TWI254226B - Automatic control system for universal hospital sickroom management - Google Patents
Automatic control system for universal hospital sickroom management Download PDFInfo
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- TWI254226B TWI254226B TW93115295A TW93115295A TWI254226B TW I254226 B TWI254226 B TW I254226B TW 93115295 A TW93115295 A TW 93115295A TW 93115295 A TW93115295 A TW 93115295A TW I254226 B TWI254226 B TW I254226B
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Description
1254226 五、發明說明(1) 【發明所屬之技術領域】 本發明係有關於一種醫院病房管理系統,尤指一種結 合病床監控站、中繼站、總中繼站裝置及護理中心監控電 腦,使病房中之各種狀況皆可透過單獨按鍵傳送it顯示於 護理中心監控電腦,以便醫護人員及時了解病房中病人之 狀況,且護理中心監控電腦之處理狀況亦可雙向傳送及顯 示於病房之病床監控站上,使病人或家屬可以了解醫護人 員之處理狀況之全方位醫院病房管理自動化控制系統。 【先前技術】 一般醫院病房内病人的各種突發狀況頻繁,而目前通 知護理人員的方式是由家屬至護理中心通報護理人員,極 為費時與不方便;要不然就是經由一個床頭的按鈴或麥克 風通知護理人員,但是病人所說的語言如果是方言或是無 法說話之病人’則護理人員不見得都聽得懂,有時甚至延 誤服務的時政。經由人為的通知’如果醫護人員正在忙於 其他事物,可能會因為事多忙亂而忘記處置。 因此,醫院管理之自動化例如將醫院病房内的工作交 由電腦做自動化的監控與人力的調配,甚至處理病人的工 作程序也交由電腦自動追蹤,建立完整的服務記錄,以利 公平的人事考核,也可以建立完整的醫療處置資訊,釐清 醫療責任,進而降低醫療糾紛即為一重要之課題。例如我 國已核准之公告第3 8 5 0 3 2號新型專利「醫院看診序號管理 裝置」即提供一種醫院看診序號管理裝置,係於微控器之 輸出/入埠連接鍵盤、顯示器、雙音複頻接收器及雙音複1254226 V. INSTRUCTION DESCRIPTION OF THE INVENTION (1) Technical Field of the Invention The present invention relates to a hospital ward management system, and more particularly to a combination of a bed monitoring station, a relay station, a total relay station device, and a nursing center monitoring computer to enable various types in the ward. The situation can be displayed in the nursing center monitoring computer through a single button transmission, so that the medical staff can timely understand the condition of the patient in the ward, and the processing status of the monitoring center monitoring computer can also be transmitted in both directions and displayed on the bed monitoring station of the ward to make the patient Or a family-wide hospital ward management automation control system that the family can understand the treatment status of the medical staff. [Prior Art] The general situation of patients in general hospital wards is frequent, and the way to inform the nursing staff is to notify the nursing staff from the family to the nursing center, which is extremely time consuming and inconvenient; otherwise it is ringing through a bedside or The microphone informs the caregiver, but if the language spoken by the patient is a dialect or a patient who cannot speak, then the caregiver may not be able to understand it, sometimes even delaying the service. Man-made notifications' If the health care provider is busy with other things, he may forget to dispose of it because of the fuss. Therefore, the automation of hospital management, for example, the work in the hospital ward is transferred to the computer for automated monitoring and manpower deployment, and even the patient's work procedures are automatically tracked by the computer to establish a complete service record for a fair personnel assessment. It is also an important issue to establish complete medical treatment information, clarify medical responsibilities, and reduce medical disputes. For example, China’s approved Announcement No. 3 8 5 0 2 2, “Hospital Visiting Serial Number Management Device” provides a hospital management number management device, which is connected to the output/input keyboard of the micro controller, display, and dual Tone multi-frequency receiver and dual tone complex
第5頁 1254226 五、發明說明(2) 頻產生 序號時 患者電 產生器 之總序 院看診 又 攝影監 理系統 監視影 即將該 器而成 ’該微 話那端 藉由電 號等資 序號管 例如我 控輔助 ,係可 裝置, 點鎖定 ;其特徵係 控便會配 傳來之訊號 話線輸出訊 料告訴電話 理,並未具 國已核准之 管理系統」 藉由一攝影 當有信號觸 攝影’而達 置’係包括一呼叫紐及一 入之信號,經 置輸出至主控 況傳送至主控 紐及一按鍵組 專利案中仍然 由微處理器 端。該專利 端監視,惟 與主控站溝 存在並未改 •冒有 合雙音 ,繼之 號,以 那端之 有病房 公告第 即提供 裝置在 發時, 到監視 按鍵組 處理後 案係藉 病房有 通,則 善0 患者來電 複頻接收 ’微控器 將目前看 患者。該 之監測及 454498 號 一種病房 平時可作 本追蹤定 無死角, ,該呼叫 ,藉由信 由一攝影 狀況時, 上述習知 訊問目 器自電 會配合 珍序號 專利案 管理之 新型專 攝影監 固定範 位攝影 以及按 钮及按 號接收 裝置將 仍然需 技術之 話線接收 雙音複頻 及已掛號 只提供醫 功能。 利「病房 控辅助管 圍掃瞒的 裝置可立 鍵輸入裝 鍵組所輸 /發射裝 病房之狀 藉由呼叫 缺點在本 針對上述習知醫院管理系統之缺點,本發明提供一種 全方位醫院病房管理自動化控制系統以解決習知醫院管理 系統之缺點,其結合病床監控站、中繼站、總中繼站裝置 及護理中心監控電腦,使病房中之各種狀況皆可透過單獨 按鍵傳送並顯示於護理中心監控電腦,以便醫護人員及時 了解病房中病人之狀況,且護理中心監控電腦之處理狀況 亦可雙向傳送及顯示於病房之病床監控站上,使病人或家Page 5 1254226 V. Description of the invention (2) When the serial number is generated, the patient's electric generator's total sequence of hospital visits and the photography supervision system monitors the shadow of the device. 