Ward Management Information System

1.1 System overview

The ward round system is a process by which hospital nurses check inpatients regularly. It is mainly centered on ward management. In use, the bed number of the patient after hospitalization in the department is an important retrieval basis. Therefore, in the process of various operations, the first step is to select the bed number in the worksheet. Generally, as long as the hospitalization is registered in the department, the corresponding barcode label and wristband label or electronic label are generated at the same time. Wristband (or generate the wristband in the outpatient registration room), after scanning the corresponding label, the patient’s name and other information can be automatically displayed.

The whole system is divided into department hospitalization registration, long-term doctor’s order, temporary doctor’s order, entry of body temperature, pulse, respiration and blood pressure, hospitalization medical history and course records, writing of discharge records, and laboratory examination results. Doctors or nurses can understand the patient’s condition in real time during ward rounds, so as not to make wrong judgments about the patient and reduce the occurrence of medical accidents.

The hospital enters the patient’s information into the database center, and uses a professional printer (read and write electronic tags, and print barcode information at the same time) to print the patient’s personal information on the wristband.

Use the reader to download patient data from the system. The wristband can be scanned at any time when inquiring in the ward to avoid errors.

1. Registration Office
When a patient enters the hospital for registration, he will register with his ID card, and the system will instantly generate an “identity registration card” with his ID number, and write the patient’s information into the card through an electronic label printer. There will be: ID card on and in the card Number, barcode corresponding to ID number, patient’s name, gender, date of birth and other basic information.

In order to ensure the uniqueness and versatility of the patient’s identity, the ID number is set as the basis for electronic tag identification (if the patient does not have an ID card, the system will automatically generate a number that is different from the ID number).

The main function of the identity registration card:
1. After the patient has registered his personal information for the first time, he does not need to enter it again when he comes back next time, which improves the registration process speed;
2. After the patient is registered, all future activities in the hospital can be confirmed by electronic tags or barcodes and recorded in the computer for later recall;

2. Clinic

When a patient goes to the doctor to see a doctor, the doctor can use the networked terminal to read the patient’s registration card with an electronic tag reader, and inquire about the patient’s medical history and previous examination records;
When a patient needs a biopsy, immediately after the doctor takes a sample, a label with the patient’s name and bar code, which is printed out immediately, is attached to the specimen. These bar code labels and the patient’s electronic label number have an internal connection and corresponding relationship, so The label will be more concise than the existing paper package, and can reduce the error rate. (The same method is used when collecting specimens in the laboratory.)

1. Pricing and Charging Office
The pricing office reads the patient registration card, reads the electronic tag information, charges and sends the confirmation data to the laboratory or pharmacy.

2. Laboratory
After receiving and inspecting the specimen, the laboratory department uses the electronic tag reading and writing device to enter the patient’s information into the computer, first confirm the receipt, and then enter the test result on the automatically generated test form (which already contains the patient’s data) and print it out. Since doctors can inquire about the test results on the networked computer, this form is provided for reference by patients and kept as a record.

Note: Electronic tag reading and writing equipment and terminals, especially handheld readers, are integrated with barcode reading functions.

3. Pharmacy

After receiving the confirmation payment information from the charging office, the pharmacy starts to dispense the medicine, and affixes a label indicating the patient’s name and the method of administration on the package of the medicine (for the patient to confirm and prevent errors), and after the completion of the dispensing, it will be displayed on the display Notify the patient to get the medicine. After scanning and reading the information on the patient registration card to confirm the identity, the medicine is given to the patient to leave.

Advantages of using electronic tags for management in hospitals:
1. At the time of registration and admission, the patient data does not need to be re-entered, which improves the processing speed;
2. In the pharmacy and operating room, the patient’s identity can be confirmed instantly by the computer to prevent errors;
3. With the use of “identity registration card” for patients, hospitals can better manage medical records, and doctors can consult them at any time more conveniently, and can simultaneously call out the patient’s outpatient and hospitalized past examination data for reference;
4. Using an ID card as a registration number makes it easier to integrate with social security or other data systems outside the hospital.

