Nursing quality monitoring and feedback system

Abstract

The invention, which relates to the technical field of nursing quality monitoring, discloses a nursing quality monitoring and feedback system comprising a data acquisition monitoring module, a nursing index extraction module, a nursing quality evaluation module, an intelligent analysis early warning module, a nursing quality feedback module and a nursing process optimization module. Wherein the modules are connected through electric signals. According to the nursing quality monitoring and feedback system, through real-time collection and analysis of physiological data of a patient, operation records of nursing personnel and feedback suggestions of the patient and family members, potential problems and risks in the nursing process are found, improvement suggestions are generated, the nursing personnel are guided to adjust a nursing plan, the operation process is optimized, and therefore the nursing quality is remarkably improved; and operation of nursing personnel can be monitored and fed back in real time, improper behaviors can be found and corrected, and standardization and accuracy of nursing operation are improved.

Description

Technical Field

[0001] The present invention relates to the technical field of nursing quality monitoring, and in particular to a nursing quality monitoring and feedback system. Background Art

[0002] With the rapid development of the medical industry and the diversification of patient needs, nursing quality has become one of the important criteria for measuring the comprehensive service level of hospitals. By monitoring nursing quality, patient safety issues can be discovered and resolved in a timely manner, and the incidence of adverse events can be reduced. A clear monitoring and feedback mechanism can ensure that patients receive appropriate nursing services, thereby improving patient safety. Therefore, in order to ensure the safety, effectiveness and patient satisfaction of nursing services, hospitals and nursing institutions need to establish a scientific quality monitoring system.

[0003] In the existing technology, due to the different levels of mastery of disease-related knowledge and nursing skills among nursing staff, and their different abilities to judge the patient's condition, feedback may be untimely. Therefore, how to unify the patient's nursing quality monitoring standards and provide feedback and improvement on the nursing quality is a problem we need to solve. To this end, a nursing quality monitoring and feedback system is proposed. Summary of the invention

[0004] To achieve the above objectives, the present invention is implemented through the following technical solutions: a nursing quality monitoring and feedback system, the nursing quality monitoring and feedback system includes a data acquisition monitoring module, a nursing index extraction module, a nursing quality assessment module, an intelligent analysis and early warning module, a nursing quality feedback module and a nursing process optimization module, wherein the modules are connected by electrical signals;

[0005] The data collection and monitoring module is used to collect various data in the nursing process in real time, including the patient's health status, the execution of nursing operations, the workload and work quality of nursing staff, and to record the patient's condition changes, nursing activities and nursing results data in real time through the electronic health record system and nursing information system;

[0006] The nursing indicator extraction module comprehensively evaluates the nursing quality by setting and extracting the associated data of nursing indicators, wherein the nursing indicators include quantitative indicators (nursing operation completion rate, medication accuracy, and nursing process standardization) and qualitative indicators (patient communication and nursing experience). The unified standard can reduce the deviation of nursing staff in the operation process and enable them to provide nursing services under the same standard;

[0007] The nursing quality assessment module, combined with the extracted nursing indicators, quantitatively assesses the nursing service quality of nursing staff and automatically generates an assessment report to help nursing staff and managers understand the current nursing quality level and find potential improvement points;

[0008] The intelligent analysis and early warning module uses data analysis technology to analyze the collected data, monitor the patient's physiological state and nursing behavior, and automatically sends out early warning signals when abnormal conditions are found or nursing behaviors deviate from the predetermined nursing plan, prompting nursing staff and management to take corresponding measures;

[0009] The nursing quality feedback module obtains feedback from nursing staff, patients and their families on nursing services, and automatically generates improvement suggestions based on the feedback content and nursing quality evaluation results to improve nursing quality;

[0010] The nursing process optimization module analyzes the bottlenecks and inefficient links in nursing work based on the nursing quality feedback results, puts forward optimization suggestions, formulates nursing quality improvement plans to implement improvement measures, tracks the effects of nursing quality improvement, and evaluates the actual impact of improvement measures to determine whether further optimization is needed.

[0011] Preferably, in the data collection and monitoring module, the collection process of various types of data during the nursing process includes:

[0012] Obtain patient health status monitoring data and nursing activity record data through the electronic health record system and nursing information system. Patient health status monitoring data is collected by connecting medical equipment (vital sign monitor, electrocardiograph, blood oxygen saturation monitor), and nursing activity record data records nursing activities through workstations, including the execution time of each nursing operation, the executor, the operation results, the working hours of the nursing staff, and the number of completed tasks;

[0013] Pre-process the collected data, remove invalid or erroneous data, ensure data accuracy, check and verify the collected data to ensure its accuracy, and manually review and correct abnormal data or suspected erroneous data;

[0014] The pre-processed patient health status monitoring data and nursing activity record data are integrated to form a unified data format. Based on the integrated data, a nursing quality sequence table is constructed. The nursing quality sequence table includes multiple dimensions such as patient health status assessment, nursing operation quality, and nursing staff work efficiency.

