CN114209923B - Infusion pump control method and related device - Google Patents
Infusion pump control method and related device Download PDFInfo
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- CN114209923B CN114209923B CN202111676284.2A CN202111676284A CN114209923B CN 114209923 B CN114209923 B CN 114209923B CN 202111676284 A CN202111676284 A CN 202111676284A CN 114209923 B CN114209923 B CN 114209923B
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M2005/14208—Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
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- Health & Medical Sciences (AREA)
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Abstract
The application provides an infusion pump control method and a related device, wherein the method comprises the following steps: judging whether the acquired first identity information and the first medical advice medication information are accurate or not: if so, acquiring first medical history information of the user according to the first identity information, and generating a first treatment administration rationality detection result according to the acquired first medical history information, the first medical advice medication information and the sign information; if the detection result is reasonable, determining whether the treatment meets the infusion safety standard according to the first medical advice medication information, the acquired last historical infusion information and a preset incompatibility set; if so, the first order medication information is sent to the infusion pump to complete the treatment configuration process. The embodiment of the application not only can realize the check and early warning of multiple information in the infusion link, but also can prevent the infusion pump pipeline from generating the incompatibility, and solves the problems of easy occurrence of the incompatibility of the clinical infusion pump and lack of management and early warning of medication execution flow.
Description
Technical Field
The application belongs to the technical field of drug infusion safety management of infusion pumps, and particularly relates to an infusion pump control method and a related device.
Background
At present, infusion pump series products are widely applied in clinical operation in the medical field so as to carry out combined medication of multiple medicines. Centralized control and remote setting of the infusion pumps can be easily realized by controlling the infusion pumps in a workstation or computer mode to perform centralized monitoring.
However, in actual clinical operation, the infusion safety problem is mainly concentrated on the links of making orders and infusing medicines, the drug administration compatibility of the existing infusion pump is still operated according to the orders by people, the infusion system lacks management and early warning of checking and executing procedures of order information, and the solution of the infusion safety problem is not helpful.
Disclosure of Invention
The embodiment of the application provides an infusion pump control method and a related device, aiming at improving the clinical infusion medication safety.
In a first aspect, an embodiment of the present application provides an infusion pump control method, including:
acquiring first identity information, physical sign information, first medical advice medication information and last historical infusion information of a pipeline of an infusion pump to be used, wherein the medical advice medication information is used for indicating a medicine which is required to be infused by a user and the usage and the dosage of the medicine, and the historical infusion information comprises a medicine name of the infusion pump for carrying out infusion last time;
Judging whether the first identity information and the first medical advice medication information are accurate or not:
if yes, acquiring first medical history information of the user in a hospital management information set according to the first identity information, and generating a first treatment administration rationality detection result according to the first medical history information, the first medical advice medication information and the physical sign information;
if the first treatment administration rationality detection result is reasonable, determining whether the current treatment event accords with an infusion safety standard according to the first medical advice medication information, the last historical infusion information and a preset incompatibility set;
if yes, the first medical advice medication information is sent to the infusion pump to complete a treatment configuration process.
In a second aspect, an embodiment of the present application further provides an infusion pump control device, including:
an information acquisition unit: the method comprises the steps of acquiring first identity information, physical sign information, first medical advice medication information and last historical infusion information of a pipeline of an infusion pump to be used of a user, wherein the medical advice medication information is used for indicating a medicine which the user needs to infuse and the usage and the dosage of the medicine, and the historical infusion information comprises a medicine name of the infusion pump which infuses last time;
An information collation unit: the method is used for judging whether the first identity information and the first medical advice medication information are accurate or not:
rationality detection unit: the medical treatment management system comprises a first medical history information acquisition module, a second medical history information acquisition module and a first medical treatment administration rationality detection module, wherein the first medical history information acquisition module is used for acquiring first medical history information of the user in a hospital management information set according to the first identity information, and generating a first treatment administration rationality detection result according to the first medical history information, the first medical advice medication information and the physical sign information;
infusion safety standard judging unit: the method comprises the steps of determining whether a current treatment event meets infusion safety standards according to first medical advice medication information, the latest historical infusion information and a preset incompatibility set;
a transmitting unit: for sending the first prescribed medication information to the infusion pump to complete a therapy configuration process.
In a third aspect, an embodiment of the present application further provides a server comprising a memory, a processor and a computer program stored in said memory and executable on said processor, characterized in that said processor implements the steps of any of the methods of the first aspect as described above when said computer program is executed by said processor.
In a fourth aspect, embodiments of the present application also provide a computer readable storage medium storing a computer program, characterized in that the computer program when executed by a processor implements the steps of any of the methods of the first aspect as described above.
It can be seen that in the embodiment of the present application, first identity information, sign information, first order medication information of a user and last historical infusion information of a pipeline of an infusion pump to be used are obtained first, and then whether the first identity information and the first order medication information are accurate is determined. If the judgment is accurate, first medical history information of the user is obtained according to the first identity information, and then a first treatment administration rationality detection result is generated by combining the physical sign information and the first medical advice medication information. If the result is reasonable, determining whether the treatment meets the infusion safety standard according to the first medical advice medication information, the latest historical infusion information and the preset incompatibility set. And if the infusion safety standard is met, sending first medical advice medication information to the infusion pump to complete the treatment configuration process. Therefore, before the infusion pump completes the treatment configuration process according to the doctor's advice medication information, a plurality of steps of user information checking, treatment administration rationality detection and infusion safety standard judgment are added, the medication execution process is managed and safety precaution is carried out, and the clinical infusion medication safety is effectively improved.
