CN114191219A - Intelligent dressing change system for nursing - Google Patents
Intelligent dressing change system for nursing Download PDFInfo
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- CN114191219A CN114191219A CN202210048293.5A CN202210048293A CN114191219A CN 114191219 A CN114191219 A CN 114191219A CN 202210048293 A CN202210048293 A CN 202210048293A CN 114191219 A CN114191219 A CN 114191219A
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- A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
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- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT 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
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
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- G16H20/13—ICT 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
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Abstract
The invention provides an intelligent dressing change system for nursing, which comprises: the information acquisition module is used for acquiring an identity label of a target patient and determining the medication information of the target patient based on the identity label; the monitoring module is used for monitoring the medication condition of the target patient in real time based on the medication information and determining target information of medicines to be changed and time of changing medicines based on a monitoring result; and the medicine changing module is used for dispensing medicines based on the target medicine information to be changed and changing the medicines of the target patient based on the dispensing result and according to the medicine changing time. Through confirming the information of using medicine of patient to according to the information real time monitoring patient's the condition of using medicine, be convenient for in time carry out the medicine constantly and in time change the dressings at changing dressings, improved the efficiency of changing dressings and patient's the security of using medicine, saved a large amount of manpower resources simultaneously, strengthened the intelligence of nursing change dressings.
Description
Technical Field
The invention relates to the technical field of dressing change in surgical nursing, in particular to an intelligent dressing change system for nursing.
Background
At present, in the existing surgical nursing dressing change process, a traditional cart is adopted to transfer and distribute medicines in each ward, the medicine using condition of a patient cannot be monitored in real time, the patient needs to be reminded and notified through a button, meanwhile, the dressing change condition of each ward needs to be matched and changed by a nurse in a memory or paper record mode, if only one ward is matched and changed at a time, frequent walking of nurses between the ward and a pharmacy is increased, and the nurse is easy to have errors in the dressing change process;
therefore, the invention provides an intelligent nursing dressing change system which is used for determining the medication information of a patient and monitoring the medication condition of the patient in real time according to the medication information, so that medicine preparation can be performed at the moment of dressing change in time and dressing change can be performed in time conveniently, the dressing change efficiency and the medication safety of the patient are improved, a large amount of human resources are saved, and the intelligence of nursing dressing change is enhanced.
Disclosure of Invention
The invention provides an intelligent nursing dressing change system which is used for determining the medicine use information of a patient and monitoring the medicine use condition of the patient in real time according to the medicine use information, so that medicine preparation can be conveniently carried out in time at the time of dressing change and dressing change can be carried out in time, the dressing change efficiency and the medicine use safety of the patient are improved, a large amount of human resources are saved, and the intelligence of nursing dressing change is enhanced.
The invention provides an intelligent dressing change system for nursing, which comprises:
the information acquisition module is used for acquiring an identity label of a target patient and determining the medication information of the target patient based on the identity label;
the monitoring module is used for monitoring the medication condition of the target patient in real time based on the medication information and determining target information of medicines to be changed and time of changing medicines based on a monitoring result;
and the medicine changing module is used for dispensing medicines based on the target medicine information to be changed and changing the medicines of the target patient based on the dispensing result and according to the medicine changing time.
In one possible implementation manner, the information obtaining module includes:
the label acquisition unit is used for determining the attribute information of the target patient and generating an identity label query instruction;
the query unit is used for controlling the tag query terminal to send a query request to a preset background database based on the identity tag query instruction, and the background database analyzes the identity tag query instruction and extracts a query keyword;
and the label determining unit is used for retrieving the patient information stored in the preset background database based on the query keyword, determining a target identity label corresponding to the target patient, and feeding the identity label back to the label query terminal.
In a possible implementation manner, the information obtaining module further includes:
the identity information determining unit is used for identifying the identity label of the target patient and determining the identity information identifier of the target patient;
a case request generating unit, configured to generate a case acquisition request based on the identity information identifier of the target patient, convert the case acquisition request into a data tag request, and determine a case data query node based on the data tag request;
a case information file acquisition unit, configured to link in a preset case information base based on the case data query node, and determine a case information file corresponding to the target patient;
the file reading unit is used for determining an information reading verification code based on the case data query node and comparing the information reading verification code with a reference verification code corresponding to the case information file;
the file reading unit is also used for judging whether the case information file can be read or not according to the comparison result, and if so, reading and determining the case information of the target patient;
and the medicine taking information determining unit is used for extracting a target medicine taking keyword, searching in the case information based on the target medicine taking keyword, determining the characteristic medicine taking expression of the target patient, and determining the medicine taking information of the target patient according to the characteristic medicine taking expression of the target patient.