Medicine is the core logistics of hospital medical activities, and the focus of medicine management is to strengthen the management of drug warehouses and reduce losses. Achieve “double management of quantity and amount, actual consumption and consumption, guarantee supply, and speed up turnover”. After receiving the confirmation payment information from the charging office, the pharmacy starts to dispense the medicine, and affixes a barcode label indicating the patient-related information on the package of the medicine (for the patient to confirm and prevent errors), and notify on the display screen after the dispensing is completed The patient takes the medicine. After scanning the barcode information of the patient registration card to confirm the identity, the medicine is given to the patient to leave.

〇The drug inventory management module classifies drug product varieties according to the product name, model, specification, place of origin, brand name, packaging, etc., and assigns a unique code, that is, the “product number”. It manages the inventory of medicines and manages the single set of goods numbers by item number, and is used in various operations of the medicine warehouse.

〇 Warehouse location management is the management of inventory space. The three-dimensional warehouse management of inventory management is to divide the warehouse into three-dimensional space according to rows, rows and columns for management. The warehouse management module records warehouse goods inventory according to the warehouse location, and realizes the first-in first-out medicine according to the information collected by the collection system and the inventory time of the goods in the warehouse.

〇Warehouse management includes single-piece drug management. It not only manages the inventory of drug varieties, but also manages each individual drug in the inventory. By collecting and identifying product bar code information, the status of a single product is recorded, thereby realizing real-time information control of a single product.

〇 Warehouse business management modules include: outbound, inbound, inventory, monthly inventory, and relocation. These services can be used to complete the management of the drug warehouse’s purchase, sale, and inventory through the corresponding data collection system.
(See our company’s warehousing logistics application plan for details)
Drug inspection and tracking

3.Drug Inspection Information System

3.1 Broaden the scope of management of the inspection information system and further simplify the process
If the use of automatic analysis instruments replaces manual experiments and automates the analysis work; the existing inspection information system makes the data management after analysis computerized and improves work efficiency, then the new generation of inspection information systems will All links before analysis are incorporated into computer management. These links include the doctor filling out the laboratory test form, the nurse drawing blood, the laboratory’s re-numbering of the specimens, the entry of patient data, and even the reading of experimental items by analytical instruments.

3.2 “Paperless” in the laboratory
“Paperless” on the one hand reduces the work of doctors to fill in the inspection application form, on the other hand, it reduces the opportunity for laboratory contamination analysis reports, which is meaningful for preventing nosocomial infections. This “paperless” is achieved through barcodes or electronic tags.

3.3 Adopt new technical means-the introduction of electronic labels and barcodes
For example: In the blood drawing room, the nurse prints a bar code and pastes it on the blood drawing test tube according to the content called by the workstation, and the inspection request form no longer enters the laboratory with the specimen. The laboratory calls the patient data and the requested inspection items by reading the bar code. The final experimental results are not printed out in the laboratory, but sent back to the server via the network for doctors to inquire. This is the so-called “paperless” process in the laboratory. “Paperless” is not the goal, what we need is the benefits of “paperless”. In addition to the aforementioned significance of preventing nosocomial infections, “paperless” also greatly simplifies the work process and causes changes in work patterns.

3.4 Changes in laboratory work mode
① Before the analysis, after the laboratory receives the specimen wrapped in the inspection application form, it separates the application form from the test tube, regroups, and uses a marker to number the application form and test tube separately. The inspection request form is sent to the entry personnel for patient data entry, and then passed to the analysis instrument operator to enter the items to be tested. This process may not be cumbersome in small hospitals, but it takes a lot of time and manpower in medium and large hospitals. In the new mode, this process can be greatly simplified. As long as the specimen is passed on the data acquisition and reading device, the patient data and the items to be tested have been transferred from the network and sent to the inspection server and automatic analysis instrument respectively.

②After analysis, in the original mode, the analyzer transmits the analysis data to the server, and the laboratory staff will print the results into inspection reports, and the staff will send these reports to the clinical departments. In the new mode, the laboratory staff can review the report on the workstation and implement the electronic signature, and the result can be inquired on the doctor’s terminal. It will minimize the use of manual operations to realize information transfer, reduce human errors that may occur in the work of receiving inspection requirements, reporting results, and saving records, provide more effective methods for inspection results, and save the generation of management information. The indexing time and effort required.

