CN108498076A - Inpatient's venous thromboembolism safety management system and application - Google Patents
Inpatient's venous thromboembolism safety management system and application Download PDFInfo
- Publication number
- CN108498076A CN108498076A CN201810352741.4A CN201810352741A CN108498076A CN 108498076 A CN108498076 A CN 108498076A CN 201810352741 A CN201810352741 A CN 201810352741A CN 108498076 A CN108498076 A CN 108498076A
- Authority
- CN
- China
- Prior art keywords
- vte
- module
- patient
- risk
- nursing
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 208000004043 venous thromboembolism Diseases 0.000 title claims abstract description 189
- 206010014522 Embolism venous Diseases 0.000 title claims abstract description 18
- 230000000474 nursing effect Effects 0.000 claims abstract description 54
- 238000012502 risk assessment Methods 0.000 claims abstract description 35
- 230000002265 prevention Effects 0.000 claims abstract description 15
- 238000011156 evaluation Methods 0.000 claims abstract description 6
- 238000004891 communication Methods 0.000 claims abstract description 4
- 238000007726 management method Methods 0.000 claims description 55
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 17
- 201000010099 disease Diseases 0.000 claims description 16
- 206010047249 Venous thrombosis Diseases 0.000 claims description 9
- 238000011321 prophylaxis Methods 0.000 claims description 5
- 230000009471 action Effects 0.000 claims description 4
- 238000000465 moulding Methods 0.000 claims description 4
- 230000001186 cumulative effect Effects 0.000 claims description 3
- 230000008676 import Effects 0.000 claims 1
- 238000011282 treatment Methods 0.000 abstract description 8
- 210000003462 vein Anatomy 0.000 description 5
- 210000003141 lower extremity Anatomy 0.000 description 4
- 206010051055 Deep vein thrombosis Diseases 0.000 description 3
- 208000008589 Obesity Diseases 0.000 description 3
- 208000010378 Pulmonary Embolism Diseases 0.000 description 3
- 208000007536 Thrombosis Diseases 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 230000002452 interceptive effect Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 235000020824 obesity Nutrition 0.000 description 3
- 238000012549 training Methods 0.000 description 3
- 206010011224 Cough Diseases 0.000 description 2
- 238000003323 Total Quality Management Methods 0.000 description 2
- 239000003146 anticoagulant agent Substances 0.000 description 2
- 229940127219 anticoagulant drug Drugs 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 2
- 201000011510 cancer Diseases 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000013399 early diagnosis Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000003414 extremity Anatomy 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- OFJRNBWSFXEHSA-UHFFFAOYSA-N 2-(3-amino-1,2-benzoxazol-5-yl)-n-[4-[2-[(dimethylamino)methyl]imidazol-1-yl]-2-fluorophenyl]-5-(trifluoromethyl)pyrazole-3-carboxamide Chemical compound CN(C)CC1=NC=CN1C(C=C1F)=CC=C1NC(=O)C1=CC(C(F)(F)F)=NN1C1=CC=C(ON=C2N)C2=C1 OFJRNBWSFXEHSA-UHFFFAOYSA-N 0.000 description 1
- 206010008190 Cerebrovascular accident Diseases 0.000 description 1
- 208000006545 Chronic Obstructive Pulmonary Disease Diseases 0.000 description 1
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- FFFHZYDWPBMWHY-VKHMYHEASA-N L-homocysteine Chemical compound OC(=O)[C@@H](N)CCS FFFHZYDWPBMWHY-VKHMYHEASA-N 0.000 description 1
- 206010061599 Lower limb fracture Diseases 0.000 description 1
- 208000019693 Lung disease Diseases 0.000 description 1
- 208000004221 Multiple Trauma Diseases 0.000 description 1
- 206010030124 Oedema peripheral Diseases 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 206010040047 Sepsis Diseases 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 208000001435 Thromboembolism Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 206010000891 acute myocardial infarction Diseases 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 230000003429 anti-cardiolipin effect Effects 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 210000000544 articulatio talocruralis Anatomy 0.000 description 1
- 238000012550 audit Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 230000009172 bursting Effects 0.000 description 1
- 230000002490 cerebral effect Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000002512 chemotherapy Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000035622 drinking Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 229940087051 fragmin Drugs 0.000 description 1
- 229910052602 gypsum Inorganic materials 0.000 description 1
