CN101023416A - System and apparatus for medical error monitoring - Google Patents
System and apparatus for medical error monitoring Download PDFInfo
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- CN101023416A CN101023416A CN 200580018493 CN200580018493A CN101023416A CN 101023416 A CN101023416 A CN 101023416A CN 200580018493 CN200580018493 CN 200580018493 CN 200580018493 A CN200580018493 A CN 200580018493A CN 101023416 A CN101023416 A CN 101023416A
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Abstract
Apparatus and systems for providing improved monitoring errors in a medical setting. The apparatus includes a storage medium, a display and a scanner that allow medical personnel to quickly and reliably track and monitor information such as about the type, location and timing of samples taken from a patient. Failure to complete the function marks failure to complete the collection of the sample or otherwise notify the processing facility. When the order is executed, marker sets and/or messages are generated to guide medical personnel. The error is linked to the acquisition event for discrepancy tracking. When no order is pending, a temporary identification tag is generated for the container or the like. The sequence of the extraction process is communicated to the medical personnel at the point of collection.
Description
According to 35 U.S.C.119 (e), the right of priority of the U.S. Provisional Application No.60/575244 that the application requires to submit on May 28th, 2004, the U.S. Provisional Application No.60/571434 that submits on May 14th, 2005 and the U.S. Provisional Application 60/566439 submitted on April 30th, 2004.
Technical field
The present invention relates generally to the method that telecommunication network is cured the desease error management device, system and used and operate them.Especially, the present invention relates to have supervision, audit medical services and make it make functional tele-medicine error management device of its judicial convenience.
Background technology
Laboratory information system (Laboratory Information Systems) (LIS) and hospital information system (Hospital information Systems) (HIS) all belong to the category of health care information or business system (Health Care Information or Enterprise Systems).Usually, health care enterprise provides the various aspects such as the patient care of patient identification and tracking and medicine and sample collecting arrangement single (order) and data management.In the process of patient care was provided, health care personnel general using can be by one or more software application of health care information system visit.The visit of health care information system generally had the fixed terminal of requirement in the past, such as will be at the nursing station that may use away from the position of health care point (that is, patient position).For the more convenient effective visit to LIS is provided, be introduced into health care and hospital environment (setting) recently such as the lighter module of handheld computer or portable data terminals (PDT), below be commonly referred to as " hand held object (handheld) ".Hand held object can directly be passed through LAN, modulator-demodular unit or wireless connections and be connected with server.Randomly, hand held object can use the serial or parallel connection to be connected with server by PC.In order to use hand held object, by with hand held object and the data input/output device that is connected with LIS connects or cable by being connected with LIS, make about the information and the LIS of hand held object synchronous so that can be between LIS and hand held object swap data.
Especially, along with the raising of medical and health care technology, utilize the malpractice management just becoming more and more general with the portable computing of software.Portable computing can be collected the clinical and non-clinical information about the sample collecting process in hospital, laboratory or blood sampling facility or clinic.For the management test findings relevant better with therefrom draw these results' sample (specimen) with patient, the sample of follow the tracks of gathering and be crucial with patient's identification information coupling with them, this identification information generally is stored in such as in the patient of hospital or laboratory information system and the sample arrangement single database.
Sometimes, from the process of patient there collected specimens deviation can appear.For example, when collecting blood sample in the blood collecting containers, the situation that vein contraction and nurse or blood drawing doctor can not collect the collection container of all arrangements that he or she is instructed to finish may appear.Container generally is placed into sack (sack of each patient) and is transmitted by the pneumatic tube system that generally is based upon in the hospital subsequently after being full of blood sample.Pneumatic tube system is sent to the sample of gathering that lab assistant is assembled and the laboratory of tissue, sometimes even distinguish the priority ranking of sample for the analysis on the high-throughput analyser.
If there is one the problem of gathering in the test specimen of arranging, carries out the nurse or the blood drawing doctor that gather so and have a responsibility for notifying the laboratory to make lab assistant can suitably tackle this situation.But this step often is left in the basket or forgets, may need laboratory technicians to rearrange same patient's test thus, and may postpone analysis and the result relevant with this patient.The above-mentioned inefficient consumption time, and, if the doctor of arrangement test need in time know patient's clinical effectiveness, so above-mentioned poor efficiency or danger.Since gather and the medical worker of analytic sample between lack suitable communication, therefore need additional and may be unnecessary sample collecting, also be inconvenient therefore to patient.Therefore, have the needs to medical error monitoring and management system, this medical error monitoring and management system provide when being less than and notify breadboard communication channel and/or means when the container of arranging all single containers is gathered.
Summary of the invention
The present invention who proposes allows such as blood drawing doctor, doctor or nurse's hospital or single the realization and medical error monitoring of laboratory technicians improvement sample collection arrangement.
The objective of the invention is to, the bar code label that can be used for being convenient to and finishing the printing of gatherer process and medical test processing is provided.According to an aspect of the present invention, nurse or blood drawing doctor scan him or she the ID badge to discern themselves to hand held object.Before carrying out the sample collection activity, draw blood doctor or nurse finish this part sample collecting process.The bar code of the sample collection container that scanning patient and preparation are used makes the identification mission relevant with gatherer process judicial convenience greatly, thereby further reduces the time and write the relevant poor efficiency of mark that will be applied on container or the patient's card with craft.
According to a further aspect in the invention, provide exceptional cast and permission in affirmation and the record data collection accurately to write down and the method for suitably passing on the incident of the expectation of failing to take place.The present invention allows such as blood drawing doctor or nurse's hospital or laboratory technicians rapidly, communicate by letter with centralab or other laboratory in the hospital about the deviation in the finishing of sample collection arrangement list easily.The preferred embodiments of the present invention make that LIS can be easily by bar code input or some some other information traces and reception and registration sample collecting deviation.The basic element of character of the preferred embodiments of the present invention is portable medical hand-held device and small-sized cognizance code reader.The cognizance code reader can be barcode scanner, imager, radio-frequency (RF) identification (" RFID "), infrared identification reader or similar techniques.The example of this portable computing is SymbolTechnologies PPT 1800 Series Pocket PC.Hand held object comprises the feature that comprises bar code scanning and real-time radio communications option.
The subassembly of medical treatment hand-held device can be battery, display, keyboard, bearing, radio communication circuit, storer, shell and CPU (central processing unit) (CPU).The medical treatment hand-held device can be any portable diagnostic monitor such as portable data assistant (PDA), notebook, Desktop PC or other device.The cognizance code reader can be integrated in the medical hand-held device or by auxiliary equipment and be fixed on the medical hand-held device.Reader can separate with portable computing potentially.
Carrying can have the portable medical calculation element that is fixed or is integrated into inner reader the time, nurse or blood drawing doctor also portability are used for the portable printer of the field print bar code gathered in patient samples.In a preferred embodiment, use to have the blood collection container of bar code, this bar code has the pipe customizing messages that will register with hand held object of the present invention.For example, can have two-dimensional bar such as a plurality of collection containers of blood collection tube and Blood culture bottle etc., this two-dimensional bar provides the information about the type of collection container such as catalog number (Cat.No.), the term of validity and the number of rearranging.
In some cases, gathering exceptional cast, to comprise the arrangement that has more than the container of one same type single.According to a further aspect in the invention, when using one or more than the collection of the container of one same type when unsuccessful, can not finish collections (UTC) feature provides from hand held object and passes on the not event data of collection to laboratory and LIS.If successful logout provides enough information that it is no longer needed, this feature helps to determine to gather the necessity of additional data so.In hospital environment, when patient blood collection arrangement is single when being introduced in the laboratory information system, arrange single can the needs will be the same sample of the additional testing volume acquisition of patient samples.But if additional same sample provides situations such as blood drawing or other emergency not gathered based on vein contraction, patient's refusal, the invention of Ti Chuing here provides the warning feature that lab assistant is made mistakes.Because whether successful lab assistant arrange single state with notified, so this feature will reduce or eliminate the relatively poor problem of communication between clinician and the laboratory in some cases.In a single day lab assistant confirms that event anomalies just can determine rapidly that whether the sample collection of the success that obtains provides enough samples and suitably tackle this situation for the test of needs.With clinician's suitable communicating by letter, lab assistant can not be required to rearrange whole sample collection based on the uncompleted information that provides, and postpones thereby cause analyzing, and this analysiss postpones to cause the treatment delay.
Description of drawings
Read following detailed description the in detail in conjunction with the drawings, will understand these and other aspect of the present invention, advantage and novel features at an easy rate:
The client hand held object and the server of the different embodiment according to the subject invention configuration that Fig. 1,2,3 and 4 represents respectively to use with the health care information or the business system of different structure;
Fig. 5 represents the client hand held object according to the embodiments of the invention configuration that sample receiver and corresponding bar code label are used together;
Fig. 6～14 expressions have each client hand held object of exemplary display screens according to an embodiment of the invention;
Figure 15 is a process flow diagram of representing to be used for according to an embodiment of the invention the order of the operation of control client hand held object when arranging single can not being done; And
The different webpage that Figure 16～26 expressions are produced by the web of system interface according to an embodiment of the invention;
Figure 27～29th, the process flow diagram of the different system structure of system of the present invention is used in expression;
Figure 30 is the expression process flow diagram that is used to provide the order of Temp ID function operations of the present invention.
Embodiment
According to the present invention, provide mistake to monitor and management system 10 (Fig. 1) and portable medical device 22 (Fig. 5).Install 22 pairs and use hand held scanner with the sampling process similar sampling process of generally in hospital, finishing.For explanatory purpose, here with reference to sampling process illustrative system 10 and device 22.Should be appreciated that except other is similarly used system 10 and device 22 also can be used to monitor the therapy management to patient.System 10 can be can be from Becton Dickinson and Company, the BD.id system that Franklin Lakes, NJ obtain.
