CN110970124A - A cloud server-based disinfection management and traceability system for foreign medical equipment - Google Patents
A cloud server-based disinfection management and traceability system for foreign medical equipment Download PDFInfo
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Abstract
本发明涉及一种基于云服务器的外来医疗器械的消毒管理及追溯系统，云服务器能够将具有时间不连续的且地理位置彼此各异的医疗机构的消毒管理子系统的消毒管理信息进行组合以形成外来医疗器械在全寿命周期内的消毒追溯信息的追溯网，从而在消毒管理子系统中的至少一个将其消毒管理信息上传至云服务器的情况下，与该消毒管理子系统地理位置彼此各异的另一个或另多个消毒管理子系统能够获取消毒管理信息，以使得另一个或另多个消毒管理子系统的医疗机构基于追溯网能够查阅外来医疗器械的时间不连续的且地理位置彼此各异的医疗机构的消毒管理子系统的消毒管理信息组成的消毒追溯信息。
The invention relates to a sterilization management and traceability system for foreign medical instruments based on a cloud server. The cloud server can combine the sterilization management information of the sterilization management subsystems of medical institutions with discontinuous time and different geographical locations to form The traceability network of the disinfection traceability information of foreign medical devices in the whole life cycle, so that when at least one of the disinfection management subsystems uploads its disinfection management information to the cloud server, the geographical location of the disinfection management subsystem and the disinfection management subsystem are different from each other. One or more of the disinfection management subsystems can obtain the disinfection management information, so that the medical institutions of the other or more disinfection management subsystems can refer to the foreign medical instruments based on the traceability network. The time is discontinuous and the geographical locations are different from each other. Disinfection traceability information composed of disinfection management information of disinfection management subsystems of different medical institutions.
Description
Technical Field
The invention relates to the technical field of medical informatization, in particular to a cloud server-based disinfection management and tracing system for external medical instruments.
Background
The medical apparatus and instruments have the problem of inadequate supervision in the production, purchase, use and postoperative condition tracking links. According to the monitoring of adverse events of medical instruments and the management requirements of a medical instrument recall system, a medical instrument whole-process retrospective supervision system is established by utilizing the modern logistics information technology, suspicious adverse events of the medical instruments are found in time, control and intervention measures are effectively taken for medical instrument products with potential safety hazards, the suspicious adverse events of the medical instruments can be reported rapidly according to relevant requirements, investigation and reason analysis are rapidly carried out, and corrective measures such as recall and the like are taken if necessary, so that the health and life safety of patients and relevant personnel are ensured.
The foreign medical instruments refer to reusable medical instruments which are not conventionally equipped in hospitals, are rented by medical instrument manufacturers and companies or are freely provided for hospitals, are called as 'acupoint bags' in the medical field, and mainly comprise special instruments, power tools, implants and the like. The instruments have the defects of high pertinence, high price, complex variety, high specialization and quick updating, and are frequently in frequent flow in multiple hospitals, so that a plurality of problems exist in the processes of cleaning, disinfecting and the like of the instruments, and the instruments are high-risk medical instruments. The disinfection supply center must perfect the admission and management system of the external medical instruments, and adopt the standardized management of the cleaning, disinfection and sterilization of the external medical instruments, thereby ensuring the link quality and controlling the occurrence of the cross infection of the hospital. Therefore, a complete set of management and traceability system needs to be established to solve the problems of the prior art.
For example, PCT publication No. WO/2016/059382 discloses a surgical instrument RFID tag reading apparatus and method and a surgical instrument tracking system. A surgical instrument Radio Frequency Identification (RFID) tag reading apparatus, comprising: an interrogation zone arranged to receive a surgical instrument set comprising a plurality of surgical instruments, each surgical instrument comprising a respective RFID tag comprising identification information of the surgical instrument; an RFID tag reader; a Radio Frequency (RF) antenna coupled to the RFID tag reader and arranged to transmit RF signals and arranged to receive RF return signals from at least some of the RFID tags, the RF signals having a signal field at least a portion of which extends within the interrogation zone, each RF return signal including identification information of a respective RFID tag; a guiding device arranged to cause a predetermined relative movement between an RFID tag on the surgical instrument and the RF signal; and a controller arranged to: a. for each RFID tag from which an RF return signal is received, receiving surgical instrument identification information from an RFID tag reader; b. comparing the received surgical instrument identification information to a list of surgical instruments of the surgical instrument set; determining whether surgical instrument identification information has been received for each surgical instrument on the list of surgical instruments, and if not, generating an incomplete list alert. A surgical instrument tracking system, comprising: a surgical instrument set including a plurality of surgical instruments, each surgical instrument including a respective RFID tag including identification information of the surgical instrument; and a plurality of surgical instrument RFID tag reading devices, each system arranged to receive a set of surgical instruments.
However, due to their high cost and low production volume, exotic medical devices often flow into medical facilities in the form of "walk-up bags". The foreign medical instruments not only flow in various departments in the medical facility like the in-hospital medical instruments but also flow back and forth in various medical facilities, suppliers, and logistics facilities, and thus have much higher difficulty than in-hospital management of the in-hospital medical instruments. The management and control ability of cross infection of medical institutions is a necessary ability strictly required by the ministry of health, however, since external medical devices are highly mobile and do not flow in the same unit, cross infection is easily caused, and therefore, how to realize management and tracing of external medical devices is a technical problem which needs to be solved urgently. However, different medical institutions, suppliers and logistics institutions do not belong to the same unit or organization, internal data of each institution mostly belongs to confidential data, and data of each department cannot be shared simply like in-hospital instrument management, and particularly, each medical institution itself also has a certain competitive relationship, so that data among the medical institutions are difficult to unify, manage and fuse, and a strong obstacle is undoubtedly formed for solving how to realize management and tracing of external medical instruments.
