CN107680240B - Intelligent number-booking method for image examination of hospital patients - Google Patents
Intelligent number-booking method for image examination of hospital patients Download PDFInfo
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- CN107680240B CN107680240B CN201710968020.1A CN201710968020A CN107680240B CN 107680240 B CN107680240 B CN 107680240B CN 201710968020 A CN201710968020 A CN 201710968020A CN 107680240 B CN107680240 B CN 107680240B
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07C—TIME OR ATTENDANCE REGISTERS; REGISTERING OR INDICATING THE WORKING OF MACHINES; GENERATING RANDOM NUMBERS; VOTING OR LOTTERY APPARATUS; ARRANGEMENTS, SYSTEMS OR APPARATUS FOR CHECKING NOT PROVIDED FOR ELSEWHERE
- G07C11/00—Arrangements, systems or apparatus for checking, e.g. the occurrence of a condition, not provided for elsewhere
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06K—GRAPHICAL DATA READING; PRESENTATION OF DATA; RECORD CARRIERS; HANDLING RECORD CARRIERS
- G06K7/00—Methods or arrangements for sensing record carriers, e.g. for reading patterns
- G06K7/10—Methods or arrangements for sensing record carriers, e.g. for reading patterns by electromagnetic radiation, e.g. optical sensing; by corpuscular radiation
- G06K7/14—Methods or arrangements for sensing record carriers, e.g. for reading patterns by electromagnetic radiation, e.g. optical sensing; by corpuscular radiation using light without selection of wavelength, e.g. sensing reflected white light
- G06K7/1404—Methods for optical code recognition
- G06K7/1408—Methods for optical code recognition the method being specifically adapted for the type of code
- G06K7/1417—2D bar codes
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/02—Reservations, e.g. for tickets, services or events
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07C—TIME OR ATTENDANCE REGISTERS; REGISTERING OR INDICATING THE WORKING OF MACHINES; GENERATING RANDOM NUMBERS; VOTING OR LOTTERY APPARATUS; ARRANGEMENTS, SYSTEMS OR APPARATUS FOR CHECKING NOT PROVIDED FOR ELSEWHERE
- G07C11/00—Arrangements, systems or apparatus for checking, e.g. the occurrence of a condition, not provided for elsewhere
- G07C2011/04—Arrangements, systems or apparatus for checking, e.g. the occurrence of a condition, not provided for elsewhere related to queuing systems
Abstract
The invention discloses an intelligent appointment method for image examination of hospital patients, wherein outpatients scan two-dimensional codes of an outpatient examination order through a scanner, examination information on the outpatient examination order is recorded into a self-service appointment terminal computer, inpatients upload the examination information to a server through a ward electronic system, and the self-service appointment terminal computer performs data analysis; judging whether the queuing contract number condition is met or not when the contract number condition is met, and recording the inspection information into a queuing contract number system when the queuing contract number condition is met; printing an output reservation sheet when the queuing contract number condition is not met; the doctor station computer calls the patient to perform medical examination according to the queuing contract number, and the examination ending server deletes examination information of the patient. The invention has high practical value, more reasonable assignment distribution of the patient number, more scientific patient number arrangement mode, short message reporting reminding and reporting interval set in the system, no need of long waiting in the examination area because of the worry of the patient number passing, and higher clinical use value.
Description
Technical Field
The invention relates to a hospital patient examination appointment method, in particular to an intelligent appointment method for hospital patient image examination.
Background
At present, most of medical examination equipment appointment systems of hospitals in China are still non-intelligent appointment systems mainly based on manual work, examination information of patients is mainly input one by front-end nurses, and after relevant information is perfected, the patients are distributed to different diagnosticians according to needs. Although this method can distribute patients to appropriate diagnosticians according to their condition, and represents a certain humanistic concern, it also has serious disadvantages: 1. the operation is complicated: the number appointment speed is slow, a patient needs to waste a large amount of time on the number appointment procedure, and the patient is easy to feel dissatisfied and even conflict. 2. The task is heavy: in order to meet the requirements, multiple workers are required to complete the operation, and the working cost is increased. 3. The patient usually has an inevitable information input error due to a manual appointment, and needs to make a reservation again after the patient finds the error, so that the examination of the patient is delayed.
In addition, with the development of network technology, some hospitals have applied network appointment registration to outpatient service registration systems, which greatly reduces the patient registration process and facilitates the patients, but has the disadvantages: 1. the technology is not related to the appointment of medical examination equipment, is only used for an outpatient service system at present, and needs to get a number from a manual windowsill after the number is appointed. 2. The technology can only simply carry out appointment according to set information, or a patient instruction system corresponds to an appointment, the requirements of a patient cannot be automatically identified, reasonable appointment according to characteristics such as professional specialties of doctors, work speed and the like cannot be achieved, and the characteristics of artificial intelligence are not achieved. 3. The time of the patient to see a doctor cannot be reasonably arranged, the patient cannot control the speed of the doctor to see a doctor, and usually the patient needs to wait for hours in advance or easily pass the doctor with a little negligence.
