公司 Method and apparatus for restoring phone contacts
CN104615904A (en) * 2015-02-28 2015-05-13 领智控股有限公司 Antibacterial medicament clinical application decision support system and constructing method thereof

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
非计划再次手术移动监管平台建立与应用;时万杰 等;《中国数字医学》;20140821;第9卷(第6期);第25-26页 *

Also Published As

Publication number Publication date
CN105426661A (en) 2016-03-23

Similar Documents

Publication Publication Date Title
Bozic et al. Is administratively coded comorbidity and complication data in total joint arthroplasty valid?
Weitz et al. Safety of aspiration abortion performed by nurse practitioners, certified nurse midwives, and physician assistants under a California legal waiver
White et al. How valid is the ICD-9-CM based AHRQ patient safety indicator for postoperative venous thromboembolism?
Stevenson et al. Administrative coding data, compared with CDC/NHSN criteria, are poor indicators of health care–associated infections
Weiss et al. Six years of surgical wound infection surveillance at a tertiary care center: review of the microbiologic and epidemiological aspects of 20,007 wounds
Alder et al. Association of viral infection and appendicitis
Glance et al. Rates of major obstetrical complications vary almost fivefold among US hospitals
Brown et al. Appendicitis in pregnancy: an ongoing diagnostic dilemma
Chung et al. Revision cochlear implant surgery in patients with suspected soft failures
KR20150123938A (en) Method of Calculating a Score of a Medical Suggestion As a Support in Medical Decision making
Drukker et al. How often do we identify fetal abnormalities during routine third‐trimester ultrasound? A systematic review and meta‐analysis
CN108595657B (en) Data table classification mapping method and device of HIS (hardware-in-the-system)
Bolton‐Maggs et al. Errors in anti‐D immunoglobulin administration: retrospective analysis of 15 years of reports to the UK confidential haemovigilance scheme
Emerson et al. The impact of requisition design on laboratory utilization
Armstrong et al. Association of the timing of postpartum intrauterine device insertion and breastfeeding with risks of intrauterine device expulsion
Di et al. Do we need imaging to diagnose appendicitis in children?
Koerner et al. Inpatient and emergency service utilization in patients with idiopathic intracranial hypertension
Yurtlu et al. Comparison of risk scoring systems to predict the outcome in ASA-PS V patients undergoing surgery: a retrospective cohort study
CN105426661B (en) A kind of unplanned second operation approaches to IM and management system
Ramaseshan et al. Patient-initiated telephone calls in the postoperative period after female pelvic reconstructive surgery
Kohli et al. Routine hematocrit after elective gynecologic surgery
MacEachern et al. Comprehensive evaluation of hemostasis in normal women: impact on the diagnosis of mild bleeding disorders
Smith et al. Trends in the safety of inpatient hysterectomy for benign conditions in California, 1991–2004
Stallard Simple tests for the external validation of mortality prediction scores
López Alcalde et al. Sex as a prognostic factor for mortality in adults with acute symptomatic pulmonary embolism.

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
TA01 Transfer of patent application right

Effective date of registration: 20180404

Address after: 430022 Wuhan City, Hubei Province, No. 1277 liberation Avenue Union Hospital

Applicant after: Xiehe Hospital, Attached to Tongji Medical College, Central-China Science and Te

Address before: 430022 Hankou liberation Avenue 1277, Wuhan, Hubei

Applicant before: Ye Lin

TA01 Transfer of patent application right
GR01 Patent grant
GR01 Patent grant