CN112837811A - Early warning system for drug-induced kidney injury - Google Patents

Early warning system for drug-induced kidney injury Download PDF

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Publication number
CN112837811A
CN112837811A CN202110241613.4A CN202110241613A CN112837811A CN 112837811 A CN112837811 A CN 112837811A CN 202110241613 A CN202110241613 A CN 202110241613A CN 112837811 A CN112837811 A CN 112837811A
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renal function
module
round
mobile ward
renal
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Inventor
任金妹
谢宁
李慧
白寿军
王晶
李曼
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QINGPU BRANCH OF ZHONGSHAN HOSPITAL FUDAN UNIVERSITY
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QINGPU BRANCH OF ZHONGSHAN HOSPITAL FUDAN UNIVERSITY
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Priority to CN202110241613.4A priority Critical patent/CN112837811A/en
Publication of CN112837811A publication Critical patent/CN112837811A/en
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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
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT 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
    • 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
    • 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
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • 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
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

The invention relates to an early warning system for drug-induced renal injury, which comprises a hospital information management system and a mobile ward-round system, wherein the mobile ward-round system is provided with a doctor mobile ward-round system and a pharmacist mobile ward-round system; the physician mobile ward-round system is provided with a first renal function warning module, and the pharmacist mobile ward-round system is provided with a second renal function warning module; the first renal function warning module and the second renal function warning module are used for automatically acquiring renal function related detection data from the hospital information management system, judging whether the renal function related detection data exceed a threshold value or not, and sending voice prompts and text prompts when the renal function related detection data exceed the threshold value. The drug-induced renal injury early warning system can comprehensively, timely and quickly discover drug-induced renal injury of inpatients so as to take measures immediately and reduce the incidence rate of the nosocomial renal injury.

Description

Early warning system for drug-induced kidney injury
Technical Field
The invention relates to the field of computers, in particular to an early warning system for drug-induced renal injury.
Background
Drug nephrotoxicity (DKI) is a drug-induced renal injury, which refers to adverse effects of the kidney on therapeutic doses of drugs and toxic reactions due to overdose or improper use of drugs, and is a group of diseases with different clinical characteristics and different pathological types caused by different drugs including Chinese herbal medicines. Including Acute Kidney Injury (AKI) and Chronic Kidney Disease (CKD). Because there is no standard definition for drug-induced nephropathy (DIK), clinical manifestations are often not discovered in time, especially for short-term drug exposure. Drug-related renal injury can accelerate the progression of renal failure, particularly in the elderly population. The elderly patients often use several or even more than ten kinds of medicines, drug-induced renal injury is very easy to occur, and is a high risk group of acute renal injury, and the medicine-induced renal injury accounts for 40% of the elderly hospitalized patients. Thus, early detection, prevention and treatment of DKI has been important in preventing the progression of Chronic Kidney Disease (CKD) and renal failure.
The current system has the following problems: firstly, if the conventional laboratory examination indexes are changed, only the indexes are displayed abnormally, but no alarm prompt is provided, so that doctors can ignore the abnormal indexes; secondly, the system for making a ward round is not connected with a pharmacist, so that the pharmacist cannot easily find the abnormal renal function index, and the first time treatment analysis is usually missed; and thirdly, if the kidney injury caused by the medicament can not be found in time, the medical cost can be increased, and the disease risk and pain of the patient can be aggravated.
Patent document CN109872819A, published japanese patent No. 2019.06.11, discloses an acute kidney injury probability prediction system based on intensive care examination items, which obtains multiple items of examination item data and demographic information related to gender, age and weight within the previous 24 hours of a patient from a hospital database, marks each item of data in a time sequence from far to near, arranges the data in a front-back manner according to classified demographic data, blood creatinine, systolic blood pressure, urine volume, blood gas analysis, body temperature and heart rate and medication information, and completes extraction of relevant features, wherein the relevant features relate to 38 items of examination item data including age, gender, and numerical features such as variation value, mean value, standard deviation, minimum value, maximum value and recent value of the relevant examination items within 24 hours, and realizes prediction of the incidence probability of acute kidney injury of the patient in advance for 24 hours by combining with an artificial intelligent machine learning algorithm, to provide for early clinical intervention. Patent document CN112198323A, published japanese patent No. 2021.01.08, discloses an examination system for acute kidney injury, comprising a full-automatic biochemical detector, a DKK-3 protein detector, a background system; the full-automatic biochemical detector sends detected creatinine content data to a background system, the DKK-3 protein detector provides the data to the background system, the background system calculates the data and displays the specific data on a display screen, and the inspection system is mainly applied to predicting the possibility of postoperative acute kidney injury before cardiac surgery. The above prior art does not solve the problem of not being able to timely and effectively discover DKI.
