CN114864040A - Dispensing and checking method, system, equipment and medium for clinical medicines - Google Patents
Dispensing and checking method, system, equipment and medium for clinical medicines Download PDFInfo
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- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
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Abstract
The invention provides a method, a system, equipment and a medium for checking the dispensing of clinical drugs, wherein the method comprises the steps of scanning a first information code pasted on first pasting paper of a drug package, and acquiring first demand information through the first information code; scanning a second information code on second adhesive paper distributed to the patient, and acquiring second demand information through the second information code; matching the first requirement information with the second requirement information, and jumping out a dialog box on a user interface based on the first requirement information and the second requirement information; the method includes the steps of acquiring preliminary execution information input by an executor through a dialog box, performing proofreading on the input preliminary execution information to generate a judgment result, and executing a set corresponding operation based on the judgment result. The invention has the advantages that: the drug administration system can play a good role in supervision and prompt of drug administration links, avoids errors caused by human factors to the maximum extent, avoids adverse consequences, and can provide a more powerful guarantee for the life safety of patients.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to a method, a system, equipment and a medium for checking the dosage of clinical medicines.
Background
In the modern medical process, careless mistakes are often caused by inaccurate information check, various medical disputes are more and more, and the most main reason for causing the medical disputes is the medication errors.
The existing administration mode is that a doctor gives an order, and the order has medicine prescription information; in the drug administration process, a nurse station applies for the medicine of the same day to a pharmacy according to the summarized prescription dosage, after receiving the medicine, the nurse station sorts and classifies the medicine according to the medicine prescription information of each patient, and the medicine execution link is reached through a medicine arrangement checking link and a medicine dispensing checking link. In the drug arrangement and check link, a drug arrangement nurse scans medical orders and drug prescriptions by using the PDA equipment to arrange drugs, and the drug arrangement nurse checks the medical orders and the drug prescriptions by using the PDA to scan the medical orders and the drug prescriptions to prepare the drugs.
In the existing medicine dispensing link, information on a medical advice prescription is scanned on a PDA through the PDA device, and only verification information can be reserved for whether medicine dispensing is carried out according to medicine information, but in the existing medicine dispensing verification system, medicines still pass through the scanning verification of the PDA device smoothly due to factors such as emotion, body fatigue, large clinical nursing workload, not strict self-verification system or lack of comprehensive knowledge of medicine knowledge, but the medicine dosage, the medicine administration route, the medicine administration rate or the medicine administration concentration in subconscious of a nurse are different from actual correct medicine administration requirements due to objective or subjective factors, and the existing medicine dispensing verification system cannot stop wrong cognitive behaviors, so that medicine administration errors occur. For example, in actual work, different patients are affected by age, disease condition, height, weight and other factors, so that the dosage, usage rate and usage route of the medicine are different, and nurses are affected by the conventional dosage, conventional route, conventional rate and conventional concentration, so that administration errors occur.
Disclosure of Invention
The invention aims to solve the technical problem that in the prior art, an executor is easily influenced by human factors to cause errors, and the existing dispensing checking system cannot stop the wrong cognitive behavior of the executor, so that adverse events are caused.
In a first aspect, the present invention provides a method for checking a pharmaceutical composition of a clinical drug, the method comprising:
scanning a first information code pasted on first pasting paper of a medicine package, and acquiring first demand information through the first information code;
scanning a second information code on second adhesive paper distributed to the patient, and acquiring second demand information through the second information code;
matching first requirement information with second requirement information, and jumping out a dialog box on a user interface based on the first requirement information and the second requirement information;
and acquiring the preliminary execution information input by the executor through the dialog box, correcting the input preliminary execution information to generate a judgment result, and executing the set corresponding operation based on the judgment result.
Further, the information for preparing execution includes at least one of dosage, administration route, administration rate, and administration concentration.
Further, the first information code is generated according to the first medicine information corresponding to the medicine specification;
the first requirement information comprises a medicine name, a medicine indication, a medicine specification, a medicine validity period, a medication caution item, a medicine contraindication, a medicine usage and a medication route; wherein the administration method comprises the application dose, the administration rate or the administration concentration.
Further, the second pasting paper is also provided with the patient bed number, name, sex, age, medicine name, administration route, dosage, administration frequency and administration time;
the second information code is generated according to the patient information and second medicine information corresponding to the medical advice issued by the doctor;
the second requirement information comprises patient name, hospital number, age, height, weight, care level, patient diagnosis, administration time, drug name given by doctor's advice, drug usage and administration route; wherein the administration method comprises the application dose, the administration rate or the administration concentration; children, adults and elderly people are distinguished according to the age.
Further, the matching the first requirement information and the second requirement information specifically includes:
verifying whether the medicine names on the first demand information and the second demand information are consistent, and if not, automatically giving an alarm prompt; if the two are consistent, the verification is passed;
acquiring a current date, verifying whether the current date is within the drug validity period of the first demand information, and automatically giving an alarm prompt if the current date is not within the drug validity period; if the effective period of the medicine is within the effective period of the medicine, the verification is passed;
verifying whether the dosage, administration route, administration rate or administration concentration on the first requirement information and the second requirement information are consistent, and if not, automatically giving an alarm for prompting; if the two are consistent, the verification is passed;
verifying whether the medicine is suitable for the patient according to the age on the second demand information, and if not, automatically giving an alarm prompt; if so, passing the verification;
verifying whether the patient belongs to the use prohibited population or not according to the patient diagnosis of the second demand information and the drug contraindication of the first demand information, and automatically giving an alarm prompt if the patient belongs to the use prohibited population; if not, the authentication is passed.
