CN114974531A

CN114974531A - Intelligent medical care system based on big data

Info

Publication number: CN114974531A
Application number: CN202210530040.1A
Authority: CN
Inventors: 祁雷
Original assignee: Individual
Current assignee: Individual
Priority date: 2022-05-16
Filing date: 2022-05-16
Publication date: 2022-08-30

Abstract

The application relates to an intelligent medical care system based on big data, which comprises a server module for storing and managing patient care information, a care information display module for displaying the patient care information, a care service terminal for managing the patient care information, a nursing acquisition module for acquiring patient signs to provide care service for a patient and a nursing staff management module for managing nursing staff information to generate a nursing plan; the nursing information display module, the nursing service terminal, the nursing acquisition module and the nursing staff management module are all connected with the server module; the server module is connected with the hospital information system, and the server module calls the case information and the identity information of the patient from the hospital information system. The medical nursing system can efficiently and orderly manage and dispatch nursing personnel and nursing work, and the effect of effectively improving the quality and the efficiency of medical nursing is achieved.

Description

Intelligent medical care system based on big data

Technical Field

The application relates to the field of medical care, in particular to an intelligent medical care system based on big data.

Background

Nursing is a science of application, and is divided into family nursing and paid nursing. The paid nursing must be carried out according to relevant provisions of laws and regulations specified by ministry of health, national health and welfare committee and medical administration to develop corresponding nursing items, complete basic or routine nursing in a regulated, purposeful and planned way, observe and know the basic condition of the body weight of the patient, monitor or acquire disease condition data according to the change of the disease condition so as to cooperate with doctors to complete the treatment of the patient, strengthen infusion patrol and education, deal with medical disputes in time and prevent medical accidents. Critical vital sign monitoring, specimen collection and regular body weight and nutrition collection and analysis are carried out, and the problems of living, daily activities, medication, safety and the like of patients are taken care of from the aspects of physiology, psychology, social culture and spirit.

The hospital information system is an information system which comprehensively manages the people flow, the logistics and the financial flow of a hospital and all the departments to which the hospital belongs by using modern means such as computer software and hardware technology, network communication technology and the like, collects, stores, processes, extracts, transmits and summarizes data generated at all the stages of medical activities, and processes the data to form various information, thereby providing comprehensive automatic management and various services for the overall operation of the hospital. However, the development and utilization of hospital information systems are not high at present, and are limited to outpatient service and charging systems. With the continuous development and progress of information technology and computer technology, how to effectively combine hospital medical care work with a hospital information system and further improve the medical care work quality and work efficiency is a problem to be solved. Most of current medical care work is finished subjectively by medical care personnel, the subjective intention guide component is large, the medical care service quality is easy to be uneven especially at night when the subjective motility is poor, and the medical care quality and the efficiency are low due to disordered medical care

Aiming at the related technologies, the inventor thinks that the existing medical care work lacks reasonable and effective scheduling, the subjective guidance of medical care personnel is larger, and the phenomenon that the medical care quality and efficiency are lower due to the confusion of the medical care easily occurs.

Disclosure of Invention

In order to improve the problem that the existing medical care work lacks reasonable and effective scheduling, the subjective guidance of medical care personnel is large, the confusion of medical care easily occurs, the medical care quality and the efficiency are low, and the intelligent medical care system based on the big data is provided.

The application provides an intelligent medical care system based on big data adopts following technical scheme:

an intelligent medical care system based on big data comprises a server module used for storing and managing patient care information, a care information display module used for displaying the patient care information, a care service terminal used for managing the patient care information, a nursing acquisition module used for acquiring patient signs to provide care service for patients, and a nursing staff management module used for managing nursing staff information to generate a nursing plan; the nursing information display module, the nursing service terminal, the nursing acquisition module and the nursing staff management module are all connected with the server module; the server module is connected with the hospital information system, and the server module calls the case information and the identity information of the patient from the hospital information system.

The server module is connected with an input module, and the input module comprises a plurality of identity input systems and a nursing item module; the server module is connected with a cloud database, the server module uploads the nursing records of the patient and the input information of the input module to the cloud database at regular time for storage, and the cloud database stores the local patient case nursing data of the hospital, the national case nursing database and the nursing data of local nurses of the hospital; the server module can invoke patient and nurse personnel information from a cloud database.

The server module further comprises a patient nursing degree grade, a nurse end grade and a nurse end scoring system for dividing the nurse end grade, and the server module matches the patient nursing degree grade with the nurse end grade according to data in the cloud database.

Through adopting above-mentioned technical scheme, realize carrying out high-efficient orderly management and dispatch to nursing staff and nursing work through each module of server module dispatch placed in the middle, ensure that nursing staff each takes the duties and provides better nursing service for the patient, reach the effect that effectively improves medical care quality and efficiency. And through the setting of nursing information display module, realize the clear and orderly demonstration to patient's nursing information, the doctor of being convenient for and nursing staff directly perceivedly know patient's case information, and the nursing staff of being convenient for provides good nursing service for the patient better more pertinence, further promotes nursing quality and nursing efficiency. Simultaneously through the setting of gathering nursing module, the doctor of being convenient for and nursing staff management adjust patient care equipment's parameter to the realization is concentrated real-time observation to patient's sign information, can in time discover patient's disease, reaches and takes precautions against in effect in the bud. In addition, to different patient's nursing demand, divide into different nursing grades with the nurse, can carry out nurse personnel's allocation to patient's demand high efficiency, avoid doctorsing and nurses the wasting of resources to improve medical care efficiency.

The safety of patient case information and nursing information is ensured through the setting of the cloud database, the patient can conveniently see a doctor in other places, and through the setting of the cloud database, the case and the nursing case can be provided for the nursing staff and the doctor in a hospital to learn, the doctor and the nursing staff can conveniently promote the nursing level and the professional level, and better medical service and nursing service are provided for the patient.

Preferably, the patient care level includes first degree of care patients, second degree of care patients and third degree of care patients. The patient nursing degree grade is judged by the server module and then is selected by the patient.

