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Introduction
Existing System
Proposed System
Architecture
Conclusion
DYNAMIC ALERT LEVEL
DETERMINATION
AMAL JYOTHI COLLEGE OF ENGINEERING
February 6, 2013
DYNAMIC ALERT LEVEL DETERMINATION
Introduction
Existing System
Proposed System
Architecture
Conclusion
Outline
1 Introduction
2 Existing System
3 Proposed System
4 Architecture
5 Conclusion
DYNAMIC ALERT LEVEL DETERMINATION
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
Introduction
Existing System
Proposed System
Architecture
Conclusion
Existing System
In the existing system alerts are static
⇒ hard and soft limit
Frequent voilation of precondition occurs.
So these alarms are usually ignored by nurses and may
cause problems.
DYNAMIC ALERT LEVEL DETERMINATION
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
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
Introduction
Existing System
Proposed System
Architecture
Conclusion
Differ alerts are
⇒ Audio alert
⇒ Text alert
The selection is based on the contex
DYNAMIC ALERT LEVEL DETERMINATION
Introduction
Existing System
Proposed System
Architecture
Conclusion
Architecture
Figure: Architecture of Dynamic Alert Generator
DYNAMIC ALERT LEVEL DETERMINATION
Introduction
Existing System
Proposed System
Architecture
Conclusion
Architecture include
Classifier
Decision Support System
EMR
Classifier module classifies the signal into
Low,Normall,High,Very High
Decision Support System include
Smart alarm generator
Context aware rule set.
DYNAMIC ALERT LEVEL DETERMINATION
Introduction
Existing System
Proposed System
Architecture
Conclusion
Smart alarm generator → controll module
used to identify trends
Rule set defined by medicall experts
DYNAMIC ALERT LEVEL DETERMINATION
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
Introduction
Existing System
Proposed System
Architecture
Conclusion
Table: Hourly Patient Monitoring Data
Timeline hour Systolic
blood Pres-
sure
Diastolic
blood Pres-
sure
Pulse rate Serum potta-
sium
4 130 90 80 4.5
5 135 85 85 4.5
6 110 80 90 4.5
7 100 75 110 5.0
8 90 70 120 5.5
9 90 60 120 5.5
10 90 60 130 5.5
11 85 60 130 5.8
12 85 50 130 5.9
13 85 50 130 6.5
14 80 50 130 6.5
15 80 50 130 6.6
16 70 50 130 6.8
17 70 50 130 6.8
18 100 50 130 6.2
DYNAMIC ALERT LEVEL DETERMINATION
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
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
Introduction
Existing System
Proposed System
Architecture
Conclusion
THANK YOU
DYNAMIC ALERT LEVEL DETERMINATION

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