Whole-process intelligent management method and system for nuclear medicine clinical use scene
Through the full-process intelligent management system for clinical use scenarios of nuclear drugs, the full-process automated quality control management of nuclear drugs is realized, the complexity and safety of the management of existing Chinese nuclear drugs is solved, and the accuracy and safety of nuclear drugs are improved. .
Patent Information
- Application Number
- CN202411224270.0
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-09-02
- Publication Date
- 2024-12-17
AI Technical Summary
The existing nuclear drug management technology relies on manual operation and empirical judgment, resulting in complex operations, large errors and poor safety, making it difficult to ensure the accurate control of the injection dose and activity of nuclear drug.
Provide a full-process intelligent management method and system for clinical use scenarios of nuclear drugs, including nuclear drug order management module, quality control management module and drug use management module. Through clock synchronization technology, the full-process automated quality control management is realized to ensure the radioactive activity of nuclear drugs. The degree, properties, pH value and purity meet the standards, and alarm information is issued in a timely manner to prevent inconsistency in information and abnormal activity.
It improves the safety and accuracy of clinical use of nuclear drugs, ensures that the activity of nuclear drugs meets the requirements, matches the type of drug with the patient's diagnosis and treatment items, ensures the effectiveness of diagnostic examinations and the safety of medication, and reduces the calculation error of nuclide decay.
Smart Images
Figure CN119153023A_ABST
Abstract
Description
Technical Field
[0001] The present application relates to the field of nuclear medicine management technology, and in particular to a full-process intelligent management method and system for nuclear medicine clinical use scenarios. Background Art
[0002] Nuclear medicine is a department that uses drugs labeled with radioactive nuclides to diagnose and treat diseases. It is a comprehensive department that integrates imaging, treatment, scientific research and teaching. It is a rapidly developing emerging discipline. It is the product of the combination of modern science and technology such as nuclear technology, electronic technology, computer technology, chemistry, physics and biology with medicine. With the rapid development of nuclear medicine, nuclear medicine has played an important role in the diagnosis and treatment of various diseases. The accurate control of the injection dose and activity of nuclear medicine is crucial to ensure the diagnosis and treatment effect and patient safety. However, in the current technology, the variety and activity control of nuclear medicine mostly rely on manual operation and experience judgment, and there are problems such as complex operation, large errors, and poor safety. Summary of the invention
[0003] The purpose of this application is to provide a full-process intelligent management method and system for nuclear medicine clinical use scenarios, thereby improving the safety and accuracy of nuclear medicine clinical use.
[0004] To achieve the above objectives, this application provides the following solutions:
[0005] In the first aspect, the present application provides a full-process intelligent management system for nuclear medicine clinical use scenarios, including: nuclear medicine order management module, nuclear medicine quality control management module, medication management module and alarm management module;
[0006] The nuclear medicine order management module is used to generate nuclear medicine orders according to patient test items;
[0007] The nuclear medicine quality control management module is used to record the test information of the nuclear medicine produced through the nuclear medicine order, and put the nuclear medicine into storage after the nuclear medicine is judged to be qualified according to the test information; the test information includes the radioactivity determination, property inspection, pH value inspection and radiochemical purity determination of the nuclear medicine;
[0008] The medication management module is used to determine the information of nuclear medicines to be collected based on the patient's examination items, and obtain the information of nuclear medicines that have been collected by scanning the drug information code of the nuclear medicines that have been collected, and judge whether the information of nuclear medicines to be collected is consistent with the information of nuclear medicines that have been collected. If they are inconsistent, an alarm message of inconsistent nuclear medicine information is issued through the alarm management module; the full-process intelligent management system for nuclear medicine clinical use scenarios adopts clock synchronization to unify time.
[0009] Optionally, the nuclear medicine order management module includes an outsourced nuclear medicine order management unit;
[0010] The outsourced nuclear medicine order management unit is used to generate a nuclear medicine order based on the patient's test items and send the nuclear medicine order to the target pharmaceutical factory. The outsourced nuclear medicine order management unit is also used to scan the handover form information code on the nuclear medicine packaging to obtain the handover form information when the target pharmaceutical factory hands over the produced nuclear medicine, and compare the handover form information with the corresponding information on the nuclear medicine order. If the information is inconsistent, an alarm message of abnormal handover nuclear medicine information is issued through the alarm management module.
[0011] Optionally, the nuclear medicine order management module further includes a self-made nuclear medicine order management unit;
[0012] The homemade nuclear medicine order management unit is used to generate a nuclear medicine order based on the patient's test items and send the nuclear medicine order to the nuclear medicine production group. The homemade nuclear medicine order management unit is also used to perform time calibration after the nuclear medicine production group produces the nuclear medicine to obtain the calibration time, and update the calibration time to the nuclear medicine information code, and attach the updated nuclear medicine information code to the outer packaging of the nuclear medicine.
