Intravenous infusion treatment management training method and system based on patient safety target
Through regular assessment and targeted training, the problem of insufficient skills of new nursing staff can be solved, the skill level and job competence of nursing staff can be improved, and the safety of patients can be ensured.
Patent Information
- Application Number
- CN202510185847.X
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2025-02-20
- Publication Date
- 2025-03-21
AI Technical Summary
The job competence of newly-employed nursing staff is uneven, resulting in irregular intravenous infusion treatment, increasing the probability of adverse events and affecting the health of patients.
Provide intravenous infusion treatment management training methods and systems based on patient safety goals, evaluate the ability of nursing staff through preset evaluation time points, determine the personnel to be trained, match the appropriate training instructors, and customize training based on the training content and effect.
Through regular ability assessment and targeted training, the skills and job competence of newly-employed nursing staff can be improved, adverse events occur, and patient safety is ensured.
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Figure CN119673409A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of medical training, and in particular to an intravenous infusion therapy management training method and system based on patient safety goals. Background Art
[0002] With the introduction and implementation of various grassroots medical reform policies such as tiered diagnosis and treatment, the number of grassroots hospitals is increasing, and grassroots hospitals have become the first line of defense to protect the health of residents. In order to achieve the rapid development of grassroots hospitals, the trusteeship model came into being by leveraging external forces to rapidly enhance the strength of grassroots hospitals in a short period of time. The trusteeship model uses the advantageous resources of large public hospitals to drive the improvement of the capabilities of grassroots medical and health institutions, achieve a win-win situation for large hospitals and grassroots hospitals, and promote the sinking of high-quality medical resources. With the increasing number of newly built grassroots hospitals, a large number of nursing staff need to be recruited. However, the newly built hospitals lack targeted training in basic nursing skills and nursing safety, resulting in a low level of comprehensive nursing for newly hired nursing staff. Therefore, how to improve the quality of nursing in grassroots hospitals after trusteeship has become one of the key links in improving the overall strength of grassroots hospitals.
[0003] As the direct provider of medical services, the job competence of new nurses in primary hospitals varies. If the relevant guidelines and specifications for intravenous infusion therapy are not effectively implemented, such as unreasonable selection of infusion tools and irregular infusion operations, the probability of adverse events such as puncture site infection, venous thrombosis, tube blockage, and tube dislocation will increase, which will have a negative impact on the health of patients. Therefore, there is an urgent need for an intravenous infusion therapy management training method and system based on patient safety goals. With the help of the clinical teaching advantages and advanced concepts of superior hospitals, it can drive the growth of new nurses as soon as possible, ensure the safety of patients during infusion, thereby rapidly improving the quality of nursing and helping to improve the comprehensive strength of the hospital. Summary of the invention
[0004] The purpose of the present invention is to: in view of the uneven job competence of newly hired nursing staff and the difficulty in evaluating the nursing quality of newly hired nursing staff in hospitals, through the intravenous infusion therapy management training method and system based on patient safety goals provided by the embodiments of the present application, the skills of newly hired nursing staff are evaluated and graded, and suitable training instructors are targetedly screened for nursing staff who fail the grading, which helps newly hired nursing staff to improve their skill shortcomings, achieve rapid improvement in job competence, and ensure patient safety.
[0005] In order to achieve the above-mentioned object of the invention, the present invention provides the following technical solutions: An approach to training in the management of intravenous fluid therapy based on patient safety goals, including Preset an evaluation time point, and conduct a competency evaluation on the nursing staff based on a plurality of preset evaluation indicators; perform statistical analysis on the evaluation results of the evaluation indicators to obtain a first score corresponding to the evaluation indicators; Setting a first weight for the evaluation index, multiplying the first score by the first weight to obtain a first result; calculating the ability assessment score of the nursing staff according to all the first results; dividing the nursing staff into multiple ability levels based on the ability assessment score, and determining the personnel to be trained according to the ability levels; Determine the training content based on the evaluation index of the person to be trained; obtain the skill profile of the nursing instructor; match the training content with the skill profile to determine the current training instructor; preset the training time point, and the current training instructor conducts training for the person to be trained based on the training content.
[0006] As a preferred technical solution of the present application, the method further comprises the following steps: monitoring the catheter-related incidence rate in real time, and conducting the competency evaluation on the nursing staff when the catheter-related incidence rate is higher than a preset incidence rate threshold value.
[0007] As a preferred technical solution of this application, the determining of training content also includes: Obtain the first scores of all the evaluation indicators, preset a skill score threshold, and count the number of nursing staff whose first scores are less than the skill score threshold, recorded as the first number; when the ratio of the first number to the total number of nursing staff is greater than a preset ratio, set the training content according to the corresponding evaluation indicator.
