RU2387009C2 - Procedure of medical service quality control and management in dental clinic and system for implementation thereof - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: procedure of medical service quality control and management ensures the analysis of resource-intensiveness of the manipulation treatment and dental operations and provides archiving all the therapeutic processes and retrieving data on various data carriers.

EFFECT: ensured regular monitoring of both patients and personnel of the clinic, time entries of staying in various places, control of dental tools and equipment, informing of the doctor on resource of electric and pneumatic tools and on necessity of preventive maintenance, labour hours tracking in all kinds of dental support and comparison of actual and planned efforts and estimation of work quality of the doctor and the whole clinic.

4 cl, 14 dwg

Description

The invention relates to the field of control and management systems and can be used to monitor and control the quality of treatment in a dental clinic. When using the claimed invention, the patient’s condition is monitored prior to treatment, a list of the planned treatment procedures and dental procedures, the implementation of the planned treatment procedures and dental procedures, including which doctor they were performed, the sequence of procedures and procedures, which tool the treatment and dental procedures were performed. In addition, the use of the claimed invention makes it possible to constantly monitor the location of both patients and clinic staff, to record the time of their stay in various places, to monitor the operation of dental tools and equipment, to inform the doctor about the development of a resource of electric and pneumatic tools and the need for preventive work , take into account the doctor’s labor costs for the implementation of all types of dental care and compare the actual labor costs with the planned and, as a result, evaluate the quality of work of the doctor and the entire clinic as a whole. The implementation of the invention makes it possible to control the quality of patient treatment, analyze the resource intensity of the treatment procedure and dental manipulation, and archive all patient treatment processes with the possibility of outputting information to various types of information carriers.

There are various technical solutions that make it possible to control and manage the quality of treatment.

So, there is a known system and method for managing patient care [1], which make it possible to provide better patient care, reduce laboratory research costs, and increase the efficiency of using the reserves of the institution providing patient care. Both the system and the method of medical consultation at home are known [2], the use of which improves the quality of patient care. Also known is a method and system for monitoring the health status of employees [3]. This decision describes a method of financing medical care, which involves calculating the economic burden on the organization caused by the situation related to the health status of employees, providing a third party with a health plan and monitoring its implementation for at least some employees and paying a third party a commission in response to confirmation of a reduction in the economic burden.

Closest to the claimed technical solution is a system and method for managing the quality of medical procedures described in the international application published on the basis of a patent cooperation agreement [4]. The quality management system of the treatment process includes a database of the treatment process for storing data of the entire patient treatment complex, a database of the current treatment process for storing the patient’s health status, and a treatment process control unit that determines the effectiveness of the current treatment process by comparing it with the patient’s condition data , a unit for inputting data on a patient’s health status, a node for outputting the next treatment procedure, and an input device for the next treatment procedure selected by the om treatment process management. The control node reads the next, to be used, medical procedure from the archive of medical procedures, if it considers that the patient's condition corresponds to the goal. This guarantees the quality of treatment procedures, thanks to the flexibility and adaptation of the system to each individual patient.

However, the system discussed above does not take into account that the quality of treatment depends not only on monitoring the implementation of medical procedures. The quality of treatment also depends on the time spent by the patient in the clinic, on which doctor treats the patient, with what instrument the patient is treated and how it is used consistently, on the compliance of the planned treatment schedule with what is used during treatment, etc. In this regard, the task of monitoring and managing technical means that affect the quality of patient treatment in a dental clinic becomes urgent.

LLC MNPP Saturn has developed a method for monitoring and managing the quality of patient treatment in a dental clinic and a system for its implementation, which take into account various factors affecting the quality of patient treatment in a dental clinic. When developing the invention, the following technical problems were solved.