The nurse-side grade comprises first-class nursing nurses, second-class nursing nurses and third-class nursing nurses. The nurse end scoring system scores and divides the grade of the nurse end according to the total score of 10-30% of the patient evaluation score, 30-50% of the usual assessment score, 20-30% of the effective working time and 10-20% of the patient replacement frequency. Dividing the nurses with the total score of the first 10% into first-class nursing nurses, dividing the nurses with the total score of the first 10-50% into second-class nursing nurses, and dividing the nurses with the total score of the first 50% and later into third-class nursing nurses; the nurse-side level is periodically updated.

Through adopting above-mentioned technical scheme to refine medical personnel, let the nurse that the nursing ability is stronger be responsible for the patient that the nursing demand is high, improve medical personnel's distribution efficiency, and nurse holds periodic update of grade and can improve medical personnel's enthusiasm, ensure medical care quality.

Preferably, the server module evaluates the patient care degree grade according to the input information of the input module and a comprehensive grade of a required bed grade of 10 points, a care item of 50 points, a care time of 30 points and a change care frequency of 10 points. And the comprehensive score is larger than 80 and is divided into first-class nursing degree patients, 60-80 are divided into second-class nursing degree patients, and the comprehensive score is smaller than 60 and is divided into third-class nursing degree patients, and the patients cannot select the judgment grade higher than the server module. The patient care level is re-evaluated and selected as the input information of the input module changes.

Through adopting above-mentioned technical scheme, refine patient, let the patient that the nursing demand is high can select the nurse that the nursing ability is stronger, and avoid the patient that the nursing demand is weak to occupy too much medical resources, in order to adapt to the improvement of patient nursing demand, patient's nursing degree grade is along with input module's input information change and reevaluating and selecting simultaneously, can also improve patient's nursing experience.

Preferably, the server module is connected with a call module, the call module comprises a nursing call button located at the hospital bed, a call processor and a call loudspeaker arranged in the nursing station, the nursing call button and the call loudspeaker are both connected with the call processor, and the call processor is in communication connection with the server module.

The server module matches a first-class nursing nurse with a first-class nursing patient, the first-class nursing nurse can call one or more first-class nursing nurses at one time, when the number of the first-class nursing nurses is not enough, the first-class nursing nurse can call one or more second-class nursing nurses, and when the number of the first-class nursing nurse and the second-class nursing nurses is not enough, the first-class nursing nurse can call one or more third-class nursing nurses.

The server module matches the second-class nursing degree patient with the second-class nursing nurse, the first-class nursing degree patient can call the first-class nursing nurse, and when the number of the second-class nursing nurse is insufficient, the second-class nursing degree patient can call one or more third-class nursing nurses.

The server module matches patients with three degrees of care with three nurses of care, and a patient with three degrees of care can call one nurse with three degrees of care.

Through adopting above-mentioned technical scheme, the patient can call the nursing staff through nursing call button, promote proruption's reply ability, and the back server module is sent the nursing suggestion in step to the nursing staff at nursing call button presses, ensure that the nursing staff can be quick accurate receive patient's nursing demand, realize providing good nursing service for the patient, promote patient's satisfaction, and first-class nursing degree patient is as key nursing object, call more medical resources, fully satisfy patient's nursing demand.

Preferably, the nursing information display module comprises a total nursing billboard positioned in the nurse station and ward nursing billboards positioned in the wards, the total nursing billboard is used for displaying nursing information of all patients responsible for the nurse station, and the ward nursing billboard is used for displaying nursing information of the patients in the wards.

The nursing service terminal comprises a nurse terminal positioned in a nurse station and a plurality of patient nursing terminals positioned in a ward, the patient nursing terminals correspond to patient beds in the ward one to one, doctors and nursing staff can browse and modify nursing information of patients in the server module through the nurse terminal and the patient nursing terminals, and the server module receives the modified nursing information of the patients and records the modification and updates the nursing information of the patients displayed by the nursing information display module in real time.

The nursing information display module and the nursing service terminal adopt a quantum time threshold signature algorithm to distribute nursing information of a patient and personnel information of nursing nurses, and the method comprises the following specific steps:

s10, the nursing information display module and the nursing service terminal convert the information of the input module;

s20, the nursing information display module generates a first signature by using the first private key and the information of the input module after conversion processing, and then combines the first signature and the information of the input module and sends the combined signature and the information to the general nursing billboard and the ward nursing billboard;

s30, the nursing service terminal generates a second signature by using the second private key and the information of the input module after conversion processing, and then sends the second signature to the nurse terminal and the patient nursing terminal;

s40, the nursing information display module uses the first public key to check the received second signature, if the check passes, the specific diagnosis time node of the patient information is preset according to the current patient information processing time and the average patient information changing time;

s50, when the specific diagnosis time node of the patient information arrives, a prompt is sent, doctors and nursing staff judge whether the patient nursing information needs to be changed, if so, the information of each second signature to the input module is judged to be effective; and if not, judging that the information of each second signature pair input module is not valid.

Through adopting above-mentioned technical scheme, setting through total nursing billboard, the realization is to the clear orderly demonstration of patient nursing information, the doctor of being convenient for and the medical care information of nursing staff directly perceivedly know the patient, the nursing staff of being convenient for more pertinence provides good nursing service for the patient better, and through the setting of ward nursing billboard, make things convenient for the audio-visual nursing information of knowing the patient after medical staff arrives the ward, avoid appearing because the patient too much and the phenomenon of omitting patient's information appears, the medical staff of being convenient for in time carries out patient's nursing work, further promote nursing quality and nursing efficiency.

The medical nursing system is characterized in that the medical nursing system comprises a plurality of patient nursing terminals, a server module and a nursing information display module, wherein the server module is used for displaying the nursing information of a patient, the server module is used for displaying the nursing information of the patient, the nursing information display module is used for displaying the nursing information of the patient, the doctor and the nursing staff are convenient to use, the examination and the nursing work are provided for the patient in a ward through the arrangement of the patient nursing terminals, the nursing information of the patient in the server module is modified, the modified nursing information is recorded and is updated in real time, the nursing work of the nursing staff is more efficient and accurate, and the effect of effectively improving the quality and the efficiency of medical nursing work is achieved.

By using the quantum time threshold signature algorithm, the patient nursing information can be quickly and effectively processed on the premise of ensuring the privacy of the patient, the patient information corresponds to the nursing information, and a doctor and a nursing staff are reminded to timely modify the nursing information and the case information of the patient.

