WO2018070772A1 - Procédé permettant de fournir une interface permettant d'injecter un médicament dans un patient à l'aide d'une pompe à perfusion, et serveur et support d'enregistrement lisible par ordinateur - Google Patents

Procédé permettant de fournir une interface permettant d'injecter un médicament dans un patient à l'aide d'une pompe à perfusion, et serveur et support d'enregistrement lisible par ordinateur Download PDF

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Publication number
WO2018070772A1
WO2018070772A1 PCT/KR2017/011175 KR2017011175W WO2018070772A1 WO 2018070772 A1 WO2018070772 A1 WO 2018070772A1 KR 2017011175 W KR2017011175 W KR 2017011175W WO 2018070772 A1 WO2018070772 A1 WO 2018070772A1
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WIPO (PCT)
Prior art keywords
drug
information
infusion
specific
patient
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PCT/KR2017/011175
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English (en)
Korean (ko)
Inventor
황희
이기혁
유수영
백현영
Original Assignee
서울대학교병원
에스케이텔레콤 주식회사
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Publication of WO2018070772A1 publication Critical patent/WO2018070772A1/fr

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    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A61M2005/14208—Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3546—Range
    • A61M2205/3561—Range local, e.g. within room or hospital
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/60—General characteristics of the apparatus with identification means
    • A61M2205/6009—General characteristics of the apparatus with identification means for matching patient with his treatment, e.g. to improve transfusion security

Definitions

  • the present invention relates to a method for providing an interface for injecting a drug to a patient using an infusion pump, a server and a computer readable recording medium, and more particularly, to an infusion pump through a clinical information interface of a specific patient from a treatment terminal.
  • a medical interface is provided to a medical terminal for inputting selection information about a drug to be injected into a specific patient and an injection condition using a infusion pump.
  • the infusion linkage information including the drug order code, the equipment code of a particular infusion pump, and the patient code, is determined to determine if the drug order code and the patient code match the prescription order
  • a server, and a computer readable recording medium for providing an interface for injecting a drug to a patient using an infusion pump.
  • Infusion pumps are one of the world's most widely used medical devices, such as homes and hospitals, which operate mechanically by a given amount of intravenous drugs by a given amount. It is equipment to inject. Infusion pumps are also used intravenously, but may alternatively be used in subcutaneous, arterial, epidural and the like.
  • Infusion pumps may be used to inject drugs that act on the cardiovascular or respiratory system, such as dopamine, dobutamine, steroids, or the like to sensitive drugs, such as newborns and mothers, to precisely adjust drug concentrations.
  • drugs that act on the cardiovascular or respiratory system such as dopamine, dobutamine, steroids, or the like to sensitive drugs, such as newborns and mothers, to precisely adjust drug concentrations.
  • the medication is to be administered for a long time through a catheter, and if it is to be administered to a patient in an intensive care unit, it is advantageous in terms of time and economics to administer by using an infusion pump rather than by a nurse or doctor. Do. In particular, high-risk drugs, such as those with a low therapeutic dose range, will be more useful for infusion pumps.
  • drugs that are injected into a patient using an infusion pump are important drugs that are directly related to patient condition and safety and must be followed by an infusion dose.
  • the drug is simply connected to an infusion pump and injected, and the actual infusion dose is calculated and input by the nurse's manual calculation according to the oral order of the doctor.
  • the infusion pump is a button type, so when doctors instruct or adjust the dose adjustment, the infusion pump is manually controlled through the process of stopping, numerical input and operation. It is inconvenient for nurses to adjust the dosage of the drug through the infusion pump and input information on the controlled dosage of the drug by performing an operation on the electronic medical record (EMR).
  • EMR electronic medical record
  • the present invention aims to solve all the above-mentioned problems.
  • Another object of the present invention is to provide an interface for automatically calculating the intake information corresponding to the drug injected into the patient through the infusion pump and recording in the patient clinical information.
