CN115881288B - Vein catheterization management system - Google Patents
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Abstract
The application discloses vein catheterization management system belongs to medical information management technical field, and a vein catheterization management system includes: a management information generating device, a management information processing device, a medical care resource distributing device and a data regulating device; the data regulation and control device is respectively connected with the tube setting information generating device, the tube setting information processing device and the medical care resource allocation device in a signal manner; the management information generating device is networked with an internal system of a hospital to acquire diagnosis and treatment information of a patient; the management information processing device is used for receiving the diagnosis and treatment information generated by the management information generating device and generating an execution task; the medical care resource allocation device sets the latest completion time for each execution task and generates the starting time of each execution task; the data regulating device is used for sending the treatment time to the patient according to the starting time of each execution task. The intravenous catheterization management system can reasonably arrange queuing time of patients.
Description
Technical Field
The application relates to the technical field of medical information processing, in particular to a vein catheterization management system.
Background
Many tumor patients in a tumor hospital have long treatment period, and most patients need to be provided with a long-term infusion tube through a tube-placing operation so as to avoid the complexity of subsequent infusion. So in the venous catheterization department of oncology hospitals, there are often cases where there are few department medical staff but there are many patients. The current management situation of the catheters in each hospital is still in a paper office state, and patients are often required to hold paper catheterization application sheets issued by the main doctors to a catheterization department, and the catheterization application sheets are evaluated by medical staff in the venous catheterization department, and after the authorization of the staff in the catheterization department is obtained, the catheterization department completes catheterization for the patients. In this mode, there are two problems as follows:
firstly, after a patient acquires a corresponding tube placing list from a doctor in charge, the patient needs to arrive at a tube placing department immediately, submit the tube placing list of the patient himself, and then queue up to complete tube placing; in the venous catheterization department, under the condition that the hands of a person are insufficient, patients need to be queued for a long time, and part of patients exist, when the time of going to work in the department arrives, too many patients in the department are queued, and the patients cannot be received, so that the patients are easy to run for one time; as such, queuing times are long for patients.
Secondly, for a venous catheterization department, personnel management is disordered, and the working efficiency is low; when the venous catheterization department performs catheterization, the catheterization is usually completed according to the order of first-come last-come or the order of patient registration, and the sequencing manner can lead to frequent replacement of the work types of medical staff. For example, in the order of the patient's first-come-last, the healthcare worker may need to sequentially complete the infusion port catheterization, the arm vein catheterization, and the neck CVC catheterization, so that in this order, the healthcare worker is required to prepare the arm vein catheterization again after completing the catheterization process of the infusion port, and then perform the catheterization operation of the infusion port. In general, this type of approach lacks a reasonable order for the tasks that the healthcare worker is to place, and therefore results in reduced efficiency during frequent replacement preparations.
For example, in the case of performing the infusion port set tube, it is necessary to prepare an operating room sterile pack including 2 pieces of treatment towel, 1 piece of incision suture pack, 10 pieces of gauze, 2 pieces of solution cup, 1 piece of treatment tray, 2 pieces of sterile operating gown, and 2 pieces of sterile glove, as well as sterile articles. The CVC puncture bag comprises 1 sterile disc, 1 porous towel, 1 sterile forceps handle, 3 gauze pieces and 3 disinfection brushes. The infusion port puncture bag comprises a non-invasive puncture needle. The sterile articles comprise 2% chlorhexidine alcohol cotton ball, iodophor cotton swab, 20ml syringe, 10ml syringe, 5ml syringe, 1ml syringe, 5×7cm transparent patch, 10×12cm transparent patch, 2% lidocaine 3, epinephrine 1, and infusion connector.
In performing the CVC puncture, a CVC puncture pack including a therapeutic towel, a hole towel, sterile forceps, gauze, a cotton ball, a solution cup, and a sterile tray, and a sterile article are prepared. Sterile articles include 2% chlorhexidine alcohol cotton ball, iodophor cotton swab, 20ml syringe, 10ml syringe, 1ml syringe, sterile glove, 6 x 7cm transparent application, 2% lidocaine, positive pressure connector (heparin cap), barrier gown, CVC catheter puncture kit, sterile sleeve.
It can be seen that the two kinds of catheterization operations need to be prepared completely different, so if a doctor frequently changes and executes tasks, medical staff can need to frequently take different kinds of medicines or change medicines, and further, long working time is caused, and the medical staff is wasted on changing medicines and arranging medicines.
In view of the above, there is a lack of a intravenous catheterization management system capable of reasonably scheduling patient queuing time and increasing the working efficiency of the intravenous catheterization department.
Disclosure of Invention
The content of the present application is intended to introduce concepts in a simplified form that are further described below in the detailed description. The section of this application is not intended to identify key features or essential features of the claimed subject matter, nor is it intended to be used to limit the scope of the claimed subject matter.