Drawings
In order to more clearly illustrate the embodiments of the application or the technical solutions in the prior art, the drawings that are required in the embodiments or the description of the prior art will be briefly described, it being obvious that the drawings in the following description are only some embodiments of the application, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1a is a schematic diagram of an infusion control system provided in an embodiment of the present application;
fig. 1b is a schematic structural diagram of a server according to an embodiment of the present application;
FIG. 2a is a process schematic diagram of a method for controlling an infusion pump according to an embodiment of the present application;
FIG. 2b is a functional schematic of an infusion control system provided in an embodiment of the present application;
FIG. 3 is a block diagram of functional units of an infusion pump control device according to an embodiment of the present application;
fig. 4 is a block diagram of an infusion pump control device according to an embodiment of the present application.
Detailed Description
In order that those skilled in the art will better understand the present application, a technical solution in the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in which it is apparent that the described embodiments are only some embodiments of the present application, not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application.
The terms first, second and the like in the description and in the claims and in the above-described figures are used for distinguishing between different objects and not necessarily for describing a sequential or chronological order. Furthermore, the terms "comprise" and "have," as well as any variations thereof, are intended to cover a non-exclusive inclusion. For example, a process, method, system, article, or apparatus that comprises a list of steps or elements is not limited to only those listed steps or elements but may include other steps or elements not listed or inherent to such process, method, article, or apparatus.
Reference herein to "an embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment may be included in at least one embodiment of the application. The appearances of such phrases in various places in the specification are not necessarily all referring to the same embodiment, nor are separate or alternative embodiments mutually exclusive of other embodiments. Those of skill in the art will explicitly and implicitly appreciate that the embodiments described herein may be combined with other embodiments.
In order to better understand the technical solutions of the embodiments of the present application, the following describes an infusion control system and a server that may be related to the embodiments of the present application.
Referring to fig. 1a, fig. 1a is a schematic diagram of an infusion control system according to an embodiment of the present application, and as shown in the figure, an infusion control system 100 includes a server 101 and an infusion pump 102, where the server 101 is communicatively connected to the infusion pump 102. The server 101 sends the first order medication information to the infusion pump 102 such that the infusion pump 102 may complete the configuration regarding the current treatment based on the first order medication information. Or the server 101 can prohibit the infusion pump 102 from infusing, the infusion pump 102 can not infuse according to the medical advice medication information of the time, so that the treatment event with the incompatibility or the hidden danger of medication safety can be avoided, and the medication safety of clinical infusion is improved. One server 101 may also correspond to multiple infusion pumps at the same time, or multiple servers may be included in the infusion control system 100, one or more for each server.
Specifically, the structure of the server as shown in fig. 1a may refer to fig. 1b, and fig. 1b is a schematic structural diagram of a server according to an embodiment of the present application. As shown in fig. 1b, the server 110 may implement steps in an infusion pump control method, the server 110 comprising a processor 120, a memory 130, a communication interface 140, and one or more programs 131, wherein the one or more programs 131 are stored in the memory 130 and configured to be executed by the processor 120, the one or more programs 131 comprising instructions for performing any of the steps of the method embodiments described above.
The communication unit is used for supporting the communication between the first electronic device and other devices. The terminal may further comprise a memory unit for storing program codes and data of the terminal.
The processing unit may be a processor or a controller, such as a central processing unit (Central Processing Unit, CPU), a general purpose processor, a digital signal processor (Digital Signal Processor, DSP), an Application-specific integrated circuit (ASIC), a field programmable gate array (Field Programmable Gate Array, FPGA) or other programmable logic device, a transistor logic device, a hardware component, or any combination thereof. Which may implement or perform the various exemplary logic blocks, units and circuits described in connection with this disclosure. The processor may also be a combination that performs the function of a computation, e.g., a combination comprising one or more microprocessors, a combination of a DSP and a microprocessor, and the like. The communication unit may be a communication interface, a transceiver circuit, etc., and the storage unit may be a memory.
The memory may be volatile memory or nonvolatile memory, or may include both volatile and nonvolatile memory. The nonvolatile memory may be a read-only memory (ROM), a Programmable ROM (PROM), an Erasable PROM (EPROM), an electrically Erasable EPROM (EEPROM), or a flash memory. The volatile memory may be random access memory (random access memory, RAM) which acts as an external cache. By way of example but not limitation, many forms of random access memory (random access memory, RAM) are available, such as Static RAM (SRAM), dynamic Random Access Memory (DRAM), synchronous Dynamic Random Access Memory (SDRAM), double data rate synchronous dynamic random access memory (DDR SDRAM), enhanced Synchronous Dynamic Random Access Memory (ESDRAM), synchronous Link DRAM (SLDRAM), and direct memory bus RAM (DR RAM).
In a specific implementation, the processor is configured to perform any step performed by the server in the above method embodiment, and when performing data transmission such as sending, the communication interface is optionally invoked to complete a corresponding operation.
At present, in clinical operation of medical treatment, the potential safety hazard of medication is mainly concentrated on two links of medical advice and medication execution, and in actual treatment of patients, continuous intravenous infusion of the medication is often required, and products of infusion pumps and injection pump series are required. The product can meet the requirement of combined use of various medicines and is convenient for medical staff to use. However, the infusion pump itself does not provide assistance in eliminating medication safety concerns, as the infusion pump is actually configured by medical personnel and does not manage the administration of medication and the examination of drug compliance in a treatment regimen.
