CN111755108A - Method for treating and managing patients based on critical values - Google Patents

Method for treating and managing patients based on critical values Download PDF

Info

Publication number
CN111755108A
CN111755108A CN202010391271.XA CN202010391271A CN111755108A CN 111755108 A CN111755108 A CN 111755108A CN 202010391271 A CN202010391271 A CN 202010391271A CN 111755108 A CN111755108 A CN 111755108A
Authority
CN
China
Prior art keywords
critical value
management module
medical
processing center
treatment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN202010391271.XA
Other languages
Chinese (zh)
Other versions
CN111755108B (en
Inventor
孙喜琢
汪之红
宫芳芳
莫红梅
邓超干
蔡钦泉
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Luohu Peoplel's Hospital
Original Assignee
Shenzhen Luohu Peoplel's Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shenzhen Luohu Peoplel's Hospital filed Critical Shenzhen Luohu Peoplel's Hospital
Priority to CN202010391271.XA priority Critical patent/CN111755108B/en
Publication of CN111755108A publication Critical patent/CN111755108A/en
Application granted granted Critical
Publication of CN111755108B publication Critical patent/CN111755108B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT 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
    • G16H40/20ICT 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

A method for managing treatment of a patient based on a critical value solves the problem of management of treatment of the patient when the critical value appears clinically, and adopts the following scheme: the critical value examination is required for all the examination and inspection result reports 1, the secondary recheck is required for all the critical value confirmation 2, and the closed management and supervision flow is formed by the emergency patient treatment and management 3. The beneficial effects are that: the management method is intelligently realized by the system, the emergency linkage management of the diagnosis and treatment of the emergency value and the effective supervision form a management closed loop, the treatment level and the success rate are greatly improved, the responsibility risk is avoided or reduced, and the medical quality and the safety are ensured; the occurrence of medical hidden troubles and doctor-patient disputes is avoided or reduced, and the effectiveness of treatment basis after the doctor-patient disputes occur is ensured.

