TW202238613A - System, method, and user equipment assisting administrative audit on nursing care quality - Google Patents
System, method, and user equipment assisting administrative audit on nursing care quality Download PDFInfo
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本發明係有關於一種護理品管稽核輔助系統、方法以及使用者設備,尤其是透過資料庫技術輔助護理品管稽核作業執行的一種護理品管稽核輔助系統、方法以及使用者設備。 The present invention relates to a nursing quality control auditing auxiliary system, method and user equipment, in particular to a nursing quality management auditing auxiliary system, method and user equipment through database technology to assist the execution of nursing quality management auditing operations.
護理品質攸關醫療照護的落實與護理技術的實現,於護理實務執行過程中具有關鍵影響,醫療照護的目的在於提供病人安全、有效率、以病人為中心的護理服務,但護理品質的維持,則仰賴護理品質監控與稽核之實施,而護理品質監控與稽核作業,又能有效協助病房發現及解決問題,使護理品質能維持標準之上,甚至提升照護品質,還能促進病人溝通及處理病人能力,再進而提升臨床護理指導品質及病人滿意度,因此護理品質稽核作業,長期以來都是醫療護理領域的重要議題。 Nursing quality is related to the implementation of medical care and the realization of nursing technology. It has a key influence in the implementation of nursing practice. The purpose of medical care is to provide patients with safe, efficient, and patient-centered nursing services. However, the maintenance of nursing quality, It relies on the implementation of nursing quality monitoring and auditing, and nursing quality monitoring and auditing operations can effectively assist wards in discovering and solving problems, so that the quality of nursing care can be maintained above the standard, and even improve the quality of nursing care. It can also promote patient communication and patient handling. ability, and then improve the quality of clinical nursing guidance and patient satisfaction. Therefore, nursing quality auditing has long been an important issue in the field of medical care.
在國際上,美國護理學會(ANA)為瞭解護理對病人照護的影響,發展了一組可反應護理品質的指標,可用於測量護理品質,其包含結構面指標(structural indicators)為涵蓋護理人力組合(skill mix);過程面指標(process indicators)為涵蓋皮膚完整性、護理人員滿意度;結果面指標(outcome indicators)為涵蓋院內感染率、病人受傷率、病人對護理服務滿意 度、病人對疼痛處理滿意度、病人對衛教滿意度及病人對照護滿意度。 Internationally, in order to understand the impact of nursing on patient care, the American Academy of Nursing (ANA) has developed a set of indicators that can reflect the quality of nursing, which can be used to measure the quality of nursing. (skill mix); process indicators cover skin integrity and nursing staff satisfaction; outcome indicators cover nosocomial infection rate, patient injury rate, and patient satisfaction with nursing services degree, patient satisfaction with pain management, patient satisfaction with health education, and patient satisfaction with nursing care.
再者,美國健康照護組織評鑑聯委會(Joint Commission on Accreditation of Healthcare Organization,JCAHO)在評鑑標準中,明確提出護理部門應有計畫性和系統性的制度,監控及評值護理人員在病人照護和問題解決之適當合理性,及護理人員對記錄適當的彙整。在台灣,則有財團法人醫院評鑑暨醫療品質策進會推展台灣醫療品質指標計畫(Taiwan Quality Indicator Project,TQIP),提出全面品質執行於護理專業在照護品質稽核面以護理技術、護理過程及護理記錄書寫等。 Furthermore, the Joint Commission on Accreditation of Healthcare Organization (JCAHO) clearly stated in the evaluation criteria that the nursing department should have a planned and systematic system to monitor and evaluate nursing staff Appropriate rationale for patient care and problem solving, and appropriate compilation of records by nursing staff. In Taiwan, the Taiwan Quality Indicator Project (TQIP) is promoted by the Hospital Evaluation and Medical Quality Promotion Association, a consortium, which proposes the implementation of comprehensive quality in the nursing profession. In the aspect of nursing quality assessment, nursing technology and nursing process and nursing records.
習用護理品管稽核作業流程大致如下所述,現今臨床護理為了建立良好的病人安全為目標,其中護理部品質管理委員會為了提供病人整體性、連續性、協調性、有效性及個別性的護理服務,藉由稽核方式落實標準化作業流程。護理部品管委員會稽核組會先開會討論每年年度計畫,制定出多達79項監測指標,其中68項為一般照護指標,11項為癌症照護指標,討論完成後再做稽核小組組長執行工作分配,其中稽核小組共分為五組,每組所分配到的指標項目會依種類做分配;在稽核的當月,各組長會將手中分配到的稽核項目平均分配給組員,小組長會依開會結果訂定出標準作業流程,並且會設定每個技術的共識表,及所需要的數量去影印,再分發給稽核組員進行稽核,組員稽核完後,在交給小組長,將所有稽核表以人工計算每個項目的分數,再分析出其中的優缺點及整體建議,整個統計過程約需耗費一個小時以上,依不同的技術所需耗費時間不同,亦會隨著錯誤率愈高,其耗費時間愈長;而後將統計結果交予組長,組長會再次檢查其結果的正確率及閾值是否通過,並將各小組長交回的結果逐一彙 整成整體年度成果報告表,完成的品管報告表還須向上呈給品管副主任審查,於一個月後將結果發表給各單位護理長,以下為護理品管稽核作業流程圖。 The usual nursing quality control audit operation process is roughly described as follows. Today's clinical nursing aims to establish good patient safety. The Quality Management Committee of the Nursing Department aims to provide patients with holistic, continuous, coordinated, effective and individualized nursing services. , Implement standardized operating procedures through auditing. The audit team of the Quality Control Committee of the Nursing Department will hold a meeting to discuss the annual plan, and formulate as many as 79 monitoring indicators, of which 68 are general care indicators and 11 are cancer care indicators. After the discussion is completed, the audit team leader will perform work assignments , the audit team is divided into five groups, and the index items assigned to each group will be allocated according to the type; in the month of audit, each team leader will distribute the audit items assigned to the team members equally, and the team leader will be based on the results of the meeting A standard operating procedure is established, and a consensus form for each technology will be set, and the required quantity will be photocopied, and then distributed to the audit team members for audit. Calculate the score of each item, and then analyze the advantages and disadvantages and the overall suggestion. The whole statistical process takes about one hour or more. The time required depends on different technologies, and the higher the error rate, the more time-consuming it will be. The longer it is; then submit the statistical results to the team leader, the team leader will check the correctness of the results and whether the threshold is passed, and collect the results returned by each team leader one by one Compile the overall annual results report form, and the completed quality control report form must be submitted to the deputy director of quality control for review, and the results will be published to the head nurses of each unit after one month. The following is the nursing quality control audit operation flow chart.
而習用的護理品管稽核內容則涵蓋,稽核項目需要做很多前置作業,例如化療標準作業,須先自行於單位尋找全院化療個案縮小範圍;於稽核表單中以評值表較為耗時,因為標準作業流程內容時常更改,小組長就要以人工方式更改評值表的內容,花費時間可能長達一至二個小時,而在小組長統整稽核報告時,需反覆檢查稽核內容,因人工輸入、統計時易發生錯誤,為了改善此問題將整份報告完成約需耗費半日時間。及發現所需要的紙本單張數量龐大(經過調查整年度需花掉32800張紙),耗費較多成本(以0.5元/張計算約為16400元),且計算統整及檢查時間需花費很多時間,較容易發生計算錯誤,需反覆檢查,也因為人工統計較為麻煩,會影響其他業務時間。 The content of the usual nursing quality control audit covers that the audit items need to do a lot of pre-work, such as chemotherapy standard work, you must first find the whole hospital chemotherapy cases in the unit to narrow the scope; it is time-consuming to use the evaluation form in the audit form, Because the content of the standard operating procedure is often changed, the team leader has to manually change the content of the evaluation form, which may take up to one to two hours. When the team leader consolidates the audit report, the audit content needs to be checked repeatedly. Errors are prone to occur during input and statistics. In order to improve this problem, it takes about half a day to complete the entire report. And found that the number of paper leaflets required is huge (32,800 sheets will be spent for the whole year after investigation), which will cost a lot of money (about 16,400 yuan at 0.5 yuan per sheet), and it will take time to calculate and check Most of the time, calculation errors are more likely to occur, and repeated checks are required, and because manual statistics are more troublesome, it will affect other business hours.
