CN106548020A - Automatic prompting system for drug interference on test results of test items - Google Patents

Abstract

The invention provides an automatic prompting system for medicine interference on a detection result of a test item, which comprises an automatic prompting program module for medicine interference test, which is arranged in a hospital information management system (HIS) or a laboratory information management system (LIS), wherein the automatic prompting program module for medicine interference test mainly comprises a database system, the database system is formed by collecting medicines which interfere with the test result of each test item aiming at each test item, the database system is automatically called when a clinician gives a test item check medical order or a completed test report, medicines which interfere with the test result of the test item are searched on the database system, and then medicine interference prompting information is displayed. The method can avoid misdiagnosis caused by clinical diagnosis and treatment, reduce unnecessary detection cost of patients, and prompt clinical medicine stopping or detection after other medicines are used. The accuracy of the detection result can be well ensured.

Description

Automatic prompting system for drug interference on test results of test items

technical field

The invention relates to an automatic prompting system for the interference of drugs on the test results of test items, and mainly relates to a prompt device for the interference of drugs on the test results of test items in clinical laboratory medicine.

Background technique

Clinical laboratory medicine is an important part of medical science, and various test results provide guidance for the diagnosis and treatment of clinical diseases. Therefore, ensuring the accuracy and reliability of test results is the core issue of clinical laboratory quality management. Domestic and foreign studies have reported that some therapeutic drugs can affect the detection of the concentration of various components in blood, showing positive or negative interference. The interference of therapeutic drugs on the analysis of test results is an important and common problem, which not only leads to misinterpretation and misdiagnosis of test results, but also makes patients suffer from unnecessary further examinations, which increases the medical expenses of patients, and the diagnosis and treatment of patients. There are adverse effects of treatment, but this has not been paid enough attention in China, and there are not many related literature reports. Neither laboratory workers nor clinicians have considered the influence of drugs when interpreting laboratory test results. In addition, laboratory workers usually cannot understand the clinical drug use in real time, and clinicians do not know which drugs will interfere with which test items. Therefore, the accuracy and reliability of the test results are not satisfactory.

Contents of the invention

The purpose of the present invention is to provide an automatic reminder system for the interference of drugs on the test results of test items. It is embedded in the hospital information management system HIS or laboratory information management system LIS of the existing hospital, and can provide relevant information to clinicians and test workers in time. It is suggested that to reduce the interference of drugs on test items, improve the accuracy and reliability of test results, and provide more powerful data support for clinicians' diagnosis.

The purpose of the present invention is achieved through the following technical solutions:

The automatic reminder system for the interference of drugs on the test results of test items includes an automatic reminder program module for drug interference testing installed in the hospital information management system HIS or laboratory information management system LIS. The automatic reminder program module for drug interference testing mainly includes a database system, The database system is formed by collecting drugs that interfere with the test results for each test item. When the clinician issues a test item inspection doctor's order or when the test report is completed, the above-mentioned database system is automatically invoked, and found on the database system. For drugs that interfere with the test result of the test item, a drug interference prompt message will be displayed.

The above drug interference prompt information includes drugs that positively interfere with test results and drugs that negatively interfere with test results.

The above-mentioned automatic reminder program module for drug interference test also includes a comparison unit, which finds the recent clinical drug use of patients in the hospital information management system HIS and compares and analyzes it with the interfering drugs in the database system to further remind the patient of recent clinical symptoms. Drugs have positive or negative interference on the test results of the test items.

The above-mentioned hospital information management system HIS includes several doctor computer terminal systems for clinicians. When the clinician issues a doctor’s order for inspection items on the doctor computer terminal system, the drug interference test automatic prompt program module starts, and the computer terminal of the doctor The system displays the reminder information of the drug that interferes with the test result of the test item, and the clinician decides whether to submit the request for the test item based on the patient’s recent drug use and the prompt information of the drug that interferes with the test result of the test item.

When the laboratory information management system LIS mentioned above issues an inspection report for a certain inspection item, it will start the automatic reminder program module for drug interference inspection, and automatically write the reminder information of the drug that interferes with the test results of the above inspection items into the inspection report. In the report, for the doctor's review.

Compared with the prior art, the present invention has the following advantages:

1) The present invention discloses an automatic reminder system for the interference of drugs on the test results of inspection items, including an automatic reminder program module for drug interference inspection. The automatic reminder program module for drug interference inspection mainly includes a database system. It is formed by drugs that interfere with the test results. When the clinician issues a doctor's order for the test item or when the test report is completed, the above-mentioned database system is automatically called, and the drug that interferes with the test result of the test item is found on the database system. Then display drug interference prompt information to avoid misdiagnosis of clinical diagnosis and treatment, reduce unnecessary testing costs for patients, and prompt clinical drug withdrawal or switch to other drugs before testing. Can excellently guarantee the accuracy of the test results.

2) The drug interference prompt information includes drugs that positively interfere with the test results and drugs that negatively interfere with the test results. The prompting effect is better, and it is beneficial to prompt clinical drug withdrawal or switch to other drugs before testing.

