![]() Method for calculating the intensity of nursing care for a patient
专利摘要:
The invention relates to a method for calculating the level of patient care (6). Consisting of at least the following steps: - maintaining an electronic patient information system with patient identification data and information on any nursing activities that may be recorded (1a-1g); - recording and storing the actual patient care functions (1a-1g) in the patient information system, combining the functions with the data of a specific patient; wherein in the patient information system, automatically and continuously - calculating the number, frequency (3a-3d) and / or duration (3e) of the nursing activities (1a-1g) of each patient on the basis of the records; - calculating the treatment points (4a-4e, 5) for each patient using the treatment point calculation formulas; - calculating the level of care level (6) for each patient with a formula for calculating the level of care level; and wherein - providing the user of the patient information system with information on the level of care (6) for the care of one or more patients by means of a display device. The invention can be utilized for real-time determination of the current human resource needs or workload of nursing personnel in a care unit, nursing home or hospital. 公开号:FI20207170A1 申请号:FI20207170 申请日:2020-10-21 公开日:2021-04-22 发明作者:Tiina Hassinen;Kaarina Tanttu 申请人:Hoidata Oy; IPC主号:
专利说明:
Calculating the level of patient care TECHNICAL FIELD OF THE INVENTION The invention relates to a method and system as set out in the preambles of the independent claims set out below, and to a software product for calculating and utilizing the level of complexity of patient care. The invention is suitable, for example, for the real-time determination of the workload of an individual patient, a care unit, a medical institution or a hospital's medical staff. BACKGROUND OF THE INVENTION Information on patient care, such as procedures performed in nursing, is recorded in the patient information system. The National Nursing Classification (FinCC), which consists of the Finnish Nursing Needs Classification (SHTal), the Finnish Nursing Activity Classification (SHToL) and the Finnish Nursing Outcome Classification (SHTuL), is commonly used in the registration of nursing care in Finland. SHTaL and SHTol have a congruent hierarchical structure (component, section, and subclass level). The components describe the most abstract level. Under the components, more concrete main and sub-categories have been compiled for the needs classification and the function classification, in which the recording takes place in practice. Thus, the entry is made at different stages of the treatment process - by selecting the appropriate major or subcategory from the classification, which may be supplemented by free text. o Nursing can mean, for example, determining the amount and complexity of n care work required by patient groups, especially in order to scale staff and also to determine 2 25 costs. The starting point for the determination is typically the therapeutic situation of patient N, which consists of the patient's need for treatment and the corresponding E treatment. Nursing can be described in nursing as an indicator o describing the work of the staff, which indicates the level of difficulty of care S based on the patient's need for care. The assessment of the level of care of patients is part of the treatment process O 30 and the assessment is carried out by the caregiver with the help of the care classification, e.g. evaluating the nursing measures recorded in the patient information system. Nursing interventions are the means by which nursing staff seek to respond to a patient’s need for care. Key nursing functions include monitoring and observing the patient's condition and symptoms, assisting and supporting, helping, caring, implementing, performing, arranging and taking care of various things and tools, and guiding them. Based on the recorded nursing activities, a numerical value indicating the patient's need for care, nursing points, is typically determined. There are different ways to determine care points that are appropriate to different situations and systems. Based on the patient's care points, the patient's level of care is deduced. Based on the level of care, the patient's need for human resources can be deduced, ie the calculated value for how many carers the patient needs. By adding up the human resource needs of each patient in the treatment unit, the human resource requirement of the treatment unit is obtained. One problem today is that nursing interventions or other information recorded in patient information systems cannot be used effectively to assess the level of complexity of a patient's care. Currently, the care and resource requirements data generated by patient information systems are mostly data from previous days. The information can be used, for example, in planning the staffing needs of the wards in the long term. The current o systems - are - not - suitable - for example - to determine the staffing needs of the N emergency clinics that are difficult to predict =. 