CN110689936A - Hospital emergency value management system - Google Patents
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- CN110689936A CN110689936A CN201910944763.4A CN201910944763A CN110689936A CN 110689936 A CN110689936 A CN 110689936A CN 201910944763 A CN201910944763 A CN 201910944763A CN 110689936 A CN110689936 A CN 110689936A
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- G—PHYSICS
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- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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Abstract
The invention relates to the field of clinical critical value management, in particular to a hospital critical value management system, which aims to solve the problem that the work of doctors is increased due to the fact that a critical value standard is inconsistent with the actual clinical situation and comprises a database, wherein the critical value standard is stored in the database; the receiving module is used for receiving the inspection and check result; the processing module is used for identifying the critical value according to the received inspection and examination result and sending critical value warning information; wherein: the receiving module is also used for receiving the critical value feedback information; the statistical module is used for carrying out statistics on the similar emergency value feedback information to obtain a statistical value, and a statistical threshold value is stored in the database; the feedback module generates critical value revision application information and pushes the information to the medical department when the statistical value exceeds the statistical threshold; the receiving module is also used for receiving the emergency value revision information, and the revision module revises the emergency value standard according to the received emergency value revision information.
Description
Technical Field
The invention relates to the field of clinical critical value management, in particular to a hospital critical value management system.
Background
The critical value refers to an abnormal result of some item or some kind of inspection and examination, and when the abnormal result of the inspection and examination appears, it indicates that the patient may be in a life-threatening marginal state, and the clinician needs to obtain the inspection and examination information in time, and quickly give effective intervention measures or treatment to the patient, so that the patient may be saved, otherwise, serious consequences may occur, and the best rescue opportunity is lost. At present, the current processing flow of clinical critical values mainly comprises the following steps: 1. after the inspection staff or the related staff obtain the critical value, the clinical medical staff is informed through the telephone or the network; 2. after receiving the notification, the clinical medical staff notifies a corresponding doctor or nurse in charge of the treatment; 3. after receiving the notification, the doctor or nurse in charge takes corresponding measures according to the clinical conditions of the corresponding patient so as to ensure that the patient is timely treated.
However, in the current critical value processing process, since the critical value is determined according to the determined critical value standard, that is, the inspection result satisfies the critical value criterion, it is determined that the inspection result belongs to the critical value, and the determined critical value is generally established according to most clinical situations, and therefore, in practical situations, there may be phenomena that do not correspond to the actual clinical situation, such as for some patients with blood diseases, under normal circumstances, the number of leukocytes is always at a critical value, and according to the critical value management regulations, clinical staff need to be informed to deal with the critical value once it appears, this increases the work of the clinical staff, and, considering that the clinical staff has limited hands, in the case of multiple critical patient situations, such "false" critical situations can have an impact on the proper functioning of the clinical personnel.
Disclosure of Invention
The invention aims to provide a hospital critical value management system to solve the problem that the work of clinical staff is increased due to the fact that the critical value standard does not accord with the actual clinical situation at present.
The basic scheme provided by the invention is as follows: the hospital critical value management system comprises a database, a database and a database, wherein the database stores critical value standards of various diseases;
the receiving module is used for receiving the inspection and examination result sent by the inspection and examination personnel;
the processing module is used for comparing the received inspection result with a corresponding critical value standard and sending critical value warning information to clinical medical staff when the inspection result is identified to belong to the critical value;
the receiving module is also used for receiving the receiving confirmation information of the clinical medical staff;
wherein: the receiving module is also used for receiving the critical value feedback information of the doctor;
the system also comprises a statistic module used for carrying out statistics on the similar emergency value feedback information and obtaining a statistic value, and a statistic threshold value is stored in the database;
the feedback module generates critical value revision application information and pushes the information to the medical department when the statistical value exceeds the statistical threshold;
the revision module is also used for receiving the revision information of the critical value of the medical department, and revises the critical value standard according to the received revision information of the critical value.
The basic scheme has the working principle and the beneficial effects that: compared with the existing critical value processing process, the scheme is also provided with a receiving module for receiving the critical value feedback information, when a critical value is generated, a doctor finds that the patient is not in a critical state in the actual clinical situation in the processing process, namely for the patient, the critical value at the moment belongs to a 'false' critical value, therefore, the doctor sends the critical value feedback information, after the receiving module receives the critical value feedback information, the critical value standard is not suitable for the patient, then the statistic module carries out statistics on the critical value feedback information, if the statistic value of the same type of critical value feedback information is larger than the statistic threshold value, the corresponding critical value standard is not suitable for the patients exceeding a certain number, namely for the type of patients, in order to improve the accuracy of the critical value standard, the critical value standard needs to be modified, at the moment, the feedback module generates critical value revision application information, and after the medical department receives the critical value revision application information, the medical department can organize relevant personnel to modify the corresponding critical value standard according to the critical value revision application information, so that the accuracy of the critical value standard is ensured, the problem that the workload of clinical personnel is increased due to the 'false' critical value condition can be reduced, and the working effectiveness of the clinical personnel is improved.
