CN114898835A - SPD support system and method for cold chain medicine full-factor tracing in hospital - Google Patents
SPD support system and method for cold chain medicine full-factor tracing in hospital Download PDFInfo
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Abstract
The invention provides an SPD support system for cold chain medicine full-factor tracing in a hospital, which comprises an operation environment, a database and a database, wherein the operation environment is used for supporting the operation of the whole system; the database is used for storing data inside and outside the system and comprises a basic database and a real-time database; the service layer is used for reading data in the data writing database and performing data processing; the service layer is used for carrying out information management according to the request or the command and interacting the related information with the service layer; the access layer is used for accessing the related request or command of the application equipment layer into the service layer and accessing the data of the service layer into the application equipment layer; and the application equipment layer is used for performing human-computer interaction. A full factor traceability method of intracousal cold chain drugs given to the system is also provided. In the system, the medicine storehouse, the intelligent refrigeration box, the intelligent charging cabinet and the mobile refrigerator are communicated by the Internet of things, so that the tracing information required by the medicine is uploaded to the server in real time, and the whole process of medicine tracing is realized.
Description
Technical Field
The invention relates to the technical field of cold chain drug management, in particular to an SPD support system and method for cold chain drug full-factor tracing in a hospital.
Background
The country pays more and more attention to promoting the informatization management of medicines, particularly to the construction of a vaccine and cold chain medicine tracing system, so that the medication safety of common people is ensured. Through medicine system of traceing back, on the one hand, can pinpoint the medicine flow direction, can find terminal consumer, know who bought this box of medicine, in case the problem can in time accurately recall. On the other hand, big data of the medicine can be formed, and especially the medicine is helpful for counterfeiting.
In addition, a modern informatization technology is adopted for establishing a medicine tracing system, and the medicine tracing system is also beneficial to promoting the construction of medicine Internet of things. For example, the existing hospitals develop towards intellectualization and electronization, and the construction of a drug tracing system can lay a foundation and conditions for the construction of the internet of things in the future, so that the social management cost is effectively reduced. The storage, transportation and tracing of front cold chain medicines generally exist that a cold chain is basically in a chain broken state after retail, temperature and humidity records in a circulation process are incomplete, and tracing difficulty is high.
Disclosure of Invention
The invention provides an SPD support system and an SPD support method for cold chain medicine full-factor tracing in a hospital to make up for the defects of the prior art.
The invention is realized by the following technical scheme:
a SPD support system for cold chain medicine full factor tracing in a hospital comprises a running environment, a database, a service layer, an access layer and an application equipment layer;
the operation environment is used for supporting the operation of the whole system;
the database is used for storing data inside and outside the system and comprises a basic database and a real-time database;
the service layer is used for reading data in the data writing database and performing data processing;
the service layer is used for carrying out information management according to the request or the command and interacting the related information with the service layer;
the access layer is used for accessing the related request or command of the application equipment layer into the service layer and accessing the data of the service layer into the application equipment layer;
and the application equipment layer is used for performing human-computer interaction.
The application equipment layer comprises a medicine warehouse management end, a department management end, a PDA client end, a department large screen, a mobile refrigeration equipment end and a manufacturer background management end; the refrigeration equipment end comprises a hospital department mobile refrigerator, a charging cabinet and a plurality of hospital department refrigeration boxes arranged on the charging cabinet.
The department management end comprises a department charging cabinet management host client and a department background management end, the department charging cabinet management host client is used for managing the charging cabinet, and the department background management end is used for managing the mobile refrigeration equipment end, checking the information of the mobile refrigeration equipment end and checking the information.
The database comprises a basic database for storing basic information of the medicine and a real-time temperature and humidity data database for storing the medicine.
The business layer body comprises a user management module, a role management module, a medicine information management module, a circulation management module, a sample error prevention and correction module, a medicine tracing module, an alarm management module and a report customization module.
The system also comprises a log recording module and an authority control module.