Description

Method for treating and managing patients based on critical values
Technical Field
The invention relates to a diagnosis and treatment management method for an intelligent medical institution, in particular to a method for treating and managing patients based on critical values.
Background
The clinical critical value is a numerical value that the auxiliary examination result of the patient deviates greatly from the normal expected value to reach the critical degree, and the patient is possibly in a marginal state of life danger, when a certain index of the examination result reaches the critical value standard, a prescription doctor or a supervisor doctor must obtain the examination result in time to perform effective intervention and emergency treatment on the patient, strive for the time for the intervention and emergency treatment, and obtain more time and opportunities for saving the life of the patient, otherwise, the opportunity for saving the life of the patient is lost or serious treatment results appear.
In the prior art, each medical unit presents critical values to patients clinically, and a corresponding treatment and treatment management method is formulated, for example, the applicant formulates a critical value report formulation and flow as early as 2012 in lahu district hospital in Shenzhen city, and continuously perfects and revises the critical value report in the implementation process, so that clinicians can take timely and effective treatment measures and all technical advantages of the medical units, thereby ensuring the medical quality and safety, avoiding the reduction of medical hidden troubles and medical disputes, and ensuring the effectiveness of treatment bases after the medical disputes occur.
In the prior art, each medical unit clinically presents critical values to patients, the execution of the corresponding treatment and treatment management method is executed by adopting a manual intervention method, the manual intervention method often has the problems of multiple links, unclear responsibility, lack of effective supervision and the like, and the prior art also has the technical defects of critical value misdiagnosis, scientific statistics of critical value treatment cases, critical value correction bases and the like.
Disclosure of Invention
The invention discloses a method for managing treatment of patients based on critical values, which is realized by a medical institution management system consisting of a medical comprehensive management module, an outpatient department management module, a hospital department management module, a basic medical branch management module and an inspection and inspection department management module.
The invention adopts the technical scheme that the purpose of the invention is realized by:
a method for emergency-value-based rescue management of a patient, the rescue management method being implemented by means of a medical institution management system comprising: the system comprises a medical comprehensive management module, an outpatient department management module, an inpatient department management module, a basic medical branch management module and an inspection department management module.
An emergency value diagnosis processing center for emergency value diagnosis, an emergency value threshold value classification database for emergency value comparison, an inspection instrument working state index classification database for emergency value reexamination, an inspection flow and constraint condition check table database for emergency value reexamination, a case statistics classification database for emergency value case treatment statistics and emergency value threshold value modification basis and a medical supervision management module for treatment supervision are additionally arranged in the system, and the method is realized by the following steps:
step 1, a prescription doctor sends a checking and checking item request to a medical comprehensive management module through an outpatient department management module, an inpatient department management module or a primary medical branch management module, the medical comprehensive management module binds the checking and checking item request with patient information and sends the binding to the checking and checking department management module, and the checking and checking department management module decomposes the checking and checking item content and sends the decomposed checking and checking item to a corresponding checking and checking department;
step 2, after the doctor of the examination and inspection department who receives the examination and inspection request checks the identity of the patient, the doctor sends a result report to an examination and inspection department management module, and the examination and inspection department management module sends the result report to a critical value diagnosis processing center to carry out critical value examination on the result report;
and step 3, preliminary examination of the critical value: the critical value confirming and processing center calls out the critical value threshold values of the items corresponding to the result report list and stored in the critical value threshold value classification database to compare item by item, and completes the preliminary examination of the critical value, and the comparison result is divided into: a suspected critical value report sheet and a non-found critical value report sheet exist;
the critical value diagnosis processing center sends a result report sheet of the non-found critical value to the medical comprehensive management module, the medical comprehensive management module forwards the result report sheet to a prescription doctor terminal of a checking and inspecting project request, and a patient treatment management method based on the critical value is not started;
the critical value confirmation processing center enters step 4 for the suspected critical value report sheet, and starts a critical value rechecking program;
step 4, the critical value accurate diagnosis processing center rechecks the program steps that the critical value accurate diagnosis processing center calls the working state index classification database of the checking instrument or the checking process and constraint condition checking database to check and compare the corresponding working state index of the checking instrument or the checking process and constraint condition on the report sheet item by item, and marks the checking and comparing result on the result report sheet to generate a report sheet requesting the rechecking result and temporarily store the rechecking result report sheet;
step 5, after adding the rechecking processing time to the request rechecking result report generated in the step 4, the emergency value confirmed diagnosis processing center respectively sends the request rechecking result report to a medical supervision management module and an inspection and inspection department management module, and displays the request rechecking result report on a doctor terminal of an inspection and inspection department, the medical supervision management module supervises the completion condition and the completion time of the event, and the emergency value confirmed diagnosis processing center starts to wait for uploading of a secondary result report of the inspection and inspection doctor terminal according to the rechecking processing time;
step 6, the examination and inspection doctor corrects the items with abnormal examination and comparison according to the request reexamination result report sheet sent in the step 5 and then carries out secondary examination and inspection, or generates a secondary result report sheet after the reexamination result report sheet is confirmed again, the examination and inspection doctor uploads the secondary result report sheet to an examination and inspection department management module, and the examination and inspection department management module sends the secondary result report sheet to a critical value confirmation processing center to carry out a critical value confirmation program;
