CN114613478A - Emergency nursing intelligent management system - Google Patents

Abstract

An emergency nursing information management system comprises an emergency table-board transaction information module, a data processing module and a data processing module, wherein the emergency nursing information module is used for establishing an emergency nursing information file with a single medical record for emergency patients; the emergency treatment room transaction information module is used for archiving the information of the patients in the emergency treatment room; the emergency treatment detained patient medical record list module is used for establishing an emergency treatment nursing information file of a single medical record for the patient detained in the emergency treatment room; the emergency room transaction information module is coupled with the emergency medical advice processing information module and the emergency nursing record information module, and the emergency medical advice processing information module is used for executing, checking and inquiring medical advice of all patients during detention of the emergency room, such as medicines, tests, treatments and the like, so that the emergency medical advice is timely and effectively completed; the emergency nursing record information module is used for the process of collecting patient data in a planned, purposeful and systematic way, and evaluating, identifying, analyzing and early warning the nursing safety risk of the patient detained in the emergency rescue room.

Description

Emergency nursing intelligent management system

Technical Field

The invention belongs to the technical field of hospital emergency management, and particularly relates to an intelligent management system for emergency nursing.

Background

The emergency department is an important department of a hospital, and is the department with the most centralized and most various critical patients and the most serious rescue and management tasks. The life first aid of the critically ill patient has strong timeliness, emphasizes the speed and efficiency of emergency nursing work, puts higher requirements on nursing personnel in emergency departments, and strives for seconds for sudden illness state changes at any time, so that the efficiency of the nursing work and the quality of the emergency nursing work can directly influence the treatment effect and the life health of the patient. However, because the mobility of the emergency patients is large, the disease types are complicated, and the disease conditions are uncertain, the actual difficulty of nursing management and treatment for the emergency patients is very large, and the existing management mode depends on the personal experience of the medical staff, so that the standard nursing management mode cannot be set.

Disclosure of Invention

The invention provides a nursing information management system specially aiming at an emergency treatment table board and a rescue room, which provides a more convenient and faster tool for emergency medical personnel so as to solve the problems brought by the existing emergency treatment nursing management mode.

In one embodiment of the present invention, an emergency nursing information management system includes: the emergency treatment table-board affair information module, the emergency treatment emergency room affair information module, the emergency treatment patient case history summary list of detaining, emergency treatment doctor advice processing information module, emergency treatment nursing record information module, emergency treatment nursing statistical analysis database module, emergency treatment system function set module:

the emergency treatment table-board transaction information module is mainly used for establishing a single-module emergency treatment nursing information file for emergency treatment patients, and comprises a pre-examination triage information module, a bookkeeping patient pre-examination card establishing module and an emergency treatment table-board medical record printing module.

The emergency treatment room affair information module is mainly used for filing patient information in the emergency treatment room and checking and managing emergency instruments, medicines and articles, and comprises the following components: the system comprises a rescue room, a patient leaving return, allergy registration, body temperature batch input, wrist strap printing, medicine rack bar code printing, rescue vehicle articles and an instrument management module.

Patient case history summary of the patient module is detained in emergency call, the emergency call nursing information archives that single case history was established to mainly used emergency call rescue room detain the patient, and the content wherein includes: the basic information module of the patient such as the department, the bed number, the name, the sex, the age, the card number, the detention days, the diagnosis and the allergy history of the patient and the shortcut function key module such as the execution of electronic medical advice, the nursing evaluation, the inspection inquiry and the charging information.

The emergency medical advice processing information module is mainly used for executing, checking and inquiring medical advice of patients such as medicines, tests, treatments and the like of all-area patients during detention of an emergency rescue room, and ensures timely and effective completion of the emergency medical advice, wherein the module comprises: executing list printing, medicine checking and printing, doctor's advice execution and doctor's advice inquiry.

The emergency nursing record information module is mainly used for the process of collecting patient data in a planned, purposeful and systematic way, and is used for evaluating, identifying, analyzing and early warning the nursing safety risk of the patient detained in the emergency rescue room, wherein the process comprises the following steps: vital sign recording, nursing evaluation recording, batch audit recording and nursing evaluation printing.

The emergency nursing statistical analysis database module is mainly used for establishing an emergency clinical medical treatment, nursing and disease data knowledge base based on an emergency nurse workstation information system, updating processing data timely, and facilitating statistics, summarization, query and data analysis, and comprises the following steps: inquiry statistics, registration inquiry statistics inquiry and emergency value report inquiry of the turnover department.

Emergency system function sets up the module: the method is mainly used for dividing and classifying related data, and is convenient for emergency management personnel to flexibly adjust according to workload and human resource conditions at any time, and electronic use instructions are added, wherein the method comprises the following steps: the system comprises a bed setting module, a charging package setting module, a patrol item setting module, an authority setting module, a pre-inspection knowledge base module and a system help module.

In the emergency table-board transaction information module, the information (identity card, medical insurance card and self-fee card) of the emergency treatment patients is taken as a trigger point, the basic identity information of the patients is extracted, the bar code electronic serial number is generated to be taken as the unique electronic identity card of the emergency treatment patients, and standardized ICD chief complaint diagnosis, vital sign data input, pain grading scale and GCS grading are recorded; recognizing and inputting by using the first letter of the diagnosis and the classification of the patient, and integrating and evaluating the pre-inspection level by using the data of the information system; establishing green channel markers (e.g., public health incidents including multiple injuries, carbon monoxide poisoning, etc.); the special critical patient specific pre-examination mark (such as chest pain, upper gastrointestinal hemorrhage, fever and the like) comprises a specific mark, and the pre-examination triage input information comprises the specific mark and can be displayed in subsequent medical treatment, nursing, charging, inspection and medicament of the patient. And the card building module is used for accounting the patient in advance. The emergency treatment table-board medical record printing module is used for adopting a unified standardized format after the diagnosis and treatment of the emergency treatment patient are finished, so that the emergency treatment table-board medical record printing module is convenient for the emergency treatment patient to print, and avoids the condition history error or repeated printing caused by different machine type settings, thereby ensuring the rigor of medical care legal documents.

In the emergency room affair information module, an integrated ward management mode (people, affairs and things) is established. In personnel management, information (identity card, medical insurance card and self-payment card) of emergency treatment patients is used as an information input starting end, personal identity information identification is established, a wrist strap is formed to be in information correlation identification and printing with the patients, medicine rack bar codes are formed to be in correlation and printing with patient medical advice processing information, and judged result input and vital sign single input analysis are performed on special patients in a rescue room after medicine tests are performed; in the event management, a special information entry module of an emergency room for emergency patients is established, so that the tracing information of the emergency patients can be traced conveniently, the information entry of the patients for the special emergency patients can be set and adjusted for authority, and an association path of a medical record list module of the emergency room is established; in the article management, the unified information management is carried out on the first-aid medicines, articles and instruments in the rescue room, and the counting, the registration, the statistics and the summarization are convenient.

