CN111652401B - Patient-centered clinical examination reservation system and method - Google Patents
Patient-centered clinical examination reservation system and method Download PDFInfo
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- CN111652401B CN111652401B CN202010534761.0A CN202010534761A CN111652401B CN 111652401 B CN111652401 B CN 111652401B CN 202010534761 A CN202010534761 A CN 202010534761A CN 111652401 B CN111652401 B CN 111652401B
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- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/02—Reservations, e.g. for tickets, services or events
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- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/04—Forecasting or optimisation specially adapted for administrative or management purposes, e.g. linear programming or "cutting stock problem"
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- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- 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
Abstract
The invention discloses a patient-centered clinical examination reservation system. The system comprises a client and a reservation server, and performs centralized reservation through the reservation server to realize automatic reservation with the patient as the 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 inspection and inspection place are optimized by taking the patient as the center, and the times of the patient to and from the hospital and the distance between the patient and the hospital are reduced to the maximum extent. The invention also discloses a patient-centered clinical examination reservation method.
Description
Technical Field
The invention relates to the field of hospital management information systems, in particular to a patient-centered clinical examination reservation system and method.
Background
In the examination and inspection item centralized automatic reservation mode which is released by a hospital, an automatic reservation system based on a time priority principle is adopted. Through practice, the reservation is carried out according to the principle of time priority, the utilization rate of equipment can be effectively improved, the time for a patient to get a conclusion is shortened, doctors and patients are greatly facilitated, but some defects are reflected in practical application, and the reservation is mainly represented by the following steps: 1) Multiple patient visits to the hospital may be caused, such as a patient having three exam items ABC, item a about the afternoon in the present day, item B about the tomorrow morning, and item C about the tomorrow afternoon, then the patient may be caused to visit the hospital three times. 2) The distance between the departments is not considered, which may lead to the patient running back and forth, while for a large hospital, the distance between the departments may be relatively far, while some nearby departments may be performing the relevant examination, which may lead to repeated running for the patient if only the time priority principle is considered.
Due to the two considerations, this solution is not optimized enough from a patient-centric point of view, especially for large hospitals, where it is necessary to further optimize the flow of reservation queuing.
Disclosure of Invention
In view of the above-described problems, it is necessary to provide a patient-centered clinical examination test reservation system for automatically reserving a patient-centered time-optimal and place-optimal examination test item.
It is also necessary to provide a patient-centered clinical examination scheduling method for automatically scheduling a patient-centered time-optimal and place-optimal examination item.
The technical scheme of the invention comprises the following steps: a patient-centric clinical exam examination appointment system, the system comprising a client and an appointment server and making a centralized appointment by the appointment server, the appointment server comprising:
the information receiving and transmitting module is used for receiving the reservation queuing check project information of a patient requested by the client and transmitting the ordering information to the client after queuing is completed; the patient's request to reserve queued exam test items as one or more exam test items; and the pre-queuing module is used for queuing one or more examination and inspection items which are transmitted by the client and are used for queuing the request of one patient according to the time priority principle by inquiring and analyzing the reservation records to obtain the equipment occupation condition of the examination and inspection items to be reserved and obtaining the temporary reservation records of the current patient. The optimization processing module is used for optimizing the temporary reservation records pre-queued according to the time priority principle by taking the patient as a center and sending the optimized examination item reservation queuing information to the client through the information receiving and sending module; the patient-centric optimization includes time-and place-centric optimization to reduce the number of patient trips to and from the hospital at the time of examination and the distance of trips within the hospital.
The optimizing processing module comprises a time optimizing sub-module, and is used for firstly finding out the latest examination time of the temporary reservation record of the examination items of one patient by the pre-queuing module, then re-carrying out the second reservation in reverse order by taking the latest examination time as a reference, and adjusting the time of all reservations to be as close to the latest examination time as possible under the condition of ensuring that the priority of the examination items is unchanged so as to reduce the times of the patient going to and from a hospital.
The optimizing processing module comprises a place optimizing sub-module, and is used for carrying out third reservation on the temporary reservation record after the time optimizing sub-module carries out secondary reservation according to the latest checking time and the latest execution place of the checking item, so as to reduce the round trip distance between the execution places of different checking items of a patient.