A method for tracing the whole elements of the cold chain medicines in the hospital based on the SPD support system for the whole element tracing of the cold chain medicines in the hospital as claimed in the preceding claims, comprising the following steps:
s100, acquiring basic information of the delivered medicine, and writing the basic information into a basic database;
s200, medicine is received, and after the PDA client side obtains the medicine taking information, the mobile refrigeration equipment side is started to take the medicine;
s300, distributing the medicines, namely automatically associating the information of the medicines to be distributed and the bed position information with a preset refrigeration box at the client of the charging cabinet management host of the department after the information of the medicines to be distributed and the bed position information are acquired by the PDA client to complete the distribution of the medicines;
s400, medicine application, namely receiving a box request by a client of a charging cabinet management host of a department, and controlling the charging cabinet to unlock a corresponding refrigerating box; the PDA client side obtains the medicine confidence and confirms the consistency with the medicine distribution information stored in the database, and the medicine can be applied after the consistency is confirmed; the negative side pops up an error message to the PDA client.
Two ways of acquiring the basic information in the step S100 are provided, the first way is to import a csv file with the medicine or import the csv file and an order number at the medicine library management end; the second type is that the cold chain system in the hospital enters from the social pharmacy through a cold storage box, the cold storage box App generates a two-dimensional code according to order information, and a PDA client scans the two-dimensional code, acquires the name of a medicine and stores the medicine in a basic database.
The step 200 is specifically that, firstly, the PDA client obtains the information of getting the medicine, and starts the corresponding mobile refrigeration equipment end through the background management end of the department; and then, the PDA client side acquires information of the medicine to be fed, the medicine enters the mobile refrigeration equipment side, and the PDA client side acquires the medicine taking ending information to finish the medicine taking.
Step 300 comprises S310, the charging cabinet receives a request of a client of a department charging cabinet management host, finishes taking a box from a refrigeration box and feeds back the box to the client of the department charging cabinet management host; s320, the PDA client acquires the information of the medicine to be distributed and the bed position information, automatically associates the information with the taken-out cold storage box, and then puts the medicine into the cold storage box; s330, returning the distributed refrigeration boxes to the empty positions of the charging cabinet; s340, the client of the administrative department charging cabinet management host receives the request of stopping taking the box and finds the main page.
The invention has the following technical effects:
1. the Internet of things equipment: a hygrothermograph for monitoring the temperature and humidity of a medicine warehouse in the system is used for an intelligent refrigeration box for storing and transporting medicines in a department, an intelligent charging cabinet and a mobile refrigerator are communicated by the Internet of things, and information required to be traced back to a server is uploaded in real time.
2. Doctor-patient management: the cold-stored box of intelligence that medical personnel used and the cold-stored box of intelligence that the patient used separately manage, and medical personnel rely on the work card to borrow, use, still, and the patient relies on cell-phone APP to borrow, use, still.
"one person one box" error protection: the intelligent refrigeration boxes used by medical personnel correspond to patients one to one, so that the medicine is not mixed up when being applied.
4. Whole cold chain and seamless management: cold chain medicines are managed and recorded in the whole process from entering a hospital drug storage to being used to the interior of a patient body.
5. Tracing function: patient, medicine, equipment, humiture, time, path full factor are correlated.
6. The operation is simple: the PDA code scanning is associated with the electronic supervision code of the medicine, and all information of the life cycle of the medicine in a hospital can be traced by one key.
Drawings
The invention will be further described with reference to the accompanying drawings.
FIG. 1 is a schematic structural diagram of an SPD support system
FIG. 2 is a schematic view of a cold chain for introducing medicines into a hospital
FIG. 3 is a schematic illustration of cold chain circulation in a pharmaceutical facility.
FIG. 4 is a schematic drawing of a box access interface.
Detailed Description
The invention provides an SPD support system for cold chain medicine full-factor tracing in a hospital, which comprises a running environment, a database, a service layer, an access layer and an application equipment layer. The system also comprises a log recording module and an authority control module.
