CN107292079B - Multi-patient monitoring method and device - Google Patents
Multi-patient monitoring method and device Download PDFInfo
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- CN107292079B CN107292079B CN201610220441.1A CN201610220441A CN107292079B CN 107292079 B CN107292079 B CN 107292079B CN 201610220441 A CN201610220441 A CN 201610220441A CN 107292079 B CN107292079 B CN 107292079B
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Abstract
The invention discloses a multi-patient monitoring method and a device, wherein the method comprises the following steps: acquiring patient data in real time; when the real-time collected patient data comprises newly accessed patient data, judging whether the newly accessed patient data belongs to a new patient according to the real-time collected patient data; configuring a corresponding monitoring window for the newly accessed patient data according to the judgment result; when a plurality of patients are monitored simultaneously, the identity of the newly accessed patient can be automatically identified, and a corresponding monitoring window is configured for the newly accessed patient according to the judgment result; the system makes up the defect that the existing monitoring system can not provide simultaneous monitoring for multiple people, improves the working efficiency of medical personnel, and also reduces the hardware purchasing cost of hospitals; meanwhile, the device adopting the multi-patient monitoring method also has the same advantages.
Description
Technical Field
The invention relates to the field of medical monitoring, in particular to a multi-patient monitoring method and a device using the same.
Background
Currently, the patient monitoring devices on the market are designed with the idea of focusing on a single critical patient or a patient requiring long-term monitoring. Therefore, these monitoring devices are characterized by full and multiple monitored physiological parameters, but because these monitoring devices are designed for one patient, the system for managing, monitoring and measuring the patient is based on the current patient, if another patient is to be measured and monitored, only the previous patient and related information can be cleared, and a complete set of equipment needs to be added accordingly. Therefore, in order to enable each patient to be monitored in time, a hospital needs to collect multiple sets of monitoring equipment, multiple monitoring devices and disordered alarm sounds can be caused in a ward, the rest of the patient is influenced, and meanwhile, medical care personnel are required to take into account multiple sets of monitoring equipment, the monitoring cost is increased, and the working efficiency is reduced.
The central monitoring system can monitor a plurality of patients in clinic. However, most of the central monitoring servers are network servers based on a PC platform, and the servers run server software based on a CS or BS framework, and the software can be connected to a plurality of monitoring devices through an ethernet, so as to realize centralized display of physiological information of patients of all the monitoring devices, and facilitate doctors to monitor all the patient conditions at the same time. However, the central monitoring system is bulky, the cable is complex, and cannot be installed in a ward, which is not favorable for rapidly switching the related data of a plurality of patients during the examination of the patients, and particularly, in the same ward or a smaller area range, the central monitoring system cannot automatically respond to the emergency situations of more concentrated patient switching or acquisition probe switching addition, and the like, and has technical defects.
Disclosure of Invention
In order to solve the above technical problems in the prior art, an object of the present invention is to provide a multi-patient monitoring method and a device using the same, which can automatically identify the identity of an accessed patient and configure a corresponding monitoring window.
In order to solve the technical problems, the technical scheme adopted by the invention is as follows: a multi-patient monitoring method comprising the sequential steps of:
s1. collecting patient data in real time;
s2, when the patient data collected in real time comprises newly accessed patient data, judging whether the newly accessed patient data belongs to a new patient according to the patient data collected in real time;
s3. configuring the corresponding monitoring window for the newly accessed patient data according to the judgment result.
Further, step s2 includes the following steps:
s21, extracting patient identification information from the newly accessed patient data;
and S22, judging whether the corresponding patient is a new patient according to the patient identification information.
Further, step s22 includes the following steps:
judging whether existing patient identification information identical to the newly accessed patient identification information is contained; if so, the newly accessed patient data corresponds to the existing patient; and if not, the newly accessed patient data corresponds to a new patient.
Still further, step s2 includes the steps of:
s 21'. extracting vital sign parameters from the newly accessed patient data;
s 22', according to the newly accessed vital sign parameters, judging whether the corresponding patient is a new patient.