'The micro-voice end is powered by the serial number. For example, I control the auxiliary, the device can be installed, and the point is locked; the characteristic control system will be equipped with the signal line output signal to tell the phone, and the management system has not been approved by the state. The photography 'and the set' includes a call and a signal, which is output to the main control and transmitted to the main control button and a button group patent case is still carried by the microprocessor. The patent is monitored by the end, but the presence of the main control station ditch has not changed. It has a double tone, followed by the number, and the device with the ward at the end provides the device at the time of transmission, and the case after the monitoring button group is processed. The ward has access, then the good 0 patient calls the multi-frequency reception 'micro controller will currently see the patient. The monitoring and a ward of 454498 can usually be used as a tracking point for no-dead corners. The call, by means of a photo-sensing situation, the above-mentioned conventional information device will be equipped with a new type of photo surveillance managed by the serial number patent case. Fixed range photography and button and number-receiving devices will still require technical cable to receive dual-tone multi-frequency and registered only for medical functions. The device of the ward control auxiliary tube broom can be input into the blasting room of the key switch group by the key input. By calling the shortcomings in the above-mentioned conventional hospital management system, the present invention provides a omni-directional hospital ward. The management automation control system solves the shortcomings of the conventional hospital management system. It combines the bed monitoring station, the relay station, the total relay station device and the nursing center to monitor the computer, so that various conditions in the ward can be transmitted through a separate button and displayed in the nursing center monitoring computer. So that the medical staff can keep abreast of the condition of the patient in the ward, and the treatment status of the monitoring center of the nursing center can also be transmitted in both directions and displayed on the bed monitoring station of the ward to make the patient or home
1254226 五、發明說明(3) 屬可以了解醫護人員之處理狀況,以加強病人或家屬對醫 院及醫護人員之信心等優點,因此,可解決習知醫院管理 系統之缺點。 【發明内容】 本發明之目的係提供一種全方位醫院病房管理自動化 控制系統以解決習知醫院管理系統之缺點,其可使病房中 之各種狀況皆可透過單獨按鍵傳送並顯示於護理中心監控 電腦,以便醫護人員及時了解病房中病人之狀況,且護理 中心監控電腦之處理狀況亦可雙向傳送及顯示於病房之病 床監控站上,使病人或家屬可以了解醫護人員之處理狀 況。 為達上述之目的,本發明之至少一病床監控站,上面 標示有病人希望醫護人員處置的各種狀況;至少一中繼 站,負責掃描病房中各病床監控站的訊息;總中繼站裝 置,負責聯繫後述之護理中心監控中心電腦與各病床監控 站間資料的雙向控制;以及護理中心監控電腦,具有一圖 形控制介面,可顯示各病床監控站之各種狀況,以供護理 中心監控病人狀況並執行醫護人員工作調配、檔案紀錄與 列印、醫護人員與病人行蹤追蹤、自動網路撥號以及衛星 監控等工作。 為使 貴審查委員能進一步瞭解本發明之結構、特徵 及其目的,茲附以圖式及較佳具體實施例之詳細說明如 后。 【實施方式】1254226 V. INSTRUCTIONS (3) It is possible to understand the treatment status of medical staff to enhance the confidence of patients or their families in hospitals and medical staff. Therefore, the shortcomings of the hospital management system can be solved. SUMMARY OF THE INVENTION The object of the present invention is to provide an all-round hospital ward management automation control system to solve the shortcomings of the conventional hospital management system, which can enable various conditions in the ward to be transmitted through a separate button and displayed in the nursing center monitoring computer. So that the medical staff can keep abreast of the condition of the patient in the ward, and the treatment status of the monitoring center of the nursing center can also be transmitted in both directions and displayed on the bed monitoring station of the ward, so that the patient or family can understand the treatment status of the medical staff. For the above purposes, at least one bed monitoring station of the present invention is marked with various conditions that the patient wants medical personnel to handle; at least one relay station is responsible for scanning the information of each bed monitoring station in the ward; and the total relay station device is responsible for contacting the following. Two-way control of the data between the monitoring center monitoring center computer and each bed monitoring station; and the nursing center monitoring computer, with a graphical control interface, which can display various conditions of each bed monitoring station for the nursing center to monitor the patient's condition and perform medical staff work. Deployment, file recording and printing, medical staff and patient tracking, automatic network dialing, and satellite monitoring. The detailed description of the drawings and preferred embodiments is set forth in the accompanying drawings. [Embodiment]
1254226 $、發明說明(4) 请參照圖1,其纟會示本案一較佳實施例之玉 商院 病房管理自動化控制系統之示意圖。如圖所令 ( 方位醫院病房管理自動化控制系統,其包括·至=二== 監控站10 ;至少一中繼站20 •,總中繼站装置类猸 中心監控電腦40所組合而成;俾病人或家屬:、二 ^ 鍵將病房中之各種狀況傳送並a頁示於護理中ό孤玉”命 以便醫護人員及時了解病房中^之狀況,五護理中:監 控電腦之處理狀況亦可雙向傳送及顯示於病房之病床孤控 站上,使病人或家屬可以了解醫護人員之處理狀/兄 其中,該病床監控站丨〇係放置於病房中’且权佳是每 一病床裝設一個病床監控站10,其具有爻少/按,15(請 參照圖2),且該按鍵15上面有標示病人欲醫護人員處置的 各種狀況,例如但不限於休克、點滴回血、氣喘、疼痛、 抽筋、緊急、發燒嘔吐、藥物過敏、寒顫、點滴沒了等 病房中最常見的狀況。 該中繼站20,係裝設於病房中,其以第一通訊介面例 如但不限於RS-232介面耦接至病房内之所有病床監控站 1 0,其負責掃描病房中各病床監控站1 0的訊息。 該總中繼站裝置3 0,其以第二通訊介面例如但不限於 RS-422介面耦接至一樓層中之所有中繼站20,其負責聯繫 該護理中心監控中心電腦40與各病床監控站10間資料的雙 向控制。 