Disclosure of Invention
The invention aims to provide an intelligent number-contracting method for image examination of a patient in a hospital.
In order to achieve the purpose, the invention adopts the following technical scheme:
the invention relates to an intelligent contract method for image examination of hospital patients, which comprises the following steps:
step one, a: the system comprises an outpatient service, a self-service appointment terminal computer and a server, wherein the outpatient service comprises a plurality of outpatient service examination orders, a scanner and a server local area network, wherein the outpatient service examination orders are used for scanning two-dimensional codes of the outpatient service examination orders through the scanner, and the outpatient service examination information recorded on the outpatient service examination orders is recorded into the self-service appointment terminal computer; b: after a ward doctor opens an inspection order through a ward electronic system, the ward electronic system automatically uploads the inspection information of the ward inpatients to a server, and a self-service appointment terminal computer automatically extracts the inspection information of the ward inpatients at regular time;
secondly, the server extracts the business data of each doctor and each medical machine in the consulting room related to the patient examination information in the hospital database and transmits the data to a self-service appointment terminal computer;
thirdly, the self-service appointment terminal computer performs doctor data analysis and consulting room medical machine data analysis on the data; selecting an optimal doctor according to the characteristics of each qualified doctor, judging whether a set appointment condition is met or not according to the existing appointment condition of the optimal doctor, selecting other qualified doctors by a self-service appointment terminal computer and judging whether the set appointment condition is met or not if the set appointment condition is not met, and giving a voice prompt to the self-service appointment terminal computer to suggest to reselect a date appointment if the screened qualified doctors do not meet the set appointment condition;
fourthly, when the appointment conditions set in the third step are met, the self-service appointment terminal computer judges whether the set queuing appointment conditions are met, when the set queuing appointment conditions are met, the self-service appointment terminal computer records the patient examination information collected in the first step into a queuing appointment system, and the queuing appointment system outputs the queuing appointment information of the patient to a doctor station computer of the best doctor in the third step for display; meanwhile, for the outpatient service, the self-service appointment terminal computer prints and outputs a queuing form, for the inpatient service in the ward, the self-service appointment terminal computer feeds back queuing appointment information to a ward electronic system through a server, the patient self-service prints the queuing form through the ward electronic system, and the queuing form is used for indicating the patient to queue for treatment in a specified ward;
fifthly, when the patient does not meet the set queuing appointment condition, the outpatient prints and outputs an appointment list by the self-service appointment terminal computer, the ward inpatient feeds back the appointment information to a ward electronic system by the self-service appointment terminal computer through a server, the inpatient prints the appointment list by the ward electronic system in a self-service mode, the appointment list is used for indicating the patient to scan the appointment list two-dimensional code for the second time from the appointed time period to the self-service appointment terminal computer, the self-service appointment terminal computer judges the queuing appointment condition set for the patient again, if the set queuing appointment condition is met, the self-service appointment terminal computer records the patient examination information collected in the first step into the queuing appointment system, and the queuing appointment system outputs the queuing appointment information of the patient to the third step for display in the doctor station computer of the best doctor, meanwhile, the self-service appointment terminal computer prints and outputs a queuing list, wherein the queuing list is used for indicating the patient to queue for treatment in a designated room for treatment;
in the sixth step and the fifth step, when the patient meeting the reservation order condition does not scan the reservation order two-dimensional code in the time period specified by the reservation order to the self-service appointment number terminal computer, namely: if the appointment form two-dimensional code is scanned by the self-service appointment terminal computer in advance, the self-service appointment terminal computer prompts the patient to scan the appointment form two-dimensional code in a specified time period by voice, and if the appointment comes late, the self-service appointment terminal computer prompts the patient to perform the first step again by voice;
and in the seventh step and the fifth step, the doctor station computer calls the patient with the number according to the minimum number of the queuing contract number to perform medical examination, and if the medical examination is finished, the server deletes the patient examination information of the patient.
The third step is that the data analysis step is as follows:
a. analysis of different inspection item ratios: respectively calculating the percentage E of the amount of each doctor to finish the examination of a certain item in the total amount of the examinations of the doctor and the percentage F of the items to finish the examination of the doctor in the total number of the items of the general department, setting an examination coefficient R of the certain item of the doctor according to the value of E multiplied by F, wherein the larger the examination coefficient R is, the higher the probability that the self-service appointment terminal computer reserves the examination to the doctor is, when the value of E multiplied by F is smaller than the set value, the self-service appointment terminal computer defaults that the doctor is not suitable for the examination, and the doctor is not allowed to reserve the examination;
b. time analysis of different examination items: setting the average time for a doctor to finish a certain examination as t, and counting the past times of the doctorThe total number of the examination is N, the total time is T, and the average time for the doctor to complete the examination is T = T/N + T0, t0The interval between the completion of the examination for two patients is called the surplus time.
