CN111243716A - Three-party checking method for operating room - Google Patents
Three-party checking method for operating room Download PDFInfo
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- CN111243716A CN111243716A CN201911394093.XA CN201911394093A CN111243716A CN 111243716 A CN111243716 A CN 111243716A CN 201911394093 A CN201911394093 A CN 201911394093A CN 111243716 A CN111243716 A CN 111243716A
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- 238000000034 method Methods 0.000 title claims abstract description 27
- 206010002091 Anaesthesia Diseases 0.000 claims abstract description 54
- 230000037005 anaesthesia Effects 0.000 claims abstract description 54
- 230000000474 nursing effect Effects 0.000 claims abstract description 31
- 238000001356 surgical procedure Methods 0.000 claims abstract description 8
- 238000012795 verification Methods 0.000 claims description 11
- 238000013524 data verification Methods 0.000 claims description 9
- 238000007726 management method Methods 0.000 claims description 7
- 238000001949 anaesthesia Methods 0.000 claims description 3
- 230000002452 interceptive effect Effects 0.000 claims description 3
- 230000002980 postoperative effect Effects 0.000 claims description 3
- 238000012550 audit Methods 0.000 claims 6
- 230000008569 process Effects 0.000 description 3
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 230000000172 allergic effect Effects 0.000 description 1
- 229940124350 antibacterial drug Drugs 0.000 description 1
- 208000010668 atopic eczema Diseases 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000008092 positive effect Effects 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—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 operation of medical equipment or devices
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- Engineering & Computer Science (AREA)
- Business, Economics & Management (AREA)
- General Business, Economics & Management (AREA)
- Biomedical Technology (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Primary Health Care (AREA)
- Public Health (AREA)
- Medical Treatment And Welfare Office Work (AREA)
Abstract
The invention discloses an operating room three-party checking method, which comprises the following steps: based on an operating room intelligent management platform, the operating room intelligent management platform comprises a digital operating room subsystem, an anesthesia information subsystem, a nursing subsystem and a server with a storage database; according to the sequence before anesthesia is performed, before surgery is performed and after surgery is completed, three-party checking is initiated by an anesthesiologist, a surgeon and a nurse in sequence, and information needing to be checked each time is synchronously presented in the digital operating room subsystem and the anesthesia information subsystem; and in each check, the checked data is uploaded to the server, the server verifies whether the three-party data are consistent, if not, re-check is prompted, and if so, the check work is finished. In the invention, the three personnel respectively fill in the checking content in each checking, the data consistency is checked by the server, the operation checking flow is specified from the flow, and the checking time point can truly reflect the operation checking flow.
Description
Technical Field
The invention relates to a three-party checking method for an operating room.
Background
The operation safety check system is a system established for strengthening the management of medical institutions, guiding and standardizing the operation safety check work of the medical institutions and ensuring the medical quality and the medical safety.
According to the regulations, the operation safety check requires the operation of checking the patient's identity and the operation site and the like by three parties (hereinafter, referred to as three parties) including a qualified operating doctor, an anesthetist, and an operating room nurse before the anesthesia is performed, before the operation is started, and before the patient leaves the operating room.
Before anesthesia is performed: the three parties check the identity (name, sex, age and case number) of the patient, the operation mode, the informed consent condition, the operation part and identification, the anesthesia safety inspection, whether the skin is complete, the preparation of the skin in the operation field, the establishment of the venous channel, the allergic history of the patient, the skin test result of the antibacterial drug, the preoperative blood preparation condition, the prosthesis, the implant in vivo, the imaging data and the like in sequence according to the operation safety check table.
(II) before the operation is started: the three parties check the identity (name, sex and age), the operation mode, the operation part and the identification of the patient together, and confirm the contents of risk early warning and the like. The check of the readiness of the surgical article is performed by the operating room nurse and reported to the operating physician and anesthesiologist.
(III) before the patient leaves the operating room: the three parties check the identity (name, sex and age) of the patient, the actual operation mode, the checking of medicine and blood transfusion in the operation, counting the operation materials, confirming the operation specimen, checking the integrity of the skin, the arteriovenous access and the drainage tube, confirming the direction of the patient and the like.
And (IV) signing on an operation safety check list after the three parties confirm.
However, the existing operation safety check is finished by the conscious of an operator, an anesthesiologist and an operating room nurse, so that the quality problem exists in the operation safety check due to the factors of incomplete execution, short arrival, incomplete supervision and evaluation mechanism and the like, and some potential safety hazards are caused.
Disclosure of Invention
The invention aims to solve the problems in the prior art and provides an operating room three-party checking method capable of standardizing an operation checking process.
