CN105139320A - Intelligent supervision system for medical hand hygiene compliance - Google Patents
Intelligent supervision system for medical hand hygiene compliance Download PDFInfo
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- CN105139320A CN105139320A CN201510631223.2A CN201510631223A CN105139320A CN 105139320 A CN105139320 A CN 105139320A CN 201510631223 A CN201510631223 A CN 201510631223A CN 105139320 A CN105139320 A CN 105139320A
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Abstract
The invention discloses an intelligent supervision system for medical hand hygiene compliance. The data transmission is conducted between the front-end processor of a software monitoring platform and an AP based on a TCP/IP interface. The data communication of the AP is realized based on the connection with name tags based on 433M/2.4G signals. The types of equipment and the fixed IDs of equipment can be preset by an identifying device. The identifying device and name tags are in communication based on 125K radio frequency signals. The position identifying and the positioning of name tags are realized based on 125K radio frequency signals. A name tag reader is respectively in communication with the front-end processor, the AP and name tags based on 433M/2.4G signals. According to the technical scheme of the invention, the probability of nosocomial infection due to the unfulfillment of hand hygiene during the medical activity procedure can be reduced.
Description
Technical field
The invention belongs to Internet of Things field, relate to a kind of medical hand hygiene compliance intelligent monitoring system.
Background technology
There are special section office in present hospital---and infection control section supervises Medical personnel hand hygiene compliance.Supervisory method is mainly cultivated by idea, system is implemented, method training, facility configuration etc. allow the conscious self-discipline of medical worker complete hand hygiene operation, and full-time staff irregularly patrols in addition.Also do not occur that the soft and hardware system about " hand hygiene compliance " real-time monitoring is using in the market.
The present invention is according to People's Republic of China's health industry standard (WS/T313-2009)-" Medical personnel hand hygienic practice " and " medical care precess Nursing Care Standard " requirement to medical worker, Internet technology, the communication technology, product structure design are integrated, object is to provide a kind of management system of medical personnel hand hygiene compliance being carried out to intelligent supervision, for improving medical worker's hand hygiene compliance problem in medical act, reduce the hospital infection probability produced because hand hygiene is not in place.
Summary of the invention
The object of the present invention is to provide a kind of medical hand hygiene compliance intelligent monitoring system, solve in current curative activity and cause this problem of hospital infection because hand hygiene is not in place.
The technical solution adopted in the present invention is made up of Software Monitoring platform and information acquisition system;
Software Monitoring platform comprises front end processor and application management system;
Information acquisition system is made up of disappear liquid bottle recognition device, water lotion bottle recognition device, in/out port area recognition device, sick bed region recognition device, aseptic area recognition device, Polluted area recognition device, washing region recognition device, AP of chest card, chest card reader, speed;
The front end processor of Software Monitoring platform and AP are by TCP/IP interface transmission data; AP uses 433M/2.4G signal connection chest card to carry out data communication; Speed disappears liquid bottle recognition device, water lotion bottle recognition device, in/out port area recognition device, sick bed region recognition device, aseptic area recognition device, Polluted area recognition device, washing region recognition device energy set device type and fixing ID and chest card all by 125K radio frequency signal communication; 125K radiofrequency signal is used for chest card location recognition and location; Chest card reader is connected with chest card with front end processor, AP respectively by 433M/2.4G signal and communicates.
