Clinician decision support system

• US 10,650,915 B2
• Filed: 10/08/2007
• Issued: 05/12/2020
• Est. Priority Date: 10/12/2006
• Status: Active Grant

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Tivig, Gerhard, Hebler, Sebastian, Roth, Oliver, Cummings, Erica
• Primary Examiner(s): Nganga, Boniface N
• Application Number:
  US12/445,366
• Publication Number:
  US 20100010319A1
• Time in Patent Office: 4,600 Days
• Field of Search: 600300-301, 705 2- 4
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A bedside patient monitor comprises a clinician support system. The clinician support system comprises at least one of the following modules of: a disease-specified decision module (11), disease-specified treatment module (13) or disease-specified observation module (15). The bedside monitor comprises a first interface (105) for manual patient-related input and a second interface (107) for continuous input of a sensor signal. The clinician is supported to deliver requested information and execute the treatment in a predetermined way supported by the clinician support system.

Claims

1. A bedside patient monitor comprising:

a clinician support system,

a first interface including an input configured to manually input medical information related to a patient associated with the bedside monitor and a display configured to continuously display physiological values of the patient;

a second interface configured to continuously input sensor signals from sensors configured to continuously measure the physiological values of the patient;

wherein the clinician support system comprises;

at least one disease-specific treatment module which supports the clinician in a treatment process, the disease-specific treatment module being started only by a manual input by a qualified clinician to the first interface, wherein the manual input includes a fingerprint and the disease-specific treatment module uses the fingerprint to verify that a person inputting the manual input is authorized to start the disease-specific treatment module;

at least one disease-specific observation support module configured for observation of the continuously measured physiological values of the patient, the disease-specific observation module being activated by a signal generated through deactivation of the disease-specific treatment module;

wherein the disease-specific treatment module is deactivated in response to the manual input by the qualified clinician confirming that the disease-specific treatment module is to be deactivated and the disease-specific observation support module started to observe the continuously measured physiological values of the patient; and

,

wherein the disease-specific observation support module is configured to;

in response to the deactivation of the disease-specific treatment module, display a list of observation recommendations of the specified disease on the first interface display.

2. The bedside patient monitor as claimed in claim 1, wherein the clinical support system further includes:

a disease-specific decision module which is configured to compare the sensor signals and a manual patient-related input with disease-specific detection guidelines to detect early signs and symptoms of a specified disease and in response to detecting the early signs and symptoms, generating a display on the first interface display indicating the presence of the signs and symptoms of the specified disease.

3. The bedside patient monitor as claimed in claim 2, comprising an indicator for signaling that the disease-specific treatment module is running.

4. The bedside patient monitor as claimed in claim 2, wherein the clinician support system comprises an information delivery tool to deliver requested information requested by at least one of the disease-specific modules, wherein the information delivery tool generates a pop-up window to trigger the manual patient-related input through the first interface if the requested information is not available through the interface for automatic input or connected remote sources.

5. The bedside patient monitor as claimed in claim 4, wherein the remote resource is a remote central station or remote microanalysis center.

11. The bedside patient monitor as claimed in claim 2, wherein the disease-specific treatment model is configured to:

in response to the manual input on the first interface of the bedside monitor, display a list of treatment process recommendations for the specific disease on the first interface of the bedside monitor;

receive manual inputs on the first interface of the bedside monitor indicating that each treatment process on the list has been fulfilled;

display a status of the treatment process on the first interface of the bedside monitor.

6. A method of clinician support comprising, with a patient-specific bedside monitor:

automatically and continuously inputting sensor signals from patient physiological sensors into the bedside monitor;

manually inputting patient-specific information that is not available from the sensor signals on a first interface of the bedside monitor;

with at least one disease-specific decision module of a plurality of disease-specific decision modules of the bedside monitor, analyzing the sensor signals and the patient-related information for signs and symptoms of a presence of a specific disease;

displaying the signs and symptoms on the first interface of the bedside monitor;

requesting additional patient related information for the analyzing by the disease-specific decision module through the first interface of the bedside monitor;

starting a disease-specific treatment module of the bedside monitor with a manual input from a qualified clinician to the first interface of the bedside monitor;

with the disease-specific treatment module of the bedside monitor, controlling the first interface of the bedside monitor to display a list of disease-specific treatment step recommendations;

displaying a completion status of the recommended treatment steps on the first interface of the bedside monitor;

deactivating the disease-specific treatment module of the bedside monitor;

activating an observation support module by a signal generated through the deactivation of the disease-specific treatment module;

with the observation support module of the bedside monitor, controlling the first interface of the bedside monitor to display a list of observation recommendations; and

running each of the plurality of disease-specific decision modules of the bedside monitor of different specific diseases in parallel, and running only one disease-specific treatment module at the same time as the plurality of disease-specific decision modules perform monitoring of the different specific diseases.

7. The method of clinician support as claimed in claim 6, wherein starting the disease-specific treatment module of the bedside monitor includes verifying that a clinician inputting the manual input on the first interface of the bedside monitor is qualified to start the disease-specific decision module.

