CN110415799A - A kind of closed loop management system for hospital blood bank - Google Patents
A kind of closed loop management system for hospital blood bank Download PDFInfo
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- CN110415799A CN110415799A CN201910687767.9A CN201910687767A CN110415799A CN 110415799 A CN110415799 A CN 110415799A CN 201910687767 A CN201910687767 A CN 201910687767A CN 110415799 A CN110415799 A CN 110415799A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
Abstract
A kind of closed loop management system for hospital blood bank disclosed by the invention, since blood storage, doctor opens blood transfusion request slip in client module, Blood Transfusion Dept. audits request slip and carries out blood group review, cross matching, clinic hair blood, to nurse before nurse's module completes blood transfusion, blood transfusion neutralizes patient's blood transfusion situation registration after blood transfusion, record patient's blood transfusion has no adverse reaction, doctor's curative effect carries out assessment after blood transfusion and associated overall process occurs for the entire and "blood transfusion" of blood bag recycling, it simultaneously can be with each operation system seamless interfacing of hospital, realize that hospital patient uses safely blood whole-course quality control, blood transfusion related datas all to patient carry out digital criterion management, further specification blood used in clinic safety management, specification patient's course of disease medical record management, it is final to realize hospital patient medical safety management.Displaying of the associated overall process by graph direct entirely occur with "blood transfusion" for the present invention, and doctor, nurse, blood bank and hospital quality management are very clear to patient's each stage information of transfusing blood.
Description
Technical field
The present invention relates to hospital blood bank management domain, in particular to a kind of closed loop management system for hospital blood bank.
Background technique
Second-grade hospital especially tertiary hospitals all establish blood bank at present, and some has also set up Blood Transfusion Dept., have built independence
Transfusion Management, the Transfusion Management of Partial Hospitals and information management system, the Laboratory Information Management System of hospital
Seamless link has been done, has been realized with blood data sharing.But the Transfusion Management of most of hospital blood banks can only be obtained to from blood station
Take that blood constituent carries out inventory, cross matching, blood constituent granting, automatic charging are managed, at present still without accomplishing to pass through
The Transfusion Management of blood bank can realize complete monitoring to the blood use safety of hospital, can be collected into each link number of hospital patient blood transfusion
According to acquisition, the collection of blood transfusion relevant documentation and carry out electronic management.
To clinic from the information that verification donor and receptor of the blood constituent by two people are fetched by blood bank it is correct after i.e. to sick
People's blood transfusion, if patient has adverse reaction in transfusion procedure, doctor, nurse are in nursing supervision platform, patient's medical record
The data of curative effect overview are not recorded and are collected after management system record transfusion procedure and blood transfusion.Each stage blood transfusion letter of patient
Breath, doctor, nurse, blood bank and hospital quality management whole can not all support and hold blood constituent, issue preceding disease from the Blood Transfusion Dept. of hospital
The body temperature of people is how many, after blood issues clinic since when blood transfusion, the sign of patient in transfusion procedure, when
Infused, after infused the management of blood bag be how to do, transfusion procedure patient is either with or without there is adverse reaction, bad anti-
What kind of the disposition answered is, result how, physician is assessed either with or without the curative effect to patient after clinical patient blood transfusion,
The course of disease is either with or without keeping a record.The blood transfusion system of Partial Hospitals blood bank has some records but record and imperfect or record data
It can not intuitively show.
Summary of the invention
The purpose of the present invention is to overcome the shortcomings of the existing technology and deficiency, provides a kind of closed loop pipe for hospital blood bank
Reason system can be realized hospital's blood use safety data electronic management.