但明顯的,習用護理品質指標監測仍維持手工作業,一般是經由在醫院內部成立護理部品質管理委員會稽核組而進行監測,護理人員依據中央護理品質指標監測計畫之品質監測執行表,查核各項指標,稽核組組員使用自行列印紙本手工單張,進行稽核作業,並人工計算分數,再經由護理品管稽核組組長,進行人工收集及統計分析,製作護理部護理品質指標監測結果報告,臨床護理人員需填寫多項表格單張、表單經常更改,若書面資料遺失還需重填,管理者常因通報資料不齊全或資料錯誤而花費數週至一個月時間彙整;而且部分單張以紙本及電子檔傳送,資料彙整沒有一致性,護理部品質管理委員會各品管指標負責人及行政管理者所面臨 問題諸多,例如人工資料彙整耗費時間、資料遺漏,無法及時傳遞且資料正確性低,造成時間與人力浪費。印製紙張浪費成本,且稽核人員及受監測病房,須以額外時間進行稽核,稽核過程花費成本和人力,並要符合評鑑需求,護理人員於資料收集過程中,確認資料正確性、完整性,統計檢討改善分析,及傳送公文資料花費時間,為一大負荷,故提升病房護理人員執行護理品質監測正確性為重要課題。 However, it is obvious that the usual monitoring of nursing quality indicators still maintains manual operations. Generally, monitoring is carried out through the establishment of an audit team of the Quality Management Committee of the Nursing Department within the hospital. Nursing staff check each The members of the audit team use self-printed paper manual sheets to conduct audit operations and manually calculate the scores. Then, the team leader of the nursing quality control audit team conducts manual collection and statistical analysis to prepare a report on the monitoring results of the nursing quality indicators in the nursing department. Clinical nurses need to fill out multiple forms and leaflets, and the forms are often changed. If the written information is lost, it needs to be refilled. The manager often spends several weeks to a month to compile the information due to incomplete or incorrect information; and some leaflets are in paper form. and electronic file transmission, there is no consistency in data collection, and the heads of quality control indicators and administrative managers of the Quality Management Committee of the Nursing Department are faced with There are many problems, such as time-consuming manual data collection, data omission, failure to deliver in time and low accuracy of data, resulting in waste of time and manpower. Printing paper is a waste of cost, and auditors and monitored wards have to spend extra time for auditing. The auditing process consumes cost and manpower, and must meet the evaluation requirements. Nursing staff confirm the correctness and completeness of the data during the data collection process , Statistical review, improvement and analysis, and transmission of official documents take time, which is a big load. Therefore, it is an important issue to improve the accuracy of nursing quality monitoring performed by ward nurses.
簡言之,傳統使用紙本稽核護理品管監測作業,有諸多亟待改善的缺點,包含涉及大量繁雜資料的處理與評估,流程花費時間長、資料不完整及不正確、格式不正確、統整與分析、公文傳送費時、缺乏時效性、高度缺乏效率、影響護理品管監測作業完整性及正確性等等;若能應用科技結合護理專業,建構一套專業化的護理品管統合資訊系統,統合及共享資源,知識管理,將可節省時間,降低成本,提升護理品質,且同步提升照護品質。 In short, the traditional use of paper-based audit nursing quality control and monitoring operations has many shortcomings that need to be improved, including the processing and evaluation of a large amount of complicated data, the process takes a long time, the data is incomplete and incorrect, and the format is not correct. Time-consuming analysis, document transmission, lack of timeliness, high lack of efficiency, affecting the integrity and correctness of nursing quality control and monitoring operations, etc.; if technology can be combined with nursing profession to build a professional nursing quality management integrated information system, Integrating and sharing resources and knowledge management will save time, reduce costs, improve the quality of care, and simultaneously improve the quality of care.
職是之故,有鑑於習用技術中存在的缺點,發明人經過悉心嘗試與研究,並一本鍥而不捨之精神,終構思出本案「護理品管稽核輔助系統、方法以及使用者設備」,能夠克服上述缺點,以下為本發明之簡要說明。 Because of this, in view of the shortcomings in the conventional technology, the inventor has tried and researched carefully, and with a persistent spirit, he finally conceived this case "nursing product management audit auxiliary system, method and user equipment", which can overcome The above-mentioned shortcoming, the following is a brief description of the present invention.
有鑑於習用技術的問題點,本發明應用提出建構設計一個護理品管稽核輔助系統、方法、使用者備設及電腦程式產品,系統能內建置多項頁面功能,包含資料輸入輸出、查詢與修改、自動計算評值正確率、報表結果即時性、進行品管PDCA通報;護理品質監測與管理結合。應用資 訊多元性及資料庫間自動擷取,以簡化護理人員稽核花費之時間,節省紙張成本,作為護理行政管理著建置指標監測資訊化之參考。 In view of the problems of the conventional technology, the application of the present invention proposes to construct and design a nursing quality management audit auxiliary system, method, user equipment and computer program products. The system can build multiple page functions, including data input and output, query and modification , Automatically calculate the correct rate of evaluation, the immediacy of report results, and conduct quality control PDCA notification; the combination of nursing quality monitoring and management. application data Information diversity and automatic extraction between databases to simplify the time spent by nursing staff on auditing, save paper costs, and serve as a reference for nursing administrators to build indicator monitoring information.
本發明提出一種護理品管稽核輔助系統,其包含:稽核資料層,其包含護理品管稽核資料庫;中繼邏輯層,其安裝有包含快捷操作程式元件的護理品管稽核輔助電腦程式產品,並與該資料層通訊連結;以及使用者設備,其係與該中繼邏輯層通訊連結,並提供前端電腦程式產品供使用者操作,以驅動該快捷操作程式元件在該前端電腦程式品中產生快捷介面,該使用者經由操作快捷介面而執行護理品管稽核作業,並將稽核結果上傳該護理品管稽核資料庫。 The present invention proposes a nursing quality management audit auxiliary system, which includes: an audit data layer, which includes a nursing quality management audit database; a relay logic layer, which is installed with a nursing quality management audit auxiliary computer program product including shortcut operation program components, And communicate with the data layer; and user equipment, which is communicated with the relay logic layer, and provides a front-end computer program product for the user to operate, so as to drive the shortcut operation program component to be generated in the front-end computer program product A shortcut interface, the user executes the nursing quality management audit operation through the operation shortcut interface, and uploads the audit result to the nursing quality management audit database.
本發明進一步提出一種護理品管稽核輔助使用者設備,其係與遠端安裝有包含快捷操作程式元件的護理品管稽核輔助電腦程式產品的中繼邏輯層通訊連結,該中繼邏輯層與儲存有一護理品管稽核資料庫的稽核資料層通訊連結,該護理品管稽核輔助使用者設備包含:顯示器單元;以及處理器單元,其執行前端電腦程式產品供使用者操作,以驅動該快捷操作程式元件在該前端電腦程式品中產生快捷介面,該使用者經由操作快捷介面而執行護理品管稽核作業,並將稽核結果上傳該護理品管稽核資料庫。 The present invention further proposes an auxiliary user device for nursing product management and auditing, which is connected with a relay logic layer of a computer program product containing shortcut operation program components installed on the remote end, and the relay logic layer is connected to the storage There is an audit data layer communication link of the nursing quality management audit database. The nursing quality management audit auxiliary user equipment includes: a display unit; and a processor unit, which executes a front-end computer program product for user operation to drive the shortcut operation program The component generates a shortcut interface in the front-end computer program, and the user executes the nursing quality management audit operation through the operation shortcut interface, and uploads the audit result to the nursing quality management audit database.
