CN111652401A - Patient-centered clinical examination check reservation system and method - Google Patents
Patient-centered clinical examination check reservation system and method Download PDFInfo
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Abstract
The invention discloses a patient-centered clinical examination appointment system. The system comprises a client and an appointment server, and centralized appointment is carried out through the appointment server to realize automatic appointment with a patient as a center. The reservation server comprises an information receiving and transmitting module, a pre-queuing module and an optimization processing module. The centralized detection and inspection time and the centralized optimization of inspection and inspection places are realized by taking the patient as the center, and the times of the patient to and fro to the hospital and the distance of the patient to and fro in the hospital are reduced to the maximum extent. The invention also discloses a patient-centered clinical examination appointment method.
Description
Technical Field
The invention relates to the field of hospital management information systems, in particular to a clinical examination and examination appointment system and method taking a patient as a center.
Background
In the centralized automatic reservation mode of examination and inspection items released by hospitals, an automatic reservation system based on a time priority principle is adopted. Through practice, the appointment making is carried out according to the time-first principle, the utilization rate of equipment can be effectively improved, the time for a patient to obtain a conclusion can be effectively shortened, great convenience is brought to doctors and patients, but some defects are reflected in practical application and mainly reflected in that: 1) the patient may be taken to the hospital for examination several times, for example, if the patient has three examination items ABC, item a is about the afternoon of today, item B is about the morning of tomorrow, and item C is about the afternoon of tomorrow, the patient may be taken to the hospital three times. 2) Failure to consider the distance between the departments for examination may result in the patient running back and forth, while for large hospitals the distance between the departments may be far enough to perform the relevant examination, while for nearby departments some may also complete the relevant examination, which may result in repeated running for the patient if only the time-first principle is considered.
Due to the above two considerations, this solution is not sufficiently optimized from a patient-centric point of view, especially for large hospitals, where the procedure of ordering queuing needs to be further optimized.
Disclosure of Invention
In view of the above problems, it is desirable to provide a patient-centric clinical examination reservation system that enables automatic reservation of patient-centric time-optimal and location-optimal examination and examination items.
There is also a need to provide a patient-centric clinical examination appointment method that enables patient-centric automated appointment of time-optimal and location-optimal examination and examination items.
The technical scheme of the invention comprises the following steps: a patient-centric clinical examination screening appointment system, the system comprising a client and an appointment server, and wherein a centralized appointment is made through the appointment server, the appointment server comprising:
the information receiving and sending module is used for receiving the information of a reserved queuing inspection item of a patient requested by the client and sending the ordering information to the client after the queuing is finished; the examination test items of the patient requesting reservation queuing are one or more examination test items; and the pre-queuing module is used for obtaining the equipment occupation condition of the examination and inspection items to be reserved through inquiring and analyzing the reservation record, queuing one or more examination and inspection items requested to be queued by one patient transmitted by the client according to a time priority principle, and obtaining the temporary reservation record of the current patient. The optimization processing module is used for optimizing the temporary reservation records pre-queued according to a time priority principle by taking a patient as a center and sending the optimized reservation queuing information of the examination and inspection item to the client through the information receiving and sending module; the patient-centric optimization includes time-centric and location-centric optimizations to reduce the number of trips and round-trip distances of patients to and from the hospital during examination and testing.
The optimization processing module comprises a time optimization submodule and is used for finding out the latest examination and inspection time recorded by the temporary reservation of the pre-queuing module for a plurality of examination and inspection projects of a patient, then re-ordering the second reservation by taking the latest examination and inspection time as a reference, and under the condition that the priority of the examination and inspection projects is not changed, adjusting all reserved time to be as close to the latest examination and inspection time as possible so as to reduce the number of times of the patient to and fro in hospitals.
The optimization processing module comprises a location optimization submodule and is used for making a third appointment for the temporary appointment record after the time optimization submodule makes a second appointment according to an execution location which is closest to the examination location of the examination and inspection item closest to the latest examination and inspection time, so that the round-trip distance between different examination and inspection item execution locations of a patient is reduced.
The pre-queuing module is also used for receiving and managing equipment condition registered by each executive department through a client, and maintaining a real-time equipment scheduling table so as to establish a relationship among the inspection equipment, the inspection items and the time required by the items; the equipment scheduling table at least comprises: checking equipment, items and time; the pre-queuing module is further configured to maintain, by the client, an inspection item description table, where the inspection item description table at least includes: checking the inspection items, the priority, the constraint time period and the item duration; the pre-queuing module takes the reservation record, the equipment scheduling table and the examination inspection item description table as basic data, and obtains the examination inspection item queuing information of the patient to be reserved and queued after inquiring and judging.
