TWI464613B - Temporary or first dose of the doctor's advice system and methods - Google Patents
Temporary or first dose of the doctor's advice system and methods Download PDFInfo
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本發明係與一種醫療資訊系統有關,特別是指一種臨時或首劑醫囑的提示系統與方法。The present invention relates to a medical information system, and more particularly to a reminder system and method for temporary or first dose orders.
以往醫院執行醫囑的方式,通常是醫師利用電腦輸入醫囑之後,由護理站印出醫囑單,再由護理長分別通知負責執行該份醫囑單的護理人員,進而執行醫囑單上記載的醫囑。然而,以往的醫囑執行方式常常會有醫囑遺漏的狀況,因此近來許多醫院使用行動護理站或是將醫療紀錄電子化,使得護理人員在值班的過程中可以隨時查詢病人的醫囑資料,以降低醫囑遺漏的情況。In the past, the way in which a hospital performed a doctor's order was usually after the doctor used the computer to enter the doctor's order, the doctor's order was printed by the nursing station, and then the nursing director separately notified the nursing staff responsible for executing the medical order, and then executed the medical order recorded on the medical order. However, in the past, there were often medical malpractices in the implementation of medical orders. Therefore, many hospitals have recently used mobile nursing stations or electronically recorded medical records, so that nursing staff can check the doctor's medical information at any time during the duty shift to reduce medical advice. Missing situation.
但是使用行動護理站或是將醫療紀錄電子化,仍然無法即時地將醫囑資訊通知給值班中的護理人員,特別是臨時醫囑以及首劑醫囑,臨時醫囑通常在30分鐘內必須要完成執行,首劑醫囑則是要在指定的時間前用藥,因此這兩種醫囑具有執行上的時效性與急迫性。當醫師開立臨時或首劑醫囑之後,值班中的護理人員無法馬上知悉臨時或首劑醫囑的開立,便很容易遲延臨時或首劑醫囑的執行時機。However, using the mobile care station or electronically recording the medical records, it is still impossible to immediately notify the caregivers on duty, especially the temporary medical advice and the first medical order. The temporary medical order usually has to be completed within 30 minutes. The doctor's advice is to use the medicine before the specified time, so the two doctors have the timeliness and urgency of implementation. When the physician opens a temporary or first dose of care, the caregiver on duty can't immediately know the opening of the temporary or first dose of medical order, it is easy to delay the execution time of the temporary or first dose of doctor's orders.
本發明之主要目的在於提供一種臨時或首劑醫囑的提示系統與方法,其可即時地提示臨時或首劑醫囑的開立並且提昇臨時或首劑醫囑的執行率。It is a primary object of the present invention to provide a temporary or first dose instruction system and method that promptly prompts the opening of a temporary or first dose of medical order and increases the rate of execution of a temporary or first dose of medical order.
為達成上述目的,本發明提供一種臨時或首劑醫囑的提示系統,其包含有一人員資料庫、一病歷資料庫以及一護理作業模組,其中該人員資料庫內建有一護理人員資料表,用以儲存複數護理人員資料紀錄;該病歷資料庫內建有一病歷資料表以及一醫囑資料表,該病歷資料表儲存有複數病歷紀錄,該醫囑資料表儲存有複數醫囑紀錄;以及該護理作業模組具有一護理作業介面、一處理模組以及一判斷模組,該處理模組藉由一第一條件結合並比對該護理人員資料表與該病歷資料表以選取出一特定病歷紀錄,該判斷模組藉由該特定病歷紀錄比對該醫囑資料表以選取出一對應於該特定病歷紀錄的特定醫囑紀錄,進一步藉由一第二條件判斷該特定醫囑紀錄是否為臨時或首劑醫囑,並且傳送一肯定訊號或一否定訊號至該護理作業介面,使該護理作業介面接收該肯定訊號後產生一警示。In order to achieve the above object, the present invention provides a temporary or first medical order prompting system, which comprises a personnel database, a medical record database and a nursing operation module, wherein the personnel database has a nursing staff data table built therein. To store a record of the multiple nurses' data; the medical record database has a medical record data form and a medical information form, the medical record data table stores a plurality of medical record records, the medical record data table stores a plurality of medical records; and the nursing operation module The utility model has a nursing work interface, a processing module and a judging module. The processing module combines and compares the nursing staff data table with the medical record data table to select a specific medical record by a first condition. The module further determines, by the second condition, whether the specific medical record is a temporary or first dose by using the specific medical record to select a specific medical record corresponding to the specific medical record, and Sending a positive signal or a negative signal to the nursing work interface, so that the nursing work interface receives the Ken After generating a warning signal.
本發明另外提供一種臨時或首劑醫囑的提示方法,包含有下列步驟:(a)依照一身分辨識碼選擇出一特定病歷紀錄;(b)依照該特定病歷紀錄內的一醫囑序號選擇出一特定醫囑紀錄;(c)顯示該特定病歷紀錄與該特定醫囑紀錄於一護理作業介面;(d)判斷該特定醫囑紀錄是否為臨時醫囑或首劑醫囑;以及(e)傳送一肯定訊號或一否定訊號至該護理作業介面,使該護理作業介面接收該肯定訊號後產生一警示。The invention further provides a method for prompting a temporary or first dose of medical order, comprising the steps of: (a) selecting a specific medical record according to an identification code; and (b) selecting a medical order number in the specific medical record. (c) display the specific medical record and the specific medical record in a nursing operation interface; (d) determine whether the particular medical record is a temporary medical order or first medical order; and (e) transmit a positive signal or a Negating the signal to the care job interface, causing the care work interface to receive a warning after receiving the positive signal.
