CN114466257A - Supervision ward wisdom prevention and control all-in-one - Google Patents
Supervision ward wisdom prevention and control all-in-one Download PDFInfo
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- CN114466257A CN114466257A CN202210098083.7A CN202210098083A CN114466257A CN 114466257 A CN114466257 A CN 114466257A CN 202210098083 A CN202210098083 A CN 202210098083A CN 114466257 A CN114466257 A CN 114466257A
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- 230000002265 prevention Effects 0.000 title claims abstract description 7
- 238000001514 detection method Methods 0.000 claims abstract description 23
- 238000012544 monitoring process Methods 0.000 claims description 30
- 230000007246 mechanism Effects 0.000 claims description 24
- 230000001815 facial effect Effects 0.000 claims description 15
- 230000036772 blood pressure Effects 0.000 claims description 2
- 230000036760 body temperature Effects 0.000 claims description 2
- 210000001503 joint Anatomy 0.000 claims description 2
- 238000005259 measurement Methods 0.000 abstract description 6
- 230000036541 health Effects 0.000 abstract description 4
- 238000010586 diagram Methods 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000003862 health status Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 206010052770 Coma states Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 238000009529 body temperature measurement Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000009532 heart rate measurement Methods 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 238000013214 routine measurement Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04Q—SELECTING
- H04Q9/00—Arrangements in telecontrol or telemetry systems for selectively calling a substation from a main station, in which substation desired apparatus is selected for applying a control signal thereto or for obtaining measured values therefrom
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04Q—SELECTING
- H04Q2209/00—Arrangements in telecontrol or telemetry systems
- H04Q2209/10—Arrangements in telecontrol or telemetry systems using a centralized architecture
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- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Business, Economics & Management (AREA)
- General Business, Economics & Management (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Primary Health Care (AREA)
- Public Health (AREA)
- Computer Networks & Wireless Communication (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
The invention provides an intelligent prevention and control integrated machine for a supervision ward, which comprises: paging center host computer, paging extension, wisdom supervision sick bed, every nurse station department all installs a paging center host computer, installs a plurality of paging extensions in every ward, and wisdom supervision sick bed is placed in the ward and is docked to the extension of paging on, and wisdom supervision sick bed includes: the bed body is installed sign detection device, all-in-one on the bed body, simultaneously sign detection device is connected to on the all-in-one. The paging center host and the paging center extension set can carry out voice intercommunication, meanwhile, the intelligent supervision sickbed can detect various vital signs of a patient and send measured data to the paging center host through the paging extension set, medical personnel at a nurse station can timely learn the health condition of the patient, meanwhile, simple daily measurement can be completed through equipment, and repeated conventional measurement operation of the medical personnel on each patient is avoided.
Description
Technical Field
The invention relates to the field of medical monitoring equipment, in particular to an intelligent prevention and control integrated machine for a supervision ward.
Background
Because the accelerated development of urbanization, the hospital department scale of living in current hospital constantly increases, for making things convenient for medical personnel to manage the patient in hospital, sets up nurse station at every floor of the department of living in general, talkbacks through the intercom between nurse station and the sick bed and exchanges, realizes the efficient effect of nursing, but only can not let the nurse in time learn patient's health status through setting up the intercom, still need the routine measurement operation of nurse in-process of being in hospital, the task is heavy.
Disclosure of Invention
In view of the above problems in the background art, the present invention provides an intelligent integrated monitoring and controlling machine for a ward, comprising: the intelligent monitoring sickbed comprises a paging center host, paging extensions and an intelligent monitoring sickbed, wherein a nurse station is arranged in each floor of a hospital department, a paging center host is arranged at each nurse station, a plurality of paging extensions are arranged in each ward, the intelligent monitoring sickbed is placed in each ward and is in butt joint with the paging extensions, the paging extensions are connected to the paging center host, and data can be interactively transmitted between the paging extensions and the paging hosts, and the intelligent monitoring sickbed comprises: the bed body, install sign detection device, all-in-one on the bed body, be equipped with touch display screen on the all-in-one, can type into and show patient's each item relevant information through touch display screen, simultaneously sign detection device is connected to on the all-in-one, can show each item information that sign detection device detected through the all-in-one, the all-in-one can dismantle be connected to on the paging extension, the all-in-one sends after numbering each item data that sign detection device detected through the paging extension on the paging center host computer.
