CN115881288B - Vein catheterization management system - Google Patents

Abstract

The application discloses a venous catheter management system, which belongs to the technical field of medical information management. A venous catheter management system includes: a catheter information generation device, a catheter information processing device, a medical resource allocation device, and a data control device; The device is respectively connected with signals of the catheterization information generating device, the catheterization information processing device and the medical resource allocation device; the catheterization information generation device is connected to the internal system of the hospital to obtain the patient's diagnosis and treatment information; the catheterization information processing device is used to receive the catheterization information The diagnosis and treatment information generated by the information generation device generates execution tasks; the medical resource allocation device sets the latest completion time for each execution task, and generates the start time of each execution task; the data control device is used for starting each execution task Time Sends the patient the time of visit. The application provides a venous catheter management system capable of reasonably arranging the queuing time of patients.

Description

IV Catheter Management System

technical field

The present application relates to the technical field of medical information processing, in particular, to a management system for venous catheterization.

Background technique

There are many cancer patients in the Cancer Hospital, and the treatment cycle for these patients is long. Most of the patients need to undergo catheterization surgery to place long-term infusion tubes to avoid the cumbersomeness of subsequent infusions. Therefore, in the venous catheterization department of the tumor hospital, there are usually cases where there are few medical staff but many patients. At present, the management of catheterization in various hospitals is still in the state of paper-based office work. Patients often need to take the paper catheterization application form issued by the attending doctor to the catheterization department, and send the catheterization application form to the department of intravenous catheterization. After the medical staff evaluates and obtains the authorization of the personnel in the catheterization department, the catheterization department completes the catheterization for the patient. In this mode, there will be the following two problems:

First, after obtaining the corresponding catheterization order from the doctor in charge, the patient needs to arrive at the catheterization department immediately, submit his own catheterization order, and then queue up to complete the catheterization; in the case of insufficient manpower in the intravenous catheterization department, the patient It takes a long time to queue up, and there will be some patients. When the department arrives close to the end of work, there are too many patients in the queue to receive such patients, so it is easy to cause patients to make a trip in vain; so, for Queues are long for patients.

Second, for the venous catheterization department, the personnel management is chaotic and the work efficiency is low; when the venous catheterization department performs the catheterization work, it usually completes the catheterization in the order of first come, first come, or the order in which the patients are registered. The sorting method will cause medical staff to frequently change their job types. For example, according to the order of patients coming first, the medical staff may need to complete the infusion port catheterization, arm vein catheterization and neck CVC catheterization in sequence. , re-prepare for the arm vein catheterization, and then perform the catheterization operation of the infusion port. Generally speaking, this type of method lacks a reasonable order for the tasks assigned by the medical staff, which leads to the reduction of work efficiency in the process of frequent replacement of the preparation work by the medical staff.

For example, when performing infusion port catheterization, it is necessary to prepare an operating room sterile bag, CVC puncture bag, infusion port puncture bag, and sterile items. Among them, the operating room sterile bag includes 2 treatment towels and 1 incision suture bag , 10 pieces of gauze, 2 solution cups, 1 treatment tray, 2 sterile surgical gowns, and 2 pairs of sterile gloves. The CVC puncture kit includes 1 sterile tray, 1 hole towel, 1 sterile forceps, 3 gauzes, and 3 sterile brushes. Port access kits include atraumatic access needles. Sterile items include 2% chlorhexidine alcohol cotton balls, iodophor cotton swabs, 20ml syringes, 10ml syringes, 5ml syringes, 1ml syringes, 5×7cm transparent applicators, 10×12cm transparent applicators, 2% lidocaine3 One branch of epinephrine and infusion connector.

When performing CVC puncture, it is necessary to prepare a CVC puncture pack and sterile items. The CVC puncture pack includes treatment towels, hole towels, sterile forceps, gauze, large cotton balls, solution cups, and sterile trays. Sterile items include 2% chlorhexidine alcohol cotton balls, iodophor cotton swabs, 20ml syringes, 10ml syringes, 1ml syringes, sterile gloves, 6×7cm transparent applicators, 2% lidocaine, positive pressure connectors (heparin caps) ), isolation gown, CVC catheter, CVC catheter puncture set, sterile sleeve.

It can be seen that the preparations required for the two catheterization operations are completely different, so if the doctor frequently performs tasks, it will cause the medical staff to frequently take different types of medicines or change medicines, which will lead to long working hours , are spent on changing medicines and sorting out medicines.