- 239000010440 gypsum Substances 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 210000004394 hip joint Anatomy 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- 239000005556 hormone Substances 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 210000002414 leg Anatomy 0.000 description 1
- 206010025135 lupus erythematosus Diseases 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 229940127234 oral contraceptive Drugs 0.000 description 1
- 239000003539 oral contraceptive agent Substances 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000010101 prophylactic anticoagulation Effects 0.000 description 1
- 230000009325 pulmonary function Effects 0.000 description 1
- 229950010535 razaxaban Drugs 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 208000013223 septicemia Diseases 0.000 description 1
- 230000001568 sexual effect Effects 0.000 description 1
- 230000000391 smoking effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 210000004026 tunica intima Anatomy 0.000 description 1
- PJVWKTKQMONHTI-UHFFFAOYSA-N warfarin Chemical compound OC=1C2=CC=CC=C2OC(=O)C=1C(CC(=O)C)C1=CC=CC=C1 PJVWKTKQMONHTI-UHFFFAOYSA-N 0.000 description 1
- 229960005080 warfarin Drugs 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7271—Specific aspects of physiological measurement analysis
- A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7271—Specific aspects of physiological measurement analysis
- A61B5/7282—Event detection, e.g. detecting unique waveforms indicative of a medical condition
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
Abstract
The present invention provides inpatient's venous thromboembolism safety management system and applications, the system comprises server, nursing control module and doctor's control modules, the nursing control module and doctor's control module are connect by communication equipment with server respectively, and the server includes:Risk evaluation module, intervening measure module, computing module, judgment module, management module, progress note module and memory module.Differentiated control is carried out by score value difference, avoids the treatment of patient's Over.The system is realized carries out mandatory VTE assessments to high-risk patient, and VTE risk assessment is allowed to implement completely completely.Unified standards of grading and information system management flow are suitble to clinical departments room to implement, and further improve the comprehensive strength of hospital VTE preventions, have high clinical value.
Description
Technical field
The present invention relates to the safety management systems and application of information management system field more particularly to inpatient.
Background technology
Venous thromboembolism (venous thromboembolism, VTE) includes two types:Deep vain thrombosis
(deep vein thrombosis, DVT) and pulmonary thromboembolism (pulmonary embolism, PE), the disease have compared with
High morbidity and mortality.The VTE causes of disease and predisposing factor are complicated, existing surgical operation and traumatic agent, and have internal medicine disease
The risk factors of disease are also related to population characteristic's sexual factor.The occurrence and development of VTE are related to nearly all clinical speciality, pass through
It is through among the curative activity of each clinical department.The high rate of VTE, high disability rate and high case fatality rate have been constituted in doctor's operation
Material risk.Clinical management is carried out to the prevention of VTE, is admitted to hospital from patient and its VTE early warning and bleeding risk is assessed,
And give effective prevention, can obviously reduce the adverse consequences of patient, reduce hospital, doctor medical-risk, reduce medical treatment and entangle
Confusingly, mitigate medical burden.Therefore, VTE preventions and management system in hospital are built, it is extremely urgent.
Situation of all-level hospitals is required to establish VTE countermeasure systems in hospital at present, including organizes training regularly, sets up prevention expert
Group establishes multidisciplinary consultation of doctors mechanism, the assessment list and estimation flow of specification VTE risk assessment etc..But current clinical care
Assessment is mainly obtained by main suit, observation and medical record information, mostly carries out papery nursing record in table form.Due to
The level of medical staff's clinical care assessment is irregular, and paperyization not only increases nursing time, but also is easy to happen leakage and comments now
As, often result in prevention work in institute implement it is not in place.
