CN112037371B - Intelligent management system for operating room pharmacy and medicine management method thereof - Google Patents
Intelligent management system for operating room pharmacy and medicine management method thereof Download PDFInfo
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- CN112037371B CN112037371B CN202010746879.XA CN202010746879A CN112037371B CN 112037371 B CN112037371 B CN 112037371B CN 202010746879 A CN202010746879 A CN 202010746879A CN 112037371 B CN112037371 B CN 112037371B
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07C—TIME OR ATTENDANCE REGISTERS; REGISTERING OR INDICATING THE WORKING OF MACHINES; GENERATING RANDOM NUMBERS; VOTING OR LOTTERY APPARATUS; ARRANGEMENTS, SYSTEMS OR APPARATUS FOR CHECKING NOT PROVIDED FOR ELSEWHERE
- G07C9/00—Individual registration on entry or exit
- G07C9/00174—Electronically operated locks; Circuits therefor; Nonmechanical keys therefor, e.g. passive or active electrical keys or other data carriers without mechanical keys
- G07C9/00563—Electronically operated locks; Circuits therefor; Nonmechanical keys therefor, e.g. passive or active electrical keys or other data carriers without mechanical keys using personal physical data of the operator, e.g. finger prints, retinal images, voicepatterns
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07C—TIME OR ATTENDANCE REGISTERS; REGISTERING OR INDICATING THE WORKING OF MACHINES; GENERATING RANDOM NUMBERS; VOTING OR LOTTERY APPARATUS; ARRANGEMENTS, SYSTEMS OR APPARATUS FOR CHECKING NOT PROVIDED FOR ELSEWHERE
- G07C9/00—Individual registration on entry or exit
- G07C9/00174—Electronically operated locks; Circuits therefor; Nonmechanical keys therefor, e.g. passive or active electrical keys or other data carriers without mechanical keys
- G07C9/00309—Electronically operated locks; Circuits therefor; Nonmechanical keys therefor, e.g. passive or active electrical keys or other data carriers without mechanical keys operated with bidirectional data transmission between data carrier and locks
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07C—TIME OR ATTENDANCE REGISTERS; REGISTERING OR INDICATING THE WORKING OF MACHINES; GENERATING RANDOM NUMBERS; VOTING OR LOTTERY APPARATUS; ARRANGEMENTS, SYSTEMS OR APPARATUS FOR CHECKING NOT PROVIDED FOR ELSEWHERE
- G07C9/00—Individual registration on entry or exit
- G07C9/00174—Electronically operated locks; Circuits therefor; Nonmechanical keys therefor, e.g. passive or active electrical keys or other data carriers without mechanical keys
- G07C9/00571—Electronically operated locks; Circuits therefor; Nonmechanical keys therefor, e.g. passive or active electrical keys or other data carriers without mechanical keys operated by interacting with a central unit
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07C—TIME OR ATTENDANCE REGISTERS; REGISTERING OR INDICATING THE WORKING OF MACHINES; GENERATING RANDOM NUMBERS; VOTING OR LOTTERY APPARATUS; ARRANGEMENTS, SYSTEMS OR APPARATUS FOR CHECKING NOT PROVIDED FOR ELSEWHERE
- G07C9/00—Individual registration on entry or exit
- G07C9/00174—Electronically operated locks; Circuits therefor; Nonmechanical keys therefor, e.g. passive or active electrical keys or other data carriers without mechanical keys
- G07C9/00896—Electronically operated locks; Circuits therefor; Nonmechanical keys therefor, e.g. passive or active electrical keys or other data carriers without mechanical keys specially adapted for particular uses
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
Abstract
The embodiment of the invention discloses an intelligent management system for an operating room pharmacy and a medicine management method thereof, wherein the system comprises intelligent management equipment arranged in an operating room area, the intelligent management equipment comprises an intelligent medicine box management cabinet, a muscle relaxant refrigeration management cabinet and an electronic intelligent medicine box, an embedded software system enables the medicine box to be matched with operation information through data interaction, a software system controls the intelligent medicine box management cabinet to store and record taking state information of the intelligent medicine box in a centralized and orderly manner, the muscle relaxant refrigeration management cabinet is controlled to carry out refrigeration access on the muscle relaxant, an electronic tracking chip is arranged in the electronic intelligent medicine box, a positioning base station arranged in the operating room area can be in signal connection with the electronic tracking chip so as to track the moving path of the electronic intelligent medicine box, process management is realized, and the electronic intelligent medicine box can sense the taking state of a single toxic anesthetic, so that medicine taking records, patients, anesthetists, time nodes and other information of each operation can be accurately output and medicine information report forms; through the innovative centralized medicine management method, medicine use information is traced and closed-loop management is performed, toxic and anesthetic drugs are prevented from being lost, and account conformity is guaranteed.
Description
Technical Field
The embodiment of the invention relates to the technical field of operating room pharmacy management, in particular to an operating room pharmacy intelligent management system and a medicine management method thereof.
Background
The operating room pharmacy is a relatively independent and closed medicine storage and management area of a hospital, the establishment of the operating room pharmacy meets the internal requirements of high-standard management, safe medication and closed-loop management of the state on the medicines (particularly narcotics) in the operating room, and the intellectualization and informatization are the trends of the medicine management in the operating room pharmacy.