Further, the jumping out of a dialog box on the user interface based on the first requirement information and the second requirement information specifically includes:
after the first requirement information and the second requirement information are matched, clicking a trigger dispensing starting button, and starting dispensing operation by an executor; and after the dispensing is finished, clicking a button for triggering the dispensing completion, and jumping out a dialog box on a user interface by the system based on the first requirement information and the second requirement information, wherein the dialog box is provided with a manual input box for an executor to manually input the use dosage, the administration route, the administration rate or the administration concentration actually prepared and executed by the heart.
Further, the proofreading the input preliminary execution information and generating a determination result, and the performing the set corresponding operation based on the determination result specifically includes:
after the executor manually inputs the preparatory execution information through the dialog box, the preparatory execution information input by the executor is collated with the first requirement information and the second requirement information, and if the collation is passed, a judgment result that the collation is passed and the administration task is allowed to be executed is generated; if the proofreading is not passed, generating a judgment result that the proofreading is not passed and the administration task is not allowed to be executed;
when the judgment result is that the proofreading is passed and the administration task is allowed to be executed, the executive carries out the administration task to the bedside of the patient; and when the judgment result is that the checking does not pass and the administration task is not allowed to be executed, automatically sending an alarm prompt, jumping back to the error position, and simultaneously requiring the superior supervisor to input job number information for checking.
In a second aspect, a dispensing proofreading system for clinical drugs comprises a first information acquisition module, a second information acquisition module, a dialog box generation module and an information proofreading module;
the first information acquisition module is used for scanning a first information code pasted on first pasting paper of a medicine package and acquiring first demand information through the first information code;
the second information acquisition module is used for scanning a second information code on second adhesive paper distributed to the patient and acquiring second demand information through the second information code;
the dialog box generation module is used for matching the first requirement information with the second requirement information and jumping out a dialog box on a user interface based on the first requirement information and the second requirement information;
the information proofreading module is used for acquiring the prepared execution information input by the executor through the dialog box, proofreading the input prepared execution information and generating a judgment result, and executing the set corresponding operation based on the judgment result.
In a third aspect, the present invention provides an electronic device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor implements the method of the first aspect when executing the program.
In a fourth aspect, the invention provides a computer-readable storage medium having stored thereon a computer program which, when executed by a processor, performs the method of the first aspect.
One or more technical solutions provided in the embodiments of the present invention have at least the following technical effects or advantages:
1. after the medicines are prepared and before the administration task is executed, automatically jumping out of a dialog box by utilizing the first requirement information of the first information code and the second requirement information of the second information code, wherein an executor needs to input the preparatory execution information actually prepared and executed by the heart into the dialog box, and the executor is allowed to continue to execute the administration task only after the preparatory execution information input by the executor is successfully collated; if the proofreading of the preparatory execution information input by the executor fails, the executive can continue to execute after the proofreading of superior supervisor is needed; by testing the executor before executing the administration task in a manner similar to examination, the alertness and the concentration of the executor can be improved, and the wrong fixed-posture thinking of the executor in mind can be corrected; therefore, the technical scheme of the invention can play a good role in supervising and prompting the administration link, furthest avoid errors caused by human factors and adverse consequences, and provide more powerful guarantee for the life safety of patients.
2. Before carrying out dispensing, the first demand information that utilizes the first information code of pasting on the medicine packing material and the second demand information of the second information code of allotting to the patient carry out information automatic matching, compare through the mode of oral check with the tradition, can ensure that the medicine that uses and patient phase-match, effectively stop to give the medicine the condition of wrong patient and take place, the storage has the log in scanning first information code and second information code back system simultaneously, can conveniently trace back the in service behavior of medicine, ensure that the condition such as the hourglass is dosed can not appear.
The foregoing description is only an overview of the technical solutions of the present invention, and the embodiments of the present invention are described below in order to make the technical means of the present invention more clearly understood and to make the above and other objects, features, and advantages of the present invention more clearly understandable.
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The invention will be further described with reference to the following examples with reference to the accompanying drawings.
FIG. 1 is a flowchart illustrating a method for checking and dispensing of clinical drugs according to an embodiment of the present invention;
FIG. 2 is a schematic structural diagram of a medication dispensing and checking system for clinical drugs according to a second embodiment of the present invention;
fig. 3 is a schematic structural diagram of an electronic device according to a third embodiment of the invention;
fig. 4 is a schematic structural diagram of a medium according to a fourth embodiment of the present invention.
Detailed Description
The embodiment of the invention provides a method, a system, equipment and a medium for checking and preparing the medicines of clinical medicines, in the prior art, the executors are easy to be affected by human factors to cause errors for the medicines with special requirements on the dosage, the administration route, the administration rate and the like, and the existing medicine preparation checking system can not stop the wrong cognitive behaviors, so that adverse events can be caused sometimes.