Hand held object or PDT 22 (Fig. 5) make the information that the sample collection arrangement Dan Yucong patient bracelet that is stored in the hand held object 22 can be scanned such as nurse or blood drawing doctor's user be complementary, and confirm that sample receiver 56 is correct for the test of arranging.The new bar code label 52 of sample receiver is printed on patient's bedside with the time and date of gathering.The card (chart) that mark can be placed in collection container or patient go up or the two on.In addition, the information about the time and date of collection container can be sent to the time data retrieved memory element (for example LIS 24 or SMS 20) that is used for afterwards in the mode of electronics.At last, when being put back in its bearing 34, hand held object and SMS 44 are synchronous, thereby this SMS 44 can communicate by letter with LIS 24.
As following further describing, one of feature of system 10 relates to the collection arrangement that is transmitted in by blood drawing doctor execution and deviation unilaterally occurs between user and hand held object 22 according to an embodiment of the invention.This deviation is taked various form.The most important thing is that the part of the screen on button on the hand held object 22 or the hand held object 22 keeps for the user, occurred deviation to pass on to hand held object.With reference to Fig. 1～4, system 10 preferably comprises server 20 (for example, sample management server (SMS)), can carry out a plurality of client hand held object 22, LIS (laboratory information system) 24 and the ADT (admit, emit and transfer system) 26 of data access to server 20.System unit is connected with network 40 to deal with the generation of particular communication incident.Other embodiment can comprise server 20 as an alternative and be embedded into aspect among the LIS 24.Hand held object 22 can be communicated by letter by server 20 and hospital computer system (for example, LIS, ADT and HIS).Scheme as an alternative, LIS for example can be configured to directly communicate by letter with hand held object 22.
In order to understand the present invention, it is as follows to define some term:
Definition
Client
Bearing
The collection container mark printer
Collection container mark printer 32 is printers that purpose is stamped mark on such as the use point of sample collecting position.More particularly, in some position in health care environments, need the collection container mark printer, be used to the downstream tracking of sample and the mark that the label (indicia) of the sample with collection is printed in processing, take from which patient and to health care personnel or the useful out of Memory of laboratory technicians such as, sample.The important elements of gathering on the mark is the container number (for example, bar code) that generally can be described to gather identifier.Ideally, blood collection container (Fig. 5) is available to the health care personnel, and comprising will be to the bar code 52 or RFID (radio-frequency (RF) identification) label of the reception and registration pipe customizing messages of portable handheld device of the present invention 22 registrations.In one embodiment, after user and patient all have been scanned in the system, when the bar code of scanning collection container, print bar code label 52.Bar-code printer 32 can be positioned at or be contained on phlebotomize car (phlebotomy cart) or the carriage, or is installed in patient's the room etc.Printer 32 produces and comprises the custom indicia 52 that LIS 24 has distributed to the bar code registration number of sample.Printer 32 can be the portable printer such as battery powered thermal printer.
Database
Adopt database (for example, sample management database (SMD) 44) to comprise one or more large-scale, structurized set of persistant data, these persistant datas are relevant with software usually to upgrade, to insert and the inquiry data.
Hand held object
Term hand held object (for example, the client hand held object 22) illustrates using point to carry out sample or the useful portable computer of medication management.The example of this portable hand-held construction element is Symbol Technologies PPT 1700 Series hand held object.This specific hand held object has IR and bar code scanning ability.Hand held object comprises and is used to show to gather the graphical user interface (GUI) of specimen sample Useful Information from patient.
Preferably, hand held object comprise microprocessor, such as the read element and the type element of barcode scanner.Read element can read identifying information and produce corresponding information flag from the patient identification code.Microprocessor can be handled the data relevant with identifying information.Hand held object comprises small-sized cognizance code reader in the ideal case.The cognizance code reader can be barcode scanner, imager, infrared identification reader, RFID reader or similar techniques.Barcode scanner can be integrated in the medical hand-held device or by auxiliary equipment and be fixed on the medical hand-held device.Similarly, the RFID reader can be integrated in the medical hand-held device, makes that when near container, the RFID of container can be read device and read.But hand held object preferably comprises battery, is used for the display screen pressing key of GUI, telecommunication circuit, memory element, be used for fixing the shell and the microprocessor of all hand held object subassemblies.Portable handheld device can be to comprise to be used for and the module of server communication and/or the portable digital-assistant of software (PDA), tabular PC or notebook.
HIS
Hospital information system (HIS) 38 (Fig. 2) be with the management and the treatment flow process of organizing patient in hospital be purpose, the system that develops together with necessary all data relevant of effective organized health care service with patient.The treatment flow process is including but not limited to sample management and medication management.HIS makes doctor and other staff to carry out with their maximum capacity with best effective and efficient manner.Most of HIS are modular, thus by such as guaranteeing the benefits that continue with new and improved LIS and ADT system 24 and 26 integrated changes in technology.
HIS 38 network that uses a computer is thought that most of hospitals are movable to gather, handle and retrieval patient care and management information, to satisfy user's function needs.HIS also helps to provide the decision back-up system for the organ of power of hospital that develops and manage comprehensive health care policy.
HIS 38 comprises the integrated computerized clinic information system that is used for improved hospital management and patient health care.One or more patient's that they also provide accurately, store in the mode of electronics medical records.Usually, HIS is the concentrated message system that transmission is operated and management information designs rapidly, and comprises software and hospital or customizable other application module of health care facility that can optimize core data.
LIS
LIS is generally limited to laboratory information system, the information that this laboratory information system tissue is relevant with the laboratory task with tracking, such as, how to produce arrange single (order) and with its be communicated to the laboratory, how transmit patient or sample, how to register or prepare sample, how actual finish test, how with readout to the health care provider.LIS also can organize, follows the tracks of and determine how the work of finishing is repaid health enterprise and how to be exchanged reimbursemen information in the laboratory.
As shown in Figure 2, enterprise servers 42 can comprise LIS 24 and HIS 38, perhaps, as shown in Figure 3, comprise ADT 26, LIS 24 and HIS 38.In other configuration, scheme as an alternative, HIS 38 and ADT 26 operations can be incorporated into (Fig. 4) in the individual server.In system 10 of the present invention, LIS has the bidirectional interface with server 10, also allows from server 10 single to the arrangement that LIS sends image data and cancellation to allow sending acquisition list from LIS to server 20.
The LIS/HIS data-interface
LIS/HIS data-interface 48 is the elements of communicating by letter that are used for a plurality of modules of convenient transmit and receive data bag and signal on network.Example comprises Health Level Seven (that is, HL73.0), ASTM 1238, ASTM 1394, Dbase, Comma Delimited ASCII and Fixed Length ASCII.
Patient ID printer
The sample management server
Sample management server (SMS) is to comprise database and other program and be used for operation and the server 20 of the module 60 (Fig. 6) of integrated LIS 24, HIS 38 and client hand system 22 (for example, the webserver, sql server, LIS resolve application etc. to SQL).Usually, the customizing messages of the sample management server 20 usefulness patients and the specimen sample of gathering from these patients produces and upgrades its database.Sample management server 20 among some embodiment can be carried out and duplicate/synchronous service, to keep and the communicating by letter of intermittence of client 22.In some embodiments of the invention, the function of sample management server 20 can combine with LIS 24, HIS 38 or the two.In other embodiment of the present invention, SMS 20 can separate with LIS 24 and HIS 38, still, in order to receive and single relevant updated information of sample arrangement and the registration number that produces by LIS 24, moves on the network identical with LIS 24.
Can not finish collection (UTC) function
Can not finish " UTC " icon 46 on collection (UTC) function is shown hand held object 22 in Fig. 7 the display 23, and representative " can not finish collection ".When a plurality of containers that have same type and one or more can not be gathered, use this configuration status.When not gathered for one in two or more containers that have same Container Type on registration number (accession number) and the container, the container of not gathered is configured to UTC.Whether systematic parameter can be set to control is the container Print Label of not gathered.This label provides about arranging the information of single acquisition state to the laboratory.Whether can test the sample of being gathered because the laboratory need be understood, therefore the container of not gathered can not be by " cancellation ".In order to be UTC with test configurations, the user selects container and raps UTC button on the hand held object display.If the systematic parameter of Print Label is activated, print this label so.
To illustrate that now can not gather (Collect) of the present invention gathers (UTC) feature.For the system 10 that explain to use the UTC feature better and/or hand held object 22 advantage, at first how these existing medical error monitoring systems and device are handled uncompleted acquisition scheme (scenario) and describe with respect to existing medical error monitoring system and device.
The arrangement that LIS/HIS distributes to medical worker's generation of being gathered by qualified sampling with registration number is single.Distribute the method and the test figure of registration number in LIS provider, to change.When the titular medical worker of doctor or other required that patient carried out specific test, each test that needs generally speaking needed at least a portion of the single collection container of patient samples.But some tests need a plurality of containers of same test arrangement list, to adapt to analytical approach or to be in order to enough sample volumes to be provided.In first example, may need two different containers to gather and to hold the sample of same test arrangement list.In second example, single test arrangement list may need two identical containers to keep the sample of gathering with the purpose for volume.LIS also carries out some groupings, making needs the test of identical collection container to be combined, and makes, for example, need 4 tests of RED10 container to use " volumes of needs " data respectively, to determine whether from 4 tests of single container operation or whether to need a plurality of containers.
