WO2017012108A1 - 一种急救分级优先调度方法及装置 - Google Patents

一种急救分级优先调度方法及装置 Download PDF

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Publication number
WO2017012108A1
WO2017012108A1 PCT/CN2015/084877 CN2015084877W WO2017012108A1 WO 2017012108 A1 WO2017012108 A1 WO 2017012108A1 CN 2015084877 W CN2015084877 W CN 2015084877W WO 2017012108 A1 WO2017012108 A1 WO 2017012108A1
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Prior art keywords
aid
grading
emergency
rescue
priority
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PCT/CN2015/084877
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English (en)
French (fr)
Inventor
李成继
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深圳循证医学信息技术有限公司
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Priority to CN201580024250.1A priority Critical patent/CN106462817A/zh
Priority to PCT/CN2015/084877 priority patent/WO2017012108A1/zh
Publication of WO2017012108A1 publication Critical patent/WO2017012108A1/zh

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G06Q10/0631—Resource planning, allocation, distributing or scheduling for enterprises or organisations
    • G06Q10/06311—Scheduling, planning or task assignment for a person or group
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/20—ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G06Q10/0631—Resource planning, allocation, distributing or scheduling for enterprises or organisations
    • G06Q10/06312—Adjustment or analysis of established resource schedule, e.g. resource or task levelling, or dynamic rescheduling
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10—Services
    • G06Q50/22—Social work or social welfare, e.g. community support activities or counselling services
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/60—ICT specially adapted for the handling or processing of medical references relating to pathologies
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16Z—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
    • G16Z99/00—Subject matter not provided for in other main groups of this subclass

Definitions

  • the invention relates to the field of emergency dispatching, in particular to a first aid grading priority scheduling method and device.
  • the traditional 120 emergency dispatching system is mainly used for the dispatching work of ambulances and hospitals; the other is the American MPDS system, which mainly guides the ambulances to reach the previous rescue activities.
  • the former is mainly responsible for dispatching. Before the arrival of the ambulance, it is impossible to provide rescue guidance for the patient; the latter is carried out according to the national conditions and medical behavior of the United States.
  • the main function is in grading scheduling. It is necessary to first determine whether the condition is serious before deciding whether to send an ambulance vehicle. Even on the way, you may abandon the patients who have already made an appointment and turn to the more serious patients. This is inconsistent with the principle of implementing rescue in accordance with the order of help, and the disease is also inconsistent with China's national conditions. Many common diseases in China are not involved ( Such as gas poisoning, etc., and the maintenance costs are high.
  • the technical problem to be solved by the present invention is that the above-mentioned problems of the prior art cannot effectively solve the problem that the rescuer cannot perform self-rescue or mutual rescue due to lack of systematic guidance before the ambulance arrives at the scene, providing a Before the ambulance arrives at the scene, the rescue personnel can conduct self-rescue or mutual rescue priority dispatching priority scheduling methods according to the instructions of the receiving police personnel.
  • the technical solution adopted by the present invention to solve the technical problem is to construct a first-aid grading priority scheduling method, and the emergency center, the ambulance and the hospital are provided with terminal equipment, the emergency center terminal equipment, the ambulance terminal equipment and the hospital terminal equipment.
  • a first aid grading priority scheduling system is installed, and the method includes the following steps:
  • the caller calls the call for help.
  • the emergency personnel of the emergency center obtain the on-site information reported by the caller by telephone, and record the site information into the first-aid priority dispatching system of the terminal equipment of the emergency center.
  • the first aid grading priority scheduling system of the emergency center terminal device performs intelligent judgment according to the content of the caller's answer, and matches the system back-end database for critical grading and scoring, and according to the condition Emergency dispatching priority dispatching emergency vehicles;
  • the first-aid grading priority scheduling system of the emergency center terminal device provides a rescue plan, and the receiving police personnel guide the site to perform self-rescue or mutual rescue according to the prompt of the rescue plan, and at the same time,
  • the emergency personnel record the situation of the on-site rescue personnel and the entire rescue process through the first-aid grading priority dispatching system of the emergency center terminal device, and send the situation of the call-calling rescue personnel and the entire rescue process to the first-aid of the ambulance terminal device simultaneously
  • the grading priority dispatching system and the first-aid grading priority dispatching system of the hospital terminal equipment notify the ambulance medical staff and the hospital medical staff to prepare for the rescue before receiving the caller.
  • the method further includes the following steps:
  • the method further includes the following steps:
  • the critical condition classification and scoring of the condition is CRAMS score, trauma score and Glasgow score.
  • the invention also relates to a device for realizing the above-mentioned first-aid grading priority scheduling method, wherein the emergency center, the ambulance and the hospital are provided with terminal equipment, and the emergency center terminal equipment, the ambulance terminal equipment and the hospital terminal equipment are all equipped with first-aid grading priority scheduling.
  • System the device comprising:
  • Database establishment unit used to establish a system back-end database, set questions about disease symptoms and patient signs and corresponding option groups, set critical classification and scoring criteria, collect several remote emergency command plans and professional plans, and The symptoms of the disease and the symptoms of the patient and the corresponding option groups, the critical classification and scoring criteria, the remote first aid command plan and the professional plan are stored in the back-end database of the system;
  • On-site information reporting unit used to make the caller call the call for help. After receiving the call, the emergency personnel of the emergency center obtain the on-site information reported by the caller through the phone, and record the site information into the terminal equipment of the emergency center.
  • First aid grading priority scheduling system used to make the caller call the call for help.
  • Questioning unit for retrieving the problem about the disease symptom and the patient's sign and the corresponding option group from the back-end database of the system, the alarm personnel querying the caller according to the question of the question, and according to the question The content answered by the rescuer selects the corresponding option from the corresponding option group;
  • the critical grading and scoring unit is configured to: after the end of the question, the first-aid grading priority scheduling system of the emergency center terminal device performs intelligent judgment according to the content of the caller's answer, and matches the system back-end database for critical grading and scoring of the condition And prioritizing the dispatch of emergency vehicles according to the severity of the condition;
  • the rescue plan providing unit is configured to provide a rescue plan for the first-aid grading priority dispatching system of the emergency center terminal device according to the result of the intelligent judgment, and the receiving police personnel guide the scene to self-rescue or mutual according to the prompt of the rescue plan
  • the emergency personnel record the situation of the on-site rescuer and the entire rescue process through the first-aid grading priority dispatching system of the emergency center terminal device, and send the situation of the call-calling personnel and the entire rescue process to the said
  • the first aid grading priority dispatching system of the ambulance terminal equipment and the first aid grading priority dispatching system of the hospital terminal equipment notify the ambulance medical staff and the hospital medical staff to prepare for the rescue before receiving the call for help.
