CN113936779A - Hemodialysis quality control management system - Google Patents
Hemodialysis quality control management system Download PDFInfo
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Abstract
The present application relates to a hemodialysis quality control management system. The system comprises: the patient input management module is used for inputting and managing patient information, and the patient information at least comprises personal and diagnosis information, medical advice information and bed arrangement information of each single patient; the scheduling and bed arranging management module is used for forming a bed arranging template according to all the individual patient information input into the management module by the patient, and determining responsible doctors and responsible nurses to which the individual patients belong according to the medical care scheduling information and the bed arranging template; the dialysis process management module is used for managing all links of the dialysis process, displaying dialysis process nodes and information and monitoring the abnormal state of the patient; the invention can simplify the working process, becomes a monitoring means for the patient in the dialysis process, feeds back the condition of the patient in the dialysis in time, and reminds medical care and handles the dialysis event in time.
Description
Technical Field
The application relates to the technical field of medical information, and relates to a novel hemodialysis quality control management system based on an information system.
Background
Hemodialysis is one of the kidney replacement treatment modes of patients with acute and chronic renal failure. The method comprises the steps of draining blood in vivo to the outside of the body, enabling the blood and electrolyte solution (dialysate) with similar body concentration to be inside and outside one hollow fiber through a dialyzer consisting of a plurality of hollow fibers, and carrying out substance exchange through dispersion, ultrafiltration, adsorption and convection principles, so as to remove metabolic waste in the body and maintain the balance of electrolyte and acid and alkali; at the same time, the excess water in the body is removed, and the whole process of purified blood reinfusion is called hemodialysis.
The short-term goal of hemodialysis is to correct body fluid and electrolyte imbalances and remove toxins, and the long-term goal of treatment of patients with renal failure is to optimize the patient's functional status, comfort, and blood pressure, prevent uremic complications, and improve survival. In order to ensure the quality of hemodialysis performance and the quality of patient treatment, the patient needs to go to a hospital dialysis room or other dialysis center, maintain the balance of body fluids and electrolytes through hemodialysis, and control the blood pressure within a normal range.
Hemodialysis is an important way for patients to live, as it is an important alternative to renal therapy. Dialysis often requires a cooperative effort by a medical team. Because of the multiple procedures involved, the management of multiple devices, the quality of treatment and the quality of life for patients, the workflow and the right responsibility for medical care need to be defined.
Disclosure of Invention
In order to solve the above problems, the present invention provides a hemodialysis quality control management system, including:
the patient input management module is used for inputting and managing patient information, wherein the patient information at least comprises personal and diagnosis information, medical advice information and bed arrangement information of each single patient;
the scheduling and bed arranging management module is used for forming a bed arranging template according to all the single patient information entered into the management module by the patient, and determining a responsible doctor and a responsible nurse belonging to the single patient according to the medical care scheduling information and the bed arranging template;
the dialysis process management module is used for managing all links of the dialysis process, displaying dialysis process nodes and information and monitoring the abnormal state of the patient;
the patient entry management module provides all patient information, the shift and bed arrangement management module determines responsibility medical care and bed arrangement information according to the patient information, and the dialysis process management module manages a dialysis process by combining data generated by the patient entry management module and the shift and bed arrangement management module.
In one embodiment, the patient entry management module comprises an information entry unit, a diagnostic recording unit, a bed registration unit, and an authentication card issuing unit;
the information input unit is used for receiving personal basic information and case data input into a patient and managing the personal basic information and the case data in a classified mode;
the diagnosis recording unit is used for sequentially inputting diagnosis information, allergy history information, vascular access information, long-term medical advice information and infectious disease examination information of a patient;
the bed position registration unit is used for forming a bed arrangement rule of a single patient; ,
the authentication card issuing unit is used for outputting the identity of the patient and authenticating the identity of the patient;
after the patient input management module finishes the information input of the information input unit, the diagnosis recording unit and the bed registration unit in sequence, the authentication card issuing unit finishes the identity authentication of the patient after the input information is verified.
In one embodiment, the diagnostic recording unit further displays a reminder through the project status view, counts down a reminder for the project remaining time for the patient, and flags a reminder for patients with partial infections and special patients; the bed position registration unit can select part or all of the patient bed arrangement rules to be exported according to the bed arrangement rules; the authentication card issuing unit outputs an authenticated two-dimensional code or a magnetic card for the patient.
In one embodiment, the shift and scheduling management module further comprises:
calculating the number of available beds according to the total number of beds and the equipment state, introducing the number of available beds into a bed arrangement template to generate an actual bed arrangement condition, performing shift arrangement determination by combining medical care shift arrangement according to the actual bed arrangement condition, and finally dividing responsible doctors and/or responsible nurses corresponding to patients;
wherein the equipment state is determined by tracking equipment information, maintenance progress and/or abnormal state of the basic equipment; the scheduling template is formed according to the scheduling rules of all patients, and the actual scheduling is determined by combining the state information of the patients.
