Integrated medication and infusion monitoring system

• US 10,642,961 B2
• Filed: 10/20/2016
• Issued: 05/05/2020
• Est. Priority Date: 11/13/2008
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Portnoy, Alan M., Saeger, Deborah A.
• Primary Examiner(s): Hein, Devin C
• Application Number:
  US15/298,925
• Publication Number:
  US 20170140126A1
• Time in Patent Office: 1,293 Days
• Field of Search: None
• CPC Class Codes: A61M 2205/3576 with non implanted data transmission devices, e.g. using external transmitter or receiver
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: A61M 5/14 Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
• CPC Class Codes: G06Q 10/1093 Calendar-based scheduling for persons or groups
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A system manages IV pumps so that clinicians automatically receive alerts, decisions, and actions required to maintain a patient IV medication therapy according to a prescribed treatment protocol. An infusion pump monitoring system, includes an acquisition processor for acquiring fluid infusion parameters for administration of an infusion fluid to a patient using an infusion pump. A fluid infusion monitor uses acquired fluid infusion parameters for automatically searching a patient medical record for information concerning rate of fluid infusion of a particular infusion fluid and determining if a rate of a previously administered dose of the particular infusion fluid was a lower rate than indicated in the fluid infusion parameters. An interface processor automatically initiates generation of a message indicating a potential adverse reaction to the particular infusion fluid in response to a determination of a lower rate being employed for previously administering the particular infusion fluid.

Claims

1. An infusion pump monitoring system, comprising:

a fluid infusion monitor for using acquired fluid infusion parameters for automatically searching a patient medical record for information concerning a rate of fluid infusion of a particular infusion fluid and determining if a rate of a previously administered dose of said particular infusion fluid was lower than a rate indicated in the fluid infusion parameters; and

an interface processor for automatically initiating generation of a message indicating a potential adverse reaction to the particular infusion fluid in response to a determination of a lower rate being employed for previously administering the particular infusion fluid to the patient, wherein the interface processor initiates generation of an infusion pump message for communication to the infusion pump to at least one of (a) reduce rate of fluid infusion and (b) inhibit operation of the infusion pump until an acknowledgement of the message indicating the potential adverse reaction is received.

2. A system according to claim 1, wherein

the message indicating a potential adverse reaction to the particular infusion fluid prompts a healthcare worker to lower the rate indicated in the fluid infusion parameters.

3. A system according to claim 1, wherein

the message indicating a potential adverse reaction to the particular infusion fluid comprises a displayed alert message to a healthcare worker.

4. A system according to claim 1, wherein

the message indicating a potential adverse reaction to the particular infusion fluid comprises an indication of the lower rate employed for previously administering the particular infusion fluid.

5. A system according to claim 1, further comprising

an acquisition processor for acquiring the fluid infusion parameters, wherein the fluid infusion parameters include a patient identifier, infusion fluid identifier, and a rate of fluid infusion to be used for the patient.

6. A system according to claim 1, wherein

the fluid infusion parameters are acquired from an infusion pump.

7. A system according to claim 1, wherein

the interface processor automatically initiates generation of a pharmacy message indicating a potential adverse reaction to the particular infusion fluid for communication to a pharmacy information system.

8. A system according to claim 1, wherein

the patient medical record information is stored in a repository of patient medical record information.

9. An infusion pump monitoring system, comprising:

an acquisition processor for acquiring a rate of fluid infusion of a particular infusion fluid;

a fluid infusion monitor for determining if a rate of a previously administered dose of the particular infusion fluid was lower than the rate of fluid infusion of the particular fluid; and

an interface processor for, upon determining the rate of a previously administered dose of the particular infusion fluid was lower than the rate of fluid infusion of the particular fluid, automatically initiating generation of a message for communication to the infusion pump to at least one of (a) reduce rate of fluid infusion and (b) inhibit operation of the infusion pump.

10. A system according to claim 9, wherein

the interface processor further initiates generation of a message indicating a particular adverse reaction to the particular infusion fluid.

11. A system according to claim 10, wherein

the message indicating the potential adverse reaction to the particular infusion fluid includes an indication of the lower rate of the previously administered dose.

12. An integrated infusion monitoring and scheduling system, comprising:

an acquisition processor for acquiring fluid infusion parameters comprising a patient identifier, infusion fluid identifier and a rate of fluid infusion and at least one of, (a) a start time of infusion administration and (b) an end time of infusion administration, for administration of an infusion fluid to a patient at a point of care using an infusion pump;

an interface processor for automatically initiating generation of a message for communication to the infusion pump to reduce the rate of fluid infusion at the infusion pump in response to identifying a potential adverse reaction when the rate of fluid infusion is higher than a previous rate of fluid infusion during a previous administration of the infusion fluid;

a data processor for automatically predicting a time a patient receiving an administered infusion will be ready for a treatment procedure in response to the start time of infusion administration or the end time of infusion administration and data identifying type of infusion and predetermined time for distribution of the type of infusion through patient anatomy; and

a scheduling processor for automatically using the time the patient will be ready for the treatment procedure in presenting a schedule identifying the treatment procedure together with a timeline.

13. A system according to claim 12, wherein

the acquisition processor acquires said fluid infusion parameters from a Bar-code Point of Care system.

14. A system according to claim 12, wherein

the acquisition processor acquires said fluid infusion parameters from the infusion pump.

15. A system according to claim 12, wherein

the data processor predicts the time said patient will be ready for the treatment procedure in response to patient demographic information including at least one of, (a) age, (b) weight and (c) gender.

16. A method of monitoring a plurality of medical infusion pumps, comprising the steps of:

identifying, within a patient medical record, fluid infusion parameters including a rate of fluid infusion of a particular infusion fluid;

determining if a previous rate of fluid infusion for a previously administered dose of the particular infusion fluid was lower than the rate of fluid infusion of the particular infusion fluid;

automatically initiating generation of a first message indicating a potential adverse reaction to the particular infusion fluid in response to determining that the previous rate of fluid infusion for the previously administered dose of the particular infusion fluid is a lower rate than the rate of fluid infusion of the particular infusion fluid; and

automatically initiating generation of a second message for communication to an infusion pump to at least one of (a) reduce the rate of fluid infusion of the particular infusion fluid and (b) inhibit operation of the infusion pump until an acknowledgement of the first message indicating the potential adverse reaction is received.

17. The method according to claim 16, wherein

the first message indicating a potential adverse reaction to the particular infusion fluid includes an alert message.

18. The method according to claim 16, wherein

the first message indicating a potential adverse reaction to the particular infusion fluid includes an indication of the lower rate employed for previously administering the particular infusion fluid.

19. The method according to claim 16, wherein

the fluid infusion parameters further includes a patient identifier and an infusion fluid identifier.

20. The method according to claim 19, wherein

the fluid infusion parameters are acquired from a patient medical record.