The technical scheme for realizing the aim of the invention is an operating room three-party checking method, which comprises the following steps:
based on an operating room intelligent management platform, the operating room intelligent management platform comprises a digital operating room subsystem, a anesthesia information subsystem, a nursing subsystem and a server with a storage database;
the digital operating room subsystem, the anesthesia information subsystem and the nursing subsystem respectively provide three-party checking interactive interfaces for surgeons, anesthetists and nurses;
according to the sequence before anesthesia is performed, before surgery is performed and after surgery is completed, three-party checking is initiated by an anesthesiologist, a surgeon and a nurse in sequence, and information needing to be checked each time is synchronously presented in the digital operating room subsystem and the anesthesia information subsystem; and in each check, the checked data is uploaded to the server, the server verifies whether the three-party data are consistent, if not, re-check is prompted, and if so, the check work is finished.
Preferably, in each check, all data uploaded to the server is stored in the database.
Preferably, the digital operating room subsystem collects and files audio and video data in the operating room and controls the shadowless lamp.
Specifically, the three-way check method before anesthesia is implemented includes:
the anesthesia information subsystem is switched into a patient, enters an operation state, and starts the digital operating room subsystem to carry out operating room panoramic video recording;
locking a screen of the anesthesia information subsystem, displaying the checking content required to be filled by the anesthesia doctor through a pop-up window, wherein the checking content synchronously appears in the nursing subsystem and the digital operating room subsystem, and a nurse and an operating doctor confirm the checking content to check for the first time;
and uploading the data checked by the anesthesiologist, the operating doctor and the nurse to the server for data verification respectively, and finishing the first three-party checking after the data are consistent.
The three-party checking method before operation implementation comprises the following steps:
after the first three-party check is finished, the anaesthetist starts the anaesthesia operation, and the server activates a button for turning on the shadowless lamp on the hanging screen to inform the operating doctor;
after the anesthesia is finished, the operating doctor clicks a button for turning on the shadowless lamp on the hanging screen;
the digital operating room subsystem on the hanging screen displays the content to be checked by the operating doctor, the checking content synchronously appears in the anesthesia information subsystem and the nursing subsystem, and the anesthesia doctor and the nurse confirm the checking content and perform secondary checking;
and uploading the data checked by the anesthesiologist, the operating doctor and the nurse to the server for data verification respectively, and finishing the third-party checking after the data are consistent.
The three-party checking method after the operation is completed comprises the following steps:
after the second three-party verification is finished, lightening a shadowless lamp and starting the operation;
after the operation is finished, the anaesthetist changes the state of the patient into the postoperative state, turns off the shadowless lamp and sends a notice to the nursing subsystem;
the screen of the nursing subsystem is locked, the checking content required to be filled by a nurse is displayed through a pop-up window, the checking content synchronously appears in the anesthesia information subsystem and the digital operating room subsystem, and the anesthesia doctor and the operating doctor confirm the checking content to perform secondary checking;
and uploading the data checked by the anesthesiologist, the operating doctor and the nurse to the server for data verification respectively, and finishing third-party checking after the data are consistent.
Preferably, after the three-party verification is completed, the digital operating room subsystem, the anesthesia information subsystem and the nursing subsystem respectively and automatically generate and print nursing sheets.
The invention has the positive effects that: (1) in the invention, the three personnel respectively fill in the checking content in each checking, the data consistency is checked by the server, the operation checking flow is specified from the flow, and the checking time point can truly reflect the operation checking flow.
(2) The method of the invention arranges the video recording device in the digital operating room to record the video in the whole process after entering the operating room, which can restore the real process and is convenient for supervision and examination.
(3) The data of each check of the invention is stored in the database, and the information of each check can be truly restored.
(4) The invention achieves the aim of compulsorily executing the check by controlling key equipment such as a screen lock, a shadowless lamp and the like.
Detailed Description
(example 1)
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention are clearly and completely described below, and it is obvious that the described embodiments are a part of the embodiments of the present invention, but not all of the embodiments.
In the description of the embodiments of the present invention, it should also be noted that, unless otherwise explicitly specified or limited, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those of ordinary skill in the art.