step 7, the critical value confirmation processing center carries out the critical value confirmation on the secondary result report list, and the steps are as follows: the critical value confirmation processing center carries out preliminary examination on the critical value according to the step 3 on the secondary result report sheet;
the primary examination result is that the secondary result report sheet without the critical value is uploaded to the medical comprehensive management module, the medical comprehensive management module forwards the report sheet to an inspection and inspection project request terminal, and the treatment management method for the patient based on the critical value is finished;
the preliminary examination result is a secondary result report sheet with suspected critical value, the critical value definite diagnosis processing center calls the temporary storage and recheck result report sheet in the step 4 to compare item by item, the arithmetic mean value of two critical values appearing in the same project is confirmed critical value, the step 4 is repeated for the critical value appearing first in different examination and inspection projects, the critical value definite diagnosis processing center recheck procedure is carried out until all the critical values are processed into confirmed critical values through the critical value definite diagnosis processing center, the critical value definite diagnosis processing center generates a critical value definite diagnosis report sheet with filling limited rescue processing starting time, the critical value definite diagnosis report sheet is stored in a case statistical classification database, and then respectively sent to a medical supervision management module and a medical comprehensive management module and displayed at a prescription doctor terminal, the supervision management module carries out supervision on the rescue processing condition and the starting time of the event, the critical value diagnosis processing center starts to time the treatment starting time and receive a treatment condition result report sheet;
step 8, after the critical value diagnosis processing center receives two responses and treatment records of the beginning treatment and the completion of the treatment of the patient with the critical value from the prescribing doctor within the time specified by the medical comprehensive management module, the critical value diagnosis processing center stores the treatment records in the case statistics classification database, the treatment management method is completed, otherwise, the next step 9 is entered;
the critical value confirmation processing center receives a consultation or referral processing request sent by a prescription doctor to a patient with a critical value through the medical comprehensive management module at a set time, and then the consultation or referral processing request is sent to the patient with the critical value;
step 9, the critical value diagnosis processing center does not receive the response of the prescription doctor for the emergency value patient treatment after the medical comprehensive management module exceeds the specified time, and the medical comprehensive management module sends a patient treatment request for the emergency value to the medical supervision management module, the prescription doctor terminal display, the prescription doctor personal terminal and the prescription doctor department supervisor personal terminal;
step 10, the medical comprehensive management module circularly sends the treatment request in step 8 continuously until the critical value diagnosis processing center receives a response of the prescription doctor to the beginning of treatment of the patient with the critical value;
step 11, the medical comprehensive management module receives a consultation or referral treatment request sent by a prescription doctor to a patient with a critical value in a set time;
the critical value diagnosis processing center respectively generates a consultation task list or a referral request list according to the consultation or referral processing request received by the medical comprehensive management module;
in the consultation task list: the system comprises a critical value diagnosis report sheet, consultation specialist information and a consultation time mark;
a referral request sheet; the system contains critical value accurate diagnosis report sheets and referral unit information;
step 12, the medical comprehensive management module sends the consultation task list generated by the critical value accurate diagnosis processing center to the expert consultation management module and the medical supervision management module, the expert consultation management module forwards the consultation task list to an expert involved in the consultation task list, the medical supervision management module supervises the consultation events, and the critical value accurate diagnosis processing center starts to receive consultation timing and a consultation result report;
the medical comprehensive management module sends a referral request sheet generated by the critical value diagnosis processing center to the referral management module for referral preparation;
step 13, the medical comprehensive management module does not receive the consultation result report in the set time, the critical value diagnosis processing center does not receive the consultation result reply after the medical comprehensive management module exceeds the set time, and the medical comprehensive management module sends an emergency consultation request to the medical supervision management module, the consultation expert terminal display, the consultation expert personal terminal and the consultation expert supervisor terminal;
step 14, the medical comprehensive management module circularly sends the consultation request in the step 12 until the critical value diagnosis processing center receives the consultation result reply;
and step 15, after receiving the consultation result report at the set time, the medical comprehensive management module forwards the consultation result report to the prescription doctor terminal and then enters the step 8 again.
The invention has the beneficial effects that: the emergency value diagnosis, emergency linkage management of treatment and effective supervision form a management closed loop, the treatment level of the emergency value to the patient is greatly improved, the responsibility risk of manual implementation management is effectively avoided or reduced, the medical quality and safety are ensured, the medical hidden danger and the occurrence of medical disputes are avoided or reduced, and the effectiveness of treatment basis after the occurrence of the medical disputes is ensured.
The present invention is described in detail below with reference to a flow chart of a rescue management method.
Drawings
FIG. 1 is a flow chart of the method of the present invention.
Detailed Description
Referring to the drawings, a method for emergency-based treatment management of a patient by means of a medical institution management system, the medical institution management system comprising: the system comprises a medical comprehensive management module, an outpatient department management module, an inpatient department management module, a basic medical branch management module and an inspection department management module. The medical comprehensive management module comprises a roster for classified management of all medical staff and managers registered by the system, and communication contact addresses and means, wherein the communication contact addresses and means comprise display terminals and personal terminals (such as WeChat, short message, QQ, personal computer and the like) of the medical staff and the managers registered by the system.