In order to solve the problem that the patient cannot reasonably arrange time and the working efficiency of the venous catheterization department is low, some embodiments of the present application provide a venous catheterization management system, including: the medical care device comprises a management information generating device, a management information processing device, a medical care resource allocation device and a data regulation and control device; the data regulation and control device is respectively connected with the tube setting information generating device, the tube setting information processing device and the medical care resource allocation device in a signal manner;
the management information generating device is networked with an internal system of a hospital to acquire diagnosis and treatment information of a patient, wherein the diagnosis and treatment information comprises a medical record number, personal information, medical history and request information; the request information comprises a management request, a nursing request and a tube drawing request;
the management information processing device is used for receiving the diagnosis and treatment information generated by the management information generating device, generating an execution task according to the diagnosis and treatment information, wherein the execution task comprises a management task, a management drawing task and a nursing task;
the medical care resource allocation device sets the latest completion time for each execution task according to the medical history, allocates the execution tasks to the corresponding professional team personnel, and generates the starting time of each execution task; when the task allocation module allocates the execution tasks, on the basis of ensuring that all the execution tasks can be completed before the latest completion time, the professional team personnel can continuously perform the same execution tasks;
The data regulation and control device is used for sending the execution tasks to the professional team personnel and sending the treatment time to the patient according to the starting time of each execution task.
The venous catheterization management system provided by the application can directly generate corresponding execution tasks through the request information, and can obtain the authorization of the venous catheterization department without carrying a request sheet to the venous catheterization department by a patient. Meanwhile, the medical care resource allocation device can reasonably allocate the execution tasks to professional team personnel, so as to generate the starting time of each execution task; therefore, the reasonable treatment time is sent to the patient through the data regulation device, so that the queuing time of the patient can be reduced, and the queuing time of the patient can be reasonably arranged. Meanwhile, for the professional staff, the execution tasks distributed by the medical care resource distribution device are all the same type of execution tasks, and when the professional staff continuously execute the same type of execution tasks, the working efficiency is high.
Further, the medical care resource distribution device comprises a professional team personnel input module, a task list processing module and a task distribution module;
the professional team personnel input module is used for acquiring the number of professional team personnel on duty in each time period;
The task list processing module is used for collecting the execution tasks sent by the management information processing device and setting the latest completion time for each execution task according to the medical history of the patient;
the task allocation module allocates the execution tasks in the task list to the corresponding professional team personnel according to the number of the professional team personnel on duty in each time period, and generates the starting time of each execution task; and when the task allocation module allocates the execution tasks, on the basis of ensuring that all the execution tasks can be completed before the latest completion time, the professional team personnel can continuously perform the same execution tasks.
The number of professional team personnel in each time period is obtained, all execution tasks can be allocated in a prospective mode, and the situation that hands are insufficient is avoided; or the time period of insufficient hands can be expected, so that the number of support personnel in the venous catheterization department can be arranged in advance; meanwhile, the latest completion time set according to medical history is the most suitable for the actual condition of the patient, if the latest time is set directly and rigidly, the set time lacks elasticity, so that the urgent patient cannot be treated in time, and the patient with more abundant treatment time can complete the tube placement, tube drawing or nursing too early, thereby ensuring that the completion time of executing tasks is suitable for the treatment condition of the patient.
Further, the tube setting information processing device comprises an application evaluation module, a tube setting maintenance module and a tube drawing module; the application evaluation module is used for processing the tube placing request, the tube placing maintenance module is used for processing the nursing request, and the tube drawing module is used for processing the tube drawing request;
when the application evaluation module processes a tube setting request of a patient, generating an optimal tube setting type and tube setting requirement of the patient according to the medical history of the patient, generating a tube setting task through the tube setting type and the tube setting requirement, and sending the tube setting task to the medical care resource allocation device;
when a nursing request of a patient is processed by the catheterization maintenance module, a nursing type and nursing matters are generated according to the medical history of the patient, a nursing task is generated through the nursing type and the nursing matters, and then the nursing task is sent to the medical care resource allocation device;
when a tube drawing module processes a tube drawing request of a patient, tube drawing matters and tube drawing requirements are generated according to medical history of the patient, tube drawing tasks are generated through the tube drawing matters and the tube drawing requirements, and then the tube drawing tasks are sent to a medical care resource distribution device.
The application evaluation module can fully consider the treatment condition of a patient according to the management task, the nursing task and the tube drawing task generated by the medical history, and execute tasks and related matters set according to the information such as physical conditions, expected treatment time and the like recorded in the medical history, so that medical staff for specific operation can be facilitated, the focus of work is known, the work error rate is reduced on the basis of ensuring the completion efficiency of executing the tasks, and adverse effects on the patient due to unnoticed problems are avoided.
Further, the tube placing type comprises PICC tube placing, CVC tube placing, PIV tube placing and transfusion harbor tube placing; the nursing type comprises PICC catheterization nursing, CVC catheterization nursing, PIV catheterization nursing and transfusion harbor nursing; the tubing drawing items include PICC tubing drawing items, CVC tubing drawing items, PIV tubing drawing items, and port tubing drawing items.
PICC puts tub, CVC puts tub, PIV puts tub and transfusion harbor and puts tub four comparatively common body types, and these four body types all have certain difference in the concrete operation of three aspects of putting tub, nursing, tube drawing, so to same staff, if it only need accomplish the task of putting the tub, put the order mode of task of putting the tub and also be the tube task order arrangement of same body type preferably.
Further, the task allocation module enables the professional team personnel to continuously perform the same tube setting task with the same tube setting type under the condition that the latest completion time of all the tube setting tasks is met for the tube setting tasks divided into the same professional team personnel.
Further, the task allocation module enables the professional team personnel to continuously perform the nursing tasks of the same tube setting type under the condition that the latest completion time of all the nursing tasks is met for the nursing tasks of the same professional team personnel.
