CN110675945A - Emergency pediatric five-stage grading triage system and method - Google Patents
Emergency pediatric five-stage grading triage system and method Download PDFInfo
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- CN110675945A CN110675945A CN201910912397.4A CN201910912397A CN110675945A CN 110675945 A CN110675945 A CN 110675945A CN 201910912397 A CN201910912397 A CN 201910912397A CN 110675945 A CN110675945 A CN 110675945A
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- 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
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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
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
Abstract
The invention belongs to the technical field of emergency triage, and discloses an emergency pediatric five-stage grading triage system and method, wherein the system comprises a vital sign data acquisition subsystem, a data server, an emergency grading triage core subsystem, a multimedia calling subsystem and a user side server, and the method comprises the following steps: s1, collecting vital sign data of the infant; s2, acquiring the medical history and disease information of the infant patient and uploading the medical history and disease information to a data server; s3, performing triage rating on the children and sending the children to the multimedia calling subsystem and the data server; s4, carrying out hierarchical display and hierarchical calling; s5, diagnosing the children patients corresponding to the current triage level data; s6, uploading the diagnosis result data to a data server, and optimizing a grading triage rule base; the invention solves the problems that the prior art lacks a system scoring standard, is not suitable for emergency treatment of pediatric infants, is inserted in front of a team, has low triage efficiency, lacks a systematic grading standard and lacks a grading data statistical function.
Description
Technical Field
The invention belongs to the technical field of emergency triage, and particularly relates to a five-stage grading triage system and method for an emergency department and a pediatric department.
Background
The emergency department of the hospital. The Emergency treatment is written as "Emergency treatment" in english, meaning treatment in an Emergency. It is divided into emergency treatment and rescue. The existence of the device ensures that people can be professionally and scientifically cured within the fastest time when sudden diseases and accidental injuries occur. When an accident occurs, we should not only wait, but with the knowledge and skill of the exact first aid, possibly save the lives of themselves or others at the most urgent time. At present, 99% of emergency children suffer from poor effect after recovery and even lose life results because the children miss the gold 6 minutes for emergency treatment. Although the hospital emergency department is open for 24 hours, the open time to the outside of the department of examination such as CT, X-ray film, angiography and the like is limited, and particularly when the sick children get to the emergency treatment at night, conservative neutral treatment methods such as transfusion, medicine taking and the like are often obtained.
The prior art has the following problems:
1) at present, China only has four-grade triage standards and is only suitable for adults, and no systematic scoring standard exists, so that the method is particularly not suitable for emergency treatment of pediatric patients;
2) at present, the pediatric emergency triage of each hospital is only limited to that of a nurse firstly triage and then registration, namely, the patients are treated according to the registration sequence, the emergency resources are not effectively applied to critically ill children which really need emergency treatment, the condition of the patients is aggravated during the waiting period often due to too long waiting time, and even the patients need to be sent into a rescue room for rescue treatment, or the triage nurses misjudge the condition of the patients to delay treatment due to inaccurate triage standards, so that the trauma is increased to the bodies of the children, more psychological burden and economic burden are brought to the family members, and the harmony of medical and patient relationships and the satisfaction degree of the children are also influenced to a certain extent;
3) some hospitals only carry out triage work and see a doctor according to the critical degree of diseases, frequently cause medical complaints and disputes due to the fact that other children with serious diseases are dissatisfied because the family members of the children with serious diseases are dissatisfied due to the fact that the critically ill children see the doctor in advance, and even cause overstimulation behaviors to carry out personal attack on medical staff;
4) some hospitals do not carry out the grading and triage work of emergency treatment at present, and also call the number by mouth to see the doctor;
5) in the prior art, no information system is supported, and the whole grading triage process cannot be connected in series, so that the triage efficiency is low;
6) the pre-detection grading mostly depends on manual experience, has strong subjectivity and lacks of the grading standard of a system;
7) the method is lack of a grading data statistical function, only depends on manual counting and statistics, has low efficiency, and cannot establish a complete diagnostic result analysis system.