Invention content
In order to overcome the defects of the prior art, the present invention provides a kind of inpatient's venous thromboembolism bursting tubes
Reason system, including:Server, nursing control module and doctor's control module, the nursing control module and doctor's control module
It is connect respectively with server by communication equipment, the server includes:
Risk evaluation module forms achievement data library, generates VTE risk assessment for VTE risk assessment indexs to be arranged
Table, the VTE risk assessment index include women with high risk standard and risk factor option;
Intervening measure module forms action data library, production VTE nursing and interferings are arranged for VTE intervening measure options to be arranged
List is applied, the VTE nursing intervention measures include basic prevention, physical prophylaxis and chemoprophylaxis;
Computing module obtains total score according to the score value for each factor in VTE risk assessment indexs that is input to is cumulative;
Judgment module is compared according to calculated total score with preset threshold value;
Management module, the comparison information obtained according to comparison module select inpatient's VTE Managed Solutions;
Progress note module, for inputting the course of disease that VTE high-risk patient intervening measures prevent the course of disease and patient cures mainly the state of an illness;
Memory module, for storing the essential information of inpatient, VTE risk assessment table, VTE nursing intervention measures, VTE
Correlation informs book and progress note;
When system operation, the case where VTE risk assessment tables are sent to nursing control module by server, and nurse is according to patient
Corresponding risk factor is selected in assessment table.The computing module of server adds up the score value of each factor of VTE risk assessment tables
Obtain total score;Comparison module is compared according to calculated total score with preset threshold value;Management module according to than
Compared with the comparison information for the score value that module obtains, determine whether the patient belongs to high risk patient VTE;If the patient belongs to high wind
Dangerous patient VTE, then auditing the patient, whether signed VTE correlations inform book, if not having, send out and fill out Xiang doctor's control module
It writes VTE correlations and informs that VTE correlations are directly informed that book is sent to doctor's control module by the notification information of book or management module;If
Signed VTE correlations inform book, then no longer Xiang doctor's control module send out fill in VTE correlations inform book notification information or
VTE correlations inform book.If the patient is not belonging to high risk patient VTE, VTE nursing intervention measures are sent to nursing by management module
Control module, nurse select intervening measure according to patient's condition.Management module determine the patient endorsed VTE correlations accuse
When knowing that book or the patient are not belonging to high risk patient VTE, the progress note module of system opens, and doctor side enters progress note mould
Block generates the progress note that VTE high-risk patient intervening measures prevent progress note and patient cures mainly the state of an illness.
Further, the preset threshold value described in comparison module includes 2 points and 5 points.
Further, judgment module further includes judging whether the progress note of the patient is progress note, the patient for the first time
Whether VTE relevant informed consent form endorsed.
Further, management module further includes the progress note unit being turned on and off in doctor's control module.
Further, nursing control module is for outputting and inputting VTE risk assessment table and VTE nursing intervention measures.
Further, doctor's control module informs book, VTE high-risk patient intervening measures for outputting and inputting VTE correlations
Prevent progress note and patient cures mainly the progress note of the state of an illness
The present invention also provides above-mentioned application of the VTE safety management systems in inpatient's VTE safety managements of being hospitalized.
The beneficial effects of the invention are as follows:Inpatient's venous thromboembolism safety management system includes standardization
, comprehensive assessment table and precautionary measures, entire estimation flow is clear, and node control is reasonable, and VTE risk assessment is allowed to implement completely
In place, realize patient and be admitted to hospital and its VTE risk is assessed, realize to high-risk patient carry out mandatory VTE prevent it is dry
In advance.Standardization of each clinical training of full institute in VTE risk assessment is realized, energy is easy, each section office's clinic is accurately helped to cure
Life identifies VTE high-risk patients, carries out auxiliary prevention scheme, to improve early diagnosis and the early treatment rate of VTE patient, has
Effect reduces VTE risks.It is managed by score value being finely divided of difference, avoids the treatment of patient's Over, improve efficiency.
VTE safety management systems further improve the comprehensive strength of hospital VTE preventions, can be used as the long-acting machine of VTE control stategies
System further enriches hospital's total quality management system, has high clinical value.
Description of the drawings
Fig. 1 is hospitalized VTE safety management system schematic diagrames.
Fig. 2 is hospitalized VTE safety management system flow charts.
Fig. 3-13 specific example operation charts.
Specific implementation mode
The invention will be further described with embodiment below in conjunction with the accompanying drawings.
Inpatient's venous thromboembolism safety management system as illustrated in fig. 1 and 2 is (referred to as:VTE safety managements in hospital
System), including:Server 1, nursing control module 2 and doctor's control module 3, the nursing control module and doctor control mould
Block is connect by communication equipment 4 with server respectively.
The server includes:Risk evaluation module, intervening measure module, computing module, judgment module, management module,
Progress note module and memory module.
Risk evaluation module forms achievement data library, generates VTE risk assessment tables for VTE risk assessment indexs to be arranged
(Caprini grade forms), the VTE risk assessment index include women with high risk standard and risk factor option.
Intervening measure module forms action data library, generates VTE nursing and interferings and arrange for VTE intervening measure options to be arranged
List is applied, the VTE nursing intervention measures include basic prevention, physical prophylaxis and chemoprophylaxis.
Computing module, the score value that will enter into each factor in VTE risk assessment indexs is waken up with a start cumulative, obtains total score.
Judgment module is compared according to calculated total score with preset threshold value.