The pre-queuing module is also used for receiving and managing the equipment registering condition of each execution department through the client, maintaining a real-time equipment scheduling table and establishing the relation among the inspection equipment, the inspection items and the required time of the items; the equipment scheduling table at least comprises: checking the checking equipment, checking the checking project and checking the checking duration; the pre-queuing module is further configured to maintain, by the client, an inspection item description table, where the inspection item description table includes at least: checking and checking the project, the priority, the constraint period and the project duration; the pre-queuing module is used for inquiring and judging the basic data of the reservation record, the equipment scheduling table and the examination item description table to obtain examination item queuing information of the patient to be reserved and queued.
The optimizing processing module is also used for receiving and managing a device relation table and describing the containing relation and the mutual exclusion relation among the checking and checking devices so as to provide basic data of optimizing processing, and reselecting the checking and checking devices during secondary reservation or tertiary reservation; the optimizing processing module is also used for receiving and managing a department comparison table, describing the distance relation among the executed departments to provide basic data of distance optimization, and carrying out distance optimization according to the principle of minimum distance among the departments when three reservations are carried out.
The invention also provides a patient-centered clinical examination appointment method, which comprises the following steps:
the reservation server receives reservation queuing check-up project information for a patient requested by a client. The reservation server pre-queues one or more inspection items queued in accordance with a request of 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, queues one or more examination and inspection items which are transmitted by the client and are in queuing with the request of one patient according to the time priority principle, and obtains the temporary reservation records of the current patient. The reservation server performs patient-centric optimization of temporary reservation records pre-queued on a time-first basis, including time-centric and place-centric optimization, to reduce the number of patient trips to and from the hospital at the time of examination and the distance of trips within the hospital. And the reservation server transmits the optimized check project reservation queuing information to the client through the information receiving and transmitting module and stores the information in the database.
The reservation server firstly finds out the latest examination time of temporary reservation records of a plurality of examination items of one patient, then re-performs the second reservation in reverse order by taking the latest examination time as a reference, and adjusts the time of all reservations to be as close to the latest examination time as possible under the condition of ensuring that the priority of the examination items is unchanged so as to reduce the times of the patient going to and from a hospital.
The reservation server makes a third reservation for the temporary reservation record after the time-optimized secondary reservation according to the execution place closest to the latest checking and checking item checking place closest to the latest checking and checking time, so as to reduce the round trip distance between different checking and checking item execution places of patients.
The reservation server receives and manages the equipment registering condition of each execution department through the client, and maintains a real-time equipment scheduling table so as to establish the relationship among the inspection equipment, the inspection items and the required time of the items; the equipment scheduling table at least comprises: checking the checking equipment, checking the checking project and checking the checking duration; the reservation server also maintains, by the client, an inspection item description table comprising at least: checking and checking the project, the priority, the constraint period and the project duration; the pre-queuing module is used for inquiring and judging the basic data of the reservation record, the equipment scheduling table and the examination item description table to obtain examination item queuing information of the patient to be reserved and queued.
The reservation server receives and manages a device relation table for describing inclusion relation and mutual exclusion relation between the inspection devices to provide basic data of the optimization process, and reselects the inspection devices at the time of secondary reservation or tertiary reservation; the reservation server also receives and manages a department comparison table for describing the distance relation among the executed departments to provide basic data of distance optimization, and the distance optimization is carried out according to the principle of minimum distance among the departments when three reservations are carried out.
The invention has the beneficial effects that: the proposal provided by the invention realizes centralized automatic reservation, and simultaneously realizes centralized detection and inspection time and centralized optimization of inspection and inspection places by taking the patient as the center, thereby reducing the times of the patient going to and from the hospital and the distance of going to and from the hospital to the maximum extent.
Description of the drawings:
the drawings are primarily intended to depict preferred embodiments and are not limiting of the invention. Like reference numerals are used to denote like elements throughout the figures. In the drawings:
FIG. 1 is a block diagram of a subscription server of a 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 time optimization of an embodiment of the present invention;
FIG. 5 is a flow chart of a method of optimizing by location in accordance with an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantageous effects of the present invention more clear and apparent, the present invention is further described below with reference to the accompanying drawings and examples.