The first preferred scheme is as follows: preferably, when the processing module identifies that the inspection and inspection result belongs to the critical value, the processing module sends critical value judgment information to inspection and inspection personnel; the receiving module is also used for receiving the critical value determining information of the inspection personnel, and the processing module sends the critical value warning information after the receiving module receives the critical value determining information. Has the advantages that: considering that the generation of the critical value may be caused by external factors such as the occurrence of faults of instruments and equipment in the inspection and examination process, incorrect inspection and examination operation or errors of inspection and examination samples, a critical value confirmation step is added in the scheme, when the generation of the critical value is recognized, critical value judgment information is sent to inspection and examination personnel to remind relevant personnel to check the critical value, if the critical value is found to be accurate after the checking, the processing module sends critical value warning information to clinical medical personnel to inform the clinical medical personnel, and the problem that the workload of the clinical personnel is increased due to the occurrence of false critical values caused by some external factors can be solved.
The preferred scheme II is as follows: preferably, the system further comprises a timing module for timing the time spent by the processing module for sending the critical value warning message to the receiving module for receiving the receiving confirmation message and generating the confirmation time. Has the advantages that: in the scheme, the timing module is arranged to generate the confirmation time, and the confirmation time represents the time consumed from the occurrence of the critical value to the processing of the clinical medical staff, so that the confirmation time can be used as an assessment index for the work of the clinical medical staff, and the shorter the confirmation time is, the faster the processing efficiency of the clinical medical staff is, and the work of the clinical medical staff can be supervised and urged.
The preferable scheme is three: preferably, the database stores a time threshold, and the processing module sends a warning message to the clinical staff when the counted confirmation time exceeds the time threshold. Has the advantages that: when the confirmation time exceeds the time threshold, the processing efficiency of the critical value is indicated to be too slow, so that the processing module is further arranged in the scheme to send warning information to clinical medical staff to warn the medical staff that the processing efficiency needs to be improved.
The preferable scheme is four: preferably, when the processing module sends the critical value warning information, the timing module starts and generates timing information, and when the timing information is greater than a time threshold, the processing module sends unconfirmed prompt information to the inspection and examination department. Has the advantages that: in order to ensure that the patient can be timely rescued after the critical value is generated, in the scheme, the timing module also generates timing information, when the timing information is greater than a time threshold, the critical value condition is not processed within a specified time, at the moment, the processing module sends unconfirmed prompt information to the inspection and examination department to prompt the inspection staff that the critical value condition is not processed by the clinical medical staff, the inspection staff needs to manually inform the corresponding clinical medical staff to process the critical value condition, and if the critical value condition is informed to the clinical medical staff in a telephone informing mode, the critical value condition can be timely processed.
The preferable scheme is five: preferably, the receiving module is further configured to receive criticality negation information sent by the inspection and inspection personnel, the database stores negation threshold values, the counting module is further configured to count the criticality negation information of the corresponding inspection and inspection personnel and generate negation values, and the processing module sends inspection and inspection warning information to the inspection and inspection personnel when the negation values are greater than the negation threshold values. Has the advantages that: when the negative value is larger than the negative threshold value, the critical values exceeding a certain number in the critical values detected by the inspection and inspection personnel belong to error critical values which appear under the condition of errors.
The preferable scheme is six: preferably, when the negative value is greater than the negative threshold, the processing module is further configured to send the test examination evaluation reference information of the test examination person to the medical department. Has the advantages that: in the scheme, when a negative value is greater than a negative threshold value, the test examination evaluation reference information is also sent to the medical department, so that reference is provided for the medical department to examine the test examination staff, and the medical department can conveniently and comprehensively examine the test examination staff.
The preferable scheme is seven: preferably, the receiving module is further configured to receive a critical value processing report of the doctor, the critical value processing report includes a processing measure and an effect evaluation, and the database stores the critical value processing report. Has the advantages that: according to the scheme, the critical value processing report of the doctor is received and stored, so that the doctor can be conveniently examined by a medical department, and meanwhile, the corresponding critical value can be conveniently researched through the stored processing measures and effect evaluation.
