Early rehabilitation intervention monitoring and early warning method and device

Abstract

The invention provides an early rehabilitation intervention monitoring and early warning method and device, and the method comprises the steps: obtaining patient information and a staff account from a hospital system, and associating the staff account with a role; judging whether the diagnosis name belongs to a rehabilitation indication set or not; monitoring whether examinations, signs and medical records are obtained or not within a first duration, and judging whether the examinations, the signs and the medical records conform to rehabilitation intervention screening rules corresponding to the diagnosis names or not when the examinations, the signs and the medical records are obtained; and for a patient needing rehabilitation intervention, triggering first-level intervention early warning to the initiator, and monitoring whether the initiator initiates a consultation application or makes a rehabilitation prescription within a second duration after triggering the first-level intervention early warning. The invention provides an early rehabilitation intervention monitoring and early warning method and device. The method and device are used for solving the problems that in the prior art, requirements are not sensitive, decisions are not accurate, interventional therapy is not timely, the early intervention rate is low, efficiency is low, and datamation of the early intervention rate under various disease guide standards is lacked.

Description

Technical Field

[0001] The present invention relates to the field of rehabilitation medicine, and in particular to an early rehabilitation intervention monitoring and early warning method and device. Background Art

[0002] According to the "Research and Analysis of Various Rehabilitation Diagnosis and Treatment Models under the Concept of Medical and Health Integration", the current early intervention clinical-rehabilitation integrated intervention methods in China include consultation & specialist, simple consultation and simple specialist rehabilitation. Regarding the consultation & specialist method, there are the following problems:

[0003] Clinical departments are not sensitive to patients' needs for early rehabilitation intervention, make inaccurate decisions, and intervene in time;

[0004] There are many roles in early rehabilitation intervention, information asymmetry between the roles, and a lack of efficient intervention or early warning systems, which leads to low early intervention rates and low efficiency;

[0005] There is a lack of data on the early intervention rate under the guideline standards for each disease type. Summary of the invention

[0006] The present invention provides an early rehabilitation intervention monitoring and early warning method and device to solve the problems in the prior art such as insensitivity to demand, inaccurate decision-making, untimely interventional treatment, low early intervention rate, low efficiency and lack of data on early intervention rate under the guideline standards for various diseases.

[0007] In a first aspect, the present invention provides an early rehabilitation intervention monitoring and early warning method, comprising:

[0008] Step 101, obtaining patient information and employee accounts from the hospital system, and associating the employee accounts with roles, the patient information including name, age, diagnosis, examination, physical signs, medical history, consultation records and charging records, the employee accounts including clinical physicians, rehabilitation physicians, therapists and nurses, and the roles including initiators, decision makers and executors;

[0009] Step 102, determining whether the diagnosis name belongs to the rehabilitation indication set, if not, determining that the patient does not need rehabilitation intervention, if yes, executing step 103;

[0010] Step 103, monitoring whether the examination, the physical sign and the medical record are obtained within the first time period, and determining whether the examination, the physical sign and the medical record meet the rehabilitation intervention screening rule corresponding to the diagnosis name when they are obtained, if not, determining that the patient does not need rehabilitation intervention, if yes, determining that the patient needs rehabilitation intervention, and the rehabilitation intervention screening rule is determined based on the latest disease diagnosis and treatment guidelines for each disease;

[0011] Step 104, for patients who need rehabilitation intervention, trigger a first-level intervention warning to the initiator, and monitor whether the initiator initiates a consultation application or issues a rehabilitation prescription within a second time period after the triggering of the first-level intervention warning. If the initiator initiates the consultation application, it is determined and recorded that the first-level intervention warning has been processed, and step 105 is executed. If the initiator issues the rehabilitation prescription, it is determined and recorded that the first-level intervention warning has been processed, and step 106 is executed. If the initiator does not initiate the consultation application and does not issue the rehabilitation prescription, it is determined and recorded that the first-level intervention warning has not been processed, and step 109 is executed. The rehabilitation prescription is determined based on the clinical diagnosis and treatment rehabilitation guidelines for various diseases;

[0012] Step 105, triggering a first-level consultation warning to the decision maker, and monitoring whether the decision maker prescribes the rehabilitation prescription within the second time period after the triggering of the first-level consultation warning, if yes, determining and recording that the first-level consultation warning has been processed, and executing step 106, if not, determining and recording that the first-level consultation warning has not been processed, and executing step 108;

[0013] Step 106, triggering a first-level implementation warning to the executor, and monitoring whether a charging record is obtained within the second time period after the triggering of the first-level implementation warning, if yes, determining and recording that the early rehabilitation intervention is completed, if not, determining and recording that the first-level implementation warning is not processed, and executing step 107;

[0014] Step 107, triggering a second-level implementation warning to the executor, and monitoring whether the charging record is obtained within the second time period after the triggering of the second-level implementation warning, if yes, determining and recording that the early rehabilitation intervention is completed, if not, determining and recording that the second-level implementation warning is not processed and the early rehabilitation intervention fails;

[0015] Step 108, triggering a secondary consultation warning to the decision maker, and monitoring whether the decision maker issues the rehabilitation prescription within the second time period after the secondary consultation warning is triggered. If yes, determining and recording that the secondary consultation warning has been processed, and executing step 106; if not, determining and recording that the secondary implementation warning has not been processed and the early rehabilitation intervention has failed;

[0016] Step 109, triggering the secondary intervention warning to the initiator, and monitoring whether the initiator initiates the consultation application or issues the rehabilitation prescription within the second time period after the triggering of the secondary intervention warning. If the initiator initiates the consultation application, it is determined and recorded that the secondary intervention warning has been processed, and step 105 is executed. If the initiator issues the rehabilitation prescription, it is determined and recorded that the secondary intervention warning has been processed, and step 106 is executed. If the initiator does not initiate the consultation application and does not issue the rehabilitation prescription, it is determined and recorded that the secondary intervention warning has not been processed and the early rehabilitation intervention has failed.

