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1. Case overview
With the gradual development of hospital informatization construction 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.
The RFID wristband ward service system developed by Hangxin Technology Co., Ltd. is a system around the hospital inpatient service.RFIDThe wristband can fully and effectively manage the inpatients, clarify the responsibilities of medication and drug delivery, and facilitate the statistics of the workload of medical staff. At the same time, the system updates the patient’s wristband according to the daily doctor’s order so that the patient’s wristband has the latest doctor’s order and medication information, which is convenient for expert consultation And shorten the time of 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.
Network structure diagram
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 the 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. The phenomenon of taking the wrong medicine and getting the wrong injection is reduced.
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
·Complete nurse workstation and daily nursing executive function The system is designed with a combination of handheld applications and B/S, deployed under the Windows system platform, conforms to the normal Windows application specifications, and provides HTTP/XML/Web Service applications Program 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 the system is used for patients, each patient needs to be issued aWristbandIt is used for the overall data verification and data recording of the whole 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.
Wristband issuance
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. , Examination, nursing, treatment, infusion, medicine, etc., 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.
Viewed medical orders 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 sheet, and nursing record.
5) Execution of medical orders
When nurses are performing nursing work, the execution of medical orders is carried out on the handheld, and the execution of the patient’s medical orders is mainly completed according to the categories. During the execution, “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 the execution is carried out on a class-by-class basis. The patient’s wristband needs to be scanned before the medical order is executed, and the patient’s information and the doctor’s order need to be “checked and seven pairs” 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 doctor’s 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 to return the doctor’s order execution time, executor and other information 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 that it greatly improves the work efficiency of nurses and saves a lot of time in the nursing process. At the same time, the statistical analysis function of the system establishes good data for 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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