To sum up, there is currently a lack of a venous catheter management system that can reasonably arrange patient queuing time and increase the work efficiency of the venous catheterization department.

Contents of the invention

The Summary section of this application serves to introduce concepts in a simplified form that are described in detail in the Detailed Description section that follows. The contents of this application are not intended to identify key features or essential features of the claimed technical solution, nor are they intended to be used to limit the scope of the claimed technical solution.

In order to solve the problem that patients cannot reasonably arrange time and the work efficiency of the venous catheterization department is low, some embodiments of the present application provide a venous catheterization management system, including: a catheterization information generation device, a catheterization information processing device, medical and nursing resources The distribution device and the data control device; the data control device is respectively connected to the tube placement information generation device, the tube placement information processing device, and the medical resource distribution device;

The catheterization information generation device is connected to the internal system of the hospital to obtain the diagnosis and treatment information of the patient. The diagnosis and treatment information includes medical record number, personal information, medical history, and request information; the request information includes catheterization request, nursing request, and extubation request;

The catheterization information processing device is used to receive the diagnosis and treatment information generated by the catheterization information generating device, and generate execution tasks based on the diagnosis and treatment information, and the execution tasks include catheterization tasks, extubation tasks, and nursing tasks;

The medical resource allocation device sets the latest completion time for each execution task according to the medical history, assigns the execution task to the corresponding professional team personnel, and generates the start time of each execution task; and the task allocation module assigns the execution task , on the basis of ensuring that all execution tasks can be completed before the latest completion time, so that the professional team members can continuously carry out the same execution tasks;

The data control device is used to send execution tasks to the professional group personnel, and is also used to send visit time to patients according to the start time of each execution task.

The venous catheterization management system provided by this application can directly generate corresponding execution tasks by requesting information, and the patient can obtain authorization from the venous catheterization department without the need for the patient to bring a request sheet to the venous catheterization department. At the same time, the medical resource allocation device can reasonably assign execution tasks to professional team members, and then generate the start time of each execution task; therefore, sending reasonable visit time to patients through the data control device can reduce the queuing time of patients, Arrange patient queuing time reasonably. At the same time, for the professional team members, the execution tasks assigned by the medical care resource allocation device are all the same type of execution tasks, and the work efficiency will be improved when the professional team members perform the same type of execution tasks continuously.

Further, the medical care resource allocation device includes a professional group personnel input module, a task list processing module, and a task allocation module;

The professional team personnel input module is used to obtain the number of professional team personnel on duty in each time period;

The task list processing module is used to collect the execution tasks sent by the catheterization information processing device, and set the latest completion time for each execution task according to the patient's medical history;

The task assignment module assigns the execution tasks in the task list to the corresponding professional team members according to the number of professional team members on duty in each time period, and generates the start time of each execution task; and, the task assignment module assigns execution tasks , on the basis of ensuring that all execution tasks can be completed before the latest completion time, so that the professional team members can continuously carry out the same execution tasks.

Obtain the number of professional team members in each time period, and be able to proactively allocate all execution tasks to avoid shortage of manpower; or be able to predict the time period of shortage of manpower, and then arrange the number of support staff in the venous catheterization department in advance ; At the same time, the latest completion time set according to the medical history is most in line with the actual situation of the patient. If the latest time is set directly and rigidly, it will lead to a lack of flexibility in the set time, making it impossible for more urgent patients to receive timely treatment. Patients who are more affluent complete the intubation, extubation or nursing care prematurely, so as to ensure that the completion time of the task is in line with the patient's treatment situation.

Further, the catheterization information processing device includes an application evaluation module, a catheterization maintenance module, and an extubation module; the application evaluation module is used to process catheterization requests, the catheterization maintenance module is used to process nursing requests, and the extubation module is used to process extubation ask;

When the application evaluation module processes a patient's catheterization request, it will generate the most suitable catheterization type and catheterization requirements for the patient based on the patient's medical history, generate a catheterization task through the catheterization type and catheterization requirements, and send the catheterization task to To the medical resource distribution device;

When the catheter maintenance module processes the patient's nursing request, it will generate the nursing type and nursing item according to the patient's medical history, generate a nursing task through the nursing type and nursing item, and then send the nursing task to the medical resource allocation device;

When the extubation module processes the patient's extubation request, it will generate extubation items and extubation requirements based on the patient's medical history, generate an extubation task through the extubation items and extubation requirements, and then send the extubation task to the medical resource allocation device .