The present embodiment is a patient-centered clinical examination reservation system including a client and a reservation server 100, and makes a centralized reservation by 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 check item for checking a reservation queuing of a patient requested by a client, and send ordering information to the client after queuing is completed; the patient's request reserves queued exam test items as one or more exam 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 after reservation completion to the client.
The pre-queuing module 120 performs reservation queuing by using a time-first principle, and this step mainly uses statistical analysis on reservation records stored in the previous server 100 to determine the device occupation condition by using the time-first principle.
The pre-queuing module 120 receives and manages the registration of equipment by the clients in each executive department, and maintains a real-time equipment scheduling table to establish a relationship among the inspection equipment, the inspection items, and the time required for the items. The equipment scheduling table at least comprises: inspection equipment, inspection items, inspection duration.
The pre-queuing module 120 maintains, by the client, a check-up project description table including at least: checking and checking the project, the priority, the constraint period and the project duration; the pre-queuing module is used for inquiring and judging the basic data of the reservation record, the equipment scheduling table and the examination item description table to obtain examination item queuing information of the patient to be reserved and queued.
The pre-queuing module 120 is configured to queue one or more inspection items in the queue according to the time priority principle, where the one or more inspection items are queued by the request of the patient transmitted by the client, and obtain a temporary reservation record of the current patient, where the device occupancy of the inspection items to be reserved is obtained through the query and analysis of the reservation record.
The equipment scheduling table, the inspection item description table and the reservation record are basic data for completing the pre-queuing according to the time priority principle. The equipment schedule describes the relationship between a particular inspection equipment and a particular inspection item. The checking and checking duration refers to the duration that a specific checking and checking device needs to consume to finish a checking and checking project. In general, an equipment scheduling table is maintained by each executive department, and the executive departments perform scheduling on equipment according to the equipment conditions of the executive departments. I.e. device-item-time contrast. After completion, it is known how long a certain inspection device is required to complete the inspection of which items.
The examination test item description table describes the main attribute of the item, wherein the priority is an auxiliary field, for the same patient, a plurality of examination test items, possibly existing items, have to be done before, and some items need to be done after, at this time, the priority is used for assisting in completing the sequencing of the examination test items, and the priority can be divided into multiple stages and expressed by numbers. Typically, fasting items need to be done in the morning, often with priority set to high priority. However, the items occupy the longer-duration items, that is, after the inspection of the items is completed, no other inspection can be performed within 12 hours, and the priority of the items is often set to be low. The constraint period refers to that the inspection and inspection project must be completed within a certain period, such as a fasting project, usually needs to be completed in the morning, and the period is generally set to 8:00-12:00, and the project without constraint period limitation can be set to 00:00-24:00. The term duration refers to the duration occupied by the examination and examination items of the patient, and is different from the examination and examination duration of the equipment scheduling table, for example, the examination and examination duration of a certain examination and examination item only needs 15 minutes, but after the patient completes the examination and examination item, other items can not be done within 12 hours, and the examination and examination duration of the equipment scheduling table is 15 minutes, while the term duration of the examination and examination item description table is 12 hours.
All reservation queues rely on the equipment schedule, the examination item description table and the reservation record, and specifically include that the reservation server 100 reserves examination items of patients to be reserved by the client according to the following steps:
(1) The list of inspection items to be queued for inspection is prioritized: 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;
(2) Presetting checking and checking time: traversing the ordered patient examination item list, inquiring the queued examination item reservation records through the associated equipment scheduling table for each examination item, finding out the examination equipment which is available at the latest time and meets the item constraint period conditions according to the time priority principle according to the equipment occupation period in the reservation records as the examination equipment of the current patient examination item reservation records, and taking the latest available time as the examination time of the current patient examination item reservation records;
(3) Correcting the checking and checking time according to the project duration: after traversing the checking project list and obtaining the checking time of all checking projects, further adjusting the checking time according to the project duration so as to realize that the time interval among a plurality of checking projects meets the requirement of the project duration; 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.
