Methods for establishing certifiable informed consent for a medical procedure
First Claim
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1. A computer implemented method of establishing certifiable patient informed consent for a medical procedure, said method comprising the steps of:
- a. evaluating actual legal and medical requirements for establishing informed consent;
thenb. estimating legal and medical standards for establishing informed consent;
thenc. defining a set of computer measurable patient behaviors which can be approximately coincided with said estimated legal and medical standards;
thend. computer training with a first set of instructions said patient on desired aspects of said medical procedure through a computer controlled automatic utilization of preprogrammed information stored in a computer, ande. computer interacting with said patient in a standardized fashion through an automatic computer controlled use of preprogrammed information stored in said computer to produce computer measurable patient behaviors and computer measurable patient behaviors automatically varying said interaction; and
f. automatically computer analyzing said patient behaviors;
theng. determining whether said training should be adjusted depending on said analyzing said patient behaviors;
h. identifying which portions of said training should be adjusted;
i. modifying to create at least one modified portion of said training to a different set of instructions than said first set of instructions based on said step of determining whether said training should be adjusted;
j. continuing said interacting with said patient on said desired aspects of said medical procedure;
k. additionally training with said modified portion;
l. additionally computer interacting with said patient in a standardized fashion through an automatic computer controlled use of preprogrammed information stored in said computer to produce computer measurable patient behaviors said computer measurable patient behaviors automatically varying said interaction; and
m. additionally computer analyzing said patient behaviors;
thenn. additionally determining whether said training should be adjusted depending on said analyzing said patient behaviors;
o. additionally determining whether said training should be further adjusted;
p. computer providing an automatic indication of certifiability that said patient likely meets said legal and medical standards; and
q. obtaining informed consent of said patient.
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Abstract
A method for establishing certifiable patient informed consent for a medical procedure, where, in one embodiment, the patient interacts with a video training system until mastery of all required information is successfully achieved. Training techniques which permit elicitation of measurable behaviors from a patient as a guide to discerning the level of knowledge of the patient are utilized. Certification is only granted when the measurable behavior approximately coincide with the legal and medical standards for establishing informed consent. The system is capable of adapting to various medical procedures, as well as various patient attitudes and knowledge bases, while still maintaining a level of consistency throughout. In one embodiment, a minimum probability of understanding may be preset, and the training procedure will continue until the actual statistical probability of understanding is at least equal to the preset minimum. An interactive nature of the system is present in the present system for facilitating the training process and continuously monitoring the patient'"'"'s knowledge.
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Citations
31 Claims
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1. A computer implemented method of establishing certifiable patient informed consent for a medical procedure, said method comprising the steps of:
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a. evaluating actual legal and medical requirements for establishing informed consent;
thenb. estimating legal and medical standards for establishing informed consent;
thenc. defining a set of computer measurable patient behaviors which can be approximately coincided with said estimated legal and medical standards;
thend. computer training with a first set of instructions said patient on desired aspects of said medical procedure through a computer controlled automatic utilization of preprogrammed information stored in a computer, and e. computer interacting with said patient in a standardized fashion through an automatic computer controlled use of preprogrammed information stored in said computer to produce computer measurable patient behaviors and computer measurable patient behaviors automatically varying said interaction; and f. automatically computer analyzing said patient behaviors;
theng. determining whether said training should be adjusted depending on said analyzing said patient behaviors; h. identifying which portions of said training should be adjusted; i. modifying to create at least one modified portion of said training to a different set of instructions than said first set of instructions based on said step of determining whether said training should be adjusted; j. continuing said interacting with said patient on said desired aspects of said medical procedure; k. additionally training with said modified portion; l. additionally computer interacting with said patient in a standardized fashion through an automatic computer controlled use of preprogrammed information stored in said computer to produce computer measurable patient behaviors said computer measurable patient behaviors automatically varying said interaction; and m. additionally computer analyzing said patient behaviors;
thenn. additionally determining whether said training should be adjusted depending on said analyzing said patient behaviors; o. additionally determining whether said training should be further adjusted; p. computer providing an automatic indication of certifiability that said patient likely meets said legal and medical standards; and q. obtaining informed consent of said patient. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A computer implemented method of applying an instructional system development (ISD) model to certify a patient'"'"'s informed consent to a particular medical procedure, said method comprising the steps of:
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a. analyzing said medical procedure comprising the steps of; (1) compiling fundamental information on said medical procedure;
then(2) selecting information which may be stored within a computer and which is legally likely to be necessary for informed consent;
thenb. designing a computer stored system utilizing said ISD model for computer training said patient on said selected information; c. computer training with a first set of instructions said patient on desired aspects of said medical procedure through a computer controlled automatic utilization of preprogrammed information stored in a computer; and d. computer interacting with said patient in a standardized fashion through an automatic computer controlled use of preprogrammed information stored in said computer to produce computer measurable patient behaviors and computer measurable patient behaviors automatically varying said interaction; and e. automatically computer analyzing said patient behaviors;
thenf. determining whether said training should be adjusted depending on said analyzing said patient behaviors; g. automatically periodically performing computer controlled criterion referenced testing on said patient wherein said testing automatically varies said computer controlled presentation; h. identifying which portions of said training should be adjusted; i. modifying to create at least one modified portion of said training to a different set of instructions than said first set of instructions based on said step of determining whether said training should be adjusted; j. continuing said interacting with said patient on said desired aspects of said medical procedure; k. additionally training with said modified portion; l. additionally computer interacting with said patient in a standardized fashion through an automatic computer controlled use of preprogrammed information stored in said computer to produce computer measurable patient behaviors said computer measurable patient behaviors automatically varying said interaction; and m. additionally computer analyzing said patient behaviors;
thenn. additionally determining whether said training should be adjusted depending on said analyzing said patient behaviors; o. additionally determining whether said training should be further adjusted; p. computer providing an automatic indication of certifiability that said patient likely meets said legal and medical standards; and q. obtaining informed consent of said patient. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31)
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Specification
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Current AssigneeCognizant Trizetto Software Group Incorporated (Cognizant Technology Solutions Corp.)
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Original AssigneeMedical Training & Services International, Inc.
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InventorsRakshit, Amitabha, Judd, Wilson A.
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Primary Examiner(s)Weinhardt, Robert A.
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Assistant Examiner(s)TKACS, STEPHEN R
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Application NumberUS07/886,384Time in Patent Office2,289 DaysField of Search364/413.01, 364/413.02, 364/401, 434/219, 434/224, 434/307, 434/309, 434/321, 434/323, 434/350, 705/2US Class Current705/2CPC Class CodesG09B 19/00 Teaching not covered by oth...G09B 23/28 for medicineG09B 7/04 characterised by modifying ...G16H 10/60 for patient-specific data, ...G16H 70/20 relating to practices or gu...
