Record and verification method, apparatus and system

• US 20010048027A1
• Filed: 04/13/2001
• Published: 12/06/2001
• Est. Priority Date: 12/28/1999
• Status: Active Grant

• Current Assignee: Christopher S. Walsh
• Original Assignee: Christopher S. Walsh
• Inventors: Walsh, Christopher S.
• Granted Patent: US 6,464,136 B2
• Time in Patent Office: Days
• US Class Current: 235/385
• CPC Class Codes: A61N 2005/1074 Details of the control system, e.g. user interfaces
• CPC Class Codes: A61N 5/1048 Monitoring, verifying, controlling systems and methods
• CPC Class Codes: G06K 19/10 at least one kind of marking being used for authentication, e.g. of credit or identity cards verification of coded identity or credit cards in mechanisms actuated by them G07F7/12
• CPC Class Codes: G06K 7/0008 General problems related to the reading of electronic memory record carriers, independent of its reading method, e.g. power transfer
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/13 delivered from dispensers
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A method and apparatus are provided for verification of the identity of a patient undergoing treatment administered by a medical treatment practitioner in a treatment room. An identifying element such as patient chart or patient photograph is provided for the patient which includes a patient identifier, e.g., a barcode, capable of being read by a reader device located within the treatment room. In use, the patient identifier is read by the reader device in the treatment room and a characteristic audio signal, previously assigned to the patient and known to the patient, is generated in response to the reading of the identifying element when there is a match between the patient identifier and a stored identifier for the patient. Treatment of the patient is at least temporarily withheld if any audio signal generated in response to reading of the patient identifier by the reader device is not the characteristic audio signal assigned to the patient. A special patient chart with a removable identifier can be used. A billing method which may involve the scanning step is also provided.

Claims

1. A method of verification of the identity of a patient, said method comprising:

scanning a patient identifier which identifies the patient to be treated; and

generating a characteristic audio signal, previously assigned to the patient, in response to the scanning of the patient identifier when there is a match between the scanned patient identifier and a stored identifier for the patient.

2. A method according to

claim 1

, wherein the audio signal is known to at least one of (i) the patient and (ii) an authorized caregiver for the patient.

3. A method according to

claim 1

wherein the patient is undergoing medical treatment and the method further comprises at least temporarily withholding treatment of the patient if any audio signal generated in response to the scanning of the patient identifier is not the characteristic audio signal assigned to the patient.

4. A method according to

claim 1

wherein the patient is a newborn baby and the scanning is carried out to ascertain whether the newborn may properly be removed from its current location.

5. A method according to

claim 4

wherein an approved caregiver for the baby is assigned a badge including an identifier and the badge must also be scanned by the caregiver before the baby can properly be removed by the caregiver from said current location.

6. A method according to

claim 4

wherein the patient identifier is carried by a name card on the bassinet for the baby.

7. A method according to

claim 6

wherein the patient identifier is also carried by an identification band worn by the baby.

8. A method according to

claim 1

wherein at least one further identifier, in addition to said patient identifier, is scanned for a match and said characteristic audio signal is generated only after a match is found in each instance that an identifier is scanned.

9. A method according to

claim 1

wherein said characteristic audio signal is generated only when a match is found in each instance and only when the matches occur in a predetermined sequence.

10. A method according to

claim 1

wherein, in addition to said scanning of the patient identifier, a caregiver identifier is scanned to determine whether the caregiver identifier is that of an authorized caregiver for the patient and a check sheet identifier is scanned to determine whether the check sheet is that of the patient, and wherein said characteristic audio signal is generated only after a match is provided in every instance.

11. A method according to

claim 10

wherein said characteristic audio signal is generated only when the identifiers are scanned in a predetermined sequence.

12. A method according to

claim 10

wherein a medication identifier associated with a medication about to be given to the patient is scanned to determine whether the medication is that intended for the patient and a further, matching characteristic audio signal is generated when there is a match.

13. A method according to

claim 1

wherein the patient identifier is carried by a medication container for medication for the patient.

14. A method according to

claim 6

wherein the patient identifier is also carried by a medication chart on which the physician first writes an order for the medication and both the medication container and the mediation chart are scanned to determine whether said characteristic audio signal is generated in response thereto.

15. A method according to

claim 1

wherein said scanning takes place in a patient dwelling and said patient identifier is carried by a container for a medication which is to be taken by the patient and which is prepared by a pharmacy.

16. A method according to

claim 15

wherein a prescription for the medication, including the name of the patient, is initially written by a physician for the patient, wherein the prescription is received by the pharmacy, and wherein the pharmacy determines the corresponding scannable patient identifier assigned to the patient and dispenses the medication in said container carrying said patient identifier.

17. A method according to

claim 1

wherein said scanning of said patient identifier comprises scanning of a medical device for delivering a medication to the patient.

18. A method according to

claim 17

wherein said medical device comprises a syringe.

19. A method according to

claim 1

wherein said patient identifier is carried by a label produced by the caregiver.

20. A method according to

claim 19

wherein the caregiver initially dispenses a plurality of identical patient identifier carrying labels at the same time.

21. A method according to

claim 20

wherein said method is used in chemotherapy treatment of the patient and said labels are applied to container for all drugs used in the chemotherapy treatment, to all syringes used in the chemotherapy treatment and to at least one patient identification member.

22. A method according to

claim 1

wherein said scanning of patient identifier comprises scanning of a patient identifying member selected from the group consisting of a patient photograph, a patient treatment chart, a patient identification card and an identification band worn by the patient.

23. A method according to

claim 22

wherein at least two of the patient identifiers of said group are separately scanned.

24. A method according to

claim 1

wherein said scanning is carried out using a scanning device selected from the group consisting of a coded marking scanner, a retinal scanner, a fingerprint scanner, an iris scanner and a scanner for a subcutaneous microchip.