3.5 System advantages
3.5.1 Provide good medical services to patients
1. Provide online facilities for medical staff in the ward, so that they can get timely and accurate information about the laboratory. The current or past cumulative test result report including the laboratory number, date, location and condition of the specimen, and the patient’s identity, name, type, etc. registered.

2. Ensure the reliability and accuracy of the test results. Use the internal inspection and quality control management procedures of the inspection system to minimize human errors.

3.5.2 Use human resources more effectively
1. Provide an intelligent operation mode for the technicians in the inspection room to deal with issues such as reviewing inspection results in accordance with regulations, canceling inspection items, analyzing and processing inspection results with major doubts, executing special orders, adding code comments, and handling quality control. Easier, this will enable inspectors to obtain accurate and clear inspection results faster.

2. Reduce non-technical work time, such as answering telephone inquiries and editing inspection statistical reports, quality management statistical reports, etc.

3. Provide real-time automatic search of test results. The data processed by the computer can be sent to the nursing area through automatic fax or remote printing, and it can also be sent to the patient’s electronic medical record. The entire report process does not need to use paper. Through e-mail wireless communication technology, the laboratory data can be quickly transmitted to the attending doctor.

3.5.3 More effective play to the effectiveness of the test analyzer
The excellent inspection system has improved the operating procedures of the inspection room, including the use of barcode labels to mark inspection specimens, and the inspection and analysis instrument can read inspection data and automatically control the two-way docking of the analysis instrument, improving the bilateral docking interface and reducing It takes time to repeatedly enter the detection options, thereby improving the efficiency of reporting results and the efficiency of the technicians.

4.1 System overview
The use of electronic tags for management greatly reduces the error rate in the distribution of medicines and improves the credibility of the hospital. When dispensing medicines, first download the patient’s dispensing information, first scan the patient’s wristband or the bar code of the patient’s medical record when dispensing the medicine, and then send the patient’s medicine to the other party after confirmation. Missing occurs.

Flowchart of Handheld Device for Dispensing Management:

Asset life cycle concept
Asset life cycle management includes the management of four stages of asset procurement, tracking, repair and maintenance, and transfer.
Originated from equipment maintenance management, hospital asset life cycle management can not only reduce maintenance costs, improve maintenance efficiency and equipment integrity, but also improve the hospital’s operating conditions, profitability and return on assets.
According to IDC authoritative statistics, the successful application of a complete set of asset management solutions can help hospitals:
◆Reduce audit costs by 75%
◆50% increase in warranty applications
◆Reduce spare parts inventory by 40%
◆Reduce unnecessary test equipment by 20%
◆ Reduce 45% of equipment “missing”
◆Improve asset utilization rate by 30%
◆Extend equipment operating life by 10%
◆Reduce equipment downtime rate by 50%
◆Eliminate 99% of capital asset cancellation

Asset life cycle model:

1. Overview of asset management system
There are various types of high-value inspection and treatment equipment in hospitals, and there are countless equipment, low-value equipment, and low-value consumables. In the usual management process, it is necessary to ensure that the fixed assets management must have an account, and there must be an account. To this end, the hospital asset management department has paid hard work and a lot of spare time.

Every time a hospital asset inventory is checked, the administrator takes the ledgers and tirelessly checks and checks each department one by one. During the inventory, some equipment is often put on hold because of long-term use, and the directors and head nurses of various departments have changed, resulting in the loss of equipment. For many equipment with no account or account, it needs to be reported to the equipment office for scrapping and replenishment procedures after level-by-level approval. In the inventory process, manual accounting and manual inventory have brought great workload, and in order to prevent mistakes and omissions, it is often necessary to take two or three inventory, which brings great inconvenience and burden to the asset manager Workload.

And our hospital asset management system uses barcode labels or electronic tags as the only identifiable identification of assets, based on assets, equipment pre-management, operation history and ledger, and takes the submission, approval, and execution of work orders as the main line, and handles defects according to defects. There are several possible modes of planned maintenance, preventive maintenance, and predictive maintenance. With the goal of improving maintenance efficiency and reducing overall maintenance costs, it integrates procurement management, inventory management, and depreciation management into an information system that fully shares data.