Preferably, the patient nursing terminal is matched with the patient nursing degree grade, and the nurse terminal is matched with the nurse terminal grade. The patient nursing terminal of the first-class nursing degree patient can be browsed and modified by the first-class nursing nurse firstly, then browsed and modified by the second-class nursing nurse secondly, and browsed and modified by the third-class nursing nurse the latest. The patient nursing terminal of the second-class nursing degree patient can be browsed and modified by the second-class nursing nurse firstly, and then browsed and modified by the third-class nursing nurse secondly. The patient nursing terminal of the patients with the three degrees of care can be browsed and modified by the nursing nurses with the three degrees of care.

Through adopting above-mentioned technical scheme, can let patient's nursing degree patient that the grade is high, the higher patient of nursing demand promptly obtains the maximum nursing effect, can reach the effect that improves whole medical resources availability factor.

Preferably, the collection nursing module comprises a nursing device for providing nursing service for the patient, a sign collection device for collecting patient sign information, and an infusion monitoring unit for collecting an infusion process of the patient; the server module receives the physical sign data and the infusion process of each patient in real time and sends the physical sign data and the infusion process to a nurse terminal in real time, and a doctor or a nursing staff sends a control instruction to nursing equipment through the server module; the infusion monitoring unit monitors the residual liquid amount of the patient infusion bottle in real time and uploads the residual liquid amount to the server module, and when the residual liquid amount of the patient infusion bottle is lower than a preset threshold value, the server module sends warning information to a nursing staff.

By adopting the technical scheme, the remaining liquid amount of the infusion bottle of the patient is monitored in real time through the infusion monitoring unit, so that the working strength of nursing personnel is effectively reduced, the nursing personnel can exert more energy to put into other nursing services, and the phenomena that the infusion bottle is not replaced and the needle is pulled out in time due to the weak energy or subjective negligence of the nursing personnel can be effectively avoided; and through the setting of gathering nursing module, be convenient for doctor and nursing staff management adjust patient care apparatus's parameter to concentrate real-time observation to patient's sign information, can in time discover patient's disease, reach and take precautions against in effect in the bud.

Preferably, the infusion monitoring unit comprises a residual controller, a medical infusion monitor for detecting the residual liquid amount in the infusion bottle and an infusion alarm for alarming when the detected residual liquid amount in the infusion bottle is lower than a preset threshold value, the medical infusion monitor and the infusion alarm are both connected with the residual controller, and the residual controller is in communication connection with the server module.

Through adopting above-mentioned technical scheme, through medical infusion watch-dog real-time supervision patient infusion bottle surplus liquid volume, let the nursing staff know each patient's the infusion condition in real time, effectively reduced nursing staff's working strength, make nursing staff can have more energy to drop into other nursing service, remind nursing staff through the infusion alarm when detecting remaining liquid volume in the infusion bottle and being less than preset threshold value simultaneously, can effectively avoid leading to the phenomenon that the infusion bottle is not in time changed and pull out the needle because nursing staff's energy is not good or subjective carelessness.

Preferably, the server module is connected with a monitoring module, the monitoring module comprises a plurality of movable high-speed pan-tilt cameras and fixed infrared cameras, the high-speed pan-tilt cameras are used for movably acquiring nursing states of patients with different degrees of second care and patients with different degrees of third care and a public area of a hospital, and the nursing state acquisition frequency of the patients with the second degree of care is greater than that of the patients with the third degree of care. The fixed infrared cameras are arranged in one-to-one correspondence with patients with the same nursing degree.

By adopting the technical scheme, the effective monitoring of the patient is realized through the arrangement of the high-speed pan-tilt camera and the fixed infrared camera, and the patient is monitored one to one aiming at the patient with the same nursing degree, so that the safety guarantee is provided for the patient.

Preferably, the nursing staff management module comprises a nursing staff attendance unit, a nursing staff scheduling unit, a nursing patrol plan generating unit and a nursing staff performance management unit; the nursing staff attendance unit is used for carrying out attendance management on the nursing staff going to and from work; the nursing staff scheduling unit performs scheduling on nursing staff according to a preset scheduling rule to generate a scheduling table of each time period; the nursing patrol plan generating unit is used for generating a daily patrol plan table of each nursing staff according to the shift table and preset patrol rules, regularly reminding the nursing staff to go to the wards for patrol according to the patrol plan table and registering patrol information at the nursing service terminals of each ward; the nursing staff performance management unit is used for judging whether the nursing staff has the missed patrol condition and recording according to the patrol information comparison patrol schedule of each received ward, and meanwhile, the monitoring video of the patrol time period of the monitoring module is called and combined with the missed patrol condition to record when the missed patrol condition occurs, and the nursing staff performance management unit records common assessment scores.

By adopting the technical scheme, the nursing staff are reasonably scheduled and orderly scheduled by the nursing staff scheduling unit and the nursing patrol plan generating unit, the ward round patrol operation is standardized, the ward round patrol is ensured to be in place, and better nursing service is provided for patients; and whether the nursing staff has the missed patrol condition is judged and recorded through the nursing staff performance management unit according to the patrol information comparison patrol schedule of each received ward, and the monitoring video at the time of the missed patrol condition is saved by the linkage monitoring module, so that the phenomenon of misjudgment caused by instrument faults is avoided, and the normative rationality of nursing work management is further improved.