[0017] In the above scheme, the timeliness, sensitivity and decision-making accuracy of clinical doctors for early rehabilitation intervention are improved through patient screening and two-level warning, thereby increasing the number of inpatient or outpatient patients receiving early rehabilitation intervention within the preset time period, thereby achieving the purpose of increasing the early intervention rate; two-level warnings are carried out in each link, and automatic records are taken when a link is not executed, clarifying the responsibilities of each role in each link; it promotes the integration of technologies between disciplines, the integration of outpatient and inpatient early rehabilitation management, the integration of technology and management, and the integration of modern and traditional rehabilitation.

[0018] Optionally, the in-hospital system includes TS and HIS, the name and the age are obtained from TS or HIS, the diagnosis name, the examination, the physical signs, the medical history and the employee account are obtained from HIS, and the consultation record and the charging record are obtained from TS.

[0019] Optionally, associating the employee account with the role includes:

[0020] associating the clinician with the initiator;

[0021] linking the rehabilitation physician with the decision maker;

[0022] The rehabilitation physician, the therapist, and the nurse are associated with the executor.

[0023] Optionally, the rehabilitation intervention screening rules are determined based on the latest disease diagnosis and treatment guidelines for each disease and include:

[0024] The rehabilitation intervention screening rules are determined by adjusting and reviewing the latest disease diagnosis and treatment guidelines for each disease type.

[0025] Optionally, the rehabilitation prescription includes:

[0026] The rehabilitation prescription is matched according to the diagnosis name and the number of days of onset, and the rehabilitation prescription is selectively modified, and the number of days of onset is obtained from the medical record.

[0027] Optionally, the first-level intervention warning, the first-level consultation warning, the first-level implementation warning, the second-level intervention warning, the second-level consultation warning and the second-level implementation warning all appear in the form of pop-up windows.

[0028] Optionally, also include:

[0029] Calculate the early intervention rate, warning rate, post-warning treatment rate and consultation rate of each disease within the preset time period.

[0030] The above scheme conveniently reflects the efficiency of each clinical work step by digitizing the four indicators of early intervention rate, early warning rate, post-warning treatment rate and consultation rate under the guideline standards of each disease.

[0031] In a second aspect, the present invention provides an early rehabilitation intervention monitoring and early warning device, including a data acquisition module, a patient matching module, a patient screening module, a primary intervention early warning module, a primary consultation early warning module, a primary implementation early warning module, a secondary implementation early warning module, a secondary consultation early warning module, a secondary intervention early warning module and an indicator calculation module, wherein:

[0032] The data acquisition module is used to obtain patient information and employee accounts from the hospital system and associate the employee accounts with roles. The patient information includes name, age, diagnosis, examination, physical signs, medical history, consultation records and charging records. The employee accounts include clinical physicians, rehabilitation physicians, therapists and nurses. The roles include initiators, decision makers and executors.

[0033] The patient matching module is used to determine whether the diagnosis name belongs to the rehabilitation indication set. If not, it is determined that the patient does not need rehabilitation intervention. If so, jump to the patient screening module;

[0034] The patient screening module is used to monitor whether the examination, the physical sign and the medical record are obtained within the first time period, and when obtained, determine whether the examination, the physical sign and the medical record meet the rehabilitation intervention screening rule corresponding to the diagnosis name, if not, determine that the patient does not need rehabilitation intervention, if yes, determine that the patient needs rehabilitation intervention, and the rehabilitation intervention screening rule is determined based on the latest disease diagnosis and treatment guidelines for each disease;

[0035] The first-level intervention warning module is used to trigger a first-level intervention warning to the initiator for patients who need rehabilitation intervention, and monitor whether the initiator initiates a consultation application or prescribes a rehabilitation prescription within a second time period after the triggering of the first-level intervention warning. If the initiator initiates the consultation application, it is determined and recorded that the first-level intervention warning has been processed, and the first-level consultation warning module is jumped. If the initiator prescribes the rehabilitation prescription, it is determined and recorded that the first-level intervention warning has been processed, and the first-level implementation warning module is jumped. If the initiator does not initiate the consultation application and does not prescribe the rehabilitation prescription, it is determined and recorded that the first-level intervention warning has not been processed, and the second-level intervention warning module is jumped. The rehabilitation prescription is determined based on the clinical diagnosis and treatment rehabilitation guidelines for various diseases;

[0036] The first-level consultation warning module is used to trigger a first-level consultation warning to the decision maker, and monitor whether the decision maker prescribes the rehabilitation prescription within the second time period after the first-level consultation warning is triggered. If yes, it is determined and recorded that the first-level consultation warning has been processed, and the first-level implementation warning module is jumped. If not, it is determined and recorded that the first-level consultation warning has not been processed, and the second-level consultation warning module is jumped;

