Method and system for determining whether a caretaker takes appropriate measures to prevent patient bedsores

• US 10,342,478 B2
• Filed: 05/06/2016
• Issued: 07/09/2019
• Est. Priority Date: 05/07/2015
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Kusens, Neil
• Primary Examiner(s): Hindenburg, Max F
• Application Number:
  US15/148,151
• Publication Number:
  US 20160324460A1
• Time in Patent Office: 1,159 Days
• CPC Class Codes: A61B 5/1113 Local tracking of patients, e.g. in a hospital or private home
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/447 specially adapted for aiding the prevention of ulcer or pressure sore development, i.e. before the ulcer or sore has developed
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B

Abstract

Systems and methods for reducing the chance that a patient will develop a bedsore may determine whether a caregiver physically approaches a patient and remains in close physical proximity to a patient for a time sufficient to perform a bedsore prevention action. If a planned bedsore prevention action does not appear to be performed, the systems and methods may alert the patient, the caregiver, or others. A determination may be made as to whether the patient'"'"'s position has changed in a manner consistent with a bedsore prevention action.

Claims

1. A method of reducing the chance that a patient will develop a bedsore, the method performed by one or more processors of a computerized monitoring system and comprising:

receiving, from a wireless receiver associated with one of a caregiver and a patient, data indicating a signal strength for a signal received from a wireless transmitter associated with the other of the caregiver and the patient, wherein the wireless receiver associated with one of the caregiver and the patient is worn or carried by one of the caregiver and the patient and wherein the wireless transmitter associated with the other of the caregiver and the patient is worn or carried by the other of the caregiver and the patient;

determining whether the signal strength is above a threshold signal strength;

determining whether one or more bedsore prevention actions have been performed at least by determining whether the signal strength remains over the threshold signal strength for at least a predetermined period of time; and

electronically communicating a determination of whether one or more bedsore prevention actions have been performed.

2. The method of claim 1, wherein when the signal strength has not remained over the threshold signal strength for at least the predetermined period of time, electronically communicating the determination comprises notifying a computerized communication system in electronic communication with the computerized monitoring system that the caregiver has not performed one or more bedsore prevention actions.

3. The method of claim 2, wherein the computerized communication system issues an alert directed to the patient, the caregiver, an alternate caregiver, a centralized monitoring station, or a combination thereof.

4. The method of claim 1, further comprising receiving data from a 3D motion sensor co-located with the patient.

5. The method of claim 4, further comprising determining, based on the data from the 3D motion sensor, whether the patient has changed position consistent with a bedsore prevention action within a specified time interval.

6. The method of claim 5, further comprising electronically communicating to a computerized communication system in electronic communication with the computerized monitoring system that the patient has not sufficiently changed position to comply with a bedsore prevention action within the specified time interval and wherein the computerized communication system issues an alert.

7. The method of claim 6, wherein the alert is directed to the patient, the caregiver, an alternate caregiver, a centralized monitoring station, or a combination thereof.

8. The method of claim 4, wherein images from the 3D motion sensor are displayed on a centralized monitoring station primary display.

9. The method of claim 1, wherein the wireless transmitter is associated with the caregiver and the method further comprises identifying the caregiver based on data received from the wireless transmitter.

10. The method of claim 9, further comprising receiving data from a 3D motion sensor co-located with the patient, and using the data from the 3D motion sensor to confirm the identity of the caregiver.

11. The method of claim 1, further comprising recording in a database the determination of whether one or more bedsore prevention actions have been performed.

19. The method of claim 1, wherein determining whether the caregiver has performed one or more bedsore prevention actions comprises determining whether the signal strength remains over the threshold signal strength for at least the predetermined period of time during a specified time interval.

20. The method of claim 19, wherein when it is determined that the signal strength remains over the threshold signal strength for at least the predetermined period of time during the specified time interval, a new time interval beings for monitoring whether the one or more bedsore prevention actions have been performed.

12. A system for reducing the chance that a patient will develop a bedsore, the system comprising:

a wireless transmitter configured to be worn or carried by one of a caregiver and a patient;

a wireless receiver configured to be worn or carried by the other of the caregiver and the patient, the wireless receiver configured to receive transmissions from the wireless transmitter when the wireless transmitter is within range of the wireless receiver;

a computerized monitoring system configured to;

receive signal strength data from the wireless receiver, wherein signal strength data indicates a strength of a signal of the wireless transmitter received by the wireless receiver when the wireless receiver is within range of the wireless transmitter;

determine whether the signal strength is above a threshold signal strength; and

determine whether one or more bedsore prevention actions have been performed at least by determining whether the signal strength remains over the threshold signal strength for at least a predetermined period of time; and

a computerized communication system configured to;

receive an alert from the computerized monitoring system upon a determination that one or more bedsore prevention actions have been performed; and

communicate an alert to at least one of the patient, the caregiver, an alternate caregiver, a database, and a centralized monitoring station.

13. The system of claim 12, further comprising a 3D motion sensor, wherein the computerized monitoring system is configured to receive image data from the 3D motion sensor.

14. The system of claim 13, wherein the centralized monitoring station comprises a primary display, and image data from the 3D motion sensor is sent to the centralized monitoring station and displayed on the primary display.

15. The system of claim 13, wherein the computerized monitoring system is further configured to determine, using data from the 3D motion sensor, whether the patient has changed position consistent with a bedsore prevention action within a specified time interval for performing the bedsore prevention action.

16. The system of claim 15, wherein the computerized communication system sends a confirmation notification to the caregiver when the patient has changed position consistent with a bedsore prevention action.

17. The system of claim 15, wherein the computerized monitoring system is configured to determine whether the patient has changed position consistent with a bedsore prevention action within the specified time interval for performing the bedsore prevention action after determining that the signal strength remains over the threshold signal strength for at least the predetermined period of time during the specified time interval.

18. Computer storage media, excluding signals per se, embodying computer-executable instructions for performing a method for reducing the chance that a patient will develop a bedsore, the method comprising:

receiving data from a wireless receiver that is worn or carried by one of a caregiver and a patient, wherein the data received from the wireless receiver indicates a signal strength for a signal received by the wireless receiver from a wireless transmitter that is worn or carried by the other of the caregiver and the patient;

analyzing data from the wireless receiver to determine whether one or more bedsore prevention actions have been performed at least by determining whether the signal strength remains over a threshold signal strength for at least a predetermined period of time during a specified time interval; and

sending one or more alerts upon determining that one or more bedsore prevention actions have not been performed.