Further, the rule for determining the newly accessed vital sign parameter in step s 22' includes: at least one rule of a mutual exclusion rule, a complementary rule and a matching degree judgment rule;
the mutual exclusion rule comprises the following steps:
c1. comparing the newly accessed vital sign parameters with the existing vital sign parameters;
c2. if the newly accessed vital sign parameters and the existing vital sign parameters contain the same type of parameters, the newly accessed vital sign parameters and the existing patients corresponding to the vital sign parameters are not the same patient;
the complementary rules comprise the steps of:
b1. setting a complementary relation of the vital sign parameters;
b2. comparing the newly accessed vital sign parameters with the existing vital sign parameters;
b3. if the newly accessed vital sign parameters and the existing vital sign parameters have the complementary relationship, the patient corresponding to the newly accessed vital sign parameters is the existing patient;
the matching degree determination rule includes the steps of:
x1., setting a matching degree judgment rule among all the parameters in the vital sign parameters;
x2, comparing the newly accessed vital sign parameters with the existing vital sign parameters;
x3., if the matching degree of the newly accessed vital sign parameters and the existing vital sign parameters conforms to the preset range, the patient corresponding to the newly accessed vital sign parameters is the existing patient.
As a refinement, step s3 includes the steps of:
s31, if the patient identity is a new patient, establishing a new monitoring window for the patient data;
(s 32) if the patient identity is an existing patient, associating the patient data into the monitoring window of the same patient.
Furthermore, step s3 is followed by at least one of the following steps:
s42, arranging the corresponding monitoring windows according to the priority of the patient data;
arranging the patient data in the monitoring window according to parameter importance.
Further, the step s3 is followed by the following steps:
s5. the monitoring window is highlighted when an abnormality occurs in the patient data acquired during the monitoring.
In order to solve the above technical problem, the present invention further provides a multi-patient monitoring device, comprising:
the data acquisition unit is used for acquiring patient data in real time;
the data processing unit is used for judging whether the newly accessed patient data belongs to a new patient or not according to the patient data acquired in real time when the patient data acquired in real time comprises the newly accessed patient data;
and the display unit is used for configuring a corresponding monitoring window for the newly accessed patient data according to the judgment result.
Further, the data processing unit is provided with a display control module for controlling the arrangement and the highlight display of the monitoring window displayed by the display unit;
the data processing unit is also provided with a communication module which is connected with the central monitoring system;
the display unit is provided with an alarm module which gives an alarm when the monitoring window is highlighted.
Compared with the prior art, the multi-patient monitoring method automatically identifies the identity of the newly accessed patient according to the patient data acquired in real time, and configures the corresponding monitoring window for the newly accessed patient according to the judgment result. The invention realizes that one monitoring device monitors a plurality of patients at the same time, avoids the trouble and cost of replacing the device when a new patient or a new acquisition probe is added, and improves the working efficiency of medical care personnel.
Furthermore, the invention can correspondingly process and track the data of each patient while monitoring multiple patients, and provides a highlight display when the data of the patients are abnormal, so that medical care personnel can obtain visual prompts to further perform corresponding processing.
The multi-patient monitoring device adopting the method also has the advantages.
Drawings
FIG. 1 is a basic flow diagram of a multi-patient monitoring method;
FIG. 2 is a detailed flow chart of a multi-patient monitoring method;
FIG. 3 is a schematic diagram of an apparatus for implementing the multi-patient monitoring method of FIG. 1;
FIG. 4 is a diagram of the complete architecture of the device using the multi-patient monitoring method.
Detailed Description
Embodiments of the present invention will be described in further detail below with reference to fig. 1-4.
A multi-patient monitoring method, as shown in fig. 1, comprising the following sequential steps:
s1. collect patient data in real time.
The data acquisition unit acquires the patient data in real time and sends the data to the data processing unit.
And S2, when the patient data collected in real time comprises newly accessed patient data, judging whether the newly accessed patient data belongs to a new patient according to the patient data collected in real time.
The data processing unit receives signals of the existing accessed data acquisition unit, simultaneously monitors whether a new data acquisition unit is accessed in real time, and if the new accessed data acquisition unit is accessed, the patient data acquired by the data acquisition unit is regarded as the newly accessed patient data.
The step specifically relates to the steps that the data processing unit analyzes and judges the patient identity (new patient or existing patient) of the newly accessed patient data, and judges that the patient corresponding to the patient data is the existing patient, namely the patient being monitored by the data processing unit; or a new patient, i.e. a patient that has not been monitored before by the data processing unit and that now needs to be monitored.