In the patient case history summary list module is detained in emergency call to "a patient one little card" mode of discernment establishes unit patient nursing case history module, and patient's case history document is that need be updated at any time, includes wherein: inquiry of medical advice, printing of medical advice list, charging, execution of medical advice, allergy history, basic information maintenance, comprehensive information identification of patients, (cancellation) stay in bed for waiting, go to registration, cancellation of entering a rescue room, changing of bed number, transfer of subject, combination of payment card numbers, expense inquiry, checking and examination report, total printing of examination report, body temperature input and nursing evaluation.

In the emergency treatment medical advice processing information module, an emergency treatment whole-area medical advice processing management system is established, and the system comprises a medicine medical advice unit, a test medical advice unit and a treatment medical advice unit. After various medical advice is generated by the emergency doctor workstation, the medical advice is synchronously sent to the electronic medical advice module of the emergency nursing management information system to form a corresponding medical advice unit, sound is generated, and the medical advice is displayed and reminded to ensure timely and effective execution. And sending and forming an electronic medical advice execution list, printing in a unified PDF format, and checking the electronic tag by the medicine to synchronously generate a printing format. And the inquiry modes of adults, months, days, hours, minutes and seconds are formed, the execution condition of the medical advice is inquired, and the medical advice is ensured to be executed without errors.

Among the emergency call nursing record information module, after the patient that is detained to emergency call rescue room assesses according to nursing level, form relevant record, in time discover to have the patient of high risk factor, wherein include: vital sign recording, nursing evaluation recording, batch audit recording and nursing evaluation printing. The method comprises the steps of inputting vital signs of each patient in an emergency rescue room, evaluating high-risk factors of falling and pressure sores at regular time, forming corresponding nursing measures, evaluating and auditing by a higher-level nursing management department again, ensuring timely and effective evaluation contents and forming a printing format.

In the emergency nursing statistical analysis database module, all data information of emergency is formed to be classified, summarized and statistically evaluated, wherein the data information comprises: data query statistics, data query of a turnover part and data query of critical value. The query statistic module is specifically divided into: emergency room data statistics, emergency table data statistics, emergency report information statistics, emergency special disease statistics, and emergency nursing index special statistics form an emergency nursing quality link management data source; and in the turnover department, the emergency department is set with an emergency table board and a rescue room to carry out information query of the emergency department, the patient source information serving as an observation department of the emergency department is gathered, the critical value data query comprises life-threatening inspection and examination results, and a nurse can timely and accurately obtain the inspection and examination information of the critical value, timely inform a doctor and timely take a closed-loop nursing quality management link of treatment measures.

In the emergency system function setting module, authority setting management for each function key of emergency treatment includes: the system comprises a bed setting module, a charging package setting module, a patrol item setting module, an authority setting module, a pre-inspection knowledge base module and a system help module. The number of beds is arranged according to the actual workload of the areas and the manpower in the ward management, and the detention beds in each area of the emergency room are flexibly adjusted; the patient in the rescue room is charged to form a normative charge name and a normative charge project, a patrol standard of an emergency treatment area is established, regular patrol is carried out according to requirements, and the standard is confirmed to be implemented; according to the ICD codes, standardized chief complaint setting is carried out to form standardized nursing inquiry records; and performing graphic and text description demonstration on various newly developed functions of the emergency treatment to ensure that the various functions of the emergency treatment are correctly used.

The system of the invention takes the whole process of receiving, treating, first-aid and nursing of the emergency patient table top and the emergency room as a main line, realizes all-dimensional tracking and supervision of the information of the emergency patient, implements emergency treatment and first-aid information flow management, standardizes the writing link of the nursing records of the emergency nurse, simplifies the transactional work processing link of the emergency nurse, and controls the critical data nodes of the emergency nursing clinic, thereby optimizing the emergency treatment and first-aid nursing work, optimizing the resource allocation of the emergency treatment and first-aid nursing, improving the work efficiency of the emergency nurse, further constructing an integrated nursing information processing terminal of the emergency patient, and realizing an all-dimensional integrated emergency treatment and nursing information network.

Drawings

The above and other objects, features and advantages of exemplary embodiments of the present invention will become readily apparent from the following detailed description read in conjunction with the accompanying drawings. Several embodiments of the invention are illustrated by way of example, and not by way of limitation, in the figures of the accompanying drawings and in which:

fig. 1 is a schematic structural diagram of an emergency care information system according to an embodiment of the present invention.

Fig. 2 is a schematic structural diagram of an emergency treatment table care information management module according to an embodiment of the present invention.

Fig. 3 is a schematic structural diagram of a care information management module in an emergency rescue room according to an embodiment of the present invention.

Fig. 4 is a schematic structural diagram of an emergency care statistical analysis database module according to an embodiment of the present invention.

Fig. 5 is a schematic diagram illustrating a procedure for emergency treatment of a patient according to an embodiment of the present invention.

Detailed Description

In recent years, out of hospital information management systems, outpatient service treatment information systems centered on outpatient service treatment and inpatient service care information management systems centered on ward areas have been widely used, but due to the particularity of emergency care, the outpatient service treatment information systems and the inpatient-like service care information management systems for patients who are in emergency treatment are considered together, and therefore, the emergency care information management systems specially aiming at emergency table tops and emergency rooms are particularly needed to provide help for emergency medical staff.

In the emergency treatment nursing information management system, an emergency treatment nursing information file is formed when a patient enters an emergency treatment, the table-board information of the emergency treatment patient is classified for nursing management according to different treatment modes of the emergency treatment patient, if the patient enters an emergency treatment room to be observed, a unified emergency treatment nursing information whole-course management mode is implemented, and the accuracy, timeliness and effectiveness of nursing implementation are ensured. The system not only meets the special work flow of emergency nurses and related workers, but also meets the quality control standard of medical treatment and nursing.

Therefore, the invention aims to provide an emergency nursing information management system, which simplifies the emergency nursing work flow and the emergency nursing link and is used for effectively improving the emergency nursing work efficiency and the service quality. And can accumulate a large amount of nursing clinical data, better serve for the hospital, serve for emergency treatment patient, solve emergency treatment patient's information transmission processing problem.