Current problems in asset management:

The accounts, cards, and items in the hospital asset management are not consistent.
Asset management lacks basic data and corresponding management methods.
The current status cannot be tracked, such as allocation, restriction, maintenance, etc. There is no IT system to support related work processes.
The retirement of assets cannot be processed in time, financially cannot be written off in time, and a list of retirements cannot be formed. After the physical objects are removed, they cannot be checked with the physical cards on the assets.
Depreciation calculations are complicated and poor accuracy, which leads to the loss of fixed assets.
Assets lack intermediate tracking management, no historical records of assets, such as installation, movement, allocation, scrapping, maintenance, etc., and no equipment codes corresponding to assets one-to-one.

3. Features of asset management system
Introduce bar code identification, electronic label-the unique identity of the hospital’s fixed assets.
Barcode identification or radio frequency identification-a fast and efficient data collection method, which is conducive to the collection of all asset information in the hospital.
Barcode and electronic label data information collection and feedback

Barcode-based data collection methods and network-based data collection and feedback mechanisms provide comprehensive, reliable and efficient dynamic data and decision-making basis for hospital asset management, and realize the digitization, networking, standardization and standardization of asset management. Standardize management and comprehensively improve the efficiency and management level of asset management in enterprises and institutions.

Comprehensive and efficient business management plan
The system modules are meticulously divided, the asset management function is powerful, and the function module settings are in line with actual business needs. The system provides a workflow for the collection and processing of hospital asset information, and realizes centralized management of asset information; provides management modules such as asset change information query, report statistics, decision analysis, etc., which simplifies the cumbersome information statistics and analysis work in the past. Further improve management efficiency.

Efficient application expansion and security assurance
The system has good scalability, sufficient room for expansion and extensive networking capabilities. Automated system detection, diagnosis, backup, and recovery functions, and the introduction of security mechanisms such as authorization and encryption, effectively guarantee the efficient and stable operation of the software system and the security of user data and information, and avoid major losses.

4. System Architecture

5. System function

5.1.1 Daily asset management
5.1.2 Asset depreciation management
5.1.3 Asset inventory management
5.1.4 Asset Procurement and Inventory Management
5.1.5 Asset Maintenance Management
5.1.6 Asset query statistics
5.1.7 System Maintenance
5.2 The main operation process of the barcode terminal

Electronic label printer

System Overview
120 mobile application solutions refer to social information engineering integrating command, control, and computer, and the system integrates application service technologies such as GPS, mobile communication, barcode or electronic tag automatic identification.
Haohai Yitong Technology combines data collection technology with mobile terminal technology, field data processing with real-time access, local area network and wide area network, and provides mobile computing systems based on wireless local area networks and wireless wide area networks for various industries, especially the medical industry. .

Haohai Yitong’s hospital 120 emergency system combines Windows Powered mobile devices and wireless communication network technology to provide an efficient mobile application solution for the hospital’s 120 emergency system, including the 120 emergency system, emergency supplies dispatching system, and social emergency information tracking System, electronic medical record system. Among them, the 120 ambulance system successfully combines barcode or electronic tag automatic identification technology and Microsoft Windows Mobile, and combines wireless communication technology in every process of doctors’ rescue, providing patients with safer rescue protection.

In view of the mobility, emergency, and urgency of 120 ambulance work, front-line workers need to exchange information with medical institutions, command and dispatch centers, and medical system data centers in real time. Through wireless mobile terminal technology, the dispatch center can perform real-time monitoring of ambulance vehicles. At the same time, with the almost unlimited multi-device scalability of Windows Powered mobile devices, the dispatch center can conduct various information interactions with on-site ambulance personnel. Medical personnel can provide information about specific groups of patients, medical institutions, basic patient information, The ambulance medical processing information, traffic section information, etc. can be quickly inquired, and the medical rescue system, transportation system, and hospital system can be supported anytime and anywhere, especially the application of photos and handwriting input, which can facilitate the on-site ambulance personnel to quickly record the on-site environment and patient information . With the help of GIS, GPS, GPRS, CDMA1X communication methods, the medical dispatch center provides precise and accurate positioning means and communication means, so that the dispatch center can understand the location of the vehicle in the shortest time and send instructions to the ambulance.

