CN105678092A - Internet-of-things based intelligent alarm management system for intensive care - Google Patents
Internet-of-things based intelligent alarm management system for intensive care Download PDFInfo
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- CN105678092A CN105678092A CN201610068214.1A CN201610068214A CN105678092A CN 105678092 A CN105678092 A CN 105678092A CN 201610068214 A CN201610068214 A CN 201610068214A CN 105678092 A CN105678092 A CN 105678092A
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- A—HUMAN NECESSITIES
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
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- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
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- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
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Abstract
The invention discloses an internet-of-things based intelligent alarm management system for intensive care. The system comprises a data acquisition and control module, a communication module and a central monitoring system, wherein the data acquisition and control module is used for acquiring running state data of an ICU (Intensive Care Unit) monitoring device and vital sign data of a patient in real time and sending the acquired running state data of the ICU monitoring device and vital sign data of the patient to the central monitoring system; the central monitoring system is used for performing analysis processing on the running state data of the ICU monitoring device, identifying a type and a working state of the ICU monitoring device and performing emergent grading alarm on device fault information; and the central monitoring system is further used for performing real-time analysis and comparison on the vital sign data of the patient and a set alarm range and performing emergent grading alarm on abnormal vital sign data of the patient. According to the system, the safety of nursing can be enhanced, the harm of alarm can be effectively reduced, the treatment delay due to 'alarm fatigue' of medical personnel is avoided, and the medical quality can be improved.
Description
Technical field
The present invention relates to intensive care unit management domain, particularly relate to a kind of Intensive Care Therapy intelligent alarm based on Internet of Things and manage system.
Background technology
Intensive care unit (ICU) is to by a variety of causes threat to life or the patient with potential high risk factor, for ICU patient, after corrective surgery, monitoring is the core of perioperative Nursing Care, if comprehensive, system, lasting, tight medical attendance can not be provided timely and effectively, may directly jeopardize patients ' lives, need to expend substantial amounts of time and efforts for these medical personnel and carry out regularly patrolling guaranteeing that patient safety and ICU equipment are properly functioning. In the event that medical device alerts problem is relevant, alarm issue almost occurs in all medical institutions, and wherein most is remotely monitored, intensive care unit is directed to the problem of warning system, ICU urgency crash equipment is equipped with warning system, such as monitor, infusion pump and respirator etc., its alarm is of a great variety, such as instrument failure, monitoring exception etc., medical personnel are easily generated " fatigue of reporting to the police ", and ignore patient's change of illness state, if processing not in time, cause patient injury or death.
Summary of the invention
Present invention aims to the deficiencies in the prior art, thering is provided a kind of Intensive Care Therapy intelligent alarm based on Internet of Things to manage system, it can promote nursing safety, is effectively reduced alarm harm, avoid medical personnel because of " report to the police fatigue " delay treatment, be conducive to the lifting of quality of medical care.
The object of the present invention is achieved like this: a kind of Intensive Care Therapy intelligent alarm based on Internet of Things manages system, including data acquisition and control module, communication module and central monitoring system, described data acquisition and the vital sign data controlling the module running state data for the ICU custodial care facility of Real-time Collection Intensive Care Therapy indoor and patient, and the ICU custodial care facility running state data gathered and patient vital sign data are sent to central monitoring system by communication module; Described central monitoring system is used for receiving ICU custodial care facility running state data and displays, and be analyzed processing by ICU custodial care facility running state data, identify ICU custodial care facility kind style number and duty, according to the alarm level set, device fault information is carried out emergency classifying alarm; Described central monitoring system is used for receiving patient vital sign data and displays, and the alert range value of the patient vital sign data of reception Yu setting is analyzed contrast in real time, according to the alarm level set, patient vital signs abnormal data is carried out emergency classifying alarm; Described central monitoring system issues a command to communication module under being used for, the instruction that central monitoring system is issued by communication module is sent to data acquisition and controls module, ICU custodial care facility is carried out real-time device control, can the operation of remote control equipment, as: alarm parameters is set, after setting, instrument can run according to new alarm parameters. The alert range value set in central monitoring system can be the built-in alarm parameters of system, it is also possible to be the alarm parameters of personal settings.
