CN110619939A - Blood transfusion closed-loop system, method and computer storage medium - Google Patents

Blood transfusion closed-loop system, method and computer storage medium Download PDF

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Publication number
CN110619939A
CN110619939A CN201910800933.1A CN201910800933A CN110619939A CN 110619939 A CN110619939 A CN 110619939A CN 201910800933 A CN201910800933 A CN 201910800933A CN 110619939 A CN110619939 A CN 110619939A
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China
Prior art keywords
blood
transfusion
information
blood transfusion
patient
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Inventor
闫丽娟
段舒舒
郑薇亮
陈媛
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Xiamen University Affiliated Cardiovascular Hospital
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Xiamen University Affiliated Cardiovascular Hospital
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Priority to CN201910800933.1A priority Critical patent/CN110619939A/en
Publication of CN110619939A publication Critical patent/CN110619939A/en
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/17ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT 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
    • G16H40/20ICT 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

The embodiment of the invention provides a blood transfusion closed-loop system, a blood transfusion closed-loop method and a computer storage medium, and relates to the field of medical informatization. The method comprises the following steps: when a blood transfusion operation request is received, obtaining blood transfusion information from a blood transfusion management system; the system comprises a transfusion management system, a laboratory information system and a hospital information system, wherein transfusion information comprises patient information uploaded to the hospital information system by a doctor, blood type information of the patient collected by the laboratory information system and blood bag information stored in the transfusion management system; scanning a blood bag blood code and an identification code of a patient wrist strap to obtain blood bag information and patient personal information; when the blood transfusion information is consistent with the blood bag information and the personal information of the patient, judging that the blood transfusion is common blood transfusion or rapid blood transfusion based on the blood bag information; when the blood transfusion is judged to be common blood transfusion, entering a common blood transfusion process; when the blood transfusion is judged to be rapid blood transfusion, entering a rapid blood transfusion process; and after blood transfusion is finished, uploading the blood transfusion result to a hospital information system. Can automated inspection blood transfusion type, improve nursing staff work efficiency.

Description

Blood transfusion closed-loop system, method and computer storage medium
Technical Field
The invention relates to the field of medical informatization, in particular to a blood transfusion closed-loop system, a blood transfusion closed-loop method and a computer storage medium.
Background
Transfusion refers to a treatment method of infusing blood into a patient intravenously, and is widely used clinically. With the development of science and technology, the way that hospitals are used for blood transfusion management is also becoming informatization day by day.
Patent CN110060766A discloses a medical informatization blood transfusion closed-loop system and method, which can solve the problem that the whole-course monitoring can not be realized in the human blood transfusion management process. However, this method is simple, cannot systematically manage the types of blood transfusions of different blood types, and is disadvantageous to the unified management in comparison with the type of rapid cryoprecipitation blood transfusions which requires a large number of blood bags for one blood transfusion.
Disclosure of Invention
In view of the above, an object of the embodiments of the present invention is to provide a blood transfusion closed-loop system, method and computer storage medium, so as to solve the problem in the prior art that the blood transfusion type classification and management cannot be performed for different blood types.
A first embodiment of the present invention provides a blood transfusion closed-loop system, which is operated in a nurse terminal, the nurse terminal is in communication connection with a blood transfusion management system, a hospital information system and a laboratory information system of a medical institution through a network, the terminal comprises a memory and a processor, the memory stores executable codes, and the executable codes can be executed by the processor to realize the following steps:
acquiring transfusion information from the transfusion management system when a transfusion operation request is received; the transfusion information comprises patient information uploaded to the hospital information system by a doctor, blood type information of the patient collected by the laboratory information system and blood bag information stored in the transfusion management system;
scanning a blood bag blood code and an identification code of a patient wrist strap to obtain blood bag information and patient personal information;
when the blood transfusion information is consistent with the blood bag information and the personal information of the patient, judging that the blood transfusion is common blood transfusion or rapid blood transfusion based on the blood bag information;
when the blood transfusion is judged to be common blood transfusion, entering a common blood transfusion process;
when the blood transfusion is judged to be rapid blood transfusion, entering a rapid blood transfusion process;
and after blood transfusion is finished, uploading the blood transfusion result to the hospital information system, wherein the blood transfusion result comprises state information and blood transfusion speed information of the patient before blood transfusion, in the blood transfusion process and after blood transfusion.
As a further optimization, the method further comprises the following steps:
and when the blood transfusion information is inconsistent with the blood bag information and the personal information of the patient, sending alarm information and informing related personnel.
