CN105787285B - A kind of method and system for realizing ward central monitoring - Google Patents
A kind of method and system for realizing ward central monitoring Download PDFInfo
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- CN105787285B CN105787285B CN201610197567.1A CN201610197567A CN105787285B CN 105787285 B CN105787285 B CN 105787285B CN 201610197567 A CN201610197567 A CN 201610197567A CN 105787285 B CN105787285 B CN 105787285B
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16877—Adjusting flow; Devices for setting a flow rate
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- G06K17/0029—Methods or arrangements for effecting co-operative working between equipments covered by two or more of main groups G06K1/00 - G06K15/00, e.g. automatic card files incorporating conveying and reading operations arrangements or provisious for transferring data to distant stations, e.g. from a sensing device the arrangement being specially adapted for wireless interrogation of grouped or bundled articles tagged with wireless record carriers
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- A—HUMAN NECESSITIES
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- A61M2205/00—General characteristics of the apparatus
- A61M2205/18—General characteristics of the apparatus with alarm
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
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- A61M2205/3546—Range
- A61M2205/3561—Range local, e.g. within room or hospital
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/60—General characteristics of the apparatus with identification means
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Abstract
The present invention relates to a kind of methods for realizing ward central monitoring, include the following steps: that central monitoring units receive the physiological parameter of patient monitor upload respectively, and receives the environmental parameter in the ward that the environmental sensor being arranged in multiple wards is uploaded by setting time respectively；Whether the environmental parameter for judging each ward that the environmental sensor uploads one by one respectively is more than given threshold, is such as more than then to generate regulating command and be sent to corresponding environment regulating device in the ward；Judge the physiological parameter that the patient monitor uploads one by one respectively, exceed, then generates control instruction and be sent to the corresponding access device of patient monitor monitoring hospital bed number, act the access device, then judge the physiological parameter that next patient monitor uploads.The invention further relates to a kind of systems for realizing the above method.Implement a kind of method and system for realizing ward central monitoring of the invention, has the advantages that by saving operating procedure, reduce costs, improve efficiency.
Description
Technical field
The present invention relates to field of medical device, more specifically to a kind of method for realizing ward central monitoring and are
System.
Background technique
At present in the monitoring process of medical field, central monitoring system is responsible for the real-time prison of the monitoring-information of each hospital bed
Shield and alarm, in general, existing central monitoring system are all that the physiological parameter uploaded in patient monitor abnormal alarm occurs,
Doctor is reminded, Clinical Processing is carried out to the patient of these physiological parameters exception one by one by doctor or nurse.But if monitoring
Number is numerous, and doctor can not carry out clinical manipulation to all patients simultaneously, due to must manually carry out in the prior art by bed
Processing, such as carry out using operations such as drug dose ward environment adjustings, especially if space length ratio between ward and bed
When larger, it may appear that the considerable time is wasted in situation about rushed on the road of another by a ward or hospital bed；
It is not quite similar in addition, being typically different demand of the ward to environment.Therefore, in the prior art, in the case where more wards, to more
A ward environment parameter can also make troubles when being adjusted to medical staff, in fact it could happen that doctor can not reach in time scene into
The case where row processing.Therefore, in the prior art, can not effective solution spatially bring bottleneck, there are doctor's processing to face
Extremely inconvenient in terms of timeliness, the inefficient situation of bed sufferer.
Summary of the invention
The technical problem to be solved in the present invention is that being lacked for the above-mentioned inconvenient to use, inefficient of the prior art
It falls into, a kind of easy to use, high-efficient method and system for realizing ward central monitoring is provided.
The technical solution adopted by the present invention to solve the technical problems is: constructing a kind of side for realizing ward central monitoring
Method is existed by the multiple patient monitors being arranged in multiple wards, the environment regulating device being separately positioned in multiple wards, setting
It environmental sensor in multiple wards and is connected by network with above-mentioned patient monitor, environment regulating device with environmental sensor
Central monitoring units realize central monitoring；Described method includes following steps:
C) central monitoring units receive the physiological parameter that the patient monitor uploads respectively, and receive be arranged more respectively
The environmental parameter in the ward that the environmental sensor in a ward is uploaded by setting time；
Whether the environmental parameter for D) judging each ward that the environmental sensor uploads one by one respectively is more than given threshold,
If the environmental parameter in a ward is more than given threshold, then generates regulating command and be sent to corresponding environment adjusting in the ward
Device, and carry out the environmental parameter judgement in next ward；
E) judge the physiological parameter that the patient monitor uploads one by one respectively, such as find the physiological parameter that a patient monitor uploads
Beyond given threshold, then generates control instruction and be sent to the corresponding access device of patient monitor monitoring hospital bed number, make the access
Then device action judges the physiological parameter that next patient monitor uploads；
Wherein, the step D) and E) serially or simultaneously carry out, judge and locate in all environmental parameters or/and physiological parameter
After the completion of reason, return step C).
Further, it when the central monitoring units start to execute monitoring or a new care unit is added, is holding
Row step C) before, further include following steps:
A) ward environment initial parameter value is set on the central monitoring units, and be sent to and be mounted in multiple wards
Environment regulating device；
B the multiple patient monitors) being separately positioned in multiple wards upload the hospital bed number and the disease of patient monitor monitoring respectively
The corresponding access device identifier of bed label is to the central monitoring units.