Disclosure of Invention
In order to solve the above problems in the prior art, the present invention aims to provide a system and a method for five-level classification triage in emergency department of pediatrics, which are used for solving the problems in the prior art that the system scoring standard is lacked, the system scoring standard is not suitable for pediatric emergency department, the emergency department of pediatric patients is not suitable for early queue visit, the hospital visiting sequence is disturbed, the triage efficiency is low, the system grading standard is lacked, and the function of grading data statistics is lacked.
The technical scheme adopted by the invention is as follows:
a five-stage grading triage system for an emergency department of a pediatrics comprises an infant vital sign data acquisition subsystem, a data server, an emergency grading triage core subsystem, a multimedia calling subsystem and a user side server, wherein the infant vital sign data acquisition subsystem, the data server, the emergency grading core subsystem and the multimedia calling subsystem are sequentially in communication connection, and the user side server is in communication connection with the data server.
Further, the data server comprises a hierarchical triage rule base.
Furthermore, the multimedia calling subsystem comprises a microcontroller, a communication module, a display screen and a buzzer, wherein the communication module is respectively in communication connection with the emergency treatment grading triage core subsystem and the microcontroller, and the microcontroller is respectively in communication connection with the display screen and the buzzer.
An emergency pediatric five-level grading and triage method is based on an emergency pediatric five-level grading and triage system, the emergency pediatric five-level grading and triage system comprises an infant vital sign data acquisition subsystem, a data server, an emergency grading and triage core subsystem, a multimedia calling subsystem and a user side server, the data server comprises a grading and triage rule base, and the method comprises the following steps:
s1: collecting the vital sign data of the infant by using a vital sign data collection subsystem of the infant;
s2: acquiring the medical history and disease information of the infant patient, and uploading the vital sign data, the medical history and the disease information to a data server;
s3: the emergency diagnosis grading and triage core subsystem is used for conducting triage grading on the sick children according to a grading and triage rule base in the data server, and triage grade data are sent to the multimedia calling subsystem and the data server;
s4: according to the triage level data, a multimedia calling subsystem is used for carrying out hierarchical display and hierarchical calling;
s5: using a client server to extract vital sign data, medical history and disease information corresponding to triage level data in a data server, and diagnosing the child patient corresponding to the current triage level data;
s6: and the user side server is used for receiving the diagnosis result data, uploading the diagnosis result data to the data server, and optimizing the grading triage rule base according to the diagnosis result data and the triage level data.
Further, in step S1, the vital sign data includes heart rate, blood pressure, and blood oxygen saturation.
Further, the classification rule base obtained in S3 includes a classification rating data table, a classification level table, and a corresponding classification display data table.
Further, the triage levels of the triage level table include level i, level ii, level iii, level iv, and level v.
Further, the grading display data table corresponding to each triage level is as follows:
stage I: arranging the sick children to be arranged in a rescue room, and calling doctors to immediately take a treatment;
and II, stage: monitoring important vital signs immediately, arranging the sick children to make a first diagnosis and treatment, and arranging the sick children in a rescue room within 5 minutes;
grade III: the doctor is scheduled to be seen within 30 minutes;
IV stage: arranging to see a doctor according to the flow sequence of emergency treatment, arranging nurses to evaluate the illness state of the sick children waiting for the doctor every 30 minutes, and performing secondary triage if necessary;
and V stage: the clinic is recommended to see the doctor, and if the doctor is required to treat the disease in the emergency department, the doctor can wait for the doctor in the flow sequence of the emergency.
Further, in step S4, a hierarchical display is performed as: and according to the triage level data, displaying the corresponding hierarchical display data table content by using a display screen, and calling by using a buzzer.
The invention has the beneficial effects that:
the invention provides a classification triage rule base which is systematic, reasonable, accurate, simple and clear and is suitable for the emergency treatment of pediatrics of a maternal-child system; the system is implemented to divide the diagnosis level and the critical degree of the disease to reasonably arrange the treatment sequence, thereby ensuring that the critically ill infant is effectively treated in time, gaining valuable time for the infant and really providing accurate and effective treatment for the infant needing emergency treatment; the emergency treatment pediatric emergency treatment congestion phenomenon is effectively improved, and social benefits and economic benefits are improved; the medical experience of the infant and family members is obviously improved, the doctor-patient relationship is effectively improved, and the satisfaction degree of the infant is improved; the emergency treatment grading triage system is used for carrying out service series connection on the infant patients through pre-examination, triage grading, grading display and grading calling, so that a service flow closed loop is formed, and triage efficiency is improved; by customizing the grading triage rule base and continuously optimizing and adjusting the rule base, grading and triage grading are carried out according to the vital signs and the medical history of the children patients, so that the accuracy of pre-examination grading is improved; the data server provides a grading triage database and provides a multi-dimensional data report form to provide a data analysis basis for scientific research and optimization of the business process of departments.