3) The above-mentioned automatic reminder program module for drug interference test also includes a comparison unit, which finds the recent clinical drug use of patients in the hospital information management system HIS and compares and analyzes it with the interfering drugs in the database system to further remind the patient The recent clinical medication has positive or negative interference on the test results of the test items, so that doctors can make a better assessment of the accuracy and reliability of the test results.

Description of drawings

Fig. 1 is a block diagram of information flow of inspection items in existing hospitals;

Fig. 2 is the block diagram of the automatic assembly line inspection system of existing laboratory;

Fig. 3 is the flowchart when the clinician of the present invention issues the inspection item inspection doctor's order;

Fig. 4 is a flow chart when the hospital information management system HIS of the present invention completes the inspection report.

Fig. 5 is a structural diagram of the automatic reminder system for the interference of the medicine on the test result of the test item according to the present invention.

detailed description

In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments It is a part of embodiments of the present invention, but not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

As shown in Figure 1, the hospital information management system HIS of the present invention is connected and communicated with the laboratory information management system LIS. The hospital information management system HIS includes many subsystems, such as: doctor computer terminal system, billing system, drug logistics The system, etc., will not be described here; the doctor's order for inspection items and inspections issued by clinicians is realized through the doctor's computer terminal system. The laboratory information management system LIS receives the inspection item request sent by the hospital information management system HIS, and forms an inspection report after the inspection data is collected by the laboratory inspection equipment, and then the laboratory information management system LIS sends the inspection report back to the hospital information management system HIS , Clinicians can check the test report and read the test results through the doctor's computer terminal system. At present, the laboratories of large hospitals are basically automated in experimental testing, including laboratory assembly line data management system and laboratory assembly line detection system, laboratory assembly line data management system controls laboratory assembly line detection system, laboratory assembly line data management system and laboratory Information management system LIS connection communication.

As shown in Figure 2, the assembly line detection system provided by the present invention includes a rail transport module, a sample feeding and sample discharging module, a pre-analysis processing module, a plurality of pipeline analysis instruments and a post analysis processing module, and the rail transfer module transfers the sample feeding and sample discharging The sample module, pre-analysis and processing module, multiple pipeline analysis instruments and post-analysis and processing modules are connected in sequence;

In the pipeline detection system, the track transport module moves the sample test tubes from the sample injection and sample discharge modules to multiple pipeline analysis instruments, and then to the post-analysis and processing module.

The sampling and sampling module is the central component of the pipeline inspection system. The pipeline detection system includes at least one sample injection and sample output module. The sample injection and output modules load and unload sample tubes through configurable input and output conveyors.

The pre-analysis and processing module includes a centrifugation module, a cap removal module, a film removal module and a cupping module. The Pre-Analytical Processing module provides additional functions required by pipeline testing systems, such as centrifugation, decapping, desealing, and sample aliquoting. Among them, the centrifuge module can automatically centrifuge the samples, the cover removal module can disassemble the plastic screw cap and pressure cover of the main sample test tube, the membrane removal module can remove the aluminum foil seal on the sample test tube sealed by the film sealing module, and the cupping module Secondary sample tubes can be created from existing primary sample tubes.

A plurality of pipeline analysis instruments are the key instruments of the pipeline detection system 1, which are used to detect and analyze relevant data of sample test tubes according to requirements.

The post-analysis processing module includes a sealing film module, a sub-tube capping module, and a frozen storage module, thereby completing an automatic processing cycle. After analysis and processing, the sealing module uses aluminum foil on a foil roll to seal the tubes. Aluminum foil seals were cut and heat sealed to each plastic sample tube. Each foil roll contains 16,000 seals. The sub-tube capping module can place screw caps on auxiliary sample tubes produced by the sub-cupping module. The refrigerated storage module stores sealed sample tubes in a temperature-controlled environment and contains storage benches and automated freezers (which can be thermostatic refrigerators).

As shown in Fig. 3 and Fig. 4, the automatic reminder system for the interference of the medicine on the test item test result of the present invention includes an automatic reminder program module for the drug interference inspection installed in the hospital information management system HIS or the laboratory information management system LIS, the The automatic reminder program module for drug interference test mainly includes a database system, which is formed by collecting drugs that interfere with the test results for each test item, and is automatically invoked when the clinician issues a test item inspection order or when the test report is completed The above-mentioned database system, and find the drug that interferes with the test result of the test item on the database system, and then display the drug interference prompt information.

The drug interference prompt information includes drugs that positively interfere with test results and drugs that negatively interfere with test results. The automatic reminder program module for drug interference test also includes a comparison unit, which finds the recent clinical drug use of patients in the hospital information management system HIS and compares and analyzes it with the interfering drugs in the database system, further reminding the patient of the recent clinical drug use. The test results of the test items produce positive or negative interference.

The hospital information management system HIS includes several doctor computer terminal systems for clinicians. When the clinician issues a doctor's order for inspection items on the doctor computer terminal system, the automatic prompt program module for drug interference testing starts and is displayed on the doctor computer terminal system. The prompt information of the drug that interferes with the test result of the test item. The clinician decides whether to submit the request for the test item after knowing the patient’s recent drug use and combining the prompt information of the drug that interferes with the test result of the test item.