The data analysis of the medical machine in the consulting room is as follows: calculating the percentage of the number of examinations performed by the corresponding medical machine in each examination room to the total number of examinations in the examination room as D, setting a critical value of D, considering the examination to be meaningful when D is larger than or equal to the critical value of D, and considering the examination to be invalid when D is smaller than the critical value of D, namely not allowing the examination to be reserved to the examination room.
And in the fifth step, when the patient does not meet the set queuing appointment condition, the outpatient prints out an appointment list by the self-service appointment terminal computer, and simultaneously inputs the mobile phone number of the patient through a touch screen of the self-service appointment terminal computer, so that the server reminds the patient in a short message manner within the appointment time confirmed by the appointment list.
The advantages of the invention are mainly embodied in the following aspects:
1. the practical value is high; according to the invention, the unmanned management of the patient from the appointment to the printing of the examination report can be realized through the hospital local area network system, the problems of complicated operation, low appointment speed and the like when nurses manually appoint the number are avoided, the patient appointment queuing time is reduced, the working efficiency is improved, the appointment personnel allocation is reduced, and the working cost is reduced; meanwhile, the invention automatically identifies each item of examination order information, effectively avoids the problems of errors and the like when the information is manually input, and reduces the discontent mood of the patient.
2. The assignment of the patient contract number is more reasonable; according to the invention, the statistical analysis is carried out on the data of the medical machines of each doctor and each consulting room through the statistical principle, and the patients to be scheduled for examination are reasonably distributed through the characteristics of each doctor and consulting room, so that the artificial intelligence purpose is achieved, the subjectivity of nurses in number appointment is avoided, each examination is more reasonably distributed, and the diagnosis efficiency of doctors is improved.
3. The patient queuing mode is more scientific; the invention distributes the appointment number amount according to the examination speed of each doctor through the time control mode, simultaneously carries out real-time monitoring and flexible adjustment on the appointment number condition and the examination condition of each consulting room, reasonably arranges the examination sequence according to the reported sequence of the patient, and automatically adds a new appointment list into the system for the patient who is not examined before exceeding the appointed time, so that the appointment number is more flexible and reasonable, thereby avoiding the phenomena that one part of doctors overtime for a long time and the other part of doctors leave the office in advance and the like.
4. The contract number checking process is more humanized; the invention predicts the examination time of each patient through time control, the system is provided with a short message report reminding and report interval, and the patient only needs to report according to the confirmed time without waiting for a long time in the examination area because of worrying about the number passing.
5. The adjustment of artificial parameters is realized; according to the invention, through the self-service management module, the scheduling and various parameters of each doctor can be manually adjusted, the strain treatment is realized on some special conditions, meanwhile, the system can be manually and properly adjusted according to problems encountered in actual work, and the updating capability of the system is convenient and fast.
6. The application range is wide; the invention has low realization cost and high reliability, is suitable for giving self-service contract numbers to all image departments, can be popularized to hospitals and departments of all levels, and has higher clinical use value.
Drawings
FIG. 1 is a block flow diagram of the present invention.
Fig. 2 is a schematic diagram of a subscription form according to the present invention.
FIG. 3 is a schematic diagram of a queuing sheet according to the present invention.
Figure 4 is a schematic representation of an outpatient examination sheet according to the present invention.
Fig. 5 is a schematic view of an operation panel of the self-service number-offer terminal computer according to the present invention.
FIG. 6 is a block flow diagram of the data analysis step of the present invention.
Detailed Description
The following describes embodiments of the present invention in detail with reference to the drawings, which are implemented on the premise of the technical solution of the present invention, and detailed embodiments and specific operation procedures are provided, but the scope of the present invention is not limited to the following embodiments.
