CN112509676A - Hemodialysis center intelligent management system - Google Patents

Hemodialysis center intelligent management system Download PDF

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CN112509676A
CN112509676A CN202011336617.2A CN202011336617A CN112509676A CN 112509676 A CN112509676 A CN 112509676A CN 202011336617 A CN202011336617 A CN 202011336617A CN 112509676 A CN112509676 A CN 112509676A
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周玥
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Nanjing First Hospital
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Abstract

The invention relates to the technical field of information management, in particular to an intelligent management system of a hemodialysis center. The hemodialysis system comprises a basic management unit, a safety management unit and a field management unit, wherein the basic management unit is used for carrying out centralized management and distribution on information, personnel, equipment and materials of the hemodialysis center, the safety management unit is used for managing and controlling the safety of the hemodialysis center, and the field management unit is used for monitoring and managing the field condition of the hemodialysis center in the operation process. The design of the invention can carry out centralized arrangement and distribution on medical care personnel and medical supplies, and carry out shunt arrangement on patients, thereby strengthening the supervision of aseptic operation, reducing the probability of an infection source entering a hemodialysis center, saving labor and time, improving the working efficiency of hemodialysis center management, being convenient to deal with various conditions in time, further improving the safety of patients, reducing dialysis complications and improving the survival quality of the patients.

Description

Hemodialysis center intelligent management system
Technical Field
The invention relates to the technical field of information management, in particular to an intelligent management system of a hemodialysis center.
Background
Hemodialysis replaces one of the renal treatments for patients with end-stage renal failure. Various situations occur during hemodialysis, and in recent years, many kinds of blood infectious diseases caused by hemodialysis are spread, so that safety management work of a hemodialysis center needs to be further perfected and strengthened. However, since the hemodialysis center involves a large number of medical staff and patients, in practical situations, the hemodialysis room management work is cumbersome, a large amount of manpower, material resources and time are consumed, careless omission or machine failure in medical staff arrangement is inevitable in many times, and various possible unexpected situations are difficult to timely and effectively find and control. Therefore, the centralized and comprehensive monitoring and management of the hemodialysis center are systematically carried out, so that the problems which need to be solved urgently in the current hemodialysis treatment project are solved.
Disclosure of Invention
The present invention is directed to a hemodialysis center intelligent management system to solve the above problems in the background art.
In order to solve the above technical problems, an object of the present invention is to provide an intelligent management system for hemodialysis center, comprising a basic management unit, a safety management unit, a field management unit and a joint control management unit, the basic management unit, the safety management unit, the field management unit and the joint control management unit are sequentially connected through Ethernet communication, the basic management unit is used for carrying out centralized management and distribution on information, personnel, equipment and materials of the hemodialysis center, the safety management unit is used for managing and controlling the safety of the hemodialysis center, the field management unit is used for monitoring and managing the field condition of the hemodialysis center in the operation process, the joint control management unit is used for connecting the intelligent management systems of the hemodialysis centers through Ethernet communication and realizing information sharing and data analysis processing;
the position sharing can be realized among a plurality of hemodialysis centers, and the position sharing method adopts a Manhattan distance algorithm, and the formula is as follows: d ═ x1-x2|+|y1-y2L, |; wherein d is a distance (x)1,y1) (x) as a position coordinate of the selected hemodialysis center2,y2) The position coordinates of the hemodialysis center where the user is located;
the basic management unit comprises an information management module, a personnel management module, an equipment management module and a material management module;
the safety management unit comprises a purification and disinfection module, a water purification module, an infection control module, a machine monitoring module and a waste liquid treatment module;
the field management unit comprises a medical advice inquiry module, a laboratory test reminding module, a treatment sign-in module and a dialysis nursing module;
the joint control management unit comprises an information sharing module, a data processing module and a scheme display module.
As a further improvement of the technical scheme, the hemodialysis center intelligent management system is connected with an HIS system of a hospital to which the hemodialysis center belongs through Ethernet communication.
As a further improvement of the technical solution, the information management module, the staff management module, the equipment management module and the material management module are sequentially connected through ethernet communication, the information management module is used for reading data information in a hospital HIS system, acquiring new external data information through a sensor or a reader, analyzing, updating and storing data, the staff management module is used for scheduling and handing-over scheduling medical staff, and distributing and sequencing treatment items for patients, the equipment management module is used for managing and distributing instruments and equipment in a hemodialysis treatment process and collecting measurement values of the instruments in real time, and the material management module is used for performing information management, warehouse entry and exit recording and inventory checking on materials used in the treatment process;
the positioning device is installed on each device managed by the device management module, so that the abnormal operation of each device can be monitored conveniently, and the fault device can be positioned conveniently, the positioning method adopts an Euclidean distance calculation method, and the calculation formula is as follows:
Figure BDA0002797424150000021
in the formula (x)1,y1) Is the position coordinate of the system control center computer, (x)2,y2) For location coordinates of the malfunctioning device, d12The euclidean distance of the faulty device to the control center.
