CN111243720B - Clinical path management system with medical staff quantity adjustment reminding function - Google Patents
Clinical path management system with medical staff quantity adjustment reminding function Download PDFInfo
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Abstract
The invention provides a clinical path management system with a medical staff number adjustment reminding function, which comprises a background server and at least two medical care terminals, wherein the medical care terminals are used for selecting an adaptive clinical path module in a standard clinical path list to establish an actual clinical path of a patient according to the disease type of an actual case of the patient; the system is used for recording implementation results of each diagnosis and treatment stage in a standard clinical path in the actual case implementation; the system is also used for acquiring an implementation result and sending a variation time node corresponding to variation information caused by a small number of medical staff to the background server when the implementation result is determined to be varied; the background server divides the variation time nodes of the hospital into a plurality of variation time node groups, calculates the ratio of the number of the variation time nodes corresponding to a certain variation time node group of the hospital to the number of all the variation time nodes of the hospital, and displays the ratio in a size sorting mode, so that the function of reminding medical staff number adjustment is realized.
Description
Technical Field
The invention relates to a clinical path management system, in particular to a clinical path management system with a medical staff number adjustment reminding function.
Background
The existing personnel number of hospital departments is not set reasonably, and the phenomenon that the patient treatment time is delayed due to long queuing in the treatment process is easily caused. Sometimes, the patient misses the golden time for seeing a doctor, which is very unfavorable for the treatment of the disease condition of the patient.
Disclosure of Invention
The invention provides a clinical path management system with a medical staff number adjustment reminding function, which at least solves the problems that the existing staff number setting of a hospital department is unreasonable, the queuing is long in the patient treatment process, and the patient treatment time is delayed.
The invention provides a clinical path management system with a medical staff number adjustment reminding function, which comprises a background server and at least two medical care terminals, wherein the at least two medical care terminals are arranged in different hospitals; wherein the content of the first and second substances,
the medical care terminal comprises:
the clinical path control module is used for selecting an adaptive clinical path module from the standard clinical path list to establish an actual clinical path of the patient according to the disease type of the actual case of the patient;
the example management module is used for recording implementation results of each diagnosis and treatment stage in a standard clinical path in the actual case implementation;
the flow management module is used for acquiring the implementation result, judging whether the actual case is imported from a previous diagnosis and treatment stage to a next diagnosis and treatment stage according to the implementation result, comparing the implementation result with a corresponding standard diagnosis and treatment result, and sending variation time nodes corresponding to variation information caused by a small number of medical staff to a background server when the implementation result is determined to be varied;
the background server comprises:
the receiving and grouping module is used for receiving the variation time nodes and grouping the variation time nodes according to different hospitals; and then aiming at each hospital, grouping the variation time nodes of the hospital into a plurality of variation time node groups according to the following steps: if the medical staff involved in one or more variant time nodes are completed by the same batch of people, the one or more variant time nodes are used as a variant time node group;
the calculation module is used for calculating the ratio of the number of the variation time nodes corresponding to a certain variation time node group of each hospital to the number of all the variation time nodes of the hospital;
and the display module is used for displaying the ratio of the number of the variation time nodes corresponding to the certain variation time node group of each hospital to the number of all the variation time nodes of the hospital in a size sorting way.
Further, the display module is further configured to display the ratio of the number of the variant time nodes corresponding to all the variant time node groups of a certain hospital to the number of all the variant time nodes of the hospital in a size sorting manner.
Further, the background server further comprises:
the reminding module is used for judging the number of medical staff related to the variation node group of which hospital needs to be increased according to the proportion of the number of the variation time nodes corresponding to the variation time node group of each hospital in the number of all the variation time nodes of the hospital and generating reminding information related to the increase of the medical staff; the medical staff number judgment system is further used for conducting size sequencing according to the proportion of the number of the variation time nodes corresponding to all the variation time node groups of a certain hospital to the number of all the variation time nodes of the hospital, judging which variation time node groups relate to the number which needs to be increased, and generating reminding information related to the increase of the medical staff.