An emergency value diagnosis processing center for emergency value diagnosis, an emergency value threshold value classification database for emergency value comparison, an inspection instrument working state index classification database for emergency value reexamination, an inspection process and constraint condition check table database for emergency value reexamination, a case statistics classification database for emergency value case treatment statistics and emergency value threshold value modification basis and a medical supervision management module for treatment supervision are additionally arranged in the system. The method is realized by the following steps:
step 1, a prescription doctor sends a checking and checking item request to a medical comprehensive management module through an outpatient department management module, an inpatient department management module or a primary medical branch management module, the medical comprehensive management module binds the checking and checking item request with patient information and sends the binding to the checking and checking department management module, and the checking and checking department management module decomposes the checking and checking item content and sends the decomposed checking and checking item to a corresponding checking and checking department.
The outpatient prescription doctor, the inpatient prescription doctor and the primary medical network prescription doctor can respectively send examination and inspection project requests to the medical comprehensive management module through the outpatient department management module, the inpatient department management module and the primary medical network management module which respectively have authority.
Outpatient prescribing doctors, inpatient prescribing doctors and primary care network prescribing doctors must be medical personnel registered with the system with prescription rights.
And 2, after the doctor of the examination and inspection department who receives the examination and inspection request checks the identity of the patient, sending the result report to the examination and inspection department management module, and sending the examination and inspection department management module to the critical value diagnosis processing center to carry out critical value examination on the result report.
In the step, all result reports of the inspection and the inspection are subjected to critical value examination, so that the omission of the critical value of the result of the inspection and the inspection is prevented, and the system response is carried out on the result report with the critical value at the first time.
And step 3, preliminary examination of the critical value: the critical value confirming and processing center calls out the critical value threshold values of the items corresponding to the result report list and stored in the critical value threshold value classification database to compare item by item, and completes the preliminary examination of the critical value, and the comparison result is divided into: a suspected critical value report sheet and a non-found critical value report sheet exist;
the critical value diagnosis processing center sends a result report sheet of the non-found critical value to the medical comprehensive management module, the medical comprehensive management module forwards the result report sheet to a prescription doctor terminal of a checking and inspecting project request, and a patient treatment management method based on the critical value is not started;
and (4) the critical value confirmation processing center enters a step 4 for the suspected critical value report sheet and starts a critical value rechecking program.
And 4. the critical value accurate diagnosis processing center rechecking program comprises the steps that the critical value accurate diagnosis processing center calls the working state index classification database of the checking instrument or the checking process and constraint condition checking database to check and compare the corresponding working state index of the checking instrument or the checking process and constraint condition on the report sheet item by item, marks the checking and comparing result on the result report sheet, generates a report sheet requesting the rechecking result, and temporarily stores the rechecking result report sheet.
The method comprises the steps of establishing a critical value rechecking program, solving the problem of error or misdiagnosis caused by abnormal work of instruments and equipment in the examination, and comprehensively rechecking whether the examination process is in compliance, and meeting constraint conditions (such as fasting before examination, drug prohibition and the like), and the like, so that misdiagnosis caused by inconsistent external conditions is reduced to the maximum extent. And for the detection of manual operation, the critical value diagnosis processing center compares the recorded content of the result report sheet with the inspection flow and the constraint condition check table database according to items to determine whether the critical value diagnosis processing center is in a yes or no state.
And 5, the critical value confirmed diagnosis processing center adds the re-examination processing time to the request re-examination result report generated in the step 4, then respectively sends the request re-examination result report to the medical supervision management module and the examination and examination department management module, the request re-examination result report is displayed on a doctor terminal of the examination and examination department, the medical supervision management module supervises the completion condition and the completion time of the event, and the critical value confirmed diagnosis processing center starts to time according to the re-examination processing time and waits for the uploading of a secondary result report of the examination and examination doctor terminal.
After the critical value appears for the first time, the probability of the possibility of the patient critical value to be diagnosed is increased, the short-time reexamination becomes extremely important, and the purposes of limiting the reexamination processing time and starting the medical supervision and control in advance are the invention purposes of the step.
And 6, the examination and inspection doctor corrects the items with abnormal examination and comparison according to the request reexamination result report sheet sent in the step 5 and then carries out secondary examination and inspection, or generates a secondary result report sheet after the reexamination result report sheet is confirmed again, the examination and inspection doctor uploads the secondary result report sheet to the examination and inspection department management module, and the examination and inspection department management module sends the secondary result report sheet to the critical value confirmation processing center to carry out a critical value confirmation program.
Step 7, the critical value confirmation processing center carries out the critical value confirmation on the secondary result report list, and the steps are as follows: the critical value confirmation processing center carries out preliminary examination on the critical value according to the step 3 on the secondary result report sheet;
the primary examination result is that the secondary result report sheet without the critical value is uploaded to the medical comprehensive management module, the medical comprehensive management module forwards the report sheet to the inspection and inspection project request terminal, and the treatment management method for the patient based on the critical value is ended;