Reservation pre-queuing of the examination items for the current patient examination may be accomplished through the above steps. The time priority principle results in the case of occupied equipment. The appointment results may be for the patient to go to the hospital multiple times, i.e., the patient has three exam items ABC, item a is about in the afternoon in the present day, item B is about in the morning, and item C is about in the afternoon in the open day, which may result in the patient going to the hospital three times for exam. How to achieve as concentrated as possible to one morning, one afternoon or one day to complete the inspection test requires further optimization.
The optimization processing module 130 is configured to perform optimization with respect to the patient as a center on the temporary reservation record pre-queued according to the time priority principle, and send the optimized examination item reservation queuing information to the client through the information transceiver module 110; the patient-centric optimization includes time-and place-centric optimization to reduce the number of patient trips to and from the hospital at the time of examination and the distance of trips within the hospital.
In addition to reducing the number of patient trips to hospitals, it is also necessary for large hospitals to reduce the distance between patient trips to each execution department, which is too far away, not only making the patient tired to run, but also increasing the trip time, which is disadvantageous for the improvement of the equipment utilization. Optimizing the pre-queued temporary reservation records therefore involves optimizing time and also distance. 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 occupation condition and is only provided to the optimization processing module 130 for secondary reservation and tertiary reservation, and is not sent to the client.
The optimizing processing module includes a time optimizing sub-module 131, configured to first find out a latest inspection time of the temporary reservation record of the pre-queuing module for a plurality of inspection items of a patient, and then re-perform a second reservation of the reverse ordering based on the latest inspection time, so that under the condition that the priority of the inspection items is unchanged, the time of all reservations is adjusted to be as close to the latest inspection time as possible, so as to reduce the number of times that the patient goes to and from the hospital.
Patients had three exam items ABC as described above, if item a was about in the afternoon of today, item B was about in the morning of tomorrow, and item C was about in the afternoon of tomorrow. This essentially reflects that item C is occupied (reserved) both today in the afternoon and tomorrow in the morning, but only in the afternoon in the tomorrow. Thus, at the time of optimization, it has not been possible to recollect to the afternoon or tomorrow morning today, otherwise reservation conflicts will be possible. Therefore, here, a method of reversing the order is considered, in which the reservation method of reversing the order is performed based on the most distant (late) examination test item, and all items of the patient are concentrated as much as possible in the tomorrow afternoon reserved for item C.
In terms of time optimization, for some inspection items whose item duration is relatively long, it is necessary to set the priority to a low priority in the inspection item description table. If the patient has abdominal ultrasound, CT scanning, and PETCT at the same time. Many conditions are provided for abdominal ultrasound (fasting is required and must be performed in the morning), and many conditions are provided for PETCT follow-up (with radioactivity), and the period of PETCT project is considered longer because people are not recommended to gather in 48 after examination. The reservation sequence becomes that three examination items are first arranged to the same day according to the time logic, then abdomen ultrasound is first done, then CT panning is done, and finally PETCT is done. These relationships are represented by preset priorities, and the priority relationships still need to be kept unchanged when time optimization is performed.
The reverse-ordered reservation is to reserve the temporary reservation records in a reverse order according to the reservation time, traverse the reverse-ordered temporary reservation records, and reserve the temporary reservation records again under the principle that the inspection time of each item is closest to the inspection time of the latest inspection item except the latest inspection item and meets various constraint conditions. The specific algorithm logic of the time-optimized secondary reservation is as follows: (1) When the time-optimal secondary reservation is made for the temporary reservation record, other available check and inspection devices are searched for in the same half day based on the optimal time period of the furthest item. (2) If no resources are available within the same half day, then extend to the day. The patient can visit the hospital once and complete all examinations. (3) For the inspection items with longer possible reservation time, a limit condition is set, for example, if the limit condition is exceeded, namely, the limit condition is exceeded for 2 days, the inspection items with longer possible reservation time are reserved separately, and the time optimization reservation is carried out for the inspection items with the next-far inspection items and other items.