該護理中心監控電腦4〇,係該管理系統的核心,以第 二通訊介面如但不限於以-4 22介面耦接至該總中繼站裝置1254226 $, Invention Description (4) Please refer to FIG. 1 , which will show a schematic diagram of a ward hospital ward automatic control system according to a preferred embodiment of the present invention. As shown in the figure (orientation hospital ward management automation control system, including: to = two == monitoring station 10; at least one relay station 20 •, total relay station device type 猸 center monitoring computer 40 combination; 俾 patient or family: The two keys will transmit the various conditions in the ward and a page will be displayed in the nursing care. The medical staff will know the situation of the ward in time. In the five treatments: the monitoring status of the monitoring computer can also be transmitted and displayed in both directions. In the ward of the ward, the patient or family member can understand the treatment of the medical staff/brother. The bed monitoring station is placed in the ward, and Quanjia is equipped with a bed monitoring station 10 for each bed. It has a reduction/press, 15 (please refer to FIG. 2), and the button 15 has various conditions indicating the patient's medical staff's treatment, such as but not limited to shock, drip, asthma, pain, cramps, emergency, fever and vomiting. The most common condition in the ward, such as drug allergy, chills, and dripping. The relay station 20 is installed in the ward, and the first communication interface is, for example, but not limited to, RS-232 interface coupling. All the bed monitoring stations 10 in the ward are responsible for scanning the information of each bed monitoring station 10 in the ward. The total relay station device 30 is coupled to the second communication interface, such as but not limited to the RS-422 interface. All relay stations 20 in the floor are responsible for contacting the two-way control of the data between the monitoring center monitoring center computer 40 and each bed monitoring station 10. The nursing center monitors the computer 4, which is the core of the management system, and has a second communication interface such as But not limited to the -4 22 interface coupled to the total relay station device
第8頁 ^54226 五 '發明說明(5) 3 〇 , 各種ίί有:::控制介面41,可顯示各病床監控站10之 作调配、檔案紀錄鱼列.、殿,A g,/酉0隻人貝工 動網路撥辦以β 4 ]印酉濩人貝與病人行蹤追蹤、自 路撥號以及谢星監控等工作。 進一牛^ =毛明之全方位醫院病房管理自動化控制系統 ,Λ =可/、有.—GPS衛星追蹤裝置50,其可將病人與醫 貝納^自動追蹤管理系統内,使得醫院病房動態監控 更具效率,尤其對具傳染性高如SARS的居家隔離病人 追縱具有有效控管功能。 ^請參照圖2,其繪示本案之病床監控站之示意圖。如 圖所示,本案之病床監控站1 〇進一步包括:微控制器丨i ; 語音控制晶片12 ;顯示裝置13 ;語音輸出裝置14 ;以及至 少一按鍵15。 其中,該微控制器1 1,係用以控制該病床監控站丨〇之 運作;語音控制晶片1 2 ’係耦接至該微控制器丨1,用以將 各種病人欲醫護人員處置的各種狀況以語音形式輸出;顯 示1置1 3 ’係搞接至該微控制器11,例如但不限於為 LED、七段顯示器、文字型或繪圖型液晶顯示器,在本實 施例中係以繪圖型液晶顯示器為例加以說明,用以顯示各 種病人欲醫護人員處置的例如但不限於休克、點滴回血、 氣喘、疼痛、抽筋、緊急、發燒喂吐、藥物過敏、寒 顫、點滴沒了等病房中最常見的狀況。 該語音輸出裝置1 4例如但不限於為一喇,八,係耦接至 該微控制器1 1 ’用以語音輸出方式輸出各種病人欲醫護人Page 8^54226 Five' invention description (5) 3 〇, various ίί::: control interface 41, can display the distribution of each bed monitoring station 10, file record fish column, hall, A g, / 酉 0 Only a person who works in the Internet to set up a beta 4] inscriptions and patient tracking, self-dial dialing and Xie Xing monitoring. Into a cow ^ = Mao Mingzhi omni-directional hospital ward management automation control system, Λ = can /, there. - GPS satellite tracking device 50, which can be patient and medical Beina ^ automatic tracking management system, making the hospital ward dynamic monitoring more It has efficiency, especially for the isolation of patients with high infectiousness such as SARS. Please refer to FIG. 2, which shows a schematic diagram of the bed monitoring station of the present case. As shown, the bed monitoring station of the present invention further includes: a microcontroller 丨i; a voice control chip 12; a display device 13; a voice output device 14; and at least one button 15. The microcontroller 11 is used to control the operation of the monitoring station of the hospital bed; the voice control chip 12 is coupled to the microcontroller 丨1 for handling various medical treatments for various patients. The status is output in the form of a voice; the display 1 is set to 1 3' to the microcontroller 11, such as but not limited to an LED, a seven-segment display, a text or a drawing type liquid crystal display, which is in the form of a drawing in this embodiment. The liquid crystal display is exemplified to show the most ward in the ward, such as but not limited to shock, drip, asthma, pain, cramps, emergency, fever, vomiting, drug allergy, chills, drip, etc. Common situation. The voice output device 14 is, for example but not limited to, a slave, and is coupled to the microcontroller 1 1 ' for voice output to output various patient caregivers
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貝處置 器11, 係為'一 回血、 敏、寒 鍵1 5代 15上, 中文、 此 微控制 其例如 裝置13 1 6之水 該顯示 用以輪 硬體碥 氣喘、 顫 、點 表一種 以避免 英文或 外,該 器11、 但不限 較佳係 平面形 裝置13 狀況; 入病人 碼方式 疼痛、 滴沒了 狀況, 病人或 曰文等 病床監 語音控 於由壓 外露於成35 ° 以及至少一 欲醫護人貝 之4*4鍵盤 抽筋、緊急 等病房中最 且狀況之文 家屬誤判; 常見之文字 控站1 0進一 制晶片1 2、 克力所製成 該殼體16外 斜角,以方 按鍵1 5,耦接至該微控制 處置的各種狀況,其較佳 ’以便上述之休克、點滴 、發燒嘔吐、藥物過 常見的狀況,可以一個按 字符號可直接印刷於按鍵 此外該文字符號亦不限於 ,以符合國際化之需求。 