One of the tasks was the task of constant continuous monitoring of all patients of the clinic, as well as of employees located in any room of the clinic, using specially designed inexpensive devices and based on the previously developed two-wire power information control system developed by Saturn MNP LLC SOS-95 [5]. It was necessary to develop a transceiver device in the form of a personal computer card with a small memory block resembling a keychain. This device must be active, i.e. able to constantly receive, store and update stored information. In addition, a personal computer card, and with it the owner, must be continuously monitored with reasonable accuracy using stationary transceiver units located at different points in the territory or premises, for example, a medical clinic. The system should distinguish visitors according to their status, that is, according to various criteria, for example, “patient or employee”, “access to the premises is allowed-forbidden”, “access to the peripheral information device is allowed-forbidden” and other signs. In this case, the system must issue signals to appropriate devices, which either provide the visitor with the opportunity to penetrate into the room, or are prohibited from doing so. Reception and processing of information should be carried out in a computer installation, the connection with which must be reliable. For this, the task was to have, with a computer installation, firstly, two-way wireless communication, and, secondly, communication via a two-wire power information line with transceiver units and peripheral information devices. This was dictated by the need to have reliable communication in all rooms, including shielded ones, where for some reason the signal does not reach the air. The task was set with reasonable accuracy to determine in real time the location of the patient and the clinic employee by determining and comparing different values of the signal amplitudes that reached each transceiver unit from a special personal computer card. These data must be received and processed in a computer installation according to a special program. In addition, it was necessary to ensure that both the patient and the clinic staff could give or receive alarms.

In the inventive method and system, the task was to control and manage specific working equipment (for example, a dental chair, compressor, saliva ejector) and tools (various nozzles, micromotors, etc.). In order for the tool to be prevented in time, it was necessary to provide a peripheral information device to the doctor, which would inform the doctor about the development of the resource for the operation of electric and pneumatic tools and the need for its prevention.

The quality of patient’s treatment is also affected by such factors as the doctor’s labor costs for performing all types of dental procedures, the compliance of these labor costs with the planned ones, the procedure for performing all procedures, accounting for the procedures and other factors. As a result of taking into account many factors, the task was to assess the quality of work for both each doctor and the clinic as a whole. The quality of treatment in the long run also depends on what kind of archival information the clinic has. Therefore, in the claimed invention the task was to keep records, archiving and analysis of the resource intensity of medical procedures in terms of energy costs, pneumatic resources, labor costs. In addition, the task was to transfer the data embedded in the computer installation to the consumer of information over the Internet.

To accomplish the technical tasks, OOO MNPP Saturn developed and implemented a method and system for monitoring the quality of patient treatment in a dental clinic, described below.

Graphic materials present various elements of this system.

Figure 1 presents a structural diagram of a system for monitoring and managing the quality of treatment of a patient in a dental clinic;

figure 2 - personal computer card with a memory unit;

figure 3 - transceiver unit;

figure 4 is a screen showing the status of computer cards with a memory unit;

5 is a screen showing the current status of the equipment of the clinic;

figure 6 is a screen showing the status of electric and pneumatic tools;

7 is a screen showing the accounting of the services provided;

on Fig is a screen showing the loading of electrical and pneumatic communications to the dental unit;

Fig.9 is a screen showing the use of electric and pneumatic tools;

figure 10 is a screen showing the statistics of the use of electric and pneumatic tools;

11 is a screen showing the quality of the doctor’s work,

in Fig.12 is a screen showing the prophylaxis of electric and pneumatic tools;

on Fig is a screen that displays the accounting of working time;

Fig.14 is a screen showing the time spent in the clinic.