The time optimization method comprises the following specific steps:
(1) Judging whether the furthest checking and checking item exceeds the limiting condition, if not, executing the step (2), if yes, selecting the next-far checking and checking item and other items for optimization, if a plurality of checking and checking items exceed the limiting condition, indicating that the reserved equipment resources are too tense, and executing the step.
(2) Searching other available checking and checking equipment in N half days by taking the optimal time period of the furthest item as a reference when carrying out time optimal secondary reservation on the temporary reservation record;
(3) Ending if found, and if not found, gradually widening the time range by N+1, and executing the step (2).
The worst case of the time optimization method is to maintain the original reservation result on a time-first basis.
The optimizing processing module includes a location optimizing sub-module 132, configured to make a third reservation for the temporary reservation record after the time optimizing sub-module 131 makes a second reservation for the execution location closest to the inspection location of the inspection item closest to the latest inspection time, so as to reduce the round trip distance between execution locations of different inspection items of the patient.
Specific algorithmic logic for site-optimized triple reservations includes: the (execution) location is optimal, i.e. the patient can complete the examination on the shortest route, while the resource usage of the device is dynamically adjusted. First, the execution sites of the open department and the project are compared with the nearest execution site of the open department. Starting operation, if the device resources of the execution place in the current period (within one hour) are found to be full, starting to search the resources towards the next-near execution point, if all the execution points are full in the current period, starting to search the device occupation condition of the latest execution place in the next period (next hour), and so on.
The specific steps of the site optimization include:
(1) The execution place of the temporary reservation record for each inspection item is searched again for an execution place which is closer than the currently selected execution place and meets the constraint condition, centering on the execution place of the most distant inspection item.
(2) And (3) if available checking and checking equipment resources meeting the execution places are closer and meeting the constraint conditions are available, replacing, if not, reserving the execution places of the existing reservation, and continuing to repeat the step (1) until the whole temporary reservation record is traversed.
Likewise, the worst case for site optimization is to maintain the original time-first reservation result.
The optimizing processing module is also used for receiving and managing a device relation table and describing the containing relation and the mutual exclusion relation among the checking and checking devices so as to provide basic data of optimizing processing, and reselecting the checking and checking devices during secondary reservation or tertiary reservation; the optimizing processing module is also used for receiving and managing a department comparison table, describing the distance relation among the executed departments to provide basic data of distance optimization, and carrying out distance optimization according to the principle of minimum distance among the departments when three reservations are carried out.
The examination and inspection equipment relation table is maintained by each department and mainly comprises: the inspection equipment, the priority and the like, the priority is expressed by numbers, for example, a CT room has 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 of the inspection items of 4 but part of the high-end items 4 of 5 cannot do. When the application form is opened, the patient can be reserved to the machine 1 preferentially, the resources of the machine 1 in the current period (1 hour) are full, or the project cannot be executed, and the reservation to the machine 2 is carried out. To ensure that the device resources are optimized and to provide as much available resources for subsequent reservations as possible.
Checking and checking various containing relations and mutual exclusion relations among equipment relation tables of equipment are basic data for optimization adjustment. The device relationship table includes: check that the check devices are consistent with the inclusion relationship and are in the same execution site. When the application form is opened, the patient is reserved to the machine 1 preferentially, the resources of the machine 1 in the current period (1 hour) are full, or the project cannot be executed, and the reservation to the machine 2 is performed. To ensure device resource optimization.
The distance between the execution departments can be described by approximate walking time in terms of a comparison relationship between the single department and the execution place. Optimization by distance is to minimize the distance that the patient walks when performing the examination. If the department of inpatient in heart internal medicine is located No. 1 in the building of inpatient, no. 1 has the department of ultrasound executive point simultaneously, then the ultrasonic application list of opening corresponds to department of ultrasound No. 1 building executive point, and suboptimal executive point probably can accomplish the project at department of ultrasound executive point of outpatient service building yet patient's walking distance increases. However, since the building 1 has no CT machine, the CT application form corresponds to the CT machine room of the imaging building.