Management module, the comparison information obtained according to comparison module select inpatient's VTE Managed Solutions,
Progress note module, for inputting the disease that VTE high-risk patient intervening measures prevent the course of disease and/or patient cures mainly the state of an illness
Journey.
Memory module, for storing the essential information of inpatient, VTE risk assessment table, VTE nursing intervention measures, VTE
Correlation informs book and progress note etc..
The system may also include the hardware devices such as computer, display, printer.
When system operation, the case where VTE risk assessment tables are sent to nursing control module by server, and nurse is according to patient
Corresponding risk factor is selected in assessment table.The computing module of server adds up the score value of each factor of VTE risk assessment tables
Obtain total score.Comparison module is compared according to calculated total score with preset threshold value.Management module according to than
Compared with the comparison information that module obtains, determine whether the patient belongs to high risk patient VTE.If the patient belongs to high risk VTE diseases
People, then the management module that system is audits the patient, and whether signed VTE correlations inform book, if not having, are controlled Xiang doctor
Module send out fill in VTE correlations inform book notification information or management module directly by VTE correlations inform book be sent to doctor control
Molding block;If endorsed VTE correlations informs book, is no longer sent out Xiang doctor's control module and fill in VTE correlations and inform book
Notification information or VTE correlations inform book.If the patient is not belonging to high risk patient VTE, management module is by VTE nursing intervention measures
It is sent to nursing control module, nurse selects intervening measure according to patient's condition.Management module is determining that the patient is signed
When VTE correlations inform that book or the patient are not belonging to high risk patient VTE, the progress note module of system opens, and doctor enters
Progress note module generates the progress note that VTE high-risk patient intervening measures prevent progress note and patient cures mainly the state of an illness.
Preset threshold value is in 2 points and 5 points of embodiment in comparison module, and server is by VTE risk assessment tables
It is sent to nursing control module, nurse selects corresponding risk factor according to the case where patient in assessment table, completes Caprini
Scoring.Computing module, which adds up the score value of each factor of VTE risk assessment tables, obtains total score (also known as score value).Comparison module root
It is compared with preset threshold value according to calculated score value.The comparison information that management module is obtained according to comparison module,
Select inpatient's VTE Managed Solutions.If score value is more than or equal to 2 points and is less than 5 timesharing, management module is by VTE nursing and interferings
Measure is sent to nursing control module, and nurse selects intervening measure according to patient's condition.If score value is more than or equal to 5 timesharing, pipe
Whether the reason module check patient informs in VTE correlations is signed on book.If no, system cannot be introduced into progress note module,
Management module will send out the notification information filled in VTE correlations and inform book Xiang doctor's control module, and doctor sends out transmission to server
The instruction of VTE related announcement books, server transmit VTE correlations Xiang doctor's control module after being instructed and inform book.Or management
VTE correlations are directly informed that book is sent to doctor's control module by module.Have when score value is more than or equal in 5 points and system
When VTE correlations inform the signature data of book, the progress note module of system opens, and doctor is allowed for access progress note module, shape
Prevent progress note at VTE high-risk patient intervening measures and patient cures mainly the progress note of the state of an illness.
Women with high risk standard and corresponding risk factor in the VTE risk assessment index include:Score value accounts for 1 point of choosing
Xiang Shi:It is -59 years old 40 years old age, recent major operation (in 1 month), plan minor operation, the medical patient of bed, edema of lower extremity, tight
Weight pulmonary disease, containing pneumonia (in 1 month), abnormal pulmonary function (Chronic Obstructive Pulmonary Disease), acute myocardial infarction AMI (1 month
It is interior), congested failure at heart (in 1 month), blood transfusion (in 1 month), septicemia (in 1 month).Lower limb gypsum or limb tool it is fixed,
Obesity (BMI>30kg/m2), inflammatory bowel medical history, varication, central vein catheter, oral contraceptive or hormone replacement are controlled
It treats, the gestational period or postpartum (in 1 month), other high risk factors etc..The option that score value accounts for 2 points is:- 74 years old 60 years old age, big hand
Art (<60min), laparoscopic surgery (>60min), operating arthroscope operation (>60min), the past malignant tumour, obesity (BMI>
40kg/m2) etc..The option that score value accounts for 3 points is:Age continued 2-3 hours, obesity (BMI more than 75 years old, major operation>50kg/
M2) superficial veins, deep vein thrombosis or pulmonary embolism medical history, thrombus family history, now suffer from blood caused by malignant tumour or chemotherapy, heparin
Platelet reduction, the unlisted congenital or thrombosis day after tomorrow, anticardiolipin antibodies are positive, factor 20210A is positive, the factor
Vleiden is positive, lupus anticoagulant is positive, homocysteine enzyme increases etc..The option that score value accounts for 5 points is:Cerebral apoplexy
(in 1 month), memory bone marrow injury (paralysis) (in 1 month), selective joint of lower extremity displacement technique, hip joint, pelvis or lower limb
Fracture, multiple trauma (in 1 month), major operation (more than 3 hours) etc..