As a further improvement of the technical solution, the information managed by the information management module includes, but is not limited to, patient medical records, resumes of medical care personnel, and assay documents, the content managed by the personnel management module includes, but is not limited to, medical care shift, medical care handover, patient shift, patient and fixed hemodialysis machine docking arrangement, the equipment managed by the equipment management module includes, but is not limited to, a hemodialysis machine, a sphygmomanometer, a weight scale, a disinfection instrument, a water purifier, a water quality detection device, and the like, and the materials managed by the material management module includes, but is not limited to, consumables, drugs, and the like;
when the information management module performs centralized management on different types of information data, a classification integration algorithm is adopted, and the formula is as follows:
Figure BDA0002797424150000022
as a further improvement of this technical scheme, purify the disinfection module water purification module infect control module machine monitoring module with waste liquid treatment module loops through ethernet communication connection, it is used for monitoring disinfection equipment to the disinfection operation of supplies such as hemodialysis liquid, consumptive material and inspection disinfection effect to purify the disinfection module, water purification module is used for the quality of water of real-time detection hemodialysis central water and regularly detects water treatment system, infect control module is used for investigation to carry out medical and nursing and the disease of infectious etiology to regularly carry out the detection and the record of hepatitis index to medical care and disease, machine monitoring module is used for the running state of real-time supervision hemodialysis treatment in-process machine, sends the warning when the machine breaks down and in time uses corresponding emergency treatment scheme to carry out the troubleshooting, waste liquid treatment module is used for carrying out real-time supervision and on-line accuse to the equipment operation and the treatment effect of waste liquid treatment in-process and controls the barrier And (5) preparing.
As a further improvement of the technical scheme, the medical advice query module, the examination prompting module, the treatment check-in module and the dialysis care module are sequentially connected through ethernet communication, the medical advice query module is used for setting medical advice in a hemodialysis treatment process for patients to check, the examination prompting module is used for prompting patients to perform examination and check in advance in a hemodialysis treatment preparation process, the treatment check-in module is used for recording, managing and counting personnel who enter and exit a hemodialysis center, and the dialysis care module is used for monitoring the nursing operation of medical personnel and the conditions of the patients in the hemodialysis treatment process in real time;
in the assay prompting module, keywords need to be extracted when the assay item is judged, the keyword extraction method adopts an SKE algorithm which is determined by the semantic total value and the statistical characteristic value of the words, and the calculation function of the word criticality is as follows:
Figure BDA0002797424150000031
in the formula, VdiRepresents WiVdw denotes a semantic contribution weight, Tw is a statistical eigenvalue weight, locijRepresents WiWhether it appears at position j, low cwjRepresenting the weight of a position j in the statistical characteristics, wherein the value of j is 1, 2 and 3, and the types of the represented positions are a title, a segment head, a segment tail and a leniRepresents WiLength of word, lenw denotes the weight of length of word in statistical features, posiRepresents WiThe part of speech value of, posw represents the part of speech weight in the statistical feature, tfidfiRepresents WiTfidf value of (a), tfidfw represents the TF-IDF weight in the statistical signature.
As a further improvement of the technical solution, the orders provided by the order inquiry module include, but are not limited to, temporary orders, long-term orders, special orders, and the like, the forms of the orders include text, audio, video, and the like, the tests required by the test reminding module include, but are not limited to, blood tests, infection tests, and the like, the contents monitored by the dialysis care module include, but are not limited to, sterile operation, state maintenance, drug maintenance, and the like, the dialysis care is remotely observed through the camera, and the indexes of state maintenance include, but are not limited to, blood pressure, body weight, and the like.
As a further improvement of the technical solution, the information sharing module, the data processing module and the scheme displaying module are sequentially connected through ethernet communication, the information sharing module is used for resource sharing of information data recorded in a plurality of intelligent management systems of the hemodialysis center through networking, the data processing module is used for processing of reading, analyzing, integrating, classifying and storing of big data shared through networking through a plurality of artificial intelligence algorithms, and the scheme displaying module is used for providing a channel for inquiring patient information and feeding back a recommendation scheme on a user terminal of each management system.