Further, the task allocation module enables the professional team personnel to continuously perform the tube drawing tasks of the same tube drawing type under the condition that the latest completion time of all tube drawing tasks is met for the tube drawing tasks divided into the same professional team personnel.
The tube placing task, the nursing task and the tube drawing task of the same tube placing type are continuously carried out, so that the proficiency of the professional team personnel in work can be increased, the working efficiency of the professional team personnel is improved, and adverse effects on the working efficiency of the professional team personnel due to the fact that different tube types are switched are avoided.
Further, the data regulation and control device can input corresponding diagnosis and treatment information to the management information generation device, or change the execution task in the management information processing device, or change the execution task distributed in the medical care resource distribution device.
The diagnosis and treatment information and the execution tasks are changed through the data regulation and control device, so that medical staff can conveniently handle emergency situations, and when a critical patient needs to be treated in advance, the sequence can be directly regulated through the data regulation and control device, so that the medical staff can directly operate the critical patient; or when a patient needs to be treated in advance due to serious illness, the treatment time of the patient can be adjusted through the data regulating and controlling device.
Further, the method for allocating the execution task to each professional team personnel by the task allocation module comprises the following steps:
step 1: setting a planned time interval, and acquiring professional team personnel on duty in the planned time interval;
step 2: when the planned time interval starts, acquiring execution tasks needing to expire in the planned time interval, setting the execution tasks as priority execution tasks, and setting the rest execution tasks as sub-priority tasks;
step 3: judging whether the professional team personnel on duty in the planned time interval can finish all the tasks which are executed preferentially, and if not, executing the step 4; if yes, directly executing the step 5;
step 4: increasing the number of on-duty professional team personnel in the planned time interval so that the professional team personnel can complete all priority execution tasks in the planned time interval;
step 5: sorting the priority execution tasks according to task types, sorting according to the latest time of the last execution task of each task type to obtain a priority execution task sorting table, and sequentially dividing the priority execution tasks which can be completed in a planning time interval for each professional team personnel according to the order of the priority execution task sorting table to obtain a planning task execution table; for professional team personnel not fully ranked with priority to execute tasks in a planned time interval, searching the execution tasks of the same type from the sub-priority tasks, and supplementing the execution tasks to a professional team personnel plan task execution table not fully ranked with priority to execute the tasks;
Step 6: and monitoring the latest completion time of the execution tasks which are not listed in the planned task execution list of the professional team personnel in real time, supplementing the execution tasks with the latest completion time smaller than the end of the current planned time interval into the planned task execution list of the professional team personnel which are not fully ranked with the priority execution tasks, and eliminating the corresponding sub-priority tasks from the professional team personnel.
The allocation method for executing tasks provided by the application can regulate and control the relationship focusing on the latest completion time or the continuity of executing tasks by setting the size of a planned time interval. When the latest completion time is required to be paid attention to, the size of the planned time interval is reduced as much as possible, and when the task is allocated to be executed, the task to be expired is immediately processed when the concerned time interval is small. When the continuity of the execution task is needed, the size of the planned time interval is increased as much as possible, and further more priority tasks can be considered at one time, so that the continuity of the execution task completed by the professional team personnel in the longer time interval can be ensured, but the completion time of part of the execution tasks is inevitably close to the latest completion time.
Further, in step 1: dividing professional team personnel into a motor group and a conventional group, wherein the number of people in the conventional group is larger than that in the motor group; in step 5, priority execution tasks are arranged for professional team personnel of the conventional team, and secondary priority tasks are arranged for motor team personnel. By arranging the maneuvering group and the conventional group, the maneuvering group can ensure certain maneuverability, and can be used for treating emergency patients.
The beneficial effects of this application lie in: this application is to current vein catheterization, venous care and in the department of vein extubation, and professional's execution task arrangement is unreasonable, leads to professional work efficiency low for patient latency's problem is long. The vein catheterization management system has the advantages that on one hand, the executive tasks of the executive can be planned and adjusted, so that the executive can continuously execute the same executive tasks, disorder of the arrangement of the executive tasks is avoided, the working efficiency of the executive is further improved, and on the other hand, the waiting time of a patient is reduced by sending corresponding treatment time to the patient.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, are included to provide a further understanding of the application and to provide a further understanding of the application with regard to the other features, objects and advantages of the application. The drawings of the illustrative embodiments of the present application and their descriptions are for the purpose of illustrating the present application and are not to be construed as unduly limiting the present application.
In addition, the same or similar reference numerals denote the same or similar elements throughout the drawings. It should be understood that the figures are schematic and that elements and components are not necessarily drawn to scale.
In the drawings:
fig. 1 is a schematic structural diagram of a venous catheterization management system.
Detailed Description
Embodiments of the present disclosure will be described in more detail below with reference to the accompanying drawings. While certain embodiments of the present disclosure are shown in the drawings, it should be understood that the present disclosure may be embodied in various forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete. It should be understood that the drawings and embodiments of the present disclosure are for illustration purposes only and are not intended to limit the scope of the present disclosure.
It should be noted that, for convenience of description, only the portions related to the present invention are shown in the drawings. Embodiments of the present disclosure and features of embodiments may be combined with each other without conflict.
The present disclosure will be described in detail below with reference to the accompanying drawings in conjunction with embodiments.