  • the method further includes:
  • the information judging unit is configured to determine whether the condition of the caller is an infectious disease, and if yes, report the situation of the caller to the CDC through the first aid grading priority dispatching system of the emergency center terminal device; otherwise, not Reported.
  • the method further includes:
  • the first-aid archive file generating unit is configured to automatically save the information of the call-in person recorded by the alarm personnel and the emergency record data supplemented by the on-site medical staff, and export the file as a first-aid archive file.
  • the critical condition classification and scoring is performed using a CRAMS score, a trauma score, and a Glasgow score.
  • the first-aid grading priority scheduling method and apparatus of the present invention have the following beneficial effects: since a system back-end database is established in advance, the system background database stores problems related to disease symptoms and patient signs, corresponding option groups, criticality ratings, and ratings. Standard, remote first aid command plan and professional plan, the police personnel will record the on-site information reported by the caller into the first-aid grading priority dispatching system, and ask the caller according to the prompt question, and carry out critical classification and scoring according to the content of the caller's answer.
  • the first-aid vehicles are dispatched according to the critical condition of the illness; at the same time, the first-aid grading priority dispatching system provides the rescue plan, and the police officers guide the scene to self-rescue or mutual rescue according to the prompt of the rescue plan, and simultaneously send the information of the on-site rescue personnel and the entire rescue process simultaneously.
  • FIG. 1 is a flowchart of a method in an embodiment of an emergency grading priority scheduling method and apparatus according to the present invention
  • Figure 2 is a schematic view showing the structure of the apparatus in the embodiment.
  • FIG. 1 a flowchart of the first aid grading priority scheduling method is shown in FIG. 1 .
  • the emergency center, the ambulance, and the hospital are all provided with terminal equipment, and the emergency center priority equipment is installed on the emergency center terminal equipment, the ambulance terminal equipment, and the hospital terminal equipment.
  • the first aid classification priority scheduling is performed. The method includes the following steps:
  • Step S01 Establish a system back-end database, set questions about disease symptoms and patient signs and corresponding option groups, set critical classification and scoring criteria, collect several remote emergency command plans and professional plans, and discuss problems with disease symptoms and patient signs and Corresponding option groups, critical grading and scoring standards, remote first aid command plans and professional plans are stored in the system back-end database:
  • a system back-end database is set up, and questions about disease symptoms and patient signs and corresponding option groups are set.
  • Set critical grading and scoring criteria collect a number of remote first aid command plans and professional plans, and store questions about disease symptoms and patient signs and corresponding option groups, critical grading and scoring standards, remote first aid command plans and professional plans. Go to the system backend database.
  • each question has multiple options to choose from. These multiple options are called an option group.
  • the critical classification and scoring criteria of the condition are also set, and the critical condition is divided into multiple levels, and each level corresponds to a corresponding scoring standard.
  • the professional emergency medical data and emergency procedures include more than 200 kinds of remote emergency command plans and more than 200 kinds of professional plans, which are intelligently processed and saved to the system back-end database.
  • the system back-end database is integrated with the first-aid grading priority scheduling system. All data of the first-aid grading priority scheduling system are derived from the clinical pathway/guideline knowledge base, diet exercise guide library, drug knowledge base, nursing knowledge base, first-aid knowledge base, inspection and inspection knowledge base, and charging item standard library, etc. It is continuously updated based on the latest medical information and materials. Therefore, the data in the back-end database of the system has high authority, scientific, professional and advanced, and can fully meet the needs of first-aid work.
  • Step S02 The rescuer calls the call for help.
  • the emergency personnel of the emergency center receive the on-site information reported by the rescuer by telephone, and record the on-site information into the first-aid priority dispatching system of the terminal equipment of the emergency center: in this step, the caller calls 120 call for help, the emergency personnel of the emergency center received the call, the police officers obtained the on-site information reported by the rescuer by phone, and recorded the on-site information into the emergency first-class priority scheduling system of the terminal equipment of the emergency center.
  • the first aid grading priority scheduling system classifies various types of call for help into 36 main complaints.
  • the address, telephone number, accident, consciousness, and respiratory status of the caller can be entered into the first-aid grading priority dispatching system of the terminal equipment of the emergency center.
  • the police officer can determine the information of the caller. Choose a complaint that is closest to the rescuer.
  • Step S03 From the system back-end database, the questions about the disease symptoms and the patient's signs and the corresponding option groups are retrieved.
  • the police officers ask the callers one by one according to the questions asked, and select the corresponding ones from the corresponding option groups according to the content of the callers' answers.
  • the first-aid grading priority dispatching system of the emergency center terminal equipment obtains the on-site information (specific disease information) reported by the on-site rescuer, and then enters the actual symptoms and signs of the rescuer through the computer program, and then enters the system from the system background.
  • the database retrieves questions about the symptoms of the disease and the patient's signs and the corresponding option groups.
  • the caller is further questioned according to the symptoms and signs of the patient, and the police officers ask the caller one by one according to the question of the first aid grading priority scheduling system. And according to the content of the caller's answer, select the corresponding option from the corresponding option group.
  • Step S04 After the end of the question, the first-aid grading priority scheduling system of the emergency center terminal equipment intelligently judges according to the content of the caller's answer, and the critical system grading and scoring is performed through the matching system back-end database, and the emergency vehicle is dispatched according to the severity of the disease priority: in this step
  • the first-aid grading priority scheduling system of the emergency center terminal equipment intelligently judges according to the content of the caller's reply, and then comprehensively diagnoses all the symptoms and signs to derive the suspected diagnosis, and classifies the critical condition of the call-in personnel by matching the background database. And scoring, and priority dispatching of emergency vehicles according to critical illness, to ensure that patients with acute and severe illness receive medical assistance in time.
  • the critical condition classification and scoring are CRAMS score, trauma score and Glasgow score. These three scoring criteria provide the scoring elements directly from the questions answered in the field.
  • other scoring methods for pre-hospital emergency sites may be used, such scores need to be combined with the measured physical parameters to be scored, which may be used for public health emergencies or The deployment of rescue resources during the disaster relief site.