Drawings
FIG. 1 is a block diagram of a five-stage classification system for emergency pediatric diagnosis;
fig. 2 is a flow chart of a five-stage classification method for emergency treatment of pediatrics.
Detailed Description
The invention is further explained below with reference to the drawings and the specific embodiments.
Example 1:
as shown in fig. 1, an emergency treatment pediatric five-stage grading triage system comprises an infant vital sign data acquisition subsystem, a data server, an emergency treatment grading triage core subsystem, a multimedia calling subsystem and a client server, wherein the infant vital sign data acquisition subsystem, the data server, the emergency treatment grading triage core subsystem and the multimedia calling subsystem are sequentially in communication connection, and the emergency treatment grading triage system is used for performing service series connection on an infant from pre-examination, triage grading, grading display and grading calling to form a service flow closed loop, so that triage efficiency is improved; the user side server is in communication connection with the data server; the data server provides a grading triage database and provides a multi-dimensional data report form to provide a data analysis basis for scientific research and optimization of the business process of departments.
Preferably, the data server comprises a hierarchical triage rule base; by customizing the grading triage rule base and continuously optimizing and adjusting the rule base, grading and triage grading are carried out according to the vital signs and the medical history of the children patients, so that the accuracy of pre-examination grading is improved;
preferably, the multimedia calling subsystem comprises a microcontroller, a communication module, a display screen and a buzzer, wherein the communication module is respectively in communication connection with the emergency classification triage core subsystem and the microcontroller, and the microcontroller is respectively in communication connection with the display screen and the buzzer.
An emergency pediatric five-level grading triage method is based on an emergency pediatric five-level grading triage system, the emergency pediatric five-level grading triage system comprises an infant vital sign data acquisition subsystem, a data server, an emergency grading triage core subsystem, a multimedia calling subsystem and a user side server, the data server comprises a grading triage rule base, and as shown in fig. 2, the method comprises the following steps:
s1: collecting the vital sign data of the infant by using a vital sign data collection subsystem of the infant;
s2: acquiring the medical history and disease information of the infant patient, and uploading the vital sign data, the medical history and the disease information to a data server;
s3: the emergency diagnosis grading and triage core subsystem is used for conducting triage grading on the sick children according to a grading and triage rule base in the data server, and triage grade data are sent to the multimedia calling subsystem and the data server;
s4: according to the triage level data, a multimedia calling subsystem is used for carrying out hierarchical display and hierarchical calling;
s5: using a client server to extract vital sign data, medical history and disease information corresponding to triage level data in a data server, and diagnosing the child patient corresponding to the current triage level data;
s6: and the user side server is used for receiving the diagnosis result data, uploading the diagnosis result data to the data server, and optimizing the grading triage rule base according to the diagnosis result data and the triage level data.
Preferably, in step S1, the vital sign data includes heart rate, blood pressure, and blood oxygen saturation.
Preferably, the classification rule base obtained in S3 includes a classification rating data table, a classification level table, and a corresponding classification display data table.
Preferably, the triage levels of the triage level table include level i, level ii, level iii, level iv and level v, and corresponding triage colors are set, wherein level i (red) is an endangered infant, level ii (orange) is a critical infant, level iii (yellow) is an acute infant, level iv (green) is a second-order acute infant, and level v (blue) is a non-acute infant, as shown in the triage level table of table 1;
TABLE 1
Preferably, the grading display data table corresponding to each triage level is as follows:
stage I: arranging the sick children to be arranged in a rescue room, and calling doctors to immediately take a treatment;
and II, stage: monitoring important vital signs immediately, arranging the sick children to make a first diagnosis and treatment, and arranging the sick children in a rescue room within 5 minutes;
grade III: the doctor is scheduled to be seen within 30 minutes;
IV stage: arranging to see a doctor according to the flow sequence of emergency treatment, arranging nurses to evaluate the illness state of the sick children waiting for the doctor every 30 minutes, and performing secondary triage if necessary;
and V stage: the outpatient service is recommended, and if the treatment in the emergency department is required, the patients can wait for the treatment according to the flow sequence of the emergency;
the triage rating data table is shown in table 2;
TABLE 2
Note: stage I: 0-3 points, II grade: 4-8 points, grade III: 9-11 points, IV grade: 12-13 points and 14-16 points of V grade.
