CN106874654A - A kind of Transfusion Management - Google Patents
A kind of Transfusion Management Download PDFInfo
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- CN106874654A CN106874654A CN201710026062.3A CN201710026062A CN106874654A CN 106874654 A CN106874654 A CN 106874654A CN 201710026062 A CN201710026062 A CN 201710026062A CN 106874654 A CN106874654 A CN 106874654A
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- 210000004369 blood Anatomy 0.000 claims abstract description 141
- 239000008280 blood Substances 0.000 claims abstract description 141
- 238000012545 processing Methods 0.000 claims abstract description 17
- 238000007726 management method Methods 0.000 claims description 25
- 238000012550 audit Methods 0.000 claims description 10
- 238000000034 method Methods 0.000 claims description 4
- 238000000605 extraction Methods 0.000 claims description 3
- 230000008569 process Effects 0.000 claims description 3
- 238000012552 review Methods 0.000 claims description 2
- 230000009286 beneficial effect Effects 0.000 abstract description 2
- 238000012795 verification Methods 0.000 abstract 1
- 102000001554 Hemoglobins Human genes 0.000 description 10
- 108010054147 Hemoglobins Proteins 0.000 description 10
- 238000001802 infusion Methods 0.000 description 6
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 3
- 230000036770 blood supply Effects 0.000 description 3
- 230000002612 cardiopulmonary effect Effects 0.000 description 3
- 210000003743 erythrocyte Anatomy 0.000 description 3
- 238000011156 evaluation Methods 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 229910052760 oxygen Inorganic materials 0.000 description 3
- 239000001301 oxygen Substances 0.000 description 3
- 230000008733 trauma Effects 0.000 description 3
- 230000036541 health Effects 0.000 description 2
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M Lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 description 1
- 208000003441 Transfusion reaction Diseases 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 239000012503 blood component Substances 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000000306 component Substances 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000000004 hemodynamic effect Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 230000037323 metabolic rate Effects 0.000 description 1
- 230000006855 networking Effects 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000001932 seasonal effect Effects 0.000 description 1
- 210000002966 serum Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
Classifications
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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
- 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
- G16H40/20—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 management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- Business, Economics & Management (AREA)
- General Business, Economics & Management (AREA)
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Primary Health Care (AREA)
- Public Health (AREA)
- Medical Treatment And Welfare Office Work (AREA)
Abstract
The invention discloses a kind of Transfusion Management, belong to electronic information administrative skill field, including：First input module, there is provided give doctor's input blood transfusion application；Blood transfusion application auditing module, connects the first input module, according to blood transfusion rule to blood transfusion application examination ＆ verification, exports auditing result；Second input module, there is provided the physiological parameter of patient is input into doctor；Blood transfusion processing module, connects the second input module, for the physiological parameter of input, corresponding blood transfusion arrange parameter is obtained according to functional relation treatment；Auditing module and blood transfusion processing module are applied in blood transfusion schemes generation module, respectively connection blood transfusion, the auditing result generation blood transfusion scheme according to blood transfusion application；Or according to blood transfusion arrange parameter generation blood transfusion scheme.The beneficial effect of above-mentioned technical proposal is：For the blood transfusion information technology that clinician provides quick science is supported, so as to realize that being transformed into evidence-based from experience blood transfusion precisely transfuses blood, therefore the reasonability of clinical blood transfusion is improve.
Description
Technical Field
The invention relates to the technical field of electronic informatization management, in particular to a blood transfusion management system.
