Multi-dimensional Patient Risk Assessment System

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Solution Overview

Problem

Current systems lack a comprehensive and integrated method for assessing and communicating perioperative risk, particularly due to limitations in the ASA Physical Status classification system, which does not distinguish between different medical conditions or cumulate risks from multiple disorders, leading to unreliable communication and increased perioperative risks.

Innovation Solution

A multi-dimensional system for assessing, coding, and scoring patient health and perioperative risk, incorporating a mechanism for inputting patient information to provide scores for physical condition, surgical risk, and other vital assessments, using a branched-chain logic for coding and scoring to integrate data from various sources and facilitate seamless communication among healthcare providers.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If the ASA Physical Status classification system is used to assess patient health, then the assessment process is simple and quick, but it does not distinguish between different medical conditions or cumulate risks from multiple disorders

Engineering Contradiction:
Improveassessment processVSAvoidrisk assessment accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent segments the overall health assessment into multiple organ system assessments (cardiovascular, respiratory, neurological, etc.), each with its own scoring criteria. This allows detailed evaluation of specific conditions while maintaining an organized structure that is clinically practical.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent adds a new dimension to the traditional single-score ASA classification by introducing a multi-dimensional scoring system that evaluates multiple organ systems simultaneously, each contributing to the overall perioperative risk assessment.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

2Ease of operation

If a single numerical score is used to represent overall medical condition, then communication is simplified, but important clinical details about specific disorders are lost

Engineering Contradiction:
ImprovecommunicationVSAvoidclinical data
Core Design Contradiction:
Ease of operationVSLoss of information

Solution Approach 1:

The assessment is segmented into multiple organ system evaluations, each providing specific clinical details about particular disorders. This segmented information is then integrated to provide both granular clinical data and an overall risk summary.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent merges multiple organ system assessments into a unified perioperative risk score, combining detailed clinical information from various systems into a comprehensive evaluation that retains both specificity and overall context.

Inventive Principle:
Principle #5Merging (Combining)

3Adaptability or versatility

If multiple care providers are involved in preoperative assessment, then comprehensive care is provided, but communication errors and information loss increase

Engineering Contradiction:
Improvecare coordinationVSAvoidcommunication reliability
Core Design Contradiction:
Adaptability or versatilityVSReliability

Solution Approach 1:

The patent creates a universal assessment tool that can be used by multiple care providers (anesthesiologists, surgeons, primary care physicians) with consistent scoring criteria. This multi-functional system ensures that all providers speak the same clinical language, reducing communication errors.

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

Solution Approach 2:

The standardized scoring system provides structured feedback to all care providers, ensuring that critical information is consistently communicated and acknowledged across the care team, reducing information loss during transitions.

Inventive Principle:
Principle #23Feedback

4Device complexity

If preoperative assessment is performed without a well-developed information network, then resource allocation is simplified, but important clinical data may be lost or misinterpreted

Engineering Contradiction:
Improveinformation systemVSAvoiddata accuracy
Core Design Contradiction:
Device complexityVSReliability

Solution Approach 1:

The assessment tool segments clinical data collection into organized organ system categories, creating a structured information framework that can be implemented without complex systems while ensuring comprehensive and accurate data capture.

Inventive Principle:
Principle #1Segmentation

Data Source

PatentUS8170888B2Method and system for assessing, quantifying, coding and communicating a patient's health and perioperative risk
Publication Date: 2012.05.01 SILVERMAN DAVID G
  • US8170888B2 patent drawing
  • US8170888B2 patent drawing
  • US8170888B2 patent drawing

AI summary

A multi-dimensional system for assessing, coding, quantifying, displaying, integrating and communicating information relating to patient health and perioperative risk includes a mechanism for inputting patient information and providing an output relating to the patient health and perioperative risk. The output includes a score for the physical condition of the patient, a score for the degree of expected surgical risk and invasiveness, a score for other vital assessments of perioperative complexity, and alphanumeric codes for other factors that may require special preoperative preparation and planning.