CN113053489A - Control system for intelligently preventing operation at wrong position - Google Patents

Control system for intelligently preventing operation at wrong position Download PDF

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Publication number
CN113053489A
CN113053489A CN202110144618.5A CN202110144618A CN113053489A CN 113053489 A CN113053489 A CN 113053489A CN 202110144618 A CN202110144618 A CN 202110144618A CN 113053489 A CN113053489 A CN 113053489A
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patient
information
control platform
nurse
operating room
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CN202110144618.5A
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Inventor
秦德华
姚溪
黄永慧
马淑雅
杨滢瑞
李鹏
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Henan Provincial Peoples Hospital
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Henan Provincial Peoples 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
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • 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
    • 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
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Business, Economics & Management (AREA)
  • Biomedical Technology (AREA)
  • General Business, Economics & Management (AREA)
  • Medicinal Chemistry (AREA)
  • Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical & Material Sciences (AREA)
  • Pathology (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

The invention discloses a control system for intelligently preventing the operation of wrong parts, which comprises a terminal server, an electronic tag, a nurse controller, a nurse station control platform, an operating room control platform and patient family mobile equipment, wherein the electronic tag is arranged on the arm of a patient, the nurse controller is the mobile intelligent equipment of a patient nurse, the nurse station control platform is a nurse monitoring platform of a hospital, and the electronic tag is arranged on the arm of the patient, the check influence of the types and the amount of the preoperative medicaments is increased, and the incidence rate of medical accidents can be greatly reduced.

