Introduction : PDA can not only be used to manage personal information (such as address book, plan, etc.), more importantly, it can browse the Internet, send and receive Email, send faxes, and even use it as a mobile phone. It is particularly important that these functions can be achieved wirelessly. Of course, not all PDAs have all the above functions; even if they do, they may not be able to be realized due to lack of corresponding services. But it is foreseeable that the development trend and trend of PDA is the integration of multi-functions such as computing, communication, network, storage, entertainment, e-commerce and so on. At present, there is a narrow sense of PDA. The narrow sense of PDA refers to what can be called an electronic notebook. Its function is relatively simple, mainly for managing personal information, such as address book, memo and memo, schedule, notes, calculator, recording and dictionary. Moreover, these functions are solidified, and new functions cannot be added according to user requirements. The broad sense of PDA mainly refers to handheld computers, but of course also includes other small digital devices with similar functions. PDAs should actually be subdivided into four categories: electronic dictionaries, handheld computers, handheld computer devices, and personal communication assistants. The latter two have slowly merged together due to the development of technology and market.
Limitations of traditional hospital management information system (His) in nursing activities
1. Can not correctly reflect the execution time of nursing behavior. Because it is impossible for nurses to come back and record a medical order at work, they generally regard the decomposition time of the medical order as the execution time, resulting in a situation in the computer system where there is no record of the actual execution status of each medical order, that is: the lack of each execution The actual executor and actual execution time of the project, because the computer system does not have corresponding real data, cannot correctly reflect the execution of nursing tasks, nor can it monitor the quality of nursing, effectively standardize the medical nursing behavior, and also provide evidence when doctor-patient disputes occur There are deficiencies in the legal sense.
2. Can not objectively reflect the situation of the patient's expenses. Because the existing system charges the execution items it decomposes during the transfer of medical orders, but whether the patient is treated accordingly and how many hygienic materials are actually consumed, this information cannot be recorded in time, which is very There are prone to omissions in billing, such as refunds, make-ups, and omissions. For example, the hygienic materials that patients need to use are usually issued and billed as a medical order, but in actual use, they may be used more or less, which has quantitative discrepancies, so that there are discrepancies in cost objectively; for example, because Some treatments may be performed multiple times, but the nurse ca n’t make a record once, usually multiple times in advance or a make-up afterwards. Sometimes the treatment that is performed the next day is charged in advance on the day, then give the patient a There was confusion in the daily list, which was difficult for patients to understand.
3. Can not truly reflect the implementation of medical care tasks. Because the application of the existing hospital management information system in the ward is only limited to the decomposition (or entry) of the medical order, inquiry, confirmation and the writing of some nursing records at the nurse station, when the nurse is in the process of executing the medical order, due to the time to execute the medical order It may be advanced or delayed. It is inevitable that some human errors or improper execution of medical orders, such as the omission of a medical order, etc., will have a certain degree of hidden medical safety risks.
4. Lack of implementation of the nursing check system. "Three checks and seven pairs" is an important link for nurses to execute medical orders. In the past, the unique check of the patient's identity mainly relied on the bed number or name displayed on the bedside card, and the basis for confirming the treatment content was the treatment list, infusion list, etc. In this way, there is a risk of incorrect patient identification, and it is impossible to identify the wrong copy of the treatment list. In this way, it is easy to use the wrong medicine for the patient, and there is a very big medical hidden danger.
5. Some nursing documents require nurses to spend a lot of time to complete. For example, when the nurse measures the patient's body temperature or other vital signs, the nurse needs to record the body temperature on the ward and record it on the paper, and then go to the nurse station to make a copy, and finally draw a temperature sheet, which wastes many hours of the nurse's time and thus has no more time to care for the patient.
The basic process and main technical content of PDA in clinical
The application research of modern digital medical equipment is becoming an important research topic in the medical field at home and abroad. Among them, Personal Digital Assistant (PersonalDIGIt-al Assistant, PDA) has been gradually popularized in developed countries such as Europe and the United States. It is small and easy to carry. Equipped with an operating system, equipped with a wireless network card, can be connected to the hospital information system database through a wireless local area network, and equipped with a laser scanning device can scan barcodes, which is an ideal bedside information for patients. This technology improves the hospital's work efficiency and management level, and increases the hospital's competitiveness. So it is accepted by more and more hospital managers.
