CN116312929A - OKR-based pressure sore management method, system, equipment and medium - Google Patents
OKR-based pressure sore management method, system, equipment and medium Download PDFInfo
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Abstract
The invention relates to the technical field of pressure sore management, in particular to a OKR-based pressure sore management method, a OKR-based pressure sore management system, OKR-based pressure sore management equipment and a OKR-based pressure sore management medium. According to the invention, a OKR method is introduced into pressure sore management, a proper OKR execution plan is formulated, comprehensive management and treatment of pressure sores are realized, and scientific and standardized pressure sore management is realized: by making OKR execution plan, scientificalness and standardization of pressure sore prevention and treatment are realized, and management efficiency is improved. Improving the treatment effect and life quality of patients. The method can realize timely evaluation, effective prevention and comprehensive treatment of the pressure sores, improves the treatment effect and life quality of patients, and can reduce the medical cost, hospitalization time and treatment cost of the patients through comprehensive management and treatment of the pressure sores.
Description
Technical Field
The invention relates to the technical field of pressure sore management, in particular to a OKR-based pressure sore management method, a OKR-based pressure sore management system, OKR-based pressure sore management equipment and OKR-based pressure sore management media.
Background
Pressure sores, also known as bedsores, are characterized by damage, ulcers and even necrosis of skin and subcutaneous tissue due to the fact that the blood circulation of the local skin of the body is affected by long-term pressure, and are well developed in the pressed bone protruding parts. Bedsores are a common disease, especially in patients who are bedridden and physically weak, and are often found in the areas of pressed bony prominences, such as sacral coccyx, ischial tuberosities, thighbone tuberosities, lateral malleolus and heel.
At present, hospitals lack a management method for pressure sores, do not track the nursing effect of the pressure sores during the hospital, do not manage the process, and do not lack the capacity of optimizing the nursing of the pressure sores.
Disclosure of Invention
The invention aims to provide a OKR-based pressure sore management method, a OKR-based pressure sore management system, OKR-based pressure sore management equipment and OKR-based pressure sore management media, which solve the problem that a pressure sore management method is lacking in a hospital in the prior art.
The embodiment of the invention is realized by the following technical scheme:
in a first aspect, the present invention provides a method for managing pressure sores based on OKR, comprising;
determining a target of pressure sore management;
preparing key result indexes of pressure sore management;
setting an execution plan according to the target and the key result index;
corresponding precautions and therapeutic measures are implemented according to the execution plan.
In one embodiment of the present invention, the determining the goal of pressure sore management includes grading the goal, including at least a first stage, a second stage, and a third stage;
the first stage comprises patients in a high risk group, and pressure sore risk assessment is carried out on the patients;
the second stage comprises patients with pressure sores, and pressure sore state evaluation is carried out on the patients;
the third stage comprises the patients with pressure sores in the rehabilitation stage, and rehabilitation evaluation is carried out on the patients.
In an embodiment of the present invention, the key result indicators at least include a plurality of first indicators, second indicators, third indicators, fourth indicators, and fifth indicators;
obtaining a plurality of scores corresponding to each index, namely a first index, a second index, a third index, a fourth index and a fifth index;
calculating the average index score and standard deviation of each index;
obtaining a standardized value according to the average index score and the standard deviation;
adding the standardized values of each index to obtain a sum score;
the status of the patient is determined based on the sum score.
In an embodiment of the present invention, the standard deviation calculation formula includes;
E = sqrt(Σ(xi - x)^2 / n)
where xi is the score of each patient on the index, x is the average of the index, n is the number of samples, and E is the standard deviation;
the normalized value calculation formula comprises;
zi = (xi - x) / σ
where xi is the score of each patient on the index, x is the mean of the index, and σ is the standard deviation of the index.
In an embodiment of the present invention, if the patient is evaluated for pressure sore state, the total score is positive, the patient state is determined to be good, the total score is negative, and the patient state is determined to be poor;
if the risk assessment is carried out on the patient, the total score and the standard coincide or exceed the standard, the patient is judged to be in a healthy state, the total score is lower than the standard, and the patient is judged to be easy to suffer from pressure sores;
if rehabilitation evaluation is carried out on the patient, the total score and the standard coincide or exceed the standard, and the condition of the pressure sore of the patient is judged to be improved; and the total score is lower than the standard, and the patient is judged to have poor recovery of the pressure sore.
