WO2017213787A1 - Procédé et système de communication de patient avancée - Google Patents

Procédé et système de communication de patient avancée Download PDF

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Publication number
WO2017213787A1
WO2017213787A1 PCT/US2017/031788 US2017031788W WO2017213787A1 WO 2017213787 A1 WO2017213787 A1 WO 2017213787A1 US 2017031788 W US2017031788 W US 2017031788W WO 2017213787 A1 WO2017213787 A1 WO 2017213787A1
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WO
WIPO (PCT)
Prior art keywords
patient
message
communication device
nurse
request
Prior art date
Application number
PCT/US2017/031788
Other languages
English (en)
Inventor
Bryan J. Traughber
Lance S. Patak
Original Assignee
Eloquence Communications, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US15/174,675 external-priority patent/US20160284202A1/en
Application filed by Eloquence Communications, Inc. filed Critical Eloquence Communications, Inc.
Publication of WO2017213787A1 publication Critical patent/WO2017213787A1/fr

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
    • A61B5/7435—Displaying user selection data, e.g. icons in a graphical user interface
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/7465—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
    • A61B5/6898—Portable consumer electronic devices, e.g. music players, telephones, tablet computers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/7405—Details of notification to user or communication with user or patient ; user input means using sound
    • A61B5/741—Details of notification to user or communication with user or patient ; user input means using sound using synthesised speech
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00—Network arrangements or protocols for supporting network services or applications
    • H04L67/01—Protocols
    • H04L67/12—Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks

Definitions

  • the field of the specification generally relates to computer systems and more particularly, but not exclusively, relates to a method and system for advanced patient
  • the present system is in the technical field of nurse call systems.
  • Characteristic of cardiothoracic surgery is the post-operative patient who is sent to the Intensive Care Unit (ICU) intubated due to respiratory requirements. Approximately half of these patients are extubated within their first twenty-four post-operative hours. In most cases these patients are extubated within the first three days. There are some, however, who remain intubated for a significant length of time. When a surgeon identifies a patient who requires intubation longer than seven days, the surgeon will usually decide to perform a tracheotomy on that patient. The breathing support tube enters the trachea rather than entering the mouth for the trached patient. Communication for a intubated or trached patient is minimal due to the inability to speak resulting in the patient, hospital staff and loved ones resorting to the reading of lips, nodding of heads and squeezing of hands to communicate.
  • ICU Intensive Care Unit
  • the intubated or trached patient may not receive the standard of care he or she would otherwise receive had he or she been able to effectively communicate.
  • the lack of communication also creates unnecessary levels of anxiety which the patient must endure. Nurses and hospital staff ask many questions from the patient pertaining to their prognosis and progress which may never get fully or even adequately answered. A doctor or nurse is not able to treat a symptom which they know little or nothing about.
  • other problems arise due to the insufficient communication from the patient. Localized areas of pain are often misdiagnosed, resulting in over-medication generally or the medication of an area which is not the source of pain. Proper and essential treatment given in an adequate and timely manner will help resolve or prevent many post-operative complications and decrease the patient's length of stay in the hospital. This begins with providing the patient a clear and precise means of communication.
  • nurse call systems do not provide a means for LEP patients to generate a nurse call request in the patient's preferred language.
  • nurse call systems have been the primary means for hospitalized patients to initiate an encounter from the bedside.
  • these nurse call patient requests range in urgency, are not differentiated based on skill-set required to fulfill the patient request, and are not equitable for LEP patients. Further, these shortcomings prohibit effective communication with LEP patients and can contribute to poor outcomes relative to their English-speaking counterparts.
  • a method and system for advanced patient communication are disclosed.
  • a computer-implemented method comprises providing a patient
  • the communication device through which a patient communicates a first message from a hospital bed.
  • the first message is received at a health care provider device.
  • the first message is processed to identify an urgency level of the message.
  • One or more additional messages are generated based on the first message.
  • the one or more additional messages are transmitted to specific health care provider devices of specific health care providers who are expected to respond to the patient.
  • a patient communication device for advanced patient communication.
  • a patient communication device comprises a selection input mechanism for generating a message on a display, the message reflecting a request for an interpreter.
  • the selection input mechanism includes one or more of a button, keyboard and a touch screen.
  • the patient communication device includes a transmitter for transmitting the message to a central processing server and a status indicator on the display, the status indicator representing a transmission status associated with the message.
  • the present system also disclosed a solution that leverages an advanced pillow speaker and receiving devices seeking to achieve immediate transparency for care providers of what patients need when pressing the call button, as well as optimal efficiency in nursing by routing the need to the best provider based on the context of the specific message and the qualified skill necessary to fulfill the request or perform the task being requested.
  • Figure 1 illustrates a block diagram of an exemplary system for advanced patient communications, according to one embodiment.
  • Figure 2 illustrates an exemplary computer architecture for use with the present system, according to one embodiment.
  • Figure 3 illustrates an exemplary communications process, according to one embodiment.
  • Figures 4A-4D are front perspective views of an exemplary advanced pillow speaker, according to one embodiment.
  • Figures 5A-5K are exemplary care provider view interfaces within a phone application that displays nurse call activity and other pertinent patient information on handheld devices, according to one embodiment.