As a further improvement of the present technical solution, the operation process of the hemodialysis center intelligent management system includes the following steps:
s1, reading patient medical records in the HIS by the hemodialysis management system, treating and sequencing the patients, reading medical care resumes and an original shift schedule in the HIS by the hemodialysis management system, performing shift scheduling and shift switching arrangement on medical care, logging in the system by a medical care administrator through a medical care end user terminal with legal identity, and modifying the patient sequencing, the medical care shift scheduling and shift switching;
s2, the patient arrives at the hemodialysis center, the patient logs in the system through the patient end user terminal with legal identity, the patient is signed in for treatment, the patient end user terminal automatically jumps out of the doctor' S advice after the sign-in, and the patient is reminded to perform corresponding pre-hemodialysis examination;
s3, the patient carries out the test examination, the test result is automatically transmitted to the hemodialysis management system through the HIS system, if the network delay occurs, the patient can automatically transmit the test order to the hemodialysis management system through the data acquisition device;
s4, disinfecting the patient, and allowing the patient to enter a hemodialysis chamber for blood pressure measurement and weight measurement;
s5, analyzing medical history, test results, blood pressure and weight of the patient by the hemodialysis management system, comparing data information in the HIS system database, recommending a proper hemodialysis treatment scheme, feeding the scheme back to medical care personnel through a medical care end user terminal, and preparing the patient before hemodialysis by the medical care personnel according to the scheme requirement;
s6, medical staff logs in the system through a medical end user terminal with legal identity to enter a hemodialysis room for sign-in, the medical staff enters the hemodialysis room after being sterilized, and the medical staff performs hemodialysis treatment on a patient according to conventional aseptic operation;
s7, in the hemodialysis process, the system monitors the machine in real time, gives an alarm if the machine fails, carries out obstacle elimination according to a set emergency pretreatment scheme, simultaneously monitors the indoor condition of the hemodialysis through a camera, and a medical care manager can check and supervise the nursing condition of the dialysis site through a camera video;
s8, the medical staff exits the hemodialysis room and needs to be registered at the medical care end user terminal, the medical staff needs to be registered at the medical care end user terminal when handing over, and the medical staff needs to check in and disinfect again when entering the hemodialysis room again;
s9, when the hemodialysis treatment of the patient is finished and the patient exits the hemodialysis room, the patient needs to sign back at the user terminal at the patient end, and the system records the whole process of the hemodialysis treatment of the patient and updates the whole process into the medical record of the patient.
As a further improvement of the technical solution, in S5, after analyzing the medical record, the test result, the blood pressure, and the weight of the patient, the hemodialysis management system compares the data information in the HIS system database to recommend a proper hemodialysis treatment protocol, and the comparison process is performed by a TF-IDF matching algorithm, and the formula is as follows:
Figure BDA0002797424150000051
in the formula tfi,jNumber of texts in i and j, dfiN is the total number of texts in which i is contained.
Another object of the present invention is to provide an intelligent management device for hemodialysis center, comprising a processor, a memory and a computer program stored in the memory and running on the processor, wherein the processor is used for implementing any of the above intelligent management systems for hemodialysis center when executing the computer program.
It is a further object of the present invention that the computer readable storage medium stores a computer program, which when executed by a processor implements any of the above-described hemodialysis center intelligent management systems.
Compared with the prior art, the invention has the beneficial effects that: this hemodialysis center intelligent management system is based on hospital HIS system, through the information to hemodialysis center, medical personnel, the disease, machine equipment and goods and materials carry out centralized management and distribution, strengthen the management and control to safety aspects such as purification and disinfection, aqueous cleaning, infectious etiology and machine operation, increase the field management to the doctor's advice, the chemical examination is reminded, the treatment is signed in and is dialyzed the nursing, can be fast and rationally to medical personnel, medical goods and materials carry out centralized arrangement and distribute, and distribute the reposition of redundant personnel to the disease, strengthen the supervision of aseptic operation, reduce the probability that the infectious source got into hemodialysis center, use manpower sparingly and time, the work efficiency of hemodialysis center management improves, be convenient for in time deal with various situations, and then can improve patient's safety, reduce dialysis complication, improve patient's quality of life.
Drawings
FIG. 1 is an exemplary product architecture diagram of the present invention;
FIG. 2 is a partial structural diagram of a management device according to the present invention;
FIG. 3 is a partial structural diagram of a management device according to the present invention;
FIG. 4 is a partial structural diagram of a management device according to the present invention;
FIG. 5 is a partial structural diagram of a management device according to the present invention;
FIG. 6 is a partial structural diagram of a management device according to the present invention;
FIG. 7 is an exemplary program architecture diagram of the present invention;
FIG. 8 is an E-R diagram of the underlying management of the present invention;
FIG. 9 is an E-R diagram of the field management of the present invention;
fig. 10 is a schematic structural diagram of the intelligent management device of the present invention.
The various reference numbers in the figures mean:
100. a basic management unit; 101. an information management module; 102. a personnel management module; 103. a device management module; 104. a material management module;
200. a security management unit; 201. a purification and disinfection module; 202. a water purification module; 203. an infection control module; 204. a machine monitoring module; 205. a waste liquid treatment module;
300. a field management unit; 301. a medical advice query module; 302. a test reminding module; 303. a treatment check-in module; 304. a dialysis care module;
400. a joint control management unit; 401. an information sharing module; 402. a data processing module; 403. and a scheme presentation module.