As a further optimization, the general transfusion procedure comprises:
s11, scanning the blood code of the blood bag, popping up a blood transfusion recording frame, inputting the state information of the patient before blood transfusion and the blood transfusion speed information, and starting to accumulate the blood transfusion time;
s12, judging whether the accumulated blood transfusion time reaches a preset first time threshold value; if not, go to step S14; if yes, go to step S13;
s13, popping up a transfusion recording box for inputting the state information and transfusion speed information of the patient in the transfusion process, and entering the step S14;
and S14, finishing transfusion, scanning the blood code of the blood bag, and popping up a transfusion recording frame for inputting the status information of the patient after transfusion.
As a further optimization, step S14 is preceded by:
s131, when the accumulated blood transfusion time exceeds the first time threshold, scanning the blood bag blood code, and popping up a blood transfusion recording frame to input the state information and the blood transfusion speed information of the patient in the patrol process.
As a further optimization, the rapid transfusion procedure comprises:
s21, detecting whether the last quick transfusion record which is not finished exists; if yes, the process proceeds to step S22, and if no, the process proceeds to step S23;
s22, judging whether the interval time between the last quick blood transfusion record and the current quick blood transfusion exceeds a preset second time threshold value; if yes, automatically ending the last quick blood transfusion record, and entering step S23; if not, go to step S24;
s23, scanning the blood code of the blood bag, popping up a blood transfusion recording frame, inputting the state information of the patient before blood transfusion and the blood transfusion speed information, and starting to accumulate the blood transfusion time;
s24, whether the accumulated blood transfusion time exceeds a preset third time threshold value or not; if not, go to step S25; if yes, go to step S26;
s25, when the accumulated time is equal to the third time threshold, automatically popping up a transfusion recording frame for inputting the state information and the transfusion speed information of the patient in the transfusion process, and entering the step S26;
and S26, finishing transfusion, scanning the blood code of the blood bag, and popping up a transfusion recording frame for inputting the status information of the patient after transfusion.
As a further optimization, the step S26 is preceded by:
and S251, when the accumulated blood transfusion time exceeds a set third time threshold, scanning a blood bag blood code, popping up an information frame, and inputting the state information and blood transfusion speed information of the patient in the patrol process.
As a further optimization, the blood bag blood code and the identification code of the patient wrist strap are two-dimensional code identification, bar code identification or recognizable graphic code identification of data symbol information recorded by black and white graphics on a plane.
A second embodiment of the present invention provides a blood transfusion closed-loop method, which is applied in a nurse terminal, wherein the nurse terminal is in communication connection with a blood transfusion management system of a hospital, a hospital information system and a laboratory information system through a network, and the method includes:
acquiring transfusion information from the transfusion management system when a transfusion operation request is received; the transfusion information comprises patient information uploaded to the hospital information system by a doctor, blood type information of the patient collected by the laboratory information system and blood bag information stored in the transfusion management system;
scanning a blood bag blood code and an identification code of a patient wrist strap to obtain blood bag information and patient personal information;
when the blood transfusion information is consistent with the blood bag information and the personal information of the patient, judging that the blood transfusion is common blood transfusion or rapid blood transfusion based on the blood bag information;
when the blood transfusion is judged to be common blood transfusion, entering a common blood transfusion process;
when the blood transfusion is judged to be rapid blood transfusion, entering a rapid blood transfusion process;
and after blood transfusion is finished, uploading the blood transfusion result to the hospital information system, wherein the blood transfusion result comprises state information and blood transfusion speed information of the patient before blood transfusion, in the blood transfusion process and after blood transfusion.
As a further optimization, the method further comprises the following steps:
and when the blood transfusion information is inconsistent with the blood bag information and the personal information of the patient, sending alarm information and informing related personnel.
A third embodiment of the present invention provides a computer-readable storage medium comprising a stored computer program, wherein the computer program, when executed, controls an apparatus in which the computer-readable storage medium is located to perform the transfusion closed-loop method described above.