According to the LIS manufacturer that is utilized by health care facility, each test may be assigned with single registration number, perhaps, in other cases, a registration number can be distributed to the battery of tests that patient needs.Can be forwarded to LIS owing to have only with the relevant single message of the state of single test arrangement list (that is, arrange single must be done, is not done or is cancelled), therefore, this for existing error management device about having problems with communicating by letter of LIS.For some existing LIS manufacturers, can't say and arrange Dan Wei to be done.When the nurse or the blood drawing doctor when LIS returns message, he or she need have some states relevant with each test arrangement list; Otherwise LIS is gathered or is cancelled according to message format supposition arrangement is single.
For typical test, only use a collection container.Given successful condition, the user should be able to collected specimens and by error management system to its record and advance to next test or patient.Then to the successful collection of LIS report (for example, PDT is synchronous by HL7 interface and LIS).If owing to some reason tests no longer are essential, the user has the ability that cancellation is tested PDT so as qualified medical worker determines, this PDT reinforms LIS should be cancelled.If occur at present stoping the user to finish the incident of the single tube collection arrangement list that needs, the user can select test is deferred to the time of back so.In this case, PDT keeps Test Information and allows the user to turn back to test later in its storer.If the user skips whole registration number, gather after thus it being stayed, there is not message to be sent to LIS so.Not having action to be performed LIS is invalid event.Existing LIS is configured to only notified when test is gathered or is cancelled.
In the test of two or more collection containers of needs, the anomalous event after given first sample collecting, existing P DT can not pass on one or more container to be gathered and one or more is not also gathered to LIS.This is because current LIS system forces the collection standard that limits by the single result that notice is chosen to single registration number.Therefore, existing P DT can not pass on two results of test in the same registration number of a plurality of samples of needs.Native system and the solution that provides the restriction of LIS.
The means that embodiments of the invention provide generation can be sent to the message of lab assistant, this message indicate one or more collection container successfully not gathered.Give the experimental enviroment that fixes in the same registration number, this provides to the user, and the collection arrangement is single, list is arranged in cancellation, the single option that can not be gathered of maybe will arranging singly to be appointed as is arranged in postponement.Error management device (for example, hand held object 22) can be assessed the state of blood collection arrangement list and the suitable option of selecting for the user is provided.In other option, can be in the display 23 (Fig. 5) of portable computing 22 (for example, the UTC touchscreen button 46 among Fig. 7) or by mechanical button or toggle switch on the hand held object 22, finish the method that these options are provided.
With reference to Fig. 6～14, different screen displays is shown according to the embodiment of portable medical device or hand held object 22.Hand held object 22 can be used by nurse or doctor, is used for the management of sample.Here use term " user " particularly in health care environments, to use hand held object with the people of tracking from the sample of the sample of patient's collection with explanation.
Hand held object 22 can receive the input data by the message code reader such as barcode reader.The input data can be including but not limited to the code or other mark, patient ID label and the health medical practitioner label that are present on the specimen collection container.For example, system 10 and hand held object 22 are configured to make the user can take off hand held object 22 and scan his or his ID badge then who just will carry out the collection of specimen sample at operative installations and who at present in given hospital ward, department or floor to convey to hand held object 22 from its bearing 34.Scanner can be integrated in the hand held object.Scheme as an alternative, hand held object 22 can be fixed on the slide plate annex that comprises barcode scanner.The slide plate annex can have blocking mechanism so that the user can be fixed to the slide plate annex on the hand held object 22 in removable mode.When two parts are fixed to a time-out, the communication port on the slide plate annex engages with the similar port of hand held object 22 back to transmit data and information between two parts.
Hand held object also comprises the display 23 such as LCD, is used to show the information of the device of watching for the user.In addition, display 23 can be the sort ofly to push on display to carry out the display of related command with finger or contact pen.
Hand held object 22 also comprises result and the date and time of collection and the internal storage of distributing to the arrangement list of hand held object 22 that is used for record acquisition.In one embodiment, hand held object 22 has the communication link that is used for downloading or being arranged synchronously and be stored in the test of finishing of hand held object 22.Following further describe like that, test also can be configured to be cancelled or the part of UTC operation.Communication link can be that Radio Link or rigid line connect.Information can be downloaded or be synchronized to hospital in ward or floor or the relevant computing machine of whole laboratory information system.
Screen (not shown) on the display 23 can provide the tabulation of being distributed to the patient who is used to gather of hand held object 23 by the system manager.The following web interface of being convenient to system manager's operation that illustrates with reference to Figure 16～29 to server 20.The user selects patient then from tabulation, to watch the new screen of the test that is listed as this patient's arrangement as shown in Figure 6.In the example that illustrates, generate and arrange singly to think that imaginary patient " Peter Peterson " carries out a large amount of collections.Screen prompt user among Fig. 6 is to specific registration scanning container.The user finishes this point near as shown in Figure 5 collection tube being placed on scanner.
Fig. 6 represents the hand held object screen that is used to test, wherein registration number have relative two same types container (that is, RED).With reference to Fig. 7, Fig. 8 and Fig. 9, under the situation that can not finish a plurality of chamber tests (promptly, not every RED container is all successfully gathered) because the user can not gather sample, so hand held object 22 can show that the container of arranging in the list will be configured to the message (Fig. 8) of UTC.And hand held object 22 can produce the order (Fig. 9) of stamped mark, and this mark can be fixed to or insert and send in the breadboard sack.In case reception sack, laboratory technicians just can read sample and there is the sample collection deviation in identification.Thereby lab assistant can further arrange additional testing (with the relevant collection container of test), perhaps use to arrive breadboard sample and also may distribute a part from the sample of these containers to carry out essential test.And, can directly send a message to the laboratory, be used to make lab assistant to make suitable test decision to preparing to be considered to arrive breadboard collection sample at first.Can by the radio communication circuit in the hand held object 22 or when in bearing randomly by with server synchronously, send and notify.
Further specifying UTC in the process flow diagram shown in Figure 15 handles.The doctor leaves in patient's card and arranges single or test, and test is transfused in the hospital computer system (for example LIS) (piece 60).Test can be provided to server 20 from LIS 24 then.Shown in piece 62, to its user of PDT 22 who distributes test (for example, by having system manager) to the web interface of server 20 to PDT upload information (for example, from LIS).The user is connected to PDT or hand held object 22 portable printer and takes these devices and sample collection supply to collection point (for example, patient's bedside).Shown in piece 64, the user correctly discerns patient's (for example, by reading the patient identification label) then, carries out and gather and scan container to produce the mark that container is corresponding with collection event.If container does not have bar code, the user can select " M " touchscreen button 47 (Fig. 7) on the hand held object 22 to produce hand labeled so.The user is the collection container printed sample mark that comprises the sample of collection then.
Continuation is with reference to Figure 15, if arrange singly need all not gathered more than container (piece 66) and all needed samples of one same type, the user sends to sample that the laboratory is used for handling and finishes with to LIS report (piece 68) by using hand held object that test is appointed as so.Get nowhere if gather, arrange single can being cancelled so.If deviation and collection unsuccessful (piece 70), and arranging the container of single requirement more than one same type, the user selects UTC button 46 suitably the sample of not gathered is configured to UTC (piece 72) so.The similar sample receiver that hand held object produces other then is given the alert message (piece 74) of UTC mark (piece 76), and/or be used for the mark of collection bag or signal of communication and be sent out with the not all needed container of notice lab assistant and all be provided.The user advances then and finishes the single needed remaining sample (piece 78) of arrangement with collection.Under any circumstance, arrange single not being appointed as mistakenly to finish or cancel.
The unscheduled event in affirmation and the record data collection or the method for abnormal conditions are that any error management system is necessary.It makes it possible to accurate record and fails the expected event that takes place in some cases, and helps to determine whether successfully to repeat not satisfied data acquisition incident.In hospital environment, when patient blood collection arrangement list has been introduced LIS by the clinician, arrange single may the distribution, be the additional testing volume acquisition same sample of patient samples.But if additional same sample provides situations such as blood drawing or other emergency not gathered based on vein contraction, patient's refusal, system 10 provides the UTC feature with this mistake of warning LIS personnel so.This feature provides wrong to the LIS personnel and arranges single suitable communication and tracking of gathering and whether make them can determine sample is important in the degree that needs patient's blood drawing in the future.The not suitable communication that provides by UTC feature of the present invention, the LIS personnel can be required to write down whole sample collection based on the uncertainty of the information that provides, and postpone thereby cause analyzing, and this analysis postpones to cause treatment to postpone.
Unscheduled event mistake or abnormal conditions supervisory communications feature are designed to provide the information of unavailability about the sample of expectation to lab assistant.As mentioned above, can provide this information by multiple possible method.One embodiment of the present of invention are used when selecting the UTC feature promptly to the single UTC of the application configuration of the arrangement of specific repetition by the button on the hand held object means to the printer output print command.Printable message marking of printer or even bar code with information of notice unscheduled event (for example fail gather).This information flag can be the part of the mark that exists or be affixed on the mark of existence, perhaps can gather with other and arrange single mark separate fully.This type information can be with being sent to the laboratory by the sample of the successful collection of suitable procurator (agent) operation.In addition, the UTC scheme can be transferred back to LIS by the mark of gathering message and be printed, as upgrading the LIS database and being sent directly to the wireless signal of lab assistant.