The optimization processing module is also used for receiving and managing an equipment relation table, describing the inclusion relation and the mutual exclusion relation among the checking and checking equipment so as to provide basic data for optimization processing, and reselecting the checking and checking equipment during secondary reservation or tertiary reservation; the optimization processing module is further used for receiving and managing department comparison tables, describing distance relations among all departments to be executed, providing basic data of distance optimization, and performing distance optimization according to the principle that the distance among the departments is the minimum when three appointments are performed.
The present invention also provides a patient-centric clinical examination appointment method, comprising:
the reservation server receives information of a reservation queuing inspection item of a patient requested by a client. The reservation server pre-queues one or more examination check-up items queued according to a request from a patient transmitted by the client. The reservation server obtains the equipment occupation condition of the examination and inspection items to be reserved through inquiring and analyzing the reservation records, and queues one or more examination and inspection items requested to be queued by one patient transmitted by the client according to a time priority principle and obtains the temporary reservation records of the current patient. The appointment server performs patient-centric optimization of pre-queued temporary appointment records on a time-first basis, including time-centric and location-centric optimization to reduce patient trips to and from the hospital during examination and testing and trips within the hospital. And the reservation server sends the optimized reservation queuing information of the inspection and verification item to the client through the information transceiver module and stores the information in the database.
The reservation server finds out the latest examination and inspection time recorded in temporary reservation for a plurality of examination and inspection items of a patient, and then performs a second reservation of reverse sequencing again by taking the latest examination and inspection time as a reference, and under the condition of ensuring that the priority of the examination and inspection items is not changed, the reservation server adjusts all reserved time to be as close to the latest examination and inspection time as possible so as to reduce the times of the patient to go to and from the hospital.
And the reservation server makes a third reservation for the temporary reservation record after the secondary reservation after the time optimization according to an execution place which is closest to the examination and inspection place of the examination and inspection item closest to the latest examination and inspection time so as to reduce the round-trip distance between the execution places of different examination and inspection items of the patient.
The reservation server receives and manages equipment condition registered by each executive department through the client, and maintains a real-time equipment scheduling table so as to establish a relation among the inspection equipment, the inspection project and the time required by the project; the equipment scheduling table at least comprises: checking equipment, items and time; the reservation server also maintains a check item description table through the client, the check item description table at least comprising: checking the inspection items, the priority, the constraint time period and the item duration; the pre-queuing module takes the reservation record, the equipment scheduling table and the examination inspection item description table as basic data, and obtains the examination inspection item queuing information of the patient to be reserved and queued after inquiring and judging.
The reservation server receives and manages a device relation table for describing an inclusion relation and a mutual exclusion relation between the inspection and verification devices to provide basic data for optimization processing, and reselects the inspection and verification devices in the case of secondary reservation or tertiary reservation; the reservation server also receives and manages a department comparison table for describing the distance relationship among all executing departments so as to provide basic data of distance optimization, and the distance optimization is carried out according to the principle that the distance among the departments is the minimum when three reservations are carried out.
The invention has the beneficial effects that: the scheme provided by the invention realizes centralized automatic reservation, and also realizes the centralized detection and inspection time and the centralized optimization of inspection and inspection places by taking the patient as the center, thereby reducing the times of the patient to and from the hospital and the distance of the patient to and from the hospital to the maximum extent.
Description of the drawings:
the drawings are only for purposes of illustrating the preferred embodiments and are not to be construed as limiting the invention. Like reference symbols in the various drawings indicate like elements throughout. In the drawings:
FIG. 1 is a block diagram of a reservation server of the system of an embodiment of the present invention;
FIG. 2 is a flow chart of a method of an embodiment of the present invention;
FIG. 3 is a flow chart of a method of pre-queuing inspection items according to an embodiment of the present invention;
FIG. 4 is a flow chart of a method of optimizing over time of an embodiment of the present invention;
FIG. 5 is a flow chart of a method of per-site optimization of an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention clearer and more obvious, the present invention is further described below with reference to the accompanying drawings and embodiments.
The present embodiment is a patient-centered clinical examination reservation system, which includes a client and a reservation server 100, and performs a centralized reservation through the reservation server 100.