[0015] Preferably, in the nursing indicator extraction module, the nursing indicator extraction process includes:

[0016] Analyze the nursing quality sequence table and identify the nursing indicators used for nursing quality assessment according to the department's nursing quality standards;

[0017] Extract relevant data based on preset nursing indicators. For quantitative indicators, extract data on nursing operation completion rate, medication accuracy, and nursing process standardization score. For qualitative indicators, extract data on patient communication satisfaction score and nursing experience score.

[0018] Integrate the parameter data of quantitative indicators and qualitative indicators to form a unified nursing indicator data set. Each nursing record contains relevant data of quantitative indicators and qualitative indicators.

[0019] Based on the nursing indicator data set, the associated data of the comprehensive quantitative indicators (nursing operation completion rate, medication accuracy rate and nursing process standardization score) are calculated to calculate the quantitative nursing evaluation value and analyze the quantitative performance of the nursing process;

[0020] Based on the qualitative indicator-related data in the nursing indicator dataset (patient communication satisfaction score and nursing experience score), the qualitative nursing evaluation value is calculated to analyze the patient's overall perception of nursing quality.

[0021] Preferably, the calculation formula of the quantitative nursing evaluation value is:

[0022] ;

[0023] in, It is a quantitative nursing evaluation value, which is a value that comprehensively reflects the quantitative performance in the nursing process. is the completion rate of the i-th nursing operation, is the weight of the i-th nursing operation, which reflects the importance of the operation in the overall evaluation and is a positive number. The benchmark value for the completion rate of nursing operations is a preset and expected level, which is a value between 0 and 1. is the accuracy of the j-th medication, which is a value between 0 and 1. is the weight of the j-th medication accuracy, which is a positive number. It is the benchmark value of medication accuracy, which is a value between 0 and 1. The standardization score of the nursing process reflects the degree to which the nursing staff follows the standardization of the nursing process. The benchmark value for scoring the standardization of the nursing process is a preset and expected level. The standard deviation of the nursing process normativeness score is used to adjust the score scale and is a positive number. is the total number of nursing operations, The total number of medication items.

[0024] Preferably, the calculation formula of the quality care evaluation value is:

[0025] ;

[0026] in, It is the evaluation value of quality nursing, which is a value that comprehensively reflects the patient's overall feeling about the nursing quality. The patient communication satisfaction score is a value between 0 and 1, which indicates the patient's satisfaction with the nursing staff's communication effectiveness. The nursing experience score is also a value between 0 and 1, which represents the patient's subjective feelings and overall evaluation of the nursing service. It is the minimum value of the patient communication satisfaction score, which is used for normalization to ensure the relativity of the score. is the minimum value in the nursing experience score, which is also used for normalization. and is the parameter of the exponential function.

[0027] Preferably, in the nursing quality assessment module, the assessment process of nursing service quality includes:

[0028] Based on the quantitative indicator data and qualitative indicator data in the nursing indicator data set, the calculated quantitative nursing evaluation value and the qualitative nursing evaluation value are extracted;

[0029] Integrate quantitative nursing evaluation values ​​and qualitative nursing evaluation values, and assign corresponding weights to quantitative nursing evaluation values ​​and qualitative nursing evaluation values ​​according to the department's emphasis on patient satisfaction, nursing efficiency, and nursing safety;

[0030] Combine the quantitative nursing evaluation value, qualitative nursing evaluation value and their corresponding weights to comprehensively calculate the nursing quality evaluation coefficient, conduct a quantitative evaluation of the nursing service quality of nursing staff, and reflect the overall level and quality of nursing services;

[0031] Based on the evaluation results of nursing quality, an evaluation report is automatically generated, including the nursing quality evaluation coefficient, the scores of various indicators, and potential improvement points. The evaluation report is fed back to relevant nursing staff and managers through the online platform to enable them to understand the current status and existing problems of nursing quality, and formulate improvement measures based on the evaluation results to improve the quality of nursing services.

