Verification of medication administration adherence

• US 10,297,032 B2
• Filed: 01/06/2016
• Issued: 05/21/2019
• Est. Priority Date: 11/18/2009
• Status: Active Grant

• Current Assignee: AI Cure Technologies LLC
• Original Assignee: AI Cure Technologies LLC
• Inventors: Hanina, Adam, Kessler, Gordon
• Primary Examiner(s): Burgess, Joseph D
• Application Number:
  US14/989,112
• Publication Number:
  US 20160117474A1
• Time in Patent Office: 1,231 Days
• CPC Class Codes: G06F 16/24573 using data annotations, e.g. user-defined metadata
• CPC Class Codes: G06T 7/20 Analysis of motion motion estimation for coding, decoding, compressing or decompressing digital video signals H04N19/43, H04N19/51
• CPC Class Codes: G06V 40/166 using acquisition arrangements
• CPC Class Codes: G06V 40/20 Movements or behaviour, e.g. gesture recognition recognition of facial expressions G06V40/16
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: H04N 23/61 based on recognised objects
• CPC Class Codes: H04N 23/611 where the recognised objects include parts of the human body
• CPC Class Codes: H04N 23/63 by using electronic viewfinders
• CPC Class Codes: H04N 23/634 Warning indications
• CPC Class Codes: H04N 7/183 for receiving images from a single remote source

Abstract

A system and method of confirming administration of medication is provided. The method comprises the steps of receiving information identifying a particular medication prescription regimen, determining one or more procedures for administering such prescription regimen and identifying one or more activity sequences associated with such procedures. Activity sequences of actual administration of such prescription regimen are captured and then compared to the identified activity sequences to determine differences therebetween. A notice is provided if differences are determined.

Claims

1. A method comprising:

determining one or more procedures for ingestion of a medication in accordance with a medication prescription regimen;

identifying one or more predefined movement sequences associated with the determined one or more procedures;

providing on a display of a local device one or more instruction prompts instructing a user how to follow the one or more predefined movement sequences, including proper ingestion, of the medication;

subsequent to providing the one or more instruction prompts to the display, capturing, by the local device, one or more video activity sequences of the user following the one or more instruction prompts during a current medication administration session;

storing the captured one or more video activity sequences to a non-transitory computer readable storage medium of the local device;

comparing the stored one or more video activity sequences to the identified one or more predefined movement sequences;

determining sufficient differences between the stored one or more video activity sequences and the identified one or more predefined movement sequences to confirm that the user has failed to properly perform the one or more predefined movement sequences during the current medication administration session;

providing on the display one or more additional instruction prompts further instructing a user how to properly administer the medication during the current medication administration session in accordance with the one or more predefined movement sequences;

subsequent to providing the one or more additional instruction prompts, capturing, by the local device, one or more second video activity sequences of the user following the one or more additional instruction prompts during the current medication administration session;

storing the captured one or more second video activity sequences to the non-transitory computer readable storage medium;

comparing the stored one or more second video activity sequences in real time to the identified one or more predefined movement sequences; and

determining the stored one or more second video activity sequences and the identified one or more predefined movement sequences are sufficiently similar, so as to confirm in real time that the user has properly administered the medication, including proper ingestion of the medication, by properly performing the one or more predefined movement sequences.

2. The method of claim 1, wherein the medication prescription regimen is received by the local device in response to an instruction provided by a medical professional.

3. The method of claim 1, further comprising retrieving the medication prescription regimen from a medical database.

4. The method of claim 1, wherein determining the one or more procedures for ingestion of the medication comprises retrieving the one or more procedures from a database.

5. The method of claim 4, wherein the determined one or more procedures for ingestion of the medication in accordance with the medication prescription regimen are modified in response to an instruction received from a medical professional.

6. The method of claim 1, further comprising:

retrieving medical history information of a patient to receive the administered medication; and

confirming that the administered medication is safe for the patient.

7. The method of claim 1, further comprising:

before capturing the one or more video activity sequences of the user following the one or more instruction prompts, determining the identity of a particular medication to be ingested by the user;

determining whether the determined identity of the particular medication is the medication associated with the medication prescription regiment; and

issuing a warning if it is determined that the determined identity is not the medication associated with the medication prescription regimen.