The application evaluation module can fully consider the patient's treatment situation based on the intubation task, nursing task and extubation task generated by the medical history, and the execution tasks and related matters set according to the physical condition and estimated treatment time recorded in the medical history, Medical staff who are able to facilitate specific operations can understand the key points of work, reduce the rate of work errors on the basis of ensuring the efficiency of task completion, and avoid adverse effects on patients due to unattended problems.

Further, catheterization types include PICC catheterization, CVC catheterization, PIV catheterization, and infusion port catheterization; nursing types include PICC catheterization nursing, CVC catheterization nursing, PIV catheterization nursing, and infusion port nursing; extubation items include PICC tube placement and extubation matters, CVC catheter placement and extubation matters, PIV catheter placement and extubation matters, and infusion port extubation matters.

PICC catheterization, CVC catheterization, PIV catheterization, and infusion port catheterization are four common types of catheters. These four types of catheters have certain differences in the specific operations of catheterization, nursing, and extubation. Therefore, for the same staff member, if they only need to complete the catheterization task, it is better to arrange the catheterization tasks in the order of the catheterization tasks of the same tube type.

Further, the task allocation module enables the professional team members to continuously perform catheterization tasks of the same catheterization type under the condition that the latest completion time of all catheterization tasks is met for the catheterization tasks assigned to the same professional team.

Further, for the nursing tasks assigned to the same professional team, the task allocation module enables the professional team to continuously perform the same type of catheterization nursing tasks under the condition that the latest completion time of all nursing tasks is met.

Further, for the extubation tasks assigned to the same professional team, the task allocation module enables the professional team members to continuously perform the same extubation type of extubation tasks under the condition that the latest completion time of all extubation tasks is met.

Continuously performing catheterization tasks, nursing tasks, and extubation tasks of the same catheter type can increase the proficiency of the professional team members in their work, improve the work efficiency of the professional team members, and avoid damage to the professional team due to switching different tube types. The productivity of team members is adversely affected.

Further, the data control device can enter corresponding diagnosis and treatment information into the catheterization information generating device, or change the execution tasks in the catheterization information processing device, or change the execution tasks assigned in the medical care resource allocation device.

Change the diagnosis and treatment information and perform tasks through the data control device, which is convenient for medical staff to deal with emergency situations. When critical patients need to be treated in advance, the order can be directly adjusted through the data control device, so that medical staff can directly operate on the critical patient; Or when a certain patient needs to be treated in advance because of his serious condition, the treatment time of the patient can also be adjusted through the data control device.

Further, the method that the task allocation module assigns each professional team member to perform tasks includes the following steps:

Step 1: Set the planned time interval, and obtain the professional team members who are on duty within the planned time interval;

Step 2: At the beginning of the planned time interval, obtain the execution tasks that need to expire within the planned time interval, set such execution tasks as priority execution tasks, and set the remaining execution tasks as secondary priority tasks;

Step 3: Judging whether the on-the-job professional team members within the planned time interval can complete all the priority execution tasks, if not, go to step 4; if it can be done, go to step 5 directly;

Step 4: Increase the number of professional team members on duty within the planned time interval, so that the professional team members can complete all priority tasks within the planned time interval;

Step 5: Classify the priority execution tasks according to the task type, and sort according to the latest time of the last execution task of each task type to obtain the priority execution task sorting table, and then according to the order of the priority execution task sorting table, for Each professional team member sequentially divides the priority execution tasks that can be completed within the planned time interval to obtain the planned task execution table; Find the same type of execution tasks and add them to the planned task execution list of professional team members who are not full of priority execution tasks;

Step 6: Real-time monitoring of the latest completion time of the execution tasks that are not included in the professional team personnel's planned task execution table, and the execution tasks whose latest completion time is less than the end of the current planned time interval are added to the priority execution tasks that are not fully scheduled In the planned task execution list of the professional team members, and remove the corresponding sub-priority tasks from the professional team members.

The allocation method of execution tasks provided by the present application can adjust the relationship between focusing on the latest completion time or the continuity of execution tasks by setting the size of the planning time interval. When it is necessary to pay attention to the latest completion time, try to reduce the size of the planning time interval, and then when assigning execution tasks, if the time interval of attention is small, the tasks that are about to expire will be processed immediately. When it is necessary to pay attention to the continuity of the execution tasks, the size of the planning time interval should be increased as much as possible, so that more priority tasks can be considered at one time, so it can be guaranteed that within the longer time interval, the professional team members can complete the tasks. The continuity of execution tasks, but it will inevitably lead to the completion time of some execution tasks will be closer to the latest completion time.