As shown in fig. 1, the reservation server 100 includes:
the information transceiver module 110 is configured to receive information of a reservation queuing inspection item of a patient requested by a client, and send sequencing information to the client after queuing is completed; the patient's request to reserve a queued examination test item is one or more examination test items.
The client can be a PC, a mobile phone or a tablet computer. The information transceiver module 110 mainly completes communication with the client, receives request information of the client, or transmits a result of completion of reservation to the client.
The pre-queuing module 120 completes reservation queuing according to a time-first principle, which mainly determines the device occupation condition by performing statistical analysis on the reservation records stored in the server 100 before and applying the time-first principle.
The pre-queue module 120 receives and manages the equipment condition registered by the client of each executive department, and maintains a real-time equipment scheduling table to establish the relationship among the equipment inspection, the inspection project and the required time of the project. The equipment scheduling table at least comprises: checking and checking equipment, checking and checking items and checking duration.
The pre-queuing module 120 maintains a check-up item description table through the client, the check-up item description table at least comprising: checking the inspection items, the priority, the constraint time period and the item duration; the pre-queuing module takes the reservation record, the equipment scheduling table and the examination inspection item description table as basic data, and obtains the examination inspection item queuing information of the patient to be reserved and queued after inquiring and judging.
The pre-queuing module 120 is configured to obtain a device occupation status of the examination check item to be reserved through querying and analyzing the reservation record, queue one or more examination check items requested to be queued by one patient transmitted by the client according to a time-first principle, and obtain a temporary reservation record of the current patient.
The equipment scheduling list, the inspection item description list and the reservation record are basic data for completing pre-queuing according to a time priority principle. The equipment shift table describes the relationship between a specific inspection equipment and a specific inspection item. The inspection duration refers to a duration consumed by a specific inspection device to complete an inspection item. Usually, the equipment scheduling list is maintained by each executive department, and the executive department schedules the equipment according to the equipment condition of the executive department. I.e. device-item-time contrast. After the completion, it can be known how much time is consumed for which items can be checked by a certain checking and verifying device.
The examination and inspection item description table describes the main attributes of the items, wherein the priority is an auxiliary field, for the same patient, for a plurality of examination and inspection items, some items may need to be done before and some items need to be done after, at this time, the priority is used for assisting in completing the setting of the sequence of the examination and inspection items, and the priority can be divided into multiple stages and is represented by numbers. Typically, a fasting item needs to be done in the morning, often with priority set to high priority. And the item with longer term is the item which is not checked any more within 12 hours after the item is checked, and the priority of the item is often set to be low. The constraint time period refers to that the inspection item must be completed within a certain time period, such as a fasting item, which usually needs to be completed in the morning, the time period is generally set to be 8: 00-12: 00, and the time period for items without constraint time period limitation can be set to be 00: 00-24: 00. The item duration refers to the duration occupied by the patient examination and inspection items, which is different from the examination and inspection duration of the equipment shift schedule, for example, the examination and inspection duration of a certain examination and inspection item only needs 15 minutes, but after the patient completes the examination and inspection item, no other items can be made within 12 hours, so the examination and inspection duration of the equipment shift schedule is 15 minutes, and the item duration of the examination and inspection item description table is 12 hours.
All reservation queues depend on data of an equipment shift list, a test examination item description list and a reservation record, and specifically, the reservation server 100 reserves the examination item of a patient to be reserved at a client according to the following steps:
(1) sorting a list of items to be queued for inspection by priority: sequencing the patient examination items according to the priority of the examination item description table to form a patient examination item list to be queued;
(2) presetting checking and checking time: traversing the ordered patient examination and inspection item list, inquiring the queued examination and inspection item reservation records through the associated equipment shift list aiming at each examination and inspection item, finding out examination and inspection equipment which is available at the latest time and meets the item constraint time period condition as the examination and inspection equipment of the current patient examination and inspection item reservation record according to the equipment occupation time period in the reservation records and the time priority principle, and taking the latest available time as the examination and inspection time of the current patient examination and inspection item reservation record;
(3) and correcting the checking time according to the project duration: after traversing the inspection and inspection item list and obtaining the inspection and inspection time of all the inspection and inspection items, further adjusting the inspection and inspection time according to the item time length so as to realize that the time interval among a plurality of inspection and inspection items meets the requirement of the item time length; and (3) judging the checking and checking time of more than two reserved checking and checking items in the step (2), judging whether the checking and checking time meets the relation of the item duration, if not, correcting according to the item duration, and continuing to repeat the step (2) until the item duration is met.