  • Figure 6 is an exemplary interface of a nursing station whiteboard that displays the nurse call activity by provider, patient room, number of requests queued by provider and context of each call request, according to one embodiment.
  • Figure 7 is an exemplary main screen interface displaying categorical icons within an exemplary advanced pillow speaker, according to one embodiment.
  • Figures 8A-D illustrate exemplary sub-categorical interfaces within an exemplary advanced pillow speaker, according to one embodiment.
  • a method and system for advanced patient communication are disclosed.
  • a computer-implemented method comprises providing a patient
  • the communication device through which a patient communicates a first message from a hospital bed.
  • the first message may be transmitted directly to a health care provider device(s) and/or may be received at a central processing server.
  • the first message may be processed to identify urgency level of the message and/or appropriate destination(s) for the request.
  • the first message may also originate from a healthcare provider or a central processing server.
  • One or more additional messages are generated based on the first message.
  • the one or more additional messages are transmitted to devices of specific health care providers who are expected to respond to the patient and may also be transmitted back to the patient.
  • the present invention also relates to apparatus for performing the operations herein.
  • This apparatus may be specially constructed for the required purposes, or it may comprise a general-purpose computer selectively activated or reconfigured by a computer program stored in the computer.
  • a computer program may be stored in a computer readable storage medium, such as, but not limited to, USB drives, internal or external hard disk drives, floppy disks, optical disks, CD-ROMs, magnetic-optical disks, read-only memories, random access memories, EPROMs, EEPROMs, magnetic or optical cards, or any type of media suitable for storing electronic instructions, and each coupled to a computer system bus.
  • FIG. 1 illustrates a block diagram of an exemplary system 100 for advanced patient communications, according to one embodiment.
  • System 100 includes a number of patient communication devices 1 10.
  • each patient's bed includes a patient communication device 110 that may be an electronic bedside, flat screen monitor.
  • One embodiment can be attached to a waterproof sealed keyboard. Additional input devices may be used for patients with limited or minimal movement.
  • These patient communication devices 110 may have a sealed push button, lever, jog dial, or a combination of these input devices.
  • the input device is a touch pad screen.
  • the patient communication device 110 may also have a card reader attached to read a card carried by the staff to indicate when they have responded to a call.
  • a nurse or other care provider can carry a card (card with a magnetic stripe, proximity, smart card) and swipe it. This method would serve to prevent the patient from accidentally clearing the request, and reduce the interaction with the pager, which might be cumbersome and time-consuming, used more often when requests require specific feedback. Monitoring-only stations configured in this manner could be placed throughout the floor for "fast response".
  • One embodiment of the patient communication device 110 allows its monitor to sit directly on a flat surface, such as a bedside table.
  • the monitor is attached to a swiveling arm extending from the wall so that it can be extended to various distances from the wall and heights from the floor, thus adapting to the patient's position.
  • the patient communication device 110 allows electronic communication of the physical and emotional status of the patient. Words and phrases may be selected in the display of device 110, such as "I AM: HOT/COLD, THIRSTY, HUNGRY, TIRED, LIGHT-HEADED, NAUSEOUS, ANXIOUS, NERVOUS, BETTER, WORSE, DIRTY/WET, HAPPY/SAD".
  • Additional screens and prompts allow the patient to select words and phrases such as "I WANT: WATER/ICE, CALL LIGHT/TV, TO TURN, LEFT/RIGHT, TO LIE DOWN, A BLANKET, TO SLEEP, BATH/SHAMPOO, A BEDPAN, TO CLEAN MY MOUTH/TEETH/FACE/HANDS.” Words such as "YES/NO, EXPLAIN, CALL, NURSE, SUCTION, LOTION, GLASSES, FAMILY, INSURANCE, LIGHT, ON/OFF, WHEN?, WHY?, WHERE?, WHO?, HOW?, WHAT?" are listed for selection if the health care provider verbally questions the patient, and the patient responds through device 110.
  • words and phrases such as "I WANT: WATER/ICE, CALL LIGHT/TV, TO TURN, LEFT/RIGHT, TO LIE DOWN, A BLANKET, TO SLEEP, BATH/SHAMPOO, A BEDPAN, TO CLEAN MY MOUT
  • patient communicator device 110 also provides a grid imprinted with individual letters of the alphabet and the numbers 0-9. Universal characters and symbols may also be used to select text in lieu of keyboard input.
  • the device 110 may also provide a screen that displays an image of the anterior body picture with the word "FRONT” underneath, and the posterior body picture with the word “BACK” underneath it.
  • Between the two bodies are descriptive words to express physical experiences relating to any part of the human body. These include the words and phrases: "THIS PART OF MY BODY: ITCHES, ACHES, STF GS, CAN'T MOVE, CAN'T MOVE, HURTS, BURNS, CRAMPS, THROBS, IS NUMB, PAIN MEDICINE".
  • each word, phrase and symbol listed on the above mentioned screen layouts activates a computer operated voice dictation of the messages through a built-in speaker when touched.
  • the patient communication device 110 has several menu options including choice of language, pediatric variations, and voice style options such as male or female and adult or child computerized voices.