Furthermore, on the one hand, due to the differences in understanding to the person skilled in the art; on the other hand, since the inventor has studied a lot of documents and patents when making the present invention, but the space is not limited to the details and contents listed in the above, however, the present invention is by no means free of the features of the prior art, but the present invention has been provided with all the features of the prior art, and the applicant reserves the right to increase the related prior art in the background.
Disclosure of Invention
In view of the deficiencies of the prior art, after careful research and extensive research and development by the present inventors, a disinfection management and tracing system for foreign medical instruments based on a cloud server is developed and proposed, which is capable of forming a tracing network capable of tracing the disinfection tracing information of the foreign medical instruments in the whole life cycle by means of the cloud server under the condition of classifying the foreign medical instruments, so that medical institutions having geographical locations different from each other can mutually refer to the disinfection management information of the foreign medical instruments by means of the cloud server without visiting each other's disinfection management subsystems,
the system at least comprises: a sorting subsystem for identifying instrument identity information of the foreign medical instrument, the instrument identity information being usable by a cloud server to match a disinfection target transaction of the foreign medical instrument; a sterilization data acquisition subsystem capable of acquiring sterilization data of the external medical instrument at the time of sterilization based on the sterilization target service; a sterilization management subsystem, disposed in a medical institution, capable of generating sterilization management information of the foreign medical instrument at the time of sterilization in accordance with a correlation of the sterilization target business and sterilization data corresponding thereto; the cloud server is in communication connection with the disinfection management subsystem and is used for combining the disinfection management information to form disinfection tracing information of the external medical instrument and storing the corresponding relation between the external medical instrument and the target business; the disinfection management subsystem is respectively arranged in at least two medical institutions with different geographical positions and is used for performing hospital disinfection tracing management on the external medical instruments of different medical institutions; the cloud server is provided with at least one input interface and at least one output interface, wherein the at least one input interface is used for being in communication connection with the corresponding disinfection management subsystem, the at least one output interface is used for being in communication connection with the corresponding disinfection management subsystem, so that the cloud server can combine disinfection management information corresponding to the disinfection target business of the disinfection management subsystems of medical institutions with discontinuous time and different geographical positions from each other to form a traceability network of disinfection traceability information of the external medical instruments in the whole life cycle, and under the condition that at least one of the disinfection management subsystems uploads the disinfection management information to the cloud server, the disinfection management information can be acquired by the other disinfection management subsystem or subsystems with different geographical positions from the disinfection management subsystem, so that the medical institutions of the other one or the other plurality of disinfection management subsystems can refer to the disinfection traceability information composed of the disinfection management information of the disinfection management subsystems of the medical institutions with discontinuous time and different geographical positions of the external medical instruments based on the traceability network.
According to a preferred embodiment, the disinfection management subsystem is capable of establishing the foreign medical instrument and the disinfection target business in association, so that disinfection management information matched with the disinfection target business can be generated when a medical institution executes the disinfection target business; the sorting subsystem comprises a first recognizer arranged in a receiving department of a medical institution and used for recognizing the instrument identity information of the external medical instrument before the medical instrument is admitted into a hospital and/or a disinfection center, the disinfection management subsystem sends the instrument identity information to the cloud server under the condition that the disinfection management subsystem authenticates that the first recognizer successfully obtains the instrument identity information, the cloud server matches out the disinfection target business of the external medical instrument in the hospital from the supplier management information based on the instrument identity information and pushes the disinfection target business to the disinfection management subsystem, the disinfection management subsystem can at least form the identification code of the external medical instrument in the hospital in the form of an electronic tag and can push the identification code to the disinfection management subsystem in the form of a plurality of time discontinuous disinfection target sub-businesses by disassembling the disinfection target business into a plurality of time discontinuous disinfection target sub-businesses And the disinfection mechanism is matched with the target sub-service.
According to a preferred embodiment, the sorting subsystem is provided with a second identifier at different disinfection mechanisms in a manner of being capable of identifying the identification code, and the second identifier identifies the identification code at least twice and can be used for recording the residence time of the medical foreign instrument at the disinfection mechanism, wherein the second identifier is used for reading the target sub-service corresponding to the identification code when the foreign medical instrument enters the disinfection mechanism at least once and is used for writing the disinfection data corresponding to the identification code into the disinfection management subsystem when the foreign medical instrument leaves the disinfection mechanism at least once; the second recognizer is provided with recognizer identity information matched with the identification code, and under the condition that the second recognizer recognizes the identification code and the identification code is matched with the recognizer identity information, the disinfection management subsystem can at least present target sub-services corresponding to the identification code in a mode of at least one of videos, characters, pictures and tables, so that the disinfection data acquisition subsystems in different disinfection mechanisms can acquire disinfection data with discontinuous time according to the target sub-services.
According to a preferred embodiment, the disinfection management subsystem is arranged at different disinfection institutions according to a mode capable of displaying the disinfection tracing information, the sorting subsystem comprises a third recognizer arranged at different disinfection institutions and used for recognizing the instrument identity information of the external medical instrument, the disinfection management subsystem can respond to the instrument identity information obtained by the third recognizer to display the disinfection tracing information which is uniquely matched with the disinfection tracing information and consists of the disinfection management information of the external medical instrument of other medical institutions with different geographical positions, at the medical institution, wherein the disinfection management subsystem can display the disinfection tracing information corresponding to the input mode according to at least one mode of texts, images, tables and videos under the condition that a worker performs at least one input mode of clicking, sound and touch, so that the staff of different disinfection institutions can look up the disinfection tracing information matched with the input mode executed by the disinfection management subsystem.