The existing operating room pharmacy management has the following equipment forms: (1) The medicine stack is placed on the medicine rack, the common medicine box is taken to an operating room for direct use after manual registration, manual recording is carried out after operation, the work is complicated, the missed and wrong notes are easy to occur, and particularly, the toxic and anesthetic medicine management in the operating room is difficult to trace when account inconsistency occurs; (2) The intelligent medicine cabinet achieves information management to a certain degree, but only solves the problem of static management of medicines in a pharmacy of an operating room, does not go deep into the operating room, does not monitor the whole medicine use process, does not form linkage with the medicines used in the operating room, cannot monitor the medicine use process, and does not have the fine management of the refrigerated medicines in a common refrigerator of a hospital for refrigerating the medicines; (3) The intelligent medicine cabinet and the intelligent medicine trolley for the operating room (one operating room and one operating room) have the advantages that the whole set of system is high in price, domestic hospitals are quite implemented for a few times, and the common refrigerator of the hospital for refrigerating medicines does not have the fine management of the refrigerated medicines.
Disclosure of Invention
Therefore, the embodiment of the invention provides an intelligent management system for an operating room pharmacy and a medicine management method thereof, and aims to solve the problems that the medicine boxes in the existing operating room pharmacy management are not standard in stacking and are not subjected to informatization management, postoperative manual recording and complex work are easily caused, wrong notes are easily caused, the use accounts of narcotic drugs are inconsistent and difficult to trace, the pharmacy management is independent without linkage with the use process, the medicine is subjected to extensive refrigeration management, and the price of the whole system is relatively high.
In order to achieve the above object, the embodiments of the present invention provide the following technical solutions:
according to a first aspect of the embodiment of the invention, the intelligent management system for the operating room pharmacy comprises intelligent management equipment, the intelligent management equipment comprises an intelligent medicine box management cabinet, a muscle relaxing medicine refrigeration management cabinet and an electronic intelligent medicine box, the intelligent medicine box management cabinet comprises a main cabinet, the main cabinet comprises a multi-grid medicine box storage cabinet and a control box, the medicine box storage cabinet comprises a cabinet door and a cabinet body, the electronic intelligent medicine box is stored in the cabinet body, a photoelectric sensor used for detecting whether the electronic intelligent medicine box is in the cabinet body is arranged on the inner wall of the cabinet body, an electromagnetic lock is arranged on the cabinet body, a lock hook capable of being locked with the electromagnetic lock is arranged on the cabinet door, a touch display screen and an iris identifier are arranged on the front side of the control box, a controller is arranged in the control box, the muscle relaxing medicine refrigeration management cabinet comprises a plurality of refrigeration drawers, a refrigeration motor and temperature and humidity sensors, an electronic lock is arranged on the rear side of each refrigeration drawer, a lock tongue capable of being locked with the electronic lock is arranged on the refrigeration drawer, the refrigeration drawer is provided with a muscle relaxing medicine box, the refrigeration drawer, the photoelectric sensor, the touch display screen, the iris identifier, the fingerprint identifier, the electromagnetic lock and the refrigeration motor are connected with the control computer.
Further, the system is still including setting up a plurality of positioning base stations of each different positions of floor of hospital, positioning base station connection upper computer, be provided with the electron that can launch the signal according to fixed time interval in the electronic intelligence medical kit and track the chip, positioning base station and electron track chip signal real-time connection, positioning base station is used for judging the relative distance with the electronic intelligence medical kit and upload and give upper computer according to the power of received signal, upper computer is used for calculating the spatial position that the spatial coordinate value comes the positioning electronic intelligence medical kit according to positioning base station and the relative distance of electronic intelligence medical kit, and it tracks to generate real-time moving path to electronic intelligence medical kit location.
Furthermore, a temperature and humidity sensor is arranged on the muscle relaxant refrigeration management cabinet and is in communication connection with an internet of things module arranged in the muscle relaxant refrigeration management cabinet, the internet of things module acquires temperature and humidity data and displays the temperature and humidity data on a temperature and humidity display, and meanwhile the temperature and humidity sensor is remotely connected with a cloud platform through the internet of things module and is used for uploading temperature and humidity information to the cloud platform.
Further, muscle laxative refrigeration management cabinet includes support chassis and panel beating shell, and is a plurality of cold-stored drawer sets up on the support chassis, the electronic lock is fixed through electron lock fixed beam on the support chassis, the refrigeration motor is installed the support chassis top, the support chassis outside is provided with the heat preservation, the panel beating shell is connected to the heat preservation, the heat preservation front side is connected with the heat preservation apron, panel beating shell rear side is connected with the backplate, cold-stored drawer side is provided with the slide rail, slide rail sliding connection slide rail fixed beam, slide rail fixed beam connects the support chassis.
Further, muscle pine medicine refrigeration management cabinet still includes the emergent unlocking device who is connected with the electronic lock, emergent unlocking device includes a plurality of mechanical locks, and every mechanical lock all is connected with the locking lever, and a plurality of mechanical locks and locking lever pass through the fixed bolster and support, the fixed bolster is fixed on the backbone, the locking lever is connected with the brake cable, the lower part of brake cable can set up in the unblock casing with reciprocating, set up the opening that corresponds with the electronic lock on the unblock casing, the brake cable passes through the lock body of open connection electronic lock, open under the emergency condition during the mechanical lock, the mechanical lock drives the locking lever rotatory, and the brake cable drives the electronic lock unblock upwards to the locking lever.