In one possible implementation, the monitoring module includes:
the medication information reading unit is used for reading the medication information, determining the medication type of the target patient, determining a medication scheme of the target patient based on the medication type, and determining the medication times of the target patient according to the medication scheme;
the medicine transmission unit is used for determining a medicine taking list existing in the medicine taking scheme, distributing codes to the medicine taking list, analyzing the unit interfaces of the stage medicine determining unit, establishing the corresponding relation between the distribution codes and the unit interfaces of the stage medicine determining unit, acquiring the code attribute of the non-distribution codes if the non-corresponding distribution codes exist after the corresponding relation is determined, searching the most matched first interface in the unit interfaces, and expanding a transmission window related to the code attribute to the first interface so as to establish the corresponding relation;
according to all the corresponding relations, splitting the medication scheme, and transmitting the medication scheme to the stage medicine determining unit based on the corresponding unit interface;
the stage medicine determining unit is used for determining the medication stages based on the information and the medication times received by each unit interface and generating a target reference table according to the medication attribute information of each stage;
the monitoring unit is used for acquiring a target image of a medicine prescription corresponding to the target patient in the current medicine stage;
the image processing unit is used for determining a target text region in the target image and determining a key point corresponding to the target text region;
the image processing unit is configured to segment a target text region in the target image based on the key point, determine a plurality of field region groups in the target text region based on a segmentation result, and determine identification information corresponding to the field region groups, where the identification information includes length information of fields in the field region groups and position information of the field region groups;
the data identification unit is used for determining a target field identification rule based on the identification information and extracting the medicine prescription data in the field area groups based on the target field identification rule;
and the medication stage determining unit is used for matching the medication prescription data with the target reference table, determining a target medication stage of the target patient, and locking the next medication stage of the target patient based on the target medication stage.
In one possible implementation, the medication information reading unit includes:
a dosage analysis subunit for determining a total dosage for a target patient based on a dosage regimen for the target patient and determining a single dosage for the target patient based on the number of times the target patient is dosed and the total dosage;
the dosage analysis subunit is also used for acquiring the current physical sign data of the target patient and determining the single rated dosage of the target patient according to the current physical sign data of the target patient;
the risk judgment subunit is used for comparing the single dosage with the single rated dosage and judging whether the medication scheme has nursing risk on the target patient;
when the single dosage is less than or equal to the single rated dosage, determining that the medication scheme does not have a nursing risk to the target patient;
otherwise, determining that the medication regimen presents a care risk to the target patient;
and the scheme adjusting subunit is used for adjusting the medication scheme of the target patient when the medication scheme has nursing risk to the target patient until the single dosage used by the target patient is less than or equal to the single rated dosage.
In one possible implementation, a dressing change module includes:
the dispensing information acquisition unit is used for acquiring the target medicine to be changed information and acquiring the usage amount of the target patient to the target medicine to be changed;
the dispensing unit is used for dispensing the target medicine to be replaced based on the target medicine to be replaced information and the usage amount of the target medicine to be replaced to obtain a standard target medicine to be replaced;
the position determining unit is used for determining a target ward where the target patient is located and a target bed in the target ward based on the identity tag, and controlling a preset drug transferring device to transfer the standard target drug to be changed to a preset drug changing storage box according to the target ward and the target bed in the target ward;
the dressing change unit is used for determining whether the current moment is consistent with the dressing change moment or not;
when the patient information is consistent with the target patient information, sending a medicine changing prompt to the target patient, and simultaneously carrying out medicine changing operation on the target patient;
otherwise, determining the target relation between the current moment and the dressing change moment in real time, and performing dressing change operation until the current moment is consistent with the dressing change moment.
In one possible implementation, the dressing change unit includes:
the data updating subunit is used for determining the current daily change times of the target patient and the corresponding change time of each change after the change operation is finished, and transmitting the daily change times and the corresponding change time of each change to the management terminal;
the recording subunit is used for controlling the management terminal to generate a dressing change condition record table based on the daily dressing change times and the dressing change time corresponding to each dressing change, and recording the dressing change condition of the target patient based on the dressing change condition record table to obtain a target report;
and the storage subunit is used for storing the target report in a preset patient medication database and finishing the real-time update of the medication change condition of the target patient.
In one possible implementation manner, the method further includes: the warning module is used for when the module of changing dressings is for after the target patient changes dressings, supervise the liquid medicine that exists, and to the target patient's the line of leaking medicine is reminded, include:
the image acquisition unit is used for acquiring a medicine image of the current medicine taking of the target patient;
the first determining unit is used for determining the residual medicine amount of the liquid medicine in the medicine container corresponding to the liquid medicine when the medicine image contains the liquid medicine;
V＝ρ×f(x1)f(x2)f(x3)
wherein V represents the remaining amount of liquid drug in the drug container; a liquid density of a remaining drug in the drug container; f (x1) f (x2) f (x3) represents the volume of drug remaining in the drug container; f (x1) represents a width profile function of a container portion of the drug container occupied by liquid drug; f (x2) represents a length profile function of a container portion of the drug container occupied by liquid drug; f (x3) represents a height profile function of a container portion of the drug container occupied by liquid drug; wherein the width profile function, the length profile function, and the height profile function are related to a container shape of the drug container;
a second determination unit, which is used for determining the remaining usage time length of the target patient for the remaining drug quantity;
wherein T represents the remaining usage time length of the target patient for the remaining drug amount; v represents the residual medicine quantity of the liquid medicine in the medicine container;
the error coefficient is represented, and the value range is (0.05, 0.1); k represents a standard usage speed value of the target patient for liquid medicine; t represents a value of a length of time that the target patient has used the liquid drug as actually monitored; m represents the actually monitored amount of liquid drug that the target patient has used;
a monitoring unit for supervising a procedure of changing the drug and a procedure of using the liquid medicine for the target patient;
the alarm reminding unit is used for judging whether the target patient has a drug leakage behavior;
when in use
Judging that the behavior of drug leakage exists, counting the information of the target patient using the liquid drug according to a supervision result to determine the drug leakage rule of the target patient, and capturing the suspicion degree Y of the intentional drug leakage of the target patient based on the drug leakage rule;
wherein G1 represents the total number of times the target patient has missed a dose of a liquid drug; hp1Indicating the drug leakage amount of the p1 th drug leakage; exp { } denotes an exponential function; deltap1,p1+1Indicating the drug leakage time difference between the p1 th drug leakage and the p1+1 th drug leakage;
represents a preset determination value; vGeneral assemblyRepresenting a quantity of an initial liquid drug of the drug container;
when the intentional suspicion degree Y is larger than the preset suspicion degree, carrying out first alarm reminding;
otherwise, carrying out second alarm reminding;
wherein, the medicine leakage rule is related to the medicine leakage time interval and the liquid volume of the medicine leakage.
Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objectives and other advantages of the invention will be realized and attained by the structure particularly pointed out in the written description and drawings.
The technical solution of the present invention is further described in detail by the accompanying drawings and embodiments.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a block diagram of an intelligent nursing dressing change system according to an embodiment of the present invention;
FIG. 2 is a block diagram of an information acquisition module in an intelligent nursing dressing change system according to an embodiment of the present invention;
fig. 3 is a structural diagram of a dressing change module in an intelligent dressing change system for nursing according to an embodiment of the present invention.
Detailed Description
The preferred embodiments of the present invention will be described in conjunction with the accompanying drawings, and it will be understood that they are described herein for the purpose of illustration and explanation and not limitation.
Example 1:
the embodiment provides an intelligent dressing change system for nursing, as shown in fig. 1, including:
the information acquisition module is used for acquiring an identity label of a target patient and determining the medication information of the target patient based on the identity label;
the monitoring module is used for monitoring the medication condition of the target patient in real time based on the medication information and determining target information of medicines to be changed and time of changing medicines based on a monitoring result;
and the medicine changing module is used for dispensing medicines based on the target medicine information to be changed and changing the medicines of the target patient based on the dispensing result and according to the medicine changing time.
In this embodiment, the identification label information refers to an identification code used for distinguishing the identities of different patients, the identification code may be a bracelet worn on a patient bracelet, the bracelet is provided with a two-dimensional code or a bar code that is allocated to the patient when the patient is admitted to the hospital by a management terminal background, and the patient identity can be determined by reading the two-dimensional code or the bar code on the patient bracelet and also by reading the two-dimensional code or the bar code of the patient recorded by the background.
In this embodiment, the medication information indicates the type of medicine that the patient needs to use, the amount of different types of medicines to use, and the like.
In this embodiment, the medication is the patient's progress in the use of the medication, which may be, for example, a total of three vials, a current progress to a second vial, etc.
In this embodiment, the target information of the medicines to be changed refers to the medicines that the patient needs to take or other care needs to use in the next stage, and may be, for example, the types and amounts of taking hypotensive drugs and anti-inflammatory drugs.
In this embodiment, the time of the change refers to the time point when the patient needs to take or inject the medicine.
In this embodiment, the dispensing of the target to-be-replaced medicine based on the target to-be-replaced medicine information means that the medicine required by the patient is prepared in advance according to the target to-be-replaced medicine information, and the process may be the medicine configuration by an intelligent robot.
The beneficial effects of the above technical scheme are: through confirming the information of using medicine of patient to according to the information real time monitoring patient's the condition of using medicine, be convenient for in time carry out the medicine constantly and in time change the dressings at changing dressings, improved the efficiency of changing dressings and patient's the security of using medicine, saved a large amount of manpower resources simultaneously, strengthened the intelligence of nursing change dressings.
Example 2:
on the basis of the foregoing embodiment 1, this embodiment provides an intelligent nursing dressing change system, as shown in fig. 2, the information obtaining module includes:
the label acquisition unit is used for determining the attribute information of the target patient and generating an identity label query instruction based on the attribute information;
the query unit is used for controlling the tag query terminal to send a query request to a preset background database based on the identity tag query instruction, and the background database analyzes the identity tag query instruction and extracts a query keyword;
and the label determining unit is used for retrieving the patient information stored in the preset background database based on the query keyword, determining a target identity label corresponding to the target patient, and feeding the identity label back to the label query terminal.
In this embodiment, the attribute information refers to the name, age, and the like of the target patient.
In this embodiment, the identity tag query instruction is used to send a patient tag query request to a background database of the management terminal, and the identity tag query instruction includes a name of a patient to be queried.
In this embodiment, the preset background database is set in advance and is used for storing the two-dimensional codes or bar codes for different patients when the patients are admitted.
In this embodiment, the query keyword refers to the name, age, etc. of the patient to be queried, which is included in the identity tag query instruction.
In this embodiment, the target identity tag refers to the identity tag of the patient corresponding to the identity tag query instruction.