The appointment pre-queuing of the current patient examination and test items can be completed through the steps. The time priority principle also shows that the equipment is occupied. Appointment results for a patient, there may be multiple trips to the hospital, i.e., the patient has three examination items ABC, item a is about the afternoon of today, item B is about the morning of tomorrow, and item C is about the afternoon of tomorrow, which may result in the patient going to the hospital three times for examination. Further optimization is needed how to achieve inspection that is as concentrated as possible to one am, one pm, or one day.
An optimization processing module 130, configured to perform patient-centric optimization on the temporary reservation records pre-queued according to a time-first principle, and send the optimized examination and inspection item reservation queuing information to the client through the information transceiver module 110; the patient-centric optimization includes time-centric and location-centric optimizations to reduce the number of trips and round-trip distances of patients to and from the hospital during examination and testing.
In addition to reducing the number of times that a patient makes a round trip to the hospital, for a large hospital, it is necessary to reduce the distance between the patient and each executive department, and the distance between the executive departments is too far, so that the patient is tired of running waves, and the round trip time is increased, which is not favorable for improving the utilization rate of equipment. Optimizing the pre-queued temporary reservation records thus includes time optimization and also necessarily distance optimization. The temporary reservation record obtained by the pre-queuing module 120 is a cache record cached in the memory, and the cache record reflects the device occupancy, and is only provided to the optimization processing module 130 for the secondary reservation and the tertiary reservation, but not sent to the client.
The optimization processing module comprises a time optimization submodule 131, which is used for finding out the latest examination and inspection time recorded by the temporary reservation of the pre-queuing module for a plurality of examination and inspection items of a patient, then carrying out the second reservation of the inverted sequence again by taking the latest examination and inspection time as the reference, and under the condition of ensuring that the priority of the examination and inspection items is not changed, adjusting all reserved time to be as close to the latest examination and inspection time as possible so as to reduce the times of the patient to go to and from the hospital.
As before, the patient has three examination items ABC, if item A is about today's afternoon, item B is about tomorrow's morning, and item C is about tomorrow's afternoon. This essentially reflects that project C is occupied (reserved) in the afternoon and tomorrow morning, but only in the afternoon tomorrow. Thus, at the time of optimization, it is no longer possible to converge to the afternoon today or the morning tomorrow, otherwise, a reservation conflict would result. Therefore, here, a method of reverse ordering is considered, in which all the items of the patient are collected as much as possible in the afternoon of the tomorrow reserved by the C item, based on the farthest (late) examination item.
In time optimization, for some inspection item with longer item duration, the priority level needs to be set to be low in the inspection item description table. If the patient had abdominal ultrasound, CT flat scan, PETCT at the same time. The abdominal ultrasound is preceded by a plurality of conditions (requiring an empty stomach and having to be performed in the morning), and the PETCT is followed by a plurality of conditions (with radioactivity, and no personnel gathering is recommended in 48 after the examination, so that the PETCT project is considered to be long in time). The order of appointment is changed by arranging the three examination items to the same day according to the time logic, then performing abdominal ultrasound, then performing CT flat scan, and finally performing PETCT. These relationships are represented by the priorities set in advance, and the priority relationships still need to be kept unchanged when time optimization is performed.
In the reverse-ordered reservation, the temporary reservation records are reversely ordered according to the reservation time, and the temporary reservation records are reserved again when the temporary reservation records are traversed through the reverse-ordered temporary reservation records, except for the latest inspection item, according to the principle that the inspection time of each item is closest to the inspection time of the latest inspection item and all the constraint conditions are satisfied. The specific algorithm logic of the time-optimized secondary booking is as follows: (1) and searching other available inspection and verification equipment in the same half day by taking the optimal time period of the farthest project as a reference when performing secondary reservation with optimal time on the temporary reservation record. (2) And if no available resources exist in the same half day, extending to one day. The patient can go to the hospital for one visit and complete the whole examination. (3) For individual inspection items with a long reservation time, a limit condition is set, for example, within 2 days, if the limit condition is exceeded, that is, if the limit condition is exceeded by 2 days, the reservation is made separately, and the next inspection item and other items are reserved with optimized time.
The time optimization method comprises the following specific steps:
(1) and (3) judging whether the farthest inspection item exceeds the limit condition, if not, executing the step (2), if so, selecting the second farthest inspection item to be optimized with other items, and if a plurality of inspection items exceed the limit condition, indicating that reserved equipment resources are too tight, not splitting, and executing the step.
