Abstract:
System (10) for extracting a fetal heart rate from at least one maternal signal using a computer processor (26). The system includes sensors (12-18) attached to a patient to receive abdominal ECG signals and a recorder and digitizer (20) to record and digitize each at least one maternal signal in a maternal signal buffer (22A-22D). The system further includes a peak detector (40) to identify candidate peaks in the maternal signal buffer. The signal stacker (42) of the system stacks the divides at least one maternal signal buffer into a plurality of snippets, each snippet including one candidate peak and a spatial filter (44) to identify and attenuate a maternal QRS signal in the plurality of snippets of the maternal signal buffer, the spatial filter including at least one of principal component analysis and orthogonal projection, to produce a raw fetal ECG signal which is stored in a raw fetal ECG buffer. The system further includes a fetal QRS identifier (46) for identifying peaks in the raw fetal ECG buffer by at least one of principal component analysis and a peak-detector followed by rule based fQRS extraction and a merger (48) to calculate and merge the fetal heart rate from the identified peaks.
Abstract:
The present disclosure relates to estimation and use of clinician assessment of patient acuity. In various embodiments, a plurality of patient feature vectors associated with a plurality of respective patients may be obtained (302, 304). Each patient feature vector may include one or more health indicator features indicative of observable health indicators of a patient, and one or more treatment features indicative of characteristics of treatment provided to the patient. A machine learning model (216) may be trained (306) based on the patient feature vectors to receive, as input, subsequent patient feature vectors, and to provide, as output, indications of levels of clinician acuity assessment. Later, a patient feature vector associated with a given patient may be provided (404) as input to the machine learning model. Based on output from the machine learning model, a level of clinician acuity assessment associated with the given patient may be estimated (406) and used (408-416) for various applications.
Abstract:
The present disclosure pertains to obtaining information that facilitates determining healthcare quality measures by evaluating subject healthcare data in real-time. Information is obtained that facilitates determination of compliance with healthcare quality measures. This is accomplished by running queries on a clinical database comprising subject healthcare data. Natural language processing is utilized to extract subject healthcare data at various times from the clinical database based on individual queries, thus determining any changes in subject healthcare data over time. A rule-based component is used to implement healthcare quality measures and evaluate updated subject healthcare data based upon rules.
Abstract:
An early warning system for patient monitoring includes one or more patient monitors (620) configured to generate patient physiological data, a patient database (602) storing patient physiological measurements and outcomes, and one or more computer processors (604) programmed to: machine learn an Aggregate Weighted Track and Trigger System (AWTTS) algorithm for quantifying patient condition by an AWTTS score based on a training set of the patient physiological measurements and outcomes; apply an Early Warning Score or Modified Early Warning Score (EWS) algorithm to patient physiological measurements to generate EWS scores; apply the machine-learned AWTTS algorithm to the patient physiological measurements to generate AWTTS scores; and create a mapping between the AWTTS scores and the EWS scores.
Abstract:
A system (300) configured to analyze electronic medical records comprises: a user interface (310) configured to receive input from a user and to receive a request for patient information; and a processor (320) comprising: a patient cohort generator (350) configured to: (i) track user input; (ii) identify patient information accessed through the user interface as well as patient parameters associated with the patient; (iii) associate patients into a patient cohort based on the patient parameters; (iv) identify, for the patient cohort, types of information most commonly accessed by the users; and (v) associate the identified types of information with the patient cohort; and a record identifier (370) configured to: (i) associate the patient for whom patient information is requested with a patient cohort; and (ii) identify, based on the patient cohort with whom the patient is associated, the types of information associated with that cohort.
Abstract:
A method (100) for training a scoring system (600) comprising the steps of: (i) providing (110) a scoring system comprising a scoring module (606); (ii) receiving (120) a training dataset comprising a plurality of patient data and treatment outcomes; (iii) analyzing (130), using a clinical decision support algorithm, the training dataset to generate a plurality of clinical decision support recommendations; (iv) clustering (140), using the scoring module, the plurality of clinical decision support recommendations into a plurality of clusters; and (v) identifying (160), using the scoring module, one or more features of at least one of the plurality of clusters, and generating, based on the identified one or more features, one or more inclusion criteria for the at least one of the plurality of clusters.
Abstract:
System (10) for extracting a fetal heart rate from at least one maternal signal using a computer processor (26). The system includes sensors (12-18)attached to a patient to receive abdominal ECG signals and a recorder and digitizer (20)to record and digitize each at least one maternal signal in a maternal signal buffer (22A-22D). The system further includes a peak detector (40) to identify candidate peaks in the maternal signal buffer. The signal stacker (42)of the system stacks the divides at least one maternal signal buffer into a plurality of snippets, each snippet including one candidate peak and a spatial filter (44)to identify and attenuate a maternal QRS signal in the plurality of snippets of the maternal signal buffer, the spatial filter including at least one of principal component analysis and orthogonal projection, to produce a raw fetal ECG signal which is stored in a raw fetal ECG buffer. The system further includes a fetal QRS identifier(46)for identifying peaks in the raw fetal ECG buffer by at least one of principal component analysis and a peak-detector followed by rule based fQRS extraction and a merger (48)to calculate and merge the fetal heart rate from the identified peaks.