Further, the manner of execution of described application management system is as follows:
(1) perform hand hygiene: the medical worker wearing chest card presses arbitrary speed and to disappear liquid bottle recognition device, wash both hands by rubbing with the hands with the speed hand liquid that disappears that disappears, now chest card sends short " droplet " sound, then perform hand hygiene and complete, mark hand hygiene state is " cleaning "; Or medical worker enters water wash zone, chest card receives the signal that washing region recognition device is sent, report this personal information to AP: event that this medical worker " enters water wash zone ", medical worker's pressing is configured in the water lotion bottle recognition device of water wash zone, rub hands with soap lye, detect that this medical worker rested on water wash zone more than 15 seconds, then perform hand hygiene specification, report AP: this medical worker " performs hand hygiene to complete " event, and hand hygiene state is " cleaning " simultaneously; If detect, this medical worker stops in washing region does not reach 15 seconds, then record the slight violation of this medical worker, report AP simultaneously: this medical worker " the washing region residence time is too short, in violation of rules and regulations slight " event, hand hygiene state is " limited clean ";
(2) ward is entered: before medical worker enters ward, chest card receives the radiofrequency signal that entrance area recognition device is sent, judge Medical personnel hand hygienic state, if Medical personnel hand hygienic state is " cleaning " or " limited clean ", directly can enter lesion, chest card receives the signal that exit region recognition device is sent, and by chest card, this medical worker is entered the information reporting AP of lesion: event that this medical worker " enters ward ", and hand hygiene state is " cleaning "; If Medical personnel hand hygienic state is unclean, then chest card sends prompt tone, medical worker is reminded to carry out hand hygiene operation, after this medical worker hears prompt tone, nigh speed disappears on liquid bottle recognition device or water lotion bottle recognition device and performs hand hygiene, and again enter ward, then chest card receives the signal that exit region recognition device is sent, by chest card, this medical worker is entered the information reporting AP of lesion: event that this medical worker " enters ward ", hand hygiene state is " cleaning "; After this medical worker hears prompt tone, do not perform hand hygiene, continue to enter ward, the then chest card signal that will receive exit region recognition device and send, mark these personnel in violation of rules and regulations, and by chest card, the violation record of these personnel is reported AP: event that this medical worker " enters ward " in violation of rules and regulations, hand hygiene state is " unclean ";
(3) non-sensitive district, ward is entered: when medical worker rests on non-sensitive district, ward, if this Medical personnel hand hygienic state is clean conditions, then be converted to limited clean conditions after 180 seconds, this medical worker is entered the information reporting AP of lesion by chest card: this Medical personnel hand hygienic state is " limited clean ";
(4) close to sick bed: medical worker enters sick bed region job, chest card receives the signal that sick bed region recognition device is sent, show that this medical worker enters this sick bed region, report AP by chest card: event that this medical worker " enters sick bed region ", hand hygiene state is " cleaning " or " limited clean "; 6 second metathorax participants in a bridge game hygienic state be converted to " unclean ", allow its continue this sick bed district operation, chest card is not reminded to be needed to carry out hand hygiene operation; If this Medical personnel hand hygienic state is " unclean ", then chest card reminds this medical worker to perform hand hygiene, hand hygiene is not performed at disappear liquid bottle recognition device or water lotion bottle recognition device place of speed in 5 seconds, then record this medical worker in violation of rules and regulations close to patient, report AP: this medical worker " in violation of rules and regulations close to patient " event, hand hygiene state is " unclean " simultaneously; When this medical worker leaves arbitrary sick bed region with hand hygiene " unclean " state, then remind it to carry out hand hygiene, reminded once, until perform hand hygiene or leave ward at interval of 30 seconds;
(5) leave ward: when medical worker walks out ward, chest card receives the radiofrequency signal that entrance area recognition device is sent, and judges Medical personnel hand hygienic state; If Medical personnel hand hygienic state is " cleaning " or " limited clean ", then directly leave ward, chest card receives the signal that exit region recognition device is sent, by chest card, this medical worker is left the information reporting AP in ward: event that this medical worker " leaves ward ", hand hygiene state is " cleaning " or " limited clean "; If Medical personnel hand hygienic state is unclean, then chest card sends prompt tone, reminds medical worker to carry out hand hygiene operation; After this medical worker hears prompt tone, nigh speed disappears on liquid bottle recognition device or water lotion bottle recognition device and performs hand hygiene, again leave ward, then chest card receives the signal that exit region recognition device is sent, by chest card, this medical worker is left the information reporting AP in ward: event that this medical worker " leaves ward ", hand hygiene state is " cleaning "; After this medical worker hears prompt tone, do not perform hand hygiene, continue to leave ward, the then chest card signal that will receive exit region recognition device and send, mark these personnel in violation of rules and regulations, and by chest card, the violation record of these personnel is reported AP: event that this medical worker " leaves ward " in violation of rules and regulations, hand hygiene state is " unclean ";
(6) signal then reports AP: this medical worker " enters aseptic area ", if this Medical personnel hand hygienic state is limited clean or clean conditions, then without prompting, can enter this aseptic area; If this Medical personnel hand hygienic state is unclean state, this medical worker is then reminded to perform hand hygiene, if this medical worker does not perform hand hygiene in 5 seconds, then report AP by chest card: this medical worker " in violation of rules and regulations close to cleaning/aseptic material " event, hand hygiene state is " unclean ": if after this medical worker hears prompting, performs hand hygiene in time, then returns aseptic area again, then do not remind execution hand hygiene, aseptic area operation can be entered;
(7) enter contaminated area: medical worker enters contaminated area, chest card receives the signal that Polluted area recognition device is sent, then report AP by chest card: event that this medical worker " enters contaminated area "; If this Medical personnel hand hygienic state is " limited clean " or " cleaning ", then mark this Medical personnel hand hygienic state to be converted into " unclean ": medical worker leaves this contaminated area, this medical worker is reminded to perform hand hygiene, reminded once at interval of 30 seconds, until perform hand hygiene.