According to one or more embodiments, an emergency care information management system toThe method comprises the following steps:emergency table top affairs Information module 130、Emergency room transaction information module 140、Emergency patient medical record summary module 150、Emergency doctor advice Information processing module 160、Emergency nursing recording information module 170、Emergency care statistical analysis database module 120、Emergency system System function setting module 110. Wherein the content of the first and second substances,

the emergency table-board transaction information module 130The method is mainly used for establishing an emergency nursing information file of a single medical record for an emergency patient, wherein the single medical record refers to the medical record of the single patient;

the emergency room transaction information module 140The emergency treatment management system is mainly used for archiving the information of patients in an emergency treatment room, forming an information sharing service port with each emergency treatment system, and giving consideration to the information and material management system of emergency treatment instruments, medicines and articles, wherein each emergency treatment system comprises an emergency doctor workstation, an emergency treatment clinical laboratory workstation, an emergency treatment toll station workstation and an emergency treatment pharmacy workstation;

the emergency patient medical record summary module 150The system is mainly used for the emergency room to stay in the patient and establish the emergency nursing information file of a single medical record;

the emergency medical order processing information module 160The system is mainly used for executing, checking and inquiring medical advice of all patients during the detention period of the emergency room, such as medicine, assay, treatment and the like, so as to ensure that the medical advice of the emergency is timely and effectively completed;

the emergency nursing record information module 170 is mainly used for the process of collecting patient data in a planned, purposeful and systematic manner, and is used for evaluating, identifying, analyzing and early warning the nursing safety risk of the patient staying in the emergency rescue room;

the emergency nursing statistic analysis database module 120The method is mainly used for establishing an emergency treatment clinical medical treatment, nursing and disease data knowledge base based on an emergency treatment nurse workstation information system, updating the processing data timely and facilitating statistics, summarization, query and data analysis.

The emergency system functionThe setting module 110 is used to set the setting module,the method is mainly used for dividing and classifying related data, and is convenient for emergency management personnel to perform elastic adjustment at any time according to workload and human resource conditions, and electronic operation instructions are added.

The emergency table-board transaction information module 130And is further composed ofPre-examination triage information module、Card model is built in advance to book keeping operation patient Block、Emergency treatment table medical record printing module。

Further, in the above-mentioned case,the emergency table-board transaction information module 130In the method, the basic identity information of the patient is extracted by taking the information (identity card, medical insurance card and self-payment card) of the emergency treatment patient as a trigger point. The method is specifically used for:

inputting standardized ICD chief complaint diagnosis, vital sign data input, pain rating scale and GCS rating;

recognizing and inputting the initial of the diagnosis and the classification of the patient, and integrating and evaluating the pre-inspection grade of the information system data;

establishing green channel marks (such as public health emergencies including multiple injuries, carbon monoxide poisoning and the like);

the special critical patient specific pre-examination markers (such as chest pain, upper gastrointestinal hemorrhage, fever, etc.);

and the bookkeeping patient pre-check card building module is used for associating medical treatment, nursing, charging, checking and medicament dispensing of the bookkeeping patient.

The emergency treatment table-board medical record printing module is used for adopting a unified standardized format after the diagnosis and treatment of the emergency treatment patient are finished, so that the emergency treatment table-board medical record printing module is convenient for the emergency treatment patient to print, and avoids the condition history error or repeated printing caused by different machine type settings, thereby ensuring the rigor of medical care legal documents.

In a further aspect of the present invention,the emergency room transaction information module 140And establishing an integrated ward management mode (people, events and objects). In personnel management, information (identity card, medical insurance card and self-payment card) of a patient in emergency treatment is used as an information input starting end, a personal identity information identifier is established, a wrist strap is formed to be in information correlation identification and printing with the patient, a medicine rack bar code is formed to be in correlation and printing with the patient medical advice processing information, and for special patients in a rescue roomThe person carries out the result input and vital sign single entry analysis of judgement after the medicament test; in the event management, a special information entry module of an emergency room for emergency patients is established, so that the tracing information of the emergency patients can be traced conveniently, the information entry of the patients for the special emergency patients can be set and adjusted for authority, and an association path of a medical record list module of the emergency room is established; in the article management, the unified information management is carried out on the first-aid medicines, articles and instruments in the rescue room, and the counting, the registration, the statistics and the summarization are convenient.

Further, in the above-mentioned case,the emergency patient medical record summary module 150In order to establish a unit patient nursing medical record module in a mode of 'one patient and one small card' which is convenient to identify, the medical record document of the patient needs to be updated at any time, wherein:

inquiry of medical advice, printing of medical advice list, charging, execution of medical advice, allergy history, basic information maintenance, comprehensive information identification of patients, (cancellation) stay in bed for waiting, go to registration, cancellation of entering a rescue room, changing of bed number, transfer of subject, combination of payment card numbers, expense inquiry, checking and examination report, total printing of examination report, body temperature input and nursing evaluation.

Further, in the above-mentioned case,the emergency medical order processing information module 160In the method, an emergency treatment whole-area medical advice processing and management system is established, which comprises a medicine medical advice unit, a test medical advice unit and a treatment medical advice unit, and is specifically used for:

after various medical advice is generated by the emergency doctor workstation, the medical advice is synchronously sent to an electronic medical advice module of an emergency nursing management information system to form a corresponding medical advice unit, sound is generated, and the medical advice is displayed and reminded to ensure timely and effective execution;

and sending and forming an electronic medical advice execution list, printing in a unified PDF format, and checking the electronic tag by the medicine to synchronously generate a printing format. And the inquiry modes of adults, months, days, hours, minutes and seconds are formed, the execution condition of the medical advice is inquired, and the medical advice is ensured to be executed without errors.

Further, in the above-mentioned case,the emergency nursing record information module 170In the middle, after the patients staying in the emergency room are evaluated according to the nursing levels, relevant records are formed, the patients with high risk factors are found in time,which comprises the following steps: vital sign record, nursing aassessment record, batch audit record, nursing aassessment print specifically are used for:

the method comprises the steps of inputting vital signs of each patient in an emergency rescue room, evaluating high-risk factors of falling and pressure sores at regular time, forming corresponding nursing measures, evaluating and auditing by a higher-level nursing management department again, ensuring timely and effective evaluation contents and forming a printing format.

Further, in the above-mentioned case,the emergency nursing statistic analysis database module 120In the method, classified summarization and statistical evaluation of all data information of emergency treatment are formed, wherein the classified summarization and statistical evaluation comprise the following steps:

and (3) query statistics: dividing into emergency treatment room data statistics, emergency treatment table data statistics, emergency treatment report information statistics, emergency treatment special disease statistics and emergency treatment index special statistics to form a link management data source of emergency treatment quality;

data query of the in-circulation part: the information query of the emergency department is transferred by setting an emergency table board and a rescue room, and the information is gathered as the source information of the patients of the observation department of the emergency department;

critical value data query: the closed-loop nursing quality management link comprises life-threatening inspection and examination results, and nurses can timely and accurately obtain inspection and examination information of critical values, timely inform doctors and timely take treatment measures.

Further, in the above-mentioned case,the emergency system function setting module 110In the method, the authority setting and management of each function key of the emergency treatment comprises the following steps:

the bed is arranged: the number of beds is arranged according to the actual workload of the areas and the manpower in the ward management, and the detention beds in each area of the emergency room are flexibly adjusted;

and (3) setting a toll package: the patient charge in the rescue room forms a normative charge name and a normative charge item;

setting a patrol project: establishing a patrol standard of an emergency treatment area, carrying out periodical patrol according to requirements, and confirming standard implementation;

and (3) permission setting: limiting the authority of the personnel using the emergency nurse workstation;

pre-checking a knowledge base: according to the ICD codes, standardized chief complaint setting is carried out to form standardized nursing inquiry records;

a system help module: and performing graphic and text description demonstration on various newly developed functions of the emergency treatment to ensure that the various functions of the emergency treatment are correctly used.

