122 results about "Clinician educator" patented technology

Disclosed are systems and methods which provide an external clinician interface, such as through the use of a laptop computer or a personal digital assistant (PDA). The foregoing clinician interface may be used with trial stimulators well suited for use interoperatively and during patient trial. Stimulators of embodiments are adapted for use in providing stimulation to a plurality of tissues and / or areas of the body, such as spinal cord stimulation, deep brain stimulation, etcetera.

The system described herein enables clinicians and researchers to use aggregated genetic and phenotypic data from clinical trials and medical records to make the safest, most effective treatment decisions for each patient. This involves (i) the creation of a standardized ontology for genetic, phenotypic, clinical, pharmacokinetic, pharmacodynamic and other data sets, (ii) the creation of a translation engine to integrate heterogeneous data sets into a database using the standardized ontology, and (iii) the development of statistical methods to perform data validation and outcome prediction with the integrated data. The system is designed to interface with patient electronic medical records (EMRs) in hospitals and laboratories to extract a particular patient's relevant data. The system may also be used in the context of generating phenotypic predictions and enhanced medical laboratory reports for treating clinicians. The system may also be used in the context of leveraging the huge amount of data created in medical and pharmaceutical clinical trials. The ontology and validation rules are designed to be flexible so as to accommodate a disparate set of clients. The system is also designed to be flexible so that it can change to accommodate scientific progress and remain optimally configured.

A method and system for managing mechanical ventilation of patients with respiratory disorders is described. The main objective of the system is to generate executable instructions for patient care which take into account a large number of parameters of patient condition and ventilation. Data regarding the state of the patient are stored in a database. Patient data are processed according to a set of protocols which contain rules for patient care decisions arranged in a logical sequence to generate detailed, executable instructions for patient care. Instructions are updated when new data are entered into the database. The data can be acquired in an automated fashion, or the clinician can be instructed to collect and enter new data into the clinical database. Likewise, patient care instructions can be carried out automatically or manually, but it is preferred that instructions are carried out manually as a safety check. The preferred embodiment of the invention includes a computer system, software for processing patient data, and a display device for presenting patient care instructions to the clinician. The system maintains a record of patient data, patient care instructions, whether instructions were followed by the clinical staff, and if not, a reason why.

This invention describes a medication delivery system and method that displays in graphical form a selected delivery parameter or parameters in association with predetermined acceptable ranges of such values so that the clinician can visualize where in the acceptable range the selected value lies. The graphical form is a vertical bar graph in one embodiment that includes an acceptable area, a caution area, and an unacceptable area within which the selected delivery parameter value may fall. When the selected value falls in the caution or unacceptable areas, a text message is displayed cautioning against over dosage of the particular medical fluid being delivered and in another embodiment, an acceptable value of the delivery parameter is suggested. With such a system, any clinician monitoring the delivery of the medical fluid to the patient can immediately ascertain where in the care facility's acceptable range of delivery values this particular patient's medication is being delivered.

This disclosure describes systems and methods for delivering one or more low flow recruitment maneuvers to a patient while on a ventilator. Embodiments described herein provide methods for delivering low flow recruitment maneuvers wherein either or both of the inspiratory and expiratory phases of the recruitment maneuver are maintained by the ventilator at a low flow. Embodiments described herein provide for single-breath recruitment maneuvers and multi-breath recruitment maneuvers at low flow. Embodiments described herein provide for graphical display of a pressure-volume loop (PV loop) for both single-breath and multi-breath recruitment maneuvers. Embodiments described herein also disclose an automated ventilator functionality whereby recruitment maneuvers settings and / or post-recruitment maneuver settings for resuming prescribed ventilation may be set via a graphical user interface. Other embodiments described herein enable a clinician to configure the ventilator to synchronize the end the recruitment maneuver with patient-triggered inspiration for post-recruitment maneuver ventilation.