[0008] As a preferred technical solution of the present application, the training content and the skill profile are matched to determine the current training instructor, and the method includes: Extracting a first keyword from the training content, and encoding the first keyword into a first vector; extracting a second keyword from the skill profile, and encoding the second keyword into a second vector; The similarity between the first vector and the second vector is calculated. If the similarity is greater than a preset matching threshold, the nursing lecturer corresponding to the skill profile is added to a nursing lecturer set, and the current training lecturer is determined from the nursing lecturer set.
[0009] As a preferred technical solution of the present application, the method for determining the current training lecturer from the nursing lecturer set includes: Obtain the training effect scores, training atmosphere activity and interaction quality scores of the multiple nursing lecturers; set corresponding weights for the training effect scores, training atmosphere activity and interaction quality scores, and sum the weighted training effect scores, training atmosphere activity and interaction quality scores to obtain a second score; sort the second scores, and determine the current training lecturer according to the sorting results.
[0010] As a preferred technical solution of the present application, it also includes: constructing a correlation function with the training effect score as the dependent variable, the training atmosphere activity and the interaction quality score as the independent variables; During the training process, a time window is preset; when the time window ends, the activity of the training atmosphere and the interaction quality score are counted, and the training effect score is predicted by the correlation function.
[0011] As a preferred technical solution of this application, the method for obtaining the training effect score includes: After completing the training, the trainee undergoes the ability evaluation again to obtain the first score; and the training effect score is calculated based on the first score after the training.
[0012] As a preferred technical solution of this application, the method for obtaining the activity of the training atmosphere includes: The number of interactions between the current training instructor and the trainees during the training process is counted; the second number of the trainees who participate in the interaction during the training process is counted; and the activity of the training atmosphere is calculated based on the number of interactions and the second number.
[0013] As a preferred technical solution of the present application, the method for obtaining the interaction quality score includes: Recording the interaction content between the current training lecturer and the trainee, extracting a third keyword from the interaction content, and encoding the third keyword into a third vector; obtaining the subject of the training content, and encoding the subject into a fourth vector; Calculate the similarity between the third vector and the fourth vector to obtain the horizontal correlation between the interactive content and the topic; calculate the similarity between the third vector and the first vector to obtain the vertical correlation between the interactive content and the training content; The interaction quality score between the current training instructor and the person to be trained is calculated according to the vertical correlation and the horizontal correlation.
[0014] The present invention also provides an intravenous infusion therapy management training system based on patient safety goals, comprising: An evaluation module is used to preset an evaluation time point and conduct competence evaluation on nursing staff based on a plurality of preset evaluation indicators; perform statistical analysis on the evaluation results of the evaluation indicators to obtain a first score corresponding to the evaluation indicators; A trainee screening module is used to set a first weight for the evaluation index, multiply the first score by the first weight, and obtain a first result; calculate the ability assessment score of the nursing staff according to all the first results; divide the ability assessment score into multiple ability levels, and determine the trainees according to the ability levels; The lecturer screening module is used to determine the training content based on the evaluation indicators of the trainee; obtain the skill profile of the nursing lecturer; match the training content with the skill profile to determine the current training lecturer; preset the training time point, and the current training lecturer conducts training for the trainee based on the training content.
[0015] Compared with the prior art, the present invention has the following beneficial effects: 1. By setting fixed time points, periodic competency assessments are conducted on nursing staff to timely understand the overall level of hospital nursing services. Training is arranged in a timely manner for nursing staff whose assessment results do not meet the requirements, and the training content and current training instructors are determined in a targeted manner based on the unqualified skills of the nursing staff, which helps new nursing staff improve their skills and rapidly improve their job competency, thereby improving the overall professional quality and service capabilities of the hospital's nursing team, providing patients with high-quality nursing services, ensuring patient and hospital safety, and improving patient, medical, and social satisfaction.
[0016] 2. Nursing lecturers serve different departments, resulting in differences in their concepts and familiar skills for intravenous infusion therapy management. By matching the training content with the nursing lecturer's skill profile, it is helpful to select and treat the training lecturer with the corresponding skills required by the trainees. A good training atmosphere, activeness and interactive quality are conducive to improving the learning efficiency and mastering nursing skills of the trainees. Therefore, screening the nursing lecturers again through the training effect score will help to identify nursing lecturers who have effective teaching methods and enable the trainees to accept the training content more efficiently.
[0017] 3. By recording the interaction between the current trainer and the trainees in real time during the training process, the training effect can be predicted, which helps the current trainer to understand the effectiveness of the training. When the training effect decreases, the current trainer can adjust his training method to improve the trainees' acceptance of the training content, which helps to improve the training efficiency.