Further, in Step 1: Divide the professional team members into a mobile group and a regular group, the number of the regular group is greater than that of the mobile group; in step 5, give priority to the professional team members of the regular group to perform tasks first, and arrange the second task for the mobile team members. priority tasks. By setting up the mobile group and the routine group, the mobile group can be guaranteed to have a certain degree of mobility and can be used to deal with sudden critical patients.

The beneficial effects of the present application are: the present application aims at the problem that in the existing venous catheterization, venous nursing, and venous extubation departments, the execution tasks of professionals are unreasonably arranged, resulting in low work efficiency of professionals and long waiting time for patients . A venous catheter management system is provided. On the one hand, by planning and adjusting the execution tasks of the execution personnel, the execution personnel can continuously perform the same execution tasks, avoiding the disorder of the execution task arrangement, and thus increasing the execution time. The work efficiency of personnel, on the other hand, reduces the waiting time of patients by sending the corresponding treatment time to patients.

Description of drawings

The accompanying drawings, which constitute a part of this application, are included to provide a further understanding of the application and make other features, objects and advantages of the application apparent. The drawings and descriptions of the schematic embodiments of the application are used to explain the application, and do not constitute an improper limitation to the application.

In addition, the same or similar reference numerals denote the same or similar elements throughout the drawings. It should be understood that the drawings are schematic and elements and elements have not necessarily been drawn to scale.

In the attached picture:

Fig. 1 is a schematic structural diagram of a venous catheter management system.

Detailed ways

Embodiments of the present disclosure will be described in more detail below with reference to the accompanying drawings. Although certain embodiments of the present disclosure are shown in the drawings, it should be understood that the disclosure may be embodied in various forms and should not be construed as limited to the embodiments set forth herein. Rather, these examples are provided so that the understanding of this disclosure will be thorough and complete. It should be understood that the drawings and embodiments of the present disclosure are for exemplary purposes only, and are not intended to limit the protection scope of the present disclosure.

It should also be noted that, for the convenience of description, only the parts related to the related invention are shown in the drawings. In the case of no conflict, the embodiments in the present disclosure and the features in the embodiments can be combined with each other.

The present disclosure will be described in detail below with reference to the accompanying drawings and embodiments.

Referring to Fig. 1, the intravenous catheter management system includes a catheter information generating device, a catheter information processing device, a medical resource allocation device and a data control device. The data control device is connected with signal connection with the catheterization information generating device, the catheterization information processing device and the medical care resources distribution device respectively.

The catheterization information generation device is connected to the internal system of the hospital to obtain the diagnosis and treatment information of the patient. The diagnosis and treatment information includes medical record number, personal information, medical history and request information. The request information includes catheterization request, nursing request and extubation request.

The medical record number is a unique number generated for each patient after registration, and the medical record number is the same for patients admitted multiple times.

Personal information includes the patient's name, age, gender, ID number, home address and other information.

The medical history includes all kinds of treatment information of the patient that can be queried by the hospital, that is, the medical history includes past medical history, current medical history, inspection and test results, physiological health indicators, treatment plans, types of drugs, etc. Among them, it should be noted that in the technical solution of the present application, it should be understood that the medical history is a dynamically updated data, and any information generated during the treatment of the patient will be updated in the patient's medical history.

Regardless of whether it is an outpatient or an inpatient, the doctor in charge generally decides whether to intubate the patient according to the treatment situation. Therefore, when patient A needs to be intubated, the doctor in charge will issue an application form for the intubation request. The application form will be sent to the catheterization information generation device; then the catheterization information generation device will obtain patient A's diagnosis and treatment information and patient A's catheterization request. In addition, the same is true for nursing requests and extubation requests as for catheterization requests. Generally, the doctor in charge of the patient issues a corresponding request form to the patient, or directly generates a corresponding catheterization request according to the time of catheterization.

For example, the catheterization completed by patient B is a CVC in the neck vein, which generally can only be used for one month, so the hospital system will automatically generate an extubation request for the patient, but in actual processing, it is usually the patient When the treatment is completed, infusion is no longer needed or is close to completion, the doctor in charge will issue a request for extubation, and the diagnosis and treatment information for the request for catheterization is shown in the table below.