According to a preferred embodiment, the system further comprises a supplier management subsystem with a geographical position different from that of the medical institution and a supplier data acquisition subsystem in communication connection with the supplier management subsystem, wherein the supplier management subsystem can upload the instrument identity information of the external medical instrument and the disinfection target business corresponding to the external medical instrument to the cloud server in an associated manner, so that the cloud server can respond to the request of the medical institution with the geographical position different from that of the external medical instrument to push the disinfection target business to the disinfection management subsystem of the medical institution; the cloud server comprises a disinfection management operation module and a supplier management operation module which are independent of each other, and pushes disinfection management information which can be dynamically updated by the disinfection management operation module and supplier management information which can be dynamically updated by the supplier management operation module to a medical institution and/or a supplier together in response to a request of the medical institution and/or a request of the supplier so that the medical institution and/or the supplier can classify and dynamically trace the management information of the foreign medical instrument; the disinfection management operation module is in wireless communication connection with the disinfection management subsystem, so that the cloud server can update the disinfection management information in a mode of fusing the disinfection management information with disinfection history management information at least under the condition of receiving the disinfection management information transmitted by the disinfection management subsystems of medical institutions with different geographic positions in a discontinuous time mode; the supplier management operation module is in wireless communication connection with the supplier management subsystem, so that the cloud server can be updated at least in a mode of fusing the supplier management information and supplier history management information under the condition of receiving the supplier management information transmitted by the supplier management subsystem.
According to a preferred embodiment, the sorting subsystem includes a fourth identifier provided in a sending room of the medical institution for identifying the identification code, the sterilization management subsystem sorts the sterilization management information of the foreign medical instrument in the hospital in response to the fourth identifier scanning the identification code, and the sterilization management subsystem uploads the sterilization management information acquired by the sterilization data acquisition subsystem in a time-discontinuous manner to the cloud server in a case where the sterilization management information and the sterilization target transaction are collated with each other.
According to a preferred embodiment, the present invention provides a cloud server-based method for managing and tracing disinfection of a foreign medical instrument, which is capable of forming, by means of a cloud server, a tracing network that can be used for tracing disinfection tracing information of the foreign medical instrument over a life cycle in a case where the foreign medical instrument is classified, so that medical institutions whose geographic locations are different from each other can refer to disinfection management information of the foreign medical instrument from each other by means of the cloud server without accessing each other's disinfection management subsystems, the method comprising: the sorting subsystem identifies instrument identity information of the foreign medical instrument, wherein the instrument identity information can be used for a cloud server to match disinfection target business of the foreign medical instrument; the disinfection data acquisition subsystem acquires disinfection data of the external medical instrument during disinfection based on the disinfection target service; a disinfection management subsystem arranged in a medical institution generates disinfection management information of the external medical instrument during disinfection according to the disinfection target business and the disinfection data corresponding to the disinfection target business in a correlation mode; the disinfection management subsystem is used for combining the disinfection management information to form disinfection tracing information of the external medical instrument and storing the corresponding relation between the external medical instrument and the target business; respectively arranging the disinfection management subsystems in at least two medical institutions with different geographical positions, and carrying out hospital disinfection tracing management on the external medical instruments of different medical institutions; configuring the cloud server with at least one input interface and at least one output interface, wherein the at least one input interface is used for being in communication connection with a corresponding disinfection management subsystem thereof, and the at least one output interface is used for being in communication connection with a corresponding disinfection management subsystem thereof, so that the cloud server can combine disinfection management information which is provided with disinfection management subsystems of medical institutions with discontinuous time and different geographical positions from each other and corresponds to the target service to form a traceability network of disinfection traceability information of the external medical instruments in the whole life cycle, so that under the condition that at least one of the disinfection management subsystems uploads the disinfection management information thereof to the cloud server, another or another plurality of disinfection management subsystems with different geographical positions from each other from the disinfection management subsystem can acquire the disinfection management information, so that the medical institutions of the other one or the other plurality of disinfection management subsystems can refer to the disinfection traceability information composed of the disinfection management information of the disinfection management subsystems of the medical institutions with discontinuous time and different geographical positions of the external medical instruments based on the traceability network.
According to a preferred embodiment, in the method of the present invention, the disinfection management subsystem is capable of establishing the foreign medical instrument and the disinfection target service, so that disinfection management information in accordance with the disinfection target service can be generated when a medical institution performs the disinfection target service; the sorting subsystem comprises a first recognizer arranged in a receiving department of a medical institution and used for recognizing the instrument identity information of the external medical instrument before the medical instrument is admitted into a hospital and/or a disinfection center, the disinfection management subsystem sends the instrument identity information to the cloud server under the condition that the disinfection management subsystem authenticates that the first recognizer successfully obtains the instrument identity information, the cloud server matches out the disinfection target business of the external medical instrument in the hospital from the supplier management information based on the instrument identity information and pushes the disinfection target business to the disinfection management subsystem, the disinfection management subsystem can at least form the identification code of the external medical instrument in the hospital in the form of an electronic tag and can push the identification code to the disinfection management subsystem in the form of a plurality of time discontinuous disinfection target sub-businesses by disassembling the disinfection target business into a plurality of time discontinuous disinfection target sub-businesses And the disinfection mechanism is matched with the target sub-service.
The invention provides a disinfection management and tracing system for external medical instruments based on a cloud server, which at least has the following advantages:
(1) the invention not only integrates the disinfection tracing information of the external medical instruments by using the cloud server, but also can form a multi-wing tracing network taking the cloud server as a core by using the existing medical instrument management subsystems with different geographical positions, so that the tracing of the external medical instruments is possible among different medical institutions. The cloud server is used as the intermediate equipment, so that the management of the external medical instruments can flow among medical institutions with competitive relations, the medical institutions using the medical instruments at the later stage can backtrack the management information of the medical instruments at the earlier stage, and the difficulty in backtracking the external medical instruments caused by the competitive relations is greatly reduced; secondly, the information processing capacity and the storage capacity of each sub-terminal are limited, and the cloud server can be used as another alternative for storing the information of external medical instruments. The tracing scheme effectively reduces the management difficulty of suppliers, improves the informatization degree of medical institutions on the management of external medical instruments, reduces the operation difficulty of each institution, and is beneficial to the integrity of the management information of the whole life cycle of the external medical instruments.