As a preferred scheme of the invention, the paging host is provided with a video display window, a microphone and a loudspeaker, voice talkback can be carried out between the paging host and the paging extension, the video display window is provided with a plurality of display frames, each display frame corresponds to a sick house number and a bed number, and the paging center host receives the numbered data and then displays the data in the corresponding display frame according to the number.
As a preferable scheme of the invention, the physical sign detection device is provided with a body temperature measurement sensor, a heart rate measurement sensor and a blood pressure measurement sensor, the physical sign detection device sends detected data to the all-in-one machine, and the all-in-one machine stores, records and draws measured data into a chart.
As a preferred scheme of the present invention, the information manually entered on the all-in-one machine includes: basic information of the patient, past case information, and information of the attending physician.
As a preferred aspect of the present invention, a lifting type supporting mechanism and a moving mechanism are installed below the intelligent supervision bed, and the moving mechanism includes: the bed body comprises supporting legs and universal wheels, wherein the four supporting legs are respectively arranged below four corners of the bed body, and the universal wheels are arranged at the bottoms of the supporting legs.
As a preferable aspect of the present invention, the lifting-type supporting mechanism includes: the bed comprises a supporting bottom plate and a folding lifting component, wherein the supporting bottom plate is horizontally arranged below the bed body, and the supporting bottom plate is connected with the bottom of the bed body through the folding lifting component.
As a preferable aspect of the present invention, the present invention further includes: the face camera is arranged on the bed body and is positioned right above the position of the bed head and vertically shoots downwards.
As a preferable scheme of the present invention, the face camera is connected to the all-in-one machine, and the face camera transmits a captured face image to the all-in-one machine in real time.
As a preferable scheme of the invention, the all-in-one machine identifies and processes the facial image, and sends the picture of the facial image to the paging center host when the patient has a painful expression.
Compared with the prior art, the invention provides an intelligent prevention and control integrated machine for a supervision ward, which has the following beneficial effects:
1. the intelligent monitoring hospital bed is provided with the paging center host, the paging extension and the intelligent monitoring hospital bed, voice intercommunication can be carried out between the paging center host and the paging center extension, meanwhile, the intelligent monitoring hospital bed can detect various vital signs of a patient and send measured data to the paging center host through the paging extension, medical personnel at a nurse station can timely learn the health condition of the patient, meanwhile, simple daily measurement can be completed through equipment, and repeated conventional measurement operation of the medical personnel on each patient is avoided.
2. According to the intelligent monitoring hospital bed, the all-in-one machine is arranged on the intelligent monitoring hospital bed, various information entry operations of a patient are completed through the all-in-one machine, the all-in-one machine records the measured data by the physical sign detection device and draws the recorded data into a chart, when medical care personnel and an attending physician visit, the health condition of the patient during hospitalization can be timely and intuitively known, and meanwhile, the condition of manual recording errors can be avoided.
3. The intelligent supervision sickbed is provided with the lifting type supporting mechanism and the moving mechanism, the height of the sickbed body is adjusted through the lifting type supporting mechanism, the lifting type supporting mechanism achieves the off-ground operation of the moving mechanism when the intelligent supervision sickbed does not need to move, and the moving mechanism is grounded and conveniently moved by the folding lifting type supporting mechanism when the intelligent supervision sickbed needs to move.
4. The invention carries out expression recognition on the face of the patient by arranging the face camera, and transmits the shot picture to the paging center host computer for displaying when the patient has painful expression, thereby effectively reminding medical care personnel at a nurse station.