[0018] 4. A good training atmosphere helps trainees improve their training efficiency, helps determine the best nursing instructor for the training course, improves training results, and helps trainees learn faster. The interactive content during the training process should be related to the training topic to improve the effectiveness of the training. Under the same topic, the interactive content can be expanded based on the training content to broaden the knowledge involved in the training content and increase the knowledge points of trainees. BRIEF DESCRIPTION OF THE DRAWINGS
[0019] Figure 1 Flowchart of training methods for the management of intravenous fluid therapy; Figure 2 A schematic diagram of the structure of the intravenous infusion therapy management training system; Figure 3 A schematic diagram of the process for selecting personnel to be trained; Figure 4 Schematic diagram of the process for selecting current training instructors. DETAILED DESCRIPTION
[0020] To make the purpose, technical solution and advantages of the embodiments of the present invention clearer, the technical solution in the embodiments of the present invention will be described clearly and completely in conjunction with the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them.
[0021] Therefore, the following detailed description of the embodiments of the present invention is not intended to limit the scope of the invention claimed for protection, but merely represents some embodiments of the present invention. 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.
[0022] It should be noted that, in the absence of conflict, the embodiments of the present invention and the features and technical solutions in the embodiments may be combined with each other.
[0023] It should be noted that similar reference numerals and letters denote similar items in the following drawings, and therefore, once an item is defined in one drawing, further definition and explanation thereof is not required in subsequent drawings.
[0024] In the description of the present invention, it should be noted that the orientation or positional relationship indicated by the terms "upper", "lower", etc. is based on the orientation or positional relationship shown in the drawings, or the orientation or positional relationship in which the invention product is usually placed when in use, or the orientation or positional relationship commonly understood by those skilled in the art. Such terms are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. In addition, the terms "first", "second", etc. are only used to distinguish the description, and cannot be understood as indicating or implying relative importance.
[0025] Example 1: For example Figure 1 As shown, the intravenous infusion therapy management training method based on patient safety goals provided in this embodiment includes: Preset an evaluation time point, and conduct a competency evaluation on the nursing staff based on a plurality of preset evaluation indicators; perform statistical analysis on the evaluation results of the evaluation indicators to obtain a first score corresponding to the evaluation indicators; Setting a first weight for the evaluation index, multiplying the first score by the first weight to obtain a first result; calculating the ability assessment score of the nursing staff according to all the first results; dividing the nursing staff into multiple ability levels based on the ability assessment score, and determining the staff to be trained according to the ability levels; Determine the training content based on the evaluation index of the person to be trained; obtain the skill profile of the nursing instructor; match the training content with the skill profile to determine the current training instructor; preset the training time point, and the current training instructor conducts training for the person to be trained based on the training content.
[0026] Specifically, the evaluation time point can be determined based on the number of years of work of the nursing staff, including within one week of the start of work of the new nursing staff and every year of work; or a time point of a designated date can be uniformly set to evaluate and analyze the nursing staff in a timely manner. When the evaluation time point is reached, the hospital management department will organize and conduct a competency evaluation of the nursing staff based on the preset evaluation indicators. For example Figure 3As shown, in this embodiment, the evaluation indicators include: core nursing ability, job competence, nursing quality and satisfaction. The method of the ability evaluation includes: the hospital management department evaluates the nursing staff according to the self-made questionnaire, and obtains the core nursing ability according to the statistical score of the questionnaire, including clinical nursing ability, legal ethics practice ability, interpersonal relationship ability, educational consultation ability, and management ability. The nurse competency scale (NCS) is issued to the nursing staff, and the nursing staff conducts self-evaluation to obtain the job competence. The unplanned nursing operations of the nursing staff in one year are statistically analyzed to obtain the basic nursing qualification rate, the incidence rate of safety events, the nursing document qualification rate and the first aid item management qualification rate, and the weight coefficients are set in turn. In this embodiment, the weight coefficients are set to 0.3, 0.4, 0.1, and 0.2 in turn; and then the weighted basic nursing qualification rate, safety event incidence rate, nursing document qualification rate and first aid item management qualification rate are summed to obtain the nursing quality. The nursing department of the grassroots hospital designs a satisfaction questionnaire to conduct a survey, including the satisfaction of doctors, other / other nursing staff, and patients with nursing staff. The options of the questionnaire, the nurse competency scale and the satisfaction questionnaire are set with corresponding scores to achieve quantitative statistics and analysis.
[0027] An Excel spreadsheet was used to establish a student database, with one spreadsheet corresponding to each nurse, and the evaluation indicators and scores of the nurses were entered. The scores were entered into the student database with the nurses and the evaluation indicators as statistical labels, and the data were analyzed using SPSS 25.0 statistical software. The option scores of each evaluation indicator were summed to calculate the corresponding total score, which was recorded as the first score. Among them, quantitative data such as core nursing ability scores, job competency scores, and satisfaction scores were expressed as mean ± standard deviation (x ± s), and t-tests were used. Qualitative data such as nursing quality scores were expressed as percentages, and x2 tests were used.