Specifically, the data processing unit may identify the patient identity corresponding to the newly accessed patient data according to the patient identification information and/or the vital sign information in the data, such as: existing patients and new patients.
The existing patient refers to a patient who is being monitored, and the new patient refers to a patient who has not been monitored and is to be monitored.
s3. configuring the corresponding monitoring window for the newly accessed patient data according to the judgment result.
The step is that the display unit configures a corresponding monitoring window for the patient data acquired by the newly accessed data acquisition unit according to the judgment result of the data processing unit.
In other embodiments, this step also sets and displays the corresponding number of windows based on the total number of patients in the data processing unit. Meanwhile, the layout of the existing windows is also included, so that each monitoring window can be partially or completely displayed in the monitoring interface and can be flexibly switched.
Such as: the monitoring windows may be already displayed on the monitoring interface before the data acquisition unit is newly accessed, after the number of the patients is determined to be newly accessed, the monitoring windows with the corresponding number are newly added and displayed, and at the moment, the layout of each monitoring window is properly adjusted according to the newly added number.
When multiple patients access the data processing unit at the same time, the data processing unit can also identify and count the number of the currently connected data acquisition units and the number of the patients monitored by all the current data acquisition units according to the unique identification codes of the data acquisition units.
The identification and statistics of the number of the data acquisition units can also be carried out according to the number of the communication ports of the data acquisition units which are currently connected with the data processing unit.
As shown in fig. 2, in the present embodiment, step s2 includes the following sequential steps:
s21, extracting patient identification information from newly accessed patient data
The newly accessed patient data in this step refers to the patient data acquired by the data processing unit through the newly accessed data acquisition unit. The same data acquisition unit can acquire a plurality of monitoring parameters of the same patient at the same time, and a plurality of data acquisition units can also finish the monitoring work of vital signs of the same patient. Both the monitored parameters and the vital signs are included herein in the patient data. After the data acquisition unit is accessed, the data processing unit preferentially extracts the patient identification information in the patient data.
S22, judging whether the corresponding patient is a new patient or not according to the patient identification information;
specifically, the data processing unit determines whether the patient is a newly accessed patient by comparing the patient identification information in the patient data.
In other embodiments, the number of patients accessed may also be confirmed simultaneously.
As shown in fig. 2, step s22 includes the following steps:
judging whether existing patient identification information identical to newly accessed patient identification information is contained; if so, the newly accessed patient data corresponds to the existing patient; and if not, the newly accessed patient data corresponds to a new patient.
By comparing the patient identification information in the newly accessed patient data with the existing patient identification information of the data processing unit, the data processing unit can conveniently judge the identity of the newly accessed patient (existing patient or new patient).
In the comparison process, the data processing unit sends a patient identification information reading instruction to each existing data acquisition unit and waits for the existing data acquisition unit to feed back the carried patient identification information. And then comparing the fed back patient identification information with the newly accessed patient identification information one by one. The data processing unit can also be used for storing the patient identification information carried by the accessed data acquisition unit, and the data processing unit only needs to compare the newly accessed patient identification information with the stored patient identification information.
In other embodiments, step s22 may further include the steps of:
s221, judging whether existing patient identification information exists; if the identity of the patient does not exist, the identity of the patient corresponding to the newly accessed patient data is a new patient;
this step is to confirm the comparison object of the newly accessed patient identification information. If there is no patient being monitored in the data processing unit, the existing patient identification information does not exist, and the newly accessed patient is bound to be a new patient.
If so, judging whether the existing patient identification information is the same as the newly accessed patient identification information; if the data are the same, the newly accessed patient data corresponding to the identity of the patient belongs to the existing patient; if not, the newly accessed patient data corresponds to the identity of the patient and belongs to the new patient.
This step is that already existing patients are present in the data processing unit and patient identification information for these patients must be present in the data processing unit. Then, the newly accessed patient identification information is compared with the existing patient identification information one by one, if the same condition exists in the comparison result, the patient corresponding to the newly accessed patient data is considered not to be a new patient, and the newly accessed data acquisition unit is newly added for the existing patient; if the same condition does not occur in the comparison result, i.e. the data processing unit does not contain the patient identification information of the newly accessed patient, the newly accessed patient is a new patient. Preferably, step s221 may be omitted, and step s222 may be directly performed, where if the existing patient identification data is null, the comparison result is different. The patient corresponding to the newly accessed patient data is a new patient.