  • Step S05 according to the result of the intelligent judgment, the first aid grading priority dispatching system of the emergency center terminal equipment provides a rescue plan, and the police personnel guide the scene to perform self-rescue or mutual rescue according to the prompt of the rescue plan, and at the same time, the emergency personnel grading through the emergency center terminal equipment
  • the priority scheduling system records the situation of the on-site rescue personnel and the entire rescue process, and simultaneously transmits the situation of the call-calling personnel and the entire rescue process to the first-aid grading priority dispatching system of the ambulance terminal device and the first-aid grading priority dispatching system of the hospital terminal device, and notifying The ambulance medical staff and the hospital medical staff prepare for the rescue before receiving the call for help: in this step, according to the result of the intelligent judgment, the first aid grading priority dispatching system of the emergency center terminal equipment provides a simple and easy rescue plan.
  • the police officers can guide the scene to self-rescue or mutual rescue according to the instructions of the rescue plan, which can effectively use the gold rescue time.
  • the police personnel pass the emergency grading of the emergency center terminal equipment.
  • the first scheduling system records the situation of the on-site rescue personnel and the entire rescue process, and simultaneously transmits the situation of the rescuer and the entire rescue process to the first-aid grading priority dispatching system of the ambulance terminal equipment and the first-aid grading priority dispatching system of the hospital terminal equipment, and notifying The ambulance medical staff and the hospital medical staff will prepare for the rescue in advance according to the rescue personnel, saving the rescue time.
  • the corresponding departments and doctors should be notified to make appropriate preparations (including operating room, blood and medicines, etc.).
  • appropriate preparations including operating room, blood and medicines, etc.
  • the police officers can guide the scene to self-rescue or mutual rescue according to the instructions of the rescue plan, this will enable the rescuers to self-rescue or rescue each other according to the instructions of the police officers before the ambulance arrives at the scene.
  • doctors in the emergency center can accurately prepare relevant emergency services based on the information returned by the ambulance, and ultimately achieve the goal of efficient rescue.
  • Step S06 It is judged whether the condition of the rescuer is an infectious disease: in this step, it is judged whether the condition of the rescuer belongs to an infectious disease, and if the result of the determination is YES, step S07 is performed; otherwise, step S08 is performed.
  • Step S07 reports the situation of the caller to the CDC through the first aid grading priority scheduling system of the emergency center terminal device: if the result of the above step S06 is YES, that is, the condition of the caller is an infectious disease, this step is performed.
  • the first aid grading priority scheduling system of the emergency center terminal device reports the situation of the rescuer to the CDC, so that the first aid grading priority dispatching system can report to the CDC, so that the CDC can grasp the disease in the jurisdiction. In the prevailing situation, timely development of prevention and control measures.
  • Step S08 No report is performed: If the result of the above step S06 is NO, the step is executed. In this step, it is not reported to the CDC.
  • step S05 the following steps may also be included:
  • Step S09 automatically saves the situation of the rescuer recorded by the police officer and the emergency record data supplemented by the on-site medical staff, and exports it as a first-aid archive file: in this step, the situation of the call-in personnel recorded by the police officer and on-site medical care
  • the emergency record data supplemented by the personnel is automatically saved and exported as a first-aid archive file, which can be saved, transferred and recalled for printing, which is greatly convenient for medical personnel to use, so that the health supervision office can medically treat medical personnel and medical institutions.
  • the activities are supervised, the supervision of the matter is realized, and the responsibility is pursued afterwards.
  • the first-aid grading priority scheduling system has a recording function, and the data of each first-aid archive file includes serial number, time, name, gender, and main complaint. Users can also record the situation on the spot by recording or / and taking pictures, which is convenient for inquiring and writing medical records. This function is also applicable to the proof of medical disputes. It is worth mentioning that the execution of the above steps S06 and S09 is parallel, that is, the execution of steps S06 and S09 is not in the order of division.
  • the first-aid grading priority scheduling system is further provided with an emergency critical module (not shown) for displaying emergency and critical illness diagnosis and treatment information in the emergency field, which can be adopted in the first aid
  • an emergency critical module (not shown) for displaying emergency and critical illness diagnosis and treatment information in the emergency field, which can be adopted in the first aid
  • the name or name of the disease is entered into the phonetic code to locate the disease, and the disease definition, diagnosis basis, treatment guide and other treatment measures are quickly obtained.
  • the first-aid grading priority scheduling system also provides a quick query function including a drug name or a phonetic code and a list of drug classification catalogues, which can facilitate first-aid personnel to quickly inquire about emergency medicine indications, contraindications, adverse reactions, usage and dosage, and preparation specifications.
  • the first-aid grading priority scheduling system is further provided with a first-aid medicine module (not shown), which includes a quick-query function of the medicine name or the phonetic code and a list of drug classification catalogues, which can facilitate the first-aid personnel to quickly inquire about the emergency medicine indications. , contraindications, adverse reactions, usage and dosage, formulation specifications, etc.
  • the first aid grading priority scheduling system is further provided with an operation specification module (not shown) for displaying detailed information of various types of first-aid operation specifications, and the emergency personnel can be instructed in time when needed. Since most of the pre-hospital emergency personnel in our country are still low-ranking doctors who are still in the rotation period, there are still many deficiencies in the rescue experience and knowledge reserve.
  • the operation specification module can help solve this problem.
  • the embodiment further relates to an apparatus for implementing the above-mentioned first-aid grading priority scheduling method, and a schematic structural diagram thereof is shown in FIG. 2 .
  • the emergency center, the ambulance, and the hospital are all provided with terminal equipment, and the emergency center priority equipment is installed on the emergency center terminal equipment, the ambulance terminal equipment, and the hospital terminal equipment.
  • the emergency center priority equipment is installed on the emergency center terminal equipment, the ambulance terminal equipment, and the hospital terminal equipment.
  • the apparatus includes a database establishing unit 1, a site information reporting unit 2, a questioning unit 3, a critical rating scoring unit 4, and a rescue plan providing unit 5; wherein the database establishing unit 1 is configured to establish a system background database and set the disease Symptoms and patient signs and corresponding option groups, set critical classification and scoring criteria, collect a number of remote first aid command plans and professional plans, and grade questions about disease symptoms and patient signs and corresponding option groups and conditions. And the scoring standard, the remote emergency command plan and the professional plan are stored in the system back-end database; the on-site information reporting unit 2 is used to enable the caller to call for help, and the emergency personnel of the emergency center receive the call and obtain the scene reported by the caller through the phone.
  • the database establishing unit 1 is configured to establish a system background database and set the disease Symptoms and patient signs and corresponding option groups, set critical classification and scoring criteria, collect a number of remote first aid command plans and professional plans, and grade questions about disease symptoms and patient signs and corresponding option groups and conditions.
  • the questioning unit 3 is used to retrieve the questions about the disease symptoms and the patient's symptoms and the corresponding option groups from the system back-end database, and the police personnel follow the question.