Other hand held object screen comprises specifies the icon (Figure 10) and the corresponding dialog box (Figure 11) of arranging singly to have special instruction.In addition, workload screen (Figure 12) and cancellation reason screen (Figure 13 and Figure 14) are also provided.Workload screen (Figure 12) is considered the type of record acquisition, comprises line extraction method (line draw method), and carries out the number of times of gathering with the trial that helps the workflow among the management medical worker.If hand held object user can not carry out collection, workload screen (Figure 12) can specify the third party to extract when needed so.The workload screen can produce after being scanned and being labeled at for example appearance collection or container.This screen make the hand held object user can specify by the personnel beyond the personnel of input image data collection type (for example, the finger that extracts, is used to fill little collection tube by venipuncture or VP, such as the pipeline by catheter thrusts or FS, heel is thrust or HS, arterial blood gas or ABG injection, such as be used to urinate or other open stream (open stream) collection) and collection.Other hand held object screen (not shown) can be including but not limited to according to the criterion of selecting (for example, such as the right of priority of the collection of STAT, extraction regularly or rule or such as passing through patient location by ward and/or ward) patient list of classification, arrange list or extraction program prompting or special operational order (for example, specific and predetermined extraction arrangement single) and arrangement list to cancel reason-code.
Because system 10 uses the scanning of hand held object user, patient and Container ID and this information is associated with sample collection, so it is favourable.According to a further aspect in the invention, can print identification marking when hospital's business process needs the mark of tape font code, to make these process judicial conveniences from system 10.Can be for the judicial convenience of the collection of the sample in the system 10 or for using bar code label with the irrelevant purpose of system 10 and sample collection.Usually, patient itself has identification he or she is the wrist strap sign whose has label independently.Generally the form with bar code provides this sign, but also can provide by the name of RFID label or the printing by demonstration.And portable hand-held thing or scanner are arranged in sanitary facility generally speaking, and comprise geographically consistent and relate to patient's the database of the part of the sanitary facility of distributing to hand held object.In addition, information-related with about with the sample collection arrangement list of those that part of patients' couplings of distributing to the sanitary facility relevant only away from the hand held object of LIS with hand held object.The patient information irrelevant with hand held object is left in the basket with the storer on the hand held object that avoids waste.Use hand held object so that the sample collection of the tracking judicial convenience of sample has comprised the hand held object that can scan patient, here, patient has LIS unsettled (pending) and arranges list and patient in tracked relevant patient's the database in hand held object of hand held object.But can exist in health care facility sometimes is not the condition that above all conditions all is satisfied.When for example not having unsettled arrangement list or arranging singly to be repeated, the dissimilar ID mark that these situations need to produce is to help the suitably sample of the collection of demarcation.
A this ID mark is a Generic Temp ID mark.The exemplary purposes of interim Id is when the user need gather sample, does not exist unsettled arrangement single for this sample when gathering in LIS.When arrange single not in system and do not need to gather immediately sample with patient's information when related with this sample, the present invention also provides to be produced as and comprises Demographic Temp ID mark and the Generic TempID mark that some patient informations also can use in this case.Server 20 can obtain patient's demographic information from ADT feedway (feed) or LIS feedway.
As described below the working of Generic Temp ID mark.Can be temporarily or for a long time patient is moved to the another location from a position of hospital.When with patient when he or she is suitably distributed a position of hand held object to move to him or she not to be assigned with the another location of hand held object, the information that is sent to the hand held object of distribution will not arrive the user who is responsible in she or she current floor, ward, position etc. gathering she or she sample.In this case, just in case doctor or practitioner need extract the blood sample of not arranged by LIS, he or she can activate GenericTemp ID process so.This process comprises following steps.
As shown in figure 30, the user scans among the PDT (or hand held object) 90, activates that temporary transient ID process is provided with 91, the patient's of scanning such as the bar code on patient's the wrist strap identity information 92, hand held object with patient identification for the patient's who distributes to hand held object 93～95 list match, and hand held object causes printing or producing the sample receiver mark of the identity information 96 that comprises patient at least.Time, the time or date that the additional information that the mark that produces can comprise can comprise collection stabs (such as, but not limited to the time/date of scanning and the time/date of process) or user ID.
As described below the working of Demographic Temp ID mark.Patient can be arranged in the suitable zone of sanitary facility, and his or her information is associated with patient list on the hand held object in this zone.But, the condition of exist to require gathering not the sample of arranging by LIS sometimes.In this case, just in case doctor or practitioner need extract the blood sample of not arranged by LIS, he or she can activate Demographic Temp ID process so.This process comprises following steps.
As shown in figure 30, the user scans among the PDT (or hand held object) 90, activates that temporary transient ID process is provided with 91, the patient's of scanning such as the bar code on patient's the wrist strap identity information 92, hand held object with patient identification for the patient's who distributes to hand held object 93～95 list match, and hand held object cause printing or produce except or replace patient's identity information 97 to comprise the sample receiver mark of patient's demographic information at least.Time, the time or date that the additional information that the mark that produces can comprise can comprise collection stabs (such as, but not limited to the time/date of scanning and the time/date of process) or user ID.
In Generic Temp ID mark and Demographic Temp ID mark, mark all preferably comprise be used to place and at least temporarily property be fixed on bonding substrate (backing) on the container.In addition, such as described in the United States Patent (USP) 6428640, mark can comprise and be used for the breach aimed at collection container, comprises this patent as a reference at this.Another exemplary purposes of interim ID is to be difficult to gather sample and want from patient notify other user so that during gatherer process by the generation mark as the nurse.For example, when the nurse ran into the patient that is difficult to collected specimens (for example, because vein shrinks or is difficult to find vein) and nurse and wishes more experienced blood drawing doctor collected specimens, the nurse is printable to go out interim ID mark.Respond these needs, system 10 allows to print the ID of above-mentioned two kinds of addition type.If system 10 is not from the patient record of ADT or LIS, Generic Temp ID can be printed so.The content of Generic Temp ID can the person of being to use (or nurse) any content of scanning and the system user and the system time of login.The wrist strap that typical using method is the scanning patient makes mark printer print the system user of wrist strap identifier, system data and the login of barcode format.
When because owing to be in system's 10 databases from the data of the message patient before ADT or the LIS, when system 10 can not discern the patient of scanning, Demographic Temp ID mark was available, to print with specific demographic information.In other purposes, except gathering purpose, these two kinds of Temp ID marks all can be used for medicament purpose.And, can use the two-dimensional bar (for example, having the code of the bar shaped of level and vertical direction) on the wrist strap, so that patient need not understand in order to print Demographic Temp ID in system 10.2 d code allows the part for an identifying purpose scan code pattern.Therefore, when the bar code on patient bracelet or the mark owing to wearing and tearing or other damage be part as seen the time, 2 d code is useful.Following steps explain how to use PDT 22 to think that the sample of not arranging at LIS produces mark.Before in will arranging single input LIS, interim ID mark is placed on the patient samples.
1. login PDT.
2. chosen position.
3. from the patient list screen, knock Temp ID button.
4. interim ID mark screen occurs.
Scanning patient wrist strap on bar code.
6.PDT print interim patient ID mark.
7. after the collected specimens interim ID mark is being placed on the pipe.
8. additional if desired mark then uses the printing function again (knocking printer icon) on the PDT.
9. withdraw from PDT and put into bearing single to receive new arrangement.
Patient's arrangement is single received by the BD.id system and be downloaded to PDT after, login PDT.
11. chosen position.
12. on the patient list screen, scan interim ID mark rather than scanning patient's wrist strap.
13. single-row table occurs arranging.
14. knock the arrangement corresponding single (that is, the test for the red push pipe of needs (red top tube) scans red push pipe temporary marker) with pipe with temporary marker.
Think that this pipe produces sample marking 15. knock manual collection button (M).
16. sample marking is placed on the interim ID mark.
17. Fu Jia sample marking if desired then repeats this process.
18. the amount of finishing the work screen.
19. withdraw from PDT and be reentered into bearing.
Have dissimilar test (for example, gather), these tests need different mark groups with suitably gather sample and utilize the relevant clinical practice of mark group.According to another embodiment of the present invention, system 10 comprises database and the subsidiary logic rules that suitably make up and fill, and these logic rules are used for selecting and produce suitable mark group based on the pilot code that by system is patient identification system (PIS) reception.System 10 also can produce and show suitable workflow message and alarm, these workflow message and alarm (for example are shown near gathering on time and position, by the screen on the hand held object 22), and the action that guides the user suitably to utilize the mark group and in sample collecting and preanalysis processing, take need or recommend, for example, pipe operation, tag application, transmission conditions, record patient's key character and signing documents.These message can before the gatherer process, among and take place afterwards and can be configured based on user's input.Collection group and message can produce based on test/arrangement unitary code or clinic information system code (for example, blood bank, laboratory or microbiology) or about these codes.Example including but not limited to the ejection alarm on the hand held object 22 (for example, " after collection to doctor report to the police " or " sample must with ice storage ") and the peculiar subclass of mark or combination are (for example, the extra process bearing mark that is used for collection container or collection bag is so that authorize and the workflow supervision).The supervision that this aspect of the present invention therefore continues with respect to needs is to guarantee that message is identified the existing system that is performed with the operation relevant with specific collection and shows advantage.Different with the present invention, the mark group in the existing system does not produce on collection position, and the time of gathering must reach the collection point, be disadvantageous therefore.
System 10 preferably comprises the web interface (web interface) to server 20, so that system management function.The exemplary screen that Figure 16～26 expressions are produced by the web interface that can show on the administrator workstation that is connected (for example, by server 20) and addressable web interface with system 10 or other calculation element.In other webpage, the web interface provides unsettled sample collection page or leaf (for example, be used to watch the position of distributing to workstation or hand held object) and watch data page (for example, being used to watch single and the single or processing of single, the removed arrangement of the arrangement that is cancelled) from patient's arrangement.In other function, the web interface be provided for controlling patient's name and test demonstration (for example) based on user's security access levels, be used to limit the secure option of title and right of priority, and be provided for cancelling and arrange single option or reason-code.Web interface of the present invention such as security function (for example provides, such as changing and the access right that limits different security roles by the pressure password, the management user) and the management function of the selection (for example, making parameter in groups) of systematic parameter by PDT, unsettled sample page or leaf, system and web interface parameters.And web interface supply difference (variance) is followed the tracks of the NCCLS order of the container that (for example, difference group and difference are related with the actual acquisition incident) and extraction determine, the two is all illustrated in greater detail below.
