CN116343986A - Infusion error-proofing system and method - Google Patents
Infusion error-proofing system and method Download PDFInfo
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- CN116343986A CN116343986A CN202310617613.9A CN202310617613A CN116343986A CN 116343986 A CN116343986 A CN 116343986A CN 202310617613 A CN202310617613 A CN 202310617613A CN 116343986 A CN116343986 A CN 116343986A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
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- G06—COMPUTING; CALCULATING OR COUNTING
- G06K—GRAPHICAL DATA READING; PRESENTATION OF DATA; RECORD CARRIERS; HANDLING RECORD CARRIERS
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- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/13—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A90/00—Technologies having an indirect contribution to adaptation to climate change
- Y02A90/10—Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
Abstract
The application discloses infusion mistake proofing system and method relates to the technical field of medical care information service, and comprises the following steps: the injection monitoring module is used for acquiring injection medicine formula information, injection medicine dispensing information and transfusion information; the data analysis processing module is used for analyzing and processing the formula information, the injection medicine dispensing information and the transfusion information of the injection medicine, realizing information error prevention at different injection stages and sending out early warning information; and the information sending module is used for sending the early warning information to a nurse station and a user terminal, and timely correcting errors in the infusion process through the nurse station and the user terminals. The injection monitoring module is used for monitoring the information from the start of the injection process to the final injection of the infusion, and the data analysis processing module is used for analyzing the monitoring information, analyzing and early warning and correcting errors possibly occurring in the monitoring information, so that a plurality of infusion links are supervised, and errors occurring in the infusion process are reduced.
Description
Technical Field
The application belongs to the technical field of medical care information service, and particularly relates to an infusion error-proofing system and method.
Background
Intravenous transfusion is one of the most common nursing work contents and is also an important means for clinical treatment and rescue, various error conditions occurring in transfusion can cause medical accidents of intravenous transfusion, including misdelivery of medicines, excessively high transfusion speed, inappropriateness of medicine compatibility, inappropriateness of transfusion in proper sequence and the like, and the main reasons of the errors are that doctors and nurses lack of instruction of transfusion operation flow specific to patients, and the doctor and the nurses are busy in normal times and high in working pressure, and the patients with different physical conditions are treated by virtue of memory and experience, so that prescription errors and transfusion errors are unavoidable.
Along with the rapid development of informatization construction of hospitals at all levels, big data management of hospitals becomes a popular technology of current medical institution management under the guidance of policies of Internet and intelligent medical treatment, and the prior art has some related research achievements of transfusion and has functions of local transfusion monitoring, control, alarming and the like, but can not realize full-flow standard services of informing patients from prescriptions to transfusion and transfusion information in real time, particularly, an infusion standard system for various patients is not established, and a digitally controllable transfusion operation flow guide chart is not formed as a working basis of transfusion monitoring, control and alarming.
Therefore, how to realize the error-proof information transmission system from prescription to infusion in the existing infusion nursing work is a technical problem to be solved in the field.
Disclosure of Invention
In order to solve the technical problems, the application provides the following technical scheme:
in a first aspect, embodiments of the present application provide an infusion error-proofing system, including:
the injection monitoring module is used for acquiring injection medicine formula information, injection medicine dispensing information and transfusion information;
the data analysis processing module is used for analyzing and processing the formula information, the injection medicine dispensing information and the transfusion information of the injection medicine, realizing information error prevention at different injection stages and sending out early warning information;
and the information sending module is used for sending the early warning information to a nurse station and a user terminal, and timely correcting errors in the infusion process through the nurse station and the user terminals.
In one possible implementation, the injection monitoring module includes: a prescription unit, a dispensing unit and an infusion unit;
the prescription unit comprises a doctor PC end and a medicine prescription database, wherein the doctor PC end is used for recording an infusion prescription issued by a doctor, and the medicine prescription database is used for storing a historical medicine infusion scheme;
the medicine dispensing unit is arranged in the nurse station and used for recording medicine dispensing information of nurses, and the medicine dispensing information comprises medicine dispensing information of patients and medicine dispensing records of nurses;
the infusion unit is arranged on an infusion support rod of a ward or an injection room and is used for acquiring and recording patient information and infusion bag information again and performing secondary comparison identity verification.
In one possible implementation, the dispensing unit includes a dispensing monitor host, a dispensing monitor, and a patient-specific infusion frame;
the dispensing monitoring host comprises a dispensing server and a dispensing memory, wherein the dispensing server is connected with the central server through an Ethernet, and the dispensing memory is used for storing patient information sent by the central server; the special infusion frame for the patient is in communication connection with the dispensing server through a wireless transmission module arranged on the body of the infusion frame;
the dispensing monitor is in communication connection with the wireless transmission module;
the special infusion frame for the patient also comprises a microprocessor, a touch display screen and a code printer which are in communication connection with the microprocessor, at least one liquid medicine bottle and a label corresponding to each liquid medicine bottle, wherein a bar code or RFID is printed on the label.
In one possible implementation, the infusion unit includes: the device comprises a micro-processing subunit, a data storage, a data acquisition subunit, an electronic unit, a drip control device, an I/0 port and a wireless transmission module, wherein the data storage, the data acquisition subunit, the electronic unit, the drip control device, the I/0 port and the wireless transmission module are in communication connection with the micro-processing subunit;
the micro-processing subunit is used for realizing control power supply and data receiving processing;
the data storage is used for caching data and storing historical data when the micro-processing subunit processes the data;
the data acquisition subunit comprises an RFID card reader, a magnetic card reader-writer, a bar code scanner and an infrared visible light sensor, wherein the RFID card reader is used for reading identity information of a patient, the bar code scanner is used for acquiring liquid medicine information, the infrared visible light sensor is arranged at a dropping funnel of the infusion tube, and is used for counting liquid drops during infusion to measure flow velocity and judge the residual quantity of the liquid medicine;
the liquid drop control device is used for receiving a liquid drop speed instruction sent by the micro-processing subunit according to the liquid drop count in the process of transfusion at a measurement flow speed, so as to realize real-time control of the liquid medicine drop speed.
In one possible implementation manner, the data analysis processing module includes a central server, the central server is in wireless communication connection with each unit in the injection monitoring module, analyzes information acquired by each unit in the injection monitoring module, and generates early warning information to send the early warning information through the information sending module if misoperation information occurs.
In one possible implementation manner, the central server collects information transmitted by the injection monitoring module through a network and stores the information into a memory, records the workflow of medical staff through the transmitted information, and sends relevant diagnosis and treatment information to a patient through a short message pushing server; in the process of transfusion for a patient, the central server sends alarm signals to the display control terminal, the dispensing unit and the transfusion unit if judging that the transfusion type, the transfusion quantity, the transfusion sequence, the transfusion speed and the transfusion operation are inconsistent according to the sent information.
In one possible implementation manner, the timely error correction of errors occurring in the infusion process is realized through a nurse station and two ends of a user, and the method comprises the following steps:
after the nurse station checks the information, the user can receive the transfusion information of the patient sent by the central server;
the patient checks whether the transfusion information accords with the information of the patient through the user terminal, and if the transfusion information does not accord with the information, the patient timely feeds back to the nurse station and the central server.
In a second aspect, an embodiment of the present application provides an infusion error protection method, which is based on the infusion error protection system according to any one of possible implementation manners of the first aspect, including:
establishing a drug infusion scheme set of each drug to form a drug prescription database;
the patient visits, doctors give out infusion prescriptions and infusion notice information, and a medicine prescription database is used for calculating and generating an infusion operation flow instruction chart of the patient;
the prescribing doctor approves the infusion operation flow guide chart and uploads the infusion operation flow guide chart to the injection monitoring module;
the nurse instructs the chart to dispense according to the transfusion operation flow, and the dispensing unit monitors and records the whole course;
the transfusion unit performs secondary check on the patient identity confirmation and transfusion information;
the nurse infuses the patient according to the infusion operation flow instruction chart;
the infusion unit monitors the infusion process and feeds back information to the central server in real time;
the central server analyzes and processes the data from the prescription of transfusion to the whole transfusion process, if any link is wrong, the central server gives early warning to correct the errors.
In one possible implementation manner, the infusion prescription and infusion notice information of the PC side of the doctor is wirelessly sent to the central server, and the central server compares and analyzes the infusion prescription and infusion notice information issued by the doctor with the medicine infusion scheme set stored in the medicine prescription database to obtain an infusion operation flow instruction chart.
In one possible implementation manner, the central server performs data analysis processing from the process of issuing the infusion prescription to the process of infusion, if any link error occurs, gives early warning to perform error correction, and includes:
determining an error link in the infusion process;
and transmitting the corresponding early warning information and corrected information together.
Advantageous effects
In the embodiment of the application, the injection monitoring module is used for monitoring the information from the start of the injection process to the last infusion injection, and the data analysis processing module is used for analyzing the monitoring information to analyze and early warn to correct errors possibly occurring in the monitoring information. Therefore, a plurality of infusion links are supervised, and errors in the infusion process are reduced.
Drawings
FIG. 1 is a schematic diagram of a frame of an infusion error-proofing system according to an embodiment of the present disclosure;
fig. 2 is an interaction schematic diagram of an injection monitoring module and a data analysis processing module provided in an embodiment of the present application;
fig. 3 is a schematic view of a dispensing unit according to an embodiment of the present disclosure;
FIG. 4 is a schematic view of an infusion unit provided in an embodiment of the present application;
fig. 5 is a schematic flow chart of an infusion error-proofing method according to an embodiment of the present application.
Detailed Description
The present invention is described below with reference to the drawings and the detailed description.
Referring to fig. 1, an infusion error-proofing system 10 provided in an embodiment of the present application includes: the injection monitoring module 101 is used for acquiring the formula information of the injection medicine, the dispensing information of the injection and the transfusion information.
Referring to fig. 2, the injection monitoring module includes: prescription unit, dispensing unit and infusion unit. The prescription unit comprises a doctor PC end and a medicine prescription database, wherein the doctor PC end is used for recording an infusion prescription issued by a doctor, and the medicine prescription database is used for storing historical medicine infusion schemes. The dispensing unit is arranged in the nurse station and is used for recording dispensing information of nurses, and the dispensing information comprises the medication information of patients and dispensing records of nurses. The infusion unit is arranged on an infusion support rod of a ward or an injection room and is used for acquiring and recording patient information and infusion bag information again and performing secondary comparison identity verification.
The dispensing unit, the infusion unit and the short message pushing server are all connected with a wireless router of the data analysis processing module 102 through wireless transmission modules. The doctor PC side and the medicine prescription database in the prescription unit are respectively connected with a data analysis processing module 102 through ethernet. The short message pushing server is connected with the mobile phone end of the patient through the wireless router and the Internet. In this embodiment, the wireless transmission module is a wireless data transmission module based on ISM frequency band, or a Zigbee module, or a WiFi module.
The method comprises the steps of establishing a medication standard system suitable for different types of patients according to components, doses, compatibility modes among medicines and the like of each medicine in a prescription unit, forming a medicine infusion scheme set, storing the medicine infusion scheme set of each medicine in a medicine prescription database, when a doctor takes medicines for the patients, firstly giving out infusion prescriptions and infusion notice information, inputting the information into a doctor PC end, inputting the infusion prescriptions and the infusion notice information of the doctor PC end, accessing a central server of a data analysis processing module 102 through a wireless data transmission module by a wireless router, and generating an infusion operation flow instruction chart of the patients through logic calculation by the central server.
Referring to fig. 3, the dispensing unit includes a dispensing monitor host, a dispensing monitor, and a patient-specific infusion frame.
The dispensing monitoring host comprises a dispensing server and a dispensing memory, wherein the dispensing server is connected with the central server through an Ethernet, and the dispensing memory is used for storing patient information sent by the central server; the special infusion frame for the patient is in communication connection with the dispensing server through a wireless transmission module arranged on the body of the infusion frame. The medicine dispensing monitor is in communication connection with the wireless transmission module, the special infusion frame for the patient further comprises a micro-processing subunit, a touch display screen and a code printer which are in communication connection with the micro-processing subunit, at least one medicine liquid bottle and a label corresponding to each medicine liquid bottle, and a bar code or RFID is printed on the label.
The medicine dispensing unit is arranged in the nurse station and comprises a medicine dispensing monitoring host, a medicine dispensing monitor and a special infusion frame for patients, the medicine dispensing monitoring host comprises a medicine dispensing server and a medicine dispensing memory, the medicine dispensing server is connected with the central server through Ethernet communication, the medicine dispensing memory is used for storing patient information sent by the central server, and the medicine dispensing server acquires the infusion information of each patient stored in the medicine dispensing memory and displays the infusion information on the medicine dispensing monitor one by one. The special infusion frame for the patient feeds back information through the wireless transmission module and the dispensing server arranged on the infusion frame body, the special infusion frame for the patient further comprises a microprocessor, a touch display screen, a code printer, at least one liquid medicine bottle and labels corresponding to each liquid medicine bottle, and bar codes or RFID (radio frequency identification devices) are printed on the labels.
The wireless transmission module on the special infusion frame of patient receives the patient information of this nurse station that center server sent, includes: the name, age, sex, department, bed number information and infusion operation flow instruction chart information of instilled liquid medicine of patient, and buffer the information in microprocessor, display the relevant information of this patient on the touch display screen of patient's specialized infusion frame at the same time.
Referring to fig. 4, the infusion unit includes: the device comprises a micro-processing subunit, a data memory, a data acquisition subunit, an electronic unit, a drip control device, an I/0 port and a wireless transmission module, wherein the data memory, the data acquisition subunit, the electronic unit, the drip control device, the I/0 port and the wireless transmission module are in communication connection with the micro-processing subunit.
The micro-processing subunit is used for realizing control power supply and data receiving processing; the data memory is used for caching data and storing historical data when the micro-processing subunit processes the data. The data subunit comprises an RFID card reader, a magnetic card reader-writer, a bar code scanner and an infrared visible light sensor, wherein the RFID card reader is used for reading identity information of a patient, the bar code scanner is used for acquiring liquid medicine information, the infrared visible light sensor is arranged at a dropping funnel of the infusion tube, and is used for counting liquid drops during infusion to measure flow velocity and judge the residual quantity of the liquid medicine. The liquid drop control device is used for receiving a liquid drop speed instruction sent by the micro-processing subunit according to the liquid drop count in the process of transfusion at a measurement flow speed, so as to realize real-time control of the liquid medicine drop speed.
The infusion unit is arranged on an infusion support rod of a ward or an injection room, can confirm the identity of a patient, monitors and controls the medication of the patient to be executed according to the sequence specified by the infusion operation flow instruction chart, checks whether the infusion type, the infusion quantity and the infusion speed accord with the infusion operation flow instruction chart, if not, the infusion unit stops infusion and simultaneously sends alarm information to the central server, and the central server respectively sends alarm signals to the display control terminal, the doctor PC end, the dispensing system unit and the patient mobile phone end.
The micro-processing subunit is mainly used for processing the acquired digital information, controlling each unit in the infusion unit, reading and responding to the I/O unit and the command transmitted by the wireless data transmission module, and controlling the infusion dropping speed by the dropping liquid control device. The micro-processing subunit can be a series of micro-controller MCU such as MSP430, PIC, etc., or can be DSP or FPGA, or can be a combination of a plurality of chips of the above type.
The data memory comprises a data buffer and a mass memory. The data buffer is used to temporarily store the collected information awaiting further processing, transmission or transfer of the information to a mass storage. The data buffer may be a separate RAM chip or a memory built into the microprocessor subunit chip. The mass memory is used for storing collected data for a long time, is a nonvolatile memory, and can be a flash memory chip, an SD card or other storage media.
The I/0 port is used for inputting and outputting of the data acquisition subunit, and can be a display screen, a touch screen, a button or a keyboard.
The data acquisition subunit comprises an RFID card reader, a magnetic card reader-writer and a bar code scanner, and also comprises an infrared or visible light sensor; an infrared or visible light sensor is arranged at the dropping funnel of the infusion tube, and liquid drops are counted during infusion to measure the flow speed and judge the residual amount of liquid medicine.
The infusion unit is also provided with a display screen, such as an LCD display screen, for displaying information of infusion residual time, battery power and the like. After the data acquired by the data acquisition subunit is processed by the micro-processing subunit, the data is sent to the central server through the WiFi module, and the data is backed up and stored on a data memory built in the micro-processing subunit.
The data acquisition subunit acquires the information of the working flow and the treatment process of the medical staff, including medication information, intravenous injection progress information and the like.
The data collected by the data collection subunit is processed by the micro-processing subunit of the injection monitoring module 101, and then sent to the central server of the data analysis processing module 102 through the WiFi module or the wired network, and is backed up and stored on a memory built in the central server.
When a nurse dispenses, sequentially dispensing according to patient transfusion operation flow instruction chart information displayed by a touch display screen, acquiring patient name, age, sex, department, bed number information and transfusion operation flow instruction chart information in a micro-processing subunit by a code printer, generating a bar code, printing out a label corresponding to a liquid medicine bottle containing a certain liquid medicine, and adhering the label on the surface of the liquid medicine bottle by the nurse; simultaneously, the microprocessor subunit sends the information to the central server through the wireless transmission module, after the central server stores the information, the bottle of liquid medicine information is sent to the infusion unit of the patient through the wireless transmission module and stored in the data memory of the infusion unit, nurses configure all liquid medicines required to be injected to the patient according to the infusion operation flow instruction chart, labels with bar codes or RFID are adhered to each liquid medicine bottle, the bar codes or RFID can reflect the liquid medicine injection numbers and the dispensing nurse number information, and the labeled liquid medicine bottles are intensively placed in a special infusion frame for the patient.
When a nurse infuses a patient, the data acquisition subunit of the infusion unit is firstly used for scanning the bar code or RFID on the label, the infusion unit monitors the liquid medicine injection sequence, the scanning information is transmitted back to the central server to be compared with the infusion operation flow instruction chart so as to confirm the medication, the record is carried out on each liquid medicine bottle replacement, and the information is transmitted to the data storage of the infusion unit.
The medicine dispensing unit of the injection monitoring module and the display screen or the touch screen of the infusion unit can display the medicine taking condition of the patient, and infusion operation and operation sequence which are needed to be carried out are convenient for nurses to work, so that medical accidents caused by misoperation of infusion are reduced.
The micro-processing subunit controls the drip control device to regulate or shut down the infusion drip speed, and meanwhile, the infusion drip speed information and the early warning information are fed to the dispensing monitoring host through the wireless communication module.
The micro-processing subunit of the infusion unit and the central server of the data analysis processing module 102 have the same screening function, and the infusion error condition is avoided through double insurance of information sharing.
The data analysis processing module 102 is used for analyzing and processing the formula information, the injection medicine dispensing information and the transfusion information, realizing information error prevention at different injection stages and sending out early warning information.
With further reference to fig. 2, the data analysis processing module includes a central server, where the central server is in wireless communication connection with each unit in the injection monitoring module, analyzes information acquired by each unit in the injection monitoring module, and generates early warning information if misoperation information occurs, and sends the early warning information through the information sending module.
The data analysis processing module 102 includes an ethernet network, a central server, a display control terminal, and a wireless router. The wireless router, the Ethernet and the central server are electrically connected in turn, the display control terminal is electrically connected with the central server through the Ethernet, and the data analysis processing module 102 performs final display and processing on the data sent by the injection monitoring module 101.
In this embodiment, the central server collects the information transmitted from the injection monitoring module 101 through the network and stores the information in the memory, performs overall control on the whole monitoring system including the local area network and all the terminals of the injection monitoring module 101, records the workflow of the medical staff, and sends relevant diagnosis and treatment information to the mobile phone end of the patient through the short message pushing server. In the process of transfusion for a patient, if the central server finds that the transfusion type, transfusion quantity, transfusion sequence, transfusion speed and transfusion operation flow instruction chart are not in accordance, an alarm signal is sent to the display control terminal and the dispensing unit and the transfusion unit of the data analysis processing module 102 so as to be processed in time by medical staff.
And the information sending module 103 is used for sending the early warning information to a nurse station and a user terminal, and timely correcting errors in the infusion process through the nurse station and the user terminals.
The infusion error-proofing system in the embodiment is provided with a medicine prescription database, a medicine infusion scheme set of various medicines is stored in the medicine prescription database, a doctor inputs infusion prescriptions and infusion notice information of a doctor PC end to a central server of a data storage analysis system through a wireless data transmission module and a wireless router, the central server generates an infusion operation flow guide chart of a patient through logic calculation, a nurse correctly dispenses medicines according to the infusion operation flow guide chart and carries out injection to the patient according to steps specified on the infusion operation flow guide chart, and after the infusion unit identifies and confirms the identity of the patient, various elements on the infusion unit monitor the infusion flow and carries out the infusion according to the infusion operation flow guide chart and timely transmits the infusion progress information to the doctor, the nurse and the patient.
According to the embodiment of the invention, the electric digital data processing application technology and the information transmission technology are fully utilized, so that the working efficiency of doctors and nurses is improved, the probability of working errors is reduced, the occurrence of medical accidents caused by the errors of infusion types, infusion quantity, infusion sequence and infusion speed is effectively avoided, the accuracy of infusion treatment is improved, the treatment experience of patients is improved, and the improvement of the infusion treatment effect and the doctor-patient relationship are facilitated.
Corresponding to the infusion error-proofing system provided in the foregoing embodiment, the present application further provides an embodiment of an infusion error-proofing method, referring to fig. 5, where the infusion error-proofing method in the embodiment includes:
s201, establishing a drug infusion scheme set of each drug to form a drug prescription database.
Medical information in the world is collected through the Internet and summarized into general medical data, each medicine establishes a medicine standard system which is suitable for different types of patients according to the components, the dosage, the compatibility mode among medicines and the like of the medicine, a medicine transfusion scheme set is formed, and the medicine transfusion scheme set of various medicines is stored in a medicine prescription database.
S202, a patient visits, a doctor issues an infusion prescription and infusion notice information, and an infusion operation flow instruction chart of the patient is calculated and generated by using a medicine prescription database.
The prescribing doctor gives out the infusion prescription and the infusion notice information, and calculates and generates the infusion operation flow guidance of the patient by utilizing the medicine prescription database; the patient visits, the prescribing doctor prescribes the transfusion prescription and transfusion notice information to the patient and inputs the information to the doctor PC end; the infusion prescription and the infusion notice information input into the PC end of the doctor enter a central server of the data storage analysis processing module through the Ethernet, and the central server retrieves all relevant information in a medicine prescription database through the infusion prescription and the infusion notice information and generates an infusion operation flow instruction chart of a patient through logic calculation.
S203, the prescribing doctor approves the infusion operation flow guide chart to upload to the injection monitoring module.
The patient transfusion operation flow instruction chart generated by the central server is displayed on a doctor PC end in real time through the Ethernet, and after the prescription doctor adjusts and confirms, the patient transfusion operation flow instruction chart is uploaded to the dispensing unit, the transfusion unit and the patient mobile phone end through the central server.
S204, the nurse instructs the chart to dispense according to the infusion operation flow, and the dispensing unit monitors and records the whole course.