In order to solve the above problems, the technical solution in the embodiments of the present invention has the following general idea: before dispensing, automatically matching information by using the first demand information of the first information code pasted on the medicine package and the second demand information of the second information code distributed to the patient, thereby ensuring that the used medicine is matched with the patient; after the medicines are prepared and before the administration task is executed, a dialog box is automatically popped out by utilizing the first requirement information of the first information code and the second requirement information of the second information code, an executor needs to input the preparatory execution information actually prepared and executed by the heart into the dialog box, and the executor is allowed to execute the administration task only after the preparatory execution information input by the executor is successfully collated by the system; if the proofreading of the preparatory execution information input by the executor fails, the executive can continue to execute after the proofreading of superior supervisor is needed; therefore, the drug administration system can play a good role in supervision and prompt of the drug administration link, avoids errors caused by human factors to the maximum extent, avoids adverse consequences, and can provide a more powerful guarantee for the life safety of patients.
In order to make the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the embodiments of the present invention will be described in detail and completely with reference to the accompanying examples, and it is to be understood that the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
Example one
The present embodiment provides a method for checking a pharmaceutical composition of a clinical drug, as shown in fig. 1, the method includes:
step S1, scanning a first information code pasted on first pasting paper of a medicine package, and acquiring first demand information through the first information code;
step S2, scanning a second information code on second adhesive paper distributed to the patient, and acquiring second demand information through the second information code;
step S3, matching the first requirement information with the second requirement information, and jumping out a dialog box on a user interface based on the first requirement information and the second requirement information;
step S4 is to acquire the preliminary execution information input by the executor through the dialog box, collate the input preliminary execution information to generate a determination result, and execute the set corresponding operation based on the determination result.
By adopting the technical scheme of the invention, the invention at least has the following beneficial effects:
1. after the medicines are prepared and before the administration task is executed, automatically jumping out of a dialog box by utilizing the first requirement information of the first information code and the second requirement information of the second information code, wherein an executor needs to input the preparatory execution information actually prepared and executed by the heart into the dialog box, and the executor is allowed to continue to execute the administration task only after the preparatory execution information input by the executor is successfully collated; if the proofreading of the preparatory execution information input by the executor fails, the executive can continue to execute after the proofreading of superior supervisor is needed; by testing the executor before executing the administration task in a manner similar to examination, the alertness and the concentration of the executor can be improved, and the wrong fixed-posture thinking of the executor in mind can be corrected; therefore, the technical scheme of the invention can play a good role in supervising and prompting the administration link, furthest avoid errors caused by human factors and adverse consequences, and provide more powerful guarantee for the life safety of patients.
2. Before carrying out dispensing, the first demand information that utilizes the first information code of pasting on the medicine packing material and the second demand information of the second information code of allotting to the patient carry out information automatic matching, compare through the mode of oral check with the tradition, can ensure that the medicine that uses and patient phase-match, effectively stop to give the medicine the condition of wrong patient and take place, the storage has the log in scanning first information code and second information code back system simultaneously, can conveniently trace back the in service behavior of medicine, ensure that the condition such as the hourglass is dosed can not appear.
In the first embodiment of the present invention, in the step S1, the medicine package is an article for packaging medicine, and the medicine package is a medicine bottle or a medicine packaging bag.
In the first embodiment of the present invention, in the steps S1 and S2, the first information code and the second information code may be scanned by using the PDA device, and after the scanning is completed, the PDA program may obtain the first requirement information and the second requirement information.
In a first embodiment of the present invention, the preliminary execution information includes at least one of a dosage, a route of administration, a rate of administration, and a concentration of administration. In the clinical actual administration process, the influence of human factors on the dosage, the administration route, the administration rate and the administration concentration is large, for example, after the first requirement information of the second information code and the second requirement information of the second information code are automatically matched, the dosage, the administration route, the administration rate or the administration concentration are completely matched; however, in the actual dispensing and administration process, the performer is influenced by fixed thinking, mood and the like, so that error events occur occasionally, and in addition, errors are easy to occur for some practical nurses; for example, for children's drugs, the dosage used is generally less than that used for adults, but the performer may be dosed according to the dosage of adults due to the influence of external factors (such as fatigue, mood, seniority, and the like); as another example, the administration route includes oral administration, airway inhalation, intravenous bolus injection, subcutaneous injection, intravenous infusion, etc., and the performer may perform the error due to the influence of external factors; therefore, important monitoring and prompting of the dosage, administration route, administration rate and administration concentration are needed to avoid errors caused by human factors to the maximum extent. Of course, the present invention is not limited to this, and other factors may be added for supervision and prompting according to actual needs in specific implementation.
In the first embodiment of the present invention, the first information code is generated according to the first medicine information corresponding to the medicine specification, so that the related medicine information recorded in the medicine specification can be acquired when the first information code is scanned;
the first requirement information comprises a medicine name, a medicine indication, a medicine specification, a medicine validity period, a medication caution item, a medicine contraindication, a medicine usage and a medication route; the method comprises the steps of taking a medicine, wherein the medicine usage comprises the dosage (for example, chemotherapy drugs, children drugs and the like have strict requirements on the dosage), the administration rate (for example, magnesium sulfate, paclitaxel and the like have strict requirements on the administration rate) or the administration concentration (many drugs have strict requirements on the solubility), and in specific implementation, corresponding marks are set on the medicines with special requirements on the dosage, the administration rate, the administration concentration and the like so as to facilitate identification; the administration routes comprise oral administration, airway inhalation, intravenous infusion and the like, and corresponding marks are arranged on each administration route in the specific implementation so as to facilitate identification. For each item of information such as drug name, drug indication, drug specification, drug expiration date, drug taking precautions, drug contraindications, dosage, administration rate, administration concentration, administration route, etc., the PDA program is provided with an identification instruction for each item to realize identification of the information. Of course, the present invention is not limited to this, and the information items of the first requirement information may be added or deleted according to actual needs when the present invention is implemented.
