CN110634555A - Method and device for information auditing in internet hospital - Google Patents
Method and device for information auditing in internet hospital Download PDFInfo
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- CN110634555A CN110634555A CN201910699048.9A CN201910699048A CN110634555A CN 110634555 A CN110634555 A CN 110634555A CN 201910699048 A CN201910699048 A CN 201910699048A CN 110634555 A CN110634555 A CN 110634555A
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- 238000000034 method Methods 0.000 title claims abstract description 29
- 239000003814 drug Substances 0.000 claims abstract description 90
- 229940079593 drug Drugs 0.000 claims abstract description 77
- 206010020751 Hypersensitivity Diseases 0.000 claims abstract description 50
- 208000026935 allergic disease Diseases 0.000 claims abstract description 50
- 230000007815 allergy Effects 0.000 claims abstract description 50
- 201000010099 disease Diseases 0.000 claims description 25
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 25
- 238000012550 audit Methods 0.000 claims description 20
- 238000012795 verification Methods 0.000 claims description 15
- 238000012790 confirmation Methods 0.000 claims description 8
- 238000004590 computer program Methods 0.000 claims description 6
- 230000036541 health Effects 0.000 abstract description 3
- 229930182555 Penicillin Natural products 0.000 description 10
- 229940049954 penicillin Drugs 0.000 description 10
- JGSARLDLIJGVTE-MBNYWOFBSA-N Penicillin G Chemical compound N([C@H]1[C@H]2SC([C@@H](N2C1=O)C(O)=O)(C)C)C(=O)CC1=CC=CC=C1 JGSARLDLIJGVTE-MBNYWOFBSA-N 0.000 description 9
- 230000003340 mental effect Effects 0.000 description 4
- 230000000172 allergic effect Effects 0.000 description 3
- 208000010668 atopic eczema Diseases 0.000 description 3
- 206010067484 Adverse reaction Diseases 0.000 description 2
- 206010057190 Respiratory tract infections Diseases 0.000 description 2
- 230000006838 adverse reaction Effects 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000002285 radioactive effect Effects 0.000 description 2
- 231100000331 toxic Toxicity 0.000 description 2
- 230000002588 toxic effect Effects 0.000 description 2
- 206010019233 Headaches Diseases 0.000 description 1
- 206010028813 Nausea Diseases 0.000 description 1
- 206010037660 Pyrexia Diseases 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 231100000869 headache Toxicity 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000008693 nausea Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H70/00—ICT specially adapted for the handling or processing of medical references
- G16H70/40—ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage
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- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Business, Economics & Management (AREA)
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- General Business, Economics & Management (AREA)
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- Primary Health Care (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
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- Bioinformatics & Cheminformatics (AREA)
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Abstract
The application provides a method and a device for information auditing in an internet hospital. The method comprises the following steps: receiving a prescription and acquiring prescription content; determining an auditing grade and an auditor according to the prescription content; acquiring allergy information and medication records of a user; and sending the prescription, the user allergy information and the medication record to an auditor for auditing. According to the invention, the prescription information in the Internet hospital can be intelligently checked efficiently and reliably by using historical big data, so that the problem that the health risk is brought to the patient due to unreasonable prescription made by a doctor is solved, and the medication safety of the patient can be improved.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to a method and a device for information auditing in an internet hospital.
Background
With the development of society, internet technology is mature day by day, and more people choose to see a doctor in an internet hospital.
Many patients are diagnosed and treated in internet hospitals every day, and accordingly, doctors make a large number of prescriptions, among which there are not many prescriptions that are not reasonable to take medicine. The unreasonable situation is mainly reflected in violating the reasonable medication rules and the records of allergy and medication for patients are not considered, such as overdose, repeated medication, incompatibility, overdose, etc. Medication abuse can seriously affect the physical health of the patient and may also increase the cost of hospitalization of the patient. At present, no scheme capable of conveniently and effectively auditing prescription information is available.
Disclosure of Invention
The invention aims to provide a method and a device for information auditing in an internet hospital, so as to solve the hidden trouble of unreasonable prescription making by a doctor and improve the medication safety of a patient.