  • a method for providing an interface for injecting drugs to a patient using an infusion pump comprising: (a) a prescription order for the infusion pump through a clinical information interface of a specific patient from a treatment terminal; When detecting a request for inputting the server, the server provides a medical treatment interface for inputting selection information about a drug and an injection condition of the drug to be injected into the specific patient by using the infusion pump. step; (b) the server calculates an infusion rate of at least one specific drug to be injected into the specific patient with reference to the information selected through the medical care interface, and injects the specific drug into the specific patient at the calculated infusion rate.
  • a nursing interface for generating a prescription order for inputting a nursing interface to input infusion interworking information, wherein the infusion interworking information includes a drug order code, a device code of a specific infusion pump, and a patient code; Providing with; And (c) when the infusion interworking information including the drug order code, the equipment code of the specific infusion pump, and the patient code is input through the nursing interface, the server displays the drug order code and the patient code.
  • a server for providing an interface for injecting drugs to a patient using an infusion pump comprising: a communication unit; And (i) detecting a request for inputting a prescription order for the infusion pump through a clinical information interface of a specific patient through a communication unit, a drug for injecting the specific patient using the infusion pump; Providing a medical interface for inputting selection information on the infusion condition of the drug to the medical terminal through the communication unit, and (ii) at least one to be injected to the specific patient with reference to the information selected through the medical interface Calculate an infusion rate of a specific drug, generate a prescription order for injecting the specific drug to the specific patient at the calculated infusion rate, and infusion linkage information corresponding to the prescription order-the infusion linkage information is a drug order code , Contains the equipment code of the specific infusion pump, and the patient code- Providing a nursing interface to the nursing terminal through the communication unit; and (iii) the infusion interworking information including the drug
  • a processor configured to support, via the communication unit, the specific infusion pump to inject the specific drug at the calculated infusion rate into the specific patient in response to a setting completion signal received from the processor; It is provided with a server comprising a.
  • a computer readable recording medium for recording a computer program for executing the method of the present invention is further provided.
  • the present invention can not only increase the convenience of medical personnel by automatically calculating the dose and / or infusion rate of a drug to be injected into a patient through an infusion pump according to a doctor's prescription, but can also inject a correct amount of drug into the patient. This can improve the reliability of patient safety.
  • the present invention can increase the work convenience and efficiency of the medical personnel by automatically calculating the intake information corresponding to the drug injected into the patient in conjunction with the infusion pump to be recorded in the patient clinical information, errors in the clinical information It can prevent the medical accidents due to the incorrect treatment of the patient can be prevented in advance.
  • the present invention can improve the convenience of the medical practitioner because the drug injection through the infusion pump is made through the organic interaction of the drug system, treatment system and nursing system.
  • FIG. 1 schematically depicts a system for operating an infusion pump in accordance with one embodiment of the present invention
  • FIG. 2 schematically shows a drug interface for registering a drug through a drug terminal according to an embodiment of the present invention
  • Figure 3 schematically shows a state of setting the infusion conditions of the drug in the drug interface according to an embodiment of the present invention
  • FIG. 5 schematically illustrates a medical care interface for generating a prescription order through a medical care terminal according to an embodiment of the present invention.
  • FIG. 6 schematically illustrates a state for a prescription order generated through a medical care interface according to an embodiment of the present invention.
  • FIG. 7 schematically illustrates a state in which drug infusion information is displayed by an infusion pump of a patient displayed through a nursing interface according to an embodiment of the present invention.
  • FIG. 8 schematically illustrates another state displaying drug infusion information by an infusion pump of a patient displayed through a nursing interface according to an embodiment of the present invention.
  • FIG. 1 schematically illustrates a system for operating an infusion pump according to an embodiment of the present invention.
  • the system includes an infusion pump (IP1, IP2, ..., IPk), a pharmaceutical terminal (M).
  • IP1, IP2, ..., IPk an infusion pump
  • M a pharmaceutical terminal
  • the treatment terminal D, the nursing terminal N, and the server 100 may be included.