In one embodiment, the shift and schedule management module at least comprises a schedule management unit, an equipment management unit, a patient management unit and a shift management unit;
the bed arrangement management unit manages the total number of beds, the current available number of beds, the bed arrangement template and finally determined actual bed arrangement information, automatically generates the bed arrangement template, displays the state of a special patient, and is provided with a number arrangement system for visually displaying the bed arrangement prompt;
the patient management unit manages the bed arranging rules and the patient states of all the patients, and the patient management unit manages the number of ways, manages, calls and inquires the patient information;
the equipment management unit manages the information, maintenance progress, abnormal states and available quantity of all basic equipment and the equipment state determined according to the basic equipment information, updates the equipment information in real time, records the daily state of the equipment, gives an alarm for the abnormal state and tracks the maintenance progress of the equipment;
the shift arrangement management unit manages the information and functions of medical care shift arrangement, typesetting confirmation and final medical care responsibility division information, configures multidimensional typesetting dimensions and automatically counts the working time.
In one embodiment, the dialysis procedure management module further comprises:
identifying the authentication sign-in information of the patient, updating the current receiving state, evaluating dialysis conditions, and generating and confirming medical advice in combination with the long-term medical advice of the patient;
counting the quantity of consumables and medicines according to the confirmed medical advice to finish the delivery of the consumables and the medicines;
determining the current dialysis equipment according to the state of the dialysis equipment, checking the vascular access of a patient, performing puncture or dressing change, and using the anticoagulant with set metering;
after checking and confirming the patient, performing on-machine dialysis and finishing dialysis.
In one embodiment, the dialysis procedure management module comprises at least an order confirmation unit, a dialysis monitoring unit, an inventory management unit and a dialysis recording unit;
the medical advice confirming unit manages the authentication sign-in, the long-term medical advice and/or the temporary medical advice of the patient and the blood vessel access information, records, generates and calls the corresponding information;
the dialysis monitoring unit manages the assessment of the physical condition, the risk and the dialysis condition of the patient, the confirmation of the conventional doctor advice and/or the temporary doctor advice, the puncture dressing change, the confirmation of the anticoagulant use and the dosage and the check of the identity of the on-machine patient, automatically completes the assessment according to the information of the patient and simultaneously generates a confirmation prompt;
the inventory management unit manages the inventory status, the warehouse entry, the warehouse exit and the inventory status of consumable logs, consumables and medicines, automatically finishes quantity deduction according to medical advice, bed arrangement or dialysis processes, calculates the consumption conditions of the consumables and the medicines, and generates a replenishment prompt when the inventory quantity is lower than a preset safety value;
the dialysis recording unit manages the dialysis completion condition, counts clinical data, generates a clinical report, outputs quality control indexes and auxiliary services, and monitors the trip quality, and evaluates the quality and reports the quality.
In one embodiment, the dialysis procedure management module further generates a consumable log according to the patient scheduling information provided by the scheduling management unit of the scheduling management module, determines dialysis equipment used in the patient dialysis procedure by combining the dialysis equipment state provided by the equipment management unit of the scheduling management module, and determines doctor information in charge of treatment assessment according to the medical care scheduling information provided by the scheduling management unit of the scheduling management module.
In one embodiment, the system further comprises a system authority division module for dividing system use authorities of doctors, nurses and engineers and dialysis management nodes.
In one embodiment, the system confirms the treatment taking assessment and the pre-thorough assessment in sequence by a nurse after the patient signs in for authentication, and confirms the doctor orders according to the treatment taking assessment and the pre-thorough assessment by the doctor;
confirming the puncture evaluation and the anticoagulant use by the nurse according to the blood vessel access condition of the patient, the bed arrangement adjusted by the nurse and the doctor's advice evaluation;
according to the temporary medical advice generated after the patrol confirmation of the doctor, the nurse completes the confirmation of on-computer dialysis and monitors the dialysis condition at regular time;
according to the patrol checking of doctors and nurses, the dialysis process is completed, and the dialysis record is generated and fed back to the patients.
The hemodialysis quality control and management system disclosed by the invention can help medical care workers to simplify the work flow and also can be used as the work content for assisting medical care based on the information technology, help the medical care workers to reduce the work burden and simplify the work flow, and also can be used as a monitoring means for a patient in a dialysis process, feed back the situation of the patient in dialysis in time, and remind the medical care and treat a dialysis event in time.