Description

Control system for intelligently preventing operation at wrong position
Technical Field
The invention relates to the technical field of intelligence, in particular to a control system for intelligently preventing an operation on a wrong part.
Background
Prior art systems and methods for preventing wrong-site surgery (application No. 201680064883.X) computer software systems (for use on a computer or handheld device in a medical environment) that are integrated with a surgical supply carrier, such as a safety blade dispenser or other surgical sharps dispenser. The surgical supply carrier includes at least one component, such as a tag, that prevents or blocks the surgeon from accessing one or more surgical instruments stored therein until after the surgeon or authorized operating room personnel perform a "timeout" to confirm various details, including but not limited to the correct patient, the correct procedure, the correct equipment, etc., before starting the desired surgical procedure. Data can be captured in the whole medical environment (from decision to cutting and a larger range) to evaluate wrong part operation data (including 'near error' data) and can carry out a large amount of analysis on wrong part operation prevention, however, the method needs to upgrade and upgrade the whole surgical supply carrying piece, the cost of mechanical equipment is greatly increased, and in practice, a plurality of scalpels or blades are not available for installing microchips, and the sterile environment is closed in the operation process, and the use effect of the surgical equipment is reduced due to the installation of the microchip;
moreover, some patients cannot perform the operation immediately after using certain medicines before the operation, and serious medical accidents are easily caused;
forgetting gauze is the most common in surgery because of large dosage, often being placed at a certain position to stop bleeding, once soaked with blood, being similar to surrounding tissues and organs, and easily leaking every corner without care. Under the condition, generally, before closing the abdomen, the operating room nurse checks the gauze, and if too many nurses count the gauze wrongly, a liability accident occurs.
Disclosure of Invention
In view of the above situation, in order to overcome the defects of the prior art, the present invention provides an intelligent control system for preventing the operation of the wrong part, which can intelligently prevent the operation of the wrong part in the hospital.
The technical scheme who solves is, the control system of the operation of intelligent wrong position of preventing, including terminal server, electronic tags, nurse controller and nurse station control platform, operating room control platform and patient's family mobile device, three-dimensional display module, the concrete step of the control system of the operation of intelligent wrong position of preventing is as follows:
s1: when a patient needs surgery, a doctor of a main knife determines the surgery time and corresponding surgical staff through a terminal server;
s2: the terminal server sends operation information to a corresponding nurse station control platform, an operating room control platform and patient family members mobile equipment, and the nurse station control platform sends the operation information to a corresponding nurse controller;
s3: the nurse checks patient information through the electronic tags on the patient's arm, and when patient information and nurse station control platform sent operation identity information unanimous, the nurse confirmed through the nurse controller to send to nurse station control platform:
s4, after the nurse confirms, the nurse station control platform sends operation confirmation information to the terminal server, the terminal server sends the operation information to the family mobile equipment of the patient and the operating room control platform, then the family of the patient passes the on-site confirmation, and simultaneously the mobile equipment of the family of the patient checks the identity information of the patient, the operating position, the operating time and the room number of the operating room;
meanwhile, the doctor of the main scalpel checks the identity information of the patient, the operation position, the operation time and the room number of the operation room through the control platform of the operation room;
the pharmacist determines the type and the amount of preoperative medication of the patient through a nurse station control platform;
s5: when the doctor of the main knife is inconsistent with the family members of the patient by checking by one party, returning to the step 3;
when the checking information of the doctor and the family members of the patient is correct, the next step is carried out;
s6: determining whether the type and the amount of preoperative medicines influence the operation time or not by a pharmacist, and if so, feeding back the medicines to the terminal server through the nurse station control platform to re-determine the operation time;
on the contrary, when the type and the amount of the preoperative medicines do not influence the operation time, the next step is carried out;
s7: starting an operation, recording operation time by using an operating room control platform, simultaneously recording an operation position and an operation process by using a three-dimensional display module, synchronously sending a video of the three-dimensional display module to a patient family member mobile device and a nurse station control platform, immediately sending information to a terminal server by the patient family member or a nurse once the operation position is wrong, feeding back the information to the operating room control platform by the terminal server, and immediately returning to the step 3;
s8, when the operation is finished, if a medical accident or a liability accident happens, the gauze is mistakenly left in the patient, the family members or nurses of the patient can remind timely, and meanwhile, the three-dimensional display module video can also be used as the judgment basis of the subsequent medical accident or liability accident.
Due to the adoption of the technical scheme, compared with the prior art, the invention has the following advantages;