[0032] Preferably, the calculation process of the nursing quality evaluation coefficient is:

[0033] Obtain relevant data on quantitative and qualitative indicators from nursing records, patient feedback, and observation records, and extract the calculated quantitative nursing evaluation values ​​and qualitative nursing evaluation values;

[0034] Traversing all calculated quantitative nursing evaluation values ​​and qualitative nursing evaluation values, and determining the maximum and minimum values ​​of the quantitative nursing evaluation values ​​and the qualitative nursing evaluation values;

[0035] Combine the quantitative nursing evaluation value, the maximum value and the minimum value of the quantitative nursing evaluation value, and convert the quantitative nursing evaluation value into a normalized value between 0 and 1; combine the qualitative nursing evaluation value, the maximum value and the minimum value of the qualitative nursing evaluation value, and convert the qualitative nursing evaluation value into a normalized value between 0 and 1;

[0036] The normalized value of the quantitative nursing evaluation value is multiplied by its weight to obtain a quantitative nursing function, the normalized value of the qualitative nursing evaluation value is multiplied by its weight to obtain a qualitative nursing function, and the quantitative nursing function and the qualitative nursing function are added together to determine the numerator of the nursing quality evaluation coefficient;

[0037] Calculate the square of the difference between the maximum and minimum values ​​of the quantitative nursing evaluation value, multiply it by its weight, calculate the square of the difference between the maximum and minimum values ​​of the qualitative nursing evaluation value, multiply it by its weight, and add the two together to determine the denominator of the nursing quality evaluation coefficient;

[0038] Divide the numerator by the denominator and take the square root to get the final nursing quality assessment coefficient. Based on the calculated nursing quality assessment coefficient, the overall level and quality of nursing services can be judged.

[0039] Preferably, the calculation formula of the nursing quality evaluation coefficient is:

[0040] ;

[0041] ;

[0042] ;

[0043] in, is the nursing quality assessment coefficient, It is the quantitative nursing evaluation value, which represents the nursing service quality score calculated by quantitative indicators. is the quality nursing evaluation value, which indicates the nursing service quality score obtained through the evaluation of qualitative indicators. It is the minimum value in the quantitative nursing evaluation value, which is used for normalization processing. To quantify the maximum value of the nursing evaluation value, it is also used for normalization processing. is the minimum value of the quality care evaluation value, which is used for normalization. is the maximum value of the quality care evaluation value, which is also used for normalization. is the weight of the quantitative nursing evaluation value, indicating the importance of quantitative indicators in the comprehensive evaluation. is the weight of the quality nursing evaluation value, indicating the importance of quality indicators in the comprehensive evaluation. The value range is between 0 and 1, that is, 0≤ ≤1.

[0044] Preferably, in the intelligent analysis and warning module, the process of issuing the warning signal includes:

[0045] Collect patients’ real-time physiological data through medical devices (electrocardiographs, blood pressure monitors, blood glucose meters) and wearable devices (smart bracelets, health monitoring patches), and record the specific operations of caregivers, including medication time, dosage, type and frequency of care operations, and patients’ compliance with care plans;

[0046] Perform real-time analysis of collected data to detect changes in the patient's physiological state, compare current data with the predetermined care plan, and identify anomalies;

[0047] A warning threshold is set in combination with the nursing quality assessment coefficient. When the result of the nursing quality assessment coefficient is lower than the set warning threshold, a warning signal is triggered;

[0048] The warning signal is transmitted to the nursing staff responsible for the patient in real time through mobile devices, emails and messages within the system. After receiving the warning signal, the nursing staff will immediately check the patient's condition and adjust the corresponding nursing measures based on the warning signal.

[0049] Preferably, in the nursing quality feedback module, the process of generating improvement suggestions includes:

[0050] Collect the problems, difficulties and suggestions encountered by nursing staff in the process of implementing nursing plans through internal communication channels, and collect the evaluation and suggestions of patients and their families on nursing services through satisfaction surveys;

[0051] Categorize the collected feedback by problem type, urgency, and scope of impact, and distinguish between positive and negative feedback for subsequent analysis;

[0052] Generate targeted improvement suggestions based on the collected feedback and nursing quality assessment results, and prioritize the improvement suggestions according to the urgency and importance of the issues to ensure that the issues that have the greatest impact on patient safety and satisfaction are addressed first;

[0053] For each improvement suggestion, develop a detailed implementation plan that clearly defines the implementation steps, responsible persons, and time nodes. Implement the improvement measures step by step according to the implementation plan. Regularly check the implementation of the improvement measures to ensure that each link is effectively implemented. Evaluate the effectiveness of the improvement measures by comparing the data before and after the improvement.

[0054] The present invention provides a nursing quality monitoring and feedback system. It has the following beneficial effects:

[0055] 1. The nursing quality monitoring and feedback system collects and analyzes patients' physiological data, nursing staff's operation records, and feedback from patients and their families in real time to discover potential problems and risks in the nursing process, generate improvement suggestions, and guide nursing staff to adjust nursing plans and optimize operating procedures, thereby significantly improving the quality of nursing. In addition, it can also monitor and provide feedback on nursing staff's operations in real time, help discover and correct improper behaviors, and improve the standardization and accuracy of nursing operations.