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.
Application examples
As shown in fig. 1-10, the present embodiment provides an intelligent management system for hemodialysis centers, which includes a basic management unit 100, a safety management unit 200, a field management unit 300, and an integrated control management unit 400, where the basic management unit 100, the safety management unit 200, the field management unit 300, and the integrated control management unit 400 are sequentially connected via ethernet communication, the basic management unit 100 is used to centrally manage and distribute information, personnel, equipment, and materials of the hemodialysis centers, the safety management unit 200 is used to manage and control safety of the hemodialysis centers, the field management unit 300 is used to monitor and manage field conditions during operation of the hemodialysis centers, and the integrated control management unit 400 is used to connect the intelligent management systems of several hemodialysis centers via ethernet communication and implement information sharing and data analysis processing;
the position sharing can be realized among a plurality of hemodialysis centers, and the position sharing method adopts a Manhattan distance algorithm, and the formula is as follows: d ═ x1-x2|+|y1-y2L, |; formula (II)Wherein d is a distance, (x)1,y1) (x) as a position coordinate of the selected hemodialysis center2,y2) The position coordinates of the hemodialysis center where the user is located;
the basic management unit 100 comprises an information management module 101, a personnel management module 102, an equipment management module 103 and a material management module 104;
the safety management unit 200 comprises a purification and disinfection module 201, a water purification module 202, an infection control module 203, a machine monitoring module 204 and a waste liquid treatment module 205;
the field management unit 300 comprises an order inquiry module 301, an assay reminding module 302, a treatment check-in module 303 and a dialysis care module 304;
the joint control management unit 400 includes an information sharing module 401, a data processing module 402, and a scheme presentation module 403.
In this embodiment, the hemodialysis center intelligent management system is connected to the HIS system of the hospital to which the hemodialysis center belongs through ethernet communication.
In this embodiment, the information management module 101, the personnel management module 102, the equipment management module 103 and the material management module 104 are sequentially connected through ethernet communication, the information management module 101 is used for reading data information in a hospital HIS system, acquiring new external data information through a sensor or a reader, analyzing, updating and storing data, the personnel management module 102 is used for scheduling and handing-over scheduling medical staff and distributing and sequencing treatment items for patients, the equipment management module 103 is used for managing and distributing instrument equipment in a hemodialysis treatment process and acquiring measurement values of the instrument in real time, and the material management module 104 is used for performing information management, warehouse entry and exit recording and inventory checking on materials used in the treatment process;
the equipment management module 103 manages equipment, and the equipment management module is configured to manage equipment management information, wherein each equipment management information is configured to be installed with a locator, so as to monitor operation abnormality of each equipment and locate a faulty equipment, and the locating method adopts an euclidean distance calculation method, and a calculation formula of the locating method is as follows:
Figure BDA0002797424150000081
in the formula (x)1,y1) Is the position coordinate of the system control center computer, (x)2,y2) For location coordinates of the malfunctioning device, d12The euclidean distance of the faulty device to the control center.
The information managed by the information management module 101 includes, but is not limited to, patient medical records, medical staff resumes, laboratory documents, etc., the content managed by the staff management module 102 includes, but is not limited to, medical shift, medical handover, patient shift, patient and fixed hemodialysis machine docking arrangement, etc., the equipment managed by the equipment management module 103 includes, but is not limited to, hemodialysis machine, blood pressure meter, weight scale, disinfection instrument, water purifier, water quality detection device, etc., and the materials managed by the material management module 104 includes, but is not limited to, consumables, drugs, etc.;
when the information management module 101 performs centralized management on different types of information data, a classification integration algorithm is adopted, and the formula is as follows:
Figure BDA0002797424150000082
in this embodiment, the purification and disinfection module 201, the water purification module 202, the infection control module 203, the machine monitoring module 204 and the waste liquid treatment module 205 are sequentially connected through ethernet communication, the purification and disinfection module 201 is used for monitoring the disinfection operation of the disinfection device on materials such as blood penetration liquid, consumables and the like and checking the disinfection effect, the water purification module 202 is used for detecting the water quality of water used in the blood penetration center in real time and detecting a water treatment system at regular time, the infection control module 203 is used for investigating medical care and patients carrying infectious pathogens, the hepatitis indexes of medical care and patients are detected and recorded regularly, the machine monitoring module 204 is used for monitoring the running state of the machine in the hemodialysis treatment process in real time, giving an alarm when the machine breaks down and timely applying a corresponding emergency treatment plan to remove obstacles, and the waste liquid treatment module 205 is used for monitoring the operation and treatment effect of equipment in the waste liquid treatment process in real time and controlling the operation and treatment effect on line.