(2) Searching other available checking and checking equipment within N half days by taking the optimal time period of the farthest project as a reference when performing secondary reservation with optimal time on the temporary reservation record;
(3) if the time range is found, the process is ended, if the time range is not found, the time range is gradually widened by N +1, and the step (2) is executed.
The worst case scenario for the time optimization method is to maintain the initial time-first principle reservation results.
The optimization processing module includes a location optimization submodule 132, configured to make a third appointment for the temporary appointment record after the secondary appointment of the time optimization submodule 131, according to an execution location closest to the examination location of the examination and inspection item closest to the latest examination and inspection time, so as to reduce a round-trip distance between different execution locations of examination and inspection items of the patient.
The specific algorithmic logic of the location-optimized triple appointment includes: the (execution) place is optimal, namely the patient can complete the examination by taking the shortest path, and the resource use condition of the equipment is dynamically adjusted. The division-project-execution sites are first compared to the execution site closest to the departure department. And starting operation, if the device resources of the execution place in the current time period (within one hour) are found to be full, starting to search the resources for the execution points in the next close distance, if the current time period of all the execution points is full, starting to search the device occupation situation of the latest execution place in the next time period (next hour), and the like.
The site optimization method comprises the following specific steps:
(1) and searching again the execution place which is closer to the currently selected execution place and meets the constraint condition aiming at the execution place of the temporary reservation record of each inspection check item by taking the execution place of the farthest inspection check item as the center.
(2) And (3) if available checking equipment resources meeting the requirements of closer execution places and the constraint conditions exist, replacing, if not, reserving the execution places of the existing reservation, and continuously repeating the step (1) until the whole temporary reservation record is traversed.
Likewise, the worst case scenario for site optimization is to maintain the initial time-first principle reservation results.
The optimization processing module is also used for receiving and managing an equipment relation table, describing the inclusion relation and the mutual exclusion relation among the checking and checking equipment so as to provide basic data for optimization processing, and reselecting the checking and checking equipment during secondary reservation or tertiary reservation; the optimization processing module is further used for receiving and managing department comparison tables, describing distance relations among all departments to be executed, providing basic data of distance optimization, and performing distance optimization according to the principle that the distance among the departments is the minimum when three appointments are performed.
The checking and checking equipment relation table is maintained by each department and mainly comprises the following steps: checking and inspecting equipment, priority and the like, wherein the priority is represented by numbers, for example, a CT room comprises 5 CT machines, and the 5 CT machines are classified into 1-2-3-4-5, 5 grades according to the advanced degree of the equipment. 1 lowest and 5 highest. Then 5 can do all the check items of 4, but part of the high end items 4 of 5 cannot. When the application form is opened, the patient is preferentially reserved to the machine No. 1, the current time period (1 hour) of the machine No. 1 is full of resources, or the project cannot be executed, and then the patient is reserved to the machine No. 2. To ensure optimization of equipment resources and to provide available resources for subsequent reservations as much as possible.
Checking the relation table of the checking equipment to establish various inclusion relations and mutual exclusion relations among the equipment, which are basic data for optimization and adjustment. The device relationship table includes: the check verifies that the devices are in a contained relationship and are in the same execution site. The reservation is carried out according to the sequence from small to large, when the application form is opened, the patient is preferentially reserved to the machine No. 1, the resource of the machine No. 1 in the current time period (1 hour) is full, or the project cannot be executed, and then the reservation is carried out to the machine No. 2. To ensure that device resources are optimized.
The distance between the departments of execution can be described by approximate walking time. The optimization according to the distance needs to reduce the walking distance of the patient when the examination and test are carried out. If the department of living in the department of cardiology is located in the number 1 hospital building, and the number 1 building has the ultrasound department execution point, the ultrasonic application form should be issued to the ultrasound department number 1 building execution point, and the suboptimal execution point may be at the ultrasound department execution point of the outpatient building, and may also complete the project, but the patient walking distance increases. However, since no CT machine is arranged in the No. 1 building, the CT application form is applicable to the CT machine room of the image building.