本發明進一步提出一種護理品管稽核輔助方法,其包含:在稽核資料層建立護理品管稽核資料庫;在中繼邏輯層安裝包含快捷操作程式元件的護理品管稽核輔助電腦程式產品;在該稽核資料層、該中繼邏輯層與使用者設備之間建立通訊連結;在該使用者設備上執行前端電腦程式產品供使用者操作,以驅動該快捷操作程式元件在該前端電腦程式品中產 生快捷介面,該使用者經由操作快捷介面而執行護理品管稽核作業;以及將該護理品管稽核作業的稽核結果上傳該護理品管稽核資料庫。 The present invention further proposes an auxiliary method for auditing nursing quality management, which includes: establishing a nursing quality management auditing database at the audit data layer; installing a nursing quality management auditing auxiliary computer program product including shortcut operation program components at the relay logic layer; Establish a communication link between the audit data layer, the relay logic layer, and the user equipment; execute the front-end computer program product on the user equipment for user operation, so as to drive the shortcut operation program component to be produced in the front-end computer program product Create a shortcut interface, the user executes the nursing quality management audit operation through the operation shortcut interface; and uploads the audit result of the nursing quality management audit operation to the nursing quality management audit database.
上述發明內容旨在提供本揭示內容的簡化摘要,以使讀者對本揭示內容具備基本的理解,此發明內容並非揭露本發明的完整描述,且用意並非在指出本發明實施例的重要/關鍵元件或界定本發明的範圍。 The above summary of the invention is intended to provide a simplified summary of the disclosure to enable readers to have a basic understanding of the disclosure. This summary of the invention is not intended to disclose a complete description of the invention, and is not intended to point out important/key elements or components of the embodiments of the invention. define the scope of the invention.
10:本發明護理品管稽核輔助系統 10: Nursing quality control auditing auxiliary system of the present invention
11:臨床使用者 11: Clinical users
13:護理長 13: Chief Nursing Officer
15:主管 15: supervisor
100:前端展示層 100: Front-end display layer
101:處理器單元 101: Processor unit
103:通訊模組 103: Communication module
105:儲存單元 105: storage unit
107:顯示單元 107: Display unit
109:應用程式 109: Apps
111:快捷操作程式元件 111:Shortcut operation program components
120:使用者設備 120: user equipment
121:桌上型電腦 121:Desktop computer
123:筆記型電腦 123: Notebook computer
125:平板裝置 125: Tablet device
127:智慧手機 127:Smartphone
150:伺服器負載平衡設備 150: Server load balancing equipment
200:中繼邏輯層 200: relay logic layer
300:稽核資料庫層 300: audit database layer
501:使用者登入介面 501: User login interface
503:稽核功能目錄快捷操作介面 503: Quick operation interface of audit function directory
505:監測計畫快選介面 505: Monitoring plan quick selection interface
507:監測計畫建置介面 507:Monitoring plan building interface
509:工作分配快捷操作介面 509: Work assignment shortcut operation interface
511:小組人員名單快捷建置介面 511: Quick build interface for team member list
513:評值改善報告快捷建置介面 513:Evaluation improvement report shortcut construction interface
515:監測項目介面 515: Monitoring project interface
517:稽核快捷操作介面 517: Audit quick operation interface
519:評核缺點與分數介面 519:Assessment shortcomings and score interface
521:電子郵件通知介面 521:Email notification interface
523:標準作業流程選單介面 523: Standard operating procedure menu interface
525:標準作業流程說明介面 525: Standard operating procedure description interface
527:目錄介面 527: Directory interface
529:評值改善報告目錄介面 529:Evaluation improvement report directory interface
531:評值改善報告展示介面 531:Improve the evaluation report display interface
533:監測結果報告目錄介面 533:Monitoring result report directory interface
535:監測結果報告統計資料展示介面 535:Monitoring result report statistical data display interface
537:監測結果報告展示介面 537:Monitoring result report display interface
600:本發明護理品管稽核輔助方法 600: Nursing quality control auditing auxiliary method of the present invention
601-609:實施步驟 601-609: Implementation steps
第1圖揭示本發明護理品管稽核輔助系統之系統架構視圖; Figure 1 reveals the system architecture view of the nursing quality management and audit auxiliary system of the present invention;
第2圖揭示本發明護理品管稽核輔助系統包含之醫療伺服器與使用者設備之硬體網路設備架構視圖; Figure 2 reveals a view of the hardware network equipment architecture of the medical server and user equipment included in the nursing quality management audit assistance system of the present invention;
第3圖揭示本發明護理品管稽核輔助系統所包含的護理品管稽核資料庫之資料庫內容概念視圖; Fig. 3 reveals the conceptual view of the database content of the nursing quality management audit database included in the nursing quality management audit auxiliary system of the present invention;
第4圖係揭示本發明護理品管稽核輔助系統之系統架構示意圖; Figure 4 is a schematic diagram showing the system architecture of the nursing quality management and audit auxiliary system of the present invention;
第5圖係揭示本發明護理品管稽核輔助系統與電腦程式產品之運作情境關聯示意圖; Figure 5 is a schematic diagram showing the relationship between the present invention's nursing quality management and audit assistance system and the computer program product's operating context;
第6圖係揭示本發明護理品管稽核系統在前端程式上執行的使用者登入介面之示意圖; Fig. 6 is a schematic diagram showing the user login interface implemented on the front-end program of the nursing quality management and auditing system of the present invention;
第7圖係揭示本發明護理品管稽核系統在前端程式上執行的稽核功能目錄快捷操作介面之示意圖; Fig. 7 is a schematic diagram showing the quick operation interface of the audit function catalog executed on the front-end program of the nursing quality management audit system of the present invention;
第8圖係揭示本發明護理品管稽核系統在前端程式上執行的監測計畫快選介面之示意圖; Fig. 8 is a schematic diagram showing the quick selection interface of the monitoring plan implemented on the front-end program of the nursing quality management and auditing system of the present invention;
第9圖係揭示本發明護理品管稽核系統在前端程式上執行的監測計畫 建置介面之示意圖; Fig. 9 discloses the monitoring plan executed on the front-end program of the nursing quality management and auditing system of the present invention Schematic diagram of the build interface;
第10圖係揭示本發明護理品管稽核系統在前端程式上執行的工作分配快捷操作介面之示意圖; Fig. 10 is a schematic diagram showing the quick operation interface of the task distribution executed on the front-end program of the nursing quality control and audit system of the present invention;
第11圖係揭示本發明護理品管稽核系統在前端程式上執行的小組人員名單快捷建置介面之示意圖; Fig. 11 is a schematic diagram showing the shortcut construction interface of the team member list executed on the front-end program of the nursing quality management and auditing system of the present invention;
第12圖係揭示本發明護理品管稽核系統在前端程式上執行的護理評值改善報告快捷建置介面之示意圖; Fig. 12 is a schematic diagram showing the quick construction interface of the nursing evaluation improvement report implemented on the front-end program of the nursing quality management and auditing system of the present invention;
第13圖係揭示本發明護理品管稽核系統在前端程式上執行的監測項目介面之示意圖; Fig. 13 is a schematic diagram showing the interface of monitoring items implemented on the front-end program of the nursing quality control and auditing system of the present invention;
第14圖係揭示本發明護理品管稽核系統在前端程式上執行的稽核快捷操作介面之示意圖; Fig. 14 is a schematic diagram showing the audit quick operation interface executed on the front-end program of the nursing quality management audit system of the present invention;
第15圖係揭示本發明護理品管稽核系統在前端程式上執行的評核缺點與分數介面之示意圖; Fig. 15 is a schematic diagram showing the assessment defects and score interface performed on the front-end program of the nursing quality control audit system of the present invention;
第16圖係揭示本發明護理品管稽核系統在前端程式上執行的電子郵件通知介面之示意圖; Figure 16 is a schematic diagram of the email notification interface that discloses the nursing quality management and auditing system of the present invention implemented on the front-end program;
第17圖係揭示本發明護理品管稽核系統在前端程式上執行的標準作業流程選單介面之示意圖; Fig. 17 is a schematic diagram showing the standard operating procedure menu interface executed on the front-end program of the nursing quality management and auditing system of the present invention;
第18圖係揭示本發明護理品管稽核系統在前端程式上執行的標準作業流程說明介面之示意圖; Fig. 18 is a schematic diagram showing the standard operation flow description interface executed on the front-end program of the nursing quality management and auditing system of the present invention;
第19圖係揭示本發明護理品管稽核系統在前端程式上執行的目錄介面之示意圖; Fig. 19 is a schematic diagram showing the catalog interface executed on the front-end program of the nursing quality management and auditing system of the present invention;
第20圖係揭示本發明護理品管稽核系統在前端程式上執行的評值改 善報告目錄介面之示意圖; The 20th figure is to disclose the evaluation value modification performed on the front-end program by the nursing quality control and audit system of the present invention. Schematic diagram of the good report directory interface;
第21圖係揭示本發明護理品管稽核系統在前端程式上執行的評值改善報告展示介面之示意圖; Fig. 21 is a schematic diagram showing the display interface of the evaluation improvement report performed on the front-end program of the nursing quality management and auditing system of the present invention;
第22圖係揭示本發明護理品管稽核系統在前端程式上執行的監測結果報告目錄介面之示意圖; Fig. 22 is a schematic diagram showing the monitoring result report directory interface implemented on the front-end program of the nursing quality management and auditing system of the present invention;
第23圖係揭示本發明護理品管稽核系統在前端程式上執行的監測結果報告統計資料展示介面之示意圖; Fig. 23 is a schematic diagram showing the display interface of the monitoring result report statistical data performed on the front-end program of the nursing quality management and auditing system of the present invention;
第24圖係揭示本發明護理品管稽核系統在前端程式上執行的監測結果報告展示介面之示意圖; Fig. 24 is a schematic diagram showing the display interface of the monitoring result report executed on the front-end program of the nursing quality management and auditing system of the present invention;
第25圖係揭示本發明護理品管稽核系統在前端程式上執行的多組使用者介面之交互關聯示意圖; Figure 25 is a schematic diagram showing the interaction of multiple sets of user interfaces executed on the front-end program of the nursing quality management and auditing system of the present invention;
第26圖係揭示本發明護理品管稽核輔助系統在網頁瀏覽器中產生之使用者登入介面之示意圖;以及 Fig. 26 is a schematic diagram showing the user login interface generated in the web browser by the nursing quality management audit auxiliary system of the present invention; and
第27圖揭示本發明護理品管稽核方法之實施步驟流程圖。 Figure 27 discloses a flow chart of the implementation steps of the nursing quality control audit method of the present invention.
