Digestive endoscope medical quality control automatic monitoring system

Abstract

The invention discloses a digestive endoscopy medical quality control automatic monitoring system, which belongs to the field of medical informatization and quality control, and comprises a data acquisition module, an index calculation module, an index comparison result module, a physician library and a query module, the index calculation module captures data of corresponding indexes and obtains actual index data, the actual index data is input into the index comparison result module to obtain a comparison result, and the doctor library is formed by classifying and counting all initial data of the data acquisition module according to doctors. And the query module can capture data of the data acquisition module, the index comparison result module and the physician library and generate a result containing a standard / non-standard mark.

Description

Technical Field

[0001] The present invention belongs to the technical field of medical informatization and quality control, and more specifically, relates to an automatic monitoring system for the quality control of digestive endoscopy medical treatment. Background Art

[0002] To further strengthen medical quality management, standardize clinical diagnosis and treatment behaviors, and promote the standardization and homogenization of medical services, the National Health Commission has issued the "Notice of the General Office of the National Health Commission on Issuing the Medical Quality Control Indicators for 5 Specialties such as Ultrasonic Diagnosis (2022 Edition)" (Guoweiban Yihan

[2022] No. 161), which clarifies the medical quality control indicators for digestive endoscopy diagnosis and treatment technologies, so as to strengthen the training and guidance of medical institutions within the jurisdiction, use information technology means to strengthen the collection, analysis and feedback of indicator information, and guide medical institutions to continuously improve medical quality; at present, there are problems in the quality control of digestive endoscopy, such as the inability to check the accuracy rate, relying on manual statistics, with data lag, and the inability to quickly match data with the medical service comprehensive supervision system; traditional quality control indicators are easily affected by data at a single time node, resulting in misjudgment; in addition, the existing monitoring system focuses on querying the horizontal data of the same indicator category of all physicians, lacking a real-time tracking mechanism for individual physician operation differences, being cumbersome when longitudinally counting the treatment data of individual physicians, unable to simultaneously meet the needs of longitudinal comparison of multiple indicators of a single physician and horizontal comparison of a single indicator of a group of physicians, and lacking a historical trend comparison function at the physician level granularity. Therefore, there is a need for an automatic monitoring system that can efficiently collect, analyze and feedback digestive endoscopy medical quality information, and can query the indicator data of physicians in both horizontal and vertical dimensions. Summary of the Invention

[0003] The technical problem to be solved by the present invention is to provide an automatic monitoring system for the quality control of digestive endoscopy medical treatment, which can meet the requirements that the digestive endoscopy medical quality control monitoring system can efficiently collect, analyze and feedback information, and can query the indicator data of physicians in both horizontal and vertical dimensions.

[0004] An automatic monitoring system for the medical quality control of digestive endoscopes according to the present invention includes a data acquisition module, an index calculation module, an index comparison result module, a physician database, and a query module. The data acquisition module is connected to the endoscopic report workstation. Through the endoscopic reports in the endoscopic report workstation, data on various medical items and NTP time calibration log data of endoscopic equipment can be retrieved. The data it collects includes the number of operations of endoscopic medical items, the number of successful operations of endoscopic medical items, and the operation time of endoscopic instruments. The data acquisition module provides initial data. The index calculation module grabs the data of corresponding indexes and obtains the actual index data, and inputs the actual index data into the index comparison result module to obtain the comparison result. The physician database is composed of the initial data of each item of the data acquisition module classified and statistically analyzed by each physician. The query module can grab the data of the data acquisition module, the index comparison result module, and the physician database, and generate a result containing a "qualified / unqualified" mark.

[0005] As a further improvement of the present invention, the index calculation module includes a national index calculation unit, a preset calculation rule library "Medical Quality Control Indexes for Digestive Endoscopy Diagnosis and Treatment Techniques (2022 Edition)", and standard calculation formulas for each index are set inside.

[0006] As a further improvement of the present invention, the query module provides a horizontal query interface for single index and multiple physicians. Input the index number and output the sorted list of all physicians in the hospital for this index; a vertical query interface for single physician and multiple indexes. Input the physician's work number and output the table of the compliance status of all his indexes.

[0007] As a further improvement of the present invention, the data acquisition module includes a time verification sub-module, which is used to compare the log time of the endoscopic equipment with the medical record time. When the difference exceeds the preset time, such as ±5 minutes, the data review process is triggered.

[0008] As a further improvement of the present invention, the national index calculation unit includes a dynamic loading sub-module, which is used to parse the latest version of the index file of the National Health Commission and update the calculation formula library.

[0009] As a further improvement of the present invention, the query module supports dynamically screening index data according to time intervals.