Preferably, in step S4, a hierarchical display is performed as: and according to the triage level data, displaying the corresponding hierarchical display data table content by using a display screen, and calling by using a buzzer.
Example 2:
as shown in fig. 1, an emergency treatment pediatric five-stage grading triage system comprises an infant vital sign data acquisition subsystem, a data server, an emergency treatment grading triage core subsystem, a multimedia calling subsystem and a client server, wherein the infant vital sign data acquisition subsystem, the data server, the emergency treatment grading triage core subsystem and the multimedia calling subsystem are sequentially in communication connection, and the emergency treatment grading triage system is used for performing service series connection on an infant from pre-examination, triage grading, grading display and grading calling to form a service flow closed loop, so that triage efficiency is improved; the user side server is in communication connection with the data server; the data server provides a grading triage database and provides a multi-dimensional data report form to provide a data analysis basis for scientific research and optimization of the business process of departments.
Preferably, the data server comprises a hierarchical triage rule base; by customizing the grading triage rule base and continuously optimizing and adjusting the rule base, grading and triage grading are carried out according to the vital signs and the medical history of the children patients, so that the accuracy of pre-examination grading is improved;
an emergency pediatric five-level grading triage method is based on an emergency pediatric five-level grading triage system, the emergency pediatric five-level grading triage system comprises an infant vital sign data acquisition subsystem, a data server, an emergency grading triage core subsystem, a multimedia calling subsystem and a user side server, the data server comprises a grading triage rule base, and as shown in fig. 2, the method comprises the following steps:
s1: collecting the vital sign data of the infant by using a vital sign data collection subsystem of the infant;
s2: acquiring the medical history and disease information of the infant patient, and uploading the vital sign data, the medical history and the disease information to a data server;
s3: the emergency diagnosis grading and triage core subsystem is used for conducting triage grading on the sick children according to a grading and triage rule base in the data server, and triage grade data are sent to the multimedia calling subsystem and the data server;
s4: according to the triage level data, a multimedia calling subsystem is used for carrying out hierarchical display and hierarchical calling;
s5: using a client server to extract vital sign data, medical history and disease information corresponding to triage level data in a data server, and diagnosing the child patient corresponding to the current triage level data;
s6: and the user side server is used for receiving the diagnosis result data, uploading the diagnosis result data to the data server, and optimizing the grading triage rule base according to the diagnosis result data and the triage level data.
Preferably, in step S1, the vital sign data includes heart rate, blood pressure, and blood oxygen saturation.
Preferably, the classification rule base obtained in S3 includes a classification rating data table, a classification level table, and a corresponding classification display data table.
Preferably, the triage levels of the triage level table include level i, level ii, level iii, level iv and level v, and corresponding triage colors are set, wherein level i (red) is an endangered infant, level ii (orange) is a critical infant, level iii (yellow) is an acute infant, level iv (green) is a second-order acute infant, and level v (blue) is a non-acute infant, as shown in the triage level table of table 1;
TABLE 1
Preferably, the grading display data table corresponding to each triage level is as follows:
stage I: arranging the sick children to be arranged in a rescue room, and calling doctors to immediately take a treatment;
and II, stage: monitoring important vital signs immediately, arranging the sick children to make a first diagnosis and treatment, and arranging the sick children in a rescue room within 5 minutes;
grade III: the doctor is scheduled to be seen within 30 minutes;
IV stage: arranging to see a doctor according to the flow sequence of emergency treatment, arranging nurses to evaluate the illness state of the sick children waiting for the doctor every 30 minutes, and performing secondary triage if necessary;
and V stage: the outpatient service is recommended, and if the treatment in the emergency department is required, the patients can wait for the treatment according to the flow sequence of the emergency; the triage rating data table is shown in table 2;
TABLE 2
Note: stage I: 0-3 points, II grade: 4-8 points, grade III: 9-11 points, IV grade: 12-13 points and 14-16 points of V grade.