1. through the terminal server, the electronic tag, the nurse controller, the nurse station control platform, the operating room control platform and the patient family member mobile device, when a patient performs an operation, the patient family member, a doctor and a nurse can confirm the identity information of the patient, the operation position, the operation time and the room number of the operating room, so that the operation of the wrong position can be intelligently prevented;
2. the system also adds a pharmacist to determine the type and the amount of the preoperative drugs, further ensures the safety of the operation time, increases the checking influence of the type and the amount of the preoperative drugs on the basis of preventing the intelligent wrong part operation, and can greatly reduce the incidence rate of medical accidents.
3. Nurse station control platform, operating room control platform have the voice broadcast module, and patient's operation information also can indicate relevant nurse and corresponding doctor of the main sword and patient's family members through voice broadcast, reminds mutually with the information transmission suggestion to ensure that information in time receives, have very big practical value.
Drawings
Fig. 1 is a block diagram of a control system for intelligently preventing a wrong-site operation according to the present invention.
FIG. 2 is a system flow chart of an intelligent control system for preventing a wrong-site operation according to the present invention.
Detailed Description
The foregoing and other aspects, features and advantages of the invention will be apparent from the following more particular description of embodiments of the invention, as illustrated in the accompanying drawings in which reference is made to figures 1-2. The structural contents mentioned in the following embodiments are all referred to the attached drawings of the specification.
The first embodiment of the invention relates to an intelligent control system for preventing wrong-site surgery, which comprises a terminal server, an electronic tag, a nurse controller, a nurse station control platform, an operating room control platform, patient family members mobile equipment and a three-dimensional display module, wherein the electronic tag is arranged on an arm of a patient, the nurse controller is mobile intelligent equipment for nurses of the patient, and the nurse station control platform is a nurse monitoring platform of a hospital;
the electronic tag is arranged on the arm of a patient, the nurse controller is mobile intelligent equipment of the patient and the nurse, the mobile intelligent equipment can be a mobile phone, the mobile phone can be used as the nurse controller only after being bound with the identity card information of each nurse, and the nurse station control platform is a nurse monitoring platform of a hospital;
the operating room control platforms are arranged in the operating rooms, and each operating room corresponds to one operating room control platform;
the terminal server is a general control platform for operation data analysis of the hospital;
the operating room control platforms are arranged in the operating rooms, and each operating room corresponds to one operating room control platform; the terminal server is a general control platform for operation data analysis of the hospital;
the intelligent control system for preventing the operation of the wrong part comprises the following specific steps:
s1: when a patient needs surgery, a doctor of a main knife determines the surgery time and corresponding surgical staff through a terminal server;
s2: the terminal server sends operation information to a corresponding nurse station control platform, an operating room control platform and patient family members mobile equipment, and the nurse station control platform sends the operation information to a corresponding nurse controller;
s3: the nurse checks patient information through the electronic tags on the patient's arm, and when patient information and nurse station control platform sent operation identity information unanimous, the nurse confirmed through the nurse controller to send to nurse station control platform:
s4, after the nurse confirms, the nurse station control platform sends operation confirmation information to the terminal server, the terminal server sends the operation information to the family mobile equipment of the patient and the operating room control platform, then the family of the patient passes the on-site confirmation, and simultaneously the mobile equipment of the family of the patient checks the identity information of the patient, the operating position, the operating time and the room number of the operating room;
meanwhile, the doctor of the main scalpel checks the identity information of the patient, the operation position, the operation time and the room number of the operation room through the control platform of the operation room;
the pharmacist determines the type and the amount of preoperative medication of the patient through a nurse station control platform;
s5: when the doctor of the main knife is inconsistent with the family members of the patient by checking by one party, returning to the step 3;
when the checking information of the doctor and the family members of the patient is correct, the next step is carried out;
s6: determining whether the type and the amount of preoperative medicines influence the operation time or not by a pharmacist, and if so, feeding back the medicines to the terminal server through the nurse station control platform to re-determine the operation time;
on the contrary, when the type and the amount of the preoperative medicines do not influence the operation time, the next step is carried out;
s7: starting an operation, recording operation time by using an operating room control platform, simultaneously recording an operation position and an operation process by using a three-dimensional display module, synchronously sending a video of the three-dimensional display module to a patient family member mobile device and a nurse station control platform, immediately sending information to a terminal server by the patient family member or a nurse once the operation position is wrong, feeding back the information to the operating room control platform by the terminal server, and immediately returning to the step 3;