Drawings
FIG. 1 is a schematic diagram of a hemodialysis quality control and management system in one embodiment;
FIG. 2 is a schematic diagram of a patient entry flow of the hemodialysis quality control management system in one embodiment;
FIG. 3 is a schematic diagram of a scheduling management flow of the hemodialysis quality control management system in one embodiment;
FIG. 4 is a schematic diagram of a dialysis flow of the hemodialysis quality control management system in one embodiment;
FIG. 5 is a schematic diagram of a mobile-side dialysis management flow of the hemodialysis quality control management system in one embodiment;
FIG. 6 is a schematic diagram of a mobile-end dialysis process of the hemodialysis quality control management system in one embodiment;
FIG. 7 is a diagram illustrating an internal structure of a computer device according to an embodiment.
Detailed Description
In order to make the objects, technical solutions and advantages of the present application more apparent, the present application is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the present application and are not intended to limit the present application.
The invention provides a hemodialysis quality control and management system, which applies a network and an information system to a dialysis center and related medical work to realize digital acquisition, storage, transmission and automatic treatment of medical and management information in the dialysis center. And performing informatization processing aiming at the key business process, and forming logical process processing.
The system of the invention is mainly written in JavaScript language, which is beneficial to the check and operation at the PC end and the mobile end. Supporting Windows, Android and Hongmon systems.
The system of the invention supports the seamless connection of the business related systems such as HIS, LIS, PACS and the like.
The hemodialysis management system can acquire, store, arrange and transmit data, and support inquiry, statistical analysis and the like.
The system of the invention supports the security audit functions of role authority configuration, system login and use, trace record modification and the like.
The system of the invention is internally provided with statistical index calculation, covers ' hemodialysis technology medical quality control index (wait for health committee replication), ' health department ' blood purification Standard Operation Procedure (SOP), ' Guangdong three-level hospital trial index Standard (2021 edition) ' index of Guangdong province ' and ' Shenzhen City national health information platform data acquisition standard Specification (trial implementation) ' index of medical service part ', which are provided by the national kidney disease medical quality control center, and can output indexes to form a table or report.
As shown in fig. 1, the system includes at least a patient entry management module 100, a shift and bed management module 200, and a dialysis procedure management module 300. The method divides the work content in hemodialysis into several modules, manages part of the work content respectively, realizes browsing and modification authority management of different users, and has logical association among different modules. The patient entry management module 100 provides all patient information, the shift and bed arrangement management module 200 determines responsibility medical care and bed arrangement information according to the patient information, and the dialysis process management module 300 manages a dialysis process by combining data generated by the patient entry management module 100 and the shift and bed arrangement management module 200.
As shown in fig. 2, the patient entry management module 100 is used for entering and managing patient information, which includes at least personal and diagnostic information, medical order information, and bed arrangement information of each individual patient.
In one embodiment, the patient entry management module 100 includes an information entry unit, a diagnostic recording unit, a bed registration unit, and an authentication issuing unit. After the patient entry management module 100 completes the information entry of the information entry unit, the diagnosis recording unit and the bed registration unit in sequence, the authentication card issuing unit verifies the entered information and completes the identity authentication of the patient.
The information input unit is used for receiving the personal basic information and case data of the input patient and managing the personal basic information and the case data in a classified mode.
Specifically, the information input unit has a data input function and is additionally provided with HIS and LIS drilling and calling functions.
The diagnosis recording unit is used for sequentially inputting diagnosis information, allergy history information, blood vessel access information, long-term medical advice information and infectious disease examination information of the patient. Specifically, the diagnostic recording unit also displays a reminder through the project status view, counts down a reminder for the remaining time of the project for the patient, and flags a reminder for patients with partial infections and special patients.
Preferably, the diagnostic recording unit has the function of providing patient course information entry and management, such as dry body weight, vascular access, anticoagulants, infectious disease registration, allergic reactions and other medical history records, and the like.
Preferably, the diagnostic recording unit can display a reminder for the status view of four infected and routine exams of the patient, and count down and remind the patient of the remaining number of examination days.
Preferably, the diagnosis recording unit has the functions of patient comprehensive information inquiry, classification screening and visual analysis (such as blood pressure, dry weight, complications, laboratory indexes and the like).
Preferably, the diagnostic recording unit has marking and alerting functions for partial infections and special patients.
Preferably, the diagnostic recording unit is capable of registering basic illness information entered into the patient, and diagnostic information relating to hemodialysis.
Preferably, the diagnostic recording unit may record vascular access information and fluctuations of the patient.
Preferably, the diagnosis recording unit can count the dialysis times of the patient, the dialysis mode, the consumable material usage and the medicine prescription according to the issued medical orders and the dialysis records, and output the record sheet for billing and printing.
The bed registration unit is used for forming the bed arrangement rule of the single patient. Specifically, the bed position registration unit can select part or all of the patient bed arrangement rules to be derived according to the bed arrangement rules.