The preferable scheme is eight: as the optimization of the basic scheme, when the statistical value does not exceed the statistical threshold, the feedback module generates personalized critical value revision application information and pushes the information to the medical department. Has the advantages that: considering that the critical value standard is not suitable for only one or a few patients with special conditions, if the critical value standard is not suitable to be modified, but if the critical value standard is not suitable to be modified, the situation that the doctor is tired of the 'false' critical value occurs, therefore, in the scheme, when the statistical value does not exceed the statistical threshold value, the feedback module generates personalized critical value revision application information, the situation that the doctor is tired of the 'false' critical value is reduced by setting the personalized critical value, and the workload of the doctor is reduced.
The preferable scheme is nine: preferably, the receiving module is further configured to receive emergency value non-reporting feedback information sent by the clinical medical staff, and the processing module generates the emergency value non-reporting information of the inspection staff according to the emergency value non-reporting feedback information and pushes the information to the medical department. Has the advantages that: considering that the reason that the clinical medical staff fails to process the critical value condition within the time threshold may be that the clinical medical staff does not receive corresponding critical value warning information, the receiving module is further arranged in the scheme to receive the non-reported critical value feedback information, and the processing module pushes the non-reported critical value information to the medical department, so that reference is provided for the medical department to check the checking staff, and the medical department can check the checking staff more comprehensively.
Drawings
Fig. 1 is a flowchart of a hospital critical value management system according to a first embodiment of the present invention.
Detailed Description
The following is further detailed by way of specific embodiments:
example one
An embodiment substantially as shown in figure 1: the hospital critical value management system comprises a database, a database and a database, wherein the database stores critical value standards of various diseases;
the receiving module is used for receiving inspection results sent by inspection inspectors and emergency value processing reports of doctors, the emergency value processing reports comprise processing measures and effect evaluation, and the database stores the emergency value processing reports;
the processing module is used for comparing the received inspection result with a corresponding critical value standard and sending critical value judgment information to inspection inspectors when the inspection result is identified to belong to the critical value; the receiving module is also used for receiving the critical value determination information of the inspection personnel, and after the receiving module receives the critical value determination information, the processing module sends critical value warning information to the clinical medical personnel;
the receiving module is also used for receiving the receiving confirmation information of the clinical medical staff and the critical value feedback information of the doctor; the system is also used for receiving the negative information of the critical value sent by the inspection personnel;
the statistical module is used for counting the similar critical value feedback information and obtaining a statistical value, a statistical threshold value and a negative threshold value are stored in the database, the statistical module is also used for counting the critical value negative information of corresponding inspection personnel and generating a negative value, and when the negative value is greater than the negative threshold value, the processing module sends inspection warning information to the inspection personnel and sends inspection evaluation reference information of the inspection personnel to the medical department;
the feedback module generates critical value revision application information and pushes the information to the medical department when the statistical value exceeds the statistical threshold; when the statistical value does not exceed the statistical threshold, the feedback module generates personalized critical value revision application information and pushes the information to the medical department;
the revision module is also used for receiving the revision information of the critical value of the medical department, and revises the critical value standard according to the received revision information of the critical value;
the timing module is used for timing the time consumed by the processing module for sending the critical value warning information to the receiving module for receiving the receiving confirmation information and generating the confirmation time, a time threshold is stored in the database, and when the counted confirmation time exceeds the time threshold, the processing module sends warning information to clinical medical staff; when the processing module sends critical value warning information, the timing module starts and generates timing information, and when the timing information is larger than a time threshold, the processing module sends unconfirmed prompt information to the inspection and examination department;
the receiving module is also used for receiving the emergency value non-reporting feedback information sent by the clinical medical staff, and the processing module generates the emergency value non-reporting information of the inspection staff according to the emergency value non-reporting feedback information and pushes the information to the medical department.
The specific implementation process is as follows: in the hospital critical value management system used in a certain hospital, the critical value standard about creatinine in the critical value standards stored in the database is assumed to be 'high value is more than or equal to 500 mu mol/L', namely when the creatinine value of a patient is higher than 500 mu mol/L through inspection, the patient is indicated to be in a critical state.
Description of the drawings: this application hospital critical value management system not only is limited to the inspection branch of academic or vocational study, can also be applied to other inspection departments, for the convenience of explanation, uses inspection branch of academic or vocational study as the example in this application.
Assuming that the creatinine value of the patient is 600 μmol/L, the receiving module receives the inspection result, and since 600 μmol/L is higher than the creatinine value, the identifying module identifies that the inspection result belongs to a critical value, at this time, the receiving module sends critical value judgment information to the inspection staff, after the inspection staff receives the critical value judgment information, the inspection staff performs rechecking on the inspection result, including confirming whether the instrument, equipment and inspection process are correct, if the check result is influenced by external factors, such as instrument fault, that is, the inspection result is wrong, at this time, the inspection staff sends critical value negative information, the statistical module counts the critical value negative information sent by the inspection staff, and the generated negative value indicates the number of times of the inspection staff having inspection errors, if the negative value of the checking and examining personnel is counted to be "12", which indicates that the checking and examining personnel has performed 12 checking and examining errors, the negative threshold value stored in the database is set to be "10", and after the counting module counts that the negative value of the checking and examining personnel is greater than "10", checking and examining warning information is sent to the checking and examining personnel to warn the checking and examining personnel to need more careful attention during the checking and examining process, and checking and examining evaluation reference information of the checking and examining personnel is sent to the medical department for the medical department to refer to when the checking and examining personnel.
After the checking and examining personnel recheck the checking and examining result, the checking and examining result is determined to be correct, at the moment, the checking and examining personnel sends critical value determining information, the processing module sends critical value warning information to corresponding clinical personnel, after the clinical medical personnel receive the critical value warning information, the clinical medical personnel send receiving confirmation information to indicate that the critical value warning information is received, then the clinical medical personnel inform corresponding doctors to process the critical value condition, after the doctors complete the processing, a critical value processing report is sent, and the database stores the critical value processing report so as to be consulted and researched.
If the critical value condition is handled by the doctor, the patient is found not to have the critical condition, if the patient is a uremia patient, the checking and checking value of creatinine is often higher than the critical value range due to the characteristics of the disease of the patient, so that the patient cannot be considered to belong to the critical value condition even if the checking and checking result exceeds the critical value range, at the moment, the doctor sends critical value feedback information, and the statistical module carries out statistics on the critical value feedback information sent by the doctor; when the statistic value of the similar critical value feedback information exceeds a set statistic threshold value, if the critical value feedback information of 20 uremia patients is counted, and the set statistic threshold value is 15, the critical value about creatinine of the uremia patients in the existing critical value standard is indicated to be inapplicable, at the moment, the feedback module generates critical value revision application information and pushes the critical value revision application information to a medical department, the medical department can organize related personnel to revise the critical value after receiving the critical value revision application information, the receiving module receives the critical value revision information after the corresponding critical value is revised under the determination, and the revision module revises the critical value standard so as to improve the accuracy of the critical value standard; if the critical value feedback information of only 7 uremic patients is counted, the critical value about creatinine of the uremic patients in the existing critical value standard is not applicable to a few uremic patients, at the moment, the feedback module generates personalized critical value revision application information and pushes the personalized critical value revision application information to the medical department, the medical department determines personalized critical values for the uremic patients and the revision module finishes revising, and the identification module identifies the inspection and examination results of the patients according to the revised personalized critical values.
Considering that the reason that the clinical medical staff does not receive critical value warning information when overtime processing is carried out is probably because the critical value warning information is not received, namely the fault responsibility belongs to the checking and examining staff, the clinical medical staff can send the non-critical value reporting feedback information, the processing module generates the non-critical value reporting information of the checking and examining staff according to the non-critical value reporting feedback information and pushes the non-critical value reporting information to the medical department, reference is provided for the medical department to check the checking and examining staff, and the medical department can conveniently carry out more comprehensive check on the checking and examining staff.
Example two
In order to ensure that the critical value condition can be processed in time, a timing module is also arranged. After the processing module sends the critical value warning information, the timing module starts to time, and generates timing information, a time threshold value is set to be 5 minutes, namely, the fact that clinical medical staff need to confirm the critical value warning information within five minutes of sending the critical value warning information is shown, if the timing information is larger than the time threshold value, namely, after the critical value warning information is sent for five minutes, no clinical medical staff still confirms, at the moment, the processing module sends unconfirmed prompt information to the inspection and examination department, when relevant staff of the inspection and examination department receives the unconfirmed prompt information, the clinical medical staff need to be manually notified, for example, a telephone notifies the clinical medical staff to process, and therefore the critical value condition can be timely processed; at the moment, the clinical medical staff sends and receives confirmation information, the timing module generates confirmation time, if the clinical medical staff receives the telephone of the inspection and examination staff after sending out the emergency value warning information for six minutes and confirms, the confirmation time is 'six minutes', the time threshold is exceeded, the processing module sends the warning information to the clinical medical staff, and after the clinical medical staff receives the warning information, the processing efficiency needs to be accelerated.