Description of the drawings:
fig. 1 is a schematic diagram of a monitoring ward intelligent prevention and control all-in-one machine.
Fig. 2 is a block diagram of a smart monitoring sickbed of a smart monitoring and controlling integrated machine for a monitoring ward.
Fig. 3 is a schematic structural diagram of a smart monitoring sickbed of a smart monitoring and controlling integrated machine for a monitoring ward.
Wherein: 1-bed body; 2-a physical sign detection device; 3, integrating the machine; 4-supporting legs; 5-universal wheels; 6-supporting the bottom plate; 7-folding the lifting member; 8-face camera.
Detailed Description
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in detail below.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, but the present invention may be practiced in other ways than those specifically described and will be readily apparent to those of ordinary skill in the art without departing from the spirit of the present invention, and therefore the present invention is not limited to the specific embodiments disclosed below.
Furthermore, reference herein to "one embodiment" or "an embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one implementation of the invention. The appearances of the phrase "in one embodiment" 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.
As shown in fig. 1 and 3, the present invention provides an intelligent monitoring and controlling integrated machine for a monitoring ward, comprising: the paging center host computer, paging extension, wisdom supervision sick bed, be equipped with a nurse station in every floor of hospital's department of living, every nurse station department all installs a paging center host computer, installs a plurality of paging extensions in every ward, wisdom supervision sick bed is placed in the ward and is docked on paging extension, a plurality of paging extensions all are connected to paging center host computer, can realize the interactive transmission of data between paging extension and the paging host computer, as shown in fig. 3, wisdom supervision sick bed includes: the bed body 1 is provided with a sign detection device 2 and an integrated machine 3, the integrated machine 3 is provided with a touch display screen, and various related information of a patient can be input and displayed through the touch display screen, meanwhile, the sign detection device 2 is connected to the all-in-one machine 3, various information detected by the sign detection device 2 can be displayed through the all-in-one machine 3, the all-in-one machine 3 can be detachably connected to the paging extension machine, the all-in-one machine 3 sends various data detected by the sign detection device to the paging center host machine after numbering through the paging extension machine, a video display window, a microphone and a loudspeaker are arranged on the paging host machine, voice talkback can be carried out between the paging host machine and the paging extension machine, a plurality of display frames are arranged on the video display window, each display frame is correspondingly provided with a sick house number and a bed number, and the paging center host machine receives the numbered data and then displays the numbered data into the corresponding display frames according to the numbering. The intelligent monitoring hospital bed is provided with the paging center host, the paging extension and the intelligent monitoring hospital bed, voice intercommunication can be carried out between the paging center host and the paging center extension, meanwhile, the intelligent monitoring hospital bed can detect various vital signs of a patient and send measured data to the paging center host through the paging extension, medical personnel at a nurse station can timely learn the health condition of the patient, meanwhile, simple daily measurement can be completed through equipment, and repeated conventional measurement operation of the medical personnel on each patient is avoided.
The following specific description is carried out on the detection of the physical sign detection device, a body temperature measuring sensor, a heart rate measuring sensor and a blood pressure measuring sensor are arranged on the physical sign detection device 2, the physical sign detection device 2 sends detected data to the all-in-one machine 3, and the all-in-one machine 3 stores and records the measured data and draws a chart.
The information manually entered on the all-in-one machine 3 of the present invention includes: basic information of the patient, past case information, information of the attending physician; simultaneously the all-in-one will measure the data record and draw the chart with sign detection device, can in time audio-visually know the health status of patient in hospital when medical personnel and main treatment doctor visit, can avoid the condition that manual record made mistakes simultaneously.
