Nursing record generation method, system, device, equipment and medium
By recording and processing voice and image data on the nursing recording device, and generating a nursing record template containing a time stamp, the efficiency and accuracy of nursing records during shift handover is solved, and the continuity and quality of nursing services are improved.
Patent Information
- Application Number
- CN202411235830.2
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-09-04
- Publication Date
- 2025-01-07
AI Technical Summary
Nursing records take up a lot of manual time during shift handover, which can easily lead to information errors, affect work efficiency and judgment, and may confirm with the nurse after get off work, affecting efficiency and rest time.
By obtaining the voice and image data recorded by the nursing recording equipment, a nursing recording template is generated using the preset nursing recording model processing, including a time stamp, and modified after identity authentication, ensuring the timeliness and accuracy of the information.
It reduces the time of manual handwritten nursing recording, improves work efficiency, ensures the timeliness and accuracy of nursing records, supports instant sharing and transparency of information, and improves the continuity and quality of nursing services.
Smart Images

Figure CN119274735A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of nursing records, and in particular to a nursing record generating method, a nursing record generating system and a nursing record generating device. Background Art
[0002] The nursing records written by nurses at shift handover can ensure that the incoming nursing staff has a comprehensive understanding of the patient's current health status, medical history, medication use, ongoing treatment measures, and any special care needs, thereby ensuring the continuity of nursing services.
[0003] In the current hospital nursing process, nurses' nursing record work during shift handovers takes up a lot of manpower time. The cumbersome handwriting or electronic input process not only slows down work efficiency, but also may cause information errors due to human factors, affecting judgment at work, resulting in the phenomenon of confirming the situation with the handover nurse who has already left work, affecting work efficiency and rest time after get off work. Summary of the invention
[0004] In view of the above problems, embodiments of the present invention are proposed to provide a nursing record generation method, system, electronic device and storage medium that overcome the above problems or at least partially solve the above problems.
[0005] According to a first aspect of an embodiment of the present invention, a method for generating a nursing record is provided, which is applied to a main control device, and the method includes:
[0006] Acquire nursing data recorded by a nursing recording device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp;
[0007] The nursing data is processed by a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp;
[0008] The nursing record template is presented to the user.
[0009] Optionally, the method further includes:
[0010] When a modification operation of the user on the nursing record information is detected, authenticating the user;
[0011] After the identity authentication is passed, the nursing record template is modified in response to the modification operation.
[0012] Optionally, the modification of the nursing record template includes:
[0013] Determining the nursing record information to be modified in the nursing record template;
[0014] determining nursing data matching the timestamp of the modified nursing record information;
[0015] Comparing the nursing record information to be modified with nursing data matching the timestamp of the modified nursing record information;
[0016] According to the comparison result, the nursing record information to be modified is modified.
[0017] Optionally, the preset nursing record model is trained in the following manner:
[0018] Acquire a training sample, wherein the training sample includes historical nursing data;
[0019] Training an initial nursing record model according to the historical nursing data, and adjusting parameters of the initial nursing record model;
[0020] When the nursing record template output by the initial nursing record model meets the preset conditions, a trained nursing record model is obtained.
[0021] Optionally, the method further includes:
[0022] Obtaining the modification result of the nursing record information to be modified;
[0023] The modification result of the nursing record information to be modified is used as a training sample, and the preset nursing record model is trained according to the training sample.
[0024] According to a second aspect of an embodiment of the present invention, a method for generating a nursing record is provided, which is applied to a nursing record device, and the method includes:
[0025] After the user logs in, recording the nursing data collected by the user using the nursing recording device; the nursing data includes voice data and corresponding timestamps, and / or, image data and corresponding timestamps;
[0026] The nursing data is sent to the main control device so that the main control device inputs the nursing data into a preset nursing record model to obtain a nursing record template, and displays the nursing record template to the user; the nursing record template includes nursing record information and a corresponding timestamp.
[0027] Optionally, the method further includes:
[0028] When a viewing operation of the user on the nursing data is detected, authenticating the user;
[0029] When the identity authentication is passed, the corresponding nursing data is displayed to the user.
[0030] According to a third aspect of an embodiment of the present invention, there is provided a nursing record generation system, the system comprising: a main control device and a nursing record device;
[0031] The nursing recording device is used to record the nursing data collected by the user using the nursing recording device after the user logs in; the nursing data includes voice data and corresponding timestamps, and / or image data and corresponding timestamps; and send the nursing data to the main control device;
[0032] The main control device is used to obtain the nursing data recorded by the nursing record device, process the nursing data through a preset nursing record model, and obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; and display the nursing record template to the user.
[0033] Optionally, the main control device is used to authenticate the user when a modification operation of the user on the nursing record information is detected; after the identity authentication is passed, the nursing record template is modified in response to the modification operation.
[0034] Optionally, the main control device is used to determine the nursing record information to be modified in the nursing record template; determine the nursing data that matches the timestamp of the modified nursing record information; compare the nursing record information to be modified with the nursing data that matches the timestamp of the modified nursing record information; and modify the nursing record information to be modified based on the comparison result.
[0035] Optionally, the main control device is used to obtain training samples, which include historical nursing data; train the initial nursing record model based on the historical nursing data, and adjust the parameters of the initial nursing record model; when the nursing record template output by the initial nursing record model meets preset conditions, obtain a trained nursing record model.