Specifically, the waste liquid treatment module 205 may cover monitoring of multiple sets of waste liquid treatment devices, including but not limited to a waste liquid collector, an oxygen mixer, an ozone mixer, an ultraviolet sterilizer, a high temperature and high pressure sterilizer, an air separator, an anaerobic biochemical reaction tank, and the like.
In this embodiment, the medical advice query module 301, the assay prompting module 302, the treatment sign-in module 303, and the dialysis care module 304 are sequentially connected through ethernet communication, the medical advice query module 301 is used to set medical advice in the hemodialysis treatment process for patients to view, the assay prompting module 302 is used to prompt patients to perform assay examination in advance in the hemodialysis treatment preparation process, the treatment sign-in module 303 is used to record, manage, and count personnel who enter and exit the hemodialysis center, and the dialysis care module 304 is used to monitor the care operation of medical personnel and the conditions of patients in the hemodialysis treatment process in real time;
in the assay prompting module 302, keywords need to be extracted when determining an assay item, the keyword extraction method adopts an SKE algorithm determined by the semantic total value and the statistical characteristic value of words, and the calculation function of the word criticality is as follows:
Figure BDA0002797424150000091
in the formula, VdiRepresents WiVdw denotes a semantic contribution weight, Tw is a statistical eigenvalue weight, locijRepresents WiWhether it appears at position j, low cwjRepresenting the weight of a position j in the statistical characteristics, wherein the value of j is 1, 2 and 3, and the types of the represented positions are a title, a segment head, a segment tail and a leniRepresents WiLength of word, lenw denotes the weight of length of word in statistical features, posiRepresents WiThe part of speech value of, posw represents the part of speech weight in the statistical feature, tfidfiRepresents WiTfidf value of (a), tfidfw represents the TF-IDF weight in the statistical signature.
The orders provided by the order inquiry module 301 include, but are not limited to, provisional orders, long-term orders, special orders, and the like, the forms of the orders include text, audio, video, and the like, the tests required by the test reminding module 302 include, but are not limited to, blood tests, infection tests, and the like, the content monitored by the dialysis care module 304 includes, but is not limited to, sterile operation, state maintenance, drug maintenance, and the like, the dialysis care is remotely observed through a camera, and the indexes of state maintenance include, but are not limited to, blood pressure, body weight, and the like.
The information sharing module 401, the data processing module 402 and the scheme showing module 403 are sequentially in communication connection through the Ethernet, the information sharing module 401 is used for enabling resource sharing of information data recorded in a plurality of intelligent management systems of the hemodialysis center through networking, the data processing module 402 is used for reading, analyzing, integrating, classifying and storing large data shared through networking through a plurality of artificial intelligence algorithms, and the scheme showing module 403 is used for providing a channel capable of inquiring patient information and feeding back a recommended scheme on a user terminal of each management system.
The information that can be shared includes, but is not limited to, personal information of the patient, medical history, examination results, treatment plan, treatment history of previous period, etc.
Specifically, the patient can receive treatment to any one of a plurality of hemodialysis centers which are installed with the intelligent management system and connected in a network through the joint control management unit 400.
Product and method embodiments
Referring to fig. 1, an exemplary architecture diagram of the intelligent management system of the hemodialysis center according to the present embodiment is shown, where the product includes a computer set loaded with a hemodialysis management system, a computer set loaded with an HIS system, a medical care end user terminal, a patient end user terminal, a data collection device, a camera, a hemodialysis machine, a blood pressure monitor, a weight scale, and the like; the medical care end user terminal is simultaneously connected with a computer set loaded with a hemodialysis management system and a computer set loaded with an HIS system; the data acquisition device includes but is not limited to a scanner, an intelligent reader, etc.