8. The method of claim 7, wherein issuing the warning includes sending a communication to a medical professional.

9. The method of claim 1, further comprising:

capturing, by the local device, one or more additional video activity sequences of the user following the one or more instruction prompts during one or more additional medication administration sessions;

transmitting the captured one or more additional video activity sequences to a remote server location;

analyzing the captured one or more additional video activity sequences by a computer processor associated with the remote server location, wherein analyzing the captured one or more additional video activity sequences comprises comparing each of the captured one or more additional video activity sequences to the identified one or more predefined movement sequences to determine differences therebetween, thereby automatically determining by the computer processor associated with the remote server location that one or more predefined movement sequences of the one or more additional video activity sequences have been improperly performed across one or more of the multiple instances of administration including ingestion; and

providing an analysis of adherence to a particular prescription regimen and the additional activities of the one or more additional video activity sequence.

10. The method of claim 9, further comprising providing additional instructions to a medication administrator in accordance with the provided analysis.

11. The method of claim 9, further comprising contacting a medical professional.

12. The method of claim 11, further comprising providing additional instructions to a medication administrator.

13. A non-transitory computer readable storage medium, having stored thereon a computer program, the computer program comprising computer-executable instructions that, when executed by a general purpose computer associated with a local device, cause the computer to perform operations comprising:

authenticating a prescribing medical professional;

receiving information identifying a particular medication prescription regimen from the authenticated medical professional;

determining one or more procedures for ingestion of medication in accordance with the medication prescription regimen from one or more databases including prescription regimen information in accordance with the information provided by the authenticated medical professional;

receiving additional information from the authenticated medical professional modifying the one or more procedures;

identifying one or more predefined movement sequences associated with the determined one or more procedures for ingestion of medication;

displaying on a display of the local device a first set of interactive instructions and associated instruction prompts instructing a user how to follow the one or more predefined movement sequences;

capturing one or more video activity sequences by a video capture device of the local device of the user following the one or more instruction prompts displayed on the display to the user;

storing the captured one or more video activity sequences including ingestion of the medication by the user to the non-transitory computer readable storage medium of the local device;

comparing the one or more stored video activity sequences to the identified one or more predefined movement sequences;

determining differences between the one or more stored video activity sequences and the identified one or more predefined movement sequences and that the user has failed to properly perform the identified one or more predefined movement sequences;

providing one or more further interactive instructions to the user via the display of the local device, the one or more further interactive instructions further instructing the user how to properly administer the medication during a current medication administration session in accordance with the one or more predefined movement sequences;

capturing one or more second video activity sequences of the user following the one or more further instructions;

storing the captured one or more second video activity sequences including ingestion of the medication to the non-transitory computer readable storage medium of the local device;

comparing the stored one or more second video activity sequences to the identified one or more predefined movement sequences; and

determining that the sequences are sufficiently similar to confirm that the user has properly performed the identified one or more predefined movement sequences and to confirm proper medication administration, including ingestion of the medication.

14. The non-transitory computer readable storage medium of claim 13, wherein comparing the one or more stored video activity sequences to the identified one or more predefined movement sequences comprises performing a statistical analysis of the differences determined between the one or more stored video activity sequences and the identified one or more predefined movement sequences.

15. The non-transitory computer readable storage medium of claim 13, wherein determining the differences between the one or more stored video activity sequences and the identified one or more predefined movement sequences comprises determining an incorrect medication.

16. The non-transitory computer readable storage medium of claim 13, wherein determining the differences between the one or more stored video activity sequences and the identified one or more predefined movement sequences comprises determining an incorrect amount of medication.

17. The non-transitory computer readable storage medium of claim 13, wherein determining the differences between the one or more stored video activity sequences and the identified one or more predefined movement sequences comprises determining an incorrect administration procedure.