In accordance with one or more embodiments, an emergency care information management system, wherein,the emergency table top affairs Information module 130In (1)Pre-examination triage information moduleComprises a patient emergency pre-examination triage decision model, the establishment method of the model comprises the following steps,

s10, obtaining clinical data, and obtaining a main complaint text and objective signs of a patient, wherein the main complaint text comprises: disease condition text and basic information text, the objective signs include: patient consciousness, gender, age, vital signs (body temperature, blood pressure, pulse rate), SPO2, pain score;

s20, preprocessing data, preprocessing a main complaint text and objective signs;

s30, constructing a prediction model: establishing a model and analyzing data by using a Multilayer Perceptron (MLP);

s40, verifying the prediction model: judging whether the clinical research object of the prediction model is standard or not;

s50, model integration clinical: the verified emergency pre-examination triage decision system of the dizziness patient is converted into pre-examination triage intelligent management software, and the pre-examination triage intelligent management software is embedded into the emergency pre-examination triage system to realize electronization of a prediction model;

s60, verifying and applying the pre-examination triage software: the diagnosis software converted by the emergency pre-examination and diagnosis decision system for the dizziness patients is used for diagnosing the clinical emergency dizziness patients and verifying the application effect of the intelligent management software system for the emergency pre-examination and diagnosis.

Step S20, preprocessing data, preprocessing the main complaint text and objective signs, specifically including:

s201, uniformly coding the main complaint text by using disease classification and code national clinical edition 2.0 issued by national Weijian Commission 2019, and the like;

s202, quantifying objective signs according to quantified values in a hierarchical region to judge the severity and the critical degree of the illness state of the patient;

and S203, combining and associating the treated main complaint text and the objective physical sign.

In step S30, a model is established by using a Multilayer Perceptron (MLP), a logical formula is formulated according to triage conditions, and the established ANN model specifically includes:

s301, establishing a model by using a Multilayer Perceptron (MLP), including the model into variables, and systematically removing body temperature, pain, GCS scores and respiratory indexes;

s302, a logic formula is formulated according to triage conditions, the pre-detection grading variable is graded, and a logic expression is performed on blood pressure, consciousness, blood sugar, oxygen saturation and pulse rate;

s303, the established ANN model, with the variables included, the system excluded the established ANN model of body temperature, pain, GCS score and respiration.

In step S301, a Multilayer Perceptron (MLP) is applied to establish a model, and the model is included in variables, so that the body temperature, pain, GCS score and respiratory index are excluded systematically, because the body temperature, pain, GCS score and respiratory index do not affect the dizziness grade much, and the specific process includes:

s3011, establishing a 3-layer forward neural network model, and performing data preprocessing and analysis;

s3012, allocating case samples to the partition variables, and selecting automatic architecture selection;

s3013, operating a neural network; and obtaining the pseudo-probability of the triage preparation prediction, and calculating the sensitivity, specificity and total accuracy of the prediction.

Step S3011, establishing a 3-layer forward neural network model, and performing data preprocessing and analysis, specifically including:

s30111, establishing a 3-layer forward neural network model;

s30112, taking the parameters included in the input layer as various prediction variables;

s30113, the input layer is accurate in triage, "preparation" codes are 1, and "incorrect" codes are 0;

in step S3012, the "partition variable" allocates a case sample, and the "automatic architecture selection" is selected, which specifically includes:

s30121, selecting 'automatic architecture selection', wherein the minimum unit number in the hidden layer is 1, the maximum unit number in the hidden layer is 50, and the training type is 'batch processing';

s30122, the training type is batch processing;

s30123, selecting the "adjusted co-lot gradient" as the optimization algorithm, where the initial Lambda value is 0.0000005, the initial Sigma value is 0.00005, the interval center point is 0, and the interval offset is + -0.5.

Step S3013, operating the neural network, obtaining the pseudo probability of triage preparation prediction, and calculating the sensitivity, specificity, and total accuracy of prediction, specifically including:

s30131, after the neural network is operated, obtaining the pseudo probability of triage preparation prediction;

s30132, calculating the sensitivity, specificity and total accuracy of prediction by taking 0.50 as a prediction probability boundary value;

s30133, a receiver operating characteristic curve (ROC curve) and an area under the curve (AUC) are plotted, and accuracy of prediction is evaluated.

Step S302, a logic formula is formulated according to the triage situation, the pre-detection grading variable is graded, and the blood pressure, consciousness, blood sugar, oxygen saturation and pulse rate are subjected to a logic expression, which specifically comprises the following steps:

s3021, grading the pre-inspection grading variable according to domestic and foreign documents, guideline tables, expert consensus and the like and in combination with expert suggestions;

s3022, performing a logic expression on the blood pressure, the consciousness, the blood sugar, the oxygen saturation and the pulse rate, wherein the logic expression is described as follows: dividing the diagnosis to 2 grades by BP (level 2);

(xi) BP level3, Con level1, and triage to level 1;

combining BP (level 3) and Con (level 2), and diagnosing to level 2;

BP level3, Con level3, XT level2, and diagnosing to level 2;

BP 3 and Con 3 and XT 3 and SPO2 and level2, and diagnosing to level 2;

sixthly, BP (level 3) is combined with Con (level 3) and XT (level 3) is combined with SPO2 (level 3) and B (level 2), and diagnosis is carried out to 2 levels;

seventhly, BP (level 3) is combined with Con (level 3) and XT (level 3) is combined with SPO (level 2) and level3 is combined with B (level 3), and diagnosis is carried out to 3 levels;

s3023, blood pressure, consciousness, blood glucose, oxygen saturation, and pulse rate level1-3 level normal values.

In the step S303, the ANN model is established, and the system excludes the ANN model established by body temperature, pain, GCS score and respiration, among the variables included.

S3031, after the ANN model is operated, rechecking to obtain the pseudo probability of diagnosis preparation prediction;

s3032, calculating the sensitivity, specificity and total accuracy of the recheck prediction by taking 0.50 as a prediction probability boundary value;

s3033, a characteristic curve (ROC curve) and an area under the curve (AUC) of the operation characteristic of the testee are drawn, and the accuracy of prediction is evaluated by rechecking.

The step S40 of applying the predictive model prospectively to the clinical study subject to determine whether the triage is standard specifically includes:

s401, taking the judgment result of the prediction model as a check variable;

s402, checking a prediction equation according to the sensitivity index;

s403, checking the prediction equation according to the specificity index;

and S404, checking the prediction equation according to indexes such as AUC and the like.