[0056] 2. The nursing quality monitoring and feedback system can timely understand the evaluation and demand for nursing services by collecting feedback from patients and their families, generate improvement suggestions based on feedback, guide nursing staff to adjust service methods, improve service quality, and thus enhance patient satisfaction. BRIEF DESCRIPTION OF THE DRAWINGS

[0057] Figure 1 This is a module structure diagram of a nursing quality monitoring and feedback system of the present invention;

[0058] Figure 2 is a flow chart for extracting nursing indicators of the present invention;

[0059] Figure 3 This is a flow chart for evaluating the quality of nursing services of the present invention. DETAILED DESCRIPTION

[0060] The present invention is further described in detail below in conjunction with the accompanying drawings and specific embodiments. The embodiments of the present invention are provided for the purpose of illustration and description, and are not intended to be exhaustive or to limit the present invention to the disclosed forms. Many modifications and variations will be apparent to those of ordinary skill in the art. The embodiments are selected and described in order to better illustrate the principles and practical applications of the present invention, and to enable those of ordinary skill in the art to understand the present invention and thereby design various embodiments with various modifications suitable for specific uses.

[0061] The first embodiment, as Figure 1 , Figure 2 As shown, the present invention provides a technical solution: a nursing quality monitoring and feedback system, the nursing quality monitoring and feedback system includes a data acquisition monitoring module, a nursing index extraction module, a nursing quality assessment module, an intelligent analysis and early warning module, a nursing quality feedback module and a nursing process optimization module, wherein the electrical signals between the modules are connected;

[0062] The data collection and monitoring module is used to collect various data in the nursing process in real time, including the patient's health status, the execution of nursing operations, the workload and work quality of nursing staff, and to record the patient's condition changes, nursing activities and nursing results data in real time through the electronic health record system and nursing information system. The patient's health status monitoring data and nursing activity record data are obtained through the electronic health record system and nursing information system. Among them, the patient's health status monitoring data is collected by connecting medical equipment (vital sign monitors, electrocardiographs, blood oxygen saturation monitors), and the nursing activity record data is recorded through the workstation to record nursing activities, including various The execution time of nursing operations, the executors, the operation results, the working hours of nursing staff, and the number of completed tasks. The collected data are pre-processed to eliminate invalid or erroneous data to ensure data accuracy, and the collected data are checked and verified to ensure their accuracy. For abnormal data or suspected erroneous data, manual review and correction are performed. The pre-processed patient health status monitoring data and nursing activity record data are integrated to form a unified data format. Based on the integrated data, a nursing quality sequence table is constructed. The nursing quality sequence table includes multiple dimensions such as patient health status assessment, nursing operation quality, and nursing staff work efficiency.

[0063] The nursing indicator extraction module comprehensively evaluates the nursing quality by setting and extracting the associated data of nursing indicators. Nursing indicators include quantitative indicators (nursing operation completion rate, medication accuracy, and nursing process standardization) and qualitative indicators (patient communication and nursing experience). Unified standards can reduce the deviation of nursing staff in the operation process and enable them to provide nursing services under the same standards. The nursing quality sequence table is analyzed. According to the nursing quality standards of the department, the nursing indicators used for nursing quality evaluation are clarified. According to the preset nursing indicators, the relevant data are extracted. For quantitative indicators, the data of nursing operation completion rate, medication accuracy rate and nursing process standardization score are extracted. For qualitative indicators, the data of patient communication satisfaction score and nursing experience score are extracted. Among them, the nursing operation completion rate reflects the efficiency and completion of nursing staff in performing nursing operations, and the medication accuracy rate measures the nursing staff's The accuracy and safety of the staff in the medication process, the nursing process standardization score evaluates the degree to which the nursing staff follows the standardization of the nursing process, the patient communication satisfaction score reflects the effectiveness of the nursing staff's communication with the patients and their families and the patient satisfaction, and the nursing experience score reflects the patient's subjective feelings and overall evaluation of the nursing service. The parameter data of the quantitative indicators and qualitative indicators are integrated to form a unified nursing indicator data set. Each nursing record contains quantitative indicators and qualitative indicators related data. Based on the nursing indicator data set, the associated data of the quantitative indicators (nursing operation completion rate, medication accuracy rate and nursing process standardization score) are integrated to calculate the quantitative nursing evaluation value, analyze the quantitative performance of the nursing process, and calculate the qualitative nursing evaluation value based on the qualitative indicator associated data in the nursing indicator data set (patient communication satisfaction score and nursing experience score) to analyze the patient's overall feeling about the nursing quality.

