WO2019241867A1

WO2019241867A1 - Apparatus for triage in health facilities

Info

Publication number: WO2019241867A1
Application number: PCT/BR2019/050233
Authority: WO
Inventors: Leonardo Lima De CARVALHO
Original assignee: Tolife Tecnologia Para A Saúde S.A.
Priority date: 2018-06-22
Filing date: 2019-06-21
Publication date: 2019-12-26
Also published as: BR202018012919U2

Abstract

The present utility model relates to an apparatus for triage, comprising a main casing (1) and a monitor casing (3). The main casing (1) contains the following onboard modules: a printer module (4), a blood pressure measurement module (5), a glycemia measurement module (6), a tympanic thermometer module (7) and a pulse oximeter module (8), as well as a concave body portion (9). The concave body portion matches a convex body portion (10) of the monitor casing (3), and the convex body portion has a plurality of tracks (11) designed to receive corresponding projections of the concave body portion (9), allowing the convex body portion to slide in relation to the concave body portion by means of the sliding engagement between the tracks and the projections. The monitor casing comprises a side edge (12) with slots (12a) designed to receive an interface body of a glucometer, a timpanic thermometer and a pulse oximeter.

Description

“EQUIPMENT FOR SCREENING IN HEALTH INSTITUTIONS”

[1] The present utility model refers to equipment for patient screening in healthcare facilities and, more specifically, to unique equipment that conveniently and efficiently combines all the devices necessary for patient screening. in emergency services.

BASICS OF THE UTILITY MODEL

[2] One of the greatest challenges for healthcare insights that offer patient care is the organization of patient flow according to the urgency of care required for each patient arriving at the institution.

[3] One way to organize flow is through patient risk classification, which allows prioritization of patient care.

[4] Thus, the risk classification aims to reduce the waiting time for patients at higher clinical risk and to ensure access to users resolutely based on risk criteria. Risk classification is of paramount importance to the activities of a health care facility, as a critically ill patient who is subjected to excessive waiting time may have his or her condition irreversibly aggravated, at a real risk of death.

[5] Commonly, the practice of risk classification is performed by the nurse, who after having undergone specific training and qualification, is titled as a classifier. This professional must follow the pre-established protocol in order to support their decision making.

[6] In Brazil, the most widely used assessment protocol is the Manchester Risk Rating System protocol. The Manchester Protocol, created in England in the 1990s and used around the world, uses a methodology that includes five-level scales symbolized by colors associated with the waiting time, each color representing a waiting time according to the degree of suffering of the user.

[7] According to information provided by GBCR - Brazilian Risk Rating Group, a non-profit association representing MTG - Manchester Triage Group, the protocol contains 52 flowcharts with discriminators that guide the collection and analysis of information to define the clinical priority of the patient. Thus, each flowchart corresponds to a sign / symptom presented by the patient (eg allergy, foreign body, lower back pain, drunkenness, wounds, malaise, palpitations, falls, etc.). Regarding the information collected, they range from answers to direct questions (eg, duration of the problem, trauma mechanism, use of medication, etc.) to the recording of measurable parameters (tympanic temperature, blood pressure, capillary blood glucose, blood saturation). oxygen, and heart rate and rhythm).

[8] In a study by Neto (OLIVEIRA NETO, PR. Waiting Time Assessment to See the Doctor in the Month of Implementation of the Quinta D'Or Screening System - Part 2: After Specific Training. 2009) mentioned in sheet “E -ACE-02 ”available in the QUALISS program of ANS - National Agency for Complementary Health, it was found that in a high complexity regional hospital in the North Zone of Rio de Janeiro, reference for supplementary health, after the implementation of the Manchester protocol , patient waiting times were reduced from 54.3 minutes to 30.8 minutes for level 5, from 52.4 to 30.01 for level 4, from 42.0 to 19.5 minutes for level 3, and 33 , 5 for 10.7 minutes for level 2.

[9] Thus, the methodology proposed by the Manchester Protocol is able to considerably reduce the waiting time for the first medical approach.

[10] It turns out that in certain situations even the shortened time of 10 minutes may be more than enough for the patient's condition to progress to a worse condition. In fact, minutes can make the difference between survival and death of the sick.

[11] In addition, the typically stressful and chaotic environment of an emergency care unit and the enormous pressure that the classifying nurse is subjected to on a daily basis can lead to human error in the evaluation, for example, erroneous notation of clinical parameters. or a forgetting of an evaluation step.

[12] Thus, although classification by a classifying nurse has been widely adopted, one of the challenges that the solution presents is It is precisely the need that the classifier has to operate different measuring devices and compute the different measurements to reach the risk classification, all in a chaotic environment and with the pressure of those who have the life of patients on their hands.

[13] Indeed, the operation of different devices and the individual computation of different measurements, in addition to being impractical and relatively time consuming, are subject to reading, typing and calculation errors.