2 25 OBJECT OF THE INVENTION The object of the present invention is to reduce or even eliminate the above-mentioned problems in the prior art. S 30 One of the main objects of the present invention is to provide an easy, accurate and fast way to calculate the level of care for a patient. It is also intended to provide an effective way to calculate the level of care for all patients in a particular entity, such as a treatment unit, care facility, or hospital. It is an object of the present invention to provide a solution for generating automated and real-time information on how much nursing staff resources are needed in a particular patient care unit to manage human resources, such as caring for on-call patients. It is an object of the present invention to provide a more efficient patient information system. It is an object of the present invention to provide a method and system for managing nursing staff resources so that a highly variable and even uncontrolled patient flow and available nursing staff resource are more compatible. It is an object of the invention to be able to direct the personnel of a care unit, medical institution or hospital quickly and in a timely manner to the right place, for example between the care units of the emergency department or to the emergency department if it needs more medical staff. BRIEF DESCRIPTION OF THE INVENTION In order to achieve, among other things, the above-mentioned purposes, the N method, system, software product and other objects of the invention are characterized by what is set forth in the appended independent claims. N E The application examples and advantages mentioned in this text apply mutatis mutandis to the method, system, software product as well as other objects of the invention, although it is not always mentioned separately. N S 30 Typically, a patient information system refers to software or an electronic system implemented for the electronic processing of social or health care customer data that stores and maintains patient records and the information contained therein. A typical patient information system consists of a file or data repository maintained by automatic = data processing of the data collected, stored and maintained, specially designed for the processing of social or health care patient records and the information contained therein. In this text, nursing refers to the definition of the amount and complexity of nursing work. The starting point for the determination is typically the therapeutic situation of the patient, which consists of the patient's need for care and the corresponding treatment. Nursing - does not depend only on the urgency of care, but it can be said that nursing refers to the assessment of a patient's individual nursing needs and the patients' estimated quantitative and qualitative dependence on nursing work. One or more numerical values can be calculated for the patient's treatment, the treatment points can be converted into a verbal value and / or a numerical value describing the level of treatment difficulty. The level of care severity and / or the information generated from it, such as statistics, can be presented to the user of the patient information system automatically, even in real time. A typical method according to the invention for calculating the level of difficulty of a patient's care comprises at least the following steps S - maintaining an electronic patient information system with patient identification data N and information on any nursing needs and functions to be recorded; > 25 - record and store the actual patient care functions in the patient information system, combining the functions with the data of a specific patient; E: - care points indicating the patient 's need for care are calculated and on the basis of them O the level of difficulty of the patient' s care is deduced. S In the electronic patient information system according to the invention O OF - maintaining a formula for calculating care points for each nursing activity, in which care points are calculated on the basis of the number, frequency and / or duration of nursing activities; - maintaining a formula for calculating the patient's level of care, in which 5 levels of care are calculated on the basis of the patient's care points. In this case, the patient information system automatically and continuously - calculates the number, frequency and / or duration of nursing activities for each patient on the basis of the records; - calculating the treatment points for each patient using the treatment point calculation formulas; - is calculated by calculating the level of difficulty of each patient's treatment = level of difficulty of treatment. In this case, it is also - to provide the user of the patient information system with information on the level of care (6) for the care of one or more patients with a display device. The invention is suitable for use with many different patient information systems. Internationally, several different standards are used to define and record nursing needs and activities. Examples of these are SHTaL, SHToL, NIC (Nursing Intervention Classification), NOC (Nursing Outcome Classification), ICNP (International Classification for Nursing Practice). Any nursing needs and / or functions to be entered can be selected from the standard classifications. The records of the patient's nursing activities are combined with the data of the patient to whom the functions S apply. Entries in the patient information system are made, for example, by the N caregivers who performed the functions. The appropriate method can be used for different situations and systems, i.e. 7 25 calculation formulas to determine treatment points for a patient's need for care. OF The invention can be described by saying that it provides real-time information on the level of care of patients with the help of R determinations made in the patient information system, for example certain defined background parameters, and calculation formulas S. This information N 30 can further be used, for example, to monitor real-time human resource needs or the workload of nursing staff. And this information can be used, for example, to organize human resources. By means of the invention, the standardized nursing needs and / or functions registered in the patient information system and maintained therein can be used, for example, for one or more of the following: - for real-time determination of the level of difficulty of individual