Smart hospital brings new experience of medical treatment： intelligent consultation in ward breaks through long distance
There are too many registered people and the queue time is long? You can register before going out; The hospital is too big? Unable to find the target department? Hospital map navigation can appear when the mobile phone is "shaken"; Unattended in hospital? The intelligent mattress of sickbed helps to monitor whether it is necessary to turn over at night; Legs and feet are inconvenient, so you can’t go to the canteen to eat? One-click inquiry and ordering of suggestions for feeding meals, details of medication, progress of illness and matters needing attention in the bedside pad of the ward … …
With the rapid development of information technology, big data and artificial intelligence, it seems that many lifestyles are changing, and smart hospitals are quietly sprouting. Recently, 2019 Shenzhen Shanghai Smart Hospital Construction and Operation Seminar was held, and experts from all over the country made suggestions and suggestions for smart hospitals. Previously, the National Health and Wellness Committee held a press conference on "Informatization Quality Control and Smart Hospital Construction" in Beijing Tiantan Hospital. The reporter personally experienced the medical changes brought about by informationization and intelligence.
Meet black technology in the door
"The scope of smart hospitals mainly includes three major areas: &lsquo for medical staff; Smart medical care ’ , mainly based on electronic medical records as the core of information construction; Patient-oriented ‘ Smart service ’ , such as mobile phone settlement, appointment registration, appointment diagnosis and treatment, parking information push, etc.; Hospital management oriented ‘ Smart management ’ That is, to achieve refined and information management. " Jiao Yahui, deputy director of National Health Commission Medical Administration and Hospital Authority, said.
For patients, in addition to the effect of diagnosis and treatment, what is important is the medical experience. "From entering the gate of Tiantan Hospital, I met all kinds of ‘ Black technology ’ 。” Zhou Jianxin, vice president of Tiantan Hospital, introduced the situation of "self-service" to the reporter. "The outpatient service is self-service in the whole process, from purchasing the case book to registering and taking the number, to seeing a doctor, checking and printing the report, to taking medicine and printing the invoice. The patient only needs to scan the code on various machines, and the system will automatically make an appointment for the patient, just waiting for the machine to call the number at the corresponding place, basically bidding farewell to the long queue in the past."
In the lobby of the hospital, the reporter saw a number of intelligent consultation machines. From time to time, patients or their relatives inquired about outpatient pharmacies, hospital fees, inspections and other information in front of the consultation machines. The distribution points of convenience facilities such as gates, drinking places and elevators were also very clear. Take out your mobile phone next to the consultation machine and "shake it". The intelligent navigation system covering the whole hospital can automatically plan the appropriate route, and the accuracy is calculated in meters.
In order to meet the needs of patients for continuous medical treatment, Tiantan Hospital has also added the function of "one-click follow-up". The patient can select the option of "Follow-up Registration" in the "Registration" interface of the mobile phone "Beijing Medical Link", so that he can see the previous medical records and directly make a "point-to-point" appointment for the last deputy director and above.
In addition to consultation machines and registered self-service machines, sharing wheelchairs is also very popular. "It’s very convenient and cheap, and it’s free to use for the first 3 hours every day." Mr. Wang, who "borrowed" a shared wheelchair, was full of praise for this.
In the corridor of the inpatient department, rows of cabinets like express self-service cabinets constitute the clothing self-service recycling station. Zack Zhang, director of the outpatient department of Tiantan Hospital, said that the clothes in each ward were collected for cleaning or related treatment.
Self-help facilities can not only provide auxiliary medical services, but also save lives in an emergency. Zack Zhang introduced that Tiantan Hospital has set up more than 90 automatic external defibrillators, so that patients in critical condition can get basic cardiac rescue measures as soon as they enter the door, which saves the time of pushing into the emergency room. "For saving people, every minute and every second is robbed."
Wards can also be highly intelligent.
"This thing is powerful, it can order food on it, and it can be evaluated by doctors and nurses, as well as medical science." Inpatient Mr. Zhao pointed to the "suspended" pad with adjustable bedside distance and told the Science and Technology Daily reporter. These are some explorations made by Tiantan Hospital in the construction of intelligent wards.
"In our ward, every patient has a pad at the bedside. This bedside interactive system of smart ward can not only provide entertainment functions such as digital TV for inpatients, but also enable patients to query their medical records, make appointments, order nutritious meals and so on in real time." Zhou Jianxin said.