The operating room three-party checking method of the embodiment comprises the following steps:
based on an operating room intelligent management platform, the operating room intelligent management platform comprises a digital operating room subsystem, a anesthesia information subsystem, a nursing subsystem and a server with a storage database;
the digital operating room subsystem, the anesthesia information subsystem and the nursing subsystem respectively provide three-party checking interactive interfaces for surgeons, anesthetists and nurses;
according to the sequence before anesthesia is performed, before surgery is performed and after surgery is completed, three-party checking is initiated by an anesthesiologist, a surgeon and a nurse in sequence, and information needing to be checked each time is synchronously presented in the digital operating room subsystem and the anesthesia information subsystem; and in each check, the checked data is uploaded to the server, the server verifies whether the three-party data are consistent, if not, re-check is prompted, and if so, the check work is finished.
In order to truly restore and trace back, all data uploaded to the server in each check is stored in the database.
Preferably, the digital operating room subsystem collects and files audio and video data in the operating room and controls the shadowless lamp.
Specifically, the method comprises the following steps:
the anesthesia information subsystem is switched into a patient, enters an operation state, and starts the digital operating room subsystem to carry out operating room panoramic video recording;
locking a screen of the anesthesia information subsystem, displaying the checking content required to be filled by the anesthesia doctor through a pop-up window, wherein the checking content synchronously appears in the nursing subsystem and the digital operating room subsystem, and a nurse and an operating doctor confirm the checking content to check for the first time;
the data checked by the anesthesiologist, the operating doctor and the nurse are respectively uploaded to the server for data verification, and the first three-party check is completed after the data are consistent;
after the first three-party check is finished, the anaesthetist starts the anaesthesia operation, and the server activates a button for turning on the shadowless lamp on the hanging screen to inform the operating doctor;
after the anesthesia is finished, the operating doctor clicks a button for turning on the shadowless lamp on the hanging screen;
the digital operating room subsystem on the hanging screen displays the content to be checked by the operating doctor, the checking content synchronously appears in the anesthesia information subsystem and the nursing subsystem, and the anesthesia doctor and the nurse confirm the checking content and perform secondary checking;
the data checked by the anesthesiologist, the operating doctor and the nurse are respectively uploaded to the server for data verification, and the second three-party check is completed after the data are consistent;
after the second three-party verification is finished, lightening a shadowless lamp and starting the operation;
after the operation is finished, the anaesthetist changes the state of the patient into the postoperative state, turns off the shadowless lamp and sends a notice to the nursing subsystem;
the screen of the nursing subsystem is locked, the checking content required to be filled by a nurse is displayed through a pop-up window, the checking content synchronously appears in the anesthesia information subsystem and the digital operating room subsystem, and the anesthesia doctor and the operating doctor confirm the checking content to perform secondary checking;
the data checked by the anesthesiologist, the operating doctor and the nurse are respectively uploaded to the server for data verification, and the third-party checking is completed after the data are consistent;
the digital operating room subsystem, the anesthesia information subsystem and the nursing subsystem respectively and automatically generate and print a nursing sheet.
In the method, the data submitted to the server by the digital operating room subsystem, the anesthesia information subsystem and the nursing subsystem preferably adopts a JSON format, the formats are { "checking item 1": value 1 "," checking item 2 ": value 2" … … ", checking item n": value n "}, and the interface parameters of the server receiving the data contain the information of the submitter so as to distinguish the source of the data.
The data submitted to the server are sorted according to the set nursing sheet page display sequence, the pages of the nursing of the digital operating room subsystem, the anesthesia information subsystem and the nursing subsystem are the same, the data submitted by the three parties are guaranteed to have the same arrangement sequence, and verification is facilitated.
After the three-party personnel finish data submission, the data is verified, and the specific method for verifying comprises the following steps:
firstly, performing equal matching on character strings, judging whether check data character strings submitted by three parties are equal or not, and completing matching if the check data character strings are equal;
if the character strings are not equal, analyzing the JSON format data, and converting the JSON format data into a data dictionary;
selecting JSON data successfully submitted for the first time as an original matching item, and facilitating conversion of JSON data successfully submitted for the second time and the third time into a data dictionary;
removing data items with the same check item and the same value in the 3 data dictionaries, and reserving a difference item;
performing data organization on the difference items and pushing the difference items to a corresponding digital operating room subsystem or an anesthesia information subsystem or a nursing subsystem;
the digital operating room subsystem or the anesthesia information subsystem or the nursing subsystem which receives the pushed data marks the difference item and informs the other two subsystems of the submitted data result, and the three parties submit the verification again after rechecking until the verification is passed;
and after the verification data passes the verification, storing the verification data into a database for backtracking and retrieval.
The above-mentioned embodiments are intended to illustrate the objects, technical solutions and advantages of the present invention, and it should be understood that the above-mentioned embodiments are only exemplary embodiments of the present invention, and are not intended to limit the present invention, and any modifications, equivalents, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.