In summary, the reservation server 100 includes: 1. firstly, determining the sequence (project priority) of the examination projects of the patient on the same day, reserving according to a time priority principle, and determining the large period of the patient's visit; 2. based on the final period, optimizing the relative concentration of the checking and checking time; 3, determining the optimization of the execution address point (closest to the patient), and ensuring the maximization of equipment resource utilization while optimizing time and place, thereby finally determining the specific time of the examination item (ensuring the optimization in the case of no conflict). The equipment scheduling table, the examination item description table, the (effective) reservation record, the examination equipment relation table, the department comparison table and the like are basic data for realizing reservation queuing and optimization, and the queuing and the optimization are completed by depending on the data.
As shown in fig. 2, the present embodiment further provides a patient-centered clinical examination reservation method, which includes:
s1, receiving a client reservation request: the reservation server 100 receives reservation queuing check-up project information for a patient requested by a client.
S2, pre-queuing reservation request: the reservation server 100 pre-queues one or more inspection items queued in accordance with a patient's request transmitted by a client. The reservation server 100 queues one or more check-up items of a patient's request transmitted by the client according to a time-first principle and obtains a temporary reservation record of the current patient by inquiring and analyzing the reservation record to obtain the device occupation condition of the check-up items to be reserved.
S3, optimizing the pre-queued temporary reservation record: the reservation server 100 performs patient-centric optimization for temporary reservation records pre-queued on a time-first basis, including time-centric and place-centric optimization to reduce the number of patient trips to and from the hospital at the time of examination and the distance of trips within the hospital.
S4, sending the optimized reservation request to the client side: and the reservation server transmits the optimized check project reservation queuing information to the client through the information receiving and transmitting module and stores the information in the database.
The reservation server 100 receives and manages the registration of equipment by the client for each executive department, maintains a real-time equipment schedule, and establishes a relationship among the inspection equipment, the inspection items, and the time required for the items.
The equipment scheduling table at least comprises: checking the checking equipment, checking the checking project and checking the checking duration; the subscription server also checks the item description table by client maintenance.
The inspection item description table includes at least: checking and checking the project, the priority, the constraint period and the project duration; the pre-queuing module is used for inquiring and judging the basic data of the reservation record, the equipment scheduling table and the examination item description table to obtain examination item queuing information of the patient to be reserved and queued.
As shown in fig. 3, the reservation queuing server 100 pre-queues the examination test items of the patient to be reserved and queued by the client according to the following steps:
s21, sorting the list of inspection items to be checked in a queuing manner according to the 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 item list, inquiring the queued examination item reservation records through the associated equipment scheduling table for each examination item, according to the equipment occupation period in the reservation records and the time priority principle, the examination equipment available at the latest time and meeting the item constraint period condition is found as the examination equipment for the current patient examination item reservation record, and the latest available time is taken as the examination time for the current patient examination item reservation record.
S23, correcting the checking and checking time according to the project duration: after traversing the checking project list and obtaining the checking time of all checking projects, further adjusting the checking time according to the project duration so as to realize that the time interval among a plurality of checking projects meets the requirement of the project duration; 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 duration, if not, correcting according to the item duration, and continuing to repeat the step S22 until the item duration is met.
S24, optionally, after the reservation queuing server finishes reservation, forming an inspection equipment occupation period according to the inspection time length of the equipment scheduling table and storing the inspection equipment occupation period in a reservation record.
The reservation server firstly finds out the latest examination time of temporary reservation records of a plurality of examination items of one patient, then carries out the second reservation of reverse sequencing again by taking the latest examination time as a reference, and adjusts the time of all reservations to be as close to the latest examination time as possible under the condition of ensuring that the priority of the examination items is unchanged so as to reduce the times of the patient going to and from a hospital. The specific algorithm logic comprises the following steps: (1) When the time-optimal secondary reservation is made for the temporary reservation record, other available check and inspection devices are searched for in the same half day based on the optimal time period of the furthest item. (2) If no resources are available within the same half day, then extend to the day. The patient can visit the hospital once and complete all examinations. (3) For the inspection items with longer possible reservation time, a limit condition is set, for example, if the limit condition is exceeded, namely, the limit condition is exceeded for 2 days, the inspection items with longer possible reservation time are reserved separately, and the time optimization reservation is carried out for the inspection items with the next-far inspection items and other items.