[0010] Compared with the prior art, the beneficial effects of the present invention are as follows: Through the collaborative work of the data acquisition module and the national index calculation unit, information technology means are used to strengthen the collection, analysis, and feedback of index information; a quality file is established with the physician ID as the dimension. Compared with the traditional overall evaluation method of the department, the technical weaknesses of individual physicians can be accurately identified; the query module supports generating index results in two dimensions, horizontal and vertical. BRIEF DESCRIPTION OF THE DRAWINGS

[0011] Figure 1 It is a schematic diagram of the module connection of the present invention; Figure 2Schematic diagram of the index monitoring process of the present invention.

[0012] Explanation of reference numerals in the figure: Data acquisition module 1; Index calculation module 2; Index comparison result module 3; Physician database 4; Query module 5. Specific implementation mode

[0013] Specific Example 1: Please refer to Figure 1-2 , the present invention relates to an automatic monitoring system for the medical quality control of digestive endoscopy, including a data acquisition module 1, an index calculation module 2, an index comparison result module 3, a physician database 4 and a query module 5. The data acquisition module 1 is connected to the endoscopy report workstation. For example, the data acquisition module 1 establishes a data interface connection with the endoscopy report workstation through the DICOM protocol. Through the endoscopy report in the endoscopy report workstation, the data of each medical item and the NTP time calibration log of the endoscopy equipment can be retrieved. The data it collects includes the number of operations of endoscopy medical items, the number of successful operations of endoscopy medical items, and the operation time of endoscopy instruments. The data acquisition module 1 provides initial data. The index calculation module 2 grabs the data of the corresponding indexes and obtains the actual index data, and inputs the actual index data into the index comparison result module 3 to obtain the comparison result. The physician database 4 is composed of the initial data of the data acquisition module 1 classified and statistically analyzed by each physician. The physician database 4 uses a MongoDB database to aggregate and store its historical operation data and index results according to the physician's work number. The query module 5 can grab the data of the data acquisition module 1, the index comparison result module 3 and the physician database 4, and generate a result containing a "qualified / unqualified" mark.

[0014] In a further embodiment, the index calculation module 2 includes a national index calculation unit, a preset calculation rule library "Medical Quality Control Indexes for Digestive Endoscopy Diagnosis and Treatment Techniques (2022 Edition)", and the standard calculation formulas for each index are set inside.

[0015] In a further embodiment, the query module 5 provides a horizontal query interface for multiple physicians with a single index. Input the index number and output the sorted list of all physicians in the hospital for this index; a vertical query interface for multiple indexes of a single physician. Input the physician's work number and output the table of all index compliance situations of the physician.

[0016] In a further embodiment, the data acquisition module 1 includes a time verification sub-module, which is used to compare the time of the endoscopy equipment log with the time recorded in the endoscopy report. When the difference exceeds ±5 minutes, it triggers the data review process; specifically, the time verification sub-module compares the NTP time calibration log of the endoscopy equipment in the endoscopy report workstation with the time stamp uploaded to the endoscopy report workstation. When the absolute value of the difference exceeds 5 minutes, a JIRA work order is automatically generated and pushed to the quality control department to trigger the manual data review process.

[0017] In a further embodiment, the national indicator calculation unit includes a dynamic loading sub-module for parsing the latest version of the indicator file of the National Health Commission and updating the calculation formula library; specifically, when the National Health Commission releases the quality control indicators for the year 2024, the dynamic loading sub-module downloads the PDF file through the HTTPS protocol, extracts the new calculation formulas using OCR recognition technology, and automatically updates the calculation rule library of the national indicator calculation unit in the indicator calculation module 2. If the update fails three consecutive times, it is pushed to the quality control section to trigger the manual data review process, and then manual update or retention of the old version is performed.

[0018] In a further embodiment, the query module 5 supports dynamic screening of indicator data by time interval. For example, when the time interval is selected as '2023 Q2' in the query module 5 and the indicator number CDEI-07 is input, the system outputs a heat map of the compliance rate of the colonoscope withdrawal time (CDEI-07) for all physicians in that quarter and conducts a comparative analysis by monthly trend.

[0019] Taking the success rate of selective deep cannulation in endoscopic retrograde cholangiopancreatography (ERCP) (CDEI-08) as an example, the steps are as follows: Connect to the endoscopic report workstation through the data acquisition module 1, retrieve the total number of ERCP operations in the same period in the endoscopic report operation, and screen the ERCP operation records to obtain the number of successful cases of selective deep cannulation in ERCP per unit time; The output value is passed to the indicator calculation module 2 for calculation and the actual value is output. The calculation formula is as follows: Success rate of selective deep cannulation in ERCP = Number of successful cases of selective deep cannulation in ERCP per unit time (∑success marks) / Total number of ERCP cases in the same period × 100%; The indicator calculation module 2 calls the compliance threshold (≥85%) of the success rate of selective deep cannulation in ERCP (CDEI-08) in the calculation rule library of the national indicator calculation unit, and jointly outputs the actual value calculated by the indicator calculation module 2 to the indicator comparison result module 3 for comparison and generates a comparison result, which is stored in the MongoDB document of the physician library 4. The query module 5 selects the time interval and inputs the indicator number (CDEI-08) of the success rate of selective deep cannulation in ERCP, and grabs the data from the data acquisition module 1, the indicator comparison result module 3, and the physician library 4 to generate a sorted list of this indicator for all physicians in the hospital during that time interval, and displays the marks of whether each physician meets the standard or not. Further, the query module 5 generates a sorted list from high to low according to the compliance rate, showing the employee numbers, the number of operations, the success rate, and the compliance status (marked with green √ / red ×) of the top 20 physicians.