In order to facilitate the data processing unit to correspond to the data acquisition unit and the patient identification information carried by the data acquisition unit, the data processing unit can adopt the equipment distinguishing code of the accessed data acquisition unit to correspond to the patient identification information of the accessed data acquisition unit, and then can rapidly retrieve the patient identification information of the existing data processing unit.
In other embodiments, the data processing unit may also establish a database to store the patient identification information of the existing patient, and may directly retrieve the patient identification information from the database when the patient identification information needs to be compared.
The patient identification information extracted from the patient data may include, but is not limited to: the patient identification information carried by the data acquisition unit can be obtained by bar code scanning, network acquisition, wireless synchronization among the data acquisition units, even a manual setting method, so as to conveniently identify different patients for different data acquisition units.
After the data processing unit extracts the patient identification information, the data processing unit can judge whether the patient identification information is matched (is the same) according to a preset rule.
The preset rule is specifically as follows: the rules for matching the patient information can be complete matching, key information matching, specified information matching and the like. The complete matching requires that the newly accessed patient identification information is completely consistent with the patient identification information in each existing data acquisition unit; the key information matching requires one or more information to be consistent, and under the default condition, the patient ID, the patient name and the patient gender are set as key matching information; the matching of the specified information can set the corresponding matching requirements according to the needs of the user, for example, the user can set rules of name plus gender matching and the like, and the rules can be set according to the clinical environment of the user.
As shown in fig. 2, in this embodiment, step s2 may further include the following steps:
s 21' vital sign parameters are extracted from the newly accessed patient data.
And s 22', judging whether the corresponding patient is a new patient according to the newly accessed vital sign parameters.
Step s21 'and step s 22' are used when the patient data in the data collection unit does not carry sufficient patient identification information to completely distinguish between the patient identities corresponding to the existing and newly accessed patient data, based solely on the patient identification information. The step of determining patient identification information may be performed independently of the step of determining patient identification information or may be used in addition to the step of determining patient identification information.
In a specific implementation process, the rule for determining the newly accessed vital sign parameter in step s 22' includes: at least one rule of a mutual exclusion rule, a complementary rule and a matching degree judgment rule; according to the rules, the newly accessed vital sign parameters are compared with the existing vital sign parameters one by one, and the difference between the newly accessed vital sign parameters and the existing vital sign parameters can be better judged.
In step 22', the identity of the patient is identified according to the vital sign feature information in the patient data collected by the connected data collection unit. The specific identification rule can be a mutual exclusion rule, a complementary rule, a matching degree judgment rule, a self-definition rule and the like.
The mutual exclusion rule comprises the following steps:
c1. comparing the newly accessed vital sign parameters with the existing vital sign parameters;
c2. if the newly accessed vital sign parameters and the existing vital sign parameters contain the same type of parameters, the patient corresponding to the newly accessed vital sign parameters and the patient corresponding to the existing vital sign parameters are not the same patient.
The mutual exclusion rule shows that if different data acquisition units contain the same type of parameters, the acquisition objects of the data acquisition units are judged to be different patients; this will not generally occur because two identical data acquisition units are used to acquire the same type of parameter for the same patient. By adopting the rule, whether the newly accessed patient data is the existing patient or the new patient can be determined by comparing the newly accessed vital sign parameters with the existing vital sign parameters one by one.
The complementary rules include the following steps:
b1. setting a complementary relation of the vital sign parameters;
b2. comparing the newly accessed vital sign parameters with the existing vital sign parameters;
b3. and if the newly accessed vital sign parameters and the existing vital sign parameters have a complementary relationship, the patient corresponding to the newly accessed vital sign parameters is the existing patient.
The complementary rule judges whether the vital signs monitored by the data acquisition units have a complementary relationship of monitoring, the complementary relationship can be set according to clinical requirements, and if two vital signs of blood pressure and heart rate need to be measured generally during monitoring, the blood pressure and the heart rate can be set as the complementary relationship. When one of the parameters exists in the existing vital sign parameters independently, the newly accessed data acquisition unit inputs the other one independently, and the data processing unit can judge that the newly accessed vital sign parameters and the existing vital sign parameters have complementary relation, which also shows that the monitoring objects of the data acquisition units are more likely to be the same patient.