It is single that the expression of unsettled sample collection page or leaf (Figure 16) is in patient's the arrangement of position of selection.These arrange single-passes cross that right of priority in the priority groups is grouped and by the position, then be berth, then be the scheduling date, be that container is classified then.This page can be used as the acquiescence page or leaf of BD.id system website and opens.
Security
Systematic parameter allows website to control whether the user must login before showing this page or leaf.In order to protect patient's secret, there are two systematic parameters of the quantity of the character that control will show for patient's name and test arrangement list.This patient data's part demonstration prevents that " accidental beholder " obtains patient and arrange single information.When the automatic refresh list of system, system is provided with based on the user patient's name and test arrangement list is shown " part " form.Refresh when link now when the user clicks, system shows whole patient's name and test arrangement list.
The position
Position button allows the user to select the position that will be shown.This window allows the user with suitable access right that workstation is set default location.But the user can edit these positions to watch arrangement single from other position under the situation that does not change default location.
If the user has " position of regulation work "
Access right, the window that is used for the position so has two available options:
The option definition
It is silent when choosing this frame to be stored as workstation, and the position of selection is stored as the acquiescence of workstation
The value of recognizing position.
Only watch PDT to be fated when choosing this frame, only on unsettled sample collection page or leaf, show money
The single lattice of lattice arrangement are sent to the arrangement list of PDT.
If do not choose this frame, show all arrangements of the position of selecting so
Single.Additional hurdle " E " expression is qualified to be sent to those of PDT
Arrange single verification mark.
Change the position of selection:
1. click location button.Show the chosen position pop-up window.
By click location from available list of locations chosen position, click right arrow button then so that this position is added in the list of locations of selection.
3. behind chosen position, the hit OK button.This will show the unsettled sample collection of the position of selecting.
Attention: click cancel button to restart.To remove the position from the tabulation of selecting, click it and click left arrow button then.Remove all clauses and subclauses in the tabulation of selection, click and remove all buttons.Select to recover default button to be chosen in the position of using in the last webpage.
Cancellation is arranged single
First column headings (cancellation) in the tabulation comprises the check box single to each arrangement of special container.By choosing this frame and by the cancel button of the bottom of lower page or press enter key, the arrangement of cancellation container is single.System requirements user login is to guarantee that the user has the access right of this function.
The arrangement of cancellation is singleThe page shows that the arrangement of selecting is single.Before the input cancellation, must select the cancellation reason.If the interface support, the arrangement forms data of cancellation can be sent out back LIS.
Changing classification arranges single
The unsettled sample collection page allows you that all priority groups are classified by rising or decline order based on patient, wrist strap, timetable, position and container.
● select patient, wrist strap, timetable, position or container title and click by the classification of rising order." A " represents the sorting technique that rises on the top of " Z " along with the decline arrow.
● click title by the classification of decline order with " A " and " Z "." Z " represents the sorting technique that rises on the top of " A " along with the decline arrow.
● use default parameters classification (by the room/berth in right of priority and the position in the collection date), click the default categories order button in the upper right corner that is positioned at the page.
Qualified (E) hurdle
When all arranged Dan Douyi to be restricted to occur on unsettled sample collection page or leaf, this page or leaf showed " E " hurdle under each right of priority title.The qualified arrangement list that downloads to PDT of " E " hurdle indication.In most of the cases, before expiring, sample collection will arrange singly to download to PDT in about 180 minutes.
Watch unsettled sample collection tabulation
1. open the BD shortcut on your desktop.Unsettled sample collection page or leaf is shown.Also can be by select unsettled sample collection option display list from the sample menu.
2. input if desired, your user's name and password.
3. click location button.The chosen position pop-up window is shown.
By click location from the list of available locations chosen position, click right arrow button then so that the position is added in the list of locations of selection.
Attention: remove the position from the tabulation of selecting, click it and click left arrow button then.Remove all clauses and subclauses in the tabulation of selection, click and remove all buttons.Select to recover default button to be chosen in the position of using in the last webpage.Click cancel button to restart.
5. work as you and finished chosen position, the hit OK button.The position display unsettled sample collection of system for selecting.
6. on unsettled sample collection, watch complete patient's name and test figure, click and refresh link now.Can require the user to login.
The title definition of unsettled sample collection page or leaf can be defined and edit by the user.With reference to Figure 21, these definition comprise the right of priority code of distributing to each title, the classification of the right of priority code in the title and the color that each title is used.Unsettled sample collection page or leaf divides into groups unsettled arrangement list by the right of priority code.The packet header that the user limits each right of priority code and user for example STAT, regularly, routine etc. is associated.If the right of priority code is used to fixed time testing, so with reference to the systematic parameter that is used to limit the time of fire alarming window of warning user's test regularly to be scheduled and not being cancelled.
The administrative preference group
Limit priority groups with title and color.
| The hurdle | Explanation |
| The priority groups title | For this arranges single group input title. |
| The right of priority title mark | Right of priority title input text for second line printing under claiming as group name.The text only just occurs when the frame that shows right of priority is selected. |
| Show right of priority | If show the right of priority code of distributing to this title, choose this frame so with the right of priority title mark. |
| To arranging single classification | The value of |
| Show special instruction | If, then choose this frame for this group shows special instruction. |
| The packet header color | For title is selected background colour and textcolor. |
| Grouping form color | For form is selected background colour and textcolor. |
Administrative preference
The right of priority code is transfused to and is associated with priority groups.
| The hurdle | Explanation |
| Right of priority | The input priority code. |
| The LIS right of priority | Input LIS right of priority code. |
| The short right of priority of PDT | The contraction of the code that input will show on PDT.For example, STAT is " S ". |
| In group, will arrange single classification | The value of |
| Test regularly | If this right of priority is used for fixed time testing, choose this frame so. |
| Priority groups | The selecting priority group is single with the arrangement that demonstration has this right of priority code. |
Before the right of priority code, limit priority groups.
Import new priority groups:
1. from the sample menu, the sub-option administrative preference group under the selecting priority.
2. input your user's name and password.
3., watch the priority groups page of existence so if you have access right.
4. select the new button that adds.Adding the new priority groups page is shown.
5. with in the information input field.
6. to preserve, click and preserve.Ignore any variation, click cancel button.
Edit priority groups:
1. from the sample menu, the sub-option administrative preference group under the selecting priority.
2. input your user's name and password.
3., watch the priority groups page of existence so if you have access right.
4. click editor's icon.The priority groups page that editor exists is shown.
5. revise these hurdles.
6. click in abutting connection with the check box that shows right of priority, distribute to the right of priority code of this priority groups with demonstration with right of priority title mark.
7. to preserve change, click and preserve.Ignore, click cancellation.
Import new right of priority code:
1. from the sample menu, the sub-option administrative preference under the selecting priority.
2. input your user's name and password.
3., watch the right of priority page of existence so if you have access right.
4. select the new button that adds.Adding the new right of priority page is shown.
5. with in the information input field.
6. to preserve, click and preserve.Ignore any variation, click cancel button.
Edit the right of priority code:
1. from the sample menu, the sub-option administrative preference under the selecting priority.
2. input your user's name and password.
3., watch the right of priority page of existence so if you have access right.
4. click editor's icon.The right of priority page that editor exists is shown.
5. revise these hurdles.
6. click in abutting connection with movable check box, choose and forbid this right of priority with removal.
7. to preserve change, click and preserve.Ignore, click cancellation.
Systematic parameter makes the user can make system be fit to their environment.The key feature of system can be activated based on the internal procedure of each client site or forbid.These parameters are grouped according to following affected system module: PDT, the unsettled sample collection page, systematic parameter and network parameter.
As mentioned above, according to another embodiment of the present invention, another advantage of system 10 is that it can provide the difference that links with actual acquisition incident or situation to follow the tracks of.Arrange singly in LIS, to begin, and be sent to for example server 20, be transferred to the end user who is used to gather then.In case gather, sample and container just are sent to the laboratory, sample and container are examined in this laboratory.If the laboratory determines to gather or sample is wrong, system can store and report the collection mistake so.This mistake is transfused to (for example, by server 20) in the system 10 then, and this system interrelates mistake and specific collection, allow long-term report who, when and where the sample collection mistake appears.By web interface or remote computing device, by text and/or figure report, report information is returned the user.
In an embodiment of the present invention, the user passes through to use the web interface with in the different information input system 10, and lists the difference of appearance and the people of report discrepancy, and selects to produce the collection that defective (flawed) gathers sample.The user can produce the information that comprises about difference then, comprises: the sample of user's identity, PCT unit, collection, the time of collection and the acquisition method that uses when producing sample.Should be appreciated that term " collection " is meant any tabulation of the sample that will gather in gatherer process.In other words, perhaps many blood collection tube can be represented to follow the tracks of relevant once collection with difference.
The management of the difference of being undertaken by the web interface will be described now.For the various types of mistakes that occur in sample collection limit difference.In order to watch statistics by group rather than to watch each single difference, difference group (Figure 26) allows the user that each difference is distributed to certain kind.The example of difference group is: analyze mistake (haemocylolysis, short (short draw), the incorrect container of extracting), sample identification mistake, blood bank's sample mistake.For single difference is distributed to certain group, group specified title at first.
