CN112086179A - ERAS clinical pathway system - Google Patents
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- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
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- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
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Abstract
The application relates to an ERAS clinical pathway system, which comprises a patient unit, a screening unit, a nutrition support unit, a preoperative management unit, an intraoperative management unit, a postoperative management unit and a reminding unit. The method has the advantages that the screening and evaluation unit is used for screening and evaluating the patient, so that a screening and evaluation result is obtained and a corresponding screening and evaluation record is generated, and medical staff can conveniently obtain a historical screening and evaluation record at any time; the nutrition electronic prescription can be made according to the screening result of the patient by the nutrition support unit; the reminding unit can be used for reminding the medical staff of the related work items, so that the medical staff is prevented from forgetting to execute the related work items; in addition, the examination unit is used for examining the medical staff, so that the operation condition of the medical staff can be recorded, and the problem of inaccurate work statistics is avoided.
Description
Technical Field
The application relates to the technical field of medical management, in particular to an ERAS clinical pathway system.
Background
Accelerated rehabilitation surgery (ERAS) is a medical management mode proposed by the Kehlet teaching of denmark in the 90 th 20 th century, and is used for adopting a series of formal and effective optimization treatment measures of evidence-based medicine to relieve the stress of patients in the aspects of physiology and psychology in the treatment process, so that the patients can smoothly live through the perioperative period and can be promoted to recover normal functions in the early stage. ERAS has the advantages of reducing complications, shortening hospitalization time, reducing risk of readmission and death, saving medical expenses and the like.
In the related art, medical staff in hospitals usually perform related operations under the guidance of ERAS operation manual, and manually record the related operation results. However, this mode of operation has certain drawbacks, including: the ERAS operation manual is inconvenient to carry; due to the fact that workload is large, multiple departments are required to participate, work is busy, medical staff usually forget to execute part of operations, but record executed related operations on work statistics, namely display that the operations are executed but actually do not operate, and the problem that the work statistics are inaccurate exists; for different patients, specific nutritional intervention matters and related operation information need to be formulated, however, the existing ERAS manual is only a unified standard and cannot be formulated individually, so that the problems of overnutrition or insufficient nutrition of the patients, omission of ERAS flows and steps, prolongation of hospital time and reduction of rehabilitation efficiency are easily caused.
At present, no effective solution is provided for the problems that an ERAS operation manual is not portable, medical staff forget partial operation, personalized formulation cannot be performed on patients, and a management layer cannot supervise and evaluate in the related art.
Disclosure of Invention
The embodiment of the application provides an ERAS clinical pathway system, which is used for at least solving the problems that an ERAS operation manual in the related art is not portable, medical personnel forget partial operation, personalized formulation cannot be performed on a patient, and a management layer cannot supervise and evaluate.
An ERAS clinical pathway system comprising:
a patient unit for recording basic information of a patient;
the screening and evaluating unit is connected with the patient unit and comprises an NRS2002 nutrition risk screening module, a PG-SGA tumor patient nutrition evaluation module and a Caprini thrombus risk evaluation module and is used for carrying out at least one of NRS2002 nutrition risk screening, PG-SGA tumor patient nutrition evaluation and Caprini thrombus risk evaluation on the patient to obtain a screening and evaluating result and generate a corresponding screening and evaluating record for medical staff to make decisions;
the nutrition supporting unit is connected with the screening and evaluating unit and used for creating a nutrition electronic prescription corresponding to the patient under the condition that the screening and evaluating result of the patient does not reach the standard, and the nutrition electronic prescription comprises a plurality of nutrition intervention items;
the preoperative management unit is connected with the screening and evaluating unit and the nutrition support unit and used for creating preoperative information corresponding to the patient under the condition that the screening and evaluating result of the patient reaches the standard, wherein the preoperative information comprises a plurality of preoperative working items;
the preoperative management unit is connected with the preoperative management unit and used for creating intraoperative information corresponding to a patient, and the intraoperative information comprises a plurality of intraoperative work items;
the postoperative management unit is connected with the intraoperative management unit and used for creating postoperative information corresponding to a patient, and the postoperative information comprises a plurality of postoperative working items;
a reminding unit connected to the screening and evaluating unit, the nutrition support unit, the preoperative management unit, the intraoperative management unit and the postoperative management unit, for providing reminding information to medical staff corresponding to the patient, so that the medical staff can screen and evaluate the patient, execute a plurality of nutritional intervention matters, execute a plurality of preoperative working matters, execute a plurality of intraoperative working matters and execute a plurality of postoperative working matters;
and the propaganda and education unit is connected with the reminding unit and is used for providing operation related information for the patient.
In some of these embodiments, the screening and scoring unit further comprises:
and the rescreening module is used for rescreening the patient under the condition that the patient is supported by nutrition so as to obtain a rescreening result and generate a corresponding rescreening record.