In summary, the present application includes at least one of the following beneficial technical effects:

1. the efficient and organized management and scheduling of nursing staff and nursing work are realized by scheduling each module in the middle through the server module, the nursing staff is ensured to perform other functions to provide better nursing service for patients, and the effect of effectively improving the quality and efficiency of medical nursing is achieved. And through the setting of nursing information display module, realize the high-efficient, clear demonstration to patient's nursing information, the doctor of being convenient for and nursing staff directly perceived the case information of knowing the patient. Meanwhile, through the arrangement of the acquisition nursing module, doctors and nursing staff can manage and adjust the parameters of the patient nursing equipment conveniently;

2. the residual liquid amount of the infusion bottle of the patient is monitored in real time through the infusion monitoring unit, the working strength of nursing staff is effectively reduced, the nursing staff can put more energy into other nursing services, and meanwhile, the phenomenon that the infusion bottle is not replaced and the needle is pulled out in time due to energy deficiency or subjective negligence of the nursing staff can be effectively avoided. The collection nursing module is arranged, so that doctors and nursing staff can manage and adjust parameters of patient nursing equipment conveniently, and the patient sign information is observed in a centralized and real-time manner, so that the symptoms of the patient can be found in time, and the effect of preventing the patient from being in the bud can be achieved;

3. the nursing staff is reasonably scheduled and orderly scheduled by the nursing staff scheduling unit and the nursing patrol plan generating unit, the ward round patrol operation is standardized, the ward round patrol is ensured to be in place, and better nursing service is provided for patients; whether the caregivers have the inspection missing condition is judged through the caregivers performance management unit, and the monitoring video generated when the inspection missing condition occurs is called and stored by the linkage monitoring module, so that the phenomenon of misjudgment caused by instrument faults is avoided, and the normative rationality of nursing work management is further improved;

4. the safety of patient case information and nursing information is ensured through the setting of the cloud database, the patient can conveniently see a doctor in other places, and through the setting of the cloud database, cases and nursing cases can be provided for nursing staff and doctors in a hospital to learn, so that the nursing level and the professional level of the doctors and the nursing staff can be conveniently improved.

Drawings

FIG. 1 is a system block diagram of an intelligent medical care system in an embodiment of the present application;

FIG. 2 is a patient care level profile of the intelligent medical care system in an embodiment of the present application;

FIG. 3 is a nurse side grade distribution chart of the intelligent medical care system in an embodiment of the present application;

fig. 4 is a chart showing the correspondence between the patient care level and the nurse side level of the intelligent medical care system in the embodiment of the present application.

Description of reference numerals: 1. a server module; 11. an input module; 12. a patient care level; 13. grade of a nurse end; 14. a nurse end scoring system; 2. a nursing information display module; 21. a general nursing billboard; 22. a ward nursing billboard; 3. a nursing service terminal; 31. a nurse terminal; 32. a patient care terminal; 33. an identity authentication unit; 331. an authority card reader; 332. an identity card reader; 4. a collection and nursing module; 41. a care device; 42. a sign acquisition device; 43. an infusion monitoring unit; 431. a margin controller; 432. a medical infusion monitor; 433. an infusion alarm; 5. a caregiver management module; 51. a nursing staff attendance unit; 52. a nursing staff scheduling unit; 53. a nursing patrol plan generating unit; 54. a caregiver performance management unit; 6. a monitoring module; 61. a high-speed pan-tilt camera; 62. fixing an infrared camera; 7. a calling module; 71. a care call button; 72. a call processor; 73. calling a loudspeaker; 8. and (4) a cloud database.

Detailed Description

The present application is described in further detail below with reference to figures 1-4.

The hospital information system is an information system which comprehensively manages the people flow, the logistics and the financial flow of a hospital and all the departments to which the hospital belongs by using modern means such as computer software and hardware technology, network communication technology and the like, collects, stores, processes, extracts, transmits and summarizes data generated at all the stages of medical activities, and processes the data to form various information, thereby providing comprehensive automatic management and various services for the overall operation of the hospital.

Referring to fig. 1-4, the embodiment of the present application discloses an intelligent medical care system based on big data, which includes a server module 1 for storing and managing patient care information, a care information display module 2 for displaying the patient care information, a care service terminal 3 for managing the patient care information, a collection care module 4 for collecting patient signs to provide care services for patients, and a caregiver management module 5 for managing caregiver information to generate a care plan. The nursing information display module 2, the nursing service terminal 3, the nursing acquisition module 4 and the nursing staff management module 5 are all in communication connection with the server module 1. The server module 1 is connected with a hospital information system, and the server module 1 calls case information and identity information of a patient from the hospital information system. The server module 1 is connected with an input module 11, the input module 11 comprises an input module and a nursing item module, and the identity input system is a face input system and a fingerprint input system. The server module 1 is connected with a cloud database 8, the server module 1 uploads the nursing records of the patient and the input information of the input module 11 to the cloud database 8 at regular time for storage, and the cloud database 8 stores local patient case nursing data of a hospital, a national case nursing database and nursing data of local nurses of the hospital; the server module can invoke patient and nurse personnel information from a cloud database. The server module 1 further comprises a patient nursing degree grade 12, a nurse end grade 13 and a nurse end scoring system 14 for dividing the nurse end grade 13, and the server module 1 matches the patient nursing degree grade 12 with the nurse end grade 13 according to data in the cloud database 8.

The centralized scheduling of each module through the server module 1 realizes efficient and organized management and scheduling of nursing personnel and nursing work, ensures that the nursing personnel can provide better nursing service for patients, and achieves the effect of effectively improving the quality and efficiency of medical care. By means of the arrangement of the nursing information display module 2, the nursing information of the patient is clearly and orderly displayed, doctors and nursing staff can conveniently and visually know the case information of the patient, the nursing staff can better and more pertinently provide good nursing service for the patient, and the nursing quality and the nursing efficiency are further improved; meanwhile, through the arrangement of the collection nursing module 4, the doctor and the nursing staff can manage and adjust the parameters of the patient nursing equipment 41 conveniently, the physical sign information of the patient can be observed in a centralized and real-time manner, the symptoms of the patient can be found in time, and the effect of preventing the patient from being used in the bud is achieved. In addition, to different patient's nursing demand, divide the nurse into different nursing grades, can carry out nurse personnel's allocation to patient's demand high efficiency, avoid doctorsing and nurses the wasting of resources to improve the nursing efficiency of doctorsing and nurses.

And through the setting of cloud database 8, can provide case and nursing case for the nursing staff and the doctor of hospital and supply its study, be convenient for doctor and nursing staff promote self care level and professional level.