The VTE nursing intervention measures include basic prevention, physical prophylaxis and chemoprophylaxis.Specifically, basic prevent to arrange
Applying option includes:Suffering limb is improved, heart level 20-30cm is higher than, promotes venous backflow, prohibits and stops under popliteal nest and shank individually
Bolster reinforces observation;Patient's active movement is encouraged, is left the bed as early as possible;Being unable to autokinetic movement, person passively from bottom to top massages leg
Muscle and ankle moving;Energy autokinetic movement person, makees knee joint and ankle-joint flexion movement;It is breathe deeply or blow up a balloon and cough more
It coughs action;It avoids being dehydrated, guidance is drunk more water, and keeps stool unimpeded;It discontinues the habit of smoking and drinking, controls blood pressure and blood lipoid;Veins of lower extremity is avoided to wear
Thorn, especially repeatedly puncture, especially left side;Surgical procedure is light and handy, and tunica intima of vein is avoided to damage;Specification lower limb tourniquet is answered
With etc..Physical prophylaxis measure option includes:Intermittent Pneumatic compression device, bottom venous pump, medical elastic socks, Elastic bandage etc..
Chemoprophylaxis measure option includes:The green woods of speed, ten thousand arteries and veins easypro, Fragmin, warfarin, razaxaban etc..
Judgment module further includes judging whether the progress note of the patient is that whether progress note, the patient endorsed for the first time
Relevant informed consent forms of VTE etc..
Management module further includes the progress note unit being turned on and off in doctor's control module.
Nursing control module is for outputting and inputting VTE risk assessment table and VTE nursing intervention measures, doctor's control module
Inform that book, VTE high-risk patient intervening measures prevent progress note and patient cures mainly the disease of the state of an illness for outputting and inputting VTE correlations
Cheng Jilu.
Nursing control module further includes nursing record single unit, and being equipped with phlebothrombosis in nursing record single unit assesses option
With VTE nursing intervention measures options.
Doctor's control module further includes progress note unit and talk recording unit.VTE is equipped in progress note unit
High-risk patient intervening measure progress note option and critical value handle progress note option.VTE is equipped in memcon unit
Correlation informs that book, including the thromboembolism treatment of the anticoagulant therapy informed consent form of venous thromboembolism, venous thromboembolism are known
Feelings letter of consent and the Prophylactic anticoagulation of venous thromboembolism treat informed consent form.
Nursing control module and doctor's control module can also be separately connected computer, display and printer.
As shown in Fig. 3 to 13, the inpatient VTE safety management systems answering in inpatient's VTE safety managements
Use example.
When patient is hospitalized, nurse opens nursing control module, clicks nursing record single unit, selects phlebothrombosis assessment choosing
.When not having score value record under phlebothrombosis estimation items, nurse, which clicks, to be imported, and server receives what nursing control module was sent out
After the order that phlebothrombosis assessment need to be done, VTE risk assessment tables are sent to nursing control module by server, and nurse is according to patient
The case where corresponding risk factor is faithfully selected in assessment table.In this example, patient have 5 it is potential dangerous because
Element amounts to 7 points.It is saved in a storage module after filling in the assessment table and score value of completion.Doctor opens doctor's control module, point
Progress note unit is hit, server first determines whether out that the VTE score values of the patient are more than 5 points, needs on VTE informed consent forms
Signature.Then server can judge progress note.In this example, server judges that the patient remembers for the course of disease for the first time
Record, and without signature and the relevant any informed consent forms of VTE.Server sends out Xiang doctor's control module and " please first fills in VTE phases
Inform book in pass " information, allow doctor to inform that patient or family members need to sign informed consent form.The display interface of doctor's control module is
It can show the notice, cannot be introduced into the operation that course of disease control unit carries out any progress note at this time.Doctor needs click-to-talk
Recording unit selects the relevant informed consent forms of VTE, i.e., the instruction for sending VTE correlation informed consent forms, clothes are sent out to server
Business device prints these informed consent forms and allows after being instructed Xiang doctor's control module transmission VTE correlation informed consent forms, doctor
Patient or family members' signature.After S signed information is sent to server by doctor, server opens the disease in doctor's control module
Journey recording unit.Doctor clicks progress note unit, selects VTE high-risk patients intervening measure progress note list and critical value disease
Cheng Jilu lists completion progress note fills in work.