藉由上述技術特徵,本發明所提供的臨時或首劑醫囑的提示系統與方法可從病歷資料庫中找出屬於特定病人的臨時或首劑醫囑,並且透過護理作業介面發出警示,使負責照護的護理人員能夠即時的被通知到特定病人有臨時醫囑或是首劑醫囑的開立,進而提昇臨時醫囑以及首劑醫囑的執行率。According to the above technical features, the temporary or first medical order prompting system and method provided by the present invention can find a temporary or first medical order belonging to a specific patient from the medical record database, and issue a warning through the nursing work interface to make the care The caregiver can be immediately notified that a specific patient has a temporary medical order or the opening of the first medical order, thereby increasing the execution rate of the temporary medical order and the first medical order.
有關本發明之詳細構造、特點、組裝方式或使用方式,將於後續之詳細說明中予以描述。然而,在本發明領域中具有通常知識者應能瞭解,該等詳細說明以及實施本發明所列舉之特定實施例,僅用於說明本發明,並非用以限制本發明之專利申請範圍。Detailed construction, features, assembly or use of the present invention will be described in the detailed description that follows. However, it should be understood by those of ordinary skill in the art that the present invention is not limited by the scope of the invention.
以下將藉由所列舉之實施例,配合隨附之圖式,詳細說明本發明之技術內容及特徵,其中:如第一圖至第三圖所示,本發明第一較佳實施例所提供之臨時或首劑醫囑的提示系統10主要包含有一人員資料庫20、一病歷資料庫30以及一護理作業模組40。The technical contents and features of the present invention will be described in detail below with reference to the accompanying drawings, wherein: FIG. 1 to FIG. 3 are provided to provide a first preferred embodiment of the present invention. The temporary or first dose instruction system 10 mainly includes a personnel database 20, a medical record database 30, and a nursing operation module 40.
人員資料庫20係用以儲存所有人員的人事資料,其內建有一護理人員資料表22,護理人員資料表22內儲存有複數筆護理人員資料紀錄221,各筆護理人員資料紀錄221內包含有護理人員辨識碼221a、所屬護理站221b、照護床號221c等等資料項目。The personnel database 20 is used for storing personnel information of all personnel, and has a nursing staff information table 22 therein. The nursing staff information table 22 stores a plurality of nursing staff data records 221, and each nursing staff data record 221 includes The nursing staff identification code 221a, the nursing station 221b, the nursing bed number 221c, and the like are data items.
病歷資料庫30係用以儲存全部病患的病歷資料,內建有一病歷資料表32以及一醫囑資料表34。The medical record database 30 is used to store medical records of all patients, and has a medical record data table 32 and a medical information table 34.
病歷資料表32內包含有複數筆病歷紀錄321,各筆病歷紀錄321內包含有病患辨識碼321a、姓名321b、所屬護理站321c、床號321d等資料項目,其中病患辨識碼321a係用以辨別各個病患的身分,可以利用例如病歷號碼、住院號碼或身分證字號等具有身分專一性的編碼,來達到辨識病患身分的作用;醫囑資料表34內則包含有複數筆醫囑紀錄341,各筆醫囑紀錄341內包含有病患辨識碼341a、醫囑序號341b、頻次341c、首劑341d、所屬護理站341e、床號341f等等資料項目,其中醫囑序號341b係各筆醫囑紀錄341的編號,頻次341c則是各筆醫囑執行的頻率與時機,首劑341d則是用以紀錄各筆醫囑是否為首劑醫囑(Y/N),所屬護理站341e與床號341f則是各筆醫囑紀錄341所適用的特定病患所屬護理站與病床床號。The medical record data table 32 includes a plurality of medical record records 321 , and each medical record record 321 includes a patient identification code 321a, a name 321b, a nursing station 321c, a bed number 321d, and the like, wherein the patient identification code 321a is used. In order to distinguish the identity of each patient, it is possible to use the code of identity specificity such as medical record number, hospital number or identity card number to identify the patient's identity; the medical information sheet 34 contains multiple medical records 341. Each medical record 341 contains a patient identification code 341a, a medical order number 341b, a frequency 341c, a first dose 341d, a nursing station 341e, a bed number 341f, and the like, wherein the medical order number 341b is a medical record 341. No., frequency 341c is the frequency and timing of each doctor's order. The first dose of 341d is used to record whether each doctor's order is the first doctor's order (Y/N). The nursing station 341e and bed number 341f are the doctor's records. The nursing station and bed number of the specific patient to which the 341 is applied.
護理作業模組40具有一護理作業介面42、一處理模組44以及一判斷模組46。The nursing operation module 40 has a nursing work interface 42, a processing module 44, and a determination module 46.
護理作業介面42建立有一病患清單421以及一護理站顯示區422,其中病患清單421具有一病患顯示欄423,各筆病患顯示欄423內顯示有床號與姓名,護理站顯示區422則顯示有護理站代號;再者護理人員可透過護理作業介面42登入臨時或首劑醫囑的提示系統10。The nursing work interface 42 is provided with a patient list 421 and a nursing station display area 422. The patient list 421 has a patient display column 423, and the bed number and name are displayed in each patient display column 423, and the nursing station display area is displayed. 422 then displays the care station code; in addition, the caregiver can log in to the temporary or first dose order reminder system 10 through the care work interface 42.