(2) The cloud server is used as a core, different sorting subsystems are arranged in a medical institution, so that the identity recognition of external medical instruments can be performed, and firstly, the disinfection process of the external medical instruments is simplified, the working strength of medical staff is reduced, the disinfection success rate is improved, and the infected wind of patients is reduced in order to match the disinfection target service of the external medical instruments through the identity recognition; secondly, the disinfection management information of the external medical instrument in other medical institutions with different geographic positions can be tracked in a targeted manner through identity recognition, the informatization degree of the tracking of the external medical instrument is provided, and the disinfection management information can be read quickly; thirdly, the management work of the medical institution after the external medical instrument is admitted is facilitated through the identity recognition, the disinfection data of the medical institution can be acquired by means of the transfer of the instrument identity information of the medical institution in a discontinuous time mode, the data acquisition of a disinfection data subsystem is facilitated, the integrity of the management data of the external medical instrument in the medical institution is remarkably improved, the integrity of the management information of the external medical instrument which is transferred to the medical institution at different geographic positions and has discontinuous time record of the disinfection data in the whole life cycle is remarkably improved, the disinfection management tracing of the external medical instrument is facilitated, as practices prove that the existing external medical instrument is difficult to enter a medical instrument management system on one hand, most of the external medical instrument adopts paper transfer files, the information is incomplete and easy to lose, and the tracing difficulty is brought to the external medical instrument, on the other hand, the types and the large amount of management data required by the external medical apparatus based on the fluidity of the external medical apparatus in the whole life cycle are large, and the management data need to be strictly controlled, which brings a plurality of obstacles for the management and the tracing of the external medical apparatus.
(3) Different management sub-ends are arranged on the external medical instruments according to different flowing mechanisms of the external medical instruments, and each medical mechanism has a specialized team to acquire and arrange data by using the management sub-end (a disinfection management subsystem) when the external medical instruments are used, so that the information can be acquired and fused completely in the flowing process and the using process of the external medical instruments according to different geographical positions and discontinuous time modes in the whole life cycle of the external medical instruments.
Drawings
FIG. 1 is a logical schematic of a preferred system provided by the present invention; and
fig. 2 is a diagrammatic, schematic logic diagram of a system provided by the present invention.
List of reference numerals
100: disinfection data acquisition subsystem 100 b: second disinfection data acquisition subsystem
200: the supplier data collection subsystem 100 c: third disinfection data acquisition subsystem
300: disinfection management subsystem 300 a: first disinfection management subsystem
400: vendor management subsystem 300 b: second disinfection management subsystem
500: the cloud server 300 c: third disinfection management subsystem
100 a: first disinfection data acquisition subsystem 600: sorting subsystem
Detailed Description
This is described in detail below with reference to fig. 1-2.
Example 1
The embodiment discloses a disinfection management and tracing system for external medical instruments based on a cloud server. The system can form a tracing network which can be used for tracing the disinfection tracing information of the external medical instrument in the whole life cycle by means of the cloud server 500 under the condition that the external medical instrument is classified, so that medical institutions with different geographical positions can mutually refer to the disinfection management information of the external medical instrument by means of the cloud server 500 without visiting the disinfection management subsystems 300 of each other.
Since the external medical equipment is expensive and cannot be arranged in a hospital, the external medical equipment does not have a sterilization management system that is completed with the hospital-based medical equipment. In order to effectively manage the disinfection of external medical instruments, in the prior art, the external medical instruments are restricted by rules and regulations in a hospital to carry out disinfection steps required to be carried out in the hospital, the artificial performance is extremely strong, the labor intensity of medical workers is high, the medical workers are easy to fatigue, task loss such as disinfection and other steps are easy to occur, so that the infection in the hospital of a patient caused by the external medical instruments is easily caused, the health of the patient is seriously threatened, and the disinfection is sometimes carried out in a medical institution; on the other hand, the disinfection principle information in the hospital in the whole life cycle of the external medical instruments is incomplete. Therefore, the inventor of the present invention has made a careful search and investigation to provide the following technical solutions for ensuring the disinfection management of the external medical devices in the hospital.
As shown in fig. 2, the system comprises at least: a disinfection data collection subsystem 100, a sorting subsystem 600, a disinfection management subsystem 300, and a cloud server 500. The cloud server 500 serves as a core of cloud computing, and is at least configured as follows in the invention: for storing the corresponding relationship between the external medical instruments and the sterilization target business, and for fusing the sterilization management information uploaded by the sterilization management subsystem 300 with the sterilization history management information to form sterilization tracing information in an updating manner.
The sorting subsystem 600: the medical instrument identification recognition device is provided with a recognizer and used for recognizing instrument identity information of external medical instruments. The equipment identity information is set by the supplier through an electronic label, such as a two-dimensional code, a bar code and the like. The device identity information is the unique identity attribute of the foreign medical device.
The disinfection data acquisition subsystem 100: which can collect sterilization data of an external medical instrument in a sterilization use based on a sterilization target service. The disinfection data includes: the disinfection time, disinfection parameters, disinfection equipment adopted in the CSSD department, and the like. CSSD: central stereo patient supply department, hospital sterile supply center.
The disinfection management subsystem 300: which is placed in a medical facility. Preferably, disinfection management subsystem 300 may employ an existing medical instrument management platform. Preferably, the sterilization management subsystem 300 performs in-hospital sterilization retrospective management of medical instruments, including foreign medical instruments, within a medical facility. Which is capable of generating sterilization management information based on sterilization data and a sterilization target transaction mutually agreeing therewith.