The purpose of the present invention is realized by the following technical solution:
A kind of closed loop management system for hospital blood bank, including medical department module, client module, nurse's module and blood transfusion
Section's module；Wherein,
Client module is filled in for doctor with blood request slip, and the data of request are first stored is submitted to operation layer in the queue,
Operation layer requests to respond to front module with blood, after the request of front module blood passes through, is further processed by nurse's module；
After doctor's blood application success, operation layer will be stored in the queue with the successful message of blood application with JSON format,
Nurse's module is obtained specified queue by way of subscription and carries out data analysis, and nurse acquires registration sample letter after patient's sample
Breath；The data of request are first stored is submitted to operation layer in the queue, and operation layer responds front module request, by specified team
Column progress data analysis is passed to data Layer and is stored；
Blood Transfusion Dept. module is obtained specified queue by way of subscription and carries out data analysis, and what audit doctor issued uses blood
Whether request slip and the specimen amount of nurse's acquisition are qualified；Data Layer is submitted to after the request that operation layer response Blood Transfusion Dept. module is submitted
Save the auditing result of Blood Transfusion Dept.；Blood Transfusion Dept. carries out blood group review after the approval, and blood group review module passes through blood transfusion request slip,
It initiates to request to server with JSON format, request slip information is obtained to data Layer by operation layer and returns to blood group review interface；
Data are saved after Blood Transfusion Dept. registration review result, blood group is checked into result and is stored in the queue with JSON format, is sentenced by operation layer
Data Layer is passed to after the reasonability of disconnected data to store into database；Cross matching registration is carried out after the completion of blood group review；It is handing over
Match module is pitched by blood transfusion request slip, initiates to request to server with JSON format, Shen is obtained to data Layer by operation layer
It please single information return cross matching interface；Blood Transfusion Dept. registration cross matching result after save data, by cross matching result with
JSON format is stored in the queue, passes to data Layer storage into database after the reasonability of data is judged by operation layer；Intersect
Match result is harmonious, and match result is pushed to nurse's module with JSON format by operation layer, and prompts to protect in nurse's analog sound
Scholar's printing takes blood voucher to take blood to Blood Transfusion Dept.；
Nurse's printing takes blood voucher to Blood Transfusion Dept., and Blood Transfusion Dept. passes through blood transfusion application odd numbers in clinic hair blood module, with JSON
Format initiates to request to server, obtains request slip information to data Layer by operation layer and returns to clinical hair blood interface, doctor sweeps
Retouch blood bag bar code and send out blood interface to clinic, by blood bag bar code in operation layer according to match as a result, corresponding the scanned blood of judgement
Whether liquid can issue patient, if match result, which is not harmonious, returns to the clinical hair blood page, auditory tone cues, which change blood, to be issued
Patient；If match result is harmonious, or do not need the successful scan of match and by the information of preservation with JSON format to server
Request is initiated, data are transmitted to data Layer by operation layer, in data Layer storage into database；
After nurse takes blood from Blood Transfusion Dept., blood bag bar code is scanned by PDA and patient bracelet two dimensional code is checked；It will verification
At the beginning of success, collator, bar code is checked with JSON format to server initiation request, passed by operation layer to data Layer
Transmission of data, in data Layer storage into database；Nurse records the sign of transfusion procedure patient by PDA；It is protected after blood transfusion
Scholar scans blood bag bar code again, and record verification time and collator initiate to request with JSON format to server, passes through operation layer
Data are transmitted to data Layer, in data Layer storage into database；In transfusion procedure or after blood transfusion in preset time patient have it is defeated
Blood reaction, nurse send a message to client module in nurse's module and notify clinician；Clinician receives in client module
Transfusion reaction Registration Module carries out registration and preservation to blood transfusion information, response situation and processing result after message；With JSON format to
Server initiates request, transmits data to data Layer by operation layer, in data Layer storage into database；Operation layer will simultaneously
The transfusion reaction information of doctor's registration is pushed to Blood Transfusion Dept. module with JSON format, is handled by Blood Transfusion Dept. and is pushed to medical department mould
Block, final medical department audit；
After patient transfuses blood, doctor will carry out blood transfusion efficiency evaluation to patient's blood transfusion to this；Doctor is in doctor's mould
Efficiency evaluation module is initiated to request, passes through industry with JSON format by blood transfusion application odd numbers to server after the Blood Transfusion Dept. of block
Business layer obtains patient to data Layer and returns to interface with blood information；Doctor saves after filling in completion evaluation result；With JSON format
It initiates to request to server, data is transmitted to data Layer by operation layer, in data Layer storage into database；
To remaining blood bag after patient's blood transfusion, nurse will scan blood bag item in the blood bag recycling module of nurse's module
Code, record shipping time and transport people initiate request storage into database to server with JSON format；Blood Transfusion Dept. module connects
The blood bag sent from nurse's module is received, blood bag bar code is scanned in blood bag receiving module, recipient, receiving time is recorded, with JSON
Format initiates request storage into database to server.
The operation layer to front module with blood request respond, refer to operation layer by data Layer assess Large use of blood with
Blood transfusion reasonability；Specifically:
Processed in operation layer, judge this application whether be Large use of blood application and application blood reasonability；If
With blood is unreasonable message queue is written in message by this application, unsuccessful back to the application of client module request slip；If this
Application blood is reasonable, judges whether to be Large use of blood, and if it is Large use of blood, request for data is submitted to data Layer, and data Layer will
Database is written in request slip information, while message queue is written by operation layer in success message, returns to client module application
It is single to apply successfully；Operation layer generation is pushed to medical department module with blood examination & approval message and is examined by medical department.