In some of these embodiments, further comprising:
the examination unit is connected with the nutrition support unit, the preoperative management unit, the intraoperative management unit and the postoperative management unit and used for judging whether the medical staff carries out a plurality of nutritional intervention items, a plurality of preoperative working items, a plurality of intraoperative working items and a plurality of postoperative working items and generating examination records corresponding to the medical staff so as to be used for discussion, annual final evaluation or reward and punishment of the medical staff.
In some of these embodiments, further comprising:
the time setting unit, with the screening unit the nutrition support unit management unit before the art management unit in the art the postoperative management unit is connected for set up the time of discharging hospital under the condition that the patient was admitted to hospital, at the patient the screening is appraised and is set up the operating time under the condition that the result is up to standard, is patient the screening is appraised and is set up the nutrition support time under the condition that the result is not up to standard, and is setting up time before the art, time in the art and postoperative time under the condition of operating time.
In some of these embodiments, further comprising:
the professional library unit is connected with the nutrition support unit, the preoperative management unit, the intraoperative management unit and the postoperative management unit and used for storing disease information, nutritional electronic prescriptions, preoperative information, intraoperative information and postoperative information and used for data statistics and scientific research.
In some of these embodiments, the specialized library unit comprises:
the disease category module is used for creating disease category information, wherein the disease category information comprises hospital admission work items, nutritional intervention items, preoperative work items, intraoperative work items and postoperative work items;
and the template module is used for generating a disease seed template based on the disease seed information.
In some of these embodiments, the nutritional support unit comprises:
an enteral nutrition support module for creating an electronic prescription of enteral nutrition corresponding to a patient;
a parenteral nutrition support module for creating a parenteral nutrition electronic prescription corresponding to the patient.
In some of these embodiments, further comprising:
and the system configuration unit is used for adding the system account of the medical staff and setting the system authority of the medical staff.
In some of these embodiments, further comprising:
a generating unit for generating a nutritional intervention item in case of arrival at the nutritional support time, a preoperative work item in case of arrival at the preoperative time, an intraoperative work item in case of arrival at the intraoperative time, and a postoperative work item in case of arrival at the postoperative time.
In some of these embodiments, further comprising:
a follow-up unit for creating follow-up information corresponding to the patient.
Compared with the related technology, the ERAS clinical pathway system provided by the embodiment of the application utilizes the screening and evaluating unit to screen and evaluate the patient, obtains the screening and evaluating result and generates the corresponding screening and evaluating record, so that the medical staff can conveniently obtain the historical screening and evaluating record at any time; the nutrition electronic prescription can be made according to the screening result of the patient by the nutrition support unit; the reminding unit can be used for reminding the medical staff of the related work items, so that the medical staff is prevented from forgetting to execute the related work items; in addition, the examination unit is used for examining the medical staff, so that the operation condition of the medical staff can be recorded, and the problem of inaccurate work statistics is avoided.
Drawings
The accompanying drawings, which are included to provide a further understanding of the application and are incorporated in and constitute a part of this application, illustrate embodiment(s) of the application and together with the description serve to explain the application and not to limit the application. In the drawings:
FIG. 1 is a diagram of an application scenario according to an embodiment of the present application;
FIG. 2 is a block diagram of the structure of the ERAS clinical pathway system (one) according to an embodiment of the present application;
FIG. 3 is a block diagram of the structure of a screening and scoring unit according to an embodiment of the present application;
FIG. 4 is a block diagram of the structure of a screening and scoring unit according to an embodiment of the present application;
FIG. 5 is a block diagram of the structure of a nutritional support unit according to an embodiment of the present application;
FIG. 6 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application;
FIG. 7 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application (III);
FIG. 8 is a block diagram of the structure of the ERAS clinical pathway system (IV) according to an embodiment of the present application;
FIG. 9 is a block diagram of a structure of a specialized library unit according to an embodiment of the present application;
FIG. 10 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application (V);
FIG. 11 is a block diagram of the structure of the ERAS clinical pathway system (VI) according to an embodiment of the present application;
FIG. 12 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application (seventh).
Detailed Description
In order to make the objects, technical solutions and advantages of the present application more apparent, the present application will be described and illustrated below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the present application and are not intended to limit the present application. All other embodiments obtained by a person of ordinary skill in the art based on the embodiments provided in the present application without any inventive step are within the scope of protection of the present application.
It is obvious that the drawings in the following description are only examples or embodiments of the present application, and that it is also possible for a person skilled in the art to apply the present application to other similar contexts on the basis of these drawings without inventive effort. Moreover, it should be appreciated that in the development of any such actual implementation, as in any engineering or design project, numerous implementation-specific decisions must be made to achieve the developers' specific goals, such as compliance with system-related and business-related constraints, which may vary from one implementation to another.