Table 1: Care Information Form for Catheterization Requests

project type project information Medical record number 025492 personal information Name, age, gender, ID number, home address medical history Past medical history, current medical history, inspection and test results, physiological health indicators, treatment plans, types of drugs, etc. request information Arm Position PICC Insertion Request

The catheterization information processing device is used to receive the diagnosis and treatment information generated by the catheterization information generation device, and generate execution tasks based on the diagnosis and treatment information, and the execution tasks include catheterization tasks, extubation tasks, and nursing tasks.

The catheterization information processing device includes an application evaluation module, a catheterization maintenance module and a catheterization module. Wherein, the application evaluation module is used for processing the catheterization request, the catheterization maintenance module is used for processing the nursing request, and the extubation module is used for processing the extubation request.

When the application evaluation module processes a patient's catheterization request, it will generate the most suitable catheterization type and catheterization requirements for the patient based on the patient's medical history, generate a catheterization task through the catheterization type and catheterization requirements, and send the catheterization task to To the medical resource allocation device.

The catheterization types include PICC catheterization, CVC catheterization, PIV catheterization, and infusion port catheterization.

Among the current tubing materials, there are generally three types of catheters: PICC, CVC, and PIV, as well as special infusion ports.

Catheterization requirements include specific guidance conditions such as puncture site, puncture type, and anesthesia matters. In addition, catheterization requirements can also include catheterization position, anesthesia method, catheterization site, catheter name, assistive technology, etc.

For example, for patient A, after the catheterization request is sent to the application evaluation module, the catheterization type and catheterization requirements will be generated in the application evaluation module according to the patient's medical history, and then the catheterization type and catheterization requirements will be generated into catheterization task, and send the placement task to the medical resource allocation device, the information table of the placement task is shown in the table below.

Table 2: Information Sheet for Catheterization Tasks

project type project information Medical record number 025492 personal information Name, age, gender, ID number, home address medical history Past medical history, current medical history, inspection and test results, physiological health indicators, treatment plans, types of drugs, etc. Type of catheter PICC insertion Catheterization requirements No anesthesia, arm IV catheter

When the catheter maintenance module processes the patient's nursing request, it will generate the nursing type and nursing item according to the patient's medical history, generate a nursing task through the nursing type and nursing item, and then send the nursing task to the medical resource allocation device.

Nursing types include PICC catheterization nursing, CVC catheterization nursing, PIV catheterization nursing, infusion port nursing.

Nursing items include flushing the tube, withdrawing, replacing the joint, changing the catheter, observing the skin near the catheter, checking the application and other specific matters. However, different types of intubation have differences in performing the above-mentioned specific matters during the intubation operation, which will not be listed here.

For example, for patient A, on the second day after the PICC catheter was implanted in the arm, the catheterization information generation device generated a nursing request for the patient A, and then the nursing request was sent to the catheterization maintenance module, and the catheterization maintenance module According to the medical history of patient A, a nursing task including PICC catheterization nursing items is generated, and then the nursing task is sent to the medical resource allocation device. The information table of the nursing task is as follows.

Table 3: Information Sheet for Nursing Tasks

project type project information Medical record number 025492 personal information Name, age, gender, ID number, home address medical history Past medical history, current medical history, inspection and test results, physiological health indicators, treatment plans, types of drugs, etc. type of care PICC catheter care Nursing matters Flushing, withdrawing, replacing joints

When the extubation module processes the patient's extubation request, it will generate extubation items and extubation requirements based on the patient's medical history, generate an extubation task through the extubation items and extubation requirements, and then send the extubation task to the medical resource allocation device .

Extubation matters include PICC catheterization and extubation matters, CVC catheterization and extubation matters, PIV catheterization and extubation matters, and infusion port extubation matters.

Extubation requirements include whether anesthesia is required, extubation position, auxiliary tools, etc. Extubation requirements are the content needed to guide medical staff during extubation.

For example, for patient A, 29 days after the CVC catheter was implanted in his arm, the catheterization information generation device generated the extubation request of the patient A, and then the extubation request was sent to the extubation module, and the extubation module according to Based on patient A's medical record information, an extubation task including CVC insertion and extubation items and extubation requirements is generated, and then the extubation task is sent to the medical resource allocation device. The information table of the extubation task is as follows.

