Systems and methods for assessing risks of pressure ulcers

• US 9,135,804 B2
• Filed: 03/06/2013
• Issued: 09/15/2015
• Est. Priority Date: 03/23/2012
• Status: Active Grant

• Current Assignee: Persimmon Scientific, Inc.
• Original Assignee: Persimmon Scientific, Inc.
• Inventors: Hann, Elly
• Primary Examiner(s): PHAM, QUANG
• Application Number:
  US13/786,975
• Publication Number:
  US 20130249695A1
• Time in Patent Office: 923 Days
• Field of Search: 340/573.7
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/441 Skin evaluation, e.g. for skin disorder diagnosis
• CPC Class Codes: A61B 5/445 Evaluating skin irritation or skin trauma, e.g. rash, eczema, wound, bed sore
• CPC Class Codes: A61B 5/4842 Monitoring progression or stage of a disease
• 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: G06Q 10/06311 Scheduling, planning or task assignment for a person or group
• CPC Class Codes: G08B 21/0438 Sensor means for detecting
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

A system, method and computer program product for assessing a risk of developing pressure ulcers, including a user input unit configured to receive facility setting information and objective and subjective information of a patient for a plurality of categories of patient data; a correlation unit configured to determine a corresponding risk value of developing a pressure ulcer for each category of patient data, based on the patient data received in each category; and a risk determination unit configured to determine a level of risk of a patient developing a pressure ulcer based on the correlated risk values.

Claims

1. A computer implemented system for assessing a risk of developing pressure ulcers, the system comprising:

a user input unit configured to receive a plurality of patient data, the plurality of patient data for each patient data comprising facility setting information indicative of a location of a patient receiving care and objective and subjective information of said patient for a plurality of categories of said patient data, wherein the facility setting information includes a home facility setting, a hospital facility setting, a nursing home facility setting, a home health care facility setting, and a hospice facility setting,

a national database is populated based on the plurality of patient data, including National Database for Nursing Quality Indicators, and a nursing outcomes data registry;

a correlation unit configured to determine a corresponding risk value of developing a pressure ulcer for each category of the patient data for each patient, based on the patient data received in each category, adjust the corresponding risk value for each category of the patient data for each patient based on the facility setting information, and correlate the corresponding risk value for each category of the patient data for each patient based on the patient data and the facility setting information;

a risk determination unit configured to determine a level of risk of each patient developing a pressure ulcer based on the correlated risk values of the plurality of categories of the patient data for each patient;

the level of risk including a high risk level, a medium risk level, and a low risk level; and

a plurality of sensors, configured to measure the objective data of a respective patient, that integrate with the risk determination unit to automatically adjust the level of risk of said respective patient based on the correlated risk values of the plurality of categories of the patient data of the respective patient and inputted information from the plurality of sensors;

wherein

the risk determination unit is configured to default the level of risk based on the highest correlated risk value of the plurality of categories of the patient data,

the risk determination unit is configured to display, via a display unit, based on the plurality of patient data, patient information with color coded indicators corresponding to patients with an active pressure ulcer, and patients with a previous pressure ulcer, and

the risk determination unit is configured to, based on the plurality of patient data and the inputted information from the plurality of sensors of the respective patient, determine and display a patient safety measurement, and nursing quality information, including a nursing quality measurement, and a nursing performance measurement;

wherein real-time streaming information from the plurality of sensors is automatically adjusted for re-position reminders for the plurality of patients;

an electronic message system configured for sending reminder messages based on the re-position reminders for the plurality of patients; and

wherein the user input unit configured for submitting pressure ulcer risk prevention measures to the nursing outcomes data registry, including

a user interface configured to display only when a risk level of a patient is at a predetermined level,

an inputted check list from pressure ulcer risk prevention which populates a nursing outcomes data form,

an automated documentation tool for nursing staff, which verifies when pressure ulcer prevention tasks are completed, and

an automated process between pressure ulcer assessment with data input completion of the nursing outcomes data registries;

a device for real-time measurement of nursing outcomes quality indicators, including a quality measurement device configured to bypasses manual entries, and a quality measurement linked to an individual user or an archived period;

a device for continuously transmitting pressure ulcer risk assessment and education data remotely via the internet to healthcare providers; and

a device for integrating pressure ulcer risk level assessment with robotics technology, including

a system configured for instructing a robot when re-positioning is due, the robot configured for assistance with the re-positioning,

a documentation system configured for documenting when a patient is re-positioned, and

an electronic message system configured to send a message to a user regarding the pressure ulcer risk level assessment and the re-positioning.