This disclosure describes systems and methods for delivering one or more low flow recruitment maneuvers to a patient while on a ventilator. Embodiments described herein provide methods for delivering low flow recruitment maneuvers wherein either or both of the inspiratory and expiratory phases of the recruitment maneuver are maintained by the ventilator at a low flow. Embodiments described herein provide for single-breath recruitment maneuvers and multi-breath recruitment maneuvers at low flow. Embodiments described herein provide for graphical display of a pressure-volume loop (PV loop) for both single-breath and multi-breath recruitment maneuvers. Embodiments described herein also disclose an automated ventilator functionality whereby recruitment maneuvers settings and / or post-recruitment maneuver settings for resuming prescribed ventilation may be set via a graphical user interface. Other embodiments described herein enable a clinician to configure the ventilator to synchronize the end the recruitment maneuver with patient-triggered inspiration for post-recruitment maneuver ventilation.

An interactive occlusion system, including software and hardware, for the treatment of amblyopia using virtual reality or other physically interactive or perceptually immersive three-dimensional or two-dimensional computer generated simulations, in which the patient's occlusion compliance and usage time during occlusive and non-occlusive periods can be precisely recorded and the patient's visual acuity can be accurately measured to be provided to the clinician, as well as the capacity for entering prescriptions and treatment plans for individual patients and restricting individual access to that patient's prescription and treatment plan while allowing non-occlusive operation of the system after the prescribed occlusion time or for non-patient users.

This disclosure describes systems and methods for monitoring and evaluating ventilatory parameters, analyzing those parameters and providing useful notifications and recommendations to clinicians. That is, modern ventilators monitor, evaluate, and graphically represent multiple ventilatory parameters. However, many clinicians may not easily recognize data patterns and correlations indicative of certain patient conditions, changes in patient condition, and / or effectiveness of ventilatory treatment. Further, clinicians may not readily determine appropriate ventilatory adjustments that may address certain patient conditions and / or the effectiveness of ventilatory treatment. Specifically, clinicians may not readily detect or recognize the presence of Auto-PEEP during volume ventilation of a triggering patient exhibiting an obstructive component. According to embodiments, a ventilator may be configured to monitor and evaluate diverse ventilatory parameters to detect Auto-PEEP and may issue notifications and recommendations suitable for a triggering patient to the clinician when Auto-PEEP is implicated. The suitable notifications and recommendations may further be provided in a hierarchical format.

The present invention is directed to methods and apparatuses of medication management based upon active authorization of medication infusion by a clinician that can provide for effective management of an analyte in a patient's blood, reducing the opportunities for human error common with current manual systems while still placing final control of the medication management with the human clinician. For example, a semi-automated glucose management system can measure the glucose level in a patient's blood, recommend infusion parameters to a clinician who can authorize an infusion of glucose or insulin, and infuse the glucose or insulin into the patient.

A modular interactive system and method for customizing health education to an individual at a remote terminal to induce a modification in a health-related behavior of the individual. The automated system includes a questionnaire generator for questioning the individual to determine his or her motivational drivers and comprehension capacity. The questionnaire generator is a graphical user interface that allows a clinician to graphically attach questions to answer to action. A processor then generates a script program based on what the clinician has attached together. A profile generator receives answers entered by the individual from the remote terminal and generates a motivational driver profile and a comprehension capacity profile of the individual. A translator receives clinical data relating to a current health condition of the individual and translates the clinical data, the motivational driver profile, and the comprehension capacity profile into a profile code. An educational fulfillment bank matches the profile code to matching educational materials and transfers the matched educational materials to the remote terminal. An evaluation program evaluates educational responses of the individual and provides profile updates for targeting subsequent educational material to the individual based on the educational responses.

The systems, methods and associated devices performing diagnostic hearing tests which use a computer network to allow interaction between a test administration site and one or a plurality of remote patient sites. The test can be administered by an audiologist or clinician at a site remote from the patient, in a manner, which can allow interaction between the user and the clinician during at least a portion of the administration of the test. The diagnostic hearing tests can be performed such that they meet standardized guidelines such as ANSI requirements or certification standards and can include distortion product emission level measurements or middle ear compliance measurements.