In order to solve the above problems, an embodiment of the present application provides an infusion pump control method, which may be applied to a server in an infusion control system to control an infusion pump. The first medical history of the user can be obtained by checking the first identity information of the user and the first medical advice medication information and according to the correct first identity information, and then the first treatment medication rationality detection is carried out by combining the first medical advice medication information and the sign information. And under the condition that the detection result is reasonable, further determining whether the treatment meets the infusion safety standard according to the preset combination tabu set and the latest historical infusion information of the infusion pump pipeline, and if so, sending first medical advice medication information to the infusion pump to complete configuration so as to realize control of the infusion pump by the server, checking of the information before infusion and control of medication safety.
The following description will first be made of the relevant terms that the present application relates to.
Infusion: refers to injection and transfusion, which is also called instillation.
Infusion pump: the infusion pump is an intelligent infusion device, and is a special medical device which can accurately control the number of infusion drops or the infusion flow rate by using mechanical driving force and ensure accurate and safe dosage to enter a patient. Infusion pumps are classified into two main categories, namely infusion pumps and microinjection pumps, according to infusion capacity and infusion accuracy.
Hospital management information system: the information management system is an information management system which uses modern means to cover all businesses and the whole business process of hospitals and mainly processes information of people, wealth, things and the like.
Clinical information system: the system is a management system which supports clinical activities of medical staff in hospitals, collects and processes clinical medical information of patients, enriches and accumulates at least clinical medicine, and provides clinical consultation, auxiliary diagnosis and treatment and auxiliary clinical decision making to process the clinical information.
Incompatibility is: it means that two or more drugs are mixed for use, and the external compatibility occurs, and the direct physical or chemical interaction can affect the therapeutic effect of the drugs or cause toxic reaction, which should be avoided.
The following describes the process of the infusion pump control method according to the embodiment of the present application from the point of view of the method embodiment.
Referring to fig. 2a, fig. 2a is a schematic process diagram of an infusion pump control method according to an embodiment of the present application, and the provided infusion pump control method is applied to a server in an infusion control system, and includes the following steps:
step S201, acquiring first identity information, sign information, first order medication information and last history infusion information of a pipeline of an infusion pump to be used of a user.
The medical advice medication information is used for indicating the medicine which is needed to be infused by the user, the usage and the dosage of the medicine, and the historical infusion information comprises the name of the medicine which is infused by the infusion pump last time.
For example, the server may obtain patient information such as first identity information of the user, which may be basic identity information about the user, including but not limited to name, blood type, date of birth, identification number, filled in by a nurse or doctor, in a hospital management information system (Hospital Information System, HIS). The server may also obtain such information about clinical medical treatment by obtaining in a clinical information system (Clinical Information System, CIS) user vital sign information including, but not limited to, height, weight, temperature, blood pressure, heart rate, first order medication information prescribed by a doctor, last history infusion information of tubing of an infusion pump including, but not limited to, history medication name, infusion time, infusion mode.
It can be seen that in this example, by acquiring the first identity information, the sign information, the first order medication information and the last history infusion information of the user, the infusion medication safety can be controlled, and by further analyzing and checking the acquired information, the infusion medication of the specific user is ensured to be specifically analyzed and ensured.
Step S202, judging whether the first identity information and the first medical advice medication information are accurate.
In one possible embodiment, before said determining whether the first identity information and the first order medication information are accurate, the method further comprises: and acquiring the second identity information and the second doctor's advice medication information which are uploaded by the nurse and are revised by the doctor.
The first identity information and the first order medication information are uploaded by a doctor, and errors may occur under the condition that the first identity information and the first order medication information are not checked. The nurse can further check and check the information uploaded by the doctor, the doctor's handwritten medical order medication information and the identity information of the user, if the doctor checks the problem, the doctor can be given to modify the medical order medication information and/or the identity information, the information is uploaded to the server by the nurse, and the server can acquire the second identity information and the second medical order medication information.
For example, the doctor may upload the medication information of the doctor's order with the name of the infused drug in error and upload the medication information of the doctor's order with the error. And then the nurse checks by calling the wrong medical advice medication information, if a problem is checked, the doctor who issues the medical advice medication information is submitted to modify and confirm, and then the nurse generates a bar code for the new medical advice medication information and uploads the bar code to the clinical information system again, so that the server acquires the new and correct medical advice medication information.
Therefore, in the example, the second identity information and the second medical advice medication information which are uploaded by the nurse and are modified again by the doctor are obtained, so that whether the first identity information and the first medical advice medication information are accurate or not can be judged later, and the accuracy of the basic information at the beginning of the infusion medicine execution process is ensured.
In one possible embodiment, the determining whether the first identity information and the first order medication information are accurate includes: comparing the second identity information and the second medical advice medication information with the first identity information and the first medical advice medication information, and judging whether the second identity information and the second medical advice medication information are consistent with the first medical advice medication information; if yes, judging that the first identity information and/or the first medical advice medication information are accurate; if not, judging that the first identity information and/or the first medical advice medication information are inaccurate.
The second identity information and the second order medication information acquired in the previous possible embodiment are modified and confirmed by a doctor, and the modified identity information and the modified order medication information are compared with the first identity information and the first order medication information to judge whether the first identity card information and/or the first order medication information is accurate or not.
Therefore, in the example, the manual checking link and the server checking link of the identity information of the user and the medical order medication information of the doctor are added, so that the reasonable and effective medication safety analysis and the rational detection of the therapeutic medication administration in the subsequent infusion medication safety judging process can be ensured, and the whole infusion flow information is managed and controlled.
In one possible embodiment, the method further comprises: if the first identity information and/or the first medical advice medication information are/is not accurate, the first identity information and/or the first medical advice medication information are modified according to the second identity information and/or the second medical advice medication information; and acquiring second medical history information of the user in the hospital management information set according to the modified first identity information, and generating a second treatment administration rationality detection result according to the second medical history information, the modified first medical advice medication information and the sign information.