本發明將可由以下的實施例說明而得到充分瞭解,使得熟習本技藝之人士可以據以完成之,然本發明之實施並非可由下列實施案例而被限制其實施型態;本發明之圖式並不包含對大小、尺寸與比例尺的限定,本發明實際實施時其大小、尺寸與比例尺並非可經由本發明之圖式而被限制。 The present invention can be fully understood by the following examples, so that those skilled in the art can complete it, but the implementation of the present invention can not be limited by the following examples of implementation; the drawings of the present invention are not limited No limitation on size, dimension and scale is included, and the size, dimension and scale of the present invention are not limited by the drawings of the present invention during the actual implementation.
本文中用語“較佳”是非排他性的,應理解成“較佳為但不限於”,任何說明書或請求項中所描述或者記載的任何步驟可按任何順序執 行,而不限於請求項中所述的順序,本發明的範圍應僅由所附請求項及其均等方案確定,不應由實施方式示例的實施例確定;本文中用語“包含”及其變化出現在說明書和請求項中時,是一個開放式的用語,不具有限制性含義,並不排除其他特徵或步驟。 The term "preferred" herein is non-exclusive and should be understood as "preferably but not limited to". Any steps described or recorded in any specification or claim can be performed in any order line, not limited to the order described in the claims, the scope of the present invention should be determined only by the appended claims and their equivalents, and should not be determined by the examples illustrated in the implementation mode; the term "comprising" and its variations herein When appearing in the description and claims, it is an open-ended term that does not have a restrictive meaning and does not exclude other features or steps.
習用護理品質指標監測仍維持手工作業,一般是經由在醫院內部成立護理部品質管理委員會稽核組而進行監測,護理人員依據中央護理品質指標監測計畫之品質監測執行表,查核各項指標,稽核組組員使用自行列印紙本手工單張,進行稽核作業,並人工計算分數,再經由護理品管稽核組組長,進行人工收集及統計分析,製作護理部護理品質指標監測結果報告,臨床護理人員需填寫多項表格單張、表單經常更改,若書面資料遺失還需重填,管理者常因通報資料不齊全或資料錯誤而花費數週至一個月時間彙整。 The usual monitoring of nursing quality indicators still maintains manual operations. Usually, the monitoring is carried out through the establishment of an audit team of the Quality Management Committee of the Nursing Department within the hospital. Nursing staff check various indicators according to the quality monitoring execution table of the central nursing quality indicator monitoring plan Team members use self-printed paper manual sheets to conduct audit operations and manually calculate the scores. Then, the team leader of the nursing quality control audit team conducts manual collection and statistical analysis to prepare a report on the monitoring results of nursing quality indicators in the nursing department. Clinical nurses need to Fill in multiple forms and sheets, and the forms are often changed. If the written information is lost, it needs to be refilled. The manager often spends several weeks to a month to collect the information due to incomplete or incorrect information.
再者,部分單張以紙本及電子檔傳送,資料彙整沒有一致性,護理部品質管理委員會各品管指標負責人及行政管理者所面臨問題諸多,例如人工資料彙整耗費時間、資料遺漏,無法及時傳遞且資料正確性低,造成時間與人力浪費。印製紙張浪費成本,且稽核人員及受監測病房,須以額外時間進行稽核,稽核過程花費成本和人力,並要符合評鑑需求,護理人員於資料收集過程中,確認資料正確性、完整性,統計檢討改善分析,及傳送公文資料花費時間,為一大負荷,故提升病房護理人員執行護理品質監測正確性為重要課題。 In addition, some leaflets are transmitted in paper and electronic files, and the data collection is not consistent. The quality control indicators and administrative managers of the Quality Management Committee of the Nursing Department face many problems, such as time-consuming manual data collection, data omissions, etc. It cannot be delivered in time and the accuracy of the data is low, resulting in a waste of time and manpower. Printing paper is a waste of cost, and auditors and monitored wards have to spend extra time for auditing. The auditing process consumes cost and manpower, and must meet the evaluation requirements. Nursing staff confirm the correctness and completeness of the data during the data collection process , Statistical review, improvement and analysis, and transmission of official documents take time, which is a big load. Therefore, it is an important issue to improve the accuracy of nursing quality monitoring performed by ward nurses.
簡言之,傳統使用紙本稽核護理品管監測作業,有諸多亟待改善的缺點,包含涉及大量繁雜資料的處理與評估,流程花費時間長、資 料不完整及不正確、格式不正確、統整與分析、公文傳送費時、缺乏時效性、高度缺乏效率、影響護理品管監測作業完整性及正確性等等;若能應用科技結合護理專業,建構一套專業化的護理品管統合資訊系統,統合及共享資源,知識管理,將可節省時間,降低成本,提升護理品質,且同步提升照護品質。 In short, the traditional use of paper-based audits for nursing quality control and monitoring operations has many shortcomings that need to be improved urgently, including the processing and evaluation of a large amount of complicated data, and the process takes a long time and resources. Incomplete and incorrect data, incorrect format, integration and analysis, time-consuming transmission of official documents, lack of timeliness, high lack of efficiency, affecting the integrity and correctness of nursing quality control and monitoring operations, etc.; if technology can be combined with nursing profession, Constructing a set of professional nursing quality management integrated information system, integrating and sharing resources, and knowledge management will save time, reduce costs, improve nursing quality, and simultaneously improve nursing quality.
資訊科技裝置有助於資訊的取得,減少資料重複抄寫或書寫錯誤,縮減記錄時間與降低傳遞資料的錯誤指標監測資訊化可節省時間。經由簡化人工作業流程運用資訊化,除能即時迅速的傳遞訊息,更能充分了解現況提昇護理監測品質與效能,也讓護理人員有較多的時間留於臨床照護病人,據此本發明提出一種創新的護理品管稽核輔助系統、方法、使用者設備以及電腦程式產品,有效輔助護理品管稽核的執行。 Information technology devices help to obtain information, reduce duplication of data or writing errors, reduce recording time and reduce errors in data transmission. Monitoring information can save time. By simplifying the manual operation process and using informatization, in addition to the instant and rapid transmission of information, it is also possible to fully understand the current situation, improve the quality and efficiency of nursing monitoring, and allow nursing staff to spend more time in clinical care of patients. Accordingly, the present invention proposes a The innovative nursing quality control audit support system, method, user equipment and computer program products can effectively assist the implementation of nursing quality control audit.