The matching degree judgment rule comprises the following steps:
x1., setting a matching degree judgment rule among all parameters in the vital sign parameters;
x2, comparing the newly accessed vital sign parameters with the existing vital sign parameters;
x3. if the matching degree of the newly accessed vital sign parameters and the existing vital sign parameters conforms to the preset range, the patient corresponding to the newly accessed vital sign parameters is the existing patient.
The matching degree judgment rule judges whether the patient is the same patient according to the matching degree of the parameters and the waveforms of one or more same vital signs on different data acquisition units. The user (medical staff) can set the data processing unit to judge whether the aforesaid setting is reasonable according to the trend of the associated parameters, for example, two parameters of heart rate HR and pulse rate PR, wherein HR is obtained by an electrocardiographic lead method, and PR is obtained by a blood oxygen method, but the trend of the two parameters is similar in clinic. If the matching degree is too large in the judgment process, for example, there is a clear trend that goes against each other, the data processing unit sends an alarm to indicate that the current setting may not be reasonable, i.e., the patient with the heart rate HR and the patient with the pulse rate PR may not be the same patient. Otherwise, both may belong to the same patient. For better clinical application, the number of associated parameters or sets of parameters and the parameters can be set by the user.
In order to ensure the accuracy of the judgment of the data processing unit, the rules may be judged in sequence in step 22', such as: whether certain parameters exist in the newly accessed patient data or not exists in other monitoring windows, if so, the newly accessed patient data can be considered to be accessed to a new patient according to the mutual exclusion rule; since in special cases vital sign parameters of the same patient may be acquired by multiple data acquisition units or there is a patient who does not monitor the parameters for determination, some parameters may not be able to confirm whether to access a new patient in a mutually exclusive manner. At this time, whether to access a new patient can be confirmed by adding a complementary rule or a matching degree determination rule.
As shown in fig. 2, step s3 specifically includes the following sequential steps:
s31, if the identity of the patient is a new patient, establishing a new monitoring window for the patient data;
and S32, if the patient identity is the existing patient, associating the patient data into the monitoring window of the same patient.
Specifically, after the patient identification corresponding to the newly accessed patient data is completed in step s2, if the identification is a new patient, a new monitoring window is created in the displayed monitoring interface. If the identity is an existing patient, the patient data is merged into the existing patient's monitoring window.
The step correspondingly adopts different modes to configure the monitoring window for the patient data according to different identities of the patients, so that the data processing unit can provide monitoring for a plurality of patients at the same time, the chaos of the monitoring window can not be caused, and the monitoring window is convenient for medical staff to check.
In other embodiments, step s1 is followed by step s11 of establishing a temporary monitoring window for the newly accessed patient data.
Step s3 further includes: and S33, canceling the temporary monitoring window.
Step s11 may enable the data processing unit to preferentially establish a temporary monitoring window for the patient data input by the data acquisition unit when the data processing unit does not determine or identify the patient identity corresponding to the newly accessed data acquisition unit, so as to facilitate medical staff to quickly view one or more vital sign parameters of the patient under special circumstances. (e.g., in emergency situations where medical personnel need to view a patient's new monitored parameters, where the physician is aware of the patient's identity and does not require machine re-verification; or in situations where priority is given to viewing patient vital sign parameters)
When the patient's identity is identified, the temporary monitoring window is cancelled, via step s33.
In other embodiments, step s3 may further include the steps of:
and S34, sequentially numbering the patient data according to the acquisition equipment or the acquisition object.
In this step, the number of the monitoring window may be confirmed according to the access sequence of the data acquisition unit, or the number of the monitoring window may be confirmed by combining the device identification code of the data acquisition unit, for example, the monitoring window is generated in the monitoring interface of the display unit, and each newly added parameter (patient data) or parameter group (patient data) acquired by the same data acquisition unit may display the number of the corresponding data acquisition unit. Of course, the module number can be eliminated after the monitor window is generated, so as to enhance the user experience.
And S35, displaying the patient data collection with the same number in the monitoring window with the corresponding number.
In the step, each newly added parameter or parameter group acquired by the same data acquisition unit correspondingly generates a corresponding operable unit on the touch screen (display unit). And after receiving the corresponding moving instruction, moving the parameter or the parameter group into the corresponding monitoring window, and correspondingly adjusting the parameter display layout of the monitoring window moved into the new parameter or the parameter group. Confirmation may also be accomplished through other key or touch screen commands.