The difference form comprises following hurdle:
| The hurdle | Explain orally |
| Variance codes | Be difference (for example, be used to condense CLTD) input code. |
| The difference group | Select and code dependent group. |
| Movable (Active) | When edit code, this option occurs.Want forbidden code, click this frame and choose with cancellation. |
Difference is gathered in input
Import collection difference, the selection form is shown to find patient's the sample relevant with difference.After finding sample, click the additional difference pattern.System shows the deal with data (transaction data) of sample and allows you to choose suitable difference and import the name of report discrepancy.
The search of collection difference
Gathering the difference search is used to find patient specimens to import the difference that manually is recorded on the difference recording chart of laboratory.The data of patient specimens are shown and allow difference to be associated with sample and import the user of report discrepancy.
1. from Administration menu, select the sub-option under the management difference to gather difference.
2. input your user's name and password.
3., show and gather the difference input criterion page if you have access right.
4. the input criterion is also clicked patient/sample of searching for the criteria match that finds and import in the form of selection hurdle.
Attention: without any need for the hurdle.Click does not have the search of selection criterion will show the tabulation of titular all patient/samples.
5. show and gather the matching criterior page.
6. click the additional difference icon of wanting the patient information selected in abutting connection with you.The additional difference page shows with patient/sample information.
7. click the check box with the difference adjacency, so that difference is associated with this sample.
8. the user from system's combobox selects the user, perhaps, is the user of report discrepancy input user name in the user in system's frame or not.
9. click and preserve, or click cancellation to ignore this information and to return and gather the matching criterior page with the preservation different information.
The definition of editor's difference
Be the various types of mistake definition differences that in sample collection, occur.Increase new difference:
1. from Administration menu, select the sub-option editor difference definition under the management difference.
2. input your user's name and password.
3., show the difference definition page of watching existence if you have access right.
4. click and increase newly.Showing increases the new difference definition page.
5. in the difference hurdle, import data.
6. in the variance codes hurdle, import data.
7. select from difference group drop-down list.
Attention: before single difference being distributed to certain group, must at first define the difference group.
8. click and preserve or preserve ﹠amp; Increase another to preserve different information.Ignore, click cancellation.
Edit difference:
1. from Administration menu, select the sub-option editor difference definition under the management difference.
2. input your user's name and password.
3., show the difference definition page of watching existence if you have access right.
4. click in abutting connection with editor's difference (pencil) icon of the difference that will be edited.Show the difference definition page that editor exists.
5. revise the hurdle of this difference.
6. click in abutting connection with the check box of movable (active) and choose and forbid this difference with cancellation.
7. to preserve change, click and preserve.Ignore, click cancellation.
Editor's difference group
The difference group allows that each single difference is distributed to each kind and is used to watch statistics.For example, the difference group that is used to analyze mistake can comprise these single difference: haemocylolysis, short extractions, incorrect container, sample are discerned mistake etc.Before single difference being distributed to certain group, must at first define the difference group.Increase new difference group:
1. from Administration menu, select the sub-option editor difference group under the management difference.
2. input your user's name and password.
3., show the difference group page of watching existence if you have access right.
4. click and increase newly.Showing increases the new difference group page.
5. in difference group hurdle, import data.
6. in short name hurdle (Short Name field), import data.
7. click and preserve or preserve ﹠amp; Increase another with preservation information.Ignore, click cancellation.
Edit the difference group:
1. from Administration menu, select the sub-option editor difference group under the management difference.
2. input your user's name and password.
3., show the difference group page of watching existence if you have access right.
4. click in abutting connection with editor's difference group (pencil) icon of the difference group that will be edited.Show the difference group page that editor exists.
5. revise the hurdle of this difference group.
6. to preserve change, click and preserve.Ignore, click cancellation.Click deletion to remove the difference group.
According to a further aspect in the invention, means are provided, to distribute to the health care provider of one group of regulation, specific individual or specific device or one group of device based on the collection of some criterions with permission system 10, these criterions are that the information from the clinic information system (CIS) that externally provides or limit in system is provided draws.In an example, this aspect of system 10 can be used for the information of obtaining and is target with the order that will be gathered by the user such as nurse or blood drawing doctor's particular category from CIS.In another example, system 10 can obtain information and is that the order of one group of device (for example, hand held object 22) of STAT order configuration is a target specially to be used for from CIS.In another example, system 10 can obtain information from CIS, and order is associated with specific user (scanning user can obtain show into this user one group of order).
In conjunction with Figure 27, Figure 28 and Figure 29 extraction order of the present invention aspect is described now.In hospital and laboratory environment, blood sample is frequently arranged to be used for blood analysis to gather and to be sent to the laboratory by the doctor.General venipuncture procedure by using some kinds with the sample collecting of blood in vacuum collection container or pipe.This process is including but not limited to the vein puncture device that uses such as wing group (wingset), both-end staight needle, catheter port etc.All these devices use with non-patient needle (non-patient needle), and this non-patient needle allows blood collection tube to set up the fluid passage at patient's vein with between the vacuum chamber in managing.
Blood collection tube has many mutation, and, when specific test is arranged, have different condiment, packing volume and other characteristic of all containers of causing therefrom selecting.For example, some pipes quicken condensing of blood and other delays or prevent condensing of blood.Other pipe provides concentration gradient to make that blood collection tube can be by centrifuging, thereby causes by proportion their cell component being separated.
Generally speaking, nurse or blood drawing doctor will be based on being received the order of gathering some pipe by the type of the test of laboratory and/or doctor's arrangement.Hospital's program according to conveying to nurse or what pipe of blood drawing doctor needs may lack and instruct the blood drawing doctor with the container of what order collection arrangement or the information of pipe.If since the additive on the former pipe pollute the blood collection needle be used for leaving sample in subsequently pipe so some pipe additive can in pipe subsequently, pollute sample, therefore this information is crucial.Usually, the order of extraction is designed to prevent the cross pollution of the laboratory result that can lead to errors.Sample is that patient's biology is represented, therefore, if the blood drawing doctor does not use suitable extraction order, the biology formation of this sample can suffer damage so, no longer is patient's faithful representation.Seem simple and when in this process, changing the order that extracts detection less than some things can produce the variation of the expression of this sample.Being concerned about and considering that suitable extraction order is crucial for good patient care, therefore, is crucial for the needs of the present invention that show.
For fear of the pollution of the additive between the pipe, set policy to avoid this potential problem by the normal structure of extensively admitting.This policy provides the order of answering collection tube of recommendation.A generally accepted normal structure is National Committee for ClinicalLaboratory Standards (NCCLS).Hospital and laboratory generally show the NCCLS suggestion order of recommending with pamphlet or placard in its entire mechanism, help nurse or blood drawing doctor to determine what order extraction tube in the time will extracting a plurality of pipe to certain test thus.
When the tabulation of suggestion was difficult to obtain, nurse or blood drawing doctor depended on his or her experience or the order of memory to select him or she to praise.The dirigibility that departs from preferred acquisition orders that nurse or blood drawing doctor have makes that some collections are gathered in the mode of mistake, makes some pipe may have incorrect laboratory result thus.In order to reduce and prevent hopefully the possibility of wrong collection, embodiments of the invention utilize hand held object sample order to show to reduce or eliminate wrong collection.
This embodiment comprises the proper order of the container that will be extracted is passed in algorithm from use to hand-held device.Can in LIS, in the server of bridge joint LIS and hand held object or directly, realize the present invention to hand held object.In certain embodiments, LIS can directly transmit those sample receivers that should gather from the patient who is assigned with unsettled sample at least one and normally a plurality of remote handset.When relating to direct communication, by the sequencing feature of the algorithm among hand held object resident program or the LIS, the priority list of the exportable container that on hand held object, shows of LIS.When relating to indirect communication, LIS sends intermediate system is translated into the suitable order that can receive and show on hand held object information to intermediate system.Intermediate system can be for example with the LIS server in communication.As long as intermediate system has and container is translated into the preferred sequence that shows makes the order of receivable extraction be sent to the user on hand held object, other intermediate system can just be considered and can use so.
Usually, LIS is defined for the database of the mnemonic code (mnemoincs) of each collection container of gathering patient specimens therein.For example, mnemonic code RED6 can be equal to serum (red top) pipe with 6ml extraction volume.Mnemonic code is used for passing on which pipe or container should be used to implement the sample collecting process to nurse or blood drawing doctor.Mnemonic code is generally limited by laboratory or hospital and such as being associated with specific pipe or container by pipe or container catalog number (Cat.No.).Usually, each container or pipe only have a mnemonic code and a relevant catalog number (Cat.No.).
By from residing in CIS (computer information system, especially, hospital information system, more particularly, laboratory information system) the order code in and container mnemonic code make up the database and the logic rules of suitably filling, physical product based on recommended standard for example NCCLS be shown with suitable acquisition orders.Remote computing device is preferred for showing this information to the nursing provider.
In one embodiment of the invention, server receives order from the CIS that comprises order code and container mnemonic code.The container mnemonic code determines that indirectly what physical product (pipe or container) can be used in the collection of sample.Server is to providing the order of these mnemonic codes with correct order from the user of patient's collection of biological fluids sample, makes that the order of the collection that physical product is recommended according to NCCLS is gathered.
Especially, the present invention's (such as server 20 of above-mentioned BD.id system) provides the means that physical product are mapped to the container mnemonic code, and the order of thus NCCLS being classified is associated with the container mnemonic code.For all types of containers with the identification of NCCSL classification order produce classification value.Higher right of priority NCCLS classification value means that the mode with expression like this provides container relevant with mnemonic code or pipe to blood drawing doctor or nurse.Do not having under physical product and the situation that the container mnemonic code is associated, minimum right of priority NCCLS gathers classification value and is applied to mnemonic code.On remote computing device, then by using the NCCLS classification value display order relevant with each container mnemonic code.Therefore, use remote computing device will know definitely which order should be used and with which kind of be used in proper order.