The cross infection control capability of medical institutions is a necessary capability strictly required by the ministry of health, however, since external medical instruments are strong in mobility and do not flow in the same unit, cross infection is easily caused, and therefore, how to realize the disinfection management tracing of the external medical instruments is a technical problem which needs to be solved urgently. Since the external medical instruments are expensive and the production quantity is small, the external medical instruments are often circulated to large competitive medical institutions in the form of 'hole-walking bags', so that on the premise of a strict confidentiality system among the large medical institutions, management of the external medical instruments with extremely strong fluidity in the whole life cycle brings great difficulty, disinfection information of the external medical instruments cannot flow during the flowing of the external medical instruments, and technical problems that the disinfection management of the external medical instruments by the medical institutions is not uniform and the large medical institutions cannot acquire the disinfection information of other medical institutions are caused. In addition, the variety of the external medical instruments is wide, and in order to sterilize the external medical instruments in hospital, the following management methods are generally adopted: the medical institution sterilizes the external medical instruments according to the unified standard, which may cause damage to the service life of the external medical instruments due to different attributes of the external medical instruments and may also cause incomplete sterilization, thereby greatly increasing the risks of infection of patients in operation and postoperative infection; the hospital side establishes the disinfection process for the external medical instruments when the external medical instruments flow in, which not only greatly brings extra labor intensity to medical staff with heavy tasks and insufficient knowledge of the medical instruments, but also leads to incomplete disinfection of the external medical instruments due to human factors and/or inaccurate disinfection parameters, thereby greatly increasing the risks of infection in operation and postoperative infection of patients. However, after intensive research and extensive research by the present inventors, a sterilization management system for a foreign medical instrument has been developed and proposed which is capable of forming a traceback net for use of the foreign medical instrument throughout its life cycle, on the one hand, medical institutions whose geographical locations are different from each other are capable of referring to management information of the foreign medical instrument from each other without accessing each other's medical instrument management subsystem, and on the other hand, is also capable of perfecting a management system of a sterilization management business of the foreign medical instrument.
The present embodiment adopts the following technical solutions to solve the above technical problems.
The disinfection management subsystem 300 is respectively arranged in at least two medical institutions with different geographical positions, and is used for carrying out disinfection tracing management on external medical instruments of different medical institutions. In the present embodiment, the geographical locations are different from each other, which means that the medical institutions have different addresses from each other. The medical institution may be a hospital, a medical research institute, a clinic, or other document having medical qualifications, such as the disinfection management subsystem 300, may be respectively located at hospital a, hospital B, and hospital C, located in the beijing queen area, the beijing sunrise area, respectively.
Specifically, the cloud server 500 has at least one input interface and at least one output interface. At least one input interface is configured for communicative coupling with its corresponding disinfection management subsystem 300 and at least one output interface is configured for communicative coupling with its corresponding disinfection management subsystem 300. In this manner, cloud server 500 is able to form a multi-winged traceback network of at least two disinfection management subsystems 300 geographically diverse from each other. Therefore, the present invention uses the cloud server 500 as an intermediate server, and fuses the disinfection management information and the disinfection management information of the disinfection management subsystem 300 of the medical institution having discontinuous time and different geographical locations from each other, so as to form a traceability network capable of forming traceability information within the entire life cycle of an external medical instrument based on the cloud server 500 as a core. Therefore, in the case where at least one of the sterilization management subsystems 300 uploads its sterilization management information to the cloud server 500, another or another plurality of sterilization management subsystems, which are geographically different from the sterilization management subsystem, can acquire the sterilization management information, so that medical institutions of the another or another plurality of sterilization management subsystems can refer to the sterilization trace information of medical institutions, which are temporally discontinuous and geographically different from each other, for the external medical instruments based on the trace back network before the external medical instruments are admitted. For example, as shown in fig. 1, hospital a, located in the western area of beijing, is provided with a first disinfection data acquisition subsystem 100a and its associated first disinfection management subsystem 300a, and hospital B, located in the hai lake area of beijing, is provided with a second disinfection data acquisition subsystem 100B and its associated second disinfection management subsystem 300B. The first disinfection management subsystem 300a uploads the disinfection management information of the external medical instrument in the hospital a to the cloud server 500, the hospital B can request the cloud server 500 to look up the disinfection tracing information of the external medical instrument by means of the second disinfection management subsystem 300B, and the cloud server 500 sends the disinfection tracing information of the external medical instrument to the second disinfection management subsystem 300B based on the request. Similarly, the system may further include a third disinfection management subsystem 300C located in hospital C and a third disinfection data acquisition subsystem 100C associated therewith.
The invention not only integrates the disinfection tracing information of the external medical instruments by using the cloud server 500, but also can form a multi-wing tracing network taking the cloud server 500 as a core by using the existing medical instrument management subsystems with different geographical positions, so that the tracing of the external medical instruments is possible among different medical institutions. In the invention, the cloud server 500 is taken as a core, and different sorting subsystems are arranged in a medical institution, so that the identity recognition can be carried out on the external medical instruments, and firstly, the disinfection process of the external medical instruments is simplified, the working strength of medical staff is reduced, the disinfection success rate can be improved, and the infected wind of patients is reduced in order to match the disinfection target service of the external medical instruments through the identity recognition; secondly, the disinfection management information of the external medical instrument in other medical institutions with different geographic positions can be tracked in a targeted manner through identity recognition, the informatization degree of the tracking of the external medical instrument is provided, and the disinfection management information can be read quickly; thirdly, the management work of the medical institution after the external medical instrument is admitted is facilitated through the identity recognition, the disinfection data of the medical institution can be acquired by means of the transfer of the instrument identity information of the medical institution in a discontinuous time mode, the data acquisition of a disinfection data subsystem is facilitated, the integrity of the management data of the external medical instrument in the medical institution is remarkably improved, the integrity of the management information of the external medical instrument which is transferred to the medical institution at different geographic positions and has discontinuous time record of the disinfection data in the whole life cycle is remarkably improved, the disinfection management tracing of the external medical instrument is facilitated, as practices prove that the existing external medical instrument is difficult to enter a medical instrument management system on one hand, most of the external medical instrument adopts paper transfer files, the information is incomplete and easy to lose, and the tracing difficulty is brought to the external medical instrument, on the other hand, the types and the large amount of management data required by the external medical apparatus based on the fluidity of the external medical apparatus in the whole life cycle are large, and the management data need to be strictly controlled, which brings a plurality of obstacles for the management and the tracing of the external medical apparatus. In the invention, different management sub-terminals are arranged on the external medical instruments according to different flowing mechanisms of the external medical instruments, and each medical institution has a specialized team to collect and arrange data by using the management sub-terminal (the disinfection management subsystem 300) when the medical institution is used, so that the information can be completely collected and fused in the flowing process and the using process of the external medical instruments according to different geographical positions and discontinuous time modes in the whole life cycle of the medical institutions. The cloud server 500 is used as an intermediate device, so that management of external medical instruments can flow among medical institutions with competitive relations, the medical institutions using the medical instruments at the later stage can backtrack management information of the medical instruments used at the earlier stage, and the tracing difficulty of the external medical instruments caused by the competitive relations is greatly reduced; secondly, the information processing capacity and the storage capacity of each sub-terminal are limited, and the cloud server 500 can be used as another alternative for storing information of external medical instruments. The tracing scheme effectively reduces the management difficulty of suppliers, improves the informatization degree of medical institutions on the management of external medical instruments, reduces the operation difficulty of each institution, and is beneficial to the integrity of the management information of the whole life cycle of the external medical instruments.