And the nurse correctly dispenses according to the infusion operation flow instruction chart and stores the prepared medicine in the infusion frame special for the patient according to the information displayed on the dispensing monitor of the dispensing unit and the touch display screen of the infusion frame special for the patient.
S205, the infusion unit performs secondary check on the patient identity confirmation and the infusion information.
The patient waits for transfusion to the transfusion station corresponding to the transfusion unit of the patient according to the prompt on the mobile phone end of the patient, and the transfusion unit sends a signal to the dispensing unit after identifying and confirming the identity of the patient.
S206, the nurse infuses the patient according to the infusion operation flow instruction chart.
The nurse injects the patient according to steps according to the instruction chart of the transfusion operation flow.
S207, the infusion unit monitors the infusion process, and feeds back information to the central server in real time.
The infusion unit monitoring and controlling process is executed according to the infusion operation flow instruction chart, and the infusion unit feeds back information to the dispensing unit, the doctor PC end and the patient mobile phone end and carries out whole-course infusion data record on the central server.
And S208, the central server performs data analysis processing in the whole process from the process of issuing the infusion prescription to the process of infusing the medical doctor, and if any link is wrong, early warning is given to correct errors.
In the embodiments of the present application, "at least one" means one or more, and "a plurality" means two or more. "and/or", describes an association relation of association objects, and indicates that there may be three kinds of relations, for example, a and/or B, and may indicate that a alone exists, a and B together, and B alone exists. Wherein A, B may be singular or plural. The character "/" generally indicates that the context-dependent object is an "or" relationship. "at least one of the following" and the like means any combination of these items, including any combination of single or plural items. For example, at least one of a, b and c may represent: a, b, c, a-b, a-c, b-c, or a-b-c, wherein a, b, c may be single or plural.
The foregoing is merely specific embodiments of the present application, and any person skilled in the art may easily conceive of changes or substitutions within the technical scope of the present application, which should be covered by the protection scope of the present application. The protection scope of the present application shall be subject to the protection scope of the claims.
Claims (10)
1. An infusion error proofing system, comprising:
the injection monitoring module is used for acquiring injection medicine formula information, injection medicine dispensing information and transfusion information;
the data analysis processing module is used for analyzing and processing the formula information, the injection medicine dispensing information and the transfusion information of the injection medicine, realizing information error prevention at different injection stages and sending out early warning information;
and the information sending module is used for sending the early warning information to a nurse station and a user terminal, and timely correcting errors in the infusion process through the nurse station and the user terminals.
2. The infusion error proofing system of claim 1, wherein the injection monitoring module comprises: a prescription unit, a dispensing unit and an infusion unit;
the prescription unit comprises a doctor PC end and a medicine prescription database, wherein the doctor PC end is used for recording an infusion prescription issued by a doctor, and the medicine prescription database is used for storing a historical medicine infusion scheme;
the medicine dispensing unit is arranged in the nurse station and used for recording medicine dispensing information of nurses, and the medicine dispensing information comprises medicine dispensing information of patients and medicine dispensing records of nurses;
the infusion unit is arranged on an infusion support rod of a ward or an injection room and is used for acquiring and recording patient information and infusion bag information again and performing secondary comparison identity verification.
3. The infusion error proofing system of claim 2, wherein the medication dispensing unit comprises a medication dispensing monitor host, a medication dispensing monitor, and a patient-specific infusion frame;
the dispensing monitoring host comprises a dispensing server and a dispensing memory, wherein the dispensing server is connected with the central server through an Ethernet, and the dispensing memory is used for storing patient information sent by the central server; the special infusion frame for the patient is in communication connection with the dispensing server through a wireless transmission module arranged on the body of the infusion frame;
the dispensing monitor is in communication connection with the wireless transmission module;
the special infusion frame for the patient also comprises a microprocessor, a touch display screen and a code printer which are in communication connection with the microprocessor, at least one liquid medicine bottle and a label corresponding to each liquid medicine bottle, wherein a bar code or RFID is printed on the label.