The invention discloses a lifting type supporting mechanism and a moving mechanism which are arranged below an intelligent supervision sickbed, wherein the moving mechanism comprises: supporting leg 4, universal wheel 5, supporting leg 4 have four to install four corner below of the bed body 1 respectively, and the bottom of supporting leg 4 is installed to universal wheel 5, and lift type supporting mechanism includes: the bed comprises a supporting bottom plate 6 and a folding lifting component 7, wherein the supporting bottom plate 6 is horizontally arranged below the bed body 1, and the supporting bottom plate 6 is connected with the bottom of the bed body 1 through the folding lifting component 7. Realize the height adjustment of the bed body through lift type supporting mechanism, lift type supporting mechanism realizes moving mechanism's liftoff operation when wisdom supervision sick bed need not remove simultaneously, and folding lift type supporting mechanism makes moving mechanism ground connection conveniently remove when wisdom supervision sick bed needs to remove.
Aiming at the problems that the excessively weak patient or the patient in a coma state can not actively operate the paging extension to contact with the nurse station under the condition of unattended operation, the invention also comprises the following steps: facial camera 8, facial camera 8 set up on the bed body, facial camera 8 is located the head of a bed position directly over and vertical shooting downwards, and facial camera 8 is connected to all-in-one 3, and facial camera 8 sends the facial image of shooing to all-in-one 3 in real time on, and all-in-one 3 carries out identification process to the facial image, and on the painful expression appears the patient sending facial image picture to paging center host computer. When the patient has painful expression, the photographed picture is transmitted to the paging center host computer and displayed, and the medical staff at the nurse station is effectively reminded.
It should be noted that the above-mentioned embodiments are only for illustrating the technical solutions of the present invention and not for limiting, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications or equivalent substitutions may be made on the technical solutions of the present invention without departing from the spirit and scope of the technical solutions of the present invention, which should be covered by the claims of the present invention.
Claims (9)
1. The utility model provides a supervision ward wisdom prevention and control all-in-one which characterized in that includes: the intelligent monitoring sickbed comprises a paging center host, paging extensions and an intelligent monitoring sickbed, wherein a nurse station is arranged in each floor of a hospital department, a paging center host is arranged at each nurse station, a plurality of paging extensions are arranged in each ward, the intelligent monitoring sickbed is placed in each ward and is in butt joint with the paging extensions, the paging extensions are connected to the paging center host, and data can be interactively transmitted between the paging extensions and the paging hosts, and the intelligent monitoring sickbed comprises: bed body (1), install sign detection device (2), all-in-one (3) on the bed body (1), be equipped with touch display screen on all-in-one (3), can type in and show patient's each item relevant information through touch display screen, simultaneously sign detection device (2) are connected to on all-in-one (3), can show each item of information that sign detection device (2) detected through all-in-one (3), all-in-one (3) can be dismantled and be connected to on the paging extension, send behind all item data serial number that all-in-one (3) detected sign detection device on the paging center host computer.
2. The intelligent monitoring and controlling integrated machine of claim 1, wherein the paging host is provided with a video display window, a microphone and a speaker, the paging host and the paging extension can communicate with each other by voice, the video display window is provided with a plurality of display frames, each display frame is provided with a ward number and a bed number, and the paging central host receives the numbered data and then displays the numbered data in the corresponding display frame according to the number.
3. The intelligent monitoring, preventing and controlling integrated machine for the supervision ward according to claim 2, wherein a body temperature measuring sensor, a heart rate measuring sensor and a blood pressure measuring sensor are arranged on the physical sign detecting device (2), the physical sign detecting device (2) sends detected data to the integrated machine (3), and the integrated machine (3) stores, records and draws measured data into a chart.
4. The intelligent supervising and controlling all-in-one machine for ward according to claim 3, wherein the information manually entered on the all-in-one machine (3) comprises: basic information of the patient, information of the past case, information of the attending physician.
5. The intelligent integrated supervisory ward control device according to claim 4, wherein a lifting support mechanism and a moving mechanism are installed below the intelligent supervisory ward bed, and the moving mechanism comprises: supporting leg (4), universal wheel (5), supporting leg (4) have four to install respectively four corner below of bed body (1), universal wheel (5) are installed the bottom of supporting leg (4).