EXAMPLE III
In this embodiment, the same type of critical value means that the patients with the critical value belong to the same type according to the disease type, age, sex and department of the patient, for example, the four generated critical value patients are shown in the following table.
| Patient's health | Age (age) | Sex | Department's office | Disease species |
| A | X1 | Woman | K | K1 |
| B | X2 | Woman | K | K1 |
| C | X3 | For male | L | L1 |
| D | X4 | For male | K | K2 |
Setting the critical value of the patient A and the patient B in the same age group, wherein the critical value of the patient A and the critical value of the patient B belong to the same type of critical value, and if the critical value of the patient A and the critical value of the patient B are influenced by the sex, the critical value of the patient A and the critical value of the patient B belong to different types of critical values; by analogy, more accurate generation of personalized critical value revision application information is realized by counting similar critical values according to different indexes, so that accurate management of the critical values is guaranteed.
The foregoing is merely an example of the present invention, and common general knowledge in the field of known specific structures and characteristics is not described herein in any greater extent than that known in the art at the filing date or prior to the priority date of the application, so that those skilled in the art can now appreciate that all of the above-described techniques in this field and have the ability to apply routine experimentation before this date can be combined with one or more of the present teachings to complete and implement the present invention, and that certain typical known structures or known methods do not pose any impediments to the implementation of the present invention by those skilled in the art. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.
Claims (10)
1. The hospital critical value management system comprises a database, a database and a database, wherein the database stores critical value standards of various diseases;
the receiving module is used for receiving the inspection and examination result sent by the inspection and examination personnel;
the processing module is used for comparing the received inspection result with a corresponding critical value standard and sending critical value warning information to clinical medical staff when the inspection result is identified to belong to the critical value;
the receiving module is also used for receiving the receiving confirmation information of the clinical medical staff;
the method is characterized in that: the receiving module is also used for receiving the critical value feedback information of the doctor;
the system also comprises a statistic module used for carrying out statistics on the similar emergency value feedback information and obtaining a statistic value, wherein a statistic threshold value is stored in the database;
the feedback module generates critical value revision application information and pushes the information to a medical department when the statistical value exceeds the statistical threshold;
the revision module is further used for receiving the critical value revision information of the medical department, and the revision module revises the critical value standard according to the received critical value revision information.
2. The hospital critical value management system of claim 1, wherein: the processing module sends critical value judgment information to the inspection and inspection personnel when recognizing that the inspection and inspection result belongs to the critical value; the receiving module is also used for receiving the critical value determining information of the inspection personnel, and after the receiving module receives the critical value determining information, the processing module sends the critical value warning information.
3. The hospital critical value management system of claim 1, wherein: the system also comprises a timing module used for timing the time consumed by the processing module for sending the critical value warning information to the receiving module for receiving the receiving confirmation information and generating the confirmation time.
4. The hospital critical value management system of claim 3, wherein: the database stores a time threshold and the processing module sends a warning message to the clinical medical staff when the counted validation time exceeds the time threshold.
5. The hospital critical value management system of claim 4, wherein: when the processing module sends critical value warning information, the timing module is started and generates timing information, and when the timing information is larger than the time threshold, the processing module sends unconfirmed prompt information to the inspection and examination department.
6. The hospital critical value management system according to claim 2, characterized in that: the receiving module is further used for receiving the negative information of the critical value sent by the inspection and inspection personnel, the database stores a negative threshold value, the counting module is further used for counting the negative information of the critical value of the corresponding inspection and inspection personnel and generating a negative value, and the processing module sends inspection and inspection warning information to the inspection and inspection personnel when the negative value is greater than the negative threshold value.
7. The hospital critical value management system of claim 6, wherein: when the negative value is larger than the negative threshold value, the processing module is further used for sending the examination and examination evaluation reference information of the examination and examination personnel to the medical department.
8. The hospital critical value management system of claim 1, wherein: the receiving module is also used for receiving a critical value processing report of a doctor, the critical value processing report comprises processing measures and effect evaluation, and the database stores the critical value processing report.
9. The hospital critical value management system of claim 1, wherein: and when the statistical value does not exceed the statistical threshold value, the feedback module generates personalized critical value revision application information and pushes the information to a medical department.
10. The hospital critical value management system of claim 4, wherein: the receiving module is further used for receiving emergency value non-reporting feedback information sent by clinical medical staff, and the processing module generates the emergency value non-reporting information of the inspection staff according to the emergency value non-reporting feedback information and pushes the emergency value non-reporting information to the medical department.
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| CN115954097B (en) * | 2022-09-26 | 2024-07-09 | 深圳市花生数字多媒体有限公司 | Medical auxiliary device based on virtual reality technology and control system thereof |
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