The beneficial effects of the above technical scheme are: by determining the attribute information of the patient, the identity label of the target patient can be accurately acquired from the background database, so that convenience is provided for quickly and accurately acquiring the medication information of the patient through the identity label, and the efficiency of changing the medicine and the medication safety of the patient are guaranteed.
Example 3:
on the basis of the above embodiment 1, this embodiment provides an intelligent dressing change system for nursing, and the information acquisition module further includes:
the identity information determining unit is used for identifying the identity label of the target patient and determining the identity information identifier of the target patient;
a case request generating unit, configured to generate a case acquisition request based on the identity information identifier of the target patient, convert the case acquisition request into a data tag request, and determine a case data query node based on the data tag request;
a case information file acquisition unit, configured to link in a preset case information base based on the case data query node, and determine a case information file corresponding to the target patient;
the file reading unit is used for determining an information reading verification code based on the case data query node and comparing the information reading verification code with a reference verification code corresponding to the case information file;
the file reading unit is also used for judging whether the case information file can be read or not according to the comparison result, and if so, reading and determining the case information of the target patient;
and the medicine taking information determining unit is used for extracting a target medicine taking keyword, searching in the case information based on the target medicine taking keyword, determining the characteristic medicine taking expression of the target patient, and determining the medicine taking information of the target patient according to the characteristic medicine taking expression of the target patient.
In this embodiment, the identity information mark refers to a mark symbol with obvious identification function for distinguishing identity conditions between different patients.
In this embodiment, the case data query node refers to a storage area for storing case data, and is a node in the preset case information base.
In this embodiment, the preset case information base is set in advance, and case data of all patients in the hospital, diagnosis data of the patients, hospitalization data, and the like are stored therein.
In this embodiment, the information reading verification code is a kind of verification data for verifying the authority to acquire patient case information, and it is determined whether or not the patient case information can be read by comparing with the reference verification code.
In this embodiment, the reference verification code is set in advance to measure whether the information reading verification code meets the reading requirement.
In this embodiment, the target medication keyword means that the name or the kind of the medicine used by the patient can be accurately determined.
In this example, the characteristic drug expression refers to the name or abbreviation of the drug used by the patient, e.g., "amoxicillin" or the like.
The beneficial effects of the above technical scheme are: through confirming patient's identity information to according to the case data of target patient is transferred from the case database to the identity information, thereby realize accurately acquireing the information of using medicine of patient according to the case data, improved the rate of accuracy and the efficiency that information of using medicine acquireed, simultaneously, also be convenient for carry out real time monitoring to patient's the condition of using medicine according to information of using medicine, ensure to carry out in time the processing of changing dressings to the patient.
Example 4:
on the basis of the above embodiment 1, this embodiment provides an intelligent nursing dressing change system, which includes:
the medication information reading unit is used for reading the medication information, determining the medication type of the target patient, determining a medication scheme of the target patient based on the medication type, and determining the medication times of the target patient according to the medication scheme;
the medicine transmission unit is used for determining a medicine taking list existing in the medicine taking scheme, distributing codes to the medicine taking list, analyzing the unit interfaces of the stage medicine determining unit, establishing the corresponding relation between the distribution codes and the unit interfaces of the stage medicine determining unit, acquiring the code attribute of the non-distribution codes if the non-corresponding distribution codes exist after the corresponding relation is determined, searching the most matched first interface in the unit interfaces, and expanding a transmission window related to the code attribute to the first interface so as to establish the corresponding relation;
according to all the corresponding relations, splitting the medication scheme, and transmitting the medication scheme to the stage medicine determining unit based on the corresponding unit interface;
the stage medicine determining unit is used for determining the medication stages based on the information and the medication times received by each unit interface and generating a target reference table according to the medication attribute information of each stage;
the monitoring unit is used for acquiring a target image of a medicine prescription corresponding to the target patient in the current medicine stage;
the image processing unit is used for determining a target text region in the target image and determining a key point corresponding to the target text region;
the image processing unit is configured to segment a target text region in the target image based on the key point, determine a plurality of field region groups in the target text region based on a segmentation result, and determine identification information corresponding to the field region groups, where the identification information includes length information of fields in the field region groups and position information of the field region groups;
the data identification unit is used for determining a target field identification rule based on the identification information and extracting the medicine prescription data in the field area groups based on the target field identification rule;
and the medication stage determining unit is used for matching the medication prescription data with the target reference table, determining a target medication stage of the target patient, and locking the next medication stage of the target patient based on the target medication stage.
In this embodiment, the drug includes antihypertensive drugs, anti-inflammatory drugs, antipyretics, and the like.
In this example, the dosage regimen refers to the number of times the patient takes the medication and the amount of medication taken per medication.
In this embodiment, the medication phase refers to different phases of the target patient requiring different medication during treatment, for example, three bottles in the case of infusion, one bottle for each phase.
In this embodiment, the medication attribute information refers to the type of medication used by the target patient at each stage, the word dosage, and contraindication information.
In this embodiment, the target reference table refers to a data table in which the name, the type, and the number of medicines used in each stage are recorded.
In this embodiment, the preset monitoring measure is set in advance, and may be obtained by a camera, for example.
In this embodiment, the target image refers to image information obtained by photographing or image-capturing a medication order of a target patient.
In this embodiment, the target text area refers to an area in the pharmacy order on which the type and amount of medicine are recorded.
In this embodiment, the key point refers to a reference point that can divide the text region from other irrelevant regions.
In this embodiment, the segment region group refers to a portion of the text region determined to specifically contain the data field.
In this embodiment, the target field recognition rule may be trained through a historical image to construct a recognition model, so as to implement effective recognition on a text.
In this embodiment, the prescription data refers to the data fields in the prescription order relating to the names of the bitter drugs.
In this embodiment, the target medication phase refers to the current medication schedule of the target patient.
In this embodiment, because there are multiple different prescriptions for taking medicine in the medication scheme, and the dosages involved in different prescriptions for taking medicine are different, therefore, a code is set for each prescription for taking medicine, and the prescription for taking medicine can be regarded as a medication list, and the most reasonable interface for transmitting the prescription for taking medicine is matched by analyzing the unit interface of the stage medicine determining unit, thereby ensuring that the same type of prescription can be transmitted to the medicine determining unit, and after transmission, a corresponding receiving unit is used for storage, ensuring the storage rationality of the prescriptions for taking medicine, providing an effective arrangement basis for stage determination, improving the efficiency of stage determination, and setting a transmission window by setting an unassigned code to effectively distinguish the medication list corresponding to the unassigned code, further ensuring the rationality of stage determination.
In this embodiment, the corresponding relationship is set so that the interface with the better matching to the corresponding medication list can be transmitted.
The beneficial effects of the above technical scheme are: the medication scheme of the patient is determined according to the medication information of the patient, the medication condition of the patient is monitored in real time based on the medication scheme, the current medication progress of the patient is conveniently determined at different time points, the medicine type needed to be used by the patient in the next stage is accurately determined according to the medication scheme of the patient, the medicine quantity used by the patient at present is monitored in real time, the time of changing the medicine is conveniently and accurately locked, the accuracy rate of changing the medicine and the timeliness of changing the medicine are improved, the safety factor of medication for the patient is ensured, the intelligence of nursing medicine changing is optimized, codes are set and matched, medication columns are effectively stored, the storage rationality is ensured, an effective arrangement basis is provided for stage determination, the efficiency of stage determination is improved, and the transmission window is set through unassigned codes to effectively distinguish the medication columns corresponding to the unassigned codes, further ensuring the reasonableness of the stage determination.
Example 5:
on the basis of the above embodiment 4, this embodiment provides an intelligent nursing dressing change system, and the medication information reading unit includes:
a dosage analysis subunit for determining a total dosage for a target patient based on a dosage regimen for the target patient and determining a single dosage for the target patient based on the number of times the target patient is dosed and the total dosage;
the dosage analysis subunit is also used for acquiring the current physical sign data of the target patient and determining the single rated dosage of the target patient according to the current physical sign data of the target patient;
the risk judgment subunit is used for comparing the single dosage with the single rated dosage and judging whether the medication scheme has nursing risk on the target patient;
when the single dosage is less than or equal to the single rated dosage, determining that the medication scheme does not have a nursing risk to the target patient;
otherwise, determining that the medication regimen presents a care risk to the target patient;
and the scheme adjusting subunit is used for adjusting the medication scheme of the target patient when the medication scheme has nursing risk to the target patient until the single dosage used by the target patient is less than or equal to the single rated dosage.
In this embodiment, the single dose refers to the amount of drug required for each administration or injection, and may be, for example, three tablets taken at a time.
In this embodiment, the vital sign data refers to the current blood pressure, body temperature, cholesterol level, etc. of the patient.
In this embodiment, the single rated dosage refers to the maximum dosage determined according to the different physical qualities of the patients, and the high dosage may threaten the life safety of the patients.
In this embodiment, the monitoring measure may be monitoring by a camera, or may be real-time monitoring of the current medication condition of the patient by other monitoring means.
The beneficial effects of the above technical scheme are: through confirming the single use dosage and the single rated use dosage of the patient, the risk that the target patient has the nursing of changing dressings is convenient to realize and is timely controlled, and the safety of nursing changing dressings is improved.
Example 6:
on the basis of the foregoing embodiment 1, this embodiment provides an intelligent nursing dressing change system, as shown in fig. 3, the dressing change module includes:
the dispensing information acquisition unit is used for acquiring the target medicine to be changed information and acquiring the usage amount of the target patient to the target medicine to be changed;
the dispensing unit is used for dispensing the target medicine to be replaced based on the target medicine to be replaced information and the usage amount of the target medicine to be replaced to obtain a standard target medicine to be replaced;
the position determining unit is used for determining a target ward where the target patient is located and a target bed in the target ward based on the identity tag, and controlling a preset drug transferring device to transfer the standard target drug to be changed to a preset drug changing storage box according to the target ward and the target bed in the target ward;
the dressing change unit is used for determining whether the current moment is consistent with the dressing change moment or not;
when the patient information is consistent with the target patient information, sending a medicine changing prompt to the target patient, and simultaneously carrying out medicine changing operation on the target patient;
otherwise, determining the target relation between the current moment and the dressing change moment in real time, and performing dressing change operation until the current moment is consistent with the dressing change moment.
In this embodiment, the target usage amount of the drug to be changed refers to the dose or injection amount of the current drug to be changed by the patient.
In the embodiment, the medicine dispensing means that when the patient changes the medicines currently, a plurality of medicines are prepared and packaged, and the medicines which the patient needs to change are completely prepared at one time.
In this embodiment, the standard target to-be-changed medicine refers to a plurality of types of medicines which are obtained after preparing medicines needed by a patient and which can be used for directly changing medicines for the patient.
In this embodiment, the target ward refers to a ward where the patient is located.
In this embodiment, the target bed refers to a bed on which the patient is lying within the patient room.
In this embodiment, the preset medicine transferring device refers to a tool for moving medicines, and may be an intelligent robot or other machine with autonomous mobile power supply.
In this embodiment, the storage box to be replaced is preset in advance, and is used for temporarily storing the medicine in front of the patient bed.
The beneficial effects of the above technical scheme are: through confirming kind and the dose that the patient waited to change the medicine, realize waiting to change the medicine to the patient and carry out quick accurate dispensing, confirm the relation of present moment and moment of changing dressings simultaneously, ensure to change dressings in time to the patient when reacing the moment of changing dressings, improved the promptness of changing dressings, improved the efficiency of dispensing simultaneously, strengthened the intelligence of nursing change dressings.
Example 7:
on the basis of the above embodiment 6, this embodiment provides an intelligent nursing dressing change system, a dressing change unit includes:
the data updating subunit is used for determining the current daily change times of the target patient and the corresponding change time of each change after the change operation is finished, and transmitting the daily change times and the corresponding change time of each change to the management terminal;
the recording subunit is used for controlling the management terminal to generate a dressing change condition record table based on the daily dressing change times and the dressing change time corresponding to each dressing change, and recording the dressing change condition of the target patient based on the dressing change condition record table to obtain a target report;
and the storage subunit is used for storing the target report in a preset patient medication database and finishing the real-time update of the medication change condition of the target patient.
In this embodiment, the number of daily changes refers to the number of patient changes during a day.
In this embodiment, the table for recording the change of medication refers to a table for recording the time of each change of medication and the type of medication to be changed.
In this embodiment, the target report refers to a record table obtained by recording the dressing change condition of the patient.
In this embodiment, the preset patient medication database is set in advance.
The beneficial effects of the above technical scheme are: by determining the times of changing the medicines of the patient and the time information of each medicine changing, the timely and accurate record of the medicine changing condition of the patient is realized, the medical care management terminal can conveniently know the current nursing condition of the patient in time, and the intelligence of nursing medicine changing is provided.
Example 8:
on the basis of the above embodiment 1, this embodiment provides an intelligent dressing change system for nursing, further including: the warning module is used for when the module of changing dressings is for after the target patient changes dressings, supervise the liquid medicine that exists, and to the target patient's the line of leaking medicine is reminded, include:
the image acquisition unit is used for acquiring a medicine image of the current medicine taking of the target patient;
the first determining unit is used for determining the residual medicine amount of the liquid medicine in the medicine container corresponding to the liquid medicine when the medicine image contains the liquid medicine;
V＝ρ×f(x1)f(x2)f(x3)
wherein V represents the remaining amount of liquid drug in the drug container; a liquid density of a remaining drug in the drug container; f (x1) f (x2) f (x3) represents the volume of drug remaining in the drug container; f (x1) represents a width profile function of a container portion of the drug container occupied by liquid drug; f (x2) represents a length profile function of a container portion of the drug container occupied by liquid drug; f (x3) represents a height profile function of a container portion of the drug container occupied by liquid drug; wherein the width profile function, the length profile function, and the height profile function are related to a container shape of the drug container;
a second determination unit, which is used for determining the remaining usage time length of the target patient for the remaining drug quantity;
wherein T represents the remaining usage time length of the target patient for the remaining drug amount; v represents the residual medicine quantity of the liquid medicine in the medicine container;
the error coefficient is represented, and the value range is (0.05, 0.1); k represents a standard usage speed value of the target patient for liquid medicine; t represents a value of a length of time that the target patient has used the liquid drug as actually monitored; m represents the actually monitored amount of liquid medicine taken by the target patient;
a monitoring unit for supervising a procedure of changing the drug and a procedure of using the liquid medicine for the target patient;
an alarm reminding unit used as
When the target patient is determined to have the possibility of drug leakage behavior, counting the information of the target patient using the liquid drug according to a supervision result to determine the drug leakage rule of the target patient, and capturing the intentional drug leakage suspicion degree Y of the target patient based on the drug leakage rule;
wherein G1 represents the total number of times the target patient has missed a dose of a liquid drug; hp1Indicating the drug leakage amount of the p1 th drug leakage; exp { } denotes an exponential function; deltap1,p1+1Indicating the drug leakage time difference between the p1 th drug leakage and the p1+1 th drug leakage;
represents a preset determination value; vGeneral assemblyRepresenting a quantity of an initial liquid drug of the drug container;
when the intentional suspicion degree Y is larger than the preset suspicion degree, carrying out first alarm reminding;
otherwise, carrying out second alarm reminding;
wherein, the medicine leakage rule is related to the medicine leakage time interval and the liquid volume of the medicine leakage.
In this embodiment, the standard usage speed value is determined in accordance with the medication information, and T + T refers to a total estimate of the actual time of use of the drug in the drug container, and
is a total estimate of the standard time of use of the drug in the drug container.
When the medicine leakage behavior exists, the patient does not take all the medicines after the corresponding medicine change in the process of using the medicines, the process can cause that the actual medicine taking is less and the corresponding taking speed is reduced under the condition that the used time length value is not changed, at the moment, under the condition of determining V, the corresponding residual using length is increased, namely when the medicine is used for a long time, the medicine is not taken for a long time, and the medicine is not taken for a long time
In time, there may be missed behavior.
The beneficial effects of the above technical scheme are: the possible medicine leakage behavior is determined by calculating the residual medicine quantity and the residual using time length of the liquid medicine, and the patient is supervised to take the medicine in time according to the medicine leakage rule and the calculation of the suspicion degree of the intentional medicine leakage.
It will be apparent to those skilled in the art that various changes and modifications may be made in the present invention without departing from the spirit and scope of the invention. Thus, if such modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include such modifications and variations.
Claims (8)
1. An intelligent dressing change system for nursing, comprising:
the information acquisition module is used for acquiring an identity label of a target patient and determining the medication information of the target patient based on the identity label;
the monitoring module is used for monitoring the medication condition of the target patient in real time based on the medication information and determining target information of medicines to be changed and time of changing medicines based on a monitoring result;
and the medicine changing module is used for dispensing medicines based on the target medicine information to be changed and changing the medicines of the target patient based on the dispensing result and according to the medicine changing time.
2. The intelligent nursing dressing change system according to claim 1, wherein the information acquisition module comprises:
the label acquisition unit is used for determining the attribute information of the target patient and generating an identity label query instruction;
the query unit is used for controlling the tag query terminal to send a query request to a preset background database based on the identity tag query instruction, and the background database analyzes the identity tag query instruction and extracts a query keyword;
and the label determining unit is used for retrieving the patient information stored in the preset background database based on the query keyword, determining a target identity label corresponding to the target patient, and feeding the identity label back to the label query terminal.
3. The intelligent nursing dressing change system according to claim 1, wherein the information acquisition module further comprises:
the identity information determining unit is used for identifying the identity label of the target patient and determining the identity information identifier of the target patient;
a case request generating unit, configured to generate a case acquisition request based on the identity information identifier of the target patient, convert the case acquisition request into a data tag request, and determine a case data query node based on the data tag request;
a case information file acquisition unit, configured to link in a preset case information base based on the case data query node, and determine a case information file corresponding to the target patient;
the file reading unit is used for determining an information reading verification code based on the case data query node and comparing the information reading verification code with a reference verification code corresponding to the case information file;
the file reading unit is also used for judging whether the case information file can be read or not according to the comparison result, and if so, reading and determining the case information of the target patient;
and the medicine taking information determining unit is used for extracting a target medicine taking keyword, searching in the case information based on the target medicine taking keyword, determining the characteristic medicine taking expression of the target patient, and determining the medicine taking information of the target patient according to the characteristic medicine taking expression of the target patient.
4. The intelligent care dressing change system of claim 1, wherein the monitoring module comprises:
the medication information reading unit is used for reading the medication information, determining the medication type of the target patient, determining a medication scheme of the target patient based on the medication type, and determining the medication times of the target patient according to the medication scheme;
the medicine transmission unit is used for determining a medicine taking list existing in the medicine taking scheme, distributing codes to the medicine taking list, analyzing the unit interfaces of the stage medicine determining unit, establishing the corresponding relation between the distribution codes and the unit interfaces of the stage medicine determining unit, acquiring the code attribute of the non-distribution codes if the non-corresponding distribution codes exist after the corresponding relation is determined, searching the most matched first interface in the unit interfaces, and expanding a transmission window related to the code attribute to the first interface so as to establish the corresponding relation;
according to all the corresponding relations, splitting the medication scheme, and transmitting the medication scheme to the stage medicine determining unit based on the corresponding unit interface;
the stage medicine determining unit is used for determining the medication stages based on the information and the medication times received by each unit interface and generating a target reference table according to the medication attribute information of each stage;
the monitoring unit is used for acquiring a target image of a medicine prescription corresponding to the target patient in the current medicine stage;
the image processing unit is used for determining a target text region in the target image and determining a key point corresponding to the target text region;
the image processing unit is configured to segment a target text region in the target image based on the key point, determine a plurality of field region groups in the target text region based on a segmentation result, and determine identification information corresponding to the field region groups, where the identification information includes length information of fields in the field region groups and position information of the field region groups;
the data identification unit is used for determining a target field identification rule based on the identification information and extracting the medicine prescription data in the field area groups based on the target field identification rule;
and the medication stage determining unit is used for matching the medication prescription data with the target reference table, determining a target medication stage of the target patient, and locking the next medication stage of the target patient based on the target medication stage.
5. The intelligent nursing dressing change system according to claim 4, wherein the medication information reading unit comprises:
a dosage analysis subunit for determining a total dosage for a target patient based on a dosage regimen for the target patient and determining a single dosage for the target patient based on the number of times the target patient is dosed and the total dosage;
the dosage analysis subunit is also used for acquiring the current physical sign data of the target patient and determining the single rated dosage of the target patient according to the current physical sign data of the target patient;
the risk judgment subunit is used for comparing the single dosage with the single rated dosage and judging whether the medication scheme has nursing risk on the target patient;
when the single dosage is less than or equal to the single rated dosage, determining that the medication scheme does not have a nursing risk to the target patient;
otherwise, determining that the medication regimen presents a care risk to the target patient;
and the scheme adjusting subunit is used for adjusting the medication scheme of the target patient when the medication scheme has nursing risk to the target patient until the single dosage used by the target patient is less than or equal to the single rated dosage.
6. The intelligent nursing dressing change system of claim 1, wherein the dressing change module comprises:
the dispensing information acquisition unit is used for acquiring the target medicine to be changed information and acquiring the usage amount of the target patient to the target medicine to be changed;
the dispensing unit is used for dispensing the target medicine to be replaced based on the target medicine to be replaced information and the usage amount of the target medicine to be replaced to obtain a standard target medicine to be replaced;
the position determining unit is used for determining a target ward where the target patient is located and a target bed in the target ward based on the identity tag, and controlling a preset drug transferring device to transfer the standard target drug to be changed to a preset drug changing storage box according to the target ward and the target bed in the target ward;
the dressing change unit is used for determining whether the current moment is consistent with the dressing change moment or not;
when the patient information is consistent with the target patient information, sending a medicine changing prompt to the target patient, and simultaneously carrying out medicine changing operation on the target patient;
otherwise, determining the target relation between the current moment and the dressing change moment in real time, and performing dressing change operation until the current moment is consistent with the dressing change moment.
7. The intelligent nursing dressing change system of claim 6, wherein the dressing change unit comprises:
the data updating subunit is used for determining the current daily change times of the target patient and the corresponding change time of each change after the change operation is finished, and transmitting the daily change times and the corresponding change time of each change to the management terminal;
the recording subunit is used for controlling the management terminal to generate a dressing change condition record table based on the daily dressing change times and the dressing change time corresponding to each dressing change, and recording the dressing change condition of the target patient based on the dressing change condition record table to obtain a target report;
and the storage subunit is used for storing the target report in a preset patient medication database and finishing the real-time update of the medication change condition of the target patient.
8. The intelligent care dressing change system of claim 1, further comprising: the warning module is used for when the module of changing dressings is for after the target patient changes dressings, supervise the liquid medicine that exists, and to the target patient's the line of leaking medicine is reminded, include:
the image acquisition unit is used for acquiring a medicine image of the current medicine taking of the target patient;
the first determining unit is used for determining the residual medicine amount of the liquid medicine in the medicine container corresponding to the liquid medicine when the medicine image contains the liquid medicine;
V＝ρ×f(x1)f(x2)f(x3)
wherein V represents the remaining amount of liquid drug in the drug container; ρ represents a liquid density of the remaining drug in the drug container; f (x1) f (x2) f (x3) represents the volume of drug remaining in the drug container; f (x1) represents a width profile function of a container portion of the drug container occupied by liquid drug; f (x2) represents a length profile function of a container portion of the drug container occupied by liquid drug; f (x3) represents a height profile function of a container portion of the drug container occupied by liquid drug; wherein the width profile function, the length profile function, and the height profile function are related to a container shape of the drug container;
a second determination unit, which is used for determining the remaining usage time length of the target patient for the remaining drug quantity;
wherein T represents the remaining usage time length of the target patient for the remaining drug amount; v represents the residual medicine quantity of the liquid medicine in the medicine container;
the error coefficient is represented, and the value range is (0.05, 0.1); k represents a standard usage speed value of the target patient for liquid medicine; t represents a value of a length of time that the target patient has used the liquid drug as actually monitored; m represents the actually monitored amount of liquid drug that the target patient has used;
a monitoring unit for supervising a procedure of changing the drug and a procedure of using the liquid medicine for the target patient;
the alarm reminding unit is used for judging whether the target patient has a drug leakage behavior;
when in use
Judging the behavior of drug leakage, and counting the information of the target patient using the liquid drug according to the supervision resultDetermining a drug leakage rule of the target patient, and capturing the intentional drug leakage suspicion degree Y of the target patient based on the drug leakage rule;
wherein G1 represents the total number of times the target patient has missed a dose of a liquid drug; hp1Indicating the drug leakage amount of the p1 th drug leakage; exp { } denotes an exponential function; deltap1,p1+1Indicating the drug leakage time difference between the p1 th drug leakage and the p1+1 th drug leakage;
represents a preset determination value; vGeneral assemblyRepresenting a quantity of an initial liquid drug of the drug container;
when the intentional suspicion degree Y is larger than the preset suspicion degree, carrying out first alarm reminding;
otherwise, carrying out second alarm reminding;
wherein, the medicine leakage rule is related to the medicine leakage time interval and the liquid volume of the medicine leakage.
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| CN114191219B (en) | 2023-06-06 |
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