patient care; - real-time determination of the current human resource needs of the care unit, treatment facility or hospital; - real-time determination of the workload of medical staff in a care unit, care facility or hospital. One application of the invention is a software product, for example an information system application, such as a patient information system or a part thereof, in which the level of patient care is automatically generated by the frequency, number, duration and weighting factors of patient care. Care entries are made in the patient information system using a certain standard and, for example, a coded classification. The invention may be embodied in a system comprising means, such as the necessary hardware and software products, to perform each step of the method of the invention. S One of the great advantages of the invention is that it enables real-time and N automatic - for the user of the patient information system, for example - display device 2 - accurate data which has previously had to be evaluated and produced manually N and inaccurately. For example, the system may display the number E of patients in a particular treatment unit and their care information, the number of staff on duty, and the number of care staff required calculated based on the care information of O patients. S S The invention enables the use of standardized nursing functions - recorded in the patient information system and maintained there - for the real-time determination of the level of difficulty of patient-specific nursing. One of the great advantages of the invention is that the determination of the need for care is made more efficient and precise, because the manual assessment of the need for care by the caregiver is no longer necessary. The invention makes it possible to produce more accurate and reliable treatment information than the current information produced by subjective evaluation. In one embodiment of the invention, the patient information system comprises an electronically implemented recording platform into which the functional classification of nursing work, such as SHTal, SHToL, NIC, NOC, ICNP, and the components of the nursing classification are integrated. In one embodiment of the invention - stored - implemented - patient - nursing - functions - are combined in the patient information system according to their codes to memory locations of certain categories of nursing function classification, and - nursing function classification classes are combined in the patient information system according to their codes = based on care classification subdivisions = corresponding memory locations. These allow for more efficient automatic use of calculation formulas and automatic generation of patient care information. ES In one embodiment of the invention, the user of the patient information system is presented with information N on the level of care of one or more patients, for example as a single value, such as a numerical value or a verbal value. In one embodiment of the invention, N is presented as information on treatment levels for multiple patients in compiled compilations such as E as statistics or graphs. Data can be presented in real time, without a subjective assessment of the need for or level of care by a caregiver or other person. S 30 In one embodiment of the invention, the functions of nursing are grouped into several areas of nursing, in which method: - the patient information system automatically calculates and stores nursing scores for each nursing component based on the individual nursing activities it covers; - the patient information system automatically calculates and records the patient's level of care based on the care points of the care sub-areas. In one embodiment of the invention, the treatment scores for the areas of care are calculated on different grounds. The criteria may be, for example, the number of nursing activities to be recorded, their duration or frequency of entries, or some combination of these. Weighting factors can be used in the calculation formulas, for example according to the complexity of the procedure. In one embodiment of the invention, a JDT (Jones Dependency Tool) meter is used. In this case, the records are grouped into five areas of JDT care, which are: 1. Communication, 2. ABC, i.e. breathing and blood circulation, 3. Functional capacity, 4. Eating, drinking, excretion and hygiene, 5. Environmental safety, health and social needs. For example, the frequency of nursing activities to be recorded can be used to calculate nursing scores for subdivisions 1-4 of the JDT. For example, the duration of the nursing activities to be recorded in combination with certain weighting factors can be used to calculate the care points in sub-area 5. The calculation formulas for the treatment points and the level of treatment difficulty and, for example, the weighting factors of the various functions used in them ES can be determined to be suitable for each of the N use situations of the invention. = 25 N In one embodiment of the invention, the patient information system calculates and stores patient E's care - level of difficulty - care - sub-areas - care points e as an average. S 30 In one embodiment of the invention, the patient information system calculates and stores the level of care for each patient on a patient-by-patient and continuous basis throughout the patient's treatment visit, treatment day, and / or treatment period. In this way, possible changes in treatment are known at all times and one can react to a change in the level of care or the need for resources at any time, for example during a treatment visit, treatment day or treatment period. Traditionally performed manually by the caregiver - subjective assessment of patient care = one time in the morning in the afternoon, when