Referring to fig. 1, the venous catheterization management system includes a catheterization information generating device, a catheterization information processing device, a medical care resource allocation device, and a data regulating device. The data regulation and control device is respectively connected with the tube setting information generating device, the tube setting information processing device and the medical care resource allocation device in a signal way.
The management information generating device is networked with an internal system of a hospital to acquire diagnosis and treatment information of a patient, wherein the diagnosis and treatment information comprises a medical record number, personal information, medical history and request information, and the request information comprises a management request, a nursing request and a management drawing request.
The patient's case number is the unique number that the patient generates for each patient after registration, and is the same for patients admitted multiple times.
The personal information includes information of the name, age, sex, identification number, home address, etc. of the patient.
The medical history includes various treatment information of the patient which can be queried by the hospital, that is, the medical history includes the prior medical history, the current medical history, the examination and examination results, the physiological health index, the treatment scheme, the medicine type and the like. It should be noted that, in the technical solution of the present application, it should be understood that the medical history belongs to a dynamically updated data, and any information generated by the patient during the treatment process is updated to the medical history of the patient.
Whether the patient is an outpatient or an inpatient, the doctor in charge generally decides whether to set the tube according to the treatment condition, so when the patient A needs to set the tube, the doctor in charge can make an application form of a tube setting request, and the application form can be sent to a tube setting information generating device; and then the catheterization information generating device acquires diagnosis and treatment information of the patient A and a catheterization request of the patient A. In addition, the nursing request and the tube drawing request are the same as the tube placing request. The doctor in charge of the patient usually makes a corresponding request sheet for the patient, or directly generates a corresponding tube setting request according to the tube setting time.
For example, the tube placement performed on patient B is a cervical vein CVC, which is typically available only for one month, so that the hospital system will automatically generate a tube drawing request to the patient, but in actual treatment, typically when the patient is finished, infusion is no longer needed or when the patient is near to finished, the physician in charge makes a tube drawing request, and the diagnosis and treatment information of the tube drawing request is shown in the following table.
Table 1: diagnosis and treatment information table for tube setting request
| Item type | Project information |
| Medical record number | 025492 |
| Personal information | Name, age, sex, identification number, home address |
| Medical history | Past history, present history, examination and examination results, physiological health index, treatment scheme, drug type, etc |
| Requesting information | Arm position PICC (peripherally inserted Central catheter) catheterization request |
The tube information processing device is used for receiving the diagnosis and treatment information generated by the tube information generating device, generating execution tasks according to the diagnosis and treatment information, and the execution tasks comprise a tube task, a tube drawing task and a nursing task.
The tube setting information processing device comprises an application evaluation module, a tube setting maintenance module and a tube drawing module. The application evaluation module is used for processing the tube placing request, the tube placing maintenance module is used for processing the nursing request, and the tube drawing module is used for processing the tube drawing request.
When the application evaluation module processes a tube setting request of a patient, the application evaluation module generates an optimal tube setting type and tube setting requirement of the patient according to the medical history of the patient, generates a tube setting task through the tube setting type and the tube setting requirement, and sends the tube setting task to the medical care resource distribution device.
The tube placing type comprises PICC tube placing, CVC tube placing, PIV tube placing and transfusion harbor tube placing.
Among the current tubing, three types of catheters, PICC, CVC and PIV, and more specific ports of infusion are commonly used.
The catheterization requirements include specific guidance conditions such as puncture site, puncture type, anesthesia event, etc. In addition, the requirements of the tube placement can also comprise the tube placement position, the anesthesia mode, the tube placement position, the catheter name, the auxiliary technology and the like.
For example, after the patient a sends the catheterization request to the application evaluation module, a catheterization type and a catheterization requirement are generated in the application evaluation module according to the medical history of the patient, and then the catheterization type and the catheterization requirement are generated into a catheterization task, and the catheterization task is sent to the medical care resource allocation device, and the information table of the catheterization task is shown in the following table.
Table 2: information table of pipe setting task
| Item type | Project information |
| Medical record number | 025492 |
| Personal information | Name, age, sex, identification number, home address |
| Medical history | Past history, present history, examination and examination results, physiological health index, treatment scheme, drug type, etc |
| Type of tube | PICC puts pipe |
| Requirements for placing pipes | Non-anesthesia arm vein catheterization |
When the nursing request of the patient is processed, the nursing type and nursing matters are generated according to the medical history of the patient by the tube setting maintenance module, the nursing task is generated through the nursing type and the nursing matters, and then the nursing task is sent to the medical care resource allocation device.
The nursing type comprises PICC catheterization nursing, CVC catheterization nursing, PIV catheterization nursing and transfusion harbor nursing.
The nursing items include specific items such as flushing, back drawing, joint replacement, catheter replacement, skin observation near the catheter, and application of examination. However, there are differences in performing the above specific matters when the different types of tube placement are performed, and this is not listed here.
For example, for patient a, on day 2 when the arm is placed in the PICC catheter, the catheterization information generating device generates a nursing request for patient a, then the nursing request is sent to the catheterization maintenance module, and the catheterization maintenance module generates a nursing task including PICC catheterization nursing items according to the medical history of patient a, then sends the nursing task to the medical care resource allocation device, and the information table of the nursing task is as follows.