  • the patient communication device 110 may also be used by a doctor or nurse as a chart, or to display an electronic form of the patient's chart. Additionally, the patient communication device 110 can be used by the doctor or nurse to order procedures, consults, medications, and indicate that treatments, consultations, examinations, and other procedures have been completed.
  • patient communication device 110 is a menu driven touch-screen device.
  • Patient communication device 110 may either be wireless or have a wire connection to the hospital network.
  • Patient communication device 110 works with a variety of languages and is capable of input and output translation between them. According to one embodiment, patients check medications, schedules, and diagnoses in addition to other information about themselves directly through the patient communication device 110.
  • Patient communication device 110 includes the following capabilities: a. Panic button located on patient communication device 110, simple to use but hard to accidentally trigger
  • Patient communication device 110 may have an integrated speaker and microphone
  • Patient can send voice messages to nurse. Message automatically goes to nurse or team of nurses assigned to patient. A time stamp and bed number are automatically attached to the voice message. Voice recognition may convert voice to text and/or translate message.
  • Patient can respond to voice messages sent from nurse, doctor, and base
  • Speech recognition may convert voice to text and/or translate message.
  • Patient can hear voice messages sent from nurse, doctor, and base station.
  • Voice recognition may convert voice to text and/or translate message.
  • communication device 110 as a mobile phone for patient to make and receive calls through hospital network and/or an outside cellular carrier.
  • the nurse 140 and doctor 130 communication devices have several menu options including choice of language, pediatric variations, and voice style options such as male or female and adult or child computerized voices.
  • the nurse 140 and doctor communication devices 130 may also be used as a chart, or to display an electronic form of the patient's chart. Additionally, the nurse 140 and doctor communication devices 130 can be used by the doctor or nurse to order procedures, consults, medications, and indicate that treatments, consultations, examinations, and other procedures have been completed.
  • the doctor communication device 130 is a wireless device that may work through a wireless provider, the hospital network, and/or a standalone system. It works with a variety of languages and is capable of input and output translation between them. Doctor communication device 130 includes the following capabilities:
  • Doctor communication device 130 may have an integrated speaker and microphone
  • Doctor can send voice messages to any patient, nurse, other doctor, or base station. Message automatically has a time stamp, doctor name and doctor ID linked to it.
  • Doctor can respond to voice messages sent from patient, nurse, another
  • doctor can hear voice messages sent from patient, nurse, doctor, and base station iv.
  • Pager may have ability to accept SIM card
  • Each request is associated with a menu of typical responses for patient v.
  • Doctor communication device 130 may have an integrated camera and/or ability to connect to a camera
  • Doctor can send images to any patient, nurse, other doctor, or base station.
  • Message automatically has a time stamp, doctor name and doctor ID linked to it.
  • Doctor can respond to images sent from patient, nurse, another doctor, and base station
  • Doctor can view images sent from patient, nurse, doctor, and base station 1. Capability to approve or deny an interpreter request originating from a patient communication device 110
  • the nurse communication device 140 is a wireless device that may work through a wireless provider, the hospital network, or a standalone system. It works with a variety of languages and is capable of input and output translation between them. Nurses send information requests and reminders such as "take medications" directly to patient communication device 110. Nurse communication device 140 includes the following
  • Nurse communication device 140 may have an integrated speaker and microphone
  • Nurse can send voice messages to any patient, other nurse, doctor, or base station. Message automatically has a time stamp, nurse name and nurse ID linked to it.
  • Nurse can respond to voice messages sent from patient, other nurse, doctor, and base station
  • Nurse can hear voice messages sent from patient, nurse, doctor, and base station
  • nurse communication device 140 is a mobile phone for nurse to make and receive calls through hospital network and/or an outside cellular carrier
  • Pager may have ability to accept SIM card
  • Adjustable ring and vibration alert for message waiting i. For example, different alert for ASAP Requests and Panic signal from patient communication device 110
  • Responded requests are flagged to notify other care providers that the patient need is being addressed and for that highlighted signal to appear on all pagers that received that message. These requests have the return address of the responding healthcare provider and a timestamp added.
  • Delayed requests are highlighted as on-hold to notify other care providers that a healthcare provider intends to respond to the request. These highlighted signals appear on all pagers that received that message with the return address of the responding healthcare provider and a time of reminder added, i. Send a reminder/announcement to a patient
  • Each request is associated with a menu of typical responses for patient v.
  • RTN forwarding nurse information
  • Nurse communication device 130 may have an integrated camera and/or ability to connect to a camera
  • Nurse can send images to any patient, nurse, doctor, or base station. Message automatically has a time stamp, doctor name and doctor ID linked to it.
  • Communication server 120 of system 100 includes message module 121 for sending messages to patient communication devices 110, such as e-mails, pages, SMS text messages, MMS messages, data files, etc.
  • Communication server 120 also has a management module 122 that coordinates the exchange of messages between devices 110, 130, and 140, administrator interface 150 and the treatment of patients. Management module 122 also facilitates the prioritization of patient calls.
  • patient needs are prioritized relative to their urgency.
  • various care providers are qualified for helping the patient. Nurses may then manage their duties from a priority standpoint without having to address the many non-urgent needs that can be easily met by a hospital assistant or nursing assistant.