The embodiment of the invention has the following beneficial effects:
according to the nurse terminal, the blood transfusion information is matched with the blood bag information and the personal information of the patient, then the blood transfusion types are divided based on the blood type information in the blood bag information, the blood transfusion type can be accurately divided into the common blood transfusion type or the quick blood transfusion type, the accurate management of different blood transfusion types is improved, the repeated operation of the quick blood transfusion type is reduced, the unified management is improved, the workload of nursing staff is reduced, and the observation guide of the blood transfusion information can be provided for the nursing staff.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
FIG. 1 is a flow chart of a closed-loop method for blood transfusion according to a second embodiment of the present invention;
FIG. 2 is a schematic diagram of a general blood transfusion process provided by the present invention;
FIG. 3 is a schematic view of an interface of a transfusion recording box provided by the present invention;
fig. 4 is a schematic diagram of the rapid blood transfusion process provided by the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. The components of embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations. Thus, the following detailed description of the embodiments of the present invention, presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments of the present invention without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, it need not be further defined and explained in subsequent figures. Meanwhile, in the description of the present invention, the terms "first", "second", and the like are used only for distinguishing the description, and are not to be construed as indicating or implying relative importance.
A first embodiment of the present invention provides a blood transfusion closed-loop system, which is operated in a nurse terminal, the nurse terminal is in communication connection with a blood transfusion management system, a hospital information system and a laboratory information system of a medical institution through a network, the terminal comprises a memory and a processor, the memory stores executable codes, and the executable codes can be executed by the processor to realize the following steps:
s101, when a blood transfusion operation request is received, obtaining blood transfusion information from the blood transfusion management system; the transfusion information comprises patient information uploaded to the hospital information system by a doctor, blood type information of the patient collected by the laboratory information system and blood bag information stored in the transfusion management system.
Wherein, the blood transfusion closed-loop system runs on a nurse terminal. The nurse terminal is connected to a blood transfusion management System, a Hospital Information System (HIS), a patient wristband, and a Laboratory Information System (LIS) in a medical facility (a medical facility such as a hospital or a health center)) through a network in a communication manner. The nurse terminal can acquire various types of data from the blood transfusion management system, the hospital information system, and the laboratory information system. In this embodiment, the nurse terminal may be in communication connection with the blood transfusion management system, the hospital information system, the patient wrist band, and the laboratory information system through a wired communication network or a wireless communication network. The communication network is preferably a wireless communication network, including but not limited to a GSM network, a GPRS network, a CDMA network, a TD-SCDMA network, a WiMAX network, a TD-LTE network, an FDD-LTE network, and other wireless transmission networks.
The hospital information system stores patient information prescribed by a doctor at the time of patient visit, such as patient name, age, sex, disease, blood type, kind of blood used, amount of blood used, reason for blood used, and the like. The blood transfusion management system is used for managing information of a blood bank in a medical institution, and comprises information of blood types, blood storage amount, blood sources, blood storage period, blood types, blood storage positions, blood storage temperature, managers of the blood bank and the like. The blood in the blood bank is stored in the form of blood bags, each blood bag contains blood bag information, the blood bag information includes information such as the source of the blood, the type of the blood, the blood type and the like, and the information is adhered to the surface of the blood bag through a blood code. The laboratory information system is used for managing and storing detection data of patients in medical treatment of medical institutions, such as various detection information of patients, such as urinalysis, blood type, blood detection information and the like. The patient wristband stores personal information of the patient, such as name, age, hospital number, gender, condition, etc. The nursing staff can obtain the personal information of the patient by scanning the identification code on the wrist strap of the patient through the nurse terminal.
The nurse terminal can access the hospital information system, the blood transfusion management system and the laboratory information system of the medical institution after obtaining the authorization of each medical institution, and can obtain various types of electronic medical record data in the hospital information system, the blood transfusion management system and the laboratory information system of each medical institution. The electronic medical record data includes, but is not limited to, information such as patient name, age, sex, hospital number, disease diagnosis information, drug name, drug quantity, cost, and contact information of the patient. The nurse terminal may be, but is not limited to, a smart phone, a tablet computer, a Personal Digital Assistant (PDA), a Personal computer, an electronic billboard, and the like.
Specifically, in this embodiment, after the doctor has the patient blood type report, the caregiver performs blood drawing and blood testing, and uploads the blood report containing the patient blood type information to the laboratory information system and the blood transfusion management system. Then, the doctor fills in patient information and a request form in a hospital information system according to the blood report, and transmits the patient information and the request form to a blood transfusion management system. And when receiving the transfusion operation request, the nurse terminal of the nursing staff acquires the transfusion information from the transfusion management system, and signs and verifies the blood bag distributed by the transfusion management system according to the transfusion information.
S102, scanning the blood bag and the identification code of the patient wrist strap, and acquiring blood bag information and patient personal information.
As a further optimization, the blood bag blood code and the identification code of the patient wrist strap are two-dimensional code identification, bar code identification or recognizable graphic code identification of data symbol information recorded by black and white graphics on a plane.