Referring to fig. 2 and 3, the patient care level 12 includes first degree of care patients, second degree of care patients, and third degree of care patients; the patient nursing degree grade 12 is selected by the server module 1 after being judged by the patient; the nurse end grade 13 comprises first-class nursing nurses, second-class nursing nurses and third-class nursing nurses, and the nurse end grading system 14 grades the nurse end grade 13 according to the total grading of 20% of patient evaluation score, 40% of usual assessment score, 30% of effective working time and 10% of patient replacement frequency; the nurses with the total score of the first 10% are divided into first-class nursing nurses, the nurses with the total score of the first 10-50% are divided into second-class nursing nurses, and the nurses with the total score of the first 50% and later are divided into third-class nursing nurses. The nurse side level 13 is updated once a week. Thereby refine medical personnel, let the nurse that the nursing ability is stronger be responsible for the high patient of nursing demand, improve medical personnel's distribution efficiency, and nurse holds 13 periodic updating of grade, can improve medical personnel's enthusiasm, ensure the nursing quality.

Referring to fig. 1, the server module 1 evaluates a patient nursing degree grade 12 with a comprehensive score of a required bed grade of 10 points, a nursing item of 50 points, a nursing time of 30 points and a nursing replacement frequency of 10 points according to the input information of the input module 11, wherein the comprehensive score is greater than 80 points for patients with first nursing degree, 60 points to 80 points for patients with second nursing degree, and less than 60 points for patients with third nursing degree, and the patients cannot select a higher evaluation grade than the server module 1. The patient care level 12 is re-evaluated and selected as the input information of the input module 11 changes. Refine patient, let the patient that the nursing demand is high can select the nurse that the nursing ability is stronger, and avoid the patient that the nursing demand is weak to occupy too much medical care resource, avoid the wasting of resources. Meanwhile, in order to adapt to the improvement of the patient care requirement, the patient care degree grade 12 is judged and selected again along with the change of the input information of the input module 11, and the patient care experience can be improved.

Referring to fig. 1, a call module 7 is connected to a server module 1, the call module 7 includes a nursing call button 71 located at a hospital bed, a call processor 72 and a call speaker 73 disposed in a nursing station, the nursing call button 71 and the call speaker 73 are both connected to the call processor 72, and the call processor 72 is communicatively connected to the server module 1.

The server module 1 matches a first-class nursing nurse with a first-class nursing patient, the first-class nursing nurse can call one or more first-class nursing nurses at one time, when the number of the first-class nursing nurses is not enough, the first-class nursing nurse can call one or more second-class nursing nurses, and when the number of the first-class nursing nurse and the second-class nursing nurses is not enough, the first-class nursing nurse can call one or more third-class nursing nurses. The server module 1 matches the second-class nursing degree patient with the second-class nursing nurse, the first-class nursing degree patient can call the first-class nursing nurse, and when the number of the second-class nursing nurse is insufficient, the second-class nursing degree patient can call one or more third-class nursing nurses. The server module 1 matches patients with three degrees of care with three nursing nurses, and one patient with three degrees of care can call one nurse with three degrees of care. The patient can call nursing staff through nursing calling button, promote proruption's adaptability, and call the button at nursing and press back server module and send the nursing suggestion to nursing staff in step, ensure that nursing staff can be quick accurate the nursing demand of receiving the patient, realize providing good nursing service for the patient, promote patient's satisfaction, and first-class nursing degree patient is as key nursing object, call more medical resources, fully satisfy patient's nursing demand.

Referring to fig. 1, the care information display module 2 includes a general care billboard 21 located in a nurse station, and ward care billboards 22 located in respective wards. The general care billboard 21 is used for displaying care information of all patients for which the nurse station is responsible, and the ward care billboard 22 is used for displaying care information of patients in the ward. Through the setting of total nursing billboard 21, realize the clear and organized display to patient's nursing information, the doctor of being convenient for and nursing staff directly perceivedly know patient's medical care information, and the nursing staff of being convenient for better more pertinence provides good nursing service for the patient. And through the setting of ward nursing billboard 22, make things convenient for medical staff to arrive the direct-viewing nursing information of knowing the patient behind the ward, avoid appearing because too much and the phenomenon of omitting patient's information appears in the patient, the medical staff of being convenient for in time carries out patient's nursing work, further promotes nursing quality and nursing efficiency.

The care service terminal 3 includes a nurse terminal 31 located in a nurse station and a plurality of patient care terminals 32 located in a patient room. The patient nursing terminal 32 corresponds to the patient beds in the ward one by one, doctors and nursing staff can browse and modify the nursing information of the patients in the server module 1 through the nurse terminal 31 and the patient nursing terminal 32, and the server module 1 records the modification after receiving the modified nursing information of the patients and updates the nursing information of the patients displayed by the nursing information display module 2 in real time. Set up through a plurality of patient nursing terminals 32 and be convenient for doctor and nursing staff provide the inspection and nursing during operation for the patient in the ward, browse through patient nursing terminal 32, modify patient's nursing information in the server module 1, avoid appearing because too much and lead to forgetting and not modifying patient's nursing information and case information's phenomenon because the patient, and server module 1 receives to modify behind the patient nursing information after the modification to take notes and in real time update the patient nursing information that nursing information display module 2 shows to the modification, the nursing work of nursing staff of being convenient for is more high-efficient accurate, reach the effect of effectively promoting medical care operating mass and efficiency.

The nursing information display module 2 and the nursing service terminal 3 adopt a quantum time threshold signature algorithm to distribute nursing information of a patient and personnel information of nursing nurses, and the method comprises the following steps:

s10, the nursing information display module 2 and the nursing service terminal 3 perform conversion processing on the information of the input module 11. The conversion processing includes steps of describing information of the input module 11 as binary elements through a conversion function, then performing hash calculation on the binary elements to obtain a hash value, and taking the hash value as a final result, where the conversion function is a function of a common threshold signature algorithm, and is not discussed in detail here.

S20, the nursing information display module 2 generates a first signature using the first private key and the information of the input module 11 after conversion processing, and then combines the first signature and the information of the input module 11 and sends the combined signature to the general nursing billboard 21 and the ward nursing billboard 22. The first private key is care information of a single patient, including private information of the patient which is not disclosed and patient information which can be disclosed, and is generated by the server module 1. The first signature is the care information of an individual patient that can be disclosed.

S30, the care service terminal 3 generates a second signature using the second private key and the information of the input module 11 after the conversion process, and then sends the second signature to the nurse terminal 31 and the patient-care terminal 32. The second private key is changed nursing information of the patient, and the second signature is publicized and modified nursing information of the patient.