2. The system of claim 1, further comprising:

a color-coded visual display configured to display risk levels corresponding to the correlated risk values, and including a numerical and word display;

a multi-user platform configured to allow viewing of the risk levels for allocation of nursing coverage in real time; and

a trend system configured to allow tracking of progress of an individual patient, and accessible from a remote location.

3. The system of claim 1, further comprising:

a sorting system configured to sort of the plurality of patients with similar risk levels;

the display unit configured for representing by color indicators similar risk levels;

a display screen or printable sheet of at-risk patients to improve nursing workflow;

an assessment tool configured to allow for re-positioning in real time;

a notification device configured for sending re-position reminders for a group of patients;

a visual screen configured for displaying at-risk patients simultaneously; and

a visual system configured for improving continuity of care during shift changes.

4. The system of claim 1, further comprising:

the display unit configured to indicate information including patients with a particular medical history, including a symbol which indicates a patient with certain medical history, and a visual display of the information in a nursing workflow.

5. A computer implemented method for assessing a risk of developing pressure ulcers, the method comprising:

receiving a plurality of patient data with a user input unit, the plurality of patient data for each patient data comprising facility setting information indicative of a location of a patient receiving care and objective and subjective information of said patient for a plurality of categories of said patient data, wherein the facility setting information includes a home facility setting, a hospital facility setting, a nursing home facility setting, a home health care facility setting, and a hospice facility setting,

a national database is populated based on the plurality of patient data, including National Database for Nursing Quality Indicators, and a nursing outcomes data registry;

determining with a correlation unit a corresponding risk value of developing a pressure ulcer for each category of the patient data for each patient, based on the patient data received in each category;

adjusting with the correlation unit the corresponding risk value for each category of the patient data for each patient based on the facility setting information, and

correlating with the correlation unit the corresponding risk value for each category of the patient data for each patient based on the patient data and facility setting information;

determining with a risk determination unit a level of risk for each patient developing a pressure ulcer based on the correlated risk values of the plurality of categories of the patient data for each patient, the level of risk including a high risk level, a medium risk level, and a low risk level,

measuring with a plurality of sensors, the objective data of a respective patient, that integrate with the risk determination unit to automatically adjust the level of risk of said respective patient based on the correlated risk values of the plurality of categories of the patient data of the respective patient and inputted information from the plurality of sensors;

defaulting with the risk determination unit the level of risk based on the highest correlated risk value of the plurality of categories of the patient data,

displaying with a display unit connected to the risk determination unit, based on the plurality of patient data, patient information with color coded indicators corresponding to patients with an active pressure ulcer, and patients with a previous pressure ulcer; and

determining and displaying with the risk determination unit, based on the plurality of patient data and the inputted information from the plurality of sensors of the respective patient, a patient safety measurement, and nursing quality information, including a nursing quality measurement, and a nursing performance measurement;

wherein real-time streaming information from sensors is automatically adjusted for re-position reminders for the plurality of patients;

an electronic message system configured for sending reminder messages based on the re-position reminders for the plurality of patients; and

wherein the user input unit configured for submitting pressure ulcer risk prevention measures to the nursing outcomes data registry, including

a user interface configured to display only when a risk level of a patient is at a predetermined level,

an inputted check list from pressure ulcer risk prevention which populates a nursing outcomes data form,

an automated documentation tool for nursing staff, which verifies when pressure ulcer prevention tasks are completed, and

an automated process between pressure ulcer assessment with data input completion of the nursing outcomes data registries;

a device for real-time measurement of nursing outcomes quality indicators, including a quality measurement device configured to bypasses manual entries, and a quality measurement linked to an individual user or an archived period;

a device for continuously transmitting pressure ulcer risk assessment and education data remotely via the internet to healthcare providers; and

a device for integrating pressure ulcer risk level assessment with robotics technology, including

a system configured for instructing a robot when re-positioning is due, the robot configured for assistance with the re-positioning,

a documentation system configured for documenting when a patient is re-positioned, and

an electronic message system configured to send a message to a user regarding the pressure ulcer risk level assessment and the re-positioning.

6. The method of claim 5, further comprising:

displaying with a color-coded visual display risk levels corresponding to the correlated risk values, and including a numerical and word display;

viewing with a multi-user platform the risk levels for allocation of nursing coverage in real time; and

tracking with a trend system progress of an individual patient, and accessible from a remote location.