After the first identity information and/or the first medical advice medication information are/is judged to be inaccurate, the first identity information and/or the first medical advice medication information are/is modified according to the second identity information and/or the second medical advice medication information which are accurate and checked, so that corrected first identity card information and/or first medical advice medication information are obtained, and second medical history information of a user is obtained according to the corrected first identity information. The second medical history information includes, but is not limited to, family history, current medical history, past medical history, allergy history of the user, and the server can also be obtained according to the hospital management information system. After the second medical history information of the user is obtained, the modified first medical advice medication information and the sign information of the user are combined to carry out treatment administration rationality detection, and a second treatment administration rationality detection result is generated and obtained.
Therefore, in the example, through the modification after the inaccurate judgment information, the subsequent normal use of the first identity information and the first medical advice medication information can be ensured, and the infusion safety problem caused by the manual information input error is reduced.
Step S203, if yes, obtaining first medical history information of a user in the hospital management information set according to the first identity information, and generating a first treatment administration rationality detection result according to the first medical history information, the first medical advice medication information and the sign information.
In one possible embodiment, after the generating a first therapeutic administration rationality test result from the medical history information, the first order medication information, and the physical sign information, the method further comprises: and if the administration rationality detection result of the first treatment is unreasonable, performing second early warning and prohibiting the infusion pump from performing infusion.
The second early warning is used for prompting the doctor to check the medical history information and the physical sign information, and the first medical advice information is delivered again according to the medical history information and the physical sign information.
After first medical history information is acquired according to the first identity information, first treatment administration rationality detection is carried out by combining the first medical advice medication information and the physical sign information, and a rationality detection result is generated, wherein the first treatment administration rationality detection is to detect whether the current physical sign information and the medical history of the user of the drug to be infused in the first medical advice medication information are reasonable or not, and the generated detection result is used for representing that the treatment administration is unreasonable or reasonable. After the unreasonable detection result is generated, the server carries out second early warning to prompt doctors to judge again and administer medicine, and the infusion pump is prohibited from infusing according to the current medical advice medication information.
For example, common antipyretic analgesic drugs such as aspirin cannot be used by every user, and are forbidden for users with special sign information or special medical history, so that serious adverse reactions or poisoning can occur once the aspirin is taken, and medical accidents and potential safety hazards of medication are caused. For example, including but not limited to, aspirin is forbidden to the presence of a history of allergy to other antipyretic analgesics, a history of hemolytic anemia, or a lactating user. Thus, if it is detected that aspirin is contained in the prescribed medication information and that the physical sign information and medical history of the user are aspirin-disabled, the detection result is unreasonable and a second warning is made to prompt the doctor to re-administer medication based on the physical sign information and medical history.
It can be seen that in this example, the rationality of the administration of the treatment is detected according to the first order medication information, the sign information and the medical history information of the user, and if the detection result is unreasonable, early warning and prohibition of infusion by the infusion pump are performed. Therefore, the investigation on the aspect of infusion safety of the infused medicine can be realized, the personal information of the user is combined actually, the medicine finally infused by the infusion pump is ensured to be scientific and reasonable for the therapeutic administration of the user, and meanwhile, the injury of the special medicine to the special user caused by negligence of manual operation is avoided.
Step S204, if the result of the rationality detection of the administration of the first treatment is reasonable, determining whether the current treatment event meets the infusion safety standard according to the first medical advice medication information, the latest historical infusion information and the preset incompatibility set.
In one possible embodiment, the determining whether the current treatment event meets the infusion safety standard according to the first order medication information, the last historical infusion information and a preset set of incompatibility includes: acquiring a drug name required to be infused by the user in the first medical advice medication information, the drug usage and a historical drug name in the last historical infusion information; inquiring the preset incompatibility set according to the name of the infused medicine and the name of the historical medicine, and determining whether the incompatibility occurs or not by combining with the medicine usage; determining whether potential safety hazards of the drug usage exist according to the name of the infused drug and the drug usage; if the incompatibility is determined not to occur and the potential safety hazard of the drug use does not exist, determining that the current treatment event accords with the infusion safety standard; and if the incompatibility occurs and/or the potential safety hazard of the drug use exists, determining that the current treatment event does not accord with the infusion safety standard.
When determining whether the current treatment event meets the infusion safety standard, acquiring an infusion medicine name and a medicine usage in the first medical advice medicine information, and inquiring a preset incompatibility set by combining the medicine name of the last historical infusion of the catheter of the infusion pump. The preset set of incompatibility includes, but is not limited to, medicines having compatibility experience in clinical medical treatment, medicines with incompatibility and adverse consequences caused by the incompatibility. The existing clinical experience can be queried by querying the combination tabu set through the name of the infused medicine and the name of the historical medicine, whether at least one infused medicine in the medical advice medication information has the combination tabu with the historical medicine or has the combination tabu with a plurality of infused medicines is determined, and then mixed infusion or simultaneous infusion is performed among the medicines with the combination tabu is determined in the medicine usage. And determining whether potential safety hazards of the drug use exist according to the name of the infused drug and the infusion drug use, and if the situation that the potential safety hazards of the drug use do not exist in the incompatibility or the current treatment event meets the infusion safety standard is finally determined. Otherwise, determining that the current treatment event does not meet the infusion safety standard.