S40, the nursing information display module 2 uses the first public key to check the received second signature, if the check passes, the specific diagnosis time node of the patient information is preset according to the current patient information processing time and the average patient information changing time;

and S50, when the specific diagnosis time node of the patient information arrives, a prompt is sent, the doctor judges whether the patient care information needs to be changed, if so, the doctor judges that each second signature is effective on the information of the input module 11, namely the information modified by the doctor and the nursing staff from the nursing service terminal 3 is effective. If not, the second signatures are determined not to be valid for the information of the input module 11, that is, the information modified by the nurse from the nursing service terminal 3 is not valid.

Referring to fig. 1, the patient care terminals 32 are each connected with an identity authentication unit 33, and the identity authentication unit 33 includes an authority reader 331 for reading the authority of medical staff and an identity card reader 332 for reading the identity information of a patient. Through the arrangement of the identity authentication unit 33, the identity authentication is carried out on the personnel browsing and operating the patient care terminal 32, which is helpful for protecting the privacy of the patient and ensuring the information security of the patient, and the identity authentication is carried out on the personnel according to the identity authentication unit 33, grants the authority to browse and modify the patient case information and the nursing information to the doctor in charge of the doctor, grants the authority to browse and modify the patient nursing information to the nursing staff, the permission of browsing the patient case information and the nursing information is granted to the patient and the family members thereof, the phenomenon that the patient information is browsed and modified by idle people and the like is avoided, the safety of the patient case information and the nursing information is improved, meanwhile, the patient and the family members thereof can browse the nursing information of the patient through the identity card of the patient, know the state of the patient and nursing items, such as diet information needing attention, and facilitate the patient and the family members to carry out auxiliary nursing workers with the patient.

Referring to fig. 1, the patient-care terminal 32 is matched with the patient-care degree class 12, and the nurse terminal 31 is matched with the nurse-side class 13. The patient care terminal 32 of the first-class care patient can be browsed and modified by the first-class care nurse, the second-class care nurse, and the third-class care nurse for the first time. The patient care terminal 32 of the second-degree care patient can be browsed and modified by the second-degree care nurse firstly, and then browsed and modified by the third-degree care nurse secondly. The patient care terminal 32 of the three-degree-of-care patient can be browsed and modified by the three-degree-of-care nurse. Can let patient's degree of nursing grade 12 high patient, the higher patient of nursing demand promptly obtains the maximum nursing effect, can reach the effect that improves whole medical resources availability factor.

Referring to fig. 1, the acquisition care module 4 includes a care device 41 for providing care services to a patient, a vital signs acquisition device 42 for acquiring patient vital signs information, and an infusion monitoring unit 43 for acquiring an infusion progress of the patient. The server module 1 receives the physical sign data and the infusion process of each patient in real time and sends the data to the nurse terminal 31 in real time, and a doctor or a nursing staff sends a control instruction to the nursing device 41 through the server module 1. The nursing device 41 includes an electric nursing bed, an oxygen inhalation machine, a sputum suction machine, a hair washing machine on the bed, an atomizer, and the like. The physical sign monitoring equipment comprises an electrocardiogram monitor, a blood oxygen monitor, an electronic sphygmomanometer and the like. The infusion monitoring unit 43 monitors the remaining liquid volume of the patient infusion bottle in real time and uploads the remaining liquid volume to the server module 1, and when the remaining liquid volume of the patient infusion bottle is lower than a preset threshold value, the server module 1 sends warning information to a nursing staff. The infusion monitoring unit 43 is used for monitoring the residual liquid amount of the infusion bottle of the patient in real time, so that the working strength of nursing staff is effectively reduced, the nursing staff can put more energy into other nursing services, and the phenomena that the infusion bottle is not replaced and the needle is pulled out in time due to the energy deficiency or subjective negligence of the nursing staff can be effectively avoided; and through the setting of gathering nursing module 4, be convenient for doctor and nursing staff management adjust patient care apparatus 41's parameter to the realization is concentrated real-time observation to patient's sign information, can in time discover patient's disease, reaches and takes precautions against in the effect in the bud.

Referring to fig. 1, the infusion monitoring unit 43 includes a margin controller 431, a medical infusion monitor 432 for detecting the amount of liquid remaining in an infusion bottle, and an infusion alarm 433 for alarming when the detected amount of liquid remaining in the infusion bottle is lower than a preset threshold, the medical infusion monitor 432 and the infusion alarm 433 are both connected to the margin controller 431, and the margin controller 431 is in communication connection with the server module 1. Through the remaining liquid volume of medical infusion watch-dog 432 real-time supervision patient infusion bottle, let the infusion condition of each patient of real-time understanding of nursing staff, effectively reduced nursing staff's working strength for nursing staff can have more energy and put into other nursing service. Meanwhile, when the amount of residual liquid in the infusion bottle is detected to be lower than a preset threshold value, the infusion alarm 433 reminds the nursing staff, so that the phenomenon that the infusion bottle is not replaced and the needle is pulled out in time due to energy deficiency or subjective negligence of the nursing staff can be effectively avoided.

Referring to fig. 1, the server module 1 is connected with a monitoring module 6, and the monitoring module 6 includes a plurality of movable high-speed pan-tilt cameras 61 and fixed infrared cameras 62. The high-speed pan-tilt camera 61 is used for movably collecting nursing states of different second-degree nursing patients and third-degree nursing patients and a hospital public area, wherein the nursing state collecting frequency of the second-degree nursing patients is greater than that of the third-degree nursing patients. The fixed infrared cameras 62 are arranged in one-to-one correspondence with the first-class nursing degree patients, it should be noted that the fixed infrared cameras 62 of the system are not fixed, but one fixed infrared camera 62 is fixedly arranged on each first-class nursing degree patient, and the fixed infrared cameras 62 are used for monitoring the first-class nursing degree patients independently, while the high-speed pan-tilt camera 61 can monitor a plurality of second-class nursing degree patients and third-class nursing degree patients at one time, and needs to change positions to monitor different second-class nursing degree patients, third-class nursing degree patients and public areas of hospitals. The effective monitoring of the patient is realized through the arrangement of the high-speed pan-tilt camera 61 and the fixed infrared camera 62, and the patient is monitored one to one according to the nursing degree, so that the safety guarantee is provided for the patient.