The application equipment layer provides the system for a client operated by a user, accesses each interface of an access layer provided by the back-end service to acquire information through an http request, stores or updates the input interface data to a database through a function module corresponding to the service layer provided by the back-end service layer, and acquires information from the database and returns the information to the application equipment layer through the access layer. The log record and the authority control are public service modules, and the log record stores the historical record of the system access of the user and can be used for tracing. The entitlement control is used to verify the user and thereby ensure the security of the system.
And the service layer send the log information to the log recording service through a message queue of the RabbitMq. When a user logs in the system, authentication is carried out through the authority control service, and the user can access the corresponding interface in the access layer only after obtaining the token after passing the authentication.
The operation environment is used for supporting the operation of the whole system, and one or more of a public cloud host, an independent server, a private cloud host, a virtual machine and the like can be selected.
The database is used for storing internal and external data of the system and comprises a basic database and a real-time database, wherein the basic database can be Mysal, Salserver or other databases, the real-time database adopts an Influxdb database, the basic database is used for storing information such as basic information of the medicine, and the real-time database is used for storing temperature and humidity data of the medicine.
The service layer is used for reading and writing data in the data base and processing the data, and specifically comprises a data base reading and writing module, a data analysis module, a data caching module, a message notification module, a data backup module, a timing task module, a THIMS module and an ITMS module.
And the message notification module automatically generates an over-range alarm message according to the temperature and humidity range set by a user, and embodies in the forms of sound, light, short message of mobile phone, APP push and the like.
And the timing task module starts and stops the intelligent refrigeration box/the movable intelligent refrigerator according to the use time set by the user.
And the THIMS module is used for processing information such as temperature and state of the temperature and humidity management system and corresponding commands and requests. The temperature and humidity management system is composed of a temperature and humidity recorder, a movable intelligent refrigerator and a management end. Wherein: the temperature and humidity recorder can record the temperature and humidity of the environment at the fastest speed of 1 minute/time and upload the temperature and humidity to a cloud for storage; the net volume of the movable intelligent refrigerator is 45 liters, the target temperature and the rated power are set at will between minus 30 ℃ and 10 ℃, the Stirling refrigerator is adopted for refrigeration, the endurance time after once sufficient charging is not less than 8 hours, the movable intelligent refrigerator can be externally connected with a vehicle-mounted power supply or a 220V conventional power supply for charging, and the movable intelligent refrigerator has the functions of temperature and humidity recording and uploading. Humiture record appearance and portable intelligent refrigerator sharing management end, cell-phone APP etc.. Is suitable for the in-transit heat preservation of small-batch medicines.
And the ITMS module is used for processing information such as temperature and state of the intelligent heat preservation system of the drugs at the retail end and corresponding commands and requests. The intelligent heat preservation system for the medicines at the retail end mainly comprises an intelligent refrigeration box, an intelligent charging cabinet and a software platform. The intelligent charging cabinet is designed for facilitating low-cost use of patients, can charge 4-16 intelligent refrigerating boxes at the same time, can intelligently identify the intelligent refrigerating boxes, and can manage the refrigerating boxes in the cabinet; the software platform comprises a background system and a mobile phone APP, supports a user to rent the intelligent refrigeration box in the intelligent charging cabinet through the APP and return the intelligent refrigeration box, and performs data processing and rent fee settlement on the way. The system can meet the in-transit heat preservation requirement of a user for carrying medicines.
And the service layer is used for carrying out information management according to the request or the command and interacting the related information with the service layer. The system specifically comprises a user management module, a role management module, a medicine information management module, a circulation management module, a sample error prevention and correction module, a medicine tracing module, an alarm management module, a report customization module and the like.
And the user management module is used for managing the intelligent refrigeration box, the movable intelligent refrigerator and the users thereof in the system, including different authority management of each user and the like.
And the role management module is used for distinguishing device managers, device users and the like.
And the medicine information management module is used for associating information such as the name of the medicine, the electronic supervision code, the brand, the storage requirement and the like with the equipment in the storage and transportation process.