Described central monitoring system includes instrument failure state analysis diagnostic module, instrument running status shows and alarm module, patient monitoring data analysis diagnostic module and patient vital signs shows and alarm module, described instrument failure state analysis diagnostic module is for being analyzed ICU custodial care facility running state data processing, identify ICU custodial care facility kind style number and duty, analyze the grade at ICU custodial care facility running status place according to the alarm level set, and analysis result is passed to instrument running status show and alarm module; Described instrument running status shows and alarm module is used for the analysis result according to instrument failure state analysis diagnostic module and device fault information carries out emergency classifying alarm, and shows ICU custodial care facility running state data in real time; Described patient monitoring data analysis diagnostic module is for analyzing contrast in real time by the alert range value of patient vital sign data Yu setting, analyze the grade at patient vital signs place according to the alarm level set, and analysis result is passed to patient vital signs show and alarm module; Described patient vital signs shows and alarm module is used for the analysis result according to patient monitoring data analysis diagnostic module and patient vital signs abnormal data carries out emergency classifying alarm, and shows patient vital sign data in real time.
Described instrument running status shows and alarm module, patient vital signs show and alarm module is for sending warning message to corresponding medical personnel's mobile phone by cordless communication network.
Described central monitoring system includes two-way video communication module, and described two-way video communication module is for realizing patient and extraneous video communication.
Described central monitoring system includes data storage and analysis module, and the storage of described data is used for storing and analyze ICU custodial care facility running state data and patient vital sign data with analysis module. Historical data is carried out classified finishing with analysis module by data storage, in conjunction with big data analysis technique, it was predicted that instrument failure and maintenance period. Patient vital sign data is carried out classified finishing, analysis with analysis module by data storage, it is possible to the postoperative status of proper intensive care patient, provides certain foundation for diagnosis.
Described central monitoring system includes cell-phone customer terminal, and described cell-phone customer terminal is used for checking ICU custodial care facility running state data, patient vital sign data and warning message, and arranges alarm parameters.
Described cell-phone customer terminal is used for sending head of a bed video open command to central monitoring system, and central monitoring system controls to open head of a bed video communication, and realizes the video communication of cell-phone customer terminal and patient.
Data acquisition and all kinds of ICU device data interface of interface compatibility controlling module, and be used for gathering and transmitting video, voice messaging.
The invention have the benefit that owing to this is based on the central monitoring system monitor in real time ICU equipment running status of the Intensive Care Therapy intelligent alarm management system of Internet of Things, tracing trouble equipment, fault is carried out classifying alarm, medical personnel make correct response by the corresponding alarm level very first time, the equipment faults such as alarm signal not sound, warning system closedown can be prevented effectively from or monitor the bad medical-risk caused, promoting nursing safety. And central monitoring system is by monitoring and analyze patient vital sign data in real time, personal settings alarm parameters, reduce alarm signal, it is to avoid alert range arranges narrow, there is fatigue of reporting to the police in medical personnel. ICU first-aid apparatus intelligent management system provides for medical personnel while required monitoring data instructing medical decision making, reduce " fatigue of reporting to the police " that medical personnel are caused by unnecessary warning, avoid medical personnel because of " report to the police fatigue " delay treatment, be conducive to the lifting of quality of medical care.
This is based on the hospital ICU first-aid apparatus intelligent management system of technology of Internet of things; integrate patient vital signs state show, the function such as equipment running status shows in real time, abnormal alarm, video communication, mobile phone A PP; this system while providing required patient data to instruct medical decision making for doctor; instrument failure is reported to the police and carries out staged care; support that patient care personalization is reported to the police to arrange; avoid unnecessary clinical interference; while promoting control efficiency; guarantee nursing safety, there is important clinical meaning.
Below in conjunction with the drawings and specific embodiments, the invention will be further described.