[0036] Optionally, the main control device is used to obtain the modification result of the nursing record information to be modified; use the modification result of the nursing record information to be modified as a training sample, and train the preset nursing record model according to the training sample.
[0037] Optionally, the nursing record device is used to authenticate the user when it detects the user's viewing operation on the nursing data; when the identity authentication is passed, the corresponding nursing data is displayed to the user.
[0038] According to a fourth aspect of the present invention, there is provided a nursing record generating device, which is applied to a main control device, and the device comprises:
[0039] A data acquisition module, used to acquire nursing data recorded by a nursing recording device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp;
[0040] A template generation module, used for processing the nursing data through a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp;
[0041] The first display module is used to display the nursing record template to the user.
[0042] Optionally, the device further comprises:
[0043] An authentication module, used for authenticating the user when a modification operation of the user on the nursing record information is detected;
[0044] The modification module is used to modify the nursing record template in response to the modification operation after the identity authentication is passed.
[0045] Optionally, the modification module includes:
[0046] A nursing record information determination submodule, used to determine the nursing record information to be modified in the nursing record template;
[0047] A nursing data determination submodule, used to determine nursing data matching the timestamp of the modified nursing record information;
[0048] A comparison submodule, used for comparing the nursing record information to be modified with the nursing data matching the timestamp of the modified nursing record information;
[0049] The modification submodule is used to modify the nursing record information to be modified according to the comparison result.
[0050] Optionally, the template generation module includes:
[0051] A sample acquisition submodule, used to acquire training samples, wherein the training samples include historical nursing data;
[0052] A first training submodule, used for training an initial nursing record model according to the historical nursing data, and adjusting parameters of the initial nursing record model;
[0053] The model acquisition submodule is used to obtain a trained nursing record model when the nursing record template output by the initial nursing record model meets preset conditions.
[0054] Optionally, the template generation module further includes:
[0055] A modification result acquisition submodule is used to obtain the modification result of the nursing record information to be modified;
[0056] The second training submodule is used to use the modification result of the nursing record information to be modified as a training sample, and train the preset nursing record model according to the training sample.
[0057] According to a fifth aspect of the present invention, there is provided a nursing record generating device, which is applied to a nursing record device, and the device comprises:
[0058] A recording module, used to record the nursing data collected by the user using the nursing recording device after the user logs in; the nursing data includes voice data and corresponding timestamps, and / or image data and corresponding timestamps;
[0059] A sending module is used to send the nursing data to the main control device so that the main control device inputs the nursing data into a preset nursing record model, obtains a nursing record template, and displays the nursing record template to the user; the nursing record template includes nursing record information and a corresponding timestamp.
[0060] Optionally, the device further comprises:
[0061] An authentication module, configured to authenticate the user when a viewing operation of the user on the nursing data is detected;
[0062] The second display module is used to display the corresponding nursing data to the user after the identity authentication is passed.
[0063] According to a sixth aspect of the present invention, there is provided an electronic device comprising: a processor, a memory, and a computer program stored in the memory and capable of running on the processor, wherein the computer program, when executed by the processor, implements the steps of the nursing record generating method as described in any one of the above items.
[0064] According to a seventh aspect of the present invention, there is provided a computer-readable storage medium storing a computer program, wherein the computer program, when executed by a processor, implements the steps of the nursing record generating method as described in any one of the above items.
[0065] The technical solution provided by the embodiments of the present invention may have the following beneficial effects:
[0066] The embodiment of the present invention provides a method for generating a nursing record, which is performed by obtaining nursing data recorded by a nursing record device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp; the nursing data is processed by a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; and the nursing record template is displayed to a user. The embodiment of the present invention receives nursing data recorded by medical staff on a device side, and inputs the nursing data into a trained nursing record model to obtain a nursing record template, which can ensure the timeliness and accuracy of nursing record information, while reducing the time used for manual handwriting of nursing records, improving work efficiency, and allowing users to better focus on other nursing work. BRIEF DESCRIPTION OF THE DRAWINGS
[0067] Figure 1 is a flowchart of the steps of a method for generating a nursing record provided by an embodiment of the present invention;
[0068] Figure 2 is a flowchart of another method for generating nursing records provided by an embodiment of the present invention;
[0069] Figure 3 is a structural block diagram of a nursing record generation system provided by an embodiment of the present invention;
[0070] Figure 4 It is a structural block diagram of a nursing record generating device provided by an embodiment of the present invention;
[0071] Figure 5 It is a structural block diagram of another nursing record generating device provided by an embodiment of the present invention. DETAILED DESCRIPTION
[0072] In order to make the above-mentioned objects, features and advantages of the present invention more obvious and easy to understand, the present invention is further described in detail below with reference to the accompanying drawings and specific embodiments.
[0073] One of the core concepts of the embodiments of the present invention is that the nursing records written by nurses during shift handovers can ensure that the nursing staff who are about to take over have a comprehensive understanding of the patient's current health status, medical history, medication use, ongoing treatment measures, and any special nursing needs, thereby ensuring the continuity of nursing services.
