Let the ECG device plug in the wings of information

Release date: 2014-10-10

Zhang Ayi, who lives in Dalian, is a retired rural elementary school teacher. She has been relying on medicine for a long time to control atrial fibrillation. When talking about the difficulty of seeing a doctor and seeing a doctor, she said frankly: "Because of medical insurance, I feel that it is not too expensive to see a doctor; but the experience of medical treatment for many years makes me feel that it is too difficult to see a doctor!"
In-depth understanding, only to know: As a village patient, Zhang Ayi must be hospitalized in Dalian to obtain medical insurance reimbursement. It is difficult to say that hospitalization is not enough. Every time the ECG examination makes her miserable: "I am now with poor legs and legs, and my heart condition is worse. When I go to the doctor, I will see the doctor - open the checklist - pay the fee - to the ECG room. Check-back to the department to prescribe the process of this medicine, at least a few kilometers away, often tired of two legs shaking, the heart pounding, just want to sit on the ground no longer move."
Aunt Zhang’s experience in the clinic, in fact, most people who have undergone ECG examination have experienced more or less. Because ECG is the most common examination method for cardiovascular disease, it is an important item for intensive care, preoperative routine examination and physical examination package. At present, there are tens of millions of medical devices such as electrocardiograph, dynamic electrocardiograph and ECG monitor. More than 100 million people receive ECG examinations each year [1] . Faced with such a large group of ECG medical treatment, can we use information technology to effectively alleviate the problems faced by ECG inspection?
 
The solution: ECG management system makes monitoring and health management everywhere
If Zhang Ayi recently went to the First Affiliated Hospital of Dalian Medical University for medical treatment, she would find that she no longer has to go to the hospital repeatedly to see a doctor. According to the director of the hospital, Zhang Shulong: "After the successful operation of GE ECG solution in our hospital, the hospital's ECG management and operation model has undergone a revolutionary change." First, the implementation of the program has really improved the work efficiency of the electrocardiographer. quality. In the past, electrocardiographers spent a lot of time on repetitive and operative ECG collection. After the implementation of the program, the technicians took on all the collection work, and the electrocardiographer could spend more time on reading the map, greatly improving the situation. Timeliness and accuracy of diagnosis. Second, it improved the treatment experience for inpatients. In the past, patients who were mobile in the hospital were required to go to the clinic to check the electrocardiogram. They were pushed by a wheelchair, the big bed was walking in a narrow elevator room, and the crowded corridor. The patient was both upset and uneasy. Nowadays, with GE's ECG solution, nurses can collect ECG directly from patients in the ward and emergency department. The report is sent back to the doctor's workstation and printed by the responsible physician. The return time of an ECG is no more than 5 minutes. It not only improves the overall work efficiency but also makes the patient feel satisfied.
The improvement of hospital work efficiency is more due to GE's core automatic ECG diagnosis. After clinical verification, more than 70% of the automatic and accurate analysis of GE ECG management system will greatly improve the diagnostic speed of doctors at all levels. For once atrioventricular block, the sensitivity of the pacemaker signal is high, which reduces the risk of missed diagnosis. In this regard, the Shanghai Minhang Community ECG Network Project, which has been successfully operated for 5 years, has given a strong evidence: based on the “Twelfth Five-Year Plan” for the development of the elderly in Minhang District, the district has established a community medical service telemedicine network system, which is gradually developed. Remote ECG monitoring, remote home follow-up, and remote home care for chronic diseases allow the elderly to receive quality medical care services without leaving their homes. Among them, the remote ECG monitoring project involves 2 central hospitals, 13 community hospitals, 40 community branches and monitoring stations, and 8 healthy huts. This step-by-step architecture system of the primary collection, initial diagnosis and treatment center and the data center of the consultation center not only allows the people to enjoy expert-level services at their doorsteps, but also achieves early prevention, early detection, early treatment, and remote diagnosis. Reduced the cost of medical treatment.
The successful application of remote ECG monitoring in Minhang District has enabled more and more governments and medical institutions to see the social and economic benefits of telecardiography. If Zhang Ayi is in Liaoning Panjin today, she will enjoy the GE medical network to give her a more convenient medical experience - to enjoy remote ECG inspection in the village. It is reported that the administrative area of ​​Panjin City is large, the population distribution is scattered, and the medical institutions are relatively insufficient (the total area is 4084 square kilometers, and the resident population is about 1.4 million, distributed in 2 districts, 2 counties, 19 towns, 10 townships, 27 streets. Offices, 486 village committees. At the end of 2013, there were 40 hospitals, 32 health centers, 6 disease prevention and control centers, 3 maternal and child health care centers, and 76 community health service agencies. In order to solve the hospital's ECG management efficiency and effectively manage the potential or onset of heart disease patients in the region, Panjin Central Hospital took the lead in introducing GE ECG network management system. Nowadays, a total of 33 electrocardiographs in the hospital's outpatient and ward (except the internal ward) have successfully implemented wireless network transmission, and real-time, error-free ECG acquisition, diagnosis, and charging optimization can be performed on the patient's bedside. Management has enabled the original 1 to 2 hours of medical treatment process to be completed within 3-5 minutes, greatly reducing the work pressure of ECG room consultation staff, improving patient satisfaction, and properly solving the qualifications of ECG physicians. And reduce medical safety hazards caused by time delays. On this basis, Panjin Central Hospital has also set up a remote ECG network for hospital-village clinics. Today, most of the townships have connected with the ECG information of Panjin Central Hospital, and built a rural-to-city remote telecard. The road to diagnosis." In the future, rural people like Zhang Ayi can enjoy convenient and accurate ECG examinations at their doorsteps. This will fully solve the current situation of the lack of electrocardiographers in rural health centers, so that patients can truly enjoy the diagnosis and treatment of the top three hospitals without leaving the village, and provide green, fast and safe treatment for patients with acute and severe diseases. Program. These will enable us to see the bright prospects of telemedicine, solve the medical problems of difficult medical treatment and lack of medical care, and actively promote the pace of medical reform. It will no longer be a kind of welfare counterpart support for first-tier cities and remote areas. It is also a direct patent of developed urban areas; more and more regions and grassroots departments have begun to incorporate telemedicine into their own development plans, and have carefully deployed them.
 