處理模組44藉由一第一條件結合並比對護理人員資料表22與病歷資料表32以選取出一特定病歷紀錄321’。進一步而言,第一條件係指當護理人員登入臨時或首劑醫囑的提示系統10時,處理模組44便可根據所屬護理站欄以及床號欄結合護理人員資料表22與病歷資料表32,比對護理人員登入時所輸入的護理人員辨識碼與護理人員資料紀錄221內的護理人員辨識碼221a項目以選擇出該位護理人員所負責照護的一個特定病患的特定病歷紀錄321’,並且將這個特定病患的姓名與床號顯示於病患清單421內的一個特定病患顯示欄423’,以及將該位護理人員所屬的護理站顯示於護理站顯示區422。The processing module 44 combines and compares the caregiver data table 22 with the medical record data table 32 by a first condition to select a particular medical record 321'. Further, the first condition means that when the caregiver logs into the prompting system 10 of the temporary or first dose order, the processing module 44 can combine the nursing staff data table 22 and the medical record data table 32 according to the nursing station column and the bed number column. Comparing the nursing staff identification code entered during the login of the nursing staff with the nursing staff identification code 221a item in the nursing staff data record 221 to select a specific medical record 321 ' of a particular patient to be cared for by the nursing staff member, And the name and bed number of this particular patient are displayed on a specific patient display column 423' in the patient list 421, and the nursing station to which the caregiver belongs is displayed on the care station display area 422.
判斷模組46則藉由特定病歷紀錄321’比對醫囑資料表34以選取出一對應於特定病歷紀錄321’的特定醫囑紀錄341’,進而藉由一第二條件判斷特定醫囑紀錄341’是否為首劑醫囑或臨時醫囑,並且傳送一肯定訊號或一否定訊號至護理作業介面42,使護理作業介面42接收肯定訊號後產生一警示。The judging module 46 selects a specific medical record 341' corresponding to the specific medical record 321' by using the specific medical record 321' to compare the medical information table 34, and then determines whether the specific medical record 341' is determined by a second condition. For the first dose or temporary medical advice, and send a positive signal or a negative signal to the care work interface 42, the care work interface 42 receives a positive signal and generates a warning.
進一步而言,第二條件係指該醫囑資料表34內的頻次欄紀錄為立即使用(STAT),或是首劑欄紀錄為肯定(Y)。判斷模組46可以一預定頻率的方式,例如一分鐘、二分鐘、五分鐘或十分鐘等,或是一手動刷新的方式,讀取各筆特定醫囑紀錄341’內的頻次341c’與首劑341d’項目,來判斷各筆特定醫囑紀錄341’是否屬於臨時醫囑或首劑醫囑,以傳送一肯定訊號或一否定訊號至護理作業介面42,使護理作業介面42產生出警示。Further, the second condition means that the frequency column in the medical order data table 34 is recorded as immediate use (STAT), or the first dose column is recorded as positive (Y). The determining module 46 can read the frequency 341c' and the first dose in each specific medical record 341' in a predetermined frequency manner, for example, one minute, two minutes, five minutes or ten minutes, or a manual refreshing manner. The 341d' item determines whether each particular medical record 341' is a temporary medical order or a first medical order to transmit a positive signal or a negative signal to the nursing work interface 42, causing the nursing work interface 42 to generate a warning.
如第三圖所示,若是醫囑資料表34內的一筆特定醫囑紀錄341’的頻次項目341c’為立即使用(STAT),或者該筆特定醫囑紀錄341”的首劑項目341d”首劑紀錄為肯定(Y)時,則傳送肯定訊號至護理作業介面42,使護理作業介面42產生出警示;若該筆特定醫囑紀錄341”內頻次紀錄不是立即使用(STAT)並且首劑紀錄為否定(N)時,則傳送否定訊號至護理作業介面42,此時護理作業介面42便不會產生警示。As shown in the third figure, if the frequency item 341c' of a specific medical record 341' in the medical order data table 34 is the immediate use (STAT), or the first dose item 341d of the specific medical record 341", the first dose record is In the case of affirmative (Y), a positive signal is transmitted to the care work interface 42 to cause the care work interface 42 to generate a warning; if the specific medical record 341" internal frequency record is not immediately used (STAT) and the first dose record is negative (N) When the negative signal is sent to the care work interface 42, the care work interface 42 will not generate a warning.
如第二圖與第三圖所示,病患清單421內所顯示的床號進一步具有一第一字型色424與一第二字型色425,第一字型色424為預設的字型色,第二字型色425則為與背景相同的背景色,第一字型色424與第二字型色425交替地變換以形成警示,亦即當護理作業介面42接收到肯定訊號時,病患清單421內對應的特定病患顯示欄423’內的床號便會在視覺上發生閃爍效果而產生警示,當護理作業介面42接收到否定訊號時,對應的特定病患顯示欄423’內的床號便不會發生閃爍效果而沒有警示。需附帶說明者為,警示的方式不以本實施例所揭露的閃爍方式為限,亦可以是以顯示出中文字、英文字、符號、顏色變換或者跳出視窗等警示方式中的任何一種方式,並且持續一預定時間,例如12小時之後,警示便會停止。As shown in the second and third figures, the bed number displayed in the patient list 421 further has a first font color 424 and a second font color 425, and the first font color 424 is a preset word. The color, the second font 425 is the same background color as the background, and the first font 424 and the second font 425 are alternately transformed to form an alert, that is, when the care interface 42 receives the positive signal. The bed number in the corresponding patient display column 423' in the patient list 421 will visually flash the effect and generate a warning. When the care work interface 42 receives the negative signal, the corresponding specific patient display column 423 'The bed number inside will not flash and there is no warning. It should be noted that the manner of warning is not limited to the blinking method disclosed in the embodiment, and may be any one of warning manners such as displaying Chinese characters, English characters, symbols, color conversion or jumping out of the window. And for a predetermined period of time, for example 12 hours, the warning will stop.