Preferably, the bed registration unit is capable of registering the weekly schedule of a patient's dialysis and may make a single or double week or periodic scheduling selection depending on the frequency, thereby forming a single patient's scheduling.
Preferably, the bed registration unit further has a function of exporting and printing patient information in batches.
The authentication card issuing unit is used for outputting the identity of the patient and authenticating the identity of the patient.
Preferably, the authentication card issuing unit outputs an authenticated two-dimensional code or magnetic card for the patient.
As shown in fig. 3, the shift and bed arrangement management module 200 is configured to form a bed arrangement template according to all the individual patient information entered into the management module 100, and determine responsible doctors and responsible nurses to which the individual patients belong according to the medical care shift information and the bed arrangement template.
In one embodiment, the shift and scheduling management module 200 further comprises:
calculating the number of available beds according to the total number of beds and the equipment state, introducing the number of available beds into a bed arranging template to generate an actual bed arranging condition, determining the shift by combining medical care shift according to the actual bed arranging condition, and finally dividing responsible doctors and/or responsible nurses corresponding to patients.
Wherein, the equipment state is determined by tracking the equipment information, the maintenance progress and/or the abnormal state of the basic equipment. The scheduling template is formed according to the scheduling rules of all patients, and the actual scheduling is determined by combining the patient state information.
In one embodiment, the shift and scheduling management module 200 includes at least a scheduling management unit, a device management unit, a patient management unit, and a shift management unit. Wherein the content of the first and second substances,
the bed arrangement management unit manages the total number of beds, the current available number of beds, the bed arrangement template and finally determined actual bed arrangement information, automatically generates the bed arrangement template, displays the state of a special patient, and is provided with a number arrangement system for visually displaying the bed arrangement prompt.
Preferably, in the cot management unit, a cot template is automatically formed according to the cot arrangement rule of all patients.
Preferably, according to the current hemodialysis equipment and the available state of the bed, the failed bed is reminded in time, and the available beds at present and in the next days are counted and displayed.
Preferably, the platoon bed management unit has a function of manually adjusting according to a platoon bed template and aiming at special requirements; the system has a special patient state display function, so that a user can know the current state of the patient most quickly; the system has the functions of queuing and calling systems, and supports large-screen display and bed reminding; have according to conventional medical advice and actual consumptive material usage record, output scheduling record and consumptive material user demand table to printable, the nurse of being convenient for carries out instant bed management and the function that the unified consumptive material that carries on next shift prepares.
Preferably, the cot management unit may also perform emergency cot area setup to address emergency cots on emergency patients or other infected patients (e.g., new crown patients).
The patient management unit manages the bed arranging rules and the patient states of all patients, and manages the number of ways, manages, calls and inquires the patient information. Preferably, the bed arrangement rule of the bed registration unit and the patient state of the diagnostic recording unit are applicable.
The equipment management unit manages the information, maintenance progress, abnormal states and available quantity of all basic equipment and the equipment state determined according to the basic equipment information, updates the equipment information in real time, records the daily state of the equipment, gives an alarm for the abnormal state and tracks the maintenance progress of the equipment.
The shift scheduling management unit manages the medical care shift scheduling information and functions, typesetting confirmation and final medical care responsibility division information, configures multidimensional typesetting dimensions and automatically counts the working time.
Preferably, the scheduling management unit has functions of entering, modifying and deactivating equipment information, and can update the equipment information in real time in scheduling and basic information overview.
Preferably, the shift scheduling management unit has a daily record of the equipment state and an alarm function of the abnormal state, and can update and remind the available number of the equipment in real time.
Preferably, the shift scheduling management unit has a function of tracking the equipment maintenance progress, and can automatically generate a relevant report.
Preferably, the shift management unit may assign the corresponding authority, assign the authority for the maintenance of the equipment, the registration information and the processing procedure of the maintenance engineer, and thereby register and process in a limited time.
Preferably, the shift scheduling management unit further comprises medical shift scheduling, and the shift scheduling manager is given shift scheduling authority by setting responsible doctors and responsible nurses, so that flexible configuration of medical shift scheduling dimensions is supported. In addition, can also arrange the bed according to the patient, provide nimble medical care scheduling function, support multidimension degree scheduling and working duration statistics.
As shown in fig. 4, the dialysis procedure management module 300 is configured to manage all the steps of the dialysis procedure, display nodes and information of the dialysis procedure, and monitor abnormal states of the patient.
In one embodiment, the dialysis procedure management module 300 further comprises:
identifying the authentication sign-in information of the patient, updating the current receiving state, evaluating the dialysis condition, and generating and confirming the medical advice by combining the long-term medical advice of the patient.
