EVOC mobile terminal is used in hospital medical care workstation system
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1. Background overview
The development of the medical and health industry is directly related to people’s quality of life and the progress of social civilization. Medical is the world’s largest industry, but its level of IT application is relatively backward. On January 21, 2009, the executive meeting of the State Council reviewed and approved in principle the new medical reform plan: “Opinions on Deepening the Reform of the Medical and Health System” and “2009-2011 Implementation Plan for Deepening the Reform of the Medical and Health System”; since the second half of 2009 The Ministry of Health has successively promulgated the “Regional Health Information Platform Construction Plan Based on Health Records”, “Electronic Medical Record Standards Solicitation Draft” and the solicitation of “Electronic Medical Record-Based Hospital Information System Construction Plan” and other documents; governments at all levels in the next 3 years It is estimated that 850 billion yuan will be invested to implement medical reforms. This is a huge market cake.
Hospital informatization includes three stages: hospital management informatization, clinical management informatization, and local medical and health service informatization. China is basically in the first stage of hospital management informatization, and is moving towards the second and third stages. Basically, the second and third phases are underway abroad. The second and third stages are the real application of information technology to disease diagnosis, surgery, and patient service, with patients as the core. When a doctor performs an operation on a patient, some important matters need to be recorded in time, but currently there is no way to do it. When a nurse is caring for an inpatient, it often causes medical accidents due to negligence or error in work; in emergency rescue, because there is no Mobile medical assistants are unable to ask for help from the back-end on the spot, and read the instrument data on the spot for effective diagnosis and rescue, etc. These are the second and third stages of hospital informatization. MCA is catering to this trend. It is a powerful tool to improve work efficiency, reduce medical errors, and ensure patient information security.
2. System requirements
From a system perspective, describe the technical requirements for our product solutions and products, and the role of our products in the system, etc.;
The hospital mobile medical workstation system basically has the following problems for the current domestic hospital information system.
The current medical workstations are located in the nurse’s station and doctor’s office. Doctors and nurses learn about and master patient information through computers in the office and remember them. The medical information collected by the patient’s bedside must be recorded on paper first, and then entered into the computer after returning to the nurse’s workstation. Therefore, the information collection point of HIS still only extends to the nurse workstation, and the “last 20 meters” (between the nurse workstation and the ward) is still performed manually, so the workload of nurses and nurses is quite large.
At present, doctors have to go back to the office after each round of ward rounds, make new orders, deactivate doctor’s orders, and issue examination and inspection application forms on the PC. At the same time, they need to memorize a lot of information about the patient during rounds. Memory work that has nothing to do with medical decision-making takes a lot of time and affects work efficiency. Therefore, doctors urgently need a product that can view patient information and issue doctor’s orders at the bedside of the patient, with practical functions, simple operation, convenient carrying, and low overall cost of ownership.
The life cycle of a doctor’s order includes: doctor’s order issuance, entry, doctor’s order transfer, proofreading, doctor’s order execution, and doctor’s order end. The current HIS system only tracks the doctor order proofreading step, that is, breaks down the doctor order into operable execution items (and charges for the execution of the item at this step), and no longer tracks the actual execution of the doctor order throughout the process. The HIS system believes that after the doctor order proofreading is executed, the doctor order has been actually executed, and the actual execution time is equal to the planned execution time. As a result, it is impossible to track the entire life cycle of the medical order, making some important medical information unable to be electronicized. As a result, there are some problems that the existing HIS system cannot solve well in terms of medical quality monitoring and patient expense tracking.
The existing system charges fees for the decomposed execution items during the doctor’s order proofreading stage, and does not care about whether the patient has actually received the corresponding treatment, thus causing some confusion in the pricing of fees. If the patient does not use the drug for some reason, the nurse will return the collected fees to the patient through some means such as refunding the drug, which is very troublesome and may cause some errors.
Existing HIS does not have a record of the actual execution status of each medical order, that is: lack of the actual executor and actual execution time of each execution item, and it is impossible to monitor the quality of care in real time, which brings difficulties to further medical quality control .