The blood application reasonability, rational judgment method are as follows:
A: comparison of item boundary value lower limit is examined；B: the comparison of item boundary value upper limit is examined；
This examines project result < A；
This examines project result > B；
A≤this inspection project result≤B；
The reasonability that each inspection project corresponds to formulae results is preset, when judgement meets corresponding formula, takes corresponding public affairs
The default result of formula.
The blood application reasonability, the mode of assessment are as follows: every blood transfusion indication that can quantify is arranged to use mathematics
The content that formula calculates, not quantifiable blood transfusion indication are judged by doctor；When opening with blood request slip according to patient test's project
As a result with the blood species of doctor's application, corresponding blood transfusion indication range is calculated by carrying out with default blood transfusion indication, and then is judged
This application reasonability of blood.
The blood application reasonability can generate corresponding thrombelastogram after assessment, doctor's behaviours can be instructed to face
Bed treatment of blood transfusion component blood transfusion amount reference；Doctor is prompted to apply for that blood volume refers to model according to the result of index each in thrombelastogram
It encloses.
The standard of the Large use of blood is that blood using amount is more than 1600ml in 24 hours, or primary application blood volume is more than
1600ml。
After patient's blood transfusion, doctor can be interconnected with xml format from hospital by webservice interface mode
Interoperation A platform obtains the inspection result after patient's blood transfusion.
After patient's blood transfusion, while transfusion procedure record is generated by webservice interface mode, with xml lattice
Formula pushed Hospital Electronic Medical Record.
The medical department module, client module, nurse's module, the business operation function of Blood Transfusion Dept. module pass through API technology
It is packaged into dll (dynamic base) to call for external system, defines each operation flow in dll.In this way convenient for closed loop management system with
Each operation system docking of hospital.Based on blood bank's internal system, such as regular blood transfusion application process, defining patient in API must have
Result of laboratory test signs the feelings letter of consent of blood transfusion, finally judges the reasonability of application, and doctor could submit blood transfusion application to Blood Transfusion Dept.
It is single.By the encapsulation of some fixed processes, associated module need to only provide correct data, reduce the coupling of intermodule simultaneously
Guarantee data order.Blood bank's system and external system, the data input and output by the api interface of specification, between integrated system.
Other systems can also be conveniently embedded in by being packaged into API.When have other operation systems need using our systems some
Module, it is possible to provide respective modules interface external system can be docked directly.If hospital uses the HIS system of certain producer, in HIS system
Do not have blood bank management system or cannot reach tertiary hospitals code requirement can blood bank's system docking with us, our systems are only
The i.e. embeddable HIS system of api interface of calling need to be provided.
The medical department module, client module, nurse's module, the business operation process of Blood Transfusion Dept. module are closed loop, In
Simultaneously real-time update is shown using picture combination valid data in closed loop process.
Compared with the prior art, the invention has the following advantages and beneficial effects:
1, since being put in storage blood, doctor opens blood transfusion request slip in client module and (applies for that preceding automatic progress is reasonable the present invention
Property assessment, is calculated automatically according to the passing blood transfusion situation of patient and inspection result system and prompts doctor's application blood volume term of reference, is
No Large use of blood examination & approval), Blood Transfusion Dept. audits request slip and carries out blood group review, cross matching, clinical hair blood, to nurse in nurse's mould
Block complete blood transfusion before, blood transfusion neutralize blood transfusion after patient transfuse blood situation registration, record patient blood transfusion have no adverse reaction, transfuse blood after cure
Raw curative effect carries out assessment and associated overall process occurs for the entire and "blood transfusion" of blood bag recycling, while can be with each business system, hospital
System seamless interfacing realizes that hospital patient uses safely blood whole-course quality control, and blood transfusion related datas all to patient carry out electronization
Standardized administration, further specification blood used in clinic safety management, specification patient's course of disease medical record management are final to realize hospital patient medical treatment
Safety management.Displaying of the associated overall process by graph direct, doctor, nurse, blood bank and hospital entirely occur with "blood transfusion"
Quality management is very clear to patient's each stage information of transfusing blood.
2, the present invention is by the way that after queue middleware is added, the data of line module request are first stored in the queue, another
Module is obtained specified queue by way of subscription and carries out data analysis storage into database.Each queue has specifically
Mark to distinguish, the number in queue is independent of each other, queue according to agreement receive JSON format data, receive data when
It waits, can data be carried out with an enqueue operations, the data in queue are the rules that relationship is a first in first out, and new data can be arranged
In the tail portion of existing queue, logical process is not done in queue, improves application access efficiency, guarantees that data are orderly and accurate.