An exemplary operational flow of the hemodialysis center intelligent management system includes the steps of:
s1, reading patient medical records in the HIS by the hemodialysis management system, treating and sequencing the patients, reading medical care resumes and an original shift schedule in the HIS by the hemodialysis management system, performing shift scheduling and shift switching arrangement on medical care, logging in the system by a medical care administrator through a medical care end user terminal with legal identity, and modifying the patient sequencing, the medical care shift scheduling and shift switching;
s2, the patient arrives at the hemodialysis center, the patient logs in the system through the patient end user terminal with legal identity, the patient is signed in for treatment, the patient end user terminal automatically jumps out of the doctor' S advice after the sign-in, and the patient is reminded to perform corresponding pre-hemodialysis examination;
s3, the patient carries out the test examination, the test result is automatically transmitted to the hemodialysis management system through the HIS system, if the network delay occurs, the patient can automatically transmit the test order to the hemodialysis management system through the data acquisition device;
s4, disinfecting the patient, and allowing the patient to enter a hemodialysis chamber for blood pressure measurement and weight measurement;
s5, analyzing medical history, test results, blood pressure and weight of the patient by the hemodialysis management system, comparing data information in the HIS system database, recommending a proper hemodialysis treatment scheme, feeding the scheme back to medical care personnel through a medical care end user terminal, and preparing the patient before hemodialysis by the medical care personnel according to the scheme requirement;
s6, medical staff logs in the system through a medical end user terminal with legal identity to enter a hemodialysis room for sign-in, the medical staff enters the hemodialysis room after being sterilized, and the medical staff performs hemodialysis treatment on a patient according to conventional aseptic operation;
s7, in the hemodialysis process, the system monitors the machine in real time, gives an alarm if the machine fails, carries out obstacle elimination according to a set emergency pretreatment scheme, simultaneously monitors the indoor condition of the hemodialysis through a camera, and a medical care manager can check and supervise the nursing condition of the dialysis site through a camera video;
s8, the medical staff exits the hemodialysis room and needs to be registered at the medical care end user terminal, the medical staff needs to be registered at the medical care end user terminal when handing over, and the medical staff needs to check in and disinfect again when entering the hemodialysis room again;
s9, when the hemodialysis treatment of the patient is finished and the patient exits the hemodialysis room, the patient needs to sign back at the user terminal at the patient end, and the system records the whole process of the hemodialysis treatment of the patient and updates the whole process into the medical record of the patient.
In S5, after analyzing the medical record, the test result, the blood pressure, and the weight of the patient, the hemodialysis management system compares the data information in the HIS system database to recommend a proper hemodialysis treatment protocol, and the comparison process is performed by a TF-IDF matching algorithm, which has the following formula:
Figure BDA0002797424150000111
in the formula tfi,jNumber of texts in i and j, dfiN is the total number of texts in which i is contained.
Electronic device embodiment
Referring to fig. 10, a schematic diagram of a hemodialysis center intelligent management device according to the present embodiment is shown, which includes a processor, a memory, and a computer program stored in the memory and running on the processor.
The processor comprises one or more processing cores, the processor is connected with the processor through a bus, the memory is used for storing program instructions, and the intelligent management system of the hemodialysis center is realized when the processor executes the program instructions in the memory.
Alternatively, the memory may be implemented by any type or combination of volatile or non-volatile memory devices, such as Static Random Access Memory (SRAM), electrically erasable programmable read-only memory (EEPROM), erasable programmable read-only memory (EPROM), programmable read-only memory (PROM), read-only memory (ROM), magnetic memory, flash memory, magnetic or optical disks.
In addition, the present invention also provides a computer readable storage medium, which stores a computer program, and the computer program is executed by a processor to implement the hemodialysis center intelligent management system.
Optionally, the present invention also provides a computer program product containing instructions which, when run on a computer, cause the computer to execute the above aspects of the hemodialysis center intelligent management system.
It will be understood by those skilled in the art that all or part of the steps of implementing the above embodiments may be implemented by hardware, or may be implemented by hardware related to instructions of a program, which may be stored in a computer-readable storage medium, such as a read-only memory, a magnetic or optical disk, and the like.
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 (10)

1. The utility model provides a hemodialysis center intelligent management system which characterized in that:
comprises a basic management unit (100), a safety management unit (200), a field management unit (300) and a joint control management unit (400), the basic management unit (100), the safety management unit (200), the field management unit (300) and the joint control management unit (400) are sequentially connected through Ethernet communication, the basic management unit (100) is used for centralized management and distribution of information, personnel, equipment and materials of the hemodialysis center, the safety management unit (200) is used for managing and controlling the safety of the hemodialysis center, the field management unit (300) is used for monitoring and managing the field condition in the operation process of the hemodialysis center, the joint control management unit (400) is used for connecting the intelligent management systems of the hemodialysis centers through Ethernet communication and realizing information sharing and data analysis processing;
wherein, position sharing can be realized among a plurality of hemodialysis centers, and the position sharing method adopts Manhattan distance calculationThe formula is as follows: d ═ x1-x2|+|y1-y2L, |; wherein d is a distance (x)1,y1) (x) as a position coordinate of the selected hemodialysis center2,y2) The position coordinates of the hemodialysis center where the user is located;
the basic management unit (100) comprises an information management module (101), a personnel management module (102), an equipment management module (103) and a material management module (104);
the safety management unit (200) comprises a purification and disinfection module (201), a water purification module (202), an infection control module (203), a machine monitoring module (204) and a waste liquid treatment module (205);
the field management unit (300) comprises an order inquiry module (301), an assay prompting module (302), a treatment check-in module (303) and a dialysis care module (304);
the joint control management unit (400) comprises an information sharing module (401), a data processing module (402) and a scheme showing module (403).