For example, the incompatibility of medicines is found in the infusion tube mixing of medicines during multi-line infusion and changing of medicines, in addition to the medicines in the infusion bag. In practical clinical practice, a mode of combined infusion is often adopted, for example, multi-channel infusion using an infusion pump is required for critical patients, and the patients usually need to continuously administer the infusion for 24 hours, if the infusion is administered through a single-cavity central venous catheter or is connected through a three-way tube, the infused medicine and the infusion pump historically infused medicine are compatible, and incompatibility may occur, and at the same time, the infusion is easily ignored by medical staff. For another example, when the analgesic pump is reused by the postoperative patient, the analgesic is needed, the analgesic liquid has various medicine components, and if the analgesic pump is used, the analgesic liquid and the conventional liquid are taken together for one infusion path, medicine reaction is easy to occur. If the drug infused historically in the catheter to which the infusion pump is connected is ignored, incompatibility may occur in the tubing.
It can be seen that in this example, whether there is a medication incompatibility is determined by querying a preset combination of medication names and historical medication names, whether there is a medication incompatibility is determined by medication usage, whether there is a medication usage safety hidden danger is determined according to the medication names and medication usage, and finally whether the current treatment event meets the infusion safety standard is obtained. Therefore, the problem of possible incompatibility in the infusion pump pipeline caused by the combined infusion medicine which is commonly used clinically can be avoided, whether the medicine usage in the doctor-prescribed medicine information is correct or not is checked through the server, the potential safety hazard of the medicine usage is avoided, the intelligent constraint and management control of the medicine administration compatibility of the infusion pump are realized, and the safety of the clinical infusion medicine is ensured.
In one possible embodiment, the method further comprises: if the current treatment event is determined not to accord with the infusion safety standard, generating a report which does not accord with the infusion safety standard, and carrying out first early warning before infusion and prohibiting the infusion pump from carrying out infusion.
Wherein the report is used for representing the incompatibility and/or the drug use potential safety hazard existing in the current treatment event, and the first early warning is used for prompting a doctor to check the report and re-issue the first medical advice medication information
After determining that the current treatment event has a incompatibility or/and drug use potential safety hazard, generating a report which does not accord with the safety standard, and carrying out early warning before infusion to prompt a doctor to re-issue the first medical advice medication information. The infusion control system is also provided with a default safety configuration function, if the current treatment event is only the hidden danger of the medicine, reasonable medicine usage such as the infusion dosage, the pump speed, the pumping quantity and the like of the infused medicine is obtained according to the common medicine condition of the department and the sign information of the user, the infusion pump is safely configured according to the calculated reasonable medicine usage, the medicine is infused according to the new configuration after the doctor determines, the first doctor does not need to be given with medicine information again, and the user needing emergency is infused in time.
Therefore, in the example, after the treatment event is determined to be not in accordance with the infusion safety standard, a report is generated, the infusion of the infusion pump is prohibited, and a first early warning is performed to prompt a doctor to check the report and to re-issue the first medical order medication information, so that the control of the infusion pump can be realized, the infusion pump is prevented from infusing according to the medical order medication information with potential safety hazards, and the doctor is ensured to re-issue the medical order medication information without the same potential safety hazards.
In one possible embodiment, the drug use safety hazard is used to characterize at least one of the following abnormalities of the infused drug: abnormal route of administration, abnormal time of administration, and abnormal interval of administration.
Wherein, the abnormal administration route refers to the abnormal mode of entering the medicine into human body, which can affect the intensity of the medicine effect and the acting speed. The abnormal administration time refers to the abnormal time of the medicine entering the human body, and the medicine effect is affected. The dosing interval refers to the frequency of infusion dosing at the same time, which is an important factor affecting the therapeutic efficacy of the drug, and is manifested as excessive or insufficient frequency. In addition, the potential safety hazards of drug use may also include abnormal infusion speed, which can lead to infusion reaction and seriously affect the treatment effect of the infusion drug.
For example, with regard to the abnormality of the administration route, the absorption degree of the drug varies from one administration route to another, and the abnormality of the administration route may also cause the property of the drug to change. The abnormal dosing interval is mainly represented in the use of antibiotics, and for time-dependent antibiotics, the sterilization effect is mainly enough depending on the blood concentration, so that the medicine is dosed for multiple times, and the curative effect of the medicine is affected by the abnormal dosing interval. Regarding the abnormality of administration time, it may reduce the efficacy and increase toxic and side effects, such as drugs irritating to gastric mucosa, which must be taken after meals. Regarding the abnormal infusion speed, for example, when amino acid is infused, the infusion pump drops too fast, which may cause dizziness, vomiting, hypotension and the like of the user.
It can be seen that in this example, by obtaining the name of the infused drug and the drug usage in the first order medication information, it can be determined whether there is a drug usage safety hazard that is used to characterize at least one of the following anomalies: abnormal route of administration, abnormal time of administration, and abnormal interval of administration. Therefore, the potential safety hazard of the drug use can be comprehensively checked, and the potential safety hazard can be solved, so that the drug use safety is improved.
Step S205, if yes, the first medical advice medication information is sent to the infusion pump to complete the treatment configuration process.
After the first medical advice medication information is checked in multiple aspects, the first medical advice medication information is sent to an infusion pump, relevant parameters of the first medical advice medication information are configured according to the first medical advice medication information, and the infusion of the medicine is completed with the help of medical staff. Related parameters include, but are not limited to, infusion mode, infusion time, infusion interval, infusion route, infusion dose, and cascade relationship between multiple infusion pumps.
Therefore, in this example, the first order medication information is sent to the infusion pump to complete the treatment configuration process, so that the infusion control of the infusion pump can be realized, the infusion pump is ensured to perform the infusion of the drug through detection and check, the drug is reasonably administered, and the infusion pump is prohibited from performing the infusion if the unreasonable detection or the treatment safety problem is found, so that the safety of the user is ensured.