In the implementation of the invention, when special requirements on the dosage, the administration rate, the administration concentration, the administration route and the like are scanned, the PDA program can identify and prompt the executor (such as thickening characters of the content, marking with different colors and the like) so that the executor can pay special attention to the content, which helps to reduce the probability of errors in the subsequent execution of the executor.
In the first embodiment of the present invention, the second sticker further has thereon a patient's bed number, name, sex, age, name of the drug, administration route, dose, administration frequency, and administration time; by printing the bed number, name, sex, age, medicine name, administration route, dosage, administration frequency and administration time of the patient on the second adhesive paper, the patient and the like can be checked and checked manually at any time; of course, the present invention is not limited to this, and the information printed on the second pasting paper may be added or deleted according to actual needs in the implementation.
The second information code is generated according to the patient information and second medicine information corresponding to the medical advice issued by the doctor, so that the patient information and the related medicine information issued by the doctor in the medical advice can be obtained when the second information code is scanned;
the second requirement information comprises patient name, hospital number, age, height, weight, nursing level, patient diagnosis, administration time (including year, month, day and specific time, the program setting defaults to the time of the day, if the time of the day is identified in advance or delayed), name of medicine ordered, medicine usage and administration route; wherein the administration method comprises the application dose, the administration rate or the administration concentration; according to the age, children, adults and the old are distinguished, and corresponding marks are arranged on the children, the adults and the old so as to be convenient to distinguish. For each item of information of patient name, hospital admission number, age, height, weight, care level, patient diagnosis, administration time, name of medicine prescribed by doctor, dosage, administration rate, administration concentration, administration route, etc., the PDA program is provided with an identification instruction for each item to achieve identification of the information. Of course, the present invention is not limited to this, and the information items of the second requirement information may be added or deleted according to actual needs in specific implementation.
In the first embodiment of the present invention, the matching the first requirement information and the second requirement information specifically includes:
verifying whether the medicine names in the first demand information and the second demand information are consistent, and if not, automatically giving an alarm prompt, so that an executor can find the reason in time to avoid using wrong medicines on a patient; if the two are consistent, the verification is passed;
acquiring a current date, verifying whether the current date is within the drug validity period of the first requirement information, and automatically giving an alarm prompt if the current date is not within the drug validity period, so that an executor can timely search reasons to avoid using expired drugs on a patient; if the effective period of the medicine is within the effective period of the medicine, the verification is passed;
verifying whether the dosage, administration route, administration rate or administration concentration of the first requirement information and the second requirement information are consistent, and if not, automatically giving an alarm prompt, so that an executor can find the reason in time to avoid adverse events caused by errors of the contents of the orders issued by the doctor; if the two are consistent, the verification is passed;
verifying whether the medicine is suitable for the patient according to the age on the second requirement information, and if not, automatically giving an alarm prompt, so that an executor can find out the reason in time to avoid using the unsuitable medicine on the patient; if so, passing the verification;
verifying whether the patient belongs to the use-prohibited crowd or not according to the patient diagnosis of the second demand information and the drug contraindication of the first demand information, and automatically giving an alarm prompt if the patient belongs to the use-prohibited crowd, so that an executor can find out the reason in time to avoid using the drug on the use-prohibited crowd; if not, the authentication is passed. Of course, the present invention is not limited to this, and other verification contents may be added according to actual needs in specific implementation.
In the first embodiment of the present invention, the jumping out of a dialog box on a user interface based on the first requirement information and the second requirement information specifically includes:
after the first requirement information and the second requirement information are matched, clicking a trigger dispensing starting button, and starting dispensing operation by an executor; after dispensing is finished, a button for triggering dispensing completion is clicked, the system jumps out of a dialog box on a user interface based on the first requirement information and the second requirement information, and a manual input box (which can be a check box or a data input box) for an executor to manually input the dosage, the administration route, the administration rate or the administration concentration actually prepared and executed by the heart is arranged on the dialog box, so that the executor can conveniently input the information of the prepared and executed heart into the dialog box. After the first requirement information and the second requirement information are matched, the system displays a 'button for starting dispensing' and a 'button for completing dispensing' on a user interface, and when an executor triggers the 'button for starting dispensing', the dispensing operation can be started; after the medicines are prepared, the executor needs to click a 'medicine preparation completion button' to enter the subsequent test verification operation. In specific implementation, for example, for a dosage to be used, if the required solvent dosage is not the specification of a factory package of a drug, the dosage system will require the dosage to be input in a dialog box; if the dosage is the standard dosage, directly selecting the set corresponding standard dosage; aiming at the problems that the configured medicine is powder medicine, when the non-standard dosage is administered, the configuration mode needs to be manually input, and the actual adding amount after extraction is needed, the system can correct the configuration mode so as to prevent errors. For another example, for a route of administration, if there is only one route of administration according to the drug configuration information, the system displays only the route, and the performer needs to click on the route of administration, and if there are multiple routes of administration, the performer needs to select the corresponding route of administration. For the administration rate, the system automatically generates a recommended use rate range according to the patient diagnosis, the height, the age, the weight, the nursing level, the medicine use dosage in the medical order, the administration route of the medicine, the administration rate and the administration concentration used by the corresponding dosage in the first requirement information of the second requirement information; the administration rate input by the executor only needs to fall into the use rate range, and when the calibration is carried out, the system automatically prompts the recommended use rate range for the executor to refer to.