Table 4: Information sheet for the extubation task

project type project information Medical record number 025492 personal information Name, age, gender, ID number, home address medical history Whether you suffer from vascular disease, allergies... Extubation matters PICC insertion and extubation matters extubation requirements Flushing, withdrawing, replacing joints

In this way, through the above-mentioned catheterization information processing device, all patients can generate corresponding execution tasks according to the three tasks of catheterization, extubation, and nursing according to the needs, and then assign the execution tasks through the medical resource allocation device.

It needs to be recognized that the medical history includes all kinds of information generated during the intubation, nursing and extubation process, so when nursing and extubation, the medical history can also be used to form the corresponding nursing items during the intubation process and extubation requirements.

The medical resource allocation device sets the latest completion time for each execution task according to the medical history, assigns the execution task to the corresponding professional team personnel, and generates the start time of each execution task; and the task allocation module assigns the execution task , on the basis of ensuring that all execution tasks can be completed before the latest completion time, so that the professional team members can continuously carry out the same execution tasks.

Patients will continue to have new test results, treatment plans, or worsening conditions, so the patient's medical history is a dynamically updated data, and for the latest completion time of each task, it may change with the patient's progress. The deterioration of the condition is updated, so for the latest completion time of each task, before the task is completed, the patient can be treated in time according to the change of the patient's medical history.

The medical care resource allocation device includes a professional group personnel input module, a task list processing module, and a task allocation module.

The professional team personnel entry module is used to obtain the number of professional team personnel on duty in each time period.

The professional team member input module can obtain the number of professional team members in each time period through the hospital's internal scheduling system, and is also connected to the hospital's attendance system to obtain the status of the professional team of medical staff in a timely manner.

Specifically, the professional team personnel input module will design a unique employee number for all medical staff in the department. In the initial state, all employees are not on duty. When the medical staff arrives at the department to complete the clock-in or manually enter information Afterwards, the professional team member input module obtains the professional team information of the medical staff, and then the medical staff is activated to the on-duty state. In addition to this method, the on-duty status of the staff in the venous department at different time periods can also be directly determined according to the internal scheduling system.

The task list processing module is used to collect the execution tasks sent by the catheterization information processing device, and set the latest completion time for each execution task according to the patient's medical history.

For example, for the extubation task of patient A, the insertion of patient A is PIV catheterization, and the medical records of patient A show that the insertion time of patient A’s PIV catheterization is March 1, so for patient A’s extubation As far as the tube task is concerned, the latest completion time is March 8, because for the PIV catheter, the time it stays in the human body should not exceed 7 days, so the latest completion time is March 8.

Correspondingly, for nursing tasks, the design of the latest completion time is also related to the medical history of the task. If the PICC catheter needs to be completed within three days, the corresponding latest completion time should be the time after the catheter is placed. third day. For the catheterization task, the setting of the latest completion time is relatively loose, and the latest completion time is related to the critical condition of the patient. For critical patients, the latest completion time will be earlier.

According to the number of medical personnel in the professional team, the task assignment module assigns the execution tasks in the task list to the corresponding professional team members, and generates the start time of each execution task; and, when the task assignment module assigns the execution tasks, it ensures that On the basis that all execution tasks can be completed before the latest completion time, the professional team members can continuously carry out the same execution tasks.

For example, for a department, there are 3 professional team members in the morning, and 30 execution tasks need to be completed in the morning. Among these 30 tasks, there are 5 tube placement tasks, 10 extubation tasks, and 15 nursing tasks, then Personnel A completed 5 intubation tasks and 5 nursing tasks, Personnel B completed 10 extubation tasks, and Personnel C completed 10 nursing tasks.

In this way, for these three medical staff, during their morning work, the business types they need to handle are basically the same, and the appliances they need to carry are basically the same. For the professional team member B, it only needs to carry the equipment related to extubation and the required disinfection level for preparing for extubation. Moreover, continuous processing of the same task is very helpful for improving 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 the task processing work within the expected time. In actual management, a reasonable time can also be set according to the doctor in charge. The latest completion time of .

Further, the task allocation module enables the professional team members to continuously perform catheterization tasks of the same catheterization type under the condition that the latest completion time of all catheterization tasks is met for the catheterization tasks assigned to the same professional team.

Further, for the nursing tasks assigned to the same professional team, the task allocation module enables the professional team to continuously perform the same type of catheterization nursing tasks under the condition that the latest completion time of all nursing tasks is met.