In another example, the risk factor of patient amounts to 3 timesharing, and server judges that the score value of the patient is less than
5 points, VTE nursing intervention measures are sent to nursing control module by server, and nurse chooses intervening measure according to the case where patient
(as shown in Figures 6 and 7).Doctor opens doctor's control module, and every record can be completed in progress note unit.
In another example, the risk factor of patient amounts to 5 timesharing, and server judges that the patient endorsed
VTE informed consent forms, server no longer send Xiang doctor's control module and notify, doctor can be in the progress note of doctor's control module
Every record is completed in unit.
Inpatient's venous thromboembolism safety management system (VTE safety management systems) of the present invention, including mark
Standardization and comprehensive assessment table and precautionary measures, entire estimation flow is clear, and node control is reasonable, makes VTE risk assessment complete
It implements completely entirely, realizes and mandatory VTE preventions intervention is carried out to high-risk patient, avoid due to nursing or curing the busy of work
And the management to VTE risks is missed, to improve early diagnosis and the early treatment rate of VTE patient, effectively reduce VTE wind
Danger.It realizes patient and is admitted to hospital and its VTE risk is assessed, reduce medical tangle, mitigate medical burden.
It is managed by being finely divided of score value, to avoid over-treatment.Differentiated control is carried out using information-based means, is carried
High working efficiency, specification treatment flow.Such as management process meets to need to fulfil in accordance with the law in medical procedure and informs obligation, respects
Patient's informed choice is weighed, and the regulation of signature system, reasonably avoiding medical-risk are conscientiously fulfiled.
The foundation of VTE safety management systems realizes standardization of each clinical training of full institute in VTE risk assessment, can letter
Just it, accurately helps each section office clinician to identify VTE high-risk patients, carries out auxiliary prevention scheme, to reduce VTE
Rate improves patient's prognosis, reduces medical expense.
VTE safety management systems further improve the comprehensive strength of hospital VTE preventions, to effectively reduce in hospital
Incidence, disability rate and the death rate of VTE.The VTE safety management systems can be used as the permanent mechanism of VTE control stategies, into
One step enriches hospital's total quality management system, has high clinical value.
Claims (8)
1. inpatient's venous thromboembolism safety management system, which is characterized in that including:Server, nursing control module
With doctor's control module, the nursing control module and doctor's control module are connect by communication equipment with server respectively, institute
Stating server includes:Risk evaluation module, intervening measure module, computing module, judgment module, management module, progress note mould
Block and memory module;
Risk evaluation module forms achievement data library, generates VTE risk assessment tables, institute for VTE risk assessment indexs to be arranged
It includes women with high risk standard and risk factor option to state VTE risk assessment indexs;
Intervening measure module forms action data library, produces VTE nursing intervention measures tables for VTE intervening measure options to be arranged
Single, the VTE nursing intervention measures include basic prevention, physical prophylaxis and chemoprophylaxis;
Computing module obtains total score according to the score value for each factor in VTE risk assessment indexs that is input to is cumulative;
Judgment module is compared according to calculated total score with preset threshold value;
Management module, the comparison information obtained according to comparison module select inpatient's VTE Managed Solutions;
Progress note module, for inputting the course of disease that VTE high-risk patient intervening measures prevent the course of disease and patient cures mainly the state of an illness;
Memory module, essential information, VTE risk assessment table, VTE nursing intervention measures, VTE correlations for storing inpatient
Inform book and progress note;
When system operation, VTE risk assessment tables are sent to nursing control module by server, and nurse is commenting according to the case where patient
Estimate and selects corresponding risk factor in table;The score value of each factor of VTE risk assessment tables is added up and is obtained by the computing module of server
Total score;Comparison module is compared according to calculated total score with preset threshold value;Management module is according to comparing mould
The comparison information for the score value that block obtains, determines whether the patient belongs to high risk patient VTE;If the patient belongs to high risk
Patient VTE, then auditing the patient, whether signed VTE correlations inform book, if not having, send out and fill in Xiang doctor's control module
VTE correlations inform that VTE correlations are directly informed that book is sent to doctor's control module by the notification information of book or management module;If
It endorsed VTE correlations and inform book, then no longer send out the notification information or VTE filled in VTE correlations and inform book Xiang doctor's control module
Correlation informs book;If the patient is not belonging to high risk patient VTE, VTE nursing intervention measures are sent to nursing control by management module
Molding block, nurse select intervening measure according to patient's condition;Management module is determining that the patient endorsed VTE correlations and informed
When book or the patient are not belonging to high risk patient VTE, the progress note module of system opens, and doctor side enters progress note mould
Block generates the progress note that VTE high-risk patient intervening measures prevent progress note and patient cures mainly the state of an illness.