Further, the refrigeration motor comprises 4 Stirling refrigeration motors, the refrigeration motors are fixed above the metal plate shell through motor fixing plates, an air circulation fan is arranged above the inside of the metal plate shell, the air circulation fan and the condensation dehumidification mode are respectively adopted to keep the temperature and the humidity in the box body, and the heat preservation layer is wrapped by polyurethane to preserve heat through a vacuum heat insulation plate.
Further, the medical kit stores up cabinet one side correspondence is provided with the emergent lock that is used for opening the cabinet door under the outage condition, and is a plurality of emergent lock is hidden and is set up in two lock backplate below, be provided with the safety lock that is used for locking two lock backplate on the two lock backplate.
Further, the intelligent medicine box management cabinet further comprises at least one auxiliary cabinet connected with the main cabinet, and the auxiliary cabinet comprises a multi-grid medicine box storage cabinet.
According to a second aspect of the embodiment of the present invention, there is provided a management method of an intelligent management system for an operating room pharmacy, the method including:
an anesthesiologist performs identification, authentication and login on the intelligent medicine box management cabinet through an iris identifier or an RFID card identifier and a fingerprint identifier, after login is successful, an operation is selected on a touch display screen according to pre-stored operation scheduling information, and after an operation program is started, the system automatically binds anesthesiologist information with the selected operation information;
the controller opens an electromagnetic lock of a cabinet door of the intelligent medicine box management cabinet according to the instruction, the cabinet door automatically pops out, an anesthesiologist takes out the electronic intelligent medicine box in the cabinet body, and the cabinet door is manually closed;
the photoelectric sensor detects that the electronic intelligent medicine box is taken out, a detection signal is transmitted to the controller, and the controller transmits the received information to the upper computer;
when the cabinet door is closed, the system automatically distributes a refrigerating drawer of a muscle relaxant refrigerating management cabinet storing muscle relaxant medicines to an anesthesiologist, the controller opens an electronic lock of the refrigerating drawer according to an instruction, the refrigerating drawer automatically pops up, the anesthesiologist takes out a muscle relaxant medicine box and manually closes the refrigerating drawer;
in the process that an anesthesiologist takes an electronic intelligent medicine box and a muscle relaxing medicine box to an operating room, an electronic tracking chip arranged in the electronic intelligent medicine box transmits signals according to a fixed time interval, a positioning base station arranged in the operating room area judges the relative distance between the positioning base station and the electronic intelligent medicine box according to the strength of the received signals and uploads the relative distance to an upper computer, the upper computer calculates a space coordinate value according to a triangular positioning method according to the relative distance between the positioning base station and the electronic intelligent medicine box to position the space position of the electronic intelligent medicine box, and a real-time moving path is generated to position and track the electronic intelligent medicine box, so that process management is achieved;
after the operation is completed, the anaesthetist returns the electronic intelligent medicine box and the muscle relaxation medicine box to the corresponding medicine box storage cabinet and the cold storage drawer respectively, the photoelectric sensor detects that the electronic intelligent medicine box is put back, the detection signal is transmitted to the controller, the controller transmits the received information to the upper computer, meanwhile, the electronic intelligent medicine box transmits the operation medicine information, the operation corresponding patients and the information of the medicine taking time of each patient, and the medicine list is automatically collected and transmitted to the upper computer.
The embodiment of the invention has the following advantages:
the intelligent operating room medicine management device is provided with a centralized management mode which monitors and records the state of a medicine box in real time and automatically generates the medicine taking information of the operating room, and automatic management is carried out through authority setting, so that medicines are used in the whole process in a traceable centralized management mode; the positioning base station receives the signals of the electronic intelligent medicine chest chip in real time and automatically generates a moving path according to a triangulation positioning method; a Stirling refrigeration management cabinet with circulating air cooling and automatic dehumidification controls dozens of refrigeration drawers to automatically pop up according to authority and operation scheduling information, a cloud platform automatically synchronizes temperature and humidity data, and real-time monitoring is carried out for 24 hours.
The system comprises intelligent management equipment, the intelligent management equipment comprises an intelligent medicine box management cabinet, a muscle relaxant refrigeration management cabinet and an electronic intelligent medicine box, each operating room is provided with the electronic intelligent medicine box, the medicine boxes are matched with operation information, the intelligent medicine boxes are stored in sequence in a centralized mode through the intelligent medicine box management cabinet and record taking state information of the medicine boxes, the muscle relaxant refrigeration management cabinet is used for refrigerating and storing muscle relaxants, the electronic intelligent medicine boxes automatically record medicine information used in the operation and information such as corresponding patients and medicine taking time of each patient, medicine use lists are automatically collected, medicine use information tracing and closed-loop management are achieved, narcotic loss is avoided, account signs are guaranteed, operating room medicine pharmacy management is effectively standardized, hospital medicine informatization management and operating room medicine fine management are improved, a medicine box management mode familiar before a hospital is used, an overall flow is not required to be modified, and cost is saved.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It should be apparent that the drawings in the following description are merely exemplary, and that other embodiments can be derived from the drawings provided by those of ordinary skill in the art without inventive effort.