In the step S50, the verified emergency pre-examination triage decision system for the dizziness patient is converted into pre-examination triage intelligent management software, and the pre-examination triage intelligent management software is embedded into the emergency pre-examination triage system to realize the electronization of the prediction model, which specifically includes:

s501, converting the verified emergency pre-examination triage decision system of the dizziness patient into pre-examination triage intelligent management software;

s502, embedding the intelligent management software for pre-examination and triage into an emergency pre-examination and triage system to realize electronization of a prediction model.

S503, carrying out standardized assessment on all emergency treatment dizziness patients by using pre-examination triage intelligent management software;

s504, emergency call pre-inspection intelligent grading is carried out, and influence of various interference factors is eliminated.

In step S504, the emergency call preliminary examination intelligent classification is performed to eliminate various interference factors, which specifically includes:

s5041, patient factor: limit single chief complaints of dizziness, no other complications and complications;

s5042, nurse factor: training the pre-examination triage personnel, explaining a software operation method and mainly practicing actual combat;

s5043, misoperation: carrying out standardized value limitation on the vital sign measurement value, and setting an early warning mechanism exceeding a limited value range;

s5044, manual intervention: in practice, if the pre-examination nurse disagrees with the result of the software triage, the triage level can be changed, but the reason for the change needs to be recorded for later discussion.

In the step S60, the triage software converted from the emergency pre-examination triage decision system for the dizziness patient is used to triage the clinical emergency dizziness patient, and the application effect of the intelligent management software system for emergency pre-examination triage is verified, which specifically includes:

s601, ensuring the authenticity of the data, and directly pulling the patient data from the information department background;

s602, the accuracy of the data is ensured, the accuracy of triage is judged by two persons independently, and the non-uniform samples are judged by the discussion of an expert group;

and S603, ensuring the scientificity of the analysis data and combining statistical experts to ensure the scientificity and the suitability of the constructed model.

The embodiment of the invention has the beneficial effects that: the system comprises functional modules at least comprising an emergency treatment table-board transaction information module, an emergency treatment and rescue room transaction information module, an emergency treatment patient case history summary list, an emergency treatment medical advice processing information module, an emergency treatment and nursing recording information module, an emergency treatment and nursing statistical analysis database module and an emergency treatment system function setting module. The bar code is used for generating an electronic serial number as the unique electronic identity card of the emergency treatment patients, the electronic serial number label integrates the traceability information of the whole emergency treatment process of each patient from an emergency treatment table-board, a rescue room, a turnover part and a ward area, the record of the nursing information of each link in the emergency treatment process is covered, the tracking of the whole emergency treatment medical advice processing process is realized, the multi-dimensional data statistical analysis of the emergency clinical nursing work is formed, and the implementation of the nursing quality evaluation standard is ensured. A 'credible data bridge' is built between the emergency patients and the nursing information, and an emergency nursing information management system is built.

In accordance with one or more embodiments, and as shown in fig. 1, an emergency care information management system, the system includes at least: an emergency treatment table-board transaction information module 130, an emergency treatment and rescue room transaction information module 140, an emergency treatment patient medical record list module 150, an emergency treatment medical advice processing information module 160, an emergency treatment and nursing recording information module 170, an emergency treatment and nursing statistical analysis database module 120 and an emergency treatment system function setting module 110; wherein the content of the first and second substances,

referring to fig. 2, the emergency table transaction information module 130 is mainly used for establishing an emergency care information file with a single medical record for emergency treatment patients.

Specifically, the emergency pre-examination triage nurse acquires identity information (an identity card, a medical insurance card and a self-payment card) of the emergency treatment patient, reads information content and forms the unique electronic identity card which takes the electronic serial number generated by the bar code as the emergency treatment patient.

Inquiring about the patient to see the chief complaints, selecting the standard ICD chief complaints, and confirming the necessary inquiry contents and physical sign options.

For example, a patient with fever is identified with respiratory symptoms, epidemiological history, and exposure history.

Vital signs (body temperature, heart rate, blood pressure, respiration, blood oxygen saturation), pain and GCS scoring, and blood glucose index, if necessary.

And evaluating the chief complaints and various indexes of physical signs of the patients, integrating data in the system, generating standardized triage grades, and associating emergency doctor workstations.

The critical patients establish green channel marks to ensure that all departments in emergency treatment recognize and implement priority measures.

The special accounting mark for public health incidents (including multiple injuries, carbon monoxide poisoning and the like) ensures the implementation of measures of diagnosis and treatment before payment.

Specific pre-examination marks are established for special critical patients (such as chest pain, upper gastrointestinal hemorrhage, fever and the like), and standardized diagnosis and treatment nursing measures are formed while a doctor visits preferentially.

Establishing an emergency table patient information file which comprises the traceability information of the complete emergency treatment process such as pre-examination time, receiving time, registration time, chief complaints of triage, clinical diagnosis, inspection reports, destination registration (hospitalization, turnover and the like).

After the emergency treatment patient is diagnosed, a unified standardized PDF printing format is formed, the condition that the medical history is printed wrongly or repeatedly due to different machine type settings is avoided, and the science, the specification and the rigor of medical care legal documents are ensured.

The emergency table transaction information module 130 therefore has the advantages of: the system integrates the functions of pre-examination and triage of emergency patients, standardized inter-diagnosis patrol, visit information tracking, specific marking, key time node interception and the like, realizes the all-dimensional and informationized tracking of visit data, ensures that critical patients are treated at the first time, and meets the requirement of first priority of each link. The objective indexes of the emergency pre-examination and triage are quantized, the triage accuracy of emergency pre-examination nurses is improved, medical resources and medical spaces of emergency departments are reasonably and scientifically distributed, the treatment effect of patients is improved, and the triage accuracy of emergency table boards is improved.

Referring to fig. 3, the emergency room transaction information module 140 is mainly used for archiving the patient information in the emergency room and forming a service port for information sharing with each system in the emergency. Meanwhile, the system is an informatization material management system for emergency treatment instruments, medicines and articles.

Specifically, the emergency room nurse acquires the electronic identity information of the emergency patient, and establishes a patient nursing information file (including basic patient information, pre-examination time, time for entering the emergency room, department visit, clinical diagnosis, pre-examination classification, transfer-in mode, hospital arrival mode, doctor for receiving a call, nurse for receiving a call, and the like) in the emergency room.

The patient's personal identification information identification is created, the information is identified and printed on an electronic wristband and associated with the emergency room medical record summary module 150.

The medication rack information is created and an electronic medication rack bar code print is formed in association with the patient emergency medical order processing information module 160.

Establishing a special drug test registration interface, associating the drug test information with the patient emergency medical order processing information module 160, associating the test result with the pharmacy department and the emergency doctor workstation information system, and forming drug test certification PDF printing.

The patient vital sign information is established to be independently registered and summarized to form atlas information analysis, so that the change rule of the patient vital sign is convenient to observe and is associated to the emergency nursing record information module 170.