To this end, according to a first aspect of the present invention, there is provided a method for information auditing in an internet hospital, comprising the steps of:
receiving a prescription and acquiring prescription content;
determining an auditing grade and an auditor according to the prescription content;
acquiring allergy information and medication records of a user;
and sending the prescription, the user allergy information and the medication record to an auditor for auditing.
Further, the prescription is generated by:
acquiring basic information of a user and disease description information input by the user;
presenting the user basic information and the disease description information to a user;
receiving confirmation operation of a user;
presenting the user basic information and the disease description information to a doctor for prescription by the doctor.
Further, the prescription content includes:
disease name and medication information.
Further, the determining an audit level and auditors according to the prescription content includes:
and if the disease name is a specific disease or the medication information contains a specific medicine, determining that the prescription auditing level is high level, and simultaneously generating prompt information.
Further, the determining an audit level and auditors according to the prescription content includes:
and searching preset auditors according to the disease names and the medication information, wherein the auditors comprise auditors and auditors.
Further, the sending the prescription, the user allergy information and the medication record to an auditor for auditing includes:
sending the prescription, the user allergy information and the medication record to an auditing doctor for one-time auditing;
and if the prescription passes the verification, sending the prescription, the user allergy information and the medication record to a verification pharmacist for secondary verification.
Further, before sending the prescription, the user allergy information and the medication record to an auditor, the method includes:
comparing the prescription content with the acquired user allergy information and medication records;
and identifying the risk level for the prescription according to the comparison result.
According to a second aspect of the present invention, there is provided an apparatus for auditing information in an internet hospital, including:
the prescription obtaining module is used for receiving a prescription and obtaining prescription content;
the judging module is used for determining the auditing grade and the auditor according to the prescription content;
the information acquisition module is used for acquiring the allergy information and the medication record of the user;
and the auditing module is used for sending the prescription, the user allergy information and the medication record to an auditor for auditing.
According to a third aspect of the present invention there is provided a computer device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor when executing the program implements the method as set forth in the first aspect.
According to a fourth aspect of the present invention, there is provided a computer readable storage medium having a computer program stored thereon, wherein the program, when executed by a processor, implements the method as set forth in the first aspect.
According to the prescription verification method, firstly, the verification level is determined according to the prescription content, meanwhile, the system generates prompt information according to the verification level, then, a verifying doctor conducts verification for one time, the verification is sent to a verifying pharmacist for secondary verification after passing the verification, the verifying staff conducts verification on the prescription according to the prescription content and information such as patient allergy records and medication records, and through multiple verification of the prescription in a targeted mode, the problem that the health risk is brought to a patient due to unreasonable prescription can be solved, and the medication safety of the patient is greatly improved. Furthermore, the prescriptions are intelligently screened and graded primarily based on historical big data before being audited by doctors, so that the auditing emphasis can be highlighted, and human negligence can be avoided.
Additional aspects and advantages of the invention 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 invention.
Drawings
The above and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:
fig. 1 is a schematic flow chart of an information auditing method in an internet hospital according to an embodiment of the present invention.
Fig. 2 is a schematic diagram of a framework of an information auditing apparatus in an internet hospital according to an embodiment of the present invention.
Detailed Description
In order that the above objects, features and advantages of the present invention can be more clearly understood, a more particular description of the invention will be rendered by reference to the appended drawings. It should be noted that the embodiments and features of the embodiments of the present application may be combined with each other without conflict.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, however, the present invention may be practiced in other ways than those specifically described herein, and therefore the scope of the present invention is not limited by the specific embodiments disclosed below.
As shown in fig. 1, according to an embodiment of the present invention, there is provided a method for auditing information in an internet hospital, including the following steps:
s11, receiving the prescription and obtaining the content of the prescription;
when a user logs in the internet hospital system, the system acquires basic information of the user through the login information of the user, wherein the basic information comprises information such as gender, age and the like. The system generates and presents a confirmation interface containing the basic information of the user and the information input by the user according to the acquired basic information of the user and the information input by the user, the user verifies the information presented by the interface, after the confirmation is correct, the basic information of the user and the information input by the user are sent to relevant doctors, and the relevant doctors make prescriptions according to the received information and upload the prescriptions to the system.