And the circulation management module is used for carrying out system management such as temperature and humidity, users, paths, warehouse entry and exit time and the like on a refrigeration house, a refrigeration car, a movable intelligent refrigerator, an intelligent refrigeration box and the like where the medicine is located in the way.
And the alarm management module is used for giving an alarm in real time on the temperature and humidity in the environment where the medicine is located.
A report customizing module for counting the temperature, humidity and path of the medicine environment in a certain time period and issuing a report according to the requirement
And the access layer adopts an http protocol and is used for accessing the related request or command of the application device layer to the service layer and accessing the data of the service layer to the application device layer.
In particular the https protocol is used.
The version number is put in the URL.
Only json return format is provided.
At post, put uses json as input.
Http status codes are used as error cues.
Path tries to use nouns, does not use verbs, and treats each URL as a resource.
Using HTTP verbs (GET, POST, PUT, DELETE) as action operation URL resources
Filtering information, limit: designating the number of returned records; offset: recording a start position; direction: the direction of the request data takes the value prev-the previous page data; next-next page data; page: page No; per _ page: the number of strips per page; total _ count: total number of records; total _ pages: when the total page number is equal to the page, the current page is the last page; and (3) sort: column1, column2 sort field; orderby: ordering rules, desc or asc; q: search for a key (after uri encode).
Returning a result, GET: returning the resource object; POST: returning the newly generated resource object; PUT: returning the complete resource object; DELETE: an empty document is returned.
Rate limiting, X-RateLimit-Limit; maximum request number of each IP time window; X-RateLimit-Remaining is the number of Remaining requests in the current time window; X-RateLimit-Reset the time (UNIX timestamp) of the next update time window, Retaining reverts to Limit when the next time window is reached.
And the application equipment layer is used for performing human-computer interaction and comprises a medicine warehouse management end, a department management end, a PDA client end, a department large screen, a mobile refrigeration equipment end and a manufacturer background management end. Wherein the refrigeration plant end includes hospital's administrative or technical offices and removes refrigerator, the cabinet that charges and install a plurality of hospital's administrative or technical offices refrigeration box etc. on the cabinet that charges, can send the medicine humiture to the database in real time and carry out the record.
The medicine storage management end and the refrigeration equipment end are medicine receiving main bodies of hospitals, basic information of medicines can be written into a basic database, meanwhile, the storage temperature of the medicines can be monitored in real time, and temperature cold chain information is written into the real-time database and stored.
All charging cabinets and cold boxes deployed in the departments within the hospital are registered and managed in the ITMS, and the cold chain system itself does not directly manage the charging cabinets and cold boxes. The intracousal cold chain system operates by interfacing to invoke services in the ITMS. The ITMS service provides the following services to the intracummed cold chain system over the interface:
(1) and inquiring temperature and humidity monitoring data and alarm records of the intelligent refrigeration box in a certain time period according to the number of the intelligent refrigeration box.
(2) And inquiring or updating the current state of the intelligent refrigeration box according to the number of the intelligent refrigeration box.
(3) And sending an unlocking command and acquiring a return result according to the number of the intelligent refrigeration box.
(4) And inquiring or updating the current state and the corresponding cabinet position state according to the charging cabinet number.
The cold chain system in the yard does not directly manage the temperature and humidity system and the refrigerator itself. The in-hospital cold chain system operates by interfacing calls to services in the THIMS. The THIMS service provides the following services for the in-hospital cold-chain system through the interface.
(1) And inquiring temperature and humidity monitoring data and alarm records in a certain time period according to the hospital serial number and the drug storage serial number.
(2) And inquiring temperature and humidity monitoring data and alarm records of the device in a certain time period according to the serial number of the refrigerator.
(3) And inquiring or updating the current state of the refrigerator according to the number of the refrigerator.
(4) And sending an unlocking command according to the serial number of the refrigerator and acquiring a return result.
The department management end comprises a department charging cabinet management host client and a department background management end. The main interface of the department charging cabinet management host client comprises three function buttons of renting, distributing medicines and applying medicines, and can display a login dialog box.
