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The competition in the medical industry has shifted from the competition in the medical environment and medical talents to the competition in hospital information processing capabilities and hospital work efficiency. The use of RFID mobile medical information system can make the work efficiency and working methods of medical staff in line with international standards. High-efficiency information processing methods can ensure that patients are properly handled in a short time, reduce intermediate links in diagnosis and treatment, thereby avoiding medical errors and accidents, and improving medical quality and efficiency. The application of RFID mobile medical information system has realized the transformation to the “people-oriented” medical model, truly achieving resource sharing and safe medical care, meeting the rapid development of today’s medical services, and has become an opportunity for the sustainable development of hospitals.
The international development trend of hospital information management has two aspects, namely mobile and electronic
Mobility is the portable data that is triggered by “move”. Doctors can easily and freely carry handheld mobile devices to move between wards, reducing the procedures for obtaining patient hospitalization information, medical conditions, medical history, examination conditions, and examination results. Communicate with patients as effectively as possible, so as to achieve clinical visits and care with high efficiency and high quality. At the same time, doctors can promptly enter information into the mobile terminal according to the ward round, and compare the changes in the patient’s condition based on historical records and clinical examination results, and promptly consult and formulate treatment plans. The related inspections, tests, treatments and medical orders will be recorded, and stored and updated in the database through the workstation computer. Doctors conduct routine rounds on mobile terminals every day, avoiding the chance of duplication of work and errors caused by later transferring doctor’s orders, re-issuing doctor’s orders from memory, and recording the course of the disease.
Electronization is the use of RFID automatic identification technology to identify patients, so that the hospital’s patient identification and medical care process can be automatically identified to improve work efficiency, reduce errors, and ensure the 5R standard of patient management (correct dosage and correct method are correct. Time to provide the right medicine for the right patient) to achieve. The RCG clinical information system cooperates with RCG handheld mobile technology and RFID automatic identification technology to enable hospitals to collect and manage information more effectively, and transform paper-based manual processes to paperless data transmission processes.
Design of RFID mobile medical information system
The RFID mobile medical information system is based on the hospital’s existing local area network. It uses handheld device terminals and uses RFTD radio frequency identification technology to connect the hospital’s various information management systems to the handheld devices through the current network. Medical staff can basically achieve this by the bedside. Input, query, and modify the patient’s basic information, medical advice information, vital signs and other functions. And it can retrieve the patient’s short-term nursing, examination, laboratory and other clinical examination report information. The system applies RFID electronic tag technology to the patient’s wristband, and scans the electronic wristband information through a handheld terminal device to directly and accurately complete patient identification in different situations such as outpatient treatment, hospital admission, clinical treatment, examination, surgery, and first aid.
Outpatient Information System
The patient wears an electronic wristband with him from the time of registration, which records the patient’s name, gender, blood type, past medical history, admission to the hospital, and other information. In all links of the outpatient system, the patient wears a unique electronic wristband as an identification method , And can use the self-service query platform provided by the hospital to perform self-service medical record query and even print laboratory test receipts, and verify the identity of patients in each key diagnosis and treatment process to ensure medical safety. Where the process is optimized.
Fast registration
Patients who have been in this hospital no longer need to wait for a long time when registering. They only need to provide their ID number or medical insurance card number at the registration window to get a new wristband immediately (just a few seconds); first visit to the hospital For patients who are visiting, they only need to fill in the patient information sheet at the registration window for the first visit, and give it to the staff. After inputting, the wristband can be obtained immediately; the basic information includes the patient’s name, gender, age, blood type, allergy history, medical history, and registration department And other basic information.
Quick diagnosis
The doctor can directly read the wristband information, avoiding repeated descriptions of simple information such as past medical history and so on by the patient countless times, so that the doctor can quickly and accurately obtain the objective information of the current patient, quickly make a diagnosis, and increase the speed of consultation by outpatients. Increase the number of visits.
Fast payment
The doctor scans the patient’s wristband, and the system directly displays the amount to be paid to the patient. The patient can choose to pay in cash or swipe the amount in the wristband, increasing the payment speed and improving the phenomenon of long queues at the charging window in the past.
Accurate test
The doctor reads the patient’s wristband, checks the patient’s identity information, and conducts laboratory tests to ensure the quality of medical care. After the test is completed, when the patient goes to the department to get the test sheet, the wristband is scanned, the system checks their identity information and automatically locates the test sheet for the patient. You can choose to print out the correct test sheet directly, without the need for the doctor to manually search for the paper receipt. Save a lot of time.
Fast medicine
After the payment is completed, the information of all the drugs paid by the patients will be transmitted to the pharmacy in real time. The staff will dispense the drugs based on the information and remind the patients which window to receive the drugs. When receiving the drugs, the doctor scans the patient’s wristband to ensure the accuracy of the drug distribution Rate, save time, and improve the quality of hospital services.
Patient self-inquiry information platform
The hospital will set up a self-service information platform at the general service desk, and patients can scan their portable wristbands to learn about personal medical information and realize self-service printing of medical records. At the same time, all laboratory test forms, test results, etc. can also be self-printed by patients through this platform, which saves a lot of repeated communication between doctors and patients and increases the number of hospital admissions.
The patient shows the wristband to the reading device-the display automatically displays all the patient’s medical information-inquires and prints the electronic medical record-inquires about various test results reports-prints out the test form. ＼
This query printing platform can also expand its functions according to actual needs, with an appointment registration system, printing of expense lists, etc.