Further, for the extubation tasks assigned to the same professional team, the task allocation module enables the professional team members to continuously perform the same extubation type of extubation tasks under the condition that the latest completion time of all extubation tasks is met.

For example, for professional team member A, he needs to complete 10 catheterization tasks in the next three hours, and these 10 catheterization tasks include 4 PICC catheterizations, 3 CVC catheterizations, and 4 PIV catheterizations respectively. The task allocation module can complete 4 PICC catheterizations, 3 CVC catheterizations and 4 PIV catheterizations sequentially under the condition that the latest completion time is met. Correspondingly, the above-mentioned conditions are also satisfied for the extubation task of the nursing task.

In this way, when the medical staff is performing the catheter placement process, they will not need to deal with multiple types of execution tasks in a short period of time when processing the execution tasks, so that the work efficiency of the medical staff can be increased, especially in the placement In the tube task and extubation task, when the medical staff continuously performs the same type of tube insertion task, they do not need to repeatedly get new tubes, reducing the number of times the medical staff walk back and forth; When managing tasks, for medical staff, it can be convenient for medical staff to classify medical waste, and the same type of tubes can be placed in one disposal box. If the medical staff perform the extubation operation in a random arrangement, it is difficult for the medical staff to classify the catheters when disposing of the discarded catheters.

Furthermore, in order to realize that the task assignment module can allow all professional team members to perform the same type of execution tasks as continuously as possible under the premise of meeting the latest completion time of all execution tasks, the task assignment module assigns execution tasks to each professional team member The method includes the following steps:

Step 1: Set the planning time interval and obtain the professional team members within the planning time interval.

In step 1, the planned time interval is set as the time interval from the on-duty to the rest of the professional team members.

For example, for the venous catheterization department of a hospital, it goes to work at 8:00 am, ends at 12:00 noon, goes to work at 1:00 pm, and ends at 6:00 pm; the planned time interval can be set from 8:00 am to 12:00 1:00 to 6:00 pm. Because nurses generally implement the shift system, in different time periods, the personnel of the professional team are different. Under such special circumstances, the number of professional team members within the planned time interval is basically the same.

Step 1: Divide the professional team members into a mobile group and a regular group, and the regular group has more people than the mobile group.

For example, in the planned time interval from 8:00 am to 12:00 am, if there are 5 professional team members, then 3 professional team members will be divided into the regular group, and the remaining 2 professional team members will be divided into the mobile group.

Step 2: At the beginning of the planned time interval, obtain execution tasks that need to expire within the planned time interval, and set such execution tasks as priority execution tasks, and set the remaining execution tasks as secondary priority tasks.

For example, for the planned time interval from 8 o'clock to 12 o'clock, at 8 o'clock, query the latest completion time of all execution tasks, and obtain a total of 3 infusions during the period from 8 o'clock in the morning to 12 o'clock in the morning Port placement tasks, 3 PICC placement tasks, and 3 PIV placement tasks will reach the latest completion time, so set these 9 execution tasks as priority execution tasks, and set the remaining tasks as secondary priority tasks .

Step 3: Judging whether the professional team members on duty within the planned time interval can complete all the priority tasks, if not, go to step 4; if they can, go to step 5 directly.

When judging whether the professional team members can complete all the priority execution tasks, you can judge how long the completion time is under the current number of personnel through the preset time required for each priority execution task and the number of personnel, and then Then compare it with the time span of the planned time interval.

For example, for the planned time interval from 8:00 to 12:00, if the working time of the on-the-job professional team members to complete the priority tasks is longer than the planned time interval, it is necessary to call for additional staff to increase the number of on-the-job professional team members.

The task allocation module will predict in advance whether the personnel in the subsequent planning time interval are reasonable, so that the staff can be called in advance.

Step 4: Increase the number of on-the-job professional team members within the planned time interval, so that the professional team members can complete all priority execution tasks within the planned time interval.

Step 5: Classify the priority execution tasks according to the task type, and sort according to the latest time of the last execution task of each task type to obtain the priority execution task sorting table, and then according to the order of the priority execution task sorting table, for Each professional team member sequentially divides the priority execution tasks that can be completed within the planned time interval to obtain the planned task execution table; Find execution tasks of the same type and add them to the planned task execution list of professional team members who are not full of priority execution tasks.

In step 5, priority tasks are assigned to the professional team members of the regular group, and sub-priority tasks are assigned to the mobile team members.