In the monitoring of nursing quality, the nursing department is very concerned about when the clinical nurses took medicine or injected the patient during the actual execution, and how much difference between the actual execution time and the time required by the doctor’s order. If the doctor’s order is not executed, What is the reason. If the computer system has the corresponding data, it can truly monitor the quality of nursing, effectively regulate the behavior of nurses, and correct some omissions and errors in time.
In addition, the nursing department is also very concerned about the actual workload of clinical nurses. However, because the computer system does not record the executors of each medical order execution item, it is impossible to know exactly which medical orders each nurse has executed. So there is no objective and accurate basis for the rewards and punishments of nurses and the further deployment of nursing human resources in the whole hospital.
In response to the above problems, the hospital mobile medical workstation system solves the problem of tens of meters from the workstation to the bed, improving the work efficiency of medical staff, tracking the entire life cycle of medical orders, effectively monitoring the quality of care, and improving the quality of medical care. The mobile medical workstation must be based on a mobile terminal, and the system must have the following functional characteristics such as good navigation capability, light weight and convenience, handwriting input, identification, low noise, easy cleaning and disinfection.
Three, system plan
Explain in detail the basic principles, specific functions, application specific technologies, system implementation methods and main features of the system.
The hospital’s mobile medical workstation system is based on the hospital’s wireless network and the hospital’s existing HIS, EMR and other information systems. The medical staff is accompanied by EVOC MCA-1001 mobile terminal so that they can access the patient’s pathology during the rounds. Information, issuing doctor’s orders, executing doctor’s orders, etc., can immediately complete the work that had to be transferred to the office through paper and other methods. The use of the system simplifies the workflow while reducing the probability of errors, and always maintains the consistency and synchronization of information between doctors and nurses.
The main functions of the system are:
(1) Nursing workload input, editing and statistics functions;
(2) Inquiry of basic patient information;
(3) Collection of patient’s vital signs parameters;
(4) Execution and inquiry of patients’ medical orders;
(5) Inquiry about schedule status;
(6) Confirmation of bedside specimens;
(7) Confirmation of patient identification at the bedside;
Fourth, the system block diagram
It can be seen from the above block diagram that in the hospital bed, doctors, nurses, and patients can use EVOC mobile terminals to perform identity recognition and authorization, access information, openissueexecute medical orders and other operations to upload information, EVOC Mobile The terminal interacts with the background data center (HIS, EMR, etc.) through the wireless network data transmission channel. At the same time, patients upload their vital signs, experience and other data instantly through medical equipment and wireless networks. When the medical staff returned to the office, they used EVOC’s mobile terminal desktop application to access the hospital information system through the existing wired network for desktop office work.
5. Product features and advantages
EVOC mobile terminal has the following notable features:
1) Support 3G, WiFi, Bluetooth, capable of viewing various large-capacity doctor-patient information anytime, anywhere.
2) The efficient and accurate handwriting recognition function helps you to easily complete the handwriting input of medical records, doctor orders, records and annotations.
3) Real-time check of patient diagnosis and treatment information through RFID and barcode scanning to ensure zero errors in dispensing, infusion, and blood transfusion.
4) With the help of camera and recording, it is easy to realize the visual management of the patient’s diagnosis and treatment process.
5) Humanized hand rest, easier to use.
6) The whole machine is IP54 protected, waterproof and dustproof, and easy to disinfect.
7) The series of products cover a variety of models with complete machine performance from high-end to low-end, especially with customized advantages.
6. Conclusion
The EVOC mobile terminal MCA-1001 product developed by EVOC for the work needs of medical staff is a mobile workstation for medical staff. Through it, it can interact with the existing hospital information system and medical equipment. It truly embodies the timely, safe and high-quality medical treatment that the mobility of wireless applications brings to medical staff and patients. So as to achieve the following three goals: one is to effectively control the quality of medical treatment, the other is to improve the work efficiency of medical staff and reduce their work intensity, and the third is to increase the satisfaction of patients with hospital services. Make doctors satisfied, nurses satisfied, patients satisfied, and hospitals satisfied!
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