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CN112635012A - Data processing method, system, medium and electronic equipment for emergency patients - Google Patents

Data processing method, system, medium and electronic equipment for emergency patients
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Publication number
CN112635012A
CN112635012ACN202011520330.5ACN202011520330ACN112635012ACN 112635012 ACN112635012 ACN 112635012ACN 202011520330 ACN202011520330 ACN 202011520330ACN 112635012 ACN112635012 ACN 112635012A
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China
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rescue
patient
identification
emergency
time
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CN202011520330.5A
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吴军
赵宁
李正峰
曲中鹏
王世梁
张广平
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Shandong Msunhealth Technology Group Co Ltd
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Shandong Msunhealth Technology Group Co Ltd
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Abstract

The present disclosure provides a method, system, medium and electronic device for emergency treatment of patient data, acquiring RFID identification information of a patient; when the signal intensity of the obtained RFID identification information is greater than a preset threshold value, judging that the patient enters the identification range of the rescue area identification equipment; according to the judgment result, the rescue time of the patient entering and exiting the rescue area and the examination area is obtained, and the rescue data and the examination data are combined to obtain the final rescue data of the emergency patient; the system realizes the full-flow time node management and control of the emergency patients, realizes the time period combing and management and control of the rescue process and the examination process, and provides basis for the continuous improvement of the diagnosis and treatment links.

Description

Data processing method, system, medium and electronic equipment for emergency patients
Technical Field
The present disclosure relates to the field of data processing technologies, and in particular, to a method, a system, a medium, and an electronic device for processing emergency patient data.
Background
The statements in this section merely provide background information related to the present disclosure and may not necessarily constitute prior art.
Currently, medical emergency activities are generally divided into "pre-hospital emergencies" and "in-hospital emergencies" by time and place. The unified call-for-help telephone number of pre-hospital first aid in China is '120', at present, in most cities, a 120 command dispatching center is established by taking the city as a unit, the emergency call is made to the 120 command dispatching center, and the command dispatching center assigns an ambulance to send a patient to an emergency department of a hospital according to the principle of proximity for treatment. The pre-hospital emergency information is not completely acquired, the handover of the patient in the pre-hospital is usually performed only through a paper record sheet, and the problems that the information in the pre-hospital is not in time and is missed, the information is mistaken, the best rescue opportunity is delayed, the complex rescue processes such as card handling and registration are needed after the patient arrives at the hospital, the rescue time is delayed and the like exist.
Medical institutions meeting the conditions establish a chest pain center, a stroke center, a wound center, a treatment center for critical pregnant and lying-in women, and a treatment center for critical children and newborns. The medical institution realizes the overall coordination of related specialties of each center, provides a green channel for medical treatment and integrated comprehensive treatment service for patients, and improves the quality and efficiency of medical treatment and treatment of major acute diseases. Therefore, the critical time nodes in the emergency treatment link need to be accurately controlled, problems are found, and the diagnosis and treatment process is continuously improved. However, in the actual diagnosis and treatment process, the control of each key node is only performed in the modes of post-memory and manual recording, and the clinical guiding significance is almost zero.
The rapid development of technologies such as mobile communication, internet of things and the like provides support for seamless fusion of pre-hospital emergency treatment, the technologies are fully utilized, a treatment platform is built to integrate medical treatment, the core work of emergency treatment is extended to the front of the hospital from the inside of the hospital, and seamless connection of site rescue, on-way diagnosis, pre-hospital early warning and in-hospital rescue is realized in an emergency network system. Doctors in the hospital can timely master various data of patients, the conditions of the patients can be checked in real time through videos of the ambulance under emergency conditions, medical workers on the ambulance are remotely guided to carry out first-aid work, the patient information hospital can be shared in the hospital, and a quick, efficient and full-coverage emergency critical medical treatment system is constructed.
The inventor finds that the RFID technology of wireless radio frequency and low frequency positioning is developed, regional personnel positioning can be realized, such as the time of a patient arriving at a hospital, the time of arriving at a rescue room, the time of arriving at a CT room, the time of arriving at an operating room and the like can be recorded by the technology, but the treatment process of the patient is not the flow line operation, the patient often needs to arrive at the rescue room first and then go to the examination and check in the rescue process, then returning to the rescue room for treatment, the prior art scheme only uses RFID identification technology to confirm the patient information, but also cannot record the whole flow of the rescue process such as the rescue time, the examination time and the like of the patient, therefore, the rescue process of the patient cannot be better perfected, and meanwhile, the unsuspected rescue process management and control and data comprehensive processing also easily cause the suspicion of the family members of the patient to the rescue process.
