TWI608438B - System and method for recording patient input or discharge - Google Patents

Description

System and method for recording patient input or discharge

The present invention relates to a care system and method, and more particularly to a system and method for recording patient input or output.

The human body maintains a dynamic balance of moisture and electrolytes through a balanced input/discharge system. Excessive fluid accumulation in the body can be detrimental to the prognosis of the disease, including increased risk of mortality and reduced renal function recovery, but on the other hand, insufficient Liquid infusion can also cause insufficient tissue perfusion, resulting in organ dysfunction. Therefore, in the treatment and care of patients, the record and management of liquid input and discharge is a very important task.

In general, there are three types of input/discharge items that patients need to record: diet, tubing, and excretion. At present, the operation procedures of major medical institutions are as follows. First, when the doctor opens a doctor's order to record the patient's input/discharge amount, the nursing staff will place a record of the input/discharge amount at the patient's bed. The caregiver and the family will be in each meal, infusion, and inspection pipeline. Or when you are urinating, first record the measured value in your heart. After completing the work at hand, follow the memory in your brain and fill in the value on the record sheet. At regular intervals, the nursing staff will input the medical record. Settlement statistics are performed in the system.

However, if there are several lines in the patient, it will easily cause the nursing staff to record the wrong problem. Previous studies have pointed out that there are five main reasons for the incomplete input/discharge records: (1) not filled in immediately; (2) the nursing staff cannot see the weight of the diaper and the nursing pad; (3) the nursing staff cannot see the gauze and the cotton pad. The weight of the (4) measuring cup is too large; (5) the record item of input/discharge is not clear. In view of the above problems, there is a clear need for improvement in the way in which patient input/discharge records are used.

The present invention provides a system and method for recording patient input or output that accurately and conveniently records patient input or output.

In view of the above, the present invention discloses a system for recording patient input or output, comprising a host server, a first near field communication tag, a second near field communication tag, a measuring device, and a mobile device, wherein The host server can store a patient medical record data, the patient medical record data has a record patient input or discharge medical order; the first near field communication label stores a patient identification code and a first pairing instruction; The second near field communication tag can store a second pairing command; the measuring device can have a first control unit, a weighing unit and a first transmission unit, the first control unit is connected to the weighing unit and the first a transmission unit, the weighing unit outputs a measured value; the mobile device can have a second control unit, a near field communication read/write unit, a second transmission unit, and a third transmission unit, the second control unit Connecting the near field communication read/write unit, the second transmission unit, and the third transmission unit respectively, wherein the near field communication read/write unit reads the patient identification code and the first pairing finger , Enabling the second transmission unit to establish a connection with the host server, and the control unit acquires the second input or discharge the recording patient medical advice. Thereby, the near field communication reading and writing unit stores the patient identification code and the measurement type information in the second near field communication tag and reads the second pairing instruction, so that the third transmission unit and the first The transmission unit establishes a connection and causes the first control unit to transmit the measurement value to the second control unit, and the second control unit transmits the measurement value to the patient medical record data for storage.

The invention further provides a method for recording a patient input or discharge amount, comprising: using a mobile device having a near field communication reading and writing unit to read a first near field communication tag memory and identifying a patient identification code and a first Pairing the command, causing the mobile device to have one of the second transmission units to establish a connection with the host server storing one of the patient medical records, and to connect one of the near field communication read/write units and the second transmission unit respectively The second control unit obtains one of the patient medical records stored in the patient's medical record data to input or discharge the medical order; the near field communication reading and writing unit reads a second matching instruction stored in the second near field communication tag, and The second control unit is connected to one of the third transmission units to establish a connection with one of the first transmission units in a measuring device; one weighing unit in the measuring device measures the patient input or output to produce a measurement The near field communication read/write unit reads a second pairing instruction stored in the second near field communication tag, and connects the third control unit and the measurement device to the second control unit. a first transmission unit establishes a connection; and the second control unit reads the measurement value in a first control unit respectively connected to the weighing unit and the first transmission unit, and the second control unit The measured value is transmitted to the patient's medical record data for storage.

In another embodiment of the present disclosure, the second control unit further includes a storage option module, where the storage option module includes reading data, storing data, temporarily storing data, and storing the last time after adding and subtracting. And the option, and after the third transmission unit establishes a connection with the first transmission unit, the storage option module is further activated.

In another embodiment of the present disclosure, the second control unit further includes a measurement type item, wherein the measurement category item includes an option of a diet, a urine collection, a catheter, and the like, and in the second control After the unit obtains the record patient input or discharges the medical order, the second control unit starts the measurement type item.

Detailed features of the invention will be described in the detailed description which 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.

The technical contents and features of the present invention will be described in detail below with reference to the accompanying drawings.

As shown in FIG. 1, the present invention provides a system 10 for recording patient input or output, comprising a host server 20, a first near field communication tag 30, a second near field communication tag 40, and an amount. Measuring device 50 and a mobile device 60.

A medical record database is built in the host server 20, wherein the medical record database has a patient medical record data 22, and the patient medical record data 22 has a recorded patient input or discharge medical order 24, which is prescribed by the doctor. The patient's condition is judged and opened.

The first near field communication tag 30 can be placed on the patient, at the bedside or elsewhere, and its purpose is to identify the patient's identity. Therefore, the first near field communication tag 30 stores a patient identification code 32 and a first pairing instruction 34. The patient identification code 32 is, for example, an identity card number, a medical record number, a hospital number, or other identifiable patient identity. The first pairing command 34 primarily requires the mobile device 60 to establish a connection with the host server 20 so that the mobile device 60 can access the recorded patient input or expiration of the order 24 within the patient medical record data.

The second near field communication tag 40 can be placed in a tableware, catheter or measuring cup, the purpose of which is to clearly indicate the particular type to be measured, and a second pairing command 42 is stored in the second near field communication tag 40. The second pairing command 42 mainly requires the mobile device 60 to establish a connection with the measuring device 50, so that the mobile device 60 can receive the measurement data generated by the measuring device 50.

The measuring device 50 has a first control unit 52, a weighing unit 54, and a first transmission unit 56. Wherein, the first control unit 52 is connected to the weighing unit 54 and the first transmission unit 56, respectively, which is responsible for receiving, processing and transmitting the control signal; the weighing unit 54 is, for example, a scale, a spring scale, an electronic scale or a mobile scale, To measure the weight of the input or output and generate a measured value; the first transmission unit 56 is used to establish a connection with the mobile device 60 to transmit the measured value, and the communication protocol used may be Bluetooth, A wireless communication protocol such as Wi-Fi or infrared rays, in this embodiment, a Bluetooth communication protocol is used.

The mobile device 60 is, for example, a mobile phone, a smart phone, a computer, a tablet computer, a notebook computer, or other mobile device 60 having a near field communication function. The mobile device 60 has a second control unit 62, a near field communication read/write unit 64, a second transmission unit 66, and a third transmission unit 68. The second control unit 62 is connected to the near field communication read/write unit 64, the second transmission unit 66, and the third transmission unit 68, respectively. The near field communication read/write unit 64 is configured to read the patient identification code 32 and the first pairing instruction 34 stored in the first near field label 30, so that the second transmission unit 66 can establish a connection with the host server 20. The line is further compared by the patient identification code 32, and the patient's medical record data of the specific patient is screened from the medical record database, and the second control unit 62 is enabled to obtain the recorded patient input of the specific patient. Or discharge the doctor's order 24. Referring to FIG. 2, the second control unit 62 has a measurement type item 622 built therein. The measurement type item 622 includes a diet, a urine collection, a catheter, etc., and the near field communication read/write unit 64 will measure the type. The item is stored in the second near field communication tag 40, and after the second pairing instruction 44 is read, the connection between the first transmission unit 56 and the third transmission unit 68 is established such that the first control unit 52 can weigh The measurements produced by unit 54 are transmitted to host server 20 and stored in a particular patient medical record data 22 that was previously screened. The second control unit 62 of the mobile device 60 further has a storage option module 624. The storage option module 624 includes options for reading data, storing data, temporarily storing data, and storing after the last addition, subtraction, and the like. The control unit 62 reads the measured values in the first control unit 52 connected to the weighing unit 54 and the first transmitting unit 56, respectively, and the second control unit 62 transmits the measured values to the patient medical record data 22 for storage.

The invention further provides a method for recording the input or discharge of a patient. With the above system architecture, the nursing staff can operate according to the following steps and methods when caring for the patient.

First, the caregiver can use the mobile device 60 having the near field communication read/write unit 64 to read the patient identification code 32 and the first pairing instruction 34 in the first near field communication tag 30, so that the second transmission unit 66 and the storage The host server 20 having the patient medical record data 22 establishes a connection, and the second control unit 62 connected to the near field communication read/write unit 64 and the second transmission unit 66 respectively is stored in the patient medical record data 22. Record the patient's input or discharge of the doctor's order24. These first near field communication tags 30 usually store the patient's patient identification code 32 at the beginning of the patient's admission and are placed on each patient's body so that the caregiver can use the smart phone or The tablet computer and the first near field communication tag 30 on the patient can be connected to the database in the medical institution to know whether the doctor has a medical record for the patient to open a record input or discharge.

Then, as shown in FIG. 2, after the second control unit 62 obtains the recorded patient input or discharge order 24 stored in the patient medical record data 22, the second control unit 62 activates the second control unit 62 to be built. A measurement type item 622, the measurement type item 622 includes a diet, a urine collection, a catheter, etc., and the caregiver can use the near field communication read/write unit 64 of the mobile device 60 to collect the patient identification code 32 and the measurement. The category information is stored in the second near field communication tag 40. Therefore, the nursing staff can use the smart phone or tablet to write the patient identification code 32 previously read from the first near field communication tag 30 and the measurement type information selected on the mobile device 60. Into another second near field communication tag 40, and the second near field communication tag 40 is pasted or otherwise fixed on the selected measurement type item for identification of the patient and the type to be measured. .

At the time of measurement, the caregiver can use the weighing unit 54 within the measuring device 50 to measure the patient input or output to produce a measured value. That is, whenever a patient measures the input (eg, eating, drinking, drip, etc.) or discharges (eg, a bowel, urine, other body fluids, or a collection bottle), the caregiver will simply The measured items of the input and discharge amount are placed on the measuring device 50 and weighed to obtain the measured value.

After the measurement is completed, the caregiver uses the near field communication read/write unit 64 of the mobile device 60 to read the second pairing command 44 stored in the second near field communication tag 40 to cause the third transmission connected to the second control unit 62. The unit 68 is connected to the first transmission unit 56 in the measuring device 50, and further activates a storage option module 624 built in the second control unit 62. The storage option module 624 includes reading data, storing data, Options for temporary storage, storage after last addition, subtraction, etc., as shown in Figure 3. Therefore, after the equivalent measurement is completed, the caregiver can start the smart phone by simply touching the smart phone or tablet with the second near field communication tag 40 that is pasted or otherwise fixed on the selected measurement type item. The connection between the tablet computer and the measuring device 50. At this time, the mobile device 60 reads the patient identification code 32 from the second near field communication tag 40, and then connects with the host server 20 to obtain the patient medical record data. The patient data, the measurement type information, the last measurement value, and the measurement time are read in 22 and displayed on the mobile device 60.

At this time, the second control unit 62 in the mobile device 60 reads the measurement values in the first control unit 52 connected to the weighing unit 54 and the first transmission unit 56, respectively, and the second control unit 62 measures the measurement again. The value is transferred to the patient medical record data 22 for storage. Therefore, the smart phone or the tablet can read the measured value generated by the measuring device 50 through the connection between the smart phone or the tablet and the measuring device 50, and save the measured value directly. The patient medical record data 22 is temporarily stored in the patient medical record data 22 or subtracted from the previous measurement value, and then stored in the patient medical record data 22, and the operation screen is as shown in FIG.

Finally, when the patient is discharged from the hospital, the catheter is removed, or the physician cancels the record of the input or discharge of the medical order 24, the caregiver uses the mobile device 60 to contact the first near field communication tag 30 on the patient, and the host server 20 connection, after obtaining the medical record of the record input or discharge from the patient medical record data 22, and then contacting the second near field communication tag 40, the data stored in the second near field communication tag 40 is cleared, Leave it to other patients.

Through the operation of the above system and method, the nursing staff can use the mobile device at hand to record the patient's input or discharge more quickly and accurately. On the one hand, the traditional hand is solved by using electronic information tools such as mobile devices and medical records database. It is easy to miss the record; the other is to use different near-field communication tags to distinguish different pipelines to avoid misidentification; the third is to use measurement devices such as electronic scales or mobile scales. The measured values are accurately scaled to avoid problems with calculation errors.

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;

10‧‧‧System for recording patient input or discharge
20‧‧‧Host server
22‧‧‧ Patient medical records
24‧‧‧ Record patient input or discharge instructions
30‧‧‧ First Near Field Communication Label
32, 42‧‧‧ patient identification code
34‧‧‧First Matching Instructions
40‧‧‧ Second Near Field Communication Label
44‧‧‧Second pairing instructions
50‧‧‧Measurement device
52‧‧‧First Control Unit
54‧‧‧Weighing unit
56‧‧‧First transmission unit
60‧‧‧ mobile devices
62‧‧‧Second control unit
622‧‧‧Measurement category project
624‧‧‧Storage option module
64‧‧‧ Near Field Communication Reader Unit
66‧‧‧Second transmission unit
68‧‧‧ Third transmission unit

Figure 1 is a schematic diagram of the system configuration of the present invention. Fig. 2 is a view showing the use screen of the present invention, mainly showing an operation screen for selecting a measurement type. Fig. 3 is another use screen diagram of the present invention, mainly showing an operation screen for selecting a storage option.

10‧‧‧System for recording patient input or discharge

20‧‧‧Host server

22‧‧‧ Patient medical records

24‧‧‧ Record patient input or discharge instructions

30‧‧‧ First Near Field Communication Label

32, 42‧‧‧ patient identification code

34‧‧‧First Matching Instructions

40‧‧‧ Second Near Field Communication Label

44‧‧‧Second pairing instructions

50‧‧‧Measurement device

52‧‧‧First Control Unit

54‧‧‧Weighing unit

56‧‧‧First transmission unit

60‧‧‧ mobile devices

62‧‧‧Second control unit

64‧‧‧ Near Field Communication Reader Unit

66‧‧‧Second transmission unit

68‧‧‧ Third transmission unit

Claims (6)

A system for recording patient input or discharge includes: a host server storing a patient medical record data, the patient medical record data having a recorded patient input or discharge medical order; a first near field communication label, Storing a patient identification code and a first pairing command; a second near field communication tag storing a second pairing command; a measuring device having a first control unit, a weighing unit, and a first transmission unit The first control unit is connected to the weighing unit and the first transmission unit, the weighing unit outputs a measured value; a mobile device having a second control unit, a near field communication read/write unit, and a second a transmission unit and a third transmission unit, the second control unit is respectively connected to the near field communication read/write unit, the second transmission unit and the third transmission unit, and the near field communication read/write unit reads the patient identification code And the first pairing instruction, the second transmission unit and the main The server establishes a connection, and causes the second control unit to obtain the recorded patient input or discharge order; and thereby, the near field communication reading and writing unit stores the patient identification code and the measurement type information in the first Transmitting the second pairing instruction by the second near field communication tag, causing the third transmission unit to establish a connection with the first transmission unit, and causing the first control unit to transmit the measurement value to the second control unit, the first The second control unit then transmits the measured value to the patient's medical record data for storage. The system for recording patient input or output according to claim 1, wherein the second control unit further has a storage option module, wherein the storage option module includes reading data, storing data, temporarily storing data, Stored after the last addition and subtraction. The system for recording patient input or discharge according to claim 1, wherein the second control unit further comprises a measurement type item, wherein the measurement type item comprises a diet, a urine collection, and a catheter. A method for recording a patient input or discharge amount, comprising: reading a patient identification code of a first near field communication tag memory and a first pairing instruction by using a mobile device having a near field communication reading and writing unit; Having the mobile device having a second transmission unit and a host server storing one of the patient medical records, and connecting the second control unit to the near field communication read/write unit and the second transmission unit respectively Obtaining a record of the patient's medical record data input or discharge of the medical record; the near field communication reading and writing unit reads a second pairing instruction stored in the second near field communication tag, and the second One of the third transmission units of the control unit is connected to one of the first transmission units of a measuring device; one weighing unit of the measuring device measures the patient input or output to produce a measured value; The second control unit reads the measured value in one of the first control units respectively connected to the weighing unit and the first transmission unit, and the second control unit transmits the measured value to the disease Data storage. The method for recording a patient input or discharge amount according to claim 4, wherein after the third transmission unit establishes a connection with the first transmission unit, further starting a storage option module built in the second control unit, The storage option module includes reading data, storing data, temporarily storing data, and storing it after adding and subtracting last time. The method for recording a patient input or discharge amount according to claim 4, wherein the second control unit activates the built-in of the second control unit after the second control unit obtains the record patient input or discharge order A measurement type item, which includes a diet, urine collection, and a catheter.