2. inpatient's venous thromboembolism safety management system according to claim 1, which is characterized in that compare mould
Preset threshold value described in block includes 2 points and 5 points.
3. inpatient's venous thromboembolism safety management system according to claim 1, which is characterized in that judge mould
Block further includes judging whether the progress note of the patient is that whether progress note, the patient endorsed that VTE is relevant to know for the first time
Letter of consent.
4. inpatient's venous thromboembolism safety management system according to claim 1, which is characterized in that management mould
Block further includes the progress note unit being turned on and off in doctor's control module.
5. inpatient's venous thromboembolism safety management system according to claim 1, which is characterized in that nursing control
Molding block is for outputting and inputting VTE risk assessment table and VTE nursing intervention measures.
6. inpatient's venous thromboembolism safety management system according to claim 1, which is characterized in that doctor is controlled
Molding block informs that book, VTE high-risk patient intervening measures prevent progress note and patient cures mainly disease for outputting and inputting VTE correlations
The progress note of feelings.
7. being hospitalized VTE safety management systems in inpatient's VTE safety managements according to one of claim 1 to 6
Using.
8. application according to claim 7, which is characterized in that when patient is hospitalized, nurse opens nursing control module, clicks
Nursing record single unit selects phlebothrombosis to assess option.When not having score value record under phlebothrombosis estimation items, nurse clicks
It imports, server receives after the need that send out of nursing control module do the order of phlebothrombosis assessment, and server is by VTE risk assessment
Table is sent to nursing control module, and nurse faithfully selects corresponding risk factor according to the case where patient in assessment table.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810352741.4A CN108498076A (en) | 2018-04-19 | 2018-04-19 | Inpatient's venous thromboembolism safety management system and application |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810352741.4A CN108498076A (en) | 2018-04-19 | 2018-04-19 | Inpatient's venous thromboembolism safety management system and application |
Publications (1)
Publication Number | Publication Date |
---|---|
CN108498076A true CN108498076A (en) | 2018-09-07 |
Family
ID=63382622
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201810352741.4A Pending CN108498076A (en) | 2018-04-19 | 2018-04-19 | Inpatient's venous thromboembolism safety management system and application |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN108498076A (en) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109512388A (en) * | 2018-10-13 | 2019-03-26 | 顿晓熠 | A kind of intravenous thromboembolism risk and prognostic predictive model |
CN111248875A (en) * | 2020-01-20 | 2020-06-09 | 上海市浦东新区公利医院(第二军医大学附属公利医院) | Postoperative patient condition early warning monitoring method and system |
CN111968745A (en) * | 2020-10-23 | 2020-11-20 | 北京富通东方科技有限公司 | Method for constructing VTE risk assessment model and VTE risk assessment method |
CN112053782A (en) * | 2020-08-19 | 2020-12-08 | 南华大学附属第二医院 | Automatic generation control system and method for scoring, computer equipment and terminal |
CN112466459A (en) * | 2020-06-01 | 2021-03-09 | 四川大学华西医院 | System for actively predicting, early warning and intelligently managing venous thromboembolism in full period |
CN113470825A (en) * | 2021-07-23 | 2021-10-01 | 北京惠每云科技有限公司 | Venous thromboembolism prediction system, method, equipment and medium |
CN114242239A (en) * | 2020-09-09 | 2022-03-25 | 东华医为科技有限公司 | VTE risk monitoring and result quality control system |
CN115274102A (en) * | 2022-06-06 | 2022-11-01 | 安徽省立医院(中国科学技术大学附属第一医院) | Artificial intelligent prevention and treatment system, method, device and medium for venous thromboembolism |
-
2018
- 2018-04-19 CN CN201810352741.4A patent/CN108498076A/en active Pending
Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109512388A (en) * | 2018-10-13 | 2019-03-26 | 顿晓熠 | A kind of intravenous thromboembolism risk and prognostic predictive model |