Reference in the specification to "an embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment can be included in at least one embodiment of the specification. The appearances of the phrase in various places in the specification are not necessarily all referring to the same embodiment, nor are separate or alternative embodiments mutually exclusive of other embodiments. Those of ordinary skill in the art will explicitly and implicitly appreciate that the embodiments described herein may be combined with other embodiments without conflict.
Unless defined otherwise, technical or scientific terms referred to herein shall have the ordinary meaning as understood by those of ordinary skill in the art to which this application belongs. Reference to "a," "an," "the," and similar words throughout this application are not to be construed as limiting in number, and may refer to the singular or the plural. The present application is directed to the use of the terms "including," "comprising," "having," and any variations thereof, which are intended to cover non-exclusive inclusions; for example, a process, method, system, article, or apparatus that comprises a list of steps or modules (elements) is not limited to the listed steps or elements, but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus. Reference to "connected," "coupled," and the like in this application is not intended to be limited to physical or mechanical connections, but may include electrical connections, whether direct or indirect. The term "plurality" as referred to herein means two or more. "and/or" describes an association relationship of associated objects, meaning that three relationships may exist, for example, "A and/or B" may mean: a exists alone, A and B exist simultaneously, and B exists alone. The character "/" generally indicates that the former and latter associated objects are in an "or" relationship. Reference herein to the terms "first," "second," "third," and the like, are merely to distinguish similar objects and do not denote a particular ordering for the objects.
Fig. 1 is a diagram of an application scenario according to an embodiment of the present application. As shown in fig. 1, the medical staff terminal 120 is connected to the server 110 through a network 130. Wherein the medical staff terminal 120 is equipped with an ERAS clinical pathway system.
In some embodiments, the server 110 is a local server in a hospital, has a firewall, is only used in the hospital, and cannot transmit data with the outside.
The medical staff terminal 120 may be a desktop computer, a notebook computer, a tablet computer, a mobile terminal, etc., and may perform input, output, and data transmission.
The network 130 may be a wired network connection or a wireless network connection. In some of these embodiments, the network 130 may include a private network (e.g., a Local Area Network (LAN), a Wide Area Network (WAN), etc.), a wireless network (e.g., an 802.11 network, a Wi-Fi network, etc.), a cellular network (e.g., a 4G network, a 5G network, etc.), a frame relay network, a Virtual Private Network (VPN), a satellite network, a router, a hub, a switch, a server, etc., or any combination thereof. By way of example only, the network 130 may include a cable network, a wired network, a fiber optic network, a telecommunications network, an intranet, a Wireless Local Area Network (WLAN), a Metropolitan Area Network (MAN), etc., or any combination thereof. In some embodiments, the network 130 may include one or more network access points. For example, the network 130 may include wired and/or wireless network access points, such as base stations and/or internet switching points.
FIG. 2 is a block diagram (one) of the structure of the ERAS clinical pathway system according to an embodiment of the present application. As shown in fig. 2, ERAS clinical pathway system 200 includes:
a patient unit 201 for recording basic information of a patient;
the screening and evaluating unit 202 is connected with the patient unit 201 and is used for screening and evaluating at least one of NRS2002 nutrition risk, PG-SGA tumor patient nutrition evaluation and Caprini thrombus risk evaluation of the patient to obtain a screening and evaluating result and generate a corresponding screening and evaluating record for medical staff to make decisions;
the nutrition support unit 203 is connected with the screening and evaluating unit 202 and used for creating a nutrition electronic prescription corresponding to the patient under the condition that the screening and evaluating result of the patient does not reach the standard, and the nutrition electronic prescription comprises a plurality of nutrition intervention items;
the preoperative management unit 204 is connected with the screening and evaluating unit 202 and the nutrition support unit 203 and is used for creating preoperative information corresponding to the patient under the condition that the screening and evaluating result of the patient reaches the standard, wherein the preoperative information comprises a plurality of preoperative working items;
an intra-operative management unit 205 connected to the pre-operative management unit 204 and configured to create intra-operative information corresponding to the patient, where the intra-operative information includes a plurality of intra-operative work items;
a post-operation management unit 206 connected to the post-operation management unit 205, configured to create post-operation information corresponding to the patient, where the post-operation information includes a plurality of post-operation work items;
a reminding unit 207, connected to the screening and evaluating unit 202, the nutrition support unit 203, the preoperative management unit 204, the intraoperative management unit 205, and the postoperative management unit 206, for providing reminding information to the medical staff corresponding to the patient, so that the medical staff can screen and evaluate the patient, perform a plurality of nutritional intervention matters, perform a plurality of preoperative working matters, perform a plurality of intraoperative working matters, and perform a plurality of postoperative working matters;
and the propaganda and education unit 208 is connected with the reminding unit 207 and is used for providing the operation related information for the patient.
