CN112259207A - Closed-loop ICU ward drug management system and management method thereof - Google Patents

Closed-loop ICU ward drug management system and management method thereof Download PDF

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Publication number
CN112259207A
CN112259207A CN202011187639.7A CN202011187639A CN112259207A CN 112259207 A CN112259207 A CN 112259207A CN 202011187639 A CN202011187639 A CN 202011187639A CN 112259207 A CN112259207 A CN 112259207A
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pyxis
medicine
information
management system
cabinet
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Chinese (zh)
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丁君蓉
胡晶
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Shanghai Pulmonary Hospital
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Shanghai Pulmonary Hospital
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/13ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers

Abstract

The invention relates to the technical field of medical equipment and systems, in particular to a closed-loop ICU ward drug management system and a management method thereof. The invention not only can conveniently compress garbage, but also can automatically seal the garbage bag, and is convenient and sanitary.

Description

Closed-loop ICU ward drug management system and management method thereof
Technical Field
The invention relates to the technical field of medical systems, in particular to a closed-loop ICU ward drug management system and a management method thereof.
Background
Drug management is a very complex and rigorous process, multiple processes and multiple persons participate, and unpredictable risks can occur in each link, so that the treatment effect of the drug on patients is directly influenced, and even the life of the patients is threatened. The ward base medicine is a medicine prepared for emergency in clinical departments, is an indispensable mode in clinical medicine supply routes, and comprises base common medicines, base anesthetic medicines, base emergency medicines and the like, and the specification, the quantity and the variety of the ward base medicine are determined by a ward according to actual needs. The existing clinical information system has the defects of simple ward base number drug management mode, manual management of the drug taking process, counting and check registration and informatization management, and particularly has the defects of complex drug use and management flow and difficult supervision caused by the characteristics of multiple varieties, difficult discrimination, large drug use amount, dispersed use time, no clinical pharmacist supervision of base number drugs, different levels of medication personnel and the like of the base number drugs in the management of ICU wards, and the management of the clinical base number drugs is insufficient only depending on system and manual intervention, so that the drugs cannot be effectively monitored and managed in real time. In order to realize more transparent management control of hospitals on each flow of medicines, particularly to realize informatization tracking management of medicines and simultaneously improve the treatment timeliness and safety effectiveness of patients, more than 90% of hospitals in developed countries such as the United states use an intelligent medicine management system to manage more than 95% of medicines in a ward, and a few hospitals (such as Beijing collaborating hospitals) in China begin to use an intelligent product, namely an intelligent medicine management system, to improve the medicine management safety and use timeliness of the ward.
However, the intelligent drug management system used by people at present has low popularization rate and ends up, and the problems are that the functions are not rich enough, the intelligent degree of each link scheduling is not high, and the elements referred by the system are not comprehensive enough, so the clinical credibility and the dependence of the system are not high.
Disclosure of Invention
The invention aims to provide a closed-loop ICU ward drug management system and a management method thereof, which aim to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme:
the utility model provides a closed loop ICU ward medicine management system, includes the doctor's advice end, doctor's advice end output connection online case history system, online case history system output connection end of taking, the system still includes Pyxis intelligence medicine management system, Pyxis intelligence medicine management system difference interactive connection is at online case history system and takes the end.
Further, a closed loop ICU ward drug management system, Pyxis intelligence drug management system component module includes login module, Pyxis drug cabinet and inventory drugstore.
Further, closed loop ICU ward drug management system, the distribution of the ICU is established to a plurality ofly according to the institute to the Pyxis drug cabinet, the storage demand is established to a plurality ofly according to the institute in the inventory drugstore, the medicine between Pyxis drug cabinet and the inventory drugstore flows and passes through stock transfer line interconnect, the information flow between Pyxis drug cabinet and the Pyxis drug cabinet, between Pyxis drug cabinet and the inventory drugstore passes through stock information ring and connects.
A closed loop ICU ward base drug management method, the workflow of said method comprising the steps of:
the medical advice end is used for making medical advice by a ward doctor at a doctor end, confirming medical advice information by a nurse in a frame of an HIS system in a hospital, and sending the medical advice information to a prescription auditing end for auditing by a pharmacist;
secondly, according to the audit result, if the audit is passed, the audit is fed back to a doctor end, and if the audit is passed, a nurse prints a medicine label and transfers the medicine label to a Pyxis intelligent medicine management system;
and thirdly, after the operation of the Pyxis intelligent drug management system, outputting Pyxis system information and feeding the Pyxis system information back to an online medical record system of the HIS in the hospital for archiving.
Further, a closed-loop ICU ward drug management method, the work flow of the Pyxis intelligent drug management system comprises the following steps:
firstly, the system confirms that the Pyxis medicine cabinet and the inventory pharmacy ensure the sufficiency of the medicines in the Pyxis medicine cabinet through an inventory transfer line, and the medicine information synchronization of each point position is carried out between the Pyxis medicine cabinet and between the Pyxis medicine cabinet and the inventory pharmacy through inventory information rings;
secondly, enabling a medicine label to be used to enter a Pyxis medicine cabinet through fingerprint login of a nurse or identity card login and a login module to take a medicine, and enabling a taking end to perform medicine execution operation;
and thirdly, outputting medicine taking information by the Pyxis medicine cabinet when the medicine cabinet is used in the step two, wherein the medicine taking information is updated to the inventory information ring on one hand, and the medicine taking information is combined with the medicine execution operation information to be Pyxis system information and output.
