METHOD FOR MANAGING ALARMS IN A PHYSIOLOGICAL MONITORING SYSTEM

• US 20090275807A1
• Filed: 05/02/2008
• Published: 11/05/2009
• Est. Priority Date: 05/02/2008
• Status: Abandoned Application

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Johnson, Timothy Lee, Treacy, Stephen Thomas, Wang, Xi, Genc, Sahika, Sitzman, David Alan
• Application Number:
  US12/114,119
• Publication Number:
  US 20090275807A1
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02455 provided with high/low alarm devices
• 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
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A method for managing alarm events in a physiological monitoring system is described. The method includes validating the accuracy of alarm events by checking if the alarm events are noise events. The method further includes identifying a pattern in alarm sequence or an alarm rate of at least one alarm type associated with the alarm events. The alarm rate is the frequency of the occurrence of alarm events for the particular alarm type. Based on the identified pattern in the alarm sequence and the alarm rate and patient data, an alarm level associated with the alarm type is adjusted. The hospital staff is notified depending on the criticality of the adjusted alarm level. Further, the alarm signals are suppressed when either a patient intervention or a pause signal is detected by the physiological monitoring system.

Claims

1. A method for managing one or more alarm events in a physiological monitoring system, the method comprising:

validating the one or more alarm events associated with one or more alarm signals;

identifying a pattern in the sequence of the one or more alarm events associated with at least one alarm type, the at least one alarm type being associated with the one or more alarm signals;

adjusting an alarm level associated with the at least one alarm type based on the identified pattern in the sequence of the one or more alarm events and patient data;

responding to the one or more alarm events based on the alarm level; and

suppressing the one or more alarm events based on one or more pre-defined conditions, wherein suppressing the one or more alarm events comprises automatically resetting the alarm level.

2. The method of claim 1 further comprising setting an alarm rate limit associated with the at least one alarm type based on population-average data and pattern in the alarm rate for a patient.

3. The method of claim 1 further comprising setting the alarm level based on the at least one alarm type and physiological condition of a patient.

4. The method of claim 1 further comprising checking if an alarm rate exceeds a pre-defined alarm rate limit.

5. The method of claim 1, wherein the patient data comprises at least one of an age of the patient, gender of the patient, historical disease data of the patient, and historical alarm level data for that patient.

6. The method of claim 1, wherein the one or more pre-defined conditions comprises at least one of patient intervention and a pause signal, the pause signal being generated when a patient is being serviced.

7. A physiological monitoring system comprising:

one or more monitoring stations configured to monitor one or more alarm events associated with one or more alarm signals, the one or more alarm signals being associated with one or more patients; and

a processor comprising an alarm level adaptation module configured to;

identify a pattern in sequence of detected alarm events associated with at least one alarm type by tracking an alarm rate associated with the alarm type for a pre-defined time interval, the at least one alarm type being associated with the one or more alarm signals;

set an alarm rate limit associated with the at least one alarm type based on population-average data and pattern in the alarm rate for a patient;

adjust the alarm level associated with the at least one alarm type based on the identified pattern in the sequence of the alarm events, the alarm rate and patient data; and

suppress the one or more alarm events via automatic resetting of the alarm level based on one or more pre-defined conditions.

8. The system of claim 7 further comprising a display panel configured to display the alarm level and the at least one alarm type.

9. The system of claim 7 further comprising a processor configured to validate one or more alarm events associated with the one or more alarm signals.

11. The system of claim 7, wherein the alarm level adaptation module is further configured to check if an alarm rate exceeds a pre-defined alarm rate limit.

12. The system of claim 7, wherein the alarm level adaptation module is further configured to set the alarm level based on the at least one alarm type and physiological condition of the one or more patients.

13. The system of claim 7, wherein the one or more pre-defined conditions comprises at least one of patient intervention and a pause signal, the pause signal being generated when the one or more patients are being serviced.

14. The system of claim 7, wherein the patient data comprises at least one of an age of the patient, a gender of the patient, historical disease data of the patient, and historical alarm level data for that patient.

15. The system of claim 7, wherein the physiological monitoring system is a centralized patient monitoring system.

16. The system of claim 7, wherein the one or more monitoring stations monitor one or more of an electrocardiogram (ECG), non-invasive blood pressure (NBP) and specific blood oxygen (SPO2).

17. The system of claim 7, wherein the alarm rate comprises a short-term average frequency of the occurrence of the one or more alarm events associated with an alarm type.

18. The system of claim 7, wherein the at least one alarm type comprises an alarm for premature ventricular contraction, asystole, artifact, heart rate, couplet and tachycardia.

19. The system of claim 7, wherein the alarm level comprises respective levels for a system message, a system advisory, a system warning, a message, an advisory warning and a crisis.

10. (canceled)