In this embodiment, the personal information of the patient includes a name of the patient, a date of birth, blood type information, identification information blood type that can uniquely identify the identity information, and the like, and the blood bag information includes information such as blood type information, blood type, blood quality, patient name, age, sex, and the like, and it is determined that the blood transfusion information acquired from the blood transfusion management system is consistent with the blood bag information and the personal information of the patient, so as to ensure that the blood bag corresponds to a correct patient and avoid mistaking blood transfusion for the patient.
S103, when the blood transfusion information is consistent with the blood bag information and the personal information of the patient, judging that the blood transfusion is common blood transfusion or rapid blood transfusion based on the blood bag information.
Specifically, in this embodiment, two information checks need to be performed, that is, one caregiver checks the blood transfusion information, the blood bag information, and the personal information of the patient by scanning the blood code of the patient wristband and the blood bag, and the other caregiver checks the information again after the information is confirmed to be correct, so that the accuracy of the information is ensured, and the occurrence of medical accidents is further reduced.
And S104, when the blood transfusion is judged to be common blood transfusion, entering a common blood transfusion process.
And S105, when the blood transfusion is judged to be rapid blood transfusion, entering a rapid blood transfusion process.
Among them, in the blood transfusion flow of medical institutions, the types of blood transfusions are classified into various types, and the types include leukocyte-free suspension red blood cell transfusion, washed red blood cell transfusion, fresh frozen plasma transfusion, ordinary frozen plasma transfusion, cryoprecipitation transfusion, single platelet transfusion, and whole blood transfusion. The blood type used differs for each type of transfusion, and the volume of blood type contained in each blood bag also differs. For example, cryoprecipitate transfusion has a smaller volume of blood bags, typically around 45ml, and one bag needs to be transfused within 3-6 min, possibly requiring a large batch of the blood species to be transfused each time, and 4 h.
Therefore, in this embodiment, the blood types are classified into two types, i.e., normal blood transfusion and rapid blood transfusion, in advance in the nurse terminal, and when the nurse terminal scans the blood bag information and identifies the blood type of the blood bag information, the nurse terminal automatically enters different blood transfusion procedures. The accurate management to different blood transfusion types is improved, the workload that nursing staff and nursing staff need to automatically identify the blood transfusion type is reduced, and observation guidance can be provided for the blood transfusion information of the nursing staff.
And S106, after blood transfusion is finished, uploading the blood transfusion result to the hospital information system, wherein the blood transfusion result comprises the state information and blood transfusion speed information of the patient before blood transfusion, the blood transfusion process and after blood transfusion, and the follow-up doctor can conveniently review the blood transfusion process of the patient.
The blood transfusion closed-loop system provided by the first embodiment of the invention can accurately divide the current blood transfusion type into the common blood transfusion type or the quick blood transfusion type by matching the blood transfusion information with the blood bag information and the personal information of the patient and then dividing the blood transfusion type based on the blood type information in the blood bag information, thereby improving the precise management of different blood transfusion types, reducing the repeated operation of the quick blood transfusion type, improving the unified management, reducing the workload of nursing personnel and providing the observation guidance of the blood transfusion information for the nursing personnel.
As a further optimization, on the basis of the above embodiment, the method further includes:
and when the blood transfusion information is inconsistent with the blood bag information and the personal information of the patient, sending alarm information and informing related personnel. When the nurse terminal finds that the blood transfusion information is not matched with the blood bag information and the personal information of the patient, an alarm signal is sent out, so that nursing staff such as nursing staff can perceive the information error, and medical accidents are avoided.
As a further optimization, referring to fig. 2, on the basis of the above embodiment, the general blood transfusion process includes:
and S11, scanning the blood bag blood code, popping up a blood transfusion recording box, inputting the state information of the patient before blood transfusion and the blood transfusion speed information, and starting to accumulate the blood transfusion time. The transfusion recording frame is shown in fig. 3, the patient state information before transfusion includes information such as the temperature, pulse, respiration, blood pressure and skin condition of the puncture point of the patient, and the transfusion speed information includes transfusion dripping speed information.
S12, judging whether the accumulated blood transfusion time reaches a preset first time threshold value; if not, go to step S14; if yes, the process proceeds to step S13.
S13, a transfusion recording box is popped up to input the status information of the patient during transfusion and the transfusion speed information, and the process goes to step S14.
In this embodiment, the first time threshold is generally set within 10-25 min after blood transfusion, so as to remind a caregiver to check the blood transfusion condition of a patient in time, and ensure that the caregiver can quickly detect the abnormal condition in time if the patient has an abnormal condition during the blood transfusion. More preferably, the first time threshold is 15 min. The transfusion recording frame is consistent with the recording frame before transfusion, and also comprises the information of the body temperature, the pulse, the respiration, the blood pressure of the patient, the skin condition of the puncture point and the dropping speed.