[0074] In the current hospital nursing process, nurses' nursing record work during shift handovers takes up a lot of manpower time. The cumbersome handwriting or electronic input process not only slows down work efficiency, but also may cause information errors due to human factors, affecting judgment at work, resulting in the phenomenon of confirming the situation with the handover nurse who has already left work, affecting work efficiency and rest time after get off work.
[0075] The embodiment of the present invention obtains a nursing record template by inputting nursing data into a trained nursing record model, thereby ensuring the timeliness and accuracy of nursing record information, while reducing the time used for manual handwriting of nursing records, improving work efficiency, and allowing users to better focus on other nursing work.
[0076] Reference Figure 1 , shows a flowchart of a method for generating a nursing record provided by an embodiment of the present invention, and the method may specifically include the following steps:
[0077] Step 101, obtaining nursing data recorded by a nursing recording device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp;
[0078] Nursing recording equipment can be a stand-alone device or a software APP. Nursing data refers to the nurse's voice recording of his or her work and the display image of the monitoring equipment. Timestamp is a digital technology used to mark the specific date and time when the data is generated.
[0079] Nursing data indicates the nursing process of the nurse for the patient on that day, helping nursing staff to review and verify the specific details of nursing activities, such as confirming the time of medication or the execution of special nursing operations. Timestamps ensure the time accuracy of this information, help provide objective evidence in the event of medical disputes, and also support quality control and efficiency analysis of the nursing process. In addition, this data can also be used to train new employees and improve the overall nursing level through teaching real cases. In this way, not only the safety and reliability of nursing are improved, but also a solid foundation is provided for the continuous improvement of nursing practice.
[0080] Step 102, processing the nursing data by a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp;
[0081] The preset nursing record model is trained based on historical nursing record data, and the nursing record template refers to the templated nursing record information generated by the nursing record model. The nursing data (including voice data, image data and their corresponding timestamps) is processed by the preset nursing record model to achieve standardized, structured and intelligent management of nursing records. This processing method can convert the original data into standard nursing record text information that is easy to understand, retrieve and use, namely the nursing record template. The nursing record template contains the nursing record information and its corresponding timestamp, which enables nursing staff to quickly and accurately obtain the events and their time sequence that occurred during the patient's care process, which is crucial for clinical decision making.
[0082] Using the nursing record model to process data can ensure the consistency of information and the uniformity of format, avoiding inconsistencies in handwritten notes or oral reports due to individual differences. Standardized templates make communication between different nursing staff more efficient, especially during shift handovers, which can quickly transmit key information and reduce the risk of misunderstandings and omissions. The addition of timestamps gives each nursing record a time dimension, which helps track the changes in the patient's condition and provide a basis for subsequent condition assessment and treatment plan adjustments. This is especially useful for identifying trends in worsening conditions or monitoring treatment effectiveness.
[0083] In addition, structured nursing record templates facilitate digital storage and retrieval of data and support the integration of information systems within the hospital. When it is necessary to review patient history or conduct data analysis, structured data can quickly locate nursing activities within a specific time period, greatly improving work efficiency. Templates generated based on nursing record models can also promote continuous improvement of nursing quality. By comparing nursing records of different patients, best practice patterns can be identified, potential problem areas can be discovered, and improvement measures can be formulated accordingly. At the same time, templated records can also help meet the requirements of medical regulations and certification standards to ensure that nursing practices meet industry standards.
[0084] Step 103, displaying the nursing record template to the user.
[0085] Users, namely medical staff, can quickly grasp the key information of the nursing process by providing a clear, orderly and comprehensive view through the main control device. This template not only integrates various details involved in nursing activities, such as nursing measures, drug use, and changes in patients' physiological indicators, but also clarifies the specific time when these activities occur through timestamps, thereby helping users understand the relationship between nursing actions and patient conditions.
[0086] For the medical team, such a visual display greatly facilitates their understanding and supervision of the nursing process, ensuring that everyone can obtain the necessary information in a timely manner and participate in the patient's care plan. At the same time, it also serves as an important communication tool, building a bridge between different medical staff, especially in the case of handover, ensuring the accuracy and consistency of information transmission, thereby improving the overall quality and efficiency of care. In addition, the existence of nursing record templates also facilitates post-analysis, whether for educational purposes or quality improvement, in-depth research and discussion can be carried out based on these records.
[0087] In one embodiment, the method further includes: when a user modification operation on nursing record information is detected, authenticating the user; after the identity authentication is passed, modifying the nursing record template in response to the modification operation.
[0088] The user can intuitively see the nursing record template generated based on the nursing data on the main control device. If the generated template information is incorrect, it needs to be modified. Nursing records contain patients' personal health information, which is highly sensitive and private. Once incorrectly modified or abused, it may have a serious negative impact on the patient's treatment. Therefore, a strict authentication procedure is essential, which can verify the identity of the modifier and ensure that only authorized caregivers can make changes to nursing records.
[0089] Specifically, the authentication process usually involves multi-factor authentication (MFA), which may include usernames and passwords, biometric information (such as fingerprints or facial recognition), smart cards, or other forms of authentication methods. The purpose of this is to prevent unauthorized access and ensure that any modifications are performed by legitimate caregivers. In this way, medical institutions are able to establish a reliable accountability framework, and any modifications can be traced back to specific individuals, so that responsibility can be clearly identified when problems arise. In addition, the authentication mechanism also helps to comply with the legal and regulatory requirements of the medical industry, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, which stipulates strict patient information protection measures. Similar laws are prevalent around the world, requiring medical institutions to take appropriate technical and physical measures to protect patient information from unauthorized access or disclosure.