In summary, the reservation server 100 includes: 1. firstly, determining the sequence (item priority) of the examination items of the patient on the same day, reserving according to a time priority principle, and determining the large time period for the patient to see a doctor; 2. optimizing the inspection time in a relatively centralized manner on the basis of the last time interval; and 3, determining the optimization of the execution address point (nearest) of the patient, and ensuring that the utilization of equipment resources is maximized while optimizing time and place, thereby finally determining the specific time of the examination item (ensuring that the optimization is optimal under the condition of no conflict). The equipment scheduling list, the inspection and inspection project description list, (effective) reservation record, the inspection and inspection equipment relation list, the department comparison list and the like are basic data for realizing reservation queuing and optimization thereof, and the queuing and the optimization thereof are completed by depending on the data.
As shown in fig. 2, the present embodiment also provides a patient-centric clinical examination appointment method, which includes:
s1, receiving a client reservation request: the reservation server 100 receives information of a reservation queuing inspection item requested by a client for a patient.
S2, pre-queuing reservation request: the reservation server 100 pre-queues one or more examination check-up items queued according to a request from a patient transmitted by a client. The reservation server 100 obtains the device occupation of the examination check items to be reserved through inquiring and analyzing the reservation record, and queues one or more examination check items requested to be queued by one patient transmitted by the client according to the time priority principle and obtains the temporary reservation record of the current patient.
S3, optimizing the pre-queued temporary reservation records: the reservation server 100 performs patient-centric optimizations on the pre-queued temporary reservation recordings on a time-first basis, including time-centric and location-centric optimizations to reduce the number of patient trips to and from the hospital during examination and testing and the distance traveled within the hospital.
S4, sending the optimized reservation request to the client: and the reservation server sends the optimized reservation queuing information of the inspection and verification item to the client through the information transceiver module and stores the information in the database.
The reservation server 100 receives and manages the situation of equipment registered by each executive department through a client, and maintains a real-time equipment scheduling table to establish the relationship among the inspection equipment, the inspection project and the required time of the project.
The equipment scheduling table at least comprises: checking equipment, items and time; the reservation server also maintains a check verification item description table through the client.
The examination check item description table at least includes: checking the inspection items, the priority, the constraint time period and the item duration; the pre-queuing module takes the reservation record, the equipment scheduling table and the examination inspection item description table as basic data, and obtains the examination inspection item queuing information of the patient to be reserved and queued after inquiring and judging.
As shown in fig. 3, the reservation queuing server 100 pre-queues examination and inspection items of patients to be reserved and queued at the client according to the following steps:
s21, sorting the list of the inspection items to be queued according to priority: and sorting the patient examination items according to the priority of the examination item description table to form a patient examination item list to be queued.
S22, presetting checking and checking time: traversing the ordered patient examination and inspection item list, inquiring the ordered examination and inspection item reservation records which are queued through the associated equipment shift list aiming at each examination and inspection item, finding out examination and inspection equipment which is available at the latest time and meets the item constraint time period condition as the examination and inspection equipment of the current patient examination and inspection item reservation record according to the equipment occupation time period in the reservation record and the time priority principle, and taking the latest available time as the examination and inspection time of the current patient examination and inspection item reservation record.
S23, correcting the checking and checking time according to the project duration: after traversing the inspection and inspection item list and obtaining the inspection and inspection time of all the inspection and inspection items, further adjusting the inspection and inspection time according to the item time length so as to realize that the time interval among a plurality of inspection and inspection items meets the requirement of the item time length; and judging the checking and checking time of more than two reserved checking and checking items in the step S22, judging whether the checking and checking time meets the relation of the item time length, if not, correcting according to the item time length, and continuing to repeat the step S22 until the item time length is met.
And S24, optionally, after the reservation queuing server completes the reservation, forming a checking and checking device occupation time period according to the checking and checking duration of the device shift schedule, and storing the checking and checking device occupation time period in the reservation record.
The reservation server finds out the latest examination and inspection time recorded in temporary reservation for a plurality of examination and inspection items of a patient, and then performs a second reservation of re-inverted sequencing by taking the latest examination and inspection time as a reference, and under the condition of ensuring that the priority of the examination and inspection items is not changed, the reservation server adjusts all reserved time to be as close to the latest examination and inspection time as possible so as to reduce the times of the patient to go to and from the hospital. The specific algorithm logic comprises: (1) and searching other available inspection and verification equipment in the same half day by taking the optimal time period of the farthest project as a reference when performing secondary reservation with optimal time on the temporary reservation record. (2) And if no available resources exist in the same half day, extending to one day. The patient can go to the hospital for one visit and complete the whole examination. (3) For individual inspection items with a long reservation time, a limit condition is set, for example, within 2 days, if the limit condition is exceeded, that is, if the limit condition is exceeded by 2 days, the reservation is made separately, and the next inspection item and other items are reserved with optimized time.