In the embodiment of the application, first identity information, physical sign information, first medical advice medication information and last historical infusion information of a pipeline of an infusion pump to be used of a user are firstly obtained, then the obtained first identity information and the first medical advice medication information are checked, and then the accurate first identity information is used for obtaining medical history information of the user. And detecting the rationality of treatment administration according to the medical history information, the first medical advice medication information and the physical sign information, determining whether the current treatment time accords with the infusion safety standard according to the historical infusion information and a preset incompatibility set after a reasonable result is obtained, and if so, sending the first medical advice medication information to an infusion pump for configuration, and preparing for infusion. As shown in fig. 2b, fig. 2b is a functional schematic diagram of an infusion control system according to an embodiment of the present application, through the above method steps, the infusion pump control system may implement multiple functions, such as information acquisition, information inquiry and check, implementing clinical infusion medication execution and intelligent management of an infusion pump. The judgment of the safety standard is detected reasonably, the safety standard is met, no incompatibility and drug usage potential safety hazard are avoided, then the problem is found, safety early warning can be carried out to give the medical advice drug information again, the treatment drug administration scheme of the final infusion to the infusion pump is reasonable and safe, and the drug administration safety and the life health of a user are guaranteed as much as possible.
In accordance with the embodiment of fig. 2a, referring to fig. 3, fig. 3 is a functional unit block diagram of an infusion pump control device according to an embodiment of the present application, where the infusion pump control device 300 is applied to a server of an infusion control system, and the infusion control system includes the server and an infusion pump, and the server is communicatively connected to the infusion pump, and the device includes:
the information acquisition unit 301: the method comprises the steps of acquiring first identity information, physical sign information, first medical advice medication information of a user and last historical infusion information of a pipeline of an infusion pump to be used, wherein the medical advice medication information is used for indicating a medicine which the user needs to infuse and the usage and the dosage of the medicine, and the historical infusion information comprises a medicine name of the infusion pump which infuses last time.
An information checking unit 302, configured to determine whether the first identity information and the first order medication information are accurate.
In one possible embodiment, in the determining whether the first identity information and the first order medication information are accurate, the information checking unit 302 is specifically configured to: and acquiring the uploaded second identity information and second medical advice medication information of the nurse.
In one possible embodiment, in the determining whether the first identity information and the first order medication information are accurate, the information checking unit 302 is further specifically configured to: comparing the second identity information and the second medical advice medication information with the first identity information and the first medical advice medication information, and judging whether the second identity information and the second medical advice medication information are consistent with the first medical advice medication information; if yes, judging that the first identity information and/or the first medical advice medication information are accurate; if not, judging that the first identity information and/or the first medical advice medication information are inaccurate.
In one possible embodiment, in the determining whether the first identity information and the first order medication information are accurate, the information checking unit 302 is further specifically configured to: if the first identity information and/or the first medical advice medication information are/is not accurate, the first identity information and/or the first medical advice medication information are modified according to the second identity information and/or the second medical advice medication information; and acquiring second medical history information of the user in the hospital management information set according to the modified first identity information, and generating a second treatment administration rationality detection result according to the second medical history information, the modified first medical advice medication information and the sign information.
The rationality detection unit 303 is configured to obtain first medical history information of the user in the hospital management information set according to the first identity information, and generate a first therapeutic administration rationality detection result according to the first medical history information, the first medical advice medication information, and the sign information.
In one possible embodiment, in generating the first therapeutic administration plausibility detection result, the plausibility detection unit 303 is specifically configured to: and if the administration rationality detection result of the first treatment is unreasonable, performing second early warning and prohibiting the infusion pump from performing infusion.
The infusion safety standard determining unit 304 is configured to determine whether the current treatment event meets the infusion safety standard according to the first medical advice medication information, the last historical infusion information, and a preset set of incompatibility.
In one possible embodiment, the infusion safety standard determining unit 304 is further specifically applied to determine whether the current treatment event meets the infusion safety standard according to the first order medication information, the last historical infusion information, and a preset set of compatibility contraindications: acquiring a drug name required to be infused by the user in the first medical advice medication information, the drug usage and a historical drug name in the last historical infusion information; inquiring the preset incompatibility set according to the name of the infused medicine and the name of the historical medicine, and determining whether the incompatibility occurs or not by combining with the medicine usage; determining whether potential safety hazards of the drug usage exist according to the name of the infused drug and the drug usage; if the incompatibility is determined not to occur and the potential safety hazard of the drug use does not exist, determining that the current treatment event accords with the infusion safety standard; and if the incompatibility occurs and/or the potential safety hazard of the drug use exists, determining that the current treatment event does not accord with the infusion safety standard.
In one possible embodiment, the infusion safety criterion determination unit 304 is further specifically applied to determine whether the current treatment event meets the infusion safety criterion: if the current treatment event is determined not to accord with the infusion safety standard, generating a report which does not accord with the infusion safety standard, and carrying out a first early warning before infusion and prohibiting the infusion pump from carrying out infusion, wherein the report is used for representing the incompatibility and/or the potential safety hazard of the drug usage existing in the current treatment event, and the first early warning is used for prompting a doctor to check the report and re-issue the drug information of the first doctor advice.
In one possible embodiment, the drug use safety hazard is used to characterize at least one of the following abnormalities of the infused drug: abnormal route of administration, abnormal time of administration, and abnormal interval of administration.
A sending unit 305, configured to send the first order medication information to the infusion pump to complete a treatment configuration procedure.
It can be understood that, since the method embodiment and the apparatus embodiment are different presentation forms of the same technical concept, the content of the method embodiment portion in the present application should be synchronously adapted to the apparatus embodiment portion, which is not described herein.