[0013] Optionally, the nuclear medicine quality control management module includes an outsourced nuclear medicine quality control management unit;
[0014] The outsourced nuclear medicine quality control management unit is used to record the inspection results of the nuclear medicine produced by the target pharmaceutical factory, and the inspection items of the nuclear medicine produced by the target pharmaceutical factory include radioactivity inspection;
[0015] The purchased nuclear medicine quality control management unit is also used to compare the actual radioactive activity in the random inspection results with the calibrated activity of the nuclear medicine when it leaves the factory to obtain the radioactive activity error. If the radioactive activity error is within the set activity error range, the corresponding nuclear medicine is judged to be qualified in quality control. If the radioactive activity error is not within the set activity error range, an abnormal alarm for the quality control of the purchased nuclear medicine is issued through the alarm management module; the calibrated activity of the nuclear medicine when it leaves the factory is obtained through the nuclear medicine information code of the nuclear medicine.
[0016] Optionally, the nuclear medicine quality control management module includes a self-made nuclear medicine quality control management unit;
[0017] The self-made nuclear medicine quality control management unit is used to record the inspection results of the nuclear medicine produced by the nuclear medicine production group. The inspection items for the nuclear medicine produced by the nuclear medicine production group include property inspection, pH value inspection, radiochemical purity inspection and radioactivity inspection;
[0018] The homemade nuclear medicine quality control management unit is also used to determine that the nuclear medicine produced by the nuclear medicine production group is qualified when the inspection results of the property inspection, the inspection results of the pH value inspection, the inspection results of the radiochemical purity inspection and the inspection results of the radioactivity inspection are all qualified; when the inspection result of the property inspection is abnormal in appearance, or when the actual pH value in the inspection result of the pH value inspection is not within the set pH value range, or when the actual radiochemical purity in the inspection result of the radiochemical purity inspection is not within the set purity range, or when the radioactivity error obtained by comparing the actual radioactivity in the inspection result of the radioactivity inspection with the calibrated activity when the nuclear medicine leaves the factory is not within the set activity error range, then an abnormal quality control alarm of the homemade nuclear medicine is issued through the alarm management module.
[0019] Optionally, the medication management module is also used to perform radioactive activity detection on the received nuclear medicine to obtain the actual activity of the current nuclear medicine. If the activity error between the actual activity of the current nuclear medicine and the calibrated activity is not within the set activity error range, an abnormal alarm of the current nuclear medicine activity is issued through the alarm management module.
[0020] Optionally, in terms of performing radioactivity detection on the received nuclear medicine to obtain the actual activity of the current nuclear medicine, the medicine management module is specifically used to:
[0021] The actual activity of the current nuclear medicine is automatically calculated based on the calibration time and calibration activity of the received nuclear medicine through the half-life of the corresponding nuclide, or the actual activity of the current nuclear medicine is obtained by using an activity meter to check the radioactive activity of the received nuclear medicine.
[0022] Optionally, the medication management module is also used to determine the remaining nuclear medicine activity after the patient is injected with nuclear medicine, and record the remaining nuclear medicine activity, calculate the actual activity of the patient's medication based on the nuclear medicine activity before the patient's nuclear medicine injection and the remaining nuclear medicine activity after the injection, and record the actual activity of the patient's medication.
[0023] Optionally, the nuclear medicine information code is encrypted coded information, and the information represented by the nuclear medicine information code includes drug code, drug name, calibration time, calibration activity, manufacturer, inspection items, injection activity, error threshold and nuclide half-life, and the inspection items are SPECT inspection or PET inspection items corresponding to the nuclear medicine;
[0024] The handover form information code is encrypted coded information, and the information represented by the handover form information code includes the drug name, calibration time, calibration activity and shipment quantity.
[0025] In the second aspect, the present application provides a full-process intelligent management method for nuclear medicine clinical use scenarios, the full-process intelligent management method for nuclear medicine clinical use scenarios applies the full-process intelligent management system for nuclear medicine clinical use scenarios, and the full-process intelligent management method for nuclear medicine clinical use scenarios includes:
[0026] The nuclear medicine order management module generates nuclear medicine orders based on patient test items;
[0027] The nuclear medicine quality control management module records the test information of the nuclear medicine produced through the nuclear medicine order, and puts the nuclear medicine into storage after the nuclear medicine is determined to be qualified according to the test information; the test information includes the radioactivity determination, property inspection, pH value inspection and radiochemical purity determination of the nuclear medicine;
[0028] The medication management module determines the information of nuclear medicines to be collected based on the patient's examination items, and obtains the information of nuclear medicines that have been collected by scanning the drug information codes of the nuclear medicines that have been collected, and determines whether the information of nuclear medicines to be collected is consistent with the information of nuclear medicines that have been collected. If they are inconsistent, an alarm message of inconsistent nuclear medicine information is issued through the alarm management module.
