Physiological parameter measuring platform device supporting multiple workflows

• US 9,265,429 B2
• Filed: 03/31/2010
• Issued: 02/23/2016
• Est. Priority Date: 09/18/2009
• Status: Active Grant

• Current Assignee: Welch Allyn Incorporated
• Original Assignee: Welch Allyn Incorporated
• Inventors: St. Pierre, Shawn C., Ahn, Esther N., Bailey, Eric J., Garrant, Michael D., Graves, Roger W., Kilian, Jennifer M., Myers, Thomas A.
• Primary Examiner(s): HUNNINGS, TRAVIS R
• Application Number:
  US12/751,579
• Publication Number:
  US 20110071420A1
• Time in Patent Office: 2,155 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/7445 Display arrangements, e.g. multiple display units
• 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: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A device obtains a series of measurements of a physiological parameter of a monitored patient when the device is operating within a monitoring workflow. The device displays a monitoring workflow home screen when the device is operating within the monitoring workflow. The monitoring workflow home screen contains a representation of the physiological parameter of the monitored patient. In addition, the device obtains a measurement of the physiological parameter of each patient in a series of patients when the device is operating within a non-monitoring workflow. The device displays a non-monitoring workflow home screen when the device is operating within the non-monitoring workflow. The non-monitoring workflow home screen contains a representation of the physiological parameter of a given patient in the series of patients. The monitoring workflow home screen is different than the non-monitoring workflow home screen.

Claims

1. A physiological measuring platform (PMP) device comprising:

a central processing unit (CPU) that is configured to control operation of the PMP device;

a display screen; and

a set of one or more computer readable data storage media storing software instructions that, when executed by the CPU, cause the PMP device to;

obtain a series of measurements of a physiological parameter of a monitored patient when the PMP device is operating within a monitoring workflow;

display, on the display screen, a monitoring workflow home screen when the PMP device is operating within the monitoring workflow, the monitoring workflow home screen containing at least one non-compressed monitoring parameter frame including;

a first representation of the physiological parameter of the monitored patient and a first representation label, the first representation based on a measurement in the series of measurements; and

at least one user-selectable control;

obtain a measurement of the physiological parameter of each patient in a series of patients when the PMP device is operating within a non-monitoring workflow;

display, on the display screen, a non-monitoring workflow home screen when the PMP device is operating within the non-monitoring workflow, the non-monitoring workflow home screen containing at least one non-compressed non-monitoring parameter frame including a second representation of the physiological parameter of a given patient in the series of patients and a second representation label, the second representation based on the measurement of the physiological parameter of the given patient in the series of patients, the monitoring workflow home screen being different than the non-monitoring workflow home screen;

display, on the display screen, an alarms screen when the PMP device is operating within the monitoring workflow, the alarms screen enabling a user to configure global alarm settings and parameter-specific alarm settings, wherein the alarms screen includes a compressed parameter reporting area, the compressed parameter reporting area containing a compressed parameter frame containing a third representation of live physiological parameters of the given patient;

display, on the display screen, an alarm message describing a first alarm when the first alarm is active, the first alarm being active when a given measurement of the physiological parameter is outside an alarm range for the physiological parameter; and

when a second alarm is active at the same time as the first alarm, modify, on the display screen, the alarm message to describe the second alarm when a user selects the alarm message, the second alarm being active when a second given measurement of a second physiological parameter is outside an alarm range for the second physiological parameter,

wherein the user-selectable control is not included in the compressed parameter frame in the alarms screen.

2. The PMP device of claim 1, wherein the software instructions, when executed by the CPU, cause the PMP device to display a settings screen on the display screen, the settings screen enabling the user to select a workflow within which the PMP device is to operate.

3. The PMP device of claim 1,

wherein the alarms screen includes an upper limit control and a lower limit control;

wherein the upper limit control includes a numerical portion, an up button, and a down button, the numerical portion of the upper limit control specifying an upper limit for an alarm associated with the physiological parameter; and

wherein the lower limit control includes a numerical portion, an up button, and a down button, the numerical portion of the lower limit control specifying a lower limit for the alarm;

wherein the software instructions, when executed by the CPU, cause the PMP device to;

incrementally increase the upper limit for the alarm when the user selects the up button of the upper limit control;

incrementally decrease the upper limit for the alarm when the user selects the down button of the upper limit control;

enable the user to manually enter a value for the upper limit for the alarm when the user selects the numerical portion of the upper limit control;

incrementally increase the lower limit for the alarm when the user selects the up button of the lower limit control;

incrementally decrease the lower limit for the alarm when the user selects the down button of the lower limit control; and

enable the user to manually enter a value for the lower limit for the alarm when the user selects the numerical portion of the lower limit control;

wherein values for the upper and lower limits selected by the user are validated so that values falling outside of predefined thresholds are disallowed.