8. The method of clinician support as claimed in claim 6, wherein the manual inputting of the patient-specific information on the first interface of the bedside monitor requested by the disease-specific decision module of the bedside monitor is executed before manually inputting patient-specific information on the first interface of the bedside monitor requested by the disease-specific observation module of the bedside monitor.

9. The method of clinician support as claimed in claim 6, wherein an unanswered manual information request is displayed on the first interface of the bedside monitor again after a predetermined time.

10. The method as claimed in claim 6, wherein the list of disease-specific treatment steps is displayed on the first interface of the bedside monitor and further including with the first interface receiving confirmations confirming that each of the listed disease-specific treatment recommendations have been fulfilled and wherein the disease-specific treatment module of the bedside monitor deactivated and the observation support module of the bedside monitor is activated in response to receiving on the first interface of the bedside monitor confirmations that all of the listed disease-specific recommendations have been fulfilled.

12. The method as claimed in claim 10, wherein the sensor signals are indicative of vital signs of a patient disposed in a bed adjacent the bedside monitor and wherein the disease-specific decision module analyzes the sensor signals and the patient-related information for signs or symptoms of sepsis in the patient disposed in the bed adjacent the bedside monitor, if the disease-specific decision module detects sepsis in the patient disposed in the bed adjacent the bedside monitor, the disease-specific treatment module displays a list of sepsis treatment recommendations for the patient disposed in the bed adjacent the bedside monitor.

13. A bedside patient monitor for monitoring a patient in an adjacent bed, comprising:

a first interface configured to receive manual patient-related inputs;

a second interface configured to receive continuous input of sensor signals indicative of physiological values of the patient, a display screen,

one or more processors configured to;

compare the sensor signals and the manual patient-related input with disease-specific detection guidelines to detect early signs and symptoms of a specified disease and in response to detecting the early signs and symptoms, generating a display in a window on the display screen indicating the presence of the signs and symptoms of the specified disease;

in response to receiving a manual input indicating treatment is to be commenced from the first interface and an identification code or fingerprint to verify that a person inputting the manual input is authorized to start the disease-specific treatment, displaying treatment recommendations in a treatment window on the display screen;

in response to receiving input from the first interface that the treatment recommendations have been completed and a confirming input by a qualified clinician, closing the treatment window;

after closing the treatment window, displaying a list of observation recommendations of the specified disease in an observations window of the display screen;

in response to the manual input on the first interface of the bedside monitor, display a list of recommendations of treatment processes for the specific disease on the first interface of the bedside monitor;

receive manual inputs on the first interface of the bedside monitor indicating that each of the treatment processes on the list has been fulfilled; and

display a status of the fulfilling of the treatment processes on the list on the first interface of the bedside monitor.

14. A bedside patient monitor comprising:

a first interface including a display and a manual input device;

a second interface configured to receive a continuous input of sensor signals carrying physiological information from sensors mounted to a patient, at least some of the physiological information being displayed on the first interface display;

a sepsis treatment module which is activated by a manual input from a qualified clinician on the manual input device, the sepsis treatment module being triggered by the manual input to display on the first interface display a list of recommended treatments which are configured to be checked off by inputs on the first interface manual input as the treatments are implemented;

a sepsis observation module which is activated by deactivation of the sepsis treatment module, the sepsis observation module causing the first interface display to display an observation guideline including a list of parameters to be observed or measured, the list being displayed for a preselected duration which duration is extendible by manual inputs on the manual input device;

wherein the sepsis treatment model is configured to;

in response to the manual input on the first interface of the bedside monitor, display a list of recommendations of treatment processes for the specific disease on the first interface of the bedside monitor;

receive manual inputs on the first interface of the bedside monitor indicating that each of the treatment processes on the list has been fulfilled; and

display a status of the fulfilling of the treatment processes on the list on the first interface of the bedside monitor.

15. The bedside patient monitor as claimed in claim 14, further including:

a sepsis decision module which receives the physiological information from the sensors via the second interface, causes the first interface display to display requests for additional physiological information, and receives the additional physiological information from the manual input device, the sepsis decision module screening the physiological information from the sensors and the additional information for signs and symptoms of sepsis.

16. The bedside patient monitor as claimed in claim 15, wherein the sepsis decision module controls the first interface display to display a list of signs and symptoms of sepsis.

17. The bedside patient monitor as claimed in claim 15, further including:

an information delivery tool which requests information from remote patient or laboratory information storage stations.

18. The bedside patient monitor as claimed in claim 14, wherein the bedside monitor is configured to be disposed adjacent a patient bed on which the patient to whom the sensors are mounted is disposed;

wherein the physiological information includes heart rate, respiration rate, and temperature; and

a sepsis decision module configured to continuously receive the heart rate, respiration rate, and temperature of the patient and compare the received heart rate, respiration rate, and temperature with sepsis criteria, and in response to the received heart rate, respiration rate, and temperature meeting the sepsis criteria, causing a pop-up window to appear on the first interface display.