第1圖揭示本發明護理品管稽核輔助系統之系統架構視圖(view);第2圖揭示本發明護理品管稽核輔助系統包含之醫療伺服器與使用者設備之硬體網路設備架構視圖;本發明護理品管稽核輔助系統10之硬體系統是由稽核資料庫層300、中繼邏輯層200以及前端展示層(presentation layer)100等三層架構所組成,包含分散在中繼邏輯層200以及前端展示層100中執行的一系列關聯硬體設備、在這些關聯硬體設備上執行的一套護理品管稽核輔助軟體程式(電腦程式產品)、以及在護理品管稽核輔助軟體程式包含的前端程式元件與後端伺服器程式元件所構成的雲端系統,較佳是基於軟體即服務(SaaS)與平台即服務(PaaS)雲端技術所建構。
Figure 1 reveals the system architecture view (view) of the nursing quality control auditing auxiliary system of the present invention; Figure 2 discloses a view of the hardware network equipment architecture of the medical server and user equipment included in the nursing quality management audit auxiliary system of the present invention; The hardware system of the nursing quality control auditing
稽核資料庫層300包含至少一台或多台資料庫伺服器,中繼邏輯層200包含至少一台或多台程式伺服器,前端展示層100包含至少一台
或多台使用者設備120,使用者設備(user equipment)較佳是桌上型電腦121、筆記型電腦123、平板裝置125或是智慧手機127等,使用者設備120主要用於執行前端程式元件,例如護理品管稽核應用程式或網頁瀏覽器(browser)元件等,使用者包含臨床使用者11、稽核員(護理長)13、主管15等人,臨床使用者11較佳是護理師、護理人員或照護員等。
The
使用者設備較佳與各層伺服器之間係透過有線或無線網路而建立通訊鏈路並產生通訊連結,前端展示層100的使用者設備與中繼邏輯層200之間會透過伺服器負載平衡設備150以提供負載平衡與容錯功能,在連線忙碌時分配工作負載,加快伺服器之反應速度,稽核資料庫層300包含的多台資料庫伺服器,主要用於儲存護理品管稽核資料庫,中繼邏輯層200包含的程式伺服器主要用於執行護理品管稽核輔助軟體程式之後端伺服器程式元件,包含護理品管稽核輔助軟體程式等。
Preferably, the user equipment and the servers of each layer establish communication links and generate communication links through wired or wireless networks, and the user equipment at the front-
在前端展示層100中運作的各類使用者設備120包含例如但不限於:桌上型電腦121、筆記型電腦123、平板裝置125或是智慧手機127等,都可以提供給不同使用者操作,以執行護理品管稽核輔助軟體程式前端程式元件,前端程式元件較佳是一支Android、iOS應用程式或者網頁瀏覽器,前端程式可以執行所包含的快捷操作程式元件,以在使用者設備120上產生快捷操作選單給使用者操作,針對特定監測項目,為受評者在現場進行實地稽核。
Various types of user equipment 120 operating in the front-
快捷操作程式元件經執行後可在在使用者設備120上產生快捷介面,快捷介面較佳是例如但不限於:一系列圖形化使用者介面(GUI)、基於點選(one-click)操作的快捷選單(quick menu)、快捷操作網頁、快捷操作 介面、快捷清單、快捷選單、快捷按鍵、圖形化快捷操作介面、懸浮便捷選項選單視窗、下拉式(drop-down)選項便捷選單、快捷選項選單、快捷建置介面或者快捷輸入欄位等。 After the shortcut operation program component is executed, a shortcut interface can be generated on the user device 120. The shortcut interface is preferably, for example but not limited to: a series of graphical user interface (GUI), based on one-click (one-click) operation Quick menu, quick operation page, quick operation Interface, shortcut list, shortcut menu, shortcut key, graphical shortcut operation interface, floating shortcut option menu window, drop-down option shortcut menu, shortcut option menu, shortcut construction interface or shortcut input field, etc.
使用者設備120內部包含彼此電連接之處理器單元101、通訊模組(communication module)103、儲存單元(storage)105及顯示單元107等硬體單元,以及應用程式109以及包含在應用程式109中的快捷操作程式元件111等軟體元件,應用程式109是安裝在使用者設備100上並經由處理器單元101載入而執行,顯示單元107較佳是外接顯示器或觸控螢幕等。
The user equipment 120 includes hardware units such as a
第3圖揭示本發明護理品管稽核輔助系統所包含的護理品管稽核資料庫之資料庫內容概念視圖;稽核資料庫層300儲存的護理品管稽核資料庫,是用於儲存至少例如但不限於測試成績、評值改善報告等資料,較佳是以結構化(structured)資料格式、或是以半結構化(semi-structured)的資料格式,例如:CSV、紀錄檔、XML、JSON等所儲存的二進制文本,或者以非結構化(unstructured)的資料格式,例如:一般的電腦檔案而儲存,以便提供前端元件與後端元件存取、檢索、並增加存取速度。
The 3rd figure discloses the conceptual view of the database content of the nursing quality management audit database included in the nursing quality management audit auxiliary system of the present invention; the nursing quality management audit database stored in the
前端應用程式可適用目前市面上智慧型手機兩大裝置平台Android及iOS系統,在Android裝置的部分,前端應用程式是利用Android Studio設計編輯器而開發,遠端伺服器程式與軟體系統的部分較佳是使用例如但不限於PHP(Personal Homepage Program)指令碼,存取以MySQLDB建置的護理品管稽核資料庫,MySQLDB是一個多使用者、多執行緒的SQL資料庫伺服器,可以為一個資料庫軟體作有效的編排、建檔、表格化,以便後續更有效率的查詢、整理、傳送與接收資料;在iOS裝置的部分,應用程 式較佳是使用例如但不限於Xcode與UIKit基礎元件開發設計應用程式(application program、App)介面,利用Objective-C程式語言或Swift程式語言進行開發。 The front-end application program can be applied to Android and iOS systems, two major device platforms for smartphones currently on the market. For the Android device part, the front-end application program is developed using the Android Studio design editor, and the remote server program is compared with the software system part. It is better to use such as but not limited to PHP (Personal Homepage Program) command code to access the nursing quality control audit database built with MySQLDB. MySQLDB is a multi-user, multi-threaded SQL database server, which can be used as a The database software is used for effective layout, file building, and tabulation, so as to query, organize, transmit and receive data more efficiently in the future; in the part of the iOS device, the application program The method is preferably to use such as but not limited to Xcode and UIKit basic components to develop and design an application program (application program, App) interface, and use Objective-C programming language or Swift programming language for development.
處理器單元101接收使用者透過前端應用程式所下達的指令,並根據使用者所下達的指令,透過通訊模組103連結到中繼邏輯層200,並存取(access)稽核資料庫層300包含的護理品管稽核資料庫,包含讀取(read)需要的資料或寫入(write)資料,並下載到客戶端的使用者設備100上,透過應用程式109與應用程式109內含的快捷操作程式元件111的處理,最終透過圖形化使用者介面或快捷選單的方式,在顯示單元107上向使用者顯示。在使用者設備100應用程式109與中繼邏輯層200及稽核資料庫層300包含的護理品管稽核資料庫之間,是選用例如但不限於HTTP/HTTPS通訊協定,並配合例如但不限於JSON格式進行資料交換與雙向通訊。
The
應用程式109與應用程式109內含的快捷操作程式元件111或其他程式元件,以及遠端伺服器程式或軟體系統,可以應用任何程式語言來編程與實施,例如但不限於C、C++、C#、Java、VBScript、Macromedia Cold Fusion、COBOL、微軟動態伺服器網頁、組合語言、PERL、PHP、awk、Python、Visual Basic、SQL儲存程序、PL/SQL、任何UNIX命令描述語言、及具有以資料結構、物件、程序、常式或其他程式元件之任何組合實施之各種演算法的可擴展標記語言(XML)。 The application program 109 and the shortcut operation program component 111 or other program components contained in the application program 109, as well as the remote server program or software system, can be programmed and implemented using any programming language, such as but not limited to C, C++, C#, Java, VBScript, Macromedia Cold Fusion, COBOL, Microsoft Dynamics Server Web pages, assembly languages, PERL, PHP, awk, Python, Visual Basic, SQL stored procedures, PL/SQL, any UNIX command description language, and a data structure, Extensible Markup Language (XML) for various algorithms implemented by any combination of objects, procedures, routines, or other program elements.