In this embodiment, when the data processing unit is connected to the plurality of data acquisition units, the data input by the data acquisition units are correspondingly processed and stored according to the multi-patient monitoring rule, and the configuration processing of interface display is further included; for example, in the process of observing multiple patients, the display arrangement of physiological parameters in the monitoring windows of the patients and the arrangement of patient data are carried out according to the preset rules.
As shown in fig. 2, step s3 is followed by the following steps:
s42, arranging corresponding monitoring windows according to the priority;
in the above steps, the data processing unit arranges the monitoring windows of multiple patients according to the priority of each patient and stores the data of multiple patients simultaneously. In the case of multiple patients, the priority of the patient's monitoring window arrangement may be as follows: the rules of priority of bed number sequence, priority of equipment number, priority of connection time, priority of alarm condition and the like are set.
In a clinical use environment, because the monitored area of the multi-patient monitor is smaller than that of the central monitoring system, and connected patients are relatively fewer, the patient windows are arranged according to the rules, the timeliness of alarming and data display under the condition of multiple patients can be increased to prompt response of nursing staff, confusion caused by too many patients in the central monitoring system does not exist, the readability and the visibility of data are increased, and the use efficiency of the monitor is improved.
S43, arranging the patient data in the monitoring window according to the importance of the parameters;
in this step, the monitoring windows of the individual patients can be displayed and arranged according to the requirements of reasonable display of physiological parameters and waveforms. In the specific arrangement of the parameters and the waveforms, the distribution can be divided according to the importance of the parameters, the alarm condition of the parameters and other rules.
In other embodiments, step s3 may further include the steps of:
s41, setting priority according to the patient data;
as shown in fig. 2, after the above steps are completed, the patient monitoring state is entered, and if abnormality occurs in the patient data of a certain patient during the patient monitoring process, the step s5 is entered.
s5. the monitoring window is highlighted when an abnormality occurs in the patient data acquired during the monitoring.
The highlighting method can be that according to the alarm priority level of the abnormal data, the patient monitoring window is enlarged or the patient observation window is flickered according to the alarm priority level or the background color of the patient observation window is flickered;
if a certain patient has a high-priority alarm, the patient window can be enlarged to 70% of the normal multi-patient monitor screen, the observation windows of other patients are correspondingly reduced, and if the alarm disappears or is processed by medical personnel, the windows automatically recover to the normal observation state;
if a certain patient has a high-priority alarm, the patient observation window of the patient can flash with a red background, and if the alarm disappears or is processed by medical personnel, the window automatically returns to a normal observation state;
generally speaking, in the guardianship process, the warning should be paid attention to by priority, therefore when many patients observe, the highlighting to patient's warning is handled and can be made things convenient for medical personnel to carry out the observation and the processing to patient, consequently provides above-mentioned function, increases medical personnel to the flexibility of patient's discernment and ward round operation, promotes work efficiency.
Of course, as a preferred embodiment, the medical staff can preset the rules for patient identification and the rules for multi-patient observation and display, so as to conveniently and rapidly connect and monitor the patient. For example, the identification of the patient can be performed by the combination of the identification information of the patient, the information of the patient and the vital sign characteristics of the patient, or can be performed only by the vital sign characteristics of the patient, so as to achieve the purpose of rapidly treating the abnormal state of the patient. The display for observing multiple patients can be set as the rules of bed number sequence priority, equipment number priority, connection time priority, alarm condition priority or fixed display and the like, so that the patients can be quickly connected and displayed in a certain area, and the monitoring requirements of the area (such as a single ward) on the multiple patients are better met.
In this embodiment, step s5 further includes: the patient data is stored. The patient data can be conveniently collected and uploaded to the central monitoring system.
As shown in fig. 3, the present invention further provides a multi-patient monitoring device, comprising: the system comprises a data acquisition unit for acquiring patient data in real time, a data processing unit for judging whether the newly accessed patient data belongs to a new patient according to the patient data acquired in real time when the patient data acquired in real time comprises the newly accessed patient data, and a monitoring window display unit for configuring the newly accessed patient data according to a judgment result.
The multi-patient monitoring device comprises at least one data processing unit, at least one data acquisition unit connected with the data processing unit, and the data processing unit supports simultaneous access of a plurality of data acquisition units.
The number of the display units connected with the data processing unit is at least one.