[0020] Taking the rate of colonoscope withdrawal time ≥ 6 minutes (CDEI-07) as an example, the steps are as follows: Connecting to the endoscopy report workstation through the data acquisition module 1, retrieve the total number of colonoscopy examinations performed in the endoscopy report during the same period, and retrieve the colonoscopy withdrawal time per unit time, and count the number of cases with a duration of ≥ 6 minutes; Specific steps: when the colonoscopy is withdrawn, the doctor uses the computer to take a screenshot and save it. The saved screenshot is automatically uploaded to the endoscopy report workstation and the timestamp of the screenshot is extracted to the endoscopy report workstation. Then the colonoscopy withdrawal examination begins. At the end of the examination, the doctor uses the computer to take a screenshot and save it again. The saved screenshot is automatically uploaded to the endoscopy report workstation and the timestamp of the screenshot is also extracted to the endoscopy report workstation. The endoscopy report workstation calculates the colonoscopy withdrawal examination time based on the timestamps of the screenshots at the start and completion, and stores the result in the endoscopy report workstation for retrieval by the data acquisition module 1. Data source: Colonoscopy records with procedure type code CC201 were extracted from endoscopy reports. The withdrawal time was extracted from the endoscopy report workstation.

[0021] The output value is passed to the indicator calculation module 2 for calculation and output of the actual value. The calculation formula is as follows: The rate of colonoscopy withdrawal time ≥ 6 minutes = the number of colonoscopy withdrawal time ≥ 6 minutes per unit time / the total number of colonoscopy examinations in the same period × 100%; The indicator calculation module 2 extracts the standard of the colonoscope withdrawal rate of ≥6 minutes, and outputs it together with the actual value calculated by the indicator calculation module 2 to the indicator comparison result module 3 for comparison and generates a comparison result; The query module 5 selects a time interval and inputs the indicator number of the colonoscopy withdrawal time ≥ 6 minutes rate, and captures the data of the data collection module 1, the indicator comparison result module 3 and the physician database 4, generates a sorted list of the indicator for all doctors in the hospital, inputs the work number of a single physician, and queries the indicator status of the physician's colonoscopy withdrawal time ≥ 6 minutes rate.

Claims

1. An automatic monitoring system for the quality control of digestive endoscopy, characterized in that: It includes a data acquisition module (1), an index calculation module (2), an index comparison result module (3), a physician database (4), and a query module (5). The data acquisition module (1) is connected to the endoscopic report workstation. The data it acquires includes the number of endoscopic medical item operations, the number of successful endoscopic medical item operations, and the endoscopic instrument operation time. The data acquisition module (1) provides initial data. The index calculation module (2) grabs the data of corresponding indexes and obtains the actual index data, and inputs the actual index data into the index comparison result module (3) to get the comparison result. The physician database (4) is composed of the initial data of the data acquisition module (1) classified and statistically analyzed by each physician. The query module (5) can grab the data of the data acquisition module (1), the index comparison result module (3), and the physician database (4), and generate a result containing the "qualified / unqualified" mark.

2. The automatic monitoring system for the quality control of digestive endoscopy medical care according to claim 1, wherein: The index calculation module (2) includes a national index calculation unit, a preset calculation rule library "Medical Quality Control Indexes for Digestive Endoscopy Diagnosis and Treatment Techniques (2022 Edition)", and the standard calculation formulas for each index are set inside.

3. The automatic monitoring system for the quality control of digestive endoscopy medical care according to claim 1, characterized in that: The query module (5) provides a horizontal query interface for multiple physicians with a single index. Input the index number and output the sorted list of all physicians in the hospital for this index; a vertical query interface for multiple indexes of a single physician. Input the physician's work number and output the table of the compliance status of all his indexes.

4. The automatic monitoring system for the quality control of digestive endoscopy medical care according to claim 1, wherein: The data acquisition module (1) contains a time verification sub-module, which is used to compare the endoscopic equipment log time with the medical record time, and triggers the data review process when the difference exceeds the preset time.

5. The automatic monitoring system for the quality control of digestive endoscopy medical treatment according to claim 2, wherein: The national index calculation unit contains a dynamic loading sub-module, which is used to parse the latest version of the index file of the National Health Commission and update the calculation formula library.

6. The automatic monitoring system for the quality control of digestive endoscopy medical care according to claim 1, wherein: The query module (5) supports dynamic screening of index data according to the time interval.

Images