Compared with the prior art, the invention has the beneficial effects that: by adopting the Pyxis intelligent drug management system as an intermediate processing link, the management efficiency of the system can be greatly improved, the misoperation of manual operation is reduced, and the labor cost and the resource investment are reduced; all the taking and transferring information systems of the medicines can feed back to the HIS to facilitate the storage and management of the information, avoid the falsification of the information and ensure the timely and effective recording of the medicine flow; in addition, the system design under the application can be realized through an inventory transfer line between the Pyxis medicine cabinet and the inventory pharmacy and the information self-updating of an inventory information ring, so that the problems of multiple varieties, difficulty in distinguishing, large medicine usage amount, dispersion of use time and no supervision of clinical pharmacists on the cardinal number medicines in the ICU ward are solved.
Drawings
FIG. 1 is a schematic diagram of the overall structure of an open-loop drug management system;
FIG. 2 is a schematic diagram of the overall structure of a Pyxis-based closed loop ICU ward base drug management system of the present invention;
FIG. 3 is a flow chart of the system of the present invention;
FIG. 4 is a block diagram of a Pyxis intelligent medication management system of the present invention.
In the figure: 1. a doctor advice end; 11. a doctor end; 2. an online medical record system; 21. a prescription auditing end; 3. a Pyxis intelligent drug management system; 30. pyxis system information; 31. a login module; 32. pyxis drug cabinet; 33. storing a pharmacy; 4. and (6) taking the end.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. 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.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the equipment or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be considered as limiting the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless specifically defined otherwise.
Referring to fig. 1-4, the present invention provides a technical solution:
the utility model provides a closed loop ICU ward medicine management system based on Pyxis, includes medical advice end 1, and medical advice end 1 output connection is on-line case history system 2, and on-line case history system 2 output connection takes end 4, and the system still includes Pyxis intelligence medicine management system 3, and Pyxis intelligence medicine management system 3 is interactive connection respectively at on-line case history system 2 and takes end 4.
Specifically, please refer to fig. 1 and fig. 2, wherein fig. 1 shows that the Pyxis intelligent drug management system 3 as an intermediate link can greatly reduce the intermediate link of drug transportation, so that the drug taking and drug transportation are not a straight line process, and the subsequent steps must be queued with the previous steps. And the Pyxis intelligent medicine management system 3 can update information in the process of medicine use and transportation, ensure timely and accurate feedback of medicine information, ensure medicine use safety and medicine trend safety, and guide medicine use by information to be quicker.
A Pyxis-based closed-loop ICU ward drug management system, a Pyxis intelligent drug management system 3, comprises a login module 31, a Pyxis drug cabinet 32 and a stock pharmacy 33.
The utility model provides a closed loop ICU ward medicine management system based on Pyxis, Pyxis drug cabinet 32 sets for a plurality ofly according to hospital's ICU's distribution, and inventory pharmacy 33 sets for a plurality ofly according to the storage demand in the hospital, and the medicine between Pyxis drug cabinet 32 and inventory pharmacy 33 flows and passes through stock transfer line interconnect, and the information flow between Pyxis drug cabinet 32 and the Pyxis drug cabinet 32, between Pyxis drug cabinet 32 and the inventory pharmacy 33 passes through the information ring connection of stock.
The Pyxis drug cabinet 32 is a key node for drug time taking, and serves as a distributed intermediate station for each ICU in a hospital, so that the actual space distance required by the flow can be greatly reduced.
A Pyxis-based closed-loop ICU ward base number drug management method comprises the following working procedures:
firstly, the doctor order end 1 is used for ordering the doctor in the ward of the doctor end 11, the nurse confirms the information of the doctor order in the frame of the HIS system in the hospital, and the information is sent to the prescription auditing end 21 and audited by the pharmacist;
secondly, according to the audit result, if the audit is passed, the audit is fed back to the doctor end 11, and if the audit is passed, a nurse prints a medicine label and transfers the medicine label to the Pyxis intelligent medicine management system 3;
and thirdly, after the operation of the Pyxis intelligent medicine management system 3, outputting Pyxis system information 30 and feeding the Pyxis system information back to the online medical record system 2 of the HIS in the hospital for archiving.
A Pyxis-based closed-loop ICU ward drug management method, the work flow of a Pyxis intelligent drug management system 3 comprises the following steps:
firstly, the system confirms that the Pyxis medicine cabinet 32 and the inventory pharmacy 33 ensure the sufficiency of the medicines in the Pyxis medicine cabinet 32 through an inventory transfer line, and the medicine information synchronization of each point position is carried out between the Pyxis medicine cabinet 32 and between the Pyxis medicine cabinet 32 and the inventory pharmacy 33 through inventory information rings;
secondly, the medicine label to be used enters a Pyxis medicine cabinet 32 through the fingerprint login of a nurse or the login of an identity card and a login module to take the medicine, and a taking end 4 is used for carrying out medicine execution operation;
thirdly, when the second step is used, the Pyxis medicine cabinet 32 outputs the medicine taking information, on one hand, the medicine taking information is updated to the inventory information ring, on the other hand, the medicine execution operation information is combined to be the Pyxis system information 30 and output.
Further, every Pyxis drug storage cabinet 32 all can regard as the terminal of getting it filled, and each ICU administrative office takes the medicine of Pyxis drug storage cabinet 32 nearby, can reduce the link of key moment medicine transportation, and the back is taken to the medicine of Pyxis drug storage cabinet 32, and the information of taking can be updated to the information ring, and the medicine stock of Pyxis drug storage cabinet 32 is checked to help Pyxis intelligent medicine management system 3, can be replenished by stock drugstore 33 when not enough, and supplementary information can be updated equally. Furthermore, each time of updating information is also integrated into Pyxis system information 30 and the medicine taking information which are fed back to the HIS in the hospital.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and the preferred embodiments of the present invention are described in the above embodiments and the description, and are not intended to limit the present invention. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (5)