護理品管稽核輔助系統、方法、使用者設備以及電腦程式產品,在前端程式的部分,除了建置為應用程式提供給使用者操作,還可透過外部部署(off-premises)的方式,另以軟體即服務(SaaS)或平台即服務
(PaaS)的雲端技術建置,而透過在使用者設備100上執行的網路瀏覽器(internet browser)作為前端使用者介面而直接提供給使用者操作,並向使用者提供點班作業服務,在使用SaaS或PaaS服務的情況下,使用者只須取得權限,就可上網存取與使用系統,使用者不需要在上安裝應用程式。
Nursing quality management auditing auxiliary system, method, user equipment and computer program products, in the part of the front-end program, in addition to being built as an application program for users to operate, it can also be deployed externally (off-premises). Software as a Service (SaaS) or Platform as a Service
(PaaS) cloud technology construction, and through the web browser (internet browser) executed on the
第4圖係揭示本發明護理品管稽核輔助系統之系統架構示意圖;如第4圖所示,本發明護理品管稽核輔助軟體程式包含在前端展示層100中運作的、提供給稽核員/護理長或主管使用的前端程式元件如應用程式(APP),在中繼邏輯層200中運作的以PHP語言編譯的後端伺服器程式元件,以及在稽核資料庫層300中的護理品管稽核資料庫(database)。
Fig. 4 is a schematic diagram showing the system architecture of the nursing quality management and auditing auxiliary system of the present invention; The front-end program components such as the application program (APP) used by the director or supervisor, the back-end server program components compiled with PHP language operated in the
第5圖係揭示本發明護理品管稽核輔助系統與電腦程式產品之運作情境關聯示意圖;本發明系統、方法與電腦程式產品在實際運作時,是由稽核員端發動,稽核員操作使用者設備做為輸入裝置,並使用本發明系統輔助稽核任務的進行,以執行護理品質稽核任務,當稽核完成後可以輸出例如但不限於評核缺點、測試成績、監測結果報告、或評值改善報告等,並儲存在護理品管稽核資料庫之中,準備提供存取,當稽核分數低於規定門檻時,由主管填寫評值改善報告,並及時發送電子郵件給單位主管。 Figure 5 is a schematic diagram showing the relationship between the operation context of the nursing quality control auditing auxiliary system and the computer program product of the present invention; when the system, method and computer program product of the present invention are actually operated, they are initiated by the auditor, and the auditor operates the user equipment As an input device, and use the system of the present invention to assist the auditing task, to perform the nursing quality auditing task, when the auditing is completed, it can output such as but not limited to assessment shortcomings, test results, monitoring result reports, or evaluation improvement reports, etc. , and stored in the nursing quality control audit database, ready to provide access, when the audit score is lower than the specified threshold, the supervisor will fill in the evaluation improvement report and send an email to the unit supervisor in time.
第6圖係揭示本發明護理品管稽核系統在前端程式上執行的使用者登入介面之示意圖;系統提供如第6圖揭示的使用者登入介面501,以提供稽核員與主管登入系統使用,提供給稽核員使用之介面示意圖係揭露於第7圖到第18圖,提供給主管使用之介面示意圖係揭露於第19圖到第25圖。第7圖係揭示本發明護理品管稽核系統在前端程式上執行的稽核功能目錄快捷操作介面之示意圖;當稽核員登入系統後,將進入如第7圖揭示的稽
核功能目錄快捷操作介面503,稽核員可按自身需求選擇對應的功能。
Fig. 6 is a schematic diagram showing the user login interface implemented on the front-end program of the nursing quality management and auditing system of the present invention; the system provides the
第8圖係揭示本發明護理品管稽核系統在前端程式上執行的監測計畫快選介面之示意圖;當稽核員按下第7圖稽核功能目錄快捷操作介面503中監測計畫按鍵後,將進入如第8圖所揭示的監測計畫快選介面505,監測計畫快選介面505提供有關組別與月份的快捷選單給稽核員規劃、操作與選定,稽核員經由操作監測計畫快選介面505而透過點選方式輸入監測計畫中所規劃的組別和月份。
Fig. 8 is a schematic diagram showing the quick selection interface of the monitoring plan implemented on the front-end program of the nursing quality management and auditing system of the present invention; Enter the monitoring plan
第9圖係揭示本發明護理品管稽核系統在前端程式上執行的監測計畫建置介面之示意圖;當稽核員選定組別與月份後,系統會顯示如第9圖所揭示的監測計畫建置介面507,監測計畫建置介面507中會提供監測計畫輸入欄位,提供稽核員在選定的組別和月份下輸入與建立監測計畫。
Figure 9 is a schematic diagram showing the monitoring plan construction interface implemented on the front-end program of the nursing quality management and auditing system of the present invention; when the auditor selects the group and month, the system will display the monitoring plan as disclosed in Figure 9 The
第10圖係揭示本發明護理品管稽核系統在前端程式上執行的工作分配快捷操作介面之示意圖;第11圖係揭示本發明護理品管稽核系統在前端程式上執行的小組人員名單快捷建置介面之示意圖;當稽核員按下第7圖稽核功能目錄快捷操作介面503中工作分配按鍵後,將進入如第10圖所揭示的工作分配快捷操作介面509,工作分配快捷操作介面509預設共四組的稽核分組小組,稽核員可以點選不同組別按鍵,進入如第11圖所揭示的小組人員名單快捷建置介面511,稽核員透過操作小組人員名單快捷建置介面511而輸入與建立各組的小組人員名單及指定小組長。
Fig. 10 is a schematic diagram showing the shortcut operation interface of the task assignment implemented on the front-end program of the nursing quality management and auditing system of the present invention; Fig. 11 is a quick construction of the list of team members revealed by the nursing quality management and auditing system of the present invention executed on the front-end program Schematic diagram of the interface; when the auditor presses the work distribution button in the
第12圖係揭示本發明護理品管稽核系統在前端程式上執行的護理評值改善報告快捷建置介面之示意圖;當稽核員按下第7圖稽核功能目錄快捷操作介面503中護理評值改善報告按鍵後,將進入如第12圖所揭示
的評值改善報告快捷建置介面513,評值改善報告快捷建置介面513包含監測項目基本資料快捷輸入欄位,以及P-D-C-A快捷輸入欄位,尤其是P-D-C-A快捷輸入欄位可提供稽核員按照P-D-C-A(Plan計劃、Do執行、Check效果確認、Action標準)品管工具格式輸入評值原因,以快速撰寫並建立護理評值改善報告。
Figure 12 is a schematic diagram showing the shortcut construction interface of the nursing evaluation improvement report implemented on the front-end program of the nursing quality management auditing system of the present invention; After the report button is pressed, it will enter as shown in Figure 12
The evaluation improvement report
第13圖係揭示本發明護理品管稽核系統在前端程式上執行的監測項目介面之示意圖;當稽核員按下第7圖稽核功能目錄快捷操作介面503中監測項目按鍵後,將進入如第13圖所揭示的監測項目介面515,監測項目介面515將展示已建置的監測項目供稽核員點選並進行監測,在本實施例包含兩個已建置的監測項目,分別為「乾、溼式洗手法」與「穿戴及脫除防護裝備法」兩個項目,在本實施例,稽核員點選乾、溼式洗手法按鍵。
The thirteenth figure is a schematic diagram showing the monitoring item interface implemented on the front-end program of the nursing quality management and auditing system of the present invention; when the auditor presses the monitoring item button in the
第14圖係揭示本發明護理品管稽核系統在前端程式上執行的稽核快捷操作介面之示意圖;當稽核員選擇對「乾、溼式洗手法」監測項目展開稽核後,可點選乾、溼式洗手法按鍵,進入如第14圖所揭示的稽核快捷操作介面517,稽核快捷操作介面517中將詳細展示稽核評值標準與注意事項,以提醒稽核員按照標準進行稽核,並提供分數選項供稽核員以點選方式進行評值。稽核員經由操作稽核快捷操作介面517,即可快速、簡便且正確的完成對監測項目的稽核評值。
