Patent Application
20080255428
[Not Applicable]
[Not Applicable]
[Not Applicable]
Generally, the technical field involves information systems for active listening/observing and event detection. Specifically, it involves an active listener/observer healthcare information system for event detection.
The amount of information flowing through a high-activity environment, such as a healthcare delivery environment, can be immense. As technology progresses and more information becomes available, a user cannot be expected to keep track of all of the information and maintain a high-level picture of the situation. This problem can be exacerbated where the immense information comes from disparate, loosely integrated information technology systems.
In a hospital emergency department or intensive care unit, for example, there are a number of sources of important information. These sources can include caregiver conversations, comments made by the patient, monitoring devices, lab information systems, intensive care unit information systems and other hospital information systems. It is extremely difficult for an individual caregiver to keep track of all this disparate information and maintain a high-level picture of the patient's needs. This is particularly important where the information may deal with a matter of life and death.
Early identification of problems and response to those problems can have significant impact on the user's ability to remedy the problems. For example, earlier identification of critically ill patients or emergent situations could allow for earlier intervention which could significantly impact survival. Earlier detection of a “Code Blue” callout by a caregiver (a term used by caregiver's to represent a real or suspected imminent loss of life) or critical patient vitals on a physiological monitoring device could allow for earlier response which could potentially save a patient's life.
There is a surfacing clinical problem with identifying critically ill patients at an earlier stage when intervention can have significant impact on survival. Hospitals have responded to this problem by creating rapid response teams, or RRT's, typically consisting of an MD, an RN and a respiratory therapist. These teams are available 24 hours per day to respond quickly and stabilize the patient in an emergency situation. In the past four years the number of RRT's nationwide has skyrocketed. However, no significant improvements have been made to tackle the same problem through use of healthcare information systems.
Current information systems seek a particular data stream, or data input, from the user, detect important elements of the provided data stream and give a desired response. However, these systems do not actively monitor an environment for potential problems. The monitoring aspect of current systems depends on explicit data input from the user (or other networked system) as a trigger. These systems provide a response only when potentially problematic data is detected in this manner. Today's systems do not actively monitor background activity in a high-activity environment and respond to problematic data.
Accordingly, it would be desirable to develop an information system for event detection that does not depend on direct input from a user. In the healthcare field, it would be desirable to develop an active listener/observer information system that monitors background data streams and triggers response events.
Certain embodiments of the present invention provide systems and methods for active listening/observing and event detection.
Certain embodiments provide methods of monitoring an environment comprising: monitoring at least one data stream wherein the data stream is a data stream in the environment; detecting a specified event from the data stream; and triggering a response to the specified event. These steps can be performed sequentially or in another order. In some embodiments of the method multiple data streams are monitored.
The monitored data stream may be a conversation or statement. In an embodiment, speech recognition equipment may be used. In another embodiment, the speech recognition equipment differentiates between speakers.
In yet another embodiment the data stream is inputted through an electronic data interchange.
Some embodiments monitor the data stream or data streams using an active listener/observer. The active listener/observer may be used to monitor background data streams.
In some embodiments the response is an alert. In other embodiments the response is an automated event log. In yet other embodiments the response is an enterprise event. Multiple responses may be triggered by one event.
The monitored environment may be a healthcare environment. In the healthcare environment the data stream may be a caregiver conversation or statement, a physiological monitoring device, or data from a healthcare information technology system.
Certain embodiments provide a system for monitoring an environment comprising: a receiver adapted to receive at least one input data stream wherein the input data stream is a data stream in the environment; an active listener/observer system adapted to monitor the data stream; and an interface adapted to express at least one output stream.
In one embodiment of the system for monitoring an environment the active listener/observer system and the interface are combined.
Certain embodiments provide a computer-readable medium having a set of instructions for execution by a computer, the set of instructions comprising: an active listener/observer routine configured to monitor at least one data stream; a detection routine configured to find specified events in the data stream; and an output routine configured to express a response event.
These and other features of the present invention are discussed or apparent in the following detailed description.
The foregoing summary, as well as the following detailed description of certain embodiments of the present invention, will be better understood when read in conjunction with the appended drawings. For the purpose of illustrating the invention, certain embodiments are shown in the drawings. It should be understood, however, that the present invention is not limited to the arrangements and instrumentality shown in the attached drawings.
The current disclosure relates to an information system and method for active listening/observing and event detection. Although a healthcare information system is used as an example, the current disclosure should not be viewed as limited to healthcare related information systems.
Due to the immense amount of information flowing through a high-activity environment, a single user cannot be expected to keep track of all of the information and maintain a high-level picture of the situation. This problem can be exacerbated where the immense information comes from disparate, loosely integrated information technology systems. Early identification of problems and response to those problems can have significant impact on the user's ability to remedy the problems.