25. A method according to

claim 24

wherein said patient identifier comprises a barcode and scanning of said barcode is carried out using a coded marking scanner comprising a barcode reader.

26. A method according to

claim 1

wherein said characteristic audio signal comprises a non-verbal sound pattern.

27. A method according to

claim 26

wherein said non-verbal sound pattern comprises a three tone chord.

28. A method according to

claim 27

wherein the duration of said chord is about 2 to 3 seconds.

29. A method according to

claim 27

wherein the chord is generated at two different times, in close sequence, from two spaced locations and the duration of said chord is about ½

to 2 seconds.

30. A method according to

claim 1

wherein scanning of the patient identifier comprises scanning two different identification members carrying the patient identifier and results in the generation of two separate matching characteristic audio signals at two different spaced apart locations in a treatment room when the patient identifiers carried by the two members match said stored patient identifier.

31. A method according to

claim 30

wherein the two patient identifiers are scanned by two different separate scanning devices spaced apart in the treatment room.

32. A method of verification of the identity of a patient undergoing treatment administered by a medical treatment practitioner in a treatment room, said method comprising:

providing an identifying element for the patient including a patient identifier capable of being read by a reader device located within the treatment room;

causing the patient identifier to be read by said reader device in the treatment room;

generating a characteristic audio signal, previously assigned to the patient and known to the patient, in response to the reading of said identifying element when there is a match between the patient identifier and a stored identifier for the patient; and

at least temporarily withholding treatment of the patient if any audio signal generated in response to reading of the patient identifier by the reader device is not the characteristic audio signal assigned to the patient.

33. A method according to

claim 32

wherein said identifying element comprises an identifying member selected form the group consisting of a patient photograph, a patient treatment chart, a patient treatment verification sheet, a patient identification card and an identification band worn by the patient.

34. A method according to

claim 32

wherein said reader device comprises one of a coded marking reader and a fingerprint scanner.

35. A method according to

claim 32

wherein first and second reader devices are provided in the treatment room as part of a workstation which also includes first and second spaced audio speakers for generating said characteristic audio signal, wherein at least a treatment practitioner is required to scan different patient identifying elements each including said patient identifier at the first and second readers, respectively.

36. A method according to

claim 35

wherein one of said patient identifying elements comprises a patient chart including a photograph of the patient.

37. A method according to

claim 35

wherein one of said patient identifying elements comprises a paper patient treatment verification sheet.

38. A method according to

claim 32

wherein two medical practitioners carry out the treatment and wherein the treatment that the patient is to undergo includes an automatic setup portion which is carried out automatically under computer control and wherein access to the automatic setup portion is permitted only if both medical practitioners are designated as having automatic setup privilege.

39. A method according to

claim 32

wherein the method is used in a control system to control, based on preselected criteria, access to an existing automatic download treatment system for a radiation treatment device which automatically transfers prestored patient treatment parameters to the radiation treatment device.

40. A method according to

claim 39

wherein said criteria include verification of privileges of the medical practitioners responsive to logging by the practitioners onto the control system by effecting scanning of a patient chart by one of the reader devices.

41. A method according to

claim 32

wherein the patient identifier is carried by a container for a medication for the patient and the characteristic audio signal is known both by the patient and the medical treatment practitioner so that both the patient and the practitioner can be assured by hearing the characteristic audio signal that the correct medication container has been provided for the patient.

42. A method according to

claim 41

wherein the patient identifier is applied by an in-hospital pharmacy to the medication container and corresponds to a patient identifier previously assigned to that patient during pre-treatment processing.

43. A patient treatment check sheet containing at least a first field for entry of at least the name of the patient to be treated and a second field including printed patient treatment parameters and blanks to be filled in during the course of treatment of the patient, said check sheet further comprising at least one fixed patient identifier including characteristic coding adapted to be scanned by a scanning device to provide reading thereof and at least one removable patient identifier including said characteristic coding and adapted to be affixed to a further element to be used in the treatment of the patient.

44. A patient treatment check sheet according to

claim 43

wherein said further element is patient identification member selected from the group consisting of a patient photograph, a patient chart, a patient treatment verification sheet, a patient identification card, a patient identification band and a combination of a patient photograph and a patient chart.

45. A verification system for use in verification of the identify of a patient about to undergo medical treatment administered to the patient in a treatment room under the control of at least one medical practitioner, said system comprising:

a verification workstation including electronic storing means for storing a patient identifier assigned to the patient to be treated;

at least one scanning device for scanning a scannable patient identifier which uniquely identifies the patient to be treated; and

means for generating a characteristic audible output assigned to the patient to be treated and unique to the patient, responsive to matching of the patient identifier scanned by said scanning device and the patient identifier stored by said electronic storing means at said verification workstation.

46. A system as claimed in

claim 45

wherein said scannable patient identifier comprises a bar code carried by a treatment chart for the patient.

47. A system as claimed in

claim 46

wherein said system includes first and second scanning devices, located at spaced locations within said treatment room, for separately scanning scannable patient identifiers carried, respectively, by (i) a treatment chart and (ii) at least one other element associated with the patient to be treated.

48. A method of facilitating billing for medical treatment services involving treatment of a patient wherein a patient treatment chart is used in conjunction with the treatment of the patient, said method comprising the steps of:

logging onto a computerized billing system when the patient treatment chart is located at a predetermined location in a treatment facility; and

generating a billing alert in response to said logging on step so as to ensure patient treatment provided at said location will be billed out.

49. A method as claimed in

claim 48

wherein said logging on step comprises logging on responsive to use of a scanning device located at said predetermined location to scan a patient identifier on said patient treatment chart.