And S14, finishing transfusion, scanning blood bag blood codes, selecting a finishing option and popping up a transfusion recording box for inputting the status information of the patient after transfusion. Specifically, the selection of the ending option further includes the selection of a normal ending option and an abnormal ending option, which are required to be filled in the blood transfusion record box respectively. And after the abnormal end, the recovery can be performed, and after the doctor checks the patient, the step S102 is returned again to perform new blood bag verification, and then the operation can be continued.
As a further optimization, step S14 is preceded by:
s131, when the accumulated blood transfusion time exceeds the first time threshold, scanning the blood bag blood code, and popping up a blood transfusion recording frame to input the state information and the blood transfusion speed information of the patient in the patrol process. In particular, in the present embodiment, because the ordinary blood transfusion process is relatively long, after the patient is patrolled for the first time threshold, some patients may still experience discomfort in the subsequent time. Through other irregular inspection, the abnormity of the blood transfusion process of the patient can be found out in time again.
As a further optimization, referring to fig. 4, on the basis of the above embodiment, the rapid transfusion procedure includes:
s21, detecting whether the last quick transfusion record which is not finished exists; if yes, the process proceeds to step S22, and if no, the process proceeds to step S23.
For example, the volume of each blood bag of a common cryoprecipitation blood transfusion is about 45ml, one blood bag needs to be transfused within 3-6 min, and about 10 blood bags need to be transfused at one time and need to be transfused within 4 h. Therefore, the scanned blood bag may be only one blood bag in the whole batch of blood bags, so that whether the rapid transfusion record exists needs to be detected firstly, the transfusion record frame does not need to be popped up every time like the common transfusion process, and the workload of nurses is reduced
S22, judging whether the interval time between the last quick blood transfusion record and the current quick blood transfusion exceeds a preset second time threshold value; if yes, automatically ending the last quick blood transfusion record, and entering step S23; if not, the process proceeds to step S24.
Specifically, in this example, the time interval between the two rapid transfusion procedures exceeds the second time threshold, demonstrating that the blood bag of this rapid transfusion does not belong to the same batch of blood bags as the last rapid transfusion, and therefore is not analyzed as the same transfusion. Wherein, the second time threshold time can be determined according to the blood type of the rapid transfusion, and the cryoprecipitate transfusion can be generally determined as 4 h.
And S23, scanning the blood bag blood code, popping up a blood transfusion recording box, inputting the state information of the patient before blood transfusion and the blood transfusion speed information, and starting to accumulate the blood transfusion time. The transfusion recording frame is shown in fig. 3, the patient state information before transfusion includes information such as the temperature, pulse, respiration, blood pressure and skin condition of the puncture point of the patient, and the transfusion speed information includes transfusion dripping speed information.
S24, whether the accumulated blood transfusion time exceeds a preset third time threshold value or not; if not, go to step S25; if so, the process proceeds to step S26.
S25, when the accumulated time equals to the third time threshold, automatically ejecting a transfusion recording frame for inputting the status information of the patient during transfusion and the transfusion speed information, and entering the step S26.
Specifically, in this embodiment, the third time threshold is generally set within 10min to 25min after blood transfusion, so as to remind a caregiver to check the blood transfusion condition of the patient in time, and ensure that the caregiver can quickly detect the abnormal condition if the patient has abnormal condition during the blood transfusion process. More preferably, the third time threshold is 15 min. The transfusion recording frame is consistent with the recording frame before transfusion, and also comprises the information of the body temperature, the pulse, the respiration, the blood pressure of the patient, the skin condition of the puncture point and the dropping speed.
And S26, finishing transfusion, scanning the blood code of the blood bag, and popping up a transfusion recording frame for inputting the status information of the patient after transfusion. Specifically, the selection of the ending option further includes the selection of a normal ending option and an abnormal ending option, which are required to be filled in the blood transfusion record box respectively. And after the abnormal end, the recovery can be performed, and after the doctor checks the patient, the step S102 is returned again to perform new blood bag verification, and then the operation can be continued.
As a further optimization, the step S26 is preceded by:
and S251, when the accumulated blood transfusion time exceeds a set third time threshold, scanning a blood bag blood code, popping up an information frame, and inputting the state information and blood transfusion speed information of the patient in the patrol process. In particular, in the embodiment, since the patient condition is patrolled for the period of the third time threshold during the whole batch of rapid blood transfusions, some patients may still experience discomfort in the subsequent time. Through other irregular inspection, the abnormity of the blood transfusion process of the patient can be found out in time again.