Table 3: information table for nursing task
| Item type | Project information |
| Medical record number | 025492 |
| Personal information | Name, age, sex, identification number, home address |
| Medical history | Past history, present history, examination and examination results, physiological health index, treatment scheme, drug type, etc |
| Type of care | PICC puts management and nursing |
| Nursing matters | Flushing pipeConnector for back-drawing and replacing |
When a tube drawing module processes a tube drawing request of a patient, tube drawing matters and tube drawing requirements are generated according to medical history of the patient, tube drawing tasks are generated through the tube drawing matters and the tube drawing requirements, and then the tube drawing tasks are sent to a medical care resource distribution device.
The tubing drawing items include PICC tubing drawing items, CVC tubing drawing items, PIV tubing drawing items, and port tubing drawing items.
The drawing requirements include whether anesthesia is needed, the drawing position, auxiliary tools and the like. The tube drawing requirement is the content required by guiding medical staff in tube drawing operation during tube drawing.
For example, in the case of patient a, 29 days after the CVC catheter is inserted into the arm, the tube insertion information generating device generates a tube drawing request for patient a, and the tube drawing request is transmitted to the tube drawing module, which generates a tube drawing task including a CVC tube insertion and drawing item and a tube drawing request based on medical record information of patient a, and transmits the tube drawing task to the medical care resource allocation device, and the information table of the tube drawing task is as follows.
Table 4: information table for tube drawing task
| Item type | Project information |
| Medical record number | 025492 |
| Personal information | Name, age, sex, identification number, home address |
| Medical history | Whether or not suffering from vascular disease, allergic conditions … … |
| Item of drawing tube | PICC puts tub tube drawing thing |
| Tube drawing requirements | Flushing pipe, back-drawing and replacing joint |
Thus, through the above-mentioned tube setting information processing device, all patients are according to three works such as tube setting, tube drawing, nursing etc. that need to produce corresponding executive task, then distribute executive task through medical care resource distribution device.
It is recognized that the medical history includes various information generated during the process of catheterization, nursing and tube drawing, so that when nursing and tube drawing are performed, the conditions can be generated during the process of catheterization through the medical history, and corresponding nursing matters and tube drawing requirements can be formed.
The medical care resource allocation device sets the latest completion time for each execution task according to the medical history, allocates the execution tasks to the corresponding professional team personnel, and generates the starting time of each execution task; and when the task allocation module allocates the execution tasks, on the basis of ensuring that all the execution tasks can be completed before the latest completion time, the professional team personnel can continuously perform the same execution tasks.
The patient can continuously present new test results, treatment schemes or conditions of worsening, so that the medical history of the patient is dynamically updated data, and further, the latest completion time of each execution task can be updated along with the worsening of the condition of the patient, so that the latest completion time of each execution task can be processed in time according to the change of the medical history of the patient before the execution task is not completed.
The medical care resource allocation device comprises a professional team personnel input module, a task list processing module and a task allocation module.
The professional team personnel input module is used for acquiring the number of professional team personnel on duty in each time period.
The professional team personnel input module can obtain the number of the professional team personnel in each time period through a scheduling system in the hospital, and is also networked with an attendance system of the hospital to timely obtain the professional team conditions of the medical staff.
Specifically, the professional team personnel input module designs a unique employee number for all medical staff in the department, and in the initial state, all employees are not on duty, and after the medical staff finishes the work card punching or manually inputting information in the department, the professional team personnel input module obtains the professional team information of the medical staff, so that the medical staff is activated to be on duty. Besides the mode, the on-duty state of staff in the venous department in different time periods can be directly determined according to an internal scheduling system.
And the task list processing module is used for collecting the execution tasks sent by the management information processing device and setting the latest completion time for each execution task according to the medical history of the patient.
For example, for a tube drawing task of patient a, the patient a is placed with a PIV tube, and the medical record of patient a shows that the placement time of the PIV tube of patient a is 3 months and 1 day, so for the tube drawing task of patient a, the latest completion time is 3 months and 8 days, and for the PIV tube, the time for the PIV tube to stay in the human body is not more than 7 days, so the latest completion time is 3 months and 8 days.
Accordingly, for nursing tasks, the design of the latest completion time is also related to the medical history of the task, and if PICC catheterization needs to complete nursing within three days, the corresponding latest completion time should be the third day after catheterization. For the tube setting task, the setting of the latest completion time is loose, the latest completion time is related to critical conditions of patients, and for critical patients, the latest completion time is relatively front.
The task allocation module allocates the execution tasks in the task list to the corresponding staff of the professional team according to the number of the medical staff of the professional team, and generates the starting time of each execution task; and when the task allocation module allocates the execution tasks, on the basis of ensuring that all the execution tasks can be completed before the latest completion time, the professional team personnel can continuously perform the same execution tasks.
For example, for a department, 3 staff of a specialized team in the morning have 30 execution tasks to be completed in the morning, among the 30 tasks, 5 pipe-setting tasks, 10 pipe-drawing tasks and 15 nursing tasks, the staff A completes 5 pipe-setting tasks and 5 nursing tasks, the staff B completes 10 pipe-drawing tasks and the staff C completes 10 nursing tasks.
Thus, for these 3 healthcare workers, the types of services that need to be handled are substantially identical during the morning hours, and the appliances that need to be carried are substantially identical. For panelist B, it is only necessary to carry the relevant appliances with respect to tube drawing, and to prepare the level of disinfection required for tube drawing. And, the continuous processing of the same task is very helpful for improving the work efficiency.