And counting the quantity of consumables and medicines according to the confirmed medical orders, and finishing the delivery of the consumables and the medicines.
The current dialysis equipment is determined according to the state of the dialysis equipment, the vascular access of the patient is checked, the puncture or the drug change is performed, and the anticoagulant with the set metering is used.
After checking and confirming the patient, performing on-machine dialysis and finishing dialysis.
In one embodiment, the dialysis procedure management module 300 includes at least an order confirmation unit, a dialysis monitoring unit, an inventory management unit, and a dialysis recording unit. Wherein
The order confirming unit manages the authentication sign-in of the patient, the long-term order and/or the temporary order and the blood vessel access information, records, generates and calls the corresponding information.
The dialysis monitoring unit manages the assessment of the physical condition, risk and dialysis condition of the patient, the confirmation of the conventional doctor orders and/or temporary doctor orders, the puncture dressing change, the confirmation of anticoagulant use and dosage and the check of the identity of the on-machine patient, automatically completes the assessment according to the patient information, and simultaneously generates a confirmation prompt.
Preferably, the dialysis monitoring unit comprises a visit assessment with two-dimensional code and manual input check-in functions. And the weight obtained by the weight scale for the patient can also be read and entered. In addition, the dialysis monitoring unit assesses the physical state and risk of the patient.
Preferably, the dialysis monitoring unit comprises a pre-dialysis assessment for assessing the dialysis condition of the patient. While a physician may be called to perform the evaluation and processing.
Preferably, the dialysis monitoring unit comprises order confirmation, a function of checking and confirming conventional orders of doctors and a function of quickly placing temporary orders by doctors, and the orders placed by the doctors are stored in the dialysis records.
Preferably, the dialysis monitoring unit comprises a puncture changing, a check of the vascular access of the patient, a puncture or change of medication, and a signature confirmation.
Preferably, the dialysis monitoring unit comprises an anticoagulant use, the use and dosage of which can be set.
Preferably, the dialysis monitoring unit comprises an on-machine dialysis unit, and the identity information is checked, signed and confirmed after the patient is on the machine.
Preferably, the dialysis monitoring unit further comprises a cross-check, wherein the nurse cross-checks the on-machine operation and status of the dialysis patients in groups.
Preferably, the dialysis monitoring unit further comprises a patrol check, a nurse and a doctor for patrol and patient monitoring.
The inventory management unit manages the warehousing, ex-warehousing and inventory states of the consumable logs, the consumables and the medicines, automatically finishes quantity deduction according to medical advice, bed arrangement or dialysis processes, calculates the consumption conditions of the consumables and the medicines, and generates a replenishment prompt when the inventory quantity is lower than a preset safety value.
Preferably, the inventory management unit has a function of warehousing management of consumables and medicines. The nurse can scan the bar code through the handheld device or other intelligent actuation devices to enter the consumables and the medicines.
Preferably, the inventory management unit has an out-of-stock management function of consumables and medicines. Can automatically complete quantity deduction according to patient dialysis medical advice, bed arrangement, dialysis process monitoring and the like, and realize automatic ex-warehouse.
Preferably, the inventory management unit has a consumable quantity counting function, the consumable consumption condition can be automatically calculated according to the bed arrangement condition, and when the consumable inventory is lower than the safety value, replenishment is automatically reminded.
The dialysis recording unit manages the dialysis completion condition, counts clinical data, generates a clinical report, outputs quality control indexes and auxiliary services, and monitors the trip quality, and evaluates the quality and reports the quality.
Preferably, the dialysis record unit is capable of printing and deriving a dialysis patient record, and may be capable of screening and sorting according to the generated record entry.
In one embodiment, the dialysis procedure management module 300 further generates a consumable log according to the patient scheduling information provided by the scheduling management unit of the scheduling management module 200, determines the dialysis equipment used in the patient dialysis procedure by combining the dialysis equipment status provided by the equipment management unit of the scheduling management module 200, and determines the doctor information responsible for the visit evaluation according to the medical care scheduling information provided by the scheduling management unit of the scheduling management module 200.
In one embodiment, the system further comprises a system authority division module for dividing system use authorities of doctors, nurses and engineers and dialysis management nodes.
Preferably, the system authority division module divides the personnel authority into nurse account authority, doctor account authority and engineer account authority, wherein the view authority of the nurse account authority comprises dialysis records, equipment management and quality analysis, and the modification authority comprises patient management, scheduling management, bed scheduling management, inventory management and dialysis monitoring; the checking authority of the doctor account authority comprises dialysis records, equipment management and quality analysis, and the modifying authority comprises patient management, scheduling management, bed scheduling management, inventory management and dialysis monitoring; the viewing rights of the engineer account rights include quality analysis, and the modification rights include device management.