System Features

Introduce bar codes or electronic tags as identification marks for special populations.
Bar code or electronic label recognition-fast and efficient data collection method, which is conducive to the quick query of the past medical history information of the rescued person at the emergency scene.
The successful combination of bar code technology, electronic label technology and mobile communication technology provides a convenient and convenient means of communication for emergency personnel.
The instant communication method provides an instant common bridge between the ambulance personnel and the medical rescue system, which is convenient for the ambulance personnel to prepare the rescue measures for the hospital in advance, and provides valuable time for patient rescue.
It integrates CDMA/GPRS/GPS mobile communication technology to provide real-time and accurate dispatching methods for the medical emergency dispatching system.
The mobile terminal is developed based on the Windows Mobile platform with good system compatibility. Customers can easily implement software modification and compatibility of software systems with other systems.

4. System Architecture
4.1 System network topology
4.2 System application diagram

Figure 1: 120 emergency system vehicle scheduling

Figure 2: On-site information exchange
5. System implementation
5.1 Software environment:
operating system:
Win2000 Server
Database: SQL Server2000
5.2 Hardware environment

Electronic label printer

Handheld data collection terminal Handheld data collection terminal

Data collection terminalData collection terminal

The outbreak and spread of “SARS” exposed a series of problems such as poor information communication and information distortion in the emergency response process of our country. This is not only related to the process of social and economic development, but also related to the safety of people’s lives and property. The monitoring and release of the SARS epidemic, the collection of basic information, the deployment of relief supplies, and epidemiological research all require information communication, which depends on the construction of a highly sensitive and advanced information network system.

During and after SARS, we conducted in-depth investigations and studies on the informatization of existing defense, surveillance, and material deployment systems, and proposed and summarized a complete set of “automatic identification, network technology, and mobile communication technology”. “Social Emergency Defense System” program.

1. System overview

“Social emergency medical defense system plan” is a fast and efficient response system based on barcode technology, electronic label technology and communication technology. It can ensure a high degree of consistency in information flow, logistics, etc., and has both information interaction, real-time and system Scalability, suitable for various emergency systems. The plan is mainly designed for SARS-like epidemics, and monitors, early warnings, and interventions (rescue, quarantine, logistics supply, research, etc.) of major social disasters and emergencies in the future, such as wars, terrorist attacks, severe infectious diseases, earthquakes, etc. , Proposing new and comprehensive countermeasures) The situation has further promotion significance.

The “Social Emergency Medical Defense System Program” is to use barcode automatic identification technology, electronic label technology, network technology and mobile communication technology (GPRS/GSM/CDMA) platform to establish a high degree of consistency in logistics and information flow.

“introduction
“The social emergency medical defense system program includes several subsystems:

Outbreak Alarm System
Basic information electronic label, barcode, data management
Disease source treatment and isolation system
Information processing system for patient admission (epidemic prevention department)
Information Management System for the Process of Patient Transfer
Monitoring and Management Information System of Population Flow in Epidemic Area
Emergency supplies emergency deployment management system.

2. System features:

Fast and efficient response system
Ensure high consistency of information flow, logistics, etc.
Both information interaction, real-time and system scalability
Suitable for various emergency systems

Picture: Personnel information, electronic label barcode-2

Picture: Monitoring and Management of Population Movement in Epidemic Area

Picture: Information management of electronic labels and barcodes for emergency supplies

Four, system implementation

4.1 Software environment:
Operating system: Win2000 Server
Database: SQL Server2000

4.2 Network environment:
Wireless LAN (802.11b…..)
Wireless Wide Area Network (CDMA1X/GPRS/GPS….)

Liu Yuanhai 13922239863, 13910584403

Guangzhou Aimo Data Service Co., Ltd.
Haohai Yitong Technology (Beijing) Co., Ltd.
Haohai Yitong Investment Consulting (Beijing) Co., Ltd.