  • the critical rating scoring unit 4 is used to make the first aid grading priority scheduling system of the emergency center terminal device intelligent according to the content of the answering person after the question is over.
  • the critical system grading and scoring is performed by matching the background database of the system, and the emergency vehicle is preferentially dispatched according to the severity of the disease;
  • the rescue plan providing unit 5 is configured to provide the first aid grading priority scheduling system of the emergency center terminal device according to the result of the intelligent judgment
  • the rescue plan the police officers instructed the scene to carry out self-rescue or mutual rescue according to the prompts of the rescue plan.
  • the police personnel recorded the situation of the on-site rescue personnel and the entire rescue process through the first-aid grading priority dispatching system of the emergency center terminal equipment, and will call the rescue personnel.
  • the condition and the entire rescue process are simultaneously sent to the first-aid grading priority dispatching system of the ambulance terminal equipment and the first-aid grading priority dispatching system of the hospital terminal equipment, and the ambulance medical staff and the hospital are notified to perform the corresponding rescue before receiving the call for help. Ready.
  • the professional emergency medical data and the first-aid process include more than 200 kinds of remote emergency command plans and more than 200 professional plans, which are intelligently processed and saved to System backstage database.
  • the system back-end database is integrated with the first-aid grading priority scheduling system. All data of the first-aid grading priority scheduling system are derived from the clinical pathway/guideline knowledge base, diet exercise guide library, drug knowledge base, nursing knowledge base, first-aid knowledge base, inspection and inspection knowledge base, and charging item standard library, etc. It is continuously updated based on the latest medical information and materials. Therefore, the data in the back-end database of the system has high authority, scientific, professional and advanced, and can fully meet the needs of first-aid work.
  • the critical condition classification and scoring is based on the CRAMS score, the trauma score and the Glasgow score. These three scoring criteria provide the scoring elements directly from the questions answered in the field. Of course, in some cases of this embodiment, other scoring methods for pre-hospital emergency sites may be used, such scores need to be combined with the measured physical parameters to be scored, which may be used for public health emergencies or The deployment of rescue resources during the disaster relief site.
  • the device further includes an information judging unit 6 for judging whether the condition of the caller is an infectious disease, and if so, reporting the situation of the caller through the first aid grading priority dispatching system of the emergency center terminal device Go to the CDC; otherwise, no report will be made.
  • the first-aid grading priority dispatching system can be reported to the CDC, so that the CDC can grasp the epidemic situation in the jurisdiction and timely formulate prevention and control measures.