6. The intelligent supervisory ward control and protection all-in-one machine as claimed in claim 5, wherein the lift type supporting mechanism comprises: the bed comprises a supporting base plate (6) and a folding lifting component (7), wherein the supporting base plate (6) is horizontally arranged below the bed body (1), and the supporting base plate (6) is connected with the bottom of the bed body (1) through the folding lifting component (7).
7. The intelligent supervising and controlling integrated machine for the supervising ward according to claim 6, further comprising: facial camera (8), facial camera (8) set up on the bed body, facial camera (8) are located the head of a bed position directly over and vertical shooting downwards.
8. The intelligent supervising and controlling integrated machine for the administrative ward according to claim 7, wherein the face camera (8) is connected to the integrated machine (3), and the face camera (8) sends the shot face image to the integrated machine (3) in real time.
9. The intelligent monitoring and controlling integrated machine for the supervision ward according to claim 8, wherein the integrated machine (3) performs recognition processing on the facial image, and sends the facial image picture to the paging center host when the patient has a painful expression.
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CN202210098083.7A CN114466257A (en) | 2022-01-27 | 2022-01-27 | Supervision ward wisdom prevention and control all-in-one |
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Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102655586A (en) * | 2011-03-02 | 2012-09-05 | 刘仁吉 | Ward monitoring system |
CN103654748A (en) * | 2013-12-19 | 2014-03-26 | 柳州铁道职业技术学院 | Household monitoring instrument for paralyzed patient |
CN104408304A (en) * | 2014-11-22 | 2015-03-11 | 张姬娟 | Medical terminal and data processing method |
CN105657332A (en) * | 2014-11-12 | 2016-06-08 | 梁廷洲 | Visiting intercom system for clean ICU ward |
CN109318236A (en) * | 2017-08-01 | 2019-02-12 | 安康市汉滨区易智网络科技有限公司 | Old man chaperons intelligence system |
CN109460749A (en) * | 2018-12-18 | 2019-03-12 | 深圳壹账通智能科技有限公司 | Patient monitoring method, device, computer equipment and storage medium |
CN208675327U (en) * | 2018-07-10 | 2019-03-29 | 苏州艾科智能科技有限公司 | A kind of intelligent emergency calling system for nurse station |
CN215006885U (en) * | 2021-04-21 | 2021-12-03 | 丽水市中心医院 | Wireless emergency call equipment for hospital ward |
-
2022
- 2022-01-27 CN CN202210098083.7A patent/CN114466257A/en active Pending
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102655586A (en) * | 2011-03-02 | 2012-09-05 | 刘仁吉 | Ward monitoring system |
CN103654748A (en) * | 2013-12-19 | 2014-03-26 | 柳州铁道职业技术学院 | Household monitoring instrument for paralyzed patient |
CN105657332A (en) * | 2014-11-12 | 2016-06-08 | 梁廷洲 | Visiting intercom system for clean ICU ward |
CN104408304A (en) * | 2014-11-22 | 2015-03-11 | 张姬娟 | Medical terminal and data processing method |
CN109318236A (en) * | 2017-08-01 | 2019-02-12 | 安康市汉滨区易智网络科技有限公司 | Old man chaperons intelligence system |
CN208675327U (en) * | 2018-07-10 | 2019-03-29 | 苏州艾科智能科技有限公司 | A kind of intelligent emergency calling system for nurse station |
CN109460749A (en) * | 2018-12-18 | 2019-03-12 | 深圳壹账通智能科技有限公司 | Patient monitoring method, device, computer equipment and storage medium |
CN215006885U (en) * | 2021-04-21 | 2021-12-03 | 丽水市中心医院 | Wireless emergency call equipment for hospital ward |
Non-Patent Citations (1)
Title |
---|
"XY・CN总线供电及通信系统(连载)――基于XY・CN总线的医院呼叫系统", 单片机与嵌入式系统应用, no. 12 * |
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