Accompanying drawing explanation
Fig. 1 is the theory diagram of the Intensive Care Therapy intelligent alarm management system based on Internet of Things of the present invention.
Detailed description of the invention
Referring to Fig. 1, a kind of Intensive Care Therapy intelligent alarm based on Internet of Things manages system, including data acquisition and control module, communication module and central monitoring system, described data acquisition and the vital sign data controlling the module running state data for the ICU custodial care facility of Real-time Collection Intensive Care Therapy indoor and patient, and the ICU custodial care facility running state data gathered and patient vital sign data are sent to central monitoring system by communication module; Described central monitoring system is used for receiving ICU custodial care facility running state data and displays, and be analyzed processing by ICU custodial care facility running state data, identify ICU custodial care facility kind style number and duty, real-time judge equipment running status, display running status and alarm failure state, and carry out fault diagnosis and data storage. When discovering device fault, device fault information is carried out emergency classifying alarm according to the alarm level set by central monitoring system. Described central monitoring system is used for receiving patient vital sign data and displays, and the patient vital sign data of reception and built-in or personal settings the alert range value of system are analyzed contrast in real time, real-time judge patient care state, process and report to the police abnormal monitoring data. Patient vital signs abnormal data is carried out emergency classifying alarm according to the alarm level set by central monitoring system, and is sent to corresponding medical personnel's mobile phone by cordless communication network. Described central monitoring system issues a command to communication module under being used for, the instruction that central monitoring system is issued by communication module is sent to data acquisition and controls module, and ICU custodial care facility is carried out real-time device control.
Described central monitoring system includes instrument failure state analysis diagnostic module, instrument running status shows and alarm module, patient monitoring data analysis diagnostic module and patient vital signs shows and alarm module, described instrument failure state analysis diagnostic module is for being analyzed ICU custodial care facility running state data processing, identify ICU custodial care facility kind style number and duty, analyze the grade at ICU custodial care facility running status place according to the alarm level set, and analysis result is passed to instrument running status show and alarm module; Described instrument running status shows and alarm module is used for the analysis result according to instrument failure state analysis diagnostic module and device fault information carries out emergency classifying alarm, and shows ICU custodial care facility running state data in real time; Described patient monitoring data analysis diagnostic module is for analyzing contrast in real time by the alert range value of patient vital sign data Yu setting, analyze the grade at patient vital signs place according to the alarm level set, and analysis result is passed to patient vital signs show and alarm module; Described patient vital signs shows and alarm module is used for the analysis result according to patient monitoring data analysis diagnostic module and patient vital signs abnormal data carries out emergency classifying alarm, and shows patient vital sign data in real time. Described instrument running status shows and alarm module, patient vital signs show and alarm module is for sending warning message to corresponding medical personnel's mobile phone by cordless communication network.
Instrument failure state analysis diagnostic module by being analyzed process to instrument service data, identification instrument kind style number and duty, if discovery error code, the error code of comparison taxonomic revision, according to error code correspondence fault emergency, warning message is carried out classifying alarm, report to the police and be divided into three grades: emergency alarm, Warning alarm, alarm. Emergency alarm has limit priority, represents instrument and equipment fault and directly jeopardizes patients ' lives, it is necessary to processes at once; Secondly, the equipment that represents runs and is in alarm condition Warning alarm priority, has certain risk, but does not affect use, without influence on patients ' lives safety; Alarm priority is minimum, represents equipment it is possible that risk is run, and equipment needs to safeguard. As: time dump energy is 30%, system can carry out alarm; Time dump energy is 20%, system can carry out Warning alarm; Time dump energy is 10%, system can carry out emergency alarm.
Instrument running status shows and alarm module chooses instrument corresponding icon and alarm condition automatically by fault diagnosis and alarm module analytical data, emergency alarm correspondence instrument red icon is glimmered, Warning alarm correspondence instrument yellow icon glimmers, alarm correspondence instrument blue icons glimmers, instrument normal condition is green icon, and in the other display instrument service data of icon.