Background
In recent years, with the great improvement of the medical guarantee level and range of China, the medical requirements show blowout type outbreaks, and the clinical blood consumption is increased by more than 10 percent year by year; however, the population of China is in the period of rapid aging, the basis of uncompensated blood donation is relatively weak, the blood donation rate is lower than the lowest level of 1% required by the world health organization, structural, seasonal and regional ischemia problems occur in various regions, and the blood supply is tense and even presents a normalized trend. The contradiction between blood supply and demand at present has influenced the fairness and the possibility of obtaining basic medical services of the people, and has attracted high attention of society and public opinion. On the other hand, unreasonable blood use phenomena of different degrees are widely present on a nationwide scale (including third-class hospitals) while the blood supply is tight. These unnecessary transfusions not only waste valuable blood resources, but may also risk the patient from transfusion transmission infections, transfusion reactions, adverse outcome, and even death. The main factors causing clinical unreasonable blood use are as follows: (1) on the part of a physician. Transfusion techniques are highly specialized, and many clinicians have a low level of transfusion knowledge due to limited energy and training, which can result in incorrect assessment of transfusion indications for patients, improper infusions, or so-called "safety blood" infusions with excessive concern about patient life safety; (2) and (5) blood transfusion management. At present, blood transfusion management is still extensive, and the department of health provides the blood transfusion department to undertake clinical reasonable blood use consultation and guidance work, but in fact, most of the current blood transfusion department workers have low quality and incapability of guiding clinicians to reasonably use blood, so that the blood transfusion department has limited or basically flow to the form of examination and check on blood transfusion application; (3) evaluation before transfusion. Pre-transfusion assessments still rely on the personal experience of physicians as shown in: during transfusion, doctors transfuse blood according to experience only without following transfusion guide requirements; when a doctor estimates the blood transfusion amount, the blood transfusion amount is not scientifically calculated according to individual factors of a patient and is estimated only by experience, so that the blood transfusion amount is inaccurate. Therefore, the phenomenon of unreasonable clinical blood utilization is prominent, and the clinical need to be reversed is urgent.
Disclosure of Invention
In accordance with the above-described problems occurring in the prior art, there is now provided a blood transfusion management system, comprising:
a first input module for providing the physician with an input for a transfusion application;
the blood transfusion application auditing module is connected with the first input module, audits the blood transfusion application according to a built-in blood transfusion rule and outputs a corresponding auditing result;
a second input module for providing a physician with input of physiological parameters of the patient;
the blood transfusion processing module is connected with the second input module, processes the input physiological parameters according to a built-in functional relation to obtain corresponding blood transfusion setting parameters and outputs the corresponding blood transfusion setting parameters;
a transfusion scheme generation module, connected to the transfusion application auditing module and the transfusion processing module respectively, for:
generating a blood transfusion scheme according to the audit result output by the blood transfusion application audit module; or
Generating a blood transfusion scheme according to the blood transfusion setting parameters output by the blood transfusion processing module;
and the output module is connected with the blood transfusion scheme generation module and is used for outputting the blood transfusion scheme and providing the blood transfusion scheme for a doctor to check.
Preferably, in the above blood transfusion management system, the first input module and the second input module are provided in the same input device; or
The first input module and the second input module are respectively arranged in different input devices.
Preferably, in the above blood transfusion management system, the output module is a display and/or a printer.
Preferably, in the above blood transfusion management system, the blood transfusion application auditing module includes:
the first storage unit is used for storing the transfusion rule.
Preferably, in the above blood transfusion management system, the blood transfusion processing module includes:
and the second storage unit is used for storing the function relation.
Preferably, in the above blood transfusion management system, the transfusion protocol generation module includes:
a third storage unit for storing the transfusion protocol generated by the transfusion protocol generation module.
Preferably, the blood transfusion management system further includes:
the storage module is used for storing operation knowledge and legal specifications related to blood transfusion operation;
and the query module is respectively connected with the storage module and the output module and is used for providing the query for the user to query the operation knowledge and/or the legal specification stored in the storage module and outputting the query result through the output module for the user to check.
Preferably, in the blood transfusion management system, the query module includes a query request unit and an extraction unit;
the query request unit is used for a user to input a query request;
the extracting unit is connected with the query request unit and used for extracting the corresponding operation knowledge and/or legal specification from the storage module according to the query request and outputting the operation knowledge and/or legal specification to the output module.
Preferably, the blood transfusion management system further comprises a knowledge updating module, wherein the knowledge updating module is connected to the storage module and is configured to update the operation knowledge and/or the legal standard stored in the storage module.
The beneficial effects of the above technical scheme are: provides a rapid and scientific transfusion information technical support for clinicians, thereby realizing the conversion from empirical transfusion to evidence-based accurate transfusion, and improving the rationality of clinical transfusion.