[0037] The first-level implementation warning module is used to trigger the first-level implementation warning to the executor, and monitor whether the charging record is obtained within the second time period after the triggering of the first-level implementation warning. If yes, it is determined and recorded that the early rehabilitation intervention is completed; if not, it is determined and recorded that the first-level implementation warning is not processed, and jumps to the second-level implementation warning module;

[0038] The secondary implementation warning module is used to trigger the secondary implementation warning to the executor, and monitor whether the charging record is obtained within the second time period after the secondary implementation warning is triggered, if yes, determine and record that the early rehabilitation intervention is completed, if not, determine and record that the secondary implementation warning is not processed and the early rehabilitation intervention fails;

[0039] The secondary consultation warning module is used to trigger the secondary consultation warning to the decision maker, and monitor whether the decision maker prescribes the rehabilitation prescription within the second time period after the secondary consultation warning is triggered. If yes, it is determined and recorded that the secondary consultation warning has been processed, and the primary implementation warning module is jumped. If not, it is determined and recorded that the secondary implementation warning has not been processed and the early rehabilitation intervention has failed.

[0040] The secondary intervention warning module is used to trigger the secondary intervention warning to the initiator, and monitor whether the initiator initiates the consultation application or prescribes the rehabilitation prescription within the second time period after the triggering of the secondary intervention warning. If the initiator initiates the consultation application, it is determined and recorded that the secondary intervention warning has been processed, and the process is transferred to the primary consultation warning module. If the initiator prescribes the rehabilitation prescription, it is determined and recorded that the secondary intervention warning has been processed, and the process is transferred to the primary implementation warning module. If the initiator does not initiate the consultation application and does not prescribe the rehabilitation prescription, it is determined and recorded that the secondary intervention warning has not been processed and the early rehabilitation intervention has failed.

[0041] The indicator calculation module is used to calculate the early intervention rate, early warning rate, post-warning treatment rate and consultation rate of each disease type within a preset time period.

[0042] In a third aspect, the present invention provides a computing device, comprising:

[0043] A memory for storing program instructions;

[0044] The processor is used to call the program instructions stored in the memory and execute any of the above methods according to the obtained program.

[0045] In a fourth aspect, the present invention provides a computer-readable non-volatile storage medium, comprising computer-readable instructions, which enable a computer to execute any of the above methods when the computer reads and executes the computer-readable instructions. BRIEF DESCRIPTION OF THE DRAWINGS

[0046] In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings required for use in the description of the embodiments will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.

[0047] Figure 1 A schematic diagram of a flow chart of an early rehabilitation intervention monitoring and early warning method provided by an embodiment of the present invention;

[0048] Figure 2 A schematic structural diagram of an early rehabilitation intervention monitoring and early warning device provided in an embodiment of the present invention. DETAILED DESCRIPTION

[0049] In order to make the purpose, technical scheme and advantages of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0050] Figure 1 The process of an early rehabilitation intervention monitoring and early warning method provided by an embodiment of the present invention is shown in detail, including:

[0051] Step 101, obtain patient information and employee accounts from the hospital system, and associate the employee accounts with roles.

[0052] Specifically, patient information includes name, age, diagnosis, examination, physical signs, medical history, consultation record and charging record. Among them: medical history and onset days are included in the medical history, consultation record contains consultation application and rehabilitation prescription, and charging record contains charging time.

[0053] Specifically, the staff account includes clinical physicians, rehabilitation physicians, therapists and nurses. Usually, clinical physicians include resident physicians, attending physicians and chief physicians.

[0054] Early rehabilitation intervention is an important item in the "Medical Quality Control Indicators for Rehabilitation Medicine Specialties", and the roles involved include initiators, decision makers, implementers, patients, and family members. The embodiments of the present invention do not take patients and family members into consideration, and the roles include initiators, decision makers, and executors. The initiator has the ability to initiate a consultation application and prescribe a rehabilitation prescription, the decision maker has the ability to prescribe a rehabilitation prescription, and the executor has the ability to execute the rehabilitation prescription.

[0055] In one example, the in-hospital system includes TS (doctor's order system) and HIS (hospital information system), the name and age are obtained from TS or HIS, the diagnosis name, examination, physical signs, medical history and employee account are obtained from HIS, and the consultation records and charging records are obtained from TS.

[0056] In one example, associating an employee account with a role includes:

[0057] connecting clinicians with sponsors;

[0058] connecting rehabilitation practitioners with policy makers;

[0059] Connect rehabilitation physicians, therapists and nurses to implementers.

[0060] It should be noted that rehabilitation physicians can be both decision makers and executors.

[0061] Step 102 , determine whether the diagnosis name belongs to the rehabilitation indication set. If not, determine that the patient does not need rehabilitation intervention. If so, execute step 103 .

[0062] It should be noted that the rehabilitation indications set includes all current diagnosis names with rehabilitation indications. Examples of diagnosis names include: facial paralysis, cervical radiculopathy, cerebral infarction, frozen shoulder, anterior cruciate ligament injury after surgery, total hip replacement after surgery, XXX fracture after surgery (XXX is the name of the bone, including humerus, femur and clavicle, etc.), rotator cuff injury, tenosynovitis and lumbar disc herniation, etc. The rehabilitation indications set includes all similar diagnosis names, for example: similar diagnosis names for facial paralysis include facial nerve paralysis, facial neuritis, facial nerve dysfunction and facial nerve diseases, and these similar diagnosis names are also included in the rehabilitation indications set.