[0090] In actual operation, when a caregiver attempts to modify a care record, the system triggers an authentication process, which not only protects the patient's data security but also improves the credibility of the data. For example, in an emergency, if a patient's treatment information needs to be updated quickly, ensuring that the person performing the modification is indeed a professional with the corresponding authority is crucial to maintaining the accuracy and timeliness of medical records.
[0091] Once the authentication is successful and the user is confirmed to have the corresponding permissions, the system will allow the user to update the content in the nursing record template according to their modification operations. This may include adding new nursing activity records, updating the patient's symptom description, recording new vital sign measurements, or modifying the details of existing nursing measures. After completing these changes, the system will save the latest version in the nursing record and automatically record the timestamp of this modification to trace the history of the modification and maintain the transparency of the nursing record. This process ensures that only the right people can make changes to the nursing record, while maintaining the accuracy and reliability of the record, providing a solid foundation for subsequent nursing decisions.
[0092] In one embodiment, the modification of the nursing record template includes: determining the nursing record information to be modified in the nursing record template; determining the nursing data that matches the timestamp of the modified nursing record information; comparing the nursing record information to be modified with the nursing data that matches the timestamp of the modified nursing record information; and modifying the nursing record information to be modified based on the comparison result.
[0093] Determine the timestamp that matches the modified nursing record information, and check whether the model output is correct by retrieving the original nursing data recorded by the nurse corresponding to the time node corresponding to the nursing record template that needs to be modified. The verification of the timestamp not only helps to track the chronological order of nursing activities, but also provides an accurate time reference when the nursing records need to be reviewed in the future, which is crucial for clinical decision-making, patient condition tracking, and medical dispute handling. This modification method can also help nursing staff follow standardized operating procedures and reduce the possibility of human error. Such a modification mechanism also promotes the transparency of nursing records, ensures that all changes are accurately recorded, facilitates other nursing team members to access the latest patient information, and supports the continuity and coordination of nursing work.
[0094] By comparing and verifying whether the information that the nursing staff intends to modify is consistent with the actual nursing activities, it helps to identify and correct any potential data entry errors or inconsistencies, thereby ensuring the authenticity and reliability of nursing records. This comparison mechanism can also enhance the transparency and accountability of nursing records. Every modification will leave a trace, recording who made the modification, what was modified, and why the modification was made. This can not only provide support for subsequent nursing decisions, but also provide a reliable chain of evidence when disputes arise or legal basis is needed. In addition, this method can also help the nursing team follow standardized workflows, ensure that all nursing activities are accurately recorded, and support the continuity and coordination of nursing work. This plays an important role in improving the overall quality of care, ensuring patient safety, and meeting the regulatory requirements of the medical industry.
[0095] In one embodiment, the preset nursing record model is trained in the following manner: obtaining training samples, the training samples including historical nursing data; training an initial nursing record model based on the historical nursing data, and adjusting the parameters of the initial nursing record model; when the nursing record template output by the initial nursing record model meets preset conditions, a trained nursing record model is obtained.
[0096] Obtain historical nursing record information and use NLP technology for keyword recognition and extraction. NLP technology, namely Natural Language Processing technology, is an important branch in the field of artificial intelligence and linguistics. It aims to enable computers to understand, interpret and generate human language, thereby achieving effective communication between machines and humans. NLP technology combines knowledge from multiple fields such as computer science, linguistics, machine learning and cognitive science. Its core goal is to enable machines to process and analyze large amounts of natural language data.
[0097] Clean the data to remove irrelevant information such as personal names and dates. According to the different natures of different departments in the hospital, further segmented keyword libraries can be derived to adapt to different scenarios. For example: patient name, patient current condition, nurse operation, etc. For example, the keywords for fever clinics include: temperature, sweating, vomiting symptoms, etc.; the keywords for severe cases include: heart rate, oxygen, etc. Continuous log data is divided into sequence data, and each sequence contains logs of adjacent days.
[0098] The model is trained using LSTM technology, LSTM (Long Short-Term Memory) is a long short-term memory network. The sequence-to-sequence architecture is a deep learning method for processing sequence data, usually composed of two parts: an encoder and a decoder. The encoder is responsible for processing the input data and encoding it into a hidden state; the decoder generates the next word or sentence based on the encoder's hidden state and the input of the current step (usually the output of the previous time step or a specific start tag). In the encoder, the hidden state can be viewed as a continuous, fixed-size vector representation of the input sequence. When the encoder processes each element in the input sequence, it updates its hidden state, which contains a comprehensive understanding of all previous input elements. After processing the input sequence, the final hidden state is regarded as a compressed representation of the entire input sequence. As the decoder generates a sequence, its hidden state is constantly updated, reflecting the progress of the generation process.
[0099] Nursing record data is sequential and is sorted by time. There is a certain correlation between the data of the previous day and the data of the next day. By analyzing the input existing sequence data, the subsequent sequence data can be output. Set training parameters, including learning rate, batch size, and training rounds, and adjust them according to specific circumstances. Use training data to train the model. According to the performance of the generated template data and various parameters, the model structure and parameters can be tuned.