2. The intelligent management system for hemodialysis center of claim 1, wherein: the hemodialysis center intelligent management system is connected with an HIS system of a hospital to which the hemodialysis center belongs through Ethernet communication.
3. The intelligent management system for hemodialysis center of claim 1, wherein: the information management module (101), the personnel management module (102), the equipment management module (103) and the material management module (104) are sequentially connected through Ethernet communication, the information management module (101) is used for reading data information in the HIS system of the hospital and collecting new external data information through a sensor or a reader, and analyzes, updates and stores the data, the personnel management module (102) is used for carrying out scheduling and shift arrangement on medical personnel and distributing and sequencing treatment items on patients, the device management module (103) is used for managing and distributing instrument devices in the hemodialysis treatment process and acquiring measurement values of the instruments in real time, the material management module (104) is used for performing information management, warehouse entry and exit recording and inventory checking on materials used in the treatment process;
each device managed by the device management module (103) is provided with a positioner, so that the abnormal operation of each device can be monitored conveniently, and the fault device can be positioned conveniently, the positioning method adopts an Euclidean distance calculation method, and the calculation formula is as follows:
Figure FDA0002797424140000021
in the formula (x)1,y1) Is the position coordinate of the system control center computer, (x)2,y2) For location coordinates of the malfunctioning device, d12The euclidean distance of the faulty device to the control center.
4. The intelligent management system for hemodialysis center of claim 1, wherein: the information managed by the information management module (101) comprises but is not limited to patient medical records, medical staff resumes, laboratory documents and the like, the content managed by the staff management module (102) comprises but is not limited to medical shift, medical handover, patient shift, patient and fixed hemodialysis machine docking arrangement and the like, the equipment managed by the equipment management module (103) comprises but is not limited to hemodialysis machine, sphygmomanometer, weight scale, disinfection instrument, water purifier, water quality detection device and the like, and the materials managed by the material management module (104) comprise but is not limited to consumables, drugs and the like;
when the information management module (101) performs centralized management on different types of information data, a classification integration algorithm is adopted, and the formula is as follows:
Figure FDA0002797424140000022
5. the intelligent management system for hemodialysis center of claim 1, wherein: the purification and disinfection module (201), water purification module (202), infection control module (203), machine monitoring module (204) with waste liquid treatment module (205) loops through ethernet communication connection, purification and disinfection module (201) is used for monitoring disinfection equipment to the disinfection operation of materials such as hemodialysis liquid, consumptive material and inspection disinfection effect, water purification module (202) is used for the quality of water of real-time supervision hemodialysis center water and regularly detects water treatment system, infection control module (203) is used for investigating the medical care and the disease that carry the infectious etiology to regularly carry out the detection and the record of hepatitis index to medical care and disease, machine monitoring module (204) is used for the running state of machine in the real-time supervision hemodialysis treatment process, sends the warning when the machine breaks down and in time uses corresponding emergency treatment plan to eliminate the obstacles, the waste liquid treatment module (205) is used for monitoring the operation and treatment effect of equipment in the waste liquid treatment process in real time and controlling the operation and treatment effect on line.
6. The intelligent management system for hemodialysis center of claim 1, wherein: the system comprises a medical advice query module (301), a test prompting module (302), a treatment sign-in module (303) and a dialysis nursing module (304) which are sequentially connected through Ethernet communication, wherein the medical advice query module (301) is used for setting medical advice in the hemodialysis treatment process for patients to check, the test prompting module (302) is used for prompting patients to test in advance in the hemodialysis treatment preparation process, the treatment sign-in module (303) is used for recording, managing and counting personnel who enter and exit a hemodialysis center, and the dialysis nursing module (304) is used for monitoring nursing operation of medical personnel and conditions of the patients in the hemodialysis treatment process in real time;
in the assay prompting module (302), keywords are required to be extracted when the required assay item is judged, the keyword extraction method adopts an SKE algorithm which is determined by the semantic total value and the statistical characteristic value of the words, and the calculation function of the word criticality is as follows:
Figure FDA0002797424140000031
in the formula, VdiRepresents WiVdw denotes a semantic contribution weight, Tw is a statistical eigenvalue weight, locijRepresents WiWhether it appears at position j, low cwjRepresenting the weight of a position j in the statistical characteristics, wherein the value of j is 1, 2 and 3, and the types of the represented positions are a title, a segment head, a segment tail and a leniRepresents WiLength of word, lenw denotes the weight of length of word in statistical features, posiRepresents WiThe part of speech value of, posw represents the part of speech weight in the statistical feature, tfidfiRepresents WiTfidf value of (a), tfidfw represents the TF-IDF weight in the statistical signature.