Further, the background server further includes a path management terminal, and the path management terminal includes:
the authority management module is used for setting and managing the user authority of the standard clinical path list and maintaining the user authority of the standard clinical path list;
the parameter configuration module is used for performing parameter configuration on a newly-built standard clinical path when the standard clinical path is newly built in the standard clinical path list;
the path quality control module is used for monitoring and recording the implementation condition and the implementation result of each standard clinical path implemented by the executing instance, storing the implementation condition and the implementation result into the background server, and generating a corresponding quality control condition table after the implementation of one standard clinical path is finished;
and the statistical module is used for acquiring and counting variation information implemented by the examples in the standard clinical path, determining whether the variation modifies the configuration parameters of the corresponding standard clinical path or adjusting at least one variation of Chinese medicine diagnosis and treatment activities, western medicine diagnosis and treatment activities and key medical advice activities in diagnosis and treatment stages related to the variation in the standard clinical path.
The invention provides a clinical path management system with a medical staff number adjustment reminding function, aiming at patients adopting clinical path treatment, the clinical path management system is utilized to send variation time nodes corresponding to variation information caused by small number of medical staff to a background server, the background server groups the variation time nodes according to different hospitals, and the variation time nodes of each hospital are grouped into a plurality of variation time node groups according to different hospitals, then, aiming at each hospital, the proportion of the number of the variation time nodes corresponding to a certain variation time node group of the hospital to the number of all the variation time nodes of the hospital is calculated, finally, the proportion of the number of the variation time nodes corresponding to the certain variation time node group of each hospital to the number of all the variation time nodes of the hospital is displayed in a size sorting mode, after the background staff sees the size sorting mode, the number of the medical staff related to the variation node group of which hospitals needs to be increased, which medical staff related to the variation time node group of the hospital needs to be increased, which medical staff related to the number of the variation time nodes of the hospital needs to be increased, and the problem that the number of the medical staff related to the current hospital is increased by the medical staff is not related to the problem that the current hospital is delayed in the number of the patient is set up is solved. Meanwhile, the invention utilizes the existing clinical pathway management system, and the technical effect can be realized by improving the existing clinical pathway management system, and the cost is lower.
Drawings
FIG. 1 is a system configuration diagram of a clinical pathway management system with a medical staff quantity adjustment reminding function according to the present invention;
FIG. 2 is a functional block diagram of the healthcare terminal shown in FIG. 1;
FIG. 3 is a functional block diagram of the backend server shown in FIG. 1;
fig. 4 is a functional block diagram of the path management terminal shown in fig. 3.
Detailed Description
In order to make the technical solutions in the embodiments of the present invention better understood and make the above objects, features and advantages of the embodiments of the present invention more comprehensible, the technical solutions in the embodiments of the present invention are described in further detail below with reference to the accompanying drawings.
As shown in fig. 1 to 3, the clinical pathway management system with a function of adjusting the number of medical staff provided by the present invention includes a background server and at least two medical care terminals, wherein the at least two medical care terminals are disposed in different hospitals; wherein the content of the first and second substances,
the medical care terminal comprises:
the clinical path control module is used for selecting an adaptive clinical path module from the standard clinical path list to establish an actual clinical path of the patient according to the disease type of the actual case of the patient;
the example management module is used for recording implementation results of each diagnosis and treatment stage in a standard clinical path in the actual case implementation;
the flow management module is used for acquiring the implementation result, judging whether the actual case is imported from a previous diagnosis and treatment stage to a next diagnosis and treatment stage according to the implementation result, comparing the implementation result with a corresponding standard diagnosis and treatment result, and sending variation time nodes corresponding to variation information caused by a small number of medical staff to a background server when the implementation result is determined to be varied;
the background server comprises:
the receiving and grouping module is used for receiving the variation time nodes and grouping the variation time nodes according to different hospitals; and then aiming at each hospital, grouping the variation time nodes of the hospital into a plurality of variation time node groups according to the following steps: if the medical staff involved in one or more variant time nodes are completed by the same batch of people, the one or more variant time nodes are used as a variant time node group;
the calculation module is used for calculating the ratio of the number of the variation time nodes corresponding to a certain variation time node group of each hospital to the number of all the variation time nodes of the hospital;
and the display module is used for displaying the ratio of the number of the variation time nodes corresponding to the certain variation time node group of each hospital to the number of all the variation time nodes of the hospital in a size sorting way.
In the invention, the background server and the medical care terminal perform data exchange communication.