And the department background management end is used for managing the mobile refrigeration equipment end, checking the information of the mobile refrigeration equipment end and checking. After receiving the request of the user, the department background management end displays the use information of the mobile refrigerator and the refrigeration box, and can call and check the information of the refrigeration box. The using information of the refrigeration box comprises a department where the refrigeration box is located, a charging cabinet, a number, a distributed bed, temperature, humidity and operation; wherein the operation comprises stopping, starting and checking the medicine. The use information of the mobile refrigerator comprises a medicine name, an electronic supervision code, putting time, a nurse work number and the like.
Specifically, the nurse logs in behind the administrative or technical offices backstage management end, clicks cold-stored box menu, shows cold-stored box attitude information, and through this page, the nurse can arrange before personnel receive the medicine from the pharmacy, the cold-stored box of pre-starting to this cold-stored box of locking, thereby ensure that there is cold-stored box to distribute after the medicine is received. The nurse clicks the check medicine button and jumps to the page displaying the cold chain medicine information. Through the page, the nurse can call out the prescription information prescribed by the doctor for a certain inpatient from other systems, and check the medicine information to ensure that the medicine has no errors. After the nurse manually dispenses the medicine each time, the nurse needs to go to the management end to open the page for manual review. The cold chain medicine information comprises a medicine name, an electronic supervision code, a state, application time and a nurse work number.
The PDA client is used for information entry and verification of dispensing and administering drugs.
The purpose of the large screen of the department is to facilitate the nurse of the department to check cold chain medicine temperature and humidity monitoring and early warning, alarm information and other cold chain medicine detection information. The system specifically comprises a bed number, a medicine name, a position, a label, temperature, humidity, a state and updating time.
The invention also provides a method for tracing the whole factors of cold chain medicines in a hospital by using the system.
S100, acquiring basic information of the delivered medicine, and writing the basic information into a basic database. This step is also known as drug entry management, which refers to the entry of cold chain drugs from a pharmaceutical factory, hospital company or large social pharmacy into the base database of the cold chain system in the hospital. The drug basic information table includes: information such as a drug name, a production date, a manufacturer, a small-package electronic supervision code, a large-package electronic supervision code, a warehousing time, a warehousing warehouse number, a use hospital, a use department, a use bed, a use time, and the like is generated at a corresponding step and recorded in the basic database. Drug inlets can be broadly divided into four broad categories.
The first type is a medicine delivered from a pharmaceutical factory or a pharmaceutical company via a refrigerated vehicle; and providing a basic information data import page of the medicine at a medicine warehouse of the hospital, and importing information of a production date, a manufacturer, a small-package electronic supervision code and a large-package electronic supervision code through a csv file. After a medicine library manager logs in a medicine library management terminal through a preset user name and a preset password, information of a hospital and a medicine library can be obtained through an interface, a csv file provided by a medicine delivery person is copied to a hard disk of a client computer, an upload medicine data button is clicked, the csv file is selected, after uploading is successful, the interface returns all medicine information which is uploaded successfully, and the information is displayed in a table of a client page.
The second is a drug delivered from a pharmaceutical factory or pharmaceutical company via a mobile refrigerator; uploading basic data of the medicines is basically the same as the first type, and csv files also need to be provided. It is also desirable to provide a removable refrigerator number (order number) that can support temperature history tracking during distribution.
The third type is the medicine entering the cold chain system in the hospital from the social pharmacy through the cold box; when a user puts medicines into the refrigeration box, the electronic supervision codes need to be scanned. In this manner, the medication should be directed to the department, and must be admitted to the hospital cold chain system through the department administration end. The family members of the patients open the refrigeration box App, find out the current order of the refrigeration box, click the handover information button, the system generates a two-dimensional code comprising an order number, a user mobile phone number, a medicine electronic supervision code and the refrigeration box number, after a nurse scans the two-dimensional code through the PDA client, a medicine information interface is displayed in the PDA client, the nurse needs to click the confirmation button after inputting the medicine name on the interface, and the medicine information is uploaded to the server and stored in the basic database.
