Automated Fluid Balance Documentation System

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Solution Overview

Problem

Current manual documentation of patient fluid balance in healthcare environments is prone to errors due to omission and inaccuracy, particularly in documenting small volume procedures like laboratory and radiology events that significantly impact fluid balance.

Innovation Solution

An automated system and method for documenting fluid balance events in a computerized environment, which receives and populates a database with fluid balance data, including impact values, to monitor net intake, output, or overall fluid balance, and provides graphical comparisons for healthcare professionals.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If manual documentation is used for I/O events, then healthcare professionals can document fluid balance events, but errors occur due to omission or inaccuracy

Engineering Contradiction:
Improveaccuracy of I/O documentationVSAvoidomission of I/O events
Core Design Contradiction:
ReliabilityVSLoss of information

Solution Approach 1:

The system automatically captures I/O events from multiple sources including laboratory procedures, radiology procedures, and other clinical events without requiring manual documentation. The automated I/O capture module extracts fluid balance data directly from event sources, eliminating the need for healthcare professionals to manually enter each event while ensuring complete and accurate documentation.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The system provides continuous feedback by automatically updating the fluid balance calculation whenever a new I/O event is captured. The displayed fluid balance is dynamically updated to reflect the latest events, allowing healthcare professionals to monitor accuracy in real-time and identify any discrepancies immediately.

Inventive Principle:
Principle #23Feedback

2Productivity

If manual input is used for I/O data, then healthcare professionals can record fluid balance information, but time is consumed by the documentation process

Engineering Contradiction:
Improveefficiency of fluid balance monitoringVSAvoidtime for manual documentation
Core Design Contradiction:
ProductivityVSLoss of time

Solution Approach 1:

The automated I/O capture module performs self-service by automatically extracting and processing fluid balance data from various clinical event sources without requiring healthcare professional intervention. The system autonomously captures events from laboratory and radiology departments, processes the data, and updates fluid balance calculations automatically.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The system performs preliminary action by pre-configuring the automated capture module with criteria for identifying I/O events and pre-establishing the fluid balance calculation methodology. This preparation allows the system to immediately process incoming events without requiring manual setup or calculation, significantly reducing documentation time.

Inventive Principle:
Principle #10Preliminary action

3Reliability

If small volume procedures are not documented, then documentation workload is reduced, but fluid balance accuracy is compromised

Engineering Contradiction:
Improveaccuracy of fluid balance trackingVSAvoidcomplexity of tracking all events
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The automated I/O capture module provides universal coverage by capturing all types of fluid balance events regardless of volume or source. The system handles small volume procedures from laboratory departments, radiology procedures with contrast media, and other clinical events uniformly, ensuring that no event is excluded based on size or category.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The automated capture module acts as an intermediary between various clinical event sources and the fluid balance tracking system. It receives events from multiple departments including laboratory and radiology, processes them through standardized calculation methodology, and integrates them into the overall fluid balance assessment, simplifying the complexity of tracking diverse event types.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS10467381B2Automatic documentation of patient intake and output events in a computerized healthcare environment
Publication Date: 2019.11.05 CERNER INNOVATION INC
  • US10467381B2 patent drawing
  • US10467381B2 patent drawing
  • US10467381B2 patent drawing

AI summary

The present invention relates to computerized methods and systems for automatically documenting fluid intake and output events for a patient. In one method, a fluid balance event is extracted, an impact value associated with the fluid balance event is received, and a database is populated with the fluid balance event and associated impact value. In another method, a clinical event is received and analyzed to determine whether the event has an impact on the patient's overall fluid balance. If the event is determined to have an impact on the fluid balance, the event is managed as a fluid balance event and an impact value is received for the event. A fluid balance is then updated for the patient using the received impact value.