changes in care can be used at the earliest the day after the person in charge manually entered HR data into the reporting system and all these different data from different systems are combined. The level of care severity recorded during the patient's visit, day of treatment, and / or treatment period allows for a new way of dealing with the patient's level of care, for example, statistically. This provides a new kind of accurate information on the level of care for each patient for their entire treatment period =. For example, the total number of treatment visits, treatment days, and / or treatment cycles can be calculated for the patient care level, with the sum of treatment values measured during the treatment visit, treatment period, and / or treatment period being integrated into the treatment visit level, treatment day, and / or treatment period. It gives a good idea of the patient's need for treatment, the day of treatment and / or the entire treatment period. The patient information system according to the invention constantly accumulates constantly updated new statistical information on the level of care required for different types of patients. In this way, the future need for human resources can be assessed more accurately on the basis of the current condition of the patients. S N In one embodiment of the invention, data on 25 patient-specific levels of care complexity are stored in the patient information system = 25 in real time. In one embodiment of the invention, the data stored in real time is also displayed in real time on an E display device. C S In one embodiment of the invention, the patient information system calculates and stores the human resource needs of a care unit, care facility or hospital based on the level of difficulty of patients' O 30 care. By means of the invention, the human resources of the care units can be placed in a timely manner in accordance with the care required by the patients, i.e. the need for care. One major advantage of the invention is that it allows the care staff to be optimally targeted within the treatment unit using the system or between different treatment units. One advantage of the invention is that determining the human resource needs of an individual patient as well as an entire treatment unit, care facility, or hospital becomes more reliable, faster, more efficient, and more accurate. A care unit is a unit of care staff maintained to treat patients, such as a ward, nursing ward, or outpatient clinic. Examples of treatment units are a hospital emergency department or a ward. With the aid of the invention, the overall situation = of the patients to be treated = of the patients and the necessary nursing staff resources can be seen in real time, for example with the monitoring view of the patient information system. The invention enables the use of standardized nursing functions recorded in the patient information system and maintained there for the real-time determination of the current human resource needs of a care unit, nursing home or hospital. S N In one embodiment of the invention, the patient information system maintains information about how many nurses per patient are needed at each level of patient care. N The patient information system then automatically calculates and stores E the current care needs of each patient using the calculation formulas integrated into the patient information system. In this way, the patient information system can automatically calculate and store the current O 30 human resource needs of the entire treatment unit, care facility or hospital by summing the care needs of the patients treated there. In one embodiment of the invention, the patient information system compares the human resource requirement calculated according to the invention of a particular care unit, care facility or hospital with the planned human resource resources, such as nurse resources. If the difference between them falls below or exceeds a certain threshold, the Patient Information System issues an alert that can be used to make corrections to the sizing of human resources. In one embodiment of the invention, the patient information system compares the human resource requirement calculated according to the invention of a particular care unit, care facility or hospital with the assumed resource requirement based on the historical workload of the ward. If the difference between them falls below or exceeds a certain threshold, the Patient Information System issues an alert that can be used to make corrections to the sizing of human resources. In one embodiment of the invention, the patient information system compares the calculated human resource requirement between the two treatment units, and if the difference between them is below or exceeds a certain threshold, the patient information system issues an alarm based on which corrections can be made to the human resource sizing. In one embodiment of the invention, the necessary corrections to the sizing of the human resources of the treatment unit are made at least partially automatically. For example, when certain amounts of human resources or certain defined thresholds are exceeded or exceeded, the information system according to the invention can produce information such as statistics and calculations of changed resource needs. This information can be passed to the agreed or agreed N recipients for shift planning. The system can automatically generate 2 25 proposals for how much more staff are needed in each treatment unit. Certain parts of the invention are typically at least partially programmatically executed. o Computers, software, databases, sensors, S radio transmitters and receivers, display devices, communication means between parts O 30 - of the invention, possible use of artificial intelligence and