Mobile clinical care system in the inpatient department
Doctor’s workflow:
Ward rounds, diagnose the patient’s condition-prescribe doctor’s orders, check ups, and laboratory tests-wait for the execution of the doctor’s order, report on the results of inspections and laboratory tests-rounds-diagnose the patient’s condition again-modify the doctor’s order.
The doctor first goes to the place where the patient’s medical record is stored to retrieve the patient’s medical record book that needs to be explored, and takes the patient’s medical record book to the ward. When inquiring about the patient’s condition, the doctor needs to check the course of the disease in the medical record book, and then revise the patient’s medical order according to the condition, and modify it on the spot. Record it on the medical record paper or go back to the doctor’s office for medical order processing on the desktop.
The contents of the medical record: admission record, medical record paper, long-term doctor’s order sheet, physical examination form, temperature sheet, hospitalization medical record, admission nursing evaluation sheet, medical condition nursing record sheet, various examinations, laboratory test report, surgical information sheet, surgical anesthesia record sheet .
These orders are basically written by the doctor by hand, copied from the computer or printed. At present, in the work process of most doctors, a lot of time is spent on writing medical records and consulting patients’ medical information. How to reduce unnecessary manual operations by doctors will become the direction of the hospital’s clinical information system.
Nurse workflow:
Handover-print out the doctor’s order form-print or copy the treatment card, intravenous card, infusion card-check the medicine issued by the pharmacy-divide and dispense the medicine-patient care, medication-nursing rounds-nursing evaluation- Write and organize nursing medical records
The nurse prints out the doctor’s orders of all patients today from the HIS of the nurse’s desk computer, and then copies each patient’s treatment card, infusion card, oral card, and infusion patrol card, etc., transfers the long-term doctor’s order to the medical record, and checks that the pharmacy sends it to the ward. The medicine is prepared for each person in the dispensing room. When the doctor’s order is executed, the patient’s identity is checked and the patient is given medication and nursing treatment. After the doctor’s order is executed, the doctor’s order is executed in the desktop computer HIS at the nurse’s station.
The nurse collects the physical sign data (such as body temperature pulse/respiration/blood pressure/blood sugar/feces, etc.) at the patient’s bedside, records it in the physical sign record book, and then enters the recorded physical sign data into the HIS on the desktop of the nurse station. The system Automatically generate and print the temperature list.
It can be seen from the above workflow that nurses spend a lot of time on copying, printing, and checking, and the time for nurses to serve patients is relatively reduced.
RCG clinical information system through the application of RFID radio frequency identification technology and mobile computing terminal equipment (handheld device), so that medical staff can more easily obtain and enter the information of various medical data of patients, so that nurses can reduce the amount of inquiry and verification. The time spent on printing, copying, and commuting between the nurse’s station and the ward greatly optimizes the nurse’s workflow.
Save a lot of tedious and repetitive paper copying and printing time
1.Nurses no longer need to print out doctor’s orders every day, and no longer need to bring paper doctor’s orders to the ward to execute doctor’s orders for patients. All the work can be done by carrying a mobile handheld terminal, saving time and providing better care for more patients; temperature sheets are also available. Enter directly from the handheld device and return to the nurse’s station, upload the data and save it to the HIS database, and the HIS system can automatically generate an electronic temperature list.
2.Doctors don’t need to take medical records anymore. They can directly use the hand-held mobile device they carry to read the patient’s wristband, retrieve the patient’s basic treatment and electronic medical record information, and stop the doctor’s order, issue the doctor’s order, and the surgical anesthesia application form at the patient’s bedside. , Consultation request form, etc., and then return to the doctor’s workstation to upload the data. Reduce missed or erroneous medical orders caused by reprinting from memory or recording paper, causing medical accidents.
Quickly and accurately verify patient identity
The application of the existing computer system in the ward is only limited to the inquiry and confirmation of the nurse’s desk. In this case, it is inevitable that human error or improper execution of the doctor’s order will inevitably occur during the execution of the doctor’s order for each ward and for each patient.
After using the mobile handheld terminal, the nurse only needs to scan the patient’s electronic wristband with the handheld device to confirm the patient’s identity before the doctor’s order is executed. Record the execution status; the patient’s vital signs data can also be inquired anytime and anywhere with handheld devices. The entire medical order execution process becomes faster, and real-time verification of patient identity also guarantees medical safety.
Record the execution of medical orders in detail, with evidence to follow
Nurses use hand-held mobile devices to perform nursing work, record the time of vital signs data collection, to ensure accurate recording of the execution time of medical orders and the person who executes them, and provide effective and prepared data basis for future verification and statistics.
Doctors work with hand-held mobile devices, which can read the basic electronic medical records of the patients they are responsible for, issue simple medical orders, and handle patients’ conditions.
Medical records are more standardized
The original paper record information cannot be shared, and it takes a lot of time to store and search. Moreover, the information recorded on paper is not clear enough, and the handwriting, writing habits, and format of each medical staff are not easy to be unified. If electronic automatic records are adopted, all query statistics will be more standardized and convenient.
Automatically count the workload of medical staff
The work records of all medical staff can be recorded by the system in real time, automatically count and calculate the workload, and provide scientific analysis and decision-making in the hospital.
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