藉此,本發明所提供的臨時或首劑醫囑的提示系統可以從醫囑資料庫中選取出特定的醫囑紀錄,並且依照各個護理人員所照護的病人群組,將有開立臨時醫囑和首劑醫囑的狀況顯示在病人表列的地方,讓負責照護的護理人員能夠即時的被通知到個別病人有臨時醫囑或是首劑醫囑的開立,而能快速的執行臨時醫囑或是首劑醫囑,以達到提昇臨時醫囑或首劑醫囑執行率的效果。Thereby, the temporary or first medical order prompting system provided by the present invention can select a specific medical record from the medical database, and according to the patient group to be cared by each nursing staff, there will be a temporary medical order and the first dose. The condition of the doctor's order is displayed in the patient's list, so that the caregiver who is responsible for the care can be immediately notified that the individual patient has a temporary medical order or the opening of the first medical order, and can quickly execute the temporary medical order or the first medical order. In order to improve the effectiveness of temporary medical orders or the first dose of doctor's advice.
第四圖至第六圖為本發明第二較佳實施例所提供的臨時或首劑醫囑的提示系統50,其主要技術特徵與第一較佳實施例完全相同,不同之處在於第二較佳實施例中臨時或首劑醫囑的提示系統50更包含有一醫師端90以及一護理端100、病歷資料庫70更內建有一簽用資料表76並且護理作業模組80更具有一寫入模組88。The fourth to sixth figures are the temporary or first dose instruction system 50 according to the second preferred embodiment of the present invention, and the main technical features thereof are identical to the first preferred embodiment, except that the second comparison is In the preferred embodiment, the temporary or first dose instruction system 50 further includes a physician end 90 and a care end 100. The medical record database 70 has a built-in data sheet 76 and the care operation module 80 has a write mode. Group 88.
簽用資料表76內儲存有複數筆簽用紀錄761,各筆簽用紀錄761內則包含有醫囑序號761a、簽用時間761b、護理人員辨識碼761c等等資料項目。寫入模組88則是用以將護理作業介面82所輸入的複數筆簽用紀錄761儲存至簽用資料表76內。The signature data table 76 stores a plurality of signature records 761, and each of the signature records 761 includes a medical order number 761a, a visa time 761b, a caregiver identification code 761c, and the like. The write module 88 is used to store the plurality of signature records 761 input by the care work interface 82 into the signature data table 76.
判斷模組86可進一步藉由特定病歷紀錄621’結合並比對醫囑資料表64與簽用資料表76以選取出一對應於特定病歷紀錄621’的特定醫囑紀錄641’與一對應特定醫囑紀錄641’的特定簽用紀錄761’,進而藉由一第三條件判斷特定醫囑紀錄641’是否為未簽用的首劑醫囑或臨時醫囑,其中第三條件係指醫囑資料表64內的頻次欄紀錄為立即使用(STAT)且簽用資料表76內的簽用時間欄及護理人員辨識碼欄尚未紀錄;或是醫囑資料表64內的首劑欄紀錄為肯定(Y)且簽用資料表76內的簽用時間欄及護理人員辨識碼欄尚未紀錄。The judging module 86 can further combine and compare the medical information table 64 and the signing data table 76 by the specific medical record 621' to select a specific medical record 641' corresponding to the specific medical record 621' and a corresponding specific medical record. 641' specific signing record 761', and then determining whether the specific medical record 641' is an unsigned first medical order or temporary medical order by a third condition, wherein the third condition refers to the frequency column in the medical information table 64 The record is for immediate use (STAT) and the time stamp column and the nurse identification code column in the data sheet 76 have not been recorded; or the first dose column in the medical information table 64 is affirmative (Y) and the data sheet is signed. The signing time column and the nursing staff identification code column in 76 have not been recorded.
亦即如第五圖所示,當護理人員由護理作業介面82上發現病患清單821內特定病患顯示欄823’的床號在視覺上發生閃爍效果而產生警示時,表示該位特定病患有一個臨時醫囑或首劑醫囑需要執行,護理人員執行完醫囑之後,便可透過護理作業介面82輸入簽用紀錄761,各筆簽用紀錄761內包含有簽用時間、護理人員辨識碼等等資料項目,寫入模組88便將上述資料紀錄至簽用資料表76中的對應欄位。如第六圖所示,此時判斷模組86讀取到對應於該位特定病患顯示欄823’的特定簽用紀錄761’內簽用時間761b’與護理人員辨識碼761c’資料項目內已經有紀錄,便會傳送否定訊號至護理作業介面82,使護理作業介面82不會產生警示,亦即病患清單821內特定病患顯示欄823’的床號不會在視覺上發生閃爍而不產生警示。That is, as shown in the fifth figure, when the caregiver finds that the bed number of the specific patient display column 823' in the patient list 821 is visually flickered by the care work interface 82, a warning is generated, indicating that the specific disease is present. After having a temporary medical order or the first dose of medical order, the nursing staff can enter the application record 761 through the nursing work interface 82 after completing the medical treatment. Each of the signature records 761 includes the time of signing, the identification number of the nursing staff, and the like. When the data item is written, the writing module 88 records the above data to the corresponding field in the signing data table 76. As shown in the sixth figure, at this time, the judging module 86 reads the signing time 761b' and the caregiver identification code 761c' in the data item corresponding to the specific signing record 761' corresponding to the specific patient display column 823'. If there is a record, a negative signal is sent to the care work interface 82 so that the care work interface 82 does not generate a warning, that is, the bed number of the specific patient display field 823' in the patient list 821 does not visually flicker. No warning is generated.