In the case of using an integrated unit, as shown in fig. 4, fig. 4 is a schematic structural diagram of an infusion pump control device according to an embodiment of the present application. In fig. 4, an infusion pump control device 400 includes: a processing module 402 and a communication module 401. The processing module 402 is used for controlling and managing the actions of the infusion pump control device 400, such as the steps of the information acquisition unit 301, the information verification unit 302, the rationality detection unit 303, the infusion safety criterion determination unit 304, and the transmission unit 305, and/or for performing other processes of the techniques described herein. The communication module 401 is used to support interactions between the mobile marketplace management device and other devices. As shown in fig. 4, the infusion pump control device may further comprise a memory module 403, the memory module 403 being adapted to store program code and data for the infusion pump control device.
The processing module 402 may be a processor or controller, such as a central processing unit (Central Processing Unit, CPU), a general purpose processor, a digital signal processor (Digital Signal Processor, DSP), an ASIC, an FPGA or other programmable logic device, a transistor logic device, a hardware component, or any combination thereof. Which may implement or perform the various exemplary logic blocks, modules and circuits described in connection with this disclosure. The processor may also be a combination that performs the function of a computation, e.g., a combination comprising one or more microprocessors, a combination of a DSP and a microprocessor, and the like. The communication module 501 may be a transceiver, RF circuitry, or a communication interface, etc. The memory module 403 may be a memory.
All relevant contents of each scenario related to the above method embodiment may be cited to the functional description of the corresponding functional module, which is not described herein. Both the infusion pump control device 300 and the infusion pump control device 400 may perform the mobile marketplace management method shown in fig. 2.
The above embodiments may be implemented in whole or in part by software, hardware, firmware, or any other combination. When implemented in software, the above-described embodiments may be implemented in whole or in part in the form of a computer program product. The computer program product comprises one or more computer instructions or computer programs. When the computer instructions or computer program are loaded or executed on a computer, the processes or functions described in accordance with embodiments of the present application are produced in whole or in part. The computer may be a general purpose computer, a special purpose computer, a computer network, or other programmable apparatus. The computer instructions may be stored in a computer-readable storage medium or transmitted from one computer-readable storage medium to another computer-readable storage medium, for example, the computer instructions may be transmitted from one website site, computer, server, or data center to another website site, computer, server, or data center by wired or wireless means. The computer readable storage medium may be any available medium that can be accessed by a computer or a data storage device such as a server, data center, etc. that contains one or more sets of available media. The usable medium may be a magnetic medium (e.g., floppy disk, hard disk, magnetic tape), an optical medium (e.g., DVD), or a semiconductor medium. The semiconductor medium may be a solid state disk.
The embodiment of the application also provides a computer storage medium, wherein the computer storage medium stores a computer program for electronic data exchange, and the computer program makes a computer execute part or all of the steps of any one of the above method embodiments, and the computer includes an electronic device.
Embodiments of the present application also provide a computer program product comprising a non-transitory computer-readable storage medium storing a computer program operable to cause a computer to perform part or all of the steps of any one of the methods described in the method embodiments above. The computer program product may be a software installation package, said computer comprising an electronic device.
It should be understood that, in various embodiments of the present application, the sequence numbers of the foregoing processes do not mean the order of execution, and the order of execution of the processes should be determined by the functions and internal logic thereof, and should not constitute any limitation on the implementation process of the embodiments of the present application.
In the several embodiments provided in the present application, it should be understood that the disclosed method, apparatus and system may be implemented in other manners. For example, the device embodiments described above are merely illustrative; for example, the division of the units is only one logic function division, and other division modes can be adopted in actual implementation; for example, multiple units or components may be combined or may be integrated into another system, or some features may be omitted, or not performed. Alternatively, the coupling or direct coupling or communication connection shown or discussed with each other may be an indirect coupling or communication connection via some interfaces, devices or units, which may be in electrical, mechanical or other form.
The units described as separate units may or may not be physically separate, and units shown as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the units may be selected according to actual needs to achieve the purpose of the solution of this embodiment.
In addition, each functional unit in the embodiments of the present application may be integrated in one processing unit, or each unit may be physically included separately, or two or more units may be integrated in one unit. The integrated units may be implemented in hardware or in hardware plus software functional units.
The integrated units implemented in the form of software functional units described above may be stored in a computer readable storage medium. The software functional unit is stored in a storage medium, and includes several instructions for causing a computer device (which may be a personal computer, a server, or a network device, etc.) to perform part of the steps of the method according to the embodiments of the present application. And the aforementioned storage medium includes: a U-disk, a removable hard disk, a Read-Only Memory (ROM), a random access Memory (Random Access Memory, RAM), a magnetic disk, or an optical disk, or other various media capable of storing program codes.
Although the present invention is disclosed above, the present invention is not limited thereto. Variations and modifications, including combinations of the different functions and implementation steps, as well as embodiments of the software and hardware, may be readily apparent to those skilled in the art without departing from the spirit and scope of the invention.
Claims (10)
1. An infusion pump control method, characterized by being applied to a server in an infusion control system comprising the server, an infusion pump, the method comprising:
acquiring first identity information, physical sign information, first medical advice medication information and last historical infusion information of a pipeline of an infusion pump to be used, wherein the medical advice medication information is used for indicating a medicine which is required to be infused by a user and the usage and the dosage of the medicine, and the historical infusion information comprises a medicine name of the infusion pump for carrying out infusion last time;
judging whether the first identity information and the first medical advice medication information are accurate or not:
if the first identity information and the first medical advice medication information are accurate, acquiring first medical history information of the user in a hospital management information set according to the first identity information, and generating a first treatment medication administration rationality detection result according to the first medical history information, the first medical advice medication information and the physical sign information;
If the first therapeutic administration rationality detection result is reasonable, determining whether the current therapeutic event meets the infusion safety standard according to the first medical advice medication information, the last historical infusion information and a preset incompatibility set:
if the current treatment event meets the infusion safety standard, sending the first medical advice medication information to the infusion pump to complete a treatment configuration process;
if the current treatment event does not meet the infusion safety standard and only has potential drug usage safety hazards, determining reasonable drug usage according to the sign information and the common drug conditions of the corresponding departments, wherein the potential drug usage safety hazards are used for representing at least one of the following abnormal conditions of the infused drug: abnormal administration route, abnormal administration time and abnormal administration interval; and after confirmation of the corresponding doctor, sending the first medical advice medication information to the infusion pump, and performing safety configuration on the infusion pump according to the reasonable medication usage to complete the treatment configuration process.