Referring to fig. 1, the caregiver management module 5 includes a caregiver attendance unit 51, a caregiver shift scheduling unit 52, a care patrol plan generating unit 53, and a caregiver performance management unit 54. The nursing staff attendance unit 51 is used for attendance management of nursing staff going on and off duty. The nursing staff scheduling unit 52 performs scheduling on the nursing staff according to a preset scheduling rule to generate a scheduling table of each time period. The nursing patrol plan generating unit 53 is configured to generate a daily patrol plan table of each caregiver according to the shift schedule and preset patrol rules, and regularly remind the caregiver to go to the ward for patrol according to the patrol plan table and register patrol information in the nursing service terminal 3 of each ward. And the preset scheduling rules and the patrol rules are set by managers according to the regulations of local hospitals. The caregiver performance management unit 54 is configured to compare the patrol schedule according to the received patrol information of each ward to determine whether the caregiver has a patrol missing condition and record the patrol missing condition. Meanwhile, when the condition of missed patrol occurs, the monitoring video of the patrol time period of the monitoring module 6 is called and combined with the condition of missed patrol for recording. The caregiver performance management unit 54 enters the usual assessment score. Through the nursing staff scheduling unit 52 and the nursing patrol plan generating unit 53, the nursing staff can be reasonably scheduled and arranged in sequence for patrol tasks, the ward-round patrol operation is standardized, the ward-round patrol is ensured to be in place, and better nursing service is provided for patients. And whether the nursing staff has the missed patrol condition is judged and recorded by the nursing staff performance management unit 54 according to the received patrol information comparison patrol schedule of each ward, and the monitoring video at the time of the missed patrol condition is saved by the linkage monitoring module 6, so that the phenomenon of misjudgment caused by instrument faults is avoided, and the normative rationality of nursing work management is further improved.

The above examples are only used to illustrate the technical solutions of the present invention, and do not limit the scope of the present invention. It is to be understood that the described embodiments are merely exemplary of the invention, and not restrictive of the full scope of the invention. All other embodiments, which can be derived by a person skilled in the art from these embodiments without making any inventive step, fall within the scope of the present invention. Although the present invention has been described in detail with reference to the above embodiments, those skilled in the art may still make various combinations, additions, deletions or other modifications of the features of the embodiments of the present invention according to the situation without conflict, so as to obtain different technical solutions without substantially departing from the spirit of the present invention, and these technical solutions also fall within the protection scope of the present invention.

Claims

1. The utility model provides an intelligent medical care system based on big data which characterized in that: the nursing system comprises a server module (1) for storing and managing patient nursing information, a nursing information display module (2) for displaying the patient nursing information, a nursing service terminal (3) for managing the patient nursing information, a nursing acquisition module (4) for acquiring patient signs to provide nursing service for patients and a nursing staff management module (5) for managing nursing staff information and generating nursing plans; the nursing information display module (2), the nursing service terminal (3), the acquisition nursing module (4) and the nursing staff management module (5) are all connected with the server module (1); the server module (1) is connected with a hospital information system, and the server module (1) calls case information and identity information of a patient from the hospital information system;

the server module (1) is connected with an input module (11), and the input module (11) comprises a plurality of identity input systems and a nursing item module; the server module (1) is connected with a cloud database (8), the server module (1) uploads nursing records of patients and input information of an input module (11) to the cloud database (8) at regular time for storage, local patient case nursing data of hospitals, a national case nursing database and local nurse nursing data of hospitals are stored in the cloud database (8), and the server module (1) can call information of the patients and nurses from the cloud database (8);

the server module (1) further comprises a patient nursing degree grade (12), a nurse end grade (13) and a nurse end scoring system (14) for dividing the nurse end grade (13), and the server module (1) matches the patient nursing degree grade (12) with the nurse end grade (13) according to data in the cloud database (8).

2. The intelligent big data-based medical care system according to claim 1, wherein: the patient care degree grades (12) comprise first-degree care patients, second-degree care patients and third-degree care patients; the patient nursing degree grade (12) is selected by the patient after being judged by the server module (1);

the nurse end grade (13) comprises first-class nursing nurses, second-class nursing nurses and third-class nursing nurses, and the nurse end grade scoring system (14) scores and divides the nurse end grade (13) according to the sum of 10% -30% of patient evaluation score, 30% -50% of common assessment score, 20% -30% of effective working time and 10% -20% of patient replacement frequency; dividing the nurses with the total score of the first 10% into first-class nursing nurses, dividing the nurses with the total score of the first 10-50% into second-class nursing nurses, and dividing the nurses with the total score of the first 50% and later into third-class nursing nurses; the nurse side level (13) is periodically updated.

3. The intelligent big-data-based medical care system according to claim 2, wherein: the server module (1) evaluates a patient nursing degree grade (12) according to input information of the input module (11) and by comprehensive scores of a required bed grade of 10 points, a nursing item of 50 points, nursing time of 30 points and a nursing replacement frequency of 10 points, wherein the comprehensive scores are more than 80 points and are classified into first-class nursing degree patients, 60-80 points and second-class nursing degree patients, and less than 60 points and are classified into third-class nursing degree patients, and the patients cannot select the evaluation grade higher than that of the server module (1); the patient care degree level (12) is reevaluated and selected as the input information of the input module (11) changes.

4. The intelligent big-data-based medical care system according to claim 3, wherein: a call module (7) is connected to the server module (1), the call module (7) comprises a nursing call button (71) located at a hospital bed, a call processor (72) and a call loudspeaker (73) arranged in a nursing station, the nursing call button (71) and the call loudspeaker (73) are both connected with the call processor (72), and the call processor (72) is in communication connection with the server module (1);

the server module (1) matches a first-class nursing patient with a first-class nursing nurse, the first-class nursing patient can call one or more first-class nursing nurses at one time, when the number of first-class nursing nurses is insufficient, the first-class nursing patient can call one or more second-class nursing nurses, and when the number of first-class nursing nurses and the number of second-class nursing nurses is insufficient, the first-class nursing patient can call one or more third-class nursing nurses;

the server module (1) matches the second-class nursing degree patient with the second-class nursing nurses, one second-class nursing degree patient can call one second-class nursing nurse, and when the number of the second-class nursing nurses is insufficient, the second-class nursing degree patient can call one or more third-class nursing nurses;

the server module (1) matches patients with three degrees of care with three nurses of care, and a patient with three degrees of care can call one nurse with three degrees of care.