In view of the above, there is a need for a device that will early detect, early prevent and early treat DKI.
Disclosure of Invention
The invention aims to provide a drug-induced renal injury early warning system aiming at the defects in the prior art.
In order to achieve the purpose, the invention adopts the technical scheme that:
a drug-induced renal injury early warning system comprises a hospital information management system and a mobile ward-round system, wherein the mobile ward-round system is connected with the hospital information management system and automatically imports required information from the hospital information management system; the mobile ward-round system is provided with a doctor mobile ward-round system and a pharmacist mobile ward-round system; the doctor mobile ward round system is provided with a first patient navigation module, a medical advice management module, a first medical record nursing record browsing module, an operation arrangement module and a first renal function warning module; the pharmacist mobile ward-round system is provided with a second patient navigation module, a medication auditing module, a second medical record nursing record browsing module and a second renal function warning module; the first renal function warning module and the second renal function warning module are used for automatically acquiring renal function related detection data from a hospital information management system for comparison with a normal reference value range of each index and a renal function diagnosis standard at each stage, and when a certain index exceeds the normal reference value range or is compared with the renal function diagnosis standard at each stage, a result is a non-renal function normal period, a voice prompt and a text prompt are sent.
In a preferred embodiment of the present invention, the first renal function warning module and the second renal function warning module are further connected to the first patient navigation module and the second patient navigation module, respectively, and when a certain index exceeds a normal reference value range or is compared with a renal function stage diagnostic standard and the result is a non-renal function stage, a command is sent to the first patient navigation module and the second patient navigation module to give a special mark to an entry of a corresponding patient.
In another preferred embodiment of the present invention, the first renal function warning module and the second renal function warning module are connected to provide a function for communicating between a physician and a pharmacist.
In another preferred embodiment of the present invention, the voice prompt and the text prompt pop up in the form of a window, and when the corresponding responsible physician or pharmacist confirms to receive the message, the voice prompt is turned off, and the text prompt information is recorded in the corresponding first renal function warning module or second renal function warning module in the mode of the message.
In another preferred embodiment of the present invention, the medication auditing module is connected to an order management module of the physician mobile ward-round system, and is configured to automatically acquire order medication information so that the pharmacist can audit the order medication information.
More preferably, the medication audit module sets "agree", "modify", "advise" options to support the pharmacist to quickly give an audit opinion or give a detailed advice for communication with the physician.
In another preferred embodiment of the present invention, the data of the test related to renal function includes serum creatinine, serum urea nitrogen, creatinine clearance rate, uric acid, urease and microalbumin, various trace elements such as potassium, sodium, chlorine, calcium, magnesium, phosphorus and the like, and urinary B-ultrasound results.
In another preferred embodiment of the present invention, the terminal carrier of the mobile ward-round system is a notebook computer, a tablet computer or a smart phone.
The invention has the advantages that:
1. the drug-induced renal injury early warning system is provided with the renal function warning module, and can give an early warning to a doctor and a pharmacist when a patient treated in a hospital has drug-induced renal injury so as to take relevant measures immediately, reduce or stop suspicious drugs and actively treat complications, and further can find the patient with drug-induced renal injury in time and reduce the incidence rate of the drug-induced renal injury in the hospital.
2. Remove the ward round system at doctor and remove the system of making a rounds of wards with pharmacist and all be equipped with renal function warning module, be equipped with the dual warning of voice prompt and text suggestion to can also mainly show at patient navigation module, and then play omnidirectional warning effect.
3. The first patient navigation module is connected with the second patient navigation module, so that a clinician and a pharmacist can conveniently carry out work, the feedback can be communicated in time, and the treatment efficiency of renal function injury is improved.
4. The whole system is simple in function, convenient to operate, free of special operation training and the like, convenient to popularize and capable of saving medical cost.
Drawings
FIG. 1 is a block diagram showing the structure of a system for warning of drug-induced renal injury according to example 1.