the preliminary examination result is a secondary result report sheet with suspected critical value, the critical value definite diagnosis processing center calls the temporary storage and recheck result report sheet in the step 4 to compare item by item, the arithmetic mean value of two critical values appearing in the same project is confirmed critical value, the step 4 is repeated for the critical value appearing first in different examination and inspection projects, the critical value definite diagnosis processing center recheck procedure is carried out until all the critical values are processed into confirmed critical values through the critical value definite diagnosis processing center, the critical value definite diagnosis processing center generates a critical value definite diagnosis report sheet with filling limited rescue processing starting time, the critical value definite diagnosis report sheet is stored in a case statistical classification database, and then respectively sent to a medical supervision management module and a medical comprehensive management module and displayed at a prescription doctor terminal, the supervision management module carries out supervision on the rescue processing condition and the starting time of the event, the critical value diagnosis processing center starts timing of the treatment start time and reception of the treatment condition report sheet.
The critical value is confirmed for two times, and the critical value is confirmed for two times by an algorithm of a critical value confirmation processing center, so that the accuracy of the critical value is guaranteed.
And 8, after the critical value confirmed diagnosis processing center receives the two responses and the treatment records of the beginning and the completion of the treatment of the patient with the critical value from the prescription doctor within the time specified by the medical comprehensive management module, the critical value confirmed diagnosis processing center stores the treatment records in the case statistics classification database, the treatment management method is completed, otherwise, the next step 9 is carried out, and the critical value confirmed diagnosis processing center receives the consultation or referral processing request of the patient with the critical value from the prescription doctor within the time specified by the medical comprehensive management module and carries out the step 11.
The purpose of the case statistics classification database setup is:
1, the complete record of treatment cases is reserved, and reference is provided for future medical research, clinical treatment, occurrence of divergence or medical responsibility division.
2 complete treatment case records are kept. Providing statistical data for updating or correcting the critical value threshold in the critical value threshold classification database.
3 case data information can be associated with the critical value of a patient to process prognosis conditions, the critical value processing efficiency can be evaluated, and a quick processing scheme is provided for the next occurrence of the same critical value.
And 9, the critical value diagnosis processing center does not receive the response of the prescription doctor for the treatment of the patient with the critical value after the medical comprehensive management module exceeds the specified time, and the medical comprehensive management module sends a treatment request for the patient with the critical value to the medical supervision management module, the display of the prescription doctor terminal, the prescription doctor personal terminal and the prescription doctor department supervisor personal terminal.
The critical value diagnosis processing center supervises and urges the patient treatment response of the prescription doctor to the critical value after the specified time is exceeded and the prescription doctor personal terminal and the prescription doctor department supervisor are informed and urged at two levels, and meanwhile manual intervention is implemented on special conditions to improve information support.
And step 10, the medical comprehensive management module circularly sends the treatment request in the step 8 continuously until the critical value diagnosis processing center receives a response of treating the patient with the critical value from the prescribing doctor.
And step 11, the medical comprehensive management module receives a consultation or referral treatment request sent by a prescription doctor to a patient with a critical value at a specified time.
And the critical value diagnosis processing center respectively generates a consultation task list or a referral request list according to the consultation or referral processing request received by the medical comprehensive management module.
In the consultation task list: the system comprises a critical value diagnosis report sheet, consultation specialist information and a consultation time mark;
a referral request sheet; the system contains a critical value accurate diagnosis report and referral unit information.
And step 12, the medical comprehensive management module sends the consultation task list generated by the critical value accurate diagnosis processing center to the expert consultation management module and the medical supervision management module, the expert consultation management module forwards the consultation task list to an expert involved in the consultation task list, the medical supervision management module supervises the consultation events, and the critical value accurate diagnosis processing center starts to receive consultation timing and consultation result reports.
The medical comprehensive management module sends the referral request list generated by the critical value diagnosis processing center to the referral management module for referral preparation.
And step 13, the medical comprehensive management module does not receive the consultation result report in the set time, the emergency value diagnosis processing center does not receive the consultation result reply after the medical comprehensive management module exceeds the set time, and the medical comprehensive management module sends an emergency consultation request to the medical supervision management module, the consultation expert terminal display, the consultation expert personal terminal and the consultation expert supervisor terminal.
And step 14, the medical comprehensive management module circularly sends the consultation request in the step 12 until the critical value diagnosis processing center receives a consultation result reply.
And step 15, after receiving the consultation result report at the set time, the medical comprehensive management module forwards the consultation result report to the prescription doctor terminal and then enters the step 8 again.
The consultation management and consultation supervision procedures are added, so that the treatment of the patient with critical value is implemented for realizing all technical advantages in the comprehensive reason system, and the auxiliary time for making a treatment scheme and preparing personnel is shortened.
In the embodiment of the invention, in the step 7, the critical value diagnosis processing center generates a critical value diagnosis report sheet with filling limited treatment starting time, and the critical value diagnosis report sheet is respectively sent to the medical supervision management module and the medical comprehensive management module, and the medical comprehensive management module forwards the critical value diagnosis report sheet to at least two stages of a prescription doctor and a supervisor nurse or the prescription doctor and the supervisor of the doctor, and displays the critical value diagnosis report sheet on two stages of terminals. The purposes of mutual reminding and mutual supervision are achieved.
In the embodiment of the invention, step 8, after the critical value accurate diagnosis processing center receives two responses and treatment records of the beginning of treatment and the completion of treatment of the patient with the critical value from the prescribing doctor within the time set by the medical comprehensive management module, the critical value accurate diagnosis processing center stores the treatment records in the case statistics classification database, and the critical value accurate diagnosis processing center regularly corrects the critical value threshold stored in the critical value threshold classification database according to the case statistics stored in the case statistics classification database. The critical value threshold is reached more scientifically and accurately.