[0063] Step 103, monitor whether the examination, physical signs and medical records are obtained within the first time period, and when obtained, determine whether the examination, physical signs and medical records meet the rehabilitation intervention screening rules corresponding to the diagnosis name. If not, determine that the patient does not need rehabilitation intervention; if so, determine that the patient needs rehabilitation intervention.

[0064] Considering that the information in the examination, physical signs and medical records cannot be obtained at the same time, it is necessary to monitor whether this information is obtained within the first period of time, and when this information is obtained, determine whether it meets the rehabilitation intervention screening rules corresponding to the diagnosis name.

[0065] In one example, the first time period is 24 hours.

[0066] Specifically, the rehabilitation intervention screening rules are determined based on the latest disease diagnosis and treatment guidelines for each disease.

[0067] Although there are diagnosis and treatment guidelines for each disease, when the guidelines are translated into actual operations, they cannot be fully implemented due to problems such as the clinical settings of various medical institutions, staffing, and patients' unwillingness to cooperate with related examinations. For example, for radiculopathy, the guidelines require CT imaging reports, but patients are unwilling to undergo examinations due to economic reasons. Therefore, when setting the rehabilitation intervention screening rules, CT imaging reports are excluded from the rules.

[0068] Therefore, in one example, the rehabilitation intervention screening rules are determined based on the latest disease diagnosis and treatment guidelines for each disease type and include:

[0069] The rehabilitation intervention screening rules are determined after adjusting and reviewing the latest disease diagnosis and treatment guidelines for each disease.

[0070] The adjustment has strengthened the flexibility of the rules to a certain extent, avoided omissions, and achieved a greater coverage rate; and the adjusted rehabilitation intervention screening rules are closer to the specific clinical work links, and are more adaptable and operational. The review is completed by the quality control team, which is an expert group composed of the department director, deputy director, head nurse, administrative leader in charge, and director of the clinical department of the disease.

[0071] Each disease has its own specific rehabilitation intervention screening rules. Table 1 shows the rehabilitation intervention screening rules corresponding to some diagnosis names.

[0072] Table 1

[0073]

[0074]

[0075] Step 104, for patients who need rehabilitation intervention, trigger a first-level intervention warning to the initiator, and monitor whether the initiator initiates a consultation application or issues a rehabilitation prescription within a second time period after the triggering of the first-level intervention warning. If the initiator initiates a consultation application, it is determined and recorded that the first-level intervention warning has been processed, and step 105 is executed. If the initiator issues a rehabilitation prescription, it is determined and recorded that the first-level intervention warning has been processed, and step 106 is executed. If the initiator does not initiate a consultation application and does not issue a rehabilitation prescription, it is determined and recorded that the first-level intervention warning has not been processed, and step 109 is executed.

[0076] In one example, the content of the first-level intervention warning is "The patient meets the indications for rehabilitation intervention and requires rehabilitation intervention."

[0077] It should be noted that completion of rehabilitation intervention is indicated by the initiator’s request for consultation or issuance of a rehabilitation prescription.

[0078] The following are specific criteria for early rehabilitation intervention after stroke, spinal cord injury, and hip or knee replacement:

[0079] The first diagnosis and treatment of early stroke rehabilitation intervention should be within 48 hours after the patient's vital signs and neurological deficit symptoms are stable;

[0080] The first diagnosis and treatment of early rehabilitation intervention for spinal cord injury should be within 48 hours after the completion of clinical specialist treatment;

[0081] The first consultation and treatment for early rehabilitation intervention for patients after hip or knee replacement should be within 24 hours after the surgery.

[0082] It can be seen that the standard time for early rehabilitation intervention is generally 24 hours, and a few are 48 hours. Therefore, in one example, the second time length is 12 hours.

[0083] Specifically, rehabilitation prescriptions are determined based on the clinical diagnosis and treatment rehabilitation guidelines for each type of disease.

[0084] Taking the diagnosis of anterior cruciate ligament injury after surgery as an example, Table 2 shows the rehabilitation prescriptions corresponding to different onset days.

[0085] Table 2

[0086]

[0087] In one example, prescribing rehabilitation includes:

[0088] Rehabilitation prescriptions were matched and selectively modified based on the diagnosis name and onset days, with the onset days obtained from the medical records.

[0089] Step 105, triggering a first-level consultation warning to the decision maker, and monitoring whether the decision maker issues a rehabilitation prescription within a second period of time after the first-level consultation warning is triggered. If so, determine and record that the first-level consultation warning has been processed, and execute step 106. If not, determine and record that the first-level consultation warning has not been processed, and execute step 108.

[0090] In one example, the content of the first-level consultation warning is "Please complete the rehabilitation consultation within 12 hours."

[0091] It should be noted that completion of the rehabilitation consultation is indicated by the decision maker issuing a rehabilitation prescription.

[0092] If the initiator or decision maker believes that the patient is not suitable for rehabilitation during the diagnosis and treatment process, he or she can manually close the pop-up window.

[0093] Step 106, triggering a first-level implementation warning to the executor, and monitoring whether the charging record is obtained within the second time period after the triggering of the first-level implementation warning. If so, determine and record that the early rehabilitation intervention is completed; if not, determine and record that the first-level implementation warning is not handled, and execute step 107.

[0094] In one example, the content of the first-level implementation warning is "Please complete the rehabilitation implementation within 12 hours."