Drawings
Fig. 1 is a block diagram of a blood transfusion management system according to a preferred embodiment of the present invention.
Detailed Description
The invention is further described with reference to the following drawings and specific examples, which are not intended to be limiting.
In a preferred embodiment of the present invention, as shown in fig. 1, a blood transfusion management system comprises:
a first input module 1 for providing the doctor with the input of a transfusion application;
the blood transfusion application auditing module 2 is connected with the first input module 1, audits the blood transfusion application according to a built-in blood transfusion rule and outputs a corresponding auditing result;
a second input module 3, which is provided for the physician to input the physiological parameters of the patient;
the blood transfusion processing module 4 is connected with the second input module 2, processes the input physiological parameters according to a built-in functional relation to obtain corresponding blood transfusion setting parameters and outputs the corresponding blood transfusion setting parameters;
a transfusion scheme generation module 5 respectively connected with the transfusion application auditing module 2 and the transfusion processing module 4 and used for:
generating a blood transfusion scheme according to the auditing result output by the blood transfusion application auditing module 2; or
Generating a blood transfusion scheme according to the blood transfusion setting parameters output by the blood transfusion processing module 4;
and the output module 6 is connected with the blood transfusion scheme generation module 5 and is used for outputting the blood transfusion scheme for the doctor to view.
In the above technical solution, two ways of setting a blood transfusion scheme are included, wherein one way of setting a blood transfusion scheme is that a doctor inputs a blood transfusion application in the first input module 1 according to his own experience, wherein the blood transfusion application includes the transfusion amount of red blood cells, plasma, cryoprecipitate, platelets and other components, the blood transfusion application auditing module 2 audits the blood transfusion application input by the doctor with reference to a blood transfusion rule, and if the audit is passed, the blood transfusion scheme generating module 5 generates a final effective blood transfusion scheme according to the blood transfusion application input by the doctor; if the audit is not passed, the physician is prompted to revise the transfusion application, or the transfusion generation module 5 automatically revises the transfusion application with reference to the transfusion rules, so as to obtain the final effective transfusion scheme.
Another way to set the blood transfusion scheme is that the physician fills in the physiological parameters of the corresponding patient, such as weight, hemoglobin content, platelet count, etc., through the second input module 3, the blood transfusion processing module 5 calculates the blood transfusion setting parameters including the theoretical transfusions of the blood components according to the function relation built in the system for the physiological parameters of the patient, and performs curative effect evaluation on the blood transfusion setting parameters, and delivers the results to the blood transfusion scheme generating module 5, and the blood transfusion scheme generating module 5 generates the final blood transfusion scheme. The transfusion protocol generation module 5 sends the transfusion protocol to the output module 6 for display for review by the physician.
Further, the output module 6 may be a display and/or a printer.
When the output module 6 is a display, the transfusion scheme can be displayed on the display for the user to view;
when the blood transfusion module 6 is a printer, the blood transfusion scheme can be output in a printing mode for a user to check;
when the transfusion module 6 is a display and a printer, the transfusion protocol can be displayed on the display and the user can be provided with the option of whether the transfusion protocol needs to be printed out.
In a preferred embodiment of the present invention, the first input module 1 and the first input module 1 are disposed in the same input device, for example, the first input module 1 and the first input module 1 are both disposed in a keyboard connected to the system or a mobile terminal communicating with the system; or the first input module 1 and the second input module 3 are respectively arranged in different input devices, for example, the first input module 1 is arranged in a keyboard connected with the system, and the second input module 3 is arranged in a mobile terminal communicating with the system.
In the preferred embodiment of the present invention, the blood transfusion application auditing module 2 includes a first storage unit 21 for storing blood transfusion rules, wherein the blood transfusion rules are compiled by referring to blood transfusion guide and expert consensus, and specifically take red blood cell transfusion as an example:
1. patients with surgery and trauma
1.1 suspension of erythrocytes
1.1.1 hemoglobin < 70 g/L.
1.1.2 hemoglobin 70-100g/L, patients older, metabolic rate increased.
1.1.2 hemoglobin 70-100g/L, patient cardiopulmonary compensation insufficiency.