步具有一殼體16以容置該 顯示裝置13及該按鍵1 5, ’其中該按鍵1 5及該顯示 且該顯示裝置1 3與該殼體 便病人或家屬觀看及操作Shell disposer 11, is a blood return, sensitive, cold key 1 5 generation 15 on the Chinese, this micro control its water such as device 13 1 6 The display is used for round hardware, asthma, tremor, point table Avoid English or the outside, the device 11, but not limited to the situation of the flat device 13; the patient code is painful, dripping, the patient or the syllabus is controlled by the pressure exposed to 35 ° and At least one of the 4*4 keyboard cramps, emergency and other wards in the ward of the medical staff is misjudged; the common text control station 10 into a wafer 1 2, the outer corner of the shell 16 made by Cree The square button 15 is coupled to the various conditions of the micro control treatment, which is preferably 'so that the above-mentioned shock, drip, fever, vomiting, and drug over-common conditions can be directly printed on the button by a character number. The text symbols are not limited to meet the needs of internationalization. The step has a housing 16 for receiving the display device 13 and the button 15 5, wherein the button 15 and the display and the display device 13 and the housing are viewed and operated by the patient or family
一請參照圖3,其繪示本案之中繼站2〇之示意圖。如圖 所示’本案之中繼站20進一步包括:殼體21 ;第一通訊介 面2 2 ;微控制器2 3 ;以及第二通訊介面2 4。 其中’該殼體21,例如但不限於由壓克力所製成,係 用以承載後述之元件;該第一通訊介面2 2,例如但不限於 為RS-232介面,係容置於該殼體21中,其以串列方式傳送 資料,因為病房之病床間距離並不遠且資料量不大,因此 於中繼器20及病床監控站10間使用RS-232介面即可勝任且 具成本優勢;該微控制器23,係容置於該殼體2 1中,其可 藉由該第一通訊介面2 2與該病床監控站1 0連接,以接收該Please refer to FIG. 3, which illustrates a schematic diagram of a relay station in the present case. As shown in the figure, the relay station 20 of the present invention further includes: a casing 21; a first communication interface 2 2; a microcontroller 2 3; and a second communication interface 24. Wherein the housing 21, such as but not limited to being made of acrylic, is used to carry the components described later; the first communication interface 22, such as but not limited to an RS-232 interface, is housed in the housing In the housing 21, the data is transmitted in series, because the distance between the beds in the ward is not far and the amount of data is not large, so the RS-232 interface can be used between the repeater 20 and the bed monitoring station 10. a cost advantage; the microcontroller 23 is disposed in the housing 21, and is connected to the hospital monitoring station 10 by the first communication interface 2 2 to receive the
第10頁 1254226 五、發明說明(7) 病床監控站1 0之訊息並將之轉換成該第二通訊介面24之格 式;以及第二通訊介面24,例如但不限於為“ —422介面, 係置於該殼體2 1中且耦接至該微控制器2 3,俾該微控制器 23可透過該第二通訊介面24將該病床監控站丨〇之訊息傳送 至該總中繼站裝置30。 請參照圖4,其繪示本案之總中繼站裝置3 〇之示意 圖。如圖所示,本案之總中繼站裝置3 〇進一步包括··殼體 3 1 ;第二通訊介面3 2 ;以及微控制器3 3。 其中’該殼體31,例如但不限於由壓克力所製成,係 用以承載後述之元件;該第二通訊介面3 2,例如但不限於 為RS-4 22介面,係容置於該殼體31中,其以匯流排方式串 接各中繼站2 0,以負責聯繫護理中心監控中心電腦4〇與各 病床監控站1 0間資料的雙向控制。因為病房之中繼器2 〇與 總中繼站裝置30間距離較遠且資料量較大,因此於中繼器 20及總中繼站裝置30間使用RS — 422介面,其具有高速、長 距離、穩定的傳輸效能之優點,其原理為一平衡型數位電 壓介面,傳輸方式是將訊號在傳送出去時會先分成正負的 。條線路曰到達接端後,再將訊號相減還原成原來訊 ,右叉雜吼干擾時,二條線同時存有雜訊,而還原時訊 號相減時就會自動濾除。所以比較能抗雜訊。其特性如 下·(、1)驅動器最多可推動丨〇台之中繼器2 〇 ; (2 )最大傳送 速度為10M Bits/Sec ·,以及(3)最大傳送距離L : i 2Page 10 1254226 V. Description of the invention (7) The message of the bed monitoring station 10 and convert it into the format of the second communication interface 24; and the second communication interface 24, such as but not limited to "-422 interface, The device is placed in the housing 21 and coupled to the microcontroller 23. The microcontroller 23 can transmit the message of the bed monitoring station to the total relay station device 30 through the second communication interface 24. Referring to Figure 4, there is shown a schematic diagram of the general relay station device 3 of the present invention. As shown, the total relay station device 3 of the present invention further includes a housing 3 1 ; a second communication interface 3 2 ; and a microcontroller 3 3. Wherein the housing 31, such as but not limited to being made of acrylic, is used to carry the components described later; the second communication interface 32, such as but not limited to the RS-4 22 interface, is The device is housed in the housing 31, and is connected in series with each relay station 20 in a busbar manner to be responsible for contacting the two-way control of the data between the monitoring center monitoring center computer and each bed monitoring station. Because of the ward repeater 2 〇 and the total relay station device 30 are far away and the amount of data is large Therefore, the RS-422 interface is used between the repeater 20 and the total relay station device 30, which has the advantages of high speed, long distance, and stable transmission performance. The principle is a balanced digital voltage interface, and the transmission method is to transmit the signal. When going out, it will be divided into positive and negative. After the line arrives at the end, the signal will be subtracted and reduced to the original signal. When the right fork is mixed, the two lines will have noise at the same time, and the signal will be subtracted when the signal is restored. Automatic filtering, so it is more resistant to noise. Its characteristics are as follows: (1) The driver can push up to 2 repeaters 2; (2) The maximum transmission speed is 10M Bits/Sec ·, and (3) Maximum transmission distance L : i 2
Km、’因此’採用RS-422介面即可符合一般中大型醫院之Km, 'so' can use the RS-422 interface to meet the needs of large and medium-sized hospitals.