A second embodiment of the present invention provides a blood transfusion closed-loop method, which is applied in a nurse terminal, wherein the nurse terminal is in communication connection with a blood transfusion management system of a hospital, a hospital information system and a laboratory information system through a network, and the method includes:
s201, when a blood transfusion operation request is received, obtaining blood transfusion information from the blood transfusion management system; the transfusion information comprises patient information uploaded to the hospital information system by a doctor, blood type information of the patient collected by the laboratory information system and blood bag information stored in the transfusion management system;
s202, scanning a blood bag blood code and an identification code of a patient wrist strap to obtain blood bag information and patient personal information;
s203, when the blood transfusion information is consistent with the blood bag information and the personal information of the patient, judging that the blood transfusion is common blood transfusion or rapid blood transfusion based on the blood bag information;
s204, when the blood transfusion is judged to be common blood transfusion, entering a common blood transfusion process;
s205, when the blood transfusion is judged to be rapid blood transfusion, entering a rapid blood transfusion process;
and S206, after blood transfusion is finished, uploading the blood transfusion result to the hospital information system, wherein the blood transfusion result comprises state information and blood transfusion speed information of the patient before blood transfusion, during blood transfusion and after blood transfusion.
As a further optimization, the method further comprises the following steps:
and when the blood transfusion information is inconsistent with the blood bag information and the personal information of the patient, sending alarm information and informing related personnel.
As a further optimization, referring to fig. 2, on the basis of the above embodiment, the general blood transfusion process includes:
and S11, scanning the blood bag blood code, popping up a blood transfusion recording box, inputting the state information of the patient before blood transfusion and the blood transfusion speed information, and starting to accumulate the blood transfusion time.
S12, judging whether the accumulated blood transfusion time reaches a preset first time threshold value; if not, go to step S14; if yes, the process proceeds to step S13.
S13, popping up a transfusion recording box for inputting the state information and transfusion speed information of the patient in the transfusion process, and entering the step S14;
and S14, finishing transfusion, scanning blood bag blood codes, selecting a finishing option and popping up a transfusion recording box for inputting the status information of the patient after transfusion.
As a further optimization, step S14 is preceded by:
s131, when the accumulated blood transfusion time exceeds the first time threshold, scanning the blood bag blood code, and popping up a blood transfusion recording frame to input the state information and the blood transfusion speed information of the patient in the patrol process.
As a further optimization, referring to fig. 4, on the basis of the above embodiment, the rapid transfusion procedure includes:
s21, detecting whether the last quick transfusion record which is not finished exists; if yes, the process proceeds to step S22, and if no, the process proceeds to step S23.
S22, judging whether the interval time between the last quick blood transfusion record and the current quick blood transfusion exceeds a preset second time threshold value; if yes, automatically ending the last quick blood transfusion record, and entering step S23; if not, the process proceeds to step S24.
And S23, scanning the blood bag blood code, popping up a blood transfusion recording box, inputting the state information of the patient before blood transfusion and the blood transfusion speed information, and starting to accumulate the blood transfusion time.
S24, whether the accumulated blood transfusion time exceeds a preset third time threshold value or not; if not, go to step S25; if so, the process proceeds to step S26.
S25, when the accumulated time equals to the third time threshold, automatically ejecting a transfusion recording frame for inputting the status information of the patient during transfusion and the transfusion speed information, and entering the step S26.
And S26, finishing transfusion, scanning the blood code of the blood bag, and popping up a transfusion recording frame for inputting the status information of the patient after transfusion.
As a further optimization, the step S26 is preceded by:
and S251, when the accumulated blood transfusion time exceeds a set third time threshold, scanning a blood bag blood code, popping up an information frame, and inputting the state information and blood transfusion speed information of the patient in the patrol process.
A third embodiment of the present invention provides a computer-readable storage medium, which is characterized by comprising a stored computer program, wherein when the computer program runs, the computer-readable storage medium is controlled to execute the blood transfusion closed-loop method of the second embodiment of the present invention.
Illustratively, the computer program may be divided into one or more units, which are stored in the memory and executed by the processor to accomplish the present invention. The one or more units may be a series of computer program instruction segments capable of performing specific functions, which are used to describe the execution of the computer program in the closed blood transfusion system.