Further, each environmental parameter regulating device is provided with RFID electronic label, and passes through RFID electricity
Electronic label reader carries out data exchange in ward where it and instruction is transmitted for subtab and setting, and the electronic tag is read
Device is read to upload data by wired or wireless network or receive instruction；Each environmental parameter sensor is provided with RFID electronics
Label, and by the RFID electronic label with it is set where ward electronic label reader interaction data or instruction；Institute
Stating environmental parameter regulating device includes air-conditioning, humidifier or illuminator；The environmental parameter sensor include temperature, humidity or
Luminance sensor.
Further, the access device includes intelligent hospital bed or/and Intelligent medicine bottle；The intelligence arranging hospital beds have net
Network module is connect by wired or wireless network with the central monitoring units, is lowered in the control of the central monitoring units
Save hospital bed angle；The Intelligent medicine bottle is provided with network module, is connected by wired or wireless network and the central monitoring units
It connects, it is on or off under the control of the central monitoring units to be infused its corresponding patient.
Further, the step A) further comprise following steps:
A1) central monitoring units pass through independent network link and the patient monitor, environment regulating device and environment respectively
Sensor and access device establish connection；Wherein, the electronic label reader in the central monitoring units and each ward
By network connection, and the environment regulating device and environmental sensor in the ward pass through RFID channel and the electronics mark respectively
Sign the connection of reader device；
A2) central monitoring units obtain the preset environmental parameter initial value in the ward by the type in each ward of reading, and
The environmental parameter regulating device in each ward is sent it to by the electronic label reader being arranged in each ward.
Further, the step B) further comprise following steps:
B1 the patient monitor) being arranged in each monitored ward uploads the hospital bed number of its monitoring respectively and is responsible for the hospital bed
Access device number arrives the central monitoring units；
B2 it is the monitoring device inventory of project number that) the central monitoring unit, which is formed with hospital bed number, so that subsequent
Central monitor described in step can find its corresponding access device number by hospital bed number；The monitoring device inventory
In each project include hospital bed number, patient monitor number and access device number.
Further, the step E) further comprise:
E1 the data packet including physiological data that) central monitoring units judgement is currently received, that a patient monitor uploads
When the improper and duration is less than the first setting duration, the hospital bed number in the data packet is obtained, its corresponding access is found
Device numbering alarms and exports control signal, adjusts position or the state of the intelligent hospital bed in the corresponding access device of the hospital bed；
E2) when the improper duration of the data packet is greater than the first setting duration and less than the second setting duration,
It alarms and exports control signal, so that the Intelligent medicine bottle in the corresponding access device of the hospital bed starts to carry out being infused to the patient to control
It treats.
Further, the step D) further comprise:
D1) environmental parameter in a ward that central monitoring units judgement is currently received whether setting threshold range
It is interior, if not, the type according to the ward, obtains ward environment initial parameter value and sends control signals to the environment ginseng in the ward
Number regulating device；Meanwhile all patient monitors in the ward are issued and are instructed, so that it is stopped acquisition physiological parameter；
D2) when the environmental parameter in the ward restores normal, instruction is sent to all patient monitors in the ward,
It is set to start to acquire physiological parameter upload.
The invention further relates to a kind of systems of realization ward central monitoring for realizing the above method, which is characterized in that including
Multiple patient monitors for being arranged in multiple wards, are arranged in multiple diseases the environment regulating device being separately positioned in multiple wards
Environmental sensor in room adjusts dress corresponding to the access device of each hospital bed and by network and above-mentioned patient monitor, environment
It sets the central monitoring units connected with environmental sensor and realizes central monitoring；It is set in the environment regulating device and environmental sensor
Be equipped with unique number and by radio-frequency channel receive the data sent from the electronic label reader that is mounted in the ward or
Send data to the RFID electronic label of the electronic label reader, passing through for the electronic label reader is wired
Or wireless network is connect with the central monitoring units；Be configured to the access device of a hospital bed by wired or wireless network with
Patient monitoring instrument on the hospital bed is monitored to connect；The patient monitor arrives the central monitoring units by network connection.
Further, the environment regulating device includes the air-conditioning, humidifier or illuminator being arranged in ward；Institute
Stating environmental parameter sensor includes the temperature sensor, humidity sensor or luminance sensor being arranged in ward；The access
Equipment includes the Intelligent medicine bottle or intelligent hospital bed corresponding to each hospital bed.
Implement a kind of method and system for realizing ward central monitoring of the invention, has the advantages that due to ring
Border parameter adjustment control and environmental parameter sensor are provided with RFID electronic label, and are read by RFID electronic label, RFID
Device to be read to connect with central monitoring units, i.e. the monitoring and adjusting of environmental parameter are realized by an individual channel, with
Patient monitor is unrelated；And the monitoring and adjusting of environmental parameter are all as unit of ward, by the setting of initial value, so that ward
Environmental parameter adjusting do not need medical staff operation, reduce the operating time, do not need manual operation；Meanwhile access is set
Standby setting so that when many energy (when the bad and some physiological parameter of the signal quality including physiological parameter occurs abnormal)
Enough not needing medical staff's intervention can be realized as preliminary processing, saves operating procedure, reduces costs, improves effect
Rate.