As shown in fig. 4, the time optimization method specifically includes the steps of:
and S311, judging whether the furthest checking and checking item exceeds the limiting condition, if not, executing the step S312, if yes, selecting the next furthest checking and checking item to optimize with other items, and if a plurality of checking and checking items exceed the limiting condition, indicating that the reserved equipment resources are too tense, and executing the step S312.
S312, searching other available checking and checking devices in N half days by taking the optimal time period of the furthest item as a reference when performing time-optimal secondary reservation on the temporary reservation record;
s313 ends if found, and if not found, step S312 is performed by gradually widening the time range by n+1.
The worst case of the time optimization method is to maintain the original reservation result on a time-first basis.
The reservation server makes a third reservation for the temporary reservation record after the time-optimized secondary reservation according to the execution place closest to the latest checking and checking item checking place closest to the latest checking and checking time, so as to reduce the round trip distance between different checking and checking item execution places of patients.
An algorithm logic for site-optimized triple reservation includes: the (execution) location is optimal, i.e. the patient can complete the examination on the shortest route, while the resource usage of the device is dynamically adjusted. First, the execution sites of the open department and the project are compared with the nearest execution site of the open department. Starting operation, if the device resources of the execution place in the current period (within one hour) are found to be full, starting to search the resources towards the next-near execution point, if all the execution points are full in the current period, starting to search the device occupation condition of the latest execution place in the next period (next hour), and so on.
The reservation server receives and manages a device relation table for describing inclusion relation and mutual exclusion relation between the inspection devices to provide basic data of the optimization process, and reselects the inspection devices at the time of secondary reservation or tertiary reservation; the reservation server also receives and manages a department comparison table for describing the distance relation among the executed departments to provide basic data of distance optimization, and the distance optimization is carried out according to the principle of minimum distance among the departments when three reservations are carried out. In this embodiment, three reservations for distance optimization are re-performed based on the two reservations for time optimization, as shown in fig. 5, and the specific steps include:
s321, the execution place which is closer than the currently selected execution place and meets the constraint condition is searched again for the execution place of the temporary reservation record of each inspection item, centering on the execution place of the most distant inspection item.
S322, if available checking and checking equipment resources meeting the execution place is closer and meeting the constraint conditions exist, replacing, if not, reserving the execution place of the existing reservation, and continuing to repeat the step S321 until the whole temporary reservation record is traversed.
The equipment scheduling table, the examination item description table, the (effective) reservation record, the examination equipment relation table, the department comparison table and the like are basic data of a method for realizing reservation queuing and optimization, and queuing and optimization are completed by depending on the data.
This patent is illustrated by a specific implementation and various changes and equivalents may be made to this patent without departing from the scope of the patent, therefore, this patent is not limited to the specific implementation disclosed, but is intended to include all embodiments falling within the scope of the patent claims.
Claims (6)
1. A patient-centric clinical examination appointment system comprising a client and an appointment server and performing a centralized appointment by the appointment server, the appointment server comprising:
the information receiving and transmitting module is used for receiving the reservation queuing check project information of a patient requested by the client and transmitting the ordering information to the client after queuing is completed; the patient's request to reserve queued exam test items as one or more exam test items;
the pre-queuing module is used for queuing one or more examination and inspection items which are transmitted by the client and are used for queuing a patient request according to a time priority principle and obtaining a temporary reservation record of the current patient through inquiring and analyzing the reservation record to obtain the equipment occupation condition of the examination and inspection items to be reserved;
the optimization processing module is used for optimizing the temporary reservation records pre-queued according to the time priority principle by taking the patient as a center and sending the optimized examination item reservation queuing information to the client through the information receiving and sending module; the patient-centric optimization includes time-and place-centric optimization to reduce the number of patient trips to the hospital and the distance of trips within the hospital at the time of examination;
the optimizing processing module comprises a time optimizing sub-module, a time optimizing module and a time optimizing module, wherein the time optimizing sub-module is used for firstly finding out the latest checking time of a temporary reservation record of a plurality of checking and checking items of a patient by the pre-queuing module, and then re-reserving the latest checking and checking time as a reference for a second time of reverse sequencing, and under the condition that the priority of the checking and checking items is unchanged, adjusting the reserved time to be as close to the latest checking and checking time as possible so as to reduce the times of the patient to go to and from a hospital;
the optimizing processing module comprises a place optimizing sub-module, and is used for carrying out third reservation on the temporary reservation record after the time optimizing sub-module carries out secondary reservation according to the latest checking time and the latest execution place of the checking item, so as to reduce the round trip distance between the execution places of different checking items of a patient.
