Electronic clinical nursing path management system and method

Abstract

The invention relates to an electronic clinical nursing path management system. The electronic clinical nursing path management system comprises a server, a management terminal and a medical care terminal, wherein the server is provided with a database, and patient diagnosis information, medical record information and clinical nursing path templates established based on diagnosis are stored in the database; the medical care terminal is used for acquiring the patient diagnosis information from the database of the server, selecting a matched clinical nursing path template from the database according to the patient diagnosis information to establish an actual clinical nursing path, automatically recording the execution condition, the nursing condition and a result of the actual clinical nursing path, synchronously completing corresponding nursing record and uploading the execution condition the nursing condition, the result and a nursing record form to the server; the management terminal is used for inputting the clinical nursing path template and monitoring and managing the actual clinical nursing path according to the execution condition, the nursing condition and the result. According to the electronic clinical nursing path management system, unified and standardized management for the clinical nursing path is realized, the accurate path execution can be guaranteed, the medical nursing quality is improved and the like.

Description

technical field [0001] The invention relates to the technical field of medical information management, in particular to an electronic clinical nursing path management system and method. Background technique [0002] Clinical care pathway (Clinical Pathway CP) refers to the scientific and chronological "patient care" formulated by "medical, nursing and related professional personnel" for "a certain diagnosis or a certain operation" after the disease diagnosis is confirmed. Based on the existing diagnosis and treatment process, refer to the research results of evidence-based medicine, industrial engineering and quality management disciplines, standardize key diagnosis and treatment activities, measures and time, and provide services to patients based on this. Clinical Nursing Pathway (CNP) is the application of clinical nursing pathway in nursing. [0003] The core of clinical pathway management: 1. Standardized operation: Standardize the key examination, treatment, nursing a...

AI Technical Summary

Problems solved by technology

This method has the following problems: 1. The "execution" of the path is out of touch with the actual benefits of the patient. Although the patient has received the corresponding medical care services, the form often has delayed "execution", missed "execution", or even no "execution" at all. Implementation

2. Unable to use the path to manage nursing behavior

3. The effect after the "execution" of the path cannot be reflected, and the nursing records cannot be completed synchronously

4. Insufficient connotation of path design leads to a high incidence of variation, and the reason for variation is chosen randomly

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