Detailed description of the invention
Fig. 1 is the method flow diagram in a kind of method and system embodiment for realizing ward central monitoring of the present invention；
Fig. 2 is a kind of process flow diagram of physiological parameter exception in the embodiment；
Fig. 3 is the process flow diagram of another physiological parameter exception in the embodiment；
Fig. 4 is the structural schematic diagram of system in the embodiment.
Specific embodiment
Below in conjunction with attached drawing, embodiments of the present invention is further illustrated.
As shown in Figure 1, constructing one kind in a kind of method and system embodiment for realizing ward central monitoring of the invention
The method for realizing ward central monitoring, this method is realized on a ward Central Monitoring System, which passes through setting
Multiple patient monitors in multiple wards, are arranged in multiple wards the environment regulating device being separately positioned in multiple wards
Environmental sensor and the central monitoring list that is connected by network with above-mentioned patient monitor, environment regulating device and environmental sensor
Member realizes central monitoring；Its method includes the following steps:
Initialization context parameter is arranged in step S11, and is sent to environment regulating device: in this step, central monitoring list
Ward environment initial parameter value is set in member, and is sent to the environment regulating device being mounted in multiple wards；Specifically,
Central monitoring units pass through independent network link and the patient monitor, environment regulating device and environmental sensor respectively and connect
Enter equipment and establishes connection；Wherein, the electronic label reader in central monitoring units and each ward is by network connection, and is somebody's turn to do
Environment regulating device and environmental sensor in ward pass through RFID channel respectively and connect with the electronic label reader；Center
Monitoring unit obtains the preset environmental parameter initial value in the ward, and by being arranged in each disease by the type in each ward of reading
Electronic label reader in room sends it to the environment regulating device in each ward.
Step S12 patient monitor uploads the hospital bed number and corresponding access device identifier of its monitoring: in this step, point
The multiple patient monitors not being arranged in multiple wards upload the hospital bed number of patient monitor monitoring respectively and the hospital bed number is corresponding connects
Enter device identification number to the central monitoring units；Specifically, the patient monitor being arranged in each monitored ward uploads respectively
Its hospital bed number guarded and the access device number for being responsible for the hospital bed arrive the central monitoring units；Central monitoring unit is formed with disease
Bed label be project number monitoring device inventory, enable in subsequent steps the central monitor looked by hospital bed number
Find its corresponding access device number；Each project in the monitoring device inventory include hospital bed number, patient monitor number and
Access device number.
The environmental parameter that step S13 receives physiological parameter and regularly sends: in this step, central monitoring units difference
The physiological parameter that the patient monitor uploads is received, and receives the environmental sensor being arranged in multiple wards respectively by setting time
The environmental parameter in the ward uploaded.
Step S14 judges whether environmental parameter in given threshold and is handled: in this step, central monitoring list
Member judges whether the environmental parameter in each ward that the environmental sensor uploads is more than given threshold one by one respectively, such as a disease
The environmental parameter in room is more than given threshold, then generates regulating command and be sent to corresponding environment regulating device in the ward, and
Carry out the environmental parameter judgement in next ward.
In this step, whether environmental parameter can also normally influence the acquisition of physiological parameter, for example, central monitoring list
Whether the environmental parameter in the ward that member judgement is currently received is in the threshold range of setting, if not, according to the ward
Type obtains ward environment initial parameter value and sends control signals to the environmental parameter regulating device in the ward；Meanwhile to this
All patient monitors in ward issue instruction, it is made to stop acquisition physiological parameter；When the environmental parameter in the ward restores normal,
Instruction is sent to all patient monitors in the ward, it is made to start to acquire physiological parameter upload.
Step S15 judges whether physiological parameter in given threshold and is handled: judging the patient monitor one by one respectively
The physiological parameter of upload, the physiological parameter for such as finding that a patient monitor uploads exceed given threshold, then generate control instruction transmission
To the corresponding access device of patient monitor monitoring hospital bed number, the access device is acted, is then judged on next patient monitor
The physiological parameter of biography.
In the present embodiment, above-mentioned steps S14 and step S15 can be carried out serially or simultaneously, all environmental parameters or/
After the completion of judging and handle with physiological parameter, return step S13 starts to receive physiological parameter next time or environment next time
Parameter；It is noted that the physiological parameter in above-mentioned steps S13 is continuously, by patient monitor to upload；And environmental parameter is then
It is not continuously, environmental parameter is regularly sent；That is, it is just that above-mentioned environmental parameter, which is only in setting time arrival,
Have, meanwhile, processing and judgement to environmental parameter are also just to carry out when receiving new environmental parameter.
In addition, in the present embodiment, above-mentioned steps S11 and S12 are also only to start to execute monitoring in central monitoring units
Or when a new care unit is added, just it will appear.In an ongoing monitoring process, do not need to execute always
Above-mentioned steps S11 and step S12.
In short, in the present embodiment, each environment regulating device is provided with RFID electronic label, and passes through the RFID
Electronic label reader carries out data exchange in ward where it and instruction is transmitted for electronic tag and setting, which reads
It reads device and above-mentioned central monitoring units is connected by wired or wireless network, upload data or receive instruction；And each environmental parameter
Sensor is also equipped with RFID electronic label, and the electronic tag in ward is read by the RFID electronic label and where it is arranged in
Read device interaction data or instruction；The environmental parameter regulating device includes air-conditioning, humidifier or illuminator；The environmental parameter
Sensor includes temperature, humidity or luminance sensor.