4. The PMP device of claim 1, wherein the software instructions, when executed by the CPU, further cause the PMP device to:

emit an alarm sound when an alarm is active, the alarm being active when a given measurement of the physiological parameter is outside the alarm range for the physiological parameter;

suspend emitting the alarm sound for a given time period in response to user input;

extend the given time period when the PMP device receives additional user input before the given time period expires; and

resume emitting the alarm sound when the given time period expires.

5. The PMP device of claim 1,

wherein the software instructions, when executed by the CPU, cause the PMP device to display an alternate representation of the physiological parameter in a parameter reporting frame instead of the initial representation of the physiological parameter when the user selects the parameter reporting frame.

6. The PMP device of claim 1,

wherein the physiological parameter is body temperature;

wherein the monitoring workflow home screen includes a temperature frame that contains data representing the physiological parameter and also contains a thermometry location control that indicates a location of a thermometer on the body of the monitored patient, the series of measurements of the physiological parameter based on data received from the thermometer; and

wherein the software instructions, when executed by the CPU, cause the PMP device to update the thermometry location control such that the thermometry location control indicates a different location on the body of the monitored patient when the user selects the thermometry location control.

7. The PMP device of claim 1, wherein said non-monitoring workflow is a spot check workflow.

8. The PMP device of claim 1,

wherein said non-monitoring workflow is a triage workflow,

wherein when the PMP device is operating in the triage workflow, each patient in the series of patients is unidentified,

wherein the software instructions, when executed by the CPU, further cause the PMP device to display, on the display screen, a spot check workflow home screen when the PMP device is operating within a spot check workflow, and

wherein when the PMP device is operating within the spot check workflow, the PMP device obtains a measurement of the physiological parameter from a series of one or more previously-identified patients.

9. The PMP device of claim 1,

wherein the monitoring workflow home screen and the non-monitoring workflow home screen contain at least one common user interface element, the common user interface element having a same appearance but not performing a same function in the monitoring workflow home screen and the non-monitoring workflow home screen.

10. The PMP device of claim 9,

wherein the common user interface element is a save button, and

wherein when the PMP device is operating in the monitoring workflow, the software instructions, when executed by the CPU, cause the PMP device to save a first patient reading in response to selection of the save button;

and

wherein when the PMP device is operating in the non-monitoring workflow, the software instructions, when executed by the CPU, cause the PMP device to perform the following in response to selection of the save button;

save a second patient reading; and

clear the non-monitoring workflow home screen.

11. The PMP device of claim 10, wherein selection of the save button communicates the first patient reading to another computing node when the PMP device is operating within the monitoring workflow.

12. The PMP device of claim 1, wherein the software instructions, when executed by the CPU, cause the PMP device to:

display a settings screen, the settings screen containing a set of interval program selection controls; and

record measurements of the physiological parameter at intervals specified by an interval program for a duration specified by the interval program, the interval program corresponding to a selected one of the interval program selection controls;

wherein the device is configured to allow the user to manually enter interval values for the interval program.

13. The PMP device of claim 1, wherein the device is programmed to allow the user to rename at least one of the monitoring workflow and the non-monitoring workflow for display on the device.

14. A method comprising:

obtaining, by a physiological measuring platform (PMP) device, a measurement of a physiological parameter of a given patient;

displaying, on a display screen, a monitoring workflow home screen when the PMP device is operating within a monitoring workflow, the monitoring workflow home screen containing at least one parameter reporting area containing a representation of the physiological parameter of the given patient;

displaying an alarms screen on a display screen of the PMP device, the alarms screen enabling a user of the PMP device to configure global alarm settings and parameter-specific alarm settings

displaying, on the display screen, an alarm message describing a first alarm when the first alarm is active, the first alarm being active when a given measurement of the physiological parameter is outside an alarm range for the physiological parameter;

when a second alarm is active at the same time as the first alarm, modifying, on the display screen, the alarm message to describe the second alarm when the second alarm is active and when the user selects the alarm message, the second alarm being active when a second given measurement of a second physiological parameter is outside an alarm range for the second physiological parameter, and