When the above-mentioned laboratory information management system LIS issues a test report for a certain test item, it will start the drug interference test automatic prompt program module, and automatically write the prompt information of the drug that interferes with the test results of the above test item into the test report , for the doctor to check.

The present invention can read the clinical medication situation in real time when the clinician prescribes the test item, and can prompt the clinician in real time according to the situation of the database that the medicine used by the clinician will cause positive or negative interference to a certain test item, or laboratory information management When the system LIS completes the test report, it can read the sample collection time and medication status in real time when the test report is issued, and automatically note the interference on the test report, prompting clinical withdrawal or switching to other drugs before testing. The automatic prompting system for the interference of the medicine on the test result of the test item of the present invention can excellently guarantee the accuracy of the test result. There is no research report related to the content of the present invention in China at present.

The automatic reminder program module for drug interference test mainly includes a database system, which is formed by collecting drugs that interfere with the test results for each test item. The database includes the following fields: test item name, positive interference drug and negative interference drug , as shown in Table 1, when a clinician issues a doctor’s order for inspection items on the doctor’s computer terminal system, the drug interference inspection automatic reminder program module starts, and the doctor’s computer terminal system displays the reminder of the drug that interferes with the test result of the inspection item Of course, clinicians can also find the patient ID number (identification number), upcoming or completed test items, the name of the patient who is taking medication, the time and dose of starting and ending medication in the hospital information management system HIS And other relevant information, clinicians can make judgments based on these information, and can also use the drug interference test to automatically prompt the program module. It also includes a comparison unit, which finds the recent clinical drug use of patients in the hospital information management system HIS and compares it with the database system The interfering drugs in the test were compared and analyzed to further prompt the patient's recent clinical medication to have positive or negative interference on the test results of the test items.

Table 1

As shown in Figure 5, the automatic reminder program module for drug interference testing mainly includes an interface startup unit, a database system, and a comparison unit. When the inspection report is completed, the interface startup unit is automatically started and information such as the patient ID number (identification number), upcoming or completed inspection items is obtained, and then the database system is started, and the inspection item is found on the database system Drugs that interfere with the detection results, and then display drug interference prompts. Or the interface start unit first notifies the comparison unit, and the comparison unit can find the patient ID number (identification number), the test items to be carried out or completed, the name of the patient's medication, and the initial medication in the hospital information management system HIS and related information such as the time and dosage of the drug, and then call the database system, use the detection items to find the name of the drug that interferes, compare the name of the drug that caused the interference with the name that the patient is taking, and judge the starting and ending of the drug Relevant information such as time and dose can be used to obtain prompt information.

Finally, it should be noted that: the above embodiments are only used to illustrate the technical solutions of the present invention, rather than to limit them; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: it can still be Modifications are made to the technical solutions described in the foregoing embodiments, or equivalent replacements are made to some of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the spirit and scope of the technical solutions of the various embodiments of the present invention.

Claims (5)

1. The automatic prompting system for the interference of drugs on the test results of test items, including the automatic prompting program module for drug interference testing installed in the hospital information management system HIS or laboratory information management system LIS, the automatic prompting program module for drug interference testing mainly includes a database System, the database system is formed by collecting drugs that interfere with the test results for each test item, when the clinician issues a test item inspection doctor's order or when the test report is completed, the above-mentioned database system is automatically called, and the database system Find the drug that interferes with the test result of the test item, and then display the drug interference prompt information. 2. The automatic reminder system for drug interference to test item test results according to claim 1, wherein the drug interference prompt information includes drugs that positively interfere with test results and drugs that negatively interfere with test results. 3. The automatic prompting system that medicine interferes with test item test results according to claim 2, is characterized in that: the automatic prompting program module of drug interference test also includes a comparison unit, and the comparison unit is found in the hospital information management system HIS The recent clinical drug use of the patient is compared with the interfering drugs in the database system to further prompt the patient's recent clinical drug use to positively or negatively interfere with the test results of the test items. 4. According to claim 1 or 2 or 3, the automatic reminder system for the interference of medicines on test item test results is characterized in that: the hospital information management system HIS includes several doctor computer terminal systems used by clinicians, when clinicians When the doctor's computer terminal system issues a doctor's order for inspection items, the drug interference inspection automatic prompt program module starts, and the doctor's computer terminal system displays the reminder information of the drug that interferes with the test result of the inspection item, and the clinician understands the patient's recent medication. In this case, decide whether to submit the request for the test item in combination with the prompt information of the drug that interferes with the test result of the test item. 5. The automatic reminder system for the interference of drugs on the test results of test items according to claim 1, 2 or 3, characterized in that: when the laboratory information management system LIS issues a test report for a certain test item, it will start the drug The interference test automatic reminder program module automatically writes the reminder information of the drugs that interfere with the test results of the above test items into the test report for doctors to check.