In particular, as shown in FIG. 4, the multi-patient monitoring device includes at least one display unit and/or a data processing unit and one to more data acquisition units for patient vital sign measurements (patient data collection) to form a multi-patient monitoring device that can be used for one or more patient monitors.
One or more data acquisition units are connected to one or more patients for acquiring vital sign data (patient data) of the patients for patient monitoring.
The data processing unit is a link and a key for connecting the data acquisition unit and the display unit, is used for acquiring data of the data acquisition module and processing the data, and also performs coordination control on the data acquisition unit and the display unit.
And the display module is used for displaying the vital signs in the patient data of a single patient or a plurality of patients, and under the control of the data processing module, if only one data acquisition unit or a plurality of data acquisition units are connected to the same patient, a monitoring window of the patient is displayed. If the data processing unit is connected with the data acquisition units, and the data acquisition units are respectively applied to different patients, the patient monitoring windows are arranged and displayed according to the control of the data processing unit.
It should be noted that the data acquisition unit, the data processing unit and the display unit are only used as a logical partition, and in actual implementation, the data processing unit can be combined with the display unit or the data acquisition unit as required to be arranged as a whole, so that the portability of the multi-patient monitoring device is improved.
The data acquisition unit is provided with a unique equipment distinguishing code which is convenient to be identified when being connected with the data processing unit;
the data processing unit is provided with a display control module for controlling the arrangement and the highlight display of the monitoring windows in the display unit;
as a preferred embodiment, as shown in fig. 4, the data processing unit is further provided with a communication module to connect with the central monitoring system, so that the multi-patient monitoring device of the present invention can be used as a supplement to the central monitoring system, and can also be used as an independent system capable of exchanging data with the central monitoring system.
The display unit is provided with an alarm module which gives an alarm when the monitoring window is highlighted.
In the current clinical environment, the scheme claimed by the invention well solves the monitoring problem that one set of monitoring equipment corresponds to a plurality of patients, avoids the high cost of repeated configuration of a plurality of sets of equipment, also enables medical staff to conveniently perform centralized treatment on the patients in the same area, and improves the working efficiency of the medical staff. Meanwhile, the influence of noises such as alarm and the like brought by a plurality of devices on the patient is avoided
The above-mentioned embodiments are merely preferred examples of the present invention, and not intended to limit the present invention, and those skilled in the art can easily make various changes and modifications according to the main concept and spirit of the present invention, so that the protection scope of the present invention shall be subject to the protection scope of the claims.
Claims (9)
1. A multi-patient monitoring method is characterized by comprising the following sequential steps:
s1. collecting patient data in real time;
s2, when the patient data collected in real time comprises newly accessed patient data, judging whether the newly accessed patient data belongs to a new patient according to the patient data collected in real time, and judging whether the corresponding patient is a new patient according to the vital sign parameters extracted from the newly accessed patient data;
s3. configuring corresponding monitoring window for the newly accessed patient data according to the judgment result;
judging whether a patient corresponding to the vital sign parameters extracted from newly accessed patient data is a new patient or not through a mutual exclusion rule, or a complementary rule and a mutual exclusion rule, or a complementary rule and a matching degree rule, or a mutually exclusive rule and a matching degree rule, or a complementary rule and a matching degree rule;
the mutual exclusion rule comprises the following steps:
c1. comparing the newly accessed vital sign parameters with the existing vital sign parameters;
c2. if the newly accessed vital sign parameters and the existing vital sign parameters contain the same type of parameters, the newly accessed vital sign parameters and the existing patients corresponding to the vital sign parameters are not the same patient;
the complementary rules comprise the steps of:
b1. setting a complementary relation between two different vital sign parameters;
b2. comparing the newly accessed vital sign parameters with the existing vital sign parameters;
b3. if the newly accessed vital sign parameters and the existing vital sign parameters have the complementary relationship, the patient corresponding to the newly accessed vital sign parameters is the existing patient, and in setting two vital sign parameters with the complementary relationship, if one of the two vital sign parameters exists in the existing vital sign parameters independently, and the other one exists in the newly accessed vital sign parameters independently, the newly accessed vital sign parameters and the existing vital sign parameters are judged to have the complementary relationship;
the matching degree determination rule includes the steps of:
x1., setting a matching degree judgment rule among all the parameters in the vital sign parameters;
x2, comparing the newly accessed vital sign parameters with the existing vital sign parameters;
x3., if the matching degree of the newly accessed vital sign parameters and the existing vital sign parameters conforms to the preset range, the patient corresponding to the newly accessed vital sign parameters is the existing patient.
