The robot "leads the way" for the first time in the hospital, intelligently evaluates the potential nursing risks of the hospitalized patients in advance, the "two-dimensional code small card" allows patients to grasp the health knowledge at any time, and the personalized voice robot performs telephone follow-up for discharged patients ... Today, in the capital Beijing Friendship Hospital affiliated to the Medical University, a large number of the most "hot" high-tech technologies such as artificial intelligence and big data are now applied to nursing services, realizing the whole process of "smart care" for patients from admission, treatment to discharge.
■ Visit the hospital
The cute robot "leads you"
At the beginning of the consultation at Tongzhou District of Beijing Friendship Hospital, a smart robot in the outpatient department impressed many patients. Recently, a cute robot with a big belly was added to the Gastroenterology ward of Tongzhou Hospital of Friendship Hospital. At present, its main "work" is to guide newly admitted patients and their families to the ward, nurse station, doctor's office, dining room, etc. to help them become familiar with the hospital environment. The screen on the robot's stomach can also play small health education videos.
"Leting robots introduce patients to the hospital environment can free nurses to do more professional work such as disease care and health assessment. At the same time, this new form can also reduce the patient's Separation and fear of disease. "Luo Jinkai, director of the nursing department of Beijing Friendship Hospital, revealed that the robot is currently in the trial development stage and is only being piloted in the digestive department.
In the past, patients were released by security personnel at the door when they went out for examinations. In the future, this robot is also expected to enable face recognition, which is responsible for recording patients entering and leaving the ward.
■ Hospital evaluation
Smart scoring is as fast as five minutes
At the Friendship Hospital, the nurses will perform accurate nursing assessments at the beginning of admission, find some potential nursing risks, and take targeted measures to reduce the occurrence of adverse events.
Luo Jinkai introduced that in the past, when professional nursing evaluation was performed on patients, the nurses needed to record the patient's situation. Now as long as you log in to your personal account, the system will automatically prompt you what needs to be evaluated for the patient every day, and pop up the corresponding standardized specialized nursing measures and health. Mission content. The hospital launched a smart patient care risk assessment system. When the patient is first admitted to the hospital, the computer will automatically capture the patient's medical history information, and according to his age, disease and other details, a series of assessment scales will pop up automatically, which are given from the patient's ability to live, stress injuries, pain, etc. A range of nursing risk scores. In just 5 to 10 minutes, the system will classify patients into high-risk, intermediate-risk, and low-risk grades based on scores for automatic warning.
On the large screen of the nurse's station and the display on the bedside of the patient, there will also be different colors of light reminders. Medical staff can intuitively understand the comprehensive score of the patient's potential nursing risk assessment. For example, purple represents high-risk patients and red represents intermediate-risk patients. . For the condition, the level of graded care is also determined, and there are different color prompts. This intelligent color differentiation display effectively solves the problems of poor identification of the original hanging risk sign and strong specialty, leading to poor participation of patients and their families.
■ Education at any time
"Two-dimensional code card" lead jump exercise
After scanning the code to open and reduce the "two-dimensional code card", a hot adaptation of "calories" and live-action video immediately opened. "Work hard, you work hard, you will become a mystery ..." And the video followed the music rhythm dance demonstration, it is the patients who have lost weight successfully.
At present, the Friendship Hospital has 98 missionary "two-dimensional code cards" covering 31 diseases, including medication and dietary guidance, and surgical introductions. Moreover, all the "two-dimensional code cards" are designed and produced by the nurses themselves, including not only graphic explanations and displays, but also comic stories, animated videos and interesting H5 pages. For example, in the "two-dimensional code card" of orthopedics, there are training courses for different muscle groups. Take the McKinsey back training as an example. After scanning the code, click on "Push-ups to reduce pain in the lower back", and the action essentials will pop up immediately: "Prone, with your hands flat in front of you and your elbows under your shoulders. Push it up, hold the position for 30 seconds, and then return to the starting position. Repeat 3 to 5 times, 3 groups per day. "At the same time, there is a simulated person in the screen to demonstrate the action, accompanied by music guidance.
In the past, hospital health education content was mostly paper posters and loose-leaf pages. Although practical but not easy to carry, some promotional leaflets were also easy to lose. Today, in the nurse station of Friendship Hospital, you can see neatly arranged "QR code cards" such as "Preventing hypertension in the elderly", "Preventing stress injury at home", "Application of asthma drugs" and so on. You can scan the code to watch and save it in your phone, which is very convenient.
■ Discharge follow-up
The call might be Crayon Shinchan
"Hello, here is the inpatient follow-up center of Beijing Friendship Hospital ... When you are discharged, we guide you to eat less spicy, stimulating, greasy diet, have you done that?" At present, patients discharged from Tongzhou District of Friendship Hospital, All will receive such follow-up calls, and the person opposite the patient's phone is likely to be a robot.
Patients often leave some care issues when they are discharged. Friendship Hospital has conducted a survey and found that 52.1% of patients have medical care needs after returning home, especially some elderly people. To this end, Friendship Hospital launched a continuous nursing service, that is, patients were followed up within 7 days after discharge, and home care guidance was provided. The follow-up rate was 100%.
In the past, telephone follow-up had to be completed manually by a nurse. It was time-consuming and labor-intensive. If the nurse could not remember the patient's condition and the nursing needs and problems that existed at the time of discharge, he should also consult the medical records. As a result, the hospital began to try to incorporate artificial intelligence elements into the follow-up. At first, the responsible nurses in the ward will enter the patient's condition and follow-up medical needs into the mobile care terminal when providing discharge guidance for the patients to be discharged. The system will generate a discharge follow-up list tailored for the patient and automatically list the current patients. Issues that need attention include multiple dimensions such as medication, diet, and exercise.
On the day of follow-up, the computer system will summarize all the required follow-up orders for the day and push them to the nurse's work table in the inpatient service center.
When this "smart follow-up list" was highly accurate, the intelligence was further upgraded, and the Friendship Hospital began to think about liberating nurses, collecting and integrating all issues that may be involved during follow-up. At present, more than 8,000 questions have been integrated, which basically cover the home care issues involved in all diseases, and all are designed as a question and answer dialogue. At this point, the follow-up of the intelligent robot started. Since the robot has learned all the questions in the early stage and can automatically read the follow-up list, when the patient asks a question, the robot can automatically reply and answer, and a landline can dial 30 follow-up calls at the same time. For individual questions beyond the scope of the robot's answer, the hospital has set up two artificial seats, and nurses answer the phone to continuously enrich the database.
In order to provide a more intimate and humane service, Friendship Hospital simulated all robot voices into real human voices during follow-up with an artificial intelligence system. Luo Jinkai revealed, "Next, we hope that the robot will change different sounds when facing people of different ages and genders. For example, when patients are children and adolescents, they may use childlike sounds like Crayon Shinchan."
Our reporter Liu Huan and Su Tian are photographed