For example, during the period from 8:00 am to 12:00 am, there are a total of 20 PICC catheterization tasks, 10 PIV catheterization tasks, 5 infusion port catheterization tasks, 10 CVC catheterization tasks, and 10 CVC catheterization tasks. 5 infusion port extubation tasks; the professional team consists of 5 people, three of whom are divided into routine groups, namely A, B, and C professional team members; two people are divided into mobile groups, respectively D and F majors team members. According to the sorting of priority execution tasks, the order obtained is as shown in the table below.

Table 5: Priority execution task sorting table

For each professional team member, they can complete 15 PICC catheterization tasks, or 10 PIV catheterization tasks and 5 PICC catheterization tasks, or 5 infusion port tasks during the period from 8 o'clock to 12 o'clock Intubation tasks, or 10 CVC extubation tasks and 4 infusion port extubation tasks, so the task execution table that can be obtained by the above five professional team members is as follows.

Table 6: Execution table of planned tasks for each professional team member

Among the above-mentioned 5 professional team members, the F professional team only needs to complete 1 infusion port extubation task, so 3 infusion port extubation tasks and 10 CVC extubation tasks can be supplemented from the sub-priority tasks; In this way, all professional team members can complete the sequencing of all catheterization tasks within the planned time interval.

In step 5, for each task type, the latest completion time of the last execution task of each task type is the same, compare the latest time of the penultimate execution task of this task type, and so on, to obtain each task type in the order of precedence. If the sequence cannot be obtained through the above method, then it will be sorted according to the preset priority. The design method of the priority is not limited here, and can be described according to the personnel situation and professional situation of the hospital.

Step 6: Real-time monitoring of the latest completion time of the execution tasks that are not included in the professional team personnel's planned task execution table, and the execution tasks whose latest completion time is less than the end of the current planned time interval are added to the priority execution tasks that are not fully scheduled The professional team members plan the task execution table, and remove the corresponding sub-priority tasks from the professional team members.

For example, during the period from 8:00 am to 12:00 am, three new intubation tasks are suddenly added, and these three intubation tasks need to be completed before 12:00 noon, so these three intubation tasks are assigned directly Give it to the F member of the mobility group, and remove part of the sub-priority tasks assigned to the F member.

In this way, the task allocation module can reasonably arrange all execution tasks through the above steps 1 to 6. On the basis of ensuring that all execution tasks can be completed within the expected time, it can ensure that the medical staff can do their best when they are working. Continuous execution of the same type of execution tasks can avoid the problem that some patients cannot be dealt with in time due to the order of first-come-first-come, on the one hand, and on the other hand, it can avoid the problem of reduced work efficiency caused by the continuous execution of different tasks by medical staff.

When assigning tasks, the task allocation module can adjust the planning time interval according to the number of professional team members and the number of priority tasks. It is foreseeable that in the near future there will be a large number of execution tasks due, but the number of professional team members is relatively limited. If the time span of the planning time interval is reduced, the continuity of the execution tasks assigned to the professional team members will be reduced, but It can solve the execution tasks that will expire in the near future in a more timely manner.

The data control device is used to send execution tasks to the professional group personnel, and is also used to send visit time to patients according to the start time of each execution task.

The data control device is also used to set or retrieve various information inside the tube placement information generation device, tube placement information processing device, and medical care resource allocation device.

Specifically, the data control device can enter corresponding diagnosis and treatment information into the catheterization information generating device, or change the execution tasks in the catheterization information processing device, or change the execution tasks assigned in the medical care resource allocation device.

For example, in a certain hospital, the computer in the nurse station is connected to the internal system of the hospital to obtain all the information of the hospital. The computer can also be connected to the signal of the data control device to complete the interaction with the venous catheter management system through the computer. In addition, mobile phones, tablet computers and other devices can also be connected to the data control device for signal access, so that the data control device can send information about the time of visit to the patient.

The above descriptions are only some preferred embodiments of the present disclosure and illustrations of the applied technical principles. Those skilled in the art should understand that the scope of the invention involved in the embodiments of the present disclosure is not limited to the technical solution formed by the specific combination of the above-mentioned technical features, but also covers the above-mentioned invention without departing from the above-mentioned inventive concept. Other technical solutions formed by any combination of technical features or equivalent features. For example, a technical solution formed by replacing the above-mentioned features with technical features having similar functions disclosed in (but not limited to) 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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