As shown in fig. 4, the time optimization method includes the specific steps of:
s311, judging whether the farthest checking and checking item exceeds the limit condition, if not, executing the step S312, if so, selecting the second farthest checking and checking item to optimize with other items, if a plurality of checking and checking items exceed the limit condition, indicating that the reserved equipment resources are too tight, not splitting, and executing the step S312.
S312, searching other available checking and verifying equipment within N half days by taking the optimal time period of the farthest project as a reference when performing secondary reservation with optimal time on the temporary reservation record;
s313 ends if found, and if not, steps the time range to N +1 gradually to widen, and then step S312 is executed.
The worst case scenario for the time optimization method is to maintain the initial time-first principle reservation results.
And the reservation server makes a third reservation for the temporary reservation record after the secondary reservation after the time optimization according to an execution place which is closest to the examination and inspection place of the examination and inspection item closest to the latest examination and inspection time so as to reduce the round-trip distance between the execution places of different examination and inspection items of the patient.
An algorithmic logic for location-optimized triple booking comprises: the (execution) place is optimal, namely the patient can complete the examination by taking the shortest path, and the resource use condition of the equipment is dynamically adjusted. The division-project-execution sites are first compared to the execution site closest to the departure department. And starting operation, if the device resources of the execution place in the current time period (within one hour) are found to be full, starting to search the resources for the execution points in the next close distance, if the current time period of all the execution points is full, starting to search the device occupation situation of the latest execution place in the next time period (next hour), and the like.
The reservation server receives and manages a device relation table for describing an inclusion relation and a mutual exclusion relation between the inspection and verification devices to provide basic data for optimization processing, and reselects the inspection and verification devices in the case of secondary reservation or tertiary reservation; the reservation server also receives and manages a department comparison table for describing the distance relationship among all executing departments so as to provide basic data of distance optimization, and the distance optimization is carried out according to the principle that the distance among the departments is the minimum when three reservations are carried out. In this embodiment, based on the time-optimized secondary reservation, the distance-optimized tertiary reservation is performed again, as shown in fig. 5, the specific steps include:
s321, re-searching for an execution location closer to the currently selected execution location and meeting the constraint condition for the execution location of the temporary reservation record of each inspection item, with the execution location of the farthest inspection item as the center.
S322, if available checking equipment resources meeting the requirements of closer execution places and the constraint conditions exist, replacing, if not, reserving the execution places of the existing reservation, and continuing to repeat the step S321 until the whole temporary reservation record is traversed.
The equipment scheduling list, the inspection and inspection project description list, (effective) reservation records, the inspection and inspection equipment relation list, the department comparison list and the like are basic data of a method for realizing reservation queuing and optimization thereof, and the queuing and the optimization thereof are completed by depending on the data.
This patent is described by way of example only and various modifications and equivalent substitutions may be made thereto without departing from the scope of the patent, which is to be determined not by the specific disclosure but by the full scope of the claims.
Claims (10)
1. A patient-centric clinical examination screening appointment system comprising a client and an appointment server, and wherein a centralized appointment is made through the appointment server, the appointment server comprising:
the information receiving and sending module is used for receiving the information of a reserved queuing inspection item of a patient requested by the client and sending the ordering information to the client after the queuing is finished; the examination test items of the patient requesting reservation queuing are one or more examination test items;
the pre-queuing module is used for obtaining the equipment occupation condition of the examination and inspection items to be reserved through inquiring and analyzing the reservation record, queuing one or more examination and inspection items requested to be queued by one patient transmitted by the client according to a time priority principle and obtaining a temporary reservation record of the current patient;
the optimization processing module is used for optimizing the temporary reservation records pre-queued according to a time priority principle by taking a patient as a center and sending the optimized reservation queuing information of the examination and inspection item to the client through the information receiving and sending module; the patient-centric optimization includes time-centric and location-centric optimizations to reduce the number of trips and round-trip distances of patients to and from the hospital during examination and testing.
2. The system of claim 1, wherein the optimization processing module comprises a time optimization sub-module, configured to find a latest examination and verification time recorded by the pre-queuing module for temporary reservation of a plurality of examination and verification items of a patient, re-make a second reservation of the reverse ordering based on the latest examination and verification time, and adjust the time of all reservations as close as possible to the latest examination and verification time under the condition that the priority of the examination and verification items is not changed, so as to reduce the number of times that the patient makes a trip to the hospital.