Mobile clinicians conduct in-home patient visits utilizing on-site diagnostic and treatment equipment, where service is enhanced by the use of portable computing and communications equipment. Initially, a mobile care entity provides a network of predesignated mobile clinicians, each having the use of a preprogrammed portable computer. Each computer is coupled to a wireless communications device, and includes local storage of patient data. Under a predetermined schedule, each portable computer updates patient data in the local storage utilizing the wireless communications device to download updates from a central storage facility. Whenever the mobile care entity receives requests for medical service at a patient's premises, the entity selects a mobile clinician and dispatches him / her to the patient's premises. The clinician visits the patient's premises accompanied by an assortment of electronic diagnostic and treatment devices, such as a pulse oximiter, x-ray machine, lab analyzer, EKG equipment, etc. To examine the patient, the doctor utilizes various diagnostic devices to prepare machine-readable reports of related aspects of the patient's condition. The clinician directs the portable computer to perform follow-up tasks including: (1) electronically collecting the prepared reports and graphically presenting them in human-readable form, (2) storing a machine-readable medical record including details of the patient's exam, and (3) utilizing the wireless device to transmit the reports and records to the central storage facility.

A medical management system is provided that integrates all aspects of healthcare provider practice management and managed care, including schedule management, patient registration, insurance information, EMR and billing and collections. The system integrates a central framework module, a scheduling module, a registration module, an account management module and an electronic record module to provide a seamless exchange of information. A clinical module provides template builder which allows the users to define a customized template. The custom and standard templates are used by a document builder to generate documents, such as progress notes and H&P notes, which are retained in the patient's electronic chart. The progress note template allows the clinician to record a patient encounter by presenting the clinician with predefined sections and sentences that are easily completed by the clinician during or after the patient encounter. The templates and documents generated are designed to closely resemble a paper chart. Information gathered during patient scheduling and triage are referenced to pre-populate the templates to avoid having the clinician entering redundant information. The documents are relied upon to automatically generate patient superbills and electronic requests are sent to a claims clearinghouse.

A dyslexia screening test system suitable for clinical use includes an integrated headset that efficiently and conveniently performs an auditory evoked response (AER) test by positioning electrodes about the ears of the subject. An integral control module automatically performs the test, providing simplified controls and indications to the clinician. A number of screening tests that are stored in the headset are periodically uploaded for billing, remote analysis and result reporting.

User interfaces for proactive and interactive clinical decision support events are provided. When a clinical decision support event is initiated for a patient, relevant stored clinical information associated with the patient is accessed. A user interface is generated using the stored clinical information. A clinician may interact with the user interface by providing user-provided clinical information that may add to and / or modify the stored clinical information in the user interface. Clinical advice is provided via the user interface based on the stored clinical information and the user-provided clinical information.

A method of managing access to a healthcare information system of a healthcare establishment communications network. The method comprises receiving data regarding a wirelessly detectable tag associated with a clinician; determining whether the clinician is positioned relative to a terminal of the healthcare establishment communications network such that a proximity condition is satisfied based at least in part on the data regarding the wirelessly detectable tag; responsive to the proximity condition being satisfied, providing an opportunity for authentication of the clinician; and responsive to successful authentication of the clinician, establishing a session for the clinician between the terminal and the healthcare information system. The ability to detect proximity of clinician facilitates the process by which the clinician may access the healthcare information system, while the requirement for authentication of the clinician minimizes the risk of data being made available to an unauthorized party.

A user interface and software system and architecture enables linking medical record information and patient location to a camera associated with that location when a particular patient is selected by a clinician using a health information system. The image of the patient as recorded by an in-room camera is displayed within a picture-in-picture display on a large plasma screen located at a command station, for example. The image may be controlled by a remote camera controller employing a Web-based user interface that allows a user to implement a pan-tilt-zoom (PTZ) camera controller via mouse control, for example. Information relating to patient location is used to remotely control, via Web-based application, the selection of the appropriate camera and the type of display in which to show the image. The user interface associated with this architecture provides an efficient and intuitive means of selecting specific images and specific display styles. The system operates in a parent-child relationship in which information associated with a parent application (HIS, for instance) is passed to the application architecture, thereby providing a direct, error-free and positive link to the application.