Preferably, sterilization management subsystem 300 is capable of establishing an association of an alien medical instrument with a sterilization target service. The disinfection target business mainly refers to tasks needing to be completed and processes needing to be performed after the external medical instruments are admitted, such as how to disinfect the external medical instruments, disinfection parameters and disinfection equipment. Thus, in the case where the medical institution executes the sterilization target business, the sterilization management information in accordance with the sterilization target business can be generated. For example, during the execution of a disinfection process, the disinfection data acquisition subsystem 100 is required to perform data acquisition on the process in order to generate disinfection management information that is compatible with the disinfection process. Sorting subsystem 600 includes a first identifier disposed at a receiving department of a medical facility. The first recognizer can be a code scanning recognizer or a radio frequency recognizer and is used for recognizing the apparatus identity information of the external medical apparatus before the medical apparatus is admitted. The device identification information serves as a sign of admission of the external medical device, which can reflect information of a supplier of the external medical device, production time, and the like. In the case that the disinfection management subsystem 300 successfully authenticates that the first identifier obtains the instrument identity information, the disinfection management subsystem 300 sends the identity information to the cloud server 500. The cloud server 500 matches out the disinfection target service of the external medical instrument in the hospital from the supplier management information based on the instrument identity information and pushes the disinfection target service to the disinfection management subsystem 300. The sterilization target business of the foreign medical instruments in the hospital may be a mode originally defined by the supplier and uploaded to the cloud server 500, such as a sterilization method to which it is applied, how to sterilize (sterilization apparatus, sterilization parameters, sterilization time), and a flow sequence between each sterilization target sub-business, etc. The sterilization management subsystem 300 is capable of forming at least an identification code of the hospital where the foreign medical instrument is located in the form of an electronic tag. Moreover, the disinfection management subsystem 300 can push the target business to a disinfection organization in a hospital in a manner of disassembling the target business into a plurality of disinfection target sub-businesses. According to the mode, on the premise that the external medical apparatus performs identity authentication when being admitted, the disinfection management subsystem 300 sends a request to the cloud server 500 to acquire the disinfection target service of the external medical apparatus in the hospital and can provide an identification code for the target service in the form of an electronic tag, so that medical staff can conveniently perform discontinuous disinfection target sub-service on the external medical apparatus in the hospital and manage the external medical apparatus through the identification code, the technical problems that disinfection operation flows are missed due to discontinuous time between disinfection services, disinfection management information is incomplete and disinfection filling tables are large due to the fact that the external medical apparatus is managed in a comprehensive mode by the original regulation and regulation are effectively solved, the use and management situations of the external medical apparatus in the hospital can be completely recorded while the occurrence of infection of the external medical apparatus of a patient is reduced or even avoided, the electronic tag is used for effectively and individually improving the informatization degree of the disinfection management of the external medical instruments.
Preferably, the disinfection data acquisition subsystem 100 is provided with a second identifier at a different department in a manner that enables identification of the identification code. The identification code may be a two-dimensional code or a bar code. The second identifier may be at least one of a radio frequency identifier, an image identifier, and the like. The second recognizer recognizes the identification code at least twice, and is mainly used for recording the residence time of the medical foreign instrument in a department. And the reading module is used for reading the target sub-business corresponding to the identification code when the external medical instrument enters the disinfection mechanism at least once. For example, a foreign medical instrument enters the CSSD center, the second identifier reads the identification code, and the sterilization management subsystem 300 displays the sterilization target sub-service of the foreign medical instrument at the CSSD center. At least once for use when a foreign medical instrument leaves the department, for writing disinfection data corresponding to the identification code to disinfection management subsystem 300. For example, the external medical device leaves the CSSD center, the second identifier reads the identification code, and the data acquisition subsystem 100 writes the sterilization data, such as the sterilization duration, the sterilization parameters, and the like, corresponding to the sterilization target sub-service into the sterilization management subsystem 300. The second recognizer has recognizer identity information mutually matched with the identification code. The system is mainly used for presenting the target sub-business corresponding to the identification code in at least one of video, characters, pictures and forms by the disinfection management subsystem 300 under the condition that the second identifier identifies the identification code and the identifier identity information are matched with each other. For example, the sterilization management subsystem 300 can display in video form a sterilization process, and/or a packaging process for the foreign logistics equipment. The videos are transmitted from the cloud server 500, so that the fifth generation mobile communication technology is particularly preferably adopted by the cloud server 500 and the disinfection management subsystem, the transmission speed of the videos can be effectively improved, the transmission of the ultra-high definition videos is facilitated, and the use of the external medical instrument by a user is facilitated. And, the sterilization data collection subsystem 100 located at different sterilization institutions can collect the sterilization data with discontinuous time according to the target sub-service, so that the sterilization management subsystem 300 can combine the sterilization data with discontinuous time into the sterilization management information. Since the external medical instruments are external devices, most medical staff of the medical institution need to master the operation essentials in a short time, and therefore, the mode of the invention can also carry out remote teaching and tutoring, for example, only a supplier needs to upload special teaching videos, pictures and the like of the external medical instruments to the cloud server 500, and then staff of the medical institution can download the teaching videos, pictures and the like corresponding to the identification codes for short-time learning through the request of the identification codes, so that the invention can effectively save teaching and human resources of the supplier while managing the external medical instruments.