The patient information comprises basic information such as patient name, patient gender, patient age and the like, each piece of patient information has a unique identification code, and the patient information can be repeatedly used when the patient is admitted to the hospital again for examination and treatment without establishing new patient information.
In some of these embodiments, the screening results comprise at least one of NRS2002 nutritional risk screening results, PG-SGA tumor patient nutritional assessment results, and Caprini thrombus risk assessment results.
Specifically, NRS2002 nutritional risk screening may be performed only on patients, thereby obtaining NRS2002 nutritional risk screening results; the nutrition evaluation of the PG-SGA tumor patient can be only carried out on the patient, so that the nutrition evaluation result of the PG-SGA tumor patient is obtained; caprini thrombus risk assessment may also be performed only on patients, thereby obtaining Caprini thrombus risk assessment results. Generally, NRS2002 nutrition risk screening is firstly carried out on patients, the standardization degree is high, and the method is suitable for most patients.
Specifically, under the condition that the patient is subjected to NRS2002 nutrition risk screening, if the NRS2002 nutrition risk screening result is smaller than a first screening threshold, the physical condition of the patient is good, and the operation can be performed; if the NRS2002 nutrition risk screening result is greater than or equal to the first screening threshold, the physical condition of the patient is poor, the patient is not suitable for operation, and nutrition support is needed to recover the physical condition.
In some of these embodiments, the first screening threshold is 3.
Specifically, under the condition that the patient is subjected to the nutrition evaluation of the PG-SGA tumor patient, if the nutrition evaluation result of the PG-SGA tumor patient is smaller than a second screening threshold value, the physical condition of the patient is good, and the operation can be performed; if the nutritional assessment result of the PG-SGA tumor patient is greater than or equal to the second screening threshold, the physical condition of the patient is poor, the patient is not suitable for operation, and nutritional support is required to recover the physical condition.
In some of these embodiments, the second screening threshold is 4.
Under the condition that the screening result of the patient does not reach the standard, the nutrition support unit 203 automatically creates a nutrition electronic prescription corresponding to the patient according to the screening result of the patient, namely, creates a personalized nutrition electronic prescription, and reduces the workload of medical staff.
In addition, the medical staff can also consult the screening record of the patient under the condition that the nutrition support unit 203 creates the nutrition electronic prescription, and adjust the nutrition electronic prescription pertinently according to the screening index, so that the patient can quickly reach the physical condition capable of performing the operation.
Specifically, the nutritional electronic prescription includes a plurality of nutritional intervention items, each nutritional intervention item including a nutritional product, a nutritional product specification, and a nutritional product dosage.
In case that the screening result of the patient is up to standard, the preoperative management unit 204 automatically creates preoperative information corresponding to the patient, including a number of preoperative work items that need to be performed before the patient performs the relevant operation, so that the patient can maintain good physical condition before performing the relevant operation.
In some of these embodiments, the preoperative workings include preoperative announcements, no bowel preparation, pre-rehabilitation, parenteral nutrition supplements, preoperative 10 hour carbohydrate supplements, preoperative 2 hour carbohydrate supplements, and the like.
The intraoperative management unit 205 is used for automatically creating intraoperative information corresponding to a patient, including intraoperative work items required to be performed by a plurality of patients in an operation, so that medical staff can perform the relevant intraoperative work items to quickly complete the operation.
In some of these embodiments, the intraoperative procedural events include minimally invasive surgical events, prophylactic use antibiotic events, intraoperative thermal events, analgesic/antiemetic events, intraoperative blood pressure maintenance events, intraoperative fluid volume control events, unusual indwelling drainage events, and the like.
The post-operation management unit 206 is configured to automatically create post-operation information corresponding to a patient, including post-operation work items that a plurality of patients need to perform after an operation, so that medical staff can perform related post-operation work items to help the patient recover quickly.
In some of these embodiments, the post-operative work events include nutritional intervention events, analgesia events, blood glucose monitoring events, thrombus control events, catheter indwelling removal events, pain management events, activity events, and the like.
The reminding unit 207 is used for providing reminding information for medical staff so that the medical staff can execute corresponding matters at corresponding stages. Specifically, in the stage of patient admission, the reminding unit 207 reminds medical staff to collect and input patient information; in the screening and evaluation stage, the reminding unit 207 reminds medical staff to screen and evaluate patients so as to obtain relevant screening and evaluation results and screening and evaluation records; in the nutrition support phase, the reminding unit 207 reminds medical staff to perform nutrition intervention items at relevant time nodes; in the preoperative management stage, the reminding unit 207 reminds medical staff to execute preoperative work items at relevant time nodes; in the intraoperative management stage, the reminding unit 207 reminds medical staff to execute intraoperative work items at relevant time nodes; in the post-operation management stage, the reminding unit 207 reminds the medical staff to execute the post-operation work items at the relevant time nodes.