1. The utility model provides a closed loop ICU ward medicine management system, includes doctor's advice end (1), its characterized in that: doctor's advice end (1) output connection online medical record system (2), online medical record system (2) output connection end of taking (4), the system still includes Pyxis intelligent medicine management system (3), Pyxis intelligent medicine management system (3) difference interactive connection is in online medical record system (2) and takes end (4).
2. A closed loop ICU ward medication management system according to claim 1, wherein: the Pyxis intelligent drug management system (3) comprises modules including a login module (31), a Pyxis drug cabinet (32) and an inventory pharmacy (33).
3. A closed loop ICU ward medication management system according to claim 2, wherein: the distribution of the Pyxis medicine cabinet (32) in hospital ICU sets up to a plurality ofly, the storage pharmacy (33) sets up to a plurality ofly according to the storage demand in hospital, the medicine flow between Pyxis medicine cabinet (32) and the storage pharmacy (33) passes through stock transfer line interconnect, the information flow between Pyxis medicine cabinet (32) and Pyxis medicine cabinet (32), between Pyxis medicine cabinet (32) and the storage pharmacy (33) passes through stock information ring connection.
4. A closed loop ICU ward base number drug management method is characterized in that: the workflow of the method comprises the following steps:
the medical advice end (1) is used for making an advice by a doctor in a ward of a doctor end (11), confirming the information of the advice by a nurse in a framework of an HIS system in a hospital, and sending the information to a prescription auditing end (21) for auditing by a pharmacist;
secondly, according to the audit result, if the audit is passed, the audit is fed back to a doctor end (11), and if the audit is passed, a nurse prints a medicine label and transfers the medicine label to a Pyxis intelligent medicine management system (3);
and thirdly, after the operation of the Pyxis intelligent drug management system (3), outputting Pyxis system information (30) and feeding the Pyxis system information back to the online medical record system (2) of the HIS in the hospital for archiving.
5. The closed loop ICU ward medication management method of claim 4, wherein: the work flow of the Pyxis intelligent drug management system (3) comprises the following steps:
firstly, the system confirms that the Pyxis medicine cabinet (32) and the inventory pharmacy (33) ensure the sufficiency of the medicines in the Pyxis medicine cabinet (32) through an inventory transfer line, and the medicine information synchronization of each point position is carried out between the Pyxis medicine cabinet (32) and between the Pyxis medicine cabinet (32) and the inventory pharmacy (33) through an inventory information ring;
secondly, the medicine label to be used enters a Pyxis medicine cabinet (32) through the fingerprint login of a nurse or the login of an identity card and enters a login module to take the medicine, and a user (4) is taken to perform medicine execution operation;
and thirdly, when the second step is used, the Pyxis medicine cabinet (32) outputs medicine taking information, on one hand, the medicine taking information is updated to the inventory information ring, on the other hand, the medicine taking information is combined with the medicine execution operation information to be Pyxis system information (30) and output.
CN202011187639.7A 2020-10-30 2020-10-30 Closed-loop ICU ward drug management system and management method thereof Pending CN112259207A (en)

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