[0095] It should be noted that the completion of rehabilitation implementation is indicated by obtaining charging records.

[0096] Step 107, triggering a second-level implementation warning to the executor, and monitoring whether a charging record is obtained within a second period of time after the triggering of the second-level implementation warning. If so, determining and recording that the early rehabilitation intervention is completed; if not, determining and recording that the second-level implementation warning is not handled and the early rehabilitation intervention has failed.

[0097] In one example, the content of the second-level implementation warning is "If the rehabilitation implementation is not completed within 12 hours, please complete it as soon as possible."

[0098] Step 108, triggering a secondary consultation warning to the decision maker, and monitoring whether the decision maker issues a rehabilitation prescription within a second period of time after the secondary consultation warning is triggered. If so, determine and record that the secondary consultation warning has been processed, and execute step 106. If not, determine and record that the secondary consultation warning has not been processed and the early rehabilitation intervention has failed.

[0099] In one example, the content of the second-level consultation warning is "If the rehabilitation consultation is not completed within 12 hours, please complete it as soon as possible."

[0100] Step 109, triggering the secondary intervention warning to the initiator, and monitoring whether the initiator initiates a consultation application or prescribes a rehabilitation prescription within a second time period after the triggering of the secondary intervention warning. If the initiator initiates a consultation application, it is determined and recorded that the secondary intervention warning has been processed, and step 105 is executed. If the initiator prescribes a rehabilitation prescription, it is determined and recorded that the secondary intervention warning has been processed, and step 106 is executed. If the initiator does not initiate a consultation application and does not prescribe a rehabilitation prescription, it is determined and recorded that the secondary intervention warning has not been processed and the early rehabilitation intervention has failed.

[0101] In one example, the content of the secondary intervention warning is "If the rehabilitation intervention is not completed within 12 hours, please complete it as soon as possible."

[0102] In the above scheme, the timeliness, sensitivity and decision-making accuracy of clinicians for early rehabilitation intervention are improved through patient screening and two-level warning, thereby increasing the number of inpatients or outpatients who receive early rehabilitation intervention within the preset period, achieving the purpose of improving the early intervention rate; two-level warnings are carried out in each link, and automatic records are recorded when a link is not executed, clarifying the responsibilities of each role in each link; promoting interdisciplinary technology integration, outpatient and inpatient early rehabilitation management integration, technology and management integration, and modern and traditional rehabilitation integration. Interdisciplinary technology integration refers to the ability to assist non-rehabilitation clinical departments in rehabilitation decision-making and rehabilitation treatment intervention through two-level warnings, which promotes the integration of rehabilitation treatment technology in non-rehabilitation clinical departments. The integration of outpatient and inpatient early rehabilitation management means that the technical solution of the embodiment of the present invention can be applied to outpatient and inpatient scenarios. The integration of technology and management means that the technical solution of the embodiment of the present invention integrates rehabilitation intervention technology and management measures such as data management and link monitoring. The integration of modern and traditional rehabilitation refers to the integration of traditional rehabilitation treatment with modern technology.

[0103] In one example, a first level intervention warning, a first level consultation warning, a first level implementation warning, a second level intervention warning, a second level consultation warning, and a second level implementation warning all appear in the form of pop-up windows.

[0104] In one example, a pop-up window appears on the computers of the initiator, decision maker, and executor that have logged into the HIS or TS.

[0105] An early rehabilitation intervention monitoring and early warning method provided by an embodiment of the present invention also includes:

[0106] Calculate the early intervention rate, warning rate, post-warning treatment rate and consultation rate of each disease within the preset time period.

[0107] The preset period can be set to 3 months or 6 months etc. as required.

[0108] The early intervention rate, warning rate, post-warning treatment rate and consultation rate include either 24 hours or 48 hours.

[0109] Taking 24 hours as an example, the calculation formula for the early intervention rate, early warning rate, post-warning treatment rate and consultation rate of a certain disease is introduced:

[0110] Early intervention rate of a certain disease = total number of patients with a certain disease who completed rehabilitation within 24 hours within the preset period / total number of first-level intervention warnings for a certain disease within the preset period x 100%;

[0111] Completing rehabilitation implementation within 24 hours means that it takes no more than 24 hours from the triggering of the first-level intervention warning to the acquisition of the charging record, and the time for completing rehabilitation implementation is the charging time;

[0112] The early warning rate of a certain disease = the total number of first-level intervention early warnings for a certain disease in the preset period / the total number of patients with a certain disease in the preset period x 100%;

[0113] Post-warning treatment rate = the total number of patients with a certain disease who trigger the first-level consultation warning and directly trigger the first-level implementation warning within 24 hours after the first-level intervention warning is triggered within the preset period / the total number of first-level intervention warnings for a certain disease within the preset period x 100%;

[0114] Consultation rate = total number of patients with a certain disease who completed rehabilitation consultation within 24 hours after triggering the first-level consultation warning within the preset period / total number of first-level consultation warnings for a certain disease within the preset period x 100%.

[0115] The above scheme conveniently reflects the efficiency of each clinical work step by digitizing the four indicators of early intervention rate, early warning rate, post-warning treatment rate and consultation rate under the guidelines of each disease. The early intervention rate can reflect the overall work efficiency, the early warning rate can reflect the degree of rehabilitation demand for each disease, the post-warning treatment rate reflects the efficiency of the clinical physician group in early rehabilitation intervention, and the consultation rate reflects the efficiency of the rehabilitation physician consultation.