  • the device further includes a first-aid archive file generating unit 7 for automatically saving the situation of the call-in personnel recorded by the police officer and the emergency record data supplemented by the on-site medical staff, and Export as a first aid archive file.
  • the first-aid archive file can be saved, transmitted and recalled, which is greatly convenient for medical personnel to use, so that the health supervision office can supervise the medical activities of medical personnel and medical institutions, realize the supervision in the event, and pursue the responsibility afterwards.
  • the first-aid grading priority scheduling system is based on the emergency center, and the terminal equipment is deployed in the ambulance and the hospital.
  • the information of the emergency center and the ambulance and the hospital's three points is shared synchronously, and the first-hand information on the scene is judged and processed, so that the scene can be understood from time to time.
  • the first aid grading priority dispatching system can accurately generate an assessment of the patient's condition, and can provide clear and easy-to-comply instructions before the ambulance arrives to guide the on-site personnel to take measures to save themselves and rescue each other to stabilize the patient's condition. .
  • the first-aid grading priority dispatching system can reduce the problem of returning the ambulance due to insufficient quantity; solve the grading and dispatching of dangerous, light, medium and heavy patients; solve the problem of emergency resource waste under the condition of insufficient emergency force; solve the ambulance before arriving at the scene Lack of systematic guidance; reduce medical disputes caused by lack of standardization and institutionalization of acceptance scheduling.
  • the first-aid grading priority dispatching system scientifically and rationally utilizes resources, optimizes the emergency dispatching process, and takes into account the emergency system and cultural background of the country, and provides scientific technical support for the police personnel to organize pre-hospital first aid, which can effectively improve the success rate of pre-hospital first aid.

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Abstract

一种急救分级优先调度方法及装置，方法包括：建立系统后台数据库；呼救人员拨打求救电话，急救中心接警人员通过电话获取现场信息并录入急救分级优先调度系统中；接警人员按照系统提示的问题向呼救人员提问并勾选答案；急救分级优先调度系统根据呼救人员回答的内容进行病情危重分级和评分，并根据病情危重分级优先调度急救车辆；提供抢救预案，接警人员按照抢救预案的提示指导现场进行自救或互救，同时，通过急救分级优先调度系统记录现场呼救人员的状况和整个抢救过程，并将其同步发送到救护车和医院。上述急救分级优先调度方法及装置，具有以下有益效果：在救护车到达现场前，呼救人员能根据接警人员的指导进行自救或互救。

Description

一种急救分级优先调度方法及装置 技术领域
本发明涉及急救调度领域，特别涉及一种急救分级优先调度方法及装置。
 背景技术
传统的120急救调度系统，主要用于救护车和医院的调度工作；另一种是美国的MPDS系统，主要指导急救车达到前的抢救活动。前者主要负责调度，在救护车到达前，无法为患者提供抢救指导；后者按照美国的国情和医疗行为进行，主要功能在分级调度上，要先判断病情是否严重，才决定是否派出救护车辆，甚至在途中可能放弃已预约好的病患，转向抢救更为严重的病患，这与我国按照呼救顺序实施抢救的原则不符，其包含疾病也与中国国情不符，国内许多常见疾病都没有涉及（如煤气中毒等），且维护费用高昂。
技术问题
上述传统的120急救调度系统和美国的MPDS系统都无法真正有效地解决救护车到达现场前，呼救人员由于缺乏系统化的指导而无法进行自救或互救的问题。
 技术解决方案
本发明要解决的技术问题在于，针对现有技术的上述无法真正有效地解决救护车到达现场前，呼救人员由于缺乏系统化的指导而无法进行自救或互救的问题的缺陷，提供一种在救护车到达现场前，呼救人员能根据接警人员的指导进行自救或互救的急救分级优先调度方法。
本发明解决其技术问题所采用的技术方案是：构造一种急救分级优先调度方法，急救中心、救护车和医院均设有终端设备，急救中心终端设备、救护车终端设备和医院终端设备上均安装有急救分级优先调度系统，所述方法包括如下步骤：
A）建立系统后台数据库，设置关于疾病症状和病人体征的问题及对应的选项组，设置病情危重分级及评分标准，收集若干个远程急救指挥预案和专业预案，并将所述关于疾病症状和病人体征的问题及对应的选项组、情危重分级及评分标准、远程急救指挥预案和专业预案存放到所述系统后台数据库中；
B）呼救人员拨打求救电话，急救中心的接警人员接到电话后，通过电话获取所述呼救人员上报的现场信息，并将所述现场信息录入所述急救中心终端设备的急救分级优先调度系统中；
C）从所述系统后台数据库中调取所述关于疾病症状和病人体征的问题及对应的选项组，所述接警人员按照提问的问题逐一向所述呼救人员提问，并根据所述呼救人员回答的内容，从所述对应的选项组中选择相应的选项；