  • having a nurse respond to a call light that demonstrates a need, which a non-skilled professional can satisfy consumes limited hospital energy and resources that should be directed elsewhere.
  • the management module 122 provides prompts to patients, nurses, doctors, and staff to ensure that protocols are maintained for the treatment of patients.
  • the protocols may conform to industry wide standards, or hospital and caregiver specific requirements.
  • Communications server 120 also includes a statistics module 123 that collects and analyzes information relating to the treatment of patients. For example, statistics module 123 analyzes data to track specific patient problems, analyzing prioritizing of patient calls, patient safety, hospital resources, patient satisfaction and timeliness of meeting requests.
  • Communication server 120 may be a web server that uses any one of a number of protocols and/or applications including HyperText Transfer Protocol (HTTP), File Transfer Protocol (FTP), Internet Relay Chat (IRC), etc., via a TCP/IP connection (not shown in this view) or other similar connection protocols.
  • the operating system may be Windows®, Linux®, SUN Solaris®, Mac OS®, Tiger, or other similar operating system.
  • the MMSW server 130 is a dedicated server. It uses processing logic, tools and databases and is built using a combination of technologies such as those from Apache Software () such as Tomcat® servers; Java based technologies such as J2EE, EJB, JBOSS, JDBC; and/or databases such as MySQL.
  • the communications server 120 may work through a wireless provider, the hospital network, or a standalone system. It works with a variety of languages and provides input and output translation between them. Communication server 120 has the following capabilities:
  • a. Communication server 120 may have an integrated speaker and microphone or may be linked into the telephone at the base station
  • Base station can send voice messages to any patient, doctor, or nurse.
  • Message automatically has a time stamp, operator name, and operator ID linked to it.
  • Base station can respond to voice messages sent from patient, nurse, and doctor
  • Base station can hear voice messages sent from patient, nurse, and doctor b. Adjustable alert for message waiting
  • Each request is associated with a menu of typical responses for patient v.
  • System 100 includes an administrator interface 150 that allows system configuration and process flow for advanced patient communications.
  • administrator interface 150 may be a touch screen PC that monitors all patients, and receives communications from a patient communication device 110. From the administrator interface 150, messages may be sent to nurse communication device 140 and/or doctor communication device.
  • an administrator such as a head nurse, doctor or workflow coordinator may access information relating to patients, as well as each nurse, staff member and doctor. The information may include performance statistics for doctors, nurse, and staff, as well as treatment information for the patient.
  • a station display 160 allows for the display of patient related information.
  • the display 160 may be located behind a nurse's station such that all nurses, doctors, and staff may see which beds are assigned to patients, nursing and doctor assignments, as well as treatment information if a patient codes and needs immediate attention.
  • the display may also indicate if the patient is alone, with visitors, a doctor, a nurse, staff, or other person.
  • the display may also indicate a status for a treatment process for a particular patient, for example, consult needed by a particular specialist, or medication to be administered by a particular nurse.
  • station display 160 optionally can indicate a language preference of the patient and/or information concerning interpreter requests, such as, for example, whether the patient previously requested an interpreter (e.g., an in-house or staff interpreter, an external interpreter, etc.). If the patient previously requested an interpreter, the display may indicate information associated with one or more of the previous requests, such as, for example, the total number of interpreter requests, the name(s) of the interpreter(s) last used, whether each interpreter used was in-house or external, the most recent interpreter request, the method(s) selected by the patient for communicating with an interpreter, the number of times that the patient has selected each such method, the average length of communications with the interpreter, and so forth. A station display 160 may also be placed outside a hospital patient room and provide information specific to the particular patient.
  • interpreter e.g., an in-house or staff interpreter, an external interpreter, etc.
  • a station display 160 allows for a wireless provider, the hospital network, or a standalone system. It is designed to work with a variety of languages and is capable of translation between them. Display may alternate in time between two or more languages and/or may have language adjustment capability. Station display 160 has the following assignments.
  • b. May have multiple displays, multiple windows cycling on each display, or menu- based displays
  • System 100 includes a database 170 that stores a variety of patient and healthcare provider information.
  • Patient data stored in database 170 may include one or more of for each patient:
  • the patient data may be searched, accessed and edited in many ways as follows: a. From communication server 120 - can search by any data field (i.e., doctor, diagnosis%)
  • Nurse communication device 140 - can search by any data field (i.e., doctor, diagnosis%)
  • doctor communication device 130 - can search by any data field (i.e.,
  • Nursing staff assignments information stored in database 170 may include one or more of for each nurse:
  • Nurse name i. Name: Nurse name
  • Nurse ID number ii. Int: Nurse ID number
  • Nurse Information
  • Text Hospital zone assigned (i.e., 3rd floor, maternity%) 1.
  • Text sub-zone (i.e., 3rd floor/admissions)
  • the nurse assignment data (that may change every shift) may be searched, accessed and edited in many ways as follows:
  • nurse communication device 140 - can search by any data field (i.e., nurse name, zone%)
  • Patient request information stored in database 170 may include one or more of for each request:
  • Nurse name Nurse name
  • Nurse ID number ix. Int: Nurse ID number
  • the patient request data may be searched, accessed and edited in many ways a. From communication server 120 - can search by any data field (i.e., nurse name, patient name%)
  • One or more of communication devices 110, 130, 140, administration interface 150, communication server 120 and station display 160 may allow network access via a web browser such as Microsoft's Internet Explorer®, Netscape Navigator®, Mozilla Firefox®, or the Safari® browsers that support HTML and JavaScript.
  • Communication devices 110, 130, 140, administration interface 150, communication server 120 and station display 160 are interconnected by secure network 101.
  • network 101 is described as being the Internet, alternatively, the network 101 may be a Wide Area Network (WAN), a Local Area Network (LAN), or any other system of interconnections enabling two or more devices to exchange information. Further, the network 101 may include a wireless network, such that one or more of devices 110, 130, 140,
  • administration interface 150, communication server 120 and station display 160 may be wireless devices.
  • System 100 may also include other supporting computing software and hardware, for example, additional website servers, databases, computers, and user interface servers.
  • Figure 2 illustrates an exemplary computer architecture for use with the present system, according to one embodiment.
  • Computer architecture 200 can be used to implement a devices 110, 130, 140, administration interface 150, and communication server 120 of Figure 1.
  • One embodiment of architecture 200 comprises a system bus 220 for communicating
  • Architecture 200 further comprises a random access memory (RAM) or other dynamic storage device 225 (referred to herein as main memory), coupled to bus 220 for storing information and instructions to be executed by processor 210.
  • Main memory 225 also may be used for storing temporary variables or other intermediate information during execution of instructions by processor 210.
  • Architecture 200 also may include a read only memory (ROM) and/or other static storage device 226 coupled to bus 220 for storing static information and instructions used by processor 210.
  • ROM read only memory
  • a data storage device 227 such as a magnetic disk or optical disc and its
  • the communication device 240 allows for access to other computers (servers or clients) via a network.
  • the communication device 240 may comprise a modem, a network interface card, a wireless network interface or other well-known interface device, such as those used for coupling to Ethernet, token ring, or other types of networks.
  • FIG. 3 illustrates an exemplary communications process 300, according to one embodiment.
  • System 100 directs the patient through the use of the patient communication device 110 that provides menus of the patients' needs and requests according to their sense of urgency. (310)
  • the patient's needs— as they are selected or typed out— are messaged to the patient's healthcare providers on their doctor's communication device 130 and/or nurse communication device 140 and a central communication server 120.
  • One embodiment allows the patient's primary nurse to be able to receive all messages from his/her patient(s).
  • those specific needs, which are appropriate for a non-licensed healthcare professional, such as a hospital assistant or nurse assistant are messaged accordingly.
  • the time of the message in addition to the patient's personal information identifies each patient request/communication.
  • the patient's literal request or need is messaged in a time-sequenced manner to the doctor's communication device 130 and/or nurse communication device 140 and organized/prioritized by urgency and time of request.
  • 340 the patient's literal request or need is messaged in a time-sequenced manner to the doctor's communication device 130 and/or nurse communication device 140 and organized/prioritized by urgency and time of request.
  • a voice communication system uses a speech recognition system which deciphers verbal messages and submits them either in voice or text. In such a way, the doctor's
  • each operator is able to delete a patient request when that request has been addressed and save the message for later retrieval.
  • One embodiment allows the operator to program all saved messages for timed reminders at the time the message is saved.
  • one embodiment of the system 100 allows multiple communication devices to interact with one another so that a healthcare team involving nurses and their assistants may be able to request assistance from one another if warranted by the situation.
  • the present system tracks any treatments, evaluations, and consultations, to ensure that protocols associated with a patient request are followed. (360)
  • the system 100 generates additional messages, stores data in the database 170 and tracks the progress of the healthcare providers until the patient's request is complete.
  • System 100 facilitates the identification of a patient need being addressed. Since multiple people may receive the same patient request on their communication device, the care provider assisting with that specific need may highlight the message with a function key on the communication device 110, 130, or 140 to notify other care providers that the patient's need is being addressed and for that highlighted signal to appear on all devices 130, 140 that received that message. This eliminates two or more people going to the same patient at the same time for the same need. It also allows all those who have been contacted to see which patient
  • system 100 provides an efficient way for communication between patients and their care providers and amongst the care providers themselves.
  • the central communication server 120 controls all beside monitors for a particular unit and would also serve as the primary language center. From this station, the language of the patient communication device 110 can be chosen, changed, or altered. In addition, it can provide direct translation services. In the event the patient reads only Japanese and the nurse reads only English, the communication server 120 allows automatic translation between the patient communication device 110 and the nurse's desk or
  • the communication device 140 and also vice versa, allowing effective two way communication without the need of a translator.
  • the communication server 120 also allows for voice
  • communication server 120 optionally allows for communication between patient communication device 110 and an interpreter over text (e.g., messaging), audio, and/or video.
  • the present method and system allows data for each patient to be entered prior to the patient's use of the patient communication device 110.
  • the data may be entered using a keyboard, which connects to the system by wireless communication and/or by a wire connection.