And a propaganda and education unit 208 for generating and providing the surgery-related information to the patient.
In some of these embodiments, the reminding unit 207 is used to remind the medical staff to perform the instructional work item for the patient.
In some of these embodiments, the patient may self-acquire the surgery-related information provided by the propaganda unit 208. If the patient scans the propaganda and education two-dimensional code of the hospital or ward through the mobile terminal, the operation related information can be obtained; the patient can also automatically receive the operation related information corresponding to the mobile terminal of the patient, which is sent by the ERAS clinical path system, under the condition that the mobile terminal of the patient is connected with the internal network of the hospital.
By the ERAS clinical path system, the problem that an ERAS operation manual is inconvenient to carry is solved by using the convenience of medical staff terminals; by using the reminding unit, the problem that medical staff forget to execute related work items easily is solved, the recovery efficiency of a patient is accelerated, and the hospital time of the patient is reduced.
Fig. 3 is a block diagram of a structure of a screening and evaluating unit according to an embodiment of the present application. As shown in fig. 3, the screening and evaluation unit 202 includes an NRS2002 nutritional risk screening module 2021, a PG-SGA tumor patient nutritional assessment module 2022, and a Caprini thrombus risk assessment module 2023.
The NRS2002 nutrition risk screening module 2021 is configured to generate an NRS2002 nutrition risk screening table, so that medical staff fills in the NRS2002 nutrition risk screening table when performing NRS2002 nutrition risk screening on a patient, and automatically generate an NRS2002 nutrition risk screening result and an NRS2002 nutrition risk screening record after the medical staff fills in the NRS2002 nutrition risk screening table.
The PG-SGA tumor patient nutrition evaluation module 2022 is configured to generate a PG-SGA tumor patient nutrition evaluation table for medical staff to fill in under the condition of performing PG-SGA tumor patient nutrition evaluation on a patient, and automatically generate a PG-SGA tumor patient nutrition evaluation result and a PG-SGA tumor patient nutrition evaluation record after the medical staff completes the filling.
The Caprini thrombus risk evaluation module 2023 is configured to generate a Caprini thrombus risk evaluation table, so that medical staff fills in the Caprini thrombus risk evaluation table when performing Caprini thrombus risk evaluation on a patient, and automatically generate a Caprini thrombus risk evaluation result and a Caprini thrombus risk evaluation record after the medical staff fills in the Caprini thrombus risk evaluation table.
In the related art, after the medical staff manually records the related evaluation information, the evaluation needs to be performed according to the evaluation table, which results in long evaluation time and inaccurate evaluation result. By the aid of the screening and evaluating unit, screening and evaluating results can be rapidly and automatically generated, and accuracy of the screening and evaluating results is high; in addition, the screening and evaluating unit comprises a plurality of evaluating modes, is suitable for different evaluating requirements, does not need medical staff to search a related paper evaluating table in the evaluating process, reduces the workload of the medical staff and improves the screening and evaluating efficiency of the medical staff.
Fig. 4 is a block diagram of the structure of a screening and evaluating unit according to an embodiment of the present application. As shown in fig. 4, the screen scoring unit 202 also includes a re-screening module 2024.
The rescreen module 2024 is configured to rescreen the patient to obtain a rescreen result and generate a corresponding rescreen record if the patient is nutritionally supported.
Specifically, rescreening includes modes of weight change, plasma albumin, and weight loss.
For weight changes, after a patient is nutritionally supported, his BMI is less than 18.5 and weight is increased, indicating that the patient's condition is improved and that surgery may be performed; if the BMI is less than 18.5 but the weight is lost, it is an indication that the patient's condition is not improved and that nutritional support is to be continued.
For plasma albumin, after the patient is subjected to nutritional support, if the content of the plasma albumin is more than 35g/L, the physical condition of the patient is improved, and the operation can be performed; if the plasma albumin content is less than 30g/L, it indicates that the patient's condition is not improved and nutritional support needs to be continued.
Through the rescreening module of this embodiment, rescreening is carried out to the patient that carries out nutrition support, and medical staff can ensure that the patient can operate with good health.
Fig. 5 is a block diagram of the structure of a nutritional support unit according to an embodiment of the present application. As shown in fig. 5, nutritional support unit 203 includes an enteral nutritional support module 2031 and a parenteral nutritional support module 2032.
An enteral nutrition support module 2031 for creating an electronic prescription of enteral nutrition corresponding to the patient. Specifically, the electronic enteral nutrition prescription includes a plurality of enteral nutrition intervention items, such as whole-protein enteral nutrition intervention item, immune-enhanced enteral nutrition intervention item, diabetic enteral nutrition intervention item, whole-protein enteral nutrition intervention item, short-peptide enteral nutrition intervention item, and the like.