進一步而言,判斷模組86可以利用醫囑序號欄結合醫囑資料表64與簽用資料表76,比對簽用資料表76內的醫囑序號欄來找出與特定病患的特定醫囑紀錄641’相符合的複數筆特定簽用紀錄761’,以預定頻率或是手動刷新的方式,讀取各筆特定醫囑紀錄641’內的頻次641c’與首劑641d’資料項目,以及各筆特定簽用紀錄761’內的簽用時間761b’與護理人員辨識碼761c’資料項目,來綜合判斷各筆特定的特定醫囑紀錄641’是否屬於未簽用的臨時醫囑或首劑醫囑,以傳送肯定訊號或否定訊號至護理作業介面82,使護理作業介面82產生出警示。Further, the judging module 86 can use the medical order number column in combination with the medical order data table 64 and the signing data table 76, and compare the medical order number column in the signing data table 76 to find a specific medical record 641' with a specific patient. Matching the specific number of special signatures 761', reading the frequency 641c' and the first agent 641d' data items in each specific medical record 641' at a predetermined frequency or manually refreshing, and each specific signing Record the time of the appointment 761b' and the caregiver identification code 761c' in the item 761' to comprehensively determine whether each particular medical order record 641' belongs to an unsigned temporary medical order or first medical order to transmit a positive signal or The negative signal is sent to the care work interface 82 to cause the care work interface 82 to generate an alert.
舉例而言,如第五圖所示,若醫囑資料表64與簽用資料表76內的一筆特定醫囑紀錄641’的頻次項目641c’紀錄為立即使用(STAT),或者該筆特定醫囑紀錄641”的頻次項目641d”紀錄為肯定(Y)並且各筆對應的特定簽用紀錄761’、761”內尚未紀錄有簽用時間(Null)與護理人員辨識碼(Null)時,則傳送肯定訊號至護理作業介面82,使護理作業介面82產生出警示;若該筆特定醫囑紀錄641’’’內的頻次欄紀錄不是立即使用(STAT)並且首劑欄紀錄為否定(N),亦或是如第六圖內特定醫囑紀錄641’、641”的頻次欄紀錄為立即使用(STAT)或首劑欄紀錄為肯定(Y)但各筆對應的特定簽用紀錄761’、761”內已經紀錄有簽用時間與護理人員辨識碼時,則傳送否定訊號至護理作業介面82,此時護理作業介面82便不會產生警示。For example, as shown in the fifth figure, if the medical item data table 64 and the frequency item 641c' of a specific medical record 641' in the medical data table 76 are recorded as immediate use (STAT), or the specific medical record 641 The "frequency item 641d" record is affirmative (Y) and the specific signing record 761', 761" corresponding to each pen has not recorded the signing time (Null) and the nursing staff identification code (Null), then the affirmative signal is transmitted. To the care work interface 82, the care work interface 82 is alerted; if the frequency column record in the specific medical record 641''' is not immediately used (STAT) and the first dose column record is negative (N), or For example, the frequency column of the specific medical record 641', 641" in the sixth picture is recorded as immediate use (STAT) or the first dose column is positive (Y), but the corresponding specific record of each corresponding record 761', 761" has been recorded. When there is a time of signature and a caregiver identification code, a negative signal is sent to the care work interface 82, at which point the care work interface 82 does not generate a warning.
如第四圖所示,醫師端90用以輸入醫囑紀錄641至醫囑資料表64與簽用資料表76內,輸入時亦可同時輸入醫囑內容、執行時間、藥品名稱、劑量等其他醫囑相關資訊。護理端100則用以操作並顯示護理作業介面82,而供護理人員讀取警示以及輸入醫囑簽用資料。As shown in the fourth figure, the physician terminal 90 is used to input the medical record 641 to the medical information table 64 and the application data table 76, and the medical contents, execution time, drug name, dosage and other medical related information may also be input at the same time. . The care end 100 is used to operate and display the care work interface 82 for the caregiver to read the alert and enter the medical order signing data.
藉此,護理人員透過護理作業介面讀取警示並且輸入簽用紀錄之後,護理作業介面便停止產生警示,而可進一步提昇醫囑執行的效率與正確性。In this way, after the nursing staff reads the warning through the nursing work interface and inputs the signing record, the nursing work interface stops generating the warning, which can further improve the efficiency and correctness of the medical order execution.
本發明另提供一種臨時或首劑醫囑的提示方法,以下進一步藉由所列舉之實施例,配合隨附之圖式,詳細說明本發明之技術內容及特徵。The present invention further provides a method for prompting a temporary or first dose of a medical treatment. The technical contents and features of the present invention will be further described in detail below with reference to the accompanying drawings.