s8, when the operation is finished, if a medical accident or a liability accident happens, such as the gauze, the needle or the thread is missed in the patient, the family members or the nurses of the patient can remind timely, and meanwhile, the three-dimensional display module video can also be used as the judgment basis of the subsequent medical accident or the liability accident.
The specific steps of checking the patient information between the doctor and the family members of the patient in the steps S4 and S5 are as follows:
the electronic label of the patient only stores the patient picture, name, identity card information and medical record information, a nurse scans the electronic label through a nurse controller to determine the patient information, if the electronic label is scanned, the nurse station control platform feeds back the information not to display the operation information, the nurse controller feeds back the information to the nurse station control platform, and determines whether the patient electronic label is scanned wrongly again until the nurse station control platform feeds back the operation information to display, and the next step is carried out;
the terminal server takes the patient identity card information as a mark, extracts the operation information in the terminal server, and sends the operation information to the family mobile equipment and the operating room control platform of the patient through the nurse station control platform, wherein the signal takes the patient identity card information as a mark and comprises the operation position of the patient, the operation time and the room number of the operating room;
after the family members of the patients confirm the family members on site, checking the identity information, the operation position, the operation time and the room number of the operating room of the patients displayed by the family member mobile equipment of the patients, and then determining or feeding back inconsistent information to the terminal server by the family member mobile equipment of the patients;
the doctor of the main surgeon checks the identity information, the operation position, the operation time and the room number of the operating room of the patient through the patient of the operating room and the room number of the operating room on site by using the operating room control platform, the information is consistent with that of the doctor of the main surgeon when the doctor of the main surgeon determines the operation of the patient, and finally, the inconsistent information is determined or fed back to the terminal server through the operating room control platform.
Nurse station control platform, operating room control platform have the voice broadcast module, and patient's operation information also can indicate relevant nurse and corresponding doctor of the main sword and patient's family members through voice broadcast, reminds mutually with foretell information transmission suggestion to ensure that information in time receives.
When the mobile intelligent mobile phone is used specifically, the family members of the patient pay attention to the public number of the hospital through the mobile intelligent mobile phone to perform identity authentication of the patient, and the mobile intelligent mobile phone can be used as mobile equipment of the family members of the patient, and when the patient needs surgery, a doctor of a main knife determines the surgery time and corresponding surgery personnel through the terminal server; the terminal server sends operation information to a corresponding nurse station control platform, an operating room control platform and patient family members mobile equipment, and the nurse station control platform sends the operation information to a corresponding nurse controller; the nurse checks the patient information through the electronic tag on the arm of the patient, and when the patient information is consistent with the operation identity information sent by the nurse station control platform, the nurse confirms the patient information through the nurse controller and sends the patient information to the nurse station control platform; after the nurse confirms, the nurse station control platform sends operation confirmation information to the terminal server, the terminal server sends the operation information to the patient family mobile equipment and the operating room control platform, then the patient family is confirmed on site, and meanwhile, the patient identity information, the operation position, the operation time and the operating room number are checked through the patient family mobile equipment; meanwhile, the doctor of the main scalpel checks the identity information of the patient, the operation position, the operation time and the room number of the operating room through the operating room control platform; the pharmacist determines the type and the amount of preoperative medication of the patient through a nurse station control platform; when the doctor of the main knife and the family members of the patient are not consistent by one party, returning to the step 3; when the checking information of the doctor and the family members of the patient is correct, the next step is carried out; determining whether the type and the amount of preoperative medicines influence the operation time or not by a pharmacist, and if so, feeding back the medicines to the terminal server through the nurse station control platform to re-determine the operation time; on the contrary, when the type and the amount of the preoperative medicines do not influence the operation time, the next step is carried out; the surgery is started and the operating room control platform records the time and process of the surgery.
While the invention has been described in further detail with reference to specific embodiments thereof, it is not intended that the invention be limited to the specific embodiments thereof; for those skilled in the art to which the present invention pertains and related technologies, the extension, operation method and data replacement should fall within the protection scope of the present invention based on the technical solution of the present invention.