Applicants have disclosed a wireless method for remotely monitoring the physiological status of ambulatory patients by using at least one “cloud” server. Physiological data, including ECG data, is collected by a device worn by a patient and then wirelessly transmitted (e.g., via a cell phone) to the server(s). Remote processing of electrocardiograms (“ECG”) is achieved, in part, by data streaming packet lengths acquired over no less than 3 seconds—3 seconds is typically equivalent to about 3 cardiac cycles (heartbeats)—to provide the quickest response time by clinicians to try to save a heart patient's life. Other types of physiological data are monitored by the device, so medical help can be obtained when needed. In this manner, any sudden onset of vicissitudes in a patient's well being may be detected and transmitted to the care-giver and patient in near real-time.

The systems, methods and associated devices performing diagnostic hearing tests which use a computer network to allow interaction between a test administration site and one or a plurality of remote patient sites. The test can be administered by an audiologist or clinician at a site remote from the patient, in a manner, which can allow interaction between the user and the clinician during at least a portion of the administration of the test. The diagnostic hearing tests can be performed such that they meet standardized guidelines such as ANSI requirements or certification standards and can include distortion product emission level measurements or middle ear compliance measurements.

The present invention is an outpatient monitoring system which enables patients to interact with a health care provider using a standard telephone. A patient is presented with a series of condition-appropriate questions. Based upon the patient responses, additional questions are posed on a real-time dynamic basis. In addition, certain general questions from a predefined set of questions are asked of the patient in a rotating manner to ensure that there is variety with each telephone session. Further, the question sets can be recorded in the voice of the patient's clinician, or other person familiar to the patient, so that a familiar voice is heard by the patient, thereby personalizing the medical experience.

A method and system for managing customer service processes for individual customers and populations of customers. In a specific embodiment within the health care field, a clinician creates or updates a draft care plan for a patient using generic or locally-adapted template metadata and tailors the draft care plan to the particular patient. The draft care plan includes a list of specific services (health care interventions) to be provided to the patient. The draft care plan can be routed to members of an inter-disciplinary team for input. Once finalized, workflow processes are instantiated for each intervention on the care plan. An itinerary is created for any required patient encounters, optimized using an algorithm that considers pre-existing process instances. A workflow automation server manages the execution of each workflow process instance, invoking resources according to workflow process specification metadata and workflow task type metadata. Care plans and encounter itineraries are automatically translated to a patient-understandable form and made available to patients online and via printed copy. Clinical practice and outcomes data are analyzed to identify opportunities for improvement of the metadata. The method and system also allows for the selection of a population of patients, the analysis of population data to identify opportunities for interventions (needed services), and the initiation of population interventions through batch updates to individual care plans.

A medical records software apparatus and method is described that allows a clinician, e.g., nurse or doctor, to combine entry of new patient orders, prescriptions, flowsheet observations, etc. into the documentation process or workflow. A documentation user interface is provided that pulls patient data from a database into the display. The user can select on the user interface a category of a patient record, e.g., Significant Events or Orders, view or edit prior entries in the database in these categories, and add additional documentation for that category. The documentation is written or pushed to two areas of the database, one devoted to patient documentation and a second area corresponding to the selected category, e.g., Orders. The method and apparatus improves workflow efficiency and promotes a smooth transition from the thought process of the clinician to the ordering or prescription process, without the need for changing venues or screen displays.

A telemedicine system for monitoring chronic conditions such as asthma or diabetes includes an electronic measurement device such as an electronic peak expiratory flow meter or an electronic blood glucose meter, connected to a GPRS cellular telephone. The cellular telephone automatically receives, formats and transmits the data on acquisition by the medical device to a remote server. The server may acknowledge the data and make the data available to a clinician. The server may also analyse the data and provide automatic alerts to the patient and / or clinician in the event of the data causing concern. The formatting and transmission of the data from the telephone to the server occurs in real time as the measurements are taken and is invisible to the patient.