[14] In order to alleviate such drawbacks, the solution described in document MU 8902031 -6 comprises an integrated clinical meter comprising different meters integrated into a CPU equipment running clinical risk classification software whose rules follow the Protocol of Manchester, international in scope. This solution, incorporated into the equipment sold under the TRIUS brand, proved to be a widely accepted solution in the market, which allowed it to speed up ensuring greater safety to the user and the patient during the process of determining the priority of care.

[15] Although such a solution is considerably superior to those based on the operation of different objectives, some aspects related to the usability of the device still present room for functional improvements, especially regarding the versatility and ease of use of the equipment.

[16] Thus, the need for screening equipment that can assist the risk classification activity and the implementation of the risk classification protocol remains in the state of the art, enabling better reliability and better usability and versatility of use when compared. the known prior art equipment solution. BRIEF DESCRIPTION OF THE UTILITY MODEL

[17] This utility model achieves the above objectives through health facility screening equipment, with a main cabinet and a monitor cabinet.

[18] The main cabinet has an onboard printer module, an onboard pressure measurement module, an onboard glucose meter, an onboard tympanic thermometer module, an onboard pulse oximeter module, and a body portion concave; The concave body portion corresponding to a convex body portion of the monitor cabinet.

[19] The convex body portion of the monitor cabinet has a plurality of rails configured to receive corresponding projections of the concave body portion, so that the convex body portion can slide relative to the concave body portion by sliding the rails over. relation to projections.

[20] The monitor cabinet comprising a side edge with indentations, each of the indentations being configured to receive a different interface body corresponding to a respective one of a glucometer, a tympanic thermometer and a pulse oximeter; the embedded glucose meter module comprising a cable entry of a glucometer, the embedded tympanic thermometer module comprising a cable entry of a tympanic thermometer, the embedded pulse oximeter module comprising a cable entry of an oximeter and the embedded pressure measuring module comprises at least two pressure gauge cuff cable entries.

[21] The monitor case may include a touch screen, and a second side edge that includes an integrated camera, a magnetic card reader and a smartcard reader.

[22] The main cabinet may include microphone and headphone inputs on its front, and network and power inputs on its rear, and the equipment may further comprise an SSD disk for data storage.

BRIEF DESCRIPTION OF DRAWINGS

[23] This utility model will be described in more detail below with reference to the accompanying drawings in which:

[24] Figure 1 is a front perspective view of the sorting equipment object of the present utility model;

[25] Figure 2 is a rear perspective view of the sorting equipment object of the present utility model;

[26] Figure 3 is a front view of the sorting equipment object of the present utility model;

[27] Figure 4 - is a rear view of the sorting equipment object of the present utility model;

[28] Figure 5 is a left side view of the sorting equipment object of the present utility model; and

[29] Figure 6 is a right side view of the sorting equipment object of the present utility model.

DETAILED DESCRIPTION OF THE UTILITY MODEL

[30] The present utility model will be described below based on the attached figures 1 to 6.

[31] The sorting equipment comprises a main cabinet (1), a keyboard (2) connected to the main cabinet and a monitor cabinet (3) connected to the main cabinet by means of a mobile connection, which allows to adjust the position of the monitor cabinet (3).

[32] The main cabinet (1) is built to provide more convenience to the screening and risk classification process.

[33] Thus, as best illustrated in Figure (2), the main cabinet (1) comprises an embedded printer module (4) for printing patient identification wristbands, an embedded pressure measurement module (5), an embedded blood glucose meter (6), an embedded tympanic thermometer module (7), an embedded pulse oximeter module (8), and at least a concave body portion (9).

[34] The concave body portion (9) has this shape to match the shape of a convex body portion (10) on the back of the monitor cabinet (3).

[35] In addition, as best illustrated in figure (3), the convex body portion (10) of the monitor cabinet (3) has a plurality of rails (11) which are configured to receive corresponding projections (not shown) of the concave body portion (9), so that the convex body portion (10) can slide relative to the concave body portion (9) by sliding the rails (11) relative to the projections.

[36] In this way, the user can safely and reliably adjust the position of the monitor cabinet (3) relative to the main cabinet (1), so that usability and safety are improved without compromising compactness and robust equipment.

[37] Accordingly, the adjustable positioning of the monitor cabinet can be done by electronic commands.

[38] As best seen in Figures 3 and 4, the monitor cabinet (3) is constructed so that one of its side edges (12) is configured with three indentations (12a), each indentation being configured to receive the interface body from one of a glucometer (M1), a tympanic thermometer (M2) and a pulse oximeter (M3).

[39] Thus, as the glucometer cable (M1) is embedded in the main cabinet module (6) (1), while the body is supported by one of the cutouts (12a) of the monitor cabinet edge (12) (3) ); the tympanic thermometer cable (M2) is attached to the module (7) of the main cabinet (1) while the body rests on another of the indentations (12a) of the edge (12) of the monitor cabinet (3), and the cable The pulse oximeter (M3) is embedded in the module (8) of the main cabinet (1) while the body rests in the third of the indentations (12a) of the edge (12) of the monitor cabinet (3).