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五、發明說明(8) 該微控制器33,係容置於# 二通訊介面32與該中繼站2〇及=殼體31中,其可藉由該第 以使護理中心監控中心電腦4 :理中心監控電腦40連接, 雙向控制。 ,、各病床監控站1 0間資料的 請參照圖5(a)〜(f),其八 30所採用之訊息格式示意圖:彳繪示本案之總中繼站裝置 裝置30係採用IEEE —422通信協^圖^,本案之總中繼站 式處理該中繼站20之資料^疋與分時(Time-sharing)模 總中繼站裝置30傳送至該護理與身份識別(ID)。其中,該 如圖5 ( a)所示,其格式如下·中〇皿控電細4 0之訊息格式 第二筆資料FE。其中,FF 55” 55 70第一筆資料70 息之起始、間隔及結束碼。FE等例如但不限於為訊 5 (b)如示,其長度較佳係為2為第一筆資料之格式,如圖 較佳係為位元7為點滴狀態,個位元組(Byte),且其内容 其中,當位元7為〇時表示尚而位元3〜位元〇為事件代碼。 了,而位元3〜位元〇事件代\ 點滴,為1時表示點滴快沒 克,〇 〇 1 0表示點滴回血了之編碼如下·· 〇 〇 〇 1表示休 0 10 1 1表示緊急,1 〇 〇 0表示藥物過敏以 表示疼痛,〇 1 1 η本-上 0 1 1表示氣喘 η本- a υ表不抽筋,〇 1 0表不發燒,1 〇 0 ] 1 ΤΧΛ α Λ 1表不口區吐,1 〇 1表示寒顫等狀況。 如圖5(c)所示,兮楚 ^ 元組,且其内容較佳^二^貪料之長度較佳係為一個位 碼,而位元2〜位元η 為位707〜位703為中繼站20之代 7^ ^ , 為I控站10之代碼。其中,与〜 位兀3中繼站20代 1 4位兀7 、、、之、扁碼如下:0 0 〇 1表示第一號中繼V. Description of the invention (8) The microcontroller 33 is placed in the #2 communication interface 32 and the relay station 2〇 and the housing 31, which can be used to enable the care center to monitor the central computer 4: The central monitoring computer 40 is connected and controlled in both directions. Please refer to Figure 5(a)~(f) for the information of each bed monitoring station. The format of the message format used by the eight30 is: The total relay station device 30 of the case is IEEE-422 communication protocol. ^Fig., the total relay station of the present case processes the data of the relay station 20 and the time-sharing mode relay station device 30 transmits the care and identification (ID). Among them, as shown in Figure 5 (a), the format is as follows: The message format of the middle control device is the second data FE. Among them, FF 55" 55 70 first data 70 start, interval and end code. FE, etc., for example but not limited to 5 (b) as shown, its length is preferably 2 for the first data The format, as shown in the figure, is that bit 7 is a drop state, a byte (Byte), and its content, when bit 7 is 〇, it indicates that the bit 3~bit is an event code. And the bit 3~bit 〇 event generation \ drip, when 1 means that the drip is fast, the 〇〇1 0 means that the code of the drop back is as follows. · 〇〇〇1 means rest 0 10 1 1 means urgent, 1 〇〇0 indicates drug allergy to indicate pain, 〇1 1 η本-上0 1 1 indicates asthma η本- a υ table does not cramp, 〇1 0 table does not have fever, 1 〇0] 1 ΤΧΛ α Λ 1 Area spit, 1 〇1 indicates chills, etc. As shown in Fig. 5(c), the ^^^ element group, and its content is better, the length of the greedy material is preferably a bit code, and the bit 2 The bit η is bit 707~bit 703 is the generation of the relay station 20 7^^, which is the code of the I control station 10. Among them, the bit station is replaced by the 中继3 relay station 20, the 1-4 bit, the flat code is as follows :0 0 〇 1 Indicates the first relay
1254226 五、發明說明(9) 站,〇 0 1 0表示第二號中繼站,0 〇 1 1表示第三號中繼 站;而如圖5 (d)所示,該位元2〜位元〇監控站1 〇代碼之編 碼如下·· 001表示第一號監控站,010表示第二號監控站以 及0 11表示第三號監控站。當具有如此格式之訊息被傳送 至護理中心監控電腦4 〇後,經由解碼後即可得知是哪一個 監控站1 0所傳送之哪一種狀況並顯示於該圖形介面4 1上, 以通知醫護人員前往處理。 如圖5 ( e )所示,其顯示該護理中心監控電腦4 0傳送至 該總中繼站裝置3 〇之訊息格式,其格式如下:該位元7〜5 為監控站1 0代碼,該位元4〜2為中繼站2 0代碼,位元卜〇為 訊息代碼。其中,該監控站丨〇代碼及該中繼站2 〇代碼如上 所述請參照圖5(d)。而該位元卜0訊息代碼之編碼如下·· 〇 0表示目前醫生不在,0 1表示數分鐘到達,1〇表示目前 護士不在以及1 1表示1 〇分鐘後到達。藉此格式之訊息 傳送至監控站1 〇後,即可將上述訊息例如”數分鐘到達” ^ 示f顯示裝置1 3,並以語音訊息呈現,提醒病人及其家屬 目前處理知狀況,以使病人及家屬放心。 本發明之護理中心監控電腦40其具有一圖形控制介^ 41,且較佳係以VB程式撰寫,該圖形控制介面41進一二" 括·一病房追蹤監控主畫面42、一護理監控人員 求狀況處理畫面43、一處理狀況自動追蹤考核人=; 面44及一醫護人員服務狀況分析表晝面45。 貝料: 請參照圖6 ( a), 之不思圖。如圖所示 監控主晝面42 主畫面42上可 其%示本案之病房追蹤 本案之病房追縱監控1254226 V. Description of invention (9) Station, 〇0 1 0 indicates the second relay station, 0 〇1 1 indicates the third relay station; and as shown in Figure 5 (d), the bit 2~bit 〇 monitoring station 1 The code of the code is as follows: · 001 indicates the No. 1 monitoring station, 010 indicates the No. 2 monitoring station and 0 11 indicates the No. 3 monitoring station. After the message having the format is transmitted to the monitoring center monitoring computer 4, it can be decoded to know which one of the monitoring stations 10 transmitted and displayed on the graphic interface 4 1 to notify the medical care. The staff went to the process. As shown in FIG. 5(e), the message format of the care center monitoring computer 40 transmitted to the total relay station device 3 is displayed, and the format is as follows: the bits 7 to 5 are the monitoring station 1 0 code, and the bit is 4~2 is the relay station 2 0 code, and the bit code is the message code. The monitoring station code and the relay station 2 code are as described above with reference to FIG. 5(d). The code of the bit 0 message code is as follows: · 表示 0 means that the doctor is not present, 0 1 means arrival in a few minutes, 1 means that the current nurse is absent and 1 1 means 1 minute later. After the message of this format is transmitted to the monitoring station 1 , the above message can be displayed, for