第七圖所示為本發明所揭露的第一較佳實施例,本實施例所提供的臨時或首劑醫囑的提示方法200主要包含有以下步驟,首先依照一身分辨識碼,從眾多病歷資料中選擇出一筆特定病歷紀錄210,其中身分辨識碼可以利用例如身分証字號、病歷號、住院號等等具有身分專一性的辨識號碼。接著依照特定病歷紀錄內的一醫囑序號選擇出一特定醫囑紀錄212,藉此挑選出屬於同一個特定病患的特定醫囑資料,之後再顯示特定病歷紀錄與特定醫囑紀錄於一護理作業介面214。最後判斷特定醫囑紀錄是否為臨時醫囑或首劑醫囑216,並且傳送一肯定訊號或一否定訊號至護理作業介面,使護理作業介面接收肯定訊號後產生一警示。The seventh embodiment shows a first preferred embodiment of the present invention. The temporary or first prescription instruction method 200 provided in this embodiment mainly includes the following steps. First, according to an identification code, a plurality of medical records are obtained. A specific medical record 210 is selected, wherein the identification code can use identification numbers having identity specificity such as identity card number, medical record number, hospital number, and the like. Then, a specific medical record 212 is selected according to a medical order number in the specific medical record, thereby selecting specific medical information belonging to the same specific patient, and then displaying the specific medical record and the specific medical record in a nursing operation interface 214. Finally, it is judged whether the specific medical record is a temporary medical order or the first medical order 216, and a positive signal or a negative signal is transmitted to the nursing work interface, so that the nursing operation interface receives a positive signal and generates a warning.
在判斷程序中,若前述特定醫囑紀錄是臨時醫囑或首劑醫囑,則傳送肯定訊號至護理作業介面218,而使護理作業介面產生警示220;若特定醫囑紀錄不是臨時醫囑或首劑醫囑,則傳送否定訊號至護理作業介面222,而使得護理作業介面不產生警示224。其中特定醫囑紀錄包含有一頻次項目以及一首劑項目,若頻次項目紀錄為立即使用(STAT)或是首劑項目紀錄為肯定(Y)時,則判斷特定醫囑紀錄為臨時醫囑或首劑醫囑;若頻次項目紀錄為立即使用(STAT)或是首劑項目紀錄為否定(N)時,則判斷特定醫囑紀錄非臨時醫囑或首劑醫囑。In the judgment process, if the specific medical record is a temporary medical order or the first medical order, a positive signal is sent to the nursing work interface 218, and the nursing work interface generates a warning 220; if the specific medical record is not a temporary medical order or the first medical order, then A negative signal is sent to the care job interface 222 such that the care job interface does not generate a warning 224. The specific medical record includes a frequency item and a first dose item. If the frequency item record is immediate use (STAT) or the first item item record is positive (Y), the specific medical record is judged as a temporary medical order or the first medical order; If the frequency item record is immediate use (STAT) or the first item item record is negative (N), then the specific medical order record is determined to be non-temporary medical order or first dose.
藉此,本發明所提供的臨時或首劑醫囑的提示方法可以即時接收並且將開立臨時醫囑和首劑醫囑的狀況顯示在護理作業介面,而讓負責照護的護理人員能夠即時的被通知個別病人有臨時醫囑或首劑醫囑的開立。Thereby, the prompting method of the temporary or first medical order provided by the present invention can be immediately received and the condition of opening the temporary medical order and the first medical order is displayed on the nursing work interface, and the nursing staff responsible for the care can be notified to the individual in time. The patient has a temporary medical order or the opening of the first medical order.
第八圖所示為本發明所揭露的第二較佳實施例,本實施例所提供的臨時或首劑醫囑的提示方法300包含有以下步驟。首先輸入複數筆醫囑紀錄,並且將這些醫囑紀錄儲存到一醫囑資料表內310,實務上多數的醫囑紀錄是由醫師透過醫師作業系統或是門診作業系統輸入。然後分別依照一身分辨識碼選擇出一特定病歷紀錄312,並且依照特定病歷紀錄內的一醫囑序號選擇出一特定醫囑紀錄314。接著顯示特定病歷紀錄與特定醫囑紀錄於一護理作業介面316,其中護理作業介面建立有一病患清單,病患清單具有一病患顯示欄,病患顯示欄內顯示有床號與姓名。The eighth embodiment shows a second preferred embodiment of the present invention. The temporary or first prescription instruction method 300 provided in this embodiment includes the following steps. First, enter a plurality of medical records and store the medical records in a medical data sheet 310. In practice, most of the medical records are entered by the physician through the physician operating system or the outpatient operating system. Then, a specific medical record 312 is selected according to an identity identification code, and a specific medical record 314 is selected according to a medical order number in the specific medical record. Then, the specific medical record and the specific medical record are displayed in a nursing operation interface 316. The nursing operation interface establishes a patient list, the patient list has a patient display column, and the patient display column displays the bed number and the name.
再依照特定病歷紀錄內的醫囑序號,從一簽用資料表內找出對應先前所挑選出特定醫囑紀錄的特定簽用紀錄318,藉此挑選出屬於同一個特定病患的醫囑資料以及簽用資料。進而比對特定醫囑紀錄以及特定簽用紀錄320,並且進一步綜合判斷特定醫囑紀錄是否為未簽用的臨時醫囑或首劑醫囑322、324、326。Then, according to the serial number of the medical record in the specific medical record, the specific identification record 318 corresponding to the previously selected specific medical record is found from a signature data table, thereby selecting the medical information and the signature of the same specific patient. data. Further, the specific medical record and the specific signature record 320 are compared, and the specific medical record is further comprehensively determined whether the temporary medical order or the first medical order 322, 324, 326 is not signed.