[0100] After the initial nursing record model has gone through multiple rounds of training and parameter adjustment, the nursing record templates it generates need to undergo rigorous evaluation. Only when these templates meet a series of predetermined standards, that is, preset conditions, such as compliance with current medical specifications, the ability to cover all necessary nursing information, and good readability and usability, can the model training be considered successful and eventually become a trained nursing record model. After actual deployment, such a model will greatly improve the efficiency of creating nursing documents, reduce human errors, and provide medical staff with more time to focus on direct patient care, thereby comprehensively improving the quality and efficiency of medical services.
[0101] In addition, the administrator can check whether the template content is reasonable, has typos, omissions or repetitions through the background, and add, delete or modify the text content in the template. In order to improve the accuracy and diversity of the model-generated logs, an attention mechanism can also be introduced in the decoder. In this way, the decoder can pay attention to all hidden states in the encoder when generating each word, thereby better utilizing the information in the input data. In addition, the current ward monitoring equipment can be obtained, and the OCR (Optical Character Recognition) technology can be used to obtain the data of the monitoring information therein to ensure the accuracy of the recognition data.
[0102] In one embodiment, the modification result of the nursing record information to be modified is obtained; the modification result of the nursing record information to be modified is used as a training sample, and the preset nursing record model is trained according to the training sample.
[0103] In the field of nursing informatics, continuous optimization of nursing record systems is essential to improve nursing quality and efficiency. To achieve this goal, machine learning techniques are often used to develop preset nursing record models to automatically generate or assist in the generation of nursing record documents. However, any model that has been trained for the first time may have shortcomings, especially for complex nursing scenarios, where the model may not be able to completely and accurately generate nursing records that meet actual needs. Therefore, in actual application, nursing staff may find that there are areas that need to be improved in the nursing records generated by the model, such as incomplete information, inaccurate expressions, or formats that do not meet specifications. In response to these problems, nursing staff provide modified versions. These information corrected by professionals are actually high-quality data resources that contain expert knowledge and feedback from actual applications. Using these modified results as new training samples to input the model again for training can help the model learn nursing record generation rules that are closer to actual needs, thereby gradually improving its performance and making its output more accurate, comprehensive, and clinically standard nursing records.
[0104] Reference Figure 2, shows a flowchart of another method for generating nursing records provided by an embodiment of the present invention, the method may specifically include the following steps:
[0105] Step 201, after the user logs in, recording the nursing data collected by the user using the nursing recording device; the nursing data includes voice data and corresponding timestamps, and / or image data and corresponding timestamps;
[0106] After logging in, users can use the device to input voice or take images at any time to record the work content. The voice and image information is stored while the data time node is recorded, and the data is transmitted to the main control end when the user is not using it. For example, the user identity can be identified and authorized through the account password or employee card information to ensure that only one user can use a device at the same time.
[0107] Nursing data usually contains voice data and / or image data, and each data point is accompanied by a timestamp. Voice data may come from the patient's verbal report or the caregiver's verbal record, while image data may include medical device data pictures, wound photos or other visual evidence. The existence of a timestamp is to accurately record when this data was collected, which is crucial for tracking changes in the condition, evaluating treatment effectiveness, and formulating follow-up care plans.
[0108] In addition, recording these nursing data can also help improve the quality of medical services. By storing and analyzing this data, medical institutions can identify potential problems or bottlenecks in the nursing process, thereby optimizing resource allocation and improving work efficiency. At the same time, for patients, this way of recording data also means that they can get more personalized and accurate medical services. In emergency situations, these detailed data records with time information can also quickly provide important background information to the emergency team, thereby accelerating the decision-making process and improving treatment efficiency.
[0109] Step 202, sending the nursing data to the main control device so that the main control device inputs the nursing data into a preset nursing record model, obtains a nursing record template, and displays the nursing record template to the user; the nursing record template includes nursing record information and a corresponding timestamp.
[0110] Sending nursing data to the master device so that the master device can input the data into the preset nursing record model, generate a nursing record template and display it to the user. This process aims to achieve automation and standardization of nursing records. Nursing data includes voice data and image data collected by the nursing record device, with corresponding timestamps. These data are important information generated during the patient care process. By sending these data to the master device, it can be ensured that the information can be processed and stored in a timely manner, thereby achieving centralized management and efficient use of information.
[0111] After receiving the nursing data, the master device will input it into the preset nursing record model. This model is specially designed and trained to automatically generate a structured nursing record template based on the input data. This has several significant advantages: First, the automatically generated nursing record template can ensure the integrity and consistency of the information, reducing the errors and omissions that may be caused by manual recording. Secondly, the templated recording method makes the nursing information more organized, which is convenient for nursing staff to quickly view and understand, especially in emergency situations, so that they can quickly obtain the required information. In addition, by displaying the nursing record template to the user through the master device, information can be shared instantly. This means that each member of the nursing team can obtain the latest nursing information synchronously, thereby supporting more efficient collaboration and decision-making. For patients, this also means that their care process is better managed and tracked, which helps to improve the quality of care.
[0112] In one embodiment, the method further includes: when a user viewing operation on the nursing data is detected, authenticating the user; when the identity authentication is passed, displaying the corresponding nursing data to the user.