3. The system of claim 2, wherein the optimization processing module comprises a location optimization sub-module, configured to make a third appointment for the execution location closest to the examination location of the examination inspection item closest to the latest examination inspection time for the temporary appointment record after the second appointment made by the time optimization sub-module, so as to reduce the round-trip distance between the execution locations of different examination inspection items of the patient.
4. The system of claim 1, wherein the pre-queuing module is further configured to receive and manage device condition registration from each executive department through the client, and maintain a real-time device shift schedule to establish a relationship among the inspection devices, the inspection projects, and the time required for the projects; the equipment scheduling table at least comprises: checking equipment, items and time; the pre-queuing module is further configured to maintain, by the client, an inspection item description table, where the inspection item description table at least includes: checking the inspection items, the priority, the constraint time period and the item duration; the pre-queuing module takes the reservation record, the equipment scheduling table and the examination inspection item description table as basic data, and obtains the examination inspection item queuing information of the patient to be reserved and queued after inquiring and judging.
5. The system according to claim 2 or 3, wherein the optimization processing module is further configured to receive and manage a device relationship table, which is used for describing inclusion relationships and mutual exclusion relationships among the inspection checking devices to provide basic data for optimization processing, and reselect the inspection checking devices in the case of secondary reservation or tertiary reservation; the optimization processing module is further used for receiving and managing department comparison tables, describing distance relations among all departments to be executed, providing basic data of distance optimization, and performing distance optimization according to the principle that the distance among the departments is the minimum when three appointments are performed.
6. A patient-centric clinical examination appointment method for centralized appointment by an appointment server, the method comprising:
the reservation server receives reservation queuing inspection item information of a patient requested by a client; the reservation server pre-queues one or more examination and inspection items queued according to a request of a patient transmitted by a client;
the reservation server obtains the equipment occupation condition of the examination and inspection items to be reserved through inquiring and analyzing the reservation records, and queues one or more examination and inspection items requested to be queued by one patient transmitted by the client according to a time priority principle and obtains a temporary reservation record of the current patient;
the reservation server carries out patient-centered optimization on the temporary reservation records pre-queued according to a time-first principle, wherein the patient-centered optimization comprises time-centered optimization and location-centered optimization so as to reduce the times of patients going to and from a hospital and the round-trip distance of the patients in the hospital during examination and inspection;
and the reservation server sends the optimized reservation queuing information of the inspection and verification item to the client through the information transceiver module and stores the information in the database.
7. The method of claim 6, further comprising:
the reservation server finds out the latest examination and inspection time recorded in temporary reservation for a plurality of examination and inspection items of a patient, and then performs a second reservation of reverse sequencing again by taking the latest examination and inspection time as a reference, and under the condition of ensuring that the priority of the examination and inspection items is not changed, the reservation server adjusts all reserved time to be as close to the latest examination and inspection time as possible so as to reduce the times of the patient to go to and from the hospital.
8. The method of claim 6, wherein the reservation server makes a third reservation for the temporary reservation record after the time-optimized secondary reservation at an execution location closest to the examination location of the examination item closest to the latest examination and examination time to reduce the round-trip distance between the execution locations of different examination and examination items of the patient.
9. The method of claim 6, wherein the reservation server receives and manages the status of equipment registered by each executive department through the client, maintains a real-time equipment shift schedule to establish the relationship between the equipment for inspection, the items for inspection and the duration required for the items; the equipment scheduling table at least comprises: checking equipment, items and time; the reservation server also maintains a check item description table through the client, the check item description table at least comprising: checking the inspection items, the priority, the constraint time period and the item duration; the pre-queuing module takes the reservation record, the equipment scheduling table and the examination inspection item description table as basic data, and obtains the examination inspection item queuing information of the patient to be reserved and queued after inquiring and judging.
10. The method according to claim 6, wherein the reservation server receives and manages a device relationship table for describing an inclusion relationship and a mutual exclusion relationship between the inspection verification devices to provide basic data of the optimization processing, and reselects the inspection verification device at the time of the secondary reservation or the tertiary reservation; the reservation server also receives and manages a department comparison table for describing the distance relationship among all executing departments so as to provide basic data of distance optimization, and the distance optimization is carried out according to the principle that the distance among the departments is the minimum when three reservations are carried out.
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