If the user can not generate the two-dimensional code due to network reasons, the refrigeration box needs to be opened, then a nurse clicks a medicine entry button in the PDA, then the electronic supervision code of the medicine is manually scanned, and after other information in the picture is supplemented, a confirmation button is clicked.
If the medicines are delivered to the hospital drug storage in batches, the basic data of the medicines are accessed and referred to the first type. And if the medicine is delivered to the department ward in a retail mode, accessing the basic data of the medicine into the third reference type.
And S200, medicine taking, wherein the PDA client starts the mobile refrigeration equipment terminal to take the medicine after acquiring the medicine taking information.
Firstly, the PDA client side obtains the medicine taking information, and starts a corresponding mobile refrigeration equipment side through a background management side of a department. In particular, departments take their medicines from the drug depot, either by moving a refrigerator or a smart cold box. Before going to the medicine warehouse, the medicine taking personnel need to open the PDA, after login, click the medicine taking button of the medicine warehouse, select the name of the medicine warehouse, input the unique number of the refrigerator or the cold storage box, and ensure that the refrigerator or the cold storage box starts refrigeration.
And then, the PDA client side acquires information of the medicine to be fed, the medicine enters the mobile refrigeration equipment side, and the PDA client side acquires the medicine taking ending information to finish the medicine taking. Specifically, before the medicine is put into a refrigerator or a cold storage box in the medicine warehouse, a password is input through a panel to open a cover, if the medicine cannot be opened through the panel, the medicine can be put into the refrigerator or the cold storage box through an unlocking key in a PDA (personal digital assistant), then an electronic supervision code of a small medicine package is scanned, and after the medicine is finished, an end button is clicked.
S300, distributing the medicines, wherein the PDA client automatically associates with a preset refrigeration box of the department charging cabinet management host client to complete medicine distribution after acquiring the information of the medicines to be distributed and the bed information. The allocation information is stored in a database.
And S310, the charging cabinet receives the request of the client of the administrative department charging cabinet management host, the box taking of the refrigeration box is completed, and the cold storage box is fed back to the client of the administrative department charging cabinet management host. Specifically, after the drug arrives at the department, the nurse needs to dispense the cold chain drug to a different cold box. Firstly, a nurse clicks a button for distributing medicines in a client of a charging cabinet management host of a department, at the moment, the nurse needs to input a job number and a password, and after the authentication is correct, the client of the charging cabinet management host of the department jumps to a box taking-off interface. The department charge cabinet management host client needs to inform the ITMS service to lock the current charge cabinet, i.e., not allow the retail customer to reserve and rent the refrigeration box.
The grey button indicates that no cold storage box exists in the current cabinet position, or the temperature does not reach the range of 2-8 ℃, or a cold storage box which is reserved, registered or failed exists and cannot be taken out. The blue button indicates that the cold box in the current cabinet location can be removed and, if the cold box has been assigned to the patient, the patient's bed number is displayed.
The nurse clicks the button of blue background, can the unblock pop out cold-stored box, and the nurse takes out cold-stored box back, and the blue background of this cabinet position becomes grey in the interface, and does not show the bed number. Other cabinet positions with blue background also turn grey but still show free or bed position information. Only one cassette is allowed to be removed at a time when dispensing a drug because of the association of the drug electronic supervision code, the refrigerated cassette and the bed information.
And S320, the PDA client acquires the information of the medicine to be distributed and the bed position information, automatically associates the information with the taken-out cold storage box, and then puts the medicine into the cold storage box. Specifically, a nurse firstly inputs a job number and a password for login in a PDA (personal digital assistant), after login is successful, a medicine distribution button is clicked to enter a medicine distribution page, the system automatically takes a cold storage box taken out of a charging cabinet by the nurse as a default cold storage box for placing medicines, if information is wrong, the nurse can select the cold storage box through a list, and all cold storage box numbers which can be used for distributing the medicines in the current department are listed in the list. After the refrigeration box is confirmed, a nurse needs to input a bed number, then clicks a medicine placing button, enters a code scanning page, needs to scan a code before each medicine is placed, and needs to upload an electronic supervision code to a server end every time the electronic supervision code is scanned. And after the medicines are all distributed, clicking a completion button, and popping up a dialog box to prompt a user to continue distributing the medicines or quit logging in.