Disclosure of Invention
In order to solve the defects of the prior art, the disclosure provides a data processing method, a system, a medium and electronic equipment for emergency patients, so that the full-flow time node management and control of the emergency patients are realized, the time period combing and management and control of the rescue process and the examination process are realized, and a basis is provided for the continuous improvement of the diagnosis and treatment links.
In order to achieve the purpose, the following technical scheme is adopted in the disclosure:
a first aspect of the present disclosure provides an emergency patient data processing method.
An emergency patient data processing method comprising the following:
acquiring RFID identification information of a patient;
when the signal intensity of the obtained RFID identification information is greater than a preset threshold value, judging that the patient enters the identification range of the rescue area identification equipment;
and according to the judgment result, obtaining the rescue time of the patient entering and exiting the rescue area and the examination area, and combining the rescue data and the examination data to obtain the final rescue data of the emergency patient.
As some possible implementations, when the intensity of a certain identification signal is greater than the identification threshold of at least two identification devices, the signals identified by the respective devices are compared, and it is determined that the patient is located in the area where the identification device with the greater signal intensity is located.
As some possible implementations, the identification threshold and the packet loss rate of each identification device are set according to the field environment of the hospital.
As a further limitation, when the intensity of a certain identification signal is greater than the identification threshold of at least two identification devices, the signals identified by the respective devices are normalized, the data after the normalization processing are compared, and it is determined that the patient is located in the area where the identification device with the greater signal intensity is located.
As some possible realization modes, for the ambulance to receive a visit to a patient, the full-process time node from the entering of the patient into the ambulance to the leaving of the rescue room is obtained by using identification equipment arranged at different positions, and the full-process time node at least comprises the following steps: the system comprises a boarding time node, a time node entering an emergency hall of a hospital, a time node leaving the hall to enter a rescue room, a time node entering a check room, a time node leaving the check room and a time node leaving the rescue room.
As some possible implementations, the warning message is produced when the patient's stay in the non-rescue area is greater than a preset threshold.
And as possible implementation modes, generating a rescue report by combining all rescue time nodes, rescue orders, examination and inspection report issuing time, examination and inspection records and rescue records, and evaluating the rescue process.
A second aspect of the present disclosure provides an emergency patient data processing system.
An emergency patient data processing system comprising:
a data acquisition module configured to: acquiring RFID identification information of a patient;
a patient identification module configured to: when the signal intensity of the obtained RFID identification information is greater than a preset threshold value, judging that the patient enters the identification range of the rescue area identification equipment;
a rescue data acquisition module configured to: and according to the judgment result, obtaining the rescue time of the patient entering and exiting the rescue area and the examination area, and combining the rescue data and the examination data to obtain the final rescue data of the emergency patient.
A third aspect of the present disclosure provides a computer readable storage medium having stored thereon a program which, when executed by a processor, performs the steps in the emergency patient data processing method according to the first aspect of the present disclosure.
A fourth aspect of the present disclosure provides an electronic device comprising a memory, a processor and a program stored on the memory and executable on the processor, the processor implementing the steps in the emergency patient data processing method according to the first aspect of the present disclosure when executing the program.
Compared with the prior art, the beneficial effect of this disclosure is:
1. the method, the system, the medium and the electronic equipment realize the full-flow time node management and control of the first-aid patients, realize the time period combing and management and control of the rescue process and the examination process, and provide a basis for the continuous improvement of the diagnosis and treatment links.
2. The method, the system, the medium and the electronic equipment of the present disclosure are used for receiving a patient from an ambulance, acquiring a full-flow time node of the patient from entering the ambulance to leaving a rescue room by using identification equipment arranged at different positions, and at least comprise: the time node of getting on the bus, the time node of entering the emergency hall of the hospital, the time node of leaving the hall and entering the rescue room, the time node of entering the examination room, the time node of leaving the examination room and the time node of leaving the rescue room ensure the accuracy of time management of the whole rescue process.