The structures, proportions, sizes, and other elements shown in the specification are for the purpose of illustration and description, and are not intended to be exhaustive or to limit the invention to the precise form disclosed, since the invention is not limited thereto, it will be understood by those skilled in the art that various modifications, changes in the proportions and variations of the structures, and variations of the dimensions and proportions may be resorted to without departing from the spirit and scope of the invention as defined by the appended claims.
Fig. 1 is a schematic structural diagram of an intelligent management cabinet for medicine boxes of an intelligent management system for a pharmacy in an operating room according to embodiment 1 of the present invention;
fig. 2 is a schematic structural diagram of a muscle relaxant refrigeration management cabinet of an operating room pharmacy intelligent management system according to embodiment 1 of the present invention;
fig. 3 is a schematic structural diagram of a main cabinet of an intelligent management system for an operating room pharmacy provided in embodiment 1 of the present invention;
fig. 4 is a schematic internal structural diagram of a main cabinet of an intelligent management system for an operating room pharmacy provided in embodiment 1 of the present invention;
fig. 5 is an exploded schematic view of a muscle relaxant refrigeration management cabinet of an operating room pharmacy intelligent management system according to embodiment 1 of the present invention;
FIG. 6 is a schematic structural diagram of a refrigeration drawer of an intelligent management system for an operating room pharmacy provided in embodiment 1 of the present invention;
fig. 7 is a schematic structural diagram of a cooling motor of an intelligent management system for an operating room pharmacy according to embodiment 1 of the present invention;
fig. 8 is a flowchart illustrating a drug manager of the intelligent management system for the pharmacy of the operating room according to embodiment 1 of the present invention.
In the figure: the intelligent medicine box management cabinet 100, the muscle-relaxing medicine refrigeration management cabinet 200, the movable wheel set 300, the main cabinet 110, the auxiliary cabinet 120, the medicine box storage cabinet 130, the control box 140, the touch display screen 150, the iris identifier 160, the RFID card identifier 170, the fingerprint identifier 180, the cabinet door 131, the cabinet body 132, the photoelectric sensor 133, the electromagnetic lock 134, the latch hook 135, the emergency lock 136, the double-lock protection plate 137, the safety lock 138, the refrigeration drawer 210, the refrigeration motor 220, the electronic lock 230, the electronic lock fixing beam 231, the latch tongue 240, the support framework 250, the sheet metal shell 260, the insulating layer 270, the insulating layer cover plate 271, the back plate 280, the slide rail 290, the slide rail fixing beam 291, the temperature and humidity display 2100, the monitoring camera 2110, the motor fixing plate 2120, the fan 2130, the emergency unlocking device 2140, the mechanical lock 2141, the lock rod 2142, the fixing bracket 2143, the brake cable 2144, and the unlocking case 2145.
Detailed Description
The present invention is described in terms of particular embodiments, other advantages and features of the invention will become apparent to those skilled in the art from the following disclosure, and it is to be understood that the described embodiments are merely exemplary of the invention and that it is not intended to limit the invention to the particular embodiments disclosed. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
The embodiment provides an intelligent management system for an operating room pharmacy, which comprises intelligent management equipment, wherein the intelligent management equipment comprises an intelligent medicine box management cabinet 100, a muscle-relaxing refrigeration management cabinet 200 and an electronic intelligent medicine box.
As shown in fig. 1, the intelligent medicine box management cabinet 100 includes a main cabinet 110, as shown in fig. 3, the main cabinet 110 includes a multi-case medicine box storage cabinet 130 and a control box 140, as shown in fig. 4, the medicine box storage cabinet 130 includes a cabinet door 131 and a cabinet body 132, electronic intelligent medicine boxes are stored in the cabinet body 132, a photoelectric sensor 133 for detecting whether the electronic intelligent medicine boxes are in the cabinet body 132 is disposed on an inner wall of the cabinet body 132, an electromagnetic lock 134 is disposed on the cabinet body 132 for locking and opening the cabinet door 131, and can transmit locking and opening signals of the cabinet door 131 to the control module, a locking hook 135 capable of being locked with the electromagnetic lock 134 is disposed on the cabinet door 131, a spring is integrated on the electromagnetic lock 134 for unlocking and ejecting the cabinet door 131 when the cabinet door 131 is opened, a touch display 150, an iris identifier 160, an RFID card identifier 170, and a fingerprint identifier 180 are disposed on a front side of the control box 140, and a controller is disposed in the control box 140.
The structure and function of the electronic intelligent medicine box refer to patent CN201920365120. X-content of an electronic intelligent medicine box in an operating room, common surgical medicines are stored in the intelligent medicine box, and in the surgical process, the electronic intelligent medicine box can automatically record medicine information used in the surgery, corresponding patients and information such as time for taking medicines from each patient, and automatically collect a medicine taking list.
Preferably, the intelligent medicine-box management cabinet 100 further comprises at least one auxiliary cabinet 120 connected to the main cabinet 110, and the auxiliary cabinet 120 comprises a multi-case medicine-box storage cabinet 130. Before actual use, the number of the auxiliary cabinets 120 needs to be determined according to the scale of an operating room of a user (namely, the number of operating rooms, one operating room is provided with one electronic intelligent medicine chest), a main cabinet (provided with a control box 140) can be independently arranged, or the main cabinet and N auxiliary cabinets can be arranged, a controller in the main cabinet 110 can control the switch and information mutual transmission of each cabinet door 131 on the main cabinet 110 and each auxiliary cabinet 120 through communication, and the main cabinet 110 can also realize the switch and information mutual transmission of each refrigerating drawer on the muscle-relaxing medicine refrigerating management cabinet 200 through communication.