7. The intelligent management system for hemodialysis center of claim 1, wherein: the orders provided by the order inquiry module (301) include but are not limited to temporary orders, long-term orders, special orders and the like, the forms of the orders include texts, audio, video and the like, the tests required by the test reminding module (302) include but are not limited to blood tests, infection tests and the like, the contents monitored by the dialysis nursing module (304) include but are not limited to aseptic operation, state maintenance, medicine maintenance and the like, the dialysis nursing is remotely observed through a camera, and the indexes of state maintenance include but are not limited to blood pressure, weight and the like.
8. The intelligent management system for hemodialysis center of claim 1, wherein: the hemodialysis center intelligent management system comprises an information sharing module (401), a data processing module (402) and a scheme display module (403), wherein the information sharing module (401), the data processing module (402) and the scheme display module (403) are sequentially in communication connection through an Ethernet, the information sharing module (401) is used for enabling information data recorded in a plurality of hemodialysis center intelligent management systems to be subjected to resource sharing through networking, the data processing module (402) is used for reading, analyzing, integrating, classifying and storing large data shared through networking through a plurality of artificial intelligence algorithms, and the scheme display module (403) is used for providing a channel capable of inquiring patient information and feeding back a recommended scheme on a user terminal of each management system.
9. The intelligent management system for hemodialysis center of claim 1, wherein: the operation flow of the hemodialysis center intelligent management system comprises the following steps:
s1, reading patient medical records in the HIS by the hemodialysis management system, treating and sequencing the patients, reading medical care resumes and an original shift schedule in the HIS by the hemodialysis management system, performing shift scheduling and shift switching arrangement on medical care, logging in the system by a medical care administrator through a medical care end user terminal with legal identity, and modifying the patient sequencing, the medical care shift scheduling and shift switching;
s2, the patient arrives at the hemodialysis center, the patient logs in the system through the patient end user terminal with legal identity, the patient is signed in for treatment, the patient end user terminal automatically jumps out of the doctor' S advice after the sign-in, and the patient is reminded to perform corresponding pre-hemodialysis examination;
s3, the patient carries out the test examination, the test result is automatically transmitted to the hemodialysis management system through the HIS system, if the network delay occurs, the patient can automatically transmit the test order to the hemodialysis management system through the data acquisition device;
s4, disinfecting the patient, and allowing the patient to enter a hemodialysis chamber for blood pressure measurement and weight measurement;
s5, analyzing medical history, test results, blood pressure and weight of the patient by the hemodialysis management system, comparing data information in the HIS system database, recommending a proper hemodialysis treatment scheme, feeding the scheme back to medical care personnel through a medical care end user terminal, and preparing the patient before hemodialysis by the medical care personnel according to the scheme requirement;
s6, medical staff logs in the system through a medical end user terminal with legal identity to enter a hemodialysis room for sign-in, the medical staff enters the hemodialysis room after being sterilized, and the medical staff performs hemodialysis treatment on a patient according to conventional aseptic operation;
s7, in the hemodialysis process, the system monitors the machine in real time, gives an alarm if the machine fails, carries out obstacle elimination according to a set emergency pretreatment scheme, simultaneously monitors the indoor condition of the hemodialysis through a camera, and a medical care manager can check and supervise the nursing condition of the dialysis site through a camera video;
s8, the medical staff exits the hemodialysis room and needs to be registered at the medical care end user terminal, the medical staff needs to be registered at the medical care end user terminal when handing over, and the medical staff needs to check in and disinfect again when entering the hemodialysis room again;
s9, when the hemodialysis treatment of the patient is finished and the patient exits the hemodialysis room, the patient needs to sign back at the user terminal at the patient end, and the system records the whole process of the hemodialysis treatment of the patient and updates the whole process into the medical record of the patient.
10. The intelligent management system for hemodialysis center of claim 8, wherein: in S5, the hemodialysis management system analyzes the medical history, the test results, the blood pressure, and the weight of the patient, compares the data information in the HIS system database, and recommends a proper hemodialysis treatment protocol, where the comparison process is performed by a TF-IDF matching algorithm, and the formula is as follows:
Figure FDA0002797424140000051
in the formula tfi,jNumber of texts in i and j, dfiN is the total number of texts in which i is contained.
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Publication number Priority date Publication date Assignee Title
CN113035350A (en) * 2021-03-29 2021-06-25 北京大学深圳研究生院 Medical decision support method and system based on knowledge extraction
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CN113284604A (en) * 2021-04-16 2021-08-20 青岛大学附属医院 AI auxiliary diagnosis and treatment method according to high-definition surgical field video
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CN113936779B (en) * 2021-09-30 2024-03-19 深圳市裕辰医疗科技有限公司 Hemodialysis quality control management system
CN113643807A (en) * 2021-10-14 2021-11-12 江苏润无声科技有限公司 Dialysis treatment matching method and system based on feature analysis
CN117558405A (en) * 2023-10-25 2024-02-13 谱想医疗科技(上海)有限公司 Intelligent hemodialysis management system

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