[0113] In a healthcare environment, authenticating a user when the system detects an attempt to view nursing data is a critical security measure. This is to protect the privacy of patients and the security of their personal health information, ensuring that only authorized medical staff can access sensitive information. Nursing data contains important details such as a patient's personal information, medical conditions, treatment plans, etc. If this information is leaked to unauthorized persons, it may have serious consequences for the patient, including but not limited to privacy violations, medical misdiagnosis, and even identity theft. Therefore, strict identity authentication is necessary before any attempt to access nursing data. This process usually involves multiple authentication mechanisms, such as using a username and password combination, fingerprint recognition, facial recognition or other biometric verification technology, or even a one-time verification code sent via mobile phone text message or email to confirm the user's identity. Once the user's identity is successfully authenticated, the system confirms that the user has the legal authority to view the corresponding nursing data, and only then is he allowed to access specific nursing information.
[0114] In addition, when identity authentication is passed, showing the corresponding nursing data to the user also means providing personalized information services. Each medical staff can only see specific data related to their work according to their scope of responsibilities and work needs, which not only helps to improve work efficiency, but also ensures that everyone can focus on the nursing tasks they are responsible for. This not only ensures information security, but also ensures the consistency and effectiveness of nursing work, and ultimately helps to improve the overall quality of medical services. By implementing these security strategies, medical institutions can provide high-quality and trustworthy nursing services while protecting patient privacy.
[0115] The embodiment of the present invention provides a method for generating a nursing record, which is performed by obtaining nursing data recorded by a nursing record device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp; the nursing data is processed by a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; and the nursing record template is displayed to a user. The embodiment of the present invention receives nursing data recorded by medical staff on a device side, and inputs the nursing data into a trained nursing record model to obtain a nursing record template, which can ensure the timeliness and accuracy of nursing record information, while reducing the time used for manual handwriting of nursing records, improving work efficiency, and allowing users to better focus on other nursing work.
[0116] Reference Figure 3 , shows a structural block diagram of a nursing record generation system provided by an embodiment of the present invention. The system includes: a main control device 301 and a nursing record device 302.
[0117] The nursing recording device 302 is used to record the nursing data collected by the user using the nursing recording device after the user logs in; the nursing data includes voice data and corresponding timestamps, and / or image data and corresponding timestamps; and send the nursing data to the main control device;
[0118] The main control device 301 is used to obtain the nursing data recorded by the nursing record device, process the nursing data through a preset nursing record model, and obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; and display the nursing record template to the user.
[0119] In one embodiment, the main control device 301 is used to authenticate the user when a modification operation of the user on the nursing record information is detected; after the identity authentication is passed, the nursing record template is modified in response to the modification operation.
[0120] In one embodiment, the main control device 301 is used to determine the nursing record information to be modified in the nursing record template; determine the nursing data that matches the timestamp of the modified nursing record information; compare the nursing record information to be modified with the nursing data that matches the timestamp of the modified nursing record information; and modify the nursing record information to be modified based on the comparison result.
[0121] In one embodiment, the main control device 301 is used to obtain training samples, which include historical nursing data; train the initial nursing record model based on the historical nursing data, and adjust the parameters of the initial nursing record model; when the nursing record template output by the initial nursing record model meets preset conditions, obtain a trained nursing record model.
[0122] In one embodiment, the main control device 301 is used to obtain the modification result of the nursing record information to be modified; use the modification result of the nursing record information to be modified as a training sample, and train the preset nursing record model according to the training sample.
[0123] In one embodiment, the nursing record device 302 is used to authenticate the user when a viewing operation of the user on the nursing data is detected; when the authentication is passed, the corresponding nursing data is displayed to the user.
[0124] The embodiment of the present invention provides a method for generating a nursing record, which is performed by obtaining nursing data recorded by a nursing record device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp; the nursing data is processed by a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; and the nursing record template is displayed to a user. The embodiment of the present invention receives nursing data recorded by medical staff on a device side, and inputs the nursing data into a trained nursing record model to obtain a nursing record template, which can ensure the timeliness and accuracy of nursing record information, while reducing the time used for manual handwriting of nursing records, improving work efficiency, and allowing users to better focus on other nursing work.
[0125] Reference Figure 4 , shows a structural block diagram of a nursing record generating device provided by an embodiment of the present invention, which may specifically include the following modules:
[0126] The data acquisition module 401 is used to acquire the nursing data recorded by the nursing recording device; the nursing data includes voice data and corresponding timestamps, and / or image data and corresponding timestamps;
[0127] The template generation module 402 is used to process the nursing data through a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp;
[0128] The first display module 403 is used to display the nursing record template to the user.
[0129] In one embodiment, the device further comprises:
[0130] An authentication module, used for authenticating the user when a modification operation of the user on the nursing record information is detected;
[0131] The modification module is used to modify the nursing record template in response to the modification operation after the identity authentication is passed.
[0132] In one embodiment, the modification module includes:
[0133] A nursing record information determination submodule, used to determine the nursing record information to be modified in the nursing record template;
[0134] A nursing data determination submodule, used to determine nursing data matching the timestamp of the modified nursing record information;
[0135] A comparison submodule, used for comparing the nursing record information to be modified with the nursing data matching the timestamp of the modified nursing record information;
[0136] The modification submodule is used to modify the nursing record information to be modified according to the comparison result.