Above-mentioned access device includes intelligent hospital bed or/and Intelligent medicine bottle；Intelligent arranging hospital beds have network module, by wired
Or wireless network is connect with central monitoring units, adjusts hospital bed angle under the control of central monitoring units；The Intelligent medicine bottle
It is provided with network module, is connect by wired or wireless network with the central monitoring units, in the control of central monitoring units
Under on or off be infused its corresponding patient.Since patient monitor and access device all have network module, thus the two it
Between can not also by among the above centre monitoring unit interconnect.
In the present embodiment, when physiological parameter occurs abnormal, access device can be controlled respectively according to concrete condition, it is right
Abnormal conditions are handled.For example, central monitoring units judgement is currently received, patient monitor uploads includes physiology number
According to when data packet is improper and the duration is less than the first setting duration, obtain the hospital bed number in the data packet, find it
Corresponding access device number, alarms and exports control signal, adjust the intelligent hospital bed in the corresponding access device of the hospital bed
Position or state, refer to Fig. 2.When the improper duration of the non-invasive blood pressure value in the data packet being greater than the first setting
When growing and setting duration less than second, alarms and export control signal, so that the intelligent medicine in the corresponding access device of the hospital bed
Bottle starts to carry out infusion treatment to the patient.
In the present embodiment, central monitoring units are monitored according to ward type；It include multiple hospital beds in each ward,
A corresponding patient, patient have access device, Intelligent medicine bottle and other equipment at one's side.There is Intelligent air in each intelligence delivery room
Tune, intelligent electric lamp, intelligent humidifier etc..Central monitoring units establish alone connection with these environment regulating devices respectively, connection
Mode can use wired network or wireless Wifi etc., and the owned wireless radio frequency modules of these environment regulating devices pass through support
The RFID transceiver of Internet of Things fidonetFido is attached thereto, then RFID transceiver is connected in Ethernet by switching equipment；
When starting a new monitoring, patient monitor uploads new monitoring event by Ethernet and notifies central monitoring units, in
Centre monitoring unit recognizes bed label when receiving new monitoring event, generates control command by itself main control module, uses Internet of Things
Net Transmit-Receive Unit is sent to smart machine, to automatically open air-conditioning, electric light, humidifier.Central monitoring units can monitor and
Adjust ward environment, built-in timer module, timer by Ethernet JA(junction ambient) sensor, at regular intervals from
Environmental sensor acquires an environmental element, and environmental sensor can collect temperature, appropriateness, light intensity etc., detects environment temperature
If degree is not equal to 24 ~ 26 DEG C, ambient humidity is not equal to 45 ~ 55RH, and electric light brightness is not equal to 4300 ~ 4600CD, will be by center
Monitoring unit prompts user, and auto-initiation is modified to OK range；
When certain patient monitor detection FHR signal quality is in abnormal condition, poor signal quality signal data is wrapped
Central monitoring units are passed to, comprising the affiliated bed label of this patient monitor, the information such as IP address in this data packet, while the duration is small
In the first scheduled duration (i.e. abnormal alarm), this alarm belongs to rudimentary, and central monitoring units will be according to the bed in data packet at once
Number selection bed, send adjustment bed instruction, referring to fig. 2.
When the mean pressure of certain patient monitor detection NIBP is transfinited (normal range (NR) 60-110), the signal data that will transfinite is wrapped
Central monitoring units are passed to, include the affiliated bed label of this patient monitor in this data packet, the information such as IP address, while continuously less than the
Two scheduled durations (i.e. abnormal to alarm at once), belong to intermediate alarm, and central monitoring units will be selected according to the bed label in data packet
Bed, with reference to the systolic pressure of NIBP in data packet, diastolic pressure, mean pressure numerical value carries out drug interventional therapy, according to NIBP
Values match amount of infusion sends infusion instruction.Central monitoring units are detected amount of infusion, are kept away by timer detection module, timing
It is excessive to exempt from infusion.
When there is more alarms to generate, the more each windows in monitoring interface of central monitoring units will grasp smart machine
Make, it is advanced, intermediate or rudimentary according to alert levels first, select patient monitor to be automatically brought into operation, if each patient monitor has same level
Alarm occur, central monitoring units are according to bed label polling operation from small to large.
When having physiology alarm and environment alarm to exist simultaneously, each warning message is stored in a report by central monitoring units
In alert list, circular treatment is carried out for this list, while according to priority orders, priority processing physiology is alarmed corresponding
Intelligent bed and Intelligent medicine bottle, secondly whether processing environment alarm detection environmental index meets restriction range.
In addition, in the present embodiment, above-mentioned access device can also include a variety of intelligent medical equipment, such as breathe mechanical, electrical
Dynamic trolley, newborn's incubator, newborn's shower etc., the ward Central Monitoring System in the present embodiment may be implemented to this
The intelligent control of a little equipment.