5. The intelligent big-data-based medical care system according to claim 4, wherein: the nursing information display module (2) comprises a total nursing billboard (21) positioned in a nurse station and ward nursing billboards (22) positioned in each ward, wherein the total nursing billboard (21) is used for displaying nursing information of all patients responsible for the nurse station, and the ward nursing billboard (22) is used for displaying nursing information of the patients in the wards;

the nursing service terminal (3) comprises a nurse terminal (31) positioned in a nurse station and a plurality of patient nursing terminals (32) positioned in a ward, the patient nursing terminals (32) are in one-to-one correspondence with beds of patients in the ward, doctors and nursing staff can browse and modify nursing information of the patients in the server module (1) through the nurse terminal (31) and the patient nursing terminals (32), and the server module (1) records the modification after receiving the modified nursing information of the patients and updates the nursing information of the patients displayed by the nursing information display module (2) in real time;

the nursing information display module (2) and the nursing service terminal (3) adopt a quantum time threshold signature algorithm to distribute nursing information of a patient and personnel information of nursing nurses, and the method comprises the following specific steps:

s10, the nursing information display module (2) and the nursing service terminal (3) convert the information of the input module (11);

s20, the nursing information display module (2) generates a first signature by using the first private key and the information of the input module (11) after conversion processing, and then combines the first signature with the information of the input module (11) and sends the combined signature to the general nursing billboard (21) and the ward nursing billboard (22);

s30, the nursing service terminal (3) generates a second signature by using the second private key and the information of the input module (11) after conversion processing, and then sends the second signature to the nurse terminal (31) and the patient nursing terminal (32);

s40, the nursing information display module (2) uses the first public key to check the received second signature, if the check passes, the specific diagnosis time node of the patient information is preset according to the current patient information processing time and the average patient information changing time;

s50, when the specific diagnosis time node of the patient information arrives, a prompt is sent, doctors and nursing staff judge whether the patient nursing information needs to be changed, if so, the second signature is judged to be effective to the information of the input module (11); if not, the second signature is judged not to be valid for the information of the input module (11).

6. The intelligent big-data-based medical care system according to claim 5, wherein: the patient nursing terminal (32) is matched with the patient nursing degree grade (12), and the nurse terminal (31) is matched with the nurse terminal grade (13); the patient nursing terminal (32) of the first-class nursing degree patient can be browsed and modified by a first-class nursing nurse firstly, browsed and modified by a second-class nursing nurse secondly and browsed and modified by a third-class nursing nurse firstly; the patient nursing terminal (32) of the second-class nursing degree patient can be browsed and modified by the second-class nursing nurse firstly, and then browsed and modified by the third-class nursing nurse secondly; the patient care terminal (32) of the patients with the three degrees of care can be browsed and modified by the nursing nurses with the three degrees of care.

7. The intelligent big data-based medical care system according to claim 1, wherein: the acquisition nursing module (4) comprises a nursing device (41) for providing nursing service for a patient, a sign acquisition device (42) for acquiring sign information of the patient and an infusion monitoring unit (43) for acquiring infusion progress of the patient;

the server module (1) receives the physical sign data and the infusion process of each patient in real time and sends the physical sign data and the infusion process to the nurse terminal (31) in real time, and a doctor or a nursing staff sends a control instruction to the nursing equipment (41) through the server module (1); the infusion monitoring unit (43) monitors the residual liquid amount of the patient infusion bottle in real time and uploads the residual liquid amount to the server module (1), and when the residual liquid amount of the patient infusion bottle is lower than a preset threshold value, the server module (1) sends warning information to a nursing staff.

8. The intelligent big-data-based medical care system according to claim 7, wherein: the infusion monitoring unit (43) comprises a residual controller (431), a medical infusion monitor (432) for detecting the residual liquid amount of the infusion bottle and an infusion alarm (433) for alarming when the residual liquid amount in the infusion bottle is detected to be lower than a preset threshold value, the medical infusion monitor (432) and the infusion alarm (433) are both connected with the residual controller (431), and the residual controller (431) is in communication connection with the server module (1).

9. The intelligent big-data-based medical care system according to claim 3, wherein: the server module (1) is connected with a monitoring module (6), the monitoring module (6) comprises a plurality of movable high-speed pan-tilt cameras (61) and fixed infrared cameras (62), the high-speed pan-tilt cameras (61) are used for movably collecting nursing states of different second-degree nursing patients and third-degree nursing patients and a hospital public area, and the nursing state collecting frequency of the second-degree nursing patients is larger than that of the third-degree nursing patients; the fixed infrared cameras (62) are arranged corresponding to the patients with the same nursing degree one by one.

10. The intelligent big-data-based medical care system according to claim 9, wherein: the nursing staff management module (5) comprises a nursing staff attendance unit (51), a nursing staff scheduling unit (52), a nursing patrol plan generating unit (53) and a nursing staff performance management unit (54); the nursing staff attendance unit (51) is used for carrying out attendance management on the attendance of nursing staff; the nursing staff scheduling unit (52) performs scheduling on nursing staff according to a preset scheduling rule to generate a scheduling table of each time period; the nursing patrol plan generating unit (53) is used for generating a daily patrol plan table of each nursing staff according to a shift table and a preset patrol rule, regularly reminding the nursing staff to go to a ward for patrol according to the patrol plan table and registering patrol information in a nursing service terminal (3) of each ward; the nursing staff performance management unit (54) is used for judging whether the nursing staff has the missed patrol condition and recording according to the received patrol information comparison patrol schedule of each ward, simultaneously calling the monitoring video of the patrol time period of the monitoring module (6) and the missed patrol condition for recording when the missed patrol condition occurs, and recording the common assessment score by the nursing staff performance management unit (54).