As shown in fig. 1, the intelligent contract number method for hospital patient image examination according to the present invention is performed according to the following procedures:
step one, a: the system comprises an outpatient service, a self-service appointment terminal computer and a server, wherein the outpatient service comprises a plurality of outpatient service examination orders, a scanner and a server local area network, wherein the outpatient service examination orders are used for scanning two-dimensional codes of the outpatient service examination orders through the scanner, and the outpatient service examination information recorded on the outpatient service examination orders is recorded into the self-service appointment terminal computer; b: after a ward doctor opens an inspection order through a ward electronic system, the ward electronic system automatically uploads the inspection information of the ward inpatients to a server, and a self-service appointment terminal computer automatically extracts the inspection information of the ward inpatients at regular time;
secondly, the server extracts the business data of each doctor and each medical machine in the consulting room related to the patient examination information in the hospital database and transmits the data to a self-service appointment terminal computer;
thirdly, the self-service appointment terminal computer performs doctor data analysis and consulting room medical machine data analysis on the data; selecting an optimal doctor according to the characteristics of each qualified doctor, judging whether a set appointment condition is met or not according to the existing appointment condition of the optimal doctor, selecting other qualified doctors by a self-service appointment terminal computer and judging whether the set appointment condition is met or not if the set appointment condition is not met, and giving a voice prompt to the self-service appointment terminal computer to suggest to reselect a date appointment if the screened qualified doctors do not meet the set appointment condition;
fourthly, when the appointment conditions set in the third step are met, the self-service appointment terminal computer judges whether the set queuing appointment conditions are met, when the set queuing appointment conditions are met, the self-service appointment terminal computer records the patient examination information collected in the first step into a queuing appointment system, and the queuing appointment system outputs the queuing appointment information of the patient to a doctor station computer of the best doctor in the third step for display; meanwhile, for the outpatient service, the self-service appointment terminal computer prints and outputs a queuing form, for the inpatient service in the ward, the self-service appointment terminal computer feeds back queuing appointment information to a ward electronic system through a server, the patient self-service prints the queuing form through the ward electronic system, and the queuing form is used for indicating the patient to queue for treatment in a specified ward;
fifthly, when the patient does not meet the set queuing appointment condition, the outpatient prints out an appointment list through the self-service appointment terminal computer, and simultaneously inputs the mobile phone number of the patient through a touch screen of the self-service appointment terminal computer, so that the server reminds the patient in a short message mode within the appointment time confirmed by the appointment list; the hospital ward inpatients feed back the reservation information to the hospital ward electronic system through the server by the self-service number-booking terminal computer, the inpatients print the reservation list by the hospital ward electronic system, the reservation sheet is used for indicating the patient to scan the reservation sheet two-dimensional code for the second time in a specified time period by the self-service contract number terminal computer, the self-service contract number terminal computer judges the set queuing contract number condition of the patient again, if the set queuing appointment condition is met, the self-service appointment terminal computer records the patient examination information collected in the first step into the queuing appointment system, the queuing appointment system outputs the queuing appointment information of the patient to the doctor station computer of the best doctor for display in the third step, meanwhile, the self-service appointment terminal computer prints and outputs a queuing list, wherein the queuing list is used for indicating the patient to queue for treatment in a designated room for treatment;
in the sixth step and the fifth step, when the patient meeting the reservation order condition does not scan the reservation order two-dimensional code in the time period specified by the reservation order to the self-service appointment number terminal computer, namely: if the appointment form two-dimensional code is scanned by the self-service appointment terminal computer in advance, the self-service appointment terminal computer prompts the patient to scan the appointment form two-dimensional code in a specified time period by voice, and if the appointment comes late, the self-service appointment terminal computer prompts the patient to perform the first step again by voice;
and in the seventh step and the fifth step, the doctor station computer calls the patient with the number according to the minimum number of the queuing contract number to perform medical examination, and if the medical examination is finished, the server deletes the patient examination information of the patient.
As shown in fig. 6, the data analysis step in the third step is:
a. analysis of different inspection item ratios: respectively calculating the percentage E of the examination volume of each doctor in the total examination volume of the doctor and the percentage F of the item in the total examination volume of the item in the general department, setting the examination coefficient R of the item in the doctor according to the value of E multiplied by F, wherein the larger the examination coefficient R is, the larger the probability that the self-service number-booking terminal computer reserves the examination to the doctor is; when the E multiplied by F is smaller than a set certain value, the self-service contract number terminal computer defaults that the doctor is not suitable for the examination and does not allow the examination to reserve for the doctor;
for example, temporarily considering the critical value of E × F to be 0.1%, when E × F is greater than or equal to 0.1%, regarding as valid inspection, setting the inspection coefficient R to be 0.1-1 according to the value size, when E × F is less than 0.1%, regarding as invalid inspection, setting the coefficient R =0, and the self-service appointment terminal computer no longer sends out the appointment of the inspection to the doctor; for another example: the statistical result of the examination of each part of a doctor in an examination room is E1×F1(liver, gallbladder, spleen and pancreas) = 0.2%, E2×F2(thyroid) =3%, E3×F3(mammary gland) =1% … En×Fn(transrectal prostate) = 0.01%, and checking coefficient R is set by self-service contract number terminal computer1(liver, gallbladder, spleen and pancreas) =0.1, R2(thyroid) =1, R3(mammary gland) =0.9 … Rn(transrectal prostate) =0, the self-service appointment terminal computer defaults that the doctor can complete the examination of liver, gallbladder, spleen, pancreas, thyroid gland, mammary gland and the like, and the probability of distributing related examination is different according to the examination coefficient size of each part, the larger the coefficient is, the higher the probability of distribution is in the reservable range, and R isn(transrectal prostate) =0, the self-service appointment terminal computer considers that the doctor can not complete the examination and does not allow the doctor to reserve for the examination;
b. for differentTime analysis of examination items: setting the average time for a doctor to complete a certain examination as T, counting the total number of the examinations previously made by the doctor as N, and setting the total time as T when the doctor shares the total number of the examinations, wherein the average time for the doctor to complete the examination is T = T/N + T0, t0The interval between the completion of the examination for two patients, i.e. t0Referred to as the surplus time, provides sufficient preparation time for the patient examination, and t is generally set0=0.5 min; according to the average time and the current contract number of the doctor for each examination, the residual contract number of the doctor can be further predicted; meanwhile, the examination time of each patient in the consulting room can be predicted, the patient is reminded of the accurate time of reporting, so that the patient does not need to wait for a long time any more, and the time is fully scheduled for other examinations in the period.