1.1.3 hemoglobin 70-100g/L, patient hemodynamics is unstable.
1.1.4 hemoglobin 70-100g/L, trauma patients with insufficient tissue oxygen supply (mixed venous partial oxygen pressure <4.0kPa, mixed venous oxygen saturation < 60%, and/or base depletion aggravation, serum lactate concentration increase).
The doctor inputs a transfusion application in the first input module 1 according to the self experience and the patient condition, if the doctor's transfusion application comprises 60g/L of hemoglobin and the patient has insufficient cardiopulmonary compensation function, the transfusion application auditing module 2 judges that the transfusion application does not conform to the transfusion rule, the transfusion application can not pass the auditing, at the moment, the transfusion application auditing module 2 reminds the doctor of correct hemoglobin transfusion amount of 70-100g/L according to the patient's symptom in the transfusion request, or the transfusion application auditing module 2 directly corrects the transfusion request. If the doctor's blood transfusion application includes "80 g/L hemoglobin, patient's cardiopulmonary compensation insufficiency" then the blood transfusion application auditing module 2 judges that the transfusion amount of hemoglobin in the blood transfusion application conforms to the above-mentioned blood transfusion rule, and the blood transfusion application is passed through the auditing.
In a preferred embodiment of the present invention, the transfusion processing module 4 comprises a second storage unit 41 for storing a functional relation, wherein the evaluation of platelet efficacy:
according to the formula of functional relationship CCI ═ Cafter-Cbefore)*S/2.5*1011*a； (1)
Wherein,
CCI is used to indicate the platelet increase index, C, in the results of efficacy assessmentafterFor indicating the platelet count after patient infusion, CbeforeThe number of platelets is used to indicate the number of platelets counted before infusion, S is used to indicate the body surface area of the patient, a is used to indicate the number of platelet units to be infused, a is 109/L, and L is used to indicate the amount of blood to be infused.
S＝0.0061*H+0.0128*W-0.01529； (2)
Wherein,
h is used to represent the height of the patient and W is used to represent the weight of the patient.
When the platelet increasing index CCI is more than or equal to 10, the infusion is effective; when the platelet increase index CCI <10, the infusion is not effective.
After the doctor inputs the corresponding height, weight, platelet count and platelet unit number of the patient in the blood transfusion processing module 4 through the second input module 3, the blood transfusion processing module 4 automatically calculates and judges according to the functional relation and the setting condition value.
In the preferred embodiment of the present invention, the transfusion protocol generation module 5 includes a third storage unit 51 therein for storing the transfusion protocol generated by the transfusion protocol generation module 5.
In the preferred embodiment of the present invention, the present invention further comprises a storage module 7 and a query module 8, the storage module 7 is used for storing operation knowledge and legal regulations related to blood transfusion operations, including surgical and trauma blood transfusion, autotransfusion, mass blood transfusion, pediatric blood transfusion, clinical blood transfusion regulations, home and abroad blood transfusion guidelines, etc.; and the query module 8 is respectively connected with the storage module 7 and the output module 6 and is used for providing the user with query on the operation knowledge and/or the legal specification stored in the storage module and outputting the query result through the output module 6 for the user to check.
Further, in the preferred embodiment of the present invention, the query module 8 comprises a query request unit 81 and an extraction unit 82, the query request unit 81 is used for the user to input a query request;
the extracting unit 82 is connected to the query requesting unit 81, and is configured to extract the corresponding operation knowledge and/or legal specification from the storage module 7 according to the query request, and output the extracted operation knowledge and/or legal specification to the output module 6.
In the preferred embodiment of the present invention, the knowledge updating module 9 is further included, and the knowledge updating module 9 is connected to the storage module 7 and is used for updating the operation knowledge and/or the legal specification stored in the storage module 7. The updating mode is that the system searches the latest operation knowledge and legal standard related to the transfusion operation on the internet at regular time through networking, and automatically downloads and stores the latest operation knowledge and legal standard into the storage module 7.
While the invention has been described with reference to a preferred embodiment, it will be understood by those skilled in the art that various changes in form and detail may be made therein without departing from the spirit and scope of the invention.