Patient monitoring data analysis diagnostic module passes through the personalized monitored parameters of relative analysis patient care data and medical personnel's setting or selects the built-in postoperative care index of system, physical signs of patient data are analyzed in real time, and determine that patient care state is divided into three grades: emergency alarm, Warning alarm, alarm and normally guard, emergency alarm is the warning of highest level, patient need to rescue at once, such as asystole, suffocates; Secondly Warning alarm priority, represent that monitoring data occurs abnormal, such as arrhythmia; The minimum presentation technology fault of alarm priority, as: mistake placed by sensor. And analysis result is transferred to patient vital signs shows and alarm module. Wherein personalized monitored parameters setting can be guarded requirement according to difference and be arranged monitoring alarm parameters, as: alarm value is transferred to the scope of applicable patient, important mornitoring parameter is reported to the police, closed secondary monitored parameters warning etc.; The built-in postoperative care index of system is guarded index classification according to common disease and is arranged, and medical personnel can directly select corresponding postoperative index, also can further personal settings on this basis.
Patient vital signs shows and alarm module is by patient's abnormal data analysis module diagnosis data, and patient vital signs monitored parameters is shown in real time, if emergency alarm, display parameters directly become redness and flash; If Warning alarm, display parameters directly become yellow and flash; If alarm, display parameters directly become blueness and flash; If without exception, this monitoring data is indirectly displayed as green; Send the corresponding medical personnel of SMS notification reporting to the police simultaneously. Patient's abnormal data alarm module is integrated while guaranteeing patient safety and reduces alarm signal, it is to avoid " fatigue of reporting to the police " occur in medical personnel;
Described central monitoring system includes data storage and analysis module, and the storage of described data is used for storing and analyze ICU custodial care facility running state data and patient vital sign data with analysis module. Data storage and analysis module have certain data storage capacities, can instrument running state monitoring data and patient vital signs monitoring data be stored in data base, and the history data of certain time can be preserved, by the analysis to historical data, certain instrument failure is analyzed.
Described central monitoring system includes two-way video communication module, and described two-way video communication module is for realizing patient and extraneous video communication.
Described central monitoring system includes cell-phone customer terminal, and described cell-phone customer terminal is used for checking ICU custodial care facility running state data, patient vital sign data and warning message, and arranges alarm parameters. Described cell-phone customer terminal is used for sending head of a bed video open command to central monitoring system, and central monitoring system controls to open head of a bed video communication, and realizes the video communication of cell-phone customer terminal and patient. Medical personnel can pass through mobile phone A PP and monitor equipment running status, it is possible to inquiry patient vital sign data, warning message, can open video and observe patient, make corresponding assessment.
Data acquisition and control module are while realizing the equipment I CU equipment operating data collections such as monitor, respirator, syringe pump, infusion pump and controlling in real time, obtain patient care data, the compatible all kinds of ICU device data interfaces of this module interface (as: RS232, GPIB and USB etc.), in addition this module also can gather and transmit video and voice messaging, and sends the patient care data gathered and equipment operating data to data transmission module.
Communication module ensures collection and controls module and central monitoring system real-time Communication for Power, and data acquisition and the data controlling module transmission are encoded by communication module, are sent to alarm management system, carry out real-time data acquisition; Monitoring instruction is issued to communication module by central monitoring system, after communication module is encoded, sends to gathering and controlling mould, carries out real-time device control.
The operation principle of the present invention is: in the hospital ICU first-aid apparatus intelligent management system of Internet of Things, the patient care data gathered and equipment operating data are sent to central monitoring system with controlling module by data acquisition, central monitoring system identifies custodial care facility automatically, and instrument and equipment running state data and patient care data are divided by data processing area, after data are analyzed again by device failure alert system and patient's abnormal data warning system, to monitoring device fault information or physical signs of patient abnormal data is reported to the police according to corresponding alarm level, and warning message is sent to corresponding medical personnel, medical personnel make respective handling according to alarm level, also can be logged in and check history monitoring data by cell-phone customer terminal, open head of a bed video communication, further confirm that patient status.
