A third-class hospital in Tianjin adopts RFID wristband ward service system
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1. Case overview
With the gradual development of hospital informatization and the increasing investment in informatization year by year, informatization has brought benefits and convenience to hospitals. On the one hand, with the development of informatization, it has facilitated the medical treatment of the masses, and on the other hand, information The construction of hospitalization has also greatly improved the management level, service quality and service level of the hospital.
Developed by Hangxin Technology Co., Ltd.RFIDThe wristband ward service system is a system around the hospital’s inpatient service. The RFID wristband is used to comprehensively and effectively manage the inpatients, clarify the medication and distribution responsibilities, and facilitate the statistics of the workload of the medical staff. At the same time, the system is based on daily medical orders. The update allows the patient’s wristband to have the latest medical advice and medication information, facilitating expert consultation and shortening the time for emergency diagnosis and treatment. The system integrates RFID technology, HIS system, and network technology to establish a good medical environment that can benefit all inpatients, solve the actual problem of cumbersome procedures for inquiring doctor orders in the ward, and reduce the labor intensity of medical staff. The digitization and informatization process of the entire hospital has improved the overall service level and economic and social benefits of the hospital. The system has been successfully applied to a third-class hospital in Tianjin.
2. System introduction
The system is mainly divided into two parts, which respectively complete the functions of the nurse workstation and the nursing function, which can realize the rapid understanding of the medicines the patients are using during the rounds; understand the latest situation of the inpatients, and check the medicines according to the daily updated medical advice of the wristband It is also possible to quickly understand the patient’s condition during the emergency department, depending on the time of drug delivery and the patient.
The system wears a special wristband for each inpatient, and each ward nurse workstation is equipped with a handheld reader to collect and store patient information after the doctor’s daily rounds, as well as the doctor’s orders and basic vital characteristics data during the work process. The attribute information of each link is recorded in the wristband, and the data is uploaded and downloaded through the handheld reader and server. The integrated information management system is used to manage the collected information, which effectively informationizes the management of the ward, and improves the overall work efficiency. It reduces the occurrence of taking the wrong medicine and getting the wrong injection.
The system is a distributed integrated system based on multiple systems based on Windows series systems and relational databases (SQL Server). Through the deployment of database servers, personal PCs, and RFID handsets, each module in the system is effective Collaborative work to complete the entire ward business work.
3. System features
The complete nurse workstation and daily nursing executive function system is designed with a combination of handheld applications and B/S. It is deployed under the Windows system platform and conforms to the normal Windows application specifications. It provides HTTP/XML/Web Service applications. Interface, which can be easily integrated with HIS system and other management systems;
·Easy to use, functional and practical, patients get more humane care;
·Advanced radio frequency technology, technically put an end to the phenomenon of wrong medicine and wrong injection;
·Reduce the number of question and answer checks every day, which greatly reduces the workload of medical staff;
·The basic vital characteristics of the patient and the doctor’s order on the day stored in the wristband are convenient for the rounds and consultation doctors, shortening the diagnosis and treatment time.
4. System function
1) Data synchronization
Complete the data synchronization function with the HIS system. The basic data of all ward service systems comes from the HIS system. The required data mainly includes hospital medical staff information, patients, doctor order information, medicine dictionary, drug delivery method dictionary, group doctor order dictionary, Charge dictionary, exclusive doctor’s advice dictionary, doctor’s advice dictionary, etc.
Data synchronization is completed using the interface provided by the HIS manufacturer, but it needs to be synchronized in real time as much as possible. Timing synchronization processing or manual synchronization processing can be used as the original data of the wristband ward service system. The original data needs to be done when the wristband is issued mark.
The dictionary-related information in the original data is relatively fixed data, and the dictionary is uniformly maintained by the HIS system to ensure the uniqueness and mismatch of the data.
Data synchronization includes that every medical order that has been executed should be returned to the HIS system in time, and it has a unified performance with the HIS system data.
2) Wristband issuance
The initial process of the wristband ward service system. When using the system for patients, each patient needs to be issued a wristband for the overall data verification and data recording of the entire ward service process.
The issuance of the wristband needs to be bound based on the basic information such as the patient’s hospitalization number and patient’s bed number on the basis of data synchronization, and enter the wristband ward service system process. After the patient is discharged from the hospital, complete the process of using the wristband for the patient.