The invention has the beneficial effects as follows the probability being reduced in and causing hospital infection in curative activity because hand hygiene is not in place.
Accompanying drawing explanation
Fig. 1 is a kind of medical hand hygiene compliance intelligent monitoring system structural representation of the present invention.
Embodiment
Below in conjunction with embodiment, the present invention is described in detail.
As shown in Figure 1, medical hand hygiene compliance intelligent monitoring system comprises Software Monitoring platform and information acquisition system in the present invention.
Software Monitoring platform comprises front end processor and application management system.
Information acquisition system is made up of disappear liquid bottle recognition device, water lotion bottle recognition device, in/out port area recognition device, sick bed region recognition device, aseptic area recognition device, Polluted area recognition device, washing region recognition device, AP etc. of chest card, chest card reader, speed.
The front end processor of Software Monitoring platform and AP are by TCP/IP interface transmission data; AP uses 433M/2.4G signal connection chest card to carry out data communication; Recognition device energy set device type and fixing ID, it and chest card are all by 125K radio frequency signal communication; 125K radiofrequency signal is used for chest card location recognition and location; Chest card reader is connected with chest card with front end processor, AP respectively by 433M/2.4G signal and communicates.
1, medical hand hygiene compliance intelligent monitoring system: the account for native system equipment manages, section office/ward/lesion/medical worker's information management, equipment working state management etc., the data collected stored, show, inquire about, report form statistics management, transfer record for supvr, consult, analyze and judge, the problem of being convenient to is traced to the source, responsibility is traced, rewarding and punishing foundation.Native system comprises hand hygiene software management system, database server and information acquisition system etc.
2, chest card: store the identity information of medical worker, location, position, hand hygiene execution record and violation record etc., having sound-light prompting function, is the carrier of medical hand hygiene compliance intelligent monitoring system.Chest card not only can be equipped to medical worker, also can be equipped to patient or families of patients use.
3, chest card reader: the identity information that chest card is set; Or as inspection device, detect chest card and whether normally work and handling failure.Whether when chest card and AP communication failure, chest card reader can be used to detect chest card has data to need to send.If had, then read the data of preserving in chest card and be sent to chest card reader, the direct uploading data of chest card reader is to management system.
4, speed disappears liquid bottle recognition device/water lotion bottle recognition device: be placed on ward or water wash zone respectively, judge medical worker's hand hygiene performance, and send to chest card to store by 125K radiofrequency signal data by the break-make of device built-in circuit.
5, in/out port area recognition device: the outlet in ward and entrance respectively settle, device continual transmitting 125K radiofrequency signal is to chest card, chest card, simultaneously also can the regional location of locating personnel by judging that the sequencing receiving signal judges that medical worker passes in and out ward state.
6, sick bed region recognition device: be placed on the sick bed in ward, by continual transmitting 125K radiofrequency signal to chest card, marks the positional information of personnel or sick bed with this.Can be adjusted within the specific limits by the voltage of change circuit, inductance size between its cog region.
7, aseptic area recognition device/Polluted area recognition device/washing region recognition device: be placed in aseptic area, Polluted area, washing region, by continual transmitting 125K radiofrequency signal to chest card, marks the positional information of personnel or sick bed with this.Can be adjusted within the specific limits by the voltage of change circuit, inductance size between its cog region.
8, AP: be the intelligent gateway that all bottom hardware equipment of information acquisition system communicates with Tomcat-AdminPortal, by 433MHz/2.4G radiofrequency signal and bottom hardware devices communicating, communicated with Tomcat-AdminPortal by wire/wireless WIFI.
System advantage of the present invention is also:
1, chest card is integrated with identity information, location, position, hand hygiene state, Logic judgment, the intelligent reminding of medical worker and records in violation of rules and regulations, has sound-light prompting function.It and medical worker's one_to_one corresponding, effective location medical worker position and pollution source, record hand hygiene state and in violation of rules and regulations record, remind medical worker to perform hand hygiene in time.Employing lithium polymer battery is powered, chargeable, and good looking appearance is small and exquisite, frivolous, low in energy consumption, long service life.
2, whether the non-contact inductive of the general Hall element of liquid bottle recognition device detects hand-washing of medical staffs.It has highly sensitive, life-span long, press the features such as reliable, be detected as power also guaranteed.
3, region recognition device adopts lithium polymer battery to power, and region recognition device places USB interface specially, can conveniently charge.This mode avoids because the factors such as hospital socket is nervous, excessive by electric loading, sick bed moves cause the generation of the situations such as equipment cannot work.
4, in/out port area recognition device adopts POE to power, and installation wiring is simple, and it is accurate to launch positioning signal, and the bit error rate is low, accurately to cover in the door of ward and region outdoors, reliably detects medical worker's inlet/outlet situation.
5, the identification range of region recognition device changes the scope of identified region by the voltage, inductance size etc. changing circuit.
6, chest card reader solves " chest card and AP communication failure, data can not be uploaded " this problem.
The above is only to better embodiment of the present invention, not any pro forma restriction is done to the present invention, every any simple modification done above embodiment according to technical spirit of the present invention, equivalent variations and modification, all belong in the scope of technical solution of the present invention.
Claims (2)
1. a medical hand hygiene compliance intelligent monitoring system, is characterized in that: be made up of Software Monitoring platform and information acquisition system;
Software Monitoring platform comprises front end processor and application management system;
Information acquisition system is made up of disappear liquid bottle recognition device, water lotion bottle recognition device, in/out port area recognition device, sick bed region recognition device, aseptic area recognition device, Polluted area recognition device, washing region recognition device, AP of chest card, chest card reader, speed;
The front end processor of Software Monitoring platform and AP are by TCP/IP interface transmission data; AP uses 433M/2.4G signal connection chest card to carry out data communication; Speed disappears liquid bottle recognition device, water lotion bottle recognition device, in/out port area recognition device, sick bed region recognition device, aseptic area recognition device, Polluted area recognition device, washing region recognition device energy set device type and fixing ID and chest card all by 125K radio frequency signal communication; 125K radiofrequency signal is used for chest card location recognition and location; Chest card reader is connected with chest card with front end processor, AP respectively by 433M/2.4G signal and communicates.
2., according to medical hand hygiene compliance intelligent monitoring system a kind of described in claim 1, it is characterized in that: the manner of execution of described application management system is as follows:
(1) hand hygiene is performed: the medical worker wearing chest card presses arbitrary speed and to disappear liquid bottle recognition device, both hands are washed by rubbing with the hands with the speed hand liquid that disappears that disappears, now chest card sends short " droplet " sound, then perform hand hygiene to complete, mark hand hygiene state is " cleaning ": or medical worker enters water wash zone, chest card receives the signal that washing region recognition device is sent, report this personal information to AP: event that this medical worker " enters water wash zone ", medical worker's pressing is configured in the water lotion bottle recognition device of water wash zone, rub hands with soap lye, detect that this medical worker rested on water wash zone more than 15 seconds, then perform hand hygiene specification, report AP: this medical worker " performs hand hygiene to complete " event simultaneously, hand hygiene state is " cleaning ", if detect, this medical worker stops in washing region does not reach 15 seconds, then record the slight violation of this medical worker, report AP simultaneously: this medical worker " the washing region residence time is too short, in violation of rules and regulations slight " event, hand hygiene state is " limited clean ",