other parts of the invention are known per se and their operation will not be explained in more detail in this connection. A computer typically comprises memory and program code for execution therein arranged to perform the necessary functions. Communication devices may include, for example, transmitters, receivers, wires, devices required by the data network, and program codes for using them. The information produced by the invention can be presented with various display devices such as terminals, display devices, paper. For example, realized patient nursing functions can be recorded and stored in the patient information system with a recording tool running on the terminal. The calculation and / or inference of the number, frequency and / or duration, nursing points and / or level of care of each patient's nursing activities can be done, for example, with a calculation tool in the patient information system. The calculation formula for care points and the level of care difficulty can be maintained, for example, with a memory medium in the patient information system. Many points in this text are about the functions of nursing alone. In some embodiments of the invention, it is possible to replace the term nursing functions with the term nursing needs and functions. BRIEF DESCRIPTION OF THE DRAWINGS The invention will now be described in more detail with reference to the accompanying schematic drawing, in which Figure 1 - shows a method according to the invention for determining the level of care. Figure 2 = shows how the patient information system automatically performs the care level calculation process of Figure 1. S DETAILED DESCRIPTION OF THE EXAMPLES 2 25 In the example of Figure 1, patient care entries are made in the patient information system N using the titles of the standardized nursing need or function classification or the corresponding E classification. Each class and title and possible nursing night function o 1a-1g has its own code. In the example, the nursing function classification S (FInCC / SHT0olL) has been used. Only a few of the selectable O 30 nursing functions are shown in the figure, namely: 1375 Monitoring of neurological symptoms, 1360 Monitoring of blood circulation, 1340 Monitoring of respiration, 1001 Monitoring of activity, 1243 Monitoring of nutritional status, 1609 Planning of follow-up care, 1627 Guidance of follow-up care. The validity is measured using a validated care classification meter. An JDT maintenance meter has been used in the example. It groups the records of nursing activities into five areas of nursing: 2a Communication, 2b ABC, 2c Functional Ability, 2d Eating, Drinking, Excretion and Hygiene, and 2e Environmental Safety, Health and Social Needs. When using the Patient Information System, the codes for the functional classification headings or equivalent classifications are combined in the care sub-areas 2a to 2e. In the example of the figure, code 1375 belongs to sub-area 2a, codes 1360 and 1340 belong to sub-area 2b, code 1001 belongs to sub-area 2c, code 1243 belongs to sub-area 2d and codes 1609 and 1627 belong to sub-area 2e. The information system constantly calculates the number, frequency and / or duration of the Recording Data made per patient, and combines the data with the correct area of care and stores the data. The data for domains 2a to 2d are combined with the recording frequencies and numbers 3a to 3d of the corresponding entries 1a to 1e. The data of the treatment sub-area 2e are combined with the durations of the corresponding entries 1f and 1g and the own weight coefficients 3e of the entry code. The information system automatically calculates treatment points 4a-4e for each treatment area 2a-2e based on the number, frequency and / or duration of records per patient at all times. Table 1 shows an example of how care points can be calculated. O OF O OF T [am o O R OF O OF O Subdivisions N 1, 2 and 4:. | Timestamp / entry * No. Treatment points> 240 min or 1 entry> every 60-240 min> 8-12> 15 min - every 60 min> 13-15> 16-18 NNN | Subarea 3: ~~ | 000 Time stamp / entry * Ikm Treatment points> 360 or x 1 entry> Every 120-360 h> 8-12> Every 60-120 h> 13-15> 16-18 NNN: in the subdivision: Treatment scores no function / recording> 8-12> 16-30 min> 13-15> 16-18 Table 1: Treatment point calculation formulas by JDT treatment metric sub-areas In this example, the total patient care score 5 is calculated as the average of treatment sub-areas 1-5. from treatment points 4a to 4e. In the example of Table 1, the treatment scores 4a to 4e for one treatment sub-area may vary between 6 and 18, so their average may also vary within that range. This average, ie the total care score 5, is calculated automatically by the information system. Table 2 shows an example of a formula for calculating patient care level 6. In this example, the total care score 5 calculated from the care points 4a to 4e S obtained from Table 1 can be converted to the care O N as a verbal value and a numerical value describing the level of difficulty 6. Care Based on the O T total score, patients are divided into 4 categories that describe the level of care for the patient’s N 15 care. Shown in the last column of Table 2 I = Exemplary numerical values for care level 6 are C BEST (Baseline emergency Staffing tool) and indicate the number of caregiver resources required per patient S. O Total N score class severity level per patient 6-7 = | 0 - - | Low need for treatment - 1 caregiver per 3.5 patients Table 2: Total treatment scores and corresponding patient care categories and care difficulty levels and required caregiver resource per patient Care care level information is recorded on a patient-by-patient basis throughout the patient's treatment period. The level of treatment severity may vary during the patient's