The emergency lock 136 used for opening the cabinet door 131 under the power-off condition is correspondingly arranged on one side of each medicine-box storage cabinet 130, the emergency locks 136 are hidden below the double-lock guard plate 137, the safety lock 138 used for locking the double-lock guard plate 137 is arranged on the double-lock guard plate 137, double-lock management of the medicine box is formed by the safety lock 138 and the emergency lock 136, the safety lock is required to be opened by a key to open the double-lock guard plate 137 before the power-off condition is finished, then the emergency lock 136 is opened by the key to open the cabinet door 131, double-lock management under the power-off condition or the emergency condition is realized, and the double-lock management requirements of hospitals on narcotics are met.
As shown in fig. 2 and 5, the muscle relaxant refrigeration management cabinet 200 includes a plurality of refrigeration drawers 210, a refrigeration motor 220, and a temperature and humidity sensor, wherein the refrigeration motor 220 includes a refrigeration module such as a condenser, an evaporator, a compressor, a fan, etc., the temperature and humidity sensor, and a signal transmission module, and can stop refrigeration when the temperature is lower than a certain temperature by setting the temperature to 2-8 ℃, and start refrigeration when the temperature is higher than a certain temperature, so as to ensure that the temperature is within the range of 2-8 ℃. And when the temperature exceeds the preset temperature, the temperature is transmitted to the mobile phone of the administrator through communication modes such as a telephone card/WeChat and the like.
As shown in fig. 6, an electronic lock 230 is disposed at the rear side of each refrigeration drawer 210, and is used for locking and unlocking the refrigeration drawer 210, and transmitting a locking and unlocking signal of the cabinet door 131 to the control module, a spring is integrated on the electronic lock 230, and is used for unlocking and ejecting out the drawer when the drawer is opened, a latch 240 capable of being locked with the electronic lock 230 is disposed on the refrigeration drawer 210, and a muscle-relaxing medicine box is stored in the refrigeration drawer 210.
Muscle laxative refrigeration management cabinet 200 still includes support chassis 250 and panel beating shell 260, a plurality of cold-stored drawers 210 set up on support chassis 250, electronic lock 230 passes through electronic lock fixed beam 231 and fixes on support chassis 250, refrigerating motor 220 installs in support chassis 250 top, the support chassis 250 outside is provided with heat preservation 270, can isolated heat, cold-stored heat preservation, heat preservation 270 is connected panel beating shell 260, heat preservation 270 front side is connected with heat preservation apron 271, panel beating shell 260 rear side is connected with backplate 280, the backplate 280 can be used to open the door when maintaining, it is used for fixed the line to be provided with thermovent and wiring mouth (circular telegram line, communication line) above, cold-stored drawer 210 side is provided with slide rail 290, slide rail 290 sliding connection slide rail fixed beam 291, slide rail fixed beam 291 connects support chassis 250.
The muscle relaxant refrigeration management cabinet further comprises an emergency unlocking device 2140 connected with the electronic lock 230, the emergency unlocking device 2140 comprises a plurality of mechanical locks 2141, the mechanical locks 2141 are 809 mechanical locks, each mechanical lock 2141 is connected with a lock rod 2142, the mechanical locks 2141 and the lock rods 2142 are supported by a fixing support 2143, the fixing support 2143 is fixed on the supporting framework 250, the lock rod 2142 is connected with a brake cable 2144, the lower portion of the brake cable 2144 can be arranged in the unlocking case 2145 in a vertically movable manner, an opening corresponding to the electronic lock 230 is formed in the unlocking case 2145, the brake cable 2144 is connected with a lock body of the electronic lock 230 through the opening, when the mechanical locks 2141 are unlocked by using a key in an emergency situation, the mechanical locks 2141 drive the lock rods 2142 to rotate, the lock rods 2142 pull the brake cable 2144 upwards, the brake cable 2144 drives the electronic lock 230 to unlock, and the refrigeration drawer 210 can be opened in an emergency situation.
In this embodiment, 4 stirling refrigeration motors are adopted to provide a cold source for the refrigeration motor 220, as shown in fig. 7, the refrigeration motor 220 is fixed above the sheet metal shell 260 through a motor fixing plate 2120, an air circulation fan 2130 is arranged above the inside of the sheet metal shell 260, the fan 2130 can provide a power source for cold air circulation, the temperature and the humidity in the box body are maintained through an air cooling mode and a condensation dehumidification mode, the heat preservation layer is covered by a polyurethane-coated VIP vacuum plate for heat preservation, and a multi-machine-head control mode is adopted and is realized by industrial-grade Android.
Be provided with humiture display 2100 on the muscle pine medicine refrigeration management cabinet 200, humiture display 2100 is connected with the controller communication for show current temperature and humidity value. Temperature and humidity sensor connects the thing networking module, and the controller can acquire humiture data and show on the display by thing networking module, and the thing networking module of arranging in muscle pine medicine refrigeration management cabinet can upload the cloud platform to humiture data in the box in real time, provides the function that shows data, exceeds standard and reports to the police and data backup to terminal equipment such as accessible cell-phone, IPAD, computer look over remotely.
