基于Django的放疗流程管理系统的实现与临床应用

Implementation and Clinical Application of Process Management System for Radiotherapy Based on Django

目的 基于现有放疗流程工作中信息沟通不通畅、任务分工不明确、患者来回奔波等诸多的实际问题,设计放疗流程管理系统以提高放射治疗的效率和质量。方法 系统采用B/S架构,服务端使用Python3.7和Django2.2.7框架完成放疗预约、放疗设备质控、放疗计划验证等模块的开发和发布。并结合科室现有的Aria系统完成放疗流程、数据报表模块的设计。使用MySQL作为系统的数据库,客户端使用浏览器实现人机交互。统计分析系统应用前后的预约等待时间、计划完成时间、放疗排队放疗时间对比情况。结果 系统应用后,患者的预约等待时间、计划完成时间、放疗排队时间分别为(5.50±1.05)d、(2.70±0.82)d、(15.16±3.39)min,显著低于系统应用前的(10.67±2.16)d、(5.50±1.03)d、(41.80±12.72)min,且差异均有统计学意义(P<0.05)。结论 系统的开发提高了放射治疗的工作效率,大大减轻放疗医务人员的工作负担。放疗流程的规范化使得放疗数据标准化,对数据的回顾性分析可推动临床和科室科研工作的创新。

Objective To design a radiotherapy process management system so as to improve the efficiency and quality of radiotherapy based on many practical problems in the existing radiotherapy process,such as unsmooth communication of information,unclear division of tasks and patients rushing back and forth.Methods The system adopted B/S architecture,the server used the Python3.7 and Django2.2.7 tool to complete the development and release of the modules including radiotherapy appointment,radiotherapy equipment quality,radiotherapy plan verification,etc.Combined the existing Aria system of the department,the design of radiotherapy process and date report modules were completed.The database of system adopted MySQL tool,and the client used browser for human-computer interaction.The comparison of appointment waiting time,planned completion time and radiotherapy queuing time before and after application of the system were statistically analyzed.Results After the application of the system,the appointment waiting time,planned completion time,and radiotherapy queuing time were(5.50±1.05)d,(2.70±0.82)d,(15.16±3.39)min,respectively,which were significantly lower than those before the application of the system(10.67±2.16)d,(5.50±1.03)d,(41.80±12.72)min,and the differences were statistically significant(P<0.05).Conclusion The development of the system has improved the work efficiency of radiotherapy and greatly reduced the work burden of radiotherapy medical staff.The standardization of radiotherapy process has normalized radiotherapy data,and the retrospective analysis of data can promote the innovation of clinical and departmental scientific research work.