3. According to the method, the system, the medium and the electronic equipment, when the stay time of the patient in the non-rescue area is larger than the preset threshold value, the alarm information is produced, the safety risk management and control of rescue are improved, and the condition that the patient is stagnated for a long time and is not nursed by people can be effectively avoided.
4. The method, the system, the medium and the electronic equipment disclosed by the disclosure combine all rescue time nodes, rescue medical advice, check and inspection report issuing time, check and inspection records and rescue records to generate a rescue report, so that rescue process evaluation is carried out, and a basis is provided for the optimization of the rescue process.
Advantages of additional aspects of the disclosure will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the disclosure.
Drawings
The accompanying drawings, which are included to provide a further understanding of the disclosure, illustrate embodiments of the disclosure and together with the description serve to explain the disclosure and are not to limit the disclosure.
Fig. 1 is a schematic flow chart of an emergency patient data processing method provided in embodiment 1 of the present disclosure.
Detailed Description
The present disclosure is further described with reference to the following drawings and examples.
It should be noted that the following detailed description is exemplary and is intended to provide further explanation of the disclosure. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of example embodiments according to the present disclosure. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.
The embodiments and features of the embodiments in the present disclosure may be combined with each other without conflict.
Example 1:
as shown in fig. 1, an embodiment 1 of the present disclosure provides an emergency patient data processing method, including the following steps:
acquiring RFID identification information of a patient;
when the signal intensity of the obtained RFID identification information is greater than a preset threshold value, judging that the patient enters the identification range of the rescue area identification equipment;
and according to the judgment result, obtaining the rescue time of the patient entering and exiting the rescue area and the examination area, and combining the rescue data and the examination data to obtain the final rescue data of the emergency patient.
Specifically, the method comprises the following steps:
step (1): the RFID device is bound to the patient identity.
Step (2): the time of arrival of the patient at the hospital and/or rescue room and/or examination room is identified and recorded.
And (3): the patient leaves the rescue room and records the leaving time, and the patient returns to the rescue room or goes to the rescue room to be clearly analyzed and generate the rescue duration.
The specific implementation steps of the step (1) are as follows:
patients are classified into 120 patients and self-hospital patients according to the hospital-arrival mode. 120, when a patient comes to a hospital and is registered in a pre-hospital emergency system, the RFID bracelet ID is obtained by scanning the two-dimensional code on the RFID bracelet, and the patient is bound with the RFID equipment during registration;
the hospital patient comes by oneself, when the triage platform divides the doctor, reads RFID bracelet ID through RIFD card reader, binds the patient with this RFID equipment during the triage.
Patient ID (PAT _ ID), RFID device ID (RFID _ ID), current device STATUS (RFID _ STATUS) are recorded in the patient registration record table in the HIS database at patient filing time, RFID _ STATUS value is marked as 0: no RFID is used; 1: binding; 2: and (6) unbinding.
The specific implementation steps of the step (2) are as follows:
step (201): selecting the equipment model and the installation position: the factors such as building layout, network condition and the like in the comprehensive hospital are as follows:
A. set for wearable equipment RFID bracelet parameter as follows:
the communication mechanism is as follows: based on time division multiple access and code division multiple access synchronous communication mechanism;
identification capability: anti-collision performance of 256 sheets/second;
safety measures are as follows: encryption calculation and security authentication are carried out, the anti-interference channel isolation technology of link detection is prevented, and a plurality of devices are not interfered with each other;
and (3) identifying the direction: carrying out omnidirectional identification; communication rate: 1 Mb/s; identifying the distance: 80 meters.
The power consumption standard average working power is microwatt level, the working frequency band is 2.45GHz, the state bit low-electricity state value changes, the power consumption standard average working power is microwatt level, the service life is 1-3 years, the size of the replaceable battery is 150 multiplied by 40 multiplied by 110mm, the shell materials are PC shell materials and silica gel watchbands, and the weight is 55 g.
B. The parameters of the wearable device RFID bracelet signal receiver are set as follows:
frequency band: 2.45GHz 250K rate; the farthest identification distance is 100 meters; low frequency parameter 125 KHz; more than 200 labels are identified simultaneously; based on HDLC time division multiple access and synchronous communication mechanism; the channel isolation technology, a plurality of devices do not interfere with each other; encryption calculation and security authentication are carried out, and link detection is prevented; interface standard RJ 45; extended I/O: 2 paths of switching value signals are input and output respectively; power supply standard: DC 12V; packaging characteristics: acid and alkali resistance, fire resistance and flame retardance; the working temperature is-25 ℃ to +75 ℃; communication protocols TCP/IP and UDP/IP; the working humidity is less than or equal to 90 percent; the shell material ABS; the outer dimension 168 x 38 (mm).