1. The basic process and use method of PDA in clinic
When the patient is admitted to the hospital, a bar code for the patient is printed at the nurse's station (some hospitals print at the hospital). The bar code contains the patient's basic information, such as the patient's name, gender, ID number, and bed number. When the nurse rounds up, scan the patient's wristband with the laser scanning head on the PDA that he carries with him, and after confirming that the information has no bit error rate, the collected nursing data such as body temperature, pulse respiration, blood pressure, urine and urine, body fluid in and out After the data is immediately recorded and saved at the bedside, the information is directly presented to the mobile care system, and the care forms such as the temperature list, blood pressure list, and urine sugar record list are generated in the mobile care system.
The doctor's order issued on the computer of the HIS system, after checking and proofreading by the head nurse, printed out the barcode infusion card. The barcode infusion card contains the basic information of the patient. After the password is verified, enter the ward setting of the corresponding department. Use the PDA to scan the patient's infusion card to confirm whether the information of the patient to be infused and the barcode infusion card match. , The time and frequency of execution of each medical order, and the items such as oral medicine, intramuscular injection, intravenous drip, etc., are presented on the PDA in turn, and the nurse chooses to perform medicine delivery, injection, or select vital signs and other items. When the nurse completes a certain task, click on the corresponding item, the computer will automatically record the execution time and the operator. And the information about the execution of the doctor's order is immediately passed back to the HIS system through the mobile care management system, and the doctor's treatment situation is provided to the doctor in time. When the medical order is executed, due to the busy work, there may be omission of the medical order, but if the nurse checks in the PDA in time, he will find his mistakes, so as to ensure that the patient takes the medicine on time.
The head nurse can also check the execution status of the doctor's orders throughout the day, the completion of various nursing records, the ward nursing workload statistics and the nurse workload.
2. PDA main technical content
To realize the clinical use of PDA, first establish a wireless network in the ward (compliant with IEEE802.11b standard), install a wireless AP in the ward (AcessPoint is compatible with IEEE802.3 Ethernet standard and wireless local area IEEE802.11b standard) , Support 64 and 128 bit equivalent encryption (WEP), PDA becomes a client of HIS system through wireless AP, install client software on PDA. Through the software to receive the scanned nurse operation process information, patient ID IV, the significance of PDA in clinical application.
In Western Europe and the United States, a few hospitals have canceled ward nurse stations. Nursing data is collected and recorded directly on the patient's bedside with a wireless computer. This not only improves the efficiency and quality of care, but also increases the affinity of medical staff and patients. Patients get more care. The application of technical methods such as hand-held terminals and barcode wristbands to clinical care will bring results to the hospital management in many aspects:
1. Help nurses to execute medical orders correctly; when nurses perform rounds or execute medical orders, they need to use the PDA to scan the patient's barcode wristband and barcode infusion card to check the patient's information to avoid unnecessary errors 2. It is the whole process of tracking the medical service process; strengthening medical cooperation, mobilizing the enthusiasm of nursing staff. PDA's medical order reminder tone and short message function provide a scientific and effective guarantee for busy clinical nursing work, and reduce the information transmission errors in the communication of medical and nursing language. At the same time, the responsible nurse can provide patients with various treatment and nursing information in a timely and effective manner, which is conducive to establishing a good nurse-patient relationship and fully mobilizes the enthusiasm of nursing staff.
3. Promote the development and innovation of nursing management, increase the intensity of quality control in the nursing process, help the head nurse to master the nursing work status of the whole department, and can show the work of the whole department and a nurse in time within the scope of the head nurse's authority The statistical results are displayed in the form of weighted values, so that the nursing work is fully quantified, the depth and breadth of management are strengthened, and the process of hospital digital development is promoted.
In summary, the PDA provides an objective basis for the performance evaluation of medical staff and helps the hospital truly achieve lazy rewards and punishments. Its fundamental purpose is to reduce the error rate, improve the quality of medical services, and reflect the core principle of patient-centeredness.
Embedded industrial flat panel display, optional 10.4 "to 19" LCD screens, 50,000 hours long-life LED backlight, support for multiple signal input interfaces, including VGA and Video, special requirements can increase DVI and HMI interfaces; front Panel OSD keys and USB interface are convenient for control and maintenance; support DC 12V power input, special requirements support DC 9 ~ 36V wide voltage input; suitable for harsh work in industrial fields such as factory automation, machinery manufacturing, numerical control equipment, textiles, communication, and power surroundings.
Panel Mount Monitor,Touch Screen Mount,Panel Mount Touch Screen,Panel Mount Touch Screen Monitor
Shenzhen Hengstar Technology Co., Ltd. , https://www.angeltondal.com