Claims (3)

1. A method for emergency-value-based rescue management of a patient, the rescue management method being implemented by means of a medical institution management system comprising: medical treatment integrated management module, outpatient service department management module, administrative module of the department of being in hospital, basic level medical treatment website management module and inspection administrative module, its characterized in that: an emergency value diagnosis processing center for emergency value diagnosis, an emergency value threshold value classification database for emergency value comparison, an inspection instrument working state index classification database for emergency value reexamination, an inspection flow and constraint condition check table database for emergency value reexamination, a case statistics classification database for emergency value case treatment statistics and emergency value threshold value modification basis and a medical supervision management module for treatment supervision are additionally arranged in the system, and the method is realized by the following steps:
step 1, a prescription doctor sends a checking and checking item request to a medical comprehensive management module through an outpatient department management module, an inpatient department management module or a primary medical branch management module, the medical comprehensive management module binds the checking and checking item request with patient information and sends the binding to the checking and checking department management module, and the checking and checking department management module decomposes the checking and checking item content and sends the decomposed checking and checking item to a corresponding checking and checking department;
step 2, after the doctor of the examination and inspection department who receives the examination and inspection request checks the identity of the patient, the doctor sends a result report to an examination and inspection department management module, and the examination and inspection department management module sends the result report to a critical value diagnosis processing center to carry out critical value examination on the result report;
and step 3, preliminary examination of the critical value: the critical value confirming and processing center calls out the critical value threshold values of the items corresponding to the result report list and stored in the critical value threshold value classification database to compare item by item, and completes the preliminary examination of the critical value, and the comparison result is divided into: a suspected critical value report sheet and a non-found critical value report sheet exist;
the critical value diagnosis processing center sends a result report sheet of the non-found critical value to the medical comprehensive management module, the medical comprehensive management module forwards the result report sheet to a prescription doctor terminal of a checking and inspecting project request, and a patient treatment management method based on the critical value is not started;
the critical value confirmation processing center enters step 4 for the suspected critical value report sheet, and starts a critical value rechecking program;
step 4, the critical value accurate diagnosis processing center rechecks the program steps that the critical value accurate diagnosis processing center calls the working state index classification database of the checking instrument or the checking process and constraint condition checking database to check and compare the corresponding working state index of the checking instrument or the checking process and constraint condition on the report sheet item by item, and marks the checking and comparing result on the result report sheet to generate a report sheet requesting the rechecking result and temporarily store the rechecking result report sheet;
step 5, after adding the rechecking processing time to the request rechecking result report generated in the step 4, the emergency value confirmed diagnosis processing center respectively sends the request rechecking result report to a medical supervision management module and an inspection and inspection department management module, and displays the request rechecking result report on a doctor terminal of an inspection and inspection department, the medical supervision management module supervises the completion condition and the completion time of the event, and the emergency value confirmed diagnosis processing center starts to wait for uploading of a secondary result report of the inspection and inspection doctor terminal according to the rechecking processing time;
step 6, the examination and inspection doctor corrects the items with abnormal examination and comparison according to the request reexamination result report sheet sent in the step 5 and then carries out secondary examination and inspection, or generates a secondary result report sheet after the reexamination result report sheet is confirmed again, the examination and inspection doctor uploads the secondary result report sheet to an examination and inspection department management module, and the examination and inspection department management module sends the secondary result report sheet to a critical value confirmation processing center to carry out a critical value confirmation program;
step 7, the critical value confirmation processing center carries out the critical value confirmation on the secondary result report list, and the steps are as follows: the critical value confirmation processing center carries out preliminary examination on the critical value according to the step 3 on the secondary result report sheet;
the primary examination result is that the secondary result report sheet without the critical value is uploaded to the medical comprehensive management module, the medical comprehensive management module forwards the report sheet to an inspection and inspection project request terminal, and the treatment management method for the patient based on the critical value is finished;