[0064] Furthermore, the calculation formula of the quantitative nursing evaluation value is:

[0065] ;

[0066] in, It is a quantitative nursing evaluation value, which is a value that comprehensively reflects the quantitative performance in the nursing process. is the completion rate of the i-th nursing operation, is the weight of the i-th nursing operation, which reflects the importance of the operation in the overall evaluation and is a positive number. The benchmark value for the completion rate of nursing operations is a preset and expected level, which is a value between 0 and 1. is the accuracy of the j-th medication, which is a value between 0 and 1. is the weight of the j-th medication accuracy, which is a positive number. It is the benchmark value of medication accuracy, which is a value between 0 and 1. The standardization score of the nursing process reflects the degree to which the nursing staff follows the standardization of the nursing process. The benchmark value for scoring the standardization of the nursing process is a preset and expected level. The standard deviation of the nursing process normativeness score is used to adjust the score scale and is a positive number. is the total number of nursing operations, is the total number of medication items, The value range of is a non-negative real number, that is ≥0, when the completion rate of each nursing operation, the accuracy of medication and the standardization score of the nursing process are all higher than the benchmark value, The value of will increase, indicating that the nursing quality is higher. When the indicators are lower than the benchmark value, The value of will decrease, indicating lower quality of care;

[0067] The calculation formula of the quality nursing evaluation value is:

[0068] ;

[0069] in, It is the evaluation value of quality nursing, which is a value that comprehensively reflects the patient's overall feeling about the nursing quality. The patient communication satisfaction score is a value between 0 and 1, which indicates the patient's satisfaction with the nursing staff's communication effectiveness. The nursing experience score is also a value between 0 and 1, which represents the patient's subjective feelings and overall evaluation of the nursing service. It is the minimum value of the patient communication satisfaction score, which is used for normalization to ensure the relativity of the score. is the minimum value in the nursing experience score, which is also used for normalization. and is a parameter of the exponential function, which is used to adjust the weight and sensitivity of the patient communication satisfaction score and nursing experience score in the final evaluation value. It can be set according to the actual situation to reflect the importance of these two indicators in different departments or different nursing projects. The value range of is a non-negative real number, that is ≥0, when both the patient communication satisfaction score and the nursing experience score are high, The value of will increase, indicating that the patient's overall feeling about the quality of care is good. When these two scores are low, The value of will decrease, indicating that the patient's overall perception of the quality of care is poor;

[0070] The nursing quality assessment module combines the extracted nursing indicators to quantitatively assess the nursing service quality of nursing staff and automatically generates an assessment report to help nursing staff and managers understand the current nursing quality level and identify potential improvement points;

[0071] The intelligent analysis and early warning module uses data analysis technology to analyze the collected data, monitor the patient's physiological state and nursing behavior, and automatically issues an early warning signal when an abnormal situation is found or the nursing behavior deviates from the predetermined nursing plan, prompting nursing staff and management to take corresponding measures;

[0072] Nursing quality feedback module, which obtains feedback from nursing staff, patients and their families on nursing services, and automatically generates improvement suggestions based on the feedback content and nursing quality assessment results to improve nursing quality;

[0073] The nursing process optimization module analyzes the bottlenecks and inefficient links in nursing work based on the nursing quality feedback results, puts forward optimization suggestions, formulates nursing quality improvement plans and implements improvement measures, tracks the effects of nursing quality improvement, and evaluates the actual impact of improvement measures to determine whether further optimization is needed.

[0074] The second embodiment is based on the first embodiment. Figure 3 As shown in the figure, in the nursing quality assessment module, the assessment process of nursing service quality includes:

[0075] Based on the quantitative indicator data and qualitative indicator data in the nursing indicator data set, the calculated quantitative nursing evaluation value and qualitative nursing evaluation value are extracted and integrated, and the quantitative nursing evaluation value and qualitative nursing evaluation value are assigned corresponding weights according to the department's emphasis on patient satisfaction, nursing efficiency, and nursing safety. The quantitative nursing evaluation value, qualitative nursing evaluation value, and their corresponding weights are combined to comprehensively calculate the nursing quality evaluation coefficient, and the nursing service quality of nursing staff is quantitatively evaluated to reflect the overall level and quality of nursing services. Based on the evaluation results of nursing quality, an evaluation report is automatically generated, including the nursing quality evaluation coefficient, the scores of various indicators, and potential improvement points. The evaluation report is fed back to relevant nursing staff and managers through the online platform so that they can understand the current status and existing problems of nursing quality and formulate improvement measures based on the evaluation results to improve the quality of nursing services.