And S330, returning the distributed refrigeration boxes to the empty position of the charging cabinet. After the refrigeration box is placed in an idle cabinet position, the interface of the administrative department charging cabinet management host computer client displays the interface in S310, namely the refrigeration box which can be taken out is displayed with a blue background.
S340, the client of the administrative department charging cabinet management host receives the request of stopping taking the box and finds the main page.
The client of the administrative department charging cabinet management host ensures that the refrigeration box for placing the medicine is always started, and the temperature needs to be maintained within the requirement range set by the nurse.
S400, medicine application, namely receiving a box request by a client of a charging cabinet management host of a department, and controlling the charging cabinet to unlock a corresponding refrigerating box; the PDA client side obtains the confidence of the medicine and confirms the consistency with the medicine distribution information stored in the database, the medicine can be applied after the consistency is confirmed, and an error message is popped up to the PDA client side if the consistency is not confirmed.
Specifically, the nurse clicks the cabinet position of certain blue background, and the administrative or technical department cabinet management host client sends the unblock order and notifies the cabinet that charges and unblank, and the suggestion nurse takes away after unblanking successfully.
The nurse can repeatedly take away a plurality of boxes, click after all taking and stop getting the box button, return to the main page of administrative department's cabinet management host computer client that charges.
When a nurse is dispensing medicine, firstly, after the work number and the password are input in the PDA and login is successful, the nurse clicks a medicine dispensing button to enter a medicine dispensing page, after the bed number is input, clicking is determined, and the system automatically unlocks a refrigeration box corresponding to the bed.
The PDA will enter the code scanning page, the nurse takes out the medicine from the unlocked cold storage box and scans the electronic supervision code by the PDA, the system needs to check that the electronic supervision code is consistent with the medicine information stored by the system, or else, the system reports an error.
After the administration is completed, the continue or end button is clicked. Continuing to express that the medicine is continuously applied to the patients at the same bed, and after the medicine application of all the patients is completed in turn, the nurse clicks to quit the login and quit the PDA operation interface.
The system and the method provided by the invention can effectively prevent the error of the medicine. Firstly, medicine is distributed through the cold storage box, and physical mistake proofing is realized by one bed and one box.
According to electron supervision sign indicating number mistake proofing, the nurse types patient's cold chain medicine information in cold chain system in the institute according to doctor's prescription, and the cold-stored box of medicine income needs to be swept electronic supervision sign indicating number, and the nurse passes through the management end and checks whether putting the medicine by mistake, need sweep electronic supervision sign indicating number for the patient before giving medicine to the poor free of charge.
When a manufacturer recalls, the background management end is opened, a recall inquiry page is entered, and the name, the production date and the manufacturer of the drug to be recalled are provided. And clicking the query to query the detailed conditions of the medicines to be recalled, including the names of the medicines, the production dates, the manufacturers, the electronic supervision codes, the current position, the state, the warehousing time and the like, wherein the current storage position of the medicines at the current position and the state comprise unused, used, to be checked, to be used, published by an outpatient clinic and the like.
Claims (10)
1. The utility model provides a SPD support system that cold chain medicine complete factor was traceed back in institute which characterized in that: the system comprises a running environment, a database, a service layer, an access layer and an application equipment layer;
the operation environment is used for supporting the operation of the whole system;
the database is used for storing data inside and outside the system and comprises a basic database and a real-time database;
the service layer is used for reading data in the data writing database and performing data processing;
the service layer is used for carrying out information management according to the request or the command and interacting the related information with the service layer;
the access layer is used for accessing the related request or command of the application equipment layer into the service layer and accessing the data of the service layer into the application equipment layer;
and the application equipment layer is used for performing human-computer interaction.