In this embodiment, the latest completion time is determined by the task processing module according to the medical history, so as to ensure that all patients can complete task processing in the expected time, and in actual management, a reasonable latest completion time can be set according to the doctor in charge.
Further, the task allocation module enables the professional team personnel to continuously perform the same tube setting task with the same tube setting type under the condition that the latest completion time of all the tube setting tasks is met for the tube setting tasks divided into the same professional team personnel.
Further, the task allocation module enables the professional team personnel to continuously perform the nursing tasks of the same tube setting type under the condition that the latest completion time of all the nursing tasks is met for the nursing tasks of the same professional team personnel.
Further, the task allocation module enables the professional team personnel to continuously perform the tube drawing tasks of the same tube drawing type under the condition that the latest completion time of all tube drawing tasks is met for the tube drawing tasks divided into the same professional team personnel.
For example, for a professional team a, it needs to complete 10 tube placing tasks within three hours, where the 10 tube placing tasks include 4 PICC tube placing tasks, 3 CVC tube placing tasks, and 4 PIV tube placing tasks, and the task allocation module may complete the 4 PICC tube placing tasks in sequence, and complete the 3 CVC tube placing tasks and the 4 PIV tube placing tasks in sequence when the latest completion time is satisfied. Correspondingly, the situation is also satisfied for the nursing task tube drawing task.
Therefore, when a medical staff performs a tube setting processing work, the situation that a plurality of types of execution tasks need to be processed in a short time can not exist when the task is processed and executed, so that the working efficiency of the medical staff can be increased, particularly when the medical staff continuously performs tube setting tasks of the same tube setting type in the tube setting task and the tube drawing task, the medical staff does not need to repeatedly take new tubes, and the number of times that the medical staff walks back and forth is reduced; when the tube drawing tasks of the same tube setting type are continuously carried out, medical staff can conveniently classify medical wastes, and the tubes of the same type can be placed in one treatment box. If the medical staff is in the tube drawing operation of random arrangement when carrying out the tube drawing, the medical staff just has to be poor to classify the opposite tube when handling the discarded tube.
Furthermore, in order to realize that the task allocation module can make all professional team personnel continuously execute the same type of execution task as far as possible on the premise of meeting the latest completion time of all the execution tasks, the method for allocating the execution task to each professional team personnel by the task allocation module comprises the following steps:
step 1: setting a planned time interval and acquiring professional team personnel in the planned time interval.
In the step 1, the planned time interval is set as the time interval from the time of the professional team personnel to the time of rest.
For example, for a venous catheterization department of a certain hospital, it is 8 am to work, 12 pm to work, 1 pm to work, 6 pm to work; the planned time interval may be set to 8 am to 12 pm, and 1 pm to 6 pm. Because nurses generally execute a shift system, staff of the professional team are different in different time periods, in this embodiment, the set planned time interval is a node for changing the duty of the medical staff, and the number of the professional team staff in the planned time interval is basically consistent without considering the special condition that the professional team staff ask for a false.
In step 1: the professional team personnel are divided into a motor team and a regular team, the number of persons in the regular team being greater than that in the motor team.
For example, in a planned time interval of 8 to 12 am, the panelists are 5, then 3 panelists are classified into the conventional group, and the remaining 2 panelists are classified into the motor group.
Step 2: and when the planned time interval starts, acquiring the execution tasks which need to expire in the planned time interval, setting the execution tasks as priority execution tasks, and setting the rest execution tasks as sub-priority tasks.
For example, for a planned time interval of 8 to 12 points, at 8 points, the latest completion time of all execution tasks is queried, and the latest completion time is reached for a total of 3 infusion port catheterization tasks, 3 PICC catheterization tasks and 3 PIV catheterization tasks in the period of 8 to 12 points in the morning, so the 9 execution tasks are set as priority execution tasks, and the rest tasks are set as sub-priority tasks.
Step 3: judging whether the professional team personnel on duty in the planned time interval can finish all the tasks which are executed preferentially, and if not, executing the step 4; if so, step 5 is performed directly.
When judging whether the professional team personnel can complete all the priority execution tasks, the time spent by each priority execution task and the personnel number can be preset to judge how long the completion time is under the current personnel number, and then the completion time is compared with the time span of the planned time interval.
For example, for a planned time interval of 8 to 12 points, if the working time of the priority execution task completed by the on-duty professional team personnel is longer than the planned time interval, the on-duty team personnel needs to be called for an increased number of on-duty team personnel.
The task allocation module can pre-estimate whether personnel in a subsequent planned time interval are reasonable or not in advance, so that the personnel can be called in advance.
Step 4: the number of on-Shift professional team members within the planned time interval is increased to enable the professional team members to complete all of the priority execution tasks within the planned time interval.
Step 5: sorting the priority execution tasks according to task types, sorting according to the latest time of the last execution task of each task type to obtain a priority execution task sorting table, and sequentially dividing the priority execution tasks which can be completed in a planning time interval for each professional team personnel according to the order of the priority execution task sorting table to obtain a planning task execution table; for professional team personnel not fully ranked with priority to execute tasks in a planned time interval, searching the execution tasks of the same type from the sub-priority tasks, and supplementing the execution tasks to a professional team personnel plan task execution table not fully ranked with priority to execute the tasks.