In one embodiment, the hemodialysis management of the system at the mobile end can distinguish between the patient's, doctor's, and nurse's job duties.
Specifically, as shown in fig. 5, after the patient is checked in for authentication, confirmation of the visit evaluation and the pre-visit evaluation is performed in order by a nurse, and order confirmation is performed by a doctor based on the visit evaluation and the pre-visit evaluation.
The nurse confirms the puncture evaluation and the anticoagulant use according to the vascular access condition of the patient, the bed adjusted by the nurse, and the doctor's order evaluation.
And according to the temporary medical advice generated after the tour confirmation by the doctor, the nurse completes the confirmation of the on-machine dialysis and monitors the dialysis condition at regular time.
According to the patrol checking of doctors and nurses, the dialysis process is completed, and the dialysis record is generated and fed back to the patients.
In one embodiment, the hemodialysis procedure of the system at the mobile terminal can be simplified, and specifically, as shown in fig. 6, after the patient is signed in for authentication, the dialysis monitoring procedure is started, and at the moment, after the visit evaluation and the pre-visit evaluation, the order confirmation is performed according to the long-term order of the patient. After confirmation, puncture assessment is performed in conjunction with the vascular access profile of the patient. After accomplishing the anticoagulation and using, arrange the bed through the adjustment, let the patient carry out higher level's dialysis, medical personnel combine interim doctor's advice, regularly detect the patient, accomplish whole dialysis process at last.
In one embodiment, the system can also display the dialysis flow and information of the patient during dialysis when performing dialysis monitoring, and quickly search the patient for checking and confirmation. The occurrence and the condition of the patient in the dialysis can be recorded by the handheld tablet device or the PC and uploaded to the server, so that doctors and nurses can check the record of the patient conveniently. Meanwhile, the system also has the functions of abnormal conditions, data reminding and alarming, and supports various devices and reminding modes; the system has the functions of patient partition and initial spelling letter searching, so that a user can quickly locate a patient; the function of monitoring and displaying the current abnormal state of the patient in real time is realized; the automatic dialysis machine has the function of tracing the dialysis events of the patient, and prompts special conditions of medicine passing city, excessively tender dialyzer and the like.
In one embodiment, the system further comprises a quality statistics module capable of performing quality statistics on the hemodialysis quality.
Preferably, the quality statistics module has a clinical diagnosis and treatment statistics function, and can provide statistics of relevant clinical data such as basic information of patients, medical history and treatment modes of dialysis.
Preferably, the quality statistics module has a department inventory statistics function, and can provide statistics and budget for usage of dialysis consumables, prescription drugs, equipment information and the like.
Preferably, the quality statistics module has a report statistics function and supports a variety of graphical displays including, but not limited to, bar charts, fan charts, line charts, and mesh charts. The method has the statistical analysis functions of correlation analysis, survival analysis, Bayesian statistics and the like, and is used for analysis and prediction.
Preferably, the quality statistics module performs real-time reminding, quantity monitoring and processing requests according to ' hemodialysis technology medical quality control indexes (health care committee approval) ' and health department blood purification Standard Operating Procedures (SOP) ' and ' guangdong three-level hospital review standards (2021 edition) ' provided by the national kidney disease medical quality control center, and has a custom data analysis function to support printing and exporting of data for all indexes, key quality control indexes and other required indexes.
Preferably, the quality statistic module can provide automatic output of standard files for hospital data requirements and superior review index reporting, and analysis reports and intelligent suggestions
Preferably, the quality statistics module can provide automatic output and interface docking services for uploading and reporting the standard file for the quality control indexes of the Shenzhen city hemodialysis quality control platform.
Preferably, the quality statistics module can provide data file output and data and index automatic calibration and standardization functions according to file reporting standards of the national hemodialysis case information registration system. And provides reporting flow, operation guide and auxiliary service.
Preferably, the quality statistic module is internally provided with hemodialysis quality monitoring indexes which can perform the functions of quality monitoring, quality evaluation and quality report output. And setting a statistical output report and a quality control report aiming at different indexes, different patients, different dialysis time lengths, different dialysis frequencies and the like.
Preferably, the quality statistics module has tracing and printing functions, including dialysis processes, record lists, personnel operation records and the like.
It should be understood that, although the steps in the flowchart are shown in order as indicated by the arrows, the steps are not necessarily performed in order as indicated by the arrows. The steps are not performed in the exact order shown and described, and may be performed in other orders, unless explicitly stated otherwise. Moreover, at least some of the steps in the figures may include multiple sub-steps or multiple stages that are not necessarily performed at the same time, but may be performed at different times, and the order of performance of the sub-steps or stages is not necessarily sequential, but may be performed in turn or alternately with other steps or at least some of the sub-steps or stages of other steps.
