Clinical Preference Card Automation for Patient Safety

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Solution Overview

Problem

Current systems for selecting clinical items and documentation in healthcare settings do not account for patient-specific variations, leading to the inclusion of inappropriate items and inefficiencies in inventory management, patient safety, and administrative processes.

Innovation Solution

A computer system that identifies patient-specific demographic values and updates preference cards to ensure compatibility, automatically selecting the appropriate clinical items and documentation for a clinical event by accessing and applying clinical rules.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If a standardized preference card with predefined clinical items is used for all patients, then inventory management is simplified and assembly process is streamlined, but patient safety is compromised due to inclusion of incompatible items

Engineering Contradiction:
Improveassembly process efficiencyVSAvoidadverse reactions from incompatible items
Core Design Contradiction:
ProductivityVSObject-affected harmful factors

Solution Approach 1:

The system performs preliminary compatibility checking between patient demographic data and clinical items on the preference card before the procedure. Patient-specific demographic values are accessed and compared against predefined clinical item values to identify incompatibilities in advance, allowing the system to generate a modified pick list that excludes incompatible items while maintaining the efficiency of standardized preference cards.

Inventive Principle:
Principle #10Preliminary action

2Object-affected harmful factors

If manual review and adjustment of preference cards is performed for each patient, then patient safety is improved by removing incompatible items, but time consumption and labor requirements increase significantly

Engineering Contradiction:
Improveincompatible clinical itemsVSAvoidtime for manual review and adjustment
Core Design Contradiction:
Object-affected harmful factorsVSLoss of time

Solution Approach 1:

The system performs automatic self-service by comparing patient demographic data with clinical item compatibility rules without requiring manual intervention. The computer system automatically identifies incompatible items, generates a modified pick list, and updates the preference card, eliminating the need for manual review while ensuring patient safety.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The system implements automated feedback mechanisms where patient demographic information is continuously compared against clinical item compatibility databases. When incompatibilities are detected, the system automatically adjusts the pick list and provides feedback to the assembly process, ensuring that only compatible items are included without manual intervention.

Inventive Principle:
Principle #23Feedback

3Adaptability or versatility

If comprehensive inventories are maintained to cover all possible patient variations, then all patient needs can be met, but inventory costs and complexity increase

Engineering Contradiction:
Improvecoverage of all patient variationsVSAvoidinventory size and cost
Core Design Contradiction:
Adaptability or versatilityVSQuantity of substance

Solution Approach 1:

The system applies local quality by customizing the pick list for each patient based on their specific demographic characteristics. Instead of maintaining comprehensive inventories for all possible patient variations, the system selectively includes only those clinical items that are compatible with the specific patient's demographics, thereby reducing inventory requirements while maintaining adaptability to individual patient needs.

Inventive Principle:
Principle #3Local quality

Data Source

PatentUS8095378B2Automated system for managing the selection of clinical items and documentation for a clinical event
Publication Date: 2012.01.10 CERNER INNOVATION INC
  • US8095378B2 patent drawing
  • US8095378B2 patent drawing
  • US8095378B2 patent drawing

AI summary

A method in a computer system for preparing for a clinical event is provided. In a preferred embodiment, the method includes the steps of identifying a preference card associated with the clinical event, the preference card including a list of predefined clinical item values, accessing at least one patient-specific demographic value; determining whether at least one of the predefined clinical item values is incompatible with at least one patient-specific demographic value, and updating the preference card if at least one of the predefined clinical item values is incompatible with at least one patient-specific demographic value.