In the first embodiment of the present invention, the performing the proofreading on the input preliminary execution information and generating the determination result, and the performing the set corresponding operation based on the determination result specifically includes:
after the executor manually inputs the preparatory execution information through the dialog box, the preparatory execution information input by the executor is collated with the first requirement information and the second requirement information, and if the collation is passed, a judgment result that the collation is passed and the administration task is allowed to be executed is generated; if the proofreading is not passed, generating a judgment result that the proofreading is not passed and the administration task is not allowed to be executed;
when the judgment result is that the proofreading is passed and the administration task is allowed to be executed, popping up a prompt language such as 'medicine configuration detection completion' and the like on a user interface, and enabling the executor to execute the administration task at the bedside of the patient; when the judgment result is that the proofreading is not passed and the administration task is not allowed to be executed, the fact that an error may occur in the process of executing the administration task (for example, an error in dosage is used in the process of dispensing) or the fact that the error is about to occur (for example, an error in administration route prepared to be executed by the executor) is indicated, at the moment, an alarm prompt is automatically sent out, the error position is jumped back, meanwhile, the upper supervisor is required to input work number information for proofreading, so that the error which occurs before the executor gives the medicine to the patient or the error which is about to occur is recovered, and therefore more powerful guarantee can be provided for the life safety of the patient. When the invention is implemented concretely, when the correction finds that the dosage input by the executor is wrong, the system automatically provides a dosage conversion calculation formula on a user interface according to the information input by the executor aiming at the non-integral dosage, and simultaneously provides a configuration case mode for the executor again so as to deepen the memory of the executor and avoid the next same mistake being made.
Based on the same inventive concept, the application also provides a device corresponding to the method in the first embodiment, which is detailed in the second embodiment.
Example two
In this embodiment, a system for checking and dispensing of clinical drugs is provided, as shown in fig. 2, including a first information obtaining module, a second information obtaining module, a dialog box generating module, and an information checking module;
the first information acquisition module is used for scanning a first information code pasted on first pasting paper of a medicine package and acquiring first demand information through the first information code;
the second information acquisition module is used for scanning a second information code on second adhesive paper distributed to the patient and acquiring second demand information through the second information code;
the dialog box generation module is used for matching the first requirement information with the second requirement information and jumping out a dialog box on a user interface based on the first requirement information and the second requirement information;
the information proofreading module is used for acquiring the prepared execution information input by the executor through the dialog box, proofreading the input prepared execution information and generating a judgment result, and executing the set corresponding operation based on the judgment result.
By adopting the technical scheme of the invention, the invention at least has the following beneficial effects:
1. after the medicines are prepared and before the administration task is executed, automatically jumping out of a dialog box by utilizing the first requirement information of the first information code and the second requirement information of the second information code, wherein an executor needs to input the preparatory execution information actually prepared and executed by the heart into the dialog box, and the executor is allowed to continue to execute the administration task only after the preparatory execution information input by the executor is successfully collated; if the proofreading of the preparatory execution information input by the executor fails, the executive can continue to execute after the proofreading of superior supervisor is needed; by testing the executor before executing the administration task in a manner similar to examination, the alertness and the concentration of the executor can be improved, and the wrong fixed-posture thinking of the executor in mind can be corrected; therefore, the technical scheme of the invention can play a good role in supervising and prompting the administration link, furthest avoid errors caused by human factors and adverse consequences, and provide more powerful guarantee for the life safety of patients.
2. Before carrying out dispensing, the first demand information that utilizes the first information code of pasting on the medicine packing material and the second demand information of the second information code of allotting to the patient carry out information automatic matching, compare through the mode of oral check with the tradition, can ensure that the medicine that uses and patient phase-match, effectively stop to give the medicine the condition of wrong patient and take place, the storage has the log in scanning first information code and second information code back system simultaneously, can conveniently trace back the in service behavior of medicine, ensure that the condition such as the hourglass is dosed can not appear.
In a second embodiment of the present invention, in the first information acquisition module, the medicine package is an article for packaging medicine, and the medicine package is a medicine bottle or a medicine packing bag.
In the second embodiment of the present invention, in the first information obtaining module and the second information obtaining module, the PDA device may be used to scan the first information code and the second information code, and after the scanning is completed, the PDA program may obtain the first requirement information and the second requirement information.
In the second embodiment of the present invention, the preliminary execution information includes at least one of a dose amount, an administration route, an administration rate, and an administration concentration. In the clinical actual administration process, the influence of human factors on the dosage, the administration route, the administration rate and the administration concentration is large, for example, after the first requirement information of the second information code and the second requirement information of the second information code are automatically matched, the dosage, the administration route, the administration rate or the administration concentration are completely matched; however, in the actual dispensing and administration process, the performer is influenced by fixed thinking, mood and the like, so that error events occur occasionally, and in addition, errors are easy to occur for some practical nurses; for example, for children's drugs, the dosage used is generally less than that used for adults, but the performer may be dosed according to the dosage of adults due to the influence of external factors (such as fatigue, mood, seniority, and the like); as another example, the administration route includes oral administration, airway inhalation, intravenous bolus injection, subcutaneous injection, intravenous infusion, etc., and the performer may perform the error due to the influence of external factors; therefore, important monitoring and prompting of the dosage, administration route, administration rate and administration concentration are needed to avoid errors caused by human factors to the maximum extent. Of course, the present invention is not limited to this, and other factors may be added for supervision and prompting according to actual needs in specific implementation.
