Mobile Medical and Internet of Things Application Sharing in Naval General Hospital
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The Naval General Hospital is a tertiary first-class hospital with 1,776 beds and an average annual outpatient volume of 1.35 million. At present, the Naval Hospital is relying on the latest mobile medical and Internet of Things technologies to realize the intelligent development of medical services. Luo Jing of the Computer Management Center of Naval General Hospital believes that mobile medical care actually focuses more on medical services. How to improve the experience of patients seeking medical care and how to simplify the working methods of medical staff are the goals pursued by the computer center of the hospital. As a bridge between clinical and Internet technology, the computer center on the one hand continues to explore the needs of patients and medical staff, on the other hand, it uses technical means to create a more relaxed diagnosis and treatment environment.
How does the Naval General Hospital carry out mobile medical care applications and IoT medical trials? HC3i sorted out the following according to the speech of Director Luo Jing:
Medical service mobile application
New technologies have induced many new medical applications, such as mobile phone appointment apps. The mobile phone appointment APP service of our hospital currently covers general experts and special needs clinics. The main functional modules include appointment registration, mobile payment, related information inquiry, inspection report, examination result inquiry, and patient satisfaction survey. These functions are currently provided for self-paid patients, and medical insurance patients are limited in payment and can only be eligible for appointments on the APP. After completing the first phase of the mobile phone appointment APP, our hospital will release the second phase of the handheld hospital APP in the next step. The functions cover the entire medical treatment process before, during and after the consultation, including mobile phone waiting, diagnosis consultation, follow-up management and other functions. It is hoped that through APP can achieve the effect of harmonious doctor-patient relationship. In addition to apps for patients, handheld hospitals are specifically for medical staff. Outpatient doctors can know the status of consultation and registration at any time through the APP, and residents can know the status of patients in tube beds. Doctors can receive information reminders through the APP, such as outpatient schedules, surgical conditions, reminders of important matters, and so on.
In addition to APP, the hospital is also exploring in-depth application upgrades for mobile doctors and mobile nursing.
Since the completion of the new building in 2011, the mobile doctor application has been put into use based on the wireless network, integrating the hospital’s original resident station, electronic medical records and other system-related functions, making doctor rounds more convenient. The function of the mobile doctor station integrates the existing HIS, EMR, LIS, etc. of the hospital, and the examination results, images, information, and medical advice information can all be experienced in the mobile doctor station.
Application process of handheld hospital in outpatient service
In terms of mobile nursing, our hospital has recently upgraded and introduced the concept of process management. The collection of patient signs and specimens and the wristband barcode scanning process can be combined to collect data in real time. On the one hand, it saves the time for nurses to transfer and on the other. On the one hand, it is convenient to keep track of the nurses’ work behaviors by recording the operation at the same time. Since the mobile nursing station was launched, nurses have saved up to 70% of their work time, doctors have saved 20% of finding people, 5% of patient sign entry time, and the time required for nurses to return to the workstation to log various billing information on average per patient In 40 minutes, the error rate of using the wristband to administer medication decreased by 0.2%. Both the efficiency and accuracy of nurses have been improved.
In the mobile construction of hospitals, in response to application requirements for special diseases such as intractable diseases and pathological discussions, mobile medical systems need to display richer content. The following two types of integrated display forms are more suitable for this type of environment.
Indexed by patient
The first type is to reorganize the data based on the patient index. The presentation form of this case is particularly prominent: first, it uses the graphical WIN8 or WIN7 interface; secondly, the patient-centered diagnosis and treatment data is archived, that is, for each doctor The patients under their jurisdiction shall establish their own personal database based on the type of disease, personal information, and department information. This type of display is suitable for continuous tracking of specialized cases.
Indexed by timeline
The other is to graphically display the patient’s related diagnosis and treatment activities in the order of time axis. The patient’s presence or absence of surgery, inspection results, and other medical imaging related data can be extracted on demand.
Hospital IoT application pilot
Infant anti-theft and smart bed monitoring are currently planned for pilot projects in our hospital.
In terms of infant anti-theft, our hospital solves infant safety issues based on the Internet of Things thinking. First, there is RFID at the exit of the ward, and if the information does not match, an alarm will be triggered; secondly, a label conforming to medical standards is wrapped on the arm of a newborn in the ward, and if someone is damaged, an alarm will be issued; then, the mother’s in the ward The label is matched with the child’s label.
Intelligent bed detection is another IoT application exploration in our hospital. The hospital bed combines various sensors to form a whole smart mattress application. The patient-related vital signs can be collected during the sleep or treatment of the patient and transmitted to the central nurse station. Compared with the wearable method, the patient will find it more convenient.
The future trend of hospital big data application
Under the guidance of national policies, how can hospitals realize the integration, reengineering, and integration of internal data, and how can they meet the actual needs of medical services? From the perspective of future industry development trends, hospital big data will generate value from six aspects:
Actively promote urban services based on mobile Internet portals, promote new online medical and health models, promote the development of smart health and elderly care industry, develop e-commerce in the pharmaceutical industry, strengthen Internet drug supervision, and develop wearable device application services.
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