3, the data record that associated overall process is more than routine entirely occurs with "blood transfusion" for the present invention, has devised more shape
The graphic interface of elephant.System is divided into 4 " rings " to overall process, is " blood bag closed loop ", " doctor track ", " nurse's rail respectively
Mark ", " Blood Transfusion Dept. track ".It can be clearly understood that whether each key node is completed from each " ring ", the personnel of processing
With timing node and result.Each node can click the more detailed statistical information of display.
Detailed description of the invention
Fig. 1 is a kind of work flow diagram of closed loop management system for hospital blood bank.
Fig. 2,3 are part blood transfusion indication schematic diagram.
Fig. 4 is curative effect evaluation figure after blood transfusion.
Fig. 5 is to dock flow chart with other manufacturers.
Fig. 6 is blood bag closed loop schematic diagram.
Fig. 7 is client module closed loop schematic diagram.
Fig. 8 is nurse's module closed loop schematic diagram.
Fig. 9 is Blood Transfusion Dept. module closed loop schematic diagram.
Figure 10 is the Quality Control figure of patient's match Quality Control result.
Specific embodiment
Present invention will now be described in further detail with reference to the embodiments and the accompanying drawings, but embodiments of the present invention are unlimited
In this.
Such as Fig. 1, a kind of closed loop management system for hospital blood bank, client module fills in blood transfusion request slip, the number of request
It is submitted to operation layer in the queue according to first storing, operation layer responds front module request, obtains a large amount of use by data Layer
Blood and blood transfusion reasonable evaluation formula.It is processed in operation layer, judges whether this application is that Large use of blood application and application are used
The reasonability of blood.If with blood is unreasonable message queue is written in message by this application, the application of client module request slip is returned to
It is unsuccessful.If this application blood is reasonable, judge whether it is that (blood using amount is more than 1600ml or one to Large use of blood in 24 hours
Secondary application blood volume is more than 1600ml), if it is Large use of blood, request for data is submitted to data Layer, and data Layer is by request slip information
Database is written, while message queue is written by operation layer in success message, back to client module request slip application success.
Operation layer generation is pushed to medical department module with blood examination & approval message and is examined by medical department.After doctor's blood application success, operation layer
Success message is stored in the queue with JSON format, nurse's module is obtained specified queue by way of subscription and carries out data
Analysis, nurse register specimen information after acquiring patient's sample.The data of request are first stored is submitted to operation layer in the queue, business
Layer responds front module request, and specified queue is carried out data analysis and passes to data Layer storage into database.Business
Layer generate success message with JSON format store in the queue, Blood Transfusion Dept. module obtained by way of subscription specified queue into
Whether the specimen amount of the analysis of row data, request slip and nurse's acquisition that audit doctor issues is qualified.The request industry that Blood Transfusion Dept. is submitted
The auditing result that data Layer saves Blood Transfusion Dept. is submitted to after business layer response.Blood Transfusion Dept. carries out blood group review, blood group after the approval
Review module is initiated to request with JSON format by blood transfusion request slip to server, is obtained and is applied to data Layer by operation layer
Single information returns to blood group and checks interface.Data are saved after Blood Transfusion Dept. registration review result, by blood group review result with JSON format
Storage in the queue, passes to data Layer storage into database after the reasonability of data is judged by operation layer.Blood group review is completed
Cross matching registration is carried out afterwards.In cross matching module by blood transfusion request slip, initiates to request to server with JSON format, lead to
It crosses operation layer and obtains request slip information return cross matching interface to data Layer.Number is saved after Blood Transfusion Dept. registration cross matching result
According to, by cross matching result with JSON format store in the queue, pass to data Layer after the reasonability of data is judged by operation layer
It stores in database.Cross matching result is harmonious, and match result is pushed to nurse's module with JSON format by operation layer, and
The prompt nurse's printing of nurse's analog sound takes blood voucher to take blood to Blood Transfusion Dept..Nurse's printing takes blood voucher to Blood Transfusion Dept., Blood Transfusion Dept.
In clinic hair blood module by blood transfusion application odd numbers, initiate to request to server with JSON format, by operation layer to data Layer
It obtains request slip information and returns to clinical hair blood interface, doctor scans blood bag bar code and sends out blood interface to clinic, existed by blood bag bar code
Operation layer as a result, judge whether corresponding scanned blood can issue patient, is returned according to match if match result is not harmonious
The clinical hair blood page is returned, auditory tone cues, which change blood, cannot issue patient.If match result is harmonious, or does not need the success of match
It scans and initiates to request to server with JSON format by the information of preservation, data are transmitted to data Layer by operation layer, in number
According to layer storage into database.