In one embodiment, a computer device is also provided, and the computer device may be a data management server, and the internal structure diagram thereof may be as shown in fig. 7. The computer device includes a processor, a memory, a network interface, and a database connected by a system bus. Wherein the processor of the computer device is configured to provide computing and control capabilities. The memory of the computer device comprises a nonvolatile storage medium and an internal memory. The non-volatile storage medium stores an operating system, a computer program, and a database. The internal memory provides an environment for the operation of an operating system and computer programs in the non-volatile storage medium. The network interface of the computer equipment is used for communicating with an external data source terminal through network connection so as to receive data uploaded by the data source terminal. The computer program is executed by a processor to implement a method of hemodialysis quality monitoring assistance.
Those skilled in the art will appreciate that the architecture shown in fig. 7 is merely a block diagram of some of the structures associated with the disclosed aspects and is not intended to limit the computing devices to which the disclosed aspects apply, as particular computing devices may include more or less components than those shown, or may combine certain components, or have a different arrangement of components.
In one embodiment, a computer device is provided, comprising a memory, a processor and a computer program stored on the memory and executable on the processor, the processor implementing the hemodialysis quality monitoring assistance method when executing the computer program.
It will be understood by those skilled in the art that all or part of the processes of the above embodiments may be implemented by a computer program, which can be stored in a non-volatile computer readable storage medium, and can include the processes of the above embodiments of the methods when the computer program is executed. Any reference to memory, storage, database, or other medium used in the embodiments provided herein may include non-volatile and/or volatile memory, among others. Non-volatile memory can include read-only memory (ROM), Programmable ROM (PROM), Electrically Programmable ROM (EPROM), Electrically Erasable Programmable ROM (EEPROM), or flash memory. Volatile memory can include Random Access Memory (RAM) or external cache memory. By way of illustration and not limitation, RAM is available in a variety of forms such as Static RAM (SRAM), Dynamic RAM (DRAM), Synchronous DRAM (SDRAM), Double Data Rate SDRAM (DDRSDRAM), Enhanced SDRAM (ESDRAM), Synchronous Link DRAM (SLDRAM), Rambus Direct RAM (RDRAM), direct bus dynamic RAM (DRDRAM), and memory bus dynamic RAM (RDRAM).
The invention provides a hemodialysis quality control management system, which is based on an information system, facilitates hemodialysis room management and provides a humanized management and statistical mode. The flow management is clear, the authority and the responsibility are clear, and the standardized hemodialysis management is facilitated. The intelligent statistical method is provided, the standard index calculation is built in, and data export and uploading of a superior quality control platform and quality control management are facilitated.
The above-mentioned embodiments only express several embodiments of the present application, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the concept of the present application, which falls within the scope of protection of the present application. Therefore, the protection scope of the present patent shall be subject to the appended claims.
Claims (10)
1. A hemodialysis quality control management system, the system comprising:
the patient input management module is used for inputting and managing patient information, wherein the patient information at least comprises personal and diagnosis information, medical advice information and bed arrangement information of each single patient;
the scheduling and bed arranging management module is used for forming a bed arranging template according to all the single patient information entered into the management module by the patient, and determining a responsible doctor and a responsible nurse belonging to the single patient according to the medical care scheduling information and the bed arranging template;
the dialysis process management module is used for managing all links of the dialysis process, displaying dialysis process nodes and information and monitoring the abnormal state of the patient;
the patient entry management module provides all patient information, the shift and bed arrangement management module determines responsibility medical care and bed arrangement information according to the patient information, and the dialysis process management module manages a dialysis process by combining data generated by the patient entry management module and the shift and bed arrangement management module.
2. The system of claim 1, wherein the patient entry management module comprises an information entry unit, a diagnostic recording unit, a bed registration unit, and an authentication card issuing unit;
the information input unit is used for receiving personal basic information and case data input into a patient and managing the personal basic information and the case data in a classified mode;
the diagnosis recording unit is used for sequentially inputting diagnosis information, allergy history information, vascular access information, long-term medical advice information and infectious disease examination information of a patient;
the bed position registration unit is used for forming a bed arrangement rule of a single patient; ,
the authentication card issuing unit is used for outputting the identity of the patient and authenticating the identity of the patient;
after the patient input management module finishes the information input of the information input unit, the diagnosis recording unit and the bed registration unit in sequence, the authentication card issuing unit finishes the identity authentication of the patient after the input information is verified.
3. The system of claim 2, wherein the diagnostic recording unit further displays a reminder through an item status view, counts down a reminder for a patient's item remaining time, and flags a reminder for patients with partial infections and special patients; the bed position registration unit can select part or all of the patient bed arrangement rules to be exported according to the bed arrangement rules; the authentication card issuing unit outputs an authenticated two-dimensional code or a magnetic card for the patient.