A parenteral nutrition support module 2032 for creating an electronic prescription of parenteral nutrition corresponding to the patient. Specifically, the parenteral nutrition electronic prescription includes several parenteral nutrition intervention items, such as standardized parenteral nutrition intervention items and the like.
With the nutritional support unit of the present embodiment, an enteral nutritional electronic prescription and/or a parenteral nutritional electronic prescription corresponding to a patient can be automatically created according to the physical condition of the patient. In addition, medical staff can adjust the enteral nutrition electronic prescription and the parenteral nutrition electronic prescription on the basis of the nutrition electronic prescription automatically created by the nutrition support unit, so that the patient can quickly reach the physical condition capable of performing the operation.
FIG. 6 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application (II). As shown in fig. 6, the ERAS clinical pathway system 200 further includes an assessment unit 209.
The examination unit 209 is connected to the nutrition support unit 203, the preoperative management unit 204, the intraoperative management unit 205, and the postoperative management unit 206, and is configured to determine whether the medical staff performs a plurality of nutritional intervention items, a plurality of preoperative work items, a plurality of intraoperative work items, and a plurality of postoperative work items, and generate an examination record corresponding to the medical staff, so as to be used for review, end-of-year evaluation, or reward and punishment of the medical staff.
Specifically, the examination unit 209 records whether the medical staff performs the relevant work items at the specific time node, and if the medical staff performs the relevant work items at the specific time node, the examination unit 209 records the work items performed by the medical staff and calculates an examination score for performing the work items; if the medical staff does not execute the related work items at the specific time node, the assessment unit 209 records the work items that are not executed by the medical staff, and calculates an assessment score of 0 for executing the work items.
Further, the examination unit 209 calculates an examination score of 0 for executing the work item even after the medical staff fails to perform the remedial operation or performs the remedial operation, without executing the relevant work item at the specific time node.
In addition, at a specific time node, although the medical staff performs the relevant work item, the assessment unit 209 calculates a assessment score of 0 for performing the work item without marking within the time range of the specific time node. Specifically, as in 9: 00, medical staff performs relevant work items, but the assessment unit 209 needs to be set at 9: operation information uploaded by medical staff is acquired before 10, however, the medical staff is busy, so that the operation information is not updated in the step 9: the operation information is uploaded before 10, so that the assessment unit 209 records that the medical staff does not execute the relevant work item and calculates the assessment score of 0 when the medical staff executes the work item.
Through the examination unit of this embodiment, can examine the grade to medical staff, impel medical staff to accomplish relevant work item, improve patient's efficiency of being in hospital, recovered efficiency, reduce patient's the time of being in hospital.
FIG. 7 is a block diagram of the structure of the ERAS clinical pathway system (III) according to an embodiment of the present application. As shown in fig. 7, the ERAS clinical pathway system 200 also includes a time setting unit 210.
And a time setting unit 210 connected to the screening unit 202, the nutrition support unit 203, the preoperative management unit 204, the intraoperative management unit 205, and the postoperative management unit 206, and configured to set a discharge time in a case where the patient is admitted, set an operation time in a case where the screening result of the patient meets the standard, set a nutrition support time in a case where the screening result of the patient does not meet the standard, and set a preoperative time, an intraoperative time, and a postoperative time in a case where the operation time is set.
In the case where the screening result of the patient is up to standard, the time setting unit 210 sets the operation time, the pre-operation time, the intra-operation time, and the post-operation time according to the operation to be performed by the patient. The preoperative time comprises a plurality of preoperative time nodes, and each preoperative time node corresponds to a preoperative work item; the intraoperative time comprises a plurality of intraoperative time nodes, and each intraoperative time node corresponds to an intraoperative work item; the post-operation time comprises a plurality of post-operation time nodes, and each post-operation time node corresponds to a post-operation work item.
In the case where the screening evaluation result of the patient does not reach the standard, the time setting unit 210 sets the nutrition support time according to the screening evaluation result of the patient. The nutrition support time comprises a plurality of nutrition support time nodes, and each nutrition time node corresponds to a nutrition intervention item.
Through the time setting unit of the embodiment, after the patient is screened and evaluated, the corresponding time node can be generated according to the screening and evaluating result of the patient so as to be referred by medical staff, so that the medical staff can execute a certain work item at a certain time node, and forgetting or delaying execution of related work items by the medical staff is avoided.
FIG. 8 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application (IV). As shown in fig. 8, ERAS clinical pathway system 200 also includes a professional library unit 211.
And a professional library unit 211 connected to the nutrition support unit 203, the preoperative management unit 204, the intraoperative management unit 205 and the postoperative management unit 206, and configured to store the disease information, the nutritional electronic prescription, the preoperative information, the intraoperative information and the postoperative information for data statistics and scientific research.
