GENERATING INFORMATIVE ALARM NOTIFICATIONS TO IDENTIFY PATIENT NEED AND DATA QUALITY

• US 20170098358A1
• Filed: 10/01/2015
• Published: 04/06/2017
• Est. Priority Date: 10/01/2015
• Status: Abandoned Application

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: BECHTEL, TODD, OSBORNE, ELIZABETH FAY, ARE, SASANKA, KOMAREK, JASON ANDREW, SIEBERS, SCOTT GORDON
• Application Number:
  US14/872,866
• Publication Number:
  US 20170098358A1
• Time in Patent Office: Days
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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 5/746 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 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

Methods and graphical user interfaces are provided for generating alarm notifications. For each of a plurality of patients, an alarm hotspot may be detected in near-real time. An alarm hotspot is detected using indications of alarms issued by devices that monitor a patient in a hospital setting. Once detected, the alarm hotspot is analyzed, in near-real time, so as to identify that one or more interventions are available for performance by a clinician. An action may include a clinician changing a lead, tuning a monitor limit, undertaking an intervention that addresses a physiological or non-physiological aspect of the patient that triggered an alarm, or a combination thereof. Then, alarm hotspot information and the identified action are communicated to a clinician in near-real time using an easily consumable notification.

Claims

1. A computer-implemented method for generating visual or audible alarm notifications at a clinician endpoint in real time, the method comprising:

for each of a plurality of patients;

detecting an alarm hotspot, wherein an alarm hotspot includes one or more indications of a monitor alarm issuance;

analyzing the alarm hotspot in near-real time; and

communicating, in near-real time, a notification of the alarm hotspot to the clinician, wherein the notification indicates one or more changing a lead, tuning a monitor alarm limit, and an intervention, are available to the clinician.

2. The method of claim 1, wherein detecting an alarm hotspot further comprises:

aggregating monitor alarm issuance information using the one or more indications of the monitor alarm issuances.

3. The method of claim 1, wherein detecting an alarm hotspot further comprises:

determining that the one or more indications of monitor alarm issuances qualify as an alarm hotspot based on two or more of;

a number of monitor alarm issuances;

the duration of alarm issuances;

a monitor alarm severity indication;

a monitor alarm urgency indication; and

a defined time period.

4. The method of claim 1, wherein detecting an alarm hotspot further comprises:

determining there is alarm acceleration based on the one or more indications.

5. The method of claim 1, wherein analyzing the alarm hotspot in real time to identify an action to be performed by a clinician further comprises:

determining that at least one of the one or more indications of the monitor alarm issuances has an increased likelihood of resulting from a data artifact, wherein the data artifact is an inaccurate reading from a monitoring device.

6. The method of claim 1, wherein analyzing the alarm hotspot in near-real time to identify an action to be performed by a clinician further comprises:

determining at least one alarm setting of a monitoring device is not tuned with specificity to an individual patient.

7. The method of claim 6, wherein analyzing the alarm hotspot in real time to identify an action to be performed by a clinician further comprises:

determining a first modified setting of the at least one alarm setting of the monitoring device, such that the first modified setting is tuned with specificity to an individual patient.

8. A graphical user interface (GUI) for presenting a clinician dashboard with visual alarm notifications for a plurality of patients, the GUI comprising:

a patient list including a plurality of patients assigned to a medical service, a clinician, or both;

a location having an alarm notification that indicates an alarm issuance specific to a device, wherein the device measures patient data and wherein the alarm notification, as presented, is automatically updated in near-real time; and

when it is determined that the alarm issuance specific to the device qualifies as an alarm hotspot, an alarm hotspot notification that indicates the alarm hotspot is automatically generated for presentation to the clinician at the location.

9. The graphical user interface of claim 8, further comprising:

at the location, the real-time alarm notification that provides an indication of alarm issuances specific to a device includes a visual enhancement that indicates that the alarm issuances are determined to be an alarm hotspot.

10. The graphical user interface of claim 8, further comprising:

a second location corresponding to the patient list, such that an identifier for each of the plurality of patients monitored by the clinician is presented at the second location.

11. The graphical user interface of claim 8, wherein the real-time alarm notification is selectable, and when the real-time alarm notification is selected, the GUI further includes:

a pop-up window that presents detailed alarm visualizations.

12. The graphical user interface of claim 8, further comprising:

within the location, a near-real-time trend indicator is presented adjacent to the indication of alarm issuances specific to the device, wherein the real-time trend indicator indicates alarm acceleration or alarm deceleration of the device.

13. The graphical user interface of claim 12, wherein the real-time trend indicator is selectable, and when the real-time trend indicator is selected, the GUI includes:

a pop-up window that presents detailed alarm trend information.

14. A graphical user interface (GUI) for presenting alarm visualizations to a clinician in real time regarding a plurality of patients, comprising:

a plurality of cells, each cell including a location indicator and a patient indicator, each cell being specific to one patient that corresponds to the patient indicator, the patient being assigned to the same medical unit; and

when a determination of an alarm hotspot is made regarding the patient, the cell corresponding to the patient further includes an alarm hotspot visualization representing at least one monitor alarm issuance specific to the patient, wherein the alarm hotspot visualization is a representation of a timeline of the alarm hotspot or a representation of a most recent time interval of the alarm hotspot.

15. The graphical user interface of claim 14, wherein the alarm hotspot visualization is a bubble chart, block chart, ladder chart, graph, or table that updates in real time to reflect one or more alarms triggered for the patient.

16. The graphical user interface of claim 14, wherein the alarm hotspot visualization includes an alert icon that indicates a severity level of the alarm hotspot.

17. The graphical user interface of claim 14, further comprising:

within the at least one column, a real-time trend indicator is presented adjacent to the indication of monitor alarm issuances specific to the first monitor, wherein the real-time trend indicator indicates alarm acceleration or alarm deceleration of the first monitor.

18. The graphical user interface of claim 17, wherein the real-time trend indicator is selectable, and when the real-time trend indicator is selected, the GUI includes:

a pop-up window that presents detailed alarm trends information.

19. The graphical user interface of claim 18, wherein the alarm hotspot visualization is selectable such that in response to selection, a drill-down detail window is presented that includes detailed alarm hotspot information.

20. The graphical user interface of claim 19, wherein the drill-down detail window simultaneously presents patient-specific information for more than one alarm hotspot.