In the second embodiment of the present invention, the first information code is generated according to the first medicine information corresponding to the medicine specification, so that the related medicine information recorded in the medicine specification can be acquired when the first information code is scanned;
the first requirement information comprises a medicine name, a medicine indication, a medicine specification, a medicine validity period, a medication caution item, a medicine contraindication, a medicine usage and a medication route; the medicine usage method comprises the usage dosage (for example, chemotherapy drugs, children drugs and the like all have strict requirements on the usage dosage), the administration rate (for example, magnesium sulfate, paclitaxel and the like all have strict requirements on the administration rate) or the administration concentration (many medicines have strict requirements on the solubility), and in the specific implementation, corresponding marks are set for the medicines with special requirements on the usage dosage, the administration rate, the administration concentration and the like so as to facilitate identification; the administration routes comprise oral administration, airway inhalation, intravenous infusion and the like, and corresponding marks are arranged on each administration route in the specific implementation so as to facilitate identification. For each item of information such as drug name, drug indication, drug specification, drug expiration date, drug taking precautions, drug contraindications, dosage, administration rate, administration concentration, administration route, etc., the PDA program is provided with an identification instruction for each item to realize identification of the information. Of course, the present invention is not limited to this, and the information items of the first requirement information may be added or deleted according to actual needs when the present invention is implemented.
In the implementation of the invention, when special requirements on the dosage, the administration rate, the administration concentration, the administration route and the like are scanned, the PDA program can identify and prompt the executor (such as thickening characters of the content, marking with different colors and the like) so that the executor can pay special attention to the content, which helps to reduce the probability of errors in the subsequent execution of the executor.
In the second embodiment of the present invention, the second sticker further has thereon a patient's bed number, name, sex, age, name of the drug, administration route, dose, administration frequency, and administration time; by printing the bed number, name, sex, age, medicine name, administration route, dosage, administration frequency and administration time of the patient on the second adhesive paper, the patient and the like can be checked and checked manually at any time; of course, the present invention is not limited to this, and the information printed on the second pasting paper may be added or deleted according to actual needs in the implementation.
The second information code is generated according to the patient information and second medicine information corresponding to the medical advice issued by the doctor, so that the patient information and the related medicine information issued by the doctor in the medical advice can be obtained when the second information code is scanned;
the second requirement information comprises patient name, hospital number, age, height, weight, nursing level, patient diagnosis, administration time (including year, month, day and specific time, the program setting defaults to the time of the day, if the time of the day is identified in advance or delayed), name of medicine ordered, medicine usage and administration route; wherein the administration method comprises the application dose, the administration rate or the administration concentration; according to the age, children, adults and the old are distinguished, and corresponding marks are arranged on the children, the adults and the old so as to be convenient to distinguish. For each item of information of patient name, hospital admission number, age, height, weight, care level, patient diagnosis, administration time, name of medicine prescribed by doctor, dosage, administration rate, administration concentration, administration route, etc., the PDA program is provided with an identification instruction for each item to achieve identification of the information. Of course, the present invention is not limited to this, and the information items of the second requirement information may be added or deleted according to actual needs in specific implementation.
In a second embodiment of the present invention, the matching the first requirement information and the second requirement information specifically includes:
verifying whether the medicine names in the first demand information and the second demand information are consistent, and if not, automatically giving an alarm prompt, so that an executor can find the reason in time to avoid using wrong medicines on a patient; if the two are consistent, the verification is passed;
acquiring a current date, verifying whether the current date is within the drug validity period of the first requirement information, and automatically giving an alarm prompt if the current date is not within the drug validity period, so that an executor can timely search reasons to avoid using expired drugs on a patient; if the effective period of the medicine is within the effective period of the medicine, the verification is passed;
verifying whether the dosage, administration route, administration rate or administration concentration of the first requirement information and the second requirement information are consistent, and if not, automatically giving an alarm prompt, so that an executor can find the reason in time to avoid adverse events caused by errors of the contents of the orders issued by the doctor; if the two are consistent, the verification is passed;
verifying whether the medicine is suitable for the patient according to the age on the second requirement information, and if not, automatically giving an alarm prompt, so that an executor can find out the reason in time to avoid using the unsuitable medicine on the patient; if so, passing the verification;
verifying whether the patient belongs to the use-prohibited crowd or not according to the patient diagnosis of the second demand information and the drug contraindication of the first demand information, and automatically giving an alarm prompt if the patient belongs to the use-prohibited crowd, so that an executor can find out the reason in time to avoid using the drug on the use-prohibited crowd; if not, the authentication is passed. Of course, the present invention is not limited to this, and other verification contents may be added according to actual needs in specific implementation.