S12, determining the auditing grade and the auditor according to the prescription content;
after the system acquires the prescription content prescribed by the doctor, the prescription is analyzed according to the disease name and the medication information, and when the disease name is a specific disease or the medication information contains a specific medicine, for example: and if the first type of mental medicine prescription, the second type of mental medicine prescription, the toxic medicine prescription, the prescription containing the radioactive medicines and the like exist, judging that the prescription auditing grade is a high grade, and generating prompt information by the system according to the prescription content, otherwise, judging that the prescription auditing grade is a normal grade without generating the prompt information. The prompt information is, for example: the prescription contains penicillin, please examine the emphasis!
And then, the system selects preset examiners according to the disease names and the medication information of the examined prescription. The examiners include an examiner and an examiner pharmacist.
S13, acquiring user allergy information and medication records;
and searching from a historical database according to the basic information of the user, and acquiring the allergy information and the medication record of the user.
S14, sending the prescription, the user allergy information and the medication record to an auditor for auditing;
and checking the prescription to be checked by a checking doctor for the first time, and checking the prescription by a checking pharmacist for the second time. And receiving the sent prescription, the user allergy information and the medication record by an auditing doctor, receiving prompt information if the prescription, the user allergy information and the medication record are in a high-level auditing level, auditing the prescription once by the auditing doctor according to the user allergy information and the medication record, sending the prescription, the user allergy information and the medication record (and the prompt information in a high auditing level) to an auditing pharmacist by the system if the auditing is passed, auditing the pharmacist for secondary auditing according to the received information, and providing the prescription to the user by the system if the auditing is passed.
For the prescription which is not approved for the first time or approved for the second time, after the auditing doctor or the auditing pharmacist submits the reason of not approved for the second time, the prescription doctor sends back the prescription to the prescription-making doctor, the prescription-making doctor re-makes the prescription according to the reason of not approved for the first time or the auditing pharmacist submits the reason of not approved for the second time, the prescription newly made by the doctor needs to be re-audited by the auditing staff, namely, the auditing doctor performs the first audit, and the auditing pharmacist performs the second audit.
Preferably, in order to avoid negligence in the case of a large number of prescription audits, between steps S13 and S14, the method further includes: comparing the prescription content with the high audit level with the acquired user allergy information and medication records, and identifying a risk level for the prescription according to the comparison result, for example, if the user has an allergy record for medicines in the prescription or the user has adverse reactions for some medicines in the prescription, identifying a first-level risk for the prescription; if the user has an allergy record for the same kind of medicines in the prescription or the medicines in the prescription are used for the first time, the second-level risk is identified for the prescription. The different risk levels may be identified by the color of the cue, for example, red for first risk prescriptions, orange for second risk prescriptions, and blue otherwise.
Optionally, an embodiment of the present invention further provides an information auditing apparatus in an internet hospital, where the apparatus may be deployed in the internet hospital system to implement the foregoing method, and as shown in fig. 2, the apparatus includes:
a prescription obtaining module 21, configured to receive a prescription and obtain prescription content;
when a user logs in the internet hospital system, the system acquires basic information of the user through the login information of the user, wherein the basic information comprises information such as gender, age and the like. The system generates and presents a confirmation interface containing the basic information of the user and the information input by the user according to the acquired basic information of the user and the information input by the user, the user verifies the information presented by the interface, after the confirmation is correct, the basic information of the user and the information input by the user are sent to relevant doctors, and the relevant doctors make prescriptions according to the received information and upload the prescriptions to the system.
The judging module 22 is used for determining the auditing grade and the auditor according to the prescription content;
after the system acquires the prescription content prescribed by the doctor, the prescription is analyzed according to the disease name and the medication information, and when the disease name is a specific disease or the medication information contains a specific medicine, for example: and if the first type of mental medicine prescription, the second type of mental medicine prescription, the toxic medicine prescription, the prescription containing the radioactive medicines and the like exist, judging that the prescription auditing grade is a high grade, and generating prompt information by the system according to the prescription content, otherwise, judging that the prescription auditing grade is a normal grade without generating the prompt information. The prompt information is, for example: the prescription contains penicillin, please examine the emphasis!
And then, the system selects preset examiners according to the disease names and the medication information of the examined prescription. The examiners include an examiner and an examiner pharmacist.
The information acquisition module 23 is used for acquiring user allergy information and medication records;
and searching from a historical database according to the basic information of the user, and acquiring the allergy information and the medication record of the user.
And the auditing module 24 is used for sending the prescription, the user allergy information and the medication record to an auditor for auditing.
And checking the prescription to be checked by a checking doctor for the first time, and checking the prescription by a checking pharmacist for the second time. And receiving the sent prescription, the user allergy information and the medication record by an auditing doctor, receiving prompt information if the prescription, the user allergy information and the medication record are in a high-level auditing level, auditing the prescription once by the auditing doctor according to the user allergy information and the medication record, sending the prescription, the user allergy information and the medication record (and the prompt information in a high auditing level) to an auditing pharmacist by the system if the auditing is passed, auditing the pharmacist for secondary auditing according to the received information, and providing the prescription to the user by the system if the auditing is passed.
For the prescription which is not approved for the first time or approved for the second time, after the auditing doctor or the auditing pharmacist submits the reason of not approved for the second time, the prescription doctor sends back the prescription to the prescription-making doctor, the prescription-making doctor re-makes the prescription according to the reason of not approved for the first time or the auditing pharmacist submits the reason of not approved for the second time, the prescription newly made by the doctor needs to be re-audited by the auditing staff, namely, the auditing doctor performs the first audit, and the auditing pharmacist performs the second audit.
Preferably, in order to avoid negligence in the case of a large number of prescription audits, between steps S13 and S14, the method further includes: comparing the prescription content with the high audit level with the acquired user allergy information and medication records, and identifying a risk level for the prescription according to the comparison result, for example, if the user has an allergy record for medicines in the prescription or the user has adverse reactions for some medicines in the prescription, identifying a first-level risk for the prescription; if the user has an allergy record for the same kind of medicines in the prescription or the medicines in the prescription are used for the first time, the second-level risk is identified for the prescription. The different risk levels may be identified by the color of the cue, for example, red for first risk prescriptions, orange for second risk prescriptions, and blue otherwise.
An information auditing process according to a specific embodiment of the present invention is given below:
a. the patient logs in the internet hospital system through the account and the password, and inputs the description of the disease information: low fever, headache, nausea; the system acquires pre-stored basic information of the patient from a database based on the account number of the patient: age 50, sex women;
b. the doctor obtains the basic information and the description of the disease at the doctor terminal, and provides a prescription for the patient, the prescription content comprises the disease name, namely respiratory tract infection, the medicine is penicillin, and the system receives the prescription and sends the prescription to the information auditing device;
c. the information auditing device in the system receives the prescription, judges the prescription auditing level is high level according to the medicine penicillin contained in the prescription, and generates prompt information, wherein the prescription contains penicillin and the important auditing is! ". Meanwhile, the information auditing device selects an auditing doctor and an auditing pharmacist of a respiratory department according to the respiratory tract infection;
d. the information auditing device searches allergy information and a medication record of the patient from a historical database according to the basic information of the patient, compares the allergy information and the medication record with the prescription, finds that the patient is allergic to penicillin once, marks the risk level of the prescription as a first-level risk, and sets the prompt information to be red;
e. the information auditing device sends the allergy information, the medication record and the prescription to an auditing doctor for auditing and sends prompt information to a terminal of the auditing doctor.
f. The checking doctor checks the prescription on the display device of the terminal, displays the prescription and simultaneously displays red prompt information that the prescription contains penicillin and please focus on checking! ". The auditor mainly analyzes the allergy information and the medication records of the patient, finds that the condition of the patient allergic to the penicillin is substantial and serious, and the treatment with the prescription is likely to have serious consequences, so that the reason written in the system, namely the patient is seriously allergic to the penicillin drugs, is sent to the doctor, and the doctor is required to make a prescription again.
g. After receiving the information of the auditing doctor, the doctor reopens a prescription without the drug penicillin for the patient and sends the prescription to the information auditing device.