treatment period depending on the number, frequency, and duration of entries made during the treatment period. Patient-specific data on the level of care requirements are stored in real time in the monitoring view of patients treated in the information system, in which case the data can be utilized in the sizing of patient-specific human resources during shifts. The last column of Table 2 provides an example of how a patient-specific need for caregiver resources can be determined directly based on the level of care intensity. The calculated nursing resource need for the entire treatment unit is obtained by summing the nursing resource needs of all patients in the treatment unit. In one embodiment of the invention, the calculated human resource requirement of one or more care units LR is compared to the number of staff available in the care unit KR. From these figures some calculated value of the care unit is calculated, O for example the surplus KR-LR of caregivers or the relative caregiver resource KR / LR. For these, certain limit values are defined, above or below which, for example, n alerts can be issued and / or information about the situation can be sent to certain parties or persons who decide on the placement or recruitment of z personnel. Another example of a situation in which> 25 a corresponding alarm or data transmission can be performed is when the resource situations of the two = treatment units differ greatly. For example, an alarm can be issued N if two treatment units have the same calculated value sufficiently different from each other. For example, if a hospital emergency department has two treatment units and one is found to have a large shortage of nursing resources and the other has no nursing shortage, the invention provides information about this in good time, possibly even before a disturbance occurs. In this case, staff can be transferred from one treatment unit to another even before the situation escalates. In one embodiment of the invention, the necessary corrections to the sizing of the human resources of the treatment unit are made at least partially automatically. For example, when certain defined thresholds are exceeded or exceeded, the information system according to the invention can produce information such as statistics and calculations of changed resource needs. This information can be passed on to the agreed or agreed recipient for shift planning. For example, the system can automatically make a proposal for the transfer of resources, for example by automatically determining a numerical value, i.e. information on how much more staff is needed in each treatment unit. Figure 2 shows a schematic example of how the patient information system automatically performs the care level calculation process of Figure 1. In the boxes describing the steps in Figure 2, the the issues of Figure 1 related to the phase. In step 21, the patient information system enters the data 1a-1g of nursing needs and functions realized by a main device, for example a workstation or a mobile station application. The data entered in step 22 is stored in the memory locations of the memory medium of the patient information system according to the functional classification 1a to 1g, and the different subdivisions 2a to 2e of the care classification. In step 23, the data is converted to a format understood by the processor. In step 24, the processor executes the calculation formulas stored on the memory medium of the patient information system using the nursing function data received as input N, stores the data 3a-3e, 4a-4e, 5, 6 such as the results of the performed calculations on the memory medium, and enters standby mode. In step 25, the patient information system generates information about the patient care level 6 and E possibly other information for the terminal. The patient information system is again ready o to receive input data on the needs and functions of the actual nursing work 1a to S 19. S 30 The standards, tables, calculation formulas, numerical values, weighting factors and other values mentioned and used in this text, especially in the examples, are examples. The invention is not intended to be limited to the examples given, but the scope of the invention is determined by the independent claims. The dependent claims present some preferred embodiments of the invention. O OF O OF O OF I a a O R ~ O OF O OF
权利要求:
Claims (1) [1] PATENT CLAIMS A method for calculating a patient's level of care (6), comprising at least the steps of - maintaining an electronic patient information system with patient identification data and information on any nursing needs and activities that may be recorded (1a-19); - recording and storing the actual patient care functions (1a-19) in the patient information system, combining the functions with the data of a specific patient; - calculating care points (4a-4e, 5) indicating the patient's need for care and on the basis of which the level of patient care level is deduced (6); characterized in that the electronic patient information system - maintains a calculation formula for nursing points (4a-4e, 5) for each nursing function (1a-19), in which nursing points are calculated for the number, frequency (3a-3d) and / or duration (3e) of nursing functions (1a-19) ); - maintaining a calculation formula for the patient care level (6), wherein the care level is calculated based on the patient care points (4a-4e, 5); wherein in the patient information system, automatically and continuously - calculating, based on the records, the number, frequency (3a-3d) and / or duration (3e) of the nursing activities (1a-19) of each patient; - calculating the treatment points (4a-4e, 5) for each patient with the calculation formulas for the treatment points N: - and wherein & - displays to the user of the patient