The emergency treatment fixed instrument, the medicine and article management unit is established, information of counting management using the handheld intelligent terminal is collected to the module unit, a nurse can check the information in time conveniently, and the counting is confirmed to be effective and correct.

An emergency patient medical record summary module 150,the system is used for the emergency treatment and rescue room to delay the patient and establish the emergency treatment and nursing information file of a single medical record.

Thus, the deviceEmergency room transaction information module 140Has the advantages that: the module is used as an origin end of the patient tracing information of the emergency room and is functionally bound with an emergency room medical record list module 150, an emergency medical advice processing information module 160 and an emergency nursing record information module 170 to form a collaborative information management platform. Key information points in the platform are in butt joint with a pharmacy department system and an emergency doctor workstation to form point-to-point transmission among information, so that information resources of medical care technical patients can be shared conveniently.

As shown with reference to figure 3 of the drawings,emergency patient medical record summary module 150The method is mainly used for the emergency treatment and rescue room to delay the patient and establish the emergency treatment and nursing information file of a single medical record.

Specifically, the emergency room transaction information module 140 establishes the personal identification information identifier of the patient and imports the personal identification information identifierEmergency treatment Rescue room (resident patient) medical record summary module 150The display mode of 'one patient and one small card' which is convenient to identify is formed, and the desktop of the display and system platform is displayed. The list information content includes: department, classification, bed number, name, sex, age, card number, residence time, diagnosis, allergy history, observation status, and medical advice reminding mark as the entrance of the patient electronic information file.

The patient electronic information cards are arranged according to the nurse grouping area and the bed number sequence.

Right-clicking the patient electronic information small card, displaying a common function shortcut menu, such as medical advice inquiry, medical advice list printing, charging, medical advice execution, allergy history, basic information maintenance, patient comprehensive information identification, (cancellation) stay in bed, going to registration, cancellation to rescue room, changing bed number, transfer, merging payment card number, expense inquiry, checking inspection and examination report, total printing inspection report, body temperature input, nursing evaluation, and entering each processing unit.

If the 'medical advice reminding mark' at the lower right corner of the electronic information small card of the 11-bed patient flashes to indicate that the patient has medical advice prescribed by a doctor to be executed, the nurse right clicks the 11-bed to directly display the function shortcut menu, selects the medical advice to execute, double clicks the left key to enter the emergency medical advice processing information module 160, and directly displays an interface of the patient to be executed with the medical advice.

Thus, it is possible to provideEmergency room (resident patient) medical record summary module 150Has the advantages that: integrating various data information of the patient in the emergency room during observation to form a whole set of electronic nursing medical record of the patient detained in the emergency room. Inquiring patient information in a visual electronic card mode, and confirming a patient area; the method comprises the following steps of visually displaying important medical information, prompting and helping nurses to master first-hand data of patients; the setting of the shortcut function menu is convenient for emergency nurses to freely switch back and forth in each function moduleAnd moreover, functions of medical advice, nursing evaluation and the like are completed in time, and the time for searching the functional module is saved.

As shown with reference to figure 3 of the drawings,emergency medical order processing information module 160The system is mainly used for executing, checking and inquiring medical advice of all patients during the detention period of the emergency room, such as medicine, assay, treatment and the like, and ensures that the medical advice of the emergency is timely and effectively completed.

The electronic medical advice module is managed by the emergency doctor workstation system and is provided with three independent units, such as a medicine medical advice unit, a test medical advice unit and a treatment medical advice unit.

The medical care skill information transmission chain is established, the medicine order unit is associated with a pharmacy department working system, the inspection information is associated with a laboratory test working station system, the treatment order unit is associated with the emergency nursing record information module 170, and meanwhile, a corresponding charging management system is generated to be connected to generate related charging information.

If the doctor makes an electronic medical order, the nurse workstation receives medical order information and generates an instructional prompt, the nurse enters the system to confirm the medical order, the nurse selects the electronic medical order execution list to print, the infusion bottle label printing information is generated, meanwhile, the family members are prompted to carry the magnetic card to a toll place to pay money and a pharmacy to take medicine to return, the nurse confirms whether the electronic medicine shelving information is consistent with the actually taken medicine or not, three check pairs and eight check pairs before medicine execution are carried out according to the electronic medical order execution list information, a medicine check system is implemented, and medicine administration is executed.

The nurse checks the information of the patient through the electronic wrist band with the information of the transfusion plaster electronically, confirms that the medicine administration information of the patient is correct, and confirms the execution by the nurse.

The execution of the medical advice can confirm the execution/non-execution condition through the inquiry modes of year, month, day, time, minute and second, so that a nurse can conveniently inquire the execution condition of the medical advice at regular time, and the medical advice execution is ensured to be effective and correct and has no omission.

Therefore, the emergency medical advice processing information module has the advantages that: establishing a standardized and normalized electronic medical advice execution module, integrating the emergency medical advice execution flow of medical advice prescription making-charging department payment-pharmacy administration-nurse execution, and associating the medicine, charging and testing systems to form an integrated electronic medical advice processing chain. And a special printing PDF format is used for classifying all medical orders according to types and time, so that a nurse can conveniently check and execute the medical orders after checking. A special medical advice inquiry mode is formed, single medical advice inquiry is implemented, meanwhile, the medical advice conditions can be conveniently inquired according to regions, and nurses are assisted to find whether medical advice execution is missing or not in time.

As shown with reference to figure 3 of the drawings,emergency nursing recording information module 170The system is mainly used for the process of collecting patient data in a planned, purposeful and systematic way, and is used for evaluating, identifying, analyzing and early warning the nursing safety risk existing in the patient detained in the emergency room.

The emergency room for rescuing the detained patients enters the rescue room, the patients with high risk factors are found in time after the nursing evaluation is carried out, and relevant records are formed,

the method specifically comprises the following steps: vital sign records, nursing evaluation records, batch audit records, a nursing evaluation printing unit and the like.

And the information is associated with the emergency room affair information module 140 to form an independent vital sign information file of each patient, form atlas information analysis and observe the change rule of the patient's physical sign, and ensure the integrity of emergency nursing information.

The method comprises the steps of retaining various evaluation tables of a patient in an emergency treatment, converting contents of the evaluation tables of scientific standards into an emergency treatment nursing record information module, combining score values of the tables into a calculation formula, and directly judging risk factors according to score results to form corresponding preventive measure prompts, such as a falling/falling risk factor evaluation table, a pressure sore risk evaluation and preventive measure table and the like.

And a high-risk patient early warning reminding mechanism is formed, the observation of the high-risk patient is strengthened, and the implementation of protective intervention measures is ensured.

And establishing a step-by-step auditing process, and implementing three-stage nursing evaluation item auditing of nurse-nurse manager-custard to ensure the quality of emergency nursing evaluation information.

