System and method for protocol adherence
First Claim
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1. An apparatus comprising:
- a processor and memory configured to implement a reasoning engine configured to subscribe to messages published by an information broker from an augmented state transition network encoding a protocol as a plurality of states corresponding to tasks and transitions between the tasks, the state transitions based on a probability distribution associated with at least one of a location or a trajectory of at least one of a monitored person or a monitored object in an area being monitored, wherein the probability distribution is to be converted into a likelihood of a deviation for the protocol to be monitored based on the states encoding the protocol, the reasoning engine to dynamically determine a protocol task violation based on deviation from a protocol state calculated using the messages, the reasoning engine triggering an alarm to report the deviation,wherein the reasoning engine is instantiated by a request from the workflow and uses the protocol, protocol tasks, and a protocol state together to determine protocol compliance, and wherein the reasoning engine determines, using the messages and an ordered ontology for a domain, the protocol state formed from the messages using the ordered ontology based on i) a first state associated with an agent to perform an action, ii) a second state associated with an object that is a recipient of the action, and iii) a third state associated with an event that associates the action with the object and the agent, the ordered ontology enabling a processing of the protocol state and a comparison of the protocol state to identify the deviation based on an illegal state transition, the illegal state transition between states in the augmented transition network based on the likelihood of deviation and a spatiotemporal relationship between the protocol state and a second state of the augmented transition network.
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Abstract
The system and method disclosed herein provides an integrated and automated workflow, sensor, and reasoning system that automatically detects breaches in protocols, appropriately alarms and records these breaches, facilitates staff adoption of protocol adherence, and ultimately enables the study of protocols for care comparative effectiveness. The system provides real-time alerts to medical personnel in the actual processes of care, thereby reducing the number of negative patient events and ultimately improving staff behavior with respect to protocol adherence.
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Citations
20 Claims
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1. An apparatus comprising:
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a processor and memory configured to implement a reasoning engine configured to subscribe to messages published by an information broker from an augmented state transition network encoding a protocol as a plurality of states corresponding to tasks and transitions between the tasks, the state transitions based on a probability distribution associated with at least one of a location or a trajectory of at least one of a monitored person or a monitored object in an area being monitored, wherein the probability distribution is to be converted into a likelihood of a deviation for the protocol to be monitored based on the states encoding the protocol, the reasoning engine to dynamically determine a protocol task violation based on deviation from a protocol state calculated using the messages, the reasoning engine triggering an alarm to report the deviation, wherein the reasoning engine is instantiated by a request from the workflow and uses the protocol, protocol tasks, and a protocol state together to determine protocol compliance, and wherein the reasoning engine determines, using the messages and an ordered ontology for a domain, the protocol state formed from the messages using the ordered ontology based on i) a first state associated with an agent to perform an action, ii) a second state associated with an object that is a recipient of the action, and iii) a third state associated with an event that associates the action with the object and the agent, the ordered ontology enabling a processing of the protocol state and a comparison of the protocol state to identify the deviation based on an illegal state transition, the illegal state transition between states in the augmented transition network based on the likelihood of deviation and a spatiotemporal relationship between the protocol state and a second state of the augmented transition network. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A non-transitory, computer-readable medium including instructions which, when executed by a processor, cause the processor to at least:
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instantiate a reasoning engine by a request from a workflow, the reasoning engine to determine protocol compliance; subscribe, via the reasoning engine, to messages published by an information broker from an augmented state transition network encoding a protocol as a plurality of states corresponding to tasks and transitions between the tasks, the state transitions based on a probability distribution associated with at least one of a location or a trajectory of at least one of a monitored person or a monitored object in an area being monitored, wherein the probability distribution is to be converted into a likelihood of a deviation for the protocol to be monitored based on the states encoding the protocol; determine, by the reasoning engine using the messages and an ordered ontology for a domain, a protocol state formed from the messages using the ordered ontology based on i) a first state associated with an agent to perform an action, ii) a second state associated with an object that is a recipient of the action, and iii) a third state associated with an event that associates the action with the object and the agent, the ordered ontology enabling a processing of the protocol state and a comparison of the protocol state to identify a deviation from the protocol state based on an illegal state transition, the illegal state transition between states in the augmented transition network based on the likelihood of deviation and a spatiotemporal relationship between the protocol state and a second state of the augmented transition network; determine, via the reasoning engine, a protocol task violation based on the deviation from the protocol state calculated using the messages and the ordered ontology; and triggering an alarm to report the deviation. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification