Current clinical guidelines and medium executing guidelines

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment. A method for managing the execution of clinical guidelines involving the stages, whereat: accepting an input comprising a patient's condition; retrieving a set of recommendations corresponding to the above condition; displaying at least a portion of the set of recommendations to the user; accepting the user's selection of recommendations from the set of recommendations, issuing warnings, if the user's selection is rejected from the recommended sequence from the set of recommendation; accepting the input that one of the recommendations has been executed; and changing the display of recommendations on the basis of the above input that one of recommendations has been executed.

EFFECT: automatic management of executing the medical guidelines.

15 cl, 3 dwg

 

The level of technology

Health workers standardize practical activity, implementing guidance for commonly performed medical procedures or other processes. The implementation of these guidelines may be in urgent situations or in emergency conditions where it is difficult to trace the execution of the manual or follow the guide exactly as prescribed. There is a long felt need to solve the above problem (s).

Summary of the invention

Described herein exemplary embodiments of the implementation of the contains method accepts input that contains the state of the patient, retrieving a set of recommendations corresponding to the condition, displaying at least part of a set of recommendations to the user, receiving input that the one recommendation was made, and changing the display of the recommendations based on the input that the one recommendation has been implemented.

Exemplary embodiments of the implementation described herein also include a system having a processor, display and memory. The processor accepts input about the state of the patient, and retrieves from the memory a set of recommendations corresponding to the condition, the display shows the user a set of recommendations, the processor accepts input that one of the recommendations was implemented, and transmits instructions to the display�th change the display of the recommendations based on the input that the one recommendation has been implemented.

Examples of the embodiments described herein also include a computer-readable storage medium containing a set of instructions that are executable by the processor, wherein the set of instructions are executed to receive input that contains the state of the patient, to extract a set of recommendations corresponding to the condition, to display to the user, at least part of a set of recommendations to accept the input that the one recommendation has been implemented, and change the display of the recommendations based on the input that the one recommendation has been implemented.

Brief description of the drawings

Fig.1 - example system management to provide health care in accordance with the present invention.

Fig.2 is an example of how coordination guidelines for medical assistance in accordance with the present invention.

Detailed description

Examples of embodiments consistent with this disclosure may additionally become clearer when referring to the subsequent description and the appended drawings, where similar elements are denoted by the same reference positions. Examples of the embodiments describe systems and methods for coordinating the implementation of the clinical leadership�TV, through which health workers can treat patients with specific conditions.

The term "leadership", as used in this disclosure, means a documented set of recommendations for health professionals on how to optimally treat and refer patients with certain diseases and/or conditions. These guides are usually not meant to be rigid rules; rather, they are intended to be a Council for the direction of their users. Many of these manuals are maintained by the National clearing house on guidance and are available on the website http://www.guideline.gov. There were various efforts have been made to computerize or otherwise automate the handling of guides, but they continue to suffer disadvantages, among which the user limits prescribed order of events, which is often impractical in a clinical setting. For example, the patient often changes that cannot be accounted for in the prescribed order of events. Disclosed here options for implementation may overcome these disadvantages and to provide additional benefits when using the tutorials.

Fig.1 shows an example system 100 for use in coordinating the implementation of guidelines, including, when tracking �and implementation guidelines. The system 100 may be designed only for this purpose or may also be used to perform other tasks (monitoring information about the patient or the performance of the vital functions, etc.). The system 100 can be a standalone or be part of a network covering one or multiple locations providing health services.

The system 100 includes, for example, the display 110 (e.g., a conventional display, touchscreen display, some display devices, etc.), the interface 120 of the user (e.g., a touch on the display means, a keyboard, a mouse, a touchpad, etc.), the processor 130 is able to coordinate the implementation of the guidelines thus, as described below, and the memory 140 (e.g., a data store such as a hard disk and dynamic or non-volatile memory, such as random access memory, RAM). The system 100 may additionally, optional, may contain other components, such as, for example, a control device for a patient, such as a monitor heart rate, blood pressure monitor, glucometer, etc.

Fig.2 shows an example method 200 for coordinating the implementation of the guidelines. In the example embodiment of method 200 is performed, for example, system 100 described above with reference to Fig.1. However, the method 200 can be performed by any system that is able�th to provide and coordinate leadership, as described here. In step 210 is taken of the patient's condition. This condition is, for example, illness, injury, the chosen procedure, test or group of tests, or any other state that has a recommended set of steps associated with it. The system 100 accepts the condition of the patient via the user input (for example, the user makes a selection from the set of States displayed on the display 110, using the interface 120 of the user) or can determine the condition of the patient via the input received from input devices, such as monitor heart rate, blood pressure monitor, glucometer, etc. (e.g.,the system 100 can identify a patient having a heart attack, based on the information about the electrocardiogram input into the system 100).

It should be noted that when the first patient (for example, in a hospital, clinic, doctor's office, ambulance, etc.) may not always be known, what is the condition of the patient and what guidance should be used. Thus, in such situations, this step may be preceded by the use of diagnostic manuals. Similarly in situation of emergency medical care (e.g., ambulance service, intensive care unit, etc.) that may precede the use of the installation guide order to determine the priori�Yotov relating to patients.

In step 215 remove lead, corresponding to the accepted condition. Leadership can be stored locally (e.g., in the memory 140 of the system 100) and to be extracted internally or can be stored and maintained remotely (e.g., in a Central location, which supports all manuals for specific hospitals, health network, etc.). The manual usually contains a recommended set of steps that must be performed to properly treat or alleviate the patient's condition. The guide can be linear (for example, a set of steps which must be performed sequentially), may include steps that must be performed in parallel (e.g., simultaneously) with each other, or may contain branching, which have two or more stages, of which should be made by selection on the basis of the results of the preceding stage, etc.

In step 220, the guide is displayed to the user (e.g., via display 110). The guide may be displayed partially (for example, displays the first stage, the first two steps, etc.) or completely. The user may have the opportunity to choose from a variety of display options. If the system 100 simultaneously handles other tasks that management may only appear on the side of the display 110, while the rest of the display 11 can display data, not associated with management and/or associated with the processing of other tasks. Alternatively, the display can be brightly stages is next in the sequence, and/or steps shown in gray, which is currently unavailable (for example if they are no longer applicable because of previously performed phase seems to them unnecessary if they are impossible, because the previous steps have not yet been performed, etc.), Additionally, the steps, which are at various stages of implementation (e.g., has not yet been reached, missed, cancelled, active, partially finished, finished, means the executed/activated/canceled, etc.)can be classified graphically (e.g., using different colors using different border, etc.).

In step 225, the system 100 receives from the user a selection of a level. The selection is made using, for example, the interface 120 of the user (such as clicking a mouse, touching a touch display device, etc.). This choice of the phase indicates that the phase within the leadership is seen to perform and, thus, will cause the system to assess whether the right to perform the selected phase in the moment of choice, as will be described below.

In step 230, the system 100 evaluates the selection stage, adopted at step 225 to determine whether he is following �tap in the guide. If this is correct the next step, the method continues at step 235 where the system 100 indicates to the user (for example, the message shown on the display 110, via audible alarm indicator, etc.) that the selected stage can be continued. Then, in step 240, the system 100 receives from the user a confirmation of completion when the stage is completed (for example, via an extra mouse click or other input, usually similar to that used in step 225).

Alternatively, if system 100 determines that the selected stage is not included in the sequence, the method continues to step 245, where the system 100 indicates to the user that there are other steps that must be completed first. This indication is performed, for example, illuminating these preliminary stages in the display 110, and thus informing the user about the steps that must be completed to achieve a particular phase or goal. If the selected stage there are a lot of ways, the system 100 can specify all the options. Then in step 250, the system 100 can optionally provide warnings related to the execution of the selected step out of order. For example, in the guidelines for the treatment of a sudden attack should be marked by the end of this phase, eliminating the occurrence of sudden attack, until the end phase, indicating�R the future completion of the required laboratory tests. Installation notes can be, for example, brightly allocated (as, for example, by blinking, color-coded contour or all stages) stage with a warning message. Alerts can be provided via the display 110 of the playback tone indicator, etc. Although the system 100 may allow you to complete inside guide to the stages out of sequence, there may be medical reasons not to do so. An adequate response to such a warning may then be determined at the discretion of the individual clinical site, individual practitioner, etc.

Further, in step 255, the system waits for reception of an indication that the selected phase was completed. This indication can be performed in the same manner as described above for stage 240. If the user chooses not to complete the stage, going out of order, the method returns to step 225 and the system waits for receiving selection of a new stage. If the user indicates that the selected stage has been completed, the method continues to step 260, where the system 100 concludes that all prerequisites for the selected phase were performed to reach the selected stage. This can be useful in such conditions, emergency Department, where it is not always possible to register every action, when it is completed. For example, if �next step is to conduct an ECG for the patient, the system may conclude that the patient was adopted.

In step 265, which follows the step 240 or step 260, the system 100 determines whether any steps unnecessary or impossible just completed stage. In one example, where two different types of scanning may be options to check the patient for the presence of a certain condition, if the first of these has just been completed, the second, probably, is no longer applicable. In another example, if the decision point "Sudden attack is eliminated?" was answered in the negative, the step "Close to attack" may be impossible. As described above, such a stage may be displayed on the display 100 in gray; however, the user will still be able to perform this step if desired, as, for example, to confirm the results of previously performed scan.

After step 265 in step 270, the system 100 determines whether the completed guide. The standard of execution may vary depending on the type of management (for example, the completion of the test, the surgery, patient discharge, etc.). If management is not satisfied, in step 275, the system 100 updates the management changes described above (for example, completion of selected stages, the completion of the preliminary stage�in, identification of unnecessary/impossible stages, etc.). After the manual has been updated, the method returns to step 220, where the updated guidance is displayed to the user. Alternatively, if system 100 detects that the manual had been completed, the method terminates after step 270.

The system 100 may be able to consistently reproduce the gradual implementation of all stages of the management performed in the case of a particular patient. This operation is useful, for example, to view the actions of a medical worker to ensure that activities are performed effectively. Such operation can be initiated during execution of the method 200 or retrospectively at another time.

Completed the steps within the manual may have the option of "cancel" ("undo") for the return of leadership to the point before completion; this is useful if the phase is indicated as "completely erroneous" if the phase was completed incorrectly and needs to be repeated, etc.

In another example embodiment of the system 100 may be configured to perform numerous steps within the guide at the same time, even if it is recommended that they are implemented consistently. It may also be possible for guides, comprising stages, which are scheduled to run simultaneously.

On �IG.3 shows a GUI 300 of the user ("GUI"), which may be provided to the user, e.g., via display 110. The information provided on the GUI 300 may contain information 310 patient identification information 320 identification of the doctor, the tabs 330, 332, 334, 336 and 338 of the choice to move among different active guidance, a graphical representation 340 of the active guidance and a list of recommended next steps 350. Window on the GUI 300 may vary in size, using the icons 360 and 365 to resize.

Status of implementation of the individual steps within the guide, as shown in the graphical representation 340 can be presented graphically. For example, the phase, which was clearly marked as completed, is indicated with a blue background, while the stage, which means (for example, as discussed above in relation to stage 260) is indicated with a blue background and a red border. The inactive phase is indicated with a white background, whereas the phase is deemed to be unnecessary (for example, as discussed above in relation to step 265), indicated with a grey background and a red border. The active phase is indicated with background, skin tones, and partially finished stage is indicated with the background, which is partly blue and partly bodily tone, blue number that indicates the percentage completed.

In another example, in�Rianta implementation information, provided by the system (for example, in this embodiment, the implementation is the only workplace in the wider health network), it can be specific to the user of the system. In this version of the implementation, instead of displaying the complete guide to disease and/or patient, the user is granted only those stages that concern him/her. For example, for guidance relating to the examination using computed tomography (CT), in the workplace, x-ray technique should only show the phase of the tutorial directly related to performance of CT scan; subsequently, when the scan is finished, workplace radiologist should only show the stage of guidance relating to the interpretation of the scan.

In addition, a single workstation can display multiple Windows having different phases on the basis of the users who watch manual. For example, in the situation in the emergency room, you can have the doctor and the nurse, and the display may have a display window, open separately for doctors and nurses, showing the stage or stages of leadership that relate to the physician - in window for the doctor, and the step or steps of the manual that relate to the nurse in the nurse.

Additionally, the device p�Stom input may allow the input which should be adopted to switch the display of the manuals for descriptions of the different users and/or works. For example, the guide may be displayed for nurses sets the priority that will perform for the patient functions related to the nurse sets the priority. Responsible for the patient may then be transferred to another nurse, for example, the emergency room nurse. An emergency room nurse can provide the system that is displaying the manual input indicating that it is now an emergency room nurse cares for the patient, so that the respective stages of the manual related to this job function, were mapped.

Specialists in the art should be obvious that the present disclosure can be made various changes without departing from the essence or scope of the disclosure. Thus, it is understood that the present disclosure covers the modifications and modifications of this disclosure provided that they are within the scope of the appended claims and its equivalents.

[0030] it should Also be noted that the formula of the invention may contain reference marks/positions in accordance with Rule 6.2(b) of the PCT. However, the present invention should not be considered limited to the examples of embodiments corresponding to �silnym signs/positions.

1. A method of coordinating the implementation of clinical guidelines containing phases in which:
accept (210) input that contains the state of the patient;
extract (215) a set of recommendations corresponding to the said state;
display (220) the user, at least part of a set of recommendations;
accept (225) user selection recommendation from the set of recommendations
emit (245, 250) warning when the user selection deviates from the recommended sequence of a set of recommendations
accept (240, 255) input that the one recommendation has been complied with; and
change (275) display of the recommendations based on the above-mentioned input that one of the recommendations was implemented.

2. A method according to claim 1, wherein the change includes an indication that one of the recommendations was implemented.

3. A method according to claim 1, wherein the change includes an indication that at least one other recommendation was implemented, based on these input that the one recommendation is made.

4. A method according to claim 1, wherein the change includes an indication that at least one other recommendation is one of irrelevant or impossible to perform, based on the mentioned data input that the one recommendation is made.

5. A method according to claim 1, wherein the change contains a mapping mn�deities recommendations containing at least two separate paths of recommendations based on these input that the one recommendation is made.

6. A method according to claim 1, additionally containing phase, which provide (245, 250) user information relating to a rejected recommendations.

7. A method according to claim 1, additionally containing phases in which:
accept additional input indicating job function of the user; and
change the display of the recommendations based on the functions of that user.

8. A method according to claim 1, wherein the said input is a user input and input parameters.

9. A method according to claim 1, wherein changing the display includes one of a color change of one of the recommendations and the changes of the border surrounding one of the recommendations.

10. System to coordinate the execution of clinical guidelines containing:
the processor (130);
the display (110); and
the memory (140),
moreover, the processor (130) accepts input condition corresponding to a patient, and retrieves from the memory (140) a set of recommendations corresponding to the above condition, the display (110) displays a set of recommendations to the user, the processor (130) receives user selection of recommendations from a set of recommendations referred to the processor (130) outputs (245, 250) warning when the user selection �danaida from the recommended sequence of a set of recommendations the said processor (130) receives the input that the one recommendation has been implemented, and sends instructions to the display (110) to change the display of the recommendations based on the above-mentioned input that one of the recommendations was implemented.

11. A system according to claim 10, in which the instruction to change the display (110) contain a statement that one of the recommendations was implemented.

12. A system according to claim 10, in which the instruction to change the display (110) contain an indication that at least one other recommendation was implemented, based on these input that the one recommendation is made.

13. A system according to claim 10, in which the instruction to change the display (110) contain an indication that at least one other recommendation is one of irrelevant or impossible to perform, based on these input that the one recommendation is made.

14. A system according to claim 10, in which the instruction to change the display (110) contain a mapping of the set of recommendations containing at least two separate paths of recommendations based on these input that the one recommendation is made.

15. A system according to claim 10, further comprising a device (120) of a user interface for receiving input.



 

Same patents:

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12 cl, 50 dwg, 5 tbl

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13 cl, 50 dwg, 5 tbl

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22 cl, 12 dwg

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14 cl, 11 dwg

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24 cl, 7 dwg

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19 cl, 10 dwg

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20 cl, 4 dwg

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15 cl, 5 dwg

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1 dwg

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17 cl, 15 dwg

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to computer engineering. A system for storing a report variant comprises a report database configured to store and provide reports; computer user input means configured to create and edit a report, wherein a report variant is not stored in the report database; a request database configured to store and provide requests, wherein the requests are suitable for search in the report database; a hardware search device configured to retrieve one or more requests from the request database; retrieve a report variant from the user input means; execute one or more requests based on the report variant to determine relevance of the report variant, wherein relevance characterises whether a report variant will be retrieved from the report database when executing one or more requests; compare relevance with a predefined threshold for entering into the report database; add the report variant to the report database if relevance exceeds said threshold; and storing the report variant in the report database if relevance exceeds a predetermined value.

EFFECT: fewer substandard reports in a database.

15 cl, 3 dwg

FIELD: physics.

SUBSTANCE: method of functioning of a smart automated assistant is offered. The method is performed in the electronic device containing the processor and memory where the instructions executed by the processor are saved. The processor executes instructions by which the user request is accepted, which includes the speech input accepted from the user. The information on the sender name is taken from the transfer accepted in the electronic device before reception of speech input. Meanwhile this transfer is accepted from the sender that is isolated from the mentioned user. The intention of the user is revealed on the basis of the mentioned text line and a sender name.

EFFECT: improvement of accuracy of representation of relevant information to the user due to identification of intention of the user on the basis of the text line and a sender isolated from a user.

15 cl, 50 dwg, 5 tbl

FIELD: data access technologies.

SUBSTANCE: method includes assignment of simplified network address, recording URL and converting numbers into storage system with net access, inputting assigned number into computer, transferring inputted number to storage system, converting number to URL, receiving page matching URL, and displaying it. Method for use in operation systems for message transfer include intercepting system level messages to certain objects and forming pseudonym messages during that. Systems realize said methods.

EFFECT: broader functional capabilities.

12 cl, 30 dwg

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