2. The method of claim 1, wherein prior to said determining whether the first identity information and first order medication information are accurate, the method further comprises:
And acquiring second identity information and second medical order medication information uploaded by a nurse and modified by the doctor.
3. The method of claim 2, wherein the determining whether the first identity information and first order medication information are accurate comprises:
comparing the second identity information and the second medical advice medication information with the first identity information and the first medical advice medication information, and judging whether the second identity information and the second medical advice medication information are consistent with the first medical advice medication information;
if yes, judging that the first identity information and/or the first medical advice medication information are accurate;
if not, judging that the first identity information and/or the first medical advice medication information are inaccurate.
4. A method according to claim 3, wherein the method further comprises:
if the first identity information and/or the first medical advice medication information are/is not accurate, the first identity information and/or the first medical advice medication information are modified according to the second identity information and/or the second medical advice medication information;
and acquiring second medical history information of the user in the hospital management information set according to the modified first identity information, and generating a second treatment administration rationality detection result according to the second medical history information, the modified first medical advice medication information and the sign information.
5. The method of claim 1, wherein determining whether the current treatment event meets infusion safety criteria based on the first order medication information and the last historical infusion information and a preset set of incompatibility values comprises:
acquiring a drug name required to be infused by the user in the first medical advice medication information, the drug usage and a historical drug name in the last historical infusion information;
inquiring the preset incompatibility set according to the name of the infused medicine and the name of the historical medicine, and determining whether the incompatibility occurs or not by combining with the medicine usage; determining whether potential safety hazards of the drug usage exist according to the name of the infused drug and the drug usage;
if the incompatibility is determined not to occur and the potential safety hazard of the drug use does not exist, determining that the current treatment event accords with the infusion safety standard;
and if the incompatibility occurs and/or the potential safety hazard of the drug use exists, determining that the current treatment event does not accord with the infusion safety standard.
6. The method of claim 5, wherein the method further comprises:
If the current treatment event is determined not to accord with the infusion safety standard, generating a report which does not accord with the infusion safety standard, and carrying out a first early warning before infusion and prohibiting the infusion pump from carrying out infusion, wherein the report is used for representing the incompatibility and/or the potential safety hazard of the drug usage existing in the current treatment event, and the first early warning is used for prompting a doctor to check the report and re-issue the drug information of the first doctor advice.
7. The method of claim 1, wherein after the generating a first therapeutic administration rationality test result from the medical history information, the first order medication information, and the physical sign information, the method further comprises:
if the first treatment administration rationality detection result is unreasonable, performing a second early warning and prohibiting the infusion pump from performing infusion, wherein the second early warning is used for prompting the doctor to check the medical history information and the physical sign information and re-issuing the first medical advice medication information according to the medical history information and the physical sign information.
8. An infusion pump control device for use with a server in an infusion control system, the device comprising:
An information acquisition unit: the method comprises the steps of acquiring first identity information, physical sign information, first medical advice medication information and last historical infusion information of a pipeline of an infusion pump to be used of a user, wherein the medical advice medication information is used for indicating a medicine which the user needs to infuse and the usage and the dosage of the medicine, and the historical infusion information comprises a medicine name of the infusion pump which infuses last time;
an information collation unit: the method is used for judging whether the first identity information and the first medical advice medication information are accurate or not:
rationality detection unit: if the first identity information and the first medical advice medication information are accurate, acquiring first medical history information of the user in a hospital management information set according to the first identity information, and generating a first treatment medication rationality detection result according to the first medical history information, the first medical advice medication information and the physical sign information;
infusion safety standard judging unit: if the first therapeutic administration rationality detection result is reasonable, determining whether the current therapeutic event meets the infusion safety standard according to the first medical advice medication information, the latest historical infusion information and a preset incompatibility set;
A transmitting unit: if the current treatment event meets the infusion safety standard, sending the first medical advice medication information to the infusion pump to complete a treatment configuration process; if the current treatment event does not meet the infusion safety standard and only has potential drug usage safety hazards, determining reasonable drug usage according to the sign information and the common drug conditions of the corresponding departments, wherein the potential drug usage safety hazards are used for representing at least one of the following abnormal conditions of the infused drug: abnormal administration route, abnormal administration time and abnormal administration interval; and after confirmation of the corresponding doctor, sending the first medical advice medication information to the infusion pump, and performing safety configuration on the infusion pump according to the reasonable medication usage to complete the treatment configuration process.
9. A server comprising a memory, a processor and a computer program stored in the memory and executable on the processor, characterized in that the processor implements the steps of the method according to any of claims 1 to 7 when the computer program is executed.
10. A computer readable storage medium storing a computer program, characterized in that the computer program when executed by a processor implements the steps of the method according to any one of claims 1 to 7.
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| CN115475305A (en) * | 2022-09-22 | 2022-12-16 | 深圳麦科田生物医疗技术股份有限公司 | Liquid medicine infusion control method, infusion system and infusion pump |
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