Monitor network informatization: a milestone in the development of digital hospitals!

This article mainly describes the application of monitors, the development trend of monitors and the development of monitor network information. Informatization of monitor network is a milestone in the development of digital hospitals!

A monitor application

The monitoring of patient's physiological parameters is a key task in clinical diagnosis and treatment. It allows doctors to understand the patient's instantaneous physiological changes, so as to discover and deal with the problems of the patient in time and ensure their health. In recent years, with the continuous improvement of China's medical level and the gradual improvement of the medical system and social security system, the clinical monitoring technology and the performance level of monitoring products of hospitals at all levels have significantly improved, mainly reflected in the integration of monitoring products The indicators of modularization, specialization, intelligence and information networking have been significantly improved. The monitor is a medical instrument used to monitor the vital signs of the patient, and to respond to the patient's instantaneous physiological changes in a timely manner, which can help the doctor to accurately find and deal with the problem and ensure the safety of the patient's life. Most of the monitors in domestic hospitals are monitoring systems composed of bedside monitors and central stations. The main function of the bedside monitor is to measure and display the patient's physiological parameters and waveform trends, while generating alarms and records. The main functions of the central station are centralized display of multiple beds, real-time and non-real-time information analysis, and large-capacity data storage. Commonly used are multi-parameter monitors, dynamic monitors, fetal monitors, sleep monitors, etc. The main application methods are bedside monitoring, central monitoring and dynamic monitoring. In terms of form, there are built-in, plug-in, desktop, vertical, and wall-mounted; in terms of connection form, there are wired system and wireless system; in terms of function, it can be divided into monitoring, analysis, and management software. These products can basically meet the needs of hospitals in various situations.

At present, the application scope of hospital monitors in China has expanded from the initial anesthesiology department, cardiac care unit (CCU), intensive care unit (ICU), emergency intensive care unit (EICU) and other departments to neurology, brain surgery, Orthopedics, respiratory medicine, obstetrics and gynecology, neonatology, sleep, etc., a wider range, to multi-patient, multi-department, multi-disciplinary applications; at the same time, also expanded from large hospitals to small and medium hospitals, community medical institutions; Change to conventional means.

Two monitor development trends

Since the birth of the world's first monitor, for more than 40 years, with the advancement of technology, the monitoring industry has developed rapidly. From the original single-parameter to multi-parameter, CRT picture tube to TFT LCD screen, from one machine to plug-in type, multiple key operations to knobs, touch screen operation, new products and new technologies are constantly emerging. At present, the monitoring parameters that can be provided by general monitors are: electrocardiogram (ECG), noninvasive blood pressure (NIBP), oxygen saturation (SPO2), body temperature (TEMP), respiration (RESP), invasive blood pressure (IBP), end-expiratory breath Carbon dioxide concentration (CO2); the products of a few well-known monitor manufacturers can provide cardiac output (CO), anesthetic gas (MG), mixed venous oxygenation (SvO2), continuous noninvasive cardiac output, and continuous noninvasive cardiac output (ICG) ), Depth of anesthesia (BIS), respiratory mechanics (RM) and other relatively "advanced" parameters.

In recent years, arrhythmia analysis and ST segment analysis have become standard features of many monitors. Some well-known brand products also have ST-map, simultaneous twelve-lead analysis, horizontal trend graph, head trauma / multiple trauma, hypovolemic shock, septic shock judgment, malignant hyperthermia, respiratory management-alveoli Compression, respiratory distress syndrome monitoring and other cutting-edge performances, bedside monitoring has long been beyond the scope of parameter monitoring, and more played a role in assisting clinical decision-making, becoming a powerful helper for doctors. One of the future development trends in the medical field is the construction of hospital informatization. As an important part of hospital informatization construction, monitoring products must also follow the pace of informatization construction and carry out corresponding supporting development.

Three monitor network information

(1) Definition of monitor network information

Informatized hospitals include clinical information system, medical imaging system, electronic medical record, doctor workstation, nurse workstation and remote medical system in a narrow sense. The clinical information system should pay attention to every clinical detail information, including subjective information and objective information of clinical medicine, and the integration and integration of clinical medical objective information requires the informatization and digitization of medical equipment, which is the development trend of medical equipment. At present, traditional monitors are gradually developing towards monitor network information. This monitor, which integrates patient vital signs monitoring, clinical information processing, data exchange, and device information, will greatly help medical staff. For example, Philips ’original“ Portal Technology ”patented technology, the monitor is equipped with“ Information Portal ”, which can directly observe other clinical information and management information on the hospital information network. The two-way information interaction benefits from the control of the information flow engine to ensure that the monitor performance is not affected by the network performance and maintains a seamless connection with the hospital network. That is, use the bedside monitor screen to observe other patients' clinical information and management information on the hospital information network, and at the same time ensure that the patient's monitoring function and the safety of clinical data are not affected. With the protection of the application server, the bedside machine can safely exchange information with other clinical information systems (CIS) and hospital information systems (HIS). All applications are executed on the application server, the application results are displayed on the bedside machine screen, and are controlled by the bedside machine's keyboard. The ability to integrate information far exceeds the ordinary clinical network.

(2) Advantages of network information of the monitor

From a technical point of view, it has the following advantages: 1. Single network, simplicity, industry standard network device, easy to support; 2. Unlimited application range, which meets the future development needs of the hospital; 3. Supporting the most widely used Citrix technology in the global medical network ; 4. Information flow control engine (TCE); 5. Reduce the pressure of network support and maintenance. From the point of view of hospital management, the benefits are also obvious: 1. Change the workflow of the hospital and improve the overall efficiency; 2. Improve the working conditions and improve the enthusiasm of the medical staff; 3. The patient-centric system makes it easy to obtain the patient ’s Understand and support; 4. Transcend the traditional concept of guardianship to provide the best medical care for patients; 5. Reduce the overall cost and the best investment protection. From the perspective of maintenance, it is also very simple: 1. Standard maintenance tools and means; 2. Remote maintenance diagnosis service, shorten the maintenance cycle and improve efficiency; 3. Carry out instrument maintenance through the hospital network, you can choose multiple service types 4. Online user manual to reduce work burden.

(3) Clinical value of monitor network information

First, while monitoring patients normally, doctors can view real-time measurement data, trend analysis charts, digital radiographs, ultrasound image pictures, laboratory test reports and other inspection results on the screen at the scene to comprehensively and accurately grasp the condition. Nurses can check the patient's discharge, admission records, electronic medical records, electronic medical attention, medication records, nursing records, cost status, etc. in front of the bed. In addition, the monitor can also be used as a terminal for information exchange. Doctors can also observe the information of other departments, departments, and patients through the screen, and communicate, diagnose, and analyze cases on the Internet. All of the above work does not depend on the central station, only the monitor can be completed by the bed, greatly increasing the flexibility and convenience of use. The network information technology of the monitor has unprecedentedly improved the information capabilities of the bedside machine. Through the hospital ’s LIS and HIS network system, it has obtained unprecedented complete information to support rapid clinical decisions. And the operation is very intuitive and convenient, and can be fully customized. The brand-new patient monitoring concept, the dream bedside monitor has become a reality. The all-round two-way information exchange can obtain complete patient information at any time and place, no longer rely on the central station, and clinical decision-making only needs to be at the bedside carry out. This monitor that integrates vital signs monitoring, clinical information processing, data exchange, and device information of the patient will bring great help to the medical staff. A milestone in the development of digital hospitals (e-Hospital).

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