Intraoperative medication automatic management device based on HIS system and control system thereof

Abstract

The invention relates to the field of intraoperative medication, and particularly discloses an automatic intraoperative medication management device based on an HIS system and a control system thereof.The automatic intraoperative medication management device comprises a database module used for inputting and storing intraoperative medication names and administration routes conventionally used in a hospital to form an intraoperative medication database; the system docking module is used for docking with an HIS (hospital information system) of a hospital, and can automatically obtain and display the intraoperative medication advice of the patient from the HIS by inputting the hospitalization number of the patient; according to the invention, through the intelligent identification module, by using a scanner and an intelligent identification technology, accurate checking of medicine carried by a patient in an operation is realized, the medicine use risk caused by wrong medicine identification is effectively avoided, the AI medicine use risk assessment module uses an advanced AI algorithm to comprehensively analyze the medical record, the allergy history and the current medicine use condition of the patient, and the accuracy of the medicine use risk assessment is improved. The medication risk is automatically evaluated, a scientific decision basis is provided for medical staff, and the medication safety is further improved.

Description

Technical Field

[0001] The invention belongs to the field of intraoperative medication, and in particular is an automated management device for intraoperative medication based on a HIS system and a control system thereof. Background Art

[0002] As the core system of modern hospital management, the hospital information system (HIS) integrates the medical information of various departments of the hospital, including patient information, doctor's order information, drug information, etc., and provides comprehensive medical information support for medical staff. With the continuous advancement of medical technology and the in-depth promotion of hospital informatization, intraoperative medication management has gradually developed from traditional manual operation to automation and intelligence.

[0003] Intraoperative medication is an important part of the surgical process and is directly related to the success rate of the operation and the safety of the patient.

[0004] However, traditional intraoperative medication management has many shortcomings, such as inaccurate medication information records, cumbersome medication process, and difficult to control medication risks. These problems not only increase the workload of medical staff, but may also have an adverse impact on the patient's treatment effect and safety. Summary of the invention

[0005] In order to solve the above-mentioned technical problems, the present invention provides an automated intraoperative medication management device based on the HIS system to solve the many deficiencies in medication management in the prior art, such as inaccurate medication information recording, cumbersome medication process, and difficult to control medication risks. These problems not only increase the workload of medical staff, but may also have an adverse effect on the treatment effect and safety of patients.

[0006] An automated management device for intraoperative medication based on a HIS system, comprising:

[0007] The database module is used to input and store the names of intraoperative medications routinely used in the hospital and their routes of administration to form an intraoperative medication database;

[0008] The system docking module is used to connect with the hospital's HIS system. By entering the patient's hospitalization number, it can automatically obtain and display the patient's intraoperative medication order from the HIS system. The system docking module also includes a security verification function to ensure that only authorized users can access and execute the doctor's order signature;

[0009] Intelligent recognition module, including a scanner, is used to scan the patient's intraoperative medication, verify whether the medication matches the doctor's order through intelligent recognition technology, and provide voice prompts based on the medication usage method, including intravenous infusion, intramuscular injection, subcutaneous injection, and body cavity flushing;

[0010] The time management module automatically extracts the time when the patient enters the operating room from the hand anesthesia system. For antibiotics, it automatically counts down half an hour after the patient enters the room and uses voice reminders to use antibiotics in a timely manner.

[0011] Interactive prompt module: when medical staff pick up the medicine, they will be prompted with voice, including the patient's name, medicine name and route of use;

[0012] AI medication risk assessment module: uses advanced AI algorithms to comprehensively analyze the patient's medical history, allergy history, and current medication information, and automatically assesses medication risks in combination with the intraoperative medication database;

[0013] The workbench integrated module can be detachably installed on the workbench in the operating room. It includes a scanner installed on the inside of the workbench and a sensor plate set on the work surface. The sensor plate can sense the placement and removal of medicines, and combine the data from the scanner to realize intelligent voice prompts.

[0014] Preferably, the database module can automatically update and maintain the intraoperative medication database to adapt to the ever-changing medication environment and risk assessment requirements.