After nurse takes blood from Blood Transfusion Dept., passes through PDA and scan blood bag bar code and patient bracelet two dimensional code.Verification is successfully opened
Time, collator, the verification bar code of beginning initiate request to server with JSON format, transmit data to data Layer by operation layer,
In data Layer storage into database.Nurse records the sign of transfusion procedure patient by PDA.Nurse sweeps again after blood transfusion
Retouch blood bag bar code, record verification time and collator initiate to request with JSON format to server, by operation layer to data Layer
Data are transmitted, in data Layer storage into database.Patient has transfusion reaction, nurse in transfusion procedure or after blood transfusion in two hours
Client module, which is sent a message to, in nurse's module notifies clinician.Clinician transfuses blood instead after client module receives message
Registration Module is answered to carry out registration and preservation to blood transfusion information, response situation and processing result.It is asked with JSON format to server initiation
It asks, data is transmitted to data Layer by operation layer, in data Layer storage into database.Operation layer registers doctor defeated simultaneously
Blood reaction information is pushed to Blood Transfusion Dept. module with JSON format, is handled by Blood Transfusion Dept. and be pushed to medical department module, final medical matters
Section's audit.
After patient transfuses blood, doctor will carry out blood transfusion efficiency evaluation to patient's blood transfusion to this.Doctor is in doctor's mould
Efficiency evaluation module is initiated to request, passes through industry with JSON format by blood transfusion application odd numbers to server after the Blood Transfusion Dept. of block
Business layer obtains patient to data Layer and returns to interface with blood information.By webservice interface mode, with xml format from hospital
The platform that interconnects obtains the inspection result after patient's blood transfusion.Doctor saves after filling in completion evaluation result.With JSON format to
Server initiates request, transmits data to data Layer by operation layer, in data Layer storage into database.Blood transfusion is generated simultaneously
Process record pushed Hospital Electronic Medical Record by webservice interface mode with xml format.
To remaining blood bag after patient's blood transfusion, nurse will scan blood bag bar code in nurse's module blood bag recycling module,
It records the shipping time and transports people and request storage is initiated into database to server with JSON format.Blood Transfusion Dept. module Blood Transfusion Dept.
The blood bag sent from nurse's module is received, blood bag bar code is scanned in blood bag receiving module, records recipient, receiving time, with
JSON format initiates request storage into database to server.
By the way that after queue middleware is added, the data of line module request are first stored in the queue, and another module passes through
The mode of subscription obtains specified queue and carries out data analysis storage into database.Each queue has specific mark to come area
Point, the number in queue is independent of each other, and queue can be right when receiving data according to the data that agreement receives JSON format
Data carry out an enqueue operations, and the data in queue are the rules that relationship is a first in first out, and new data can come existing
Logical process is not done in the tail portion of queue, queue, improves application access efficiency, guarantees that data are orderly and accurate.
Blood transfusion application reasonability rational judgment formula:
A: comparison of item boundary value lower limit is examined；B: the comparison of item boundary value upper limit is examined.
This examines project result < A；
This examines project result > B；
A≤this inspection project result≤B；
Each inspection project of systemic presupposition corresponds to the reasonability of formulae results.When judgement meets corresponding formula, take pair
Answer the default result of formula.
Number mark explanation in Fig. 1: 1 is patient's essential information interface, and 2 be patient's checking information interface, and 3,4 be interconnection
Intercommunication interface, 5 be electronic health record blood transfusion progress note interface.
Such as Fig. 2,3, reasonable evaluation of transfusing blood: every blood transfusion indication that can quantify is arranged to that mathematics can be used by system
The content that formula calculates, not quantifiable blood transfusion indication are judged by doctor.When opening blood transfusion request slip according to patient test's project
As a result with the blood species of doctor's application, corresponding blood transfusion indication range is calculated by carrying out with default blood transfusion indication.Judge this
The application reasonability of blood.
System is according to thrombelastogram as a result, doctor's behaviours clinical blood transfusion therapeutic component transfusion volume is instructed to refer to.According to blood
The result prompt doctor of each index (LY30/EPL, MA, Angle, R etc.) applies for blood volume term of reference in bolt elastic force figure.
According to clinical blood transfusion management method 85 commands are performed the operation audits for blood Large use of blood application three-level.Increase on this basis
Add blood used in clinic amount classification audit in 24 hours, the clinical blood volume for being transfused to patient in 24 hours is issued according to Blood Transfusion Dept. and is judged
Whether doctor has reached the range of Large use of blood audit.