FIG. 2 is a block diagram showing the structure of a system for warning of drug-induced renal injury according to example 2.
Detailed Description
The following detailed description of the present invention will be made with reference to the accompanying drawings.
The reference numerals and components referred to in the drawings are as follows:
1. hospital information management system 2, mobile ward round system
21. Physician mobile ward round system 22. pharmacist mobile ward round system
211. First patient navigation module 212, order management module
213. First medical record nursing record browsing module 214, operation arrangement module
215. First renal function warning module 221, second patient navigation module
222. Medicine administration auditing module 223 second case history nursing record browsing module
224. Second renal function warning module
Example 1
Referring to fig. 1, fig. 1 is a block diagram showing the structure of a system for warning of drug-induced renal injury according to example 1. The early warning system for drug-induced renal injury is provided with:
hospital information management system 1: the hospital information management system 1 is an HIS system, that is, an information system which comprehensively manages the flows of people, logistics and financial resources of a hospital and all departments to which the hospital belongs, collects, stores, processes, extracts, transmits and summarizes data generated at all stages of medical activities, processes and forms various information, and thus provides comprehensive automatic management and various services for the overall operation of the hospital. Functionally subdivided, hospital information systems can generally be divided into three parts: the first is a management information system which meets the management requirements; the second is a medical information system which meets medical requirements; and thirdly, the information service system meets the two requirements.
Mobile ward round system 2: the mobile ward-round system 2 is connected with the hospital information management system 1, and required information including basic information such as the name, the sex, the telephone and the contact of a patient is automatically imported from the HIS system. The data of the mobile ward round system 2 and the data of the hospital information management system 1 are updated synchronously. The mobile ward-round system 2 is provided with a physician mobile ward-round system 21 and a pharmacist mobile ward-round system 22. The terminal carrier of the mobile ward round system 2 can be a notebook computer, a tablet computer or a smart phone.
The physician mobile ward-round system 21 mainly functions to allow the main physician to retrieve the doctor's advice, case history, and examination report of the outpatient at any time. It includes five modules: a first patient navigation module 211, an order management module 212, a first medical record and nursing record browsing module 213, a surgical operation scheduling module 214, and a first renal function warning module 215. The first patient navigation module 211 may view a list of patients hosted by physicians currently logging in the system or a list of patients in all departments, and visually display important information of the patients. The order management module 212 is used for dynamically browsing order information of the patient in real time. The first medical record nursing record browsing module 213 is configured to obtain information such as historical medical records and nursing records of a patient in real time, including medical records of the patient in hospital, records of medical conditions, conditions of scheduling an operation, temperature, blood pressure and blood sugar data of the patient during nursing at different times, patient examination, examination report retrieval, and the like. The surgical platoon module 214 is used for browsing surgical platoon information. The first renal function warning module 215 is configured to automatically obtain renal function related detection data from the hospital information management system 1, where the renal function related detection data includes serum creatinine, serum urea nitrogen, creatinine clearance rate, uric acid, urease, microalbumin, etc., electrolyte tests such as potassium, sodium, chlorine, calcium, magnesium, phosphorus, etc., urinary B-ultrasound results, etc., and the urinary B-ultrasound results are used to compare with a normal reference value range of each index and a renal function stage diagnostic standard, and when a certain index exceeds the normal reference value range or is compared with the renal function stage diagnostic standard and the result is an abnormal renal function period, a voice prompt and a text prompt are sent and popped up in a window form, and when a doctor in charge confirms to receive a message, the voice prompt is turned off, and the text prompt information is recorded in the first renal function warning module 215 in a message mode.