The monitoring camera 2110 is arranged above the muscle-relaxing medicine refrigeration management cabinet 200, the monitoring camera 2110 is in communication connection with the controller, the dynamic high-definition camera can monitor the whole process of the medicine taking box and is stored in the hard disk, and the video tracing is convenient to call in the later period.
The photoelectric sensor 133, the electromagnetic lock 134, the touch display screen 150, the iris recognizer 160, the RFID card recognizer 170, the fingerprint recognizer 180, the electronic lock 230, the refrigeration motor 220 and the temperature and humidity sensor are all connected with a controller, the controller is connected with an upper computer, a host computer is arranged in the control box 140, and the controller can be used for transmitting instructions issued by the computer downwards and transmitting electric signals of electric components upwards.
The bottoms of the medicine box intelligent management cabinet 100 and the muscle-relaxing medicine refrigeration management cabinet 200 are respectively provided with a movable wheel set 300, so that the movable wheel sets are convenient to move.
The system further comprises a plurality of positioning base stations arranged at different positions of each floor of the hospital, the positioning base stations are connected with an upper computer, an electronic tracking chip capable of emitting signals at fixed time intervals is arranged in the electronic intelligent medicine box, the positioning base stations are connected with the electronic tracking chip in real time, the positioning base stations are used for judging the relative distance between the positioning base stations and the electronic intelligent medicine box according to the strength of the received signals and uploading the relative distance to the upper computer, and the upper computer is used for calculating the space coordinate value according to a triangular positioning method to position the space position of the electronic intelligent medicine box and generating a real-time moving path to position and track the electronic intelligent medicine box. The positioning is based on the combination of an LORA technology and Zigbee (a wireless network protocol of low-speed short-distance transmission), the positioning method is suitable for linear and cellular positioning, the transmission distance can reach 2-5km, all electronic intelligent medicine box nodes in an operating room area can be connected, and the positioning method has the characteristics of strong penetrability, stable signals, low maintenance, safety and the like.
With reference to fig. 8, a management method of an intelligent management system for an operating room pharmacy according to the embodiment includes:
an anesthesiologist performs identification authentication login on the intelligent medicine box management cabinet 100 through the iris identifier 160, living body identification login is safer, password stealing during password login and work card borrowing during RFID work card login can be avoided, high-level control of poison and anesthetic can be realized, possible virus contact infection can be avoided, after login is successful, an operation is selected on the touch display screen 150 according to pre-stored operation scheduling information (the operation scheduling information is synchronized to the management cabinet in advance through hospital HIS data), the system automatically binds the anesthesiologist information with the selected operation information after an operation program is started, and the operation information comprises patient information and operation information, such as patient personal data, a bed number, a patient ID, an operation name, anesthesia types (general anesthesia and semi-anesthesia) and the like;
the controller opens the electromagnetic lock 134 on the cabinet door 131 of the medicine-box and storage cabinet 130 storing the electronic intelligent medicine boxes configured for the operation according to the instruction, the cabinet door 131 automatically pops up, an anesthesiologist takes out the electronic intelligent medicine boxes in the cabinet body 132, and the cabinet door 131 is manually closed;
the photoelectric sensor 133 detects that the electronic intelligent medicine box is taken out, transmits a detection signal to the controller, and the controller transmits the received information to the upper computer;
when the cabinet door 131 is closed, the system automatically distributes a refrigerating drawer 210 of the muscle relaxation medicine refrigerating management cabinet 200 storing the muscle relaxation medicine to an anesthesiologist, the controller opens an electronic lock 230 of the refrigerating drawer 210 according to an instruction, the refrigerating drawer 210 automatically pops up, the anesthesiologist takes out a muscle relaxation medicine box and manually closes the refrigerating drawer 210, and the anesthesiologist takes the electronic intelligent medicine box and the muscle relaxation medicine box and brings the electronic intelligent medicine box and the muscle relaxation medicine box to an operating room together and takes the medicine as required;
in the process that an anesthesiologist takes an electronic intelligent medicine box and a muscle relaxation medicine box to an operating room, an electronic tracking chip arranged in the electronic intelligent medicine box emits signals according to a fixed time interval, a positioning base station arranged in the operating room area judges the relative distance between the positioning base station and the electronic intelligent medicine box according to the strength of the received signals and uploads the relative distance to an upper computer, the upper computer positions the spatial position of the electronic intelligent medicine box according to the relative distance between the positioning base station and the electronic intelligent medicine box and the spatial coordinate value calculated according to a triangular positioning method, a real-time moving path is generated to position and track the electronic intelligent medicine box, and process management is achieved;
after the operation is finished, the anesthetist returns the electronic intelligent medicine box and the muscle-relaxing medicine box to the corresponding medicine box storage cabinet 130 and the corresponding refrigeration drawer 210 respectively, the photoelectric sensor 133 detects that the electronic intelligent medicine box is put back, a detection signal is transmitted to the controller, and the controller transmits the received information to the host computer; meanwhile, the electronic intelligent medicine chest automatically collects the medicine taking information of the operation, the patients corresponding to the operation, the medicine taking time of each patient and the like, and transmits the medicine taking list to the upper computer; after the operation is completed, once the medicine box is returned, only a pharmacist has the permission to open the cabinet door 131 to check the number of the medicines and the number of the empty ampoule bottles, and the using record of the muscle relaxing medicines can be manually checked by the pharmacist after the medicine box of the muscle relaxing medicines is returned, or the medicine using information of the muscle relaxing medicines is added to the software management system.
