Patient monitoring

• US 8,510,126 B2
• Filed: 02/24/2008
• Issued: 08/13/2013
• Est. Priority Date: 02/24/2008
• Status: Expired due to Fees

• Current Assignee: Vesselin Zlatev
• Original Assignee: Regents of the University of California (University of California), Vesselin Zlatev
• Inventors: Martin, Neil A., Hu, Xiao, Buxey, Farzad D., Zlatev, Vesselin, Sapo, Monica
• Primary Examiner(s): Gilligan, Luke
• Application Number:
  US12/036,285
• Publication Number:
  US 20090216556A1
• Time in Patent Office: 1,997 Days
• Field of Search: 705 2- 3, 600/300
• US Class Current: 705/2
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

Some embodiments of the invention provide a method for monitoring patients in a unit of a hospital, an entire hospital, or several hospitals. In some of these embodiments, the methods receives data pertaining to multiple patients. The method aggregates the data and calculated scores based on the received data. The method also calculates trends associated with the aggregated data and/or the generated scores. The method further displays the aggregated and calculated data in a unified display that facilitates efficient allocation of resources in the hospital unit, the hospital, or the group of hospitals.

Claims

1. An automated method for monitoring a plurality of patients to prioritize patient care in a least two hospitals, the method comprising:

receiving an unsorted listing of a plurality of clinical data for a plurality of patients from a server through a connection to the Internet, the server receiving the plurality of clinical data from the at least two hospitals;

sorting the unsorted listing of the plurality of clinical data using software executing on the server;

calculating severity scores from said plurality of clinical data using software executing on the server;

providing a unified display for displaying said clinical data and said severity scores; and

displaying said clinical data and said severity scores on a unified display,

wherein said unified display is sorted based on a condition to monitor,

wherein said unified display displays at least two numeric severity scores associated with the clinical data for each patient,

wherein each said severity score is based on at least two components of clinical data, and

wherein the server is located at one hospital and performs the steps of receiving an unsorted list, sorting the unsorted list, and calculating the severity scores for the at least two hospitals.

2. The method of claim 1, wherein the step of sorting the unsorted listing of the plurality of clinical data is based on a user request that specifies the condition to monitor through a particular sorting of the clinical data.

3. The method of claim 1, wherein the step of sorting the unsorted listing of the plurality of clinical data is according to a configuration setting that specifies a condition to monitor through a predetermined sorting of the clinical data.

4. The method of claim 3, wherein the configuration setting comprises a stored user request that previously specified the condition to monitor through a particular sorting of the clinical data.

5. The method of claim 1, further comprising calculating trends associated with the data to include within the unified display of the data.

6. The method of claim 1, wherein the severity score is one of Acute Physiology and Chronic Health Examination (APACHE), APACHE II, Simplified Acute Physiology Score (SAPS), SAPS II, and Modified Early Warning Score (MEWS).

7. The method of claim 1, further comprising prioritizing care for a first patient over care for a second patient when the first patient'"'"'s associated severity score and trend indicates that the first patient needs more urgent care than the second patient.

8. The method of claim 1 further comprising disseminating said unified display to a device of at least one different data recipient.

9. The method of claim 1, wherein the plurality of clinical data comprises at least two vital statistics of blood pressure, heart rate, urine output, respiratory rate, temperature, oxygen saturation, glucose level, and AVPU (Alert, reacting to Voice, reacting to Pain, Unresponsive) score.

10. The method of claim 1 further comprising providing a user interface tool for sorting said data according to data values of a particular parameter of the clinical data.

11. The method of claim 1, wherein the patients are in a single unit of a single hospital.

12. The method of claim 1, wherein at least two different patients are in two different units of a single hospital.

13. The method of claim 1, wherein at least two different patients are in two different hospitals.

14. An automated method for determining an order of patients to be discharged in one or more units of a hospital, the method comprising:

providing a list of medical care receiving patients via software executing on a server;

providing a set of clinical data and two or more numeric severity scores selected from the group of Acute Physiology and Chronic Health Examination (APACHE), APACHE II, Simplified Acute Physiology Score (SAPS), SAPS II, and Modified Early Warning Score (MEWS) for each patient via software executing on a server;

displaying the list of medical care receiving patients on a user interface;

sorting the list by at least one clinical data and one numeric severity score, the list being first unsorted and a configuration setting specifies a particular sorting of the list; and

defining a set of patients to discharge from a unit of a hospital based on the particular sorting the data and scores,

wherein the unit is at least one of an intensive care unit (ICU), an intermediary step-down unit, and a general ward of the hospital, and

wherein each said severity score is based on at least two components of clinical data.

15. The method of claim 14 further comprising defining a set of patients that require immediate assistance from a rapid response team based on a particular sorting the data and scores.

16. The method of claim 15, wherein the defining the set of patients that require immediate assistance from the rapid response team comprises comparing values for the clinical data and the set of scores to a set of predefined threshold clinical data values and score values.

17. An automated method for monitoring patients in one or more units of a hospital, the method comprising:

aggregating a plurality of clinical data parameters for a plurality of patients using software executing on a server,

wherein aggregating said plurality of clinical data parameters comprises calculating at least two numeric severity scores for each patient; and

generating an automated alert for a particular patient when values for at least one of the severity scores for the particular patient exceed specified thresholds, the automated alert including said severity score;

identifying at least one responder based on a responder specialty and the particular severity score that exceeds the threshold; and

transmitting the alert to the identified responder,

wherein each said severity score is based on at least two components of clinical data, and

wherein the alert is at least one of;

an audible alarm, a pop-up message on a screen, a visual alarm, a pager message, an e-mail message, and a Short Message Service (SMS) message.

18. The method of claim 17, wherein said aggregated data parameters comprise at least two of a vital sign, a severity score, a first trend relating the vital sign to at least one earlier vital sign, and a second trend relating the severity score to at least one earlier severity score,

wherein the specified thresholds specify acceptable value ranges for the vital sign, severity score, first trend, and second trend.

19. A graphical user interface (GUI) for presenting clinical data, said GUI comprising:

a display area for displaying a plurality of medical care receiving patients; and

a list within the display area for providing at least one clinical data and at least two numeric severity scores associated with each patient, wherein the list is sortable by at least one of the clinical data and one of said severity scores, the list being first unsorted and a configuration setting specifies a particular sorting of the list, wherein the configuration setting comprises a stored user request that previously specified the condition to monitor through a particular sorting of the clinical data;

wherein the GUI is displayed on a user interface, the user interface comprising a tool for specifying a sorting of the patients and the list within the display area, and

wherein each said severity score is based on at least two components of clinical data,

wherein the clinical data and the at least two numeric severity scores are provided to the GUI via software executing on a server, the server receiving the clinical data from at least two hospitals.

20. The GUI of claim 19, wherein at least one of said severity scores is selected from a group of Acute Physiology and Chronic Health Examination (APACHE), APACHE II, Simplified Acute Physiology Score (SAPS), SAPS II, and Modified Early Warning Score (MEWS).