2. The system of claim 1, wherein the pre-queuing module is further configured to receive and manage the registration of equipment by the client for each executive department, and maintain a real-time equipment scheduling table to establish a relationship among the inspection equipment, the inspection items, and the length of time required for the items; the equipment scheduling table at least comprises: checking the checking equipment, checking the checking project and checking the checking duration; the pre-queuing module is further configured to maintain, by the client, an inspection item description table, where the inspection item description table includes at least: checking and checking the project, the priority, the constraint period and the project duration; the pre-queuing module is used for inquiring and judging the basic data of the reservation record, the equipment scheduling table and the examination item description table to obtain examination item queuing information of the patient to be reserved and queued.
3. The system of claim 1, wherein the optimization processing module is further configured to receive and manage a device relationship table for describing inclusion relationships and mutual exclusion relationships between inspection devices to provide basic data for optimization processing, and to reselect inspection devices at a second reservation or a third reservation; the optimizing processing module is also used for receiving and managing a department comparison table, describing the distance relation among the executed departments to provide basic data of distance optimization, and carrying out distance optimization according to the principle of minimum distance among the departments when three reservations are carried out.
4. A patient-centric clinical examination reservation method for centralized reservation by a reservation server, the method comprising:
the reservation server receives reservation queuing check examination item information of a patient requested by a client; the reservation server pre-queues one or more 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, queues one or more examination and inspection items which are transmitted by the client and are in queuing with the request of one patient according to the time priority principle, and obtains the temporary reservation records of the current patient;
the reservation server performs optimization with the temporary reservation records pre-queued according to a time priority principle, wherein the optimization with the temporary reservation records pre-queued according to a time priority principle comprises optimization with the temporary reservation records centralized according to time and places so as to reduce the times of the patient to go to a hospital and the round-trip distance in the hospital during examination and examination;
the reservation server sends the optimized check project reservation queuing information to the client through the information receiving and sending module and stores the information in the database;
the reservation server firstly finds out the latest examination time of temporary reservation records of a plurality of examination items of a patient, and then re-performs the second reservation in reverse order by taking the latest examination time as a reference, and adjusts the time of all reservations to be as close to the latest examination time as possible under the condition of ensuring that the priority of the examination items is unchanged so as to reduce the times of the patient going to and from a hospital;
the reservation server makes a third reservation for the temporary reservation record after the time-optimized secondary reservation according to the execution place closest to the latest checking and checking item checking place closest to the latest checking and checking time, so as to reduce the round trip distance between different checking and checking item execution places of patients.
5. The method of claim 4, wherein the reservation server receives and manages the registration of equipment by the client for each executive department, maintains a real-time equipment scheduling table to establish a relationship among the inspection equipment, the inspection items, and the time required for the inspection items; the equipment scheduling table at least comprises: checking the checking equipment, checking the checking project and checking the checking duration; the reservation server also maintains, by the client, an inspection item description table comprising at least: checking and checking the project, the priority, the constraint period and the project duration; the pre-queuing module is used for inquiring and judging the basic data of the reservation record, the equipment scheduling table and the examination item description table to obtain examination item queuing information of the patient to be reserved and queued.
6. The method according to claim 4, wherein the reservation server receives and manages a device relationship table for describing inclusion relationships and mutual exclusion relationships between the inspection devices to provide basic data of the optimization process, and reselects the inspection devices 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 relation among the executed departments to provide basic data of distance optimization, and the distance optimization is carried out according to the principle of minimum distance among the departments when three reservations are carried out.
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