TWI483211B - Discharge management apparatus and discharge management method - Google Patents

Description

Discharge management device and discharge management method

The present invention relates to a discharge management device and a discharge management method; more specifically, the discharge management device and the discharge management method provided by the present invention systematize patient discharge by integrating different resources.

With the increase in medical needs in recent years, the number of hospitalized patients has also increased. Therefore, how to conduct a comprehensive discharge assessment for hospitalized patients has become a topic of concern for medical institutions.

Since 1993, the Department of Health of the Executive Yuan has promoted the "Discharge Planning" policy. In 1994, four hospitals were accepted by the four hospitals for the three-year demonstration project of the “Defense Plan” of the Department of Health. In 1995, in conjunction with the National Health Insurance "Hospitalization Control Plan", the Executive Yuan made greater efforts to promote the "Discharge Plan" and renamed it "Discharge Preparing Service". It can be seen from the foregoing development process that the importance of discharge management in hospitals can be seen.

Previously, the hospital performed the discharge management process by human resources. When the patient was admitted to the hospital, the following procedures were carried out in order: (1) Filling out the BRASS (Blaylock Risk Assessment Screen) assessment scale by the ward nurse; (2) The ward secretary will be sick every day. The BRASS assessment scale is sent to the nursing department; (3) the community secretary takes the patient's BRASS assessment scale to the nursing department every day; (4) the community nurse assesses the patient's needs based on the patient's BRASS assessment scale. Note other professional medical team, if yes, notify the relevant professional medical team to evaluate and dispose of the patient through e-mail; (5) The notified professional medical team will provide the patient with discharge assessment and assistance for discharge, and hand-written The record of the plan.

As can be seen from the above description, in the prior art, there must be an additional manual delivery BRASS assessment scale and an additional human record BRASS assessment scale. In addition, physicians and ward nurses are unable to know which professional medical team the patient has taken care of, and whether the professional medical team that was photographed will perform the note. When a physician or ward nurse wants to know the patient's note or other records of the discharge plan, they must go to the patient's ward to see the handwritten medical record, resulting in a discharge process that is not time-efficient, and it is difficult for professional medical teams to perform well. Cooperation.

In view of this, there is still a need for a comprehensive integrated system and method in this field to make patients' discharge management more efficient and to enable medical personnel to cooperate well in discharge assessment.

In order to solve the aforementioned problems, the present invention provides a discharge management device and a discharge management method.

The discharge management device provided by the present invention comprises an output/input interface, a storage unit and a processor. The output/input interface is used to receive patient data from a patient. The processor is electrically connected to the output/input interface and the storage unit for storing the patient data in the storage unit, setting a note information, and storing the note information in the storage unit, wherein the note information Includes a note time and a list of medical staff. The output/input interface is further configured to receive an evaluation and treatment result, wherein the evaluation The evaluation and disposal results are performed in accordance with the information of the note, and the processor stores the evaluation and the result of the treatment in the storage unit.

The discharge management method provided by the present invention is applicable to an electronic computing device and includes the following steps: (a) receiving patient data of a patient, (b) storing the patient data in a storage unit, (c) Setting a note information, wherein the note information includes a note time and a list of medical personnel, (d) storing the note information in the storage unit, and (e) receiving an assessment and treatment result, wherein the evaluation and the treatment result are based on Executing the note information, and (f) storing the evaluation and the result of the treatment in the storage unit.

It can be seen from the above description that the discharge management device and the discharge management method of the present invention integrate information necessary for medical personnel to diagnose patients (for example, patient data, note information, evaluation and treatment results, etc.), so that medical personnel can properly Time to treat patients, and medical staff can refer to comprehensive information when participating in the patient's discharge assessment. In this way, professional medical teams can work more closely together, and physicians, ward nurses, and professional medical teams can simultaneously conduct more hospital discharge assessments to improve evaluation efficiency.

The above described objects, technical features and advantages of the present invention will become more apparent from the following description.