The closed loop blood transfusion system may include, but is not limited to, a processor, a memory. It will be understood by those skilled in the art that the schematic diagram is merely an example of a transfusion closed loop system and does not constitute a limitation of a transfusion closed loop system, and may include more or less components than those shown, or combine certain components, or different components, for example, the transfusion closed loop system may also include input and output devices, network access devices, buses, etc.
The Processor may be a Central Processing Unit (CPU), other general purpose Processor, a Digital Signal Processor (DSP), an Application Specific Integrated Circuit (ASIC), an off-the-shelf Programmable Gate Array (FPGA) or other Programmable logic device, discrete Gate or transistor logic, discrete hardware components, etc. The general purpose processor may be a microprocessor or the processor may be any conventional processor or the like, the control center of the closed blood transfusion system connects the various parts of the entire closed blood transfusion system using various interfaces and lines.
The memory may be used to store the computer programs and/or modules, and the processor may implement various functions of the closed blood transfusion system by running or executing the computer programs and/or modules stored in the memory and calling up the data stored in the memory. The memory may mainly include a storage program area and a storage data area, wherein the storage program area may store an operating system, an application program required by at least one function (such as a sound playing function, an image playing function, etc.), and the like; the storage data area may store data (such as audio data, a phonebook, etc.) created according to the use of the cellular phone, and the like. In addition, the memory may include high speed random access memory, and may also include non-volatile memory, such as a hard disk, a memory, a plug-in hard disk, a Smart Media Card (SMC), a Secure Digital (SD) Card, a Flash memory Card (Flash Card), at least one magnetic disk storage device, a Flash memory device, or other volatile solid state storage device.
Wherein, the unit integrated with the blood transfusion closed-loop system can be stored in a computer readable storage medium if the unit is realized in the form of a software functional unit and sold or used as an independent product. Based on such understanding, all or part of the flow of the method according to the embodiments of the present invention may also be implemented by a computer program, which may be stored in a computer-readable storage medium, and when the computer program is executed by a processor, the steps of the method embodiments may be implemented. Wherein the computer program comprises computer program code, which may be in the form of source code, object code, an executable file or some intermediate form, etc. The computer-readable medium may include: any entity or device capable of carrying the computer program code, recording medium, usb disk, removable hard disk, magnetic disk, optical disk, computer Memory, Read-Only Memory (ROM), Random Access Memory (RAM), electrical carrier wave signals, telecommunications signals, software distribution medium, and the like. It should be noted that the computer readable medium may contain content that is subject to appropriate increase or decrease as required by legislation and patent practice in jurisdictions, for example, in some jurisdictions, computer readable media does not include electrical carrier signals and telecommunications signals as is required by legislation and patent practice.
It should be noted that the above-described device embodiments are merely illustrative, where the units described as separate parts may or may not be physically separate, and the parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on multiple network units. Some or all of the modules may be selected according to actual needs to achieve the purpose of the solution of the present embodiment. In addition, in the drawings of the embodiment of the apparatus provided by the present invention, the connection relationship between the modules indicates that there is a communication connection between them, and may be specifically implemented as one or more communication buses or signal lines. One of ordinary skill in the art can understand and implement it without inventive effort.
While the foregoing is directed to the preferred embodiment of the present invention, it will be understood by those skilled in the art that various changes and modifications may be made without departing from the spirit and scope of the invention.

Claims (10)

1. A closed loop system for blood transfusion, operating in a nurse terminal, wherein the nurse terminal is communicatively connected to a blood transfusion management system, a hospital information system and a laboratory information system of a medical institution via a network, the terminal comprising a memory and a processor, the memory having stored therein executable code executable by the processor to implement the steps of:
acquiring transfusion information from the transfusion management system when a transfusion operation request is received; the transfusion information comprises patient information uploaded to the hospital information system by a doctor, blood type information of the patient collected by the laboratory information system and blood bag information stored in the transfusion management system;
scanning a blood bag blood code and an identification code of a patient wrist strap to obtain blood bag information and patient personal information;
when the blood transfusion information is consistent with the blood bag information and the personal information of the patient, judging that the blood transfusion is common blood transfusion or rapid blood transfusion based on the blood bag information;
when the blood transfusion is judged to be common blood transfusion, entering a common blood transfusion process;
when the blood transfusion is judged to be rapid blood transfusion, entering a rapid blood transfusion process;
and after blood transfusion is finished, uploading the blood transfusion result to the hospital information system, wherein the blood transfusion result comprises state information and blood transfusion speed information of the patient before blood transfusion, in the blood transfusion process and after blood transfusion.