Such as Fig. 4, project is examined according to blood transfusion front and back patient as a result, system generates curative effect evaluation template.Doctor can carry out
Editor.
It is bad anti-to blood station about blood storage process, blood transfusion application process, hair blood flow journey, nurse's infusion nursing process, blood transfusion
Answer report flow, each process using apply odd numbers, document status, patient's admission number and in hospital serial number as data exchange and control
Node, the data for managing each process output and input.Exploitation tool is compiled into DLL, calls corresponding interface incoming
Parameter, which can return to, accordingly to be returned the result.
If Fig. 5 is to dock flow chart with other manufacturers, clinician opens blood transfusion request slip, and application information passes through interface (packet
Include but be not limited to WebService, HTTP etc.) it is pushed to integrated platform.Integrated platform passes through same interface after receiving message
It is pushed to blood transfusion system.Notice Blood Transfusion Dept. audit after blood transfusion system receives.Blood Transfusion Dept. completes blood transfusion after receiving sample and request slip
Compatibility test (SMS, system internal message, wechat public platform) clinical nurse in such a way that message pushes takes blood.It is defeated
Blood is sent out to clinical nurse by blood section, sends out blood information by interface (including but not limited to WebService, HTTP etc.) and is pushed to collection
At platform.Clinical nurse starts to transfuse blood using PDA verification blood bag, sends request to integrated platform when verification and obtains blood bag information,
The information of nurse's verification is pushed to integrated platform by interface (including but not limited to WebService, HTTP etc.), integrates flat
Platform receives and is pushed to blood transfusion system by same interface after message.Clinical nurse reuses PDA scanning blood at the end of blood transfusion
Bag confirmation blood transfusion terminates, and verification and confirmation message are pushed to by interface (including but not limited to WebService, HTTP etc.)
Integrated platform, integrated platform receive and are pushed to blood transfusion system by same interface after message.Integrated platform notifies electronics simultaneously
Case history reminds doctor to write therapeutic evaluation record.The therapeutic evaluation record that doctor submits passes through interface (including but not limited to
WebService, HTTP etc.) it is pushed to integrated platform, integrated platform receives and is pushed to blood transfusion system by same interface after message
System.Blood transfusion system finally shows that closed loop process is checked for Blood Transfusion Dept., nursing dept., medical Quality Control Dept. and clinical Quality Control person.
Such as Fig. 6-9, associated overall process entirely occurs with "blood transfusion" and is more than conventional data record, has devised more shape
The graphic interface of elephant.System is divided into 4 " rings " to overall process, is " blood bag closed loop ", " doctor track ", " nurse's rail respectively
Mark ", " Blood Transfusion Dept. track ".It can be clearly understood that whether each key node is completed from each " ring ", the personnel of processing
With timing node and result.Each node can click the more detailed statistical information of display.
Associated overall process entirely occurs with "blood transfusion" and is more than conventional data record, has devised vivider figure
Change interface.System is divided into 4 " rings " to overall process, is " blood bag closed loop ", " doctor track ", " nurse track ", " blood transfusion respectively
Section track ".It can be clearly understood that whether each key node is completed from each " ring ", the personnel of processing and timing node
And result.Each node can click the more detailed statistical information of display.
Such as Fig. 6, blood bag closed loop mainly show blood bag from storage, to outbound, nurse receives, finally sends the time of blood bank back to
Node and personnel, convenient for the tracking of blood bag.
Such as the process flow node of Fig. 7, doctor track main presentation doctor blood transfusion request slip opened.
Such as Fig. 8, nurse track mainly clearly shows nurse's collection of specimens, takes blood, to patient's blood transfusion and end phase of transfusing blood
Close the timing node of processing.
Such as Fig. 9, Blood Transfusion Dept. track shows Blood Transfusion Dept. to the disposition and timing node of doctor's blood transfusion request slip.
It is rationally shown using picture combination valid data in closed loop process, prominent system compares the bright spot of other systems.Matter
It is unable to reach desired effect using the drawing that developing instrument carries in control figure, has used the customized drawing group of matching developing instrument
Part is simultaneously optimized.Change component internal coding, adjustment point, line and content display layout.The work carried relative to tool
Tool, modified picture component can according to need adjustment pattern layout.
Such as Figure 10, the Quality Control figure of patient's match Quality Control result is finally realized, it is according to the Quality Control of Blood Transfusion Dept. typing as a result, logical
Cross rule judges whether daily Quality Control is out of control.