[0116] Based on the same inventive concept, Figure 2The structure diagram of an early rehabilitation intervention monitoring and early warning device provided by an embodiment of the present invention is shown, including a data acquisition module, a patient matching module, a patient screening module, a primary intervention early warning module, a primary consultation early warning module, a primary implementation early warning module, a secondary implementation early warning module, a secondary consultation early warning module, a secondary intervention early warning module and an indicator calculation module, wherein:

[0117] The data acquisition module is used to obtain patient information and employee accounts from the hospital system and associate employee accounts with roles. Patient information includes name, age, diagnosis, examination, physical signs, medical history, consultation records and charging records. Employee accounts include clinical physicians, rehabilitation physicians, therapists and nurses. Roles include initiators, decision makers and executors.

[0118] The patient matching module is used to determine whether the diagnosis name belongs to the rehabilitation indication set. If not, it is determined that the patient does not need rehabilitation intervention. If so, it jumps to the patient screening module.

[0119] The patient screening module is used to monitor whether the examination, physical signs and medical records are obtained within the first period of time, and to determine whether the examination, physical signs and medical records meet the rehabilitation intervention screening rules corresponding to the diagnosis name when they are obtained. If they do not meet the requirements, it is determined that the patient does not need rehabilitation intervention. If they meet the requirements, it is determined that the patient needs rehabilitation intervention. The rehabilitation intervention screening rules are determined based on the latest disease diagnosis and treatment guidelines for each disease type;

[0120] The first-level intervention warning module is used to trigger the first-level intervention warning to the initiator for patients who need rehabilitation intervention, and monitor whether the initiator initiates a consultation application or prescribes a rehabilitation prescription within the second time period after the first-level intervention warning is triggered. If the initiator initiates a consultation application, it is determined and recorded that the first-level intervention warning has been processed, and the process jumps to the first-level consultation warning module. If the initiator prescribes a rehabilitation prescription, it is determined and recorded that the first-level intervention warning has been processed, and the process jumps to the first-level implementation warning module. If the initiator does not initiate a consultation application and does not prescribe a rehabilitation prescription, it is determined and recorded that the first-level intervention warning has not been processed, and the process jumps to the second-level intervention warning module. The rehabilitation prescription is determined based on the clinical diagnosis and treatment rehabilitation guidelines for each disease type.

[0121] The first-level consultation warning module is used to trigger the first-level consultation warning to the decision maker, and monitor whether the decision maker prescribes a rehabilitation prescription within the second time period after the first-level consultation warning is triggered. If yes, it is determined and recorded that the first-level consultation warning has been processed, and the first-level implementation warning module is jumped. If not, it is determined and recorded that the first-level consultation warning has not been processed, and the second-level consultation warning module is jumped;

[0122] The first-level implementation warning module is used to trigger the first-level implementation warning to the executor, and monitor whether the charging record is obtained within the second time period after the first-level implementation warning is triggered. If yes, it is determined and recorded that the early rehabilitation intervention is completed. If not, it is determined and recorded that the first-level implementation warning is not processed, and jumps to the second-level implementation warning module;

[0123] The secondary implementation warning module is used to trigger the secondary implementation warning to the executor, and monitor whether the charging record is obtained within the second time period after the secondary implementation warning is triggered. If yes, it is determined and recorded that the early rehabilitation intervention is completed; if not, it is determined and recorded that the secondary implementation warning is not processed and the early rehabilitation intervention fails;

[0124] The secondary consultation warning module is used to trigger the secondary consultation warning to the decision maker, and monitor whether the decision maker prescribes a rehabilitation prescription within the second period after the secondary consultation warning is triggered. If yes, it is determined and recorded that the secondary consultation warning has been processed, and the first implementation warning module is jumped. If not, it is determined and recorded that the secondary implementation warning has not been processed and the early rehabilitation intervention has failed.

[0125] The secondary intervention warning module is used to trigger the secondary intervention warning to the initiator, and monitor whether the initiator initiates a consultation application or prescribes a rehabilitation prescription within the second time period after the secondary intervention warning is triggered. If the initiator initiates a consultation application, it is determined and recorded that the secondary intervention warning has been processed, and the first consultation warning module is jumped. If the initiator prescribes a rehabilitation prescription, it is determined and recorded that the secondary intervention warning has been processed, and the first implementation warning module is jumped. If the initiator does not initiate a consultation application and does not prescribe a rehabilitation prescription, it is determined and recorded that the secondary intervention warning has not been processed and the early rehabilitation intervention has failed;

[0126] The indicator calculation module is used to calculate the early intervention rate, warning rate, post-warning treatment rate and consultation rate of each disease within a preset time period.

[0127] Based on the same inventive concept, an embodiment of the present invention provides a computing device, including:

[0128] A memory for storing program instructions;

[0129] The processor is used to call the program instructions stored in the memory and execute the above method according to the obtained program.

[0130] Based on the same inventive concept, an embodiment of the present invention provides a computer-readable non-volatile storage medium, including computer-readable instructions. When a computer reads and executes the computer-readable instructions, the computer executes the above method.

[0131] It will be appreciated by those skilled in the art that embodiments of the present invention may be provided as methods or computer program products. Therefore, the present invention may take the form of a complete hardware embodiment, a complete software embodiment, or an embodiment combining software and hardware. Moreover, the present invention may 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 code.