[0076] Furthermore, the calculation process of the nursing quality evaluation coefficient is:

[0077] Obtain relevant data of quantitative indicators and qualitative indicators from nursing records, patient feedback, and observation records, and extract the calculated quantitative nursing evaluation values ​​and qualitative nursing evaluation values, traverse all calculated quantitative nursing evaluation values ​​and qualitative nursing evaluation values, determine the maximum and minimum values ​​of the quantitative nursing evaluation values ​​and the qualitative nursing evaluation values, combine the quantitative nursing evaluation values, the maximum and minimum values ​​of the quantitative nursing evaluation values, convert the quantitative nursing evaluation values ​​into normalized values ​​between 0 and 1, combine the qualitative nursing evaluation values, the maximum and minimum values ​​of the qualitative nursing evaluation values, convert the qualitative nursing evaluation values ​​into normalized values ​​between 0 and 1, multiply the normalized value of the quantitative nursing evaluation value by its weight to obtain the quantitative nursing function, multiply the normalized value of the qualitative nursing evaluation value by its weight to obtain the qualitative nursing function. The numerator of the nursing quality evaluation coefficient is determined by adding the quantitative nursing function and the qualitative nursing function. The square of the difference between the maximum and minimum values ​​of the quantitative nursing evaluation value is calculated and multiplied by its weight. The square of the difference between the maximum and minimum values ​​of the qualitative nursing evaluation value is calculated and multiplied by its weight. The two are added to determine the denominator of the nursing quality evaluation coefficient. The numerator is divided by the denominator and the square root is taken to obtain the final nursing quality evaluation coefficient. The overall level and quality status of the nursing service are judged according to the calculated nursing quality evaluation coefficient. The closer the value of the nursing quality evaluation coefficient is to 1, the better the overall level and quality status of the nursing service. The closer the value of the nursing quality evaluation coefficient is to 0, the worse the overall level and quality status of the nursing service.

[0078] Furthermore, the calculation formula of the nursing quality evaluation coefficient is:

[0079] ;

[0080] ;

[0081] ;

[0082] in, is the nursing quality assessment coefficient, which is a value between 0 and 1, indicating the overall level and quality of nursing services. It is the quantitative nursing evaluation value, which represents the nursing service quality score calculated by quantitative indicators. is the quality nursing evaluation value, which indicates the nursing service quality score obtained through the evaluation of qualitative indicators. It is the minimum value in the quantitative nursing evaluation value, which is used for normalization processing. To quantify the maximum value of the nursing evaluation value, it is also used for normalization processing. is the minimum value of the quality care evaluation value, which is used for normalization. is the maximum value of the quality care evaluation value, which is also used for normalization. is the weight of the quantitative nursing evaluation value, indicating the importance of quantitative indicators in the comprehensive evaluation. is the weight of the quality nursing evaluation value, indicating the importance of quality indicators in the comprehensive evaluation. The value range is between 0 and 1, that is, 0≤ ≤1, when both the quantitative nursing evaluation value and the qualitative nursing evaluation value are high, The value of will be close to 1, indicating that the overall level and quality of nursing services are good. When these two evaluation values ​​are low, The value of will be close to 0, indicating that the overall level and quality of nursing services are poor;

[0083] In the intelligent analysis and warning module, the process of issuing warning signals includes:

[0084] Collect patients' real-time physiological data through medical equipment (electrocardiograph, blood pressure monitor, blood glucose meter) and wearable devices (smart bracelet, health monitoring patch), and record the specific operations of nursing staff, including medication time, dosage, nursing operation type and frequency, and patients' compliance with nursing plans. Analyze the collected data in real time to detect changes in patients' physiological status, compare current data with the predetermined nursing plan, identify abnormalities, and set early warning thresholds in combination with nursing quality assessment coefficients. When the result of the nursing quality assessment coefficient is lower than the set early warning threshold, trigger an early warning signal, and transmit the early warning signal to the nursing staff responsible for the patient in real time through mobile devices, emails and system messages. After receiving the early warning signal, the nursing staff will immediately check the patient's condition and adjust the corresponding nursing measures according to the early warning signal;

[0085] In the nursing quality feedback module, the process of generating improvement suggestions includes:

[0086] Through internal communication channels, collect the problems, difficulties and suggestions encountered by nursing staff in the implementation of nursing plans, and collect the evaluation and suggestions of patients and their families on nursing services through satisfaction surveys. Classify and organize the collected feedback according to the type of problem, urgency, and scope of impact, and distinguish between positive feedback and negative feedback for subsequent analysis. Generate targeted improvement suggestions based on the collected feedback and nursing quality assessment results, and prioritize the improvement suggestions according to the urgency and importance of the problems to ensure that the problems that have the greatest impact on patient safety and satisfaction are addressed first. For each improvement suggestion, develop a detailed implementation plan, clarify the implementation steps, responsible persons and time nodes, and gradually implement improvement measures according to the implementation plan. Regularly check the implementation of improvement measures to ensure that each link is effectively implemented and evaluate the effectiveness of improvement measures by comparing data before and after improvement.