In a second embodiment of the present invention, the jumping out of a dialog box on a user interface based on the first requirement information and the second requirement information specifically includes:
after the first requirement information and the second requirement information are matched, clicking a trigger dispensing starting button, and starting dispensing operation by an executor; after dispensing is finished, a button for triggering dispensing completion is clicked, the system jumps out of a dialog box on a user interface based on the first requirement information and the second requirement information, and a manual input box (which can be a check box or a data input box) for an executor to manually input the dosage, the administration route, the administration rate or the administration concentration actually prepared and executed by the heart is arranged on the dialog box, so that the executor can conveniently input the information of the prepared and executed heart into the dialog box. After the first requirement information and the second requirement information are matched, the system displays a 'button for starting dispensing' and a 'button for completing dispensing' on a user interface, and when an executor triggers the 'button for starting dispensing', the dispensing operation can be started; after the medicines are prepared, the executor needs to click a 'medicine preparation completion button' to enter the subsequent test verification operation. In specific implementation, for example, for a dosage to be used, if the required solvent dosage is not the specification of a factory package of a drug, the dosage system will require the dosage to be input in a dialog box; if the dosage is the standard dosage, directly selecting the set corresponding standard dosage; aiming at the problems that the configured medicine is powder medicine, when the non-standard dosage is administered, the configuration mode needs to be manually input, and the actual adding amount after extraction is needed, the system can correct the configuration mode so as to prevent errors. For another example, for a route of administration, if there is only one route of administration according to the drug configuration information, the system displays only the route, and the performer needs to click on the route of administration, and if there are multiple routes of administration, the performer needs to select the corresponding route of administration. For the administration rate, the system automatically generates a recommended use rate range according to the patient diagnosis, the height, the age, the weight, the nursing level, the medicine use dosage in the medical order, the administration route of the medicine, the administration rate and the administration concentration used by the corresponding dosage in the first requirement information of the second requirement information; the administration rate input by the executor only needs to fall into the use rate range, and when the calibration is carried out, the system automatically prompts the recommended use rate range for the executor to refer to.
In the first embodiment of the present invention, the performing the proofreading on the input preliminary execution information and generating the determination result, and the performing the set corresponding operation based on the determination result specifically includes:
after the executor manually inputs the preparatory execution information through the dialog box, the preparatory execution information input by the executor is collated with the first requirement information and the second requirement information, and if the collation is passed, a judgment result that the collation is passed and the administration task is allowed to be executed is generated; if the proofreading is not passed, generating a judgment result that the proofreading is not passed and the administration task is not allowed to be executed;
when the judgment result is that the proofreading is passed and the administration task is allowed to be executed, popping up a prompt language such as 'medicine configuration detection completion' and the like on a user interface, and enabling the executor to execute the administration task at the bedside of the patient; when the judgment result is that the proofreading is not passed and the administration task is not allowed to be executed, the fact that an error may occur in the process of executing the administration task (for example, an error in dosage is used in the process of dispensing) or the fact that the error is about to occur (for example, an error in administration route prepared to be executed by the executor) is indicated, at the moment, an alarm prompt is automatically sent out, the error position is jumped back, meanwhile, the upper supervisor is required to input work number information for proofreading, so that the error which occurs before the executor gives the medicine to the patient or the error which is about to occur is recovered, and therefore more powerful guarantee can be provided for the life safety of the patient. When the invention is implemented concretely, when the correction finds that the dosage input by the executor is wrong, the system automatically provides a dosage conversion calculation formula on a user interface according to the information input by the executor aiming at the non-integral dosage, and simultaneously provides a configuration case mode for the executor again so as to deepen the memory of the executor and avoid the next same mistake being made.
Since the system described in the second embodiment of the present invention is a system used for implementing the method of the first embodiment of the present invention, based on the method described in the first embodiment of the present invention, a person skilled in the art can understand the specific structure and the deformation of the system, and thus the detailed description is omitted here. All systems adopted by the method of the first embodiment of the present invention are within the intended protection scope of the present invention.
Based on the same inventive concept, the application provides an electronic device embodiment corresponding to the first embodiment, which is detailed in the third embodiment.
EXAMPLE III
The embodiment provides an electronic device, as shown in fig. 3, which includes a memory, a processor, and a computer program stored in the memory and executable on the processor, and when the processor executes the computer program, any one of the first embodiment modes may be implemented.
Since the electronic device described in this embodiment is a device used for implementing the method in the first embodiment of the present application, based on the method described in the first embodiment of the present application, a specific implementation of the electronic device in this embodiment and various variations thereof can be understood by those skilled in the art, and therefore, how to implement the method in the first embodiment of the present application by the electronic device is not described in detail herein. The equipment used by those skilled in the art to implement the methods in the embodiments of the present application is within the scope of the present application.
Based on the same inventive concept, the application provides a storage medium corresponding to the fourth embodiment, which is described in detail in the fourth embodiment.
Example four
The present embodiment provides a computer-readable storage medium, as shown in fig. 4, on which a computer program is stored, and when the computer program is executed by a processor, any one of the embodiments can be implemented.
As will be appreciated by one skilled in the art, embodiments of the present invention may be provided as a method, system, or computer program product. Accordingly, the present invention may take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment combining software and hardware aspects. Furthermore, the present invention may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, and the like) having computer-usable program code embodied therein.
The present invention is described with reference to flowchart illustrations and/or block diagrams of methods, systems, and computer program products according to embodiments of the invention. It will be understood that each flow and/or block of the flow diagrams and/or block diagrams, and combinations of flows and/or blocks in the flow diagrams and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, embedded processor, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including instruction means which implement the function specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
Although specific embodiments of the invention have been described above, it will be understood by those skilled in the art that the specific embodiments described are illustrative only and are not limiting upon the scope of the invention, and that equivalent modifications and variations can be made by those skilled in the art without departing from the spirit of the invention, which is to be limited only by the appended claims.