The discharge management apparatus and the discharge management method provided by the present invention will be explained below by way of examples. However, the embodiments of the present invention are not intended to limit the invention to any environment, application, or manner as described in the embodiments. Therefore, the description of the embodiments is merely illustrative of the invention and is not intended to limit the invention. It should be noted that in the following embodiments and illustrations, components not directly related to the present invention have been omitted. It is not shown.

A first embodiment of the present invention is a discharge management device 1, the schematic of which is depicted in Figure 1A. The discharge management device 1 can be an electronic computing device (eg, a server, a computer, etc.) having computing power, and includes an output/input interface 11, a processor 13, and a storage unit (eg, a database) 15, The processor 13 is electrically connected to the output/input interface 11 and the storage unit 15.

The output/input interface 11 is configured to receive a patient data 110 of a patient, and the processor 13 stores the patient data 110 in the storage unit 15. Specifically, the ward nurse will conduct a preliminary assessment and diagnosis of the patient within a period of time after admission, and complete the patient data based on the results of the assessment and diagnosis. The patient data 110 contains basic information about the patient (eg, name, gender, age, etc.) and information related to the patient's physical condition (eg, major disease categories, dietary status, cardiopulmonary function, and use of aids, etc.) One or a combination thereof, but is not limited thereto.

Then, the ward nurse can input the patient data 110 through an electronic computing device (for example, a computer) 10 electrically connected to the discharge management device 1 and connect it via a regional network or the Internet by wire or wirelessly. The patient data 110 is transmitted to the discharge management device 1. The output/input interface 11 of the discharge management device 1 receives the patient data 110, and the processor 13 stores the patient data 110 in the storage unit 15. It should be noted that in other embodiments, the ward nurse can also input the patient data 110 by using an input device (for example, a keyboard, a mouse, etc.) directly connected to the discharge management device 1 to be connected to the input device. The patient data 110 is received by an output/input interface (not shown). Furthermore, in the preferred embodiment, at least one evaluation item list is displayed on the display device of the electronic computing device 10 used by the ward nurse, the ward protection The PhD will complete the patient information by checking or / and completing at least one of the assessment items.

Patients may need a note from various medical personnel after admission to provide more professional medical diagnosis and treatment. To solve this problem, the processor 13 of the discharge management device 1 of the present embodiment sets a note information 120 and stores the note information 120 in the storage unit 15.

Please refer to FIG. 1B, which is a schematic diagram of the note information 120, the note execution time, and the assessment and treatment result 130. Specifically, the photo information 120 includes a medical staff list 122 and a photo time 124, wherein the medical staff list 122 can be a rehabilitation physician, a functional therapist, a physical therapist, a speech therapist, a respiratory therapist, One of or a combination of a pharmacist, a dietitian, a social worker, a home nurse, a respiratory care supervisor, a psychiatrist, a discharge plan case manager, and other medical personnel, and a note Time 124 is the time at which the medical staff list 122 is set for the processor 13 of the discharge management device 1. For example, if the processor 13 determines that the patient needs a respiratory therapist's note at 14:00 on August 1, 101, the processor 13 sets the medical staff list 122 of the photo information 120 to include a respiratory therapist. And set the note time 124 to 14:00 on August 1, 101, Republic of China.

On the other hand, an electronic computing device (for example, a computer) 12 used by a medical staff member is electrically connected to the discharge management device 1. Therefore, the medical staff who need to take care of the patient will know the photo information on the electronic computing device 12. 120, and according to the note information 120 for medical assessment and treatment of the patient. After the medical personnel evaluate and dispose of the patient, the assessment and treatment results 130 can be entered on the electronic computing device 12. 1A The example shown in the figure further illustrates that the respiratory therapist will perform a medical evaluation and treatment of the patient based on the note information 120, and then enter the time of execution of the medical evaluation and treatment of the patient on the electronic computing device 12 used by the patient. (For the Republic of China on August 2, 10:00, 10:00) and assessment and disposal results 130. The electronic computing device 12 transmits the execution time and evaluation and treatment results 130 to the discharge management device 1 via a regional network or the Internet in a wired or wireless manner. The output/input interface of the discharge management device 1 receives the evaluation and treatment result 130, and the processor 13 stores the evaluation and treatment result 130 in the storage unit 15.