example, “a few minutes to arrive”, and the device 1 3 is displayed, and the voice message is presented to remind the patient and his family to process the current situation so that the current situation can be Patients and their families are assured. The care center monitoring computer 40 of the present invention has a graphic control interface 41, and is preferably written in a VB program. The graphic control interface 41 is a one-two-in-one ward tracking monitoring main screen 42 and a nursing monitoring personnel. The situation processing screen 43, the processing status automatic tracking assessor =; face 44 and a medical staff service status analysis table 45. Shell material: Please refer to Figure 6 (a), without thinking. As shown in the figure, the main screen 42 of the monitoring main screen 42 can be used to track the ward of the case.
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五、發明說明(ίο) 顯示病狀、病房號、病床號、時間、點滴狀況、是否處理 等狀況。例如,第三號病房之第二號病人於上午九點三十 五分發出休克狀態通知護理中心監控電腦4 0,並顯示處理 中之狀態或其他未處理之各種狀態供醫護人貝之$周派之炎 考。 請參照圖6 ( b),其繪示本案之護理監控人員對病人要 求狀況處理畫面4 3之示意圖。如圖所示’本案之護理監抑 人員對病人要求狀況處理晝面4 3上可顯示訊息、狀況、回 應、點滴狀況、醫護人員狀況、輸入狀態處理醫護人員j D 以及傳送處理等選項。例如,第一號病房之第一號病床之 病人發出休克之狀態訊號,且同時顯示點滴尚未用完,則 護理監控人員根據目前狀況輸入醫生目前不在以及數分鐘 後可到達之訊息,此訊息將會被送至該監控站丨〇並顯示於 顯示裝置1 3上,以通知病人及家屬目前之處理狀態。 請參照圖6 ( c),其繪示本案之處理狀況自動追蹤考核 人事貪料畫面44之示意圖。如圖所示,本案之處理狀況自 動追,考核人事資料晝面44上可顯示編號、醫護人員代 號u、醫護人員姓名、處理日期、病房及狀況等訊息。例如 編號為1、代號為s —845 1 1 8之醫生吳忠昇於2〇〇1/1〇/8處理 第虎病房病人之嘔吐狀況,以供醫院之人事追蹤考核, 且若萬一發生醫療糾紛時亦可當作佐證。 2照圖6(d),其緣示本案之醫護人員服務狀況分析 ‘:丰*之不意圖。如圖所示’ I案之醫護人員服務狀況 表|面45上可顯示醫院清冊、曰期、醫護人員代號、V. Description of the invention (ίο) shows the condition, ward number, bed number, time, drip condition, treatment, etc. For example, the second patient in the third ward issued a shock status at 9:35 am to inform the nursing center to monitor the computer 40, and display the status of the treatment or other unprocessed status for the medical staff. The test of the inflammation. Please refer to FIG. 6(b), which illustrates a schematic diagram of the patient care status processing screen 43 in the present case. As shown in the figure, the nursing supervisor in this case can display the message, status, response, drip status, medical staff status, input status processing medical staff j D, and transmission processing on the patient request status. For example, if the patient in the first bed of the first ward sends a shock status signal and the drip is not used up yet, the nursing monitor enters the message that the doctor is not present and can be reached in a few minutes according to the current situation. It will be sent to the monitoring station and displayed on the display device 13 to inform the patient and the family of the current processing status. Please refer to FIG. 6(c), which illustrates a schematic diagram of the automatic tracking and checking of the personnel graciousness screen 44 in the processing status of the present case. As shown in the figure, the handling status of this case is automatically chased. The personnel information on the face 44 can display the number, the medical staff code u, the name of the medical staff, the date of treatment, the ward and the status. For example, doctor Wu Zhongsheng, numbered s - 845 1 1 8 , treated the vomiting status of the patient in the tiger ward at 2〇〇1/1〇/8 for the personnel assessment of the hospital, and in case of medical treatment The dispute can also be used as evidence. 2 According to Figure 6 (d), the reason for the analysis of the service status of the medical staff in this case ‘: Feng* is not intended. As shown in the 'I case, the medical staff service status table|Face 45 can display the hospital inventory, the flood season, the medical staff code,
第14頁 1254226 五、發明說明(11) 醫護人員職稱、處理日期、病房及狀況等訊息。例如代號 為S-845118之醫生吳忠昇於2 001 η 〇/8早上2點22分處理第 3號病房第二號病床病人之"區吐狀況,以供醫院之人事追 蹤考核,且若萬一發生醫療糾紛時亦可當作佐證。 請參照圖7,其繪示本案之圖形控制介面4 1之操作程 序示意圖。如圖所示,本案之圖形控制介面4 1之操作程序 如下:使用者輸入密碼(步驟1 );判斷密碼是否正確,若 不正確次數超過三次則退出該圖形控制介面41 (步驟2); 顯示該病房追蹤監控主畫面42 (步驟3);判斷是否有狀況 發生(步驟4 );顯示該護理監控人員對病人要求狀況處理 晝面4 3並存檔(步驟5 );傳送處理狀況訊息至該病床監控 站1 0上供病人參考(步驟6 );判斷狀況是否處理完畢(步驟 Ό ;輸入處理醫護人員之身份識別碼(步驟8 );以及刪除 本處理資料檔(步驟9)。 其中,於該步驟1及2中,要求使用者輸入密碼之目的 係進入系統之前確定使用者是否為本醫院人員;於該步驟 3中係讓系統判斷是否進入顯示該病房追蹤監控主畫面 42 ;於該步驟4中,係顯示目前有多少筆資料等待處理; 於該步驟5中,等待某病房之病患所傳送的隨機訊息,使 醫護人員了解病患的情況,使護理站人員能對病患所傳送 的訊息加以處理;於該步驟6中,護理站之監控人員是否 透過螢幕上之四種回應狀況,即時透過串列通訊埠,將處 理訊息傳送至病人監控站1 0之LCD顯示裝置1 3上顯示,以 通知病人或家屬使病患了解護理站人員所要處理的狀況·Page 14 1254226 V. Description of the invention (11) Information on the title, date of treatment, ward and condition of the medical staff. For example, Dr. Wu Zhongsheng, code-named S-845118, treated the patient's second spouse patient's condition in the No. 3 ward at 2 001 η 〇/8 2:22 in the morning for the personnel assessment of the hospital, and Ruo Wan It can also be used as evidence in the event of a medical dispute. Please refer to FIG. 7, which illustrates a schematic