information system information on the level of care (6) of the care of one or more R patients by means of a display device. N 30 2. A method according to claim 1, characterized in that - the patient information system comprises a recording platform with integrated nursing function classification, such as SHTaL, SHToL, NIC, NOC, ICNP and nursing classification components, whereby - stored - completed - patient - nursing - functions - are combined in the patient information system according to their codes 19) memory locations, and - the nursing function classification categories (1a to 19) are combined in the patient information system on the basis of their codes with the corresponding memory locations of the nursing classification subdivisions (2a-2e). Method according to Claim 1 or 2, characterized in that - the user of the patient information system is presented with information on the level of care (6) for the care of one or more patients as a single value, such as a numerical value. Method according to one of the preceding claims 1 to 3, characterized in that - the user of the patient information system is presented with information on the level of care level (6) for the care of one or more patients in the form of summaries such as statistics or graphs calculated from several levels of care. Method according to one of the preceding claims 1 to 4, characterized in that the nursing functions (1a to 1g) are grouped into several nursing areas (2a to N 2e), wherein: N - the patient information system automatically calculates and stores the nursing value for each = 25 for sub-area (2a-2 ¢ e) nursing scores (4a-4e) based on the individual N nursing activities it comprises; i - the patient information system automatically calculates and stores the patient's care level R based on the care points of the care sub-areas (6). S N 30 6. Method according to one of the preceding claims 1 to 5, characterized in that - patient information system = calculates and records the patient = level of care level (6) as an average of the care points of the care sub-areas. Method according to one of the preceding claims 1 to 6, characterized in that - the patient information system calculates and stores the level of care for each patient (6) on a patient-by-patient and continuous basis throughout the patient's treatment visit, treatment day and / or treatment period. Method according to one of the preceding claims 1 to 7, characterized in that - information on the patient-specific level of care difficulty (6) is stored in the patient information system in real time. Method according to one of the preceding claims 1 to 8, characterized in that - the patient information system = automatically calculates and stores the personnel resource requirements of the treatment unit, care institution or hospital on the basis of the difficulty levels (6) of patient care. A method according to claim 9, characterized in that - information is maintained in the patient information system on how many caregivers per patient are needed at each level of patient care; - the patient information system automatically calculates and stores the current care needs of each patient using integrated calculation formulas; The N - patient information system automatically calculates and stores the current human resource needs of the care unit, 5 care facilities or hospitals by summing the care needs of n 25 patients treated there. OF I & 11. A method according to claim 9 or 10, characterized in that the R - patient information system compares the calculated human resource requirement i 30 o of a particular care unit, care institution or hospital S with the planned human resource resources, such as nurse resources; and / or o the estimated workload of the department based on historical data, and if the difference between them or the numerical value calculated on the basis of them falls below or exceeds a certain threshold, - the patient information system issues an alarm on the basis of which corrections can be made to the sizing of human resources. Method according to one of the preceding claims 9 to 11, characterized in that: - the patient information system = compares between two treatment units - the calculated human resource requirement, and if the difference or ratio between them is below or above a certain threshold, - the patient information system issues an alert make corrections to the sizing of human resources. Method according to one of the preceding claims 1 to 12, characterized in that the logging information is grouped according to the JDT (Jones Dependency Tool) into five treatment sub-areas, which are: 1) Communication; 2) ABC, i.e. breathing and blood circulation; 3) Operational capacity; 4) Eating, drinking, excreting and hygiene; 5) Environmental safety, health and social needs; wherein the frequency of recorded and stored nursing activities is used to calculate the care points of sub-areas 1-4, and the duration N of the recorded and stored nursing activities combined with certain weighting factors is used to calculate the care points S of sub-area 5. = 25 N 14. Use of standardized E: nursing functions (1a to 1g) entered and stored in the electronic patient information system for automatic and real-time determination of one, two or three of the following S - level of patient-specific care (6); S 30 - current human resources needs of the care unit, care institution or hospital; - the workload of the medical staff of the treatment center, care facility or hospital, A software product comprising program code stored on a memory device, the program code elements of which are arranged in the memory of one or more computers to perform steps 1 to 13 of any of the preceding method requirements. O OF O OF O OF I a a O R ~ O OF O OF
类似技术:
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