L-J method:
The Quality Control value of 1sd, 2sd or 3sd line beyond setting, is out of control；
It is warning between default 2sd and 3sd.
WestGard quality control method meaning:
1_2s rule, 1_3s rule: identical as 2sd, 3sd of L-J method.
2_2s rule: when " continuous " 2 Quality Control results are higher than 2SD or are less than -2SD, i.e. relatively side is warning or mistake
Control.
Quality Control figure is embedded in developing instrument by external component to draw, while being modified to former component.Modify picture
The method (color, text including line show, typesetting) of figure, is that can more meet system requirements.
The above embodiment is a preferred embodiment of the present invention, but embodiments of the present invention are not by above-described embodiment
Limitation, other any changes, modifications, substitutions, combinations, simplifications made without departing from the spirit and principles of the present invention,
It should be equivalent substitute mode, be included within the scope of the present invention.
Claims (10)
1. a kind of closed loop management system for hospital blood bank, it is characterised in that: including medical department module, client module, nurse
Module and Blood Transfusion Dept. module；Wherein,
Client module is filled in for doctor with blood request slip, and the data of request are first stored is submitted to operation layer in the queue, business
Layer requests to respond to front module with blood, after the request of front module blood passes through, is further processed by nurse's module；
After doctor's blood application success, operation layer will be stored in the queue with the successful message of blood application with JSON format, nurse
Module is obtained specified queue by way of subscription and carries out data analysis, and nurse registers specimen information after acquiring patient's sample；
The data of request are first stored is submitted to operation layer in the queue, and operation layer responds front module request, by specified queue
Progress data analysis is passed to data Layer and is stored；
Blood Transfusion Dept. module is obtained specified queue by way of subscription and carries out data analysis, audit doctor issue with blood application
Whether the specimen amount of single and nurse acquisition is qualified；Data Layer preservation is submitted to after the request that operation layer response Blood Transfusion Dept. module is submitted
The auditing result of Blood Transfusion Dept.；Blood Transfusion Dept. carries out blood group review after the approval, and blood group review module passes through blood transfusion request slip, with
JSON format initiates to request to server, obtains request slip information to data Layer by operation layer and returns to blood group review interface；It is defeated
Data are saved after blood section registration review result, blood group is checked into result and is stored in the queue with JSON format, is judged by operation layer
Data Layer storage is passed to after the reasonability of data into database；Cross matching registration is carried out after the completion of blood group review；Intersecting
Match module is initiated to request with JSON format by blood transfusion request slip to server, is obtained and is applied to data Layer by operation layer
Single information returns to cross matching interface；Data are saved after Blood Transfusion Dept. registration cross matching result, by cross matching result with JSON
Format is stored in the queue, passes to data Layer storage into database after the reasonability of data is judged by operation layer；Cross matching
As a result it is harmonious, match result is pushed to nurse's module with JSON format by operation layer, and is beaten in nurse's analog sound prompt nurse
Print takes blood voucher to take blood to Blood Transfusion Dept.；
Nurse's printing takes blood voucher to Blood Transfusion Dept., and Blood Transfusion Dept. passes through blood transfusion application odd numbers in clinic hair blood module, with JSON format
It initiates to request to server, request slip information is obtained to data Layer by operation layer and returns to clinical hair blood interface, doctor scans blood
Bag bar code to clinical hair blood interface, by blood bag bar code in operation layer according to match as a result, judgement corresponds to scanned blood is
No to issue patient, if match result, which is not harmonious, returns to the clinical hair blood page, auditory tone cues, which change blood, cannot issue patient；
If match result is harmonious, or does not need the successful scan of match and ask the information of preservation to server initiation with JSON format
It asks, data is transmitted to data Layer by operation layer, in data Layer storage into database；
After nurse takes blood from Blood Transfusion Dept., blood bag bar code is scanned by PDA and patient bracelet two dimensional code is checked；It will check successfully
At the beginning of, collator, verification bar code with JSON format to server initiate request, by operation layer to data Layer transmit number
According in data Layer storage into database；Nurse records the sign of transfusion procedure patient by PDA；Nurse is again after blood transfusion
Secondary scanning blood bag bar code, record verification time and collator initiate to request with JSON format to server, by operation layer to number
Data are transmitted according to layer, in data Layer storage into database；Patient has blood transfusion anti-in transfusion procedure or after blood transfusion in preset time
It answers, nurse sends a message to client module in nurse's module and notifies clinician；Clinician receives message in client module
Transfusion reaction Registration Module carries out registration and preservation to blood transfusion information, response situation and processing result afterwards；With JSON format to service
Device initiates request, transmits data to data Layer by operation layer, in data Layer storage into database；Operation layer is by doctor simultaneously
The transfusion reaction information of registration is pushed to Blood Transfusion Dept. module with JSON format, is handled by Blood Transfusion Dept. and be pushed to medical department module,
Final medical department audit；
After patient transfuses blood, doctor will carry out blood transfusion efficiency evaluation to patient's blood transfusion to this；Doctor is in client module
Efficiency evaluation module is initiated to request, passes through operation layer with JSON format by blood transfusion application odd numbers to server after Blood Transfusion Dept.
Patient, which is obtained, to data Layer returns to interface with blood information；Doctor saves after filling in completion evaluation result；With JSON format to clothes
Business device initiates request, transmits data to data Layer by operation layer, in data Layer storage into database；
To remaining blood bag after patient's blood transfusion, nurse will scan blood bag bar code, note in the blood bag recycling module of nurse's module
It records the shipping time and transports people and request storage is initiated into database to server with JSON format；Blood Transfusion Dept. module is received from shield
The blood bag that scholar's module is sent, blood bag receiving module scan blood bag bar code, record recipient, receiving time, with JSON format to
Server initiates request storage into database.
2. being used for the closed loop management system of hospital blood bank according to claim 1, it is characterised in that: the operation layer is to preceding mould
Block requests to be responded with blood, refers to that operation layer assesses Large use of blood and blood transfusion reasonability by data Layer；Specifically:
Processed in operation layer, judge this application whether be Large use of blood application and application blood reasonability；If this
With blood is unreasonable message queue is written in message by application, unsuccessful back to the application of client module request slip；If this is applied
It is reasonable with blood, judge whether to be Large use of blood, if it is Large use of blood, request for data is submitted to data Layer, and data Layer will be applied
Database is written in single information, while message queue is written by operation layer in success message, returns to client module request slip Shen
It please succeed；Operation layer generation is pushed to medical department module with blood examination & approval message and is examined by medical department.
3. being used for the closed loop management system of hospital blood bank according to claim 2, it is characterised in that: described reasonable with blood application
Property, rational judgment method are as follows:
A: comparison of item boundary value lower limit is examined；B: the comparison of item boundary value upper limit is examined；
This examines project result < A；
This examines project result > B；
A≤this inspection project result≤B；
It presets the reasonability that each inspection project corresponds to formulae results and takes corresponding formula when judgement meets corresponding formula
Default result.
4. being used for the closed loop management system of hospital blood bank according to claim 2, it is characterised in that: described reasonable with blood application
Property, the mode of assessment are as follows: every blood transfusion indication that can quantify is arranged to the content calculated with mathematical formulae, not quantifiable
Blood transfusion indication is judged by doctor；The blood species applied when opening with blood request slip according to patient test's project result and doctor,
By carrying out calculating corresponding blood transfusion indication range with default blood transfusion indication, and then judge the reasonability of this application blood.
5. being used for the closed loop management system of hospital blood bank according to claim 2, it is characterised in that: described reasonable with blood application
Property, corresponding thrombelastogram can be generated after assessment, doctor's behaviours clinical blood transfusion therapeutic component transfusion volume can be instructed to refer to；
Doctor is prompted to apply for blood volume term of reference according to the result of index each in thrombelastogram.
6. being used for the closed loop management system of hospital blood bank according to claim 2, it is characterised in that: the mark of the Large use of blood
Standard is that blood using amount is more than 1600ml in 24 hours, or primary application blood volume is more than 1600ml.
7. being used for the closed loop management system of hospital blood bank according to claim 1, it is characterised in that: patient's blood transfusion terminates
Afterwards, doctor can be interconnected after platform obtains patient's blood transfusion from hospital with xml format by webservice interface mode
Inspection result.
8. being used for the closed loop management system of hospital blood bank according to claim 1, it is characterised in that: patient's blood transfusion terminates
Afterwards, while transfusion procedure record is generated by webservice interface mode, Hospital Electronic Medical Record was pushed with xml format.
9. being used for the closed loop management system of hospital blood bank according to claim 1, it is characterised in that: the medical department module,
Client module, nurse's module, the business operation function of Blood Transfusion Dept. module are packaged into dll by API technology and call for external system,
Each operation flow is defined in dll.
10. being used for the closed loop management system of hospital blood bank according to claim 1, it is characterised in that: the medical department module,
Client module, nurse's module, the business operation process of Blood Transfusion Dept. module are closed loop, are combined in closed loop process using picture
It imitates data and shows simultaneously real-time update.
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