MANAGEMENT OF PATIENT FALL RISK

• US 20130127620A1
• Filed: 12/31/2012
• Published: 05/23/2013
• Est. Priority Date: 06/20/2011
• Status: Abandoned Application

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: SIEBERS, SCOTT GORDON, KLINDWORTH, KRISTOPHER C., FONSECA-SOLANO, RICARDO
• Application Number:
  US13/731,235
• Publication Number:
  US 20130127620A1
• Time in Patent Office: Days
• US Class Current: 340/573.1
• CPC Class Codes: A61B 2562/0252 Load cells
• CPC Class Codes: A61B 2562/029 Humidity sensors
• 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 5/1113 Local tracking of patients, e.g. in a hospital or private home
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/4824 Touch or pain perception evaluation A61B5/4821 takes precedence
• CPC Class Codes: A61B 5/6889 Rooms
• CPC Class Codes: A61B 5/6891 Furniture
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61G 7/00 Beds specially adapted for nursing; Devices for lifting patients or disabled persons stretchers with facilities for picking up patients or disabled persons A61G1/003
• CPC Class Codes: A61G 7/002 having adjustable mattress frame
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2021/0016 by the smell sense
• CPC Class Codes: A61M 2021/0027 : by the hearing sense
• CPC Class Codes: A61M 2021/0044 : by the sight sense
• CPC Class Codes: A61M 2021/005 : images, e.g. video
• CPC Class Codes: A61M 21/02 : for inducing sleep or relaxation, e.g. by direct nerve stimulation, hypnosis, analgesia for massage A61H; electrotherapy A61N, e.g. applying alternating or intermittent electric currents for producing anaesthesia A61N1/36021
• CPC Class Codes: A61M 2202/0241 : Anaesthetics; Analgesics
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/3306 : Optical measuring means
• CPC Class Codes: A61M 2205/3334 : Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3368 : Temperature
• CPC Class Codes: A61M 2205/3375 : Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/3553 : remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 : local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3584 : using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/3592 : using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 : with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/582 : by tactile feedback
• CPC Class Codes: A61M 2205/583 : by visual feedback
• CPC Class Codes: A61M 2205/6018 : providing set-up signals for the apparatus configuration
• CPC Class Codes: A61M 2205/6054 : Magnetic identification systems
• CPC Class Codes: A61M 2205/6072 : Bar codes
• CPC Class Codes: A61M 2205/80 : voice-operated command
• CPC Class Codes: A61M 2210/12 : Blood circulatory system
• CPC Class Codes: A61M 2230/06 : Heartbeat rate only
• CPC Class Codes: A61M 2230/42 : Rate
• CPC Class Codes: A61M 2230/62 : Posture
• CPC Class Codes: A61M 2230/63 : Motion, e.g. physical activity
• CPC Class Codes: A61M 5/142 : Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/172 : electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: A61M 5/1723 : using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G06Q 10/00 : Administration; Management
• CPC Class Codes: G06Q 50/22 : Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G06V 40/174 : Facial expression recognition
• CPC Class Codes: G08B 21/02 : Alarms for ensuring the safety of persons
• CPC Class Codes: G08B 21/043 : detecting an emergency event, e.g. a fall
• CPC Class Codes: G08B 21/0476 : Cameras to detect unsafe condition, e.g. video cameras
• CPC Class Codes: G08B 21/0492 : Sensor dual technology, i.e. two or more technologies collaborate to extract unsafe condition, e.g. video tracking and RFID tracking
• CPC Class Codes: G09B 5/02 : with visual presentation of the material to be studied, e.g. using film strip
• CPC Class Codes: G16H 10/60 : for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 : relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/17 : delivered via infusion or injection
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/50 : for simulation or modelling of medical disorders
• CPC Class Codes: G16H 50/70 : for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16H 70/00 : ICT specially adapted for the handling or processing of medical references

Abstract

Methods, computer systems, and computer-storage media are provided for facilitating the management of a patient'"'"'s fall risk. It is determined that the patient has previously been classified as a fall risk. Inputs are automatically received from fall risk sensors located in the patient'"'"'s clinical care room, and, based on the inputs received from the fall risk sensors, it is determined that the patient is currently at risk for falling. Alerts are initiated and settings for components within the clinical care room are adjusted to decrease the patient'"'"'s fall risk.