For example, the doctor's working hours are set to h0The off-duty time is hdThe amount of the patient to be reserved is n, and the time required for the corresponding examination is tnLet a patient reserve time hxThe patient is the x-th patient assigned to a consulting room by the self-service appointment terminal computer, and the doctor is checking the x-th patient0Patient (x)0≤x＜xn) And the remaining time on duty of the doctor is h, then:
(1) when h isx≤h0When x0=0,h=hd-h0≥t1+t2+t3+…+tx+tx+1+…+tn；
(2) When h is0＜hx＜hdWhen x is not more than n, x0≥1， h=hd-hx≥tx0+tx0+1+tx0+2+…+tx+tx+1+…+tn；
(3) When h is0＜hx＜hdWhen x > n, x0≥1，h=hd-hx＜tx0+tx0+1+tx0+2+…+txWhen x exceeds the maximum value of the appointment allowed by the doctor in the current stage, the self-service appointment terminal computer stops the appointment in the current stage and automatically jumps to the appointment in the next time period to execute the task (1)。
(4) When h isx≥hdAnd (3) when the allowed reservation time period of the current-stage system is exceeded, the self-service number-offering terminal computer stops the number offering of the current stage and automatically jumps to the next time period number offering and task execution step (1) or step (2).
In addition, the self-service appointment terminal computer can also calculate the number of patients waiting for examination in front according to the appointment sequence of the patients, so as to judge whether the patients need to directly enter the queuing appointment system, for the patients directly entering the queuing appointment system, the self-service appointment terminal calculates to remind the patients to directly enter the corresponding consulting room to queue for examination, and for the patients who cannot directly enter the queuing appointment system, the self-service appointment terminal calculates to further calculate the predicted time for the examination of the patients, and prompts the patients to report in the corresponding time period.
The following explains the working principle of the patient with the x-th patient:
setting the predicted examination time of the x-th patient to TxThe number of the patients allowed to wait in front of the system is n0Ahead of it by n0The time period shared by the patients is tn0Then:
1. when h is generatedx≤h0The method comprises the following steps:
a. if x is less than or equal to n0The self-service contract number terminal calculates that the number of the patients in front queue is less, and the x-th patient can directly enter the queue contract number system to wait for examination;
b. if x > n0The patient x can not directly enter the queuing appointment system, and needs to arrive at the self-service appointment terminal again within the limited time to calculate and scan the appointment list two-dimensional code and report the appointment list to confirm, and the self-service appointment terminal calculates and predicts the examination time of the patient x to be Tx=t1+t2+t3+…+tx-1+h0Predicting its front n0The time period shared by the patients is tn0=tx-n0+tx-n0+1+…+tx-1Therefore, the self-service appointment number terminal calculates the time interval for prompting the x-th patient to report confirmation as h e (T)x-tn0，Tx）。
2. When h is generated0＜hx＜hdThe method comprises the following steps:
a. if x-x0≤n0The self-service contract number terminal calculates that the number of the patients in front queue is less, and the x-th patient can directly enter the queue contract number system to wait for examination;
b. if x-x0＞n0The patient x can not directly enter the queuing appointment system, and needs to arrive at the self-service appointment terminal again to calculate and scan the appointment list two-dimensional code and report the appointment list to confirm in a limited time period, and the self-service appointment terminal calculates and predicts the examination time of the patient x to be Tx=tx0+tx0+1+tx0+2+…+tx-1+hxPredicting its front n0The time period shared by the patients is tn0=tx-n0+tx-n0+1+…+tx-1Therefore, the self-service appointment number terminal calculates the time interval for prompting the x-th patient to report confirmation as h e (T)x-tn0，Tx）。
N can be set artificially according to the work requirement and different examination speeds of doctors0The value is that the patients entering the queuing appointment number system do not need to wait for too long and do not have gaps in the examination process of the doctor; the waiting time of the patient can be set to be 20-30 min generally; for example, a doctor can diagnose at a rate of about 3min per patient, and set n0=10, then t can be calculated according to the above formulan0=30, i.e. the maximum waiting time for the patient entering the queuing appointment system is 30min, the time interval for the patient to confirm the attendance is h e (T ∈)x-30，Tx) Namely, the patient has the time confirmation report of 30min, and about 10 doctors wait in line after each examination, so that the phenomenon that the patient is vacant in the working time due to the fact that a certain patient does not arrive can be avoided.