7. The method of claim 5, further comprising:

sorting of the plurality of patients with similar risk levels with a sorting system;

representing by color indicators similar risk levels with the display unit;

providing a display screen or printable sheet of at-risk patients to improve nursing workflow;

allowing for re-positioning in real time with an assessment tool;

sending re-position reminders for a group of patients with a notification device;

displaying at-risk patients simultaneously with a visual screen; and

improving continuity of care during shift changes with a visual system.

8. The method of claim 5, further comprising:

indicating information with the display unit and including patients with a particular medical history, including a symbol which indicates a patient with certain medical history, and a visual display of the information in a nursing workflow.

9. A computer program product for assessing a risk of developing pressure ulcers, and including one or more computer readable instructions embedded on a tangible, non-transitory computer readable medium and configure to cause one or more computer processors to perform the steps of:

receiving a plurality of patient data with a user input unit, the plurality of patient data for each patient data comprising facility setting information indicative of a location of a patient receiving care and objective and subjective information of said patient for a plurality of categories of said patient data, wherein the facility setting information includes a home facility setting, a hospital facility setting, a nursing home facility setting, a home health care facility setting, and a hospice facility setting, a national database is populated based on the plurality of patient data, including National Database for Nursing Quality Indicators, and a nursing outcomes data registry;

determining with a correlation unit a corresponding risk value of developing a pressure ulcer for each category of the patient data for each patient, based on the patient data received in each category;

adjusting with the correlation unit the corresponding risk value for each category of the patient data for each patient based on the facility setting information, and

correlating with the correlation unit the corresponding risk value for each category of the patient data for each patient based on the patient data and facility setting information;

determining with a risk determination unit a level of risk for each patient developing a pressure ulcer based on the correlated risk values of the plurality of categories of the patient data for each patient, the level of risk including a high risk level, a medium risk level, and a low risk level;

measuring with a plurality of sensors, the objective data of a respective patient, that integrate with the risk determination unit to automatically adjust the level of risk of said respective patient based on the correlated risk values of the plurality of categories of the patient data of the respective patient and inputted information from the plurality of sensors;

defaulting with the risk determination unit the level of risk based on the highest correlated risk value of the plurality of categories of the patient data,

displaying with a display unit connected to the risk determination unit, based on the plurality of patient data, patient information with color coded indicators corresponding to patients with an active pressure ulcer, and patients with a previous pressure ulcer; and

determining and displaying with the risk determination unit, based on the plurality of patient data and the inputted information from the plurality of sensors of the respective patient, a patient safety measurement, and nursing quality information, including a nursing quality measurement, and a nursing performance measurement;

wherein real-time streaming information from sensors is automatically adjusted for re-position reminders for the plurality of patients;

an electronic message system configured for sending reminder messages based on the re-position reminders for the plurality of patients; and

wherein the user input unit configured for submitting pressure ulcer risk prevention measures to the nursing outcomes data registry, including

a user interface configured to display only when a risk level of a patient is at a predetermined level,

an inputted check list from pressure ulcer risk prevention which populates a nursing outcomes data form,

an automated documentation tool for nursing staff, which verifies when pressure ulcer prevention tasks are completed, and

an automated process between pressure ulcer assessment with data input completion of the nursing outcomes data registries;

a device for real-time measurement of nursing outcomes quality indicators, including a quality measurement device configured to bypasses manual entries, and a quality measurement linked to an individual user or an archived period;

a device for continuously transmitting pressure ulcer risk assessment and education data remotely via the internet to healthcare providers; and

a device for integrating pressure ulcer risk level assessment with robotics technology, including

a system configured for instructing a robot when re-positioning is due, the robot configured for assistance with the re-positioning,

a documentation system configured for documenting when a patient is re-positioned, and

an electronic message system configured to send a message to a user regarding the pressure ulcer risk level assessment and the re-positioning.

10. The computer program product of claim 9, further comprising:

displaying with a color-coded visual display risk levels corresponding to the correlated risk values, and including a numerical and word display;

viewing with a multi-user platform the risk levels for allocation of nursing coverage in real time; and

tracking with a trend system progress of an individual patient, and accessible from a remote location.

11. The computer program product of claim 9, further comprising:

sorting of the plurality of patients with similar risk levels with a sorting system;

representing by color indicators similar risk levels with the display unit;

providing a display screen or printable sheet of at-risk patients to improve nursing workflow;

allowing for re-positioning in real time with an assessment tool;

sending re-position reminders for a group of patients with a notification device;

displaying at-risk patients simultaneously with a visual screen; and

improving continuity of care during shift changes with a visual system.

12. The computer program product of claim 9, further comprising:

indicating information with the display unit and including patients with a particular medical history, including a symbol which indicates a patient with certain medical history, and a visual display of the information in a nursing workflow.