4. The system of claim 1, wherein the shift and cot management module further comprises:
calculating the number of available beds according to the total number of beds and the equipment state, introducing the number of available beds into a bed arrangement template to generate an actual bed arrangement condition, performing shift arrangement determination by combining medical care shift arrangement according to the actual bed arrangement condition, and finally dividing responsible doctors and/or responsible nurses corresponding to patients;
wherein the equipment state is determined by tracking equipment information, maintenance progress and/or abnormal state of the basic equipment; the scheduling template is formed according to the scheduling rules of all patients, and the actual scheduling is determined by combining the state information of the patients.
5. The system of claim 4,
the scheduling and bed-arranging management module at least comprises a bed-arranging management unit, an equipment management unit, a patient management unit and a scheduling management unit;
the bed arrangement management unit manages the total number of beds, the current available number of beds, the bed arrangement template and finally determined actual bed arrangement information, automatically generates the bed arrangement template, displays the state of a special patient, and is provided with a number arrangement system for visually displaying the bed arrangement prompt;
the patient management unit manages the bed arranging rules and the patient states of all the patients, and the patient management unit manages the number of ways, manages, calls and inquires the patient information;
the equipment management unit manages the information, maintenance progress, abnormal states and available quantity of all basic equipment and the equipment state determined according to the basic equipment information, updates the equipment information in real time, records the daily state of the equipment, gives an alarm for the abnormal state and tracks the maintenance progress of the equipment;
the shift arrangement management unit manages the information and functions of medical care shift arrangement, typesetting confirmation and final medical care responsibility division information, configures multidimensional typesetting dimensions and automatically counts the working time.
6. The system of claim 1, wherein the dialysis procedure management module further comprises:
identifying the authentication sign-in information of the patient, updating the current receiving state, evaluating dialysis conditions, and generating and confirming medical advice in combination with the long-term medical advice of the patient;
counting the quantity of consumables and medicines according to the confirmed medical advice to finish the delivery of the consumables and the medicines;
determining the current dialysis equipment according to the state of the dialysis equipment, checking the vascular access of a patient, performing puncture or dressing change, and using the anticoagulant with set metering;
after checking and confirming the patient, performing on-machine dialysis and finishing dialysis.
7. The system of claim 6, wherein the dialysis procedure management module comprises at least an order confirmation unit, a dialysis monitoring unit, an inventory management unit, and a dialysis recording unit;
the medical advice confirming unit manages the authentication sign-in, the long-term medical advice and/or the temporary medical advice of the patient and the blood vessel access information, records, generates and calls the corresponding information;
the dialysis monitoring unit manages the assessment of the physical condition, the risk and the dialysis condition of the patient, the confirmation of the conventional doctor advice and/or the temporary doctor advice, the puncture dressing change, the confirmation of the anticoagulant use and the dosage and the check of the identity of the on-machine patient, automatically completes the assessment according to the information of the patient and simultaneously generates a confirmation prompt;
the inventory management unit manages the inventory status, the warehouse entry, the warehouse exit and the inventory status of consumable logs, consumables and medicines, automatically finishes quantity deduction according to medical advice, bed arrangement or dialysis processes, calculates the consumption conditions of the consumables and the medicines, and generates a replenishment prompt when the inventory quantity is lower than a preset safety value;
the dialysis recording unit manages the dialysis completion condition, counts clinical data, generates a clinical report, outputs quality control indexes and auxiliary services, and monitors the trip quality, and evaluates the quality and reports the quality.
8. The system of claim 7, wherein the dialysis procedure management module further generates a consumable log according to the patient scheduling information provided by the scheduling management unit of the scheduling management module, determines dialysis equipment used by the patient dialysis procedure according to the dialysis equipment status provided by the equipment management unit of the scheduling management module, and determines doctor information in charge of treatment assessment according to the medical care scheduling information provided by the scheduling management unit of the scheduling management module.
9. The system of claim 1, further comprising a system authority division module for differentiating system usage authorities of doctors, nurses and engineers and dialysis management nodes.
10. The system of claim 9, wherein the system is configured to confirm the visit assessment and the pre-visit assessment by a nurse and order confirmation by a doctor based on the visit assessment and the pre-visit assessment in sequence after the patient is signed in for certification;
confirming the puncture evaluation and the anticoagulant use by the nurse according to the blood vessel access condition of the patient, the bed arrangement adjusted by the nurse and the doctor's advice evaluation;
according to the temporary medical advice generated after the patrol confirmation of the doctor, the nurse completes the confirmation of on-computer dialysis and monitors the dialysis condition at regular time;
according to the patrol checking of doctors and nurses, the dialysis process is completed, and the dialysis record is generated and fed back to the patients.
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