Claims (10)
1. A dispensing and checking method of clinical medicines is characterized in that: the method comprises the following steps:
scanning a first information code pasted on first pasting paper of a medicine package, and acquiring first demand information through the first information code;
scanning a second information code on second adhesive paper distributed to the patient, and acquiring second demand information through the second information code;
matching first requirement information with second requirement information, and jumping out a dialog box on a user interface based on the first requirement information and the second requirement information;
and acquiring the preliminary execution information input by the executor through the dialog box, correcting the input preliminary execution information to generate a judgment result, and executing the set corresponding operation based on the judgment result.
2. The method of claim 1, wherein: the information for preliminary execution includes at least one of dosage, administration route, administration rate, and administration concentration.
3. The method of claim 1, wherein: the first information code is generated according to first medicine information corresponding to the medicine specification;
the first requirement information comprises a medicine name, a medicine indication, a medicine specification, a medicine validity period, a medication caution item, a medicine contraindication, a medicine usage and a medication route; wherein the administration method comprises the application dose, the administration rate or the administration concentration.
4. The method of claim 1, wherein: the second pasting paper is also provided with the patient bed number, the name, the sex, the age, the name of the medicine, the administration route, the dosage, the administration frequency and the administration time;
the second information code is generated according to the patient information and second medicine information corresponding to the medical advice issued by the doctor;
the second requirement information comprises patient name, hospital number, age, height, weight, care level, patient diagnosis, administration time, drug name given by doctor's advice, drug usage and administration route; wherein the administration method comprises the application dose, the administration rate or the administration concentration; children, adults and the elderly are distinguished according to the age.
5. The method of claim 1, wherein: the matching of the first requirement information and the second requirement information specifically includes:
verifying whether the medicine names on the first demand information and the second demand information are consistent, and if not, automatically giving an alarm prompt; if the two are consistent, the verification is passed;
acquiring a current date, verifying whether the current date is within the drug validity period of the first demand information, and automatically giving an alarm prompt if the current date is not within the drug validity period; if the effective period of the medicine is within the effective period of the medicine, the verification is passed;
verifying whether the dosage, administration route, administration rate or administration concentration on the first requirement information and the second requirement information are consistent, and if not, automatically giving an alarm for prompting; if the two are consistent, the verification is passed;
verifying whether the medicine is suitable for the patient according to the age on the second demand information, and if not, automatically giving an alarm prompt; if so, passing the verification;
verifying whether the patient belongs to the use prohibited population or not according to the patient diagnosis of the second demand information and the drug contraindication of the first demand information, and automatically giving an alarm prompt if the patient belongs to the use prohibited population; if not, the authentication is passed.
6. The method of claim 5, wherein: the jumping out of a dialog box on a user interface based on the first requirement information and the second requirement information specifically includes:
after the first requirement information and the second requirement information are matched, clicking a trigger dispensing starting button, and starting dispensing operation by an executor; and after the dispensing is finished, clicking a button for triggering the dispensing completion, and jumping out a dialog box on a user interface by the system based on the first requirement information and the second requirement information, wherein the dialog box is provided with a manual input box for an executor to manually input the use dosage, the administration route, the administration rate or the administration concentration actually prepared and executed by the heart.
7. The method of claim 1, wherein: the proofreading the input preliminary execution information and generating a determination result, and executing the set corresponding operation based on the determination result specifically includes:
after the executor manually inputs the preparatory execution information through the dialog box, the preparatory execution information input by the executor is collated with the first requirement information and the second requirement information, and if the collation is passed, a judgment result that the collation is passed and the administration task is allowed to be executed is generated; if the proofreading is not passed, generating a judgment result that the proofreading is not passed and the administration task is not allowed to be executed;
when the judgment result is that the proofreading is passed and the administration task is allowed to be executed, the executive carries out the administration task to the bedside of the patient; and when the judgment result is that the checking does not pass and the administration task is not allowed to be executed, automatically sending an alarm prompt, jumping back to the error position, and simultaneously requiring the superior supervisor to input job number information for checking.
8. A dispensing proof-reading system of clinical medicine is characterized in that: the system comprises a first information acquisition module, a second information acquisition module, a dialog box generation module and an information proofreading module;
the first information acquisition module is used for scanning a first information code pasted on first pasting paper of a medicine package and acquiring first demand information through the first information code;
the second information acquisition module is used for scanning a second information code on second adhesive paper distributed to the patient and acquiring second demand information through the second information code;
the dialog box generation module is used for matching the first requirement information with the second requirement information and jumping out a dialog box on a user interface based on the first requirement information and the second requirement information;
the information proofreading module is used for acquiring the prepared execution information input by the executor through the dialog box, proofreading the input prepared execution information and generating a judgment result, and executing the set corresponding operation based on the judgment result.
9. An electronic device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, characterized in that the processor implements the method according to any of claims 1 to 7 when executing the program.
10. A computer-readable storage medium, on which a computer program is stored which, when being executed by a processor, carries out the method according to any one of claims 1 to 7.
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| CN116913462A (en) * | 2023-09-12 | 2023-10-20 | 华序科技开发(深圳)有限公司 | Infusion state real-time monitoring method for intelligent ward |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN116913462A (en) * | 2023-09-12 | 2023-10-20 | 华序科技开发(深圳)有限公司 | Infusion state real-time monitoring method for intelligent ward |
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