In the case of patient admission, after the patient unit 201 acquires patient information and the disease category, the professional library unit 211 may provide a nutritional electronic prescription, preoperative information, intraoperative information, and postoperative information according to the screening result of the patient, so that the relevant nutritional support unit 203, preoperative management unit 204, intraoperative management unit 205, and postoperative management unit 206 automatically create relevant information.
Through the professional library unit of this embodiment, according to patient's information and the result of evaluating of sieving, automatically generate relevant nutrition electronic prescription, information before the art, information and postoperative information in the art, reduce medical staff's work load, improve medical staff's work efficiency, shorten patient's recovery time, reduce patient's the time of being in hospital.
FIG. 9 is a block diagram of a specialized library unit according to an embodiment of the present application. As shown in fig. 9, the professional library unit 211 includes a disease species module 2111 and a template module 2112.
The disease category module 2111 is configured to create disease category information, where the disease category information includes hospital admission work items, nutritional intervention items, preoperative work items, intraoperative work items, and postoperative work items.
And the template module 2112 is used for generating a disease seed template based on the disease seed information.
Specifically, after the disease category module 2111 creates certain disease category information, the template module 2112 may be based on the disease category information city disease category template. In the case that new disease information needs to be created, a disease template may be obtained by the template module 2112, and new disease information may be generated based on the disease template.
In addition, medical staff can adjust the related working items of the disease information according to different disease types.
Through the professional library unit of this embodiment, can be fast large batch input a plurality of disease types relevant matters, reduce medical staff's work load, improve medical staff's work efficiency, liberate medical staff from loaded down with trivial details document work, focus on carrying out patient's clinical treatment, operation etc..
FIG. 10 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application (V). As shown in fig. 10, ERAS clinical pathway system 200 also includes a system configuration unit 212.
And the system configuration unit 212 is used for adding a system account number of the medical staff and setting the system authority of the medical staff.
Medical staff can be divided into administrators, doctors, nursing staff, anesthetists and the like, different medical staff respectively have respective system accounts, and the system authority of each category of medical staff is different.
Specifically, the administrator has a primary authority, and can configure the relevant content of the ERAS clinical pathway system 200; the doctor has secondary authority and can look up and edit the working items related to the doctor; the nursing staff has three-level authority and can only look up working items related to the nursing staff; the anaesthetists have secondary authority and can look up and edit work items related to the anaesthetists.
FIG. 11 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application (VI). As shown in fig. 11, ERAS clinical pathway system 200 further includes a generation unit 213.
The generating unit 214 is connected to the nutrition support unit 203, the preoperative management unit 204, the intraoperative management unit 205, and the postoperative management unit 206, and is configured to generate nutritional intervention items when the nutrition support time is reached, preoperative work items when the preoperative time is reached, intraoperative work items when the intraoperative time is reached, and postoperative work items when the postoperative time is reached.
Specifically, the generation unit 214 generates the work items of the day for the medical staff to perform the work items of the day in the early morning or before 1 am of each day.
Through the generation unit of this embodiment, before 1 a little in the morning every day, medical staff can't learn the work item on that day for medical staff can't carry out relevant work item in advance, thereby guarantees that medical staff manages the patient every day.
FIG. 12 is a block diagram of the structure of the ERAS clinical pathway system according to an embodiment of the present application (seventh). As shown in fig. 12, the ERAS clinical pathway system 200 further includes a follow-up unit 214.
And a follow-up unit 214 connected with the post-operation management unit 206 and used for creating follow-up information corresponding to the patient after the patient is discharged.
Through the follow-up unit of this embodiment, the physical status of patient after the hospital is discharged can be in time acquireed to improve ERAS clinical pathway system's work efficiency.
In some of these embodiments, the ERAS clinical pathway system 200 further includes a network detection unit.
The network detection unit is used for detecting a network address of the terminal accessing the ERAS clinical pathway system 200, and allowing the terminal to access the ERAS clinical pathway system 200 and perform data exchange under the condition that the network address is an intranet network address; in the case where the network address is an extranet network address, the terminal is not allowed to access the ERAS clinical pathway system 200 and data exchange is prohibited.
In this embodiment, the network detection unit may be used to determine a terminal accessing the ERAS clinical pathway system, so as to avoid the occurrence of a situation that hospital data is leaked, and protect privacy of patients.
The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.
The above-mentioned embodiments only express several embodiments of the present application, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the concept of the present application, which falls within the scope of protection of the present application. Therefore, the protection scope of the present patent shall be subject to the appended claims.