  • the present system may allow this data to be entered into the central communication system using an interactive touch screen and/or keyboard.
  • Hospital staff are able to select the type of care administered to the patient (i.e., Triage/ER/EMS, ICU/Recovery Room, General Med/Surg, Long-term Care/Hospice), the language spoken by the patient, the language spoken by the healthcare provider, the patient's name and general demographics (age, gender, etc.).
  • the present system then presents menus to the patient that may vary according to these selections.
  • ICU could bring up a list of urgent needs associated with being unable to breathe, needing suctioning, having pain.
  • this menu would provide dialog which would enable the expression of specific needs that are necessary for treatment that one would be unable to express without using their voice— as these patients are most often intubated and unable to speak.
  • the communication deficit with these patients most often involves their inability to speak, whereas stable patients on a hospital ward are separated from their healthcare provider and their deficit lies in the inability of the healthcare provider to differentiate their needs from urgent and non-urgent prior to arriving to their room.
  • the preprogrammed text for acute (non- ICU) care would represent the communication needs for that patient population. This variation is consistent for each level of care the program supports. Again, the present method and system supports at least one level of care, possibly including more, four of which may be delineated as: Triage/ER/EMS, ICU/Recovery Room, General Med/Surg, and Long-term Care/Hospice.
  • the present method and system allows for verification of communications. All communications are automatically verified by the receiving device. Unverified messages are automatically resent after a programmable timeout period. Backup measures including sending a message to the system administrator and/or a secondary recipient are implemented after a programmable number of failed re-tries.
  • FIG. 4A- 4D Another embodiment of the present invention comprises an advanced patient nurse call device.
  • the present nurse call system utilizes 1) a bedside digital user interface ( Figures 4A- 4D), lightweight handheld solutions for the providers ( Figures 5 A-5K), a nursing "whiteboard” ( Figure 6), and a software platform that uses an algorithm to enable patients, providers, and other ancillary staff the opportunity to communicate specific requests, remotely, instantly, and with pre-assigned priority rankings.
  • the patient interface may have multiple screens ( Figure 7 and Figures 8A-D).
  • the platform may also include functionalities that allow for precise monitoring of nurse call requests, patient admissions, transfers, and discharges, managing personnel/shift changes, and sign-offs from any PC with software or web access.
  • the present novel nurse call system offers a patient-centric interface ( Figures 4A-4D) that includes two hardware call buttons providing the option for urgent and non-urgent requests, and a touch screen (401) providing the option for making up to 30 specific requests, such as requesting an interpreter (as shown in Figure 4B).
  • Call requests are routed based on provider availability, which for the present system, includes both real-time input from nursing staff as well as an automated algorithm that monitors the number and types of call requests assigned to each provider.
  • the present system uses a combination of software and new hardware providing: 1) addition of bilingual communication; 2) two levels of call urgency; 3) a touch screen device for specifying requests allowing intelligent routing, and finally; 4) algorithmic routing of calls with unique capability for assessing provider availability remotely.
  • the patient touch screen displays four categorical requests: 1) IV, Medications & Pain (404); 2) Bathroom & Hygiene (405); 3) Food & Drink (406), 4) Comfort & Repositioning (407), organized according to skill level required to address the request within each category.
  • This enables patients to select a category, which then delivers that specific message to their nursing staff, which is then communicated with a pre-assigned priority ranking and delivered to the most appropriate nursing personnel.
  • a basic version only displays the categorical icons ( Figure 7).
  • An advanced version displays a secondary screen after selecting each category ( Figures 8 A-D), providing more specific requests that correspond to category, with a total of thirty specific requests within all four categories.
  • the present system also alerts the patient when a call request has been made and allows the patient to cancel their call if the request was made accidentally. This confirmation and cancellation process is not available on existing patient pillow speakers.
  • buttons (402 and 403) there are shown two buttons (402 and 403).
  • the lower button (403) provides the patient the opportunity to make a general or non-urgent call request while the top button (402) provides the patient the opportunity to make an urgent request.
  • the functionality further provides the patient the opportunity to press the top button (402) after pressing the lower button (403) such that the patient who initially pressed the lower button (403) has now waited for some period of time and has recognized they no longer can wait and needs help right away. By doing so, the patient has now self-escalated their call request from non-urgent to urgent.
  • These two buttons (402 and 403) may be positioned and distinguishable from one another in ways other than as displayed in Figure 4A, including the option for touch screen selectivity rather than depressing a physical hardware button.
  • buttons 402 and 403
  • a pendant that is worn around the neck of the patient or around the patient's wrist having these two buttons, or providing at least one of these buttons, can be used when a patient is ambulating the halls, ambulating to the bathroom or sitting up in a chair where the bedside device in Figure 4A would otherwise not be in reach. In this manner, the patient can initiate a call request remotely from this device.
  • a message "Request Made” (408) provides confirmation to the patient that they have successful initiated a call request.
  • the patient can, after initiating a call request, select the item a second time to cancel their request. After doing so, the patient is provided confirmation that their request has been cancelled by a message "Request Cancelled,” which may appear in the same location as “Request Made” (408).
  • the patient can request an interpreter in any suitable manner including via the respective embodiments of a patient communication device as shown in Figures 4B-4D.
  • the patient for example, can request an interpreter using the touch screen of the patient
  • the patient can select a method for communicating with the interpreter, for example, among the options displayed on the patient communication device as shown in Figure 4C.
  • the patient can engage in a text-based chat or other written communication with the interpreter (e.g., over a text message application) using the patient communication device.
  • the patient can engage in oral communication with the interpreter, for example, by speaking with the interpreter over an audio call or a video call using patient communication device.
  • Hospital policies can determine the options available to patients.
  • an interpreter call (or text chat) begins automatically after the patient has selected a communication method without requiring any action (e.g., approval) by a provider.
  • a personal identification number (PEST) or other security information can be entered into the patient communication device in order to proceed with an interpreter call or chat.
  • the PIN or other security information can comprise any conventional type of security information.
  • the PIN or other security information for example, can comprise an alphanumeric code with a predetermined length and is typically generated in response to initiation of an interpreter request.
  • the PIN can be generated in a preselected manner, including, for example, by a patient communication device, communication server, doctor communication device, or nurse communication device.
  • the PIN or other security information optionally can be transmitted to a provider communication device (e.g., a doctor or nurse communication device) and/or displayed on the provider communication device.
  • a provider communication device e.g., a doctor or nurse communication device
  • a nurse, doctor or other provider can enter the PIN on the patient's communication device, allowing the patient to proceed with communication with the interpreter.
  • a message generated by a patient which is routed to an initial provider based on both the context of the message and the provider's skill level can be manually reassigned by the recipient to another provider from their receiving device or from another device that displays the message using the "Transfer" icon shown in 510.
  • a transferred icon appears on the list of call requests (511).
  • a provider device displays a list of patients that can be color coded based on the call light request (515 and 516) and provider currently accountable to that request (515 and 516), and time since request was initiated (517) and the status of the request (initiated, acknowledged, in-progress, transferred to another provider, fulfilled).
  • a provider device can comprise a touch screen display of patients which can be organized by urgency of request (512), by time elapsed since initiated (513), by room number (518), and by assigned provider type (516).
  • a provider device can comprise a touch screen displaying the status of the call light request and the ability for the provider to choose to "respond,” which can then both allow for direct voice communication with the patient and/or the patient's room and allow for communication by sending a text message which would appear on the patient's screen.
  • a provider device can include the ability for the provider to change or update the status of the call light request (408) in Figure 4A.
  • a provider device can comprise a touch screen whereby the recipient is able to redirect or transfer the request to another provider if the recipient of the request is unable to respond (510).
  • a provider device can automatically enter the request into and retain the request within a checklist which the provider can access and modify.
  • the checklist can be sorted by patient or by time due, and can generate prompts/reminders (alarms) based on time due or manually scheduled times (519).
  • a provider device can enable a provider to call for a Staff Assist, signaling the appropriate staff with both visual and audio queues on their devices as to the provider's location who initiated the Staff Assist (520).
  • a notification or alert can be sent to a provider device.
  • the provider device can enable a provider to start and/or cancel an interpreter call.
  • the provider can select a communication method for the interpreter call, such as a text chat, audio call, or video call.
  • the provider device optionally can display information associated with the interpreter request, such as, for example, the room number of the patient who initiated the request (e.g., "Room 123") and/or the amount of time elapsed since the request was initiated (e.g., "00:06").
  • the PIN or other security information can be displayed on a provider device as shown (e.g., "35567").
  • the provider device can enable a provider to update the patient by sending a status message to the patient communication device, such as "on the way” or "in process.”
  • a display screen illustrates the context of each call light request (621) by location (622), the type of request (623), level of urgency of the request (623), status of request (e.g., initiated, acknowledged, in-progress, transferred to another provider, fulfilled) (625) and type of provider (624) that should first respond to the request for each patient, capable of organizing this information by provider and/or by patient room number and displaying this information accordingly, capable of providing call light reassignment from one provider to another.
  • a display screen illustrates the presence of a patient in their room, in their bathroom using RFID, and the presence of a provider, if the provider has entered the patient room, using RFID.
  • a provider device can modify the status of a call light request if the provider associated with the provider device is the active recipient for that patient's active call light request.
  • the provider device can update the status of the type of provider making rounds, if the provider either assigned or qualified to perform patient rounds has entered the patient's room.
  • the device shown in Figure 4A would deliver a message to the patient if the patient initiated a categorical request such as "Bathroom & Hygiene” (405) or if the patient initiated a specific request such as "Go to the Bathroom” (826).
  • a categorical request such as "Bathroom & Hygiene” (405) or if the patient initiated a specific request such as "Go to the Bathroom” (826).
  • the message delivered could be a textual message displayed on the screen shown in Figure 7 or Figures 8A-D or a spoken message, such as "Please, do not get out of bed by yourself, or "You are at great risk of falling", or "Someone is on the way to help you” and might caution the patient from attempting to get up by themselves and prevent them from falling.
  • a message is generated by a patient device which is routed to an initial provider based on both the context of the message and the provider's skill level (Registered Nurse, Nurse Assistant). If the initial recipient has several other call requests which have not been fulfilled, the message can be automatically re-routed to another provider of like skill level based upon a programmable threshold having been reached, that threshold being a programmable number of unacknowledged requests, outstanding requests or unfulfilled requests of the initial provider/recipient.
  • a programmable threshold having been reached, that threshold being a programmable number of unacknowledged requests, outstanding requests or unfulfilled requests of the initial provider/recipient.
  • a message generated by a patient device which is routed to an initial provider based on both the context of the message and the provider's skill level (Registered Nurse, Nurse Assistant, Physician) can be automatically rerouted to another provider of different skill level based upon a programmable threshold having been reached, that threshold being a programmable number of unacknowledged requests, outstanding requests or unfulfilled requests of either the initial provider/recipient or other providers/recipients of like skill level.
  • a programmable threshold having been reached, that threshold being a programmable number of unacknowledged requests, outstanding requests or unfulfilled requests of either the initial provider/recipient or other providers/recipients of like skill level.
  • the call request can be automatically routed and re-routed until it finds a recipient that would best be able to respond to the patient's request.
  • the destination of automatic routing and re-routing may be a recipient that is not the best match with respect to the best skill level to fulfill the request, but it provides the opportunity for a provider to at least attend to the patient if a provider that does match the skill necessary to fulfill the request is not available.
  • a patient pillow speaker device that provides the patient with more than one contextually specific nurse call request, whereby more than one request (404 - 407, or 404 and 826) can be active simultaneously, whereby the recipient(s) of such request may be notified of the context of each request with a plurality of requests; whereby the initial recipient(s) of each request can be routed or automatically re-routed based on the context of each message, the skill level required to fulfill each request, the skill level of the recipient and the number of unacknowledged requests, outstanding requests or unfulfilled requests of the initial provider/recipient.
  • all textual content can be provided in a multilingual format allowing the spoken language of the patient to be selected within the setup process, which would then display all textual content in the patient's preferred language. This continues to send the same message to the providers allowing the providers to understand the patient's needs initiated in the patient's preferred language and read by the provider in the provider's preferred language.
  • the advantages of the present invention include, without limitation, a change in clinical practice by providing nurses a way to streamline patient care, work more efficiently, and provide a safer, more satisfying patient experience.
  • a workflow redesign could optimally remove non-value added time from licensed nursing personnel.
  • nurses know the patient's specific need when the call button is initiated, the response can be prioritized and/or redirected to appropriate staff (skilled vs. non-skilled), bypassing the need for triaging call requests, thereby improving patient safety and efficiency of care.
  • the present invention may impact nursing shortage by providing administration optimal allocation of nursing resources through unique workflow management features that allow administration to examine the types of call requests and associated required nursing personnel.
  • the present system is an enhanced pillow speaker that identifies the specific context of each patient request along with an algorithm to deliver a specific message to the hospital nursing staff with a pre-assigned priority ranking based on the urgency of the request and skill level required to fulfill the patient request.
  • the patient's specific need is delivered to the most appropriate nursing personnel for immediate response, without requiring a staff member to triage the request.
  • patient call requests can, for the first time, be routed to the most appropriate and available provider without the requirement of a staff member to first triage the request.

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Abstract

L'invention concerne un dispositif de communication de patient pour une communication avancée de patient et des procédés de fabrication et d'utilisation. Selon un mode de réalisation, un dispositif de communication de patient comprend un mécanisme d'entrée de sélection destiné à générer un message sur un dispositif d'affichage, le message reflétant une demande pour un interprète. Le mécanisme d'entrée de sélection comprend un ou plusieurs des éléments suivants : un bouton, un clavier et un écran tactile. De plus, le dispositif de communication de patient comprend un émetteur destiné à émettre le message à un serveur de traitement central et un indicateur d'état sur le dispositif d'affichage, l'indicateur d'état représentant un état d'émission associé au message.
PCT/US2017/031788 2016-06-06 2017-05-09 Procédé et système de communication de patient avancée WO2017213787A1 (fr)

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US15/174,675 US20160284202A1 (en) 2006-07-17 2016-06-06 Method and system for advanced patient communication
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Cited By (1)

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Publication number Priority date Publication date Assignee Title
CN111933304A (zh) * 2019-05-13 2020-11-13 希尔-罗姆服务公司 患者请求系统

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US20050251421A1 (en) * 2004-03-29 2005-11-10 Calvin Chang Providing video interpreting services
US20060105301A1 (en) * 2004-11-02 2006-05-18 Custom Lab Software Systems, Inc. Assistive communication device
US20120278104A1 (en) * 2006-07-17 2012-11-01 Bryan James Traughber Method and system for advanced patient communication

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Publication number Priority date Publication date Assignee Title
US20050251421A1 (en) * 2004-03-29 2005-11-10 Calvin Chang Providing video interpreting services
US20060105301A1 (en) * 2004-11-02 2006-05-18 Custom Lab Software Systems, Inc. Assistive communication device
US20120278104A1 (en) * 2006-07-17 2012-11-01 Bryan James Traughber Method and system for advanced patient communication

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Publication number Priority date Publication date Assignee Title
CN111933304A (zh) * 2019-05-13 2020-11-13 希尔-罗姆服务公司 患者请求系统

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