D）提问结束后，所述急救中心终端设备的急救分级优先调度系统根据所述呼救人员回答的内容进行智能化判断，通过匹配所述系统后台数据库进行病情危重分级和评分，并根据所述病情危重分级优先调度急救车辆；
E）根据所述智能化判断的结果，所述急救中心终端设备的急救分级优先调度系统提供抢救预案，所述接警人员按照所述抢救预案的提示指导现场进行自救或互救，同时，所述接警人员通过所述急救中心终端设备的急救分级优先调度系统记录现场呼救人员的状况和整个抢救过程，并将所述场呼救人员的状况和整个抢救过程同步发送到所述救护车终端设备的急救分级优先调度系统和医院终端设备的急救分级优先调度系统，通知救护车医护人员和医院医护人员在接到所述呼救人员之前做好相应抢救准备。
在本发明所述的急救分级优先调度方法中，还包括如下步骤：
F）判断所述呼救人员的状况是否属于传染病，如是，通过所述急救中心终端设备的急救分级优先调度系统将所述呼救人员的状况上报到疾控中心；否则，不进行上报。
在本发明所述的急救分级优先调度方法中，还包括如下步骤：
G）将所述接警人员记录的所述呼救人员的状况和现场医护人员补充的急诊记录数据进行自动保存，并将其导出为一个急救档案文件。
在本发明所述的急救分级优先调度方法中，所述病情危重情况分级和评分采用CRAMS评分、创伤评分和格拉斯哥评分。
本发明还涉及一种实现上述急救分级优先调度方法的装置，急救中心、救护车和医院均设有终端设备，急救中心终端设备、救护车终端设备和医院终端设备上均安装有急救分级优先调度系统，所述装置包括：
数据库建立单元：用于建立系统后台数据库，设置关于疾病症状和病人体征的问题及对应的选项组，设置病情危重分级及评分标准，收集若干个远程急救指挥预案和专业预案，并将所述关于疾病症状和病人体征的问题及对应的选项组、情危重分级及评分标准、远程急救指挥预案和专业预案存放到所述系统后台数据库中；
现场信息上报单元：用于使呼救人员拨打求救电话，急救中心的接警人员接到电话后，通过电话获取所述呼救人员上报的现场信息，并将所述现场信息录入所述急救中心终端设备的急救分级优先调度系统中；
提问单元：用于从所述系统后台数据库中调取所述关于疾病症状和病人体征的问题及对应的选项组，所述接警人员按照提问的问题逐一向所述呼救人员提问，并根据所述呼救人员回答的内容，从所述对应的选项组中选择相应的选项；
危重分级评分单元：用于在提问结束后，所述急救中心终端设备的急救分级优先调度系统根据所述呼救人员回答的内容进行智能化判断，通过匹配所述系统后台数据库进行病情危重分级和评分，并根据所述病情危重分级优先调度急救车辆；
抢救预案提供单元：用于根据所述智能化判断的结果，使所述急救中心终端设备的急救分级优先调度系统提供抢救预案，所述接警人员按照所述抢救预案的提示指导现场进行自救或互救，同时，所述接警人员通过所述急救中心终端设备的急救分级优先调度系统记录现场呼救人员的状况和整个抢救过程，并将所述场呼救人员的状况和整个抢救过程同步发送到所述救护车终端设备的急救分级优先调度系统和医院终端设备的急救分级优先调度系统，通知救护车医护人员和医院医护人员在接到所述呼救人员之前做好相应抢救准备。
在本发明所述的装置中，还包括：
信息判断单元：用于判断所述呼救人员的状况是否属于传染病，如是，通过所述急救中心终端设备的急救分级优先调度系统将所述呼救人员的状况上报到疾控中心；否则，不进行上报。
在本发明所述的装置中，还包括：
急救档案文件生成单元：用于将所述接警人员记录的所述呼救人员的信息和现场医护人员补充的急诊记录数据进行自动保存，并将其导出为一个急救档案文件。
在本发明所述的装置中，所述病情危重情况分级和评分采用CRAMS评分、创伤评分和格拉斯哥评分。
 有益效果
实施本发明的急救分级优先调度方法及装置，具有以下有益效果：由于事先建立一个系统后台数据库，系统后台数据库中存放着关于疾病症状和病人体征的问题及对应的选项组、情危重分级及评分标准、远程急救指挥预案和专业预案，接警人员将呼救人员上报的现场信息录入急救分级优先调度系统中，并根据提示的问题向呼救人员提问，根据呼救人员回答的内容进行病情危重分级和评分，并根据病情危重分级优先调度急救车辆；同时，急救分级优先调度系统提供抢救预案，接警人员按照抢救预案的提示指导现场进行自救或互救，同时，将现场呼救人员的信息和整个抢救过程同步发送到救护车终端设备的急救分级优先调度系统和医院终端设备的急救分级优先调度系统，这样就做到了在救护车到达现场前，呼救人员能根据接警人员的指导进行自救或互救。
附图说明
为了更清楚地说明本发明实施例或现有技术中的技术方案，下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本发明的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。
图1为本发明急救分级优先调度方法及装置一个实施例中方法的流程图；
图2为所述实施例中装置的结构示意图。
 本发明的实施方式
下面将结合本发明实施例中的附图，对本发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本发明一部分实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有作出创造性劳动的前提下所获得的所有其他实施例，都属于本发明保护的范围。
在本发明急救分级优先调度方法及装置实施例中，其急救分级优先调度方法的流程图如图1所示。本实施例中，急救中心、救护车和医院均设有终端设备，急救中心终端设备、救护车终端设备和医院终端设备上均安装有急救分级优先调度系统，图1中，该急救分级优先调度方法包括如下步骤：
步骤S01 建立系统后台数据库，设置关于疾病症状和病人体征的问题及对应的选项组，设置病情危重分级及评分标准，收集若干个远程急救指挥预案和专业预案，并将关于疾病症状和病人体征的问题及对应的选项组、情危重分级及评分标准、远程急救指挥预案和专业预案存放到系统后台数据库中：本步骤中，建立系统后台数据库，设置关于疾病症状和病人体征的问题及对应的选项组，设置病情危重分级及评分标准，收集若干个远程急救指挥预案和专业预案，并将关于疾病症状和病人体征的问题及对应的选项组、情危重分级及评分标准、远程急救指挥预案和专业预案存放到系统后台数据库中。具体来讲，设置了很多关于疾病症状和病人体征的问题，每个问题都对应有多个选项可供选择，将这多个选项称为一个选项组。同时，还设置了病情危重分级及评分标准，将病情危重分成多个等级，每个等级都对应有相应的评分标准。
本步骤中，对专业急救医学数据及急救流程，包含200多种远程急救指挥预案及200多种专业预案，进行智能化处理后保存到系统后台数据库中。系统后台数据库与急救分级优先调度系统是一体的。急救分级优先调度系统所有的数据源自临床路径/指南知识库、饮食运动指南库、药物知识库、护理知识库、急救知识库、检验检查知识库和收费项目标准库等等，系统后台数据库可根据最新出台的医学信息和资料不断进行更新。因此，该系统后台数据库中的数据具有较高的权威性、科学性、专业性和先进性，能够充分满足急救工作的需要。值得一提的是，通过将录入急救分级优先调度系统的数据与系统后台数据库进行匹配，根据匹配结果以及急救分级优先调度系统的智能评估，能迅速对呼救人员的情况做出初步诊断。
步骤S02 呼救人员拨打求救电话，急救中心的接警人员接到电话后，通过电话获取呼救人员上报的现场信息，并将现场信息录入急救中心终端设备的急救分级优先调度系统中：本步骤中，呼救人员拨打120求救电话，急救中心的接警人员接到电话后，接警人员通过电话获取呼救人员上报的现场信息，并将现场信息录入急救中心终端设备的急救分级优先调度系统中。值得一提的是，本实施例中，急救分级优先调度系统将各类呼救情况分类为36个主诉。当进行现场信息录入时，可将呼救人员的地址、电话、事故、意识及呼吸状况等录入急救中心终端设备的急救分级优先调度系统中，同时，接警人员可通过对呼救人员的信息进行判定，选择一个最贴近呼救人员情况的主诉。