In the present embodiment, when central monitoring units and patient monitor establish communication connection, central monitoring units are carried out just
Beginningization, starts finger daemon, and preset network module opens simultaneously port；After patient monitor booting, according to the clothes of central monitoring units
Be engaged in device IP address and port by wired or wireless network initiate Socket(web socket) request, be successfully established shake hands it is logical
After news, patient monitor sends above-mentioned server at the data packet of encryption for the bedside machine number of itself, data organization, since physiology is joined
Number information relationships therefore will encrypt physiological data packet to the individual privacy and health and fitness information of patient；Above-mentioned server is received
It is parsed after to data packet, identifies bed label and monitoring data, and saved.
It includes intelligent air condition, intelligent electric lamp, intelligent humidifier etc., these intelligence in that environment in the present embodiment, which sets adjusting,
The owned wireless radio frequency modules of equipment pass through the RFID transceiver of support networking protocol (including RFID reader or card reading
Device) it is attached thereto, such smart machine can be communicated by radio frequency signal with RFID transceiver；It is set again by exchange
For in the wired or wireless net being connected to RFID transceiver where central monitoring units, RFID transceiver turns the signal received
Issue central monitoring system；The access device of each hospital bed generally comprises intelligent hospital bed, Intelligent medicine bottle, built in smart machine itself
Network module establishes connection by wired or wireless net and central monitoring system.Each corresponding patient monitor of intelligence hospital bed, because
This, patient monitor is consistent with central monitoring units bed label information, intelligent hospital bed bed label information.
In the present embodiment, central monitoring units are according to the ward type of reading, and read the environment ginseng in all types of wards
Number threshold value, receives the ambient parameter information in each ward, when numerical value any one in environmental parameter is more than preset threshold, central monitoring list
Member adjusts in the environmental parameter to preset threshold range in the ward.
It include several hospital beds in one ward, for different wards, because of the difference of the psychological need of patient, to environment
Demand is also different.Therefore, need to be arranged different environmental parameters to different ward types, to meet various different patients
Demand.Certainly, each ward includes several hospital beds and its hospital bed information；Wherein, current hospital bed pair is contained in hospital bed information
Answer patient essential information and corresponding access device.Certainly, the corresponding access device information of hospital bed can also be by patient monitor
It uploads.Need to be arranged different environmental parameters to different ward types, wherein environmental parameter includes temperature, brightness and humidity
Threshold value respectively corresponds as temperature threshold, luminance threshold and humidity threshold.For example detection environment temperature is equal to 24 ~ 26 DEG C, environmental wet
Degree is equal to 45 ~ 55RH, and electric light brightness is equal to 4300 ~ 4600CD.
When setting completed for environmental parameter threshold value, be sent completely flag bit to central monitoring system, central monitoring system according to
The complement mark position in ward sends the order for opening environmental parameter equipment, opens the environmental parameter equipment in current ward.S23 is when disease
Having any or above parameter in the environmental parameter in room is more than the preset threshold in current ward, then issues alarm, and is sent corresponding
Ward number and corresponding warning message are to central monitoring system.In this way, patient monitoring needs to maintain the environment in ward at one
Within the scope of stabilization, any parameter is more than that preset range then will affect to patient monitoring and possible danger, and lead to
In normal situation, will not each ward have medical staff on the scene in real time, timely to be adjusted to environmental condition.Cause
This, is timely uploaded to central monitoring units for environmental information, is monitored and adjusted automatically, being capable of high degree reduction medical care
The workload of personnel.
After environment, which is adjusted, to be opened, timer is set, regularly detects whether environmental parameter is more than the environment set for the first time
Parameter threshold.When detecting that the parameter for having predetermined threshold in environmental parameter outside threshold range, then reads the disease of the environmental parameter
Room type, central monitoring units are issued to all patient monitors in the ward and are prompted, and are prompted currently to need emergency, are needed to stop
Only acquire.It can be issued to the patient monitor in the ward after prompt as a preferred implementation manner, and stop acquisition instructions.This
Place, in the case of some ward is due to power failure or other special abnormalities in order to prevent, most parameters in ward are abnormal, this
If when continue acquire physiological parameter patient may be damaged, therefore stop acquisition.
Built-in in environmental unit periodically to acquire an environmental parameter from environmental sensor, environmental sensor can collect temperature
Degree, appropriateness, light intensity etc., if detection environment temperature is not equal to 24 ~ 26 DEG C, ambient humidity is not equal to 45 ~ 55RH, and electric light is bright
Degree is not equal to 4300 ~ 4600CD, user will be prompted by central monitoring units, auto-initiation is modified to OK range；So as to more
Add the variation of detection environment temperature in real time.
When parameter any one in environmental parameter is modified, then modified environmental parameter is issued into central monitoring units immediately
Confirmation, whether the environmental parameter that central monitoring units confirmation receives meets threshold value, if so, environmental parameter is adjusted and in
Monitor system is entreated to update modified environmental parameter.If it is not, sending prompt information to environmental unit, and the adjustment of prompting at this time is
It is more than normal range (NR).This is that medical staff or patient have carried out direct adjustment to the environmental unit in the ward in order to prevent, is adjusted
Whole environmental parameter, facilitates adjusting；But the maloperation to environmental parameter is prevented simultaneously, needs to carry out with central monitoring units true
Recognize, and it is synchronous to carry out real-time data.