[0132] The present invention is described with reference to flowcharts and / or block diagrams of methods, devices (systems), and computer program products according to 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 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 device to produce a machine, so that the instructions executed by the processor of the computer or other programmable data processing 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.

[0133] These computer program instructions may also be stored in a computer-readable memory capable of directing a computer or other programmable data processing device to operate in a specific manner, so that the instructions stored in the computer-readable memory produce an article of manufacture comprising 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.

[0134] These computer program instructions can also be loaded onto a computer or other programmable data processing device so that a series of operating steps are executed on the computer or other programmable device to produce a computer-implemented process, thereby providing instructions for implementing 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.

[0135] 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 present invention.

[0136] Obviously, those skilled in the art can make various changes and modifications to the present application without departing from the spirit and scope of the present application. Thus, if these modifications and variations of the present application fall within the scope of the claims of the present application and their equivalents, the present application is also intended to include these modifications and variations.

Claims

1. An early rehabilitation intervention monitoring and early warning method, characterized in that: include: Step 101, obtaining patient information and employee accounts from the hospital system, and associating the employee accounts with roles, the patient information including name, age, diagnosis, examination, physical signs, medical history, consultation records and charging records, the employee accounts including clinical physicians, rehabilitation physicians, therapists and nurses, and the roles including initiators, decision makers and executors; Step 102, determining whether the diagnosis name belongs to the rehabilitation indication set, if not, determining that the patient does not need rehabilitation intervention, if yes, executing step 103; Step 103, monitoring whether the examination, the physical sign and the medical record are obtained within the first time period, and determining whether the examination, the physical sign and the medical record meet the rehabilitation intervention screening rule corresponding to the diagnosis name when they are obtained, if not, determining that the patient does not need rehabilitation intervention, if yes, determining that the patient needs rehabilitation intervention, and the rehabilitation intervention screening rule is determined based on the latest disease diagnosis and treatment guidelines for each disease; Step 104, for patients who need rehabilitation intervention, trigger a first-level intervention warning to the initiator, and monitor whether the initiator initiates a consultation application or issues a rehabilitation prescription within a second time period after the triggering of the first-level intervention warning. If the initiator initiates the consultation application, it is determined and recorded that the first-level intervention warning has been processed, and step 105 is executed. If the initiator issues the rehabilitation prescription, it is determined and recorded that the first-level intervention warning has been processed, and step 106 is executed. If the initiator does not initiate the consultation application and does not issue the rehabilitation prescription, it is determined and recorded that the first-level intervention warning has not been processed, and step 109 is executed. The rehabilitation prescription is determined based on the clinical diagnosis and treatment rehabilitation guidelines for various diseases; Step 105, triggering a first-level consultation warning to the decision maker, and monitoring whether the decision maker prescribes the rehabilitation prescription within the second time period after the triggering of the first-level consultation warning, if yes, determining and recording that the first-level consultation warning has been processed, and executing step 106, if not, determining and recording that the first-level consultation warning has not been processed, and executing step 108; Step 106, triggering a first-level implementation warning to the executor, and monitoring whether a charging record is obtained within the second time period after the triggering of the first-level implementation warning, if yes, determining and recording that the early rehabilitation intervention is completed, if not, determining and recording that the first-level implementation warning is not processed, and executing step 107; Step 107, triggering a second-level implementation warning to the executor, and monitoring whether the charging record is obtained within the second time period after the triggering of the second-level implementation warning, if yes, determining and recording that the early rehabilitation intervention is completed, if not, determining and recording that the second-level implementation warning is not processed and the early rehabilitation intervention fails; Step 108, triggering a secondary consultation warning to the decision maker, and monitoring whether the decision maker issues the rehabilitation prescription within the second time period after the secondary consultation warning is triggered. If yes, determining and recording that the secondary consultation warning has been processed, and executing step 106; if not, determining and recording that the secondary implementation warning has not been processed and the early rehabilitation intervention has failed; Step 109, triggering the secondary intervention warning to the initiator, and monitoring whether the initiator initiates the consultation application or issues the rehabilitation prescription within the second time period after the triggering of the secondary intervention warning. If the initiator initiates the consultation application, it is determined and recorded that the secondary intervention warning has been processed, and step 105 is executed. If the initiator issues the rehabilitation prescription, it is determined and recorded that the secondary intervention warning has been processed, and step 106 is executed. If the initiator does not initiate the consultation application and does not issue the rehabilitation prescription, it is determined and recorded that the secondary intervention warning has not been processed and the early rehabilitation intervention has failed.

2. The method according to claim 1, characterized in that: The in-hospital system includes TS and HIS, the name and the age are obtained from TS or HIS, the diagnosis name, the examination, the physical signs, the medical history and the employee account are obtained from HIS, and the consultation record and the charging record are obtained from TS.

3. The method according to claim 1, characterized in that: The associating the employee account with the role includes: associating the clinician with the initiator; linking the rehabilitation physician with the decision maker; The rehabilitation physician, the therapist, and the nurse are associated with the executor.

4. The method according to claim 1, characterized in that: The rehabilitation intervention screening rules are determined based on the latest disease diagnosis and treatment guidelines for each disease and include: The rehabilitation intervention screening rules are determined by adjusting and reviewing the latest disease diagnosis and treatment guidelines for each disease type.