  • infusion pumps IP1, IP2, ..., IPk
  • IP1, IP2, IP2, ..., IPk is to inject the drug at a constant rate in response to a signal input through the input unit or a signal received through the network
  • one infusion pump to one patient Inject one drug or multiple infusion pumps may inject multiple drugs into one patient.
  • the drug terminal M includes a PC, a notebook computer, a tablet, and a wireless communication drug terminal.
  • the drug terminal M sets information about a drug to be administered to a patient, and provides infusion pumps IP1, IP2,... , IPk) may specify the injection route information for injecting the patient for each drug, the fluid information for mixing, the injection unit information and the injection dose information per injection unit for the drugs that can be injected into the patient through IPk).
  • the treatment terminal (D) is a treatment terminal (D) includes a PC, notebook, tablet, and wireless communication medical terminal, and generates a prescription order in response to the patient's condition through the provided medical interface, Selects a specific drug to be injected into the drug, and transmits a prescription order generation signal specifying at least one of injection path information, mixing information for mixing, injection unit information, and injection dose information per injection unit, for the selected specific drug; Drug information and infusion information to be injected into the patient through the infusion pumps (IP1, IP2, ..., IPk) can be displayed.
  • IP1, IP2, ..., IPk infusion pumps
  • the nursing terminal (N) includes a PC, a notebook, a tablet, and a wireless communication nursing terminal, and through the provided nursing interface, the medication order code, the equipment code of a specific infusion pump, and the patient code in response to a prescription order are provided. Acquiring and transmitting the setting completion signal corresponding to the request signal and setting for injecting a specific drug to a specific patient through a specific infusion pump, and injecting the patient through an infusion pump (IP1, IP2, ..., IPk) Drug information and infusion information can be displayed.
  • IP1, IP2, ..., IPk infusion pump
  • the server 100 may include a communication unit 110, a processor 120, and a database 130.
  • the communication unit 110 when the processor 120 detects a request for inputting a prescription order for the infusion pump through the clinical information interface of the specific patient from the treatment terminal D, the communication unit 110, the specific patient using the infusion pump.
  • a nursing interface for inputting an equipment code, a patient code, and the like of an infusion pump is provided to the nursing terminal N through the communication unit 110.
  • the nursing terminal When the infusion interworking information including the drug order code, the equipment code of a specific infusion pump, and the patient code is input through the nursing interface, it is determined whether the drug order code and the patient code match the prescription order, and the nursing terminal ( N) requests a setting for injecting a specific drug to a specific patient through a specific infusion pump (IPk), and the specific infusion pump (IPk) calculates a specific drug in response to a setting completion signal received from the nursing terminal (N). It may support through the communication unit 110 to inject to a specific patient at a given infusion rate.
  • IPk specific infusion pump
  • the processor 120 refers to information on a prescription order and a specific infusion pump, and includes a database of information about a specific drug injected into a specific patient using a specific infusion pump (Ipk) as clinical information corresponding to a specific patient. And store at least one of information of a specific drug, infusion rate information, infusion dose information per infusion unit, dose information so far injected, remaining dose information, injected time information, and remaining time information. And may be displayed through at least one of a clinical information interface, a treatment interface, and a nursing interface.
  • Ipk specific infusion pump
  • the processor 120 When the drug registration request signal is input from the drug terminal M through the communication unit 110, the processor 120 provides a drug interface for inputting drug information to the drug terminal M and is input through the drug interface.
  • Drug information, infusion route information, mixing fluid information, infusion unit information, and infusion dose information per infusion unit may be stored in the drug master of the database 130.
  • the processor 120 of the server 100 Provides a drug interface as shown in FIG. 2 to register drug information to the drug terminal M in response to a drug registration request signal received through the communication unit 110.
  • the medication terminal user inputs the medication information and the medication information through the medication interface provided to the medication terminal M
  • the processor 120 of the server 100 receives the medication information and the medication information input through the medication interface.
  • the database 130 Stored in the database 130.
  • the processor 120 may be registered in the drug master which is the information data. That is, the database 130 stores various information data related to the medical activity, and the information about the drug may be stored as the drug master.