18. A system for confirming administration of medication, the system comprising:

a storage device associated with a local device, the storage device storing prescription administration information associated with an identified medication prescription, a set of instructions in accordance with which a prescription regimen, including ingestion of the medication, is to be administered, and one or more identified predefined movement sequences associated with the set of instructions;

a video capture device associated with the local device;

a processor associated with the local device, wherein the processor is configured to perform operations comprising;

capturing video activity sequences with the video capture device of a user following one or more instruction prompts displayed on the output device instructing the user to perform the one or more predefined movement sequences;

storing the captured video activity sequences to the storage device associated with the local system during a current medication administration session;

comparing, at the time of administration of the medication, the stored video activity sequences to the identified predefined movement sequences;

determining differences between the stored video activity sequences and the identified one or more predefined movement sequences at the time of administration of the medication and determining that the user has failed to properly perform the one or more predefined movement sequences;

providing one or more further instructions further instructing the user how to properly administer the medication during the current medication administration session in accordance with the one or more predefined movement sequences;

capturing second video activity sequences with the video capture device of the user following the one or more further instructions;

storing the second captured video activity sequences to the storage device associated with the local system;

comparing the stored second video activity sequences to the identified predefined movement sequences; and

determining that the sequences are sufficiently similar, thus confirming during the current medication administration session that the user has properly performed the one or more predefined movement sequences, and confirming proper medication administration including ingestion of the medication.

19. The system of claim 18, wherein the information stored on the storage device comprises information modified by an authenticated medical professional.

20. The system of claim 18, wherein the capture device is further configured to capture images of a particular medication to allow identification thereof.

21. A non-transitory computer readable storage medium, having stored thereon a computer program, the computer program comprising computer-executable instructions that, when executed by a general purpose computer, cause the computer to perform operations comprising:

determining one or more procedures for administering a prescription regimen that includes ingestion of a medication in accordance with prescription information provided by an authenticated medical professional;

receiving additional information from the authenticated medical professional modifying the one or more procedures;

providing a set of instructions including one or more instruction prompts instructing a user to perform a predefined movement sequence in accordance with which the prescription regimen is to be administered;

identifying one or more predefined visual indicia for determining confirmation of performance of the predefined movement sequence by the user;

providing via an output device of a local device at least one of the one or more instruction prompts instructing the user how to perform the predefined movement sequence, including ingestion of the medication;

capturing, during a current medication administration session, first visual indicia by a video capture device associated with the local device of the user following the at least one instruction prompt and performing the predefined movement sequence, including ingestion of the medication;

storing the captured first visual indicia to a non-transitory computer readable storage medium of the local device;

comparing the stored first visual indicia to the predefined movement sequence;

determining differences between the stored first visual indicia and the predefined movement sequence indicating that the user has failed to properly perform the predefined movement sequences;

providing one or more further instruction prompts via the output device further instructing the user how to properly administer the medication during the current medication administration session in accordance with the predefined movement sequence;

capturing second visual indicia of the user following the one or more further instructions by the video capture device;

storing the captured second visual indicia to the non-transitory computer readable storage medium of the local device;

comparing the stored second visual indicia to the predefined movement sequence; and

determining that the sequence is sufficiently similar to confirm that the user has properly performed the predefined movement sequence and to confirm proper medication administration.

22. The non-transitory computer readable storage medium of claim 21, wherein the visual indicia for determining confirmation of prescription administration comprises one or more video activity sequences.

23. The non-transitory computer readable storage medium of claim 21, wherein the computer program comprises computer-executable instructions that, when executed by a general purpose computer, cause the computer to perform operations further comprising:

capturing third visual indicia of activity of a patient before medication administration by the video capture device; and

providing a reminder to the patient at least in part in accordance with the captured third visual indicia before medication administration.

24. The non-transitory computer readable storage medium of claim 21, wherein the computer program comprises computer-executable instructions that, when executed by a general purpose computer, cause the computer to perform operations further comprising capturing third visual indicia of activity of a patient by the video capture device before medication administration, wherein the captured third visual indicia before medication administration comprises evidence of patient consent.

25. The non-transitory computer readable storage medium of claim 21, wherein the computer program comprises computer-executable instructions that, when executed by a general purpose computer, cause the computer to perform operations further comprising:

capturing third visual indicia of activity of a patient by the video capture device after medication administration;

providing notification to a medical service provider of the activity; and

modifying at least one aspect of the prescription regimen in accordance with the captured third visual indicia after medication administration.

26. The non-transitory computer readable storage medium of claim 25, wherein the captured third visual indicia after medication administration comprises an adverse reaction to the medication.