In one embodiment, the display on the hand held object can be with the order display order (commercial embodiment) of right of priority.In another embodiment, the display on the hand held object can be with the order display order different with the order of right of priority, but can show the right of priority identifier in addition, makes which kind of order draw samples the user knows with.For example, but the priority level adjacent vessel of each container be shown, make that even the order of the container that shows is not the order that is associated according to the priority level of being determined by the classification value generator, the user knows that still which container will at first gather.
Desirablely be used to gather the order of sample by the acceptable standard code in laboratory.Laboratory LIS within it portion have the NCCLS standard, derive from another third-party standard, by mechanism or the standard of hospital's exploitation or their combination.Preferably, the NCCLS standard suitable pipe that is used to be identified for to gather such as the container of the biofluid sample of blood extracts order.Therefore the collection which kind of type is the NCCLS standard can be depending on is performed, and considers that the present invention can confirm in the time will carrying out the collection of what type that difference also adjusts as required.(type of collection comprises and is used for venipuncture, syringe extracts or the vacuum tube purposes of kapillary extraction).The collection of the most frequently used type of carrying out in hospital is by using the vacuum blood collection tube.Other acquisition geometry extracts including but not limited to kapillary and syringe extracts.When being used for order that kapillary or syringe extract and comparing, the order that is used to extract blood collection tube can change.One aspect of the present invention is to provide distinguishes which mnemonic code algorithm relevant with the type of extraction, selects can be applicable to the suitable NCCLS standard of such gatherer process then.Below be the expression of recommendation with the NCCLS standard H3-A3 of the order collection tube of following extraction:
1) blood culture pipe or bottle (aerobic with anaerobism)
2) common (plain) serum tube (for example, red inhibitor (stopper)-non-adjuvant of glass or plastics grumeleuse activator)
3) * condenser tube (the sodium citrate pipe adjuvant that for example, has blue inhibitor)
4) the non-citric acid adjuvant of * * pipe is called adjuvant pipe (for example, having green, lavender or grey inhibitor or other adjuvant pipe) here.Example comprises liquaemin, heparin lithium, EDTA, oxalates fluoride etc.
* when need the top be black the sodium citrate pipe of buffering is arranged the time, it should be after the normal serum pipe but before the adjuvant pipe, therefore be filled before condenser tube and afterwards.The sodium citrate pipe that buffering is arranged that the top is black is used for rate of sedimentation.
* is when a plurality of adjuvant pipe of needs, and the order of their extractions in condenser tube is before non-citric acid adjuvant pipe.When several different non-citric acid adjuvant pipe of needs, their order in wideer group is also very important.For example, the order of adjuvant pipe is as follows:
1. (green inhibitor) pipe that contains Heparin.
2. contain K
2EDTA or K
3EDTA (lavender inhibitor) pipe.
3. the fibrin ferment that contains grumeleuse activator (grey and yellow inhibitor) pipe (CAT).
4. gel or mechanical isolators (golden yellow inhibitor) are managed (that is, serum is isolated organ pipe or SST).
The order of gathering a plurality of pipes can influence the result of test." order of extraction " is to be worked out so that the minimized cover policy of the problem relevant with a plurality of pipe collections by National Committee for Clinical Laboratory Standards (NCCLS).So that the blood culture of the minimizing possibility of microbial contamination or other test,, use the order of vacuum tube different except needing special technique with the order of filling pipe when using syringe when extracting blood.This order is designed to reduce by the interference that is not intended between pipe in the sample testing that additive package causes.This can take place when the blood in comprising the pipe of adjuvant contacts with the pin on the rubber top of thorn poling.The blood that is retained in the pin can be transferred to next pipe, thereby pollutes this pipe, influences the test findings of this sample thus.Each laboratory can have the order of their extraction policy.
| The sample order that extracts | The color of inhibitor | Except the order of recommending, the note that can on hand held object, show also |
| 1 | The blood culture collecting bottle | When cultivation was arranged with any other blood work, blood culture must at first be extracted. |
| 2 | Common red serum tube | In glass tube, do not comprise adjuvant (the grumeleuse activator adjuvant in the plastics serum tube).Do not mix or be not inverted.Be used for the serum test that to gather at the SST pipe. |
| 3 | Light blue | Be called blue push pipe.Comprise the sodium citrate anticoagulant.This pipe is mainly used in the coagulation studies. |
| 4 | (SST) redness/grey or golden yellow plastic cap | In whole this guide (Guide), we are referred to as SST.The most frequently used pipe that needs serum.Comprise gel spacer and grumeleuse activator. |
| 5 | Reddish blue (greenbelt on the mark) | Comprise the liquaemin anticoagulant.This pipe is that the collection trace element is needed. |
| 6 | Blackish green | Comprise the liquaemin anticoagulant. |
| 7 | (PST) pale green (mint) green/grey | Comprise heparin lithium anticoagulant and gel spacer. |
| 8 | Lavender | Comprise the |
| 9 | Light yellow (ACDA) | Comprise acid citrate dextrose solution ' A ' and be mainly used in the fluidic cell experiment with measuring. |
| 10 | Light yellow (ACDB) | Comprise acid citrate dextrose solution ' B ' and be mainly used in the bone marrow donor record. |
| 11 | Grey | Not by CLS Community Collection Sites storage, but in Acute Care position, be stored.Comprise sodium fluoride and potassium oxalate anticoagulant. |
The system that illustrates based on the present invention above Figure 27, Figure 28 and Figure 29 more clearly represent.As illustrated, each system provides the policy about " order of extraction ", and this policy is used and is used for providing to hand held object with the order of gathering needs the suitable tabulation of container.Figure 27, Figure 28 and Figure 29 represent the different structure of system respectively.For example, Figure 27 represents a kind of like this system, in this system, LIS 100 receives the policy of acquisition orders 120 in the database 105 of container and associated vessel right of priority, and uses the tabulation of this database 105 with the new container of the list producing 104 that is translated into tabulation from registration number then.As shown in figure 27, system may further comprise the steps.At first, be particular patient arrangement test 101, produce registration number 102 in LIS, LIS translates into registration number the tabulation 103 of the container of gathering with the order of not following policy then.LIS will tabulate by the database 105 that uses container and associated vessel right of priority according to policy in the new tabulation of adding 104, follow the new tabulation of the container of policy with generation.LIS transmits the suitable order of 106 containers that will be gathered then to hand held object.In last step 107, hand held object 110 is with the tabulation of the order receiving vessel determined by policy, and, when being visited, on hand held object, show this order by the user.System shown in system shown in Figure 28 and Figure 27 is very similar.But, carry out the step 204 that will add from the information of database in the new tabulation by hand held object 210 now, and be stored in the hand held object 210 according to the container of policy and the database 205 of associated vessel right of priority, make directly visit policies 220 and show the tabulations of 204 pipes with suitable order of hand held object 210.At last, Figure 29 represents that server 330 resides in the system between LIS 300 and the hand held object 310, and the feature of adding 304 and stored data base 305 provides by server 330.
In can be applicable to an embodiment of blood collection tube, test can be sent to hand held object from LIS, and here, test does not need serum tube (red top), but needs condenser tube (pale blue top).Though this situation does not need serum tube especially, another embodiment of the present invention can be indicated to the user and be used discarded pipe (discard tube).Do not use discarded pipe, in venipuncture, exist tissue thromboplastin can pollute the possibility of condenser tube sample.For fear of this possibility, blood drawing doctor or nurse are apprised of usually and use serum tube (red top) and before the extraction condenser tube this pipe is discarded in the suitable disposal container of setting up usually that is used for clinical waste in hospital.In order to encourage the following steps of this process, the invention provides the embodiment of the information that server uses in the process that hand held object passes on the user gathering.For example, if test is arranged, test does not here need serum tube (red top) but needs condenser tube, and this can take place so, and server or LIS can carry out in the following incident:
1. passing on " discarded pipe " or normal serum pipe on the hand held object that is extracted before the condenser tube, to provide label to the user.
2. discarded pipe is added the tabulation of the pipe that will be extracted.In one embodiment, this can be shown as red push pipe.In another embodiment, this can be shown as " discarded pipe " or its equivalent expressions mode.
Another embodiment comprise be defined in gather after and during scanatron, have Guan Yingxiang user's dispatch tube such as the label of the bar code that is read by the hand held object scanning element and will be dropped and be not sent to breadboard message.Can by the user is produced the scanner of the warning that can listen, message on the hand held object shows or by not printing new pipe mark when the scanatron, realize this point, here, the pipe in scanning patient's the tabulation that will be extracted can be directly or indirectly from the printer prints of hand held object numeral or analogue communication.
In another embodiment of the present invention, LIS can send the mnemonic code that is associated with the little collection tube that is used for the capillary blood collection.Little collection tube does not have the vacuum in the blood suction container, because they depend on capillary action and gravity to fill sample receiver.And,, carry out the capillary blood acquisition technique conventionally by incision patient's finger or the capillary bed of heel rather than arrival patient's vein.The skin that cuts patient makes blood become to drip on patient's skin surface, and by the method for being carried out by nurse or gravity of drawing little collection container is filled thus, and wherein, pipe obtains the drop of blood that falls from patient's skin.If LIS sends (directly or indirectly passing through server) and the mnemonic code that little collection container is associated to hand held object, the order that is shown in the extraction on a patient's the hand held object screen can depart from the order that is used for the vacuum blood collecting system.Therefore, system will appreciate that mnemonic code is relevant with the capillary blood collection, and the collection right of priority that can use different groups thus is to set up the order that provides to the user.