Claims (7)
1. An operating room three-party checking method is characterized by comprising the following steps:
based on an operating room intelligent management platform, the operating room intelligent management platform comprises a digital operating room subsystem, an anesthesia information subsystem, a nursing subsystem and a server with a storage database;
the digital operating room subsystem, the anesthesia information subsystem and the nursing subsystem respectively provide three-party checking interactive interfaces for surgeons, anesthetists and nurses;
according to the sequence before anesthesia is performed, before surgery is performed and after surgery is completed, three-party checking is initiated by an anesthesiologist, a surgeon and a nurse in sequence, and information needing to be checked each time is synchronously presented in the digital operating room subsystem and the anesthesia information subsystem; and in each check, the checked data is uploaded to the server, the server verifies whether the three-party data are consistent, if not, re-check is prompted, and if so, the check work is finished.
2. The operating room three-party audit method according to claim 1 wherein:
in each check, all the data uploaded to the server are stored in the database.
3. The operating room three-party audit method according to claim 2 wherein:
the digital operating room subsystem collects and files audio and video data in the operating room and controls the shadowless lamp.
4. The operating room three-party audit method according to claim 3 wherein:
the three-party checking method before anesthesia implementation comprises the following steps:
the anesthesia information subsystem is switched into a patient, enters an operation state, and starts the digital operating room subsystem to carry out operating room panoramic video recording;
locking a screen of the anesthesia information subsystem, displaying the checking content required to be filled by the anesthesia doctor through a pop-up window, synchronously displaying the checking content in the nursing subsystem and the digital operating room subsystem, confirming the checking content by nurses and the operating doctor, and performing first checking;
and uploading the data checked by the anesthesiologist, the operating doctor and the nurse to the server for data verification respectively, and finishing the first three-party checking after the data are consistent.
5. The operating room three-party audit method according to claim 4 wherein:
the three-party checking method before operation implementation comprises the following steps:
after the first three-party check is finished, the anaesthetist starts the anaesthesia operation, and the server activates a button for turning on the shadowless lamp on the hanging screen to inform the operating doctor;
after the anesthesia is finished, the operating doctor clicks a button for turning on the shadowless lamp on the hanging screen;
the digital operating room subsystem on the hanging screen displays the content to be checked by the operating doctor, the checking content synchronously appears in the anesthesia information subsystem and the nursing subsystem, and the anesthesia doctor and the nurse confirm the checking content and perform secondary checking;
and uploading the data checked by the anesthesiologist, the operating doctor and the nurse to the server for data verification respectively, and finishing the third-party checking after the data are consistent.
6. The operating room three-party audit method according to claim 5 wherein:
the three-party checking method after the operation is completed comprises the following steps:
after the second three-party verification is finished, lightening a shadowless lamp and starting the operation;
after the operation is finished, the anaesthetist changes the state of the patient into the postoperative state, turns off the shadowless lamp and sends a notice to the nursing subsystem;
the screen of the nursing subsystem is locked, the checking content required to be filled by a nurse is displayed through a pop-up window, the checking content synchronously appears in the anesthesia information subsystem and the digital operating room subsystem, and the anesthesia doctor and the operating doctor confirm the checking content and carry out secondary checking;
and uploading the data checked by the anesthesiologist, the operating doctor and the nurse to the server for data verification respectively, and finishing third-party checking after the data are consistent.
7. The operating room three-party audit method according to any one of claims 1-6 further including:
after the three-party verification is completed, the digital operating room subsystem, the anesthesia information subsystem and the nursing subsystem respectively and automatically generate and print a nursing sheet.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201911394093.XA CN111243716A (en) | 2019-12-30 | 2019-12-30 | Three-party checking method for operating room |
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| CN201911394093.XA CN111243716A (en) | 2019-12-30 | 2019-12-30 | Three-party checking method for operating room |
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Cited By (4)
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| CN112509678A (en) * | 2020-12-01 | 2021-03-16 | 郭文军 | Anesthesia information management system and courtyard comprehensive information management system |
| CN112614575A (en) * | 2020-12-25 | 2021-04-06 | 宜昌市中心人民医院(三峡大学第一临床医学院、三峡大学附属中心人民医院) | Treatment process compliance confirmation method |
| CN112635036A (en) * | 2021-03-10 | 2021-04-09 | 白杨智慧医疗信息科技(北京)有限公司 | Medical information intelligent display method and system with automatic role recognition function |
| CN113012787A (en) * | 2021-03-01 | 2021-06-22 | 白杨智慧医疗信息科技(北京)有限公司 | Operation process management method and system |
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