The pharmacist mobile ward-round system 22 has a main function of facilitating the pharmacist to use the mobile terminal to retrieve the diagnosis and treatment data of the patient in various aspects in real time in the ward and to know the treatment scheme and the medication condition of the patient according to the on-site instruction of the doctor. The pharmacist mobile ward-round system 22 is provided with a second patient navigation module 221, a medication auditing module 222, a second medical record nursing record browsing module 223 and a second renal function warning module 224. The second patient navigation module 211 may view a list of patients hosted by pharmacists who currently log in the system or a list of patients in all departments, and visually display important information of the patients. The medication auditing module 222 is connected with the medical order management module 212 of the mobile ward-round system 21 of the doctor, automatically acquires medication information of the medical order, and the pharmacist audits the medication information of the medical order, gives auditing opinions, can set options of 'agree', 'modify' and 'advise', supports the pharmacist to quickly give auditing opinions and give detailed advice communicated with the doctor, and simultaneously supports the pharmacist to directly call and view patient inspection and detection reports. The second medical record nursing record browsing module 223 is used for acquiring information such as historical medical records and nursing records of patients in real time, including medical records of patients in hospital, records of medical conditions, conditions of scheduled operations, temperature, blood pressure and blood sugar data records of patients during nursing at different times, patient examination, examination report retrieval and the like. The second renal function warning module 224 is configured to automatically obtain renal function related detection data from the hospital information management system 1, where the renal function related detection data includes serum creatinine, serum urea nitrogen, creatinine clearance rate, uric acid, urease, microalbumin, etc., the electrolyte examination includes multiple trace elements such as potassium, sodium, chlorine, calcium, magnesium, phosphorus, etc., and the urinary B-mode ultrasound result is used to compare with the normal reference value range of each index and the renal function diagnosis standards at each stage, and when a certain index exceeds the normal reference value range or is compared with the renal function diagnosis standards at each stage and the result is an abnormal renal function period, a voice prompt and a text prompt are sent and popped up in a window form, and when a doctor in charge confirms to receive a message, the voice prompt is turned off, and the text prompt information is recorded in the second renal function warning module 224 in a message mode. The first renal function warning module 215 and the second renal function warning module 224 are connected to provide a function for communicating between the physician and the pharmacist, so as to negotiate a treatment plan regarding the renal function warning and record the operation record and result of the physician and the pharmacist corresponding to the renal function warning.
Example 2
Referring to fig. 2, fig. 2 is a block diagram showing the structure of the warning system for drug-induced renal injury according to example 2. The early warning system for drug-induced renal injury is provided with:
hospital information management system 1: the hospital information management system 1 is an HIS system, that is, an information system which comprehensively manages the flows of people, logistics and financial resources of a hospital and all departments to which the hospital belongs, collects, stores, processes, extracts, transmits and summarizes data generated at all stages of medical activities, processes and forms various information, and thus provides comprehensive automatic management and various services for the overall operation of the hospital. Functionally subdivided, hospital information systems can generally be divided into three parts: the first is a management information system 11 which meets the management requirements; a medical information system 12 meeting medical requirements; and the third is the information service system 13 which meets the above two requirements.
Mobile ward round system 2: the mobile ward-round system 2 is connected with the hospital information management system 1, and required information including basic information such as the name, the sex, the telephone and the contact of a patient is automatically imported from the HIS system. The data of the mobile ward round system 2 and the data of the hospital information management system 1 are updated synchronously. The mobile ward-round system 2 is provided with a physician mobile ward-round system 21 and a pharmacist mobile ward-round system 22. The terminal carrier of the mobile ward round system can be a notebook computer, a tablet computer or a smart phone.
The physician mobile ward-round system 21 mainly functions to allow the main physician to retrieve the doctor's advice, case history, and examination report of the outpatient at any time. It includes four modules: a first patient navigation module 211, an order management module 212, a first medical record and nursing record browsing module 213, a surgical operation scheduling module 214, and a first renal function warning module 215. The first patient navigation module 211 may view a list of patients hosted by physicians currently logging in the system or a list of patients in all departments, and visually display important information of the patients. The order management module 212 is used for dynamically browsing order information of the patient in real time. The first medical record nursing record browsing module 213 is configured to obtain information such as historical medical records and nursing records of a patient in real time, including medical records of the patient in hospital, records of medical conditions, conditions of scheduling an operation, temperature, blood pressure and blood sugar data of the patient during nursing at different times, patient examination, examination report retrieval, and the like. The surgical platoon module 214 is used for browsing surgical platoon information. The first renal function warning module 215 is configured to automatically obtain renal function related detection data from the hospital information management system 1, where the renal function related detection data includes serum creatinine, serum urea nitrogen, creatinine clearance rate, uric acid, urease, microalbumin, etc., electrolyte tests such as potassium, sodium, chlorine, calcium, magnesium, phosphorus, etc., urinary B-ultrasound results, etc., and the urinary B-ultrasound results are used to compare with a normal reference value range of each index and a renal function stage diagnostic standard, and when a certain index exceeds the normal reference value range or is compared with the renal function stage diagnostic standard and the result is an abnormal renal function period, a voice prompt and a text prompt are sent and popped up in a window form, and when a doctor in charge confirms to receive a message, the voice prompt is turned off, and the text prompt information is recorded in the first renal function warning module 215 in a message mode.
