In a medical setting, monitoring devices are typically used to monitor physiological data from patients. The monitoring devices receive physiological data from patient sensor devices that are attached to the patients. The physiological data from the monitoring devices may be sent to a centrally located display device, for example a central monitoring display device located at or near a nurse's station, whereby clinicians may view physiological data from multiple patients at the centrally located location.
For security purposes, patients need to be identified so that the correct physiological data is associated with the correct patient. However, when a patient enters a medical setting under an emergency situation, there may not be enough time to completely identify the patient.
Embodiments of the disclosure are directed to systems and methods for displaying patient data. Physiological data is received from a medical monitoring device. The medical monitoring device obtains the physiological data from a patient. A determination is made as to whether patient identification information and room location information have been received for the patient. When it is determined that both the patient identification information and the room location information for the patient have not been received, the physiological data is displayed at a temporary location on a display screen of a medical display device.
The details of one or more techniques are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of these techniques will be apparent from the description, drawings, and claims.
The present disclosure is directed to systems and methods for a medical workflow that streamlines a process for continuous monitoring of physiological data of a patient. The systems and methods are directed to a waiting area on a display screen of a centrally located patient monitoring device, also known as a central station. The central station provides a display of a plurality of display tiles, each display tile displaying physiological data for one of a plurality of patients. The waiting area is a tile display area located in a section of the display screen. The waiting area provides one or more compressed display tiles, each compressed display tile corresponding to a patient for which physiological data is being received but for which the patient has not been completely identified.
In examples described herein, physiological data received from patients that have not been completely identified is continually displayed in the compressed display tiles in the waiting area. The physiological data is also sent to a central storage site, for example an electronic medical records (EMR) server computer. When sufficient identification information is received at the central station to completely identify the patient, the compressed tile for the patient is removed from the waiting area, expanded to include the size and format of a normal display tile and displayed as a normal display tile on the display screen of the central station.
In the example system 100, medical sensor devices 102 are attached to a patient requiring continuous monitoring, for example a surgical patient or a post-surgical patient in an intensive care unit. The example patient monitoring device 106 is a continuous monitoring device, receiving continuous physiological data from medical sensor devices 102. In this example, continuous physiological data refers to physiological data obtained periodically at short intervals. Certain physiological data, for example SPO2 and pulse rate, may be obtained in millisecond intervals. Other physiological data, for example non-invasive blood pressure (NIBP) may be obtained on a periodical basis, but at longer intervals, for example every few minutes. An example continuous monitoring device is the Welch Allyn 1500 Patient Monitor from Welch Allyn, Inc. of Skaneateles Falls, N.Y.
In the example system 100, medical sensor devices 104 are attached to a patient receiving non-continuous episodic monitoring. For example, a patient monitoring device 108 may include some or all of the medical sensor devices 104, for example a thermometer, a blood pressure cuff and an SPO2 sensor. The patient monitoring device 108 may be a portable vital signs device administered by a clinician on an as needs basis. An example vital signs device is the Connex® Vital Signs Monitor from Welch Allyn, Inc. of Skaneateles Falls, N.Y.
When the patient is completely identified, the example central monitoring station 110 receives physiological data from patient monitoring device 106 and from patient monitoring device 108 and displays the physiological data on example display screen 112. In addition, the central monitoring station 110 sends physiological data received from patient monitoring devices 106 and 108 to EMR system 114.
In this disclosure, completely identifying a patient comprises providing at least three items of identifying information. One item of identifying information includes an identifier for a medical sensor device that is sensing physiological data for the patient. In examples, the identification for the medical sensor device is automatically provided to the central station when the medical sensor device sends physiological data for the patent to the central station.
A second item of identifying information is a location for the medical sensor device, for example a room number for the patient. Other examples of location information may include a bed number, a location on a hospital grid, etc. Additional examples of location information are possible. In some examples, more than one type of location information may be needed, for example a room number and a bed number.
A third item of identifying information is an identifier for the patient, for example a patient ID. In examples, the patient ID may be obtained from scanning a wristband attached to the wrist of the patient. At some time during the emergency situation, the wristband may be attached to the wrist of the patient, for example when the wristband is completed and the medical status of the patient is such that the wristband may be attached.