diagram of the operation of the graphical control interface 41 of the present invention. As shown in the figure, the operation procedure of the graphic control interface 41 of the present case is as follows: the user inputs a password (step 1); determines whether the password is correct, and exits the graphic control interface 41 if the number of incorrect times exceeds three times (step 2); The ward tracking monitoring main screen 42 (step 3); determining whether a condition has occurred (step 4); displaying the care monitoring personnel processing the patient request status and archiving (step 5); transmitting the processing status message to the hospital bed The monitoring station 10 is for patient reference (step 6); determining whether the condition is processed (step Ό; inputting the identification code of the processing medical staff (step 8); and deleting the processing data file (step 9). In steps 1 and 2, the user is required to input a password to determine whether the user is a hospital personnel before entering the system; in the step 3, the system determines whether to enter the display ward tracking monitoring main screen 42; In the middle, it shows how many pieces of data are currently waiting to be processed; in this step 5, waiting for the random message transmitted by the patient in a ward, so that the medical staff can understand the condition of the patient. To enable the staff of the nursing station to process the messages transmitted by the patients; in step 6, whether the monitoring staff of the nursing station transmits the processing messages to the patient through the serial communication through the four response situations on the screen. The LCD display device 13 of the monitoring station 10 is displayed to notify the patient or family to let the patient know the condition to be handled by the nursing station personnel.
第15頁 1254226 五、發明說明(12) ---- 於該步驟8中,鍵入負責處理的醫生或護士的識別號碼, 以及對病患所處理病症情況,使護理站人員知道那一筆資 料J理完畢;於該步驟9中,將*醫生或護士對病患的病、 ^處理完畢後由護理站人員將之前病患所傳送 檔刪除。 士請參照圖8,其繪示本案之點滴自動偵測與自動回報 裝置之示意圖。如圖所示,本案之全方位醫院病房管理自 動化控制系統,其進一步包括一點滴自動偵測與自動回報 裝置6 0,係耦接至該監控站1 〇,其可自動偵測病人所打的 點滴是否即將打完,並將此一訊息透過監控站丨〇自動傳達 至該護理中心監控電腦4 0。其中,該點滴自動偵測與自動 回報裝置60較佳係使用懸吊式重力計感測的方式,^侦測 該點濟之容量是否低於預設值,當低於預設值時即產生1 點滴將用完之訊號至該監控站1 〇。 所以,經由本案之實施,其可使病房中之各種狀況皆 可透過單獨按鍵傳送並顯示於護理中心監控電腦,以便醫 護人員及時了解病房中病人之狀況,且護理中心監控電腦 之處理狀況亦可雙向傳送及顯示於病房之病床監控站上, 使病人或家屬可以了解醫護人員之處理狀況,因此,可解 決習知醫院管理系統之缺點。 本案所揭示者,乃較佳實施例,舉凡局部之變更或修飾而 源於本案之技術思想而為熟習該項技藝之人所易於推知 者,倶不脫本案之專利權範疇。 綜上所陳,本案無論就目的、手段與功效,在在顯示其週Page 15 1254226 V. Description of Invention (12) ---- In this step 8, type the identification number of the doctor or nurse responsible for the treatment, and the condition of the patient's treatment, so that the nursing station personnel know the information J After the completion of the step; in the step 9, the doctor or the nurse will delete the disease transmitted by the patient after the treatment of the patient's disease, ^ by the nursing station personnel. Please refer to FIG. 8 , which is a schematic diagram of the automatic detection and automatic return device of the present invention. As shown in the figure, the omni-directional hospital ward management automation control system of the present case further includes a drop automatic detection and automatic return device 60, coupled to the monitoring station 1 〇, which can automatically detect the patient's hit Whether the drop is about to be finished, and the message is automatically transmitted to the care center monitoring computer 40 through the monitoring station. Preferably, the automatic detection and automatic reporting device 60 uses a suspended gravity meter sensing method to detect whether the capacity of the point is lower than a preset value, and is generated when the value is lower than a preset value. 1 Click the signal that will run out to the monitoring station 1 〇. Therefore, through the implementation of this case, the various conditions in the ward can be transmitted through a separate button and displayed in the monitoring center monitoring computer, so that the medical staff can timely understand the condition of the patient in the ward, and the nursing center can monitor the processing status of the computer. The two-way transmission and display on the bed monitoring station of the ward allows the patient or family to understand the treatment status of the medical staff, and thus can solve the shortcomings of the conventional hospital management system. The disclosure of the present invention is a preferred embodiment. Any change or modification of the present invention, which is derived from the technical idea of the present invention, is easily inferred by those skilled in the art, and does not deviate from the scope of patent rights of the present invention. In summary, the case is showing its purpose regardless of its purpose, means and efficacy.