In one embodiment of the invention, the execution plan includes;
according to the actual pressure sore condition of a hospital and the pressure sore condition expected to be reached, a plan is made and is recorded into a OKR system, wherein the plan comprises a annual plan, a quarterly plan and a monthly plan;
the annual plan comprises the steps of setting a starting month and an ending month of plan execution, defining a range of investigation, setting a description of the annual plan and setting an annual plan assessment index;
the quarter plan comprises setting a starting month and an ending month of plan execution, and prescribing a range of investigation;
the month plan includes setting backlog to be completed for each month.
In a second aspect, the present invention also provides a pressure sore management system based on OKR, including;
a targeting module configured to determine a target for pressure sore management,
the index preparation module is used for preparing key result indexes configured for constant pressure sore management;
the plan making module is configured to make an execution plan according to the targets and the key result indexes;
and the execution module is configured to implement corresponding preventive and therapeutic measures according to the execution plan.
In an embodiment of the invention, the pressure sore evaluation module is configured to;
obtaining a plurality of index scores corresponding to the first index, the second index, the third index, the fourth index and the fifth index;
calculating the average index score and standard deviation of each index;
obtaining a standardized value according to the average index score and the standard deviation;
adding the standardized values of each index to obtain a sum score;
the status of the patient is determined based on the sum score.
In a third aspect, the present invention further provides an electronic device, including a memory, a processor, and a computer program stored in the memory and capable of running on the processor, where the processor implements the above-mentioned pressure sore management method based on OKR when executing the computer program.
In a fourth aspect, the present invention further provides a computer readable storage medium, where a computer program is stored, where the computer program, when executed by a processor, implements a pressure sore management method based on OKR as described above.
The technical scheme of the embodiment of the invention has at least the following advantages and beneficial effects:
1. according to the invention, a OKR method is introduced into pressure sore management, a proper OKR execution plan is formulated, comprehensive management and treatment of pressure sores are realized, and scientific and standardized pressure sore management is realized: by making OKR execution plan, scientificalness and standardization of pressure sore prevention and treatment are realized, and management efficiency is improved. Improving the treatment effect and life quality of patients.
2. The method can realize timely evaluation, effective prevention and comprehensive treatment of the pressure sores, improves the treatment effect and life quality of patients, and can reduce the medical cost, hospitalization time and treatment cost of the patients through comprehensive management and treatment of the pressure sores.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are needed in the embodiments will be briefly described below, it being understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and other related drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic flow chart of the present invention.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is apparent that the described embodiments are some embodiments of the present invention, but not all embodiments of the present invention. The components of the embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
The terms first, second and the like in the description and in the claims of the present application and in the above-described figures, are used for distinguishing between similar objects and not necessarily for describing a particular sequential or chronological order. The naming or numbering of the steps in the present application does not mean that the steps in the method flow must be executed according to the time/logic sequence indicated by the naming or numbering, and the execution sequence of the steps in the flow that are named or numbered may be changed according to the technical purpose to be achieved, so long as the same or similar technical effects can be achieved.
The division of the modules presented in this application is a logical division, and there may be other manners of division in practical application, for example, multiple modules may be combined or integrated in another system, or some features may be omitted, or not performed.
The modules or sub-modules described separately may or may not be physically separate, may or may not be implemented in software, and may be implemented in part in software, where the processor invokes the software to implement the functions of the part of the modules or sub-modules, and where other parts of the templates or sub-modules are implemented in hardware, for example in hardware circuits. In addition, some or all of the modules may be selected according to actual needs to achieve the purposes of the present application.
It should be noted that the OKR method is a goal management method, which can help individuals, teams and organizations to more effectively formulate, implement and evaluate goals, and pursue higher performance and achievement. The following are the steps using the OKR method:
and (3) making a target: the goals that need to be achieved are determined, which should be scalable, reachable, and challenging.
And (3) making key results: a set of key results is formulated for each target for measuring its performance. These key results should have key metrics, specific metric requirements, and a definite deadline.
Periodically auditing and updating targets and key results: quarterly and annual reviews are made at the end of each cycle to evaluate the achievement of the objective and key results and update and adjust the objective and key results for the next cycle.
Sharing and communication progress: the goal and key results are shared to ensure that the whole organization knows clearly about the progress in each main direction and adjusts and cooperates in time.
Incentive and rewards: individuals and teams are motivated according to the implementation to improve performance and the quality of achievements.
The continuous improvement is as follows: the formulation and execution process of OKR is continuously optimized, and the performance management and achievement-oriented culture of the organization are improved, so that the excellent performance of the organization and individuals is realized.
Referring to fig. 1, the present invention provides a method for managing pressure sores based on OKR, which includes;
s101: determining a target of pressure sore management;
the goals of pressure sore management include,
preventing pressure sore occurrence: provides the attention and guidance for effectively preventing the pressure sore so as to avoid the pressure sore generated by long-time sitting or lying down of the patient.
Early identification and evaluation: an identification and assessment mechanism is established to discover slight accidental injuries or changes on the patient in time so as to reduce the dependence of the patient on high-pressure support.
Appropriate care interventions were given: for patients who are about to or have pressure sores, nursing intervention including transposition, massage, cleaning and the like is carried out on the patients in time so as to promote local blood circulation and prevent complications such as infection.
Management and treatment of pressure sores: for patients with pressure sores, chronic wound treatment including debridement, plaster medicine, infection control and the like is timely carried out so as to promote wound healing and relieve pain of patients.
Establishing a long-term care plan: a long-term nursing plan is established, an omnibearing nursing mode, education and support are provided for the patient, so that the patient is ensured not to generate pressure sores, the life quality of the patient is improved, and the overall goal can be to reduce the incidence rate of the pressure sores and improve the pressure sore prevention consciousness and treatment effect of the patient.
S102: preparing key result indexes of pressure sore management according to OKR;
the key result indexes, such as pressure sore occurrence rate, patient pressure sore knowing rate, patient pressure sore cure rate and the like, can be specifically: optimizing nursing measures at different age groups; diagnosis of different disease processes and optimization of nursing measures; the identification state is not agreed, and nursing measures are optimized; different action states and optimized nursing measures; different physical conditions and optimized nursing measures; different family members/careers accompany the situation, and nursing measures are optimized; different environmental states and optimized nursing measures; the incidence rate of the pressure sore of the whole hospital is reduced by 10 percent; the recovery period of pressure sores of the same type of patients is shortened by 20%; the worsening rate of pressure sores is reduced by 10%; patient satisfaction improves by 10 percent, etc.
S103: setting an execution plan according to the target and the key result index;
for example, a preventive measure scheme: including periodic turn-over, use of pressure relief devices, weight loss of the patient, diet management, skin cleansing, and moisturization. Pressure sore risk assessment: and (5) carrying out risk assessment on the patient at regular intervals, and formulating corresponding preventive measures according to the risk level. Pressure sore treatment scheme: including the use of specific medications, dressings, surgical procedures, and the like. Personalized care plan: the personalized care plan suitable for the patient is designed by considering the factors such as disease history, age, disease severity, life style and the like of the patient so as to reduce the risk of pressure sores as much as possible. Monitoring and evaluation of pressure sore management: the patient is monitored and evaluated periodically according to predetermined criteria to ensure the effectiveness of the preventive measures and treatment plans, and to update and adjust the management plan in time. Pressure sore education program: providing relevant knowledge and skill training for medical staff, nursing staff and family members to improve the effect of preventing and managing pressure sores. Through modes such as regular inspection, education propaganda, improve patient's pressure sore prevention consciousness and self-management ability, reduce pressure sore incidence.
S104: corresponding precautions and therapeutic measures are implemented according to the execution plan.
Monitoring and adjusting: and monitoring the implementation effect of the execution plan according to the key result index, and timely adjusting the execution plan.
According to the embodiment of the invention, a OKR method is introduced into pressure sore management, a proper OKR execution plan is formulated, comprehensive management and treatment of pressure sores are realized, and scientific and standardized pressure sore management is realized: by making OKR execution plan, scientificalness and standardization of pressure sore prevention and treatment are realized, and management efficiency is improved. Improving the treatment effect and life quality of patients.
In one embodiment of the invention, determining the goal of pressure sore management includes ranking the goal, including at least a first stage, a second stage, and a third stage. Different patients are classified, different grades are provided, different evaluations are performed, more conditions are considered, and the evaluated result is more accurate.
Specifically, the first level comprises patients in a high risk group, the patients in the group do not have pressure sores, but are in the easily-occurring group, and the patients are subjected to pressure sore risk assessment; the second stage comprises patients with pressure sores, the patients need to carry out specific analysis on the conditions of the pressure sores, and the patients are subjected to pressure sore state assessment; the third stage comprises the patients with pressure sores in the rehabilitation stage, and rehabilitation evaluation is carried out on the patients.
In an embodiment of the present invention, the key result indicators include at least a plurality of first indicators, second indicators, third indicators, fourth indicators and fifth indicators, and in this embodiment, the first indicators, second indicators, third indicators, fourth indicators and fifth indicators may correspond to the age, the disease diagnosis, the action status, the health degree and the environment, respectively.
Obtaining a plurality of index scores corresponding to a first index, a second index, a third index, a fourth index and a fifth index, specifically, each index can obtain a plurality of scores, and then calculating the average index score and standard deviation of each obtained index; obtaining a standardized value according to the average index score and the standard deviation; adding the standardized values of each index to obtain a sum score; the status of the patient is determined based on the sum score.
The standard deviation calculation formula comprises;
E = sqrt(Σ(xi - x)^2 / n)
where xi is the score of each patient on the index, x is the average of the index, n is the number of samples, and E is the standard deviation;
the normalized value calculation formula includes;
zi = (xi - x) / σ
where xi is the score of each patient on the index, x is the mean of the index, σ is the standard deviation of the index, and zi is the normalized value.
The specific evaluation method comprises the following steps of if pressure sore state evaluation is carried out on a patient, judging that the state of the patient is good, and judging that the state of the patient is poor, wherein the sum score is positive;
if the risk assessment is carried out on the patient, the total score and the standard coincide or exceed the standard, the patient is judged to be in a healthy state, the total score is lower than the standard, and the patient is judged to be easy to suffer from pressure sores;
if rehabilitation evaluation is carried out on the patient, the total score and the standard coincide or exceed the standard, and the condition of the pressure sore of the patient is judged to be improved; and the total score is lower than the standard, and the patient is judged to have poor recovery of the pressure sore.
In one embodiment of the invention, the execution plan includes;
according to the actual pressure sore condition of a hospital and the pressure sore condition expected to be reached, a plan is made and is recorded into a OKR system, wherein the plan comprises a annual plan, a quarternary plan and a monthly plan;
the annual plan includes setting a start month and an end month of plan execution, defining a range of investigation, setting an explanation of the annual plan, setting an annual plan assessment index, and one or more assessment indexes such as a pressure sore occurrence rate, a pressure sore recovery rate improvement rate, and the like may be set.
And an assessment team or personnel can be set. A planned reminder time may also be set to alert the care department or other relevant team as to how many days to date money.
The quarter schedule includes setting a start month and an end month of schedule execution in the system, and prescribing a range of investigation. In this way, the execution condition of the index in the annual plan in the current quarter can be checked in the related statistical report, whether the annual plan is modified or not is determined according to the condition, the problems of meeting of the pressure sore group are summoned, and the like, and the next month/quarter task and the investigation point can be formulated or modified.
The month plan includes setting backlog to be completed for each month, including date and time, backlog content, backlog related person (selected hospital person), and backlog investigation point (a plurality of backlogs can be set).
In this embodiment, the execution plan may be completed by a nursing department of the hospital, and correspondingly, the execution plan further includes a pressure sore auditing team, and in the OKR system, the year/season/month plan contents formulated by the nursing department can be checked. And making specific implementation contents according to the planned contents. Uploading and reading pressure sore related literature data in the system.
Pressure sore group personnel set pressure sore nursing measures of patients according to relevant data, including but not limited to patient age groups, disease course diagnosis, consciousness states, action states, family members/careers accompanying conditions and the like, and corresponding nursing measures and frequency are required to be set for each evaluation type.
The pressure sore group personnel observe the real-time condition needing to be recorded after the nursing measures are set according to the related data, including but not limited to the area of the pressure sore, the condition of the wound surface, whether the pressure sore is improved or not, and the like.
The pressure sore group personnel can use the multiple disc function to finish browsing the full cycle process of the pressure sore nursing condition of a certain patient, verify whether nursing measures are effective, and screen problematic measure conditions if the pressure sore condition of the patient is worsened.
Pressure sore group personnel make pressure sore satisfaction survey content in the system, and after the pressure sore of a patient is healed, nurses or nurses find the patient for filling.
Pressure sore teams specify in the system the limits of pressure sore deterioration, such as how much the area increases from the original, how much the depth increases, etc.
The invention also provides a OKR-based pressure sore management system, which comprises;
a targeting module configured to determine a target for pressure sore management,
the index preparation module is used for preparing key result indexes configured for constant pressure sore management;
the plan making module is configured to make an execution plan according to the targets and the key result indexes;
and the execution module is configured to implement corresponding preventive and therapeutic measures according to the execution plan.
In an embodiment of the present invention, the pressure sore evaluation module is further included, and the pressure sore evaluation module is configured to; obtaining a plurality of index scores corresponding to the first index, the second index, the third index, the fourth index and the fifth index; calculating the average index score and standard deviation of each index; obtaining a standardized value according to the average index score and the standard deviation; adding the standardized values of each index to obtain a sum score; the status of the patient is determined based on the sum score.
In addition, each functional unit in the embodiments of the present invention may be integrated in one processing unit, or each unit may exist alone physically, or two or more units may be integrated in one unit. The integrated units may be implemented in hardware or in software functional units.
The integrated units, if implemented in the form of software functional units and sold or used as stand-alone products, may be stored in a computer readable storage medium. The computer software product is stored in a storage medium and includes instructions for causing a computer device (which may be a personal computer, a server, or a network device, etc.) to perform all or part of the steps of the methods of the various embodiments of the invention. And the aforementioned storage medium includes: a U-disk, a removable hard disk, a Read-only memory (ROM), a random access memory (RAM, random Access Memory), a magnetic disk, or an optical disk, or other various media capable of storing program codes.
The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention, but various modifications and variations can be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (10)
1. A OKR-based pressure sore management method, comprising;
determining a target of pressure sore management;
preparing key result indexes for pressure sore management based on OKR;
setting an execution plan according to the target and the key result index;
corresponding precautions and therapeutic measures are implemented according to the execution plan.
2. The OKR-based pressure sore management method as recited in claim 1, wherein the determining the goal of pressure sore management includes ranking the goals, including at least a first stage, a second stage, and a third stage;
the first stage comprises patients in a high risk group, and pressure sore risk assessment is carried out on the patients;
the second stage comprises patients with pressure sores, and pressure sore state evaluation is carried out on the patients;
the third stage comprises the patients with pressure sores in the rehabilitation stage, and rehabilitation evaluation is carried out on the patients.
3. The OKR-based pressure sore management method as claimed in claim 2, wherein the key outcome index comprises at least a number of first, second, third, fourth and fifth indices;
obtaining a plurality of scores corresponding to each index, namely a first index, a second index, a third index, a fourth index and a fifth index;
calculating the average index score and standard deviation of each index;
obtaining a standardized value according to the average index score and the standard deviation;
adding the standardized values of each index to obtain a sum score;
the status of the patient is determined based on the sum score.
4. The OKR-based pressure sore management method as claimed in claim 3, wherein the standard deviation calculation formula includes;
E = sqrt(Σ(xi - x)^2 / n)
where xi is the score of the patient on the index, x is the average of the index, n is the number of samples, and E is the standard deviation;
the normalized value calculation formula comprises;
zi = (xi - x) / σ
where xi is the score of each patient on the index, x is the mean of the index, σ is the standard deviation of the index, and zi is the normalized value.
5. The method for managing pressure sores based on OKR as set forth in claim 3, comprising;
if the pressure sore state of the patient is evaluated, the total score is positive, the patient state is judged to be good, the total score is negative, and the patient state is judged to be poor;
if the risk assessment is carried out on the patient, the total score and the standard coincide or exceed the standard, the patient is judged to be in a healthy state, the total score is lower than the standard, and the patient is judged to be easy to suffer from pressure sores;
if rehabilitation evaluation is carried out on the patient, the total score and the standard coincide or exceed the standard, and the condition of the pressure sore of the patient is judged to be improved; and the total score is lower than the standard, and the patient is judged to have poor recovery of the pressure sore.
6. The method for pressure sore management based on OKR as claimed in claim 1, wherein said execution plan comprises;
according to the actual pressure sore condition of a hospital and the pressure sore condition expected to be reached, a plan is made and is recorded into a OKR system, wherein the plan comprises a annual plan, a quarterly plan and a monthly plan;
the annual plan comprises the steps of setting a starting month and an ending month of plan execution, defining a range of investigation, setting a description of the annual plan and setting an annual plan assessment index;
the quarter plan comprises setting a starting month and an ending month of plan execution, and prescribing a range of investigation;
the month plan includes setting backlog to be completed for each month.
7. A OKR-based pressure sore management system, comprising;
a targeting module configured to determine a target for pressure sore management,
the index preparation module is used for preparing key result indexes configured for constant pressure sore management;
the plan making module is configured to make an execution plan according to the targets and the key result indexes;
and the execution module is configured to implement corresponding preventive and therapeutic measures according to the execution plan.
8. The OKR-based pressure sore management system of claim 7, further comprising a pressure sore evaluation module configured to;
obtaining a plurality of index scores corresponding to the first index, the second index, the third index, the fourth index and the fifth index;
calculating the average index score and standard deviation of each index;
obtaining a standardized value according to the average index score and the standard deviation;
adding the standardized values of each index to obtain a sum score;
and judging the state of the patient according to the sum score.
9. An electronic device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor implements a OKR based pressure sore management method according to any one of claims 1 to 6 when the computer program is executed by the processor.
10. A computer readable storage medium, wherein a computer program is stored on the computer readable storage medium, which when executed by a processor, implements a OKR based pressure sore management method according to any one of claims 1 to 6.
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