[0028] The first weight is set for the evaluation index by methods such as entropy weight method or hierarchical analysis method. The first weight and the first score of the evaluation index are multiplied, and the weighted average score of all the evaluation indicators is calculated by weighted average method, which is recorded as the ability evaluation score. In this embodiment, the ability evaluation score is divided into 4 ability levels: unqualified, medium, good and excellent. The nursing staff whose ability level is classified as unqualified are set as personnel to be trained.
[0029] Preferably, the lecturer database is used to store nursing staff with nursing titles of head nurse and above in tertiary hospitals, as well as their corresponding skill profiles and historical training records. The historical training records include: training effect scores of previous trainings, activeness of training atmosphere and quality of interaction. The historical training records are obtained by analyzing and extracting previous training materials. The training materials are stored in the training database, including the training content of the nursing lecturer's previous training classes, such as training documents and video materials; video recording data of the entire training process.
[0030] Obtain the evaluation index of the person to be trained, perform statistical analysis on the corresponding first score, obtain the evaluation index whose first score is less than the preset skill score threshold, and obtain the skill content that the person to be trained needs to be trained. Based on the evaluation index, search the lecturer database. Prioritize retrieving the evaluation index from the skill profile to find a nursing lecturer whose similarity with the training content is greater than or equal to the preset threshold. If there are multiple nursing lecturers, sort the multiple nursing lecturers based on chronological order and / or training effect score and / or training time, and select the nursing lecturer ranked first as the current training lecturer. Preset the training time point, and based on the training content, the current training lecturer conducts training for the person to be trained.
[0031] By setting fixed time points, we can conduct periodic competency assessments on nursing staff and timely understand the overall level of hospital nursing services. We can arrange training for nursing staff whose assessment results do not meet the requirements in a timely manner, and determine the training content and current training instructors in a targeted manner based on the unqualified skills of the nursing staff, which will help new nursing staff improve their skills and quickly improve their job competency, thereby improving the overall professional quality and service capabilities of the hospital's nursing team, providing patients with high-quality nursing services, ensuring patient and hospital safety, and improving patient, medical, and social satisfaction.
[0032] Furthermore, at the preset evaluation time point, the method also includes: real-time monitoring of the catheter-related incidence rate, and when the catheter-related incidence rate is higher than the preset incidence rate threshold, conducting the capability evaluation on the nursing staff. Among them, the catheter-related incidence rate includes the unplanned extubation rate of catheterized patients, the incidence rate of intravascular catheter-related infection, the rate of improving the standardized prevention of venous thromboembolism, and the patient complaint rate. The data source is the thousandth ratio of the number of occurrences of the corresponding situation to the total number of days the catheter is indwelling in hospitalized patients during the statistical period, in units of times / day. If the hospital introduces new intravenous infusion tools and methods or new intravenous infusion management concepts, the hospital's catheter-related incidence rate will increase because nursing staff will find it difficult to adapt quickly in the short term. In response to this situation, timely capability evaluation and adaptive training for nursing staff will help improve the nursing level of medical staff.
[0033] When a hospital introduces new intravenous infusion equipment or the operation method and concept of intravenous infusion change, if the nursing staff fails to adapt in time, it will lead to unplanned nursing operations when operating intravenous infusion, which will increase the incidence of catheter-related diseases. Dynamic monitoring of the incidence of catheter-related diseases is conducive to timely detection of the decline in the quality of hospital nursing, so as to timely train nursing staff, improve relevant skills, and improve the quality of intravenous infusion operations for patients.
[0034] Furthermore, the determination of training content also includes: obtaining the first scores of all the evaluation indicators, presetting a skill score threshold, counting the number of nursing staff whose first scores are less than the skill score threshold, and recording it as a first number; when the ratio of the first number to the total number of nursing staff is greater than a preset ratio, setting the training content according to the corresponding evaluation indicator.
[0035] Specifically, the first scores of all nursing staff are counted by taking the evaluation index as a statistical label. The average score of each evaluation index is calculated, and the skill score threshold is set by multiplying the average score by a percentage. The percentage is set by the evaluator based on experience, and in this embodiment, it is set to 70%.
[0036] The ratio of the first number to the total number of nursing staff is greater than the preset ratio, indicating that the overall level of mastery of the evaluation indicators by the hospital nursing staff is low. Therefore, setting the training content according to the evaluation indicators is conducive to improving the overall skill level of the hospital nursing services and ensuring the safety of patient infusions.
[0037] Example 2: To achieve intravenous infusion therapy based on patient safety goals, the basic guarantee is that the nursing staff has a good theoretical foundation and skilled and accurate practical skills for intravenous infusion. In order to master these requirements, not only the learning ability of the nursing staff themselves is required, but also the accurate and detailed training content of the nursing lecturer and a good training atmosphere during the training process are required to improve the training effect.