步骤S03 从系统后台数据库中调取关于疾病症状和病人体征的问题及对应的选项组，接警人员按照提问的问题逐一向呼救人员提问，并根据呼救人员回答的内容，从对应的选项组中选择相应的选项：本步骤中，急救中心终端设备的急救分级优先调度系统获得现场呼救人员上报的现场信息（具体病情信息）后，通过计算机程序将呼救人员的实际症状和体征录入该系统后，从系统后台数据库中调取关于疾病症状和病人体征的问题及对应的选项组，根据输入的病人的症状和体征对呼救人员进行进一步的提问，接警人员按照急救分级优先调度系统提问的问题逐一向呼救人员提问，并根据呼救人员回答的内容，从对应的选项组中选择相应的选项。
步骤S04 提问结束后，急救中心终端设备的急救分级优先调度系统根据呼救人员回答的内容进行智能化判断，通过匹配系统后台数据库进行病情危重分级和评分，并根据病情危重分级优先调度急救车辆：本步骤中，提问结束后，急救中心终端设备的急救分级优先调度系统根据呼救人员回答的内容进行智能化判断，再综合所有症状和体征推导出疑似诊断，通过匹配系统后台数据库对呼救人员的病情危重进行分级和评分，并根据病情危重分级优先调度急救车辆，以保证急重症患者及时得到医疗救助。值得一提的是，本实施例中，病情危重情况分级和评分采用CRAMS评分、创伤评分和格拉斯哥评分。这三种评分标准可从现场回答的问题中直接获取评分元素。当然，在本实施例的一些情况下，还可以采用其他用于院前急救现场的评分方法，此类评分需结合测得的体征参数才能进行评分，这种情况可用于突发公共卫生事件或救灾现场处理时救护资源的调派。
步骤S05根据智能化判断的结果，急救中心终端设备的急救分级优先调度系统提供抢救预案，接警人员按照抢救预案的提示指导现场进行自救或互救，同时，接警人员通过急救中心终端设备的急救分级优先调度系统记录现场呼救人员的状况和整个抢救过程，并将场呼救人员的状况和整个抢救过程同步发送到救护车终端设备的急救分级优先调度系统和医院终端设备的急救分级优先调度系统，通知救护车医护人员和医院医护人员在接到呼救人员之前做好相应抢救准备：本步骤中，根据智能化判断的结果，急救中心终端设备的急救分级优先调度系统提供简单、易行的抢救预案，包括具体的急救操作和急救药品等，接警人员按照抢救预案的提示通过电话指导现场进行自救或互救，可以有效利用黄金抢救时间，同时，接警人员通过急救中心终端设备的急救分级优先调度系统记录现场呼救人员的状况和整个抢救过程，并将场呼救人员的状况和整个抢救过程同步发送到救护车终端设备的急救分级优先调度系统和医院终端设备的急救分级优先调度系统，通知救护车医护人员和医院医护人员在接到呼救人员之前先针对性的做好相应抢救准备，节约抢救时间。例如：根据呼救人员的状况和抢救情况通知相应的科室和医生做好相应的接诊准备（包括手术室、血液和药品等）。由于接警人员可按照抢救预案的提示指导现场进行自救或互救，这样就做到了在救护车到达现场前，呼救人员能根据接警人员的指导进行自救或互救。另外，急诊中心的医生还可根据救护车传回的信息，准确的准备相关急救工作，最终实现高效抢救的目的。
对于本实施例而言，在上述步骤S05之后，还包括如下步骤：
步骤S06 判断呼救人员的状况是否属于传染病：本步骤中，判断呼救人员的状况是否属于传染病，如果判断的结果为是，则执行步骤S07；否则，执行步骤S08。
步骤S07通过急救中心终端设备的急救分级优先调度系统将呼救人员的状况上报到疾控中心：如果上述步骤S06的判断结果为是，即呼救人员的状况属于传染病，则执行本步骤。本步骤中，通过急救中心终端设备的急救分级优先调度系统将呼救人员的状况上报到疾控中心，这样，可通过急救分级优先调度系统向疾控中心汇报，以便疾控中心掌握辖区内的疾病流行情况，及时制定出防治措施。
步骤S08 不进行上报：如果上述步骤S06的判断结果为否，则执行本步骤。本步骤中，不进行上报到疾控中心。
值得一提的是，在上述步骤S05之后，还可以包括如下步骤：
步骤S09将接警人员记录的呼救人员的状况和现场医护人员补充的急诊记录数据进行自动保存，并将其导出为一个急救档案文件：本步骤中，将接警人员记录的呼救人员的状况和现场医护人员补充的急诊记录数据进行自动保存，并将其导出为一个急救档案文件，该急救档案文件可保存、传输和调用打印，大大方便医务人员使用，以便卫生监督所对医务人员和医疗机构的医疗活动进行监管，实现事中监管，事后追责。急救分级优先调度系统具备记录功能，每条急救档案文件的数据包含序号、时间、姓名、性别和呼救主诉。用户还可通过录音或/和拍照等方式，记录现场情况，方便查询及写病历，该功能亦适用于医疗纠纷的举证。值得一提的是，上述步骤S06和步骤S09的执行是并行的，也就是步骤S06和步骤S09的执行没有先后顺序之分。
另外，本实施例中，该急救分级优先调度系统还设置了急危重症模块（图中未示出），该急危重症模块用于展示急救领域的急、危重症诊疗信息，可通过在急救分级优先调度系统中输入疾病的名称或名称拼音码查询定位疾病，快速获取疾病定义、诊断依据、治疗指南及其他治疗措施。该急救分级优先调度系统还提供了包括药品名称或拼音码的快速查询功能及药品分类目录列表，可方便急救人员快速查询急救药品适应证、禁忌证、不良反应、用法用量、制剂规格等。
该急救分级优先调度系统还设置了急救药品模块（图中未示出），该急救药品模块包括药品名称或拼音码的快速查询功能及药品分类目录列表，可方便急救人员快速查询急救药品适应证、禁忌证、不良反应、用法用量、制剂规格等。
该急救分级优先调度系统还设置了操作规范模块（图中未示出），该操作规范模块用于展示各类急救操作规范的详细信息，急救人员可在需要时及时得到指导。由于我国院前急救人员大多是仍处于轮转期的年资较低的医生，在抢救经验和知识储备方面，仍存在很大不足，该操作规范模块可以帮助解决这一问题。
本实施例还涉及一种实现上述急救分级优先调度方法的装置，其结构示意图如图2所示。本实施例中，急救中心、救护车和医院均设有终端设备，急救中心终端设备、救护车终端设备和医院终端设备上均安装有急救分级优先调度系统。图2中，该装置包括数据库建立单元1、现场信息上报单元2、提问单元3、危重分级评分单元4和抢救预案提供单元5；其中，数据库建立单元1用于建立系统后台数据库，设置关于疾病症状和病人体征的问题及对应的选项组，设置病情危重分级及评分标准，收集若干个远程急救指挥预案和专业预案，并将关于疾病症状和病人体征的问题及对应的选项组、情危重分级及评分标准、远程急救指挥预案和专业预案存放到系统后台数据库中；现场信息上报单元2用于使呼救人员拨打求救电话，急救中心的接警人员接到电话后，通过电话获取呼救人员上报的现场信息，并将现场信息录入急救中心终端设备的急救分级优先调度系统中；提问单元3用于从系统后台数据库中调取关于疾病症状和病人体征的问题及对应的选项组，接警人员按照提问的问题逐一向呼救人员提问，并根据呼救人员回答的内容，从对应的选项组中选择相应的选项；危重分级评分单元4用于在提问结束后，急救中心终端设备的急救分级优先调度系统根据呼救人员回答的内容进行智能化判断，通过匹配系统后台数据库进行病情危重分级和评分，并根据病情危重分级优先调度急救车辆；抢救预案提供单元5用于根据智能化判断的结果，使急救中心终端设备的急救分级优先调度系统提供抢救预案，接警人员按照抢救预案的提示指导现场进行自救或互救，同时，接警人员通过急救中心终端设备的急救分级优先调度系统记录现场呼救人员的状况和整个抢救过程，并将场呼救人员的状况和整个抢救过程同步发送到救护车终端设备的急救分级优先调度系统和医院终端设备的急救分级优先调度系统，通知救护车医护人员和医院在接到呼救人员之前做好相应抢救准备。
值得一提的是，本实施例中，对于数据库建立单元1来讲，对专业急救医学数据及急救流程，包含200多种远程急救指挥预案及200多种专业预案，进行智能化处理后保存到系统后台数据库中。系统后台数据库与急救分级优先调度系统是一体的。急救分级优先调度系统所有的数据源自临床路径/指南知识库、饮食运动指南库、药物知识库、护理知识库、急救知识库、检验检查知识库和收费项目标准库等等，系统后台数据库可根据最新出台的医学信息和资料不断进行更新。因此，该系统后台数据库中的数据具有较高的权威性、科学性、专业性和先进性，能够充分满足急救工作的需要。