CN111248875A (en) * | 2020-01-20 | 2020-06-09 | 上海市浦东新区公利医院(第二军医大学附属公利医院) | Postoperative patient condition early warning monitoring method and system |
CN112466459A (en) * | 2020-06-01 | 2021-03-09 | 四川大学华西医院 | System for actively predicting, early warning and intelligently managing venous thromboembolism in full period |
CN112053782A (en) * | 2020-08-19 | 2020-12-08 | 南华大学附属第二医院 | Automatic generation control system and method for scoring, computer equipment and terminal |
CN114242239A (en) * | 2020-09-09 | 2022-03-25 | 东华医为科技有限公司 | VTE risk monitoring and result quality control system |
CN114242239B (en) * | 2020-09-09 | 2023-03-17 | 东华医为科技有限公司 | VTE risk monitoring and result quality control system |
CN111968745A (en) * | 2020-10-23 | 2020-11-20 | 北京富通东方科技有限公司 | Method for constructing VTE risk assessment model and VTE risk assessment method |
CN113470825A (en) * | 2021-07-23 | 2021-10-01 | 北京惠每云科技有限公司 | Venous thromboembolism prediction system, method, equipment and medium |
CN113470825B (en) * | 2021-07-23 | 2024-02-06 | 北京惠每云科技有限公司 | Venous thromboembolism prediction system, method, equipment and medium |
CN115274102A (en) * | 2022-06-06 | 2022-11-01 | 安徽省立医院(中国科学技术大学附属第一医院) | Artificial intelligent prevention and treatment system, method, device and medium for venous thromboembolism |
CN115274102B (en) * | 2022-06-06 | 2023-09-19 | 安徽省立医院(中国科学技术大学附属第一医院) | Artificial intelligent prevention and treatment system, method, device and medium for venous thromboembolism |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN108498076A (en) | Inpatient's venous thromboembolism safety management system and application | |
Eid et al. | Persistent median artery: cadaveric study and review of the literature | |
Kazley et al. | Femoral neck fractures | |
Schantz et al. | The anterior interosseous nerve syndrome | |
Lacima et al. | Long‐term results of biofeedback treatment for faecal incontinence: a comparative study with untreated controls | |
Ayhan et al. | A randomised clinical trial comparing the patient comfort and efficacy of three different graduated compression stockings in the prevention of postoperative deep vein thrombosis | |
Polnaszek et al. | Omission of physical therapy recommendations for high-risk patients transitioning from the hospital to subacute care facilities | |
Guy | Community paramedicine: a preventive adjunct to traditional primary care | |
Bonner et al. | Preventing venous thromboembolism through risk assessment approaches | |
Furey et al. | The non-operative management of primary osteoarthritis | |
Crawley | Mechanical thromboprophylaxis in the perioperative setting. | |
Woo | Development of elderly care services in Hong Kong: challenges and creative solutions | |
Evans et al. | Prevention and management of venous leg ulcers | |
Zhao et al. | Virtual reality-based analysis of pressure ulcer care information related to medical equipment for the prevention of pressure ulcer skin foam dressings in the elderly | |
Stigant | Tackling obesity as part of a lymphoedema management programme | |
McGrath | The management of a patient with chronic oedema: a case study | |
Jaquet | Median and ulnar nerve injuries: prognosis and predictors for clinical outcome | |
Vucić et al. | Therapy and prevention of deep venous thrombosis and pulmonary embolism in gynecology and obstetrics | |
CN107019492A (en) | A kind of new old phlebothrombosis assessment system | |
Clark et al. | Pregnancy-related lumbopelvic pain: Prevalence, persistence, risk factors and management implications | |
Goernig et al. | Ambulatory disease management in cardiac patients: 12 month follow-up of home care telemedicine in Thuringia by the management program Zertiva® | |
Fuertes et al. | Occlusive urethral systems: can they constitute an alternative in the management of female stress incontinence? | |
Wijeyaratne et al. | P112. The impact of transitioning to day case mastectomy on breast care nurse workload: A single centre retrospective analysis | |
Snippe | P113. Meeting the challenges of delivering high standard breast care nursing services during the COVID pandemic | |
Tan et al. | Venous thromboembolism prophylaxis for surgical patients in an Asian hospital |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
WD01 | Invention patent application deemed withdrawn after publication | ||
WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20180907 |