[0038] In order to improve the skill level of nursing staff and select appropriate nursing instructors during training, this embodiment is based on Embodiment 1 and limits the method for determining the current training instructor, so as to achieve targeted training for the skills to be improved of the trainees, improve the skill level of the trainees, and ensure the safety of patients during intravenous infusion.
[0039] Furthermore, for example Figure 4 As shown, the training content and the skill profile are matched to determine the current training instructor, and the method includes: Extracting a first keyword from the training content, and encoding the first keyword into a first vector; extracting a second keyword from the skill profile, and encoding the second keyword into a second vector; The similarity between the first vector and the second vector is calculated. If the similarity is greater than a preset matching threshold, the nursing lecturer corresponding to the skill profile is added to a nursing lecturer set, and the current training lecturer is determined from the nursing lecturer set.
[0040] Specifically, keywords are extracted from the training content by keyword extraction techniques such as TextRank, and then the keywords are converted into a first vector by text encoding techniques such as word embedding. The skill profile of the nursing lecturer is obtained from the lecturer database, and keywords are extracted from the skill profile and converted into a second vector. The similarity between the first vector and the second vector is calculated. In this embodiment, dot product similarity is used. If the dot product similarity is greater than a preset matching threshold, the dot product similarities are sorted from large to small, and the nursing lecturer ranked first is set as the current training lecturer.
[0041] Nursing lecturers are good at and familiar with different nursing skills, operation methods and nursing safety concepts according to their own specialties and service departments. Based on the training content required by nursing staff, the matching current training lecturer is determined, and targeted training is conducive to promoting the training staff to obtain better training results and speeding up the training process.
[0042] Further, the method of determining the current training lecturer from the set of nursing lecturers includes: Obtain training effect scores, training atmosphere activity and interaction quality scores of multiple nursing lecturers; set corresponding weights for the training effect scores, training atmosphere activity and interaction quality scores, sum the weighted training effect scores, training atmosphere activity and interaction quality scores to obtain a second score; sort the second scores, and determine the current training lecturer according to the sorting results.
[0043] Specifically, after the trainee completes the training, the ability evaluation is performed again to obtain the first score. The training effect score can be obtained by averaging the first scores of multiple trainees to evaluate the effectiveness of the training. The activeness of the training atmosphere is used to evaluate the interaction process between the current training instructor and the trainee during the training process, and is calculated by the number of interactions and the number of people participating in the interaction. The quality of the interaction is used to evaluate the effectiveness of the interaction content, and is calculated by calculating the relevance between the interaction content and the training content.
[0044] The historical training records are obtained from the lecturer database, and the training effect score, the activeness of the training atmosphere, and the interaction quality score of the training process are obtained from the historical training records of multiple nursing lecturers, and corresponding weights are set. The activeness of the training atmosphere and the interaction quality reflect the input and participation of the trainees, which can promote the acceptance of the training content by the trainees and improve the training effect score. The training effect score directly reflects the effectiveness of the training process. Therefore, in this embodiment, a second weight is set for the activeness of the training atmosphere and the interaction quality, and a third weight is set for the training effect score, and the third weight is greater than the second weight.
[0045] The second scores are sorted from largest to smallest, and the nursing lecturer with the first score is selected as the current training lecturer.
[0046] Nursing lecturers serve different departments, resulting in differences in their concepts and familiar skills for intravenous infusion therapy management. By matching the training content with the nursing lecturer's skill profile, it is helpful to select and treat training lecturers with the corresponding skills required by the trainees. A good training atmosphere, activeness and interactive quality are conducive to improving the learning efficiency and mastering nursing skills of the trainees. Therefore, screening nursing lecturers again through training effect scores helps to identify nursing lecturers who have effective teaching methods and enable trainees to accept training content more efficiently.
[0047] Furthermore, it also includes: constructing a correlation function with the training effect score as the dependent variable, the training atmosphere activity and the interaction quality score as the independent variables; During the training process, a time window is preset; when the time window ends, the activity of the training atmosphere and the interaction quality score are counted, and the training effect score is predicted by the correlation function.
[0048] Specifically, for each nursing lecturer in the nursing lecturer set, the training effect scores, the training atmosphere activity and the interaction quality scores of previous trainings are exported from the lecturer database as EXCEL data. The EXCEL data is input into SPSS20.0 software for data statistics and calculations, and the score data is analyzed using the data analysis functions in SPSS20.0 software, such as regression analysis functions and covariance analysis functions. The prototype of the correlation function includes but is not limited to Pearson function, Spearman function, and Kendall function. In this embodiment, Pearson function is preferably used for correlation analysis. In this embodiment, the multivariate linear stepwise regression function provided in SPSS20.0 software is preferably used for data analysis, and the coefficients of the training atmosphere activity and the interaction quality score are derived to realize the construction of the correlation function. It should be noted that the analysis of correlation cannot be equated with causal analysis.
