Patient ID Resolution Module for Medical Device Data Gaps

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Solution Overview

Problem

In medical monitoring and therapy devices, patient ID ambiguity arises due to human error, device transfer between patients, and data gaps, leading to potential loss of diagnostically crucial data and increased risk of incorrect patient data association.

Innovation Solution

A patient ID resolution module using a digital processor to disambiguate patient IDs by analyzing timestamped entries and their strength measures, employing rules based on temporal positions and entry modalities to associate correct IDs with pre-gap and post-gap data.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If the device is used for multipatient spot checks with a short permissive gap, then the device can be quickly transferred between patients improving productivity, but there is a risk that data from different patients will be misinterpreted as one patient's data creating patient ID ambiguity

Engineering Contradiction:
Improvedevice transfer speedVSAvoidpatient ID association accuracy
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The system performs preliminary actions by establishing and communicating the permissive gap threshold to the user before data collection begins. This allows the user to understand the expected gap duration and take appropriate actions (such as confirming patient ID or initiating a new patient record) before ambiguous data is generated, thereby maintaining both quick device transfer and accurate patient ID association

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system implements feedback by monitoring the actual data gap duration and comparing it against the permissive gap threshold. When the gap exceeds the threshold, the system provides feedback to the user indicating potential patient ID ambiguity, allowing for corrective action. This feedback mechanism enables the system to maintain high productivity while preventing unreliable patient ID associations

Inventive Principle:
Principle #23Feedback

2Ease of operation

If the permissive gap is extended to allow for longer device cleaning and patient transitions, then ease of operation is improved, but the risk of patient ID ambiguity and data loss increases

Engineering Contradiction:
Improvedevice cleaning timeVSAvoidpatient data loss
Core Design Contradiction:
Ease of operationVSLoss of information

Solution Approach 1:

The system allows the permissive gap threshold parameter to be configured and adjusted based on specific clinical needs and device types. By changing this parameter, the system can accommodate different cleaning times and workflow requirements while maintaining appropriate data association accuracy. This parameter adjustment capability enables the system to balance ease of operation with prevention of data loss

Inventive Principle:
Principle #35Parameter changes

3Reliability

If the system automatically deletes or ignores patient data when patient ID ambiguity is detected, then patient ID association accuracy is maintained, but diagnostically useful patient data is lost

Engineering Contradiction:
Improvepatient ID association accuracyVSAvoiddiagnostically useful data loss
Core Design Contradiction:
ReliabilityVSLoss of information

Solution Approach 1:

The system implements a self-service approach by providing the user with information about detected patient ID ambiguity and the associated data, allowing the user to make the final determination about data retention. This shifts the decision-making to the human operator who can assess the clinical context and determine whether the potentially ambiguous data should be retained or discarded, thereby maintaining system reliability while preventing unnecessary data loss

Inventive Principle:
Principle #25Self-service

Data Source

PatentEP2457188B1Patient identification disambiguation systems and methods
Publication Date: 2020.09.09 KONINKLIJKE PHILIPS NV
  • EP2457188B1 patent drawingFigure 1
  • EP2457188B1 patent drawingFigure 2-I
  • EP2457188B1 patent drawingFigure 2II

AI summary

A method for patient ID resolution in recordation of patient data acquired by a medical device (10) comprises: receiving patient data from the medical device comprising pre-gap patient data (50) followed in time by a time gap (52) followed in time by post-gap patient data (54); receiving one or more timestamped patient ID entries (56, 58) associated with the received patient data; associating first patient ID information with the pre-gap patient data; and associating second patient ID information with the post-gap patient data; wherein the associating operations are based on the one or more timestamped patient ID entries (56, 58) associated with the patient data.