In Mr. Zhao’s hospital bed, the humble mattress also has "high intelligence". According to Bai Bo, deputy director of Tiantan Hospital Information Center, the smart mattress has a built-in chip, which can wirelessly transmit the collected information of patients’ physical condition to the monitoring platform, and monitor patients’ vital signs in real time. Once patients leave the bed for too long, the nurse station will immediately call the police to prevent accidents such as falling and fainting.
Not only that, the hospital can also display the patient’s doctor’s orders, the progress of infusion, medication reminders and other information on the big screen of the nurse station in real time, so that family members and patients don’t have to look up at the infusion set from time to time. On the big screen of the nurse station in Ward 3 of Vascular Neurology, the reporter saw that it clearly showed the real-time dynamics of infusion of more than 30 patients, and the patient numbers with less dosage and too fast infusion were automatically marked with different colors. "The infusion monitoring system has reduced a lot of burdens for patients’ families and medical staff. We can plan a scientific and time-saving route according to the screen display to ensure the safety of infusion and medication for every patient. " A nurse told the Science and Technology Daily reporter.
"At present, there are about 200 such smart beds in the whole hospital, which are distributed in various wards." Bai Bo said that such a smart sickbed is not expensive, and every patient has the opportunity to enjoy such a smart sickbed, just like the ordinary sickroom.
Zhou Jianxin said that in addition to the smart ward, the hospital has also explored many "high intelligence" technologies applied to medical practice. For example, BioMind, the world’s first neuroimaging artificial intelligence aided diagnosis product, can be used in 3-mdash; Automatically write a structured diagnosis report within 5 seconds; There are also intravascular interventional surgical robots, bone wearing robots and medical AI robots, which can be developed and transformed soon.
Consultation breaks through long distance
If smart hospitals such as self-help and smart wards are regarded as a point, remote consultation may connect points all over the country or even around the world into a line and radiate into a plane.
"Patients no longer seek medical treatment everywhere, but ‘ Foot-out area ’ You can enjoy the diagnosis and treatment services of national experts. " Li Liang, vice president of Beijing Chest Hospital, said that telemedicine can not only save patients from the pain of travel, but also enjoy better medical resources. More importantly, it can prevent infectious patients such as tuberculosis from causing a wider range of infections on the way to seek medical advice, thus achieving the purpose of effective prevention and control of infectious diseases. Not long ago, Beijing Chest Hospital and other units jointly set up a hospital-linked remote diagnosis and treatment platform, and set up a green channel for diagnosis and treatment between Beijing Chest Hospital and various tuberculosis prevention and treatment institutes in Beijing.
In the remote consultation room of Beijing Chest Hospital, the reporter of Science and Technology Daily observed the remote diagnosis and treatment process of a pulmonary tuberculosis patient admitted by Daxing District Tuberculosis Control Institute in Beijing. Doctors from Daxing District Institute of Tuberculosis and Prevention briefly introduced the patient’s condition and medication through high-definition video, and the patient’s detection image data were also transmitted simultaneously. Three experts from Beijing Chest Hospital asked and discussed from time to time, and finally determined a scientific, reasonable and feasible treatment plan.
"When necessary, the patient himself will ‘ Appear ’ So that we can know the condition more accurately and comprehensively. " Gao Mengqiu, director of the Second Department of Tuberculosis, Beijing Chest Hospital, told the Science and Technology Daily reporter.
The earliest remote consultation may only start with a mobile phone that can shoot videos. Now the relevant state departments attach great importance to the construction of high-quality telemedicine.
"This year, we will carry out pilot projects for the construction of urban medical groups in one hundred cities, and apply ‘ Internet plus & rsquo; Methods The telemedicine system, tele-consultation system, tele-education system and two-way referral system supported by informatization were established in the medical association, and the information interconnection, intercommunication and sharing of patients from primary medical institutions to superior hospitals were explored. The medical association will provide patients with continuous and integrated diagnosis and treatment services. " Jiao Yahui said.
"Overall, the development of China’s medical services is in the process of changing from ‘ Informatization ’ To ‘ Wisdom ’ The critical stage of the transition. " Jiao Yahui said. The wisdom hospital is on the road, or not far away.