In step 5, priority execution tasks are arranged for professional team personnel of the conventional team, and secondary priority tasks are arranged for motor team personnel.
For example, in the time interval of 8-12 points in the morning, the priority execution tasks comprise 20 PICC (PICC) tube placing tasks, 10 PIV tube placing tasks, 5 infusion port tube placing tasks, 10 CVC tube drawing tasks and 5 infusion port tube drawing tasks; the professional team personnel are 5 persons, three persons are divided into conventional team, and the three persons are A, B, C professional team personnel respectively; two persons were divided into motor groups, D, F panelists respectively. The order of the tasks according to the order of priority execution is shown in the following table.
Table 5: priority execution task ordering table
For each professional team personnel, 15 PICC (PICC) tube placing tasks, 10 PICC tube placing tasks and 5 PICC tube placing tasks, 5 transfusion harbor tube placing tasks, 10 CVC tube drawing tasks and 4 transfusion harbor tube drawing tasks can be completed within the period of 8-12 points, so that the task execution table which can be obtained by the five professional team personnel is shown as follows.
Table 6: plan task execution table for each professional team personnel
Of the 5 specialized team personnel, the F specialized team personnel only need to complete 1 transfusion harbor tube drawing task, so 3 transfusion harbor tube drawing tasks and 10 CVC tube drawing tasks can be supplemented from the sub-priority task; therefore, all professional team personnel can complete the sequencing of all the tube setting tasks in the planned time interval.
In step 5, for the execution task with the same latest completion time of the last execution task of each task type, the latest time of the penultimate execution task in the task type is compared, and so on, so as to obtain the sequence of each task type. If the sequence can not be obtained by the method, the sequence is ordered according to the preset priority, the design mode of the priority is not limited here, and the description can be carried out according to personnel conditions and professional conditions of a hospital.
Step 6: and monitoring the latest completion time of the execution tasks which are not listed in the planned task execution list of the professional team personnel in real time, supplementing the execution tasks with the latest completion time smaller than the end of the current planned time interval into the planned task execution list of the professional team personnel which are not fully ranked with the priority execution tasks, and eliminating the corresponding sub-priority tasks from the professional team personnel.
For example, 3 pipe-setting tasks are suddenly added in the period of 8-12 a.m., all the 3 pipe-setting tasks need to be completed before 12 a.m., so the three pipe-setting tasks are directly allocated to the F members of the motor group, and a part of the sub-priority tasks allocated to the F members are removed.
Therefore, the task distribution module can reasonably arrange all execution tasks through the steps 1-6, and ensure that medical staff can continuously execute the same type of execution tasks as far as possible when working on the basis that all execution tasks can be completed within expected time, so that the problem that part of patients cannot be processed in time due to the sequence from beginning to end can be avoided, and the problem that the working efficiency is reduced due to the fact that the medical staff continuously execute different tasks can be avoided.
The task allocation module can adjust the planning time interval according to the number of professional team personnel and the number of priority execution tasks when allocating execution tasks. It is expected that when a large number of execution tasks expire in the near future, but the number of specialized team members is limited, the time span of the planned time interval is reduced, so that the continuity of the execution tasks allocated to the specialized team members is reduced, but the execution tasks which expire in the near future can be solved more timely.
The data regulation and control device is used for sending the execution tasks to the professional team personnel and sending the treatment time to the patient according to the starting time of each execution task.
The data regulation and control device is also used for setting or calling various information in the tube setting information generating device, the tube setting information processing device and the medical care resource allocation device.
Specifically, the data regulation and control device can input corresponding diagnosis and treatment information to the management information generation device, or change the execution task in the management information processing device, or change the execution task distributed in the medical care resource distribution device.
For example, in a hospital, a nurse station computer is networked with the internal system of the hospital to obtain all information of the hospital, and the computer can also be connected with the data regulation and control device through signals, so that interaction with the intravenous catheterization management system is completed through the computer. In addition, the mobile phone, the tablet personal computer and other equipment can be connected with the data regulation device in a signal mode, so that the data regulation device can send the information of the treatment time to a patient.
The foregoing description is only of the preferred embodiments of the present disclosure and description of the principles of the technology being employed. It will be appreciated by those skilled in the art that the scope of the invention in the embodiments of the present disclosure is not limited to the specific combination of the above technical features, but encompasses other technical features formed by any combination of the above technical features or their equivalents without departing from the spirit of the invention. Such as the above-described features, are mutually substituted with (but not limited to) the features having similar functions disclosed in the embodiments of the present disclosure.