5. The method according to claim 1, characterized in that: The rehabilitation prescription includes: The rehabilitation prescription is matched according to the diagnosis name and the number of days of onset, and the rehabilitation prescription is selectively modified, and the number of days of onset is obtained from the medical record.

6. The method according to claim 1, characterized in that: The first-level intervention warning, the first-level consultation warning, the first-level implementation warning, the second-level intervention warning, the second-level consultation warning and the second-level implementation warning all appear in the form of pop-up windows.

7. The method according to claim 1, characterized in that: Also includes: Calculate the early intervention rate, warning rate, post-warning treatment rate and consultation rate of each disease within the preset time period.

8. An early rehabilitation intervention monitoring and early warning device, characterized in that: It includes data acquisition module, patient matching module, patient screening module, first-level intervention warning module, first-level consultation warning module, first-level implementation warning module, second-level implementation warning module, second-level consultation warning module, second-level intervention warning module and indicator calculation module, among which: The data acquisition module is used to obtain patient information and employee accounts from the hospital system and associate the employee accounts with roles. The patient information includes name, age, diagnosis, examination, physical signs, medical history, consultation records and charging records. The employee accounts include clinical physicians, rehabilitation physicians, therapists and nurses. The roles include initiators, decision makers and executors. The patient matching module is used to determine whether the diagnosis name belongs to the rehabilitation indication set. If not, it is determined that the patient does not need rehabilitation intervention. If so, jump to the patient screening module; The patient screening module is used to monitor whether the examination, the physical sign and the medical record are obtained within the first time period, and when obtained, determine whether the examination, the physical sign and the medical record meet the rehabilitation intervention screening rule corresponding to the diagnosis name, if not, determine that the patient does not need rehabilitation intervention, if yes, determine that the patient needs rehabilitation intervention, and the rehabilitation intervention screening rule is determined based on the latest disease diagnosis and treatment guidelines for each disease; The first-level intervention warning module is used to trigger a first-level intervention warning to the initiator for patients who need rehabilitation intervention, and monitor whether the initiator initiates a consultation application or prescribes a rehabilitation prescription within a second time period after the triggering of the first-level intervention warning. If the initiator initiates the consultation application, it is determined and recorded that the first-level intervention warning has been processed, and the first-level consultation warning module is jumped. If the initiator prescribes the rehabilitation prescription, it is determined and recorded that the first-level intervention warning has been processed, and the first-level implementation warning module is jumped. If the initiator does not initiate the consultation application and does not prescribe the rehabilitation prescription, it is determined and recorded that the first-level intervention warning has not been processed, and the second-level intervention warning module is jumped. The rehabilitation prescription is determined based on the clinical diagnosis and treatment rehabilitation guidelines for various diseases; The first-level consultation warning module is used to trigger a first-level consultation warning to the decision maker, and monitor whether the decision maker prescribes the rehabilitation prescription within the second time period after the first-level consultation warning is triggered. If yes, it is determined and recorded that the first-level consultation warning has been processed, and the first-level implementation warning module is jumped. If not, it is determined and recorded that the first-level consultation warning has not been processed, and the second-level consultation warning module is jumped; The first-level implementation warning module is used to trigger the first-level implementation warning to the executor, and monitor whether the charging record is obtained within the second time period after the triggering of the first-level implementation warning. If yes, it is determined and recorded that the early rehabilitation intervention is completed; if not, it is determined and recorded that the first-level implementation warning is not processed, and jumps to the second-level implementation warning module; The secondary implementation warning module is used to trigger the secondary implementation warning to the executor, and monitor whether the charging record is obtained within the second time period after the secondary implementation warning is triggered, if yes, determine and record that the early rehabilitation intervention is completed, if not, determine and record that the secondary implementation warning is not processed and the early rehabilitation intervention fails; The secondary consultation warning module is used to trigger the secondary consultation warning to the decision maker, and monitor whether the decision maker prescribes the rehabilitation prescription within the second time period after the secondary consultation warning is triggered. If yes, it is determined and recorded that the secondary consultation warning has been processed, and the primary implementation warning module is jumped. If not, it is determined and recorded that the secondary implementation warning has not been processed and the early rehabilitation intervention has failed. The secondary intervention warning module is used to trigger the secondary intervention warning to the initiator, and monitor whether the initiator initiates the consultation application or prescribes the rehabilitation prescription within the second time period after the triggering of the secondary intervention warning. If the initiator initiates the consultation application, it is determined and recorded that the secondary intervention warning has been processed, and the process is transferred to the primary consultation warning module. If the initiator prescribes the rehabilitation prescription, it is determined and recorded that the secondary intervention warning has been processed, and the process is transferred to the primary implementation warning module. If the initiator does not initiate the consultation application and does not prescribe the rehabilitation prescription, it is determined and recorded that the secondary intervention warning has not been processed and the early rehabilitation intervention has failed. The indicator calculation module is used to calculate the early intervention rate, early warning rate, post-warning treatment rate and consultation rate of each disease type within a preset time period.

9. A computing device, characterized in that include: A memory for storing program instructions; A processor is used to call the program instructions stored in the memory and execute the method according to any one of claims 1 to 7 according to the obtained program.

10. A computer-readable non-volatile storage medium, characterized in that: The method comprises computer-readable instructions, and when a computer reads and executes the computer-readable instructions, the computer executes the method according to any one of claims 1 to 7.

Images