In one embodiment, the following order of hand held object shows the kapillary collection container:
1.EDTA
2. the adjuvant pipe that is used for whole blood
3. serum tube
As mentioned above, system can be the NCCLS classification order that each product provides acquiescence.NCCLS classification order needs to be mapped to the container of the product with NCCLS right of priority.If container is mapped at least two products and these products have different NCCLS right of priority, should use lower NCCLS right of priority (higher numeral) to list container so.
(example)
Container mappings seems to be similar to:
| Product | The NCCLS right of | Container |
| Product | ||
| 2 | ?4 | |
| Product | ||
| 3 | ?3 | |
| Product | ||
| 4 | ?4 ?2 | Green |
| Product | ||
| 5 | ?2 | Red |
It is single that patient 1 comprises 5 arrangements with identical registration number.
| Right of priority | Time | Container | Test |
| ?S | ?06:00 | Green | LYTES |
| ?S | ?06:00 | LAV5 | CBC |
| ?S | ?06:00 | Green | REFX |
| ?S | ?06:00 | Red | METB |
| ?S | ?06:00 | Blue | PT?PTT |
For patient 1, these arrange single can being shown as on the single-row table screen of arrangement:
| Right of priority | Time | Container | Test |
| ?S | ?06:00 | Red | METB |
| ?S | ?06:00 | Blue | PT?PTT |
| ?S | ?06:00 | LAV5 | CBC |
| ?S | ?06:00 | Green | REFX |
| ?S | ?06:00 | Green | LYTES |
In all embodiment of the present invention, must carry out the order of the pipe that extracts by accessing database.In all embodiment of the present invention, the type of pipe must be clear and definite.Therefore, but arbitrary system acceptance test and make up then which pipe is connected with this test and be that the pipe that shows on hand held object sorts at last.In addition, system can receive the tabulation that the LIS system has been identified as the pipe that is required, and wherein, the order of the pipe that system only proofreaies and correct or guarantees to be extracted is accurately for standard.
Embodiments of the invention have been described, have the invention is not restricted to its details but should understand.In above-mentioned instructions, proposed various modifications and replacement scheme, and those skilled in the art can expect other modification and replacement scheme.The purpose of these all replacement schemes is to be contained in the scope of the present invention that is limited by the accompanying claims.
Claims (21)
1. hand held object system comprises:
Be configured to receive the relevant information processing device of collection that is derived from patient's sample with at least one;
Be configured to the interface of at least a portion of display message; With
Be configured to the output unit of small part based at least a portion output message of described information, this message indicates at least a portion of described collection also not to be done.
2. hand held object system comprises:
Be configured to receive the relevant information processing device of collection that is derived from patient's sample with at least one;
Be configured to the interface of at least a portion of display message; With
Be configured to at least a portion output and the output unit of gathering relevant special instruction of small part based on described information.
3. according to the system of claim 2, wherein, special instruction relates to the single test at least that will carry out at least one sample.
4. according to the system of claim 2, wherein, special instruction relates at least one container that will be used to gather.
5. hand held object system comprises:
Be configured to receive the relevant information processing device of collection that is derived from patient's sample with at least one;
Be configured to the interface of at least a portion of display message; With
Be used for to small part based on the input media of the part of described information input about the workload information of at least a portion of being received in the collection that maybe will be received in.
6. hand held object system comprises:
Be configured to receive the relevant information processing device of collection that is derived from patient's sample with at least one;
Be configured to the interface of at least a portion of display message; With
Be configured to small part based on the input media of the part of described information input about the data of the cancellation of at least a portion of the collection attempted.
7. hand-held device user interface that is used to gather specimen sample comprises:
Be configured to receive the interface of at least one policy that relates to the order that specimen sample should be gathered; With
Be used to show the output screen of the continuous tabulation of the order that expression should be gathered based at least one policy specimen sample.
8. system that is used to gather specimen sample comprises:
Be configured to receive interface about the information of the right of priority relevant with the specimen sample container that will be filled;
With the hand-held device output screen that is divided into a plurality of screen areas, at least one in the screen area relates to the specimen sample container of indicating to be filled,
Wherein, described at least one screen area that relates to the specimen sample container of indicating to be filled comprises the information about the right of priority relevant with the specimen sample container that will be filled.
9. method that is used for sample collection comprises:
The order of the sample collection container selection that reception will be gathered;
Visit is with each database that is associated in right of priority and the described sample collection container;
Based on described right of priority the sample collection container is classified; With
On the screen of hand-held device, show described right of priority.
10. according to the method for claim 9, wherein, carry out the described classification of described sample collection container by residing in algorithm among the LIS.
11., wherein, carry out the described classification of described sample collection container by residing in algorithm in the hand-held device according to the method for claim 9.
12. according to the method for claim 9, wherein, by residing in the described classification that can carry out described sample collection container with the algorithm in the server of described hand-held device electronic communication.
13. a user interface that is used to gather specimen sample comprises:
Be configured to receive about interface to the information of the difference of the instruction relevant with the specimen sample container of filling;
With the output screen that is divided into a plurality of screen areas, at least one in the screen area relates to the window of the specimen sample container that expression has been filled,
Wherein, described at least one screen area of the specimen sample container that has been filled of expression comprises the information about difference.
14. a system that is used to gather specimen sample comprises:
Be configured to output unit to collection of user's show sample and management information; With
The processor that is configured to indicate the part of specimen sample to be gathered.
15. a hand held object communicator comprises:
With the display unit that can visit wherein the coupling of the processor of the computer-readable recording medium of storage computation machine instructions, these computer-readable instructions make processor explicit user interface on the display of hand held object communicator when being carried out by processor, described user interface comprises:
Reception and registration will be gathered the main screen of sample receiver from least one test that patient gathers; With
Icon, this icon is shown on described screen at least temporarily, activates icon notification hand held object communicator thus and prints the mark that the described test collection of expression sample receiver is not gathered.
16. a method that is used for the collected specimens sample comprises:
Read with at least one container and at least one patient identification label at least one at least one relevant cognizance code;
Receive the one group rule relevant with described at least one cognizance code;
Determine whether the described one group rule relevant with described at least one cognizance code is acted in accordance with it; With
The when described one group of message that rule is not also acted in accordance with it of output indication.
17. according to the method for claim 16, wherein, described cognizance code is a bar code.
18. the method according to claim 16 also comprises:
If described one group of rule is not also acted in accordance with it, so idsplay order on described portable handheld device.
19., also do not comprise if described one group of rule is also acted in accordance with it and transmit notice to remote location according to the method for claim 16.
20. a method that is used to produce uncompleted sample collection arrangement list comprises:
It is single to send the arrangement that comprises the sample collection agreement to hand-held device;
Show that described arrangement is single;
Determine whether according to the single sample collection agreement of carrying out of described arrangement; With
When not carrying out the sample collection agreement, transmit and do not finish collection message according to described arrangement is single.
21. a system that is used for printing at health care environments identity marks comprises:
Be used to scan the scanner of patient's mark;
Make the patient data that is stored in the hand-held device and the processor of database communication, described database comprises the patient demographic information relevant with described patient; With
The printer of communicating by letter with described hand-held device,
Wherein, if the patient data in the hand-held device have with by the corresponding patient's demographic information of patient's mark of described scanner scanning, so described hand-held device indicates described printer to produce the identity marks that comprises patient's demographic information.
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US56643904P | 2004-04-30 | 2004-04-30 | |
| US60/566,439 | 2004-04-30 | ||
| US60/571,434 | 2004-05-14 | ||
| US60/575,244 | 2004-05-28 |
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| Publication Number | Publication Date |
|---|---|
| CN101023416A true CN101023416A (en) | 2007-08-22 |
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ID=38710430
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 200580018493 Pending CN101023416A (en) | 2004-04-30 | 2005-04-28 | System and apparatus for medical error monitoring |
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| CN (1) | CN101023416A (en) |
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| CN101692258A (en) * | 2008-12-18 | 2010-04-07 | 中航芯控科技（北京）有限公司 | RFID wriststrap ward service system |
| CN102682133A (en) * | 2012-05-21 | 2012-09-19 | 深圳市慢性病防治中心 | Method for locating and inquiring biological sample |
| CN102693456A (en) * | 2012-05-21 | 2012-09-26 | 深圳市慢性病防治中心 | Management system for biological samples |
| CN104053996A (en) * | 2012-01-17 | 2014-09-17 | 英派克控股有限公司 | Traceable labeling apparatus for containers of biological products |
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| CN101692258A (en) * | 2008-12-18 | 2010-04-07 | 中航芯控科技（北京）有限公司 | RFID wriststrap ward service system |
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| CN104053996B (en) * | 2012-01-17 | 2016-02-17 | 英派克控股有限公司 | For the traceable labeling apparatus of bioproduct containers |
| CN102682133A (en) * | 2012-05-21 | 2012-09-19 | 深圳市慢性病防治中心 | Method for locating and inquiring biological sample |
| CN102693456A (en) * | 2012-05-21 | 2012-09-26 | 深圳市慢性病防治中心 | Management system for biological samples |
| CN112368778A (en) * | 2018-05-17 | 2021-02-12 | 贝克顿·迪金森公司 | Method and use for providing educational guidance for peripheral IV therapy |
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| CN111402985A (en) * | 2020-02-28 | 2020-07-10 | 华中科技大学同济医学院附属协和医院 | Hospitalization report writing system and use method thereof |
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