Thus, it is possible to provideEmergency nursing recording information module 170Has the advantages that: nursing of emergency nurses to patients independently finish vital sign recording, nursing assessment, nursing intervention, high-risk patient early warning and the likeThe system works as an independent nursing module, establishes an electronic file for integrated nursing, realizes nursing evaluation on implementation of intervention measures of special high-risk patients, and ensures implementation of key nursing measures of key patients.

As shown with reference to figure 4 of the drawings,emergency care statistical analysis database module 120The method is mainly used for establishing an emergency treatment clinical medical treatment, nursing and disease data knowledge base based on an emergency treatment nurse workstation information system, updating the processing data timely and facilitating statistics, summarization, query and data analysis.

Organizing, storing and managing a data warehouse according to a data structure, integrating emergency treatment rescue room data statistics, emergency treatment table-board data statistics, emergency treatment report information statistics, emergency treatment special disease statistics and emergency treatment nursing index special statistics, and forming a link management data source of emergency treatment nursing quality.

The emergency database has a large amount of information, and after data are summarized, the data information can be conveniently and visually mastered according to summary statistics, classification statistics and detailed information under each classification by means of date and time nodes.

Wherein, emergency treatment rescue room data statistics contains: the statistics, classification and summarization of the emergency room entry records, the emergency room exit records, the instrument inventory records, the handset execution records and the bed unit disinfection records.

For example, the patient enters the emergency room to be recorded, and is classified and displayed as the number of people who are transferred from the emergency table, the number of patients who are transferred from the fluid infusion room, the number of patients who are transferred from the clinic, and the number of patients who are transferred from the ambulance, and any one of the people is clicked, the patient can be screened from the data, the patient who meets the classification condition is displayed, the information content including the key time node and the condition of receiving a doctor during the period of the patient seeing a doctor is displayed,

the specific information displayed by each classification can be classified and randomly screened by pulling up the name of the information menu item.

For example, when the system enters a classification project of emergency room record-ambulance transfer, the system automatically summarizes different people and specific information of the department receiving the doctor in the internal query time period through the department information in the pull-up menu.

The statistics of the emergency table-board statistics include: daily report, monthly report, real-time report, pre-inspection record report, dry insurance pre-inspection report, ambulance triage report, ambulance critical weight forecast report, green channel visit report, patient's report, diagnosis area patrol registration report, pre-inspection triage database, and the like.

The emergency treatment table board diagnosis and treatment patients are specially classified, and a registered report file is formed and consulted at any time while data are summarized.

The emergency patient information includes: keeping a view of the information report, inquiring on the viewing patient, inquiring on the state of the patient in a doctor, and the like.

Summarizing the tracks of the patients during the emergency treatment period, counting the time period, inquiring and summarizing the patients in the diagnosis/observation/turnover department during the emergency treatment period, and the like.

The disease data statistics include: the system comprises a heat patient pre-examination record, a pregnant and lying-in woman pre-examination record, a multiple injury patient pre-examination record, a chest pain patient pre-examination record, a public health incident patient pre-examination record and the like.

The special diseases are classified and summarized, and the information of key patients is mastered in time.

The special statistics comprise: the special data of the emergency sensitive indexes, the emergency service life of a pre-examination nurse which is more than or equal to 5 years of occupation ratio, the accuracy of pre-examination and triage of emergency treatment, the standard reaching rate of target reaction time of triage, the first pain assessment rate of emergency patients, the availability rate of emergency equipment, the standard reaching rate of treatment time of emergency chest pain patients, the standard reaching rate of thrombolytic treatment time of acute ischemic stroke patients, the transfer and handover regulation rate of emergency critical and severe patients and the transfer and handover regulation rate of emergency critical and severe patients.

The special data of the emergency sensitive indexes is a statistical summary of 8 emergency sensitive index data in accordance with proportion.

And (4) performing data screening and induction on numerator data and denominator data in the data formulas of all the sensitive indexes, and sleeving the obtained data into the formulas to directly calculate the results.

The summary of each sensitive index of a single item is used for classifying the number of people with the index meeting the index and the number of people without the index meeting the index, and simultaneously displaying the key data content of the meeting/not meeting the index of the patient in detail, thereby facilitating problem analysis and process improvement and achieving the aim of continuously improving the quality.

Critical value data query: the method comprises life-threatening inspection and examination results, and comprises the steps of summarizing all contents according to a critical value processing flow, answering report time, patient names, critical value items, critical value contents, inspector work numbers, doctor reporting time, doctor work numbers, nurse work numbers and critical value processing time.

And (4) performing statistical analysis on whether each node receives critical value information, report information, registration information and processing information in time, and performing closed-loop management on the critical values.

Thus, the deviceOf the emergency nursing statistic analysis database module 120The advantages are that: the data processing module is suitable for rapid development of emergency treatment data, is developed by urgent need of structured processing, stores, maintains and applies various medical treatment, nursing and patient information data in actual emergency treatment work operation, and directly retrieves and reads data information. Meanwhile, large original clinical data are divided in a targeted mode, data classification of actual clinical application of emergency treatment is summarized, various standardized calculation formulas are embedded, data analysis, problem solving and problem processing are achieved, and quality control of nursing information data is completed.

Emergency system function setting module 180The method is mainly used for dividing and classifying related data, and is convenient for emergency management personnel to flexibly adjust according to workload and human resource conditions at any time, and an electronic use instruction is added.

Comprises the following steps: system setting, bed setting, fee package setting, patrol item setting, authority setting, pre-inspection knowledge base setting and system help.

The system setting and the system help, the planning is uniformly set for the information department, and the graphic description is attached, so that a new nurse can conveniently master the using method in time.

The bed setting aims at the large flow of emergency patients and the large change of the number of people in the emergency area, so the bed setting is set, and the number of beds in each area is reasonably arranged by a manager according to the areas divided by the emergency.

The bed setting function can be utilized to specifically divide the number of the beds in each area, and the number of the beds is fixed, so that the medical staff can conveniently find the beds.

Through the setting of the charging package, emergency treatment medical advice and a charging system are bound to form a standard charging module, and the charging package is adjusted at any time according to the adjustment of a medical insurance policy, so that the problem of charging errors is solved.

The patrol item setting is that the individual input and adjustment of departments are carried out on patrol instruments and regional items, and meanwhile, the patrol standard is standardized, if the instruments are adjusted, a manager can update in time, and the patrol is ensured to be in place.

The pre-examination knowledge base is set for recording pre-examination chief complaints, and a manager sets and standardizes the content of the emergency pre-examination nursing chief complaints according to the ICD standard of diseases.

The quantitative grading standard related to the chief complaint can be adjusted in time according to the guidelines, consensus and standards.

The authority setting is the restriction of the actual operator of all functions, ensures that nurses can carry out various function operations in clinic, and managers can standardize various operations and set personalized functions.

Thus, it is possible to provideEmergency system function setting module 180Has the advantages that: as an auxiliary function of the emergency nursing information management system, the system is gradually and openly utilized to adapt to the clinical needs of emergency treatment, so that clinical staff can set partial functions according to the needs, and meanwhile, the clinical standardized specifications are well combined with the system, and a personalized nursing information management system with partial special functions is formed, so that electronic informatization is better close to the clinical needs, and the system can better serve the emergency nursing work.

The emergency treatment system takes emergency treatment information management as a main line, is divided into emergency treatment patient treatment and nursing lines, and comprises an emergency treatment table board and emergency treatment room patients; an emergency nursing management line which comprises personnel, articles and event management; emergency call nursing quality management and control circuit contains work load, work quality, manpower resources etc. through the emergency call emergency care information network of all-round integration, realizes the information-based development of emergency call nursing management, promotes emergency call nursing work quality and improves emergency call nursing work efficiency, better for emergency call patient's service.

It should be understood that, in the embodiment of the present invention, the term "and/or" is only one kind of association relation describing an associated object, and means that three kinds of relations may exist. For example, a and/or B, may represent: a exists alone, A and B exist simultaneously, and B exists alone. In addition, the character "/" herein generally indicates that the former and latter related objects are in an "or" relationship.

It should be noted that while the foregoing has described the spirit and principles of the invention with reference to several specific embodiments, it is to be understood that the invention is not limited to the disclosed embodiments, nor is the division of aspects, which is for convenience only as the features in these aspects cannot be combined. The invention is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the appended claims.

Claims (10)

1. An emergency nursing information management system, which is characterized by comprising,

the emergency treatment table-board transaction information module (130) is used for establishing an emergency treatment nursing information file of a single medical record for the emergency treatment patients;

the emergency treatment room transaction information module (140) is used for archiving emergency treatment room patient information and forming a service port for information sharing with each emergency treatment system, and comprises an information material management system of emergency treatment instruments, medicines and articles;

the emergency treatment detained patient medical record list module (150) is used for establishing an emergency treatment nursing information file of a single medical record for the patient detained in the emergency treatment room;

the emergency room transaction information module (140) is coupled with the emergency medical order processing information module (160) and the emergency nursing record information module (170),

the emergency medical advice processing information module (160) is used for executing, checking and inquiring medical advice of patients in all regions during the detention period of the emergency rescue room, such as medicines, tests, treatments and the like, so as to ensure that the emergency medical advice is timely and effectively completed;

the emergency nursing record information module (170) is used for the process of collecting patient data in a planned, purposeful and systematic way, and evaluating, identifying, analyzing and early warning the nursing safety risk of the patient detained in the emergency rescue room.

2. The management system according to claim 1, further comprising,

and the emergency system function setting module (110) is used for dividing and classifying related data, flexibly adjusting emergency management personnel at any time according to workload and human resource conditions, and adding electronic use instructions.

3. The management system according to claim 1, further comprising,

and the emergency nursing statistical analysis database module (120) is used for establishing an emergency clinical medical treatment, nursing and disease data knowledge base based on an emergency nurse workstation information system, updating the processing data and facilitating statistics, summarization, query and data analysis.

4. The management system according to claim 1,the emergency treatment table business information module (130)And is further composed ofA pre-examination triage information module for pre-examining,thePre-examination triage information moduleThe method comprises the steps of obtaining clinical data of emergency patients, inputting the clinical data into a trained emergency pre-examination triage model based on an artificial neural network, and obtaining prediction of pre-examination triage categories of the emergency patients.

5. The management system according to claim 1, wherein the emergency table-board transaction information module (130) takes the emergency treatment patient identity information as a trigger point, generates a barcode electronic serial number as a unique electronic identity card of the emergency treatment patient, and records standardized ICD chief complaint diagnosis, vital sign data input, pain rating scale, GCS rating;

furthermore, the first letter of the diagnosis department is used for recognizing and inputting, and the pre-inspection level is evaluated by integrating information system data;

the special critical patient specific pre-examination mark comprises pre-examination diagnosis input information and specific marks, and is displayed in subsequent medical treatment, nursing, charging, inspection and medicament of the patient.

6. The management system according to claim 1, wherein: and an integrated ward management mode is established in the emergency room transaction information module (140). In personnel management, identity information of a patient in emergency treatment is used as an information input starting end, a personal identity information identifier is established, a wrist strap is formed to be in information correlation identification and printing with the patient, a medicine rack bar code is formed to be in correlation and printing with patient medical advice processing information, and judgment result input and vital sign single input analysis are performed after a medicine test is performed on a special patient in a rescue room;

in the event management, a special information entry module of an emergency room for emergency patients is established, so that the tracing information of the emergency patients can be traced conveniently, the information entry of the patients for the special emergency patients can be set and adjusted for authority, and the association of a medical record list module of the emergency room for emergency treatment is established; in the article management, the unified information management is carried out on the first-aid medicines, articles and instruments in the rescue room, and the counting, the registration, the statistics and the summarization are convenient.

7. The management system according to claim 1, wherein the emergency patient history list module (150) is configured to create a unit patient care history list module, wherein the patient history document comprises: inquiring medical advice, printing a medical advice list, charging, executing the medical advice, having an allergy history, maintaining basic information, identifying comprehensive information of a patient, canceling to stay in a bed, going to a registration, canceling to enter a rescue room, changing a bed number, transferring to a department, combining payment card numbers, inquiring expenses, checking and checking a report, printing a total check report, inputting body temperature and evaluating nursing.

8. The management system according to claim 1, wherein said emergency treatment order processing information module (160) comprises a medication order unit, a test order unit, and a treatment order unit,

after various medical advice is generated by the emergency doctor workstation, the medical advice is synchronously sent to the electronic medical advice module of the emergency nursing management information system to form a corresponding medical advice unit, sound is generated, and the medical advice is displayed and reminded to ensure timely and effective execution.

9. The management system according to claim 1, wherein the emergency nursing record information module (170) is configured to form relevant records after evaluating the patients staying in the emergency rescue room according to the nursing levels, so as to find out the patients with high risk factors in time, and comprises: vital sign recording, nursing evaluation recording, batch auditing recording, nursing evaluation printing,

and recording vital signs of each patient in the emergency room, periodically evaluating high-risk factors of falling and pressure sores and forming corresponding nursing measures.

10. The management system of claim 1, wherein the emergency care statistical analysis database module (120) forms a categorical summary and statistical evaluation of all data information of emergency treatment, which comprises: data query statistics, data query of the in-circulation part, critical value data query,

the query statistic module is specifically divided into: performing emergency treatment rescue room data statistics, emergency treatment table surface data statistics, emergency treatment report information statistics, emergency treatment special disease statistics and emergency treatment nursing index special statistics to form a link management data source of emergency treatment nursing quality;

the data query of the turnover department, the information query of the turnover department of the emergency treatment by arranging an emergency treatment table board and a rescue room, the information query of the turnover department of the emergency treatment is carried out to collect the source information of the patients as the observation department of the emergency department,

the critical value data query comprises life-threatening inspection and inspection results.

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