由于接警人员可按照抢救预案的提示指导现场进行自救或互救，这样就做到了在救护车到达现场前，呼救人员能根据接警人员的指导进行自救或互救。值得一提的是，病情危重情况分级和评分采用CRAMS评分、创伤评分和格拉斯哥评分。这三种评分标准可从现场回答的问题中直接获取评分元素。当然，在本实施例的一些情况下，还可以采用其他用于院前急救现场的评分方法，此类评分需结合测得的体征参数才能进行评分，这种情况可用于突发公共卫生事件或救灾现场处理时救护资源的调派。
本实施例中，该装置还包括信息判断单元6，该信息判断单元6用于判断呼救人员的状况是否属于传染病，如是，通过急救中心终端设备的急救分级优先调度系统将呼救人员的状况上报到疾控中心；否则，不进行上报。这样，可通过急救分级优先调度系统向疾控中心汇报，以便疾控中心掌握辖区内的疾病流行情况，及时制定出防治措施。
本实施例中，该装置还包括急救档案文件生成单元7，该急救档案文件生成单元7用于将接警人员记录的呼救人员的状况和现场医护人员补充的急诊记录数据进行自动保存，并将其导出为一个急救档案文件。该急救档案文件可保存、传输和调用打印，大大方便医务人员使用，以便卫生监督所对医务人员和医疗机构的医疗活动进行监管，实现事中监管，事后追责。
总之，在本实施例中，急救分级优先调度系统是通过以急救中心为主，在救护车、医院部署终端设备。使得急救中心与救护车、医院三点的信息同步共享，实现对现场第一手信息的判断处理，达到对现场的时时了解。利用医疗优先调度技术，分等级调度，合理调配急救资源，使得急救资源的利用达到最优化。另一方面，急救分级优先调度系统能准确产生对病人情况的评估，可以在救护车到达之前，提供清晰的、易于遵从的指令指导现场人员力所能及地采取措施自救和互救，以稳定病人的情况。
该急救分级优先调度系统可以减少救护车因数量不足存在的回车问题；解决危、轻、中、重病人的分级调派；解决急救力量不足条件下存在急救资源浪费现象；解决救护车到达现场前缺乏系统化指导的问题；减少因受理调度缺乏标准化和制度化导致的医疗纠纷。该急救分级优先调度系统科学合理的利用资源，优化急救调度流程，兼顾适应我国急救体系及文化背景，为接警人员组织院前急救提供科学化技术支持，可以有效提高院前急救成功率。
以上所述仅为本发明的较佳实施例而已，并不用以限制本发明，凡在本发明的精神和原则之内，所作的任何修改、等同替换、改进等，均应包含在本发明的保护范围之内。

Claims (8)

  1. 1、一种急救分级优先调度方法，其特征在于，急救中心、救护车和医院均设有终端设备，急救中心终端设备、救护车终端设备和医院终端设备上均安装有急救分级优先调度系统，所述方法包括如下步骤：
    A）建立系统后台数据库，设置关于疾病症状和病人体征的问题及对应的选项组，设置病情危重分级及评分标准，收集若干个远程急救指挥预案和专业预案，并将所述关于疾病症状和病人体征的问题及对应的选项组、情危重分级及评分标准、远程急救指挥预案和专业预案存放到所述系统后台数据库中；
    B）呼救人员拨打求救电话，急救中心的接警人员接到电话后，通过电话获取所述呼救人员上报的现场信息，并将所述现场信息录入所述急救中心终端设备的急救分级优先调度系统中；
    C）从所述系统后台数据库中调取所述关于疾病症状和病人体征的问题及对应的选项组，所述接警人员按照提问的问题逐一向所述呼救人员提问，并根据所述呼救人员回答的内容，从所述对应的选项组中选择相应的选项；
    D）提问结束后，所述急救中心终端设备的急救分级优先调度系统根据所述呼救人员回答的内容进行智能化判断，通过匹配所述系统后台数据库进行病情危重分级和评分，并根据所述病情危重分级优先调度急救车辆；
    E）根据所述智能化判断的结果，所述急救中心终端设备的急救分级优先调度系统提供抢救预案，所述接警人员按照所述抢救预案的提示指导现场进行自救或互救，同时，所述接警人员通过所述急救中心终端设备的急救分级优先调度系统记录现场呼救人员的状况和整个抢救过程，并将所述场呼救人员的状况和整个抢救过程同步发送到所述救护车终端设备的急救分级优先调度系统和医院终端设备的急救分级优先调度系统，通知救护车医护人员和医院医护人员在接到所述呼救人员之前做好相应抢救准备。
  2. 2、根据权利要求1所述的急救分级优先调度方法，其特征在于，还包括如下步骤：
    F）判断所述呼救人员的状况是否属于传染病，如是，通过所述急救中心终端设备的急救分级优先调度系统将所述呼救人员的状况上报到疾控中心；否则，不进行上报。
  3. 3、根据权利要求2所述的急救分级优先调度方法，其特征在于，还包括如下步骤：
    G）将所述接警人员记录的所述呼救人员的状况和现场医护人员补充的急诊记录数据进行自动保存，并将其导出为一个急救档案文件。
  4. 4、根据权利要求1至3任意一项所述的急救分级优先调度方法，其特征在于，所述病情危重情况分级和评分采用CRAMS评分、创伤评分和格拉斯哥评分。
  5. 5、一种实现如权利要求1所述的急救分级优先调度方法的装置，其特征在于，急救中心、救护车和医院均设有终端设备，急救中心终端设备、救护车终端设备和医院终端设备上均安装有急救分级优先调度系统，所述装置包括：
    数据库建立单元：用于建立系统后台数据库，设置关于疾病症状和病人体征的问题及对应的选项组，设置病情危重分级及评分标准，收集若干个远程急救指挥预案和专业预案，并将所述关于疾病症状和病人体征的问题及对应的选项组、情危重分级及评分标准、远程急救指挥预案和专业预案存放到所述系统后台数据库中；
    现场信息上报单元：用于使呼救人员拨打求救电话，急救中心的接警人员接到电话后，通过电话获取所述呼救人员上报的现场信息，并将所述现场信息录入所述急救中心终端设备的急救分级优先调度系统中；
    提问单元：用于从所述系统后台数据库中调取所述关于疾病症状和病人体征的问题及对应的选项组，所述接警人员按照提问的问题逐一向所述呼救人员提问，并根据所述呼救人员回答的内容，从所述对应的选项组中选择相应的选项；
    危重分级评分单元：用于在提问结束后，所述急救中心终端设备的急救分级优先调度系统根据所述呼救人员回答的内容进行智能化判断，通过匹配所述系统后台数据库进行病情危重分级和评分，并根据所述病情危重分级优先调度急救车辆；
    抢救预案提供单元：用于根据所述智能化判断的结果，使所述急救中心终端设备的急救分级优先调度系统提供抢救预案，所述接警人员按照所述抢救预案的提示指导现场进行自救或互救，同时，所述接警人员通过所述急救中心终端设备的急救分级优先调度系统记录现场呼救人员的状况和整个抢救过程，并将所述场呼救人员的状况和整个抢救过程同步发送到所述救护车终端设备的急救分级优先调度系统和医院终端设备的急救分级优先调度系统，通知救护车医护人员和医院医护人员在接到所述呼救人员之前做好相应抢救准备。
  6. 6、根据权利要求5所述的装置，其特征在于，还包括：
    信息判断单元：用于判断所述呼救人员的状况是否属于传染病，如是，通过所述急救中心终端设备的急救分级优先调度系统将所述呼救人员的状况上报到疾控中心；否则，不进行上报。
  7. 7、根据权利要求6所述的装置，其特征在于，还包括：
    急救档案文件生成单元：用于将所述接警人员记录的所述呼救人员的状况和现场医护人员补充的急诊记录数据进行自动保存，并将其导出为一个急救档案文件。
  8. 8、根据权利要求5至7任意一项所述的装置，其特征在于，所述病情危重情况分级和评分采用CRAMS评分、创伤评分和格拉斯哥评分。
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CN110634272A (zh) * 2019-10-28 2019-12-31 上海云赛智联信息科技有限公司 报警处置系统及方法
CN111161863A (zh) * 2019-12-31 2020-05-15 中国人民解放军陆军军医大学第一附属医院 远程医疗数据共享平台
CN113270180A (zh) * 2021-06-03 2021-08-17 重庆东登科技有限公司 急救医疗的调度管理系统
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