Claims

1. One or more computer-storage media having computer-executable instructions embodied thereon that, when executed by one or more computing devices, perform a method for managing fall risk for a patient in a clinical care room, the method comprising:

determining that the patient has previously been classified as a fall risk;

automatically receiving one or more inputs from one or more fall risk sensors in the clinical care room;

based on the one or more inputs, determining that the patient is currently at risk for falling;

initiating one or more alerts; and

adjusting settings for components in the clinical care room such that the patient'"'"'s fall risk is decreased.

2. The media of claim 1, wherein the one or more fall risk sensors comprise at least one of a bed weight sensor, a guard rail sensor, or a depth camera.

3. The media of claim 2, wherein the depth camera is used to monitor a location, movement, and position of the patient.

4. The media of claim 1, wherein determining that the patient has previously been classified as a fall risk comprises accessing the patient'"'"'s electronic medical record and identifying an indication that the patient has been classified as a fall risk.

5. The media of claim 1, further comprising:

prior to initiating the one or more alerts and prior to adjusting the setting for the components in the clinical care room, determining that a clinician is not present in the clinical care room.

6. The media of claim 5, wherein initiating one or more alerts comprises at least communicating a message to a message queue of a device associated with a clinician, wherein the message notifies the clinician that the patient is currently at risk for falling.

7. The media of claim 5, wherein adjusting settings for the components in the clinical care room comprises at least presenting a message on a display device in the clinical care room informing the patient to stay in bed and that a clinician has been notified.

8. One or more computer-storage media having computer-executable instructions embodied thereon that, when executed by one or more computing devices, perform a method for transitioning a clinical care room from a first scene to a second scene in order to facilitate management of a patient'"'"'s fall risk, the method comprising:

presenting the first scene in the clinical care room having one or more zones, the first scene being associated with a first group of setting for components within the one or more zones;

determining that the patient has previously been classified as being at risk for falling;

automatically receiving one or more inputs from fall risk sensors located in the clinical care room;

based on the one or more inputs from the fall risk sensors, determining that the patient is currently at risk for falling;

providing a second scene in the clinical care room, the second scene being associated with a second group of settings for the components within the one or more zones, the second group of settings optimized to facilitate the management of the patient'"'"'s fall risk.

9. The media of claim 8, wherein the components includes at least a patient interactive station component, a sensor interface, an interactive room link component, a connectivity engine, a medical device interface, a communication component, and a bed interface.

10. The media of claim 8, wherein the second group of settings comprises at least one of:

(A) displaying on a digital room sign located outside the clinical care room'"'"'s entrance an indication that the patient is currently at risk for falling,

(B) alerting one or more clinicians that the patient is currently at risk for falling,

(C) adjusting one or more lights in the clinical care room to facilitate management of the patient'"'"'s fall risk, and

(D) presenting a message on a display device in the clinical care room, the message informing the patient to stay in bed and that a clinician will be arriving to assist the patient.

11. The media of claim 10, wherein presenting the message on the display device comprises presenting a visual message and presenting an auditory message.

12. The media of claim 8, further comprising:

receiving an indication that management of the patient'"'"'s fall risk is successful; and

automatically providing the first scene in the clinical care room.

13. One or more computer-storage media having computer-executable instructions embodied thereon that, when executed by one or more computing devices, perform a method for managing fall risk for a patient in a clinical care room, the method comprising:

accessing the patient'"'"'s electronic medical record and determining that the patient is classified as a fall risk;

receiving one or more inputs from fall risk sensors in the clinical care room, the fall risk sensors comprising one or more of a weight sensor, a guard rail sensor, or a location sensor;

based on the one or more inputs, determining that the patient is currently at risk for falling;

determining that a clinician is not present in the clinical care room; and

initiating one or more actions, the one or more actions comprising;

(A) notifying one or more clinicians that the patient is currently at risk for falling, and

(B) communicating a message to the patient.

14. The media of claim 13, wherein the weight sensor and the guard rail sensor are located on the patient'"'"'s bed in the clinical care room.

15. The media of claim 13, wherein the location sensor comprises a depth camera.

16. The media of claim 13, wherein determining that a clinician is not present in the clinical care room comprises receiving a notification from a real-time-location-service that a clinician is not located in the clinical care room.

17. The media of claim 13, wherein notifying the one or more clinicians that the patient is currently at risk for falling comprises communicating an alert to a message queue of a device associated with each of the one or more clinicians.

18. The media of claim 17, wherein the alert is classified as a critical alert.

19. The media of claim 13, wherein the one or more actions further comprise displaying a message on a digital room sign located outside the clinical care room'"'"'s entrance an indication that the patient is currently at risk for falling.

20. The media of claim 13, wherein the message is communicated to the patient via a television in the clinical care room.