wherein the alarms screen includes at least one compressed parameter reporting area, the at least one compressed parameter reporting area containing a compressed parameter frame containing another representation of the physiological parameter of the given patient, the compressed parameter reporting area appearing compressed relative to the parameter reporting area,

wherein the compressed parameter frame includes alarm limits associated with the physiological parameter, and

wherein at least one of the at least one parameter reporting areas includes a user-selectable control configured to initiate or stop a measurement by a peripheral device operatively connected to the PMP device, and wherein the user-selectable control is not included in the compressed parameter reporting area in the alarms screen.

15. The method of claim 14, wherein the parameter-specific alarm settings include alarm limits.

16. The method of claim 14,

wherein the alarms screen includes an upper limit control and a lower limit control;

wherein the upper limit control includes a numerical portion, an up button, and a down button, the numerical portion of the upper limit control specifying an upper limit for an alarm associated with the physiological parameter; and

wherein the lower limit control includes a numerical portion, an up button, and a down button, the numerical portion of the lower limit control specifying a lower limit for the alarm;

wherein the method further comprises;

incrementally increasing the upper limit for the alarm when the user selects the up button of the upper limit control;

incrementally decreasing the upper limit for the alarm when the user selects the down button of the upper limit control;

enabling the user to manually enter a value for the upper limit for the alarm when the user selects the numerical portion of the upper limit control;

incrementally increasing the lower limit for the alarm when the user selects the up button of the lower limit control;

incrementally decreasing the lower limit for the alarm when the user selects the down button of the lower limit control; and

enabling the user to manually enter a value for the lower limit for the alarm when the user selects the numerical portion of the lower limit control.

17. A non-transitory computer-readable storage medium comprising software instructions that, when executed, cause a physiological measurement platform (PMP) device to:

display, on a display screen, a settings screen that enables a user to select a workflow within which the PMP device is to operate;

when the user selects a monitoring workflow from the settings screen;

obtain a series of measurements of a physiological parameter of a monitored patient;

display a monitoring workflow home screen on the display screen, the monitoring workflow home screen containing a first representation of the physiological parameter of the monitored patient and a user-selectable control configured to control a peripheral device operatively connected to the PMP device, the first representation of the physiological parameter based on at least one measurement in the series of measurements;

display, on the display screen, an alarms screen that enables the user to configure global alarm settings and parameter-specific alarm settings,

 

wherein the alarms screen includes a compressed parameter reporting area, the compressed parameter reporting area containing a compressed parameter frame containing a second representation of the physiological parameter of the monitored patient, the second representation of the physiological parameter being smaller than the first representation of the physiological parameter, and the second representation of the physiological parameter including alarm limits associated with the physiological parameter, and

when the user selects a spot check workflow from the settings screen;

 

obtain a measurement of the physiological parameter of each patient in a series of previously identified patients; and

 

display a spot check workflow home screen on the display screen, the spot check workflow home screen containing a third representation of the physiological parameter of a given patient in the series of previously identified patients, the third representation of the physiological parameter based on the measurement of the physiological parameter of the given patient in the series of previously identified patients;

when the user selects a triage workflow from the settings screen;

 

obtain a measurement of the physiological parameter of each patient in a series of unidentified patients; and

 

display a triage workflow home screen on the display screen, the triage workflow home screen containing a fourth representation of the physiological parameter of the given patient in the series of unidentified patients, the fourth representation of the physiological parameter based on the measurement of the given patient in the series of unidentified patients,

wherein the monitoring workflow home screen, the spot check workflow home screen, and the triage workflow home screen are each different from one another; and

wherein the user-selectable control is not included in the compressed parameter frame in the alarms screen,

display, on the display screen, an alarm message describing a first alarm when the first alarm is active, the first alarm being active when a given measurement of the physiological parameter is outside an alarm range for the physiological parameter;

when a second alarm is active at the same time as the first alarm, modify, on the display screen, the alarm message to describe a second alarm when the second alarm is active and when the user selects the alarm message, the second alarm being active when a second given measurement of a second physiological parameter is outside an alarm range for the second physiological parameter;

emit an alarm sound when the first alarm is active;

suspend emitting the alarm sound for a given time period in response to user input;

extend the given time period when the PMP device receives additional user input before the given time period expires; and

resume emitting the alarm sound when the given time period expires.