  • the drug terminal user may designate an infusion pump, for example, CIV (S1), as a default of the infusion route of the drug in the drug interface as shown in FIG. 2.
  • the medication interface provides a list of routes for injecting the medication, and the medication terminal user may select a specific infusion route through the medication terminal M to set the infusion route of the medication to be the selected specific infusion route.
  • the medication interface may allow the medication terminal user to easily select a specific infusion route by scrolling the infusion routes in response to the selection operation of the medication terminal user with respect to the listed infusion routes.
  • the server 100 as shown in Figure 3 injection conditions for injecting the drug using the infusion pump Medication interface to set the can be provided to the drug terminal (M).
  • the drug terminal user selects the infusion management (S2) in the drug interface as shown in Figure 3 provided through the drug terminal (M) in order to set the infusion injection conditions of the drug.
  • the server 100 may provide the medicine terminal M with a window for setting the infusion condition in response to the infusion management (S2) selection signal.
  • the window for setting the infusion condition may be displayed as an inline frame or provided through a separate frame such as a pop-up window.
  • the user of the medicine terminal may set the infusion injection condition S3 such as the fluid information for the mixing, the injection unit information, and the injection dose information per injection unit in the infusion condition setting window.
  • the server 100 provides a list of information set in advance in each of the corresponding information on the infusion injection conditions, the drug terminal user selects the condition value for the condition from the list provided or provided from the list provided You can leave it blank without selecting a condition value.
  • the condition value corresponds to the injection unit information
  • the unit corresponding to the drug is selected from the injection units provided as a preset list such as mcg / kg / min, mg / hr, ml / kg / min, etc. .
  • the server 100 registers the infusion injection condition set through the drug terminal M in the drug master of the database 130.
  • a drug list designated as an infusion pump such as a CIV
  • the drug list includes drug information, fluid information for mixing, and drug injection unit information.
  • injectable dose information per injection unit of the drug may be included, and a plurality of pieces of each information may be generated as necessary.
  • the drugs for infusion using the infusion pump are registered in the drug master of the database 130 as shown in FIG. 4, and the prescription order for the infusion pump from the clinical terminal D is provided through the clinical information interface of the specific patient.
  • the server 100 uses a infusion pump to input a treatment interface for inputting selection information about a drug and an injection condition of the drug to be injected into a specific patient to the treatment terminal D.
  • a medical terminal user such as a doctor checks a specific patient's condition through a clinical information interface of a specific patient provided from the server 100.
  • the server 100 responds to the prescription order input request signal received from the treatment terminal D, and selects information about the drug and the condition for injecting the drug to be injected into a specific patient using an infusion pump as shown in FIG. 5.
  • the treatment terminal user selects a specific drug for infusion to a specific patient by using an infusion pump in the treatment interface provided through the treatment terminal D.
  • the server 100 lists up drugs whose infusion route is designated as an infusion pump (IVS, MIV) among drugs registered in the drug master of the database 130 as shown in FIG. 4, and treats the listed drug list.
  • IVS, MIV infusion pump
  • the server 100 may perform sap information for mixing the specific medication as shown in FIG. 5,
  • An injection condition input interface for inputting at least one of injection unit information and injection dose information per injection unit may be provided to the treatment terminal D.
  • condition values registered by the drug terminal M may be displayed as default values corresponding to the specific drug selected by the treatment terminal user.
  • the care terminal user maintains the infusion condition value provided as a default value in the infusion condition input interface provided through the care terminal D, sets an infusion route according to a selection (S4), or sap to mix or inject Injection condition information, such as a unit and an injection dose per injection unit, is set (S5).
  • the server When the treatment terminal user inputs a prescription order generation request signal after determining a specific drug for injecting a specific patient using an infusion pump and an injection condition for the corresponding medication using the treatment terminal D, the server As shown in FIG. 6, the drug information according to the prescription order is provided to the treatment terminal D using the treatment interface.
  • the care terminal user is the information about the order prescribed to a particular patient and the drug information corresponding to the prescription order and the injection condition information of the corresponding drug (S6) in the care interface as shown in Figure 6 provided through the care terminal (D) You can check.