Step (202): and maintaining the information of the receiving equipment, and installing and debugging.
Maintaining the IP address of the equipment and the corresponding place in the system, for example, 192.168.1.2 corresponds to a rescue room; 192.168.1.3 corresponds to a CT room. In the debugging process, different thresholds, packet loss rates and the like can be set for each receiving device according to the field environment (such as room area, existence of other interference and the like) so as to improve the accuracy of data acquisition in different scenes.
The deployed server program is connected with the receiving equipment through the socket, each piece of equipment starts a thread, received data are obtained in real time, message analysis is carried out, and a signal strength value and an RFID bracelet number are obtained.
When the average value of the RFID signal intensity reaches a set threshold value (the minimum value of the signal intensity is 0, the maximum value is 80) in a certain time period, whether the RFID bracelet is in a bound state or not is judged according to the RFID _ ID (the RFID _ STATUS value is 1), and the ID (PAT _ ID) in the patient system is acquired.
And then recording a time node for acquiring the effective signal for the first time as the arrival time according to the installation position of the equipment. For example, an RFID signal receiving device is installed in a rescue room, in the process that a patient ENTERs the rescue room for the first TIME, a receiver monitors a wrist strap signal of the patient and transmits the wrist strap signal to a server program in real TIME, the position of the device and the patient corresponding to the wrist strap are judged through the device and the wrist strap which are maintained in advance, the value of the signal received by the device is continuously enhanced when the patient is close to the rescue room, when the signal is enhanced to a set threshold value, the patient is considered to have entered the rescue room, the TIME (ENTER _ empty _ TIME) when the patient ENTERs the rescue room is recorded immediately, meanwhile, a recording flow water meter is recorded, and the recording information is the entry TIME (ENTER _ TIME) of the patient corresponding to a certain wrist strap identified by a certain receiving device.
In addition, in an actual environment, two or even a plurality of receiving devices may be installed at relatively close positions, for example, an emergency treatment examination table is generally closer to a rescue room, and the distance is generally not more than 10 meters, so that a situation that two or more receiving devices can receive a relatively strong signal of the same wrist strap may exist, and in order to reduce the situation that the acquisition time is inaccurate due to the factor as much as possible, on one hand, physical isolation is adopted, that is, an object such as a wall is blocked between each two devices as much as possible.
On the other hand, this situation is handled in the acquisition procedure, taking two receiving devices as an example, for example, A, B, where the two receiving devices detect that bracelet k both satisfy the condition of exceeding the set threshold, the procedure compares the signal values of bracelet k acquired in a and B, and if the signal value of a is greater than B, the patient is considered to enter zone a, otherwise the patient is in zone B.
The solution idea of the multiple devices is the same as that of the two receiving devices, and when the patient moves to a state where only one device detects a wrist strap signal or no device can detect the wrist strap signal, the patient exits from the processing mechanism and enters the processing mechanism where only one receiving device receives the signal under normal conditions. And then more accurate judgement patient's movement track.
The specific implementation steps of the step (3) are as follows:
when the patient finishes the rescue and leaves the rescue room to recover the RFID bracelet, the final leaving time is recorded, the rescue duration is calculated and recorded into the database, meanwhile, rescue medical advice, examination and inspection report issuing time and the rescue record generate a rescue report, problems existing in the rescue process are summarized and analyzed, and a basis is provided for follow-up continuous improvement.
Step (301): taking the patient as an example of leaving the rescue room, when the patient leaves, the device receives that the signal value of the patient is reduced, when the signal value is reduced below a set threshold value, the system can judge that the patient leaves the rescue room, and record the TIME at the moment to the TIME (OUT _ emergency _ TIME) when the patient leaves the rescue room, and record the TIME into the record flow meter, and record the leaving TIME OUT _ TIME of the patient corresponding to a certain bracelet identified by a certain receiving device.
The arrival or departure of a patient from other locations, such as a CT room, may likewise be recorded as the arrival TIME at the CT room (ENTER _ CTROM _ TIME), the departure TIME from the CT room (OUT _ CTROM _ TIME), and the entry TIME and OUT _ TIME in the meter.