[0015] Preferably, the intelligent identification module uses barcode and RFID technology to achieve fast and accurate drug identification and matching, and works in conjunction with the AI ​​medication risk assessment module to automatically trigger risk assessment by scanning drugs.

[0016] Preferably, the time management module also includes a timeout reminder function. If the antibiotics are not used after the set time, an additional voice reminder will be triggered. At the same time, the AI ​​medication risk assessment module performs additional risk assessment on the overtime used antibiotics based on the basic formula for medication risk assessment.

[0017] Preferably, the interactive prompt module also includes a tactile feedback function, which reminds medical staff of medication information through vibration, and when the AI ​​medication risk assessment module assesses high-risk medication, it reminds medical staff in a more intuitive way through the tactile feedback function of the interactive prompt module.

[0018] Preferably, the AI ​​medication risk assessment module includes a medication risk assessment formula, which collects the patient's age, weight, liver and kidney function status, and pharmacokinetic parameters of the drug, and combines it with the AI ​​algorithm to conduct a more refined comprehensive analysis of the patient's medical history, allergy history, and current medication information. Before medication, the AI ​​medication risk assessment module can use voice to issue more accurate risk reminders to medical staff to ensure medication safety.

[0019] Preferably, the medication risk assessment formula is as follows:

[0020]

[0021] Among them, R is the medication risk score, which indicates the risk level after comprehensive consideration of patient information, drug information, hospital policy, and time factors;

[0022] P is the patient information vector, including medical history and allergy history;

[0023] D is the drug information vector, including drug name and administration route;

[0024] H is the hospital policy vector, including medication guidelines and update frequency;

[0025] T is the time factor, including the patient’s admission time and antibiotic use time;

[0026] w i is the weight of each factor, learned through AI algorithm;

[0027] f i (P i ,D i ) is a complex function based on patient and drug information, used to evaluate the matching degree between drugs and patients;

[0028] g(H,T) is a complex function based on hospital policy and time factors, which is used to adjust the risk score;

[0029] θ is the integral variable, which represents the uncertainty in the evaluation process;

[0030] Range: R∈[0,1], where 0 indicates no risk and 1 indicates extremely high risk.

[0031] A control system, including the above-mentioned HIS system-based intraoperative medication automation management device, and also including:

[0032] The control module is used to receive and process data and information from each module, and send control instructions to each module according to preset rules and algorithms to achieve automated management and control of intraoperative medication;

[0033] The alarm module automatically triggers an alarm when it detects that the medication risk exceeds the preset threshold or an abnormal situation occurs, and sends a warning message to medical staff to ensure medication safety.

[0034] Compared with the prior art, the present invention has the following beneficial effects:

[0035] Through the intelligent recognition module, using scanners and intelligent recognition technology, accurate verification of the patient's intraoperative medication is achieved, effectively avoiding medication risks caused by incorrect drug recognition. The AI ​​medication risk assessment module uses advanced AI algorithms to conduct a comprehensive analysis of the patient's medical history, allergy history, and current medication status, automatically assessing medication risks, providing medical staff with a scientific decision-making basis and further improving the safety of medication.

[0036] The database module builds an intraoperative medication database, providing basic data support for management, making medication management more standardized and regular. The system docking module seamlessly connects with the hospital's HIS system, ensuring real-time acquisition of medical order information, reducing the tedious process of manual input and query, and improving work efficiency. The time management module ensures the timely use of key drugs such as antibiotics through automatic timing and voice reminders, avoiding poor medication effects or increased risks due to time delays. BRIEF DESCRIPTION OF THE DRAWINGS

[0037] Figure 1 It is a schematic diagram of the overall structure of the present invention. DETAILED DESCRIPTION

[0038] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0039] like Figure 1 As shown:

[0040] Embodiment 1: The present invention provides an automated management device for intraoperative medication based on a HIS system, comprising:

[0041] The database module is used to input and store the names of intraoperative medications routinely used in the hospital and their routes of administration to form an intraoperative medication database;

[0042] The system docking module is used to connect with the hospital's HIS system. By entering the patient's hospitalization number, it can automatically obtain and display the patient's intraoperative medication order from the HIS system. The system docking module also includes a security verification function to ensure that only authorized users can access and execute the doctor's order signature;

[0043] Intelligent recognition module, including a scanner, is used to scan the patient's intraoperative medication, verify whether the medication matches the doctor's order through intelligent recognition technology, and provide voice prompts based on the medication usage method, including intravenous infusion, intramuscular injection, subcutaneous injection, and body cavity flushing;

[0044] The time management module automatically extracts the time when the patient enters the operating room from the hand anesthesia system. For antibiotics, it automatically counts down half an hour after the patient enters the room and uses voice reminders to use antibiotics in a timely manner.