  • the care terminal user can check information on a specific drug infusion rate, an injection dose per unit of infusion, mixed fluid, etc., as well as drugs currently being injected or injected into a specific patient.
  • Information (S7) can also be checked.
  • the server 100 calculates an infusion rate of at least one specific drug to be injected into a specific patient with reference to the information selected through the treatment interface, and prescribes to inject the specific drug into the specific patient at the calculated infusion rate.
  • the nursing interface may be provided to the nursing terminal N to generate an order and input infusion interworking information including a drug order code, a device code of a specific infusion pump, a patient code, and the like in response to a prescription order.
  • the server 100 may calculate the infusion rate of the selected drug with reference to the infusion dose per infusion unit acquired in response to the selected drug through the treatment terminal D, or refer to the weight information of the specific patient to determine the The infusion rate can be calculated.
  • the server 100 may obtain the weight information of the specific patient from the clinical information of the database 130 corresponding to the specific patient, the weight information of the specific patient obtained from the clinical information corresponding to the specific patient within the set time If the information is not information, that is, the time when the server 100 obtains weight information of a specific patient from the patient clinical information is called t and the set time is t1, the weight information of the specific patient is recorded in the clinical information of the specific patient. When the time is not between t-t1 and t, an alarm may be generated and a request for input of the latest weight information corresponding to a specific patient may be requested to the medical treatment terminal D or the nursing terminal N.
  • the measured weight is not good enough to be used as the current patient's weight information after a set time or more, so that the latest weight information is requested so that the drug is injected into the patient at the correct infusion rate according to the exact patient condition. will be.
  • the server 100 compares the weight information of the specific patient and the previous weight information obtained from the clinical information of the specific patient to generate an alarm when the weight change exceeds a preset ratio, and the treatment terminal (D) or the nursing terminal ( N) may request to input the latest weight information corresponding to a specific patient. This can increase the reliability of the patient's safety by allowing the healthcare practitioner to know when an abnormal situation occurs due to a wrong input, such as the input weight information of the patient.
  • the server 100 compares the acquired weight information of the specific patient with the preset standard weight information, and generates an alarm when the weight of the specific patient differs from the standard weight by more than the preset value, and the treatment terminal (D). ) Can be used to support alerts.
  • a medical terminal user such as a doctor can check patient information of overweight or underweight, and thus, unlike a patient having a normal weight, the user can set a drug injection rate customized according to each patient information.
  • the server 100 generates a prescription order for injecting the selected drug at a calculated infusion rate to a specific patient, and transmits a nursing interface for inputting infusion linkage information to the nursing terminal N in response to the prescription order.
  • the server 100 determines whether the drug order code and the patient code match the prescription order. In this case, it requests a setting for injecting a specific drug to a specific patient through a specific infusion pump IPk to the nursing terminal N, and responds to a setting completion signal received from the nursing terminal N in response to a specific infusion pump ( IPk) may assist in injecting a particular drug into a particular patient at a calculated infusion rate.
  • IPk specific infusion pump
  • a nursing terminal user such as a nurse, by the nursing interface provided through the nursing terminal N, a drug order code, an equipment code of a specific infusion pump, and The patient code may be obtained and transmitted to the server 100.
  • a nursing terminal user reads information on an infusion pump, drugs, barcodes or NFC cards assigned to a patient using a barcode reader or an NFC reader, and a nursing terminal user such as a nurse uses the nursing terminal N.
  • the patient code which is information about a specific patient for injecting drugs according to a prescription order
  • the equipment code of a specific infusion pump (IPk) which is information of an infusion pump for use with a particular patient
  • a drug order code that is information about a drug may be obtained and transmitted to the server 100.
  • the server 100 is obtained from the nursing terminal (N), the drug order code and the patient code is prescribed prescription order That is, if it is determined to match with the drug information and patient information included in the prescription order is requested to match the setting for injecting the selected drug to a specific patient using a specific infusion pump (IPk) to the nursing terminal (N).