Information systems can be used to monitor and respond to problems in a high-activity environment.
The components of the system (100) may be implemented alone or in combination in hardware, firmware, and/or as a set of instructions in software, for example. Certain embodiments may be provided as a set of instructions residing on a computer-readable medium, such as a memory, hard disk, DVD, or CD, for execution on a general purpose computer or other processing device. Certain components may be integrated in various forms and/or may be provided as software and/or interface to other systems/software and/or other functionality on a computing device, such as a computer. Certain embodiments may omit one or more of the components of the system (100).
Possible input data streams include conversations or comments made by an individual in the environment. Speech recognition software, programs and/or devices (speech recognition equipment) can be used. Another possible data input stream includes data inputted into an electronic data interchange or interface with other information system(s). This would involve a user inputting data into an information system, possibly using an input device, such as a keyboard, a touchscreen, a joystick, a mouse, a touchpad, and/or a microphone could also be used. Yet another possible data input stream would be monitors and gauges that measure a variable, such as temperature or pressure. A single data input stream or multiple data input streams could exist.
The active listener/observer (120) monitors the various data input streams. The active listener/observer (120) is programmed to detect specified events using keyword knowledge and context information. The active listener/observer (120) has the ability to monitor multiple data streams, including background data. The active listener/observer (120) can also analyze the multiple data streams in context with each other. This allows the active listener/observer (120) to monitor the overall situation not just one aspect. For example, a combination of data from separate data streams might indicate a problematic situation. In this case, the active listener/observer (120) would have the benefit of viewing the data streams in conjunction with each other.
Output streams could include alerts. Possible alerts include the triggering of an alarm, contacting a certain individual (charge nurse, attending physician, EKG technician, etc.) or contacting an emergency agency, such as the fire department, police department or a certain hospital team, such as a Rapid Response Team. Alternatively the output stream could be an automated event log. The automatic log would keep a record or transcript of how a certain problem was addressed. This report could prove useful for quality control reports or if there is litigation regarding the problem. The output stream could alternatively be the triggering of an enterprise event such as automatically locking doors, engaging a sprinkler system or automated system events in one or more information systems, such as a page to an attending physician or operating room nurse for example. One event could trigger one or multiple outputs streams.
One example of a high-activity environment is a healthcare environment, such as a hospital emergency department or intensive care unit. In these healthcare environments there are a number of sources of important information. It is extremely difficult for an individual caregiver to keep track of all this disparate information and maintain a high-level picture of the patient's needs. There is a surfacing clinical problem with identifying critically ill patients and urgent situations at an earlier stage when intervention can have significant impact on survival.
A specialized healthcare information system can be used to monitor and respond to problems in a high-activity environment.
The components of the system (200) may be implemented alone or in combination in hardware, firmware, and/or as a set of instructions, or rules, in software, for example. Certain embodiments may be provided as a set of instructions residing on a computer-readable medium, such as a memory, hard disk, DVD, or CD, for execution on a general purpose computer or other processing device. Certain components may be integrated in various forms and/or may be provided as software and/or other functionality on a computing device, such as a computer. Certain embodiments may omit one or more of the components of the system (200).
Caregiver conversation can be monitored using speech recognition software, programs and/or devices (speech recognition equipment) (220). The speech recognition equipment (220) would allow the active listener/observer (240) to pick up and monitor vocal cues. In one embodiment, the speech recognition software, program and/or device (220) could differentiate between speakers. This would allow the active listener/observer (240) to differentiate between comments made by a patient, nurse or doctor and respond accordingly.
The data from various healthcare information systems (215) can be inputted by a user possibly through a keyboard or similar device. This could also be done using an electronic data interchange interface (230). One specific example is a Health Level 7 healthcare data interchange format (230) that facilitates such data interfaces.
The information system (200) has an active listener (240) that monitors and detects specified events. The active listener/observer (240) can detect specified events using keyword knowledge and context information. For example, the active listener/observer (240) could detect a “Code Blue” callout by a caregiver (a term used by caregiver's to represent a real or suspected imminent loss of life) or critical patient vitals on a monitoring device. 139] As discussed above, the active listener/observer (240) can also analyze the multiple data streams in context with each other. This allows the active listener/observer to monitor the patient's overall situation. For example, a combination of data from the caregiver's comments and the data from physiological monitors could indicate a dangerous situation. The active listener/observer (240) would have the benefit of viewing the data streams in conjunction with each other, which could help to identify the problem earlier and more precisely.
