Patient fall monitoring in bathroom in a healthcare facility

Patent metadata

Field	Value
Publication number	US-10629049-B2
Application number	US-201816233413-A
Country	US
Kind code	B2
Filing date	Dec 27, 2018
Priority date	Jan 25, 2018
Publication date	Apr 21, 2020
Grant date	Apr 21, 2020

Abstract

A patient fall detection system includes a computer and multiple transceivers mounted at fixed locations in a healthcare facility. The transceivers are electronically coupled to the computer. A patient identification tag is worn by a patient and includes a tag transceiver. The high-accuracy locating system monitors a location of the patient ID tag via signals from the tag transceiver to determine whether a patient has entered a bathroom. The computer monitors at least one of an elevation of the patient ID tag in the bathroom, an elevation drop of the patient ID tag in the bathroom, or a time that the patient ID tag has been in the bathroom to determine whether the patient has fallen.

First claim

The invention claimed is:

1. A patient fall detection system comprising:
a computer configured to track a location of a patient in a healthcare facility,
a plurality of transceivers mounted at fixed locations throughout the healthcare facility and communicatively coupled to the computer, and
a patient identification (ID) tag that is worn by the patient, the patient ID tag having a tag transceiver configured to communicate with the plurality of transceivers, wherein the plurality of transceivers and the computer cooperate to form a high-accuracy locating system that is operable to determine a location of the patient ID tag in 3-dimensional space without using an accelerometer, the high-accuracy locating system determining the location of the patient ID tag in the healthcare facility within one foot or less of the patient ID tag's actual location, wherein the computer of the high-accuracy location system is configured to determine whether a patient has entered a bathroom of the healthcare facility, and if the patient has entered the bathroom, the computer of the high-accuracy locating system determines whether the patient has fallen based on at least one of the following: an elevation of the patient ID tag relative to a reference plane violating a height threshold or an elevation drop of the patient ID tag over a time period exceeding a drop threshold.

2. The patient fall detection system of claim 1 , wherein the height threshold is defined by a height of a seat of a toilet in the bathroom.

3. The patient fall detection system of claim 1 , wherein the reference plane is defined as a substantially horizontal plane that passes through at least two transceivers mounted at a substantially equivalent distance above a floor of the bathroom.

4. The patient fall detection system of claim 1 , wherein the reference plane is defined as a substantially horizontal plane that passes through at least two transceivers mounted at a substantially equivalent distance below a floor of the bathroom.

5. The patient fall detection system of claim 1 , wherein, if the computer determines that the patient has fallen, the computer initiates an alert to a nurse's station or to a wireless communication device of a caregiver.

6. The patient fall detection system of claim 1 , wherein the computer of the high-accuracy locating system also monitors an amount of time that the patient has been in the bathroom.

7. The patient fall detection system of claim 6 , wherein the computer of the high-accuracy locating system initiates an alert to a nurse's station or to a wireless communication device of a caregiver if the amount of time that the patient has been in the bathroom exceeds a time threshold even if the height threshold is not violated and even if the drop threshold is not exceeded.

8. The patient fall detection system of claim 1 , wherein the computer tracks a number of times that the patient uses the bathroom or enters the bathroom.

9. The patient fall detection system of claim 8 , wherein the computer initiates an alert to a nurse's station or to a wireless communication device of a caregiver if the number of times that the patient uses or enters the bathroom exceeds a predetermined threshold within a predetermined period of time.

10. The patient fall detection system of claim 8 , wherein the computer initiates an alert to housekeeping if the number of times that the patient uses or enters the bathroom exceeds a predetermined threshold.

11. The patient fall detection system of claim 10 , wherein the predetermined threshold is at least three times.

12. The patient fall detection system of claim 1 , wherein the computer of the high-accuracy location system does not determine whether the elevation of the patient ID tag relative to the reference plane violates the height threshold and does not determine if the elevation drop of the patient ID tag over the time period exceeds the drop threshold if the patient is outside of the bathroom.

13. The patient fall detection system of claim 12 , wherein the computer of the high-accuracy location system determines the elevation of the patient ID tag relative to the reference plane only after the patient is determined to be in the bathroom.

14. The patient fall detection system of claim 1 , wherein the computer initiates an alert to a nurse's station or to a wireless communication device of a caregiver after the computer determines that the patient ID tag has violated the height threshold for a predetermined period of time.

15. The patient fall detection system of claim 1 , wherein the plurality of transceivers and the tag transceiver communicate via ultra-wideband (UWB) signals.

16. The patient fall detection system of claim 1 , wherein the location of the patient ID tag is determined by the computer using two way ranging and time difference of arrival (TDOA) techniques.

17. The patient fall detection system of claim 1 , wherein the computer uses signals from only a subset of the plurality of transceivers to determine the location of the patient ID tag, the subset being determined based on signal strength of signals from the tag transceiver to the plurality of transceivers.

18. The patient fall detection system of claim 17 , wherein the subset comprises at least three transceivers from the plurality of transceivers having highest signal strength values as compared to others of the plurality of transceivers.

Assignees

• Hill Rom Services Inc

Inventors

• Hassey Laura A
• Baker Steven D
• Smith Bradley T
• Agdeppa Eric D
• Wells Pamela
• Myers Thomas A
• Robinson Andrew S
• Dezelon Kiana M
• Schroder John S

Classifications

• G08B21/182

  Level alarms, e.g. alarms responsive to variables exceeding a threshold · CPC title

• G16H50/20

  for computer-aided diagnosis, e.g. based on medical expert systems · CPC title

• G08B21/0446 Primary

  worn on the body to detect changes of posture, e.g. a fall, inclination, acceleration, gait · CPC title

• G16H40/63 Primary

  for local operation · CPC title