  • IPk specific infusion pump
  • the drug order code and the patient code received from the nursing terminal (N) are inconsistent with the prescription order, an alarm is displayed to the nursing terminal (N) to perform accurate confirmation of the patient and the drug corresponding to the prescription order. This can prevent medical accidents in advance.
  • the server 100 may support a specific infusion pump IPk to be injected into a specific patient at a calculated infusion rate.
  • the server 100 refers to the information on the prescription order and the specific infusion pump (IPk) generated through the treatment terminal (D), by using a specific infusion pump (IPk) to a specific drug injected into a specific patient
  • Information is stored in the database 130 as clinical information corresponding to a specific patient, and information about a specific drug, infusion rate, infusion dose per unit of infusion, infusion dose to date, remaining dose, infusion time, and remaining time information
  • At least one or more of the at least one of the clinical information interface, the treatment interface, and the nursing interface can be displayed through the treatment terminal (D) or nursing terminal (N).
  • the server 100 may provide information on a prescription order generated by the treatment terminal D through a treatment interface, and may provide drug information corresponding to the prescription order.
  • the treatment terminal user receives the medication information S6 that is being injected to the specific patient through the treatment terminal D, that is, the infusion dose per infusion unit of the selected drug, the infusion dose, the remaining dose, the infusion time, and At least one or more of the remaining time information can be checked.
  • the treatment terminal user may check the injection information (S7) for all drugs currently being injected or injected through the treatment terminal (D).
  • the server 100 via the nursing interface to the nursing terminal (N) in response to the prescription order information about the drug injected into a specific patient, that is, the injection dose per injection unit of the selected drug, the current At least one or more of the injected dose, remaining dose, injected time, and remaining time information may be displayed.
  • the server 100 may include information about all drugs injected to a specific patient, including other drugs being injected or injected using an infusion pump, and drugs injected into a specific patient without using an infusion pump, in addition to the specific drug.
  • Can be displayed (S9) in this case it can be displayed by distinguishing between the generic drug and the drug injected by the infusion pump.
  • the server 100 may add (S8) and display the drug dose injected by the infusion pump to the total intake information of the patient.
  • the server 100 adds the total amount of drugs injected to a specific patient to the specific patient's drug intake information through the nursing interface, and the drug information injected using the infusion pump in the drug intake information is injected using another method. It can be displayed separately from the drug information.
  • the server 100 automatically calculates the total intake of the patient, the injected or infused drug information, and the like displayed through the nursing interface as shown in FIG. 7, and converts the calculated various information into clinical information of a specific patient. ) Can be stored.
  • the server 100 displays the sum of the doses of the drugs injected for each prescription order by day and time slot through the nursing interface as shown in FIG. 8, and displays the sum of the doses of the injected drugs in a graph (S11). Can be supported.
  • the server 100 may display only the main order when the prescription order generated through the treatment terminal D is a bundled order, and may display the details of the bundled order in a tooltip method.
  • the details of the bundle order are displayed by a scrolling method, and when the order of the specific details is selected, detailed prescription information of the order may be displayed.
  • the server 100 may obtain the ID of the treatment terminal and the ID of the nursing terminal and store the information in clinical information of the database 130 corresponding to a specific patient. This will allow you to see information about the medical party who performed the prescription and the prescription.
  • the server 100 may support the treatment terminal D to stop or terminate the injection of the drug through the infusion pump while the specific drug is being injected into the specific patient through the specific infusion pump IPk.
  • IPk specific infusion pump
  • Embodiments according to the present invention described above may be implemented in the form of program instructions that may be executed by various computer components, and may be recorded in a computer-readable recording medium.
  • the computer-readable recording medium may include program instructions, data files, data structures, etc. alone or in combination.
  • Program instructions recorded on the computer-readable recording medium may be those specially designed and configured for the present invention, or may be known and available to those skilled in the computer software arts.