The intelligent management system for the operating room pharmacy provided by the embodiment has the following advantages:
the medical kit is matched with the operation information, the medical kit intelligent management cabinet is used for intensively and orderly storing and recording the taking state information of the medical kit intelligent management cabinet, the muscle relaxant refrigeration management cabinet is used for refrigerating and storing the muscle relaxant, the electronic intelligent medical kit automatically records the information of the medicines used in the operation, the corresponding patients and the information of the time of taking the medicines of each patient, and the like, and automatically collects a medicine taking list, so that the tracing of the use information of the medicines and the closed-loop management are realized, the toxic and anesthetic is prevented from being lost, and the account is ensured to be consistent;
the management of the medicines in the pharmacy of the operating room is effectively standardized, and the informatization management of the medicines in the hospital and the refined management of the medicines in the operating room are improved (the refinement is mainly embodied in medicine classification management, flow division right management, automatic identification and checking of medicine inventory, single medicine expiration date batch number management, matching of operation information and the like);
iris recognition technology, living body recognition, and safety;
the whole process of monitoring the medicine taking box by a dynamic high-definition camera is integrated, so that later-stage tracing is facilitated;
because iris recognition login, remote monitoring and the like are adopted, medical care personnel do not need to take off the mask, the operation is directly faced to the machine, no 'human-human' contact exists, and the ever-increasing public health requirements due to epidemic situations are met;
a positioning base station is arranged in the operating room area, and the moving path of the electronic intelligent medicine box (internally provided with an electronic tracking chip) is automatically sensed, so that the moving path of the medicine box can be traced in real time, and the process management is achieved;
the price is only 1/3 of the mode of the intelligent medicine cabinet with the same function and the intelligent medicine trolley in an operating room, and the familiar medicine box management mode before the hospital is used, so that the whole process is not required to be modified, and the cost is saved.
Although the invention has been described in detail above with reference to a general description and specific examples, it will be apparent to one skilled in the art that modifications or improvements may be made thereto based on the invention. Accordingly, such modifications and improvements are intended to be within the scope of the invention as claimed.
Claims (7)
1. An intelligent management system for an operating room pharmacy is characterized by comprising intelligent management equipment, wherein the intelligent management equipment comprises an intelligent medicine box management cabinet, an intelligent muscle relaxing medicine refrigeration management cabinet and an intelligent electronic medicine box, the intelligent medicine box management cabinet comprises a main cabinet, the main cabinet comprises a multi-grid medicine box storage cabinet and a control box, the medicine box storage cabinet comprises a cabinet door and a cabinet body, the intelligent electronic medicine box is stored in the cabinet body, a photoelectric sensor used for detecting whether the intelligent electronic medicine box is in the cabinet body is arranged on the inner wall of the cabinet body, an electromagnetic lock is arranged on the cabinet body, a lock hook capable of being locked with the electromagnetic lock is arranged on the cabinet door, a touch display screen, an iris identifier, an RFID card identifier and a fingerprint identifier are arranged on the front side of the control box, a controller is arranged in the control box, the intelligent muscle relaxing medicine refrigeration management cabinet comprises a plurality of refrigeration drawers, refrigeration motors and temperature and humidity sensors, an electronic lock is arranged on the rear side of each refrigeration drawer, a lock tongue capable of being locked with the electronic lock is arranged on the refrigeration drawer, the refrigeration drawer is provided with a muscle relaxing medicine box stored in the refrigeration drawer, the photoelectric sensor, the touch display screen, the iris identifier, the electromagnetic lock is connected with the electromagnetic lock, and the refrigeration control computer;
the medical kit is matched with the operation information, the medical kit intelligent management cabinet is used for intensively and orderly storing and recording the taking state information of the medical kit intelligent management cabinet, the muscle relaxant refrigeration management cabinet is used for refrigerating and storing the muscle relaxant, and the electronic intelligent medical kit automatically records the medicine information used in the operation, corresponding patients and the time information of taking the medicine of each patient;
the muscle relaxant refrigeration management cabinet comprises a supporting framework and a sheet metal shell, a plurality of refrigeration drawers are arranged on the supporting framework, an electronic lock is fixed on the supporting framework through an electronic lock fixing beam, a refrigeration motor is installed above the supporting framework, a heat insulation layer is arranged on the outer side of the supporting framework and connected with the sheet metal shell, a heat insulation layer cover plate is connected to the front side of the heat insulation layer, a back plate is connected to the rear side of the sheet metal shell, a sliding rail is arranged on the side surface of each refrigeration drawer, the sliding rail is connected with a sliding rail fixing beam in a sliding mode, and the sliding rail fixing beam is connected with the supporting framework;
the muscle pine medicine refrigeration management cabinet still includes the emergent unlocking device who is connected with the electronic lock, emergent unlocking device includes a plurality of mechanical locks, and every mechanical lock all is connected with the locking lever, and a plurality of mechanical locks and locking lever pass through the fixed bolster and support, the fixed bolster is fixed on the braced frame, the locking lever is connected with the brake cable, the lower part of brake cable can set up in the unblock casing with reciprocating, set up the opening that corresponds with the electronic lock on the unblock casing, the brake cable passes through the lock body of electronic lock is connected to the opening, opens under the emergency condition during the mechanical lock, the mechanical lock drives the locking lever rotatory, and the brake cable drives the electronic lock unblock upwards to the locking lever.