The flow management module compares the implementation result with a corresponding standard diagnosis and treatment result, and sends variation time nodes corresponding to variation information caused by a small number of medical workers to the background server when determining that the implementation result is varied;
the background server groups the received variation time nodes according to different hospitals, and then groups the variation time nodes of the hospital into a plurality of variation time node groups according to the following grouping basis: and if the medical staff involved in one or more variant time nodes are completed by the same batch of people, using the one or more variant time nodes as a variant time node group. Specifically, the background server firstly groups the received variation time nodes into variation time nodes of hospital A, variation time nodes of hospital B and variation time nodes of hospital C \8230, 8230, and then respectively groups the variation time nodes of hospital A, hospital B and hospital C \8230, 8230. The variable time node groupings are the same for each hospital. For example, the time variation nodes of the hospital A are grouped, the time variation nodes of the hospital A comprise a node a, a node b, a node c and a node d, the node a is completed by Zhang III and Lile IV, the node b is completed by Wang V, the node c is completed by Wang V, and the node d is completed by Chen VI, so that the node a should be used as a time variation node group a, the nodes b and c are used as a time variation node group b, and the node d is used as a time variation node group c. Then, calculating the ratio of the number of the variation time nodes corresponding to the variation time node groups a, b and c to the number of all the variation time nodes in the hospital; for example 20%, 30%, 40% respectively. And meanwhile, calculating the ratio of the number of the variation time nodes corresponding to the variation time node groups a, b and c in the hospital B and the hospital C to the number of all the variation time nodes in the hospital. For example, in hospitals b and c, the ratio of the number of the variant time nodes corresponding to the variant time node group a to the number of all the variant time nodes in the hospital is 10% and 5%, respectively, and then the ratio of the number of the variant time nodes corresponding to the variant time node group a in hospitals a, b and c to the number of all the variant time nodes in the hospital is 20% in hospital a, 10% in hospital b, and 5% in hospital c. After seeing the rank ordering of the proportion sizes, the background staff members know that the number of medical staff involved in the variation node group a of the hospital A and the hospital B should be increased, which is equivalent to reminding the background staff members to increase the number of medical staff involved in the variation node group a of the hospital A and the hospital B, and under the normal condition, the increase rate of the number of the medical staff in the hospital A should be larger than that in the hospital B, in addition, the number of the medical staff in the hospital C should also be increased, and the increase rate should be smaller than that in the hospital A and the hospital B.
As shown in fig. 3, the display module is further configured to display the ratio of the number of the variant time nodes corresponding to all the variant time node groups of a certain hospital to the number of all the variant time nodes of the hospital in a size sorting manner.
Specifically, for hospital a, the ratio of the number of variation time nodes corresponding to the variation time node groups a, b and c to the number of all variation time nodes in the hospital; for example 20%, 30%, 40% respectively. After seeing the rank ordering of the proportion, the background staff knows that the number of medical staff involved in the variation time node groups a, b and c of the hospital needs to be increased, which is equivalent to reminding the background staff to increase the number of medical staff involved in the variation node groups a, b and c, and the increase rate should be that the variation node groups a < b < c.
In a specific implementation mode, the staff can be reminded in other reminding modes.
The invention provides a clinical path management system with a medical staff number adjustment reminding function, aiming at patients adopting clinical path treatment, the clinical path management system is utilized to send variation time nodes corresponding to variation information caused by small number of medical staff to a background server, the background server groups the variation time nodes according to different hospitals, and the variation time nodes of each hospital are grouped into a plurality of variation time node groups according to different hospitals, then, aiming at each hospital, the proportion of the number of the variation time nodes corresponding to a certain variation time node group of the hospital to the number of all the variation time nodes of the hospital is calculated, finally, the proportion of the number of the variation time nodes corresponding to the certain variation time node group of each hospital to the number of all the variation time nodes of the hospital is displayed in a size sorting mode, after the background staff sees the size sorting mode, the number of the medical staff related to the variation node group of which hospitals needs to be increased, which medical staff related to the variation time node group of the hospital needs to be increased, which medical staff related to the number of the variation time nodes of the hospital needs to be increased, and the problem that the number of the medical staff related to the current hospital is increased by the medical staff is not related to the problem that the current hospital is delayed in the number of the patient is set up is solved. Meanwhile, the invention utilizes the existing clinical pathway management system, and the technical effect can be realized by improving the existing clinical pathway management system, and the cost is lower. The medical care terminal is particularly suitable for being arranged in hospitals with similar scales, similar business capabilities and similar department arrangement modes.