  • Examples of computer-readable recording media include magnetic media such as hard disks, floppy disks and magnetic tape, optical recording media such as CD-ROMs, DVDs, and magneto-optical media such as floptical disks. media), and hardware devices specifically configured to store and execute program instructions, such as ROM, RAM, flash memory, and the like.
  • Examples of program instructions include not only machine code generated by a compiler, but also high-level language code that can be executed by a computer using an interpreter or the like.
  • the hardware device may be configured to operate as one or more software modules to perform the process according to the invention, and vice versa.

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  • General Health & Medical Sciences (AREA)
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  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
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  • Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

Le but de la présente invention est de fournir, à un terminal de traitement, une interface de traitement permettant l'entrée d'informations de sélection relatives à un médicament à injecter dans un patient spécifique à l'aide d'une pompe à perfusion et d'une condition d'injection pour le médicament, lorsqu'une demande d'entrée d'un ordre de prescription pour la pompe à perfusion effectuée par l'intermédiaire d'une interface d'informations cliniques du patient spécifique est détectée par le terminal de traitement ; de calculer le rythme d'injection du médicament spécifique à injecter dans le patient spécifique, par référencement d'informations sélectionnées par l'interface de traitement, afin de générer un ordre de prescription permettant d'injecter le médicament spécifique dans le patient spécifique en fonction du rythme d'injection calculé ; de demander, à un terminal d'infirmière, un paramètre permettant d'injecter le médicament spécifique dans le patient spécifique par l'intermédiaire d'une pompe de perfusion spécifique, lorsqu'un code d'ordre de médicament et un code de patient entrés par l'intermédiaire d'une interface d'infirmière fournie au terminal d'infirmière correspondent à l'ordre de prescription ; et de prendre en charge l'injection du médicament spécifique dans le patient spécifique au rythme calculé d'injection par la pompe de perfusion spécifique correspondant à un signal d'achèvement de réglage.
PCT/KR2017/011175 2016-10-11 2017-10-11 Procédé permettant de fournir une interface permettant d'injecter un médicament dans un patient à l'aide d'une pompe à perfusion, et serveur et support d'enregistrement lisible par ordinateur WO2018070772A1 (fr)

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KR10-2016-0131634 2016-10-11

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JP7058209B2 (ja) 2018-11-21 2022-04-21 株式会社荏原製作所 基板ホルダに基板を保持させる方法
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KR100461947B1 (ko) * 2001-07-06 2004-12-17 주식회사 바이오넷 목표농도 조절 주입기 및 그 제어방법
KR20150052197A (ko) * 2012-09-06 2015-05-13 백스터 인터내셔널 인코포레이티드 주입 맵을 포함하는 환자 정보 소프트웨어 시스템
KR20150113077A (ko) * 2013-01-28 2015-10-07 스미스 메디칼 에이에스디, 인크. 약물 안전 장치 및 방법
KR20150114627A (ko) * 2014-04-01 2015-10-13 재단법인 아산사회복지재단 약물 주입펌프의 약물주입 에러 감소 시스템 및 그 방법
KR20150115889A (ko) * 2013-02-08 2015-10-14 백스터 코포레이션 잉글우드 환자 관리 장치 구성을 위한 코드

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Publication number Priority date Publication date Assignee Title
KR100461947B1 (ko) * 2001-07-06 2004-12-17 주식회사 바이오넷 목표농도 조절 주입기 및 그 제어방법
KR20150052197A (ko) * 2012-09-06 2015-05-13 백스터 인터내셔널 인코포레이티드 주입 맵을 포함하는 환자 정보 소프트웨어 시스템
KR20150113077A (ko) * 2013-01-28 2015-10-07 스미스 메디칼 에이에스디, 인크. 약물 안전 장치 및 방법
KR20150115889A (ko) * 2013-02-08 2015-10-14 백스터 코포레이션 잉글우드 환자 관리 장치 구성을 위한 코드
KR20150114627A (ko) * 2014-04-01 2015-10-13 재단법인 아산사회복지재단 약물 주입펌프의 약물주입 에러 감소 시스템 및 그 방법

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