[0137] In one embodiment, the template generation module includes:
[0138] A sample acquisition submodule, used to acquire training samples, wherein the training samples include historical nursing data;
[0139] A first training submodule, used for training an initial nursing record model according to the historical nursing data, and adjusting parameters of the initial nursing record model;
[0140] The model acquisition submodule is used to obtain a trained nursing record model when the nursing record template output by the initial nursing record model meets preset conditions.
[0141] In one embodiment, the template generation module further includes:
[0142] A modification result acquisition submodule is used to obtain the modification result of the nursing record information to be modified;
[0143] The second training submodule is used to use the modification result of the nursing record information to be modified as a training sample, and train the preset nursing record model according to the training sample.
[0144] Reference Figure 5 , shows a structural block diagram of another nursing record generating device provided by an embodiment of the present invention, which may specifically include the following modules:
[0145] The recording module 501 is used to record the nursing data collected by the user using the nursing recording device after the user logs in; the nursing data includes voice data and corresponding timestamps, and / or image data and corresponding timestamps;
[0146] The sending module 502 is used to send the nursing data to the main control device so that the main control device inputs the nursing data into a preset nursing record model, obtains a nursing record template, and displays the nursing record template to the user; the nursing record template includes nursing record information and a corresponding timestamp.
[0147] In one embodiment, the device further comprises:
[0148] An authentication module, configured to authenticate the user when a viewing operation of the user on the nursing data is detected;
[0149] The second display module is used to display the corresponding nursing data to the user after the identity authentication is passed.
[0150] The embodiment of the present invention provides a method for generating a nursing record, which is performed by obtaining nursing data recorded by a nursing record device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp; the nursing data is processed by a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; and the nursing record template is displayed to a user. The embodiment of the present invention receives nursing data recorded by medical staff on a device side, and inputs the nursing data into a trained nursing record model to obtain a nursing record template, which can ensure the timeliness and accuracy of nursing record information, while reducing the time used for manual handwriting of nursing records, improving work efficiency, and allowing users to better focus on other nursing work.
[0151] It should be noted that, for the sake of simplicity, the method embodiments are described as a series of action combinations, but those skilled in the art should be aware that the embodiments of the present invention are not limited by the order of the actions described, because according to the embodiments of the present invention, certain steps can be performed in other orders or simultaneously. Secondly, those skilled in the art should also be aware that the embodiments described in the specification are all preferred embodiments, and the actions involved are not necessarily required by the embodiments of the present invention.
[0152] As for the device embodiment, since it is basically similar to the method embodiment, the description is relatively simple, and the relevant parts can be referred to the partial description of the method embodiment.
[0153] An embodiment of the present invention further provides an electronic device, including:
[0154] It includes a processor, a memory, and a computer program stored in the memory and capable of running on the processor. When the computer program is executed by the processor, the various processes of the above-mentioned nursing record generation method embodiment are implemented, and the same technical effect can be achieved. To avoid repetition, it will not be repeated here.
[0155] An embodiment of the present invention also provides a computer-readable storage medium, on which a computer program is stored. When the computer program is executed by a processor, the various processes of the above-mentioned nursing record generation method embodiment are implemented, and the same technical effect can be achieved. To avoid repetition, it will not be repeated here.
[0156] The various embodiments in this specification are described in a progressive manner, and each embodiment focuses on the differences from other embodiments. The same or similar parts between the various embodiments can be referenced to each other.
[0157] It should be understood by those skilled in the art that the embodiments of the present invention can provide methods, devices, or computer program products. Therefore, the embodiments of the present invention can take the form of a complete hardware embodiment, a complete software embodiment, or an embodiment combining software and hardware. Moreover, the embodiments of the present invention can take the form of a computer program product implemented on one or more computer-usable storage media (including but not limited to disk storage, CD-ROM, optical storage, etc.) containing computer-usable program codes.
[0158] The embodiments of the present invention are described with reference to the flowcharts and / or block diagrams of the methods, terminal devices (systems), and computer program products according to the embodiments of the present invention. It should be understood that each process and / or block in the flowchart and / or block diagram, as well as the combination of the processes and / or blocks in the flowchart and / or block diagram, can be implemented by computer program instructions. These computer program instructions can be provided to a processor of a general-purpose computer, a special-purpose computer, an embedded processor, or other programmable data processing terminal device to generate a machine, so that the instructions executed by the processor of the computer or other programmable data processing terminal device generate instructions for implementing the processes in the flowchart and / or block diagram. Figure 1 A process or multiple processes and / or boxes Figure 1 A device that provides the functions specified in a block or multiple blocks.
[0159] These computer program instructions may also be stored in a computer-readable memory capable of directing a computer or other programmable data processing terminal device to operate in a specific manner, so that the instructions stored in the computer-readable memory produce a manufactured product including an instruction device, which implements the process Figure 1 A process or multiple processes and / or boxes Figure 1 A function specified in one or more boxes.