The pharmacist mobile ward-round system 22 has a main function of facilitating the pharmacist to use the mobile terminal to retrieve the diagnosis and treatment data of the patient in various aspects in real time in the ward and to know the treatment scheme and the medication condition of the patient according to the on-site instruction of the doctor. The pharmacist mobile ward-round system 22 is provided with a second patient navigation module 221, a medication auditing module 222, a second medical record nursing record browsing module 223 and a second renal function warning module 224. The second patient navigation module 211 may view a list of patients hosted by pharmacists who currently log in the system or a list of patients in all departments, and visually display important information of the patients. The medication auditing module 222 is connected with the medical order management module 212 of the mobile ward-round system 21 of the doctor, automatically acquires medication information of the medical order, and the pharmacist audits the medication information of the medical order, gives auditing opinions, can set options of 'agree', 'modify' and 'advise', supports the pharmacist to quickly give auditing opinions and give detailed advice communicated with the doctor, and simultaneously supports the pharmacist to directly call and view patient inspection and detection reports. The second medical record nursing record browsing module 223 is used for acquiring information such as historical medical records and nursing records of patients in real time, including medical records of patients in hospital, records of medical conditions, conditions of scheduled operations, temperature, blood pressure and blood sugar data records of patients during nursing at different times, patient examination, examination report retrieval and the like. The second renal function warning module 224 is configured to automatically obtain renal function related detection data from the hospital information management system 1, where the renal function related detection data includes serum creatinine, serum urea nitrogen, creatinine clearance rate, uric acid, urease, microalbumin, etc., the electrolyte examination includes multiple trace elements such as potassium, sodium, chlorine, calcium, magnesium, phosphorus, etc., and the urinary B-mode ultrasound result is used to compare with the normal reference value range of each index and the renal function diagnosis standards at each stage, and when a certain index exceeds the normal reference value range or is compared with the renal function diagnosis standards at each stage and the result is an abnormal renal function period, a voice prompt and a text prompt are sent and popped up in a window form, and when a doctor in charge confirms to receive a message, the voice prompt is turned off, and the text prompt information is recorded in the second renal function warning module 224 in a message mode. The first renal function warning module 215 is connected with the second renal function warning module 224, so as to improve the communication channel between the doctor and the pharmacist, trade the treatment scheme about the renal function warning, and record the operation record and the result of the doctor and the pharmacist corresponding to the renal function warning.
The first renal function warning module 215 and the second renal function warning module 224 are further connected to the first patient navigation module 211 and the second patient navigation module 221, respectively, and when a certain index exceeds a normal reference value range or is compared with a diagnostic standard of each renal function stage to obtain a non-renal function normal period, an instruction is sent to the first patient navigation module 211 and the second patient navigation module 221 to display the corresponding patient item in red.
For the above embodiments, it should be noted that, in the early warning system for drug-induced renal injury provided by the present invention, the first renal function warning module 215 and the second renal function warning module 224 are respectively embedded in the physician mobile ward-round system 21 and the pharmacist mobile ward-round system 22, and warning thresholds of indicators such as a blood creatinine value and a urea nitrogen value are set, and after reaching the thresholds, the first renal function warning module 215 and the second renal function warning module 224 send voice prompts and text prompts to the main interfaces of the physician mobile ward-round system 21 and the pharmacist mobile ward-round system 22, so as to remind physicians and pharmacists to timely find that drug-induced renal injury occurs to hospitalized patients, so as to immediately take relevant measures, reduce or stop suspicious drugs and actively treat complications, and effectively stop the progress of renal toxicity. The invention sets reminders in the physician mobile ward-round system 21 and the pharmacist mobile ward-round system 22, realizes multi-directional monitoring of the drug nephrotoxicity, can effectively prevent and stop clinical errors, and prevents omission, misjudgment and misoperation of related information. The voice prompt and the text prompt are set for double prompting, so that the warning effect can be better played, and the information is prevented from being submerged. In some embodiments, the first renal function warning module 215 and the second renal function warning module 224 are further connected to the first patient navigation module 211 and the second patient navigation module 221, respectively, for displaying the corresponding patient entry as red color when the index exceeds the threshold value, so as to perform a warning function and bring the attention of the physician and pharmacist at any time. The first renal function warning module 215 is connected to the second renal function warning module 224, so that the two parties can communicate effectively and timely, and operation records can be kept. The system disclosed by the invention is simple in integral structure and complete in function, has the advantages of smooth communication and feedback, mutual information sharing and continuous monitoring, and can be used for timely discovering patients with drug-induced renal injury and reducing the incidence rate of renal injury in hospitals.