The system for monitoring and managing the quality of treatment of the patient in the dental clinic, presented in figure 1, is made as follows. In dental clinic 1, there is a central computer unit 2 with a treatment database of 3 patients 4. The treatment database of 3 patients 4 includes information on the condition of patient 4 before treatment and dental procedures 5, information on prescribed treatment procedures and dental procedures 6, information on the procedure for performing medical procedures and dental procedures 7, as well as information on the procedure and control of the execution of prescribed medical procedures and dental operations 8. Person 2 the computer card with a memory unit 9, shown in FIG. 2, is made in the form of a keychain and is located in each patient 4 and an employee of the clinic 10. Personal computer cards with a memory unit 9 are configured to simultaneously install two-way wireless communication 11 with a computer unit 2 and wire communication via a two-wire power information line 12. This communication is carried out through transceiver units 13. Personal computer cards with a memory unit 9 have the ability to simultaneously install two external wireless communication 11 with all the transceiver units 13. As a result of the analysis in the computer installation 2 of the information from the various transceiver units 13 shown in FIG. 3, according to the incoming data processing program 14, the exact location of the patient 4 and / or the employee of the clinic 10 is determined. System monitoring and managing the quality of treatment of patient 4 in dental clinic 1 maintains a constant information flow and information exchange in a short predetermined time interval. The incoming data processing program 14 includes the ability to input, store and output from the memory unit of a personal computer card 9 various information both to a computer installation 2 and to compatible systems and devices 15. In addition, it is possible to use electricity, air and power consumption meters current 16 (placed in a common unit) to determine the operating time of electric and pneumatic tools and equipment of the dental unit 17, the development of the resource of their work and the output of information on a two-wire power information line AI 12 to the peripheral information device 20 at the doctor 21. The system for monitoring and managing the quality of treatment of a patient in a dental clinic is configured to monitor and control the quality of treatment of patient 4 over the Internet 22.

According to the information processing program 14, it is possible to output various information in the form of screen forms to the computer installation monitor 2, showing: the state of personal computer cards with a memory unit 9 (Fig. 4), the current state of the equipment of the dental clinic 1 (Fig. 5), the current state of the electric - and pneumatic tools (FIG. 6), accounting for the services provided (FIG. 7), loading of electro-pneumatic communications to a dental unit with a set of electro and pneumatic tools and equipment 17 (FIG. 8), use of electric and pneumatic tools ( ig. 9), statistics on the use of electric and pneumatic tools (Fig. 10), the quality of work of the doctor 21 (Fig. 11), prophylaxis of electric and pneumatic tools (Fig. 12), accounting of working time (Fig. 13), residence time in the clinic of the patient 4 or an employee of the clinic 10 (Fig.14). It is possible to display other information in the form of screen forms.

The method of monitoring and managing the quality of treatment of the patient in the dental clinic 1 (figure 1) is implemented as follows. The database 3 of treatment of the patient 4 of the computer installation 2 includes information about the condition of the patient 4 before treatment and dental procedures 5. Next, database 3 includes a list of prescribed treatment procedures and dental procedures 6 that must be performed with patient 4 in the process treatment, and the procedure for performing medical procedures and dental procedures 7. Then there is also entered information about the procedure for performing the list of prescribed medical procedures and dental procedures 6 and monitor the execution of prescribed medical procedures and dental procedures 8. Additionally, in a computer installation 2, connected via a two-wire power information line 12 with a compatible device 15 and peripheral information device 20 according to the incoming data processing program 14, they constantly monitor and record the whereabouts of patients 4 and employees Clinic 10 (Fig.7, 14). In addition, additionally take into account the operation of electric and pneumatic tools and equipment of the dental unit 17 (Fig. 5, 6, 8, 9, 10, 12). Thus, the work, for example, of such expensive dental instruments as a micromotor, turbine, emptiness, as well as equipment such as a lamp, a vacuum pump, electric motors for changing the position of a chair, etc. is constantly monitored and recorded. In a computer installation 2, processing is carried out according to information processing program 14 information on the status of electric and pneumatic tools and equipment and all information is received in the monitor of the peripheral information device 20. Constant monitoring and registration of The patients 4 and the clinic staff 10 carry out two-way wireless communication 11 through the transceiver units 13 (Fig. 3) and the two-wire power information line 12 by constantly monitoring and recording the movement of personal computer cards with a memory unit 9 (Fig. 2), made in in the form of a keychain and located in each patient 4 and employee 10 of the dental clinic 1. These devices 9 before delivery to the patient 4 or employee of the clinic 10 are activated and are recorded in the registry of dental clinic 1 (figure 4). Information has been entered into the memory of personal computer cards 9, which make it possible to distinguish patients 4 of clinic 1 and employees 10 by their status, which makes it possible to determine who holds the card 9 and, accordingly, allow or deny access to various rooms. Through personal computer cards with a memory unit 9, the supply and reception of alarms is possible. The operation of electric and pneumatic tools and equipment of the dental unit 17 is determined through metering devices for the consumption of electricity, air and measuring current 16, which are located in one unit. This information via a two-wire power information line 12 enters the computer installation 2. Moreover, the development of the life of the dental electric and pneumatic tools and equipment is revealed by summing the time of their work and comparing it with the authorized resource of work. In addition, they evaluate the work of the doctor / doctors 21 and dental clinic 1 as a whole by identifying the unaccounted resource for their work, determining the employment of the clinic staff 10, taking into account the workload of the office / rooms, comparing real and planned labor costs for medical procedures and dental procedures 6, comparing real and planned labor costs both in terms of their execution time and in the sequence of medical procedures and dental procedures (Fig. 11, 13, 14). The peripheral information device 20 notifies the doctor 21 about the development of the resource of dental electric and pneumatic tools and equipment 17. Computer installation 2 also archives, stores and issues information upon request for the requested period of time.

