CN-122025056-A - Hemodialysis quality control index visual collaborative management system and method

CN122025056ACN 122025056 ACN122025056 ACN 122025056ACN-122025056-A

Abstract

The invention particularly relates to a hemodialysis quality control index visualization collaborative management system and a hemodialysis quality control index visualization collaborative management method, which relate to the technical field of medical informatization and hemodialysis management. In the invention, three-level judgment early warning logic of a general threshold, an individual historical trend and a doctor customized threshold is constructed, the patient index change trend is analyzed by combining a linear regression algorithm, the judgment result is corrected, the problem of traditional fixed threshold early warning is solved, the quality control index early warning accuracy is improved, and the personalized management requirements of hemodialysis patients with complications and different dialysis duration can be accurately adapted.

Inventors

ZHOU ZHANGQING
YU JINGJING
ZHANG LI
LI HUILI
Cui Gongzhen
XU FANGYAN
WANG XUEFEN
LIU JIAN
ZHOU SHUYING
SHEN QINHONG
WU SHUYI

Assignees

杭州市西溪医院

Dates

Publication Date: 20260512
Application Date: 20260203

Claims (9)

1. The visual collaborative management system of hemodialysis quality control index is characterized by comprising: the system overall architecture and working principle module is configured to adopt cloud cooperation, terminal display and multi-terminal linkage architecture, and the hospital HDMS system pushes laboratory indexes to a cloud platform through an encryption interface, converts the laboratory indexes into color instructions, sends the color instructions to an intelligent bracelet and synchronizes a medical care terminal; The intelligent bracelet module special for the core hardware is configured to form flexible closed loop equipment, integrates display, touch control and vibration functions, receives cloud color instructions and displays, supports long-time press triggering voice broadcasting, and has the functions of index visualization, internal fistula physical warning and patient identification; The data processing and mapping logic module is configured to convert the original index into personalized color early warning through universal threshold judgment, individual historical trend analysis and doctor customization rules by the cloud platform rule engine; And the collaborative management platform module is configured to comprise a multi-terminal linkage software system of a doctor terminal, a nurse terminal and a patient terminal, so that doctor-patient collaborative management is realized.
2. The hemodialysis quality control index visualization collaborative management system according to claim 1, wherein the system overall architecture and working principle module specifically comprises: The core data source comes from a hospital hemodialysis management system, a clinical laboratory LIS system and an electronic medical record EMR system The extended data source is from: associating patient dialysis treatment compliance data; supporting to access the data of the blood glucose meter and the body weight scale equipment used by the patient, and supplementing blood glucose and body weight change association indexes; Cloud service core layer: through a standardized API interface, automatically capturing data of each data source, supporting two modes of real-time pushing and timing pulling, and adapting to data output characteristics of different systems; Scheduling each functional module of the cloud platform to cooperatively work based on preset rules and real-time events; the load, the interface connection state and the data transmission success rate of the cloud platform server are monitored in real time, an alarm is automatically triggered when an abnormality occurs, and meanwhile, the data before the fault is backed up.
3. The hemodialysis quality control index visualization collaborative management system according to claim 2, further comprising a terminal interaction layer: the hardware terminal is a special intelligent bracelet; the software terminal comprises a doctor-side Web/mobile-side application, a nurse-side mobile-side application and a patient-side smart mobile phone APP; And the feedback mechanism is used for returning the operation data of each terminal to the cloud platform in real time and updating the system state.
4. The hemodialysis quality control index visualization collaborative management system according to claim 1, characterized in that the core hardware dedicated smart bracelet module specifically comprises: the 5 independent electronic buttons are uniformly distributed along the circular ring, and a multicolor LED lattice screen and a micro-touch sensor are arranged in the electronic buttons; Each button uniquely corresponds to a core quality control index, and the surface of the button is engraved with index abbreviations by laser; The intelligent alarm system is characterized in that a triaxial acceleration sensor is arranged in the intelligent alarm system, when a patient falls, vibration alarm is automatically triggered, and alarm information is pushed to a mobile phone APP of the patient through Bluetooth, and the APP can be associated with an emergency contact person; And the resting heart rate of the patient is monitored in real time, and when the heart rate exceeds a preset range, the corresponding heart rate auxiliary button displays yellow early warning.
5. The hemodialysis control indicia visualization co-management system of claim 4, further comprising: After the cloud platform issues a color instruction, the corresponding button LED screen is lightened in real time and continuously displayed until the next index update; The patient presses certain index button for a long time, triggers vibration feedback, and the bracelet requests detailed data to the cloud platform through Bluetooth/Wi-Fi, and synchronously pushes the detailed data to a mobile phone APP, and the APP broadcasts in a voice mode.
6. The visual collaborative management system for hemodialysis control indicators according to claim 1, wherein the data processing and mapping logic module specifically comprises: automatically removing abnormal data, and performing secondary verification with an LIS system, if the abnormal data is true data, marking the abnormal data to be rechecked, and reminding a doctor of manual confirmation; Unifying index units of different data sources; Three-stage decision logic: A universal threshold reference layer, setting a basic threshold as an initial judgment basis; The individual historical trend layer is used for calling index data of the patient for 3-6 months, and analyzing the change trend through a linear regression algorithm; and the individuation target layer is that a doctor sets a customized threshold value for a specific patient through a management background, the priority is higher than a general threshold value and trend judgment, and the management requirement of a specific case is met.
7. The visual collaborative management system for hemodialysis control indicators according to claim 1, wherein the collaborative management platform module specifically comprises: the doctor side application comprises a patient management workbench, a threshold value and rule configuration function, a clinical coordination function and a quality control statistics function; the nurse terminal application comprises a task management center, a follow-up visit and record function and a knowledge base function; The patient side APP comprises an index visualization module, a personalized guidance module, an interaction and support module and an emergency help function.
8. The hemodialysis quality control index visualization collaborative management system according to claim 1, further comprising: the safety data communication module is configured to adopt end-to-end encryption transmission, and the cloud end is used for identifying and storing, so that the safety and privacy of the medical data of the patient are guaranteed.
9. A visual collaborative management method for hemodialysis quality control indexes, the hemodialysis quality control indicator visualization collaborative management system according to any one of claims 1-8, comprising: the method comprises the steps of collecting multi-source medical data and synchronizing the multi-source medical data to a cloud platform through a standardized interface to realize real-time data circulation and adaptation; converting the original index into personalized color early warning based on the universal threshold, the individual trend and the customized rule; the intelligent bracelet receives and displays the color instruction and provides a visual interaction function of tactile feedback and voice broadcasting; by means of the multi-terminal cooperative platform, bidirectional linkage between accurate medical intervention and autonomous patient management is realized; And end-to-end encryption and hierarchical storage are adopted, so that data transmission and storage safety and patient privacy are ensured.