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, several modifications and additions can be made without departing from the method of the present invention, and these modifications and additions should also be regarded as the protection scope of the present invention.

Claims (8)

1. The early warning system for drug-induced renal injury is characterized by comprising a hospital information management system and a mobile ward-round system, wherein the mobile ward-round system is connected with the hospital information management system and automatically imports required information from the hospital information management system; the mobile ward-round system is provided with a doctor mobile ward-round system and a pharmacist mobile ward-round system; the doctor mobile ward round system is provided with a first patient navigation module, a medical advice management module, a first medical record nursing record browsing module, an operation arrangement module and a first renal function warning module; the pharmacist mobile ward-round system is provided with a second patient navigation module, a medication auditing module, a second medical record nursing record browsing module and a second renal function warning module; the first renal function warning module and the second renal function warning module are used for automatically acquiring renal function related detection data from a hospital information management system for comparison with a normal reference value range of each index and a renal function diagnosis standard at each stage, and when a certain index exceeds the normal reference value range or is compared with the renal function diagnosis standard at each stage, a result is a non-renal function normal period, a voice prompt and a text prompt are sent.
2. The system of claim 1, wherein the first renal function warning module and the second renal function warning module are further connected to the first patient navigation module and the second patient navigation module, respectively, and when the index exceeds a normal reference value range or is compared with a renal function diagnosis standard to determine a non-renal function period, the system sends a command to the first patient navigation module and the second patient navigation module to provide the entry specific mark to the corresponding patient.
3. The system of claim 1, wherein the first renal function warning module and the second renal function warning module are connected to provide a communication function between the physician and the pharmacist.
4. The system of claim 1, wherein the voice prompt and the text prompt pop up in the form of a window, and when the corresponding responsible physician or pharmacist confirms the receipt of the message, the voice prompt is turned off, and the text prompt message is recorded in the corresponding first renal function warning module or second renal function warning module in the form of a message.
5. The system of claim 1, wherein the medication audit module is connected to an order management module of the physician mobile ward round system, and is configured to automatically obtain order medication information for the physician to audit the order medication information.
6. The system of claim 5, wherein the medication audit module sets "agree", "modify", "advise" options to support a pharmacist to quickly give an audit opinion or give a detailed advice for communication to a physician.
7. The system of claim 1, wherein the renal function related data includes serum creatinine, serum urea nitrogen, creatinine clearance, uric acid, urease and microalbumin, multiple trace elements such as potassium, sodium, chloride, calcium, magnesium, phosphorus, and urinary B-ultrasound results.
8. The early warning system of drug-induced renal injury as in claim 1, wherein the terminal carrier of the mobile ward-round system is a laptop, a tablet computer or a smartphone.
CN202110241613.4A 2021-03-04 2021-03-04 Early warning system for drug-induced kidney injury Pending CN112837811A (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6421650B1 (en) * 1998-03-04 2002-07-16 Goetech Llc Medication monitoring system and apparatus
CN104899410A (en) * 2015-03-09 2015-09-09 中国人民解放军第四军医大学 Clinical pharmacist informatization interaction system based on IOS
CN105303261A (en) * 2015-11-10 2016-02-03 北京大学第一医院 Nosocomial acute kidney injury early warning system

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6421650B1 (en) * 1998-03-04 2002-07-16 Goetech Llc Medication monitoring system and apparatus
CN104899410A (en) * 2015-03-09 2015-09-09 中国人民解放军第四军医大学 Clinical pharmacist informatization interaction system based on IOS
CN105303261A (en) * 2015-11-10 2016-02-03 北京大学第一医院 Nosocomial acute kidney injury early warning system

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