Claims (4)

1. The utility model provides an intelligent control system who prevents wrong position operation, includes terminal server, electronic tags, nurse's controller and nurse station control platform, operating room control platform and patient's family members mobile device, three-dimensional display module, its characterized in that, the intelligent control system who prevents wrong position operation specifically step as follows:
s1: when a patient needs surgery, a doctor of a main knife determines the surgery time and corresponding surgical staff through a terminal server;
s2: the terminal server sends operation information to a corresponding nurse station control platform, an operating room control platform and patient family members mobile equipment, and the nurse station control platform sends the operation information to a corresponding nurse controller;
s3: the nurse checks patient information through the electronic tags on the patient's arm, and when patient information and nurse station control platform sent operation identity information unanimous, the nurse confirmed through the nurse controller to send to nurse station control platform:
s4, after the nurse confirms, the nurse station control platform sends operation confirmation information to the terminal server, the terminal server sends the operation information to the family members mobile equipment of the patient and the operating room control platform, then the family members of the patient pass the on-site confirmation, and simultaneously the mobile equipment of the family members of the patient checks the identity information of the patient, the operating position, the operating time and the room number of the operating room;
meanwhile, the doctor of the main scalpel checks the identity information of the patient, the operation position, the operation time and the room number of the operating room through the operating room control platform;
the pharmacist determines the type and the amount of preoperative medication of the patient through a nurse station control platform;
s5: when the doctor of the main knife is inconsistent with the family members of the patient by checking by one party, returning to the step 3;
when the checking information of the doctor and the family members of the patient is correct, the next step is carried out;
s6: determining whether the type and the amount of preoperative medicines influence the operation time or not by a pharmacist, and if so, feeding back the medicines to the terminal server through the nurse station control platform to re-determine the operation time;
on the contrary, when the type and the amount of the preoperative medicines do not influence the operation time, the next step is carried out;
s7: starting an operation, recording operation time by using an operating room control platform, simultaneously recording an operation position and an operation process by using a three-dimensional display module, synchronously sending a video of the three-dimensional display module to a patient family member mobile device and a nurse station control platform, immediately sending information to a terminal server by the patient family member or a nurse once the operation position is wrong, feeding back the information to the operating room control platform by the terminal server, and immediately returning to the step 3;
s8, when the operation is finished, if a medical accident or a liability accident happens, the gauze is mistakenly left in the body of the patient, the family members or nurses of the patient can remind timely, and meanwhile, the three-dimensional display module video can also be used as the judgment basis of the subsequent medical accident or liability accident.
2. The intelligent control system for preventing operation at wrong site as claimed in claim 1 wherein steps S4, S5 checking patient information between doctor and patient' S family are as follows:
the electronic label of the patient only stores the patient picture, name, identity card information and medical record information, a nurse scans the electronic label through a nurse controller to determine the patient information, if the electronic label is scanned, the nurse station control platform feeds back the information not to display the operation information, the nurse controller feeds back the information to the nurse station control platform, and determines the electronic label of the patient again to determine whether the patient is scanned wrongly or not, and the next step is carried out until the nurse station control platform feeds back the operation information to be displayed;
the terminal server takes the patient identity card information as a mark, extracts the operation information in the terminal server, and sends the operation information to the family mobile equipment and the operating room control platform of the patient through the nurse station control platform, wherein the signal takes the patient identity card information as a mark and comprises the operation position of the patient, the operation time and the room number of the operating room;
after the family members of the patient confirm the family members on site, the identity information, the operation position, the operation time and the room number of the operating room of the patient are displayed by the family member mobile equipment of the patient for checking, and then inconsistent information is determined or fed back to the terminal server by the family member mobile equipment of the patient;
the master surgeon checks the identity information, the operation position, the operation time and the room number of the operating room by using the operating room control platform through the patient in the operating room and the room number of the operating room on site, the information is consistent with the information which is determined by the master surgeon when the patient is operated, and finally, the inconsistent information is determined or fed back to the terminal server through the operating room control platform.
3. The intelligent control system for preventing the operation of the wrong part according to the claim 1, characterized in that, the electronic label is arranged on the arm of the patient, the nurse controller is the mobile intelligent device of the nurse of the patient, the nurse station control platform is the nurse monitoring platform of the hospital;
the operating room control platforms are arranged in the operating rooms, and each operating room corresponds to one operating room control platform;
the terminal server is a general control platform for operation data analysis of the hospital.
4. The intelligent control system for preventing the operation of the wrong part according to claim 2, characterized in that the nurse station control platform and the operating room control platform are provided with voice broadcast modules, and the operation information of the patient can also prompt the relevant nurse, the corresponding doctor and the family members of the patient through voice broadcast.
CN202110144618.5A 2020-12-26 2021-01-29 Control system for intelligently preventing operation at wrong position Withdrawn CN113053489A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116343986A (en) * 2023-05-30 2023-06-27 山东第一医科大学附属省立医院(山东省立医院) Infusion error-proofing system and method

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116343986A (en) * 2023-05-30 2023-06-27 山东第一医科大学附属省立医院(山东省立医院) Infusion error-proofing system and method

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Application publication date: 20210629