[0160] These computer program instructions can also be loaded onto a computer or other programmable data processing terminal device so that a series of operating steps are executed on the computer or other programmable terminal device to produce a computer-implemented process, thereby providing instructions for executing on the computer or other programmable terminal device to implement the process. Figure 1 A process or multiple processes and / or boxes Figure 1 The steps for the functions specified in one or more boxes.
[0161] Although the preferred embodiments of the present invention have been described, those skilled in the art may make additional changes and modifications to these embodiments once they have learned the basic creative concept. Therefore, the appended claims are intended to be interpreted as including the preferred embodiments and all changes and modifications that fall within the scope of the embodiments of the present invention.
[0162] Finally, it should be noted that, in this article, relational terms such as first and second, etc. are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply any such actual relationship or order between these entities or operations. Moreover, the terms "include", "comprise" or any other variants thereof are intended to cover non-exclusive inclusion, so that a process, method, article or terminal device including a series of elements includes not only those elements, but also other elements not explicitly listed, or also includes elements inherent to such process, method, article or terminal device. In the absence of further restrictions, the elements defined by the sentence "comprise a ..." do not exclude the existence of other identical elements in the process, method, article or terminal device including the elements.
[0163] The above is a detailed introduction to a nursing record generation method, a nursing record generation system and a nursing record generation device provided by the present invention. Specific examples are used in this article to illustrate the principles and implementation methods of the present invention. The description of the above embodiments is only used to help understand the method of the present invention and its core idea; at the same time, for general technical personnel in this field, according to the idea of the present invention, there will be changes in the specific implementation method and application scope. In summary, the content of this specification should not be understood as a limitation on the present invention.
Claims
1. A method for generating a nursing record, characterized in that: Applied to a master control device, the method comprises: Acquire nursing data recorded by a nursing recording device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp; The nursing data is processed by a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; The nursing record template is presented to the user.
2. The method according to claim 1, characterized in that Also includes: When a modification operation of the user on the nursing record information is detected, authenticating the user; After the identity authentication is passed, the nursing record template is modified in response to the modification operation.
3. The method according to claim 2, characterized in that The modification of the nursing record template includes: Determining the nursing record information to be modified in the nursing record template; determining nursing data matching the timestamp of the modified nursing record information; Comparing the nursing record information to be modified with nursing data matching the timestamp of the modified nursing record information; According to the comparison result, the nursing record information to be modified is modified.
4. The method according to claim 3, characterized in that The preset nursing record model is trained in the following way: Acquire a training sample, wherein the training sample includes historical nursing data; Training an initial nursing record model according to the historical nursing data, and adjusting parameters of the initial nursing record model; When the nursing record template output by the initial nursing record model meets the preset conditions, a trained nursing record model is obtained.
5. The method according to claim 4, characterized in that Also includes: Obtaining the modification result of the nursing record information to be modified; The modification result of the nursing record information to be modified is used as a training sample, and the preset nursing record model is trained according to the training sample.
6. A method for generating a nursing record, characterized in that: Applied to a nursing record device, the method comprises: After the user logs in, recording the nursing data collected by the user using the nursing recording device; the nursing data includes voice data and corresponding timestamps, and / or, image data and corresponding timestamps; The nursing data is sent to the main control device so that the main control device inputs the nursing data into a preset nursing record model to obtain a nursing record template, and displays the nursing record template to the user; the nursing record template includes nursing record information and a corresponding timestamp.
7. The method according to claim 6, characterized in that Also includes: When a viewing operation of the user on the nursing data is detected, authenticating the user; When the identity authentication is passed, the corresponding nursing data is displayed to the user.
8. A nursing record generation system, characterized in that: include: Master control equipment and nursing record equipment; The nursing recording device is used to record the nursing data collected by the user using the nursing recording device after the user logs in; the nursing data includes voice data and corresponding timestamps, and / or image data and corresponding timestamps; and send the nursing data to the main control device; The main control device is used to obtain the nursing data recorded by the nursing record device, process the nursing data through a preset nursing record model, and obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; and display the nursing record template to the user.
9. A nursing record generating device, characterized in that: Applied to a main control device, the device comprises: A data acquisition module, used to acquire nursing data recorded by a nursing recording device; the nursing data includes voice data and a corresponding timestamp, and / or image data and a corresponding timestamp; A template generation module, used for processing the nursing data through a preset nursing record model to obtain a nursing record template; the nursing record template includes nursing record information and a corresponding timestamp; A display module is used to display the nursing record template to the user.
10. A nursing record generating device, characterized in that: Applied to nursing record equipment, the device comprises: A recording module, used to record the nursing data collected by the user using the nursing recording device after the user logs in; the nursing data includes voice data and corresponding timestamps, and / or image data and corresponding timestamps; A sending module is used to send the nursing data to the main control device so that the main control device inputs the nursing data into a preset nursing record model, obtains a nursing record template, and displays the nursing record template to the user; the nursing record template includes nursing record information and a corresponding timestamp.
11. An electronic device, characterized in that: include: A processor, a memory, and a computer program stored in the memory and capable of running on the processor, wherein when the computer program is executed by the processor, the steps of the nursing record generation method according to any one of claims 1 to 7 are implemented.
12. A computer-readable storage medium, characterized in that: The computer-readable storage medium stores a computer program, and when the computer program is executed by a processor, the steps of the nursing record generating method according to any one of claims 1 to 7 are implemented.