[0029] According to the specific embodiments provided in this application, this application discloses the following technical effects:
[0030] The present application provides a full-process intelligent management method and system for nuclear medicine clinical use scenarios. Nuclear medicine orders are generated according to patient test items through the nuclear medicine order management module, radioactive activity detection is recorded through the nuclear medicine quality control management module, and the information of nuclear medicines to be received and the information of nuclear medicines already received are compared through the medication management module to determine whether they are consistent. This achieves standardized and systematic management of the clinical use of nuclear medicines, combines clock synchronization technology to achieve time unification of various functional modules, improves the safety and accuracy of the clinical use of nuclear medicines, and can ensure that the activity of nuclear medicines meets the requirements when used, and that the drug type matches the patient's diagnosis and treatment items, thereby ensuring the effectiveness of diagnostic examinations and the safety of medication. BRIEF DESCRIPTION OF THE DRAWINGS
[0031] In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings required for use in the embodiments will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.
[0032] Figure 1 A schematic diagram of the functional modules of a full-process intelligent management system for nuclear medicine clinical use scenarios provided in one embodiment of the present application;
[0033] Figure 2A schematic diagram of the workflow of a full-process intelligent management system for nuclear medicine clinical use scenarios provided in one embodiment of the present application;
[0034] Figure 3 A flowchart of a method for intelligent management of the entire process of nuclear medicine clinical use scenarios provided in one embodiment of the present application. DETAILED DESCRIPTION
[0035] The following will be combined with the drawings in the embodiments of the present application to clearly and completely describe the technical solutions in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of this application.
[0036] In order to make the above-mentioned objects, features and advantages of the present application more obvious and easy to understand, the present application is further described in detail below with reference to the accompanying drawings and specific implementation methods.
[0037] This application provides a full-process intelligent management system for nuclear medicine clinical use scenarios, such as Figure 1 As shown, a full-process intelligent management system for nuclear medicine clinical use scenarios includes: a nuclear medicine order management module, a nuclear medicine quality control management module, a medication management module and an alarm management module.
[0038] The nuclear medicine order management module is used to generate nuclear medicine orders according to patient test items.
[0039] The nuclear medicine quality control management module is used to record the test information of the nuclear medicine produced through the nuclear medicine order and to put the nuclear medicine into storage after the nuclear medicine is determined to be qualified according to the test information.
[0040] The medication management module is used to determine the information of nuclear medicines to be collected based on the patient's examination items, and obtain the information of nuclear medicines that have been collected by scanning the drug information code of the nuclear medicines that have been collected, and judge whether the information of nuclear medicines to be collected is consistent with the information of nuclear medicines that have been collected. If they are inconsistent, an alarm message of inconsistent nuclear medicine information is issued through the alarm management module; the full-process intelligent management system for nuclear medicine clinical use scenarios adopts clock synchronization to unify time.
[0041] This application combines clock synchronization technology and full-process quality control management of nuclear medicine production, handover, sampling, and use. Through full-process clock synchronization management and full-process automated quality control management, it ensures that the activity of nuclear medicine meets the requirements when used, and that the drug type matches the patient's diagnosis and treatment items, thereby ensuring the effectiveness of diagnostic examinations and the safety of medication.
[0042] Nuclear medicine orders include orders for purchased nuclear medicine and orders for self-made nuclear medicine. The order process for purchased nuclear medicine involves external network order requests, delivery of purchased nuclear medicine, etc. Self-made nuclear medicine order information will be automatically transmitted to the production system through the internal network.
[0043] This application is a full-process intelligent management system for nuclear medicine clinical use scenarios. It automatically synchronizes patient appointment and examination item information with other hospital information systems, such as the Hospital Information System (HIS), the nuclear medicine department report system, and the nuclear medicine department appointment system. Figure 2 This application system queries the nuclear medicine information used for the corresponding inspection items according to the scheduled inspection items, and generates the purchased nuclear medicine order and the self-made nuclear medicine order respectively according to the nuclear medicine information.
[0044] like Figure 2 As shown, the nuclear medicine quality control management module is used in the nuclear medicine quality control link, and performs quality control management on purchased nuclear medicines and self-made nuclear medicines respectively. According to different nuclear medicine quality control specifications, the produced nuclear medicines are tested in the quality control link to see if they are qualified, thereby ensuring the safety of patients' medication.
[0045] The medication management module is used to manage the use of nuclear medicines by patients, ensure the safety of patients' medication through professional detection tools and multiple error-proofing mechanisms, and generate operation records.
[0046] Alarm management is used to issue alarms for abnormal situations that occur in nuclear medicine order management, nuclear medicine quality control management, and medication management, and provide processing procedures.
[0047] The present application provides a full-process intelligent management system for nuclear medicine clinical use scenarios, which also includes a report management module, which is used to provide data display, data analysis, and statistical reports on the system's full-process quality control management results.
[0048] The nuclear medicine order management module includes an outsourced nuclear medicine order management unit.
[0049] The outsourced nuclear medicine order management unit is used to generate a nuclear medicine order based on the patient's test items and send the nuclear medicine order to the target pharmaceutical factory. The outsourced nuclear medicine order management unit is also used to scan the handover form information code on the nuclear medicine packaging to obtain the handover form information when the target pharmaceutical factory hands over the produced nuclear medicine, and compare the handover form information with the corresponding information on the nuclear medicine order. If the information is inconsistent, an alarm message of abnormal handover nuclear medicine information is issued through the alarm management module.
[0050] The nuclear medicine order management module also includes a self-made nuclear medicine order management unit.
[0051] The homemade nuclear medicine order management unit is used to generate a nuclear medicine order based on the patient's test items and send the nuclear medicine order to the nuclear medicine production group. The homemade nuclear medicine order management unit is also used to perform time calibration after the nuclear medicine production group produces the nuclear medicine to obtain the calibration time, and update the calibration time to the nuclear medicine information code, and attach the updated nuclear medicine information code to the outer packaging of the nuclear medicine.
[0052] In an exemplary embodiment, in the process of purchasing nuclear medicine orders, the present application of a full-process intelligent management system for nuclear medicine clinical use scenarios (the present application system) generates a nuclear medicine information code and sends the corresponding nuclear medicine order information to the corresponding pharmaceutical factory. After the pharmaceutical factory receives the nuclear medicine order, it produces the nuclear medicine according to the order information and affixes the printed nuclear medicine information code to the outer packaging of the nuclear medicine. In the nuclear medicine distribution link, the pharmaceutical factory packs the nuclear medicine to be delivered to the hospital, generates the corresponding packaged nuclear medicine handover form information code through the system, and pastes the printed handover form information code on the handover form. The pharmaceutical factory delivers the packaged nuclear medicine to the hospital, and the hospital's nuclear medicine handover personnel scans and identifies the nuclear medicine handover form information code through the present application system, and enters the identified handover form shipping information. The application system compares the handover order information with the outsourced nuclear medicine order information to check whether the handed-over nuclear medicine is consistent with the actual outsourced nuclear medicine information. If the information is consistent, the application system will synchronously update the data to complete the nuclear medicine handover. Otherwise, the alarm management module of the application system will output an abnormal alarm message of the handed-over nuclear medicine information, prompting the hospital nuclear medicine handover personnel to further check the handover information with the actual outsourced order information. Once the information is confirmed, the outsourced nuclear medicine warehousing link is completed.
[0053] In the process of self-made nuclear medicine order, this application system generates nuclear medicine information code and synchronizes the self-made nuclear medicine production order information to the nuclear medicine production group. The nuclear medicine production personnel produce the corresponding nuclear medicine according to the nuclear medicine order information. After the nuclear medicine production is completed, the nuclear medicine production personnel calibrate the nuclear medicine calibration time and print the nuclear medicine information code generated by this application system and attach it to the outer packaging of the nuclear medicine.
[0054] The system of this application uses a built-in clock synchronization method to ensure that the entire process of nuclear medicine, from calibration, handover, quality control, medication, waste disposal, etc., uses unified time information, thereby ensuring that the system can accurately calculate the activity of nuclear medicine at different stages, effectively reducing the calculation error of nuclear medicine nuclide decay, thereby improving the accuracy of clinical use of nuclear medicine.
[0055] Nuclear medicines must undergo nuclear medicine quality control before they are put into storage. The nuclear medicine quality control process is used to confirm whether the quality of the nuclear medicines is qualified. The hospital's nuclear medicine quality control personnel record the results of nuclear medicine quality control through the system and put into storage the nuclear medicines that have passed the quality control.
[0056] The nuclear medicine quality control management module includes an outsourced nuclear medicine quality control management unit.
[0057] The outsourced nuclear medicine quality control management unit is used to record the inspection results of random inspections of the nuclear medicine produced by the target pharmaceutical factory, and the inspection items of the random inspections of the nuclear medicine produced by the target pharmaceutical factory include radioactivity inspections.
[0058] The purchased nuclear medicine quality control management unit is also used to compare the actual radioactive activity in the random inspection results with the calibrated activity of the nuclear medicine when it leaves the factory to obtain the radioactive activity error. If the radioactive activity error is within the set activity error range, the corresponding nuclear medicine is judged to be qualified in quality control. If the radioactive activity error is not within the set activity error range, an abnormal alarm for the quality control of the purchased nuclear medicine is issued through the alarm management module; the calibrated activity of the nuclear medicine when it leaves the factory is obtained through the nuclear medicine information code of the nuclear medicine.
[0059] The nuclear medicine quality control management module includes a self-made nuclear medicine quality control management unit.
[0060] The self-made nuclear medicine quality control management unit is used to record the inspection results of the nuclear medicine produced by the nuclear medicine production group. The inspection items for the nuclear medicine produced by the nuclear medicine production group include property inspection, pH value inspection, radiochemical purity inspection and radioactivity inspection.
[0061] The homemade nuclear medicine quality control management unit is also used to determine that the nuclear medicine produced by the nuclear medicine production group is qualified when the inspection results of the property inspection, the inspection results of the pH value inspection, the inspection results of the radiochemical purity inspection and the inspection results of the radioactivity inspection are all qualified; otherwise, when the inspection result of the property inspection is abnormal in appearance, or when the actual pH value in the inspection result of the pH value inspection is not within the set pH value range, or when the actual radiochemical purity in the inspection result of the radiochemical purity inspection is not within the set purity range, or when the radioactivity error obtained by comparing the actual radioactivity in the inspection result of the radioactivity inspection with the calibrated activity when the nuclear medicine leaves the factory is not within the set activity error range, then the nuclear medicine produced by the nuclear medicine production group is determined to be unqualified, and a homemade nuclear medicine quality control abnormality alarm is issued through the alarm management module.
[0062] The nuclear medicine information code is encrypted coded information. The information represented by the nuclear medicine information code includes drug code, drug name, calibration time, calibration activity, manufacturer, inspection items, injection activity, error threshold and nuclide half-life. The inspection items are SPECT examinations or PET examination items corresponding to the nuclear medicine. The system of the present application can query the detailed information of the nuclear medicine corresponding to the nuclear medicine information code by decoding the drug coding information and the nuclear medicine dictionary database within the system of the present application.
[0063] The handover form information code is encrypted coded information, and the information represented by the handover form information code includes the drug name, calibration time, calibration activity and delivery quantity. The handover form information code is used to represent the delivery nuclear drug list information.
[0064] In an exemplary embodiment, in the quality control link of purchased nuclear medicine, the nuclear medicine quality control personnel conduct sampling and random inspection of the purchased nuclear medicine. Generally, the sampling and random inspection ratio of nuclear medicine is set at about 10%-30%, and the properties such as radioactivity of the sampled nuclear medicine are measured. The nuclear medicine quality control personnel enter the measurement results into the purchased nuclear medicine quality control management unit of the present application system. The present application system compares the activity of the sampled nuclear medicine with the activity of the nuclear medicine leaving the factory. If the activity is consistent or the activity error is within a certain range, the quality control of the purchased nuclear medicine is determined to be qualified, otherwise the quality control of the purchased nuclear medicine is determined to be unqualified. When the quality control of the purchased nuclear medicine fails, the alarm management module of the purchased nuclear medicine quality control management unit system outputs the abnormal alarm information of the quality control of the purchased nuclear medicine sampling.
[0065] In the quality control phase of homemade nuclear medicine, the nuclear medicine quality control personnel conduct quality control inspections on homemade nuclear medicines to determine whether the corresponding nuclear medicine quality control is qualified, and record the quality control results of homemade nuclear medicines in the homemade nuclear medicine quality control management unit. If one of the inspection items in the nuclear medicine quality control inspection items is unqualified, the quality control inspection nuclear medicine is judged to be unqualified, otherwise it is judged to be qualified. The quality control inspection items of homemade nuclear medicines mainly include property inspection, pH value inspection, radiochemical purity inspection, and radioactivity inspection.
[0066] Property inspection: By checking the appearance properties of the nuclear medicine, such as the color of the medicine solution, the presence of precipitation, turbidity, damage, etc., it is determined whether the appearance properties of the nuclear medicine are abnormal. If the drug properties are abnormal, it is judged as unqualified, otherwise it is judged as qualified.
[0067] pH test: Nuclear medicine in solution state has certain requirements for its pH value, that is, acidity and alkalinity. It must be controlled within the range of 5 to 8. If it exceeds the range, the pH test is judged as unqualified, otherwise it is judged as unqualified.
[0068] Radiochemical purity test: If the radiochemical purity of nuclear medicine is greater than 90%, it is considered qualified, otherwise it is considered unqualified.
[0069] The formula for calculating radiochemical purity is:
[0070]
[0071] Radioactivity inspection: The actual radioactivity of the nuclear medicine is measured by a professional measuring tool, an activity meter, and the radioactivity measurement unit is Becquerel (Bq) or Curie (Ci). The actual activity of the nuclear medicine is compared with the calibrated activity. If the activity is consistent or the activity error is within a certain range, the nuclear medicine activity is judged to be qualified, otherwise it is judged to be unqualified. According to the accuracy required by different nuclear medicines, the error range of the nuclear medicine radioactivity measurement can be adjusted.
[0072] The medication management module is also used to perform radioactive activity detection on the received nuclear medicine to obtain the actual activity of the current nuclear medicine. If the activity error between the actual activity of the current nuclear medicine and the calibrated activity is not within the set activity error range, an abnormal alarm of the current nuclear medicine activity is issued through the alarm management module.
[0073] In an exemplary embodiment, the medication management module is also used to scan and identify the patient's personal identity information and automatically identify the patient's examination items. The system of this application queries the nuclear medicine information corresponding to the clinical examination or treatment item based on the nuclear medicine dictionary database, and prompts the nuclear medicine information to medical staff.
[0074] Medical staff collect the corresponding nuclear medicine according to the nuclear medicine information prompted by the system, and scan the drug information code of the nuclear medicine through the system to automatically identify whether the current nuclear medicine is consistent with the patient's medication information. If the nuclear medicine information is inconsistent, the system alarm management module will prompt the medical staff that the nuclear medicine information is inconsistent. The medical staff will collect the nuclear medicine again and verify the nuclear medicine information through the system until the nuclear medicine information matches.
[0075] In terms of conducting radioactive activity detection on the received nuclear medicine to obtain the actual activity of the current nuclear medicine, the drug management module is specifically used to: automatically calculate the actual activity of the current nuclear medicine according to the calibration time and calibration activity of the received nuclear medicine through the half-life of the corresponding nuclide, or use an activity meter to conduct radioactive activity detection on the received nuclear medicine to obtain the actual activity of the current nuclear medicine.
[0076] The medication management module is also used to measure the remaining nuclear medicine activity after the patient is injected with nuclear medicine, and record the remaining nuclear medicine activity, calculate the actual activity of the patient's medication based on the nuclear medicine activity before the patient's nuclear medicine injection and the remaining nuclear medicine activity after the injection, and record the actual activity of the patient's medication.
[0077] In an exemplary embodiment, the actual activity of the current nuclear medicine needs to be measured before the patient takes the medicine. There are two ways of measuring. Method 1 is that the system automatically calculates the current radioactivity of the nuclear medicine through the calibration time of the nuclear medicine and the half-life of the nuclide. Method 2 is to measure the radioactivity of the nuclear medicine through professional measuring tools such as an activity meter.
[0078] After the medical staff scans the drug information code through the system, the system of this application queries the half-life of the corresponding nuclide through the nuclear medicine dictionary database based on the identified nuclear medicine information, and identifies and records the calibration time and calibration activity information of the current nuclear medicine. The system of this application uses method 1 to automatically calculate the actual activity of the current nuclear medicine based on the current calibration time and calibration activity of the nuclear medicine through the half-life of the corresponding nuclide. When the calculated actual activity is inconsistent with the calibration activity, the alarm management module in the system of this application outputs the abnormal alarm information of the current nuclear medicine activity, prompting the medical staff that the current nuclear medicine activity is abnormal, and they can choose to measure the actual activity of the nuclear medicine through method 2.
[0079] Method 2 is adopted to measure the radioactive activity of nuclear medicine using an activity meter, and the actual activity data of the nuclear medicine obtained is entered into the system of this application. The system of this application compares the actual activity of the nuclear medicine measured with the calibrated activity. If the activity is consistent or the activity error is within a certain range, the activity of the nuclear medicine is judged to be normal. Otherwise, the activity of the nuclear medicine is judged to be abnormal. The alarm management module of the system of this application outputs the alarm information of the current abnormal activity of the nuclear medicine, prompting medical staff that the current activity of the nuclear medicine is abnormal.
[0080] After the results of the nuclear medicine activity test are normal, the application system prompts and guides the medical staff to perform the injection process. The medical staff injects the nuclear medicine to the patient according to the system prompts, and enters the operation records such as the completion time of the nuclear medicine injection into the system.
[0081] After the patient completes the nuclear medicine injection, the medical staff can directly measure the remaining nuclear medicine activity after the injection through the activity meter measurement tool, or automatically measure the current remaining nuclear medicine activity through the waste bucket, and record the remaining nuclear medicine activity information into the system, and the system generates a residual nuclear medicine dose record. The system calculates the actual activity data of the current patient's medication based on the nuclear medicine activity before injection and the residual nuclear medicine activity after injection. The system synchronously records the current actual medication activity and outputs the current patient's actual medication activity information through the alarm management module.
[0082] This application realizes the full-process quality control management of nuclear medicine production, handover, quality control, use, waste disposal and other links. Through the whole process, strict quality control management of nuclear medicine is carried out. Key parameters such as dosage, calibration time, and calibration activity of nuclear medicine are controlled and managed in the production, handover, use and disposal of nuclear medicine. Through the whole process clock synchronization management and the whole process automated quality control management, it is ensured that the activity of nuclear medicine meets the requirements when it is used, and the drug type matches the patient's diagnosis and treatment items, so as to ensure the effect of diagnostic examination and the safety of medication. By collecting key process information such as the ordering, preparation, use and waste disposal of nuclear medicine, the department's operational management capabilities and daily safety management capabilities are improved; by building a nuclear medicine full life cycle management system, an information exchange channel between the department's medication and the patient's clinical examination information is established to avoid medical accidents such as nuclear medicine injection errors, break through the department's information islands, and improve the level of informationization, automation, and intelligence of the nuclear medicine department.
[0083] Based on the same inventive concept, the embodiment of the present application also provides a method for intelligent management of the entire process of nuclear medicine clinical use scenarios for realizing the above-mentioned intelligent management system of the entire process of nuclear medicine clinical use scenarios. The implementation scheme for solving the problem provided by the method is similar to the implementation scheme recorded in the above-mentioned system, so the specific limitations in one or more embodiments of the method for intelligent management of the entire process of nuclear medicine clinical use scenarios provided below can be referred to the limitations of the intelligent management system of the entire process of nuclear medicine clinical use scenarios above, and will not be repeated here.
[0084] In an exemplary embodiment, Figure 3 As shown, a full-process intelligent management method for nuclear medicine clinical use scenarios is provided, and the full-process intelligent management method for nuclear medicine clinical use scenarios applies the full-process intelligent management system for nuclear medicine clinical use scenarios, and the full-process intelligent management method for nuclear medicine clinical use scenarios includes:
[0085] Step 101: The nuclear medicine order management module generates a nuclear medicine order according to the patient's test items.
[0086] Step 102: The nuclear medicine quality control management module records the test information of the nuclear medicine produced through the nuclear medicine order, and puts the nuclear medicine into storage after the nuclear medicine is judged to be qualified according to the test information; the test information includes the radioactivity determination, property inspection, pH value inspection and radiochemical purity determination of the nuclear medicine.
[0087] Step 103: The medication management module determines the information of nuclear medicines to be collected based on the patient's examination items, and obtains the information of nuclear medicines that have been collected by scanning the drug information code of the nuclear medicines that have been collected, and determines whether the information of nuclear medicines to be collected is consistent with the information of nuclear medicines that have been collected. If they are inconsistent, an alarm message of inconsistent nuclear medicine information is issued through the alarm management module.
[0088] The technical features of the above embodiments may be combined arbitrarily. To make the description concise, not all possible combinations of the technical features in the above embodiments are described. However, as long as there is no contradiction in the combination of these technical features, they should be considered to be within the scope of this specification.
[0089] This article uses specific examples to illustrate the principles and implementation methods of this application. The description of the above embodiments is only used to help understand the method and core ideas of this application. At the same time, for those skilled in the art, according to the ideas of this application, there will be changes in the specific implementation methods and application scope. In summary, the content of this specification should not be understood as limiting this application.
Claims
1. A full-process intelligent management system for nuclear medicine clinical use scenarios, characterized by: The full-process intelligent management system for nuclear medicine clinical use scenarios includes: nuclear medicine order management module, nuclear medicine quality control management module, medication management module and alarm management module; The nuclear medicine order management module is used to generate nuclear medicine orders according to patient test items; The nuclear medicine quality control management module is used to record the test information of the nuclear medicine produced through the nuclear medicine order, and put the nuclear medicine into storage after the nuclear medicine is judged to be qualified according to the test information; the test information includes the radioactivity determination, property inspection, pH value inspection and radiochemical purity determination of the nuclear medicine; The medication management module is used to determine the information of nuclear medicines to be collected based on the patient's examination items, and obtain the information of nuclear medicines that have been collected by scanning the drug information code of the nuclear medicines that have been collected, and judge whether the information of nuclear medicines to be collected is consistent with the information of nuclear medicines that have been collected. If they are inconsistent, an alarm message of inconsistent nuclear medicine information is issued through the alarm management module; the full-process intelligent management system for nuclear medicine clinical use scenarios adopts clock synchronization to unify time.
2. The whole process intelligent management system for nuclear medicine clinical use scenarios according to claim 1 is characterized in that: The nuclear medicine order management module includes an outsourced nuclear medicine order management unit; The outsourced nuclear medicine order management unit is used to generate a nuclear medicine order based on the patient's test items and send the nuclear medicine order to the target pharmaceutical factory. The outsourced nuclear medicine order management unit is also used to scan the handover form information code on the nuclear medicine packaging to obtain the handover form information when the target pharmaceutical factory hands over the produced nuclear medicine, and compare the handover form information with the corresponding information on the nuclear medicine order. If the information is inconsistent, an alarm message of abnormal handover nuclear medicine information is issued through the alarm management module.
3. The whole process intelligent management system for nuclear medicine clinical use scenarios according to claim 2 is characterized by: The nuclear medicine order management module also includes a self-made nuclear medicine order management unit; The homemade nuclear medicine order management unit is used to generate a nuclear medicine order based on the patient's test items and send the nuclear medicine order to the nuclear medicine production group. The homemade nuclear medicine order management unit is also used to perform time calibration after the nuclear medicine production group produces the nuclear medicine to obtain the calibration time, and update the calibration time to the nuclear medicine information code, and attach the updated nuclear medicine information code to the outer packaging of the nuclear medicine.
4. The whole process intelligent management system for nuclear medicine clinical use scenarios according to claim 2 is characterized in that: The nuclear medicine quality control management module includes an outsourced nuclear medicine quality control management unit; The outsourced nuclear medicine quality control management unit is used to record the inspection results of the nuclear medicine produced by the target pharmaceutical factory, and the inspection items of the nuclear medicine produced by the target pharmaceutical factory include radioactivity inspection; The purchased nuclear medicine quality control management unit is also used to compare the actual radioactive activity in the random inspection results with the calibrated activity of the nuclear medicine when it leaves the factory to obtain the radioactive activity error. If the radioactive activity error is within the set activity error range, the corresponding nuclear medicine is judged to be qualified in quality control. If the radioactive activity error is not within the set activity error range, an abnormal alarm for the quality control of the purchased nuclear medicine is issued through the alarm management module; the calibrated activity of the nuclear medicine when it leaves the factory is obtained through the nuclear medicine information code of the nuclear medicine.
5. The whole process intelligent management system for nuclear medicine clinical use scenarios according to claim 3 is characterized by: The nuclear medicine quality control management module includes a self-made nuclear medicine quality control management unit; The self-made nuclear medicine quality control management unit is used to record the inspection results of the nuclear medicine produced by the nuclear medicine production group. The inspection items for the nuclear medicine produced by the nuclear medicine production group include property inspection, pH value inspection, radiochemical purity inspection and radioactivity inspection; The homemade nuclear medicine quality control management unit is also used to determine that the nuclear medicine produced by the nuclear medicine production group is qualified when the inspection results of the property inspection, the inspection results of the pH value inspection, the inspection results of the radiochemical purity inspection and the inspection results of the radioactivity inspection are all qualified; when the inspection result of the property inspection is abnormal in appearance, or when the actual pH value in the inspection result of the pH value inspection is not within the set pH value range, or when the actual radiochemical purity in the inspection result of the radiochemical purity inspection is not within the set purity range, or when the radioactivity error obtained by comparing the actual radioactivity in the inspection result of the radioactivity inspection with the calibrated activity when the nuclear medicine leaves the factory is not within the set activity error range, then an abnormal quality control alarm of the homemade nuclear medicine is issued through the alarm management module.
6. The whole process intelligent management system for nuclear medicine clinical use scenarios according to claim 1 is characterized in that: The medication management module is also used to perform radioactive activity detection on the received nuclear medicine to obtain the actual activity of the current nuclear medicine. If the activity error between the actual activity of the current nuclear medicine and the calibrated activity is not within the set activity error range, an abnormal alarm of the current nuclear medicine activity is issued through the alarm management module.
7. The whole process intelligent management system for nuclear medicine clinical use scenarios according to claim 6 is characterized in that: In terms of detecting the radioactivity of the received nuclear medicine and obtaining the actual activity of the current nuclear medicine, the medicine management module is specifically used to: The actual activity of the current nuclear medicine is automatically calculated based on the calibration time and calibration activity of the received nuclear medicine through the half-life of the corresponding nuclide, or the actual activity of the current nuclear medicine is obtained by using an activity meter to check the radioactive activity of the received nuclear medicine.
8. The whole process intelligent management system for nuclear medicine clinical use scenarios according to claim 1 is characterized in that: The medication management module is also used to measure the remaining nuclear medicine activity after the patient is injected with nuclear medicine, and record the remaining nuclear medicine activity, calculate the actual activity of the patient's medication based on the nuclear medicine activity before the patient's nuclear medicine injection and the remaining nuclear medicine activity after the injection, and record the actual activity of the patient's medication.
9. The whole process intelligent management system for nuclear medicine clinical use scenarios according to claim 3 is characterized by: The nuclear medicine information code is encrypted coded information, and the information represented by the nuclear medicine information code includes drug code, drug name, calibration time, calibration activity, manufacturer, inspection items, injection activity, error threshold and nuclide half-life, and the inspection items are SPECT inspection or PET inspection items corresponding to the nuclear medicine; The handover form information code is encrypted coded information, and the information represented by the handover form information code includes the drug name, calibration time, calibration activity and shipment quantity.
10. A full-process intelligent management method for nuclear medicine clinical use scenarios, characterized in that: The method for intelligent management of the entire process of nuclear medicine clinical use scenarios applies the intelligent management system for the entire process of nuclear medicine clinical use scenarios described in any one of claims 1 to 9, and the method for intelligent management of the entire process of nuclear medicine clinical use scenarios includes: The nuclear medicine order management module generates nuclear medicine orders based on patient test items; The nuclear medicine quality control management module records the test information of the nuclear medicine produced through the nuclear medicine order, and puts the nuclear medicine into storage after the nuclear medicine is determined to be qualified according to the test information; the test information includes the radioactivity determination, property inspection, pH value inspection and radiochemical purity determination of the nuclear medicine; The medication management module determines the information of nuclear medicines to be collected based on the patient's examination items, and obtains the information of nuclear medicines that have been collected by scanning the drug information codes of the nuclear medicines that have been collected, and determines whether the information of nuclear medicines to be collected is consistent with the information of nuclear medicines that have been collected. If they are inconsistent, an alarm message of inconsistent nuclear medicine information is issued through the alarm management module.