As shown in fig. 3, the background server further includes:
the reminding module is used for judging the number of medical staff related to the variation node group of which hospital needs to be increased according to the proportion sorting of the number of the variation time nodes corresponding to the variation time node group of each hospital in the number of all the variation time nodes of the hospital and generating reminding information related to the increase of the medical staff; the hospital variable time node group judgment system is also used for carrying out size sequencing according to the ratio of the number of the variable time nodes corresponding to all the variable time node groups of a certain hospital to the number of all the variable time nodes of the hospital, judging which variable time node groups relate to the increase of the number of medical staff, and generating reminding information related to the increase of the medical staff.
This embodiment compares through the warning mode of big or small sequencing through the reminding information that generates medical personnel's increase, realizes more audio-visual warning staff.
As shown in fig. 3 and 4, the backend server further includes a path management terminal, and the path management terminal includes:
the authority management module is used for setting and managing the user authority of the standard clinical path list and maintaining the user authority of the standard clinical path list;
the parameter configuration module is used for performing parameter configuration on a newly-built standard clinical path when the standard clinical path is newly built in the standard clinical path list;
the path quality control module is used for monitoring and recording the implementation condition and the implementation result of each standard clinical path implemented by the executing instance, storing the implementation condition and the implementation result into the background server, and generating a corresponding quality control condition table after the implementation of one standard clinical path is finished;
and the statistical module is used for acquiring and counting variation information implemented by the examples in the standard clinical path, determining whether the variation modifies the configuration parameters of the corresponding standard clinical path or adjusting at least one variation of Chinese medicine diagnosis and treatment activities, western medicine diagnosis and treatment activities and key medical advice activities in diagnosis and treatment stages related to the variation in the standard clinical path.
In specific work, the authority management module is used for setting user authority for managing and maintaining a standard clinical pathway list; such as various operating permissions, primarily referring to the menu permissions of the system. Example (c): the system administrator has all the operation rights of the system, and the quality controller has the right of inquiry and quality control. Standard clinical pathway maintenance rights such as standard clinical pathway of what disease species to add or modify. To ensure data consistency and integrity, standard clinical pathways that have been approved are not removable, but are marked as out of service. The examination authority of the standard clinical pathway, for example, after the standard pathway is designed, can be applied to clinical practice only after the standard pathway passes the examination. The audit authority determines who is authorized to audit the standard clinical pathway for what disease category, and if necessary, multiple levels of audit authority can be set. Permissions to fine-tune the implementation of the instance of the standard clinical pathway that determine who is entitled to fine-tune the implementation of the instance of the standard clinical pathway in progress. The parameter configuration module is used for configuring parameters of a newly-built standard clinical path when the standard clinical path is newly built in the standard clinical path list; the path quality control module is used for monitoring and recording the implementation condition and the implementation result of each standard clinical path implemented by the executing instance, storing the implementation condition and the implementation result into the background server, and generating a corresponding quality control condition table after the implementation of one standard clinical path is finished; the statistical module is used for acquiring and counting variation information implemented by examples in the standard clinical path, and determining whether to modify configuration parameters of the corresponding standard clinical path or adjust at least one of traditional Chinese medicine diagnosis and treatment activities, western medicine diagnosis and treatment activities and important medical advice activities of relevant diagnosis and treatment stages in the standard clinical path. The statistical conditions are generally as follows: the disease type, path, diagnosis and treatment stage, department, time period, mutation reason, quality control description and the like can be one of the disease type, the path, the diagnosis and treatment stage, the department, the time period, the mutation reason, the quality control description and the like, or the combination of a plurality of the disease type, the path, the diagnosis and treatment stage, the time period, the mutation reason, the quality control description and the like can be one of the disease type, the path, the diagnosis and treatment stage, or the combination of a plurality of the disease type, the path, the diagnosis and treatment stage, the time period, the mutation reason, the quality control description and the like, or the conditions can be customized. The expression form of the statistical result can be a table format and a graph form. The following criteria are generally required: cost case, average total cost statistics, average daily cost statistics and highest and lowest cost case query. The hospital stay condition is counted by the average hospital stay day, and the highest hospital stay day and the lowest hospital stay day are inquired. Disease types are included in the pathway. The same disease species has actual cases which are brought into path management; the actual case patient who is not included in the path management is due to what reason. The path execution condition, the number of actual cases of each standard clinical path and the number of actual cases of each treatment stage of the same standard clinical path comprise three types of execution, abnormal exit and completion. Variation, statistics of variation and statistics of variation reasons.