The method of monitoring and managing the quality of treatment of patient 4 in dental clinic 1 can be carried out over the Internet 22.

The system for monitoring and managing the quality of treatment of a patient in a dental clinic 1 (Fig. 1) works as follows. The database 3 of treatment of the patient 4 of the computer installation 2 includes: information on the condition of the patient 4 before treatment and dental operations 5, information on the prescribed treatment procedures and dental procedures 6, information on the procedure for performing the last 7 and information 8 on in what order the prescribed medical procedures should be performed and what dental procedures are performed. Computer installation 1 monitors the state of patient 4 during treatment and compares how this condition has changed from the start of treatment and dental procedures 5, and at the same time selects the most appropriate procedure and procedure from the list of 3 prescribed medical procedures and dental procedures entered into the database 6. In addition, computer installation 1 monitors the procedure for performing medical procedures and dental procedures 7 and monitors their implementation 8. Each patient has 4 and an employee line 10 there is a personal computer card with a memory unit 9 (figure 2), the signals from which through two-way wireless communication 11 are sent to the transceiver units 13 (figure 3), from where they are then sent through a two-wire power information line 12 to the computer unit 2, where are considered according to the information processing program 14. By the nature of the signals received from several transceiver units 13, the location of any patient 4 or an employee of the clinic 10 is determined. This information is continuously archived and determined by it Who, where, when and how long to be anywhere in the clinic 1 (14). Personal computer cards with a memory unit 9 before issuing to a patient 4 or an employee of the clinic 10 are activated and are recorded in the registry of the dental clinic 1 (figure 4). Information has been entered into the memory of personal computer cards 9, which make it possible to distinguish visitors of clinic 4 and 10 by their status, which allows determining who the card holder is 9 and, accordingly, permit or deny access to various rooms. Through personal computer cards with a memory unit 9, the supply and reception of alarms is possible. Using meters of electricity, air and current 16, the operation of electric and pneumatic devices and equipment of the dental unit 17 is constantly monitored. These data are sent to the computer unit 2, where it is processed according to the information processing program 14, archived and can be displayed on a computer monitor installation 2 in the form of screen forms (figure 5, 6, 8, 9, 10,12) or paper media. Information about the resource of work of electric and pneumatic tools, as well as the need for its prevention through a two-wire power information line 12, is output to peripheral information devices 20 by a doctor 21. In addition, the incoming data processing program 14 makes it possible to: take into account the services provided (Fig. 7 ), display the accounting of working time (Fig. 13), keep a record of the services provided by different categories of doctors, reflect the quality of the doctor’s work (Fig. 11) and the quality of the provision of dental services in the clinic, provide inf rmatsiyu patient 4 in the peripheral information device 20 records reflect resources.