As can be seen from the above description, the discharge management device 1 of the first embodiment can receive and process the patient data 110 transmitted by the electronic computing device 10 used by the ward nurse, and then provide the patient's related photo information 120 to the medical Electronic computing device 12 used by personnel. In this way, the medical staff of the medical institution can go to diagnose and treat the patient according to the information of the meeting, and improve the processing efficiency of the medical institution.

A second embodiment of the present invention is a discharge management device 2, the schematic of which is depicted in Figure 2A. The components included in the discharge management device 2 are the same as those included in the discharge management device 1, and can perform all the operations that the discharge management device 1 can perform. Therefore, the following description will focus on the differences between the two.

In this embodiment, the patient is evaluated and diagnosed within one of the first time intervals after admission (for example, within eight hours after admission), and thus a first assessment and diagnostic data 110a is obtained. Thereafter, in the second time interval after the patient is admitted to the hospital (for example, the fifth day after the patient is admitted to the hospital), another evaluation and diagnosis is performed, and thus a second evaluation and diagnosis data 110b is obtained. The first assessment and diagnosis data 110a and the second assessment and diagnosis data 110b are patient data of the patient. for example, The first assessment and diagnostic data 110a may include measurements of major disease categories in the first time interval of the patient (eg, conscious state in the "musculoskeletal nervous system", swallowing ability in the "gastrointestinal system"," Artificial airway and oxygen therapy in the respiratory system, etc.), dietary status measurements, or cardiopulmonary function measurements. The second assessment and diagnostic data 110b may include the dietary condition measurement value, the cardiopulmonary function measurement value, the auxiliary use status requirement value, and the one-paste scale test result of the patient in the second time interval.

In this embodiment, the processor 13 sets the note information 120 based on the patient data. The patient data includes at least one measurement, such as the various measurements included in the first assessment and diagnostic data 110a and the second assessment and diagnostic data 110b. The processor 13 generates the note information 120 by comparing the measured values with corresponding preset values. For example, if the patient data includes the heart and lung function measurement value of the patient, the processor 13 compares the cardiopulmonary function measurement value with a preset value in the storage unit 15. If the result of the comparison is that the cardiopulmonary function measurement does not meet the requirements, the processor 13 sets the list of medical personnel 122 included in the note information 120 to include the respiratory therapist.

In this embodiment, after all the medical personnel in the medical staff list included in the photo information 120 evaluate and dispose of the patient, the doctor can evaluate the patient's pre-discharge requirements according to all the evaluation and treatment results 130. Dispose of and give appropriate execution. When the patient is discharged from the hospital, the ward nurse can input the hospital discharge information 150 and a discharge date 160 of the patient through the electronic computing device 10 electrically connected to the discharge management device 2. The output/input interface 11 of the discharge management device 2 receives the discharge information 150 and the discharge date 160 from the electronic computing device 10, and the processor 13 re-discharges the information 150. The discharge date 160 is recorded in the storage unit 15. In addition, the processor 13 determines one of the patient's telephone interview information 170 based on the discharge information 150 and the discharge date 160, and records the telephone access information 170 in the storage unit 15. The aforementioned hospitality information 150 may include one or a combination of patient contact information, long-term care needs, and social resource requirements, while telephone access information 170 records the telephone visit date 172. In general, the first telephone visit date is preset to the seventh day after the discharge date 160.

2B is a display screen 7 of one of the display devices of the electronic computing device 10 used by the caregiver. The upper right corner of the display screen 7 displays a system time, that is, 9:08 on August 10, 2011. When the telephone access date is 172, a televised notification 180 is displayed on the display screen 7 to notify the discharge plan case manager, and the discharge plan case manager can perform the discharge patient notification according to the televised notification 180. Electric interview and record the results of the televised visit. Based on the result of the televised, the processor 13 can reset the second telephone access date to the seventh day after the first telephone access date. Through continuous follow-up visits, the hospital confirmed that patients who have received follow-up care after discharge from the hospital can be closed.

Through the discharge management device 2 of the second embodiment, the medical staff of the medical institution can evaluate and dispose of the patient according to the information of the clinic, and the personnel of the medical institution can also judge the disease according to various information provided by the discharge management device 2. Whether the patient is suitable for discharge and follow-up in a timely manner greatly enhances the effectiveness of the treatment and discharge management of the medical institution.

A third embodiment of the present invention is a discharge management device 3, the schematic of which is depicted in Figure 3A. The components included in the discharge management device 3 are the same as those included in the discharge management devices 1, 2, and can execute all the operations that can be performed by the discharge management devices 1, 2. Therefore, the following description will focus on the discharge management device 3 and discharge. Management device The difference between 1 and 2.

In this embodiment, during the hospitalization of the patient, if the ward nurse or the medical staff thinks that the patient needs to take care of other medical professionals, the electronic computing device (for example, a computer) that is electrically connected to the discharge management device 3 can be used. Enter a note instruction 140. After the output/input interface 11 of the discharge management device 3 receives the note instruction 140, the processor 13 sets/updates the note information 120 according to the note instruction 140.

A specific example will be explained. The processor 13 originally determines from the patient profile 110 that the patient needs a photo of the respiratory therapist, and thus sets the note information 120 including the list of medical personnel 122 and the note time 124 of the respiratory therapist. After that, when the respiratory therapist takes a note on the patient according to the photo information 120, the patient is also required to take a note from the nutritionist. Therefore, the respiratory therapist can input the photo instruction 140 through the electronic computing device 14 to add the dietitian to the photo information. 120 of the list of medical personnel 122. After the output/input interface 11 receives the photo instruction 140, the processor 13 updates the photo information 120 according to the photo instruction 140. Figure 3B depicts the updated photo information 120. The medical staff list 122 included in the photo information 120 includes a dietitian and a corresponding photo time 124' in addition to the respiratory therapist.

It can be seen from the above description that the discharge management device 3 of the third embodiment can not only modify the notification information of other medical personnel but also modify and update the photo information according to the setting of the medical information according to the patient data, so that the patient can be brought to the patient. Better and more accurate medical services.

A fourth embodiment of the present invention is a discharge management method, and a flow chart thereof is depicted in FIG. The discharge management method is applicable to an electronic computing device such as a computer, a server or the aforementioned discharge management device 1.

The discharge management method firstly performs step S500 to receive patient data of a patient, wherein the patient data may include basic information of the patient (eg, name, gender, age, etc.) and related to the patient's physical condition. The data (for example, one of the main disease categories, dietary conditions, cardiopulmonary function, and auxiliary use status, or the like, but not limited thereto). Next, step S510 is executed to store the patient data in a storage unit.

Then, in step S520, the discharge management method sets a note information, wherein the note information includes a note time and a list of medical personnel. The list of medical personnel can be a rehabilitation physician, a functional therapist, a physiotherapist, a speech therapist, a respiratory therapist, a pharmacist, a dietitian, a social worker, a home nurse, a breath Care for one or a combination of a supervisor, a psychiatrist, and other medical personnel, and the time of the appointment refers to the time when the list of medical personnel is set. After that, step S530 is executed to store the note information in the storage unit.

The medical staff can evaluate and dispose of the patient based on the information. Thereafter, step S540 is performed to receive an evaluation and treatment result, which is performed by the medical staff according to the note information. Finally, the discharge management method performs step S550 to store the evaluation and the treatment result in the storage unit.

In addition to the foregoing steps, the discharge management method of the fourth embodiment can also perform all the operations and functions of the discharge management apparatus of the first embodiment. Those skilled in the art can directly understand how the discharge management method of the fourth embodiment is based on the above-described first embodiment to perform such operations and functions, and therefore will not be described again.

A fifth embodiment of the present invention is a discharge management method, and a flow chart thereof is depicted in Figures 5A and 5B. The discharge management method of this embodiment first performs steps S600 and S510. S620, S530, S540, and S550, wherein steps S510, S530, S540, and S550 are the same as those of the fourth embodiment, and details are not described herein again.

In this embodiment, the patient data received in step S600 may include the first evaluation and diagnosis data that the patient is evaluated and diagnosed in a first time interval, and the patient is diagnosed in a second time interval. The second assessment and diagnostic data. For example, the first assessment and diagnostic data may include measurements of the main disease category of the patient in the first time interval (eg, the state of consciousness in the "musculoskeletal nervous system", and the swallowing in the "gastrointestinal system" Ability, artificial airway and oxygen therapy in the "respiratory system", etc., dietary status measurements or cardiopulmonary function measurements. The second assessment and diagnostic data may include the dietary condition measurement value, the cardiopulmonary function measurement value, the auxiliary use status requirement value, and the one-paste scale test result of the patient in the second time interval.

The difference between step S620 of the embodiment and step S520 of the fourth embodiment is that step S620 sets/updates the note information according to the patient data and/or the note instruction. I will first explain the situation of setting up the note information based on the patient data. Since the patient data includes at least one measurement value, the discharge management method compares each of the at least one measurement value with a corresponding preset value, and generates a note information according to the comparison result.

After the execution of S600, S510, S620, S530, S540, and S550 in this embodiment, in the subsequent step S660, the discharge management method determines whether a note order is received. Specifically, when a medical staff member on a medical staff list takes a photo of the patient and believes that the patient should also be photographed by another medical staff member, the medical staff will produce according to the patient's diagnosis and treatment. For the evaluation and disposal results, enter a note. At this time, in step S660, it is determined that the note instruction is received, so the discharge management method performs step S620 again, and the note information is updated according to the note instruction for the medical person. Another medical staff member has been added to the list. If the step S660 determines that the one-shot instruction has not been received, the discharge management method then proceeds to step S800.

When the patient has been treated by all the medical personnel on the medical staff list and discharged after being evaluated by the physician, the discharge management method performs step S800 to receive and record one of the patient's discharge information and a discharge date. Next, step S810 is executed to determine one of the patient's telephone access information according to the discharge information and the discharge date, and record the telephone access information in the storage unit. The discharge information may include one of the patient's contact information, a long-term care requirement, and a social resource requirement, or a combination of telephone access information to record the first telephone visit date. In general, the first phone visit date can be preset to the seventh day after the discharge date.

When the first telephone access date is expired, step S820 is performed to display a notification of the electric visit on one of the display devices to notify a caregiver. When the notification of the electric visit is displayed on the display screen of the display device, the nursing staff can know that the patient who is discharged from the hospital should be interviewed and the result of the electric visit is recorded. After that, according to the results of the televised visit, the next telephone visit date can be set to continue tracking until the patient is confirmed to have received the follow-up care service and the case is closed.

In addition to the foregoing steps, the discharge management method of the fifth embodiment can also perform all the operations and functions of the discharge management apparatus of the second and third embodiments. Those skilled in the art can directly understand how the discharge management method of the fifth embodiment is based on the above second and third embodiments to perform such operations and functions, and therefore will not be described again.

In summary, the discharge management device and the discharge management method of the present invention integrate information necessary for medical personnel to diagnose patients (for example, patient data, note information, evaluation and treatment results, etc.), so that medical personnel can properly Time to diagnose patients and medical staff Comprehensive information can be consulted when participating in a hospital discharge assessment. In this way, professional medical teams can work more closely together, and physicians, ward nurses, and professional medical teams can simultaneously conduct more hospital discharge assessments, improve evaluation efficiency, and achieve efficiency and effective cooperation. The purpose.

The above-described embodiments are merely illustrative of the embodiments of the present invention and the technical features of the present invention are not intended to limit the scope of the present invention. It is intended that any changes or equivalents of the invention may be made by those skilled in the art. The scope of the invention should be determined by the scope of the claims.

1‧‧‧Discharge management device

10‧‧‧Electronic Computing Devices

12‧‧‧Electronic Computing Devices

7‧‧‧Display screen

11‧‧‧Output/Input Interface

13‧‧‧ Processor

15‧‧‧ storage unit

110‧‧‧ Patient data

120‧‧‧Photos

122‧‧‧List of medical personnel

124‧‧‧Note time

2‧‧‧Discharge management device

110a‧‧‧First Assessment and Diagnostic Information

110b‧‧‧Second assessment and diagnostic data

130‧‧‧Assessment and Disposal Results

150‧‧‧Discharge information

160‧‧‧Dating date

170‧‧‧Phone access information

172‧‧‧ phone access date

180‧‧‧Electric visit notice

3‧‧‧Discharge management device

14‧‧‧Electronic computing device

140‧‧‧Announcement

124’‧‧‧Meeting time

1A is a schematic view showing a discharge management device according to a first embodiment of the present invention; FIG. 1B is a schematic view showing a note information, a note execution time, and an evaluation and treatment result; and FIG. 2A is a view showing a discharge management of the second embodiment of the present invention; 2B is a schematic diagram showing a display device of an electronic computing device used by a caregiver; FIG. 3A is a schematic diagram of a discharge management device according to a third embodiment of the present invention; FIG. 4 is a flow chart depicting a method of discharge management of the fourth embodiment; and FIGS. 5A and 5B are flowcharts showing a method of discharge management of the fifth embodiment.

Claims (10)

A discharge management method for an electronic computing device, the discharge management method comprising the steps of: (a) receiving patient data of a patient, wherein the patient data includes at least one measurement value; (b) The patient data is stored in a storage unit; (c) generating a note information by comparing each of the at least one measured value with a corresponding preset value, wherein the note information includes a note time and a list of medical personnel (d) storing the note information in the storage unit; (e) receiving an assessment and treatment result, wherein the assessment and treatment result is performed in accordance with the note information; and (f) storing the assessment and the treatment result in The storage unit. The discharge management method according to claim 1, wherein the patient data includes the first evaluation and diagnosis data diagnosed by the patient in a first time interval, and the patient is One of the second assessment and diagnostic data was diagnosed. The discharge management method according to claim 1, wherein the step (c) is set according to the patient data. The discharge management method according to claim 1 further comprises the steps of: (g) receiving and recording the discharge information of one of the patients and a discharge date; and (h) determining the disease according to the discharge date and the discharge information. Have a phone call to access information. The discharge management method according to claim 4, wherein the telephone access information record For a telephone access date, the discharge management method further includes the following steps: (i) displaying a notification of a visit on a display device on the date of the telephone access. A discharge management device comprising: an output/input interface for receiving patient data of a patient, wherein the patient data includes at least one measurement value; a storage unit; and a processor, and the output/ The input interface and the storage unit are electrically connected to store the patient data in the storage unit, and generate a note information by comparing each of the at least one measured value with a corresponding preset value, and Storing the note information in the storage unit, wherein the note information includes a note time and a list of medical personnel; wherein the output/input interface is further configured to receive an evaluation and a treatment result, wherein the evaluation and the treatment result are based on the Executing the note information, the processor stores the evaluation and the result of the treatment in the storage unit. The discharge management device according to claim 6, wherein the patient data includes the first evaluation and diagnosis data diagnosed by the patient in a first time interval, and the patient is in a second time interval. One of the second assessment and diagnostic data was diagnosed. The discharge management device of claim 6, wherein the processor sets the note information based on the patient data. The discharge management device of claim 6, wherein the output/input interface is further configured to receive one of the patient's discharge information and a discharge date, and the processor records the discharge information and the discharge date in the storage unit And based on the discharge date and the discharge information, one of the patients was asked to access the information by telephone. The discharge management device of claim 9, wherein the telephone access information records a telephone access date, and the processor is further configured to display a notification of the electric visit on a display device on the telephone access date.