[40] With this construction, the equipment of the present utility model allows easy access to use for meters (M1, M2 and M2), while onboard modules (6, 7 and 8) ensure that meter wires are properly organized and do not impair the usability of the equipment (which could be impaired if the wires were loose outside the equipment).

[41] This feature of the proposed equipment speeds up equipment handling and significantly reduces the possibility of measurement errors and accidents related to meter operation.

[42] Thus, each embedded module (6, 7, and 8) has an input (6a, 7a, and 8a) for the cable corresponding to one of the glucometer, thermometer, or pulse oximeter (see figure 5). Of course, although the figure shows an order for the embedded modules and their meters, the order could be different as long as it allows the meters to be easily organized and manipulated.

[43] The embedded pressure measuring module 5 comprises at least two pressure gauge cuff cable entries, and in the construction illustrated in the figures, the equipment utilizes three different cuffs. The use of the different cuffs can be controlled by electronic switching (ie the selection of the cuff on the embedded module). is made by mechanical switching).

[44] The other side edge (13) of the monitor cabinet (3) may comprise an integrated camera (23), a biometric reader (14), a magnetic card reader (15), a smartcard reader (16) and an NFC reader (22).

[45] The monitor cabinet monitor (3) is preferably a touchscreen (17).

[46] The main cabinet (1) may further comprise microphone and headphone inputs (18, 19) on its front, and mains and power inputs (20, 21) on its rear.

[47] The equipment may further comprise a storage device (for example, an SSD unit) which is accessible, for example, by means of a removable access plate in the main cabinet (1).

[48] As is clear from the above description and the figures, the screening equipment of the present utility model has an extremely easy and practical compact construction, representing a significant functional improvement over equipment known in the art.

[49] In this regard, the construction with adjustable position monitor cabinet, pressure switch board with different cuffs, the use of which may be varied by electronic switching, on-board measuring modules and interface body which can be supported on the edge of the monitor cabinet, obvious use and construction advantages, plus a lightweight compact construction compared to known prior art solutions.

[50] Finally, it should be noted that the use of the screening equipment of this utility model is able to reduce the waiting time until the first medical approach to about 1 to 1, 5 minutes while complying with the protocol. from Manchester. Reducing the time from 10 min to 1 or 1, 5 min can undoubtedly represent the difference between the patient's life and death. In addition, the ease of use made possible by the proposed equipment significantly reduces the possibility of errors and accidents related to equipment handling, which increases the reliability of care and further improves the risk classification task.

[51] In addition, the solution proposed by the present model enables high traceability of the entire screening process, allowing auditing of the screening performed and identification of nonconformities and / or opportunity for improvement

[52] Having described an example of the present utility model, it should be understood that the scope of the present utility model encompasses other possible constructive variants and is limited only by the content of the claims, including the possible equivalents thereof.

Claims

1. Equipment for screening in healthcare facilities, characterized by the fact that it comprises:

a main cabinet (1) having an embedded printer module (4), an embedded pressure measurement module (5), an embedded glucose meter (6), an embedded tympanic thermometer module (7), a pulse oximeter (8), and a concave body portion (9); the concave body portion (9) corresponding to a convex body portion (10) of a monitor cabinet (3); the convex body portion (10) of the monitor cabinet (3) having a plurality of rails (11) configured to receive corresponding projections of the concave body portion (9) so that the convex body portion (10) can slide relative to the concave body portion (9) by sliding the rails (11) relative to the projections;

the monitor cabinet (3) comprising a side edge (12) with indentations (12a), each of the indentations being configured to receive a respective interface body from one of a glucometer (M1), a tympanic thermometer (M2) and a pulse oximeter (M3); and

wherein the embedded glucose meter module (6) comprises an input (6a) for a cable of a glucometer, the embedded tympanic thermometer module (7) comprises an input (7a) for a cable of a tympanic thermometer, the module The pulse oximeter embedded assembly (8) comprises an inlet (8a) for a pulse oximeter cable, and the embedded pressure measurement module (5) comprises at least two pressure gauge cuff cable entries.

Equipment according to claim 1, characterized in that the monitor cabinet (3) includes a touch screen.

Equipment according to claim 2, characterized in that the monitor cabinet (3) comprises a second side edge (13) including an integrated camera (23), a biometric reader (14), a magnetic card reader (15), a Smartcard reader (16) and an NFC reader (22).

Equipment according to claim 3, characterized in that the main cabinet (3) comprises microphone and headphone inputs (18, 19) on its front, and mains and power inputs (20, 21) in your part rear.

Equipment according to claim 4, characterized in that it further comprises an SSD disk for data storage.