2. The multi-patient monitoring method of claim 1, wherein the step s2 comprises the steps of:
s21, extracting patient identification information from the newly accessed patient data;
and S22, judging whether the corresponding patient is a new patient according to the patient identification information.
3. The multi-patient monitoring method of claim 2, wherein the step s22 comprises the steps of:
judging whether existing patient identification information identical to the newly accessed patient identification information is contained; if so, the newly accessed patient data corresponds to the existing patient; and if not, the newly accessed patient data corresponds to a new patient.
4. The multi-patient monitoring method of claim 1, wherein the step s2 comprises the steps of:
s 21'. extracting vital sign parameters from the newly accessed patient data;
s 22', according to the newly accessed vital sign parameters, judging whether the corresponding patient is a new patient.
5. The multi-patient monitoring method of claim 1, wherein the step s3 comprises the steps of:
s31, if the patient identity is a new patient, establishing a new monitoring window for the patient data;
(s 32) if the patient identity is an existing patient, associating the patient data into the monitoring window of the same patient.
6. The multi-patient monitoring method of claim 1, wherein step s3 is further followed by at least one of the following steps:
s42, arranging the corresponding monitoring windows according to the priority of the patient data;
arranging the patient data in the monitoring window according to parameter importance.
7. The multi-patient monitoring method of claim 1, wherein step s3 is further followed by the steps of:
s5. the monitoring window is highlighted when an abnormality occurs in the patient data acquired during the monitoring.
8. A multi-patient monitoring device, comprising:
the data acquisition unit is used for acquiring patient data in real time;
the data processing unit is used for judging whether the newly accessed patient data belongs to a new patient or not according to the patient data acquired in real time when the patient data acquired in real time comprises the newly accessed patient data, and judging whether the corresponding patient is a new patient or not according to the vital sign parameters in the accessed patient data;
the display unit is used for configuring a corresponding monitoring window for the newly accessed patient data according to the judgment result;
judging whether a patient corresponding to the vital sign parameters extracted from newly accessed patient data is a new patient or not through a mutual exclusion rule, or a complementary rule and a mutual exclusion rule, or a complementary rule and a matching degree rule, or a mutually exclusive rule and a matching degree rule, or a complementary rule and a matching degree rule;
the mutual exclusion rule comprises the following steps:
c1. comparing the newly accessed vital sign parameters with the existing vital sign parameters;
c2. if the newly accessed vital sign parameters and the existing vital sign parameters contain the same type of parameters, the newly accessed vital sign parameters and the existing patients corresponding to the vital sign parameters are not the same patient;
the complementary rules comprise the steps of:
b1. setting a complementary relation between two different vital sign parameters;
b2. comparing the newly accessed vital sign parameters with the existing vital sign parameters;
b3. if the newly accessed vital sign parameters and the existing vital sign parameters have the complementary relationship, the patient corresponding to the newly accessed vital sign parameters is the existing patient, and in setting two vital sign parameters with the complementary relationship, if one of the two vital sign parameters exists in the existing vital sign parameters independently, and the other one exists in the newly accessed vital sign parameters independently, the newly accessed vital sign parameters and the existing vital sign parameters are judged to have the complementary relationship;
the matching degree determination rule includes the steps of:
x1., setting a matching degree judgment rule among all the parameters in the vital sign parameters;
x2, comparing the newly accessed vital sign parameters with the existing vital sign parameters;
x3., if the matching degree of the newly accessed vital sign parameters and the existing vital sign parameters conforms to the preset range, the patient corresponding to the newly accessed vital sign parameters is the existing patient.
9. The multi-patient monitoring device of claim 8, wherein the data processing unit is configured with a display control module for controlling the arrangement and highlighting of the monitoring windows displayed by the display unit;
the data processing unit is also provided with a communication module which is connected with the central monitoring system;
the display unit is provided with an alarm module which gives an alarm when the monitoring window is highlighted.
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| CN110638464B (en) * | 2019-09-10 | 2022-07-01 | 哈尔滨亿尚医疗科技有限公司 | Monitor, control method and device thereof, and computer-readable storage medium |
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