[0049] The activity of the training atmosphere and the interaction quality score are obtained in real time during the training process. Multiple time windows are preset for the entire training process. At the end of each time window, the activity of the training atmosphere and the interaction quality score are accumulated respectively, and the correlation function is used to predict based on the accumulated results to calculate the training effect score. When the training effect score is lower than the preset training effect threshold, a prompt is given to the current training instructor. The current training instructor adjusts the training process based on the prompt information, such as increasing interaction and demonstration with the trainees.
[0050] By recording the interaction between the current trainer and the trainees in real time during the training process, the training effect can be predicted, which helps the current trainer to grasp the effectiveness of the training. When the training effect decreases, the current trainer can adjust his training method to improve the trainees' acceptance of the training content, which helps to improve the training efficiency.
[0051] Furthermore, the method for obtaining the training effect score includes: After completing the training, the trainee undergoes the ability evaluation again to obtain the first score; and the training effect score is calculated based on the first score after the training.
[0052] Specifically, in one embodiment, the first scores of the multiple trainees after the current training are obtained, and the first average score is calculated, and the first average score is used as the training effect score. In another embodiment, the training effect of the trainees is evaluated over a long period of time. After the trainees complete the training, the ability evaluation is performed multiple times at preset time intervals to obtain multiple first scores, and the second average score is calculated. The second average scores of the multiple trainees are averaged again to calculate a third average score, and the third average score is used as the training effect score of the current training instructor. The first score and the second average score are stored in the student database according to the corresponding nursing staff and the number of ability evaluations. At the same time, the training effect score is stored in the instructor database according to the nursing instructor.
[0053] Furthermore, the method for obtaining the activity of the training atmosphere includes: The number of interactions between the current training instructor and the trainees during the training process is counted; the second number of the trainees who participate in the interaction during the training process is counted; and the activity of the training atmosphere is calculated based on the number of interactions and the second number.
[0054] Specifically, the video recording data of the training process is obtained from the training database, and the interaction process and number between the current training instructor and the trainee are recorded, including the number of questions and answers and discussions on the training content, the number of demonstrations of intravenous infusion operations, and the second number of trainees participating in the interaction. The first ratio of the number of interactions to the total number of trainees is calculated, and the second ratio of the second number to the total number of trainees is calculated. For the training atmosphere, we expect the more participants, the better, which helps to improve the training effect and also shows that the trainees have a high degree of acceptance of the training. Therefore, the first interaction weight is set for the first ratio, and the second interaction weight is set for the second ratio, wherein the sum of the first interaction weight and the second interaction weight is 1, and the first interaction weight is greater than the second interaction weight. The weighted first ratio and the second ratio are summed to obtain the activity of the training atmosphere.
[0055] Furthermore, the method for obtaining the interaction quality score includes: Recording the interaction content between the current training lecturer and the trainee, extracting a third keyword from the interaction content, and encoding the third keyword into a third vector; obtaining the subject of the training content, and encoding the subject into a fourth vector; Calculate the similarity between the third vector and the fourth vector to obtain the horizontal correlation between the interactive content and the topic; calculate the similarity between the third vector and the first vector to obtain the vertical correlation between the interactive content and the training content; The interaction quality score between the current training instructor and the person to be trained is calculated according to the vertical correlation and the horizontal correlation.
[0056] Specifically, video recording data of the training process is obtained from the training database, voice data is extracted therefrom, and the voice data of the training process is converted into text data using an audio-to-text interface in natural language processing technology, and the text data is classified into two categories, nursing lecturers and the trainees, based on the source of the text data. Based on the interaction process between the nursing lecturer and the trainees, the interaction content is screened out from the text data.
[0057] The text data is feature analyzed by using the bag-of-words model and BERT model in natural source processing technology. The text data is segmented, and the semantic features of the segmented characters and / or words are analyzed to obtain the meaning represented by the text data, which specifically includes: identifying the entities represented by the characters and / or words, such as intravenous infusion tools and their components, medicines, body parts, etc., to form object features; identifying the actions represented by the characters and / or words, such as inspection, extraction, puncture, etc., to form relationship features between entities; identifying the modifiers represented by the characters and / or words, such as the angle and distance between the intravenous infusion tools and the patient's body parts, to form degree features.
[0058] Based on the semantic features extracted from the overall text data of the training content and the frequency of occurrence of characters and / or words in the interactive content, a third keyword is extracted from the interactive content, and the third keyword is encoded into a third vector through technology such as word embedding.
[0059] The topic is extracted through the title of the training course and / or the setting of the current training instructor, and the topic is encoded into a fourth vector through technology such as word embedding.
[0060] The interactive content should be related to the training content. At the same time, in order to increase knowledge points, corresponding extensions can be made under the same topic to expand the training content. The horizontal relevance is used to evaluate whether the interactive content deviates from the scope of the topic. The vertical relevance is used to evaluate the degree of relevance between the interactive content and the training content. In this embodiment, the similarity calculation is preferably calculated using cosine similarity. The interaction quality score can be obtained by calculating the sum or product of the vertical relevance and the horizontal relevance; or it can be obtained by setting weights for the vertical relevance and the horizontal relevance and then summing them up.