Claims (9)
1. A blood transfusion management system, comprising:
a first input module for providing the physician with an input for a transfusion application;
the blood transfusion application auditing module is connected with the first input module, audits the blood transfusion application according to a built-in blood transfusion rule and outputs a corresponding auditing result;
a second input module for providing a physician with input of physiological parameters of the patient;
the blood transfusion processing module is connected with the second input module, processes the input physiological parameters according to a built-in functional relation to obtain corresponding blood transfusion setting parameters and outputs the corresponding blood transfusion setting parameters;
a transfusion scheme generation module, connected to the transfusion application auditing module and the transfusion processing module respectively, for:
generating a blood transfusion scheme according to the audit result output by the blood transfusion application audit module; or
Generating a blood transfusion scheme according to the blood transfusion setting parameters output by the blood transfusion processing module;
and the output module is connected with the blood transfusion scheme generation module and is used for outputting the blood transfusion scheme and providing the blood transfusion scheme for a doctor to check.
2. The blood transfusion management system of claim 1, wherein the first input module and the second input module are disposed within the same input device; or
The first input module and the second input module are respectively arranged in different input devices.
3. The blood transfusion management system of claim 1, wherein the output module is a display and/or a printer.
4. The blood transfusion management system of claim 1, wherein the transfusion application review module comprises:
the first storage unit is used for storing the transfusion rule.
5. A blood transfusion management system according to claim 1, wherein said transfusion processing module comprises:
and the second storage unit is used for storing the function relation.
6. The blood transfusion management system of claim 1, wherein the transfusion protocol generation module comprises:
a third storage unit for storing the transfusion protocol generated by the transfusion protocol generation module.
7. The blood transfusion management system of claim 1, further comprising:
the storage module is used for storing operation knowledge and legal specifications related to blood transfusion operation;
and the query module is respectively connected with the storage module and the output module and is used for providing the query for the user to query the operation knowledge and/or the legal specification stored in the storage module and outputting the query result through the output module for the user to check.
8. The blood transfusion management system of claim 7, wherein the query module includes a query request unit and an extraction unit;
the query request unit is used for a user to input a query request;
the extracting unit is connected with the query request unit and used for extracting the corresponding operation knowledge and/or legal specification from the storage module according to the query request and outputting the operation knowledge and/or legal specification to the output module.
9. The blood transfusion management system of claim 7, further comprising a knowledge update module, connected to the storage module, for updating the operational knowledge and/or legal norms stored in the storage module.
Priority Applications (1)
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| CN201710026062.3A CN106874654A (en) | 2017-01-13 | 2017-01-13 | A kind of Transfusion Management |
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| CN201710026062.3A CN106874654A (en) | 2017-01-13 | 2017-01-13 | A kind of Transfusion Management |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2019024283A1 (en) * | 2017-07-29 | 2019-02-07 | 深圳市前海安测信息技术有限公司 | Closed-loop management system and method for application regarding blood for clinical use |
| WO2019024281A1 (en) * | 2017-07-29 | 2019-02-07 | 深圳市前海安测信息技术有限公司 | Transfusion closed-loop information management system with statistical analysis function |
| CN111724910A (en) * | 2020-05-25 | 2020-09-29 | 北京和兴创联健康科技有限公司 | Detection and evaluation method suitable for blood management of perioperative patients |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2019024283A1 (en) * | 2017-07-29 | 2019-02-07 | 深圳市前海安测信息技术有限公司 | Closed-loop management system and method for application regarding blood for clinical use |
| WO2019024281A1 (en) * | 2017-07-29 | 2019-02-07 | 深圳市前海安测信息技术有限公司 | Transfusion closed-loop information management system with statistical analysis function |
| CN111724910A (en) * | 2020-05-25 | 2020-09-29 | 北京和兴创联健康科技有限公司 | Detection and evaluation method suitable for blood management of perioperative patients |
| CN111724910B (en) * | 2020-05-25 | 2023-04-18 | 北京和兴创联健康科技有限公司 | Detection and evaluation method suitable for blood management of perioperative patients |
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Application publication date: 20170620 |