Description

Hemodialysis quality control index visual collaborative management system and method Technical Field The invention relates to the technical field of medical informatization and hemodialysis management, in particular to a hemodialysis quality control index visualization collaborative management system and method. Background The existing hemodialysis quality control management mode has a plurality of technical defects, and the requirements of clinical refined management cannot be met: the medical data has serious data island problem, a hospital hemodialysis management system (HDMS), a laboratory LIS system, an electronic medical record EMR system and the like independently operate, the data formats are not uniform and can not be communicated, the data arrangement and the summarization are required to be manually carried out, and the time and the labor are consumed and human errors are easy to occur; after the quality control index information is circulated and checked, medical staff is required to record manually and inform a patient in a telephone, short message and other modes, the feedback period is long, and early risk intervention cannot be realized; the early warning judging mechanism is single, the existing system only sets a fixed threshold value based on a general industry standard, individual historical index trend, complications, dialysis duration and other personalized factors of a patient are not considered, the early warning accuracy is low, and false warning or false warning is easy to occur; Doctor-patient cooperative management is low in efficiency, the announced and taught and follow-up tasks after quality control indexes are abnormal have no automatic distribution and tracing mechanism, the work arrangement of medical staff is lack of data support, the index states cannot be acquired in real time outside a patient hospital, and the compliance of diet and medicine taking is poor; The quality control index display form is not visual, is presented in a numerical report, is difficult to understand by the elderly, poor eyesight and inconvenient-to-move hemodialysis patients, lacks out-of-hospital portable real-time warning equipment, and cannot realize out-of-hospital integrated management. In addition, the outside monitoring facilities of current hemodialysis patient is mostly the detector of single function, can't link with hospital end system, and lacks the visual design to hemodialysis quality control index, does not consider the exclusive demand of hemodialysis patient such as internal fistula protection, early warning of tumbleing simultaneously, and the practicality and the suitability of equipment are poor. In order to address the above-mentioned drawbacks of the prior art, a hemodialysis quality control index visualization collaborative management system and method are provided to address the above-mentioned problems. Disclosure of Invention The invention aims to solve the problems and provides a hemodialysis quality control index visualization collaborative management system and method. In order to achieve the above purpose, the present invention adopts the following technical scheme: a hemodialysis quality control indicator visualization collaborative management system, comprising: the system overall architecture and working principle module is configured to adopt cloud cooperation, terminal display and multi-terminal linkage architecture, and the hospital HDMS system pushes laboratory indexes to a cloud platform through an encryption interface, converts the laboratory indexes into color instructions, sends the color instructions to an intelligent bracelet and synchronizes a medical care terminal; The intelligent bracelet module special for the core hardware is configured to form flexible closed loop equipment, integrates display, touch control and vibration functions, receives cloud color instructions and displays, supports long-time press triggering voice broadcasting, and has the functions of index visualization, internal fistula physical warning and patient identification; The data processing and mapping logic module is configured to convert the original index into personalized color early warning through universal threshold judgment, individual historical trend analysis and doctor customization rules by the cloud platform rule engine; And the collaborative management platform module is configured to comprise a multi-terminal linkage software system of a doctor terminal, a nurse terminal and a patient terminal, so that doctor-patient collaborative management is realized. Preferably, the system overall architecture and working principle module specifically comprises: The core data source comes from a hospital hemodialysis management system, a clinical laboratory LIS system and an electronic medical record EMR system The extended data source is from: associating patient dialysis treatment compliance data; supporting to access the data of the blood glucose meter and the body weight s