The wristband is issued using a PC and a desktop reader. When the wristband is issued, the patient’s basic information needs to be written.
When the patient is discharged from the hospital, the contents of the wristband should be emptied and reused after disinfection.
3) Patient card management
In the part of the nurse workstation, the inpatient information can be displayed in the manner of the department, ward, and bed according to the patient card, and the patient bed number, patient name, gender, nursing level and other information can be displayed on the patient card, and the patient card can be quickly clicked for related Other operations.
It is more intuitive to display the patient in the ward in the form of a patient card, and the basic information on the patient card can also have a general intuitive understanding of the patient.
4) Viewing medical advice
The doctor’s advice can be browsed according to individual doctor’s advice, and all doctor’s orders in the ward can be browsed, and the doctor’s advice can be classified and browsed for individuals. The classification of doctor’s orders can be classified according to long-term and temporary doctor’s orders, as well as skin tests, physical signs, meals, and laboratory tests. , Inspection, Nursing, Treatment, Infusion, Drugs, etc. are classified, and at the same time, you can browse the changed doctor’s order and the stopped doctor’s order, and browse the current execution status of the doctor’s order.
The medical orders to browse include: temperature list, long-term medical order, temporary medical order, long-term drug order execution, intravenous infusion medical order execution, changed doctor’s order, hospitalized patient condition report, admission evaluation list, nursing record.
5) Execution of medical orders
When nurses are performing nursing work, the execution of medical orders is carried out on the handheld device, which mainly completes the execution of the patient’s medical orders according to the category. During the execution, the “three checks and seven pairs” are completed to ensure that the correct nurses execute the correct medical orders for the correct patients.
Before all the medical orders are executed, you need to connect the handheld to the computer, download the medical order information to be executed, and list them by category.
The execution of the doctor’s order should be carried out according to the category, so that the order is clear, and the list of the doctor’s orders is displayed as needed, so that it is easy to find and easy to operate.
The executed medical orders are classified according to categories, and executed by category. Before executing the medical order, the patient’s wristband needs to be scanned, and the patient’s information and doctor’s order need to be “three-checked and seven-paired” before executing the relevant type of medical order. The classification of the executed medical order includes: nursing, skin test, physical signs, meals, laboratory tests, examinations, treatments, infusions, injections, medications, etc.
After the medical order is executed, you need to connect the handheld to the computer, upload the executed information to the wristband ward service system database, and then use the interface provided by the wristband ward service system for the HIS system to return information such as the execution time and executor of the medical order to the HIS system.
6) Print execution order
Print execution order can print executed receipts, infusion cards, patient bedside cards, diagnosis and treatment and drug execution orders, inspection notices, and bottle stickers, etc.
7) Nursing entry
Enter the daily nursing records and proceed according to classification.
8) Admission assessment sheet
Enter the data of the admission assessment sheet, and can print out the admission assessment sheet.
9) Statistics query
The statistical query function in each module, the staff work statistics query, the doctor’s order query, the doctor’s order change query, the doctor’s order execution query, and the patient’s physical signs query.
10) Report
Temperature report, long-term medical order report, temporary medical order report.
5. Equipment used
·RFID handheld reading device (industrial grade)
·RFID desktop reading equipment
·Sterilizable RFID wristband
6. Promotion value
The first part of the benefits after the implementation of the system comes from minimizing the loss caused by medication negligence. The internationally famous “Medication negligence process analysis report” pointed out that 38% of medication negligence (the domestic proportion is much higher than this!) comes from nursing staff Incorrect administration. After adopting the RFID wristband information system in the hospital, the phenomenon of wrong injections and wrong medicines has basically been eliminated.
The second part of the benefits after the implementation of the system is to greatly improve the work efficiency of nurses and save a lot of time in the nursing process. At the same time, the statistical analysis function of the system establishes good data for the reasonable assessment and scientific planning of the hospital management department. Assure.
In summary, the smooth implementation of the RFID wristband ward service system has greatly improved nurses’ work efficiency and the quality of medical services, and has truly realized the expectation of “returning time to nurses and nurses to patients”, which has significantly reduced Medical disputes and accidents have improved the hospital’s social reputation and core competitiveness.
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