Context-Aware Patient Activity List for Clinical Documentation

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Solution Overview

Problem

Clinicians face challenges in managing patient activities due to increased workloads, with existing computer-based solutions often overwhelming them with information and requiring navigation between multiple applications, leading to increased medical errors and inefficiencies.

Innovation Solution

A patient activity list with a common view is provided, limiting information while being fully navigable, along with an activities navigator that manages selected activities, allowing clinicians to document and reschedule tasks within context, and compares patient assessment information against planned outcomes.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of information

If computer-based solutions present comprehensive patient information to clinicians, then information completeness is improved, but information overload occurs making it difficult for clinicians to find desired information quickly

Engineering Contradiction:
Improveinformation completenessVSAvoidtime to find information
Core Design Contradiction:
Loss of informationVSLoss of time

Solution Approach 1:

The patient information is segmented into different sections including assessment items, outcomes, and documentation areas. The interface divides comprehensive patient data into organized, accessible segments that clinicians can navigate efficiently without being overwhelmed by a single large block of information.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The computer-based system acts as an intermediary that automatically organizes and presents patient information in a structured format. The system mediates between the comprehensive data available in the database and the clinician's need for quick access to specific information, filtering and displaying relevant data without requiring clinicians to manually search through all available information.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Adaptability or versatility

If clinicians are required to navigate between multiple applications to document patient activities, then functional versatility is improved, but workflow complexity increases leading to interruptions and loss of context

Engineering Contradiction:
Improvefunctional versatilityVSAvoidworkflow complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

Multiple previously separate functions are merged into a single integrated interface. The system combines patient information viewing, activity documentation, outcome tracking, and rescheduling capabilities into one unified application, eliminating the need for clinicians to switch between multiple applications and maintain context across different interfaces.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The computer-based system is designed as a universal platform that performs multiple functions including viewing patient information, documenting activities, tracking outcomes, and managing schedules. This multi-functional approach replaces the need for separate specialized applications, simplifying the workflow while maintaining comprehensive functionality.

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

3Productivity

If clinicians document patient activities without context of planned outcomes, then documentation speed is improved, but alignment with care goals decreases leading to increased medical errors

Engineering Contradiction:
Improvedocumentation speedVSAvoidalignment with care goals
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

Patient outcomes and care goals are pre-established and displayed in the interface before clinicians begin documentation. The system presents planned outcomes in advance, allowing clinicians to quickly reference intended goals while documenting activities, ensuring alignment with care objectives without slowing down the documentation process.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system provides immediate feedback by displaying planned outcomes alongside actual documentation. This feedback mechanism allows clinicians to continuously compare their documentation against intended care goals, ensuring alignment while maintaining documentation speed through the integrated interface that presents both pieces of information simultaneously.

Inventive Principle:
Principle #23Feedback

Data Source

PatentUS8775208B2Patient outcomes in context of documentation
Publication Date: 2014.07.08 CERNER INNOVATION INC
  • US8775208B2 patent drawing
  • US8775208B2 patent drawing
  • US8775208B2 patent drawing

AI summary

Outcomes from a patient plan of care are provided in conjunction with documentation of patient assessment items to assist clinicians in the healthcare process. A documentation area for documenting assessment items for a patient and having areas for entering patient assessment information is presented. Additionally, an outcome icon is presented in conjunction with at least one assessment item. The outcome icon relates to at least one outcome corresponding with the assessment item and is based on the patient plan of care. In response to receiving a user selection of the outcome icon, information associated with the outcome is presented in context of the documentation area.