The system for monitoring and managing the quality of treatment of a patient in a dental clinic maintains a constant information flow in a predetermined time interval, and the information processing program 14 includes the ability to enter storage and output from the memory unit of a special personal computer card 9 of various information into compatible devices 15. Moreover, the system is configured to receiving and transmitting information over the Internet.

Information sources

1. RU 2303815 C2 G06Q 50/00. 07/27/2007.

2. RU 2308760 C2 G06Q 50/00. 10.20.2007.

3. WO 2005 119590 A2 G06Q 50/00. 12/15/2005.

4. WO 2006 057336 A1 G06Q 50/00. 06/01/2006.

5. RU 2007 131217 H04B 3/00 / 16.08.2007.

Claims (4)

1. A method for monitoring and managing the quality of treatment of a patient in a dental clinic, including entering into the database of a computer installation of a local computer network information about the patient's condition before starting treatment and performing dental procedures, a list of prescribed treatment procedures and dental procedures for each patient during treatment and the procedure their implementation and monitoring the implementation of the latter, characterized in that they additionally carry out constant monitoring and registration the whereabouts of patients and employees of the clinic, the operation of dental electric and pneumatic tools and equipment, as well as inform the doctor about the development of the resource of the latter and evaluate his work, while the constant monitoring and registration of the whereabouts of patients and employees of the clinic is carried out wirelessly and / or via a two-wire power information line with transceiver units by constant monitoring and recording the movement of special personal computer cards with a memory unit, made in the form of a keychain held by each patient and the clinic employee, the operating time of the dental electric and pneumatic instrument and equipment is determined by the current strength and the amount of air consumed in the communications leading to each dental unit, the working life of the dental electric and pneumatic instrument and equipment is determined by summing their work and comparison with the permitted resource of work, and the doctor’s work is assessed by comparing the real and planned labor costs both in time and complements, and on prioritization of treatments and dental procedures, and constantly inform the doctor about the development of the service life of dental electric and pneumatic tools and equipment as well as the need for its prevention or replacement of peripheral data device. 2. The method of monitoring and managing the quality of treatment of a patient in a dental clinic according to claim 1, characterized in that the method of monitoring and managing the quality of treatment of a patient in a dental clinic is carried out over the Internet. 3. A system for monitoring and managing the quality of treatment of a patient in a dental clinic, containing a local computer network and a computer installation with a database of patient treatment, including information about the patient's condition before starting treatment and performing dental procedures, about prescribed treatment procedures and dental procedures, about the procedure execution of the latter and control over their execution, characterized in that the system additionally contains personal computer cards with a memory unit for each the patient and the clinic employee, wireless communication and / or a two-wire power information line with transceiver units, peripheral information devices at the doctor connected to the local computer network, a dental unit with a set of electric and pneumatic instruments and equipment connected to electrical and air communications, devices accounting for electricity, air and current consumption, as well as an information processing program, while the computer installation is configured to two-way wireless communication and / or communication via a two-wire power information line with transceiver units and personal computer cards with memory units, the latter being made in the form of a keychain with the possibility of simultaneously establishing communication with all transceiving units and determining the exact location of the patient and / or clinic employee by analyzing in a computer installation the data from the transceiver units according to the information processing program, the system maintains constant information data flow and exchange of information in a short predetermined time interval, the information processing program includes the ability to input, store and output from the memory block of a personal computer card various information into compatible systems and devices, as well as the ability to determine, according to metering devices, the consumption of electricity, air and force measurements current operating time of electric and pneumatic tools and equipment, development of their working resource and output of information on a local computer network to peripheral information devices doctor's advice. 4. The system for monitoring and managing the quality of treatment of a patient in a dental clinic according to claim 3, characterized in that the system for monitoring and managing the quality of treatment for a patient in a dental clinic is configured to receive and transmit information over the Internet.

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