Preferably, disinfection management subsystem 300 is located at various disinfection facilities in the hospital in a manner that enables management information to be displayed. That is, each disinfection agency provided with the disinfection management subsystem 300 can refer to the disinfection management information of the external medical instrument based on the request for access to the cloud server 500. The sorting subsystem 600 includes a third identifier disposed in a different department for identifying the device identity information of the external medical device. The third identifier may be at least one of a radio frequency identifier and an image identifier. The sterilization management subsystem 300 is capable of displaying sterilization management information for other medical facilities of the foreign medical instrument to which it uniquely fits in response to the instrument identity information obtained by the identifier. Based on the scan recognition of the third recognizer, the sterilization management subsystem 300 makes a request for accessing the cloud server 500, and the cloud server 500 transmits sterilization management information of the foreign medical instrument, which is fitted with the instrument identity information, to the sterilization management subsystem 300. Therefore, when the worker performs at least one of clicking, voice and touch input modes, the disinfection management subsystem 300 can display the management information corresponding to the input mode in at least one of texts, images, tables and videos, so that workers in different departments can look up disinfection management information of disinfection mechanisms in different geographic positions matched with the input mode performed by the disinfection management subsystem 300. For example, a worker may click on the "sterilization time" information field through a mouse, and the sterilization management subsystem 300 may display the sterilization management information corresponding to the "sterilization time" on a screen of a computer provided with the sterilization management subsystem 300 in at least one of a text, an image, a table, and a video.
Preferably, sorting subsystem 600 includes a fourth identifier. Which is provided in a transmission room of a medical institution for recognizing the identification code. The sending room is the last department before the external medical apparatus leaves the hospital and is mainly responsible for the work tasks of packaging, leaving and checking, logistics contact and the like of the external medical apparatus. In order to effectively trace back the disinfection management information of the external medical instruments in the hospital, the fourth recognizer is arranged in the sending room and used for recognizing the identification codes. The sterilization management subsystem 300 sorts the sterilization management information of the external medical instrument in the hospital in response to the fourth recognizer scan identification code, and in the case where the sterilization management information and the sterilization target service are collated with each other, the sterilization management subsystem 300 uploads the sterilization management information acquired discontinuously in time by the data acquisition subsystem 100 to the cloud server 500. In this way, the invention also has the following advantages: 1. the medical institution can conveniently find out whether the illegal operation conditions such as the leakage of the disinfection process or the leakage of the disinfection task exist in the hospital or not, and the hospital can be corrected and managed in time; 2. if the hospital is confirmed to be in accordance with all the disinfection target services displayed on the identification code and the disinfection management information corresponding to the target services is completely recorded, the staff in the sending room can upload the disinfection management information used in the hospital to the cloud server 500 under the condition of discontinuous time, and since the external medical instruments generally stay in the hospital for a certain time, and if the time is short, the time is three or five days long, the time is half a month or more, according to the mode, the cloud server 500 does not have the update information of the external medical instruments after the external instruments are admitted, and only interacts with the historical information of the disinfection management subsystem 300, so that the operation amount of the cloud server 500 is greatly reduced.
Preferably, according to the system, the invention also provides a disinfection management and tracing method of the foreign medical apparatus based on the cloud server.
Example 2
A further supplement to this embodiment or an alternative to the technical solution.
Preferably, the system further includes a supplier data collection subsystem 200 and a supplier subsystem communicatively coupled thereto.
A supplier data collection subsystem 200 for collecting extramural data of the foreign medical instrument outside the hospital. The extramural data at least comprise basic attributes of the external medical instruments, supplier delivery data, supplier supply data, logistics agency transfer data, extramural fault data and the like. The basic attributes of the foreign medical device include use, place of origin, instructions for use, instructions for sterilization, instructions for transfer, instructions for packaging, and the like.
A supplier management subsystem 400, which is located at the supplier and/or logistics agency. Preferably, the vendor management subsystem 400 may be an enterprise management platform that employs existing EPRs. The system is mainly used for extramural tracing management of the external medical apparatus outside the medical institution, and can generate extramural supplier management information of the external medical apparatus based on the second usage data. The supplier management information at least comprises supplier supply information and logistics transfer information. For example, the supplier supply information includes production information, instruction information, daily maintenance information, and the like of the external medical instrument. The logistics transfer information comprises packaging information, freight transportation time information and the like.
Preferably, the provider management subsystem 400 can upload the instrument identity information of the foreign medical instrument and the sterilization target business corresponding thereto to the cloud server 500 in an associated manner, so that the cloud server 500 can push the sterilization target business to the sterilization management subsystem 300 of the medical institution in response to a request of the medical institution located at a different geographical location.