The present invention is not limited solely to above-described embodiment, carries out the technical scheme of few modifications, should fall into protection scope of the present invention when without departing substantially from technical solution of the present invention spirit.
Claims (8)
1. the Intensive Care Therapy intelligent alarm based on Internet of Things manages system, it is characterized in that: include data acquisition and control module, communication module and central monitoring system, described data acquisition and the vital sign data controlling the module running state data for the ICU custodial care facility of Real-time Collection Intensive Care Therapy indoor and patient, and the ICU custodial care facility running state data gathered and patient vital sign data are sent to central monitoring system by communication module; Described central monitoring system is used for receiving ICU custodial care facility running state data and displays, and be analyzed processing by ICU custodial care facility running state data, identify ICU custodial care facility kind style number and duty, according to the alarm level set, device fault information is carried out emergency classifying alarm; Described central monitoring system is used for receiving patient vital sign data and displays, and the alert range value of the patient vital sign data of reception Yu setting is analyzed contrast in real time, according to the alarm level set, patient vital signs abnormal data is carried out emergency classifying alarm; Described central monitoring system issues a command to communication module under being used for, the instruction that central monitoring system is issued by communication module is sent to data acquisition and controls module, and ICU custodial care facility is carried out real-time device control.
2. the Intensive Care Therapy intelligent alarm based on Internet of Things according to claim 1 manages system, it is characterized in that: described central monitoring system includes instrument failure state analysis diagnostic module, instrument running status shows and alarm module, patient monitoring data analysis diagnostic module and patient vital signs show and alarm module, described instrument failure state analysis diagnostic module is for being analyzed ICU custodial care facility running state data processing, identify ICU custodial care facility kind style number and duty, the grade at ICU custodial care facility running status place is analyzed according to the alarm level set, and analysis result is passed to instrument running status show and alarm module, described instrument running status shows and alarm module is used for the analysis result according to instrument failure state analysis diagnostic module and device fault information carries out emergency classifying alarm, and shows ICU custodial care facility running state data in real time, described patient monitoring data analysis diagnostic module is for analyzing contrast in real time by the alert range value of patient vital sign data Yu setting, analyze the grade at patient vital signs place according to the alarm level set, and analysis result is passed to patient vital signs show and alarm module, described patient vital signs shows and alarm module is used for the analysis result according to patient monitoring data analysis diagnostic module and patient vital signs abnormal data carries out emergency classifying alarm, and shows patient vital sign data in real time.
3. the Intensive Care Therapy intelligent alarm based on Internet of Things according to claim 2 manages system, it is characterised in that: described instrument running status shows and alarm module, patient vital signs show and alarm module is for sending warning message to corresponding medical personnel's mobile phone by cordless communication network.
4. the Intensive Care Therapy intelligent alarm based on Internet of Things according to claim 1 and 2 manages system, it is characterized in that: described central monitoring system includes two-way video communication module, described two-way video communication module is for realizing patient and extraneous video communication.
5. the Intensive Care Therapy intelligent alarm based on Internet of Things according to claim 1 and 2 manages system, it is characterized in that: described central monitoring system includes data storage and analysis module, and the storage of described data is used for storing and analyze ICU custodial care facility running state data and patient vital sign data with analysis module.
6. the Intensive Care Therapy intelligent alarm based on Internet of Things according to claim 1 and 2 manages system, it is characterized in that: described central monitoring system includes cell-phone customer terminal, described cell-phone customer terminal is used for checking ICU custodial care facility running state data, patient vital sign data and warning message, and arranges alarm parameters.
7. the Intensive Care Therapy intelligent alarm based on Internet of Things according to claim 6 manages system, it is characterized in that: described cell-phone customer terminal is used for sending head of a bed video open command to central monitoring system, central monitoring system controls to open head of a bed video communication, and realizes the video communication of cell-phone customer terminal and patient.
8. the Intensive Care Therapy intelligent alarm based on Internet of Things according to claim 1 manages system, it is characterised in that: data acquisition and all kinds of ICU device data interface of interface compatibility controlling module, and be used for gathering and transmitting video, voice messaging.
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