[0087] Obviously, the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field and related fields without creative work should fall within the scope of protection of the present invention. The structures, devices and operating methods not specifically described and explained in the present invention are implemented according to the conventional means in the field unless otherwise specified and limited.

Claims

1. A nursing quality monitoring and feedback system, characterized in that: The nursing quality monitoring and feedback system includes a data acquisition monitoring module, a nursing index extraction module, a nursing quality assessment module, an intelligent analysis and early warning module, a nursing quality feedback module and a nursing process optimization module, wherein the modules are connected by electrical signals; The data acquisition and monitoring module is used to collect various data during the nursing process in real time; The nursing indicator extraction module sets and extracts the associated data of the nursing indicators, wherein the nursing indicators include quantitative indicators and qualitative indicators; The nursing quality assessment module, combined with the extracted nursing indicators, quantitatively assesses the nursing service quality of the nursing staff and automatically generates an assessment report; The intelligent analysis and early warning module monitors the patient's physiological state and nursing behavior, and automatically issues an early warning signal when an abnormal situation is found or the nursing behavior deviates from the predetermined nursing plan; The nursing quality feedback module obtains feedback from nursing staff, patients and their families on nursing services, and automatically generates improvement suggestions based on the feedback content and nursing quality evaluation results; The nursing process optimization module formulates a nursing quality improvement plan and implements improvement measures based on the nursing quality feedback results.

2. A nursing quality monitoring and feedback system according to claim 1, characterized in that: In the data acquisition and monitoring module, the collection process of various types of data during the nursing process includes: Obtain patient health status monitoring data and nursing activity record data through the electronic health record system and nursing information system. Patient health status monitoring data is collected by connecting medical devices, and nursing activity record data records nursing activities through workstations, including the execution time of each nursing operation, the executor, the operation results, the working hours of the nursing staff, and the number of completed tasks; Pre-process the collected data, remove invalid or erroneous data, check and verify the collected data, and manually review and correct abnormal data; The pre-processed patient health status monitoring data and nursing activity record data are integrated to form a unified data format. Based on the integrated data, a nursing quality sequence table is constructed. The nursing quality sequence table includes multiple dimensions such as patient health status assessment, nursing operation quality, and nursing staff work efficiency.

3. A nursing quality monitoring and feedback system according to claim 2, characterized in that: In the nursing indicator extraction module, the nursing indicator extraction process includes: Analyze the nursing quality sequence table and identify the nursing indicators used for nursing quality assessment according to the department's nursing quality standards; Extract relevant data based on preset nursing indicators. For quantitative indicators, extract data on nursing operation completion rate, medication accuracy, and nursing process standardization score. For qualitative indicators, extract data on patient communication satisfaction score and nursing experience score. Integrate the parameter data of quantitative indicators and qualitative indicators to form a unified nursing indicator data set. Each nursing record contains relevant data of quantitative indicators and qualitative indicators. Based on the nursing indicator data set, the associated data of the comprehensive quantitative indicators are used to calculate the quantitative nursing evaluation value and analyze the quantitative performance in the nursing process; Based on the qualitative indicator-related data in the nursing indicator dataset, the qualitative nursing evaluation value is calculated to analyze the patient's overall perception of nursing quality.

4. A nursing quality monitoring and feedback system according to claim 3, characterized in that: The calculation formula of the quantitative nursing evaluation value is: ； in, To quantify the nursing evaluation value, is the completion rate of the i-th nursing operation, is the weight of the i-th nursing operation, is the benchmark value of the nursing operation completion rate. is the accuracy rate of the jth medication, is the weight of the j-th medication accuracy rate, is the benchmark value for medication accuracy. Score the standardization of nursing processes. The benchmark value for the standardization of the nursing process. The standard deviation of the nursing process normativeness score is used to adjust the scoring scale. is the total number of nursing operations, The total number of medication items.

5. A nursing quality monitoring and feedback system according to claim 4, characterized in that: The calculation formula of the quality care evaluation value is: ； in, For the quality of care evaluation value, Score patient communication satisfaction. Rate your care experience. The minimum value of the patient communication satisfaction score. The minimum value in the nursing experience score. and is the parameter of the exponential function.