When problematic events are detected the system can trigger an output stream (250) or multiple output streams (250). Possible output streams include an enterprise information system event (253), an alert (such as a hardware alert to a pager or a software message pop-up for example) (252), an automated event log or transcript (251), or a quality indicator report (254). For example, the system could page an attending doctor or the Rapid Response Team. The system could also maintain a log of resuscitation activities with timestamps and voice identifications. This type of event log or transcript could be the basis of care quality related research for hospitals by allowing them to study the time delay between a code callout and the first assistance. Log information can also be helpful when the hospital or caregiver faces a legal challenge regarding the care provided.
One or more of the steps of the method (300) may be implemented alone or in combination in hardware, firmware, and/or as a set of instructions in software, for example. Certain embodiments may be provided as a set of instructions residing on a computer-readable medium, such as a memory, hard disk, DVD, or CD, for execution on a general purpose computer or other processing device.
Certain embodiments may be implemented in one or more of the systems described above. For example, certain embodiments of the method (300) may be implemented using one or more local EMR systems, a database or other data storage storing electronic data, and one or more user interfaces facilitating monitoring data streams and triggering response events.
Certain embodiments of the present invention may omit one or more of these steps and/or perform the steps in a different order than the order listed. For example, some steps may not be performed in certain embodiments of the present invention. As a further example, certain steps may be performed in a different temporal order, including simultaneously, than listed above.
An input data stream receiver may receive data input streams. The input data stream receiver may be similar to (110) as described above, for example. The data input streams could be conversations or statements made by individuals in the environment. These vocal streams could be monitored with the assistance of speech recognition software, programs and/or devices. In one scenario the speech, recognition software, program and/or device could differentiate between speakers.
Another possible data input stream includes data inputted by a user. This could utilize an electronic data interchange, such as the Health Level 7 interchange commonly used in the health industry. An input device such as a keyboard, a touchscreen, a joystick, a mouse, a touchpad, and/or a microphone could also be used.
Yet another possible data input stream could come from gauges or monitors within the environment. The monitors or gauges would measure certain variables, including electrophysiological parameters in a healthcare setting. Possible examples include pressure, temperature, depth, altitude, blood pressure, heart rate, etc.
The data input streams are monitored (320) in order to detect specified events (330). Monitoring is done by actively listening and/or observing data streams in an environment. Detection is done by using keyword knowledge and context information. An active listener/observer can be used for both purposes. The active listener/observer may be similar to (120) or (240) described above, for example. The active listener/observer listens to and observes data streams in a given environment. The active listener/observer is programmed to watch for certain keywords or pieces of data that may indicate a specified event.
One or more data streams may be monitored at any given time. Monitoring of multiple data streams allows the data from one stream to be analyzed in conjunction with the data from other streams. This allows for better detection of problems. This is particularly helpful where one data stream does not indicate a problem by itself but may indicate a problem when viewed in light of information in other data streams.
Once a specified event is detected a response event is triggered (340). The response event can be expressed through an output stream interface. The output stream interface may be similar to (130) or (250) described above, for example. A possible response event is an alert, such as the triggering of an alarm, contacting a certain individual or contacting an emergency agency. The response event could also be an automated event log. The automatic log would keep a record of how a certain problem was addressed. This report could prove useful for quality control reports or if there is later litigation regarding an event. In yet another embodiment, a response event could include specific response actions, such as the locking or unlocking of doors, the activation of a sprinkler system, etc. One ore more response events may be triggered.
For example, a caregiver creates input data streams as he or she talks during patient care. Speech recognition equipment identifies the voice as that of the caregiver and converts the vocal statement into a computer readable form. An active listener/observer can monitor the caregiver's comments. If a patient's vitals start slipping and create a life-threatening situation, the caregiver would make a “Code Blue” callout. The active listener/observer identifies a “Code Blue” callout by a caregiver as a specified event to which a response is necessary. In response the rapid response team is automatically paged to begin resuscitation activities. The response activity or pattern logic can be coded and stored in the active listener/observer system itself, or it could reside in an external system/application that interfaces with the listener/observer system.
In another example, the patient is attached to monitoring devices which create data input streams regarding the patient's vital signs. The active listener/observer once again monitors the data input streams from the monitoring devices. If the patient's vitals start to drop and create a life-threatening situation, the data streams from the monitoring devices would indicate this problem. The active listener/observer would identify the dropping vital signs as a specified event to which a response is necessary. In response an automated event log is started to keep track of resuscitation activities for litigation or quality control.
Thus, certain embodiments provide the benefit of background event detection. Certain embodiments also provide the benefit of monitoring data streams and triggering response events. Particularly, certain embodiments actively listen and observe the many date streams in an environment and trigger response events. Thus allowing for earlier detection and response to problems.
While particular elements, embodiments and applications of the present invention have been shown and described, it will be understood, of course, that the invention is not limited thereto since modifications can be made by those skilled in the art without departing from the scope of the present disclosure, particularly in light of the foregoing teachings.