2. The in-hospital cold chain drug full-factor traceable SPD support system of claim 1, wherein: the application equipment layer comprises a medicine warehouse management end, a department management end, a PDA client end, a department large screen, a mobile refrigeration equipment end and a manufacturer background management end; the refrigeration equipment end comprises a hospital department mobile refrigerator, a charging cabinet and a plurality of hospital department refrigeration boxes arranged on the charging cabinet.
3. The in-hospital cold chain drug full-factor traceable SPD support system of claim 2, wherein: the department management end comprises a department charging cabinet management host client and a department background management end, the department charging cabinet management host client is used for managing the charging cabinet, and the department background management end is used for managing the mobile refrigeration equipment end, checking the information of the mobile refrigeration equipment end and checking the information.
4. The in-hospital cold chain medicine full-factor traceability SPD support system of claim 1, wherein: the database comprises a basic database for storing basic information of the medicine and a real-time temperature and humidity data database for storing the medicine.
5. The in-hospital cold chain medicine full-factor traceability SPD support system of claim 1, wherein: the business layer comprises a user management module, a role management module, a medicine information management module, a circulation management module, a sample error prevention and correction module, a medicine tracing module, an alarm management module and a report customization module.
6. The in-hospital cold chain medicine full-factor traceability SPD support system of claim 1, wherein: the system also comprises a log recording module and an authority control module.
7. The method for tracing the full elements of the cold chain medicines in the hospital based on the SPD support system for tracing the full elements of the cold chain medicines in the hospital according to claim 3 is characterized by comprising the following steps:
s100, acquiring basic information of the delivered medicine, and writing the basic information into a basic database;
s200, medicine is received, and after the PDA client side obtains the medicine taking information, the mobile refrigeration equipment side is started to take the medicine;
s300, distributing the medicines, namely automatically associating the information of the medicines to be distributed and the bed position information with a preset refrigeration box at the client of the charging cabinet management host of the department after the information of the medicines to be distributed and the bed position information are acquired by the PDA client to complete the distribution of the medicines;
s400, medicine application, namely receiving a box request by a client of a charging cabinet management host of a department, and controlling the charging cabinet to unlock a corresponding refrigerating box; the PDA client side obtains the medicine confidence and confirms the consistency with the medicine distribution information stored in the database, and the medicine can be applied after the consistency is confirmed; the negative side pops up an error message to the PDA client.
8. The method for tracing the whole elements of cold chain drugs in hospital according to claim 7, wherein: two ways of acquiring the basic information in the step S100 are provided, the first way is to import a csv file with the medicine or import the csv file and an order number at the medicine library management end; the second type is that the cold chain system in the hospital enters from the social pharmacy through a cold storage box, the cold storage box App generates a two-dimensional code according to order information, and a PDA client scans the two-dimensional code, acquires the name of a medicine and stores the medicine in a basic database.
9. The method for tracing the whole elements of cold chain drugs in hospital according to claim 7, wherein: the step 200 is specifically that, firstly, the PDA client obtains the information of getting the medicine, and starts the corresponding mobile refrigeration equipment end through the background management end of the department; and then, the PDA client side acquires information of the medicine to be fed, the medicine enters the mobile refrigeration equipment side, and the PDA client side acquires the medicine taking ending information to finish the medicine taking.
10. The method for tracing the whole elements of cold chain drugs in hospital according to claim 7, wherein: step 300 comprises S310, the charging cabinet receives a request of a client of a department charging cabinet management host, finishes taking a box from a refrigeration box and feeds back the box to the client of the department charging cabinet management host; s320, the PDA client acquires the information of the medicine to be distributed and the bed position information, automatically associates the information with the taken-out cold storage box, and then puts the medicine into the cold storage box; s330, returning the allocated refrigerating boxes to the empty position of the charging cabinet; s340, the client of the administrative department charging cabinet management host receives the request of stopping taking the box and finds the main page.
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| Application Number | Priority Date | Filing Date | Title |
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| CN202210491005.3A CN114898835A (en) | 2022-05-07 | 2022-05-07 | SPD support system and method for cold chain medicine full-factor tracing in hospital |
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