Figure 14 is a schematic diagram showing the audit shortcut operation interface executed on the front-end program of the nursing quality management audit system of the present invention; when the auditor chooses to audit the monitoring items of "dry and wet hand washing methods", he can click dry and wet button to enter the audit
第15圖係揭示本發明護理品管稽核系統在前端程式上執行的評核缺點與分數介面之示意圖;當稽核員完成稽核評值後,可按下第14圖稽核快捷操作介面517中的稽核完成按鍵,系統將顯示如第15圖所揭示的評核缺點與分數介面519,評核缺點與分數介面519將摘要顯示稽核員對監
測項目的缺點講解,以及受評者所獲得的稽核成績或分數,並據此產生護理評值改善報告。
Figure 15 is a schematic diagram showing the assessment defects and score interface performed on the front-end program of the nursing quality control audit system of the present invention; after the auditor completes the audit evaluation, he can press the audit in the
第16圖係揭示本發明護理品管稽核系統在前端程式上執行的電子郵件通知介面之示意圖;當稽核員完成稽核作業後,按下第15圖評核缺點與分數介面519中完成按鍵,系統將主動提供電子郵件通知功能,讓稽核員將護理評值改善報告,以電子郵件的方式通知單位主管或受評者等,第16圖係顯示本發明系統的電子郵件通知介面521。
Fig. 16 shows the schematic diagram of the e-mail notification interface implemented on the front-end program of the nursing quality control audit system of the present invention; after the auditor completes the audit work, press the completion button in the evaluation defect and score
第17圖係揭示本發明護理品管稽核系統在前端程式上執行的標準作業流程選單介面之示意圖;當稽核員按下第7圖功能目錄快捷操作介面503中標準作業流程按鍵後,將進入如第17圖所揭示的標準作業流程選單介面523,標準作業流程選單介面523將展示已建置的監測項目的標準作業流程,提供稽核員點選並閱讀參考,在本實施例包含兩個已建置的監測項目,分別為「乾、溼式洗手操作標準作業流程」與「穿戴及脫除防護裝備標準作業流程」兩個項目,在本實施例,稽核員較佳係點選乾、溼式洗手操作標準作業流程按鍵。
Fig. 17 is a schematic diagram showing the standard operation flow menu interface implemented on the front-end program of the nursing quality control audit system of the present invention; when the auditor presses the standard operation flow button in the function
第18圖係揭示本發明護理品管稽核系統在前端程式上執行的標準作業流程說明介面之示意圖;稽核員點選乾、溼式洗手操作標準作業流程按鍵後,將進入如第18圖所揭示的標準作業流程說明介面525,標準作業流程說明介面525會載入相關的標準作業流程內容,例如網頁或電子文件等,提供稽核員閱讀與參考,以便詳細理解正確的稽核標準,並據此進行稽核。
Fig. 18 is a schematic diagram showing the interface of the standard operating procedure performed on the front-end program of the nursing quality management and auditing system of the present invention; after the auditor clicks the button of the standard operating procedure for dry and wet hand washing operations, he will enter as shown in Fig. 18 The standard operating
第19圖係揭示本發明護理品管稽核系統在前端程式上執行
的目錄介面之示意圖;當主管登入系統後,將進入如第19圖揭示的目錄介面527,主管可自主選擇目錄介面527中展示的項目,並查閱對應的報告內容。
Figure 19 shows that the nursing quality control and auditing system of the present invention is executed on the front-end program
The schematic diagram of the catalog interface; when the supervisor logs into the system, he will enter the
第20圖係揭示本發明護理品管稽核系統在前端程式上執行的評值改善報告目錄介面之示意圖;當主管按下第19圖首頁目錄介面527中評值改善報告按鍵後,將進入如第20圖所揭示的評值改善報告目錄介面529,評值改善報告目錄介面529將列出各監測項目的對應評值改善報告,主管點選想閱讀的報告按鍵,即可閱讀相應的評值改善報告。
Figure 20 is a schematic diagram showing the evaluation improvement report catalog interface implemented on the front-end program of the nursing quality management and auditing system of the present invention; The evaluation improvement
第21圖係揭示本發明護理品管稽核系統在前端程式上執行的評值改善報告展示介面之示意圖;在本實施例,主管選擇閱讀乾、溼式洗手法改善報告,並按下第20圖評值改善報告目錄介面529的「乾、溼式洗手法改善報告」按鍵,進入如第21圖所揭示的評值改善報告展示介面531,評值改善報告展示介面531中將展示乾、溼式洗手法改善報告,內容包含監測項目基本資料,以及按照P-D-C-A品管工具展示的評值原因,供主管核閱與督導。
Figure 21 is a schematic diagram showing the evaluation improvement report display interface implemented on the front-end program of the nursing quality management and auditing system of the present invention; in this embodiment, the supervisor chooses to read the dry and wet hand washing method improvement report, and presses Figure 20 The "dry and wet hand washing method improvement report" button in the evaluation improvement
第22圖係揭示本發明護理品管稽核系統在前端程式上執行的監測結果報告目錄介面之示意圖;當主管按下第19圖首頁目錄介面527中監測結果報告按鍵後,將進入如第22圖所揭示的監測結果報告目錄介面533,監測結果報告目錄介面533將列出各項監測結果報告以及所有受評單位,供主管選擇監測結果報告與受評單位,以核閱對應的監測結果報告。
Figure 22 is a schematic diagram showing the monitoring result report catalog interface implemented on the front-end program of the nursing quality management and auditing system of the present invention; The revealed monitoring result
第23圖係揭示本發明護理品管稽核系統在前端程式上執行的監測結果報告統計資料展示介面之示意圖;在本實施例,主管在第22圖
監測結果報告目錄介面533中選擇乾、溼式洗手法以及內科,系統將顯示如第23圖所揭示的監測結果報告統計資料展示介面535,監測結果報告統計資料展示介面535將展示監測結果報告包含之統計資料,供主管核閱與督導。
Fig. 23 is a schematic diagram of the display interface of the monitoring result report statistical data that the nursing quality management and auditing system of the present invention executes on the front-end program; in this embodiment, the supervisor is in Fig. 22
Select dry and wet hand washing methods and internal medicine in the monitoring result
第24圖係揭示本發明護理品管稽核系統在前端程式上執行的監測結果報告展示介面之示意圖;在本實施例,主管在第22圖監測結果報告目錄介面533中選擇乾、溼式洗手法,系統將顯示如第24圖所揭示的監測結果報告展示介面537,監測結果報告展示介面537將展示監測結果報告的詳細缺失內容,供主管核閱與督導。
Fig. 24 is a schematic diagram showing the monitoring result report display interface performed on the front-end program of the nursing quality management audit system of the present invention; in this embodiment, the supervisor selects dry and wet hand washing methods in the monitoring result
第25圖係揭示本發明護理品管稽核系統在前端程式上執行的多組使用者介面之交互關聯示意圖;本發明系統提供第7圖到第18圖揭示的介面501-521給稽核員操作使用,以及第19圖到第25圖揭示的介面527-537給主管操作使用。 Figure 25 is a schematic diagram showing the interrelationship of multiple sets of user interfaces executed on the front-end program of the nursing quality management auditing system of the present invention; the system of the present invention provides the interfaces 501-521 disclosed in Figures 7 to 18 for auditors to operate and use , and the interfaces 527-537 disclosed in Fig. 19 to Fig. 25 are used for supervisory operation.