[0045] Interactive prompt module: when medical staff pick up the medicine, they will be prompted with voice, including the patient's name, medicine name and route of use;

[0046] AI medication risk assessment module: uses advanced AI algorithms to comprehensively analyze the patient's medical history, allergy history, and current medication information, and automatically assesses medication risks in combination with the intraoperative medication database;

[0047] The workbench integrated module can be detachably installed on the workbench in the operating room, including a scanner installed on the inside of the workbench and a sensor plate set on the workbench. The sensor plate can sense the placement and removal of medicines, and realize intelligent voice prompts in combination with the data from the scanner;

[0048] The workbench integrated module is installed on the workbench in the operating room or installed on other tables after being disassembled for use.

[0049] As can be seen from the above, this device realizes comprehensive automated management of intraoperative medication through the collaborative work of multiple modules. The database module builds an intraoperative medication database to provide basic data support for management. The system docking module seamlessly connects with the hospital's HIS system to ensure the real-time acquisition and security of medical order information. The intelligent recognition module uses scanners and intelligent recognition technology to achieve accurate verification and voice prompts of the patient's intraoperative medication, effectively avoiding medication errors.

[0050] The time management module ensures the timely use of antibiotics through automatic timing and voice reminders. The interactive prompt module further improves the safety of medication by providing voice prompts of patient information and medication details when medical staff are operating drugs.

[0051] At the same time, the AI ​​medication risk assessment module uses advanced AI algorithms to conduct a comprehensive analysis of the patient's medical history, allergy history, and current medication status, automatically assessing medication risks and providing medical staff with a scientific basis for decision-making;

[0052] Finally, the workbench integration module cleverly integrates the above functions on the workbench in the operating room. Through the coordinated use of the sensor board and scanner, intelligent voice prompts are realized, greatly improving the efficiency and safety of medication management in the operating room.

[0053] Embodiment 2: This embodiment is basically the same as the previous embodiment, except that it also includes that the database module can automatically update and maintain the intraoperative medication database to adapt to the ever-changing medication environment and risk assessment requirements.

[0054] Specifically, the intelligent recognition module uses barcode and RFID technology to achieve fast and accurate drug identification and matching, and works in conjunction with the AI ​​medication risk assessment module to automatically trigger risk assessment by scanning drugs.

[0055] Specifically, the time management module also includes a timeout reminder function. If the antibiotics are not used after the set time, an additional voice reminder will be triggered. At the same time, the AI ​​medication risk assessment module performs additional risk assessment on the overtime used antibiotics based on the basic formula for medication risk assessment.

[0056] Specifically, the interactive prompt module also includes a tactile feedback function, which reminds medical staff of medication information through vibration, and when the AI ​​medication risk assessment module assesses high-risk medication, it reminds medical staff in a more intuitive way through the tactile feedback function of the interactive prompt module.

[0057] As can be seen from the above, the database module has added automatic update and maintenance functions to ensure that the intraoperative medication database can keep up with changes in the medical environment. The intelligent identification module uses barcode and RFID technology to achieve more efficient drug identification and matching, and is linked with the AI ​​medication risk assessment module. Scanning the drug can automatically start the risk assessment;

[0058] The time management module has added a timeout reminder function to ensure that antibiotics are used within the specified time and conduct additional risk assessments on antibiotics that are used beyond the time limit. The interactive reminder module has added a tactile feedback function to remind medical staff to pay attention to medication information through vibration, especially when the AI ​​medication risk assessment module identifies high-risk medications, ensuring medication safety in a more intuitive way.

[0059] Embodiment 3: This embodiment is basically the same as the previous embodiment, except that it also includes: the AI ​​medication risk assessment module includes a medication risk assessment formula, which collects the patient's age, weight, liver and kidney function status and the pharmacokinetic parameters of the drug, and combines it with the AI ​​algorithm to conduct a more refined comprehensive analysis of the patient's medical history, allergy history, and current medication information. Before medication, the AI ​​medication risk assessment module can use voice to issue more accurate risk reminders to medical staff to ensure medication safety.

[0060] Specifically, the medication risk assessment formula is as follows:

[0061]

[0062] Among them, R is the medication risk score, which indicates the risk level after comprehensive consideration of patient information, drug information, hospital policy, and time factors;

[0063] P is the patient information vector, including medical history and allergy history;

[0064] D is the drug information vector, including drug name and administration route;

[0065] H is the hospital policy vector, including medication guidelines and update frequency;

[0066] T is the time factor, including the patient’s admission time and antibiotic use time;

[0067] w i is the weight of each factor, learned through AI algorithm;

[0068] f i (P i ,D i ) is a complex function based on patient and drug information, used to evaluate the matching degree between drugs and patients;

[0069] g(H,T) is a complex function based on hospital policy and time factors, which is used to adjust the risk score;

[0070] θ is the integral variable, which represents the uncertainty in the evaluation process;

[0071] Range: R∈[0,1], where 0 indicates no risk and 1 indicates extremely high risk;

[0072] The specific application example of the above formula is as follows:

[0073] Patient Information:

[0074] Patient A, aged 65 years, had a history of hypertension (quantitative value was 0.7, indicating a more serious medical history) and no history of allergies (quantitative value was 0).

[0075] Drug Information:

[0076] Drug B, a commonly used antibiotic, is administered by intravenous infusion (quantitative value 1).

[0077] Hospital Policy:

[0078] Hospital C follows the latest medication guidelines (quantitative value is 1), and the medication guidelines are updated frequently (quantitative value is 1).

[0079] Time Factor:

[0080] Patient A entered the operating room at 9:00 am, and antibiotic B was scheduled to be infused half an hour after admission (i.e., 9:30 am).

[0081] Weight:

[0082] Medical history weight w1 = 0.5

[0083] Allergy history weight w2 = 0.3

[0084] The weight of the drug and hospital policy matching degree w3 = 0.2 (this weight is used to calculate the weighted sum of the drug information and hospital policy matching degree in the subsequent calculation)

[0085] Function definition:

[0086] f i (P i ,D i )=P i ×D i (When Di is 1, it means the factor exists; when it is 0, it means it does not exist)

[0087] g(H,T) is a comprehensive evaluation function that takes into account the hospital's policy compliance and time factors. Its value is assumed to be a constant between 0 and 1. To simplify the calculation, we assume that g(H,T) = 0.9 (indicating that the hospital's policy compliance is good and the time factor is appropriate).

[0088] Calculation process

[0089] Calculate f i (P i ,D i ):

[0090] f1(P1,D1)=0.7×1=0.7 (medical history and medication matching)

[0091] f2(P2,D2)=0×0=0 (allergy history does not match medication, but here D2 is 0, so the result is also 0)

[0092] Calculate the weighted sum ∑w i ·f i (P i ,D i ):

[0093] ∑w i ·f i (P i ,D i )=0.5×0.7+0.3×0=0.35

[0094] Calculate the weighted sum of the matching degree between drug information and hospital policy:

[0095] Assuming that drug B completely matches the medication guide of hospital C (quantized value is 1), the weighted sum is w3×1=0.2

[0096] Calculate the final risk score:

[0097] R(P,D,H,T)=(∑w i ·f i (P i ,D i)+w3×drug and hospital policy matching degree)×g(H,T)

[0098] R(P,D,H,T)=(0.35+0.2)×0.9=0.495

[0099] Calculation results

[0100] The medication risk score R(P,D,H,T)=0.495, which means that after comprehensively considering patient information, drug information, hospital policy and time factors, the risk level of patient A when using antibiotic B is medium (because 0 means no risk, 1 means extremely high risk, and 0.495 is close to 0.5, indicating moderate risk).

[0101] From the above, we can see that by introducing the medication risk assessment formula, we can conduct a more refined analysis by integrating the patient's age, weight, liver and kidney function status, medical history, allergy history, current medication status, drug pharmacokinetic parameters, as well as hospital policies, medication time and route and other multi-dimensional information;

[0102] The AI ​​algorithm learns the weight of each factor and takes into account the uncertainty in the evaluation process, and finally outputs a risk score between 0 and 1 to intuitively reflect the degree of medication risk. When the score is high, the AI ​​medication risk assessment module will send precise risk reminders to medical staff through voice, ensuring that the safety assessment before medication is more rigorous and reliable.

[0103] Embodiment 4: A control system, comprising the above-mentioned HIS system-based intraoperative medication automation management device, further comprising:

[0104] The control module is used to receive and process data and information from each module, and send control instructions to each module according to preset rules and algorithms to achieve automated management and control of intraoperative medication;

[0105] The alarm module automatically triggers an alarm when it detects that the medication risk exceeds the preset threshold or an abnormal situation occurs, and sends a warning message to medical staff to ensure medication safety.

[0106] The standard parts used in the present invention can all be purchased from the market, and the special-shaped parts can be customized according to the description and the drawings. The specific connection methods of each part adopt conventional means such as mature bolts, rivets, welding, etc. in the prior art. The machinery, parts and equipment all adopt conventional models in the prior art, and the circuit connection adopts the conventional connection method in the prior art, which will not be described in detail here. The contents not described in detail in this specification belong to the prior art known to professional and technical personnel in this field.

[0107] In the description of the present invention, the terms "first" and "second" are used for descriptive purposes only and should not be understood as indicating or implying relative importance or implicitly indicating the number of the indicated technical features. Therefore, the features defined as "first" and "second" may explicitly or implicitly include one or more of the features. "Multiple" means two or more, unless otherwise clearly and specifically defined.

[0108] In the present invention, unless otherwise clearly specified and limited, the terms "installed", "connected", "connected", "fixed" and the like should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, it can be the internal connection of two elements or the interaction relationship between two elements. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

[0109] In the present invention, unless otherwise clearly specified and limited, a first feature being "above" or "below" a second feature may mean that the first and second features are in direct contact, or the first and second features are in indirect contact through an intermediate medium. Moreover, a first feature being "above", "above" or "above" a second feature may mean that the first feature is directly above or obliquely above the second feature, or simply means that the first feature is higher in level than the second feature. A first feature being "below", "below" or "below" a second feature may mean that the first feature is directly below or obliquely below the second feature, or simply means that the first feature is lower in level than the second feature.

[0110] In the description of this specification, the description with reference to the terms "one embodiment", "some embodiments", "example", "specific example" or "some examples" etc. means that the specific features, structures, materials or characteristics described in conjunction with the embodiment or example are included in at least one embodiment or example of the present invention. In this specification, the schematic representations of the above terms do not necessarily refer to the same embodiment or example. Moreover, the specific features, structures, materials or characteristics described may be combined in any one or more embodiments or examples in a suitable manner. In addition, those skilled in the art may combine and combine the different embodiments or examples described in this specification and the features of the different embodiments or examples, unless they are contradictory.

[0111] In the drawings of the embodiments disclosed in the present invention, only the structures related to the embodiments disclosed in the present invention are involved, and other structures can refer to the general design. In the absence of conflict, the same embodiment and different embodiments of the present invention can be combined with each other.

[0112] Although the present invention has been described in detail with reference to the aforementioned embodiments, it is still possible for those skilled in the art to modify the technical solutions described in the aforementioned embodiments, or to make equivalent substitutions for some of the technical features therein. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present invention should be included in the protection scope of the present invention.

Claims

1. An automated management device for intraoperative medication based on a HIS system, characterized in that: include: The database module is used to input and store the names of intraoperative medications and their administration routes commonly used in the hospital to form an intraoperative medication database; The system docking module is used to connect with the hospital's HIS system. By entering the patient's hospitalization number, it can automatically obtain and display the patient's intraoperative medication order from the HIS system. The system docking module also includes a security verification function to ensure that only authorized users can access and execute the doctor's order signature; Intelligent recognition module, including a scanner, is used to scan the patient's intraoperative medication, verify whether the medication matches the doctor's order through intelligent recognition technology, and provide voice prompts based on the medication usage method, including intravenous infusion, intramuscular injection, subcutaneous injection, and body cavity flushing; The time management module automatically extracts the time when the patient enters the operating room from the hand anesthesia system. For antibiotics, it automatically counts down half an hour after the patient enters the room and uses voice reminders to use antibiotics in a timely manner. Interactive prompt module: when medical staff pick up the medicine, they will be prompted with voice, including the patient's name, medicine name and route of use; AI medication risk assessment module: uses advanced AI algorithms to comprehensively analyze the patient's medical history, allergy history, and current medication information, and automatically assesses medication risks in combination with the intraoperative medication database; The workbench integrated module can be detachably installed on the workbench in the operating room. It includes a scanner installed on the inside of the workbench and a sensor plate set on the work surface. The sensor plate can sense the placement and removal of medicines, and combine the data from the scanner to realize intelligent voice prompts.

2. The automated management device for intraoperative medication based on the HIS system as claimed in claim 1, characterized in that: The database module can automatically update and maintain the intraoperative medication database to adapt to the ever-changing medication environment and risk assessment needs.

3. The automated management device for intraoperative medication based on the HIS system as claimed in claim 1, characterized in that: The intelligent recognition module uses barcode and RFID technology to achieve fast and accurate drug identification and matching, and works in conjunction with the AI ​​medication risk assessment module to automatically trigger risk assessment by scanning drugs.

4. The automated management device for intraoperative medication based on the HIS system as claimed in claim 3, characterized in that: The time management module also includes a timeout reminder function. If the antibiotics are not used after the set time, an additional voice reminder will be triggered. At the same time, the AI ​​medication risk assessment module performs additional risk assessment on the overtime used antibiotics based on the basic formula for medication risk assessment.

5. The automated management device for intraoperative medication based on the HIS system as claimed in claim 4, characterized in that: The interactive prompt module also includes a tactile feedback function, which reminds medical staff of medication information through vibration. When the AI ​​medication risk assessment module assesses high-risk medication, it reminds medical staff in a more intuitive way through the tactile feedback function of the interactive prompt module.

6. The automated management device for intraoperative medication based on the HIS system as claimed in claim 5, characterized in that: The AI ​​medication risk assessment module includes a medication risk assessment formula. By collecting the patient's age, weight, liver and kidney function status and the pharmacokinetic parameters of the drug, and combining it with the AI ​​algorithm, a more refined comprehensive analysis of the patient's medical history, allergy history, and current medication information is performed. Before medication, the AI ​​medication risk assessment module can use voice to issue more accurate risk reminders to medical staff to ensure medication safety.

7. The automated management device for intraoperative medication based on the HIS system as claimed in claim 6, characterized in that: The medication risk assessment formula is as follows: Among them, R is the medication risk score, which indicates the risk level after comprehensive consideration of patient information, drug information, hospital policy, and time factors; P is the patient information vector, including medical history and allergy history; D is the drug information vector, including drug name and administration route; H is the hospital policy vector, including medication guidelines and update frequency; T is the time factor, including the patient’s admission time and antibiotic use time; w i is the weight of each factor, learned through AI algorithm; f i (P i ,D i ) is a complex function based on patient and drug information, used to evaluate the matching degree between drugs and patients; g(H,T) is a complex function based on hospital policy and time factors, which is used to adjust the risk score; θ is the integral variable, which represents the uncertainty in the evaluation process; Range: R∈[0,1], where 0 indicates no risk and 1 indicates extremely high risk.

8. A control system, characterized in that: The device comprises the automated management device for intraoperative medication based on the HIS system as claimed in any one of claims 1 to 7, and further comprises: The control module is used to receive and process data and information from each module, and send control instructions to each module according to preset rules and algorithms to achieve automated management and control of intraoperative medication; The alarm module automatically triggers an alarm when it detects that the medication risk exceeds the preset threshold or an abnormal situation occurs, and sends a warning message to medical staff to ensure medication safety.

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