H = h is calculated according to self-service contract number terminald-hx≥tx0+tx0+1+tx0+2+…+tx+tx+1+…+tnThe method can adjust the actual examination conditions of each consulting room in real time; if the condition of a patient is complicated and the time is delayed, the self-service number-appointment terminal computer counts the number of the appointed patients again according to the existing remaining timeAnd (4) adjusting the maximum allowable reservation amount n. In addition, the self-service contract number terminal computer can also reorder the queuing contract number patients according to the confirmation report condition of the patients, the sequence number of the patient who preferentially arrives is smaller for the patient who is in the queuing contract number report interval at the same time, and the self-service contract number terminal computer defaults the patient to reject the examination for the patient who is later than the queuing contract number report interval and does not report, and at the moment, the patient who sequentially makes an appointment for examination before is allowed to directly enter the queuing contract number system.
The self-service number-booking terminal computer is also provided with a short message reminding function, and the specified arrival confirmation time interval h e (T) of the booking list isx-tn0，Tx) The patient of (2) is in the self-service appointment terminal computer at Tx-tn0Giving a mobile phone to a patient within the time to send a short message prompt to report, if the patient is less than Tx-tn0The time is reported and confirmed, the self-service number-contracting terminal computer refuses to report and confirm, and reminds the patient that the report time is not up and reports in the correct time period, if the patient is later than TxThe system refuses to report confirmation after the time is reported to confirm, and reminds the patient that the correct time period is passed and that the patient needs to make a reservation again.
The data analysis of the medical machine in the consulting room is as follows: calculating the percentage of the number of examinations performed by the corresponding medical machine in each examination room to the total number of examinations in the examination room as D, setting a critical value of D, considering the examination to be meaningful when D is larger than or equal to the critical value of D, and considering the examination to be invalid when D is smaller than the critical value of D, namely not allowing the examination to be reserved to the examination room.
For example, temporarily considering the critical value of D to be 0.5%, when D ≧ 0.5%, the self-service appointment terminal computer defaults to the medical machine in the consulting room to complete the examination, allowing the self-service appointment terminal computer to appointment to the consulting room, and setting the coefficient r = 1; when D is less than 0.5%, the self-service appointment terminal computer defaults that the examination of the medical machine in the consulting room cannot be completed due to various reasons such as damage, probe loss and the like, and is not allowed to appoint the appointment to the consulting room, and the coefficient r =0 is set. Examples are: the first examination room machine is a superficial table machine of Toshiba, and is not provided with a transrectal ultrasonic probe, which is different from the first examination room machineThe statistical result of the part is D1(liver, gallbladder, spleen and pancreas) =1%, D2(thyroid) =10%, D3(mammary gland) =3% … … Dn(transrectal prostate) =0, self-service appointment terminal computer set coefficient r1(liver, gallbladder, spleen and pancreas) =1, r2(thyroid) =1, r3(mammary gland) =1, rn(transrectal prostate) =0, the self-service contract terminal computer defaults that the examination which can be made by the examination room includes liver, gallbladder, spleen, pancreas, thyroid gland, mammary gland and the like, but the transrectal prostate examination cannot be made, and the examination is not allowed to be reserved to the examination room.
Fig. 2 is a schematic diagram of the reservation ticket according to the present invention, which is provided with a two-dimensional code for confirmation, a patient medical record number, a patient name, examination items, a total serial number of all examined patients, and a time and flow prompt for confirmation by using this entry.
FIG. 3 is a schematic diagram of the queuing form of the present invention, which is provided with a two-dimensional code for self-help printing of examination reports, a patient medical record number, a patient name, examination items, a queuing number of the patient in the consulting room, a reminder of the position of the patient, and a printing prompt of the diagnosis report after the examination is finished.
Figure 4 is a schematic representation of an outpatient examination order of the present invention depicting patient outpatient examination information.
Fig. 5 is a schematic view of an operation panel of the self-service number-booking terminal computer provided with a touch screen, a code scanning area, a printing outlet 1, a printing outlet 2, a printing outlet 3 and a voice broadcasting system. Touch-sensitive screen and voice broadcast mainly used give the corresponding warning when patient's operation, and the information selection manual entry that gives on the patient's accessible touch-sensitive screen simultaneously, for example two-dimensional code scanning fails, and the patient can manually enter the bar code number, or the patient also can be through touch-sensitive screen entry cell-phone number, select date of appointment etc.. The code scanning area is mainly used for scanning the information of the patient examination order, and is convenient, quick and efficient. The printing outlet 1 is used for printing appointment number receipt, the printing outlet 2 is used for printing serial number receipt, and the printing outlet 3 is used for printing patient examination report.
The following description is made in conjunction with practical cases:
case 1: patient A and patient B all arrive self-service appointment terminal computer scanning outpatient service inspection list two-dimensional code, A and B all are distributed to examination 1 consulting room by the system, and patient A is No. 20, and patient 8 is reminded to the system: 30-9: 00 before the arrival of a patient, the patient B is No. 21, and the system prompts the patient to be in the following steps: 33-9: 03 the self-service contract number terminal computer reports confirmation.