The invention is not limited to the above alternative embodiments, and any other various forms of products can be obtained by anyone in the light of the present invention, but any changes in shape or structure thereof, which fall within the scope of the present invention as defined in the claims, fall within the scope of the present invention.
Claims (9)
1. The utility model provides an emergency call paediatrics five grades of grading triage system which characterized in that: the system comprises an infant vital sign data acquisition subsystem, a data server, an emergency treatment grading triage core subsystem, a multimedia calling subsystem and a user side server, wherein the infant vital sign data acquisition subsystem, the data server, the emergency treatment grading triage core subsystem and the multimedia calling subsystem are sequentially in communication connection, and the user side server is in communication connection with the data server.
2. The emergency pediatric five-level triage system of claim 1, wherein: the data server comprises a hierarchical triage rule base.
3. The emergency pediatric five-level triage system of claim 1, wherein: the multimedia calling subsystem comprises a microcontroller, a communication module, a display screen and a buzzer, wherein the communication module is respectively in communication connection with the emergency treatment grading triage core subsystem and the microcontroller, and the microcontroller is respectively in communication connection with the display screen and the buzzer.
4. A five-stage grading and triage method for emergency treatment of pediatrics is characterized in that: based on an emergency pediatric five-level grading triage system, the emergency pediatric five-level grading triage system comprises a patient vital sign data acquisition subsystem, a data server, an emergency grading triage core subsystem, a multimedia calling subsystem and a user side server, the data server comprises a grading triage rule base, and the method comprises the following steps:
s1: collecting the vital sign data of the infant by using a vital sign data collection subsystem of the infant;
s2: acquiring the medical history and disease information of the infant patient, and uploading the vital sign data, the medical history and the disease information to a data server;
s3: the emergency diagnosis grading and triage core subsystem is used for conducting triage grading on the sick children according to a grading and triage rule base in the data server, and triage grade data are sent to the multimedia calling subsystem and the data server;
s4: according to the triage level data, a multimedia calling subsystem is used for carrying out hierarchical display and hierarchical calling;
s5: using a client server to extract vital sign data, medical history and disease information corresponding to triage level data in a data server, and diagnosing the child patient corresponding to the current triage level data;
s6: and the user side server is used for receiving the diagnosis result data, uploading the diagnosis result data to the data server, and optimizing the grading triage rule base according to the diagnosis result data and the triage level data.
5. The emergency pediatric five-level triage method according to claim 4, wherein: in step S1, the vital sign data includes heart rate, blood pressure, and blood oxygen saturation.
6. The emergency pediatric five-level triage method according to claim 4, wherein: the classification triage rule base obtained in the step S3 includes a triage rating data table, a triage level table and a corresponding classification display data table.
7. The emergency pediatric five-level triage method according to claim 6, wherein: the triage levels of the triage level table comprise a level I, a level II, a level III, a level IV and a level V.
8. The emergency pediatric five-level triage method according to claim 6, wherein: the grading display data table corresponding to each triage grade is as follows:
stage I: arranging the sick children to be arranged in a rescue room, and calling doctors to immediately take a treatment;
and II, stage: monitoring important vital signs immediately, arranging the sick children to make a first diagnosis and treatment, and arranging the sick children in a rescue room within 5 minutes;
grade III: the doctor is scheduled to be seen within 30 minutes;
IV stage: arranging to see a doctor according to the flow sequence of emergency treatment, arranging nurses to evaluate the illness state of the sick children waiting for the doctor every 30 minutes, and performing secondary triage if necessary;
and V stage: the clinic is recommended to see the doctor, and if the doctor is required to treat the disease in the emergency department, the doctor can wait for the doctor in the flow sequence of the emergency.
9. The emergency pediatric five-level triage method according to claim 6, wherein: in step S4, the hierarchical display is performed as: and according to the triage level data, displaying the corresponding hierarchical display data table content by using a display screen, and calling by using a buzzer.
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Application publication date: 20200110 |