6. A nursing quality monitoring and feedback system according to claim 5, characterized in that: In the nursing quality assessment module, the assessment process of nursing service quality includes: Based on the quantitative indicator data and qualitative indicator data in the nursing indicator data set, the calculated quantitative nursing evaluation value and the qualitative nursing evaluation value are extracted; Integrate quantitative nursing evaluation values ​​and qualitative nursing evaluation values, and assign corresponding weights to quantitative nursing evaluation values ​​and qualitative nursing evaluation values ​​according to the department's emphasis on patient satisfaction, nursing efficiency, and nursing safety; Combining the quantitative nursing evaluation value, qualitative nursing evaluation value and their corresponding weights, the nursing quality evaluation coefficient is comprehensively calculated to quantitatively evaluate the nursing service quality of nursing staff; Based on the evaluation results of nursing quality, an evaluation report is automatically generated, including the nursing quality evaluation coefficient, the scores of various indicators, and potential improvement points. The evaluation report is then fed back to relevant nursing staff and managers through the online platform, and improvement measures are formulated based on the evaluation results.

7. A nursing quality monitoring and feedback system according to claim 6, characterized in that: The calculation process of the nursing quality evaluation coefficient is: Obtain relevant data on quantitative and qualitative indicators from nursing records, patient feedback, and observation records, and extract the calculated quantitative nursing evaluation values ​​and qualitative nursing evaluation values; Traversing all calculated quantitative nursing evaluation values ​​and qualitative nursing evaluation values, and determining the maximum and minimum values ​​of the quantitative nursing evaluation values ​​and the qualitative nursing evaluation values; Combine the quantitative nursing evaluation value, the maximum value and the minimum value of the quantitative nursing evaluation value, and convert the quantitative nursing evaluation value into a normalized value between 0 and 1; combine the qualitative nursing evaluation value, the maximum value and the minimum value of the qualitative nursing evaluation value, and convert the qualitative nursing evaluation value into a normalized value between 0 and 1; The normalized value of the quantitative nursing evaluation value is multiplied by its weight to obtain a quantitative nursing function, the normalized value of the qualitative nursing evaluation value is multiplied by its weight to obtain a qualitative nursing function, and the quantitative nursing function and the qualitative nursing function are added together to determine the numerator of the nursing quality evaluation coefficient; Calculate the square of the difference between the maximum and minimum values ​​of the quantitative nursing evaluation value, multiply it by its weight, calculate the square of the difference between the maximum and minimum values ​​of the qualitative nursing evaluation value, multiply it by its weight, and add the two together to determine the denominator of the nursing quality evaluation coefficient; Divide the numerator by the denominator and take the square root to get the final nursing quality assessment coefficient. Based on the calculated nursing quality assessment coefficient, the overall level and quality of nursing services can be judged.

8. A nursing quality monitoring and feedback system according to claim 7, characterized in that: The calculation formula of the nursing quality evaluation coefficient is: ； ； ； in, is the nursing quality assessment coefficient, To quantify the nursing evaluation value, For the quality of care evaluation value, is the minimum value in the quantitative nursing evaluation value. To quantify the maximum value of the nursing evaluation value, is the minimum value of the quality care evaluation value. It is the maximum value of the quality care evaluation value. To quantify the weight of nursing evaluation value, is the weight of the quality care evaluation value, The value range is between 0 and 1, that is, 0≤ ≤1.

9. A nursing quality monitoring and feedback system according to claim 8, characterized in that: In the intelligent analysis and early warning module, the process of issuing the early warning signal includes: Collect patients’ real-time physiological data through medical devices and wearable devices, and record the specific operations of caregivers, including medication time, dosage, type and frequency of care operations, and patients’ compliance with care plans; Perform real-time analysis of collected data to detect changes in the patient's physiological state, compare current data with the predetermined care plan, and identify anomalies; A warning threshold is set in combination with the nursing quality assessment coefficient. When the result of the nursing quality assessment coefficient is lower than the set warning threshold, a warning signal is triggered; The warning signal is transmitted to the nursing staff responsible for the patient in real time through mobile devices, emails and messages within the system. After receiving the warning signal, the nursing staff will immediately check the patient's condition and adjust the corresponding nursing measures based on the warning signal.

10. A nursing quality monitoring and feedback system according to claim 9, characterized in that: In the nursing quality feedback module, the process of generating improvement suggestions includes: Collect the problems, difficulties and suggestions encountered by nursing staff in the process of implementing nursing plans through internal communication channels, and collect the evaluation and suggestions of patients and their families on nursing services through satisfaction surveys; Categorize the collected feedback according to the type of issue, urgency, and scope of impact, and distinguish between positive and negative feedback; Generate targeted improvement suggestions based on the collected feedback and nursing quality assessment results, and prioritize the improvement suggestions according to the urgency and importance of the issues; For each improvement suggestion, develop an implementation plan, clarify the implementation steps, responsible persons and time nodes, gradually implement the improvement measures according to the implementation plan, regularly check the implementation of the improvement measures, and evaluate the effectiveness of the improvement measures by comparing the data before and after the improvement.

Images