The example user interface 200 of display screen 112 includes a waiting area 206. The example waiting area 206 includes four compressed display tiles 210, 212, 214, and 216. The waiting area 206 also includes a message area 208, in this example displaying the phrase “Enter missing location.” The waiting area 206 is displayed on the user interface 200 of display screen 112 when there is at least one compressed display tile, indicating that physiological data is being received for a patient, but that the patient has not been completely identified. The waiting area 206 is displayed such that the waiting area 206 does not completely obscure any normal display tile on the user interface 200. As shown in
In general, the physiological data displayed in the compressed tiles 304, 306, 308, 310 is displayed in a smaller font than for normal display tiles and, typically, only a subset of the data of normal tiles is displayed as compressed tiles. More or fewer than four compressed tiles may be included in the waiting area 206. As more compressed tiles are assigned to patients, the waiting area grows higher in a direction towards the top of the user interface 200, as shown in
Information included on the example screen shot 1000 of the device detail screen includes a patient name 1002, patient gender 1004, patient type 1006 (adult or child), patient ID 1008, a room/bed number 1010 assigned to the patient, a date of birth (DOB) 1012 for the patient and an age of the patient 1014. Physiological data displayed for the patient include integrated pulmonary index (IPI) 1016, oxygen saturation (SPO2) 1018, venous calibrated total hemoglobin (SpHBV) 1020, pulse rate (PR) 1022, respiration rate (RR) 1026, end tidal carbon dioxide (ETCO2) 1028, non-invasive blood pressure (NIBP) 1030 and temperature (1032). Range limits shown include a pulse rate range limit 1034 showing an upper limit of 200 and a lower limit of 50 and a respiration rate limit 1036 showing an upper limit of 30 and a lower limit of 10. In addition, other patient information 1024 is provided including height, weight, pain index and body mass index (BMI). Additional or other patient information, physiological data and range limits are possible.
At any time after a patient is hooked up to a medical device and a compressed display tile is added to the waiting area 206 for the patient, the patient may be completely identified, for example by entering a location and/or a patient identifier for the patient. When the patient is completely identified in this manner, the compressed tile for the patient is removed from the waiting area and place in the main tile area on the user interface 200. As shown, in
When a compressed tile is removed from the waiting area 206, expanded to a new normal tile, and placed in the main tile area, the location at which the new tile is placed in the main tile area may be determined via one of three modes—mapped mode, manual mode and automatically sorted mode. In the mapped mode, every tile position on the main tile area is directly mapped to a known location. The location is typically determined by a unit/room/bed combination. For situations where a location does not have an assigned patient or device, an empty room tile is displayed. An empty room tile is a tile similar to the display tile shown in
In the manual mode, tiles may be dragged from the waiting area to any available space in the main tile area. In automatically sorted mode, tiles are sorted according to configured criteria. For example, tiles may be sorted by room number, with the lowest room number corresponding to display tile 202 and the highest room number corresponding to display tile 204. When a tile is moved from the waiting area 206 to the main tile area using this criterion, the positions of one or more tiles in the main tile area may be adjusted to make room for a new tile. Other criteria for automatically sorting tiles are possible.
At operation 1104, information is received that identifies a medical sensor device that is attached to the patient. The identification information is typically received along with the physiological data that is transmitted from the medical sensor device to patient monitoring device 106. When patient monitoring device 106 transmits the physiological data to central monitoring station 110, the identification information is transmitted to central monitoring station 110 along with the physiological data. Thus, typically, whenever central monitoring station 110 receives physiological data from a medical sensor device, central monitoring station 110 receives identification information for the medical sensor device. The identification information typically includes the type of medical sensor device, for example an oxygen saturation sensor, and may also include the manufacturer of the medical sensor device and a serial number for the medical sensor device. Other identification information is possible.
At operation 1106, a determination is made as to whether patient identification and patient location information have been received for the patient. When a patient enters a medical facility under non-emergency circumstances, identification information is typically entered into a hospital database for the patient. In a hospital, the patient is typically given a wristband which contains an identifier for the patient, typically in the form of a bar code. The patient may also be assigned a room number and a bed number in the hospital. However, when a patient enters a medical facility in an emergency situation, the patient may be hooked up to medical sensor devices immediately, before the patient is given an identifier and before a room number is assigned to the patient.