Preferably, the cloud server 500 includes a sterilization management operation module and a supplier management operation module independent from each other. The cloud server 500 dynamically updates the sterilization management information and/or the supplier management information, and once new sterilization management information and/or supplier management information is input to the cloud server 500, the cloud server 500 updates the sterilization management information and/or the supplier management information stored in the cloud server 500 as follows: the disinfection management operation module and the supplier management operation module can respectively fuse the disinfection management information and the supplier management information according to a cluster analysis method. Specifically, it is preferable that the disinfection management arithmetic module establishes a wireless communication connection (such as 4G) with the disinfection management subsystem 300, so that the cloud server 500 can update at least the disinfection management information and the disinfection history management information in a manner of merging the disinfection management information with the disinfection history management information when receiving the disinfection management information transmitted by the disinfection management subsystem 300 of the medical institution having different geographical locations in a time-discontinuous manner. Preferably, the provider management operation module establishes a wireless communication connection (e.g., 4G, etc.) with the provider management subsystem, so that the cloud server 500 can update at least in a manner of merging the provider management information with the provider history management information when receiving the provider management information transmitted by the provider management subsystem. Moreover, the cloud server 500 pushes the disinfection management information that can be dynamically updated by the disinfection management arithmetic module and the provider management information that can be dynamically updated by the provider management arithmetic module to the medical institution and/or the provider together in response to the request of the provider and/or the request of the medical institution, so that the medical institution and/or the provider can classify and dynamically trace the management information of the foreign medical instrument. In the whole life cycle of the external medical instrument, the disinfection management information has the characteristics of complexity, diversity, large data volume and the like compared with the supplier management information, so that the disinfection management information can be effectively managed and tracked in the whole life cycle of the external medical instrument, the cloud server 500 is respectively provided with two independent operation modules for dynamically updating the disinfection management information and the supplier management information, and the disinfection management information is intensively dynamically tracked and recorded, so that the flow characteristics of the external medical instrument are met.
Preferably, cloud server 500 receives disinfection management information for disinfection management subsystem 300 in different geographic locations, which may employ cluster analysis to categorize and fuse disinfection management information and/or supplier management information. For example, it can perform in-hospital management information fusion using a medical institution as a keyword. For example, it may be used to store classified storage by intrinsic properties according to the type of the foreign medical instrument. And as another example, the usage statistics of the foreign instruments can be performed by taking the usage frequency as a key word.
Example 3
The invention can also provide a sterilization management and traceability system for foreign medical instruments according to the same concept as the embodiment 1 and/or 2.
The sterilization management and tracing system at least comprises:
a sorting subsystem 600 for identifying instrument identity information of the foreign medical instrument, the instrument identity information being usable by the cloud server 500 to match a sterilization target transaction of the foreign medical instrument;
a sterilization data acquisition subsystem capable of acquiring sterilization data of an external medical instrument upon sterilization based on a sterilization target service;
a sterilization management subsystem, which is disposed in a medical institution and is capable of generating sterilization management information of an external medical instrument during sterilization by associating a sterilization target service with sterilization data corresponding thereto;
the cloud server 500 is in communication connection with the sterilization management subsystem, and is used for combining the sterilization management information to form sterilization tracing information of the external medical instruments and storing corresponding relations between the external medical instruments and the target business;
the sterilization management subsystem is respectively arranged in at least two medical institutions with different geographical positions and is used for performing in-hospital sterilization tracing management on external medical instruments of different medical institutions;
the cloud server 500 has at least one input interface and at least one output interface, wherein the at least one input interface is used for being in communication connection with a corresponding sterilization management subsystem, and the at least one output interface is used for being in communication connection with a corresponding sterilization management subsystem, so that the cloud server 500 can combine sterilization management information which is provided with sterilization management subsystems of medical institutions with discontinuous time and different geographical positions from each other and corresponds to a sterilization target business to form a traceability network of sterilization traceability information of external medical instruments in the whole life cycle, so that in the case that at least one of the sterilization management subsystems uploads the sterilization management information to the cloud server 500, another one or more sterilization management subsystems with different geographical positions from the one sterilization management subsystem can obtain the sterilization management information, so that the medical institution of the another one or more sterilization management subsystems can refer to the external medical instruments based on the traceability network And sterilization tracing information consisting of sterilization management information of sterilization management subsystems of medical institutions in which the machines are not continuous in time and are geographically different from each other.
Example 4
The present invention can also provide an information sharing system of a vendor's external device according to the same concept as one or a combination of the embodiments 1, 2 and/or.
The information sharing system at least comprises:
a sorting subsystem 600 for identifying device identity information of the foreign device, which can be used for the cloud server 500 to match a target service of the foreign device.
And the data acquisition subsystem can acquire the use data of the foreign device during use based on the target service.
And a management subsystem, disposed in the client institution, capable of generating in-use management information for the foreign device in accordance with the association of the target service with the usage data corresponding thereto.
And the cloud server 500 is in communication connection with the management subsystem, and is used for combining the management information to form tracing information of the external device and storing a corresponding relation between the external device and the target service.
The management subsystems are respectively arranged in at least two client institutions with different geographic positions and are used for carrying out intra-institution use tracing management on external equipment of different client institutions.
The cloud server 500 has at least one input interface and at least one output interface, wherein the at least one input interface is used for being in communication connection with a corresponding management subsystem, and the at least one output interface is used for being in communication connection with a corresponding management subsystem, so that the cloud server 500 can combine management information which is provided with management subsystems of client institutions with discontinuous time and different geographic positions from each other and corresponds to a target service to form a traceability network of traceability information of the foreign device in the whole life cycle, so that in the case that at least one of the management subsystems uploads the management information to the cloud server 500, another or another plurality of management subsystems with different geographic positions from the management subsystem can obtain the management information, so that the client institution of the another or another plurality of management subsystems can refer to the management subsystems of the client institutions with discontinuous time and different geographic positions from each other of the foreign device based on the traceability network The management information of (1) is composed of the trace back information.
It should be noted that the above-mentioned embodiments are exemplary, and that those skilled in the art, having benefit of the present disclosure, may devise various arrangements that are within the scope of the present disclosure and that fall within the scope of the invention. It should be understood by those skilled in the art that the present specification and figures are illustrative only and are not limiting upon the claims. The scope of the invention is defined by the claims and their equivalents.
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