2. The intelligent management system for the operating room pharmacy according to claim 1, further comprising a plurality of positioning base stations for setting different positions of the operating room of the hospital, wherein the positioning base stations are connected to an upper computer, an electronic tracking chip capable of emitting signals at fixed time intervals is arranged in the electronic intelligent medicine box, the positioning base stations are connected with the electronic tracking chip in real time through signals, the positioning base stations are used for judging the relative distance between the positioning base stations and the electronic intelligent medicine box according to the received strength of the signals and uploading the relative distance to an upper computer, and the upper computer is used for calculating the spatial coordinate value according to the relative distance between the positioning base stations and the electronic intelligent medicine box according to a triangulation method to position the spatial position of the electronic intelligent medicine box and generating a real-time moving path to position and track the electronic intelligent medicine box.
3. The operating room pharmacy intelligent management system of claim 1, wherein a temperature and humidity sensor is arranged on the muscle relaxant refrigeration management cabinet, the temperature and humidity sensor is in communication connection with an internet of things module arranged in the muscle relaxant refrigeration management cabinet, the internet of things module acquires temperature and humidity data and displays the temperature and humidity data on a temperature and humidity display, and the temperature and humidity sensor is remotely connected with the cloud platform through the internet of things module and is used for uploading temperature and humidity information to the cloud platform.
4. The intelligent management system for the operating room pharmacy according to claim 1, wherein the refrigeration motors comprise 4 Stirling refrigeration motors, the refrigeration motors are fixed on a sheet metal shell through a motor fixing plate, an air circulation fan is arranged above the inside of the sheet metal shell, the air circulation fan and the condensation dehumidification mode are respectively adopted to keep the temperature and the humidity in the box body, and the heat insulation layer is wrapped by polyurethane and is insulated by a vacuum heat insulation plate.
5. The intelligent management system for the operating room pharmacy according to claim 1, wherein emergency locks for opening the cabinet door in case of power failure are correspondingly arranged on one side of the medicine chest and drug cabinet, a plurality of the emergency locks are hidden under a double-lock protection plate, and a safety lock for locking the double-lock protection plate is arranged on the double-lock protection plate.
6. The intelligent management system for the pharmacy of the operating room, according to claim 1, wherein said intelligent management cabinet for medicine boxes further comprises at least one auxiliary cabinet connected to said main cabinet, said auxiliary cabinet comprising a multi-case medicine box storage cabinet.
7. A management method of an intelligent management system for an operating room pharmacy, which adopts the intelligent management system for an operating room pharmacy of any one of claims 1 to 6, and is characterized in that the method comprises the following steps:
an anesthesiologist performs identification, authentication and login on the intelligent medicine box management cabinet through an iris identifier or an RFID card identifier and a fingerprint identifier, after login is successful, an operation is selected on a touch display screen according to pre-stored operation scheduling information, and after an operation program is started, the system automatically binds anesthesiologist information with the selected operation information;
the controller opens an electromagnetic lock of the cabinet door of the intelligent medicine box management cabinet according to the instruction, the cabinet door automatically pops up, an anesthesiologist takes out the electronic intelligent medicine box in the cabinet body, and the cabinet door is manually closed;
the photoelectric sensor detects that the electronic intelligent medicine box is taken out, a detection signal is transmitted to the controller, and the controller transmits the received information to the upper computer;
when the cabinet door is closed, the system automatically distributes a refrigerating drawer of a muscle relaxant refrigerating management cabinet storing muscle relaxant medicines to an anesthesiologist, the controller opens an electronic lock of the refrigerating drawer according to an instruction, the refrigerating drawer automatically pops up, the anesthesiologist takes out a muscle relaxant medicine box and manually closes the refrigerating drawer;
in the process that an anesthesiologist takes an electronic intelligent medicine box and a muscle relaxation medicine box to an operating room, an electronic tracking chip arranged in the electronic intelligent medicine box emits signals according to a fixed time interval, a positioning base station arranged in the operating room area judges the relative distance between the positioning base station and the electronic intelligent medicine box according to the strength of the received signals and uploads the relative distance to an upper computer, the upper computer positions the spatial position of the electronic intelligent medicine box according to the relative distance between the positioning base station and the electronic intelligent medicine box and the spatial coordinate value calculated according to a triangular positioning method, and a real-time moving path is generated to position and track the electronic intelligent medicine box to achieve process management;
after the operation is completed, an anesthesiologist returns an electronic intelligent medicine box and a muscle-relaxing medicine box to a corresponding medicine box storage cabinet and a corresponding refrigeration drawer respectively, a photoelectric sensor detects that the electronic intelligent medicine box is put back, a detection signal is transmitted to a controller, the controller transmits received information to an upper computer, and meanwhile the electronic intelligent medicine box automatically collects medicine taking information of the operation, corresponding patients of the operation and medicine taking time information of each patient and transmits a medicine taking list to the upper computer.
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| CN113269285A (en) * | 2021-04-01 | 2021-08-17 | 白杨智慧医疗信息科技(北京)有限公司 | Method, device and system for using narcotic drugs |
| CN114228601A (en) * | 2021-12-10 | 2022-03-25 | 九州通医药集团物流有限公司 | Medicine distribution carriage system of unmanned refrigerator car |
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