[0061] A good training atmosphere helps the trainees improve their training efficiency, helps determine the best nursing instructor for the training course, improves the training effect, and helps the trainees speed up their learning. The interactive content during the training process should be related to the training topic to improve the effectiveness of the training. Under the same topic, the interactive content can be expanded based on the training content to broaden the knowledge involved in the training content and increase the knowledge points of the trainees.
[0062] Embodiment 3: This embodiment provides an intravenous infusion therapy management training system, device and storage medium based on patient safety goals.
[0063] For example Figure 2 As shown, the intravenous infusion therapy management training system based on patient safety goals includes: An evaluation module is used to preset an evaluation time point and conduct competence evaluation on nursing staff based on a plurality of preset evaluation indicators; perform statistical analysis on the evaluation results of the evaluation indicators to obtain a first score corresponding to the evaluation indicators; A trainee screening module is used to set a first weight for the evaluation index, multiply the first score by the first weight, and obtain a first result; calculate the ability assessment score of the nursing staff according to all the first results; divide the ability assessment score into multiple ability levels, and determine the trainees according to the ability levels; The lecturer screening module is used to determine the training content based on the evaluation indicators of the trainee; obtain the skill profile of the nursing lecturer; match the training content with the skill profile to determine the current training lecturer; preset the training time point, and the current training lecturer conducts training for the trainee based on the training content.
[0064] An intravenous infusion therapy management training device based on patient safety goals, the device includes: a sensor for collecting various data related to nursing operations when nursing staff perform nursing tests in a simulated ward; a display terminal for displaying questionnaires and results collection; at least one processor capable of processing various data related to nursing operation tests collected by the sensor and the display terminal; at least one memory for storing various data related to nursing operation tests collected by the sensor and the terminal and at least one program; when the at least one program is executed by the at least one processor, so that the at least one processor implements the intravenous infusion therapy management training method based on patient safety goals, the processor and the memory can be connected to store at least one program through a bus or other means; the memory, as a non-transient computer-readable storage medium, can be used to store non-transient software programs and non-transient computer executable programs. In addition, the memory can include a high-speed random access memory, and can also include a non-transient memory, such as at least one disk storage device, a flash memory device or other non-transient solid-state storage device. In some embodiments, the memory optionally includes a memory remotely arranged relative to the processor, and these remote memories can be connected to the device through a network. Examples of the above-mentioned network include but are not limited to the Internet, corporate intranet, local area network, mobile communication network and combinations thereof. When the at least one program is executed by the at least one processor, the at least one processor implements the intravenous infusion therapy management training method based on patient safety goals.
[0065] A computer storage medium stores a program executable by a processor, wherein the program executable by the processor is used to implement the intravenous infusion therapy management training method based on patient safety goals when executed by the processor.
[0066] It will be appreciated by those skilled in the art that all or some of the steps and systems in the disclosed method above may be implemented as software, firmware, hardware and appropriate combinations thereof. Some physical components or all physical components may be implemented as software executed by a processor, such as a central processing unit, a digital signal processor or a microprocessor, or may be implemented as hardware, or may be implemented as an integrated circuit, such as an application specific integrated circuit. Such software may be distributed on a computer-readable medium, which may include a computer storage medium (or a non-transitory medium) and a communication medium (or a temporary medium). As known to those skilled in the art, the term computer storage medium includes volatile and non-volatile, removable and non-removable media implemented in any method or technology for storing information (such as computer-readable instructions, data structures, program modules or other data). Computer storage media include, but are not limited to, RAM, ROM, EEPROM, flash memory or other memory technologies, CD-ROM, digital versatile disks (DVD) or other optical disk storage, magnetic cassettes, magnetic tapes, disk storage or other magnetic storage devices, or any other medium that may be used to store desired information and may be accessed by a computer. Furthermore, it is well known to those skilled in the art that communication media typically embodies computer readable instructions, data structures, program modules, or other data in a modulated data signal such as a carrier wave or other transport mechanism, and may include any information delivery media.
[0067] The above embodiments are only used to illustrate the present invention and are not intended to limit the technical solutions described in the present invention. Although the present invention has been described in detail with reference to the above embodiments, the present invention is not limited to the above specific implementation methods. Therefore, any modification or equivalent replacement of the present invention; and all technical solutions and improvements thereof that do not depart from the spirit and scope of the invention are included in the scope of the claims of the present invention.
Claims
1. A training method for intravenous infusion therapy management based on patient safety goals, characterized by: include: Preset evaluation time points and conduct competency evaluation of nursing staff based on multiple preset evaluation indicators; Performing statistical analysis on the evaluation results of the evaluation indicator to obtain a first score corresponding to the evaluation indicator; Setting a first weight for the evaluation index, multiplying the first score by the first weight to obtain a first result; calculating the ability assessment score of the nursing staff according to all the first results; Divide the competence assessment into multiple competence levels, and determine the personnel to be trained according to the competence levels; Determining training content based on the evaluation indicators of the personnel to be trained; Obtaining a skill profile of a nursing instructor; matching the training content with the skill profile to determine a current training instructor; At a preset training time point, the current training instructor conducts training for the trainees based on the training content.
2. The method for training intravenous infusion therapy management based on patient safety goals according to claim 1, characterized in that: The method further comprises: monitoring the catheter-related incidence rate in real time at the preset evaluation time point, and conducting the competency evaluation on the nursing staff when the catheter-related incidence rate is higher than a preset incidence rate threshold.
3. The method for training intravenous infusion therapy management based on patient safety goals according to claim 2, characterized in that: Determining the training content also includes: Obtain the first scores of all the evaluation indicators, preset a skill score threshold, and count the number of nursing staff whose first scores are less than the skill score threshold, recorded as the first number; when the ratio of the first number to the total number of nursing staff is greater than a preset ratio, set the training content according to the corresponding evaluation indicator.
4. The method for training intravenous infusion therapy management based on patient safety goals according to claim 1, characterized in that: Matching the training content with the skill profile to determine a current training instructor, the method comprising: Extracting a first keyword from the training content, and encoding the first keyword into a first vector; extracting a second keyword from the skill profile, and encoding the second keyword into a second vector; The similarity between the first vector and the second vector is calculated. If the similarity is greater than a preset matching threshold, the nursing lecturer corresponding to the skill profile is added to a nursing lecturer set, and the current training lecturer is determined from the nursing lecturer set.
5. The method for training intravenous infusion therapy management based on patient safety goals according to claim 4, characterized in that: The method of determining the current training instructor from the nursing instructor set comprises: Obtain the training effect scores, training atmosphere activity and interaction quality scores of the multiple nursing lecturers; set corresponding weights for the training effect scores, training atmosphere activity and interaction quality scores, and sum the weighted training effect scores, training atmosphere activity and interaction quality scores to obtain a second score; sort the second scores, and determine the current training lecturer according to the sorting results.
6. The method for training intravenous infusion therapy management based on patient safety goals according to claim 5, characterized in that: Also includes: Taking the training effect score as the dependent variable, the training atmosphere activity and the interaction quality score as the independent variables, a correlation function is constructed; During the training process, a time window is preset; When the time window ends, the activity of the training atmosphere and the interaction quality score are counted, and the training effect score is predicted by the correlation function.
7. The intravenous infusion therapy management training method based on patient safety goals according to any one of claims 5-6, characterized in that: The method for obtaining the training effect score includes: After completing the training, the trainee undergoes the ability evaluation again to obtain the first score; and the training effect score is calculated based on the first score after the training.
8. The intravenous infusion therapy management training method based on patient safety goals according to any one of claims 5-6, characterized in that: The method for obtaining the activity of the training atmosphere includes: The number of interactions between the current training instructor and the trainees during the training process is counted; the second number of the trainees who participate in the interaction during the training process is counted; and the activity of the training atmosphere is calculated based on the number of interactions and the second number.
9. The intravenous infusion therapy management training method based on patient safety goals according to any one of claims 5-6, characterized in that: The method for obtaining the interaction quality score includes: Recording the interaction content between the current training lecturer and the trainee, extracting a third keyword from the interaction content, and encoding the third keyword into a third vector; obtaining the subject of the training content, and encoding the subject into a fourth vector; Calculate the similarity between the third vector and the fourth vector to obtain the horizontal correlation between the interactive content and the topic; calculate the similarity between the third vector and the first vector to obtain the vertical correlation between the interactive content and the training content; The interaction quality score between the current training instructor and the person to be trained is calculated according to the vertical correlation and the horizontal correlation.
10. An intravenous infusion therapy management training system based on patient safety goals, characterized in that: include: The evaluation module is used to preset evaluation time points and conduct competency evaluation of nursing staff based on multiple preset evaluation indicators; Performing statistical analysis on the evaluation results of the evaluation indicator to obtain a first score corresponding to the evaluation indicator; A trainee screening module, configured to set a first weight for the evaluation index, multiply the first score by the first weight to obtain a first result; and calculate the ability assessment score of the nursing staff according to all the first results; Divide the competence assessment into multiple competence levels, and determine the personnel to be trained according to the competence levels; A lecturer screening module, used to determine the training content based on the evaluation index of the trainee; Obtaining a skill profile of a nursing instructor; matching the training content with the skill profile to determine a current training instructor; At a preset training time point, the current training instructor conducts training for the trainees based on the training content.
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