In the present embodiment, in the adjustment of environmental parameter, the patient monitor with ward can not be used directly to adjustment ring
Border parameter is adjusted because a ward has multiple patient monitors in environmental parameter of any one patient monitor to current ward,
It requires that all patient monitors are synchronous with the data of central monitoring system, causes the waste of software resource.
It, can also be according to the type ward after central monitoring units read ward type as a preferred implementation manner,
In hospital bed number monitor the corresponding drug information of current hospital bed number, if in threshold range, if it is not, then prompting；Intelligent medicine bottle
Embedded with network module is attached by wired or wireless net with central monitoring system, and dose threshold value is by being placed in Intelligent medicine bottle
Built-in sensors detection, sensor will collect real time drug information, and drug information data packet is reported to by network module
Entreat monitor system.
Such as: when detecting that the parameter in drug information met first threshold, i.e. drug flux or quantity is reduced
The standard of medication is completed to patient, then central monitoring system transmission discontinues medication instruction to central monitoring system.Wherein, above-mentioned medicine
Object information refers to the quantity or flow of drug in medicine bottle.Flow pin calculates the drug of liquid generally according to volume, quantity one
As be directed to solid drug, calculated generally according to quantity.If the quantity or flow of said medicine exceed in threshold range,
Prompt information is issued, reminds medical staff timely to handle the drug of the corresponding medicine bottle of the hospital bed number, with it in threshold value
In range.After adjustment, dose adjusted or quantity information can be retransmitted and are updated to central monitoring system.Prompt
Mode is unlimited, and can be buzzer etc. transfinites audio；
In addition, as a preferred method, the affiliated patient monitor of each hospital bed by wireless radio frequency modules can with medicine bottle into
Row real-time communication, it is therefore an objective to adjustment and monitoring medicine bottle.When patient monitor receives drug information adjustment instruction, central monitoring system can be given
System issues the information for being confirmed whether adjustment and is adjusted, and after patient monitor receives confirmation feedback information in real time by synchronizing information
To the window of the corresponding bed number of central monitoring system.
During central monitoring system monitors medicine bottle in real time, patient monitor is also in every physiology of acquisition patient in real time
Parameter, such as non-invasive blood pressure (NIBP), heart rate, breathing.And collected physiological parameter can be synchronized to central monitoring in real time
System, the window where the patient of the corresponding bed label.For example, Fig. 3 is referred to, when patient monitor real-time detection non-invasive blood pressure
(NIBP), NIBP numerical value is sent to central monitoring system by wired or wireless net, if NIBP normally if be not processed, such as
Fruit is transfinited, and medical staff combines other physiological parameters, when judging that this patient needs to be infused, can prompt medical care on monitoring interface
Personnel need to be infused to patient, Intelligent medicine bottle embedded with network module, by wired or wireless net and central monitoring system into
Row connection, Intelligent medicine bottle will start infusion instruction and be sent to central monitoring system, central monitoring system will interface display
The prompt being infused.
As a preferred implementation manner, when patient monitor receives the flow velocity adjustment instruction of drug, then judgement and flow velocity phase
Whether the monitored parameters of pass are more than preset threshold, if so, this adjustment instruction is set as invalid by patient monitor；If it is not, then adjusting
Flow velocity, and flow rate information adjusted is synchronized to the corresponding window of the central monitoring system bed number.For example: as some patient
Feel that medicament flow rate is improper, when thinking oneself to adjust or call medical staff's adjusting.It can directly adjust, and combine in patient monitor
Relevant monitored parameters solve the problems, such as to adjust not in time in central monitoring system.Crossing conference such as infusion flow rate keeps heart negative
Load aggravates, and heart rate (HR) is accelerated/slows down, and patient monitor detects that HR is more than preset threshold, can directly modify nearby in patient monitor,
And by modified synchronizing information to central monitoring system.
The invention further relates to a kind of systems of realization ward central monitoring for realizing the above method, refer to Fig. 4, the system
Including the multiple patient monitors being arranged in multiple wards, the environment regulating device being separately positioned in multiple wards, it is arranged more
Environmental sensor in a ward, corresponding to each hospital bed access device and pass through network and above-mentioned patient monitor, environment tune
The central monitoring units that regulating device is connected with environmental sensor realize central monitoring；The environment regulating device and environmental sensor
In be provided with unique number and the number sent from the electronic label reader that is mounted in the ward received by radio-frequency channel
It is sent to the RFID electronic label of the electronic label reader according to or by data, the electronic label reader passes through
Wired or wireless network is connect with the central monitoring units；The access device for being configured to a hospital bed passes through wired or wireless net
Network is connect with patient monitoring instrument on the hospital bed is monitored；The patient monitor arrives the central monitoring units by network connection.Institute
Stating environment regulating device includes the air-conditioning, humidifier or illuminator being arranged in ward；The environmental parameter sensor includes
Temperature sensor, humidity sensor or luminance sensor in ward are set；The access device includes corresponding to each disease
The Intelligent medicine bottle of bed or intelligent hospital bed.
In the present embodiment, temperature threshold is detected by the temperature sensor being placed in current ward, temperature detection sensing
Device is generally mounted in the air-conditioning in ward, and sensor acquires real-time room temperature, by the wireless radio frequency modules of air-conditioning by signal data
Packet (current room temperature) is sent to RFID transceiver, and signal data packet is sent to center by wired or wireless net by RFID transceiver
Monitor system.Analytic signal data packet is judged whether current room temperature is more than preset range by central monitoring system, if default
It in range, is then not processed, if it exceeds preset range, issues adjustment temperature director data packet to RFID transceiver, air-conditioning
Wireless radio frequency modules will receive the adjustment temperature director data packet of RFID transceiver transmission, start to adjust temperature after air-conditioning parsing
To preset range.
Humidity threshold is detected by the humidity sensor being placed in current ward, and moisture detection sensor is generally mounted to disease
In the humidifier in room, sensor is per second will to collect real-time humidity, by the wireless radio frequency modules of humidifier by signal data packet (when
Preceding humidity) it is sent to RFID transceiver, signal data packet is sent to central monitoring by wired or wireless net by RFID transceiver
System.Analytic signal data packet is judged whether current humidity is more than preset range, if in preset range by central monitoring system
It is interior, then it is not processed, if it exceeds preset range, issues adjustment humidity director data packet to RFID transceiver, the nothing of humidifier
Line radio-frequency module will receive the adjustment humidity director data packet of RFID transceiver transmission, start to adjust after humidifier parsing wet
Spend preset range.
Luminance threshold is detected by the luminance sensor being placed in current ward, and brightness detection sensor is generally mounted to disease
In the electric light in room, sensor is per second will to collect real-time luminosity, by the wireless radio frequency modules of electric light that signal data packet is (current bright
Degree) it is sent to RFID transceiver, signal data packet is sent to central monitoring system by wired or wireless net by RFID transceiver.
Analytic signal data packet is judged whether present intensity is more than preset range by central monitoring system, if within a preset range,
It is not processed, if it exceeds preset range, issues adjustment luminance instructions data packet to RFID transceiver, the less radio-frequency mould of electric light
Block will receive the adjustment luminance instructions data packet of RFID transceiver transmission, start to adjust brightness after electric light parsing to default model
It encloses.
The embodiments described above only express several embodiments of the present invention, and the description thereof is more specific and detailed, but simultaneously
Limitations on the scope of the patent of the present invention therefore cannot be interpreted as.It should be pointed out that for those of ordinary skill in the art
For, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to guarantor of the invention
Protect range.Therefore, the scope of protection of the patent of the invention shall be subject to the appended claims.
Claims (10)
1. a kind of method for realizing ward central monitoring, which is characterized in that by multiple patient monitors for being arranged in multiple wards,
The environment regulating device that is separately positioned in multiple wards, the environmental sensor being arranged in multiple wards and by network and
The central monitoring units that above-mentioned patient monitor, environment regulating device and environmental sensor connect realize central monitoring；The method packet
Include following steps:
C) central monitoring units receive the physiological parameter that the patient monitor uploads respectively, and receive be arranged in multiple diseases respectively
The environmental parameter in the ward that the environmental sensor in room is uploaded by setting time；
Whether the environmental parameter for D) judging each ward that the environmental sensor uploads one by one respectively is more than given threshold, and such as one
The environmental parameter in a ward is more than given threshold, then generates regulating command and be sent to corresponding environment adjusting dress in the ward
It sets, and carries out the environmental parameter judgement in next ward；
E) judge that the physiological parameter that the patient monitor uploads, the physiological parameter for such as finding that a patient monitor uploads exceed one by one respectively
Given threshold then generates control instruction and is sent to the corresponding access device of patient monitor monitoring hospital bed number, makes the access device
Then movement judges the physiological parameter that next patient monitor uploads；
Wherein, the step D) and E) serially or simultaneously carry out, after the completion of all environmental parameters or/and physiological parameter judgement, return
Return step C)；
Wherein, the access device includes intelligent hospital bed and Intelligent medicine bottle, and the patient monitor includes output non-invasive blood pressure and fetal rhythm
The patient monitor of signal；When fetal heart rate signal is of poor quality, Bed conversion angle is selected, output Bed conversion instruction carries out next round
Physiological parameter receives and judgement；When non-invasive blood pressure value is excessively high, depressor amount of infusion, output infusion instruction, Intelligent medicine bottle are distributed
Start to be infused, waits infusion to terminate, and carry out the reception of next round physiological parameter and judgement.
2. the method according to claim 1 for realizing ward central monitoring, which is characterized in that the central monitoring units are opened
When beginning to execute monitoring or a new care unit is added, step C is being executed) before, further include following steps:
A) ward environment initial parameter value is set on the central monitoring units, and be sent to the ring being mounted in multiple wards
Border regulating device；
B the multiple patient monitors) being separately positioned in multiple wards upload the hospital bed number and the hospital bed number of patient monitor monitoring respectively
Corresponding access device identifier is to the central monitoring units.
3. the method according to claim 2 for realizing ward central monitoring, which is characterized in that each environment adjusts dress
Install and be equipped with RFID electronic label, and by the RFID electronic label and be arranged where it in ward electronic label reader into
Row data exchange and instruction transmission, the electronic label reader are uploaded data or are received and instructed by wired or wireless network；
Each environmental sensor is provided with RFID electronic label, and by the RFID electronic label with it is set where ward
Electronic label reader interaction data or instruction；The environment regulating device includes air-conditioning, humidifier or illuminator；The ring
Border sensor includes temperature, humidity or luminance sensor.