When it is determined at operation 1108 that physiological data is being received for the patient and the patient identification and location information have been received for the patient, at operation 1110 the physiological data is displayed in a main display area, for example in one of display tiles 202-204 on the user interface 200 of the central monitoring station 110. The physiological data is displayed in a display tile, for example in display tile 202 in the main display area. The display tile 202 is considered to be a normal display tile in that display tile is a standard size, includes a font size that can be easily readable at normal distances, for example from a nurse's station, and includes a full complement of physiological parameters associated with the display tile.
However, when it is determined at operation 1108 that physiological data is being received for the patient but that the patient identification and location information have not been received for the patient, at operation 1112, the physiological data is displayed in a waiting area, for example waiting area 206 of a display screen, for example user interface 200 of the medical display device, for example central monitoring station 110. The physiological data is displayed in a compressed display tile. The compressed display tile is smaller than a normal display tile, has smaller font than a normal display tile and typically includes only a subset of parameters available for a normal display tile.
At operation 1114, patient identification information and patient location information are received for the patient. For example, the patient may be stabilized such that a wristband with patient identification can be created, attached to the patient and scanned by a bar code reader. The patient may also be moved out of an emergency room or intensive care unit to a standard room in the hospital so that a room and bed number can be entered for the patient.
At operation 1116, the display of physiological data in the temporary location is automatically moved to the main display area of the display screen. For example, compressed tile 210 in waiting area 206 is automatically moved to a tile location in the main display area, for example display tile 204 location, when it is determined that patient identification information and patient location information have been received for the patient.
The mass storage device 1214 is connected to the CPU 1202 through a mass storage controller (not shown) connected to the bus 1222. The mass storage device 1214 and its associated computer-readable data storage media provide non-volatile, non-transitory storage for the central monitoring station 110. Although the description of computer-readable data storage media contained herein refers to a mass storage device, such as a hard disk or CD-ROM drive, it should be appreciated by those skilled in the art that computer-readable data storage media can be any available non-transitory, physical device or article of manufacture from which the central monitoring station can read data and/or instructions.
Computer-readable data storage media include volatile and non-volatile, removable and non-removable media implemented in any method or technology for storage of information such as computer-readable software instructions, data structures, program modules or other data. Example types of computer-readable data storage media include, but are not limited to, RAM, ROM, EPROM, EEPROM, flash memory or other solid state memory technology, CD-ROMs, digital versatile discs (“DVDs”), other optical storage media, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other medium which can be used to store the desired information and which can be accessed by the central monitoring station 110.
According to various embodiments of the invention, the central monitoring station 110 may operate in a networked environment using logical connections to remote network devices through the network 1220, such as a local network, the Internet, or another type of network. The central monitoring station may connect to the network 1220 through a network interface unit 1204 connected to the bus 1222. It should be appreciated that the network interface unit 1204 may also be utilized to connect to other types of networks and remote computing systems. The central monitoring station 110 also includes an input/output controller 1206 for receiving and processing input from a number of other devices, including a keyboard, a mouse, a touch user interface display screen, or another type of input device. Similarly, the input/output controller 1206 may provide output to a touch user interface display screen, a printer, or other type of output device.
As mentioned briefly above, the mass storage device 1214 and the RAM 1210 of the central monitoring station 110 can store software instructions and data. The software instructions include an operating system 1218 suitable for controlling the operation of the central monitoring station 110. The mass storage device 1214 and/or the RAM 1210 also store software instructions, that when executed by the CPU 1202, cause the central monitoring station 110 to provide the functionality of the central monitoring station 110 discussed in this document. For example, the mass storage device 1214 and/or the RAM 1210 can store software instructions that, when executed by the CPU 1202, cause the central monitoring station 110 to display the user interface 200 and other screens.
The description of the example physical components used on the central monitoring station 110 as shown in
The various embodiments described above are provided by way of illustration only and should not be construed to limiting. Various modifications and changes that may be made to the embodiments described above without departing from the true spirit and scope of the disclosure.