第26圖係揭示本發明護理品管稽核輔助系統在網頁瀏覽器中產生之使用者登入介面之示意圖;本發明護理評估診斷系統10是基於軟體即服務(SaaS)與平台即服務(PaaS)雲端技術而建置,可以使用在前端展示層100使用者設備120上執行的瀏覽器做為前端程式元件,而在瀏覽器上產生第6圖到第24圖所揭示的前端使用者介面提供給使用者操作,使用者在可連網的環境狀態下,在自己的使用者設備120上啟動瀏覽器,並在網址列輸入正確的統一資源定位符(URL),即可登入系統使用,第26圖揭示本發明系統在瀏覽器中產生的使用者登入介面501。
Fig. 26 is a schematic diagram showing the user login interface generated in the web browser by the nursing quality control auditing auxiliary system of the present invention; the nursing evaluation and
第27圖揭示本發明護理品管稽核方法之實施步驟流程圖;小結而言,本發明護理品管稽核方法600,較佳包含下列步驟:在稽核資料層
建立護理品管稽核資料庫(步驟601);在中繼邏輯層安裝包含快捷操作程式元件的護理品管稽核輔助電腦程式產品(步驟603);在該稽核資料層、該中繼邏輯層與使用者設備之間建立通訊連結(步驟605);在該使用者設備上執行前端電腦程式產品供使用者操作,以驅動該快捷操作程式元件在該前端電腦程式品中產生快捷介面,該使用者經由操作快捷介面而執行護理品管稽核作業(步驟607);以及將該護理品管稽核作業的稽核結果上傳該護理品管稽核資料庫(步驟609)。
The 27th figure discloses the flow chart of the implementation steps of the nursing quality management audit method of the present invention; in summary, the nursing quality
本發明以上各實施例彼此之間可以任意組合或者替換,從而衍生更多之實施態樣,但皆不脫本發明所欲保護之範圍,茲進一步提供更多本發明實施例如次: The above embodiments of the present invention can be arbitrarily combined or replaced with each other, thereby deriving more implementation forms, but none of them depart from the scope of protection intended by the present invention. More embodiments of the present invention are further provided as follows:
實施例1:一種護理品管稽核輔助系統,其包含:稽核資料層,其包含護理品管稽核資料庫;中繼邏輯層,其安裝有包含快捷操作程式元件的護理品管稽核輔助電腦程式產品,並與該資料層通訊連結;以及使用者設備,其係與該中繼邏輯層通訊連結,並提供前端電腦程式產品供使用者操作,以驅動該快捷操作程式元件在該前端電腦程式品中產生快捷介面,該使用者經由操作快捷介面而執行護理品管稽核作業,並將稽核結果上傳該護理品管稽核資料庫。 Embodiment 1: A nursing quality management auditing auxiliary system, which includes: an audit data layer, which includes a nursing quality management audit database; a relay logic layer, which is installed with a nursing quality management auditing auxiliary computer program product that includes shortcut operation program elements , and communicate with the data layer; and user equipment, which is communicated with the relay logic layer, and provides a front-end computer program product for the user to operate, so as to drive the shortcut operation program component in the front-end computer program product A shortcut interface is generated, and the user executes the nursing quality management audit operation through the operation shortcut interface, and uploads the audit result to the nursing quality management audit database.
實施例2:如請求項1所述之護理品管稽核輔助系統,其中該快捷介面係選自圖形化使用者介面、快捷選單、快捷操作網頁、快捷操作介面、快捷清單、快捷選單、快捷按鍵、圖形化快捷操作介面、懸浮便捷選項選單視窗、下拉式選項便捷選單、快捷選項選單、快捷建置介面及快捷輸入欄位其中之一。
Embodiment 2: Nursing quality management and audit auxiliary system as described in
實施例3:如請求項1所述之護理品管稽核輔助系統,其中該使用者設備係選自桌上型電腦、筆記型電腦、平板裝置及智慧手機其中之一。
Embodiment 3: The nursing quality control and audit auxiliary system as described in
實施例4:如請求項1所述之護理品管稽核輔助系統,其中該前端電腦程式產品係選自應用程式及網頁瀏覽器其中之一。
Embodiment 4: The nursing quality management and audit auxiliary system as described in
實施例5:一種護理品管稽核輔助使用者設備,其係與遠端安裝有包含快捷操作程式元件的護理品管稽核輔助電腦程式產品的中繼邏輯層通訊連結,該中繼邏輯層與儲存有一護理品管稽核資料庫的稽核資料層通訊連結,該護理品管稽核輔助使用者設備包含:顯示器單元;以及處理器單元,其執行前端電腦程式產品供使用者操作,以驅動該快捷操作程式元件在該前端電腦程式品中產生快捷介面,該使用者經由操作快捷介面而執行護理品管稽核作業,並將稽核結果上傳該護理品管稽核資料庫。 Embodiment 5: An auxiliary user device for nursing quality management and auditing, which is connected with the relay logic layer of the nursing quality management and auditing auxiliary computer program product containing shortcut operation program components installed at the remote end, and the relay logic layer is connected with the storage There is an audit data layer communication link of the nursing quality management audit database. The nursing quality management audit auxiliary user equipment includes: a display unit; and a processor unit, which executes a front-end computer program product for user operation to drive the shortcut operation program The component generates a shortcut interface in the front-end computer program, and the user executes the nursing quality management audit operation through the operation shortcut interface, and uploads the audit result to the nursing quality management audit database.
實施例6:如請求項5所述之護理品管稽核輔助使用者設備,其中該護理品管稽核輔助使用者設備係選自桌上型電腦、筆記型電腦、平板裝置及智慧手機其中之一。 Embodiment 6: Nursing quality management audit auxiliary user equipment as described in claim 5, wherein the nursing quality management audit auxiliary user equipment is selected from one of desktop computers, notebook computers, tablet devices and smart phones .
實施例7:如請求項5所述之護理品管稽核輔助使用者設備,其中該前端電腦程式產品係選自應用程式及網頁瀏覽器其中之一。 Embodiment 7: The nursing quality management and audit auxiliary user device as described in claim 5, wherein the front-end computer program product is selected from one of an application program and a web browser.
實施例8:一種護理品管稽核輔助方法,其包含:在稽核資料層建立護理品管稽核資料庫;在中繼邏輯層安裝包含快捷操作程式元件的護理品管稽核輔助電腦程式產品;在該稽核資料層、該中繼邏輯層與使用者設備之間建立通訊連結;在該使用者設備上執行前端電腦程式產品供使用者操作,以驅動該快捷操作程式元件在該前端電腦程式品中產生快捷 介面,該使用者經由操作快捷介面而執行護理品管稽核作業;以及將該護理品管稽核作業的稽核結果上傳該護理品管稽核資料庫。 Embodiment 8: An auxiliary method for auditing nursing quality control, which includes: establishing a nursing quality control audit database at the audit data layer; installing a nursing quality control auditing auxiliary computer program product including shortcut operation program elements at the relay logic layer; Establish a communication link between the audit data layer, the relay logic layer, and the user equipment; execute the front-end computer program product on the user equipment for user operation, so as to drive the shortcut operation program component to be generated in the front-end computer program product fast interface, the user executes the nursing quality management audit operation through the operation shortcut interface; and uploads the audit result of the nursing quality management audit operation to the nursing quality management audit database.
實施例9:如請求項8所述之護理品管稽核輔助方法,其中該護理品管稽核輔助使用者設備係選自桌上型電腦、筆記型電腦、平板裝置及智慧手機其中之一。
Embodiment 9: The method for assisting nursing quality management and auditing as described in
實施例10:如請求項8所述之護理品管稽核輔助方法,其中該前端電腦程式產品係選自應用程式及網頁瀏覽器其中之一。
Embodiment 10: The nursing quality control auditing auxiliary method as described in
本發明各實施例彼此之間可以任意組合或者替換,從而衍生更多之實施態樣,但皆不脫本發明所欲保護之範圍,本發明保護範圍之界定,悉以本發明申請專利範圍所記載者為準。 The various embodiments of the present invention can be combined or replaced arbitrarily with each other, thereby deriving more implementation forms, but none of them depart from the intended protection scope of the present invention, and the definition of the protection scope of the present invention is fully defined by the patent scope of the present invention application The recorder shall prevail.
600:本發明護理品管稽核輔助方法 600: Nursing quality control auditing auxiliary method of the present invention
601-609:實施步驟 601-609: Implementation steps
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