Scenario one: patient a was at 8: 30 arrive self-service appointment terminal computer, scan the two-dimensional code and report to the back, the machine prints the queuing receipt and is No. 20, patient B in 8: 33, the machine prints the number-arranging receipt as number 21, and two people wait in line in the examination room 1 according to the prompt to smoothly complete the examination.
Scenario two: patient B at 8: 30, the patient B is reported by a computer when arriving at the self-service appointment number terminal, the system prompts that the patient B does not arrive at the report time after scanning the two-dimensional code, the patient B is reported and confirmed at the correct time, and after 3 minutes, the patient B is again reported to the patient B at the time of 8: 33, the number of the row printed for the patient B is 20 by the machine scanning the two-dimensional code, and 8: 35 the patient A reports to the self-service contract number terminal computer after the patient B, the number of the patient A printed by the machine is 21, the patient B waits in line in the doctor room 1 according to the prompt, and then the patient B finishes the examination before the patient A.
Scenario three: 9: 00 patient A is not reported to the self-service appointment number terminal computer, the system defaults to the fact that patient A refuses to check, one person is vacant in the patient A who enters the appointment queue, and at the moment, patient C comes to the appointment check, the system directly records C into the queue appointment number system after distributing the patient C to the examination room 1, and the self-service appointment number terminal computer prints a queue number list to prompt the patient to enter the examination room 1 to wait for checking in a queue. 9: 10 the patient A arrives at the self-service appointment number terminal computer to report, the two-dimensional code is scanned to prompt that the patient has the appointed time to report, the appointment check is required to be performed again, if the patient A agrees to perform the appointment again, the system re-executes the appointment function, and if the patient does not agree to perform the appointment again, the system is automatically closed.
Claims (2)
1. An intelligent contract number method for image examination of a patient in a hospital is characterized in that: the method comprises the following steps:
step one, a: the system comprises an outpatient service, a self-service appointment terminal computer and a server, wherein the outpatient service comprises a plurality of outpatient service examination orders, a scanner and a server local area network, wherein the outpatient service examination orders are used for scanning two-dimensional codes of the outpatient service examination orders through the scanner, and the outpatient service examination information recorded on the outpatient service examination orders is recorded into the self-service appointment terminal computer; b: after a ward doctor opens an inspection order through a ward electronic system, the ward electronic system automatically uploads the inspection information of the ward inpatients to a server, and a self-service appointment terminal computer automatically extracts the inspection information of the ward inpatients at regular time;
secondly, the server extracts the business data of each doctor and each medical machine in the consulting room related to the patient examination information in the hospital database and transmits the data to a self-service appointment terminal computer;
thirdly, the self-service appointment terminal computer performs doctor data analysis and consulting room medical machine data analysis on the data; selecting an optimal doctor according to the characteristics of each qualified doctor, judging whether a set appointment condition is met or not according to the existing appointment condition of the optimal doctor, selecting other qualified doctors by a self-service appointment terminal computer and judging whether the set appointment condition is met or not if the set appointment condition is not met, and giving a voice prompt to the self-service appointment terminal computer to suggest to reselect a date appointment if the screened qualified doctors do not meet the set appointment condition;
fourthly, when the appointment conditions set in the third step are met, the self-service appointment terminal computer judges whether the set queuing appointment conditions are met, when the set queuing appointment conditions are met, the self-service appointment terminal computer records the patient examination information collected in the first step into a queuing appointment system, and the queuing appointment system outputs the queuing appointment information of the patient to a doctor station computer of the best doctor in the third step for display; meanwhile, for the outpatient service, the self-service appointment terminal computer prints and outputs a queuing form, for the inpatient service in the ward, the self-service appointment terminal computer feeds back queuing appointment information to a ward electronic system through a server, the patient self-service prints the queuing form through the ward electronic system, and the queuing form is used for indicating the patient to queue for treatment in a specified ward;
fifthly, when the patient does not meet the set queuing appointment condition, the outpatient prints and outputs an appointment list by the self-service appointment terminal computer, the ward inpatient feeds back the appointment information to a ward electronic system by the self-service appointment terminal computer through a server, the inpatient prints the appointment list by the ward electronic system in a self-service mode, the appointment list is used for indicating the patient to scan the appointment list two-dimensional code for the second time from the appointed time period to the self-service appointment terminal computer, the self-service appointment terminal computer judges the queuing appointment condition set for the patient again, if the set queuing appointment condition is met, the self-service appointment terminal computer records the patient examination information collected in the first step into the queuing appointment system, and the queuing appointment system outputs the queuing appointment information of the patient to the third step for display in the doctor station computer of the best doctor, meanwhile, the self-service appointment terminal computer prints and outputs a queuing list, wherein the queuing list is used for indicating the patient to queue for treatment in a designated room for treatment;
