This document proposes a dynamic alert system to improve on existing static alert systems in hospitals. It describes monitoring patients' vital signs, detecting when thresholds are exceeded, and generating alerts. The proposed system would dynamically calculate alert seriousness based on trends over time and the recipient's context. Alerts would be audio, text, or both depending on severity. The architecture includes modules to classify signals, generate smart adaptive alerts using medical expert rules, and integrate with electronic medical records. This dynamic approach aims to reduce alarm fatigue by prioritizing the most important alerts.
3. Introduction
Existing System
Proposed System
Architecture
Conclusion
Introduction
In HIMS Continuous monitoring of the vital parameter is
requied
The instruments used are
⇒ duel parameter monitor,
⇒ multi-parameter monitor,
⇒ central monitoring stations, etc.
Alerts are generated when a preconditions are voilated.
DYNAMIC ALERT LEVEL DETERMINATION
5. Introduction
Existing System
Proposed System
Architecture
Conclusion
Alert propagation based on hierarchies of clinical staff
Senior Doctors
⇑
Junior Doctors
⇑
Head Nurse
⇑
Nurses
In current senario, the decision for propagation is depend
on the person responsible at the lower level.
DYNAMIC ALERT LEVEL DETERMINATION
6. Introduction
Existing System
Proposed System
Architecture
Conclusion
Proposed System
Instead of a static system Dynamic System is generated
The alerts will be dynamically generated.
The system dynamically compute the seriousness of the
alarm condition on a continuous basis.
The Dynamic system consider both the facts
⇒ Hierarchies of clinical staff
⇒context of the recipient
DYNAMIC ALERT LEVEL DETERMINATION
11. Introduction
Existing System
Proposed System
Architecture
Conclusion
Example code 1
IF<Pulse rate increasing>AND
<Systolic blood pressure is decreasing>AND
<Serum potassium level is increasing>
THEN
{Alert[Pulse_Rate_Dropping].level++;
Alert[Pulse_Rate_Dropping].advise+=
Increase fluid amount}
Example code 2
IF<Body Temperature exceeds Maximum Body Temperature>AND
<Heart Rate exceeds Maximum Heart Rate threshold>
THEN
{Alert[Medium Alert Event
and contact available Duty Doctor]}
DYNAMIC ALERT LEVEL DETERMINATION
13. Introduction
Existing System
Proposed System
Architecture
Conclusion
A conventional monitoring system generates an alarm at
17th hour for systolic blood pressure drop
Dynamic alert generation system monitors the trends of
others parameters like diastolic blood pressure, pulse rate
and serum potassium
The system will identify the systolic blood pressure drop
at 11th hour.
System starts increasing the alarm level corresponding to
Pulse rate Dropping
DYNAMIC ALERT LEVEL DETERMINATION
14. Introduction
Existing System
Proposed System
Architecture
Conclusion
Conclusion
The alarms can be classified into different categories
based on the parameter being monitored
Alerts generated when each one crosses a dynamically set
threshold.
The delivery of these alerts is based on
Hierarchies of clinical staff
Seriousness of the alert and contex
DYNAMIC ALERT LEVEL DETERMINATION