Claims (10)
1. An ERAS clinical pathway system, comprising:
a patient unit for recording basic information of a patient;
the screening and evaluating unit is connected with the patient unit and comprises an NRS2002 nutrition risk screening module, a PG-SGA tumor patient nutrition evaluation module and a Caprini thrombus risk evaluation module and is used for carrying out at least one of NRS2002 nutrition risk screening, PG-SGA tumor patient nutrition evaluation and Caprini thrombus risk evaluation on the patient to obtain a screening and evaluating result and generate a corresponding screening and evaluating record for medical staff to make decisions;
the nutrition supporting unit is connected with the screening and evaluating unit and used for creating a nutrition electronic prescription corresponding to the patient under the condition that the screening and evaluating result of the patient does not reach the standard, and the nutrition electronic prescription comprises a plurality of nutrition intervention items;
the preoperative management unit is connected with the screening and evaluating unit and the nutrition support unit and used for creating preoperative information corresponding to the patient under the condition that the screening and evaluating result of the patient reaches the standard, wherein the preoperative information comprises a plurality of preoperative working items;
the preoperative management unit is connected with the preoperative management unit and used for creating intraoperative information corresponding to a patient, and the intraoperative information comprises a plurality of intraoperative work items;
the postoperative management unit is connected with the intraoperative management unit and used for creating postoperative information corresponding to a patient, and the postoperative information comprises a plurality of postoperative working items;
a reminding unit connected to the screening and evaluating unit, the nutrition support unit, the preoperative management unit, the intraoperative management unit and the postoperative management unit, for providing reminding information to medical staff corresponding to the patient, so that the medical staff can screen and evaluate the patient, execute a plurality of nutritional intervention matters, execute a plurality of preoperative working matters, execute a plurality of intraoperative working matters and execute a plurality of postoperative working matters;
and the propaganda and education unit is connected with the reminding unit and is used for providing operation related information for the patient.
2. The ERAS clinical pathway system of claim 1, wherein the screening unit further comprises:
and the rescreening module is used for rescreening the patient under the condition that the patient is supported by nutrition so as to obtain a rescreening result and generate a corresponding rescreening record.
3. The ERAS clinical pathway system of claim 1, further comprising:
the examination unit is connected with the nutrition support unit, the preoperative management unit, the intraoperative management unit and the postoperative management unit and used for judging whether the medical staff carries out a plurality of nutritional intervention items, a plurality of preoperative working items, a plurality of intraoperative working items and a plurality of postoperative working items and generating examination records corresponding to the medical staff so as to be used for discussion, annual final evaluation or reward and punishment of the medical staff.
4. The ERAS clinical pathway system of claim 1, further comprising:
the time setting unit, with the screening unit the nutrition support unit management unit before the art management unit in the art the postoperative management unit is connected for set up the time of discharging hospital under the condition that the patient was admitted to hospital, at the patient the screening is appraised and is set up the operating time under the condition that the result is up to standard, is patient the screening is appraised and is set up the nutrition support time under the condition that the result is not up to standard, and is setting up time before the art, time in the art and postoperative time under the condition of operating time.
5. The ERAS clinical pathway system of claim 1, further comprising:
the professional library unit is connected with the nutrition support unit, the preoperative management unit, the intraoperative management unit and the postoperative management unit and used for storing disease information, nutritional electronic prescriptions, preoperative information, intraoperative information and postoperative information and used for data statistics and scientific research.
6. The ERAS clinical pathway system of claim 5, wherein the specialized library unit comprises:
the disease category module is used for creating disease category information, wherein the disease category information comprises hospital admission work items, nutritional intervention items, preoperative work items, intraoperative work items and postoperative work items;
and the template module is used for generating a disease seed template based on the disease seed information.
7. The ERAS clinical pathway system of claim 1, wherein the nutritional support unit comprises:
an enteral nutrition support module for creating an electronic prescription of enteral nutrition corresponding to a patient;
a parenteral nutrition support module for creating a parenteral nutrition electronic prescription corresponding to the patient.
8. The ERAS clinical pathway system of claim 1, further comprising:
and the system configuration unit is used for adding the system account of the medical staff and setting the system authority of the medical staff.
9. The ERAS clinical pathway system of claim 4, further comprising:
a generating unit for generating a nutritional intervention item in case of arrival at the nutritional support time, a preoperative work item in case of arrival at the preoperative time, an intraoperative work item in case of arrival at the intraoperative time, and a postoperative work item in case of arrival at the postoperative time.
10. The ERAS clinical pathway system of claim 1, further comprising:
a follow-up unit for creating follow-up information corresponding to the patient.
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| US20130262357A1 (en) * | 2011-10-28 | 2013-10-03 | Rubendran Amarasingham | Clinical predictive and monitoring system and method |
| CN104408329A (en) * | 2014-12-18 | 2015-03-11 | 北京大学深圳医院 | Electronic clinical nursing path management system and method |
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