Step (302): when the patient finishes rescuing and recovering the bracelet, the TIME intervals of ENTER _ emergency _ TIME and OUT _ emergency _ TIME which are recorded in the flow chart and ENTER and exit the rescue room for multiple TIMEs are accumulated to calculate the rescue duration of the patient, meanwhile, rescue medical orders, check and check report issuing TIME and rescue records are used for generating a rescue report, problems existing in the rescue process are summarized and analyzed, and a basis is provided for follow-up continuous improvement. For example, the time when the patient arrives at the CT room is different from the time when the patient is reported by CT by more than 30 minutes, which indicates that the CT room has problems in the flow or efficiency of the emergency patient examination process, and improvement measures should be provided; the time interval between leaving the rescue room and arriving at the CT room is illustrative of the need for improvement in the layout of the department.
Example 2:
the embodiment 2 of the present disclosure provides an emergency patient data processing system, including:
a data acquisition module configured to: acquiring RFID identification information of a patient;
a patient identification module configured to: when the signal intensity of the obtained RFID identification information is greater than a preset threshold value, judging that the patient enters the identification range of the rescue area identification equipment;
a rescue data acquisition module configured to: and according to the judgment result, obtaining the rescue time of the patient entering and exiting the rescue area and the examination area, and combining the rescue data and the examination data to obtain the final rescue data of the emergency patient.
The working method of the system is the same as the steps in the emergency patient data processing method provided in embodiment 1, and the detailed description is omitted here.
Example 3:
the embodiment 3 of the present disclosure provides a computer-readable storage medium, on which a program is stored, which when executed by a processor, implements the steps in the emergency patient data processing method according to the embodiment 1 of the present disclosure, the steps being:
acquiring RFID identification information of a patient;
when the signal intensity of the obtained RFID identification information is greater than a preset threshold value, judging that the patient enters the identification range of the rescue area identification equipment;
and according to the judgment result, obtaining the rescue time of the patient entering and exiting the rescue area and the examination area, and combining the rescue data and the examination data to obtain the final rescue data of the emergency patient.
The detailed method is the same as the steps in the emergency patient data processing method provided in embodiment 1, and is not described herein again.
Example 4:
the embodiment 4 of the present disclosure provides an electronic device, which includes a memory, a processor, and a program stored in the memory and executable on the processor, and when the processor executes the program, the processor implements the steps in the emergency patient data processing method according to the embodiment 1 of the present disclosure, and the steps are:
acquiring RFID identification information of a patient;
when the signal intensity of the obtained RFID identification information is greater than a preset threshold value, judging that the patient enters the identification range of the rescue area identification equipment;
and according to the judgment result, obtaining the rescue time of the patient entering and exiting the rescue area and the examination area, and combining the rescue data and the examination data to obtain the final rescue data of the emergency patient.
The detailed method is the same as the steps in the emergency patient data processing method provided in embodiment 1, and is not described herein again.
As will be appreciated by one skilled in the art, embodiments of the present disclosure may be provided as a method, system, or computer program product. Accordingly, the present disclosure may take the form of a hardware embodiment, a software embodiment, or an embodiment combining software and hardware aspects. Furthermore, the present disclosure may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, optical storage, and the like) having computer-usable program code embodied therein.
The present disclosure is described with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems), and computer program products according to embodiments of the disclosure. It will be understood that each flow and/or block of the flow diagrams and/or block diagrams, and combinations of flows and/or blocks in the flow diagrams and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, embedded processor, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including instruction means which implement the function specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
It will be understood by those skilled in the art that all or part of the processes of the methods of the embodiments described above can be implemented by a computer program, which can be stored in a computer-readable storage medium, and when executed, can include the processes of the embodiments of the methods described above. The storage medium may be a magnetic disk, an optical disk, a Read-Only Memory (ROM), a Random Access Memory (RAM), or the like.
The above description is only a preferred embodiment of the present disclosure and is not intended to limit the present disclosure, and various modifications and changes may be made to the present disclosure by those skilled in the art. Any modification, equivalent replacement, improvement and the like made within the spirit and principle of the present disclosure should be included in the protection scope of the present disclosure.

Claims (10)

CN202011520330.5A2020-12-212020-12-21Data processing method, system, medium and electronic equipment for emergency patientsPendingCN112635012A (en)

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