Other embodiments of the invention will be apparent to those skilled in the art from consideration of the specification and practice of the invention disclosed herein. This application is intended to cover any variations, uses, or adaptations of the invention following, in general, the principles of the invention and including such departures from the present disclosure as come within known or customary practice within the art to which the invention pertains. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the invention being indicated by the following claims.
It will be understood that the invention is not limited to the precise arrangements described above and shown in the drawings and that various modifications and changes may be made without departing from the scope thereof. The scope of the invention is limited only by the appended claims.
Claims (4)
1. A clinical path management system with a medical staff number adjustment reminding function is characterized by comprising a background server and at least two medical care terminals, wherein the at least two medical care terminals are arranged in different hospitals; wherein the content of the first and second substances,
the medical care terminal comprises:
the clinical path control module is used for selecting an adaptive clinical path module from the standard clinical path list to establish an actual clinical path of the patient according to the disease type of the actual case of the patient;
the example management module is used for recording implementation results of each diagnosis and treatment stage in a standard clinical path in the actual case implementation;
the flow management module is used for acquiring the implementation result, judging whether the actual case is imported from a previous diagnosis and treatment stage to a next diagnosis and treatment stage according to the implementation result, comparing the implementation result with a corresponding standard diagnosis and treatment result, and sending variation time nodes corresponding to variation information caused by a small number of medical staff to a background server when the implementation result is determined to be varied;
the background server comprises:
the receiving and grouping module is used for receiving the variation time nodes and grouping the variation time nodes according to different hospitals; and then aiming at each hospital, grouping the variable time nodes of the hospital into a plurality of variable time node groups according to the following steps: if the medical staff involved in one or more variant time nodes are completed by the same batch of people, the one or more variant time nodes are used as a variant time node group;
the calculation module is used for calculating the ratio of the number of the variation time nodes corresponding to a certain variation time node group of each hospital to the number of all the variation time nodes of the hospital;
and the display module is used for displaying the ratio of the number of the variation time nodes corresponding to the certain variation time node group of each hospital to the number of all the variation time nodes of the hospital in a size sorting way.
2. The clinical pathway management system of claim 1, wherein the display module is further configured to display the number of the variant time nodes corresponding to all the variant time node groups of a certain hospital in a size-sorted manner according to the ratio of the number of all the variant time nodes of the hospital.
3. The clinical pathway management system of claim 2, wherein the backend server further comprises:
the reminding module is used for judging the number of medical staff related to the variation node group of which hospital needs to be increased according to the proportion sorting of the number of the variation time nodes corresponding to the variation time node group of each hospital in the number of all the variation time nodes of the hospital and generating reminding information related to the increase of the medical staff; the hospital variable time node group judgment system is also used for carrying out size sequencing according to the ratio of the number of the variable time nodes corresponding to all the variable time node groups of a certain hospital to the number of all the variable time nodes of the hospital, judging which variable time node groups relate to the increase of the number of medical staff, and generating reminding information related to the increase of the medical staff.
4. The clinical pathway management system of claim 1, wherein the backend server further comprises a pathway management terminal, the pathway management terminal comprising:
the authority management module is used for setting and managing the user authority of the standard clinical path list and maintaining the user authority of the standard clinical path list;
the parameter configuration module is used for performing parameter configuration on a newly-built standard clinical path when the standard clinical path is newly built in the standard clinical path list;
the path quality control module is used for monitoring and recording the implementation condition and the implementation result of each standard clinical path implemented by the executing instance, storing the implementation condition and the implementation result into the background server, and generating a corresponding quality control condition table after the implementation of one standard clinical path is finished;
and the statistical module is used for acquiring and counting variation information implemented by the examples in the standard clinical path, determining whether the variation modifies the configuration parameters of the corresponding standard clinical path or adjusting at least one variation of Chinese medicine diagnosis and treatment activities, western medicine diagnosis and treatment activities and key medical advice activities in diagnosis and treatment stages related to the variation in the standard clinical path.
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