其中特定簽用紀錄包含有一簽用時間項目以及一護理人員辨識碼項目,若簽用時間項目與護理人員辨識碼項目內已經有紀錄,則不論後續判斷為臨時醫囑或首劑醫囑,均傳送否定訊號至護理作業介面,使護理作業介面不產生警示328。若簽用時間項目與護理人員辨識碼項目內尚未有紀錄,則進一步判斷特定醫囑紀錄是臨時醫囑324或首劑醫囑326,若特定醫囑紀錄是臨時醫囑或首劑醫囑,則傳送肯定訊號至護理作業介面,而使護理作業介面產生警示330、332;若特定醫囑紀錄不是臨時醫囑或首劑醫囑,則傳送否定訊號至護理作業介面,而使得護理作業介面不產生警示334。The specific signing record includes a signing time item and a nursing staff identification code item. If there is already a record in the signing time item and the nursing staff identification code item, the negative is transmitted regardless of whether the subsequent judgment is a temporary medical order or the first medical order. The signal is sent to the care interface so that the care interface does not generate a warning 328. If there is no record in the time stamp item and the nursing staff identification code item, it is further determined that the specific medical order record is a temporary medical order 324 or the first medical order 326. If the specific medical order record is a temporary medical order or the first medical order, a positive signal is sent to the care. The job interface causes the care work interface to generate warnings 330, 332; if the specific medical record is not a temporary medical order or the first medical order, a negative signal is transmitted to the care work interface, so that the care work interface does not generate a warning 334.
最後針對產生警示的兩種情況,醫囑紀錄為臨時醫囑且尚未被簽用330,以及醫囑為首劑醫囑且尚未被簽用332的情況,輸入一筆簽用紀錄336,並且將簽用紀錄儲存至簽用資料表338內,便可使得整個判斷流程產生出不警示的結果。其中病患顯示欄內所顯示的床號進一步具有一第一背景色以及一第二背景色,第一背景色與第二背景色交替地變換以形成警示。需附帶說明者為,警示的方式不以本實施例所述的閃爍方式為限,亦可以利用顯示中文字、英文字、符號、顏色變換或者是跳出視窗等警示方式中的任何一種方式,並且持續一預定時間,例如12小時之後,警示便會停止。Finally, in the case of the two situations in which the warning is issued, the medical record is a temporary medical order and has not been signed 330, and the medical order is the first medical order and has not been signed 332, a signing record 336 is entered, and the signing record is stored to the signing. Using the data sheet 338, the entire judgment process can produce an unwarranted result. The bed number displayed in the patient display column further has a first background color and a second background color, and the first background color and the second background color are alternately changed to form an alert. It should be noted that the manner of warning is not limited to the blinking mode described in this embodiment, and any one of the warning modes such as displaying Chinese characters, English characters, symbols, color conversion or jumping out of the window may be used, and The warning will stop after a predetermined period of time, for example 12 hours.
藉此,在護理人員簽用醫囑之後,護理作業介面便不再產生警示,而可進一步提昇醫囑執行的效率與正確性。In this way, after the nursing staff signs the doctor's order, the nursing work interface no longer generates warnings, which can further improve the efficiency and correctness of the medical order implementation.
在此必須說明者為,以上配合圖式所為之詳細描述,僅係為了說明本發明之技術內容及特徵而提供之一實施方式,凡在本發明領域中具有一般通常知識之人,在瞭解本發明之技術內容及特徵之後,於不違背本發明之精神下,所為之種種簡單之修飾、替換或構件之減省,皆應屬於以下所揭示之申請專利範圍之內。It is to be understood that the foregoing detailed description of the drawings is merely illustrative of the technical aspects and features of the present invention, and those who have ordinary knowledge in the field of the invention </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt;
<第一較佳實施例><First Preferred Embodiment>
10...臨時或首劑醫囑的提示系統10. . . Temporary or first dose ordering system
20...人員資料庫20. . . Personnel database
22...護理人員資料表twenty two. . . Nursing staff data sheet
221...護理人員資料紀錄221. . . Nursing staff data record
221a...護理人員辨識碼221a. . . Nursing staff identification code
221b...護理站221b. . . Nursing station
221c...照護床號221c. . . Care bed number
30...病歷資料庫30. . . Medical record database
32...病歷資料表32. . . Medical record data sheet
321...病歷紀錄321. . . Medical record
321’...特定病歷紀錄321’. . . Specific medical record
321a...病患辨識碼321a. . . Patient identification code
321b...姓名321b. . . Name
321c...護理站321c. . . Nursing station
321d...床號321d. . . Bed No
34...醫囑資料表34. . . Medical data sheet
341...醫囑紀錄341. . . Medical record
341’、341”、341’’’...特定醫囑紀錄341', 341", 341'''...specific medical records
341a...病患辨識碼341a. . . Patient identification code
341b...醫囑序號341b. . . Medical order number
341c、341c’...頻次341c, 341c’. . . frequency
341d、341d’、341d”...首劑341d, 341d', 341d"... first dose
341e...護理站341e. . . Nursing station
40...護理作業模組40. . . Nursing operation module
42...護理作業介面42. . . Nursing work interface
421...病患清單421. . . Patient list
422...護理站顯示區422. . . Nursing station display area
423、423’...病患顯示欄423, 423’. . . Patient display
424...第一字型色424. . . First font color
425...第二字型色425. . . Second font color
44...處理模組44. . . Processing module
46...判斷模組46. . . Judging module
<第二較佳實施例><Second preferred embodiment>
50...臨時或首劑醫囑的提示系統50. . . Temporary or first dose ordering system
60...人員資料庫60. . . Personnel database
621’...特定病歷紀錄621’. . . Specific medical record
64...醫囑資料表64. . . Medical data sheet
641...醫囑紀錄641. . . Medical record
641’、641”、641’’’...特定醫囑紀錄641’, 641”, 641’’’...specific medical records
641c’...頻次641c’. . . frequency
641d’、641d”...首劑641d’, 641d”...first dose
70...病歷資料庫70. . . Medical record database
76...簽用資料表76. . . Signing data sheet
761...簽用紀錄761. . . Signing record
761’、761”、761’’’...特定簽用紀錄761’, 761”, 761’’’...specific signing records
761a...醫囑序號761a. . . Medical order number
761b、761b’...簽用時間761b, 761b’. . . Signing time
761c、761c’...護理人員辨識碼761c, 761c’. . . Nursing staff identification code
80...護理作業模組80. . . Nursing operation module
82...護理作業介面82. . . Nursing work interface
821...病患清單821. . . Patient list
823’...特定病患顯示欄823’. . . Specific patient display
86...判斷模組86. . . Judging module
88...寫入模組88. . . Write module
90...醫師端90. . . Physician
100...護理端100. . . Nursing end
200、300...臨時或首劑醫囑的提示方法200, 300. . . Temporary or first dose instructions
210~224...步驟流程210~224. . . Step flow
310~338...步驟流程310~338. . . Step flow
第一圖係本發明所提供的臨時或首劑醫囑的提示系統,其第一較佳實施例的系統方塊圖;The first figure is a system block diagram of a first preferred embodiment of the prompting system of the temporary or first dose order provided by the present invention;
第二圖係本發明所提供的臨時或首劑醫囑的提示系統,其第一較佳實施例中護理人員資料表、病歷資料表以及護理作業介面的示意圖;The second figure is a temporary or first dose instruction system provided by the present invention, and a schematic diagram of a nursing staff data table, a medical record data table, and a nursing work interface in the first preferred embodiment;
第三圖係本發明所提供的臨時或首劑醫囑的提示系統,其第一較佳實施例中醫囑資料表以及護理作業介面的示意圖;The third figure is a temporary or first dose instruction system provided by the present invention, the first preferred embodiment of the medical information table and the schematic diagram of the nursing work interface;
第四圖係本發明所提供的臨時或首劑醫囑的提示系統,其第二較佳實施例中臨時或首劑醫囑的提示系統的系統方塊圖,其中護理作業介面產生警示;The fourth figure is a system block diagram of a temporary or first dose ordering system provided by the present invention, and a reminder system of a temporary or first dose order in the second preferred embodiment, wherein the nursing work interface generates a warning;
第五圖係本發明所提供的臨時或首劑醫囑的提示系統,其第二較佳實施例中醫囑資料表、簽用資料表以及護理作業介面的示意圖,其中簽用資料表尚未紀錄有簽用資料;The fifth figure is a temporary or first dose instruction system provided by the present invention, and the second preferred embodiment has a medical information table, a signature data sheet, and a schematic diagram of the nursing work interface, wherein the signature data sheet has not been recorded yet. Use of information;
第六圖係本發明所提供的臨時或首劑醫囑的提示系統,其第二較佳實施例中醫囑資料表、簽用資料表以及護理作業介面的示意圖,其中簽用資料表已紀錄有簽用資料;Figure 6 is a schematic diagram of a temporary or first dose ordering system provided by the present invention, wherein the second preferred embodiment has a medical order data sheet, a signing data sheet, and a schematic diagram of a nursing work interface, wherein the signing data sheet has been recorded and signed. Use of information;
第七圖係本發明所提供的臨時或首劑醫囑的提示方法,其第一較佳實施例的步驟流程圖;以及Figure 7 is a flow chart showing the steps of the first preferred embodiment of the method for prompting the temporary or first dose of the invention provided by the present invention;
第八圖係本發明所提供的臨時或首劑醫囑的提示方法,其第二較佳實施例的步驟流程圖。The eighth figure is a flow chart of the steps of the second preferred embodiment of the method for prompting the temporary or first dose of the invention provided by the present invention.
10...臨時或首劑醫囑的提示系統10. . . Temporary or first dose ordering system
20...人員資料庫20. . . Personnel database
22...護理人員資料表twenty two. . . Nursing staff data sheet
30...病歷資料庫30. . . Medical record database
32...病歷資料表32. . . Medical record data sheet
34...醫囑資料表34. . . Medical data sheet
40...護理作業模組40. . . Nursing operation module
42...護理作業介面42. . . Nursing work interface
44...處理模組44. . . Processing module
46...判斷模組46. . . Judging module
Claims (29)
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TW100133639A TWI464613B (en) | 2011-09-19 | 2011-09-19 | Temporary or first dose of the doctor's advice system and methods |
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US20020013520A1 (en) * | 2000-07-17 | 2002-01-31 | Nec Corporation | System, method, database server and record medium for at-home health support |
US6604019B2 (en) * | 1998-05-27 | 2003-08-05 | Nextrx Corporation | Automated pharmaceutical management and dispensing system |
TW201013573A (en) * | 2008-09-22 | 2010-04-01 | Woei-Chyn Chu | Integrated electronic medical record system |
TW201128431A (en) * | 2010-02-02 | 2011-08-16 | Univ Hungkuang | Mobile diagnosis system for nurses |
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US6604019B2 (en) * | 1998-05-27 | 2003-08-05 | Nextrx Corporation | Automated pharmaceutical management and dispensing system |
US20020013520A1 (en) * | 2000-07-17 | 2002-01-31 | Nec Corporation | System, method, database server and record medium for at-home health support |
TW201013573A (en) * | 2008-09-22 | 2010-04-01 | Woei-Chyn Chu | Integrated electronic medical record system |
TW201128431A (en) * | 2010-02-02 | 2011-08-16 | Univ Hungkuang | Mobile diagnosis system for nurses |
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