2. The closed loop blood transfusion system as claimed in claim 1, further comprising:
and when the blood transfusion information is inconsistent with the blood bag information and the personal information of the patient, sending alarm information and informing related personnel.
3. The closed loop system for blood transfusion according to claim 1, wherein the common transfusion flow comprises:
s11, scanning the blood code of the blood bag, popping up a blood transfusion recording frame, inputting the state information of the patient before blood transfusion and the blood transfusion speed information, and starting to accumulate the blood transfusion time;
s12, judging whether the accumulated blood transfusion time reaches a preset first time threshold value; if not, go to step S14; if yes, go to step S13;
s13, popping up a transfusion recording box for inputting the state information and transfusion speed information of the patient in the transfusion process, and entering the step S14;
and S14, finishing transfusion, scanning the blood code of the blood bag, and popping up a transfusion recording frame for inputting the status information of the patient after transfusion.
4. The closed loop system for blood transfusion according to claim 3, wherein step S14 is preceded by:
s131, when the accumulated blood transfusion time exceeds the first time threshold, scanning the blood bag blood code, and popping up a blood transfusion recording frame to input the state information and the blood transfusion speed information of the patient in the patrol process.
5. The closed loop system for blood transfusion of claim 1, wherein the rapid transfusion procedure comprises:
s21, detecting whether the last quick transfusion record which is not finished exists; if yes, the process proceeds to step S22, and if no, the process proceeds to step S23;
s22, judging whether the interval time between the last quick blood transfusion record and the current quick blood transfusion exceeds a preset second time threshold value; if yes, automatically ending the last quick blood transfusion record, and entering step S23; if not, go to step S24;
s23, scanning the blood code of the blood bag, popping up a blood transfusion recording frame, inputting the state information of the patient before blood transfusion and the blood transfusion speed information, and starting to accumulate the blood transfusion time;
s24, whether the accumulated blood transfusion time exceeds a preset third time threshold value or not; if not, go to step S25; if yes, go to step S26;
s25, when the accumulated time is equal to the third time threshold, automatically popping up a transfusion recording frame for inputting the state information and the transfusion speed information of the patient in the transfusion process, and entering the step S26;
and S26, finishing transfusion, scanning the blood code of the blood bag, and popping up a transfusion recording frame for inputting the status information of the patient after transfusion.
6. The closed loop system for blood transfusion of claim 5, wherein said step S26 is preceded by:
and S251, when the accumulated blood transfusion time exceeds a set third time threshold, scanning a blood bag blood code, popping up an information frame, and inputting the state information and blood transfusion speed information of the patient in the patrol process.
7. The closed loop system for blood transfusion as claimed in claim 3, wherein the blood bag code and the identification code of the patient wrist band are two-dimensional code marks, bar code marks or recognizable graphic code marks of graphic record data symbol information in black and white on a plane.
8. A blood transfusion closed-loop method is applied to a nurse terminal, and is characterized in that the nurse terminal is in communication connection with a blood transfusion management system of a hospital, a hospital information system and a laboratory information system through a network, and the method comprises the following steps:
acquiring transfusion information from the transfusion management system when a transfusion operation request is received; the transfusion information comprises patient information uploaded to the hospital information system by a doctor, blood type information of the patient collected by the laboratory information system and blood bag information stored in the transfusion management system;
scanning a blood bag blood code and an identification code of a patient wrist strap to obtain blood bag information and patient personal information;
when the blood transfusion information is consistent with the blood bag information and the personal information of the patient, judging that the blood transfusion is common blood transfusion or rapid blood transfusion based on the blood bag information;
when the blood transfusion is judged to be common blood transfusion, entering a common blood transfusion process;
when the blood transfusion is judged to be rapid blood transfusion, entering a rapid blood transfusion process;
and after blood transfusion is finished, uploading the blood transfusion result to the hospital information system, wherein the blood transfusion result comprises state information and blood transfusion speed information of the patient before blood transfusion, in the blood transfusion process and after blood transfusion.
9. The closed loop blood transfusion method according to claim 8, further comprising:
and when the blood transfusion information is inconsistent with the blood bag information and the personal information of the patient, sending alarm information and informing related personnel.
10. A computer-readable storage medium, comprising a stored computer program, wherein the computer program, when executed, controls an apparatus in which the computer-readable storage medium is located to perform the blood transfusion closed-loop method according to any one of claims 8 to 9.
CN201910800933.1A 2019-08-28 2019-08-28 Blood transfusion closed-loop system, method and computer storage medium Pending CN110619939A (en)

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Application publication date: 20191227