Proceedings of the 25th International Conference on Software Engineering
Grand challenges in clinical decision support
Journal of Biomedical Informatics
Addressing the flaws of current critical alarms: a fuzzy constraint satisfaction approach
Artificial Intelligence in Medicine
Prototyping closed loop physiologic control with the medical device coordination framework
Proceedings of the 2010 ICSE Workshop on Software Engineering in Health Care
Proceedings of the 2nd Conference on Wireless Health
Rationale and Architecture Principles for Medical Application Platforms
ICCPS '12 Proceedings of the 2012 IEEE/ACM Third International Conference on Cyber-Physical Systems
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We describe the Generic Smart Alarm, an architectural framework for the development of decision support modules for a variety of clinical applications. The need to quickly process patient vital signs and detect patient health events arises in many clinical scenarios, from clinical decision support to tele-health systems to home-care applications. The events detected during monitoring can be used as caregiver alarms, as triggers for further downstream processing or logging, or as discrete inputs to decision support systems or physiological closed-loop applications. We believe that all of these scenarios are similar, and share a common framework of design. In attempting to solve a particular instance of the problem, that of device alarm fatigue due to numerous false alarms, we devised a modular system based around this framework. This modular design allows us to easily customize the framework to address the specific needs of the various applications, and at the same time enables us to perform checking of consistency of the system. In this paper we discuss potential specific clinical applications of a generic smart alarm framework, present the proposed architecture of such a framework, and motivate the benefits of a generic framework for the development of new smart alarm or clinical decision support systems.