the preliminary examination result is a secondary result report sheet with suspected critical value, the critical value definite diagnosis processing center calls the temporary storage and recheck result report sheet in the step 4 to compare item by item, the arithmetic mean value of two critical values appearing in the same project is confirmed critical value, the step 4 is repeated for the critical value appearing first in different examination and inspection projects, the critical value definite diagnosis processing center recheck procedure is carried out until all the critical values are processed into confirmed critical values through the critical value definite diagnosis processing center, the critical value definite diagnosis processing center generates a critical value definite diagnosis report sheet with filling limited rescue processing starting time, the critical value definite diagnosis report sheet is stored in a case statistical classification database, and then respectively sent to a medical supervision management module and a medical comprehensive management module and displayed at a prescription doctor terminal, the supervision management module carries out supervision on the rescue processing condition and the starting time of the event, the critical value diagnosis processing center starts to time the treatment starting time and receive a treatment condition result report sheet;
step 8, after the critical value diagnosis processing center receives two responses and treatment records of the beginning treatment and the completion of the treatment of the patient with the critical value from the prescribing doctor within the time specified by the medical comprehensive management module, the critical value diagnosis processing center stores the treatment records in the case statistics classification database, the treatment management method is completed, otherwise, the next step 9 is entered;
the critical value confirmation processing center receives a consultation or referral processing request sent by a prescription doctor to a patient with a critical value through the medical comprehensive management module at a set time, and then the consultation or referral processing request is sent to the patient with the critical value;
step 9, the critical value diagnosis processing center does not receive the response of the prescription doctor for the emergency value patient treatment after the medical comprehensive management module exceeds the specified time, and the medical comprehensive management module sends a patient treatment request for the emergency value to the medical supervision management module, the prescription doctor terminal display, the prescription doctor personal terminal and the prescription doctor department supervisor personal terminal;
step 10, the medical comprehensive management module circularly sends the treatment request in step 8 continuously until the critical value diagnosis processing center receives a response of the prescription doctor to the beginning of treatment of the patient with the critical value;
step 11, the medical comprehensive management module receives a consultation or referral treatment request sent by a prescription doctor to a patient with a critical value in a set time;
the critical value diagnosis processing center respectively generates a consultation task list or a referral request list according to the consultation or referral processing request received by the medical comprehensive management module;
in the consultation task list: the system comprises a critical value diagnosis report sheet, consultation specialist information and a consultation time mark;
a referral request sheet; the system contains critical value accurate diagnosis report sheets and referral unit information;
step 12, the medical comprehensive management module sends the consultation task list generated by the critical value accurate diagnosis processing center to the expert consultation management module and the medical supervision management module, the expert consultation management module forwards the consultation task list to an expert involved in the consultation task list, the medical supervision management module supervises the consultation events, and the critical value accurate diagnosis processing center starts to receive consultation timing and a consultation result report;
the medical comprehensive management module sends a referral request sheet generated by the critical value diagnosis processing center to the referral management module for referral preparation;
step 13, the medical comprehensive management module does not receive the consultation result report in the set time, the critical value diagnosis processing center does not receive the consultation result reply after the medical comprehensive management module exceeds the set time, and the medical comprehensive management module sends an emergency consultation request to the medical supervision management module, the consultation expert terminal display, the consultation expert personal terminal and the consultation expert supervisor terminal;
step 14, the medical comprehensive management module circularly sends the consultation request in the step 12 until the critical value diagnosis processing center receives the consultation result reply;
and step 15, after receiving the consultation result report at the set time, the medical comprehensive management module forwards the consultation result report to the prescription doctor terminal and then enters the step 8 again.
2. The method of claim 1, wherein the method comprises: in the step 7, the critical value accurate diagnosis processing center generates a critical value accurate diagnosis report sheet with the filling limited treatment starting time, and the critical value accurate diagnosis report sheet is respectively sent to the medical supervision management module and the medical comprehensive management module, and the medical comprehensive management module forwards the critical value accurate diagnosis report sheet to be not less than two stages of a prescription doctor and a supervisor nurse or the prescription doctor and the supervisor of the doctor, and displays the critical value accurate diagnosis report sheet on two stages of terminals.
3. The method of claim 1, wherein the method comprises: and 8, after the critical value diagnosis processing center receives two responses and treatment records of the beginning of treatment and the completion of treatment of the patient with the critical value from the prescribing doctor within the time set by the medical comprehensive management module, the critical value diagnosis processing center stores the treatment records in the case statistics classification database, and the critical value diagnosis processing center periodically corrects the critical value threshold stored in the critical value threshold classification database according to the case statistics stored in the case statistics classification database.
CN202010391271.XA 2020-05-11 2020-05-11 Method for treating and managing patients based on critical values Active CN111755108B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010391271.XA CN111755108B (en) 2020-05-11 2020-05-11 Method for treating and managing patients based on critical values

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010391271.XA CN111755108B (en) 2020-05-11 2020-05-11 Method for treating and managing patients based on critical values

Publications (2)

Publication Number Publication Date
CN111755108A true CN111755108A (en) 2020-10-09
CN111755108B CN111755108B (en) 2022-02-22

Family

ID=72673199

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202010391271.XA Active CN111755108B (en) 2020-05-11 2020-05-11 Method for treating and managing patients based on critical values

Country Status (1)

Country Link
CN (1) CN111755108B (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114255859A (en) * 2021-12-23 2022-03-29 四川大学华西医院 Method and system for sorting emergency values of radiology department emergency examination reports

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110295620A1 (en) * 2010-05-28 2011-12-01 City Of Hope Method, apparatus and system for automated patient screening and triage
AU2011384378A1 (en) * 2011-12-21 2014-06-19 Colgate-Palmolive Company Methods and products to diagnose and treat heatiness
CN108492874A (en) * 2018-04-28 2018-09-04 江苏医像信息技术有限公司 The critical value diagnosis and therapy system of intelligence
CN108538385A (en) * 2018-04-13 2018-09-14 广州卫软信息科技有限公司 A kind of critical value warning system of medical test
CN110493480A (en) * 2019-08-03 2019-11-22 银川市紧急救援中心 120 quality control index monitoring and pre-alarming methods
CN110689952A (en) * 2019-10-09 2020-01-14 武汉志软科技有限公司 Mobile doctor end management platform system
CN110689936A (en) * 2019-09-30 2020-01-14 重庆市职业病防治院(重庆市第六人民医院) Hospital emergency value management system

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110295620A1 (en) * 2010-05-28 2011-12-01 City Of Hope Method, apparatus and system for automated patient screening and triage
AU2011384378A1 (en) * 2011-12-21 2014-06-19 Colgate-Palmolive Company Methods and products to diagnose and treat heatiness
CN108538385A (en) * 2018-04-13 2018-09-14 广州卫软信息科技有限公司 A kind of critical value warning system of medical test
CN108492874A (en) * 2018-04-28 2018-09-04 江苏医像信息技术有限公司 The critical value diagnosis and therapy system of intelligence
CN110493480A (en) * 2019-08-03 2019-11-22 银川市紧急救援中心 120 quality control index monitoring and pre-alarming methods
CN110689936A (en) * 2019-09-30 2020-01-14 重庆市职业病防治院(重庆市第六人民医院) Hospital emergency value management system
CN110689952A (en) * 2019-10-09 2020-01-14 武汉志软科技有限公司 Mobile doctor end management platform system

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114255859A (en) * 2021-12-23 2022-03-29 四川大学华西医院 Method and system for sorting emergency values of radiology department emergency examination reports

Also Published As

Publication number Publication date
CN111755108B (en) 2022-02-22

Similar Documents

Publication Publication Date Title
Gregory et al. Using administrative data to identify indications for elective primary cesarean delivery
US7689439B2 (en) System and method for managing medical data
Attanasio et al. Relationship between hospital‐level percentage of midwife‐attended births and obstetric procedure utilization
CN109192285B (en) Medical resource allocation method, device, system, electronic device and storage medium
US8311854B1 (en) Medical quality performance measurement reporting facilitator
Stapleton Validation of an online data registry for midwifery practices: a pilot project
JP2021509617A (en) Continuous improvement tool
CN111755108B (en) Method for treating and managing patients based on critical values
CN114882967A (en) Patient information storage system based on big data
CN111640475A (en) Management system for clinical test
CN115185936B (en) Medical clinical data quality analysis system based on big data
CN111627536A (en) Adverse event management system and method for hospital
CN111126831A (en) Medical quality management system standardized execution method and device and computer terminal
Hindmarsh et al. Improving the safety of patient transfer from AMU using a written checklist
CN111724886B (en) Ambulance transport patient treatment management method based on critical value
CN111312347A (en) Medical adverse event clue identification method and device, electronic equipment and storage medium
KR20080042256A (en) Adverse dug events surveillance system
CN113764091B (en) Medical quality intelligent management platform
CN112466421B (en) Full-period health management system and method for pregnant and lying-in women based on Internet
AU2019100889A4 (en) System and method to find minimum diagnostics required for prescriptions and minimum medicines required to cure patient symptoms
US8032306B2 (en) Computerized system and method for documenting patient vital signs during blood product administration and transfusion
US20230282317A1 (en) System and method of managing a clinical trial of patients
CN113192589A (en) Information-based medical record information management system and method
Poelgeest Electronic medical records and quality of care: exploration of the effects of EMR use on the quality of hospital care
Cronin-Lampe et al. Engagement with Diabetes Retinal Screening: An analysis of secondary data from the Pacific Eye Institute in Suva

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant