CN110493480B - 120 quality control index monitoring and early warning method - Google Patents
120 quality control index monitoring and early warning method Download PDFInfo
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- CN110493480B CN110493480B CN201910714132.3A CN201910714132A CN110493480B CN 110493480 B CN110493480 B CN 110493480B CN 201910714132 A CN201910714132 A CN 201910714132A CN 110493480 B CN110493480 B CN 110493480B
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q50/00—Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
- G06Q50/10—Services
- G06Q50/22—Social work
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04M—TELEPHONIC COMMUNICATION
- H04M3/00—Automatic or semi-automatic exchanges
- H04M3/42—Systems providing special services or facilities to subscribers
- H04M3/50—Centralised arrangements for answering calls; Centralised arrangements for recording messages for absent or busy subscribers ; Centralised arrangements for recording messages
- H04M3/51—Centralised call answering arrangements requiring operator intervention, e.g. call or contact centers for telemarketing
- H04M3/5116—Centralised call answering arrangements requiring operator intervention, e.g. call or contact centers for telemarketing for emergency applications
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04M—TELEPHONIC COMMUNICATION
- H04M3/00—Automatic or semi-automatic exchanges
- H04M3/42—Systems providing special services or facilities to subscribers
- H04M3/50—Centralised arrangements for answering calls; Centralised arrangements for recording messages for absent or busy subscribers ; Centralised arrangements for recording messages
- H04M3/51—Centralised call answering arrangements requiring operator intervention, e.g. call or contact centers for telemarketing
- H04M3/5141—Details of processing calls and other types of contacts in an unified manner
Abstract
A120 quality control index monitoring and early warning method is characterized in that a quality control center host requests data to at least one scheduling center host, the scheduling center host requests data to at least one first-aid substation host, and then the data is fed back to the superior level from the inferior level. The quality control center host computer obtains data and displays the data on the display screen of the quality control center, when the critical index of the emergency value does not accord with the specified value, the corresponding data index on the display screen of the quality control center flashes, the quality control center host computer directly or indirectly sends warning signals to the dispatching center host computer and the emergency substation, and prompts the dispatching center host computer and the emergency substation to take corresponding measures until the corresponding critical index of the emergency value accords with the specified value. By the method, visual early warning and monitoring are carried out on pre-hospital emergency data, a deep sleep state of a large amount of redundant data of the prior pre-hospital emergency is awakened, so that two aspects of pre-hospital emergency efficiency and quality are effectively improved, and a new working idea is provided for national 120 data application and emergency value management.
Description
The technical field is as follows:
the invention relates to the technical field of 120 emergency command and dispatch, in particular to a 120 quality control index monitoring and early warning method.
Background art:
at present, a plurality of first-aid stations and matched dispatching centers are built in each province, after 80 years in the twentieth century, pre-hospital first-aid in China enters a rapid development period, and medical services of pre-hospital first-aid and rapid transfer which are integrated are developed in part of cities; an advanced pre-hospital emergency medical service system organically combining emergency medical treatment, modern communication and rapid transfer is gradually formed in developed cities; professional aviation first-aid and marine rescue mechanisms are arranged in part of regions; the city of some counties also establishes an "emergency center" and the like. These have greatly accelerated the development and improvement of the Emergency Medical Service System (EMSS) in China. In order to strengthen pre-hospital emergency construction, a series of regulations and policies are set by the country to promote the development of the pre-hospital emergency cause of China as soon as possible.
The big data of 120 emergency patients show that the diseases of 'wounds' account for about 45 percent of the emergency patients, the diseases are arranged in the first order, the patients of 'wounds' of 120 are more young and strong, the disability rate is high, and the death rate is high. Therefore, the treatment of grasping the trauma patient is not only the work focus of the pre-hospital emergency treatment, but also one of the key measures for improving the average expected life span.
However, the development of medical first aid is not balanced by the current situation analysis of pre-hospital first aid in various regions of China. Although the eastern region develops rapidly, pre-hospital emergency medical services do not have unified management specifications and service standards. The development difference between the midwestern region and the eastern region is large, the management standards and service standards of most of the midwestern region are not established, some of the midwestern region are imperfect, and a unified supervision mechanism is not provided, so that the improvement of the pre-hospital emergency medical service efficiency and the service quality of China is restricted.
The invention content is as follows:
the invention provides a 120 quality control index monitoring and early warning method, which is used for solving the problem that the emergency medical service before the zhongzhong has no unified management standard and service standard, so that the emergency medical service efficiency and service quality in China are restricted.
The invention provides a 120 quality control index monitoring and early warning method, which is characterized in that a quality control center host requests data from at least one scheduling center host, the scheduling center host requests data from at least one emergency substation host, and then the data is fed back from a lower level to a higher level, the quality control center host, the scheduling center host and the emergency substation host cooperate with each other to complete the following steps:
(1) and (3) scheduling seat monitoring: the dispatching seats of the dispatching center are provided with cameras, the cameras detect whether workers are present on the seats every 2 seconds, detected state signals are transmitted to a dispatching center host, the dispatching center host compiles the seat conditions of the dispatching center and feeds back the information to the quality control center, and the dispatching seat states of each dispatching center are respectively displayed on a display screen of the quality control center;
when the number of the on-line dispatching seats of one dispatching center is less than 2, the quality control center host sends a warning signal to the dispatching center host, when the number of the dispatching seats is less than 1, the quality control center host sends a control signal to the dispatching center host, the emergency call of the dispatching center is transferred to the quality control center, and the quality control center takes over the emergency call until the number of the dispatching seats of the dispatching center is not less than 1;
(2) monitoring emergency resource reserves: when each emergency substation changes shift every day, the real-time data of the emergency resource reserve is counted and is recorded through an information terminal of the emergency substation, a host of the emergency substation feeds the data back to a host of a dispatching center, the host of the dispatching center feeds the data back to a host of a quality control center, the real-time data of the emergency resource reserve of each emergency substation is respectively displayed on a display screen of the quality control center, and the data of the emergency resource reserve comprises data of emergency beds and the use condition of ambulances and data of the on-duty condition of emergency doctors, nurses and drivers;
when any one of the first-aid resource reserve data is lower than 70% of a specified value, the quality control center host sends a warning signal to the dispatching center host, and then the dispatching center host sends a warning signal to the first-aid substations;
(3) monitoring the departure time: when the dispatching center host receives an emergency signal, positions an emergency target and sends a dispatching signal to an adaptive emergency substation host, the emergency substation host sends the dispatching signal to an information terminal of an emergency vehicle in an emergency waiting state, a driver feeds back a signal for receiving a dispatching task to the emergency substation host through the information terminal, when the emergency vehicle exits the emergency substation, the driver feeds back a vehicle exiting signal to the emergency substation host through the information terminal again, the emergency substation host calculates the time difference of the two received signals to obtain emergency vehicle exiting time data, the time data is fed back to the dispatching center host, the dispatching center host feeds back the emergency vehicle exiting time data to the quality control center host, and real-time monitoring of average vehicle exiting time is displayed on a quality control center display screen;
when the average departure time is less than or equal to 5min after 2min, a primary warning signal is sent to a dispatching center host by a quality control center host, and then the primary warning signal is sent to an emergency substation host by the dispatching center host; when the average departure time is less than 5min, the quality control center host simultaneously sends a secondary warning signal to the dispatching center host and the emergency substation host every 2h to prompt the dispatching center and the emergency substation to find reasons, so that the departure efficiency is improved until the average departure time is less than or equal to 2 min;
(4) monitoring the recording rate of the electronic medical record: after first aid, the electronic medical record is recorded through an information terminal of the first-aid substation within 24 hours, the recorded condition is fed back to the dispatching center, the dispatching center calculates the electronic medical record recording rate and feeds back data to the quality control center, and the electronic medical record recording rate of each dispatching center is respectively displayed on a display screen of the quality control center;
when the recording rate of the electronic medical record is less than 95%, a primary warning signal is sent to a dispatching center host by a quality control center host, and then the primary warning signal is sent to an emergency substation host by the dispatching center host; when the recording rate of the electronic medical record is less than 90%, the quality control center host simultaneously sends a secondary warning signal to the dispatching center host and the emergency substation every 2h to prompt the emergency substation to complete the recording of the electronic medical record until the recording rate is more than or equal to 95%.
Preferably, when the number of the scheduling seats in one scheduling center is less than 2, the online seat state data of the scheduling center flashes.
Preferably, when any one of the first-aid resource reserve data displayed by the quality control center display screen is lower than 70% of a specified value, the first-aid resource reserve data flickers, the specified value of the first-aid resource reserve of each first-aid substation is that the reserve emergency bed is not less than 8, the ambulances are not less than 4, the emergency doctors are not less than 4, the nurses are not less than 8, and the drivers are not less than 4.
Preferably, the quality control center display screen displays the average departure time through an instrument panel, the instrument panel is divided into a green area, a yellow area and a red area, when the pointer is in the yellow/red area, the average departure time data flashes, and the average departure time data flashes in the instrument panel:
the pointer is in a green area, the average departure time is within 2 minutes, and the departure efficiency is up to the standard;
secondly, the pointer is in a yellow area, the average departure time is 2-5 minutes, and the departure efficiency is not up to the standard;
and thirdly, the pointer is in a red area, the average departure time is more than 5 minutes, and the departure efficiency is seriously low.
And the medical record entry rate monitored by the quality control center display screen flashes when the electronic medical record entry rate is less than 95%.
The significance of real-time monitoring of emergency values of the method is as follows:
the online condition detection of the dispatching seats can be seen from a screen of a quality control center, the lighted dispatching seats are the online seats of each dispatching center on duty, the index is monitored, and the sufficient alarm receiving capacity of all levels of cities 120 can be ensured, so that the alarm requirement of the region can be met;
the emergency resource monitoring is real-time data monitoring of two emergency resource reserves, one is monitoring of the emergency bed and emergency ambulance use condition of each emergency substation in the whole area, and the other is data of the on-duty condition of emergency doctors, nurses and drivers of each emergency substation in the whole area. The two data are monitored in real time, and the problem of where emergency resources come from and where emergency patients are sent when a sudden event occurs is mainly solved. In addition, the high-quality emergency resource condition of the third hospital in the whole area is monitored in a key mode, and when an emergency happens in the whole area, the 120 emergency command is busy and is not disorderly and orderly;
the instrument panel for the average departure time monitors the average departure time in real time, and an ambulance needs to depart within 2 minutes after receiving a dispatching instruction. The instrument panel is divided into a green area, a yellow area and a red area, the pointer is in the yellow area to indicate that the departure efficiency does not reach the standard, and the pointer is in the red area to indicate that the departure efficiency is seriously low. When the pointer is positioned in the yellow/red area, active intervention measures are taken, warning is given, the emergency substation is further assisted and supervised to search reasons as soon as possible, and the departure time is prolonged so as to improve the emergency efficiency;
the recording rate of the medical records is monitored in real time for 24 hours, in order to ensure the accuracy of big data of pre-hospital emergency treatment in the whole area, the recording rate of the electronic medical records of the pre-hospital emergency patients for 24 hours is required to reach more than 95 percent, the treatment timeliness and the traceability of subsequent treatment cases are ensured, and the emergency treatment efficiency and the emergency treatment quality are improved.
The invention has the beneficial effects that: through a 120-quality control index monitoring and early warning method, a quality control center host requests data to at least one scheduling center host, the scheduling center host requests data to at least one first-aid substation host, and then the data is fed back to the superior level from the inferior level. The quality control center host acquires 120 key indexes of emergency value of first aid and displays the key indexes on a display screen of the quality control center, so that the quality indexes and the efficiency completion condition of the medical first aid work before 120 hospitals in the whole area are reflected in real time, and meanwhile, the real-time storage condition of 120 emergency rescue resources in the whole area is provided. And when the critical index of the emergency value does not meet the specified value, the corresponding data index on the display screen of the quality control center flashes, and the host of the quality control center directly or indirectly sends warning signals to the host of the dispatching center and the emergency substation to prompt the host of the dispatching center and the emergency substation to take corresponding measures until the corresponding critical index of the emergency value meets the specified value. By the method, the pre-hospital big data is subjected to visual early warning and monitoring, the deep sleep state of a large amount of redundant data of the prior pre-hospital first aid is awakened, the two aspects of pre-hospital first aid efficiency and quality are effectively improved, and a new working idea is provided for national 120 big data application and critical value management.
The specific implementation mode is as follows:
the invention provides a 120 quality control index monitoring and early warning method, which is used for solving the problem that the prior pre-hospital emergency medical service has no unified management standard and service standard, so that the emergency medical service efficiency and the service quality in China are restricted.
The invention provides a 120 quality control index monitoring and early warning method, which is characterized in that a quality control center host requests data from at least one scheduling center host, the scheduling center host requests data from at least one emergency substation host, and then the data is fed back from a lower level to a higher level, the quality control center host, the scheduling center host and the emergency substation host cooperate with each other to complete the following steps:
(1) and (3) scheduling seat monitoring: the dispatching seats of the dispatching center are provided with cameras, the cameras detect whether workers are present on the seats every 2 seconds, detected state signals are transmitted to a dispatching center host, the dispatching center host compiles the seat conditions of the dispatching center and feeds back the information to the quality control center, and the dispatching seat states of each dispatching center are respectively displayed on a display screen of the quality control center;
when the number of the on-line dispatching seats of one dispatching center is less than 2, the quality control center host sends a warning signal to the dispatching center host, when the number of the dispatching seats is less than 1, the quality control center host sends a control signal to the dispatching center host, the emergency call of the dispatching center is transferred to the quality control center, and the quality control center takes over the emergency call until the number of the dispatching seats of the dispatching center is not less than 1;
(2) monitoring emergency resource reserves: when each emergency substation changes shift every day, the real-time data of the emergency resource reserve is counted and is recorded through an information terminal of the emergency substation, a host of the emergency substation feeds the data back to a host of a dispatching center, the host of the dispatching center feeds the data back to a host of a quality control center, the real-time data of the emergency resource reserve of each emergency substation is respectively displayed on a display screen of the quality control center, and the data of the emergency resource reserve comprises data of emergency beds and the use condition of ambulances and data of the on-duty condition of emergency doctors, nurses and drivers;
when any one of the first-aid resource reserve data is lower than 70% of a specified value, the quality control center host sends a warning signal to the dispatching center host, and then the dispatching center host sends a warning signal to the first-aid substations;
(3) monitoring the departure time: when the dispatching center host receives an emergency signal, positions an emergency target and sends a dispatching signal to an adaptive emergency substation host, the emergency substation host sends the dispatching signal to an information terminal of an emergency vehicle in an emergency waiting state, a driver feeds back a signal for receiving a dispatching task to the emergency substation host through the information terminal, when the emergency vehicle exits the emergency substation, the driver feeds back a vehicle exiting signal to the emergency substation host through the information terminal again, the emergency substation host calculates the time difference of the two received signals to obtain emergency vehicle exiting time data, the time data is fed back to the dispatching center host, the dispatching center host feeds back the emergency vehicle exiting time data to the quality control center host, and real-time monitoring of average vehicle exiting time is displayed on a quality control center display screen;
when the average departure time is less than or equal to 5min after 2min, a primary warning signal is sent to a dispatching center host by a quality control center host, and then the primary warning signal is sent to an emergency substation host by the dispatching center host; when the average departure time is less than 5min, the quality control center host simultaneously sends a secondary warning signal to the dispatching center host and the emergency substation host every 2h to prompt the dispatching center and the emergency substation to find reasons, so that the departure efficiency is improved until the average departure time is less than or equal to 2 min;
(4) monitoring the recording rate of the electronic medical record: after first aid, the electronic medical record is recorded through an information terminal of the first-aid substation within 24 hours, the recorded condition is fed back to the dispatching center, the dispatching center calculates the electronic medical record recording rate and feeds back data to the quality control center, and the electronic medical record recording rate of each dispatching center is respectively displayed on a display screen of the quality control center;
when the recording rate of the electronic medical record is less than 95%, a primary warning signal is sent to a dispatching center host by a quality control center host, and then the primary warning signal is sent to an emergency substation host by the dispatching center host; when the recording rate of the electronic medical record is less than 90%, the quality control center host simultaneously sends a secondary warning signal to the dispatching center host and the emergency substation every 2h to prompt the emergency substation to complete the recording of the electronic medical record until the recording rate is more than or equal to 95%.
When the number of the scheduling seats of one scheduling center is less than 2, the data of the online seat states of the scheduling center are flashed.
When any one of the first-aid resource reserve data displayed by the quality control center display screen is lower than 70% of the specified value, the first-aid resource reserve data flickers, the specified value of the first-aid resource reserve of each first-aid substation is that the reserve emergency bed positions are not less than 8, the ambulances are not less than 4, the emergency doctors are not less than 4, the nurses are not less than 8, and the drivers are not less than 4.
The quality control center display screen displays the average departure time through an instrument panel, the instrument panel is divided into a green area, a yellow area and a red area, when a pointer is in the yellow/red area, the average departure time data flickers, and the average departure time data flickers in the instrument panel:
the pointer is in a green area, the average departure time is within 2 minutes, and the departure efficiency is up to the standard;
secondly, the pointer is in a yellow area, the average departure time is 2-5 minutes, and the departure efficiency is not up to the standard;
and thirdly, the pointer is in a red area, the average departure time is more than 5 minutes, and the departure efficiency is seriously low.
And the medical record entry rate monitored by the quality control center display screen flashes when the electronic medical record entry rate is less than 95%.
Claims (5)
1. A120 quality control index monitoring and early warning method is characterized in that a quality control center host requests data to at least one scheduling center host, the scheduling center host requests the data to at least one emergency substation host, then the data is fed back to the upper level from the lower level, the quality control center host, the scheduling center host and the emergency substation host cooperate with each other to complete the following steps:
(1) and (3) scheduling seat monitoring: the dispatching seats of the dispatching center are provided with cameras, the cameras detect whether workers are present on the seats every 2 seconds, detected state signals are transmitted to a dispatching center host, the dispatching center host compiles the seat conditions of the dispatching center and feeds back the information to the quality control center, and the dispatching seat states of each dispatching center are respectively displayed on a display screen of the quality control center;
when the number of the on-line dispatching seats of one dispatching center is less than 2, the quality control center host sends a warning signal to the dispatching center host, when the number of the dispatching seats is less than 1, the quality control center host sends a control signal to the dispatching center host, the emergency call of the dispatching center is transferred to the quality control center, and the quality control center takes over the emergency call until the number of the dispatching seats of the dispatching center is not less than 1;
(2) monitoring emergency resource reserves: when each emergency substation changes shift every day, the real-time data of emergency resource reserve is counted and is recorded through an information terminal of the emergency substation, a host of the emergency substation feeds the data back to a host of a dispatching center, the host of the dispatching center feeds the data back to a host of a quality control center, the real-time data of the emergency resource reserve of each emergency substation is respectively displayed on a display screen of the quality control center, and the data of the emergency resource reserve comprises data of emergency beds and the use condition of ambulances and data of the on-duty condition of emergency doctors, nurses and drivers;
when any one of the first-aid resource reserve data is lower than 70% of a specified value, the quality control center host sends a warning signal to the dispatching center host, and then the dispatching center host sends a warning signal to the first-aid substations;
(3) monitoring the departure time: when the dispatching center host receives an emergency signal, positions an emergency target and sends a dispatching signal to an adaptive emergency substation host, the emergency substation host sends the dispatching signal to an information terminal of an emergency vehicle in an emergency waiting state, a driver feeds back a signal for receiving a dispatching task to the emergency substation host through the information terminal, when the emergency vehicle exits the emergency substation, the driver feeds back a vehicle exiting signal to the emergency substation host through the information terminal again, the emergency substation host calculates the time difference of receiving the signal twice to obtain emergency vehicle exiting time data, feeds back the time data to the dispatching center host, the dispatching center host feeds back the time data to the quality control center host, and a display screen of the quality control center displays real-time monitoring of average vehicle exiting time;
when the average departure time is less than or equal to 5min after 2min, a primary warning signal is sent to a dispatching center host by a quality control center host, and then the primary warning signal is sent to an emergency substation host by the dispatching center host; when the average departure time is less than 5min, the quality control center host simultaneously sends a secondary warning signal to the dispatching center host and the emergency substation host every 2h to prompt the dispatching center and the emergency substation to find reasons, so that the departure efficiency is improved until the average departure time is less than or equal to 2 min;
(4) monitoring the recording rate of the electronic medical record: after first aid, electronic medical record entry is carried out within 24 hours through an information terminal of the first-aid substation, entry conditions are fed back to the dispatching center, the dispatching center calculates the entry rate of the electronic medical record and feeds data back to the quality control center, and the entry rate of the electronic medical record of each dispatching center is displayed on a display screen of the quality control center;
when the recording rate of the electronic medical record is less than 95%, a primary warning signal is sent to a dispatching center host by a quality control center host, and then the primary warning signal is sent to a first-aid substation host by the dispatching center host; when the recording rate of the electronic medical record is less than 90%, the quality control center host simultaneously sends a secondary warning signal to the dispatching center host and the emergency substation every 2h to prompt the emergency substation to complete the recording of the electronic medical record until the recording rate is more than or equal to 95%.
2. The method of claim 1, wherein the status of the on-line seats of the dispatch center monitored by the display screen of the quality control center is flashed when the number of the dispatch seats of a dispatch center is less than 2.
3. The 120 quality control index monitoring and early warning method of claim 1, wherein the first-aid resource reserve data flashes when any one of the first-aid resource reserve data displayed on the quality control center display screen is lower than 70% of a prescribed value, the prescribed value of the first-aid resource reserve of each first-aid substation is that the reserve emergency bed number is not less than 8, the ambulance is not less than 4, the emergency doctor is not less than 4, the nurse is not less than 8, and the driver is not less than 4.
4. The 120 quality control index monitoring and early warning method of claim 1, wherein the quality control center display screen displays the average departure time through an instrument panel, the instrument panel is divided into a green area, a yellow area and a red area, when the pointer is in the yellow/red area, the average departure time data flashes, and in the instrument panel:
the pointer is in a green area, the average departure time is within 2 minutes, and the departure efficiency is up to the standard;
secondly, the pointer is in a yellow area, the average departure time is 2-5 minutes, and the departure efficiency is not up to the standard;
and thirdly, the pointer is in a red area, the average departure time is more than 5 minutes, and the departure efficiency is seriously low.
5. The method of claim 1, wherein the rate of entry of medical records monitored by the display screen of the quality control center is flashed when the rate of entry of electronic medical records is less than 95%.
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