h. The information auditing device analyzes the new prescription, the new prescription does not contain specific medicines, the prescription auditing grade is judged to be normal, and no prompt information is generated; the doctor and the pharmacist who have been examined last time are examined.
i. And the information auditing device searches the allergy information and the medication record of the patient from a historical database according to the basic information of the patient, and sends the allergy information and the medication record of the patient and the newly-issued prescription to an auditing doctor for one-time auditing.
j. The auditing doctor analyzes the allergy information and the medication record of the patient and judges that the newly issued prescription passes the auditing; and after receiving the information that the primary audit is passed, the information audit device sends the newly-issued prescription, the allergy information of the patient and the medication record to an audit pharmacist for secondary audit, if the audit pharmacist finds that the newly-issued prescription has no problem during audit, the information audit device sends confirmation information to the system, and the system provides the newly-issued prescription to the patient after receiving the confirmation information.
According to yet another embodiment of the invention, there is provided a computer device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, the processor implementing the method described with reference to fig. 1 when executing the program.
According to yet another embodiment of the invention, a computer-readable storage medium is provided, on which a computer program is stored which, when being executed by a processor, carries out the method described with reference to fig. 1.
It will be understood by those skilled in the art that all or part of the steps in the methods of the embodiments described above may be implemented by hardware instructions of a program, and the program may be stored in a computer-readable storage medium, where the storage medium includes Read-Only Memory (ROM), Random Access Memory (RAM), Programmable Read-Only Memory (PROM), Erasable Programmable Read-Only Memory (EPROM), One-time Programmable Read-Only Memory (OTPROM), Electrically Erasable Programmable Read-Only Memory (EEPROM), Compact Disc Read-Only Memory (CD-ROM), or other Memory, such as a magnetic disk, or a combination thereof, A tape memory, or any other medium readable by a computer that can be used to carry or store data.
The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention, and various modifications and changes will occur to those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (10)
1. A method for information auditing in an Internet hospital is characterized by comprising the following steps:
receiving a prescription and acquiring prescription content;
determining an auditing grade and an auditor according to the prescription content;
acquiring allergy information and medication records of a user;
and sending the prescription, the user allergy information and the medication record to an auditor for auditing.
2. The method of claim 1, wherein the prescription is generated by:
acquiring basic information of a user and disease description information input by the user;
presenting the user basic information and the disease description information to a user;
receiving confirmation operation of a user;
presenting the user basic information and the disease description information to a doctor for prescription by the doctor.
3. The method of claim 1 or 2, wherein the prescription content comprises:
disease name and medication information.
4. The method of claim 3, wherein determining an audit level and auditor based on the prescription content comprises:
and if the disease name is a specific disease or the medication information contains a specific medicine, determining that the prescription auditing level is high level, and simultaneously generating prompt information.
5. The method of claim 4, wherein determining an audit level and auditor based on the prescription content comprises:
and searching preset auditors according to the disease names and the medication information, wherein the auditors comprise auditors and auditors.
6. The method of claim 5, wherein sending the prescription, user allergy information, and medication record to an auditor for audit comprises:
sending the prescription, the user allergy information and the medication record to an auditing doctor for one-time auditing;
and if the prescription passes the verification, sending the prescription, the user allergy information and the medication record to a verification pharmacist for secondary verification.
7. The method of claim 6, prior to sending the prescription, user allergy information, and medication record to an auditor, comprising:
comparing the prescription content with the acquired user allergy information and medication records;
and identifying the risk level for the prescription according to the comparison result.
8. An information auditing device in an internet hospital, comprising:
the prescription obtaining module is used for receiving a prescription and obtaining prescription content;
the judging module is used for determining the auditing grade and the auditor according to the prescription content;
the information acquisition module is used for acquiring the allergy information and the medication record of the user;
and the auditing module is used for sending the prescription, the user allergy information and the medication record to an auditor for auditing.
9. A computer device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor when executing the program implements the method of any one of claims 1 to 7.
10. A computer-readable storage medium, on which a computer program is stored, which program, when being executed by a processor, carries out the method according to any one of claims 1 to 7.
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