Claims (6)
1. A intravenous catheter management system, comprising: a management information generating device, a management information processing device, a medical care resource allocation device and a data regulation and control device; the data regulation and control device is respectively connected with the tube setting information generating device, the tube setting information processing device and the medical care resource allocation device in a signal manner;
the management information generating device is networked with an internal system of a hospital to acquire diagnosis and treatment information of a patient, wherein the diagnosis and treatment information comprises a medical record number, personal information, medical history and request information; the request information comprises a management request, a nursing request and a tube drawing request;
the management information processing device is used for receiving the diagnosis and treatment information generated by the management information generating device, generating an execution task according to the diagnosis and treatment information, wherein the execution task comprises a management task, a management drawing task and a nursing task;
the medical care resource allocation device sets the latest completion time for each execution task according to the medical history, allocates the execution tasks to the corresponding professional team personnel, and generates the starting time of each execution task; when the task allocation module allocates the execution tasks, on the basis of ensuring that all the execution tasks can be completed before the latest completion time, the professional team personnel can continuously perform the same execution tasks;
The data regulation and control device is used for sending execution tasks to professional team personnel and sending the treatment time to the patient according to the starting time of each execution task;
the medical care resource allocation device comprises a professional team personnel input module, a task list processing module and a task allocation module;
the professional team personnel input module is used for acquiring the number of professional team personnel on duty in each time period;
the task list processing module is used for collecting the execution tasks sent by the management information processing device and setting the latest completion time for each execution task according to the medical history of the patient;
the task allocation module allocates the execution tasks in the task list to the corresponding professional team personnel according to the number of the professional team personnel on duty in each time period, and generates the starting time of each execution task; when the task allocation module allocates the execution tasks, on the basis of ensuring that all the execution tasks can be completed before the latest completion time, the professional team personnel can continuously execute the same execution tasks;
the tube setting information processing device comprises an application evaluation module, a tube setting maintenance module and a tube drawing module; the application evaluation module is used for processing the tube placing request, the tube placing maintenance module is used for processing the nursing request, and the tube drawing module is used for processing the tube drawing request;
When the application evaluation module processes a tube setting request of a patient, generating an optimal tube setting type and tube setting requirement of the patient according to the medical history of the patient, generating a tube setting task through the tube setting type and the tube setting requirement, and sending the tube setting task to the medical care resource allocation device;
when a nursing request of a patient is processed by the catheterization maintenance module, a nursing type and nursing matters are generated according to the medical history of the patient, a nursing task is generated through the nursing type and the nursing matters, and then the nursing task is sent to the medical care resource allocation device;
when a tube drawing module processes a tube drawing request of a patient, tube drawing matters and tube drawing requirements are generated according to medical history of the patient, tube drawing tasks are generated through the tube drawing matters and the tube drawing requirements, and then the tube drawing tasks are sent to a medical care resource allocation device;
the tube placing type comprises PICC tube placing, CVC tube placing, PIV tube placing and transfusion harbor tube placing; the nursing type comprises PICC catheterization nursing, CVC catheterization nursing, PIV catheterization nursing and transfusion harbor nursing; the tube drawing items comprise PICC tube drawing items, CVC tube drawing items, PIV tube drawing items and transfusion port drawing items;
the method for distributing execution tasks to each professional team personnel by the task distribution module comprises the following steps:
Step 1: setting a planned time interval, and acquiring professional team personnel on duty in the planned time interval;
step 2: when the planned time interval starts, acquiring execution tasks needing to expire in the planned time interval, setting the execution tasks as priority execution tasks, and setting the rest execution tasks as sub-priority tasks;
step 3: judging whether the professional team personnel on duty in the planned time interval can finish all the tasks which are executed preferentially, and if not, executing the step 4; if yes, directly executing the step 5;
step 4: increasing the number of on-duty professional team personnel in the planned time interval so that the professional team personnel can complete all priority execution tasks in the planned time interval;
step 5: sorting the priority execution tasks according to task types, sorting according to the latest time of the last execution task of each task type to obtain a priority execution task sorting table, and sequentially dividing the priority execution tasks which can be completed in a planning time interval for each professional team personnel according to the order of the priority execution task sorting table to obtain a planning task execution table; for professional team personnel not fully ranked with priority to execute tasks in a planned time interval, searching the execution tasks of the same type from the sub-priority tasks, and supplementing the execution tasks to a professional team personnel plan task execution table not fully ranked with priority to execute the tasks;
Step 6: and monitoring the latest completion time of the execution tasks which are not listed in the planned task execution list of the professional team personnel in real time, supplementing the execution tasks with the latest completion time smaller than the end of the current planned time interval into the planned task execution list of the professional team personnel which are not fully ranked with the priority execution tasks, and eliminating the corresponding sub-priority tasks from the planned task execution list of the professional team personnel.
2. The intravenous catheter management system of claim 1, wherein: the task allocation module enables the professional team personnel to continuously perform the pipe setting tasks of the same pipe setting type under the condition that the latest completion time of all the pipe setting tasks is met for the pipe setting tasks of the same professional team personnel.
3. The intravenous catheter management system of claim 1, wherein: the task distribution module enables the professional team personnel to continuously carry out the nursing tasks of the same tube setting type under the condition that the latest completion time of all the nursing tasks is met for the nursing tasks of the same professional team personnel.
4. The intravenous catheter management system of claim 1, wherein: the task allocation module enables the professional team personnel to continuously perform the tube drawing tasks of the same tube drawing type under the condition that the latest completion time of all tube drawing tasks is met for the tube drawing tasks divided into the same professional team personnel.
5. The intravenous catheter management system of any one of claims 1-4, wherein: the data regulation and control device can input corresponding diagnosis and treatment information to the management information generation device, or change the execution task in the management information processing device, or change the execution task distributed in the medical care resource distribution device.
6. The intravenous catheter management system of claim 1, wherein: in step 1: dividing professional team personnel into a motor group and a conventional group, wherein the number of people in the conventional group is larger than that in the motor group; in step 5, priority execution tasks are arranged for professional team personnel of the conventional team, and secondary priority tasks are arranged for motor team personnel.
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