1254226 五、發明說明(13) 異於習知之技術特徵,且其首先發明合於實用,亦在在符 合發明之專利要件,懇請 貴審查委員明察,並祈早曰賜 予專利,俾嘉惠社會,實感德便。1254226 V. Description of invention (13) Different from the technical characteristics of the prior art, and its first invention is practical and suitable, and it is also in compliance with the patent requirements of the invention, please ask the reviewing committee to inspect it, and pray for the patent, 俾惠惠社会, Real sense of virtue.
第17頁 1254226 圖式簡單說明 【圖式簡單說明】 圖1是一示意圖,其繪示本案一較佳實施例之全方位 醫院病房管理自動化控制系統之方塊示意圖。 圖2是一示意圖,其繪示本案之病床監控站之示意 圖。 圖3是一示意圖,其繪示本案之中繼站20之方塊示意 圖。 圖4是一示意圖,其繪示本案之總中繼站裝置30之方 塊示意圖。Page 17 1254226 BRIEF DESCRIPTION OF THE DRAWINGS [Brief Description of the Drawings] FIG. 1 is a schematic diagram showing a block diagram of an all-round hospital ward management automation control system in accordance with a preferred embodiment of the present invention. Fig. 2 is a schematic view showing a schematic view of a bed monitoring station of the present invention. Figure 3 is a schematic diagram showing a block diagram of the relay station 20 of the present invention. Figure 4 is a schematic diagram showing the block diagram of the general relay station apparatus 30 of the present invention.
圖5 (a)〜(f )是示意圖,其分別繪示本案之總中繼站裝 置3 0所採用之訊息格式示意圖。 圖6(a)是一示意圖,其繪示本案之病房追蹤監控主畫 面4 2之示意圖。 圖6(b)是一示意圖,其繪示本案之護理監控人員對病 人要求狀況處理畫面4 3之示意圖。 圖6(c)是一示意圖,其繪示本案之處理狀況自動追蹤 考核人事資料晝面44之示意圖。5(a) to (f) are schematic views respectively showing the format of a message used by the general relay station device 30 of the present invention. Fig. 6(a) is a schematic view showing the main picture 42 of the ward tracking monitoring of the present case. Fig. 6(b) is a schematic view showing the care monitoring personnel in the case of the patient request status processing screen 43. Fig. 6(c) is a schematic view showing the processing status of the case automatically tracking the personnel data 44.
圖6 (d )是一示意圖,其繪示本案之醫護人員服務狀況 分析表晝面45之示意圖。 圖7是一示意圖,其繪示本案之圖形控制介面41之操 作程序示意圖。 圖8是一示意圖,其繪示本案之點滴自動偵測與自動 回報裝置之示意圖。 【主要元件符號說明】Fig. 6(d) is a schematic view showing a schematic view of the medical staff analysis status table 45 of the present invention. Fig. 7 is a schematic view showing the operation procedure of the graphic control interface 41 of the present invention. Fig. 8 is a schematic view showing the automatic detecting and automatic returning device of the present invention. [Main component symbol description]
第18頁 1254226Page 18 1254226
圖式簡單說明 微控制器11 顯示裝置1 3 按鍵1 5 病床監控站1 0 語音控制晶片1 2 s吾音輸出裝置14 中繼站2 0 第一通訊介面22 第二通訊介面24 殼體31 微控制器3 3 圖形控制介面41The diagram briefly illustrates the microcontroller 11 display device 1 3 button 1 5 bed monitoring station 1 0 voice control chip 1 2 s voice output device 14 relay station 2 0 first communication interface 22 second communication interface 24 housing 31 microcontroller 3 3 Graphic Control Interface 41
殼體16 殼體21 微控制器2 3 總中繼站裝置3 〇 第二通訊介面32 遵理中心監控電腦4 〇 病房追蹤監控主晝面42 護理監控人g m + ^ ^ 、對病人要求狀況處理畫面43 處理狀況自動抬和土 醫護人員服務狀、、兄J f人事資料畫面4 4 GPS衛星追蹤襄置5〇刀析表晝面45 點滴自動偵测與 ,、目動回報裝置60Housing 16 Housing 21 Microcontroller 2 3 Total relay station device 3 〇 Second communication interface 32 Compliance center monitoring computer 4 〇 ward tracking monitoring main 42 42 Care monitoring person gm + ^ ^, patient request status processing screen 43 The processing status is automatically raised and the service personnel of the medical staff, the brother J f personnel information screen 4 4 GPS satellite tracking device 5 file analysis table 45 points automatic detection and, visual reward device 60
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TWI570650B (en) * | 2011-11-03 | 2017-02-11 | 羅翊峰 | Bed turn-around system for hospital |
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