Industrial Internet: Let remote ECG medical go further
The Internet revolution 20 years ago allowed many professionals to understand Internet technology and apply it to production and marketing. But in many traditional industries, the tide seems to be surging, and the industries that can actually affect today use today's It’s not too much to look at. But today, when the boundaries between wisdom and machines begin to merge, what kind of charm the industrial Internet will bring to medical treatment, but let people think infinitely. Since GE launched the concept of industrial Internet in 2013, the concepts of “interconnected and mobile medical”, “intelligent analysis” and “innovative service model” in the medical field have sparked heated discussions in the industry.
From intelligent management solutions, Gansu telemedicine samples to ECG management systems, GE Healthcare China is actively demonstrating the full range of applications of the Industrial Internet in the medical field, from high-end large-scale equipment to universal medical products, through every step of the effort. Practice the caring mission of helping medical institutions improve medical workflows, improve the efficiency of medical care, and reduce medical costs. When the Industrial Internet extends to the most versatile ECG medical devices, the leapfrogging and innovation it brings is refreshing.
In fact, the widespread use of ECG equipment and the embarrassing situation that professional electrocardiologists lack today are also faced by other developed countries. With more than 40 years of clinical application experience and practice in the world, GE Healthcare believes that if we want to improve the status of our existing ECG industry, we need to start from the following aspects: First, optimize the workflow, and make the real professional electrocardiologist from the daily tedious Freedom of affairs, comprehensively improve the time and quality of reading; secondly, the excavator intelligence, the application of ECG management system to automatically analyze the ECG test results, help to assist diagnosis will greatly reduce the risk of missed diagnosis and misdiagnosis; Network connectivity, when remote ECG management becomes a convenient tool for interconnecting villages, communities and higher-level hospitals, medical services that are more convenient, accurate and cost-effective will be more easily available; finally, high-quality terminal equipment, just like A megapixel camera can never shoot high-definition images of tens of millions of pixels. The performance of the original device is crucial. So far, the successful application of GE ECG management system in Shanghai, Dalian, Panjin and other places has gradually opened a new chapter in ECG telemedicine.
I have seen a very "crazy" news - "Technology that is more secure than fingerprint recognition is using the ECG as a password or will be popular" [2] . It is possible that the ECG display waveform, which may fluctuate in real time, can act as a password, and may not be widely understood, but people can feel the ease and universality of ECG acquisition from this news. In this society with high heart disease, imagine that in the near future, we may be at home. When a transient chest pain occurs, the instantaneous ECG waveform is transmitted to the hospital or heart through a mobile phone through a simple electrode connection. The electrical management center can get diagnostic reports and even treatment recommendations in a few minutes. I believe that with the advent of the industrial Internet era, remote ECG will show us more convenience.

Source: Kexun Medical Network

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