4. the method according to claim 3 for realizing ward central monitoring, which is characterized in that the intelligence arranging hospital beds have
Network module is connect, under the control of the central monitoring units with the central monitoring units by wired or wireless network
Adjust hospital bed angle；The Intelligent medicine bottle is provided with network module, passes through wired or wireless network and the central monitoring units
Connection, it is on or off under the control of the central monitoring units to be infused its corresponding patient.
5. it is according to claim 4 realize ward central monitoring method, which is characterized in that the step A) in further
Include the following steps:
A1) central monitoring units pass through independent network link and the patient monitor, environment regulating device and environmentally sensitive respectively
Device and access device establish connection；Wherein, the central monitoring units pass through with the electronic label reader in each ward
Network connection, and the environment regulating device and environmental sensor in the ward pass through RFID channel respectively and read with the electronic tag
Read the connection of device device；
A2) central monitoring units obtain the preset environmental parameter initial value in the ward, and pass through by the type in each ward of reading
The electronic label reader being arranged in each ward sends it to the environment regulating device in each ward.
6. it is according to claim 5 realize ward central monitoring method, which is characterized in that the step B) in further
Include the following steps:
B1 the hospital bed number that the patient monitor) being arranged in each monitored ward uploads its monitoring respectively is set with the access for being responsible for the hospital bed
Standby number is arrived the central monitoring units；
B2 it is the monitoring device inventory of project number that) central monitoring units, which are formed with hospital bed number, so that in subsequent step
Described in central monitoring units its corresponding access device number can be found by hospital bed number；In the monitoring device inventory
Each project include hospital bed number, patient monitor number and access device number.
7. it is according to claim 6 realize ward central monitoring method, which is characterized in that the step E) in further
Include:
E1 the data packet including physiological data that) central monitoring units judgement is currently received, that a patient monitor uploads is non-just
When often and the duration is less than the first setting duration, the hospital bed number in the data packet is obtained, its corresponding access device is found
Number, alarms and exports control signal, adjust position or the state of the intelligent hospital bed in the corresponding access device of the hospital bed；
E2) when the improper duration of the data packet is greater than the first setting duration and less than the second setting duration, alarm
And control signal is exported, so that the Intelligent medicine bottle in the corresponding access device of the hospital bed starts to carry out infusion treatment to the patient.
8. it is according to claim 7 realize ward central monitoring method, which is characterized in that the step D) in further
Include:
D1) whether the environmental parameter in a ward that central monitoring units judgement is currently received in the threshold range of setting,
If not, the type according to the ward, obtains ward environment initial parameter value and sends control signals to the environment adjusting in the ward
Device；Meanwhile all patient monitors in the ward are issued and are instructed, so that it is stopped acquisition physiological parameter；
D2) when the environmental parameter in the ward restores normal, instruction is sent to all patient monitors in the ward, it is made to start to adopt
Collect physiological parameter to upload.
9. a kind of system for realizing ward central monitoring, which is characterized in that including be arranged in multiple wards multiple patient monitors,
The environment regulating device that is separately positioned in multiple wards, corresponds to each disease at the environmental sensor being arranged in multiple wards
The access device of bed and the central monitoring list connected by network with above-mentioned patient monitor, environment regulating device and environmental sensor
Member realizes central monitoring；It is provided with unique number in the environment regulating device and environmental sensor and is received by radio-frequency channel
The data that send from the electronic label reader that is mounted in the ward send the electronic tag for data and read
The RFID electronic label of device is read, the electronic label reader is connected by wired or wireless network and the central monitoring units
It connects；The access device for being configured to a hospital bed is connect by wired or wireless network with patient monitoring instrument on the hospital bed is monitored；
The patient monitor arrives the central monitoring units by network connection；
Wherein, the central monitoring units judge that the environmental parameter in each ward that the environmental sensor uploads is one by one respectively
No is more than given threshold, and such as environmental parameter in a ward is more than given threshold, then generates regulating command and be sent to the ward
In corresponding environment regulating device, and carry out next ward environmental parameter judgement；The central monitoring units also respectively by
The physiological parameter that a judgement patient monitor uploads, the physiological parameter for such as finding that a patient monitor uploads exceed given threshold, then
It generates control instruction and is sent to the corresponding access device of patient monitor monitoring hospital bed number, act the access device, then sentence
The physiological parameter that next patient monitor that breaks uploads；
Wherein, the access device includes intelligent hospital bed and Intelligent medicine bottle, and the patient monitor includes output non-invasive blood pressure and fetal rhythm
The patient monitor of signal；When fetal heart rate signal is of poor quality, Bed conversion angle is selected, output Bed conversion instruction carries out next round
Physiological parameter receives and judgement；When non-invasive blood pressure value is excessively high, depressor amount of infusion, output infusion instruction, Intelligent medicine bottle are distributed
Start to be infused, waits infusion to terminate, and carry out the reception of next round physiological parameter and judgement.
10. system according to claim 9, which is characterized in that the environment regulating device includes being arranged in ward
Air-conditioning, humidifier or illuminator；The environmental sensor include the temperature sensor being arranged in ward, humidity sensor or
Luminance sensor.
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