4. The infusion error proofing system of claim 2, wherein the infusion unit comprises: the device comprises a micro-processing subunit, a data storage, a data acquisition subunit, an electronic unit, a drip control device, an I/0 port and a wireless transmission module, wherein the data storage, the data acquisition subunit, the electronic unit, the drip control device, the I/0 port and the wireless transmission module are in communication connection with the micro-processing subunit;
the micro-processing subunit is used for realizing control power supply and data receiving processing;
the data storage is used for caching data and storing historical data when the micro-processing subunit processes the data;
the data acquisition subunit comprises an RFID card reader, a magnetic card reader-writer, a bar code scanner and an infrared visible light sensor, wherein the RFID card reader is used for reading identity information of a patient, the bar code scanner is used for acquiring liquid medicine information, the infrared visible light sensor is arranged at a dropping funnel of the infusion tube, and is used for counting liquid drops during infusion to measure flow velocity and judge the residual quantity of the liquid medicine;
the liquid drop control device is used for receiving a liquid drop speed instruction sent by the micro-processing subunit according to the liquid drop count in the process of transfusion at a measurement flow speed, so as to realize real-time control of the liquid medicine drop speed.
5. The infusion error-proofing system according to any one of claims 1-4, wherein the data analysis processing module comprises a central server, the central server is in wireless communication connection with each unit in the injection monitoring module, analyzes information acquired by each unit in the injection monitoring module, and generates early warning information to transmit the early warning information through the information transmitting module if misoperation information occurs.
6. The infusion error-proofing system according to claim 5, wherein the central server collects information transmitted by the injection monitoring module through a network and stores the information in the memory, records the workflow of medical staff through the transmitted information, and sends related diagnosis and treatment information to a patient through the short message pushing server; in the process of transfusion for a patient, the central server sends alarm signals to the display control terminal, the dispensing unit and the transfusion unit if judging that the transfusion type, the transfusion quantity, the transfusion sequence, the transfusion speed and the transfusion operation are inconsistent according to the sent information.
7. The infusion error-proofing system of claim 6, wherein the implementation of timely error correction of errors occurring during infusion through the nurse station and the user terminals comprises:
after the nurse station checks the information, the user receives the transfusion information of the patient sent by the central server;
the patient checks whether the transfusion information accords with the information of the patient through the user terminal, and if the transfusion information does not accord with the information, the patient timely feeds back to the nurse station and the central server.
8. An infusion error protection method, characterized in that it is based on the infusion error protection system of any one of claims 1-7, comprising:
establishing a drug infusion scheme set of each drug to form a drug prescription database;
the patient visits, doctors give out infusion prescriptions and infusion notice information, and a medicine prescription database is used for calculating and generating an infusion operation flow instruction chart of the patient;
the prescribing doctor approves the infusion operation flow guide chart and uploads the infusion operation flow guide chart to the injection monitoring module;
the nurse instructs the chart to dispense according to the transfusion operation flow, and the dispensing unit monitors and records the whole course;
the transfusion unit performs secondary check on the patient identity confirmation and transfusion information;
the nurse infuses the patient according to the infusion operation flow instruction chart;
the infusion unit monitors the infusion process and feeds back information to the central server in real time;
the central server analyzes and processes the data from the prescription of transfusion to the whole transfusion process, if any link is wrong, the central server gives early warning to correct the errors.
9. The infusion error-proofing method according to claim 8, wherein the infusion prescription and infusion notice information of the doctor PC side is wirelessly transmitted to the central server, and the central server compares and analyzes the infusion prescription and infusion notice information issued by the doctor with the medicine infusion scheme set stored in the medicine prescription database to obtain the infusion operation flow instruction chart.
10. The method of claim 9, wherein the central server performs data analysis from the prescription of the infusion to the infusion process, and if any link is wrong, gives an early warning to correct the error, and includes:
determining an error link in the infusion process;
and transmitting the corresponding early warning information and corrected information together.
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| CN202310617613.9A CN116343986A (en) | 2023-05-30 | 2023-05-30 | Infusion error-proofing system and method |
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