(2) ward is entered: before medical worker enters ward, chest card receives the radiofrequency signal that entrance area recognition device is sent, judge Medical personnel hand hygienic state, if Medical personnel hand hygienic state is " cleaning " or " limited clean ", directly can enter lesion, chest card receives the signal that exit region recognition device is sent, and by chest card, this medical worker is entered the information reporting AP of lesion: event that this medical worker " enters ward ", and hand hygiene state is " cleaning "; If Medical personnel hand hygienic state is unclean, then chest card sends prompt tone, medical worker is reminded to carry out hand hygiene operation, after this medical worker hears prompt tone, nigh speed disappears on liquid bottle recognition device or water lotion bottle recognition device and performs hand hygiene, and again enter ward, then chest card receives the signal that exit region recognition device is sent, by chest card, this medical worker is entered the information reporting AP of lesion: event that this medical worker " enters ward ", hand hygiene state is " cleaning "; After this medical worker hears prompt tone, do not perform hand hygiene, continue to enter ward, the then chest card signal that will receive exit region recognition device and send, mark these personnel in violation of rules and regulations, and by chest card, the violation record of these personnel is reported AP: event that this medical worker " enters ward " in violation of rules and regulations, hand hygiene state is " unclean ";
(3) non-sensitive district, ward is entered: when medical worker rests on non-sensitive district, ward, if this Medical personnel hand hygienic state is clean conditions, then be converted to limited clean conditions after 180 seconds, this medical worker is entered the information reporting AP of lesion by chest card: this Medical personnel hand hygienic state is " limited clean ";
(4) close to sick bed: medical worker enters sick bed region job, chest card receives the signal that sick bed region recognition device is sent, show that this medical worker enters this sick bed region, report AP by chest card: event that this medical worker " enters sick bed region ", hand hygiene state is " cleaning " or " limited clean "; 6 second metathorax participants in a bridge game hygienic state be converted to " unclean ", allow its continue this sick bed district operation, chest card is not reminded to be needed to carry out hand hygiene operation; If this Medical personnel hand hygienic state is " unclean ", then chest card reminds this medical worker to perform hand hygiene, hand hygiene is not performed at disappear liquid bottle recognition device or water lotion bottle recognition device place of speed in 5 seconds, then record this medical worker in violation of rules and regulations close to patient, report AP: this medical worker " in violation of rules and regulations close to patient " event, hand hygiene state is " unclean " simultaneously; When this medical worker leaves arbitrary sick bed region with hand hygiene " unclean " state, then remind it to carry out hand hygiene, reminded once, until perform hand hygiene or leave ward at interval of 30 seconds;
(5) leave ward: when medical worker walks out ward, chest card receives the radiofrequency signal that entrance area recognition device is sent, and judges Medical personnel hand hygienic state; If Medical personnel hand hygienic state is " cleaning " or " limited clean ", then directly leave ward, chest card receives the signal that exit region recognition device is sent, by chest card, this medical worker is left the information reporting AP in ward: event that this medical worker " leaves ward ", hand hygiene state is " cleaning " or " limited clean ": if Medical personnel hand hygienic state is unclean, then chest card sends prompt tone, reminds medical worker to carry out hand hygiene operation; After this medical worker hears prompt tone, nigh speed disappears on liquid bottle recognition device or water lotion bottle recognition device and performs hand hygiene, again leave ward, then chest card receives the signal that exit region recognition device is sent, by chest card, this medical worker is left the information reporting AP in ward: event that this medical worker " leaves ward ", hand hygiene state is " cleaning "; After this medical worker hears prompt tone, do not perform hand hygiene, continue to leave ward, the then chest card signal that will receive exit region recognition device and send, mark these personnel in violation of rules and regulations, and by chest card, the violation record of these personnel is reported AP: event that this medical worker " leaves ward " in violation of rules and regulations, hand hygiene state is " unclean ";
(6) signal then reports AP: this medical worker " enters aseptic area ", if this Medical personnel hand hygienic state is limited clean or clean conditions, then without prompting, can enter this aseptic area; If this Medical personnel hand hygienic state is unclean state, this medical worker is then reminded to perform hand hygiene, if this medical worker does not perform hand hygiene in 5 seconds, then report AP by chest card: this medical worker " in violation of rules and regulations close to cleaning/aseptic material " event, hand hygiene state is " unclean "; If after this medical worker hears prompting, perform hand hygiene in time, then return aseptic area again, then do not remind execution hand hygiene, aseptic area operation can be entered;
(7) enter contaminated area: medical worker enters contaminated area, chest card receives the signal that Polluted area recognition device is sent, then report AP by chest card: event that this medical worker " enters contaminated area "; If this Medical personnel hand hygienic state is " limited clean " or " cleaning ", then marks this Medical personnel hand hygienic state and be converted into " unclean "; Medical worker leaves this contaminated area, reminds this medical worker to perform hand hygiene, reminds once at interval of 30 seconds, until perform hand hygiene.
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| CN106557649A (en) * | 2016-10-13 | 2017-04-05 | 深圳市科曼医疗设备有限公司 | Sterilization prompt system and method |
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