in the sixth step and the fifth step, when the patient meeting the reservation order condition does not scan the reservation order two-dimensional code in the time period specified by the reservation order to the self-service number-offering terminal computer, namely: if the appointment form two-dimensional code is scanned by the self-service appointment terminal computer in advance, the self-service appointment terminal computer prompts the patient to scan the appointment form two-dimensional code in a specified time period by voice, and if the appointment comes late, the self-service appointment terminal computer prompts the patient to perform the first step again by voice;
seventhly, in the fifth step, the doctor station computer calls the patient with the number according to the minimum number of the queuing appointment number to perform medical examination, and if the medical examination is finished, the server deletes the patient examination information of the patient;
wherein, the data analysis step in the third step is:
a. analysis of different inspection item ratios: respectively calculating the percentage E of the amount of each doctor to finish the examination of a certain item in the total amount of the examinations of the doctor and the percentage F of the items to finish the examination of the doctor in the total number of the items of the general department, setting an examination coefficient R of the certain item of the doctor according to the value of E multiplied by F, wherein the larger the examination coefficient R is, the higher the probability that the self-service appointment terminal computer reserves the examination to the doctor is, when the value of E multiplied by F is smaller than the set value, the self-service appointment terminal computer defaults that the doctor is not suitable for the examination, and the doctor is not allowed to reserve the examination;
b. time analysis of different examination items: setting the average time for a doctor to complete a certain examination as T, counting the total number of the examinations performed by the doctor in the past as N, and setting the total time as T, wherein the average time for the doctor to complete the examination is T = T/N + T0, and T0 is the interval time between two patients to complete the examination, and is called surplus time; according to the average time and the current contract number of the doctor for each examination, the residual contract number of the doctor can be further predicted; meanwhile, the examination time of each patient in the consulting room can be predicted, the patient is reminded of the accurate time of reporting, so that the patient does not need to wait for a long time any more, and the time is fully scheduled for other examinations in the period;
the data analysis of the medical machine in the consulting room is as follows: calculating the percentage of the number of the corresponding medical machines in each examination room in the total examination number of the examination room as D, setting a critical value of D, considering the examination to be meaningful when the D is more than or equal to the critical value of D, and considering the examination to be invalid when the D is less than the critical value of D, namely not allowing the examination to be reserved to the examination room;
the self-service appointment terminal computer can also reorder the queuing appointment patients according to the confirmed patient registration condition, for the patients who are in the queuing appointment registration interval at the same time, the sequence number of the patient who preferentially arrives is smaller, and for the patients who are later than the queuing appointment registration interval and have no registration, the self-service appointment terminal computer defaults the patient to reject the examination, and at the moment, the patients who are reserved for the examination in the past in sequence are allowed to directly enter the queuing appointment system;
the self-service appointment terminal computer is also provided with a short message reminding function, for a patient who reports to the confirmation time interval h epsilon (Tx-tn 0, Tx) specified on the appointment list, the self-service appointment terminal computer gives the mobile phone of the patient to send a short message reminding report within the (Tx-tn 0, Tx) time, if the patient reports to the confirmation within the time less than Tx-tn0, the self-service appointment terminal computer refuses to report to the confirmation and reminds the patient that the report time is not up yet, please report in the correct time period, if the patient reports to the confirmation later than the Tx time, the system refuses to report to the confirmation, reminds the patient of passing the correct time period and please re-make an appointment;
wherein Tx is the predicted detection time of the x-th patient, n0 is the number of patients allowed to wait in front of the x-th patient, and tn0 is the shared time period of the front n0 patients.
2. The intelligent number contracting method for image examination of hospital patients as claimed in claim 1, wherein: and in the fifth step, when the patient does not meet the set queuing appointment condition, the outpatient prints out an appointment list by the self-service appointment terminal computer, and simultaneously inputs the mobile phone number of the patient through a touch screen of the self-service appointment terminal computer, so that the server reminds the patient in a short message manner within the appointment time confirmed by the appointment list.
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| CN109102869A (en) * | 2018-08-22 | 2018-12-28 | 泰康保险集团股份有限公司 | Medical data management method, device, medium and electronic equipment based on block chain |
| CN109472914A (en) * | 2018-11-20 | 2019-03-15 | 河北家和康孕信息技术有限公司 | A kind of self-supporting medical terminal and method |
| CN110264155A (en) * | 2019-05-31 | 2019-09-20 | 深圳市元征科技股份有限公司 | It is a kind of based on the control method and Related product that confirm service on line |
| CN111582525B (en) * | 2020-05-12 | 2023-07-14 | 昆明医科大学第一附属医院 | Centralized automatic reservation system and method for clinical examination and inspection of hospital |
| CN112288115B (en) * | 2020-11-16 | 2024-03-05 | 北京百度网讯科技有限公司 | Method, device, equipment and storage medium for generating reservation service information |
| CN114334114A (en) * | 2022-03-16 | 2022-04-12 | 武汉楚精灵医疗科技有限公司 | Preoperative reminding method and device for endoscopy and storage medium |
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