The specification describes anesthesia systems with an integrated, extendable clinical center and clinician / anesthesia office that accommodates for physical separation of clinical and clerical functions. The disclosed anesthesia systems allow for a portion of the system to be brought closer to the patient such that clinical controls can be accessed while tending to the patient airway, without compromising office space available to the clinician or crowding the patient area.

An active guidelines capability or component is linked to a computerized patient record system to integrate the use of clinical guidelines in the workflow of clinicians treating patients. Many healthcare entities maintain sets of clinical guidelines describing recommended treatment or analysis options for patients displaying sets of symptoms or for whom certain diagnoses have been made. The active guidelines feature adds an active guidelines tag to such clinical guidelines so that when the clinician accesses the clinical guidelines and wishes to follow the recommendation, the clinician merely has to click on a hypertext created from the tag which then transmits action orders, also contained in the tag, to be transmitted to the computerized patient record system for implementation. Patient data associated with the recommendations, such as relevant test or lab results, interaction or allergy information, or other current treatments, is also identified and displayed.

A system provides an improved clinician workflow by providing a composite display image supporting documenting clinical actions, reviewing previous actions and other clinical information and automatically indicating impact of changed clinician data on worker task lists. A user interface system for processing and displaying patient medical information includes at least one repository of information including clinical observation data comprising clinical observations of a particular patient and healthcare worker task data indicating tasks for performance by a healthcare worker. A display generator generates data representing a single composite display image incorporating multiple different image window areas. The multiple different image window areas include a first window area for presenting the clinical observation data and a second window area for presenting the healthcare worker task data and the display image supports user entry of a clinical observation item to change the clinical observation data in the first window area. A data processor detects a clinical observation in the first window is changed and automatically initiates change of the healthcare worker task data in the second window area, in response to the detection.

A system provides a daily workflow list that is tailored according to nurse tenure, experience, specialty, licensure and education, for example. An adaptive healthcare workflow and task management system includes a repository of first information indicating clinician tasks and related subtasks for performance by a clinician in providing a particular care service to a patient. The system includes a repository of second information indicating experience and qualifications of multiple different clinicians. A rules processor, in response to a particular clinician identifier and data identifying a clinician task to be performed by the particular clinician in providing a particular care service to a patient, employs the first and second information in adaptively determining a subtask related to the clinician task to be indicated to be performed by the particular clinician based on experience and qualifications of the particular clinician. An output processor provides data for reproduction and presentation to the particular clinician indicating the subtask related to the clinician task to be indicated to be performed by the particular clinician.

The present invention relates to a method to measure, record, analyze, and report cumulative radiation exposure to the patient population and provide automated feedback and recommendations to ordering clinicians and consultant radiologists. The data provided from this “radiation scorecard” would in turn be automatically recorded into a centralized data repository (radiation database), which would be independent to the acquisition site, technology employed, and individual end-user. Retrospective analysis can also be performed using a set of pre-defined scorecard data points tied to the individual patient's historical medical imaging database, thereby allowing for comprehensive (both retrospective and prospective) medical radiation exposure quantitative analysis. Patient safety can be improved by a combination of radiation dose reduction, exposure optimization, rigorous equipment quality control (QC), education and training of medical imaging professionals, and integration with computerized physician order entry (CPOE).

An interactive occlusion system, including software and hardware, for the treatment of amblyopia using virtual reality or other physically interactive or perceptually immersive three-dimensional or two-dimensional computer generated simulations, in which the patient's occlusion compliance and usage time during occlusive and non-occlusive periods can be precisely recorded and the patient's visual acuity can be accurately measured to be provided to the clinician, as well as the capacity for entering prescriptions and treatment plans for individual patients and restricting individual access to that patient's prescription and treatment plan while allowing non-occlusive operation of the system after the prescribed occlusion time or for non-patient users.